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Home My WebLink About20192290.tiffS,UPPLY: 1NFORMATIOLSOMMARY HOUSEI1OLD 1)ST At.. of tint COMMERCIAL NE of/SF. IFIFtt41A1 iON #. of. :u : ,STOCK 'WATERING :.ft of hoar. GTIIER' TGTAL Sedan 30•213.1.33,4O,, C E r tiir : l t 'to applic t albeit to.ftP: County "` idoquate ,avitleoc that a water s:ippfY that. lafficieetitl''t�;of gUotltity qualtty:arrd iendalril'itr' wilt he ova ahle=to erasure ark adequate ITPIY nt. water,,:. . i.- l AM fi OEVELCrMEiof`f' A5.Plltif'Tiot A44----- '_ ,c o ! r / C Ire) 7 LAND USE'ACTION M ?-)14sl/e OA/ 1+ AP OF ISTII I 'PAIaI LAS REppnnEl %1` i0 4 T TAL:' CHI A /O BLOCl. x„a_ncitas i S. NUMBER:Of RATS PrtopO;pEn `,MAP;' I'AfhC L f#IS'Ct ftY Phase attach cape of dee pla : ur nth. -;e>4dantre ar tieturrent tt: A War ;parvei>"eactrdecl r .cetinty prior frr June ; 1R "a YES 0 Ida Yr- . B Ras ;the porcof rover bean part: of a oJan d 5ctran; sane one 1,,1 :. 9E Yom a bo ..:. 7 ::YEs `CI NO. V" 7 LfCATI0, OI: "I�A1 G �dn a rip:deirt7rat i tha project at a and tla to"a sec .�..� .� .� X11 C61fra� LL) I/4 .OF ; -C6(-);14 SECTOR:::. TOWNSHIP fIP •4 YEIN Crt RAW (17 -PRINCIPAL MERIDIAN: I ... . Tht rDA . 0 O E; .`® C0"Ini_L 4. f'LA :'y Lor t n tit. li't olis• a ' trO trtvttyts plat :• Yea . t`: 5 p#at£��I ` rrd,lrarrt t ear ,lxro id p C If taat;IetI hand drawl kateb 0 Ye` .0:1 e ESTIMATED WATER fTElltllfllrf iTS aNa x Por.t}ay or Acre Net per tier 1Tlp WATER SUPPLY Sf of TtcE: 00110 ., . 0' ogyEuipEo r �W ILS WA WI LLS SPftll rquss ►+er i I EtMtliIIJI�413Lft' i�a VOA AThitrAiltaE GPO AF C3P€1 AF GPf1AF 11 EN NI FI;'S WATI R S4Jl'PLY RE1'€ T .r;41] 12, TYPE t3F 5EWACi .DISPOSAL -SYSTEM SEPTIC TANK/UAW FIELD C7 .LAGOON. F7355 2_ IY r1 :AF, " MI1 iC1PAt 0.. ,ASSOCIATION:: CPR AI=:; f .COMPANY O :f#1STRICT'' •GPO LETTER 0E- COM IItMENr FOR SERVICE. 1J "YES "C3 NO 1o1�:.K,1iYtek pert; p Liao& iex NfLts:(1 DAKOTA rA fl COURT DECREE: C, SE lE YE 6 "PLEASE F4JiIWA'13t1 WI `lf TIIt$:;FOBM. 4Th may ltiq.teRu et &eEcre-aurru+nua+r cu npltted: I CENTRAL SYSTEM '-. fISTfl CT NAME D. VAULT . LOCATION SEWAGE RAT41:EO TO CI ENGNEERED'SYSTE] i tt, it:ti olly of g,rgtneer3raa i90. "o MIER 10;721 DUE DATE: 05/17/2018 ACCOUNT NUMBER: 178577 BALANCE DUE: 5.40 STATEMENT DATE: 04/30/2018 Balance Forward: 5.41 04/28/2018 22256546 Rental Invoice 04/26/2018 Payment Check # 13805 Next delivery dates May 9 June 7 July 6 Go Green! Did you know you can receive your statements via email?? Email your customer service representative at: customerservice@ekloradosprings.com 5.40 -5.41 A SERVICE CHARGE OF 7% PER YEAR (0.58% per month) WILL BE CHARGED ON ALL OVERDUE ACCOUNTS 5.40 WP1)-26-72 THIFORMMUST BE SUBMITTED WITHIN 64 DAYS OF COMPLETION OF THE WORK DESCRIBED HERE- ON. TYPE OR PRINT 1N SLACK INK. COLORADO DIVISION OF WATER RESOURCES 300 Columbine Bit_, 1845 Sherman St. Denver, Colorado 60203 WELL COMPLETION AND PUMP INSTALLATION REPORT PERMIT NUMBER 79552 RECEIVED MAY 07 '74 WATP STATE ilifillefet C£IL 0. VVFLL OWNER _RA r .A.RBARA WO ._ _._.—_ SW /a of the _SIL _._'I of Ser. 21 ADDRESS _ 11800 W DSWO1 P f RTVT... ► # 38 T. —1_ A R. _. 6.7__ w. DATE COMPLETED APRIL 25. 1974 .19 _ HOLE DIAMETER WELL LOG From To Type and Color of Material Water Lae. 0 3.5 Brown Sandy -Clay I 35 220 Biue Shale 220 398 Hard Blue Shale 398 405 Coal 405 540 Blue Shale with Coal. 540 63.E Fox Hills Sands 50/ 635 635 648 Blue Shale 648 70O'' Pox Hills Sands 648/ 700 + TOTAL DEPTH ?O0. feet i Use additional pages necessary tq cpr»pkete log, 7_748_ in. from r to 2P.. ft. 6_1 in. from 2? to 20_0__ft_ 6th P.M, in from _ . to ft DRILLING METHOD_ROTARY-, MUD CASING RECORD: Plain Casing Size6 5/8 & kind S'keeJ from _Q. to 32 ft. Size/_ 1/2 & kind Step1 from 0 to U— ft. Size & kind from Perforated Casing Size: 1/Z kind Steel. to ft. from44a,to „_.app , ft. Size —_— & kind from __ to �_L ft. Size & kind from to ft. GROUTING RECORD Materiel aprnon' Inter-vaf 0 �22 1.p51 -o Placement Method w Primp GRAVEL PACK; Size Interval Run cementing casket at 540 feet TEST DATA )ate Tested w _1 ._.25 —.—._ , 19 .' 4 Static Water Level Prior to Test 250 Type of Test Pump _Air & 13a i 1 or Length of Test I Nn1,l,r. ft. Sustained Yield (Metered) - Final Pumping Water Level 16 G _- - -._._. 1. PUMP INSTALLATION REPORT Pump Make -- Type Powered. fly Pump Serial No. Motor Serial No. Date I nstal led Pump Intake Depth -. Remarks HP WELL. TEST DATA WITH PERMANENT PUMP Date Tested _ Static Water Level Prior to Test Length of Test Hours Sustained yield {Metered) GPM Pumping Water Level Remarks 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 State of Colorado, County of Subscribed and sworn tobefore me this _ day of My Commission expires: Notary Public License No.,. SS , 19 7 WATER TABLE CONE OF DEPRESSION FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE 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. W1=0726-72 THi; FORM MUST BE SUBMITTED WITHIN 60 DAYS OF COMPLETION OF THE WORK DESCRIBED MEFiE- OPI. TYPE OR PRINT IN BLACK INK, COLORADO DIVISION OF WATER RESOURCES 300 Columbine Bldg., 1845 Sherman St. Denver, Colorado &0203 WELL COMPLETION AND PUMP INSTALLATION REPORT PERMIT NUMBER 73552 WELL OWNER Randy Wolf ADDRESS ? i 800 Wadsworth. Blvd. DATE COMPLETED - , 19 r% WELL LOG From To Type and Color of Material Water Loc. Use additional TOTAL OEPTH 7001 pages necessary to complete log. i( y4 Qf the "V, of See. / T.V / Iry -�. R. '' Y W , ii PM HOLE DIAMETER from to ft, 601fD in, from _-ta _ ft. in. from to ft. DRILLING METHOD CASING RECORD: Plain Casing Size & kind from Size & kind __ from Size & kind from Size & kind WO 14 0 �pSF Perforated Casing to ft. to__.�ft. to from Size & kind from ft. ft. to ft. Size & kind --— from _ to ft. GROUTI IG RECORD Material Intervals Placement Method GRAVEL PACK: Size interval TEST DATA Date Tested Static Water Level Prior to Test ft. Type of Test Pump Length of Test Sustained Yield imeteredl' , 19 Final Pumping Water Level PUMP INSTALLATION REPORT Pump Make Gatti. Type IN% Powered by — Treriktfn-- HP — Pump Serial No. __. Motor Serial No, Date Installed Pump Intake Depth Remarks 441 WELL TEST DATA WITH PERMANENT PUMP Date Tested 1/2.3044 Static Water Level Prior to Test :j Length of Test 1* Hours Sustained yield (Metered} 11 _ GPM Pumping Water Level _O0_ Remarks . a- 8 O A 1NATE R La IA$LE 141 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 State of Colorado, County of Subscribed and sworn to before me this 2 day of titMy Commission expl n fires 441.x..24 1 Notary Public License No. S5 19' 887 w r r r CONE OF :*PRE S StON FORM TO BE MADE OUT IN DUORUPLICATE: WHITE FORM must be an original copy on both sides and Signed. WHITE ANO GREEN copies must be tiled with the State Engineer, PINK COPY is for the Owner and YELLOW COPY is for the Driller. (S) THE LOCATION OF THE PROPOSED WELL and the area on which the water will be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres} for the well location, + . t - _I_ - _) _ - __ H- - —1- - - - - 1 MILE, 5280 FEET ---)P- NOfSTH SECTION LINE SOUTH SECTION LINE -Li + (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 495 ft. from South sec. line (north or south) 33a West ft. from sec. line LOT _ (east or west) BLOCK FILING # SUBDIVISION (7) TRACT ON WHICH WELL WILL BE J LOCATED �D 4 (o. of acres a Will this be - I Yes rn the only well on this tract? ci z (8) PROPOSED CASING PROGRAM r- I Plain Casing rn- f 67 in. #tom ft. toy #t I 2 40 550 in, from ft to ft. __1_ i Perforated casing 4i 550 700 in. from ft to ft • + + in from ft. to ft. The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER 6UJIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep i cubic foot per second (cis) .. , 449 gallons per minute lgpm) A family of 5 will require approximately 1 acre-foot of water per seer. 1 acre-foot , .. 43,560 cubic feet ... 325,900 gallons. 1,000 glom pumped continuously for one day produces 4.42 acre-feet. (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging it, N/A (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): Randy and Barbara Wolf No. O1 acres: 10 Legal description: SW t of the SW , Section 21, Township 1 N, Range 67 W, 6th, P.M. (1 1) DETAILED DESCRIPTION of the use of ground water; Household use and domestic wells must. indicate type of disposal system to be used. Household, lawn and garden. (12) OTHER WATER RIGHTS used on this land, including wells. Type gf right N/11„, Used for (purpose) Legal Description of land an which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF IS KNOWLEDGE. S/GNATURE APPLICANT( ).&‘,44 Use additional sheets of paper if more space is required. WRJ-5;J3 COLORADO DIVISION OF WATER RESOURCES A]piicoi on must he complete where nPpircoble, Type or print in BLACK INK. No overstrikes or erasures unless initiole6, Proper tee must be submitted with the application, 300 Columbine Bldg., ] 845 Sherman Se., Denver, Colorado 80203 PERMIT APPLICATION FORM (1i ) A PERMIT TO USE GROUND WATER (A I A PERMIT TO CONSTRUCT A WELL FOR: (xi A PERMIT TO INSTALL A PUMP ► } REPLACEMENT FOR NO. ( 1OTHER (1) APPLICANT - mailing address NAME ii.,:-*LI sk r .:c i� x :. 4 i., . ' STREET yr'-w2°- 4.4u-." ;;rt.':' ildvd., r33 CITY Ero(Lufiold, Oolo. °w?2.~, (State) (Zipl TELEPHONE NO. r--_.�w...i.. (2) LOCATION OF PROPOSED WELL County '4 `"" a i % of the .; 1/q, Section 21 Two. ..A _, Rog. -r c ,.: P.M. _, (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gom) 15 -Average annual amount of ground water to be appropriated (acre-feet) Number of acres to be irrigated: �)��_" 4 Proposed total depth (feet): ? 00 Aquifer ground water is to be obtained from; Blue sands and gravel Owner's well designation GROUND WATER TO BE USED FOR: I. ) HOUSEHOLD USE ONLY , no irrigation (0) ( X) DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) I ) MUNICIPAL (8) ( 1 OTHER 19) (4) DRILLER Name Lloyd John 65414 West Ind. Avenue Street City Arvada, Colorado.0003 (state) t) <. TelephaneNo. 423-5246 Lie. No 827 COVED 13'74 FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No Basin Dist. CONDITIONS OF APPROVAL This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that rio injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. Install plain (non -perforated) casings from ground surface down to a minimum depth of SSO_feet and properly sealed to prevent the • umping or appropriation of tributary waters. a APPLICATION APPROVED W. D. ____09—_ _ COUNTY _. _... PERMIT NUMBER DATE ISSUED 73552 EXPI RAT) ATE MAR 8 1974 NI Hello