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Home My WebLink About20191770.tiffWERNSMAN ENGINEERING AND LAND DEVELOPMENT lie Eric Wernsman 16493 Essex Rd S Platteville CO 80651 December 7, 2018 Weld County Health Department 1555 N 17th Ave Greeley, CO 80631 RE: Septic System for Expedition Water Solutions EWS #10 Site To whom it may concern, The septic system for Expedition Water Solutions on Parcel # 147308300011 will be designed if the USR is approved. If you have any further questions or comments regarding this matter, please contact this office. Sincerely, Eric Wernsman P.E. Nov 15 18, 03:19p English Feedlot 970-483-6104 From Agpros 1.970.535.9854 Thu Nov 15 14:54:31 2018 tST Page 1 of 2 p.1 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 3HERtr'}AN ST, RM 621, DENVER, GO 80203 Man (343 !36$•3581 eivrrpLL.rr:i!s:ait! c c.c, L.*: GENERAL PURPOSE Water Well Permit Application Review instructions on reverse side prier to compfelirrg form. The form must he computer generated, typed or in black or blue ink, 1. Applicant Information Marne o'�ppic;rnr. ENGLISH FEEDLOT 2 LLC, (DOJO ENGLISH) tilail:ae 07drea .. 1411 CR2 WIGG'NS 7'erapl'tuM 7 ?area cane S nr.m`,tsl stele Zia code CO 8O654 E-i fli orN'ia nine regiirr.ci) Office Use Only Form G W 5.45 (O7!2O1;! ) 6. Use Of Weill (check applicable boxes Allach a detailed descriptor of uses appl4ed for, [] Industrial ❑ Municipal ❑ irrigation ® Commercial ❑ Dewatering System • Geelherntd (production or reinjection ❑ Other (describe): 2. Type of Application (check applicable boxes) IJ Construct new weir 0 Replace existing Fell Change source (aquifer) GUCCC Well ❑ se exslirg wall ❑ Change or increase use ❑ Reapplication (expired permit) ❑ Dlher: 3. Refer To(ifapplicable) Welt pent) t EtrCSl erE'! ai a DE}eroOnalianit Wald Cow: case rP ' i... . .. ,..�� . I Well rnrcg nr � 4. Location Of Proposed Well Caurrty WELD NW v4 or Ito SW 114 sect;a,TCNinihip i2 ar5Rang('E of YV....--f'rintiPal hACriOian 8 1 XI (" I 65 C:] © 6TH ... . . a .. ... Olslrncc al we71 it<1n1SPLrlue lines laden lines are lyp'rary nc; gii-Cperiy lines) Fe- CNr, f fd I S .... ,,.,..„FIE EJW p -.--_s Da a.-- Far to IatClivrru tircis Dint '�54Rnre and dracedgr. !ruin y -"'-�-�"- r— oF: affil W n+v well feel direction .; .^ 4JVNI0G5toi�tiUra6111i.iutleC!}.31ahIrpj I]Cii�cklfkWlixC�d!easlS5aa-a,;nlrernl. Optiongl: GPS yell loealitan irllorrnelion in UUTrvt icrnnet You must GPS unil for rerierirel l5.911.1gs as knows� Ionma, rmu$SUe U FN• - - : 'I2one 17urj'yri Zone 13 Waifs nvs: br hrelers Datummusr NADe] Llreil mc•sl:Lie ea! to hue rNnn Was GPS ue,ii :iaer:ked fcr above? ❑ y ES EasIiny 525839 NforlNng 44349O4 Remember to setOatunr to NAa63 S. Parcel On Which Well Will Be Located !PLEASE ATTACH A CURRENT DI=ED FOR THE SUBJECT PARCEL) A. Legal D Csc?iA1i411 rnay aep ruched as an allartrre.rlj. B. !Luce! .... i C. Ovecr 10 iDOUG ENGLISH D. Willa:isGPI11`6P:y•,yellf.raUi..parcel' EYES ❑NDiiin3l',s1alherLWdrs) Stale Parc¢IID'(uptl_n Nt: 7. Well Data (proposed) Maximum m I::;rr. fia tale .......9�rt1 .. .. "`- p' EI � firni7e! amour: toft0 vi'.hJravn> 15 .113 ± ncairx i25 feet ALL UNNAMED 8. Land On Which Ground Water Will Be Used Legal Description of Land (may be provided as an atlachnlevt) (If used Snr cropation, allaeh a scaled n!ap Ufa! shows i•rigated A. rl A..uas a. 4:raer c. Ls; an/ V inCr aebr ur water tlg I,r, usae an en S fans; acre•Feel 9. Proposed Well Driller License 1f(oplianal)_ 1461 10, Sign or Etrtered Name Of Applicants) Or Authorized Agent The etaicing of false statements herein consilulas perjury in the aemir! degree, which is punishable as a class 1 misdemeanor pursuant to C,R S. 24-4-1O4 (13)(a). I have read ltle stalenlenls herein, knOVi the cuntenis thereof and slate that 1 x are true lu r r y l:nasrledge. _ 5Ign t-tpolei name(yjolpe'.+err-o u'Ln+auaafrrlcalipn ..—_ ... .paleline}`d;rr;ri91 X arm. litre DOUG EKGLI (OWNER) Office Use Only L14cSnI ji nmile;...-...... . • D+il'li rtdp iiv. ..- j Surlaiocity Receipt area Drily sat alv WD Hello