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Home My WebLink About20194369.tiff DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue cc3 fib ' Greeley. CO 80631 (10 ,'t k ,ti - . www weldhealth,org Public Health tlealni Administrnrlwi Public Health L Clinical Envlronmenral Health Communication, Emergency Preparedness Vila!Records Services Services Education&Planning &Response Tele 970 304 6410 Tele 970 304 6420 Tele 970 304 6415 Tele 670 304 6470 Tele 970 304 5420 Fax: B70 304 6412 Fax 070 304 6416 Fax! 970 304 6411 Fax 970 304 6492 Fax, 970 304.5459 Our wsron regafher rein,the eentrnuailies we serve,we we working io make Weld County the healthiest 01005 ID We.learn,wow and Play Septic Permit - Final Application Number:SP-1600125 Owner Name:GUEST CONNIE Site Address: 9175 CR 47.5 Finaled HUDSON, CO 80642 Application Status: App Type: HealthlResidentiallNew OWTS1Septic Finaled TIM JACKSON Applied Date: P 05(2612016 O BOX 85 Issued Date: HUDSON, CO 80642 06/03/2016 Parcel#: 130713000015-R5137786 Finaled Date : Legal Desc: SW4 13-2-65 EXC BEG AT CEN S940' N89D44'W 320'N 7D47'E 08/31/2016 941'E 190'TO BEG (5.5A) ALSO EXC UPRR RES Work Description: HOUSE EHS SEPTIC GENERAL: Associated Disaster Permit No Number of Bedrooms 3 Number of Persons 1 Parcel Acres 144,57 Public Water Supply No Waive Fees No EHS SEPTIC ACTUAL (FINAL): Septic Tank Size, gallons 1250 Absorption Trench, sgft 792 Chamber Model Quick4 Standard or High Capacity Number of Chambers Installed 66 Design Type Chambers-Trench Comments Date: 8/29/2016 1, Sewer line ready for backfill. 2, Provide as-built to owts©weldgov corn attn: Alex NOTICE The issuance of this permit does not imply cumpliance with other state,county,or local regulatory or building requirements,nor shall it act to comity That the subject system will operate+n compliance whir applicable state,county and local regulations adopted persuanl to Article 10,Title 25,CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to 25-10-112(1)(b),C.R S. This uormit Is non-transferable and non-refundable.The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis.Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. Alex Clemments August 31, 2016 Environmental Health Specialist Date Print Date Time: 8/31/2016 9:39:27AM Septic Permit- Fine! EHS033 Page 1 of 1 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 Iff c ' www.weldhealth org :PLO i `,c:,, Public Health Health Administration Public Health&C[In1sal Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education&Planning 6 Response Tole 970 304 6410 Tale 970 304 6420 Tele 970 304 6415 Tele:970 304 6470 Tee 970 304 6420 Fax 970,304 6472 Fax 970 324 6416 Fax 470,304 6471 Fax: 970.304 6452 Fax 070.304 6459 Our osion Topelher Mar rho co/nmaaMes we serve we are warkrng re make Weld Coanly the healrhiesi piece la We,learn,work and play Septic Permit New Application Number: SP-1600125 Owner Name: GUEST CONNIE Site Address: 9175 CR 47 5 HUDSON, CO 80642 Application Status: App Type: HealthlResidentiailNew OWTSISeptie Final Pending TIM JACKSON Applied Date: 05/26/2016 PO BOX 85 intake Person: HUDSON, CO 80642 SCERRILLO Permit Expiration Date: Parcel Number: 130713000015-R5137786 Legal Desc: SW4 13-2-65 EXC BEG AT CEN 5940' N89D44'W 320'N 7D47'E 941'E 190'TO BEG (5,5A) ALSO EXC UPRR RES Work Description: HOUSE ENS SEPTIC GENERAL: Associated Disaster Permit No Number of Bedrooms 3 Number of Persons 1 Parcel Acres 144.57 Public Water Supply No Waive Fees No SEPTIC SIZING INFORMATION; From the application information supplied and the on-site soil percolation data the following minimum installation specifications are required: Septic Tank Size(GAL): 1000 Bed Absorption Area for Rock& Pipe(Sqft.) 1 080 Trench Absorption Area for Rock& Pipe(Sqft.) 900 Bed Absorption Area for Chambers(Sgft.) 756 Trench Absorption Area for Chambers(Sgft.) 630 Print Date- Time, 6/9(2016 3T5:33PM Septic Permit With Calc EHS066 Page 1 of 3 f Form No. 4 !a, 7/661 . COLORADO WATER CONSERVATION BOARD f ) ,_,� LOG AND HISTORY ; r 4. Location: T? ___Sec 1,3__P.M- 6 .liar s' 8l*1County_ Weld �.�. Owned by__.___1) t-tna Bell Addres•3 Kooneeburgs Color id • Tenant_ . r Address Drilled by —F.0l lex & TIoldef ,..,_Addreaa_itudeoni Colorer o Water Well Driller's License No 1 Name or No.of WelL 2 _._ ., Type of Well: Domestic❑,Municipal p,Stock 0,Irrigation an, x, industrial❑,Drainage O,Other - Cased: O__-ft. to_ �� ft. 15hea&e 181 Wt. of Casing: Lbs./Ft._22•7 Cased. it. to --ft. Type_- Size__._ Wt. of Casing: Lbs./Ft_ Cased: __ft. to ft. Type Size Wt. of Cuing: Lh../Ft. Perforated. or Screened: Ft... 23 to Ft__ 53 r• Ft to Ft.__. 4DType of Screen or Perforation louvre Date Started_ I[0',, 3 r 195b. Date Completed. Nov. 3a X9 . Static Water Level_11 Ft. or Shut in Pressure lbs./sq. in. Date -f Pumping Water Level 1 Ft. at.. SOO _ _G PM yield. • flow Tested: ____EFIMPOIR Length of Test 2 .flours. Put Formation Log on Reverse Side REMARKS: (Gravel Packing, Cementing, Packers, Type of Shut-off,Depth of Shut-off, Method of Drill- ing, etc.) Rover be rot e Gravel pecked : r ql � 1954 '° TO BE MADE 1'N TRIPLICATE: White copy to owner,Blue copy to Colorado-Ni at'er Conservation Board,and other co driller:'r - . w w O. • LOG OF WELL DESCRIPTION OP MATERIAL DRILLED METHOD OF DRILLING 411► Feet f 00 1.6_.....9_ sand r,- c .to_ - clay ,:. i 12 to 18 sand V 18 to 25 clay to 40 f'_ne gravel .Jam? to 4l . gravel 41 43 clay - 4'.. . . 49 fine sand • 49 51 clay :it 61 53 shale ; 1 a lt. '4 J . t ' '� /• 'rH. 1 .. 'fir ,,.� .' - - i - Form No. 3 ,..f iRLevhnl 7/h3 II I:: 0 • . • NOTIFICATION OF INTENTION TO DRILLi 1. REDIRILI.®, RECASE ❑, OR DEEPEN "IT]a WATER 'WELL •rr District No._ __—Name or Number of Weil_ mac•'• ......- ---- -- ,, Narne of Driller_ LT; ��r 1t:11': ci en _ Address____j__ 7. ':01, -ciao - -- - -- _ __ --_ - l'• ' . Well Driller's License No_1 — Land Owner's Name__,a=i;'.:.)n_ ;ell —�r _ ---._.---- --- -- Address . een9s:,uv_ :_wrl0: `'`' i _- — - - - Estimated Depth of Well `; -__._Ft. L Location of Well - Diameter of Well 1-2 In. Section No._ 1 _ ._ 211 ` Diameter of Casing - _In. Tw•T,.- ----___Range.__`.,7 -_.....P.1i.- --= - . Weight of Casing - 22 .7 .-Lbs ;Ft, (Please mark %yell location to nearest .10 acres bel-)w•) I . Type of Well: Domestic r] I 1 Irrigation Llel I • • Municipal 0 . 1 1 . Stcck 0 I I Other 0 Method to be used in drilling: t L'TY-- If above location is unknown, complete the follow- • ing: • Estimated Depth of Bottom and Top of Shutoff City, Town. or Sub•livision ..—_____ _ . Type of Shutoff __--�___ _ __-- - Street Address of Well L-ocatio �itt..: 1"F,-? tt .. r�!r' { • Form No.4 (4,06,,, ,. (Revised 6,55) / / .;:::/ COLORADO WATER CONSERVATION BOARD LOG AND HISTORY w.. ;1) Location: Sec. .13. T....2N...Rf 5W.....P.M....6... ...1/.j, Sec, .SW (2) County....Weld., • (3) or Street Address City (4) Owned by. Dayton Bell Address...N.ud.snnr...Gclarado, (5) Tenant Address I,.: (6) Drilled by....H0LDE1 ...&..JIDT.1) N Address liud.scn.,_..DolGrado (7) Water Well Driller's License No 1 (8) Name or No. of Well (9) Type of Well: Domestic in, Municipal ❑,.Stock P, Irrigation ❑, Industrial n, Drainage ;D, Other (10) Cased: ....O...... .f t. to llZft. Type l.t 0.01...Size 5n Wt. of Casing: Lbs./Ft,...15 Cased: .... ........it. to .....ft. Type Size Wt. of Casing: Lbs./Ft • . Cased: ft. to ft. Type Size Wt. of Casing: Lbs./Ft (11) Perforated or Screened: Ft 211 to Ft la ; Ft to Ft • (12) Type of Screen or Perforatian...$t. I Z' ...punch • 1` (13) Date Started...........7.-. .0-56 (14) Date Completed ....7 .10 .5.6 Static Water Level........1.7 Ft. (15) or :. Shut in Pressure lbs./eq. in. (16) Date 1. ,•. ii��. (17) Pumping Water Level 19 Ft. at (18) 2� G P M yield. • (19) Flow Tested: bailed (20) Length of Test 1i Hours, Put Formation Log on Reverse Side (21) REMARKS: (Gravel Packing, Cementing, Packers, Type of Shut-off, Depth of Shut-off, Method - Drilling,etc.) �` •` ;� Rotai ,r •• :tr. AI tn pi.. . .. -1 1 ', ,,.p il.,112/#4, , • May '. li {?r.r r “sliy� r,< ,' TO BE MADE IN QUADRUPLICATE• Orignui1 Blue and GreenDuplicate to Colorado Water ., <••. Conaeivation Board. White Copy to Owner and Yellow Copy to Driller. '•'1`;} I .q; LOG OF WELL DESCRIPTION OF MATERIAL DRILLED METHOD OF DRILLING IADD OTM4R LINIte AS NIEXPEOJ • Feet • 00 to........................ 20 311411.8 to _....._.. ..... } • r4. . •y• • • O ' y' r1, Form No. (Reviued 6/55) COLOP•,ADO WATER CO!'ERVATION BOARD NOTIFICATION OF INTENTION TO DRILL 0, REDRILL 0, RECASE ❑, OR DEEPEN A WATER WELL (1) District No, ... .. ... . ..(2) Name or Number of Well (3) Name of Driller... ti'?LDEN . .(4) Phone No. 6-IiL.3;. (5) Address... Rud norm...Colorado . . .. (6) Well Driller's License No..... ..1.. ... . .(7) Approximate Date Start of Work 7-1G- (8) Land Owner's Name. . -.?;Hy cur, 1.-e.. (9) Address.. "�d sonx . .lor: d . _ (10) Estimated Depth of Well .. ,.. .Ft. (11) Location of Well 1 • (12) Diameter of Well a In. Section No. - County ...•• i d (13) Diameter of Casing , ... . ....In. Twp. *l. .Range -'l" Y.AI.. 6 (14) Weight of Casing 15 ... .....Lbs./Ft. (15) Please mark well location to nearest 40 acres (small square) below. 1`IT (16) Type of Well: Domestic , Irrigation 0 • - :• Municipal ❑ • Stock 0 w other. .. . . . ..... . )' (17) Method to be used in drilling:. . . (18) If above location is unknown, complete the following: Rotary.• County. . . .. ... . . . . . ... • (19) Estimated Depth of Bottom and Top of Shutoff City, Town or Subdivision......... .._.. . . • (20) Type of Shutoff. .. . .......................... .... ..... Street Address of Well Location.../,),f 41 r • • . TO BE MADE IN DUPLICATE: Original White Copy to Colorado Water Consetvatipn Board. Pink Duplicate to Driller. RiltgErvir5Tral .y thg 0 E 7- -• STATE OF COLORADO APR 251960 DIVISION OF WATER RESOUR ND WATT-R SLCT. AP * 1 1960 lir TR) OFFICE OF THE STATE ENGINEER, GRO ND WAC B' SECTIOI�IGR0UW'. IA' M--- 73 . STATE I thi1,•.��' i,41.REGI TR 'Y N NO. STATE L,',,,; ,..• Registratil.4PATRICK A. DOWDY Date Mer. 13 -„1958 HUDSON, COLORADO A,101o.P.O. Addy WELL LOCATION WELL DATA County We id Co Depth 60 ft. Diameter 1i-6 in. SW i-,. W_ A, Section 13 Casing : 30 ft. Plain; 3o ft. Perfor. Twp. 2N , lige. 65W , 6 PM Static Water Level ft. from top ( ui tt) : (z oi 4,7,5) S w c_e,v�re (4-673- ac F5 - 1606 p .-; Yield 1100 (gpm)(c). ftoni 36 __ ff. N __ T U. Used for irrigation on/at I I I I _ site SWI Sec 13 - -- -� ----- �- - -- (legal description of land or site) I I I Water conveyed by $ to , size _ W -,--1 I E PUMP DATA 8" I I Type Turb z ire Size Driven by 15 electric at 1550 RPM K I I I r Well was first used .T13ne 2 19.11 y S cfs forirrigikUon using _1100 gpr° WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened i 40 ACRES; OR IF IN A TOWN OR . (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Suvision Street address or at and Block The above well (has) (has not) been registered in the Office of the State Engineer prior , to May 1, 1957. If Registered give Filing No._ _ If NOT Registered prior to May 1, 1957, a $5.00 filing fee accompanies this form. The above statements are true and correct to the best of my knowledge and belief. Subscribed and Sworn before me this _�`` day'of , 19 1/ My-.commis, ryn p e 4 / 7- Registrant / (SE-AL) ah otar Pu lic FOR ST ENGINEER'S USE IRRIGATION Located in /—/ district, Count for Registration No. / b O ,.Sin :. , on APvi 12 1960 19_ . PHONES -54 •t Mgr LUPTON 11117..2930...J. L. SEARS EAR DENVER METRO 244-0492 r' 4 TOR • INS R"' •FARMS *HOMES •INSURANCE 140 DENVER AVENUE FORT LUPTON. COZ ORAL1O 8O621 RESEDV51 SEP 101969 POUND September 8, 1969 COLORADO fam ENGitorriki The State Office of Engineer Division of Water Resources State Services Building _ Denver, Colorado Gentlemen. Please be advised that ownership of the SW% Section 13, T2N, R65W, Weld County, Colorado, on which well permits # 12172 and 12173, in the name of William L. Dowdy has been conveyed to Patrick A. Dowdy and Estelene Mae Dowdy of the same address. yr� Yo truly, J. L. Sears JLS/eo 9/ / 91& 9' DANIEL, MC CAIN & BROWN ATTORNEYS AT LAW BRIGHTON PROI=ESSIONAL BLJILQINQ ORRLL A,DANIEL IOB !RIDGE STREET TELEPHONE LEONARD H.Mc AIN BRIGHTON,COLORADO $O$OI B IRHTON 680-07]I EDWARD A,BROWN February 12, 1971 4 REc,197 "r1 ZE livr-IRCE5 ,c11-? Cr Cot 1444 t)) Division of Water Resources so '$ ��, �" Underground Section 101 Columbine Bldg. 1845 Sherman Denver, :Colorado 80203 Dear Sir: Kindly transfer Well Permits No. R12172 for two wells from William L. Dowdy to Patrick A. Dowdy. Our check in the amount of $2.00 is enclosed dab cover the transfer. I have previously written and requested copies of the permits in connection with ajudication proceedings . -- , ' Sincerely yours , rZ DANIEL, McCAIN & BROWN dw- and own EAB:pd Encl. .,,3FADO FARM AND RANCH L0API 920 11TH STREET 4PRM T4TATIVE FM. VOX i1a KA TSA7 `YT,../IF'CI,,ggLARa Ic& Co_ PHONE. ORECLLY DD2-E417 Asa T.Jones,Jr.- Agency —FARM LOANS•FARM REAL ESTATE— , * L1LIY COLORADO March 28, 1972 ci..i - ono G. CAMPBELL MANAOGR el Oki Division of Water Resources Lsj a�a 1.01 Columbine Building ud 'co 1845 Sherman Street , Denver, Colorado 80203 Res Loan No. 3983 Raymond R. Guest Gentlemen: Enclosed please find our check in the amount of $2400 for a change of ownership on two irrigation wells in Weld County. Your records will show Patrick and Estelene Dowdy as owners on Well No. 12172 and No. 12173► both located in the SW's o£ Section.. 13, Township 2. North, Range 65 West of the 6th P.M. The new-owners are Raymond R. Guest and Constance F. Guest, and their mailing address is Star Route, Box 131A, Hudson, Colored 80642. Thank you. Y 6 ery,truly, Cl f rd G. Campbell Manager bh Enc. �° ¶ ev X1860 EVE[1777 Form r. . ) 0E@EllF 1:11.74.41* STATE OF CO U t. 4 Yw --3 w DIVISION OF WATE &V APR 121960 OFFICE OF THE STATE ENGINEER,. WATER SECTIUI''P WV, , _G 7 11 13 'f i.�, 7_ 0 ,. ,, REGISTI iTI NO. STIareim 1� 2 g _ --, STATE }.i.,,,i:' ;:_, i7 7 Registrant 1, PATRICK A. DOWDY Date Mar. 13 19 58 HUDSON, COLORADO P.O. Adder , Nolo. WELL LOCATION WEl L DATA County ; - _- Ora, Depth 51 _ft. Diameter 42 in. SE.k, SW .4, Section 13 Casing : 21 ft. Plain; 3Q ft. Perfor. TwP. 2N , Rge. 65W , 6 PM Static Water Level i i _ ft. from top x-6.7.3 -WI CF -- Soo c ( ) f4) ' 1776 3 ;) .51),/, .Coii4 .v3 _ �„_Yield ..5o Q . (gpm)( s from h i . ft�.. Used for irr ,gat 1 on _ on/at I I I I (legal description of land or site) 1 I Water conveyed by oh . , size - W 1 - I E e PUMP DATA I i Type Turbine Size 8" I I Driven by 15 HP at 170 RPM I I M � . IX i Well was first used - iVori1 , 19 S cfs for i rri 8At1 on - using gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or ivision Street a.ddless or _ 't and Block The above well (has) (has not) been registered in the Office of the State Engineer prior to May 1, 1957. If Registered give Filing No. . ___ - . If NOT Registered prior to May 1, 1957,. a $5.00 filing fee accompanies this form. The above statements are true and correct to the best of my knowledge and belief. . -subscribed and Sworn before me this .. day of J , 196/9: it...t.fdr:/4„ 1": D.,-64,-ky r y c m�is oil- expits Reg istrant �y o (SEAL), ary ub is FOR STAT �ER'S USE IRRIGATION Located in —/ district, County for Registration No. / sit in —/ , on APR 2. 2 1960 , 19� • • Sand 0 11 Sand & gx4Pve1 11 20 Clay 20 26 Sand, f1ne 26 41 )-04- Band,f5 e 44 �9 Clay L.9 52 Shale 52 53 • • • Nom,: z-._ • • r , 1 PHONtS ^ ,r+'°' .r.,.� FORT LUPTON 537.293❑ ntiyVEk m t-e9.0. 244-0432 *FARMS *HOMES *INSURANCE 14O :7�NYER AVENUE f•.•��•'•�— , FORM' LUPTON. CG4=t?FiADO 6462# . f Lsi� SEP 101969 September 8, 1969 CCL VATSOPADO MITE 4...F Office of The State Engineer Division of Water Resources State Services Building Denver, Colorado Gentlemen: Please be advised that ownership o£ the Stiff/4 Section 13, T2N, R65W, Weld County, Colorado, on which well permits # 12172 and 12173, in the name of William L. Dowdy has been .conveyed to Patrick A. Dowdy and Estelene Mae Dowdy of the same address. Yo • truly, J. L. Sears ,,TLS/e C odd Y DANI ,L, McCAIN Cc BROWN ATTORNEYS Al'' LAW BRIGHTON pROFESESONAL BUILDING rORREL A.DANIEL IO5 BRIDGE $THEET TELEPHONE LEONARD H.MCCAIN BRIGHTON, CO LORAL O 60001 DRIGHTON 6Esa-O731 FOWARI3 A.DROWN February 12 , 1971 ATE5 t'mc Scz\ Division of Water Resources �� fQ4 c�b� i ' Undergro ;nd Section 101 Columbine Bldg. 1845 Sherman Denver, ;;Colorado 80203 Dear Sir: Kindly transfer Well Permits No. R12172 for two wells from William L. Dowdy to Patrick A. Dowdy. Our check in the amount of $2 . 00 is enclosed to cover the transfer. I have previously written and requested copies of the permits in connection with ajudication proceedings . Sincerely yours , DANIEL, McCAIN & BROWN dward own EAB:pd rye Encl. AcotonAino FARM AND RANCH LOAN 92O 11TH STREET VLI3PRWSUITATIVE r,O. sox 711 .1`;' 4HEAA CIT11.411fg JNAURAHCR CO. PHONE GREELEY 332-EII17 Asa T.Jones,Jr.- Agency FARM LOA? -FARM MEAL MRITATB--- March 28, 1972 cLIFFORb G. CAMPRLLL MANAGER el ,ti� Yy Lu CC Division of Water Resources 4 101 Columbine Building C W 1845 Sherman Street k ac ig Denver, Colorado 80203 Re: Loan No. 3983 Raymond R. Guest Gentlemen: Enclosed please find our check in the amount of $2.00 for a change of ownership on two irrigation wells in Weld County. Your records will show Patrick and Estelene Dowdy as owners on Well No. 12172 and No. 12173, both located in the SW. of Section 1.U, Township 2,.North, Range 65 West of the 6th P.M. The ne0 owners are Raymond R. Guest ana Catrstance F. Guest, and their mailing address is Star Route, Box 131A, Hudson, Colorad 80642. Thank you. Y y truly, ---- -7; .-&,,,j� , Cl f rd G. Campbell manager bh Enc. WRJ-26-72 i``4/ ED COLORADO DIVISION OF WATER RESOURCES �r n2 7 4 THIS FORM MUST BE SUBMITTED 101 Columbine Bldg., 1845 Sherman St. VITHIN 6O DAYS OF COMPLETION Denver,Colorado 80203 ;TAR dEggU )F THE WORK DESCRIBED HERE- EElij )N.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT N PERMIT NUMBER 70;900 NELL OWNER .'!%."' R. CTT 'r' ';.,:j 'A of the I. 1/a of Sec. 1 3 _, .nn2 P. f-„ � 0 642 ^; ,r ADDRESS �..�.s - . �?y-��> .. •, ._ 9 G,�.�.G. .� ,u��_ T. 2 _ R. ,r P.M. )ATE COMPLETED 001,' 6 , 19 7`i HOLE DIAMETER WELL LOG )` r< in.from ° to .5 ft. Water ..- From To Type and Color of Material Loc. F5 in.from . to' 1 ft. 0 77 c.•_ in.from to ft. CASING RECORD Plain Casing 1`6 ]? 311,1.7-c 1'f "7 rocT- Size 6-''''' & kind l;::e;l. from 0 to 1:-Oft. _`-/3 281 s}-1,-_-.;.3_:-; 241 ''.'',z rocT, Size L & kind Luc'- from ''C to 51 % ft. ')18.3 24 ..7 2c..7 ',E'3 and' Size & kind from to ft. 283 793 r:!!-:,,=.1,..1 ,.. 29F.; 392 CO .l. ti� Perforated Casing E-02,.. Size 1'?' & kind :>-"e.'_ from "1`3 to ''' ft. 2773 1171. Co.7,1 a / 71 ' 80 r,,,. . ,-- Size & kind from to ft. irP.n 14e r: .1, !O'6 C l =ar- Size & kind from to ft. ..0 1>n1 31 1.,_-: 7 �- ,.' -• GROUTING RECORD ±)-75 •5C) L'.1-,a1..,..] ,5 Material cement Intervals constant Placement Method mmped- GRAVEL PACK: Size Interval TEST DATA Date Tested COT. F 19 Static Water Level Prior to Test 'V!' ft. Type of Test Pump bailed Length of Test 41 Sustained Yield (Metered) 1 TOTAL DEPTH Use additional pages necessary to complete log. Final Pumping Water Level 2 i 0' I PUMP INSTALLATION REPORT :i''',A •'�4fil': Al Pump Make :'�'s` R1 L ff ''i {`�:� F i E�3 1 ,'' { \ Type us.,\,. .4 A . ' IQ Powered by 7 L-=C` — _ H P 1' _ krr} �fty i Pump Serial No. "' f i�: •'P. .� --c---- 4.::::, TER Motor Serial No. ~~' BLE wDate Installed COT. 6 '�ce Pump Intake Depth 3)+0' £. ' Remarks .. 7, x r r .1. •" ii 3 4 a a • g ! " • ' •.: • - IlsJ ,, xQ � 4j, r�� WELL TEST DATA WITH PERMANENT PUMP 1 ,. 4 C Qu Fes.. ;r ON Date Tested ^' 6 ,u = :f. ? CE '0�.. a. -: :• DEPRESS ON Static Water Level Prior to Test 168' a a ,.. g 10 hr r . '9 • Length of Test � Hours s' '' :fY " Sustained yield (Metered) 15 GPM " Pumping Water Level 21 S' .Y r. Remarks . .0 Y —re•y cs: CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the same is true of his own knowledge. Signature _ . License No. /L�� State of Colorado, County of SS Subscribed and sworn to before me this day of ,L---c..--4 , 197 My Commission expires may 21, 197k My Commission ex iresr ZA:. � ,Notary Public. s _ � FORM TO BE MADE OUT IN QUADRUPLICATE: 4Ni-tITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Driller. wR�•b-�� COLORADO DIVISION OF WATER RESOURCES RECEIVED:, 101 Columbine Bldg., 1845 Sherman St., Denver,Colorado 80203 RECEIVED �. PERMIT APPLICATION FORM . � 73 Applicatio t must �� omit be complete where ( )A PERMIT TO USE GROUND WATER oURCta applicable. Type or (>4A PERMIT TO CONSTRUCT A WELL wATk REs°U7 SIAM Iania COM print in BLACK FOR: A PERMIT TO INSTALL A PUMP srArEENGINEER INK.No overstrikes COLO, EC WEB or erasures unless ( ) REPLACEMENT FOR NO. initialed. ( )OTHER AUG 0 273 (1) APPLICANT- mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS CO Tait NAME .W/ \MON D 't` G LJ ,S7 Receipt No. '`1 Co / STREET 7fa IT TOOrg 3t'.X 1-1'A Basin Dist. CITY 4 iJ p O Coco gbto(State) (ZIP) CONDITIONS OF APPROVAL TELEPHONE NO. � ( ` 92 4 2- This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF PROPOSED WELL issuance of-the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water �Ir ty )6L.1) right from seeking relief in a civil court action. '/a of the —5'60 '/,Section /3 j.414--" Twp. , Rng.�. -l�f G� P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate(gpm) /LC Average annual amount of ground water to be appropriated (acre-feet): Number of acres to be irrigated: r Proposed total depth (feet]: aSe Aquifer ground water is to be obtained from: ,SAN D STON Owner's well designation ROUND WATER TO BE USED FOR: HOUSEHOLD USE ONLY • no-irrigation (0) DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( } IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED 70900 ( PERMIT NUMBER 4) DRILLER AUG 2 4�1973 DATE ISSUED Name }"'It* (�{��[( 3� / rtsy� PIA' EXPIRATION DATE �t 24 1975 Street //, • a-.._ �+.•City Ifedc 1 „ ,� v(031 (AT NE R) / ( fate) (Zip) Telephone No. .3 3!18 Lie. No404101,' . 1 /' �� BY I.D. / � _COUNTY__ II I Ff (5) THE LOCATION F THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW which the water will used must be'indicated on the diagram below, by distances from section lines. . Use the CENTER SECT (1 section, 640 acres)for the well location. L 86 #t.from �a4iT/f7 _-ec. Iine 4.. — —i_ — 4_ — ± — _l___ — 4_. — + — + --I— (north or south) , I ; i I to 37 ft frrom�_ .g."9,S I sec. line + II4 —1 MILE,5280 FEET —�. (east or west) + + ± t + + + LOT BLOCK FILING # I 1 + _ --1 _ 1 I NORTH 9ECTIQN LINE _ + SUBDIVISION (7) TRACT ON WHICH WELL WILL BE I I LOCATED NORTH I> + + No.of acres /% / _ . Will this be l a a4 r(' .4 `� o m ' the only well on this tract? /V5. —I — . I ,� I (8) PROPOSED CASING PROGRAM vr a. r I Plain Casing J i — •• - m + + O" in.from O ft.to /&' ft I I I in.from_ ft.to ft. -I-- — -I-- - • — ...-}_ Perforated casing , �� S.' H SE TION LINE <.,=c I S' iv y sec--7-10.... /3 R 4 I pffN/dl . in.from I.0 ft.to.. . .ft, + + + + 4 4 4 -I- + in.from ft.to ft. I (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans for plugging The scale of the diagram is 2 inches= 1 mile Each small square represents 40 acres. • WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second Icfs) . ..449 gallons per minute Igpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot. ..43,560 cubic feet. ..325,900 gallons. 1,000 gpm Dumped continuously for one day produces 4.42 acre-feet. k (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): ./?/4 /M,0rt/1to y eit—t1SD No.of acres: /AO -t Legal description: L ' r0 -4 sr-c.--r ph/ / 3 Ti...,1`. "2A/ /I ,4.6—* /,c! 4._ (11) DETAILED QErSCRIPT1PN of the use of ground water: tr"fl C—S Y-'1 .. (12) OTHER WATER RIGHTS used on this land, including wells. Type or right Used for(purpose) Description of land on which used 14J 4£ //-ice/6;f3 i/4.A-I /9,6 e- c__. 4-...2_lit - - ' r /r (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. SIG UR F APPL!CANT(S) Use additional sheets of paper if more space is required. COLORADO Permit # 70900 Division of Water Resources Receipt # 9065242 Crrrit"[c`P a'-Jrl Resource; 1313 Sherman Street, Room 821 Denver, CO 80203 June 30, 2015 MEMO TO FILE Permit no. 70900 Receipt no. 9065242 Permit no. 70900 was issued on August 24, 1973 for a domestic well on 160+ acres. The term "domestic" was not clearly defined in the permit at time of issuance. When the permit was issued, this office could have issued a domestic permit for up to three single family dwellings, an acre of lawn and garden irrigation, and domestic animal watering. Therefore, the Division of Water Resources recognizes that permit no. 70900, as currently issued, can be used for up to three single family dwellings, an acre of lawn and garden irrigation, and domestic animal watering. Karlyn Armstrang, P.E. Water Resource Engineer Cc: File for permit no. 70900 Kelly Deitman, kelly®halcyonarch.com 1313 Sherman Street, Room 821. Denver, CO 80203 P 301866.3581 F 301866.3589 www_water_state.co.us CCOLORADO Division of Water Resources DNR fepprt,-Fnt of Natural RefourCCS Bedrock Aquifer Evaluation Determination Tool Denver Basin Aquifer - Specific Location Determination Tool Applicant: GUEST, RAYMOND R Receipt Number: 9065242 Location: SE 1/4 of SW 1/4 of Sec. 13,T.2N, R.65W.(853 SSL,2006 WSL) Evaluated By: N/A Basin Designation: Location is within the UNKNOWN Designated Groundwater Basin Ground Surface Elevation: 4882 Number of Acres: 145 Elevation(ft) Depth(ft) Aquifer Bottom Top Net Sand Bottom Top Annual Approp.(AF) Status Upper Dawson -- -- -- -- -- -- -- Lower Dawson — — — — — — — Denver — — — — — — — Upper Arapahoe — — — — — — — Lower Arapahoe 4846 4878 12.9 36 4 3.18 E fJNT Laramie-Fox Fills 4113 4401 155.8 769 481 33.89 NT Note:'E'indicates a location is at an aquifer boundary and the values may be more approximate. Report Date: 9/6/2019 WRJ-26-72 i``4/ ED COLORADO DIVISION OF WATER RESOURCES �r n2 7 4 THIS FORM MUST BE SUBMITTED 101 Columbine Bldg., 1845 Sherman St. VITHIN 6O DAYS OF COMPLETION Denver,Colorado 80203 ;TAR dEggU )F THE WORK DESCRIBED HERE- EElij )N.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT N PERMIT NUMBER 70;900 NELL OWNER .'!%."' R. CTT 'r' ';.,:j 'A of the I. 1/a of Sec. 1 3 _, .nn2 P. f-„ � 0 642 ^; ,r ADDRESS �..�.s - . �?y-��> .. •, ._ 9 G,�.�.G. .� ,u��_ T. 2 _ R. ,r P.M. )ATE COMPLETED 001,' 6 , 19 7`i HOLE DIAMETER WELL LOG )` r< in.from ° to .5 ft. Water ..- From To Type and Color of Material Loc. F5 in.from . to' 1 ft. 0 77 c.•_ in.from to ft. CASING RECORD Plain Casing 1`6 ]? 311,1.7-c 1'f "7 rocT- Size 6-''''' & kind l;::e;l. from 0 to 1:-Oft. _`-/3 281 s}-1,-_-.;.3_:-; 241 ''.'',z rocT, Size L & kind Luc'- from ''C to 51 % ft. ')18.3 24 ..7 2c..7 ',E'3 and' Size & kind from to ft. 283 793 r:!!-:,,=.1,..1 ,.. 29F.; 392 CO .l. ti� Perforated Casing E-02,.. Size 1'?' & kind :>-"e.'_ from "1`3 to ''' ft. 2773 1171. Co.7,1 a / 71 ' 80 r,,,. . ,-- Size & kind from to ft. irP.n 14e r: .1, !O'6 C l =ar- Size & kind from to ft. ..0 1>n1 31 1.,_-: 7 �- ,.' -• GROUTING RECORD ±)-75 •5C) L'.1-,a1..,..] ,5 Material cement Intervals constant Placement Method mmped- GRAVEL PACK: Size Interval TEST DATA Date Tested COT. F 19 Static Water Level Prior to Test 'V!' ft. Type of Test Pump bailed Length of Test 41 Sustained Yield (Metered) 1 TOTAL DEPTH Use additional pages necessary to complete log. Final Pumping Water Level 2 i 0' I PUMP INSTALLATION REPORT :i''',A •'�4fil': Al Pump Make :'�'s` R1 L ff ''i {`�:� F i E�3 1 ,'' { \ Type us.,\,. .4 A . ' IQ Powered by 7 L-=C` — _ H P 1' _ krr} �fty i Pump Serial No. "' f i�: •'P. .� --c---- 4.::::, TER Motor Serial No. ~~' BLE wDate Installed COT. 6 '�ce Pump Intake Depth 3)+0' £. ' Remarks .. 7, x r r .1. •" ii 3 4 a a • g ! " • ' •.: • - IlsJ ,, xQ � 4j, r�� WELL TEST DATA WITH PERMANENT PUMP 1 ,. 4 C Qu Fes.. ;r ON Date Tested ^' 6 ,u = :f. ? CE '0�.. a. -: :• DEPRESS ON Static Water Level Prior to Test 168' a a ,.. g 10 hr r . '9 • Length of Test � Hours s' '' :fY " Sustained yield (Metered) 15 GPM " Pumping Water Level 21 S' .Y r. Remarks . .0 Y —re•y cs: CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the same is true of his own knowledge. Signature _ . License No. /L�� State of Colorado, County of SS Subscribed and sworn to before me this day of ,L---c..--4 , 197 My Commission expires may 21, 197k My Commission ex iresr ZA:. � ,Notary Public. s _ � FORM TO BE MADE OUT IN QUADRUPLICATE: 4Ni-tITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Driller. wR�•b-�� COLORADO DIVISION OF WATER RESOURCES RECEIVED:, 101 Columbine Bldg., 1845 Sherman St., Denver,Colorado 80203 RECEIVED �. PERMIT APPLICATION FORM . � 73 Applicatio t must �� omit be complete where ( )A PERMIT TO USE GROUND WATER oURCta applicable. Type or (>4A PERMIT TO CONSTRUCT A WELL wATk REs°U7 SIAM Iania COM print in BLACK FOR: A PERMIT TO INSTALL A PUMP srArEENGINEER INK.No overstrikes COLO, EC WEB or erasures unless ( ) REPLACEMENT FOR NO. initialed. ( )OTHER AUG 0 273 (1) APPLICANT- mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS CO Tait NAME .W/ \MON D 't` G LJ ,S7 Receipt No. '`1 Co / STREET 7fa IT TOOrg 3t'.X 1-1'A Basin Dist. CITY 4 iJ p O Coco gbto(State) (ZIP) CONDITIONS OF APPROVAL TELEPHONE NO. � ( ` 92 4 2- This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF PROPOSED WELL issuance of-the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water �Ir ty )6L.1) right from seeking relief in a civil court action. '/a of the —5'60 '/,Section /3 j.414--" Twp. , Rng.�. -l�f G� P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate(gpm) /LC Average annual amount of ground water to be appropriated (acre-feet): Number of acres to be irrigated: r Proposed total depth (feet]: aSe Aquifer ground water is to be obtained from: ,SAN D STON Owner's well designation ROUND WATER TO BE USED FOR: HOUSEHOLD USE ONLY • no-irrigation (0) DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( } IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED 70900 ( PERMIT NUMBER 4) DRILLER AUG 2 4�1973 DATE ISSUED Name }"'It* (�{��[( 3� / rtsy� PIA' EXPIRATION DATE �t 24 1975 Street //, • a-.._ �+.•City Ifedc 1 „ ,� v(031 (AT NE R) / ( fate) (Zip) Telephone No. .3 3!18 Lie. No404101,' . 1 /' �� BY I.D. / � _COUNTY__ II I Ff (5) THE LOCATION F THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW which the water will used must be'indicated on the diagram below, by distances from section lines. . Use the CENTER SECT (1 section, 640 acres)for the well location. L 86 #t.from �a4iT/f7 _-ec. Iine 4.. — —i_ — 4_ — ± — _l___ — 4_. — + — + --I— (north or south) , I ; i I to 37 ft frrom�_ .g."9,S I sec. line + II4 —1 MILE,5280 FEET —�. (east or west) + + ± t + + + LOT BLOCK FILING # I 1 + _ --1 _ 1 I NORTH 9ECTIQN LINE _ + SUBDIVISION (7) TRACT ON WHICH WELL WILL BE I I LOCATED NORTH I> + + No.of acres /% / _ . Will this be l a a4 r(' .4 `� o m ' the only well on this tract? /V5. —I — . I ,� I (8) PROPOSED CASING PROGRAM vr a. r I Plain Casing J i — •• - m + + O" in.from O ft.to /&' ft I I I in.from_ ft.to ft. -I-- — -I-- - • — ...-}_ Perforated casing , �� S.' H SE TION LINE <.,=c I S' iv y sec--7-10.... /3 R 4 I pffN/dl . in.from I.0 ft.to.. . .ft, + + + + 4 4 4 -I- + in.from ft.to ft. I (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans for plugging The scale of the diagram is 2 inches= 1 mile Each small square represents 40 acres. • WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second Icfs) . ..449 gallons per minute Igpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot. ..43,560 cubic feet. ..325,900 gallons. 1,000 gpm Dumped continuously for one day produces 4.42 acre-feet. k (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): ./?/4 /M,0rt/1to y eit—t1SD No.of acres: /AO -t Legal description: L ' r0 -4 sr-c.--r ph/ / 3 Ti...,1`. "2A/ /I ,4.6—* /,c! 4._ (11) DETAILED QErSCRIPT1PN of the use of ground water: tr"fl C—S Y-'1 .. (12) OTHER WATER RIGHTS used on this land, including wells. Type or right Used for(purpose) Description of land on which used 14J 4£ //-ice/6;f3 i/4.A-I /9,6 e- c__. 4-...2_lit - - ' r /r (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. SIG UR F APPL!CANT(S) Use additional sheets of paper if more space is required. Hello