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Home My WebLink About20194240.tiff WATER SUPPLY INFORMATION SUMMARY Section 30-28-133,(d), C.R.S. requires that the applicant submit to the County,"Adequate evidence that a water supply that is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED ¶h oMp eoZ 2. LAND USE ACTION 4q 03 Di 6 3. NAME OF EXISTING PARCEL AS RECORDED (Ill eyd ) 4OY A tL6 39(02 SUBDIVISION N.A.. FILING BLOCK LOT 4. TOTAL ACREAGE 7,03 5. NUMBER OF LOTS PROPOSED / PLAT MAP ENCLOSED YES 6. PARCEL HISTORY • Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to June 1, 1972? 0 YES 0 NO B. Has the parcel ever been part of a division of land action since June 1, 1972? YES 0 NO If yes, describe the previous action 6f Z6 -396 `Zoog} 7. LOCATION OF PARCEL- Include a map deliniating the project area and tie to a section corner. 5{A) 114 OF 5G) 1/4 SECTION Z4 TOWNSHIP N ❑ S RANGE 65.*** O E jfiCAI PRINCIPAL MERIDIAN: XSTH ❑ N.M. ❑ UTE ❑ COSTILLA 8. PLAT • Location of all wells on property must be plotted and permit numbers provided. Surveyors plat ❑ Yes 0 No If net, scaled hand drawn sketch ❑ Yes 0 No 9. ESTIMATED WATER REQUIREMENTS - Gallons per Day ar Acre Feet per Year 10. WATER SUPPLY SOURCE EXISTING ❑ DEVELOPED 0 NEW WELLS SPRING PROPOSED AOUFERS WRECK t]4E1 HOUSEHOLD USE # of units GPO AF WELL PERMIT NUMBERS ❑ALLEM 0 UPPER ARAPARGE 15 8 /_ C 0 UPPER DAMON U LOWER ARAPAHOE COMMERCIAL USE # of S.F. GPO 1. q AF mil_'{(� r 0 OMLOWER°A"rs°N 0 DAKOTALARAMIE FOX RILLS ❑oetvEn 0 DAKOTA 0 OTHER IRRIGATION# of acres GPO AF STOCK WATERING # of head GPO AF O MUNICIPAL O ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER GPO AF 0 COMPANY O DISTRICT TOTAL GPO AF NAME LETTER OF COMMITMENT FOR SERVICE O YES O NO 11. ENGINEER'S WATER SUPPLY REPORT )(YES O NO IF YES, PLEASE FORWARD WITH THIS FORM. (This may be requited before our review is completed.) 12. TYPE OF SEWAGE DISPOSAL SYSTEM )(SEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM - DISTRICT NAME ❑ LAGOON O VAULT - LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM (Attach it copy of engineering design) 0 OTHER FINDINGS OF THE STATE ENGINEER IN THE MATTER OF AN APPLICATION FOR A PERMIT TO USE AN EXISTING WELL IN WATER DIVISION NO. 1, WELD COUNTY, COLORADO APPLICANT : FRANCISCO AND PATRICIA A. BARRON AQUIFER: LARAMIE-FOX HILLS PERMIT NO.: 75846-F In compliance with C.R.S. 37-90-137(1) and the Statewide Nontributary Ground Water Rules, Francisco and Patricia A. Barron, (hereinafter "applicant") submitted an application for a permit to use an existing 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 December 27, 2011. 2. The applicant proposes to use the existing well in the SW1/4 of the SW1/4 of Section 24, Township 3 North, Range 65 West, 6th Principal Meridian. 3. The existing well is located outside the boundaries of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the well 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 2 acre-feet. 6. The applicant is the owner of the land on which the well will be constructed, 7. The existing well would withdraw ground water from the Laramie-Fox Hills Aquifer (hereinafter "aquifer), which, according to the Denver Basin Rules and according to site specific information, is located 285 feet to 600 feet below land surface at the location of the proposed well. 8. The location of the existing 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 7 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 nontributary ground water as defined in C.R.S. 37-90-103(10.5). Applicant: Francisco & Patricia A Barron Page 2 Aquifer: Laramie-Fox Hills Permit no.: 75846-F 11. In considering whether the requested permit shall be approved the provisions of C.R.S. 37-90-137(4) and the Denver Basin Rules shall apply. Withdrawals shall be allowed on the basis of an aquifer's fife of 100 years, C.R.S. 37-90-137(4)(b)(l). 12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 7 acres of land described in Exhibit A is 189 acre-feet. This determination was based on the following as specified in the Denver Basin Rules and according to site-specific information: a. The average specific yield of the saturated aquifer materials underlying the land under consideration is 15 percent. b. The average thickness of the saturated aquifer materials underlying the land under consideration is 180 feet. 13. A review of the records in the State Engineer's office has not disclosed that there are any existing wells or other water rights claiming or diverting ground water from the aquifer underlying the land claimed by the applicant. Based on the above, the State Engineer finds that there is water available for withdrawal by the proposed well and no material injury to vested water rights would result from the issuance of the requested permit subject to the following conditions: a. The allowed average annual amount of water to be withdrawn from the aquifer by the well shall not exceed 1.9 acre-feet (the quantity of water which is considered available divided by the 100 year aquifer life). b. The well shall be located no more than 200 feet from the location specified on the permit application. c. The applicant shall submit geophysical and lithologic logs after the construction of the well The geophysical logs shall be obtained from the hole before the casings are installed. d. The maximum pumping rate of the well shall not exceed 15 gallons per minute. e. A totalizing flow meter must be installed on the well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner(recorded at least annually) and submitted to the Division Engineer upon request. f. Production is limited to the Laramie-Fox Hills Aquifer. The well must be constructed with plain, non-perforated casing properly grouted so as to prevent intermingling of water between aquifers. g. Pursuant to C.R.S. 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the applicant shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. Applicant: Francisco & Patricia A Barron Page 3 Aquifer Laramie-Fox Hills Permit no.: 75846-F ft The owner shall mark the well in a conspicuous place with appropriate well permit numbers, name of the aquifer, and court case numbers. He shall take necessary means and precautions to preserve these markings. Dated this Z day of r AA �(uta_ , 20 12- . Dick , . . Vsi / ` Director/State Engineer By: J•=nna Elliams ter Re-•urce Engineer Prepared by: JLV Form:0546(o) PUMP INSTALLATION AND TEST REPORT FORM NO. For Office Use STATE OF COLORADO,OFFICE OF THE STATE ENGINEER Ozer rCFIVED 0dY12,200Ez5 1313 Sherman St,Room 818,Denver,CO 80203 Info(303)866-3587 Main(303)866-3581 OEC 0 7 2007 Fax(303)868-3589 httpliwww.water.state.co.us 1. WELL PERMIT NUMBiQt: ► S4,-F STATE 2. WELL OWNER INFORMATION NAME OF OWNER Frensisco Barron MAILING ADDRESS PO Box 1337 CITY - STATE ZIP CODE Platteville CO 80651 TELEPHONE# (303)591 9120 3, WELL LOCATION AS DRILLED: SW1/4, M1/4 Sec.�4, Twp.3 ®N or D 8, Range 65 ❑E or OW DISTANCES FROM SEC. LINES: 400 It from O Nor®S section line and 270 ft.from ❑E or OW section line. SUBDIVISION: . LOT . BLOCK FILING(UNIT) Optional GPS Location:GPS Unit must use the following settings: Format must be UTM,Units Easfing: must be meters, Datum must be NADS3.Unit must be set to true N, O Zone 12 or❑Zone 13 Northing: 'STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA: Type: ubmersible Date Installed:10111/2007 Pump Manufacturer:FPS Pump Model No. QP7S10 Design GPM:1Q at RPM ALI HP 1.5 Volts 230 Full Load Amps 6 Pump Intake Depth:458 Feet, Drop/Column Pipe Size 1 Inches, Kind of Drop Pipe PVC SCH80 ADDITIONAL INFORMATION FOR PUMPS GREATER THAN 50 GPM:Turbine Driver Type:O Electric O Engine D Other Design Head feet Number of Stages Shaft size inures 5. OTHER EQUIPMENT: Airline installed O Yes >_ No, Orifice Depth ft. _ Monitor Tube Installed D Yes No, Depth ft. Flow Meter Mfg. Meter Serial No. Meter Readout O Gallons,O Thousand Gallons,O Acre feet Beginning Reading 8. TEST DATA ❑check box if Test Data is submitted on Supplemental Form. Date: 10/1112007 10/11/2007 Total Well Depth:480 ft. Time: 1:o0vm 4:15Pm Static Level:250 ft. Rate(gprn) 13.5 1115 Date Measured: 10/1112007 Pumping Level(ft): 250 468 7. DISINFECTION Type HTH Amt Used 20 oz 8. Water Quality analysis available:O Yes®No if yes,please submit with this report 9. Remarks: 10. I have read the statements made herein and know the contents thereof,and they are true to my knowledge. This document is signed and certified in accordance with Rule 17.4 of the Water Well Construction Rules,2 CCR 4022. [The filing of a document that contains false statements Is a violation of section 37-91-108(1Xe), C.R.S.,and is punishable by fines up to$5000 and/or revocation of the contracting license.] Company Name: Phone: License Number Dreiling Drilling Company,Inc. (970)867-7160 332 Mailing Address: PO Box 838 M• ... + ''+71 Sig • / Print Name and Title ate liPresident A.Gregory Drel ng r2/512007 FORM NO. WELL CONSTRUCTION AND TEST REPORT Far MeEIVED X31 STATE OF COLORADO,OFFICE OF THE STATE ENGINEER {� 00420051313 Sherman St.,Room 818,Denver,CO 80203 D n EC U 7 2007 Phone--Info(303)8663587 Main(303)868-3581 Fax(30i) I11113givww.water.state.co.us TATE E ER ula — I. WELL PERMIT NUMt3ER:2B8f3� �J��y S(1Q` 2. WELL OWNER INFORMATION NAME OF WELL OWNER: Francisco Barran MAILING ADDRESS:PO Box 1337 CITY:Platteville STATE:CO ZIP CODE 80651 TELEPHONE NUMBER:(303)591 9120 3. WELL LOCATION AS DRILLED: SW1/4, S 1M, Sec.24 Twp.2 ®N or O 5, Range M O E or 181W DISTANCES FROM SEC.LINES: 400 ft.from ❑Nor®S section line and 270 ft.from ❑E or 0 W section line. SUBDIVISION: , LOT , BLOCK FILING(UNIT) Optional GPS Location:GPS Unit must use the following settings: Format must be 11TH,Units Owner's Well�: must be meters,Datum must be NAD83, Unit must be set to bile N, O Zone 12 or O Zone 13 �' STREET ADDRESS AT WELL LOCATION: Northing: 4. GROUND SURFACE ELEVATION feet DRILLING METHOD Mud Rotary. DATE COMPLETED 10i'10/2007 TOTAL DEPTH 480 feet DEPTH COMPLETED 480 feet _ 5. GEOLOGIC LOG 6. HOLE DIAM(in.) From(ft) To(it) Depth _ Type Grain Size Color Water Loc. 12 0 80 0-15 Sand Brown 8 80 480 15-45 Sagdy Clav 45-60 Shale Grey. 7. PLAIN CASING: 60-75 Coal OD(in) Kind Wall Size(in) From(ft) To(it) 75-100 Shale Grey 8 518 Steel 0.188 -1 20'r 100-480 Shale/Sandstn , Grey/Grey B PVC SCH40 20 80 5 rip_ SCH40 5 300 PERFORATED CASING: Screen Slot Size(in):0.030 + - 1 5 PVC SCi-440 300 480 8. FILTER PACK 9. PACKER PLACEMENT: Material pilicaSand Type Size 1w0 Interval 255-480. Depth _10. GROUTING RECORD Material Amount Density totetval Placement Remarks: Cement 8 Bans 7 gal 255 no Tremie Cement 20 Baas 7 gal 80 up Tremie 11. DiSINFECTfON: T F1TH I Amt Used 20 oz 12. WELL TEST DATA [I Check box it Test Data is submitted on Form Number GWS 39 Supplemental Well Test TESTING METHOD Airlifted Stalk Level 155 ft Date/Time measured:0/10/2007 10;30am . Production Rate 15 gpm. Pumping Level 450 ft Date7Time measured 10/101200712:00om , Test Length(hrs)1.5 Remarks 13. I have read the statements made tin and know the contents thereof,and they are We to my lawerledge. This document Is signed and certified In accordance wifth Rule 17.4 of the Water Well Coon Rules,2 OCR 402-2. pile tiling of a document that contains false statements lea violation of section 37-91-108(1 Xe),C.R.B.,and is punishable by feces up to$5000 andlor revocation of the contacting e-I Company Name: Phone: License Nranber Dreiling Drilling COM•• Inc _ (970)887-7160 332 Mal Address: Fort organ,CO 80701 S re* IF - ' Print Name and Title Date A Greaory DreiAna President 1215/2007 Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg.,1313 Sherman St,Denver,Colorado 80203 (303)866-3581 EXST WELL PERMIT NUMBER 75848 -F DN. 1 WD2 DES. BASIN MD APPLICANT Lot A Block: Filing: Subdiv:RE 3962 APPROVED WELL LOCATION WELD COUNTY SW 1/4 SW 1/4 Section 24 FRANCISCO&PATRICIA BARRON Township 3 N Range 65 W Sixth P.M. PO BOX '[337 DISTANCES FROM SECTION LINES PLATTEVILLE, CO 80651- 400 Ft. from South Section Line 270 Ft. from West Section Line (970)785-1234 UTM COORDINATES(Meters.Zone:1 3,NAD83) CHANGE/EXPANSION OF USE OF AN EXISTING WELL Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no 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. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2,unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved for the change/expansion of use of an existing well constructed under permit no.286513.The issuance of this permit hereby cancels permit no.266513. � 4) Approved pursuant to CRS 37-90-137(4)and the findings of the State Engineer dated f OOlkte*.rIy 2, 2o)2., 5) The use of ground water from this well Is limited to commercial. 6) The pumping rate of this well shall not exceed 15 GPM. 7) The average annual amount of ground water to be appropriated shall not exceed 1.9 acre-feet. 8) Production is limited to the Laramie Fox Hills aquifer. 9) The entire length of the hole shall be geophysically logged as required by Rule 9 of the Statewide Nontributary Ground Water Rules prior to installing casing. 10) The owner shall mark the well in a conspicuous place with well permit number(s),name of the aquifer,and court case number(s)as appropriate. The owner shall take necessary means and precautions to preserve these markings. 11) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner(recorded at least annually)and submitted to the Division Engineer upon request. 12) This well shall be constructed at least 600 feet from any existing well,completed in the same aquifer,that is not owned by the applicant. 13) This well shall be constructed not more than 200 feet from the location specified on this permit. 14) Pursuant to CRS 37-90-137(9)(b)and the Denver Basin Rules,no more than 98%of the nontributary ground water withdrawn annually shall be consumed and the well owner shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98%of the water withdrawn will be consumed. 15) This well is subject to administration by the Division Engineer in accordance with applicable decrees,statutes,rules,and regulations. NOTE:The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated,due to anticipated water level declines. NOTE:To ensure a maximum productive life of this well,perforated casing should be set through the entire producing interval •I-Wf7— approved zone or aquifer indicated above. APPROVED JLV /31a/lA4; Receipt No.3653366 State Engi DATE ISSUED 02-01-2012 yFJCPI ION DATE 02-01-2013 r.. r- - ' 0 1 COLORADO DIVISION or WA's RESWRCES ( OfEas Use only f Fenn O +rs 4s to l I DEPARTMENT OF NATURAL RaOURC I 131.1 MERMAN Et Rif Ilk DENVER,CO Eau RECEIVED Ogle-1Ma: PS) 50T trait:OM Mme? j , fig ati3)BMW httptAYAft.wsteuil§bmo,ao GENERAL PURPOSE DEC 2 7 2011 i Water Wail Permit Application Rts+litw instwaoita on rsvara*stde Pea la asmetailse Wet. WATER RESOURCES The!vino toast ast be somplaled to blank or blue Ink or yped. STATE ENGINEER t Apitilaant tnfennatton L.Use Of Viell?he k=Amble> eat G tem a Much a dldstitled d xi rt.-rule, rr p r1ct>�.. . . , ,t-ran A�nnaZ Ice. p Noble p Droalerltp syream + NUN D lotuniatpai D Cl arntsl(Q proctudlow ae 0 tot aot�rty Y.D.1516X. I25'1 0Irri " pa ertd ,rmQk - P '1 t i k-r✓ _ Co. arog� ` 1 _IN }xewt - V1-4416L. 1.q 2-10S--� 1 34 I l rortsvr, o l.c:Gvr-,. k""'"""..- !, MINN c N n 2.Tvpa Of/�tkaEem(oho*applieabie boxes) I.., 2- ests.toet a cansttunlnewwelw 0CHINNas {aqui[ar3 3 a R . D sisal�tiloltan red Uan la Ilea exhAng wen a cot=wail E.Land on Nithioli Ground Water' fP1 Be Used D m ar'norms AO 0 OtNer; Lewd D eseetpgOn Will be rotiNd arrarrattarnearD 3. Refer 4o Of applicable) ` • 4.Lai Of Proposed Wallf li npcntenti 5Inittuatlau ) UN?, lama tnrcreaart-pe r.adaah a*Wa rOr r'Ma ian tr Mite -e.IC SNist Sd , v4 ,m A. iA f• , xliar 'town. ,ir EN s new k rk W t N tl•la[pII[WainL I $13 (A ME S i nk41r1 C. kiel opie sralagm r+4Rl iu*NII MINN MON iel NI*MA NCI NIDM titan WO IVII tfilaYDKIIiEPVtlitblpsl . ft fell p hies O n N D E a w U,Framed VVeN Drier License iNiptIonaq: _— rtp.pukcanwA vsw arly-!NAM mTre%%spleen stuie e l se)rs retrravli dnl_ Op. Signature Of Applicant's)Or Authorized I eat foal 'seta melting at false statements herein constitutes pulpy in the ascend • wo toone,seinlea*MIN Vdy.81*.NN el cl,adr4 we Nevem h sera of Mani, , dogma,%mut'le punishsbto us a slow miatiornearor pufs000t to Cie, 84+4041431t4h Irmo react Vie 8tslsntarilII,remain.Snow the ocelot', Al . CO t alel sten that thast on a to z' Iv a. j Iwo Marta MAW Its*NO / ' as optima Om well tattoo Woman to Walton,You mar gtindc GPV MI far fagl>!r rrattanye ma aglow aa; a r'1.Cesi- 4 8eLvre+' 9 , . jil FentnLn' beWhi = rL tlee1119iUIIs won Ton WHAM rpl CC URO Only i unktivato url to twrtm vt UM map mcwi :GM R map>'a, Wawa%vhtt>:ie d ligergOvf Chlte Recnombor to women to goose i Tes— '� 5,Parcel On Which Wall Mee Lauded T, r—o Recut area onniy MU NIURTA1TACK A CURRENT CURD FOR?T4E BtUUEJECT PARCEL) A Legal tsepUcn tro�re�aod N etas: C'smm • t etilic ✓/ t47/ prrrio � I Cam✓ o -1. f 3 N oir- x v4 3 X-P,EF., a, t rit4.airt is C. J 1 .44, F c r1. lE iewe D, ego e>eenpwvafrNunartieOM!>�e lime.04nose ; ten Q F C1df�ffi� Tmrtszeo�tk 3653366 1?s , 1?X'27/2711 i Ct;0738, i E., maw A:MIN la IIesx Transaction Total: $400.00 CREDIT CARD $100.00 mm - lThr_,__ +tWD J,. RA_root_m r•• It GWS 1 03/2005 STATE OF COLORADO OFFICE OF THE STATE ENGINEER RECEIVED DIVISION OF WATER RESOURCES 1313 Sherman St.Room 621 DEC 2 7 2011 Denver,Co 80203 (303)888-3581 Fax(3O3) 3589 WATER RESOURCES STATECENGINEER NONTR1BUTARY GROUND WATER LANDOWNERSHIP STATENVENT I (We) t (Narne(s)} claim and say that I(we)am(are)the owner(s) of thp following described property consisting of 1 acres in the County of State of Colorado: (Insert the property legal description) FT \Ni '12_. s Ili o- Ser.Aio 2 .._. I ouusns ,%p 3 Joy-- (5 \1 . Hrk-c-- ‘py-o?se Is A.ssoc.,[O,k-c4 wi-i-h and,that the ground water sought to be withdrawn from the I'r,& V' rn I e 4°41" H filo aquifer underlying the above-described land has not been conveyed or reserved toanother, nor has consent been given to its withdrawal by another. Further, I (we)claim and say that I(we) have read the statements made herein; know the contents hereof and that the same are true to my(our)knowledge. ' A '"_ _'-` /1 - 8---- i1 Signat4re. Date S ature Date INSTRUCT[©NS: ......................,...._.. .• Please type or print neatly in black or blue ink This form may he reproduced by photocopy or word processing means. See additional information on the reverse side. r•• .T C..1, 11 IV.V!. Form No. GW S-43 Rev. 9I96 _ RECEIVE:" OFFICE OF THE STATE ENGINEER Centeni tal Ride. DEC 2 t 't u n 1313 Sherman St.,Denier, Colorado 80203 (303)860-35'81 WAFER RE;. STATE cola o>wa NONTRIBUTAIrf LANDOWNERSIRP OR COIlISBWT VERIFICATION OF NOTICE FranC,,A5CG �: ,�tC gadryCV IIWe! MName of well Panisit Applicant) sum and say thane's)twe) given notice ;ursuant to CRS 37.90-137(4Xbb5) of the application for a well permit by registered or certified mail, return receipt requested, no less than ten days prior to making of the application for the perrfa/ to ever, record owner of the overlying land and to every person who has a San or mortgage upon, or a deed of trust to, the overlying land recorded in the county in which the overlying land is located. The names of the persons given notice are listed below: Fret ry�.1315 c £7alfla P ctc f3 G..s.'`irovm. Further. I [we)claim and say that I {motel have read the statement;made herein: know the contents hereof: end that the saw are true_to my(our ,7o�r n-. owiedge. • i e . . Sri , I /r (S exile, f (Date) • (Signature) (Datel ..)... . .....N.1..Iv1 - �..., u..�... INSTRUCTIONS PLEASE TYPE OR PRINT NEATLY E4 BLACK INK. THIS FORM MAY BE REPRODUCED 8Y PHOTOCOPY OR WORD PROCESSING Ii ANS. SEE ADDITIONAL INSTRUCTIONS ON RACK. _ ' Ft ON VI '_}i � 13 RECORDED EXEMPTION NO. 1213--�24-3 RE3962 1 I F. F` u r ` PART OF THE WEST 1/2 OP THE SOUTHWEST }/4 OF SECTION 24, TOW! 8P 1 NORTH, ' -� �rim Win r4 RAP=GS WEST OF THE 6TH Mt COUNTY a WILD. SIATE OF COLORADO. CI ��R fv1 •�•^� �--•ter uYil�P's,rW Awetl rilf/�'Lfh/flLPri01Pf=4 Na►p/7i NPr114 QI�] ILI � ♦�♦.ryry.7� ! p , !d!!P!!a!bpp►Xr�Y.Yr Ms Pk�r�W l °OA iP1�IRtta11�f 9{�3�ItOX! BI an". , : ...:' �eygsm ,,,..=Vrtratt.!r.t,aumpi a 'snow" `4 ob-ci . . 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WELD COUNTY ROAD 30 I ALPHA SURV�YtNGCO. �s �4�c.� T� + maw. ��. >< ,l.7AR gel, y�� (uBANALT` 5 Poniks 011. -a as 1 att1.451.uroz f D 'R7 XY 6lR/�Pr�Oilr t! 6-1MItr aA1�16�4D11 a 1. �°`rpLlo%"a + pyly CY4rEge SCAM r.Ear' mt tuW.lgrrW4PPRI.0arww• Ia.ute WV wrnnt Ate ' 11 Elk v r l•I 7 waloor— ,rL,--•.-a- °km maw ae eVA Tcath,r+4a0' Ma=EVanFAlla,IC 7 ax-a M. ISVIa al[07,2177 ..��— - _ _ a. ....9mw a ra>$rmr p I-II-0 'a _ A21p1 84- Denver Basin Team 1A January 31, 2012 Geotechnical Services Branch Consultation Evaluator: Jolene Mackay Receipt No: 3653366 Location: SW%4, SW'/4, Section 24, Township 3 North, Range 65 West, 6th P.M. Aquifer(s) Requested: Laramie-Fox Hills—Need Net Sand information as well as the interval. Thanks, Joey Request: Consultation /// / 1 �A Recommendations: ,7 p - � _� -.� k 4YT'(/L,�t .a1 , ir74S ( /UT4k4 . Special Permit Conditions: �.� !%r, .ii ..iJ/':<. i ►L�:./� fir' Geologist Signature: Date: 2////1.//A. Report Date: 1/31/2012 Bedrock Aquifer Evaluation Determination Tool Denver Basin Aquifer-Specific Location Determination Tool Applicant BARRON Receipt No: 3653366 Evaluated By: JLV Location: SW 1/4 of SW 114 of Sec.24,T.3N, R.65W. (400 SSL,270 WSL) Basin Designation: Location is within the UNKNOWN Designated Ground Water Basin. Ground Surface Elevation: 4855 Feet Number of Acres: 7 Wamingl The depth intervals estimated in this area may vary from actual conditions due to lack of data and/or structural complexity. AQUIFER ELEVATION(ft) NET SAND DEPTH TO(ft) ANNUAL STATUS APPROP. Bot Top Bot Top (A-F) Upper Dawson — -- -- — -- — — Lower Dawson — — — — — _ — Denver — — — — — — Upper Arapahoe -- — — -" — — Lower Arapahoe — — — — — — — Laramie-Fox Hills 4255 4570 178.1 600 285 1.87 NT NOTE:`E'indicates a location is at an aquifer boundary and the values may be more approximate. l Y7Xo,t 1bc) I . 9l Bedrock Aquifer Evaluation Determination Tool Report Date: 1/31/2012 Denver Basin Aquifer-Tract of Land Determination Tool Receipt No: 3653366 Applicant BARRON Evaluated By: JLV Annual Appropriation fora 7 acre tract located at Section Township Range Acres 24 3 North 65 West 7 NON TRIBUTARY NOT NON-TRIBUTARY TOTAL Ave. Annual Ave. Annual ANNUAL AQUIFER Acres. Sat Approp. Acres. Sat. Approp. APPROP. Designated Basin Area: Upper Dawson -- — — — — — — Lower Dawson — — — — -- — Denver — — — — — -- — Upper Arapahoe — — — — — — — Lower Arapahoe — — — — — -- — Laramie-Fox Hills — — — — — — — Non-Designated Basin Area: Upper Dawson — -- -- -- — — — Lower Dawson -- — — — -- — — Denver — — — -- — — — Upper Arapahoe — — — — — — — Lower Arapahoe — — -- — — — — Laramle-Fox Hills 7.0 178.3 1.9 — — — 1.9 Page 1 of 1 • I ,, AQUAMAP MAP NAVIGATION E zoom to UTM Value 1 ( Zoom to Permit# ivision of Water Resources I zoom To Section { zoom to Receipt# ent of Natural Resources � s '7 'I ", w U Rea created k i�p ( Zoom to Address ) L. Zoom to WDID ) n -, i " wu Ali CO OR m � �,. p �� , A,,,r,,,,,,,,_ ... I oreitii , � l481 I x VA ClUTM toX create PDF " "lift,-' UTM X,zone 13: 712826 ( Zoom to Parcel# ''" t 'i '' .4 UTM Y,Zone 134252988 rl 0[14C'��y�" w 'ii ' ,r.,1, Lon -102"33'46.1" ,�.;.•:.�,.,: . k, ..r.:k a.T ,.. Lat: 3$ 23 59.3 O UTM and Geographic(LL) 'In NiCSE_ ._ N4E Nwsw . 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" '...• „I. ! ,gyp ' dteptayed [rarer to a copy of the er₹gtnai well rm me,avauabla I, I an the Division of Water Resources website, Tor wall location details. ��py- 4 I Vl I f .REN '.. rra�n,C s,N I i -'1 �� •y >t ., 4.w I V1�Fwv t ' F { - > 1 " _ .WATER RESOURCES #'�` i ` 7,118 ■ r Ai,-:�n+mnuwn atl tanaru» ?�t Address location by Yahoo Maps Based on work developed at http:Nwww.carto.net AquaMap Version 3.0.1 ■ July 5,2009 -v . , «' .F't'.Yti '^�" 1a !: T ° kjr "" ':?� n '�._. 4,..,. .s., '` . .�,I i " . AQUAMAP MAP NAVIGATION Colorado Division of Water Resources Department of Natural Resources fi n Ma, created b lv 1/31/2012 4.411i-KP.q,,,,,•All'7,C;"1 ! IKU h4 r, -.�' � t"� TV ,I 4, Click to create PDF�r r ' ',A ., UTM X,Zone 13: 590111 „av � I: UTM Y,Zone 134086445 " ,r J ,,,4.4, .,jrn Long: -103°59'18.0" :r 'I � 5?} M;�.�-,r r 2 ,+ ..:.�;I ..G. 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' IA N War Title r9 Note:The well locations displayed on AquaMap are based on location Information provided by welt permit application forms and are only ._ .--� s.-.: .,... ..�,.....�,.�-�.. _r as accruate as the information provided.The actual physical locations �4"� of all wells have not been field verified and may vary from the location displayed.Refer to a copy of the original well permit file,available on the Division of Water Resources website,far well location details.JW ,,,WNE 5F lio, ,,, ,,,,,_:, ,,,,,,,,.. NW f:}i'rs'Jd St�JRF y/� 3 1 y WATER RESOURCES °,T t' ' — 7,11811 m,.. a tpm�gtrmr r�xa,mwam q' ' Address location by Yahoo Maps Based on work developed at htp://www.carto.net AquaMap Version 3.0.1 July 5,2009 : s" �;.,r .- ,: I i e:.. .__ ,..�.. �,.�,.,.. y A 3 ��n y��,..�a �`��. e N s.7,�"p }� •. Ili�� ,.y.'Pa'h � l - ► q ��i ,�,; ind t "_.4� br + L� fs tik,9k, .gb iN. Raab 4 i t..Frl�F .L;iY. JP ag _._ CR g � 4�6� „�'`� $ ' 15 'w�l��r..`'.�. � ►i�l 'sa�f `� ,I��fl� l '°� �M�s �'�� w, AQUAMAP MAP NAVIGATION Colorado Division of Water Resources Department� � of Na#ura31Resources .. �*v - ° �� p} �ONO ., �Inr Di i i' `� �s 'k,4, , Click to create PDF' 41 X111 y_��i a Illl .�r TM r 4. 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" pp 41yy �I$7nFr- ? IYM]1pd;1. WI M" �Q�I`. '�' i�!. : i gl, ''.r"4,,�:,.'" �° r � . ��n�i:., iJ'.e k.�u &�n�� 1P�S,H�1EC.1.T",.,r3Afh�'.Ibiv�nJn.'e?�FII.::la.I .� � �IE{NINII� :",�if01.Ik� .......rk:.d�OE�il:�'iC�.. e �/.frRM1 ! .S ��6 AQUAMAP MAP NAVIGATION Colorado Division of Water Resources Map created by Iv 113112012 ' + 4 tr ,!,, II ®��J Department of Natural Resources *Dane µ lhl F ,•:! - .I ,46�°'�a 1 �' .. Click to create PDF�+� s''+i '4I~II, � i UTM X,Zone 13: 414803 8 9 10 11 I 7 " 8 $ ..:,1'1"';;,'.,.0.!1,4.,,l'',„g „ ;r 4' UTM V,Zone 13A086445 ' err jf ,s " Long: -1O5"5T 23.5" r: i` 1,� ,,wf;"i„'1?II ,, . 4. I Fr1 4 id} a . Let 36°55'12.6" 0 .. UTM and Geographic(LL) coord inates In NAD 83 'l DATA DISPLAY r ;116 1 15 14 13 18 17 1$ ® Background ❑ Counties O Water Wall Applica LarFox Sands ® PLSS O DWR Parcels s :� �' �, O Roads ® EPA Well Notiflcat' .... e Local' ® Lola O Hydrography O Oll/Gas Well Loca �'AD* ` 3 21 Transparency O County Parcels(No Public Access) 20 21 , 22 23 19 20 O Towns L More Data / -' j j LOCATION Section Township Range Meridian a..,... .. W..,.. -..._ vi p 243 I . '� Six pIV NIT.' Ies Lw ti+ • , ^ 30 29 28 crti PLSS Locator) ( Quick Zoom ) ( Spacing 29 (28 2 ': 26 25 r : PRINTING ,-, 4 Output le age s8 l Salle $ Sloe User \._ ... ,. �: __ . ..-.. sfa IT .5x11 i• ply O t ��eon 1 Title . '.` �•a i3L. .:.,..:' tee_ �' -:.. .- .�,..,„„ fir a +RKF Note:The well locations displayed on AquaMap are based on location 14 se . information provided by well permit application forms and are only w I as accurate as the Information The actual physical locations ® of all wells have not been field verified�and may vary from the location die Refer to a of the original well rmatite,available t on Division of Water Resourceswebake.for well location details. 5 41:11 2 1 6 5 4 . ``'tr ,JbtV�l :it a : - F�' '�,r. +��' �,'aka i 1 "4 111 t i ' - `.+ YY r* v -• 42,706 ft ` a aaAxrtaa+row rwrmw maw Address location by Yahoo Maps Based on work developed at http://www.carto.net AquaMap Version 3.0.1 July 5,2009 fey RECEIVED Francisco Barron Po Box 1337 DEC 2 7 2011 Platteville,CO 80651 WATER RESOURCES COLO, STATE ENGINEER November 27,2011. Colorado Division on Water Resources Dept of Natural Resources To Whom It May Concern: The enclosed Water Well Permit Application is being submitted to change the existing well to a Commercial, non exempt well. The well permit number is 266513. Enclosed please find the following_ GWS-45,GW5-43,GW5-1,and the$10O00 application fee for the well permit. Also, l am enclosing the recorded exemptron for the 7 acres. If you should have any questions, please call Nikki at 303-432-2249. Sincerely, Francisco Barron 6/212015 State of Colorado Water Resources-Mew Well Detaiis:Receipt 3653366 !_./C6 'COk rack Vie-i f /-66 3 J .. Well Constructed Help— Last Refresh:6/2/201512:01:25 AM Receipt 3653366 Division: 1 Permit#: 75846-F- Water District: 2 Well Name I#: County: WELD Designated Basin: Management District: Case Number: W DID: L-3 Applicant/Owners History Date Range Applicant/Owner Name Address City/'state/Zip Unknown-Present TH0MPS0N CHESTER G 9778 E IDA ante GREENWOOD VILLAGE,CO 80111- i[-3 Location Information 1 Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SW SW 24 3.0N 65.0W 5xth 400 5 270 W Northing(UTM y): 4450532.0 Easting(UTM x): 532329.6 Location Accuracy: Spotted from section lines Physical Address Subdivision Name RE 3962 City/State/Zip Filing Block Lot A Parcel ID: Acres in Tract 7 [-3 Permit Details Date Issued: 02/01/2012 Date Expires: 02/01/2013 Use(s): COMMERCIAL Aquifer(s):LARAMIE FOX HILLS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): 256513-- 0543671 Comments: 1[-3 Construction/usage Details Well Construction Date:10/07/2007 Pump Installation Date: 10/11/2007 Well Plugged: 1st Beneficial Use: Elevation Depth (Perforated Casing Perforated Casing Static Water Pump Rate Tolr) (Bottom) Level 4855 480 300 480 155 [-3 Application/Permit History ~ Ownership Change 03/14/2012 Permit Issued 02/01/2012 Application Received 12/27/2011 Pump 1ustdllation Report Received 12/07(2007 Well Construction Report Received 12/07/2007 Pump installed 10/11/2007 Well Cons-trod 10/07/2007 L-] Imaged Documents Document Name Date Imaged Annotated ?nae in.i:^aner NametAddres JLCCstian 04/11/2012 No rininoi f=ile 02/22/2012 No Copyright 0 2069 Colorado Division of Water Resources-All rights reserved. I tpiMrww.ctwrslate,c0,oxNVe1PermitSearchfifew.aspx?rect4pir3653366 1/1 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue ` Greeley; CO 80631 #` c Www weldhealth.org Puhlic Health Health Administration Public Health&Clinical Environmental Health Communicasion, Emergency Preparedness Vital Records Services Services Education&Planning &Response €4 C.. 'e,e 2E:.,EA7L Tr..en.`,:;C'4 sr=r Tele 97C-73;:4 6ie0 5C+F 7,7C 7,4 FG c, -c °C:G .Sicl, . I Y _ ,r.-.11. . 'esv,:'r to ere.i Y..etcrrjk vVs$ Ccur ir_ ea!_'l. YIAcc!4Hlf ICCI•: .. I_e:'J NIc Septic Permit New Application Number: SP-1600148 Owner Name: THOMPSON CHESTER G Site Address: 23005 CR 30 HUDSON. CO 80642 App Type: Health\Commerciai\New OVVTSISeptic Application Status: BRENDA MOBERLY Final Pending Applied Date: 23005 CR 30 06/14/2016 HUDSON: CO 80642 Intake Person: SCERRILLO Parcel Number: 121324300032-R3895005 Permit Expiration Date: Legal Desc: FT W2S\A/4 24-3-65 LOT A REC EXEMPT RE-3962 (.28R) Work Description: OFFICE EHS SEPTIC GENERAL: Associated Disaster Permit No Number of Persons 15 Parcel Acres 7.24 Private Water Supply Permit Reference Number 266513 Public Water Supply No Waive Fees No Sort>,, Perr, n'Nvt _ .g Design Eel`, Print Date - Time 6/30f2016 3 59.39PM Page 1 of 2 EHS PERC TEST(SITE) : Ground Slope 2 Limiting Zone Feet 6 Limiting Zone Qualifier Equal To Profile Pits 2 Slope Direction Southeast Soil Description sandy silty clay loam Soil Type 3 Soil Type Suitable Yes Treatment Level Level 1 SEPTIC SIZING INFORMATION_ Fromthe application information supplied and the on-site soil percolation data the following minimum installation specifications are required according to the Engineer's evaluation: Engineer's Specified Installation Recommendations: Engineer Design Absorption Area Specified 450 Engineer Design Chamber Specified Quick 4 Standared or High Capacity Engineer Design Number of Chambers Specified 38 Engineer Septic System Design Type Specified Chambers-Trench Septic Tank Size 1000 CONDITIONS: Description Commerical Comment: Approved based on Engineer evaluation. Onsite wastewater treatment system must be 10 feet from property line Construct onsite wastewater treatment system according to Engineer design. Install the soil treatment area within 50 feet of the soils test location. Place bottom of soil treatment area no deeper than two feet below original grade Need to install inspection ports at the ends of each trench or bed. Soil treatment area must be 100 feet from well and Septic tank must be 50 feet from well. Need an engineer approval letter approving system as installed per engineer design- Engineer designed OVt'TS must be inspected by the design Engineer prior to backfiiling. All Weld County regulations are applicable_ INSPECTIONRESULT: Description- Site Status Approved to Issue Comment NOTICE This permit is granted temporarily to allow construction to commence This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County Onsite Wastewater Treatment System Regulations including failure to meet any term or condition imposed hereon during temporary or final approval The issuance of ihis permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system.This permit is non-transferable and non-refundable Before issuing final approval of this permit 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 is contingent upon the`ina inspection of the completed system by the Weld County Department of Public Health and Environment Alex Ctemments June 27, 2016 Environmental Health Specialist Date Septic Permit With Eric; Design EH; Punt Date - Time 6;30;2316 3,50 39PM Page 2 of 2 Hello