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Home My WebLink About20194445.tiff WATER SUPPLY INFORMATION SUMMARY Section 30.28.133,(d). C.R.S.require that the applicant roll to the County,"Adequate evidence that a water supply that is sufficient in toms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1.NAME OF DEVELOPMENT AS PROPOSED IV/4 2. LAND USE ACTION (LS I -a 3,NAME OF EXISTING PARCEL AS RECORDED (3 05?07 000 IC SUBDIVISION FILING BLOCK LOT 4.TOTAL ACREAGE ( [ 1,Cc?'' 5. NUMBER OF LOTS PROPOSED A[/4 PLAT MAP ENCLOSED (IVES 8. PARCEL HISTORY.Phase attach copies of dyads, plats tar other evidence or documentation. A.Was parcel recorded with county prior toJune 1. 1972? © YES IdHO _..........._..........._.._.._..»......................»........,.»»..»...»......,»....».».....w......_.. B. Has the parcel ever been part of a division of land action silica Juno 1, 1972? Ed YES 0 NO If yes,describe the previous action R C L f I (Prcvt4,k.s (45R) . 7. LOCATION OF PARCEL-Include a map deGniating the project area and tie to a section corner. 1f4 OF IV W 1f4 SECTION TOWNSHIP a ® N ❑ S RANGE 67 ❑ E O"W PRINCIPAL MERIDIAN: 5116TH 0 hi.M. 0 UTE 0 COSTILLA 8. PLAT.Location at all wet>an property must be plotted and permit numbers provided. Surveyors plat Pr 0 No If not.scaled hand drawn sketch 0 Yes 0 No 9. ESTIMATED WATER REOUIREMENTS-Boons par fey or Acre Feet per Year 1U.WATER SUPPLY SOURCE Aim - (a dewy) l IdExISTJ G 0 DEVELOPED I WELLS SPRING i 0 NEW WELLS• HOUSEHOLD USE N of units GPO AF WELL PERMIT NUMBERS 1 mmoral A [a©c maw 7 7` F aWrIX WaitIn Ma AWAKE COMMERCIAL USE p of S.F. , GPO AF - a freer Unix D uearE Fax rais ©oerrar ❑axorr< ❑otriut IRRIGATION I of was GPO AF STOCK WATERING I of head GPO AF ❑ MUNICIPAL 0 ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER - GPO AF 0 COMPANY 0 DISTRICT TOTAL / GPO AF NAME r 1 LETTER OF COMMITMENT FOR j SERVICE 0 YES 0 NO IL ENGINEER'S WATER SUPPLY REPORT 0 YES Iii No IF YES, PLEASE FORWARD WITH THIS FORM. limp may fie rooked Galan Or MOW is eempiFterQ 12.TYPE OF SEWAGE DISPOSAL SYSTEM SEPTIC TANK!LEACH FIELD 0 CENTRAL SYSTEM •DISTRICT NAME (Parrn /'ftc4ied) 0 LAGOON 0 VAULT-LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM (AMA a copy if enpinwinp deckle) 0 OTHER Form No. OFFICE OF E' STATE ENGINEER GWS 25 COLORADentennial O 39D8'V SIOrman sN tO�F rcvtor WATER RESOURCES (303)838.3681 LIC WELL PERMIT NUMBER, 76579 -F APPLICANT DN. 1 WD2 DES, BASIN MD Lot: A Block, Fling: Subdiv;EXEMPTION NO",1307-09-2 REM 11 APPROVED WELL LOCATION WELD COUNTY NW 1/4 NW 1/4 Section 9 STEVE SHARP Township 2 N Range 65 W Sixth P.M. PO BOX 160 DISTANCES FROM SECTION LINE4 COKEVILLE,WY 83114- 1028 Ft,from North Section Line 480 FL from West Section Line (307)279-3033 UTM COORDINATES(Metel 2Cdne:13,NAD83) PERMIT TO CONSTRUCT A WELL Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONprT(ONS OF APPROVAL 1) This well shall be used In such a way as to cause no material injuryto existing Water rigida, The isauenoe of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested seater right from seeking relief ht a dA court anion. 2) The oonetruclion of this waging be In compliance with the Water Weil Construction Rules 2 CCR 402-2,unless approval of a variant*has been granted by the Stele Board of Eimmir em of Water Welt Construction and Pump Intrtatfatlon Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(4)and the flutings of the State Engineer dated October 6,2011. 4) The use of ground water from this wale Nmitad to eromrnarotal. 5) The pumping rate of thle grail shall not exceed 15 GPM, 8) The average annual amount of ground water to be appropriated ehaa not exceed 7.8 acre feel. 7) Production is 5mfted to the Larernie Fox ttlEis aquifer which Is boated 380 foot below land surface and extends to a depth of 870 feet. Plain peeing must be installed and grouted to prevent the withdrawal of groundwater from other aquifers and the movement of ground water between aquifers. e) The depth to the tcp'of the Laramie-Fox Huse aquifer is approximate. To ensure the exclusion of poor quality water from zones Immediately above tike aquifer,plain easing anti grout shall extend through the lowemoret coal andfor carbonaceous shale that overuse the Lsramlb sand portion of the aquifer. 9) The entire length of the hole shall be geophysicaily logged as required by Rule 8 of the Statewide Nontibvtery Ground Water Rules prior to instsiling casing. 10) Theownar shall mirk the well In a conspicuous place with*eh permit eumber(s),name of the aquifer,and cowl case number(r)as appropriate. The owner shed take nonemery means and precautions to preserve these markings, 11) A totalizing flow mater must be installed on this well and malntalned In good working order. Permanent rnoords of ell dlvereions must be maintained by the well owner(recorded at least annually)and'abetted to the Division Engineer upon request. 12) This well Asti be constructed at least 600 feet from any ealeting well,Completed In the crate aquifer,that is not owned by the appacert. 13) Thls well shall he consiructed not more than 200 feet from the location specified on this permfl. 14) Pursuant to CRS 3740-137(9)(b)end the Denver Basin Rules,no more than 88%of the nontlbutary ground water withdrawn annually shalt be consumed and the well owner shall demonstrate to the reasonable satisfaction of the Slate Engineer that no more than 98%of the water withdrawn will be c onsumad. 15) This wall Is subject to'administration by the Division Engineer In accordance with sppilaable decrees,!Watts,rubs,and regulations, NOTE:The Abney of this wall to withdrew Its authorized amount of Water from this non-ranewabie aquifer may be less than the 100 years upon which the amount aviator In the aquifer k allocated,due to anticipated water level declines, NOTE:To ensure a maximum productive lHa of this well,perforated casing should be vet through the entire producing Interval Dither approved zone or aquifer indicated above. APPROVED •.1LV ,t Stele Erg r Receipt No.3651846 DATE ISSUED 10.052011 F. (PI TION DA 10-05-2012,`, FINDINGS OF THE STATE ENGINEER IN THE mArrER OF AN APPLICATION FOR A PERMIT TO CONSTRUCT A WELL IN WATER DIVISION NO. 1,WELD COUNTY,COLORADO APPLICANT: STEVE SHARP AQUIFER.. LARAMIE-FOX HILLS PERMITNO.: 75579-F In compliance with C.R.S. 37.90.137(1) and the Statewide NontribUtary Ground Water Rules, Steve Sharp, (hereinafter"applicent") submitted an application for a permit to construct a well. Based on information provided by the applicant and records of the Division of Water Resources,the State Engineer finds as follows: 1, The application was received complete by the State Engineer on September 30,2011. 2. The applicant proposes to construct the well in the NW1/4 of the NW1/4 of Section 9, Township 2 North, Range 65 West,6th Principal McGldian. 3. The proposed well Is located outside the boundaries of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the wall to the following beneficial uses: Commercial. 5. The proposed maximum pumping rate of the well is 15 gallons per minute, and the requested average annual-amount of ground water to be withdrawn is 8 acre-feet. 6. The applicant Is the owner of the land on which the well will be constructed. 7. The proposed well viould withdraw ground water from the Laramie-Fox Hills Aquifer (hereinafter"aquifer"), which, according to the Denver Basin Rules, is located 380 feet to 670 feet below land surface at the location of the proposed well, 8. The location of the proposed well is more than 600 feet from any existing well completed in the aquifer. 9. According to a sworn statement, the applicant owns, or has consent to withdraw ground water underlying 34.9 acres of land as further described In said statement,which Is attached hereto as Exhibit A. 10. Withdrawal of ground water from the aquifer underlying the land claimed by the applicant will not,within one hundred years,deplete the flow of a natural stream at an annual rate greater than one-tenth of one percent of the annual rate of withdrawal and therefore the ground water Is nontrlbutary ground water as defined in C,R.S.37-90-103(10.5). Form No. Information for Non-Exempt 3740.137(4)Permits 8/2006 STATE OF COLORADO OFFICE OF THE STATE ENGINEER 821 Centennial 9uadIrq,1313 Sherman St..Denverr,CO 00203 (3tl3}9883581 Fax(303)898-3589 -.,�._ �, , , Il , � : ;.��►� A DECREED WATER RIGHT, Wall Penrtt inlorrnetlan for permits approved punmuant to CRS 37-90'13'/(4)(InIgatIon,Connate/4 Industrial.Municipal end other ). Please note carefully Its conditions of approval on the marched copy of you porn*. The conditions must be compiled with in order for the permit to remain valid. THE PERMIT EXPIRATION DATE IS ONE YEAR FROM THE DATE ISSUED. The well permit number le located in the upper right hand corner of the permit,and the expiration date is located in the WAN right hand corner. The well must be constructed andlor pumping equipment installed,and a WELL CONSTRUCTION AND TEST REPORT(FORM NO.GWG We-31)and a PUMP INSTALLATION AND TEST REPORT(FORM NO. GWS-32)received by the Division of Water Resource,prior to the expiration date of the penult. THE WELL. MUST BE CONSTRUCTED AND THE PM, INSTALLED BY P.• ;! WITH CURRENT LIOENSE(R) ISSUED BY THE STATE OP COLORADO unless exempted as described below. The well construction and pump irmtatitmtkern reports must be submitted to the dike,of time State Engineer within sbety (80) days of completion of the work or prior to the expketion dated the pemmt whlehevet is abler. Your contractor must provide you with a of the work reports)filed with the State Engineer. The WeN Construction and bet Report and the Pump ;:, , and Test Report forms area available from our webslte at the following link htivilwerw.watenetKe.rxhualpubetweefonnterep,or from any Division of Water Resources office. You have been provided with at lost one copy of the well permit. Keep a copy for your records. You will need to make additional copies for the well construction contractor, F you select one element from the one Indicated In your permit application,and the pump installation contractor. The following, and other requirements em spelled out in the Statewide Nontiibutery Ground Water Rules. Panne are available from"the Division of Water Resources offices. ■ K the name and Noense number of the Colorado licensed wet con tan contactor was not specified on the well permit application.ar hes cheesed,the permitter)must r+of ly the State Engineer in writing of the name and license number of the contractor on a NOTIFICATION OF DRILLING CONTRACTOR(Form No.GW 1)at leaat 10claysprier to commencement of ttorudructiot afthe wadi. • it a wail permitted pursuant to C.R.S.31-90437(4)vritl not be oonstreuc ted Earthy pumping equipment installed prior to the expiration of the few*, the panellise may stink to the State Engineers' REQUEST FOR EXTENSION OP IDIPIRATiON DATE (Form Na GW&22). The expiration date of the permit may be extended one time only far a period not to exceed one year. If an extension of time is necessary to construct the well andlor WWI pumping equipment,you must file the written request on the form or by letter to this epice along writhe SOO filial fee prior to the expiration dabs. In the request It is necessary to provide reasons)why the wail cannot be conetrucied andlor pumping equipment heisted prior to the expiration dabs. The rawest must be received by he Division of Water Resources prtorto the pelmet expiration date. Metering and Reporting Withdrawals from Wells Permitted Pursuant to C,R.S. 37.00.137(4): In order to administer these wells.the State Engineer shall require the pemnittees to Install and maintain a tantalizing stow meter to measure al withdrawals from the well. As a minknum, the meter shall be installed according to manufacturer's moo imendsdona and shall contain sufficient recording digits to assure that"roll over"to zero does not occur within three years. The meter shall be maintained by the permibtee so as to provide a continuous, accurate record of withdrawals. If the meter is not operational, the Weil shall not be pumped. The State Engineer may approve a substitute totalizing measuring device it it Is capable of recording or can be used to calculate the total volume pumped. The permittee shall report the amount of withdrawal from the permitted weN as reasonably required by the Stele Engineer. Geophysical logs will be required for all walla permitted pursuant to G.R.B.37-90.137(4)unless them Is an existing geophys the Engineer and Is representacal log from that tive aquifer aquifer conditions at the located within 1,320 feet �locatton of thedpermitted well.which is �a to the Stele r s will be /apDiT1QNAL INFORMATION REOARDINt WELL CONSTRUCTION AND WEIL ASANIOI►811ENT WELL CONSTRUCTION AND PUMP INSTALLATION EY THE WELL OWNER You may construct the we ash theta the sum yowled!W the well la entirely own use,le on yet Wit,and b conducts&or pump sevlernent le Itrateledthe with equipment awned and by yeu,end poviW rd of raErw l Perm trsbeetion Contractors rEoird'j. Is to y'ham w as by complete and submit ete WON Chan and•Test Report(Farm No.OWS31)0063r the uan • est t✓orel No. OWS-82). Thy some we available tom our Isabelle at the komfAng him' .- ...werirscrtgersi. ter,or from Division of Water Resourcee c . The wail raft be consbueled • • PUMP Wei standards �p Board. The WATER commtionopi RULES Vilit all tollgate*type IOWA be&Infected Wier coneenceon end after The WATER WELL CONSTRUCTION RULES and the BOARD OP EXAINNERS RULES amt be from at the following Mk:htbeilvAvvrb.co .or from any Ohrtokan of Water Reecturcett Woe farewell tom. The rube axava wee 'I abandonment reautellons. you ere your own wen cc puroptner equipment. It le reconenended that you obtain e copy Wimp Mae for WELLS TO BE PLUGGED AND ABANDONED MUST SE PLUDSED E ACCORDANCE Willi RULE 16 MOWN BELOW) OF TIEWELL CONSTRUCTION O MST BEA A�4.1I.ATt A WELL, . . ,FORM NO. .... SUMMIT=TV CONFIRM TIE PLUMING Of THE WELL This fern Ia aveRabie Isom our wahetle at the ErikMeted In the that PentlitePh en Via page,or tom any Mvislon ef Wider Raeountek effete, RULE je STANDARDS FO1R PLUCKING,SEAMS,AND ABANDONDIO male AND a •-.:J. 18.1 ,: IoThe , 3d shandonmentot week nionitorthg end olteervelon mite, cctlepood or mad ,, ' .e.•hwells or excaVatiena D b Intandedfor use,and the plumbs, 'mod revent contamination. .. >a wad of r the , �u of welt owner to hies e , aid PlailatadA seed and abandons&Tha wee conetriletion core b reeponalble for the Ives owner b uarflh8*Mese plugging requthemente. woe 18.1,E owner's In t respondbEly far the p not t M'3nded • trot r fy the w of the bandonment of the boraholege)according!owes to wore tee to Rule 101, if the woe planar dere not the twat rite the contreobr Wed notitr the Bead ,b welling, the uexislancender� 119,1 . a)andtator i C ebandon the o)' .,.. . ,�•or nemovel ad t8.1.2 Persona authorized one or the j • '. iteM and le not the a*MOO brim 1#.1.8 Milladais usedshe.be des%Inert.end free tit cordembente.The may be oast stiff below land terfecti so that k wit not Irearitrie with the anticipated tam of the land, V We anew h are off bolo* the le)feet Clete remaining treeing eel be Bled v t or ewebreghteover she be permanently thra ng c� end then won iae tea that not n etIsehed stereln and adequately compacted to prevent 11L2 Wails sr Dorettelle feea taken last In Type,p� bend Type 18 ,-Wails }l red I .on d f unconsondeled otee }��..� ��.,..ys�e.,a�led end Jy,(�by•�i' :r the twit to the t1 with dean &ye,cement Or yh ; becrionfte grant , owelte eilth oult the ground suttees bee,clean sand cr clean he uppentrete yt�, cresIng.shall be tided with ore t ver he inatd at the top of the b e is the hole: be elm ks Sae(5) of Ow t , Tom,��feet of Mme shell be Med With materlets less permeable than to a that are adequetely compacted kee 18.2,1 Devraterem walk hcutrantat dry roontWav and obeetvetlon holies, percolationhot.% otazornater tea, eun ,seta hoisa std' belie ehtl trot, ate,end iftvW either pu nt fly 18.2 a by removing,ire caebtil that was stied and hole(a wen& dean at hIgh solid bentonite grout et within eve t . The the hole be Ifeed with rnelerl than the eurroundleg soil that are oil 18.3 ti ella or Bereholara Ire 'I'Ype f Aquifers a Web whlah were emended ed 3 , than one aquifer shall be pt efd waled by p a cementt p et the confining inin layer above mach .:.,;, , if do not show theta he oppoalte each conking layer hes b greeted when the oaf • be Oar completely tety removed from hob.or led or ripped opposite h layer prior b the gr+oui ehe be ne tsars than foot bh length ent�be damned tD ry stand the=AVM rnman (40) aquit •The well calls%®.except for the grout Intervale,Mali be completely fitted o the land�e with clean native slays.cement or NO solid Benton to grate A wattsrt cover shall be permanently welled or attached to the Ittp of the 3 Form No. OFFICE OF THE STATE ENGINEER GWs-25 COLORA'' •. DIVISION OF WATER RESOURCES 618 Centennial :.'..,1313 Sherman St.,Denver,(Matilda 80203 (3113)886-3681 LIC WELL PERMIT NUMBER 76579 -F APPLICAff DIV. 1 WO2 DES.BASIN MD Lot A Bieck; Ring: Subdly:EXEMPTION NO.1307.09-2 RE6111 APPROVED WELL LOCATION WELD COUNTY • NW 1/4 NW 1/4 Section 0 STEVE SHARP Township 2 N Range 85 W Sixth P.M. PO BOX 180 pISTANCES FROM SECTION LINES COKEVILLE,WY 83114 1028 Ft.from North Section Line 480 Ft.from West Section Line (3O7)279-3033 ,.JTM COORDINATES(Mejsrs.Zone;l3.NAD8_4) • PERMIT TO CONSTRUCT A WELL Eesting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONpITIONS Of APPROVAL. 1) This wet shall be used h such a way alto cause no material injury to existing water rlghta, The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vented water right from seekhtg repot in a tuft assort action. 2) The construction of ihts well shall be le compliance will the Water Well Construatton Rules 2 OCR 4022,unless approval of a variance has been granted by the Stale Board of Examiners of Water Weil Construction and Pura Instails1ion Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37.9(M37(4)and the fi ndings of the State Engineer dated October 5,2011. 4) Tha use of ground ureter from MIN well la Imlled to commercial. 6) The pumping rate cities well shall not exceed 16 GPM, 6) The average annual amount of ground water to be appropriated shall not exceed 7.9 sae-feel 7) Production Is linked to the Laramie Fox Hula aquiferwhlch le located 380 feet below land surface and extends to a depth of 670 feet. Wain cawing must be Instilled end grouted to prevent the withdrawal aground water from other aquifers and the movement of ground mater between aquifers. 8) The depth to the top of the Laramie-Fox Hilts aquifer is apprnsdnnale. To ensure the exclusion of poor quality water from wawa irernsidlatery above the aquifer,plain casing end grout shall extend through the lowermost coal endhn carbonaceous shale that marks bib Laramie sand portion of lira mutter. 9) The entire length of the hole shall be geaphysicaly logged as required by Rule 9 of the Statewide Nontslbutary Ground Water Wes prior to Inelalbig casing. IC) The'owner shalt mark the well Ina conspicuous place with well permit number(e),name of the aquifer,and count case number(e)18 epproprtste, The owner shall take necessary means and precautions to preserve these markings. 11) A totalizing flow meter moat be Installed on this wet and maintained in good working order. Pemtsnenl records of ell tliverslons must be maintained by the well owner(recorded d least annually)end submitted to the Division Engineer upon request. 12) This well shall be constructed at least 8€10 feet from any existing well,completed in the same aquifer,that is not owned by the apptieant. 13) Thin well shah be constructed not moos than 200 feat from tha location specified on this permit, 1e) Pursuant to CRS 37-90-137(9)(b)and the Denver Basin Rules,no more than 98%o{Ihe nontributasy ground waterwtthdrawn annually shat be ooneurned and the wel owner shall demanetrate to the reasonable snatisf ction of the Btete Engineer that no more than 98%ofthe water withdrrrean vdd be consumed. 16) ThIs wail Is subject to administration by the biviskxn Engineer in accordance with applicable chases,statutes,rules,end regulations. NOTE:The lability of this well to withdrew firs authorized eamunt of wider from this non-renawabie aquiver may be less than the$00 years upon which the amount of water in the aquifer is allocated,due to anticipated water level declines. NOTE:To assure a maximum productive fife of this well,perforated casing should be set through the entire producing interval of the approved zone or swear Indicated above, { APPROVED ,ILV State Engineer BY %Receipt No.3851845 DATE ISSUED 10-05-2011 EiPI TION DATE 10-05-2012 , Form STATE OF COLORADO ' Fur°ft€ee Use Only No, OFFICE OF THE STATE ENGINEER (3W8.11 818 Centennial Bldg.,1313 Sherman St.,Denver CO 80203 8/2007 Phone--Info: (303)866-3587 Mvlalnr (303)866-3581 Fax: (303)866.3589 bttp://www.waterstate,co.us CHANGE IN OWNERSIRIVADDRESS CORRECTION OF THE WELL LOCATION Review instructions on the reverse side prior to completing the form. N. d 17.E rxri nhoneof,.the ner r jltlina owhip of the well: NAME(S): Sieve Shark Mailing Address: )'O Box 1,61.1 City,St.Zip: Cokeville,WY 83114 Phone ( t�)2-3033 This than is filed by the named individunl/enlity churning that they are the owner of the well permitted as reformed above. This filing is made pursuant to C.R.S.37-90-143. WELL LOCATION: Well Permit Number 47368F Receipt Number: County W Well Nance or#(optional) (Address (City) (State) (Zip) I/4 of the)'VV 1/4,Sec. ,Twp.7 Vi N.or Q S.,RanrgelinSti E.or fp w., (.12 l P.M. Distance f ornSce j¢n Lines: Ft.From Ci N.or®S., fit From O E.or©W.Line. Subdivision Name Lot_-Block ,Filing/Unit The above listed owner(s)say(s)that he,she(they)own the well described herein. The existing record is being amended for the following reasons; Change in name of owner O Change in mailing address ri Con-aetion of location for exempt wells permitted prior to May 8,1972 and on-exempt wells permitted before May 17,1965. Please ace the reverse side for further information regarding correction of the well location. 1(we)claim and say that 1(we)(arse)the owner(s)of the well described above,know the contents of the statements made heroin,and state that t are true to our kngv�rl e. Signatures)of the new owner Please print the Signer's Name&Title Dato It Is the responsibility of the new owner of this well to complete and sign the form. Signatures of agents term acceptable if an original letter of ageney signed by the owner is attached to the form upon its receipt, For Office Use Only State Engineer Hy Rate .[i 4/12/2011 State of Colorado Water Resources-Vie,.. 1110-4101.1 111 r'� ' . t J.["3,' .) ftlisatiatufarad. RAP Iaakathe c4/12/20113101541AM alsookati 9762A pbrla>mnr 1 Pam*41e 203704 4t Wear otistrittg 2 Walt t t Caar.leuvibert 9SCIN0003 WORA 0235294-AMC W L 2-293704 [-a A01reicerra≥ 1 Date Weep A pp§ceeitiaernser I ED Addriess 43ty/araa.l4 Mown-l omot SWAPsiesPE minx= COKIMILF,Drea1114 Leadionantorendlen Approved Well Isteirtbie Q40 ®160 sewn Rana We Vintage from Section Moo SW NE 9 2 ON 65,SW Sixth 7,13U H 335116 matillikta(0311y)a 444069.7 bathe DR74 xy: SSB29I.S L,ncAtton Arorslraryl Spotted from wo rn tines taae atVlt to/>ep Nino lebeic1 Parcel Ilk Acne le'matt [-] tom*Male DI*4 Windt OA/03 1972 Dote : 0310311973 WEtek MRIGVTI0N A (s)i ALL UNKOPADACOMS Spada User Anti attiat vs"ore[Mash& 1M0 ACMES M 33irmae mud valut a o4 otapnaPrbtliwg StatOtoi Parrot r Waft How Meter fisophytkol Ina Alreadoreverk Re 4t No No eb Orme Refemniae Affr k Parker i Omenkereett ala W-1395&203704',rid by this w�Temporary N .Fee No.1�10e9;20370-S&20370-`C combined and E-3 Construttbnilisolo War 1 Well Cnalessedkn Met 03/61/1972. poop bets&Moe Data:11/0911972 11610 Moppet, Sat Noosildsi uaw gentian lush Fleetwood tom) porketitod Coolop p 4ta*WitErbPitl Pump Was 70 90 1k#Maw Addreed Maar 73 wavre 170131H T1 1BflK CO tan 50 3-32-2730 none krobriaor 13 CMOS,WAWA 121 UN CO0W31 103-1e2-2738 I[-7 A901050$04,Rmmit 1 awnorohlp Mope 11/1B/2009 Nistament e;t3a arklai Use Received 02/00973 Pump Snot lleden Report Re0NYod 01/2611973 Weil Consauction Report Reoetvad 01,26/1973 Pump filled 1 110 811 9 7 2 Welt conwartioad O5/04/1972 Parra 03/03/1972 Application Received 02/1611972 (-1 looped rtommootts tioosonsle Nem Opts Zed A Poototod W17/2009 ND www.dwrstate.causi.../ViewASpx7receipt— U2 4/12/2011 State of Colorado Water Resources-Vie... yea ,J.9 DIVA 3e)iJ a1 ilitallganWittted RIO :.stmoreaht4/12/201117:01341 AAA 0396304A Pam* 47350-F- Water 554460 2 minim or Ontyityi WEin ei: ei 92000007 NOM 0205225-ARUM WELL 3-350 F ft—] Amt Comm MAIO 1 Dote Raw A ert/Owww Ntweo Address Cdr► * ti-Rust Est% ra eo wa Ceiztu .m e nu- Aped Wtollotetions 1140 Q350 Swam Ibmwhip New lisotwie from Nectiwi MV NE 9 MN 65.0'W seas► 1321?Al 1320 E imathoin9(tmey): 44402202 Nadirs(015(x): 525609.7 Lociftion Accupswo potted from sattion Wan In Name 050111402143 Mg Wadi OA Mewl Atemi7th 7210 L—J Pon*MUM Darts Asaasr 30/11/1999 Dotst3splrs ii 1011111997 11oa(s)t IIt141GI111dN AwWw(r):ALL 11 Agurets toodel Lbw At which owl ba llrtf't:not.atmnl Walla of approptistbet ttatema ran*Nawilwowrial '9452405 Mow Motor 040whyslicul lop Ala wirmatent Awed Yes No Ha Owe Norwence Pewit Manter Commocibilaleo Wks WWI Careireettaa I L-1 ODnetly!tdoN1 WWI 04046 Pump irmfatitIon Dobbs WWI Mweed: 290515tabilkw 10/1'. 1996 swollen moth per2orgwevi atria(up) Forforstod Cadra( Matte%War 1Awel Pow 549 (`7Appenstiwaftewinitliktory f>igintiatiP016 11125/9969 Statement of Weeds,Use 0 Md 12/SW*996 RNA Owaticlat Lice 1005/1996 Pewit Emma 3W11/1996 Applioatloa RR 07/0911996 [r-1 rma Awl bacuwwws Onowerit Mew baba Doted Answkatted 12/1712009 No 12/tliU7 No II/2912207 No copviiiit0 2009 Cdoradoniinfmof Water Resources.Ali iJ t reserved. www.dwrstate.co.us/.../Viewitspx?receipt... 1/3. 4/12/2011 State of Colorado Water Resources-Vie... fi:di.r)I d.1 ,E)1•/]t1s).0 »11 lathearls to 4/12/201112%Hsi �PA wocelisti 0201765. MOM 1 Pare*dt 203704 i Water Cfelrlcts IPA None Coulter Vi65D Llet: cbse Number: W4666 WOO 0216161- fl_Mm PEWEE. L-1 App Careers ille06ri1 Isom Itsepe App/tsswrItems Addowste ar+Yiketell5p uesomo-P rent lIML*loca en BOX 237 MOBS <4 om 640 Lt-1 Ereartlenklbreuthae Approved Wellimam OD QIN Section PH lbelagefrorelletelon Mae 18E l!W 9 20N 850W 501h WON 19095 E l (UM y); 4445294.7 ibttlop(DEW: 526406,8 Wake Accuracy: 5pteledfrcm section Ilse Physical Address aulativioloo Nom rayjetoboiro Meg muck 1*1 PAW DA Aprer le Troth t-7Polak Dada& j Rate bails&: 02108/1979 Cote Evpirem lloe(r)C ARD ATICiN Aquila°():ALL UN AQUIFst5 Special Area witch army he 8frrsierserra:nmil ire of apprepriPcloot l t laMp new Meter eilephyalcal Ahandemerest Repeat No Pio Cross delerersce Permit Kober Itlrcetpt Descrtotion Powerkeir Conavvadin 11-1 Oettrsabok Maga lai4e PAW o_.tratNori Cola 03129(1973 DPW 05/91/1979 Wei IP211990±0 11979 1xk Ilenelidet civet la:maw pepth p sd owing flop) Perforated Onto Molten) s oWater lerrel Pump late 72 52 72 5i 12C6 Lie 4 WOW Address pip litestker Driller 71. invi11L,ED accCebt13 New 95 ALIT,Coeceio496 47111r34.a PPosp Nostailer871 P1M2Tectescra1llEiTP. 23O27rii] eu)o CPC OwitlRI,co&0611 303457-79s1 f(-7 A pyticetballeareit itsiary Atoodor merit Resort Itscolved 01107/14150 99tvrrns#of dene4klel Use Awaked 0110711660 Pomp tedelletion Repo:1 10/12/1909 Wel Plumed and Abersdonod 04/04/1979 Pump Patellae 4l31/1979 Wel Coretructioo abort Ru shed 04/07/1979 Wel Cdsst:rxted 03/2911979 Petralieursd 01/09/1979 AcplralloII Received 01/1611979 1(-7 nacierent Noels Date limped Almeetated cuirlwigllD2009Coioredn Division or Water lusources.14:tights rryi eI. www.dwa.state,co.usb../View.aspareceipt— 1/2 n ' 418611° 1 555 N.17th Avenue Greeley,CO 800.91 Phone:(970)304-6415 rr Fa:(9970)304-6411 O t N 1 web;weldhealfitorD SePtiC Perrnit Final Application Number, SP-11D01®7 Omar Kamm SHARP STEVE meg Adtidruse: 10766 CR 41 App Typo: Nealth1CornmeroishNevATieplic Application Statue:, BOB HARRISON Ready to Final CONSTRUCTION MANAGEMENT SYSTEMS Applied Dote 3500E 156 AVE 1011012011 BRIGHTON,CO 80502 issued bete: Parcel N: 130709200012-887500550 11/01/2011 Lapel Dees: PT NW4 9 265 LOT A REC EXEMPT RE-5111 Mated Date App Sp tfls Info: ip (il Warlike Description WICK 41&24 EAST OF AND ADJACENT TO CR 41& APPROX 392'SD CR 24 Associated Bufldlnfi Permit Yea Associated Building Permit Number 8CR11-00649 Application Date 10/10/2011 Septic Permit Expiration Dete 10110/2012 Number of Persons 7 Numberof Ba&oome 0 Basement Plumbing No 112 Bathrooms 3 Public Water Supply No Private Water Supply W eli Private Water Supply Permit Reference Number 75879-F Parcel Arses 34.85 Attest Installation: Septic Tank: 100 O gallons Absorption Trench: ,11.0j$, h�fi Chambers Aiseorption Sod: eq ft Deign Type• Chamber Model ' NOTICEI The lsarsanoa of Ihle pewit des nos Imply compliance Mdith alter re1e minty.al Wei aepidarmay or bulldog isceimaiirds,nor shad It act la car*that err wbfsct sperm l a oparele In warplanes Mb applicable blacck calmly and loaf regulidorta asepses permed to Hide Wilde 2e,ORB ea treacles:I,swi 4 for ihe pirpole or eetebiletcicvrtaltipprevelarkhatelkndspotlmlrrkeuenoaarelookocacpeecypewitpwwim'ttrCRB1P73 35x10-111('1) The Weld County Depeament of Pablia Health end EnVinwornent meanies the tfpht m Impose Malarial tarry and conditions required ko roast chic a on a axhttra#np Wis.Find ponetaappcovaf woe oontlegn dupocs Die had Inspedion a Mir ccrrhp{eled by die Weld Driardy d%ol otos Heath and Envirormtent. Emrirorxnant el Health Specie et Drat C EIVED Report ID: EHS00033v008 I3Y --- Papa 1 oft Print Dete'firm 9/20/2012 3:20:40PM l Avocation P4umban SP-1100187 Owner Hama: SHARP SIEVE4/ 2 N Address: 10768 CR 41 S lly ti `N 1/2, - &-----P k,.. try VHF j 4 1.0s„ `. 7, _.,,,.),4,,„ . ,, --?_-) t`� i t ?1 i '‘$s £'z 1 o ‘1?. '('----1 °II fCc c:) 1-'4' % 4 �{ f �. 11_4.07) -r 9 , 0 6 P,>, I-+..,tom '3 lk m` —I, CD '07610 ' sTos i'fek, o ok U kt, ft) (45 4 tt1q s C.Qwy Report HI EHS00033v00S page of a Prim Dale Time: 8/20/2012 3:20:48Pt I Hello