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HomeMy WebLinkAbout20183083.tiff AC ?5S7 )( TS ; 1 °1tS (;) 16L/1 \ 9r , OIt1 \ q -73L446[7 / ri, LL) VrioS -70 -1 �-j \ 7QOcSJ l dc Y 7 Scanning Cover Sheet for Septic Permits Permit # G19920297 Permit Type : Health 1 EHS History I EHS Conversion History • Situs Street Address 17999 CR 4 Situs City, State , Zip - . Sec/Town/Range : 25-01 N-66W Application Status : Finaled, Application Date : 0311111996 Parcel # (12 digits) 147125000915 -- R6265186 Owner Full Name : TAGAWA GREENHOUSES INC Owner Address : 17999 WCR 4 BRIGHTON , CO 80601 Owner Phone # : 303 6591260 Contact Name: Contact Address : Contact Phone# Information above has been Verified in Accela y_ emplo e_ ote dbe/o October 07 , 2008 Processed by: Date Report ID ! EH 00024vOO3 Page 1 of 1 Print Date -Time: 10/7 /2008 8 :45:27AMCiCaltf i • V?, .• .Y. 1.l .p. 1 -t 1--6J... 1-11 t /:.. .r- '...11--JI I 'I t it 1Yr' Nei 1 ? :'+: 1.:1 I .l. -Lae•• w tom,• . . . 1ti .t. I:i•! N..•i 1 ;te r 1st IS ! 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I` tikitt4A 10ina�" UMW�;� a17 _,..-ent4 Itatzetivt TaittS• CgistRAnk & .,•-ressr7 tip ik , , ,,,, , 1 s. es, Scanning Cover Sheet for Septic Permits Permit # JG19700570 Permit Type : Health / EHS History / EHS Conversion History Situs Street Address 17999 CR 4 Situs City, State, Zip SecITownlRange: 25-01N-66W Application Status : Finaled Application Date: 03/11 /1996 • Parcel # (12 digits) 147125404015-R6265186 Owner Full Name : TAGAWA FRANK S Owner Address : Rill BOX 185 BRIGHTON , CO 80601 Owner Phone #: 659 00092613 Contact Name: Contact Address: Contact Phone# Information above has been Verified in Accela b em !o ee noted below X May 04, 2009 Processed by. Date Report ID: EHS00424vQ03 Page 1 of 1 Print Date -Time: 514/2009 8: 18: 59AM io-ateealikagszpiisisi • stiese ° if ) 7 iii iiiit • • 4 terr a ,. E WELD COUNTY HEALTH DEPARTMENT ..., 57- 670x`,70 - 4 15th Street and 17th Avenue • • P. Q. Box 1227 No. 70 , Greeley, Colorado a . Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal System. `,. Oilier or Sponsor Ad + ess Phone . * %"14:: a. e/RALIK 'St 74411140A _ —., A. somf , 40A.,--: 9-- siaer,o. - .dd�ss of' Site : . Mailing Address . .� . .. ° ,,J /k1451 • General f Information Septic Tanjcr.k , 1. Living UnitsI I. Liquid Capacity � ` 9) }' Gallons . 2. No. of Bedrooms 2. Dimensions . _ . W T J n 3. No. of Baths _ iyors 3. Material r, 4. Basement Drain .• litVLID 4. Type Inlet �T Q , i • Type Outlet • -•4: • .r ►. tOn'latio Dishwasher _ . 6. Garbage Disposal . ~' . . w. 4 • 7. Automatic Laun ' Secondar Teatment. . S. Size of Lot / PT( r` eaw - 4 N.1.4.1„. ' 9 Type of Soil + �. x .I t, % . • :Y �, Wield '� r , : ed. /Arlo iPvlit --etats/A: 10. Percolation Test / I it. 1 .• . / 1. No. of diem cation lines rt 11 • Water Supply 2Trench : Widt I ngtb �.. t 12. Lot Grade . _ 13. Water Table Depth 3. 'Type Filler Material 14. Other ��`ay.°, 4. Depth of Filler Material IMOMMMEiliMMIaMEMIIIMIUMSMall 5. Gravel Size - 1 17 C? 49 Ct. ci 6. Type Tile . Depth of Cover S. Other I a. The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance. . This system will be constructed in accordance with the above specifications and regulations governing non- miinicipal sewage disposal systems, in accordance with Regulation No. 1 of the Weld Count* Health De- partment.in •Date : E:Ct Applicant : ' • =. to r The plans and specifications as shown are approved, pending payme of pe • ,t it, ft a . SanitaKians 4 • a 4• 41f f . Date •• r A, r The above sypem inspected and found to comply with the plan and description. ! Orem i _ r 1t1\;4S4, %Ø,% J . .� _ _.67.1 � ; .l �ate , �• jYI1`�stahed b� ifin i - _ .. _ � r i t ti /919C) anitaria : p/ e '` �.' . . .�i _ 1-'�' - PERMIT FEE 'S 'S . • , , i * F ` � _ e r Recehred by 1 :� Z � _ _ Date ( /iL*_ .ai__2l Please use reverse side for Plot Plan or use separate sheet of paper. . GREELEY .i :-!tyTR .. TRIBUNE I t. r' - `, WELD COUNTY BOARD OF HEALTH O . Engineer Designed System Review APPLICANT : 75awa l3yrec ,(1! i? Ot15e,S N0 = as019k LEGAL DESCRIPTION : PT S 26T • T / R 41,0 SUBDIVISION : N A LOT - BLOCK - FILING SITE ADDRESS : 17 BP ; foN FACILITY : warehouse to/ 3O persoNs - ACRES : 4O . C) _ PERC RATE : 3907 m/pi+ ___S4 IL : . ioams/sanroyGJay GROUND WATER : 7 6e4 Ft SLOPE : "' O ° o WAT £ R SUPPLY : ENGINEER DESIGN ( 3 . 5 ) EXPERIMENTAL DESIGN ( 3 . 14 ) ENGINEER : Gary M, 44ers0w # 12574 ; OweNAfiles Asrac.; Prig' Veil ESTIMATED FLOW : Nat rariek G . P . D . PRIMARY TREATMENT : sfd. s ta X Z CAPACITY : 3,000 yeti, DISPOSAL METHOD : S +A . ab $a,.ptin fed 114rallaw p&emt. X �.. SIZE : 2400 P - REQUEST FOR VARIANCE : See alTac� ea . STAFF COMMENTS : RecommeNdapprovalOr � ten de Pro F f F V d FlaNt e h�e4� .� t 1 �?Sn � 9 l �'s d D D ro veol : azdt tiLAts- 0 F Vr;aNce �e ta�8S'Q i 9 ti lyl vs t e et beFc'n a a �.►�.+�e �a J /IS 5' YdNteci . . Sf a ova ) _Fssucd . - // - 8S STAFF RECOMMENDATIOfV : see "ComrreASENVIROhlMENTAL HEALTH SPECIALIST : _42ryc REVIEWED BY BOARD : 9 - 24 - as- 8 . 01-4 . DECISION : APPROVED DENIED TABLED Chairman We ' d County Board of Health n_'g�11 . —. .ii .,.—. , l 7 [( 3REENliousE 0 S i 1OTE5 > g SCALE: 1 „ - 20' Equipment and installation to comply with Weld Co. Wealth Dept. 'Individual Stage Dis- poses SXaLnw Rryuletf0(aa, ay.arvded Jr11• I, YdUJ, SEWER PIPE � •� y -t• �—v c.. _ 1 J .dV 'E'L iv-'411.1h 411] d Fr._,,e �"r I rte' Duct le from or Scared. 35 PVC v�r�1 t u a `' _ -1.:- 2I A11'+ a �- I r� $EPi_ i&irs f S G' - "rig) ? - ii1,..,.... 1:,.._,..../ . 9I,isis I i eV^ c .r.e. 1_. f 11 p _ allIbeel ..iiesir's, as manufactured by Viagiti Excavating aid Constriction, Inc. , ienderson, --- - _ .. .�_. ... -.:. i ir— Jam• `a-i.c.f elr..nr� �_1• '.F: To-1t, QS(L i I. "lb Ha,y* 1«'.14 iv*.aaa; O...wise. 4.- Orr�ale 4 Elsnwhe < Co. omit 1s t0 cam9lr with kegs. Sera. _1 _ r� � f J� 1 r •\ _�3_'1-+�•_- .. !• �1 .... :: —rte{....-_>_. .�.. . ��•.,�• �. r _ - Tant. to be level aid irstaI ea oo undisturbed soil, ar approved iranular buddI1y. ,, Si* lra P ' a t' is "'ok °* `` The tank should be shacked far Ye4ts hg filling the tanr with vla:er. Ali �olnts should f;t4 rec.••.,r• 4' P:, ' �',. .� •J I • L� } �_ � p�4. I -- y -s ...� l -_ 1-,{�j u t IuDiref- ga LeLS oc tC lr 'utCd w3- lh a flecallhle grout l•10 Iuaterlal. I L -�$ i n a� v < 4 Gk a — - --- 1,.9 P•Jnror1*^�.J y1E, 1t DOSI➢G TANK a, .i/ •_r •. - _ .. -Alm-, -_ . rf L.J.. - , �0' Q,, U1 isJ •y �t �- "" Four foot I.D. manhole, with eccentric riser. and rungs as shown. _:I.::.._ _ .._— _._.� —..... . ...i_ w �. . — . PUMPS f F 'rd[ss+r .cra chco`{I(. leaa1a •lrli�—•�_ _ ��.-r� ,� - �i i31f i'c,2:rsa,^ycr i L•eAL4 Fri N; ilydrestatic modal 5P25: 114H'P; 35 GPM a ten feet UM; max solids; Sit sphere; Al--..F- vis•.t.e3--rr.r.a a,a e,s I L/4 Ili Srh.J. re. QrcwEU I_.;r Cyy .Tort • Q.On e. r_ra r.:.. SUMP CONTROL \V APEI-14USE Four floats as shown. Automatic alternation of lead!'aog pumps, :a alternately dose leach beds. • LEAD' HEIC * is Oa._tor P,eta.cJtan-,o.J •icu 404.6 Excavate level. . Excavation should proceed only when the soil is below its plastic limit (a. snipe of, soil taken from bottom elevation crumbles whet rolled between the hal and the excavation anode in such a manner that the equipment is mat driven over the expo PLAN t� ' surface. S P•Al�' 1..rwItID SITE f LAIV Crushed ror-r nr gravel 3-14" to k 1/ ' sn sixa. Gave wit3s ntrt?tic rainage fahrlc Perforated pipe is 3" Dia, with 1/20 Dia holes 5" on centers, in 2 rows 120" apart, Install so that roils of holes stradd'e bottom of pipe. To to laid level. $atk'i11 utter gravel with execrated soils, mounded for good d,-aiIage.. facetctlan: draught-tolerant grasses with coniferous pfitzers, If desired. leers' ground acceptable G'EMERAL i • this design was executed using prudeat design practices and available inforreatioa. . pis VamJr No specific guarantee is Made of performance Cr longevity. it-motor 5ice.a ..1 , C6.w ww2^re ice• Plot plan and tope tifornatloo ,.as provided by the owner, with sappleeentary topograpnl: ICtr1,r„i CO.,IrI!0Lfi li dotal l etlm aated by the Engineer. Wald Co. Health Dept_ cells .Jatuatlon of 8120/ItS / a. • was used as the design basis. _ 3-':f'.,mot'W t.,1n11 i- " .--nee mos Ca.1^r2OL- e`.Ic • - r - 'y its.. in i.. 1 - V. H-r, .. I - L I aubl,oNM t 3- : n IY. — it ..'�s$t I�, •- �,e•• e l l? V-.'. ' • • 9 .J id' '1C _-•+.dot N F,ard ' hart scow.anger S �f.G •„nq _���_� l ca+.T Y.,f,. i?a.•rx —_.—_._ 1 t �L,7 "`�•`•'' a c --Tr Li - c •df,- •..: IT ->••lu-.C_ 1'x1-n.-�3 'J a 1 • l �i• r • • 114 A #,'C(yS^4`. --- - .►, r (_,_.! .;'.bF.IJ 4 I_' r1/4 I it ' .. J— i11d•• 3-!\'c L-tic r S~ay-r- .',P f- V.4-.Je. (.1•1P- INSPECTION VENTDETAIL ' «.'rj.a�.cnpoi '=.emire. -f..1 ill t ,:t, F .�-.3- JA`'I its 14 I --.-._.- ■ • . I �.. 1` ear V : •+"•••.•1I_a.r 1. - • - �.•.,,,,nF CYCLu_ Yarlv'c C 1'-I► r • ti,' -1 a. aLECtn� 01J Cavra tr'.a, I.on}. r•4'.'.,., L.3- 1-.2.hr• O.n....cur ,e& "o-.-..... - .� ' - .e".,ww.C .a..:. . 1'Y ) .- P. : ewe —I - . .T.— __—__r ___ ��• • _ r V,x Win- • I . -a- f P. 1,: - -� _-� �>hCY..FIm4 % rir r,,�.n1 1 • �I %.a Ty ry - - - . of 1. 1"+i i i • • E 1 C ..>, .ti•J! ...�. o • o q V - „_ r r o• ;vie— ill i c• '' d• 6..•.�..0 yT. . t n .. IY / J o: • mat ; 6 1-41.1- a .✓F1•o f • rj t>_ a4.$w` ,.,=m. _ —2" i_'di.1J. x'e SG t.r?l M117 -i'li►W '�� -_ • ), . nSsa1Jot // // • Psn c. �•f . as - o :r�fi - " faeI2CK.. I % .l: 1�,Iue.�t?• 1r �J l.f L.dl.w,r6YLV` •'�_.r F•n•L•— ,• > - - Y ' r .tt .. F,.-.- —._ r`.�P.It 446'21_ r-•1.4.1"C2.nni Ctri•.N.•e-r i, i_JR2.:.rhk'L FA2•tom, Ihq.y.-',i 4'€ • te...vt,i.-63-11_, go:+-•' -i=' £.,a_ Pawls*d++,i ore Lc.•.•_.: nw.. Belo 9...r. ripe.. , F-w.^ '-- -1 .r0r_A. UT- 4" o r era T'ta-+l S• LIFT STATION - DOSING TANK DETAIL A_ � .�,� � t( � ,� t"1 � I ,r �f i; . T AUG 2 9 lag is -. ' 5 NO. DATE REVISION i . SEPTIC SYSTEM, DESIGN - .ti TJL7.l. AWAl GREENHOUSES, INC. EIEs:- i , iCK--- - _a 'DK- '_ `FIL.E NO,-2-5 GB. - c, e: SCALE t.>.;`l..•..- PG . PROD_ NO. r} AleOwen Ayres 0 Associoles, tot. DATE- s.,r,. _ Drigmen, Cobra do ASSOCIATES _ 13O3} 659-g5F SHEET M 7 } MRE' S ASSOCIATES November 8 , 1985 mis fewerV TvED E. -{• - • r - , , r ;'!iZt4el 4 George B . Vargulich Weld County Department of Health NOV 1516 Hospital Road Greeley , CO 80631 • Dear Mr . Vargulich ; As of November 6 , 1985 the earthwork on this septic tank leach field system was nearly complete . I visited the site on October 30 , 1985 and again nn November 6 , 1985 and find the construction to be in substantial compliance with the design submitted to your office in late August 1985 . The materials and work provided by Johnny Vaughn appear to be excellent . The owner will soon be providing the power to the pumps and the pump control system , at which time the system should be ready to go on line . • Very Truly Yours , fit AVASIAmadte4 Gary M . Anderson , P . E . Regional Vice President • GMi . / ck l cc : Ken Tagawa Johnny Vaughn • Owen Ayres & Associates Inc Engineers / Planners I Surveyors 17 N . 12th Ave., P. O. Box 658, Brighton , CO 80601 , (303) 659-1157 • • • t' tit: 1640‘ • T. DEPA TM EN of HEALTH 4§ •# PHONE X 03) 353-0540 1516 HOSPITAL ROAD GREELEY, COLORADO 80631 VI I Date : ' 067 COLORADO 10 : Applicant FROM : Weld County Health Dept. nvi. t-a l Health Division RE : VEngineer [Xsig ed I . S . D. . a. eriiren to l Systen.1 Design • Please be advised that the Weld County Board of Health has reviewed the I * S _ D . S . plan identified belay/ s ubmi tted for approval . Applicant : rsa 0yceen4iouses• Legal Descripstion : - PT E SF4 S T R .- Site Address : Application No : - ØSZ) �► Engineer : G wePv Ayes . ' . 7 oc later 12_ 574 Roe Bo C / BT 0 . Hi Meeting Da `Ile : •-•2 .i B -Sr : liproved . Cenied Talsoled. VApproved : A Spy of the Weld County Board of Health I . S . D_ S _ l4eu . t Farms • and your I . S _ D. s . Permit are enclosed . Please note that the system must be inspected by a -representative of this Departrrent AND by the designing engineer before the system can be approved for operation. Me eng ee r m s t certify to this De.parnrent , in writing, that the system has been installed according to his/her speci f ica tai. Denied : yhe proposed facility identified above nit dispose of its wastes by other means ,.. Please contact this office . r-. Tabled : Further informar co requiLed . Please contact this office . 0 `. • WELD COUNT ? BOARD OF HEALTH Variance Request - Weld County I . S . D . S . Regulations APPLICANT : la3a v & ree, houscs rro : R -≤TO / 94 LEGAL DESCRIPTION : PT SE 4 SF 5 ZS- T / R6 SUBDIVISION : Nm LOT -- BLOCK - FILING aft- SITE ADDRESS : _ ) 7 WC1� r1�4 � taN FACILITY : Wat'ehoeue . y/ 3O persowc _ ACRES : 6UO VARIANCE REQUEST € E1 : 7IM e .,� o I) ltc � C /QO Ft . From aisorpfioN 1id; iron?? &telt,--- - - STAFF C0MENTS _ gsIV C'S / 4n! S PC>° / e. t' � � fc �t �'o Ae _1/.N._ept " Impervious LAierny: ?ecommetnd tianiamee geriedr in 3 ndN tec1 d cI3esiyii JE aivd o4/// �� - ditch 1s lAved Wlth c3 dur&h /e , permacNt + ype Prial ( pliner coNcre �st,.. e_r_c÷ NotpJactk) at a11T.v JAat are < cob fit. from art pplion 1eds__ . and < go Ft . From septet taNks , aid a of ste to be wi f eArhP1d ()NW d ► fc Myer Co lvsrruc toN Is completed , STAFF RECOFTME(J [}ATIQN ' Ste"j'o►nme,visErjVIRONMiENTAL HEALTH SPECIALIST : Jnr _ REVIEWED BY: BOARD : 9 " Z4 ,f3r B . O . H . DECISION : � APPROVED DENIED TABLED 9enlidelgimae Ch a f rma n Weld County Board of Health c .i. . -. i i._.. •- 1— •1 !••1 L-.. . - .• r1 ly_I i • Jlat' f .° ''4t -- WI ... � I•1 I I;:s� �.: F 11r;i +▪ �t« t' S# � 1�l a / ICY' .'1 ..° ;.._t•• S 1 eilr 1 Ili - _ 1 4 . • I i . J ke Ij C ▪ 1 [ ` =• . .7 .• +� .L ,a.• 2••1 _ - .2._ _. I f • • Jai." +• •. H e J� « . 1 ` • +r •f .ft.. ♦.. if •11. • } tf e.i t'•� is.' - .1. I... [•'21 .I L1 I '•+. L• t � + r: .�. 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OWN ,.+, i.,, . •,a• Hfa ., • •••• r•o ••_ •n• M• .». _••. ••_• on ••.n • w .i a 1:; 1 I. s^ il_{ t I .+ (*sore':at e • - �, ft I`i orJt .• �::. ti€ •s. �:� . Ira,y.� • 4j �I • • • • • • • • • • • • • • • • • II • • • • • I S ' / 0 I • ' DEPARTMENT OF HEAL Iti, if MP" PHONE 003) 353 -0 1516 HOSPITAL FIG . I GF EELEY. COLORADO 80631 • COLORADO STAFF APPROVAL OF ENGINEER- DESIGNED SYSTEM The engineer- designed Individual Sewage Disposal System proposed for the property located a t 17999 WE4 SEA 237-- , 6 and designed by Hear >0 Plc ANdekision ) 2. 5-141 is hereby approved subject to the following conditions : I W rec ouIse - -- _ , applicant for 1 . 5 . 0. 3 . PermitNo . BS-0196 under the provision of the Weld County Individual Sewage Disposal System Regulations , do hereby understand and agree that after approval by the Director of Environmental Health , I may proceed with the construction of my engineer -designed sewage disposal system prior to approrral by the Weld County Board of Health , but that the Board of Healthreserves the right to disapprove any or all pares of the system design when it considers my application . I under- stand and agree that I proceed at my own risk and that I may be required by the Board to remove any or all of the system installed prior to Board of Health con - sideration of my application . ....)(6,7fa- a° . :: .( - C\ite , Director-, Envirf m ntaluIeiIT I P t : . Applicant .....427.114.5..... 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P.•+ .•• a.. a.. . j • .. ••! I to t ••• fat,. . a ,♦ ++• •. • • at ♦ • i • w r Pt a •I•, . ` , itHi�h� T H :a S S DANCE a HI.-- I #- : 1•` E M I. TDO E- 3 NUT P ON , `T 1I T` UT E AS r'� UN; ME' T fI L N f 06. i THE �� 1♦.• I-`' `-�1"L T ' — i ti ' ` OR .I. eisla hin il PI 4 �'. r•I 'S.1' 1•'• LIABILITY i j I`kK. �, F. 1 1 1... •.. ��� �•.. i R I 1 iJ ' •.� Srr J 't 1' `• 1:+r •• • HE r is ••• �j 1 •• �} I •• r•• W. 64 LE ��Y �• • 1'1 fr. J4! * ! Y't i at S Lk Alx I. • . 1•l1 ; OS fr. L. i � / :ll aeli ` � -J , �+ •P .p •a— N•• ••N • • r• •.• . '.••• • AN + Y • i•4• ta— itt. a il.i. ••r Np •—. one••N ••.. •••. ' i •1; I-�' ( i t E. NIT 1.., 1 1:.. I•: .I. •• 1..• 1: ` !r � lui lr' I +1' 11 :i: ti.c I"' :. Imo' 1 i :I: 'T' I la ,I 0 aal a it I = � I E R B I•.~ EL- 1 id' i I._ I_ EEC i i i'• i E` ` 01: : F` ` •( ..r F N (:r : i4 � '1 Lir 1' T 0.N i••1 1 f • �•.� � 7 i I �"11 I D W .I.YY • �•• Him 1 va t,� •e a. . .w • • •. tap •t 1 jj. .. 7j�� kF jEs�y I I . . .y' } TJ APPROVAL. i ;' (. N I:. i E. it hi. 0 �" •.1. '� r fl+ ss, 1.} �a� I� �' I« A 7«. � 4� i 1F I:.! .1. i ` .S.. .J +1P 1 Cr 1`P IN 1t to �. I•� `T' 1—I 1: } 1��' :: i :I: ` ' •r 1-I 1 : win. L_ ! 1 ` ' Y 1. 1 : -� I•.. 'I` N1 •r Ell •1" i E.` } I r � . `` `�`1�1 �:: 1 :r C,� 1-! •r `I- + 1: I F`1 rl c:: !`' ✓ :I. .T i- :I: CI NAL 'T• 1 a kii }' AND T O I T I. kJ N S k E t-) 1.I :I: RED -ICI E lip 1 OUP I� I G ti I•.. : ON ' 3 + (3 `1 : i Li I. N C . c -- N. i. 1 f A f 1 I� ��' 1 : 1�; MIT ' I�`' -�' 1 ` I.� :1: . � �:� {• ` • :I: Y I`v` ! �r UPON O 1 I i:: FINAL. I. I CE �� :I: l j 01--. THE f T: _•. • I' ' I-•. is •.I•L A, nevi Y S `T' ht. M BY 44.• H I 'AWL D COUNTY HEALTH! D v ) • K • . 1••. 1' r•• •1' .. I A. I 4 E55. Z•'. $ 'r - „ +. I "••• _ f' _ l 1 [. 1 i • 1 4 • 1 1 Y5 rte• I 1 Y7 • • _• I 4 w. • `: t ScanningCover Sheet for Septic Permits • Permit # G19850196 PermitType: Health / EHS History / EHS Conversion History Situs Street Address 17999 C R 4 -- Site City, State , Zip Y Sec/Town/Range : 25-0I - 6 f Application Status : Finaled Application Date: 03/11 /1996 Parcel # (12 digits) 147125000015-R8265186 Owner Full Name : TAGAVVA GREENHOUSES Owner Address : ' 17999 it/VCR -4 BRICHTON, CO 80601 - Owner Phone # : 303 6591260 Contact Name : Contact Address : Contact Phone# information above has been Verified in Accela by em employee note' below December 30 , 2008 Processed by: Date Report ID : EHS00024v003 Page 1 of 1 Print Date -Time: 12/30/2008 12 :27: 28PM ti i. tt .i. rerii_n — Hr F L t L, rtl' I 1 L r r - � rn u WL. r"ii - tfit , f 1i1 I I 1 'Yt$ci ' f iA r HSPIO6P INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO . G - 850196 ' WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL ROAD , GREELEY , CO 80631 353 - 0635 E Ta2225 O WNER TAGAWA GREENHOUSES . ADDRESS 17999 WCR 4 PH ( 3 3 ) 659 - 126 ( BRIGHTON CO80601 ADDRESS OF PROPOSED SYSTEM 17999 WCF! 4 BRIGHTON CO 80601 L EGAL. DESCRIPTION of SITE : SE4 SE4 SEC 25 T I -"` I RNG 66 SUBDIVISION : LOT 0 BLOCK 0 FILING 0 U SE t,w TYPE : COMMERCIAL GREENHOUSE SERVICES: PERSONS 30 BATHROOMS S 4 5 LOT SIZE 60 * 00 OO ACRE . BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY PWE: LL APPLICATION FEE $ 150 . 00 RELY ') BY RECEPTIONIST AID SIGNED BY KENNETH TAGAWA DATE 00 /13 /05 DATE 08 / 1 3 / 65 PERCOLATION RATE 39 . 7 MIN PER INCH WATER TABLE DEPTH 6 FEET SOIL TYPE SUITABLE PERCENT GROUND S1... ' w OX DIRECTION REQUIRES ENGINEER DESIGN YES FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON - SITE I L_ PERCOLATION DATA. THE FOLLOWING MINIMUM INS 'T' ALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK GALLONS , ABSORPTION TRENCH CH Q 4 FT , r OR ABSORPTION BED 2400 " 4 FTa IN ADDITION , THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS { Yw 1444 N.Y4 4444 .Wt •bM id,I •»• N» b+w NY [ • »N. .w. {Y. _» _w ww b.w .T.7 .+w NN ww •YI 1111 44*1 Y44 MLY' NiY iW M . YY.Y. w• •-r fib.. .w. fwo .._. .r.+ .bu .wpb .r W.aU .HA MMr bMY i+Y W1Y r.V w_ R_ »_ +w »+f —. bra Y_ Iww YR FV. 444 •154 .r. J_ aw f,R THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE . THIS PERMIT M f• Y BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET FORTH tfH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL._ SYSTEM REGULATIONS INCLUDING FAILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL Y. PP OVAL, a THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE DEPARTMENT TMI , r T OR ITS EMPLOYEE,EMPLOYEEE OF LIABILITY FOR I- THE FAILURE OR INADEQUACY I~ THE S EWAGE DISPOSAL SYSTEM . h V A R G U ..• I C H , GEORGE 09 / 25 /95 ENVIRONMENTAL SPECIALIST DATE THIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM M CONSTRUCTION HAS .3 COMMENCED WI. TI IN ONE YEAR OF ITS ISSUANCE * BEFORE OI- E ISSUING FINAL APPROVAL OIY. THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES S THE RIGHT TO IMPOSE ADDI - TIONAL TERMS AND CONDITIONE REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA - S IS . FINAL PERMIT APPROVAL S CONTINGENT UPON THE FINAL INSPECTION OF THE COM - P LETED ' YSTEM BY THE WELD COUNTY HEALTH DEPARTMENT . SYSTEM INSTALLER ‘1 ,14106anaerafrefte. .. . .. FINAL : . N � PECTI DATE 4 " ».. . S YST , ENGINEER _ _ 4440Algroatit5 . _ _ _ __ _ __ , APPROVAL .». ». ._ + _ . r • Rw MA r '- •f_ +•MYY» I S •w• IMFii.TYPE Oi•• SYSTEM INSTAL �_ EDEbO L T AL SI"' I�. C -EALI '-IC Me 15 - er "f THE ISSUANCE OF THIS' PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE / COUNTY O R LOCAL REGULATORY OR BUILDING REQUIREMENTS , NOR SHALL IT ACT TO CERTIFY THAT THE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE , COUNTY AND L OCAL REGULATIONS ADOPTED PERSUA T TO ARTICLE 10 , TITLE 251 CRS 1973 , AS AMENDED , EXCEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEM FOR ISSUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25 - 10 - 11i ( 2 ) . • M C•. 1°!' e" r S. I A 1 A r'. i", , 4. 2 frti r!. 1»Y. Y J 11 J't L 1 Y•. tai ! 'N. .fl» Y t M t .Y A - - r i Scanning Cover Sheet for Septic Permits Permit # G19732487 Permit Type : Health / EHS History / EHS Conversion History Situs Street Address 17999 CR 4 Situs City, State, Zip Sec/Town/Range : 25-01N-66W Application Status : Finaled Application Date : 03/11 /1996 Parcel # (12 digits) 147125000015-R6265186 Owner Full Name : TAGAWA GREENHOUSE INC Owner Address : RT. 1 BOX 155 BRIGF6TON , CO $0667. Owner Phone #: 303 6591260 Contact Name: Contact Address : Contact Phone# Information above has been Verified in Accela by employee noted below X__S ,(,,{-4,li..ri March 27 , 2009 Processed by: Date Report ID : EH $QQp24v003 Page 1 of 1 Print Date -Time: 3127/2009 2: 16 : 08PM 417:11Cirre "P' • k - ki#114.41 WELD COUNTY HEALTH DEPARTMENT 15th Street and • 17th Avenue fralercele, P. 0. Box 1227 No. -0%Jirfter 0 Greeley, Colorado Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal System . Owner or Sponsor Address .. Phone • ett• irsc :) ;edtt-Ange ( ikra ‘ eg ei 26 _ 0 ftri _ Address of Site / or Cm Ce-AM1,,jeal Mailing .Address - cam General Information Septic Tank 1. Living Units -- 1. Liquid Capacity Gallons 2 . No. of Bedrooms 2. Dimensions L D 3. No. of Baths 3. Material _ 4. Basement Drain . 4. Type Inlet - 5. Automatic Dishwasher sotansre> Type Outlet 6. Garbage Disposal 7. Automatic Laundry --intedesse Secondary Treatment 8. Size of Lot _ la,C4---Ast SC37) ..-41-A_ 9. a of Soil r �Z -�- .. -_.c. r _ Field .0700-01 Bed • 10♦ Percolation Test w 4 � 1. No. of distribut n lines 11. Water Supply . a - . Trench : Widt1110 Lengt ' 12. Lot Grade 13. Water Table De th • - _ � Filler Material 4. Depth of Filler at al ¶%24A 14. Other 5. Gravel Size ' I /6*ittget.a.ethad..erv . 1 9 49 9 ems. y 6. Type Tile 7. Depth of Covpa. / 8. Other a The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance. This system will be constructed in accordance with the above specifications and regulations governing non- municipal sewage disposal systems, in accordance with Regulation No. 1 of the Weld County Health De- partment. f � Date - ~` - 11 t� . ar- Pi--•• The plans and specifications as shown are approved, pending pay_ r permit fee. t b ;Win Sanitarian r1 ,2 1970 The above ; r m inspected an ' found to comply with the plan and description. Installed by r_ .-� �. f _ t .� _ �` . .�• Date + -� • • Sanitarian . ` kRIWIT ` FEE C7, " s Received by Date ' ' se _ . Please use reverse side for Plot oi. use separate sheet of paper. • Linea arait! 1`rltaiust • ' J _ 1+ • .41 Prie 1 • 4`r; "31■Y, 7 R 1.9• I Ottil oam&-fl tEgi fl ivet /IOC • -- As i ilpir ,,a- . yy f l r V T ��yp 1', f` r- INDIVIDUAL SEWAGE D ISPoSAL SYSTEM EVALUATION ` ! , 1 : e PAID , • Date Received y6, Ammar— - }valuation Date - 677/pte4). Done by ._ � a r .� � _see ��� yam' f � _ cie : / 299 9 ct, et IQ 11 Der rife,- i ? OWNER : 7 r7 0 ^r LII0= Creeui Youce :C f NAILING ADDRESS : cC ) , ..- PHONE : c' 92 LEGAL DESCRIPTION : 131 c'E qP2 Sec Tom' ri l RNG 6. Subdivision : - Lot Block Filing WATER SUPPLY : Pcu Use Type : 12 e c Lot Size The septic system identified above s * is not of sufficient size to accommodate the proposed alteration ( s ) indicated below to the structure ( s ) served by this system . CURRENT FLOW : ADDITIONS PROPOSED TOTAL Oid p"j hi e i/Or e Ai ecru, /i o/a, /e" off'-' Persons 2 0 ,2 . . Bedrooms f 2 Bathrooms , q O Pia Basement Plumbing Est . CPD , .-- - --- -- _ Permit on Record : NAME '! oL U c , GrccnAccces No . G 2. ra. o.. L..) System Size : TANK r/,- gal . FIELD sq . ft . ABSORPTION BED `, sq . ft . Percolation Rate .fir MIN . PER INCH - . r Engineer Design : Yes No X Soil Type - s,1a a Percent Ground Slope 0 , Direction _ The existing septic system requires the following to accommodate the proposed alterations to the structure ( s ) served : ADDITIONAL COMMENTS AND DIAGRAMS . n .arcA0 - at, -- q 0 c • 19-4170- 191 r { a 1 .Th I ' - . I . re A I 1\ 4% :— -- VI es 'l . / elf a g � rat. r� SOR3s • co2;400 SDR35 6ed ( va� 1 _ 16 �n SD I Scanning Cover Sheet for Septic Permits Perm # 1982011 Permit Type : Health / EHS History r EHS Conversion History Situs Street Address 17999 C R 4 Situs City, State, Zip Sec/Town/Range : 25-01N-66W Application Status : Finaled Application Date : 03/11 / 1996 I Parcel # (12 digits) 1471250OO015-R6265186 Owner Full Name : TAGAWA GREEN HOUSES INC - O wn e r Address : 17999 WC R 4 BOULDER , CO 80302 Owner Phone # : 303 6591260 Contact Name: Contact Address : Contact Phone# Information above has been Verified mAcce/a bemployee noted below January 14, 2009 Processed by: Date Report ID: EHSO0024vO03 Page 1 of 1 Print Date - Time: 1114/2009 11 : 00:37AM P > r �{ r I r • WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW • APPLICANT : Tagawa Greenhouses PERMIT NO . : G- 920297 ( New ) LEGAL DESCRIPTION : PT : SE4 , SE4 SECTION : 25 TOWNSHIP : 41N RANGE : 66W SUBDIVISION : N / A LOT : 000 BLOCK : 000 FILING: 000 SITE ADDRESS ' 17999• CR 4 , Brighton , Colorado 80601 FACILITY : ' - . : Warehouse ( Greenhouse ) ACRES : 60 PERC RATE : 9 SOIL : Suitable - Sandy Loam WA'1 S 'PLY: Private Well SLOPE : 0 LIMITING ZONE : N / A Yes ENGINEER DESIGN ( 3 . 5 ) No EXPERIMENTAL DESIGN ( 3 . 14 ) ENGINEER : Cecil Crowe . P . E . 12330 ADDRESS : 617 5th Street , P . O . Box 392 , Fort Lupton , Colorado 80621 ESTIMATED FLOW : 1750 G . P . D . PRIMARY TREATMENT : 2 - series , ( two ) 2 Compartment Tanks CAPACITY : 12OO gallons each attoluaw, DISPOSAL METHOD : Sub surface absorption bed SIZE : 1950 square feet REQUEST FOR VARI.,A CE : None STAFF COMMENTS : The design is adequate to handle proposed flow . STAFF RECOMMENDATION : Approval ENVIRONMENTAL PROTECTION SPECIALIST : Jeffrey L . Stoll hi REVIEWED BY BOARD : tirdtt5 B . O . H . DECISION : APPROVED : 6 ? DENIED : TABLED : Torn Cope , airman Weld County Boa d of Health JLS / jg- 626 a., . ■ C. — 4 r- lia Air •I• 1,. • 1 � ( iI FI`-ti... J. _.-i" .�. 1. 1 %1 �:1 • 1t j• t• • L]]L r•. ajj 4G a C 4 .: r ,'. •T� "' risen • j ■ l ■• �•� • f,'rt ¢r •lu •.. .•• • I--• Y 4� i '-•... • -I. •il•. . Cs M „ F.- NO i !\,♦ in1 °j 1 °�j ,1. 4 • ,. t� F Ni) T•I_• V lea ,. I E ,. i'I•.. �'+! /••�• . 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A• ♦ is 9A Ir} f • i •H 1 44 :l: I�•1 1... [...."1.31.41... i{ L ) :r .01'11 I c I:•: aI. .I'+': Li I; y A I--'I-=. 1.0 , alr 1) I;:• I) 1;+' `°Tt I•,. i}..i 1„<1 tl 1"1 I--IF"-t1,.. .1• C AT I ii F. 1--41--* p,�I; _ , 5() n ir1 i•j 1' 1::.I".lI'.E i•i ( 7........... ... ---• • :10 / 27 / 92 'Ps(�`sI ,e� 1jr �r • �F'` r L `r.•� •-frr,} •, .'1i 11 .., 3 refht h! 41 1:1 : i J i-�; k. 1�IP- i • `R 'tS .. - 1� �f f I"_ '1_ � :� • ' ' r}n 1-� t,! `t11:.. l t' f ■.� . :- 1�i a1 l.r I. �:• x'-1 .4 I� I. 1.1, 1::. D ATE:. r• • e lease I nia L. • , ,r f 111 ' 1 II Irm? i1 "� ► leVID •r 1:�1- E 1 L .4. D rill; L ' . :�el +f r - • 1• -5 - L . - z e • . 1 r , _ ti filt q- . er."; " —141 -, -SCP ,fr r „WELD COUNTY HEALTH DEPARTMENT cV 1 1555 17th Ave. . BT. No. g ti RI 1 Greeley, Colorado Ph . 353 -0540M.H. o. i i h f Api• cation for Permit to Install , Construct, Alter � or Repair Individual Sewage Disposal System. . _ j•Address to rp. a - Phone .. ¢i Viet y ffJ £rit9 ff 4 yS 41).Co- Afe. j '�-, -'! t 6 f £ Y i •. Y • t5i ,F e •ti.�-$ -5 9 -e /c.. O 1 /1 C a i' 1 � Legal Description .- - � - J Cr) jil a SI = * �. 126 I/41 /4 �rt CA e a. 11%.1"..II° ecallig - "M`` 1 I - : j 4 11 (.1 ( Cf.. Direction / ;77 r nil General In ormation hpire- Tank /POO Okitigi 1 i - • 1 . Liquid Capacity 6 �. 1 . Living Units acit c! pallons 2. No. of Bedrooms ink re & fikeli$ 2. Dimensio - __ W L D . - . 3. No. of Baths 3. Material _.., -- "---‘ 4. Basement Drain 17 Ong:. • 4. Type Inlet -_ 5. Automatic Dishwasher Type Outlet _. 6. Garbage Disposal - . - I .40 7. Automatic Liu dry _- Secondary and rY Treatment #61L tg S, Size t' i +�. Type ci l, Feld c fed - 10. Percolation Test , A. (rbe•-. •• ID aailliVil • 1. No of distribution es _ 11. Water Supply - ' . 2. Trench : Width___. 'mil ` en t i e\ -. 12. Lot Grade - - . " 3. Type Filler Material e--L 13. Water Table Depth 7e 4. Depth ofFiller ate gal - eL 14. Other - I . �f 5. Gravel Size '1 . I 111 9 ct ci We-- V 6. Type Tile . 7. Depth of Cov • _. $. Other - LA �4 - -- - -- - 4v1A - _ w• ' . rL ! • •1 • t . s The Permit is to remain in full force and effect for six ( 6 ) months from date, until revoked for non-compliance. •_ This system will be constructed in accordance with the above specifications and regulations governing non- - - municipal sewage disposal systems, in accordance with Regulation . 1 of the Weld County Health e- partment. Owner cannot transfer permit. � .. ,et. , O#1:- atf, Atle /lee . Date : •• . c� ; Applicant : The plans and specifications as shown are approved, pending payme - of p ; i ee. - , Sanitarian : - - aiLdI Y Date : it The . above system ins ected and four to comply with the plate and description. • -. f . Installe lrby Date 4 2 1 . . . • W t Sanitarian : ri 44,7tv tc-4) - PERMIT FEE _`` •...J , IT _ r i Received by in 4 6 -__ . . Date i' S ' 7 }r✓ _ i Please use reverse side for Plot Plan or use separate sheet of paper. • f' , Lama wait% raung ‘ • • - , - � 1 � ` .—_--+ r" c r2agl3/4"%•%etN\\ • \\\ DEPARTMENT OF HEALTH 1516 HOSPITAL POAD GREELEY, COLORADO 80631 ADMINISTRATION (303) 353-0586 I 111 HEALTH PROTECTION (303) 353-0635 COMMUNITY HEALTH (303) 353-0639 • COLORADO • June 20 , 1990 a Tagawa Greenhouses 17999 WGR 4 Brighton , Colorado 80601 • Dear Sir : On June 19 , 1990 an evaluation of the existing individual septic disposal system at 17999 WCR 4 , Brighton , Colorado , SE4 , Section 25 , Township 01 , Range 66 , was conducted by Alice Rinebold , Environmental Protection Specialist of this office . The existing individual septic disposal system is of sufficient size and capacity to adequately handle the proposed - load . A copy of the evaluation has been forwarded to the Department of Planning Services to release your building permit If we can be of any further assistance , please contact this office at 353 - 0635 . Sincerely , _ s• sa, yeTh flz, aoe ()Lk tel Oca 7 ay rear AhArr atite Alice Rinebold Wes Potter , Director Environmental Protection Specialist Environmental Protection Services AR P450/cs Enclosure • • 1 1 YdmiCti ' frieyrn VDate June 19, 1990 � '����. To Weld County Planning - a COLOR ADO From Environmental Protection Services /256,14450H ---- - Subject: I . S . D . S . :S . D . S . : TAGAWA GREENHOUSES _ r I • OWNER : TAGAWA GREENHOUSES Phone : 659 - 1260-- MAILING ADDRESS : 17999 Welt 4 Brighton CO 80601 City State Zip SITE ADDRESS : Same City State Zip LEGAL DESCRIPTION : PT SEM PT SEC 25 TWN RNG 66 SUBDIVISION : LOT BLK FLG The septic system identified above _ xx - Is , is not of sufficient size to accomodate the proposed alteration ( s ) indicated bedow to the structure (s ) served by this system _ CURRENT FLOW : ADDITIONS : PROPOSED TOTAL : Old Mobile Home New Mobile Home i Persons . 2 0 2 •. ' Bedrooms 3 1 2 Bathrooms 1 - 1 / 2 0 W 1 - 1 / 2 Fermi t on Record : NAME Tagawa Greenhouses NO . G-820116 • l 4 r 1' • 6-e Ysir , sin4 - • • fi__,. APPLICATION FOR INDIVIDUAL SE14 AGE 11SPOSAL SYSTEM No . _. : S 1 WELD COUNTY HEALTH H DEPARTMENT New a ENVIRONMENTAL HEALTH SERVICES ' 15 18 HospIt& Road, Greeley, Co 00831 Repair ,_�.�.�-- 3530540 EXT. 270 li/ ,r'il? BP ._ 117 •99` 9 /-t V`uIN R�. _ .- .�. - - - WiatAta-•---_.-..-� �. DDRESS� --- .• .- •-. - - - - - PHONE _/ADDRESS OF PR POS SYSTEMflY? Pc Tz r A r LEGAL DESCRIPTION OF SITE: S T.�L.� - , ft_ha SUBDIVISION --- LOT 4 , .BLOCK , FILING _ USE TYPE: RESIDENTIAL SI" Mohile- AMI INSTITUTION COMMERCIAL __ __....- _ . .SERVICES. PERSON BATHROOM& W, Lt T SI Eisde/je BEDROOMS * �.,. BASEMENT PLUMBIN .�� _ - _ WATER SUPPLY , � ,' �'. `. r TYPE OF SEWAGE DISPOSAL REQUESTED: _- _ _ 1, 7 / '' , . _ -14Vat/1# Applicant acknowledges that the completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Health Department to be made and furnished by the applicant or by the Weld County Health Department for - purposes of the evaluation of the application ; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, - Title 251 CAB 1973, as amended. The applicant certifies that the proposed system will not be located within 400 feet of a com- munity sewage system . The undersigned hereby certifies that all statements made, Information and reports submitted here- with and required to be submitted by the applicant are, or will be, represented to be true and correct to the best of my knowl- edge and belief, and are designed to be relied on by the Weld Qounty Health Department in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upo said application and in 1 .teal action for perjury as provided by law. '161Application fee_ IL-f - _- 1, r ,rd -- ., _ •.r-it/ eL Reed b i - ,, etzZ. iv7n)oaje - Owner/Rent Signature Date y * * • * fir * * • A of * • Q * 'r A e # t * • • * • * * •. * * • * o • e * * * o * • • * * * * * * * * * * _ • FOR DEPT. PERCOLATION RATE . - - WATER TABLE DEPTH USE ONLY SOIL TYPE.... - ` as 1 • PERCENT GROUND SLOPE_ PIEQUIRES ENGINEER DESIGN ( ) Nit )" ) No * * * * * * * * * * * * * * * * * * * * * s * * * * * * # * * * * * * * * * * * * tit * * * * * INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT From the application Information supplied and the on.slte soil percolation data, the following minimum Installation specifi- cations are required : SEPTIC TANK -... .- :' GALLONS , ABSORPTION TRENCH ": Std. FT. or • ABSORPTION BED SO. PT. • • in addition , this Permit is subject to the following additional terms and conditions: This Permit is granted temporarily to allow construction to Commence. This Permit may be revoked or suspended by the Weld County Health Department for reasons set forth In the Weld County Individual Sewage Disposal System Re .uletions, including failure to meet any term or condition Imposed thereon during temporary or final approval , The issuance of this Permit does not constitute assumption by the Deportment or its employees of liability for the failure or inadequacy of the sew8ge dispose/ system, Environmental Specialist Date - This Permit is not transferrable and shall become void If system construction has not commenced within one year of its issuance, Before issuing final approval of this Permit the Weld County Health Department reserves the right to impose additional terms and conditions required to meet our regulations on a continuing ba31s . Final Permit approval is contingent upon the final in- spection of the completed system by the Weld County Health Department. SYSTEM CONTRACTOR FINAL INSPECTION SYSTEM ENGINEER ..�.�..,. APPROVAL . _ Environmental Specialist ' Date The Issuance of this Permit does not imply compliance with other state, county or local regulatory or building requirements, nor shall it act to certify that the sub)ect system wiit operate in compliance with applicable state, county and local regulations adopted pursuant to Article 10, Title 25, CRS 1973, as amended, Sept for the purposes of establishing final approval of an Installed system for Issuance of a local occupancy permit pursuant to CRS 1973 25. 10111 (2). Originai•Appilcant; Copy-WCHD WOHD . -•- EIS February, 1981 • ALPHA ENG/NEERING CO. - LAND DEVELOPMENT PROPERT SURVEYS P. O. BOX 392 617 5th STREET FORT LUPTON , COLORADO 80621 . -r.. ,... . _ _ _ 7 .--. :ti 1C " H APR. 2 1 1993 • April o3 r ► - ' Weld County Health Department 1517 16th Avenue Court Greeley , CO 80631 RE : Inspection of Septic System for Tagawa Greenhouse Inc . 1 .7999 Weld County Road 4 , Weld - County , Colorado .. ( Ken Tagawa ) Dear .Sir , I inspected the • above Septic System and found it to be substantially constructed in accordance with the approved plans for this site . ( Alpha Engineering plans* file No . 25-1N6-01 ) - The bed had been moved south but had adequate absorption area . The septic tanks were 1500 gallon instead of 1200 gallon and placed - as shown on the attached as built plan - . Sincerely , 1 in IP Oa Cecil R . Crowe , PE & LS 12330 . t _ File H2571N6 - 0131:10 1 aS . - 1 J oa ./J ' 4 '' o~e• 8 L.��' '-p e �`� :. f ' '•�./`tit 0 %&.." If"/4Mlfalr4l044\ • LOCAL FAX METRO 857 - 2308 ( 303 ) - 573 - ' 5186 FORT LUPTON 573 - 5186 DENVER • • 4 urcorti • tl4t) 411.111 DEPARTMENT OF HEALTH 1517 - I6 AVENUE COURT GREELEY, COLORADO 80631 111 ADMINISTRATION (303) 353-0586 HEALTH PROTECTION (303) 3513-0635 COMMUNITY HEALTH (303) 353-0639 COLORADO . STAFF APPROVAL. OF ENGINEER--DESIGNED SYSTEM The engineer-designed Individual Sewage Disposal System proposed for the property located at / e Jc ‘ . and designed by n /, _ . ' ,/2, -3 30 is hereby approved subject to the following conditions : ZA/57-"1.-- itIccoRamia ErAiovvvete inf / all" t". we o co o fur( / 5173 ti&uL4r/fl I ► SAJA�1CYU. 7,06Arioris , applicant for I . S . D . S . Permit No . : G� ty2 O tai under the provision of the Weld County Individual Sewage Disposal System . . Regulations , do hereby understand and agree that after approval by the Director of Health Protection Services , I may proceed with the construction of my engineer- designed sewage disposal system prior to approval by the Weld County Board of Health , but that the Board of Health reserves the right to disapprove any or all parts of the system design when it considers my application . I understand and agree that I proceed at my own risk and that I may be required by the Board to remove any or. all of the system installed prior to Board of Health - cons ider ' on of my applications i or Appli t vi renta l Protection Services 2./.442 Date Date E532 4. - 405 • 1 ... p • . ‘'5 15) . Yete"")4? , \ f 5 ra9 kr :4‘.• k p %p r•(---. • • ' . .'� • ' CONCRETE . DUCK: AREA - '• • E• .` t _ f.�■ j IN• . ' ' ,• .• ' .• r Y - • •_ , - ` ' '' ' • ,• i . . •, • /' ; a+' ��..•• �1B ., Imo_ (f Jam^ • • c 3 s. I �: • . , C,Cs s' ( 14 . w,l II w ' !r'' (\C i ( 5i 141 II 4 47%.".6%4INN44......44% 1 11. E moo ti JJ Lif : ` 7� tI 87 i sk ..Sistivi , 1( fr siff -.) y ary lryr e.U` 5 f (- • r DIl�?IR16uTtUM ( 4 1 . j" \s_ .f \\.(0 u BOX 4' we+IIB"ti+RF'TICiM BED 18! ! .) r ---- �- ' . ! ( +,.- `•. `\ ■ - � DESIGN DATA: // 444 if �'J Pk Cwt I -1. 1� ie 3l f j 4 '. e . C''' PURPOSE • POF 'PHIS ons s PI4OVIDS SWAGS DISPOSAL FACILITIES Rti r� S 4 \•.\\,..\\L I Off' 50 WORMS..) ( 1 ( I r. , ,_eL.: r-� 54 X 5 CPD/'PERSON . . 1750 OFD?''''?r • r • +\_ i 7 ; --- !f---,,\ 3$PTZC TAME SPE Y3f tit a • , "r r c YCATIoNS: -� PROVIDE 30 HOURS DETENTION tmE IN TEE SEPTIC T.MIX. \ -'`\ ' V- 4 x 10 Vie175O X 3Qa 3187 GALLONS 2 - I 20 dALLC}N '.•4. y'44r w�. ' \ ` i ' , a *c 24 SEPTIC TANKS - II f• • Y te USE a - 1240 GALION SEPTIC TANKS IN SERIES OI Rih?IAPTION h$11T$: AVE. O--- BATHROOhf I ?IPI (ALPHA ?SST A se 0 0- 4, I 5 - 1?SO X 1 . 1 Errs valso STARE PERT • 3 .5 C LEANOUT " V I C I N I T Y MAIP USE A 30 Fa>�r x 45 FtC N — SOIL ABSORPTION n t 2000 . 1 , 1 - DISTRIBUTION BOX, TO BE INSTALLED LEVEL ON UNDISTuRsED sso1L, commlAcTID SOIL, OR ON A COTE SLAB POURED IN PLAGE TO PROVIDE MEAL DISTRIBUTION OF SEPTzc TANI flPI,QXWZ TO Eats LATERAL, AT TER LOCATION SHOWN ON THE PLAN. 2. DISTRIBUTION BOX SEALL HAVE A IMMOVEABLE: COVER WHICH IS MATER TIGHT. SITE P . A , ° a, arm LATERAL sr�alrAz l r r� rBorx Biz AND GROUT. 1 I ti = 2C) NOTES; 1, PROVIDE A MIWDWN OP FIVE (Si) FEET BETWEEN THE DISTRIBUTION BOX AND SEPTIC TARE. • 2♦ PROVIDE Ili MI annum or FIVE (5) FRET OF SOLID PIPE. 8SC9fiom '1715 '/ WI DISTRIBUrIOI BOX AND THE LATERALS. SPRQnDg A PUN- MUM OF Ylfl (5) nosT BETWEEN TEE SEPTIC TANK MD ANY BUILDINGS. ALL CONSTRUCTION IS TO BE IN ACOORDAIICE WITH WELD COUNTY, TY COLORADO HEALTH DEPT INDUSTRIAL SEWAGE DISPOSAL SYSTEM Rr> Jflnbns. e 1 •• B' CERTIFICATION: . I HERESY CERTIFY THAT TRH SKPTIe sYSTEN SHOWN ON THIS PLAIN WAS DONE BY NE OR UNDER XV DIRECT SQPERVIs ION PAD IS ACCURATE TO THE SOIL PROFILE BEST OF NY 7NOWLE DGE OR BELIEF. CECIL R. CMOUTZI P8 i LS 1233V �, `r�'•, , 4 - .-. {: l' 23 . 13 • , - 1 t Wa ' ol. +1CiCa4 T111! Orate 1TJ1fC1l/ITE11 1'K PIPE rn, P - • TAGAWA GREENHOUSE INC . #'b, . - ," -{I' , - �• lit le - .' �� - - ,.. '- r 17999 WELD COUNTY RD 4 - 36. ..0 1 ' WELD COU Tt CO LOFT pe ALPHA• ENGINEERING C BED CROSS SECTION . I 617 STK STRLE — P'.O.SOX: 392, rows' LUPTON, COLORADO 80621 rAx k METRO (303) 573-518$ - FORT LUPTON (303) E:i7t2348 PAift C;\ [=SENT: KEN TAGAWA ' REVISIONS BY DATE owa IVI Vs SOUS:AS S4CTED I i MK; DATE: A-27-91 .1 ' PM fat NO. 25-IN6-Ol '• 1 TAGAWA GREENHOUSE , INC . BRIGHTON , Ca Potable Water System 2008 H37 H36 1135 H34 1133 H32 H31 Potable Water Lines 1 Walkways i RANGE 6 trailer H27 H26 H25 H24 1123 H22 1121 '' ROLLOUT Cement , Boiler _-- RANGE 8 RANGE 9 Pad Room Employee H15 H14 1113 H12 1111 RANGE 3 ,4 #2 Parking HIN H2N 143N H4N H5N H1N H2N H3N H4N H5N RANGE 10 RANGE 7 urer,our1 H1 H2 H3 H4 STORAGE J TGI Cement BREAK SHED Truck Pad ROLLOUT Parking I [ RANGE 6 - ROOM CHEMICAL H 1 S 1425 H3 S H4S H55 HIS H2S H35 H4S H5S [ STORAGE Cemented [ , , Loading [ RANGE Lucmincm Area [ 5 kaln h�lnu nam:c Dock North H6N H5I4 H4N H3N H2N HIN H6N H5N H4N H3N H2N HIN H6N H5N H4N H3N H2N H1N H6N H5N H4N H3N H2N HIN w;].. S — - _ Level E Dock R X Boiler X A. H68 H5S H4S H3S H2S HIS H6S H55 H4S H3S H2S HIS Room H6S H5S H4S H35 H2S HIS H65 H5S H4S H3S H2S HIS M _ I• sinks I Water Fountains Distiibulion OFC N Office Restrooms Key > Cla .srcxnn O G RANGE 4 RANGE 3 3LL RANGE 2 RANGE 1 traile ' Employee Parking ! Parking E F E en esa IBreakmoms C I C — It I I Office C S II Xshutott- Restroom 5 6N 5N 4N 3N 2N IN I 13N UN 11N ION 9N SN 7N 6N 5N 4N I3 T A ION UN UN 13N 14N 15N 114 2N 3N 1N 2N A 0 M X h7 R Cemented RANGE - X Gas Soil Mixing 5 B A R Tray Filling Area Pump Area PROD . 6S 55 4S 3S 2S 15 135 12S IIS 105 95 8S 7S 6S 5S 4S E G E I0S 115 125 135 14S 15S 1S 25 3S IS 2S AREA R E R i I RANGE B RANGE G CU , , Regrown RANGE I RANGE E RANGE R & D S :g Breakmi N R G Office I 1 N 10N 9N 8N 7N 6N 5N 4N 3N 2N IN e MAIN A Range 5 _ XY0 ARE HEHEREe WD South I A and Visitor E 3 I Cemented I Dock NI R MAIN Parking 7 i— , tom, k� Loading Area I l2S 11S LOS 95 8S 175 6S 5S 4S 35 25 1 S GE Cemented :t OFFICE Dock Level A Loading Area A [+ IDock Level 5 S 1 Advanced Extraction LLC Compassion in Action AD VAN C ED EADVANCEDEXTRACT1ON 18072 County Rd 4 Brighton, CO 80601 p;:i www.AdvancedExtractionLLC . com GREENHOUSEcoinTM \� ADVANCED (303) 261-5644 "'`r SEPTIC PERMITS : There are several septic systems on the property because Tagawa Greenhouses Inc. has 2 mobile homes ( section 25 ) and 1 house (section 31 ) for their interns which is still being utilized to this day. Ken Tagawa's residence is also located on the northeast corner of Sec 25 . SEPTIC PERMIT # DESCRIPTION G19700570 Domestic Use G19920297 Business Use G19850196 Business Use G19732487 Domestic/Business Use G19820116 Domestic/Business Use G19700570 Domestic/Business Use * please refer to Septic and Well Permit Map for locations WELL PERMITS : Well Permit#38931 was not marked on the map because it belongs to a family member of the Tagawa Family. This property is not associated with the business . WELL PERMIT ## DESCRIPTION 0195 BUSINESS USE : provides water for greenhouse irrigation, cooling and for agricultural crop irrigation . 014531F BUSINESS & DOMESTIC 94287 BUSINESS & DOMESTIC USE Property Report Page 1 of 14 tv4 Weld CountyProperty Information (970) 400-3650 PROPERTY PORTAL Technical Support (970) 400-4357 Account: 86411486 January 24, 2018 Account information Account Tax Actual Assessed Account Parcel Space Type Year Buildings Value Value R6411486 147331201005 Agricultural 2018 6 308, 353 89,410 Legal 10874 L57 TO 64 IN NW4 31 1 65 ALSO THAT PT OF NE4NW4 BEG NE COR L57 S TO SE COR L63 E470' N24D1 UW 430' Ni D55'E 555' N9DVV 380' TO N LN SEC W250' TO BEG EXC BEG 460'S OF NW COR. OF SEC 5200' E300' N200' W300' TO BEG EXC UPRR RES (ID 1 .86R) Subdivision Block Lot Land Economic Area GREEN HOUSES Property Address Property Zip Section Township Range City 17999 COUNTY WELD 31 0'1 65 ROAD 4 Owner(s) Account 14 Owner Name Address 864/ 1488 I TAGAWA 17999 COUNTY ROAD 4 GREENHOUSES INC BRIGHTON , CO 806039731 Document History https :/fpropertyreport. co . weld.co,us/ account=86411486&defaultsection=history 1 /24/2018 Property Report Page 2 of 14 No documents found. Building Information Building 1 AccountNo , Building ID Occupancy R6411486 1 Nursery/Greenhouse ID Type NBHD Occupancy Complete Bedrooms Baths Rooms 1 Commercial 4901 Nurse /Greenhouse ' 100 0 0 0 ID Exterior Roof Interior HVAC Perimeter Units Unit Make Cover Type 1 Gable None 1456 0 Total Finished Square Condo Garage I Carport Balcony Porch ID Ft SF Easement Basement SF SF SF SF SF p 1 52, 992 0 0 r o 0 0 4 1 i Built As Details for Building I ID Built As Square Year Stories Length Width Ft Built 1 .00 Nursery/Greenhouse 52 ,992 1973 0 0 0 No Additional Details for Building 1 Building 2 hopst /fpropertyreport.co► . eld.co.usl 'account=86411486&defaultsection=history 1 /24/2018 Property Report. Page 3 of 14 AccountNo Building ID Occupancy R6411486 2 Gomm Shed - Equipment --1 o ID Type NBKD Occupancy }° Bedrooms Baths Rooms Complete Comm 2 ; Commercial 4901 Shed - 100 h 0 0 0 Equipment ID Exterior Roof Interior HVAC Perimeter Units Unit Make T Cover yp 2 Gable None 546 0 - -'- iTotal Finished I ID Basement Condo Basement Basement Garage Carport Balcony Porch Ft BF SF SF SF SF SF SF — 2 J 9,325 0 0 0 0 0 0 0 Built As Details for Building 2 Square Year ID Built As Ft Built Stories Length Width 2.00 Storage 2,832 1980 1 0 0 'Jarehouse 2,00 Comm Shed - 5,597 19$6 1 i 0 o Equipment Comm Shed -- E 100 Utility S96 I 1990 - 1 0 0 No Additional Details for Building 2 Building 3 AccountNo Building ID G Occupancy R6411486 3 Nursery/Greenhouse https :l/propertyreport.Co .weld.co .us/ 'account=86411486 dcfaultsection=history 1 /24/2018 Property Report Page 4 of 14 ID Type NBHD Occupancy Bedrooms Baths Rooms Complete 3 Commercial 4901 Nursery/Greenhouse 100 0 0 0 ID Exterior Roof Interior HVAC s Perimeter Units Unit Make Cover Type 3 Gable None 966 0 Square Condo ? rnent Garage Carport Balcony Porch ID BasementSF SF SF SF SF SF 3 24,702 02 0 ; 0 • 0 a 0 0 0 Built As Details for Building 3 Square Year ID Built As Ft Built Stories Length Width 3.00 Nursery/Greenhouse 24,702 1968 0 0 0 No Additional Details for Building 3 Building 4 AccountNo Building ID Occupancy 16411466 4 Storage Warehouse A t ID Type NBHD Occupancy Bedrooms Baths Rooms Complete 4 Commercial 4901 Storage 100 0 0 0 WaeID Exterior Roof Interior . HVAC Perimeter Units Unit Make Cover Type 4 Gable None 332 0 https :l/propertyrepor .co .weld .co .us/ account=86411486&defaultsection=history 1 /24/2018 Property Report Page 5 of 14 a � Square Condo Garage nt Garage CarportParch BaseSF SF0 0 0 0 0 Built As Details for Building 4 _ - __-- 1 ID Built As Square Year Stories Length Width Ft Built Light - 4.00 Corn mercial- 6,888 1988 1 0 0 Commodity Wareho Light 4.00 Carr�mercial- 640 1990 1 0 0 Commodity 'Wareho • No Additional Details for Building 4 Building 5 AccountNo Building ID Occupancy R6411486 5 Comm Shed - Utility g ID Type NBHD Occupancy Complete Bedrooms Baths Rooms Ceram 5 Commercial 1 4901 Shed - 100 0 0 0 Utility j RoofID Exterior Interior HVAC Perimeter Units Unit Make Cove r Type -�- _ _ 5 Gable None 93 0 Total Finished ID Square I Condo Basement Basement Garage , Carport Balcony Porch Ft SF SF SF SF SF SF SF 8 480 0 0 0 0 0 0 0 https :/!propertyreport.ca .weld.co .usl?aecount—R6411486&defaultsection=history 1 /24/2018 Property Report Page 6 of 14 Built As Details for Building 5 S uare T Year ID Built As Fq Built Stories Length Width tComm Shed 5.00 - Utility 480 1990 1 0 0 No Additional Details for Building 5 Building 6 AccountNo Building ID Occupancy R6411486 6 Nursery/Greenhouse ID Type NBHD Occupancy Bedrooms Baths Rooms Complete 6 Commercial 4901 Nursery/Greenhouse 100 0 0 0 r ID Exterior Roof Interior HVAC Perimeter Units Unit Make Cover Type 6 None 760 0 Square g;ndo Total Finished Garage Carport Balcony Porch ID Ft Basement Basement SF SF 5F SF SF SF 6 14,640 0 0 0 0 0 0 0 Built As Details for Building 6 Square Year ID Built As Ft Built Stories Length Width 6.00 Nursery/Greenhouse 14,640 1973 1 0 0 I No Additional Details for Building 6 https l,/propertyrepart,co .weld.co.usl?account=86411486 defaultsection=hi story 1 /24/2018 Property Report Page 7 of 14 Valuation Information Type Code Description Actual Value Assessed Value Acres Land Sift Improvement 2230 85,767 PURPOSE- 85,767 24,870 0.000 0 IMPRCVEIVIENTS 2235 a WAREHOUSE/STORAGE- Improvement 1 , 044 300 0.000 0 IMPS Improvement 4280 ALL OTHER AG IMPS 84,567 24.520 0.000 0 !Et1TTED INKER13.620 51 .780 2 ,255, 587 Land 4107 D Land 4180 ALL ?flpAND 9000 26100 4.500 196,020 Totals - - 308,353 89,410 56.280 2,451 ,557 Tax Authorities Tax District District erne Current Mill Area ID Levy 2497 0700 i AIMS JUNIOR COLLEGE 6.317 1 CENTRAL COLORADO WATER ,) $00 2497 0302 (CCU CENTRAL COLORADO WATER 2497 0309 SUBDISTRICT (CCS) 1 .353 2497 1050 HIGH PLAINS LIBRARY 3 .256 2497 0509 HUDSON FIRE 6.039 • 2497 0203 SCHOOL DIST RE3J- 20.053 I EEI ESBURG 2497 0100 WELD COUNTY 15. 800 2497 1209 WEST ADAMS CONSERVATION 00+00 Total - - 54.618 Photo Mips lipropertyreport.co.weld.co .us/?acco unt-864114 86 defaultsection=history 1 /24/2018 Property Report Page 8 of 14 A hi • • • • atitilLiktia.- . ' . atlinka, .. „ .t.• , 1 /4 kf. . •- - adia-MOIMPIIIIW . ,Willi -11 all : ' It ' ' ilk,/ ; k.. • 4 :- .. hid ill •.. ♦ 8 !gift. i M ')• s t- ` f'f- •P �ij •ti. •r. -;•-,,j >�'` s— `r 19 �• 'H.• {4..X ��S '-1T =.T.V.� 1 J- t s A tr F ,,' v. ' i. .%f Y�.Cf.'. 1•« ��.f 1 rk"n tT--) 53• \.. ;� .P -_.-. • ..., • 1 • rr '' W i . 4ter Ir.... r . �� L. �/ - t<. - - P .I' .' P'°P'-,��.F�. .�'i 74:-fr_ ♦ - " . - Levi 4; r 4e.__" 1.TwY�' r. _ 'Y..;vi�1= __.IN .` �+'71r . '., �' �J. • ... 'g- r.. 'may. _.Is, _yrJ,..fir.. Q . . ... :,air. ' - . . .. - 1 r Ty. . - .. ��. - . � . . . _- - . {tea e . . .. `a -- - - _ Building 1 f ,, • �V` ,� - ~� • '�• -..---x- �It . •. p - ,fix •^ 2. ' .. - w M 9 . > _ _� • 1 - , '4 _ r - Bulking 2 • https :/ipropertyreport.co . eld.co.us/?account=86411486&defaultsection=history 1X412018 Property Report Page 9 of 14 IS 6' -:rini,i'!'-',"ri`'-•- ! .. ., ,r,:.. X _ • ..: . • e3:.,:....„..„..,.„,.,,,, ,•,..: ... . .. .••• • . ... . . ... _ . . •. . • . . . . . . ... _ ...... . . .. __.... . ..__ • c 1 mac. a • r. e . "..S.: fj.• la s: '' • SCR "' tom- pr • • .. • r -. •• -.V- _ .. _ . .. ��, n ,,:e,--- -7.t ' - � - [ 4 .'e •- c r ' s `� 'St97 I • " , �i� ••e.•. `; � . .! ' _� �.; •• • � ~• a -rF £•1.4 . ! ' 0 • •Id r I. : 1-9.$ - 0 -,.T c'.. `7 ' • jj rJ.•' 4's� 'a 'l .y •/'�; ll ,..''- ((r�� ,•tt 4.i , : :k .^ , i ) /7 4' r 1� ''1 t t 7 "." ! . 1 �}y?, Trsff • . f ; 1 !`r e. ' .f ' t �.. .:{ t - I . - Y , ^i"1 171.,,..,,,..54.-•. ri , .z: 'c `i� I .�l .t :Li. X19 s •-ti.� !• isl ���St 1 - it! a ' `: ,a?^e. l {•' ? c ,R ♦ 7 1 •_ rS•�. -r.,....1.,..,, . •.1. *.x ,41117'• 7.i., SaSI i r �i9 . 1 .. ig d�C , !c' f k y L. . � f'< k�rIiiY�� Y1� '?� :1 i'� a, -- Air 1 �c, 1` 'il � 1 1 i �{..' c i•i3.C . ;Y = .,i: .?9 - r L .�: :tir� r „ 1 .�..: i,d _. • Building 3 si • roik.. _--- • - - n _• c a a • .f i{ — a t ;a • eta_ • I:� ..�� M,...A`• r: a✓ ._.AR.r....i :T-'+'it•;}a a ab• -r.°a--- . •.ti<A.. - ��``'. r r _ r' f1t ., • .. _ •, _ - n _ - • �_- - __ • .♦ �. { -� s •_•',. to-r. 4.. it - #_.-•I tS , _ _' .4.1...1.-”V.. .-`r_ - r ;yl•- ,1 . t*:Avlittr - '"., .- _ '� _ - -t k � ,►lri' ' •-ypy -cy.� ?. ry :�j •y �1 - ;+--cot . fit. t . . Building 14 https://propertyreportico .weid. co .us/7 rt.c . veid. Co► .usl? ..count=R 411486c clefaultseetia► histo 1 /24/2018 Property Report Page 10 of 14 -- -- — si !. Lt. l N - .. . . rf'.l. - ..... gra f Ip , ,:.-. - ( • . , ? pi r Building 5 ti , r Nil • t .. i_ _ - r f . ,. 7_,.. . :„ . . , . . , _.. . . .. .... , ;,--.. ?....... ....______ . , •., _ . . • ._ . .,,, " sl: 11. mil.• p ,l t { t T _Se. . . • . .. . . ti- • :t • ..;11"yy t: • • • • • • • • • Building 6 hops :/!propertyreport.co .weld .ca.us/?ac ou t=x,641 1486 Stdefy ultsection=history 1 /24/2018 Property Report Page 11 of 14 Sketch https :/,/propertyreport.co.weld.co . us/ account=8641 1486&defaultsectiorr histoz 1 /24/2018 Property Report Page 12 of 14 f 128.0' Greenhouse Range 1 Bldg #1 (005) Bit 1972 a Metal frame/Wood Truss 6 Fiberglass sidewalls Triple Wall Polyearbonat Roof Covering Total 52,992 sq ft 19200.0 sf 8' WH 214' o Greenhouse Greenhouse F Range 3 Range 4 Blt 1973 BIt 1978 20.C Metal frame Metal Frame Fiberglass sides Fiberglass sides 8 Roof i Double Polycarb3nate Roof Covering 32592 .0 sf tl 8' WH 8' WH 1 82, 131' Building 1 Page 1 F rst Floor 168.0 sf 15' Utility Shed First Floor 728.0 sf - Utility Sheds, re) 16' 31' ss Bldg #2 (0'05) i First Floor 842.9.0 sf 36.0' 16.0' Storage Warehouse Bit 1973 `" Class S 8' WH Boiler House Cooler 56' a' 56' Building 2 Page l https ://p►ropertyreport.co.weld. Co .us/?account=86411486 efaultsection=history 11241201g Property Report Page 13 of 14 142. 0' Bldg # 0 Greenhouse r.r7 22152. 0 sf N Sit 1966 Metal Frame Fiberglass sides wei Double Polyoarbonate 156. 0' Range 5 15 ' fe e*h doge-F4ix" Building 3 Page X11 m Bldg 4 Storage Warehouse Bit 1988 Class 12' wh 20' I First Floor First Floor 6888 .0 sf 640..0 sf k Office `si Break Room 25' 82 Newastu- Building 4 Page 1 lumps;//proper- report.co .weld.co.us/?account=86411486 d.efaultsectio =history 1 /24/2018 Property Report Page 14 of 14 15 . 5' First Floor 480 . 5 sf ' ‘A/ H Pump House ","..i Bldg 5 rest Building 5 Page 1 F - 90 Range 2 First Floor 13320.0 sf Bit 1973 Metal Frame Steel Bow Double Polyethylene to Fiberglass Sides 11.5' 30.5° 1320.0sf 2 132' Building 6 Page 1 Copyright O 2018 Weld County, Colorado . All rights reserved . Privacy Policy &-. Disclaimer j Accessibility information https ://propertyreport.co _weld.co.usf 'aecouft=x.6411486c defaultsection=history 1 /24/2018 WATER SUPPLY INFORMATION SUMMARY Section 30.28. 1 SS.(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 Advanced 60ritchon / ( ueuced earryi 1Avvt &n ear hn t 5 Mc ) 2. LAND USE ACTION CIrOV in , Rhd Prccecc imej they 3. NAME OF EXISTING PARCEL AS RECORDED •1 " q Count') ad 4 / 1 $ 01t court 12 ci SUBDIVISION 5ec ROA 4 FILING BLOCK LOT 4. TOTAL ACREAGE 20 115 8 I 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED X4YES G. PARCEL HISTORY - Please attach copies of deeds, plats or other evidence or documentation. a..a..............................a.e..na.au.r..... /.e•...a.a .—.......—... uu.0 rff... ... w ..a......a.-.•,...... ... 1 f '� tlt •t...u.aso.iu/r..r.-r..♦t•.M1lllft..lH.t..f u.rt.u• /Ffafal.....fFltla.l T. A. Was parcel recorded with county prior to June 1 , 19722 YES ❑ NO B. Has the parcel ever been part of a division of land action since June 1 , 1972 ? ❑ YES 'NO If yes, describe the previous action 7. LOCATION OF PARCEL - Include a map deliniating the project area and tie to a section corner. — Cee At - Vvi af . .Hair H. -.a../-u.-. ........-..l..H•.••Hf.H•l+.l t+.H.F•ff Lllef..H i.a - •..al....f..f...0 a...... .............a..aw.-ai.....Fafi...liti..�aM�4...ww.wwo..��H1/fNF.f.H.LFFa.Fiit i..fa./i..�-t..a-....FT-1H.e1 11FFH.//J 1 /4 OF 1 /4 SECTION TO'INIwISHIP ❑ N ❑ S RANGE 0E 0 W PRINCIPAL MERIDIAN; ❑ GTH ❑ N,M. I] UTE ❑ COSTILLA _ see attatiud cb amain FaH Oyi . 6. PLAT - Location of all wells on property must be plotted and permit numbers provided. Surveyors plat ❑ Yes Na If not, scaled hand drawn sketch Yes ❑ No 9. ESTIMATED WATER REQUIREMENTS • Galion per Day or Acre Feet per Year 10. WATER SUPPLY SOURCE .\16iM i...a....•J.\..•-..i.•a..r••• NNf.fl•.l1ta.lf..l..f.fNl.•.FIF.f..•t.latF.f.l.F...■■U.• +c.s .ala..-i...•-.*.fi... fe.F-F...•.•san....•.w •s••.-••f '.alal...t - • \left!..L...l....l f.lii.ia...o-a..•. coMtitivation, of Witt pnytitte s EilEXISTING 0 DEVELOPED FELLS SPRING Q NEW WELLS - PROPOSED AOUFERS • (CHECK ON° HOUSEHOLD USE # _ of units 5 GPO AF WELL PERMIT NUMBERS . ❑ AMA a UPPER ARAPAHHOE see . wt It pernitc s CJ UPPER oAWSON MOWER ARAPAHOE a LOWER OAWSON Ct LARAMIE FOX HILLS COMMERCIAL USE It. t of S.F. 15. 0 GPD AF a itiotett. O DENVER ❑ DAKOTA OTHER IRRIGATION # of acres - GPD 5 D' AF N►.n.1•/M.►7HHf7H.lfle•eN.1.q.-wtaq••.►.'•Neel f a.\...a..a..a r.a/...-....f.•..0 STOCK WATERING # of head GPO AF D MUNICIPAL D ASSOCIATION WATER COURT DECREE CASE NO.'S . OTHER r GPO _ AF ea COMPANY D DISTRICT TOTAL GPD AF NAME i4avvvejliViatiCrt5 - LETTER OF t OMMITMENT FOR SERVICE AYES © NO 11 . ENGINEER'S WATER SUPPLY REPORT 0 YES X. NO IF YES, PLEASE FORWARD WITH THIS FORM. (This may be required before oar review is completed.I 11 TYPE OF SEWAGE DISPOSAL SYSTEM •-•- •-.....t »lltlt'+.+••...Y..•.t.t.ti..f - �/..af - .a i.-t...•....... - n1a...a.r...a �ufrau../\t.a...ales!..a...Mu...F.t..l.....1.... .\.....lt& MSS\tJS&to .sata►...ne.. .tA + 1.+•lw.+.•••r•r•e.uu a.iJi SEPTIC TANK/LEACH FIELD a CENTRAL SYSTEM - DISTRICT NAME ❑ LAGOON ❑ VAULT • LOCATION SEWAGE HAULED TO D ENGINEERED SYSTEM (Attach a copy et engineering deign) O OTHER -- - -- - - ---- - -- Locciiim 9C 'Mimi Parcel Number: 1471-25 -0-00-015 Address of Site : 17999 County Rd 4 Brighton CO 80603 Legal Description : SE4 SE4 ' E25W45E4 Section : 25 Township : 1N Range : 66W Parcel Number : 1473 -31 -2-01 -005 Address of Site : 18072 County Rd 4 Brighton CO 80683 Legal Description : 10874 L57 TO 64 IN NW4 31 165 ALSO THAT PT OF NE4NW4 BEG NE COR L57 S TO SE COR L63 E470 ' N24D10' W 430 ' N1D55 ' E 555 ' N9DW 3801 TO N LN SEC W250 ' TO BEG EXC BEG 460 ' S OF NW COR OF SEC S200 ' E300' N200' W3001 TO BEG EXC UPRR RES ( 1D 1 . 86R ) Section : 31 Township : 1N Range : 65W ellat TAGAWA GREENHOUSES 17999 WELD COUNTY ROAD 4 BRIGHTON , COLORADO 80603 PHONE : 303 -659 - 1260 LETTER OF COMMITMENT FOR SERVICE Date : 01/23/2018 Tagawa Greenhouses 17999 County Rd 4 Brighton CO 80603 (303 ) 659- 1260 Re: Letter of Commitment for Service To : Advanced Extraction, LLC This letter is being executed to confirm that Tagawa Greenhouses will supply water to Advanced Extraction during their lease agreement. On behalf of our organizations, we hereby agree to the above : /77 yrrnasse- Yil/+404z2 ok 42.--Ol ? Ke neth Tagawa Date Authorized Representative TAGAWA GREENHOUSES Alex Seleznov Date Authorized Representative ADVANCED EXTRACTION LLC tot Recycled Paper 2011 PWS MonitoringRequIrements Water, System Principal Count y Fed Source Fed Type Population CO0262735 TAGAWA GREENHOUSES INC WELD Ground Water Non-Transient, 250 Non-Community Distribution System Monitoring Tit Dolifarrtn Bacteria Sampling Schedule Requirements: 1 sample(s) per quarter during the collection period. Collection Period: 1/1 /2011 - 12/31/2011 1 Lead and Copper Sample Schedules Requirements : 5 sample(s) per 3 years during the collection period. Collection Period : 611 /2011 - 9/30/2011 Non -Distribution System Monitoring Grouped chemi ai An t Sara le Sch les Facility 001 - WATER TREATMENT FACILITY Type TP Sample Pt 001 Sample Pt Type EP Analyte Group Name Sample Requirements Collection Period NITRATE 1 sample(s) per year during the collection period. 10/1/2011 - 12/31/2011 Treatment Specific Requirements and Levels Facility DS001 DISTRIBUTION SYSTEM Type DS Analyte Name Analyte Code Level Type Measure Monitoring Requirements CHLORINE 0999 Maximum 4 MG/L Same As Total Coliform Schedule CHLORINE 0999 Minimum Detectable Same As Total Califorrn Schedule CCR, Secondary Fluoride PN , and Leal/Copper Compliance Schedules I At the time of the generation of this report there were no compliance schedules connected to this water system. Report generated: 2/ 16/2011 6:24:30 AM Page 1 of 2 .--nrnp—r-----,--------4 Tito ly �- ---..":;--v e 5`t P •> _. wars -__.-% e - je Wes: 7-2' •,.: - .:.L0 " 4f rTh Y.+.+Jr 1 ,r �A �� , f e - j — , t• N: , I STATE COLORADO , t trOsarefil o. _ DIVISION OF WATER RESOURCES ins -- lI`F I E F � } i aT .E E 1GINEE FEB usw IIR0WiD MIL tzoii:. , i stet ad MAP AND STATEMENT FOR WATER ��� WELL FILING PERMIT NUMBER Q1105.32 ,EIF • 6 STATE OF COLOR AD h._ +► ite __SEVELL, LOCATION - 42) . __ • - • T ' ' ? - County. I IV Know all men by these presents : That the uncersi fined _ SE 1% Of SE ', i, sec . 25 T.. .. Roc r clair^�ant( s ) , whose address i s INDICATE WELL LOCATION ON DIAGRAM • City Brighton , C�rado 80601 r states : NMI i ,..�.:�. Claimants ) is are the owner(s ) of the wf, ri i described hereon; the f Jl I - - c total number of acres of land irrigated from this well is as. " ,. r 1 t I I I work. was cc �rmenced on this well by actua I construction . 31 a` i I Lei' .� — day of— kT2 n t] A . 19_70.. . _ . I .nm rn ` the yield from said well i , o 1gprri ) , for _ � _. . - ( Greenhouse ) I ' I • irrh ich c to irn. i s h ereb's7 r f de c r 1e r a . al purposes; 1 l I « .r. . , : f that the avecayediverted annual amount of water to be is . SOUTH I _ ... . . . 10 acre-feet; anil that the forernenti tined WELL SHALL BE LOC.: ATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS OR MONUMENTS, statements are ((lade and this map afid statement are filed in EC I 1 LINES BY F SAN E ND EA RING, , compliance with the jaw . L oft . from Sputh _ section line , ( North or South I 5.+V•�.J rest L LJ�+S.�, ..r 'r " `�1 . .. '� day - .. ..r F. , /aof ( EtrWest ) -- '. r` T 6 ,e.rt` . 's 7 a 1 1 [r_[�� 'fir /;-,} _ _ id T r /y� Ground Water Basin — ni I toy ! i r3 {� _ Cat . s l Water iManager nertt r y � J r T --.-- -" ."-a.Nora ry rut jaik,, -� • - �``Yi L� DATA Domestic wei Is may be beat d by the lot Irwin ; Cate Completed Pebra LOT r_ . Static. Water Level _ 1 SUBDIVISION . am ..� Total Depth Sotb riLING # dia a �- , ACCEPTED FOR FILING IN- F H E OFHCE OF THE STATE ENGINEER OF COLORADO ON TH' S4 �-{_� - Aaa��. F lire -� t 4 • - , �d 1_ Sal": I - r r s r - • 1 • - aim //r State Err f1�4 C eT T. r ._ • � r. i' •$ I. •r. - y • I - '' r � y alilliaabaildranpurnorpik FORM TO BE iti1ABE OUT IN QUADRUPLICATE :TE : +' � ' WHITE FORM �iL1 � - BE A� �l�1C ( l�i �'��. COPY �h1 ��T1 � SI �E�TA"�� � �a • WHITE copy U1 EFN copy must be filed with the State En ijr ► within 30 �1 f � days after well is completed : FINK copy ,,; is for the Owner & YELLOW copy is for the Dritier . - fi'.,. (}((jJ .r..1a_ LOG .1} 'may , e y a f } WELL DATA r �` prom T : ,,ape of aterial Water Loci Type =Dr il I ing P _ _-_ t i ` HOLE DIAMETER: • 2-5 Clay •_ .. 9 - in , from 0 ft . to 80 ft . . 25 29 GT a74.F.i1 ..... 2 r f ,� _ - --. in , from _ ft . to 48 59 Gravel t � . :. 59 1 Clay • r - r 61 8 Gravel . . CASI G I aEC RG Plain Casing s Size kind av r ft . t I`t. • i t - ti 4 III a}- o ► ,grourvd ) Size__ ,/ i r nd , from., ft. to ft: - •i,r i4ea , kind from ft , t9 ft . Per' forat - casing - - . i . to 81 ft . I Size___ , kind from _ .. ft , to ,S i z r m! r kind_ fro ,- - ft. to . _y ftt • - . - v GROUTING RECORD Material aval a. Ir`tfrvit, -. � -y. - Placement Method d u 1pstd_ in + ` fRECORD c. — _ � � Size at. Intervar .- top to bottom : . _ TEST DATA • Date Tested February , 1970 Length of Test_____ � � . , r 4 . - _ -� *Tr- to Yield - .�• 4, I ti M^ I 1-- r0 - r • %I* y - y r- • i- a•� �- • a WELL DEL - STATEMENT- . . 5 The undersigned , being 'duti --" sw{o-rn - doses and — says : . • t-e is tithe driller of. . •tl e e 11. • hared n described:: he has read the statement made hereon; knows the ont�cit th r r a n the same • rr a - true _- �, � it4 +�nal paper if �� 5 r �t omplete I � F - .. y �• X�- '7 ia f 1e� _. Sutac.�ib and s rc to before me t h e • _7/I _...-f _.,ter rte' r v �/ '� Jan. '� 4 1 ' _ s ,.7 _ ,, • /cf.'s ' Notary PL5 I ; t, .., - _ — a A "SFr S . r DIVISION OF WATER R E- 50E.. RCE S, DEPARTMENT OF NATURAL RESOURCESA5-.) t 101 Celambin •, S d1345h :� 1 , lS S • nit-unc. ii ,4 iii . , Denver , C Iarcda 8C20; 011 ' aii ki . is toe__:et _ _Ie w.. ,� A PERMIT. GROUND TO USE GRN WATER `'` , i � AN ? a -41-44 fxyj A PERMIT TO CONSTRUCT A WELL ',t ' : 4. ti 1 APPLICATION. FOR : ""- . .7 REP LGEMFNT FOR {`.'J 'f ' C-41 A PERMIT TO INSTALL A PlAriPOappanait OTH ER , PRL'IT OR TYPE LU ATI CN OF WELL APPLICANT Th"an ti S . Taf- f*;tip_ COUNTY _ ' r 1 d Street Address _ Ru t a T 1 5 u .; e of the w sec +.+ t-) ' in"-r:-\ r T . I. , t J r., ''_ ` ` . 1M �� �. � ' � ..J III. t f + � 8 & OI Street or Lse of ground water Cry ,2 ",,► ) Lot & Block Owner of land on which weiI CItyor . i s located Frank S . Tagil 2 $ ubd iv r i l i n g Owner of r r f �a t - - �_ -- __ ___ ,� ri ,fir t4:4, ^ 5 + land �., k , , •� , , . ., �w :� _, Number of acres _ Ground Water Basin n Water Nia ,nagenent to be irrig3Lem t s c r Legal• �! l w r- rag + 1nd � _ _�� LOCATE WELL O1 THE BACK SHEET SHEET - - - -- Driller HOLDEN 3: HT; DEN No , Other water rights on r i 1 1 er ' s P . 0 Box 188 , ; this land SW ilia an Address Hudson Col_ GPT.frado 806112- Aquifer ( s ) ground water is to be obtained .5,2 ' from - .--- �� Jr• f..aa1` —r_' rt. . ee". 7 F f •fr f .rL' f' zz. : rr 4 4 i gnatur /of 4p j i car t .-f, Storage capacity Mins AF swim �CiatiS _O F P IBCVA ►.A `` TT I C 1 FATED PUMPING RATE 50 GPM THIS WELL IS TO BE A PART I A1. ALTERNATE - . - -- - POINT OF DIVERSION FOR THE WELL REGISTERED. UNDER AVERAGE ANNUAL AM0uN . ROUND WATER TO NO , R - 0195 WHICH IS OW NEC BY THE L A, r P Ir� ,ANT , T �* �: BOTH WELLS SHALL HAVE RECORDING METERS /0 . C R1IIGEiErLr BE APPROPRIATED 1 Acre - meet INSTALLED ON THEM ; ANC - THE TO TA. L ANNUAL APPROPRIATION SHALL NOT EXCEED THE ORIGINAL • `- ESTIMATED WELL DATA - � .. APPROPRIATION I ►ON OF WELL NO . R = 0195 WHEN IF ALONE WAS USED . AP P R UED FOR AN ANNUAL APPRODRIATICN Anticipated star : of dr i l I ing, 4 - 19 , OF TEN X1O ) ACRE - FEET PER YEAR . Anticipated start of use w 5 Holt Diameter : r ,�► . 0 i n . from 0 f t . to R ft . APPLICATION APPROVED : in from ft . to ft , VALID FOR ONE ( 1 ) YEAR AFTER GATE ISSUED UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO Casing ; THE I SS J INC; AGENCY Plain _ , in . from ( ft . to ft . , PERMIT N0 , 0 1 TcCONDITIONAL in . from ft . to ft . DATE I SSIUED JAN 1970 r• Per1 . 5 1 n r f rro11l , ',�a ft _ 4o 7 �y ftwCia , in . from ft , to tt . • STATE ENGIt EE �d _- ESTIMATED I I TED PUMP DATA Y -- . Typesubmersibl $ i Le , I ! AP_ _ I_CA 1 I Q ?'A MUST BE C UMf LETED SATISFACTORILY � EF0R � .� �.. CEPTANOE ( OVER ) i. . - - _.T _ -1;11-: i yy, : 7. T' 't a. •1t ,4 - i y 4 vOW THE L + CT i ` i THE PROPOSED SHALL� LL BE SHOWN ON THE C I .AC ,�, ,, M BELOW W I iI�- 1 REFERENCE TO SECTION LINES CR GCVERNMtNT SURVEY CORNERS OR NONUMENTSA I 1 im .< ( North or South ) sec : Ion ion I ine � n i - 0O- feet from Efast ( East or west ) section line , I F WELL IS FOR IRRIGATION , THE AREA TO SE IRRIGATED MUST BE SHADED OR CROSS - HATCHED . This i ram represents nine ( s ) sections , Use the CENTER SQUARE ( one t t in ) t, to indicate the location of the well . WAlle di 1 MikZ - - - •-•—• • p &Sas if At uist liti 4 • i0L 7' -1- -f ± T N . i , _ '1/4 : trait ce, T ,. T I ,. .._ .. ._. , L., at, .„ I ft.,1 / errot- • I: Cagir / / • IVEN -1, gni / i • N i i .. . , ., ...in.,,,, ..., 4,,,_____} . n : att. i., . _ - ., ;, • isiN4S- , { , . sir , , -- - Pat> \ # 7-01" • -, . i ,,, n . la.. _ - € -- .- 9 1 ‘ wila- ;:r 41 1 ta "illf IrraelT b I 45931t# I 1.2 _ _ 1 is, rre, te- jw: , + ma.P , I 1 .ii.d --i- \ .--,-- ler + - ...._ --I- -1,-- _ fisa / il i i- — a It` .. -- ----arr T I '+ tilt 1 i 4.N :71 —1- ottL, ' 1- + — I . i• 4- 4 -7-.) ' /I L E 1 I , I Ama.mmilJ I 16 ie THE SCALE OF THE DIAGRAM IS i TWO INCHES C Sier is/ E EQUALS L Pd ► I L L i •X1•.. ... at. .. L is 4 . ♦. j ' ',\IL 4 - 1 ... ! t-t ,_, 1 SI C. .1 r _a,• .71 .1. 6 t• : lj r. lamilimaa- _ - - — , , e7 1 T Y r T h •. Id ,t tw Jane u : ry 1Jr --- _-/ EN,"t *4; a 1970 aat sat Dear 4r Si L i SIM t Nit;i ; , ,Wr . ' - Should t h1 'C° be any [�y� yip }'} r a. r roblems �on2C;� r1iino t ia i � d apolic .I tt for a permit to construct a at h ,e G ar1i apossible t 4We are Presently conipl et i ng conLructi on of a green ouce to- produce cut flowsrw and will reaui r - �c ,r, ! wster nc Pa ar than the first week lam. P eb uary 1 . 7 I • aid 'r be contacted .t any t1 T e au the £ ol1 owi nz rth L e1 e chop numbers659126C ilfti L . i Your pronpt au entail on 1I grea ; 1_ � i'�� 2 A, e ,: foe 4, t .4 11 IC; �� +r r Pk L X Agra � t qaan Y S ! �{L o A. y4+ T ' _I-S '4) f.j. ii- rt r. • ,wt --- !+ . •a f. ' ' .'! Y • -p :y 1 -r 1'. •r_ V 1. V' •�e 3 . . .�_- __ ... .-.__.. . .n__ •.. _. - •Y•. - _ - ..._. .�__.... - - �.�__ a • -� r. .•1 a. •a•. . ... a •. -- •-.... ...a.a....- .. . ..- .a . --a... . a_ .. . ._ a -, - . . ..�. .. - ��_. .� • __- a• .. ._ - - . ... ..• • • • a. ••-.-lasram _ • n . . __ ._ . . . - _. _ . - ___ ..-. _.. ... _... =tea _ .. 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L.a. , . ... a_ - - - ..._ ---- -.a s r . . _.• • • • • a .�- �uL . . .au_� -�.. ...._. e• --• "_. . • ._. . •. _�•�._�.. __•in. __ •. ..� — • _ a sa-... .. . - - Er i. •• -__ a ._ _ _ a . a a _ • • 1 • l 4 • -� � ,1: •sv- .. —• ti k • ♦ - ; , - •ti:.,• —-,1 -:: - t 4mrth r_}7t.'!-;::.- r1 , c}. - O ) Jj1Rj', r 5re. fic:fi" 7- f// .. T . .._ * sr X., STATE OF COLORADO . ,....a r s DIVISION OF WATER RESOURCES RCE '# , OFFICE OF THE STATE ENGINEER , GROUND WATER T � 1 : � I�� ,,. � I� ��A �' E � SECTION REGISTRATION r 7p WELL . 11 ... ` � `kil s Registrant � rcrr t H . ., , Date May 5 19 59 c, ` ir , • D . Address Route .1 flri. hto Cola . / r WELL L AT ION - cL.ue'` + �f, 11 elp 1- WELL DATA • County Weld -Re frrl . . ii Depth. 88 ft . Diameter 24 in . ; r= 'r - r-b) qh' e 1 { . .........„,.......____ — 4 , -' ., $.eetion 2,43 Casing ; 44 ft . Plain ; 44 ft . Perfor . , - . \ Static Level nip , . i , I ge . G 5 , 6thPA,r ft - from top • - - Yield 1 , 100 (gpm ) ( cfs ) from 58 ,... .� fit . - _ • N 1 ...-. 1 ' Jr- .. .— �.r- Ir sed for trri attar). amf at I r, c _ 74 c I 1,1 fle aid r �ti r�- -mac f 1 +gr it 1 z r —i -7 - `xX - Se `3 / ! rf �'' "r !' �r . !-.-; a, ^ar t i+ f a : . s� �' i t ' I'i . ", sC sr , frd 4 p-}et -�"' 'i's i .L�. Lf Ars- eatr �r ts 'r/ - 4c /4', rr, e 'f wWater conve ed layLate ' a.1 size r • Ik iE PUMP DATA I Type Turbine Size I0 In , all am wir at sil in Driven byElectrLQ ' ty at 1 400 RPM rell' 1 r s fir t o d pump 1 cfs for it r L a io , using 1 , 100 . . gpm WELL AS 1 uR - ATELY AS POSSIBLE WITHIN A Well enla.rged 19 to SMALL SQUARE WHICH REPRESENTS _ . deepened 40 ACRES ; OR IF IN A TOWN OR ( pm) ( cfs) (ft ) SUBDIVISION FILL IN THE FOLLOW - L G LOG SHOULD EE GWEN ON REVERSE SIDE IF AVAILABLE T - . Town or �u �c�vision. Street address or Lot Biock -. The above well ( not ) been registered in the Office of the State .- . - Engineer ��' 14r to May is 19 7 , IfRegistered give Filing No . 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 hi j _ - t , day of May , 1959 - l - •r r 1 -'...r. 1 J} I imisti expires Dec . 4, 1961 f _ _ :�; _,_ _ r f Registra.n - e n• — AL ) - ---_ , (SE _ lark' ' ie ra.' SIIrrireilIt STATE ENGINEER ' S USE itr) Lect � � � 4 slit' �. i 'If , '' - ._. ._., a:-/L ,.-e County for CS • 4- Registration No . i / in ./ : , on. �J,; i Fr .- __ _ i-j r _ _ -".':n4�.s'_F..ti- -.W.f. yoyr�� e' •, •�V ^.Vii�3jti°' T' yy'Y f I if Well Log Drilled; June 16 , 1944 2C casing - 12 ga• . 48 " drill Depth - 88ft , 7 ' _ 27 ' clay, r 27 ' - 50 ' sand and clay grave t_ .. 5 ) . - 72r clutch- sand 72 ` _ B8 ' gravel i . . . . . - I I. - • 1` a n I 1 FFi 1 _ [ . i ..4 . r1. 174 q.r a •. J 1 J • �}�1r _ ,. fir . - tit +. n '{' I'a � . r r ' i' .k.. r; +'� +Fr . e ' �* A • ra, .. IIIIm A I 4 4, a I� , s i r j, J +Nt.ti • IF h r+• M as ea a 4 N w. a .•dal 4 —' -. . - .*_ , r ,• L. r— _ • - -r + la +, •r ,- . r 'I C-, — . I - - - .. I .r f r. + • • ir{r' ti s _ L, P 1 ` v r r r I G I . • m • • r - I ''— .. — ' !" '. oral•-- 3 / 4 . fj r •1 p . . ..c... .- n -F _ ` F • • J` 1 1 r r''J T2 11)1 ,g, spisitts Q*8 L / I "renrillirY I 1 i tfirsr„.ei S- Cr-6, S• iii-ita- 1 J C `f 2/ 4 ....ara6a- .—: alrW"are- __pea in. . r y . 1 4 s .? . It 1 J 9.. .1 . _. . T rkisas:reee?, ,,, Air erer rif ;I) ? • ... ft '+ am fi r _rte. (.0S )_ U --� x' r'— � '-}rte �• .1.—‘-',----;.- [ ° 4`r� / V P.' 4-.--, 67;‹ I 4,' S II antra I.' • a —4r...514),t 4—Palai—niPlaCri "—Iur 2 egia'Ll kaillifirj) jilai_p V Li/ I all-M.. ... ..i.._a—; , ,___ w. i 1 r +a Y if f -• •' NF .,�4H - ' q i ...'-:t - L ..-~ 4 q ;�} _ .Y f r 'f�` 't_'.%I `ter s: ;�{ � r t',. 'c. A. _ •,a �.#_ _ . ll;;.;;T��k-.'�,. •rt a :�:; _ K . - -L . •,. ._ i - / • +�. • -'•T' - - `L^`'�ti ! • • ' •••1 ..: _ - y - - -i(•C -P v. flat - i'f� .II -•• we ,.... F ell �..�._ r. r a - _ _—f'' Imo- ... _ ti. ` , ..—.deiir 74/1"�i _ -. Y •a _�T -.-�• •4! r W (3�/' Jl J - fJ fftyl�J�j _• -. �y+r +.�{4.44+..4flat RR 1J� - --5•f�Jf' t✓' F• '�• ii- ��_ . flat -- — — , . - -- - - -- —_�- -- • -- -- - 'f. �- .� flat__• _•_. ...._ _ _ _ fffr F ��- .1' K i' Y./ L• I44.5"-eati7R• `�- tom. } ��1aaa...+��� II ar _ .a _•_ w. • _ , al - — r . _.—.• a.. - _ - -- O .' t* .""�.�/"'' r—` J /Jf�///y}j//� 7 L Ff+j - .- J ,.• 7 I ��r4-r , ..11:0- 'We -� j - • r"' Yom •• ' r ��r `' • �� �� t �r - et • 4. •- _. .• .. _._ _ . . - _.- LL — - • r j . _ .. flat - flat • - �, •el •t _ • • . . + _d • �C. �{Pf{j ay*.- + 1 i ~- PJf •latf I' �T �/ ,I �j jy•P•r�0,7 - fjf�1 t. Lea - —_ C. 7.sted)/ / • • II eire<4.0 deirl." tar id" • . or. ...eraiseilL. P..arearbtatt .ai _. . .1# iteel./-aril - ... --A / .4:t“-.7121rele.., • Pri. CS t• 'tee C 41'6h ap‘i (-ditleCCer".. . ' ._. _... ._.. _.. . _ . . ...... ; . . ...• ._ a-,.. . ans.... . .. _ _. — . —�._ _ .flat— a.-- -- -�flat - __ .... ,....5., . 1"••••-..,, 4. los ll fr, .1-I fr, 1'-� 1' flat -- 7.2PICP1 6 . 1 ..4":#7, ar 9 / il I. �,_ 1 ),,,c7_ i ,,,-_,..... / c.- <,..._.. .„ ... , / „ ,., . • 1.1,_ le % ..., if . . f. . /I ,C, Ce i it el ' s flat_ - •_— __ ••flat_ _. » _• • .. ._ _ . , ._ _. `I _ 1'.' R• 1...”" are ;.e 7% -r•i"f • ---_.,.— __ - flat_. _ ..._ _ - - ._— _ .. .... .. . .. . a .._- a. . ... . .. . —. _ .. • _flat••__—.__-___ _._.._._«.— I. _ ..._ . - .. ,. •.- __ a . . ..• ._ - • . .. � . . _.-.. .». - .. .. _ _ _ . . • •flat_— r _ _ _ - __ _•II..........—_ flat — _- _ _ _ . .. - • a.. ..�-_ .__•_ - __ -_. _: —. . . ... .. -.... .. .. L2 • rrY: 4 t •.i .i _.._ ---- _ ... . flat— • ...- _ ,.. ._. se it 'Il all - - _.- - - - • - - •..__.. — - --_ -_...._ . . . _.. - •. _.... • • _ . •._.. --- `flat ITS44.• . _-.rflat - -. - - .-• - - flat- -. - . •- - - _ - flat _.. . _ _ • •• flat .. _ __ . - _ - . • i • • r _- • . - -... - • -_ r - .-- ,.- . . - a - .1 .tw flat _-_ t 'r FIN R J- 6- "Irt. C� RADA DIVISION , \NEC)P V ATER RESOURCE . , ) , THIS FORM MUST BE SUBMITTED WITHIN 60 DAYS ONiPLE rite ; Q 1 Columbine Rl,:. y. , 1845 Sherman St. OF THE WORK DESCRIBED HERE- Der v � r, Colorado c� 03 { r` _ ' '' et bEtii . TYPE OR PRINT IN BLACf ,'-� ' WELL COMPLETION AND PUMP INSTALLATION REPORT 'i INK . ts�� PERMIT NUMBER _ 75_91-7 -- .�4,- os s „ • _____S E_____ % of the SE '6 of Sec. 25 ADDRESS , . T. , R . _ . .tb P.M . DATE COMPLETED S ethic, r 9. S , 192.7k HOLE DIAMETER WELL LOG in . from 0 . to 215' ft. 'Ala ter From To Type and Color of Material Loc. . , rn. from 15- - to 290 ft. 0 2 + Sandy Clay _ in . rc rr� _ to ft. 24 28 Gravel 28 3 Clad CASING RECORD: Plain Casing 36 48 Gravel 1+8 53 Clay z ,� c kind ;� . l from �t ft. 53 83 3 Size ';t �_ & kind Steal_1 from % to it. 173 i 74 Rock ' and Size & kind __. from to ft_ 177 217 Shale 217 219 Sand Stone Perforated Casing 219 225 Shale 225 an. l Size lam'. & kind S P3 from _at_ to ft . 230 948 Shale 248 265 Sand Size & kind from _. to ft. 265 290 ` Shale Size . & kind from - to _ ft. i GROUTING RECORD Material pt _... I l ntervals _ 1 ,, Placement Method r e . .s GRAVEL PACK : Size Interval _ - TEST DATA Date Tested _ _ r , 19 riik Static Water Level Prior to Test r --- - _ ft. l Type of Test Pup Bailed i Length of Test - . 7 Hours Sustained Yield ( Metered ) 1O_GPN TOTAL DEPTH 2290 ► _ i _ Use additional pages necessary to complete fog, Fine! Pumping ‘ Water Le�r� � � '� PUMP ! N T LLATJON REP'OR ► _,i . '- i S l M ii..,;z ii- . . ...,.>%-.„HN. 4:,5, i! :.,,,,_ _, 7---,z›,::: -N ' oweredb - �. l y° 3urnp Serial• l o . 8P -� �r i 7:.,... Iy.i No. I .'- , a'p • �—IWATER V�lotor Se I _ _ ...J } ;„)LIJ > TABLE ) ate Installed 9 7. -10 - 2k +.ii 7 ihi .p - -- �_ . i e 4 h '�' ' u rn Intake De th gr. . i•-• i �� 4 .o �► •.. � .ti .�. r r �� r 1 ' w o .ra .,� rrarls �S S . .y C +r ,� L y47. • z -s-_-._.•-. . } r at. 4 � , 1,• `•, % • 1 :sp 0.1 1= t % . • .4••% tr:- ! i VELL TEST DATA WITH PERMANENT PUMP —a #11 L0 : k' ; )ate Tested 9 — _' 74___._._______________ a . 2& am.' r pi. 4„:`. CONE PF static Water Level Prior Test __________80±_______ o w i�rr �- • t • _enath of Test 2 Hours , : T•) ; ustained yield ( Metered) 10 GPM I )ur- -; r' r e Water Level t IL{tic. q Remarks � ' u r' � � _ ._ ;1'1;3/4 . CONTRACTORS STATEMENT The undersigned , being duly sworn upon oath , deposes and says that he is the contractor . f � the well or . pump installation described hereon ; that he has read the statement made hereon ; knows the con thereof, and that the same is true of his own knovv! edge . tent Signature _ n & Hui n L . � _ License No . State of Colorado, County of We Subscribed and sworn to before me this - hTay of _sep t ArC e r 19 �'1 1 a yomrr� ion expires : a Notary Public _ .ti- f t4 , IFORM TO BE MADE OUT IN QUADRUPLICATE : WHITE TE FORM must be an original copy PY on both sides and signed. ' i WHITE AND GREEN capes n-lut be filed with the State Engineer. P !N K COPY is for the Owner and YELLOW COPY is for the Driller. r- WR , 5- 72 COLORADO DIVISION OF WATER RESOURCES 101 Columbine Bldg ., 1845 Sherman St., Denver, Colorado 80203 PER rirk\ MIT R� IT APPLICATION AT �! FORM 514 Application must r - be complete where here ( ) A PERMIT TO USE GROUND WATER 1 \ 5 applicable. Type or ( ) A PERMIT TO CONSTRUCT A WELL r print in BLACK FOR : ( ) A PERMIT TO INSTALL A PUMP It 01 o� INK. No overstrikes �+� � �; =4 �� € r erasures unless ` �' t REPLACEMENT T FOR NO . w -� initialed . E ( ) °THE ( ( 1 ) APPLICANT � mailing addressOFFICE ��_T FOR US E ONLY : DO N O T WRITE IN THIS COLUMN NAME TR.? " liSTa G CIe o1 ,S s , Inc Receipt No. 3.S7öf/ �r, • STREET_ .. Bo 185 Basin T CITY t en ton Colo . 80601 Dist, ( State) ( 7 :p ) CONDITIONS OF APPROVAL TELEPHONE NO . 6ic#9 - i 70O _ This well shall be used in such a way as to cause no material injury to existing water rights. The ( 2 ) LOCATION OF PROPOSED MLA_ 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 County -- . I'' el ( - right from seeking relief in a civil court action . SE _ . % of the SE Yi . Section Twp _1 _ N , Rnq. _ (, ", 21 ' ,T - th p. m. InttaII plain casings from stews deism toe m depth of_211 -f - and properly sealed to prevent the pumping or (3 ) WATER USE AND WELL DATA approprietbn of tributaly warn trela Proposed maximum pumping rate (gpm ) _ 1 PPRO1 D F R TIE IRRIGATION CF NO MORE TEO' C NE ACRE . f' Average annual amount of ground water to be appropriated (acre-feet) : 1 . Number of acres to be irrigated : None Proposed Iota' depth (feet ) : . 100 r Aquifer ground water is to be obtained from : - - hn Owner's well designation - -_ GROUND WATER TO BE USED FOR ( ) HOUSEHOLD USE ONLY , no irrigation (a ) ( . DOMESTIC ( 1 ) ( ) INDUSTRIAL ( 5) ( } LIVESTOCK ( 2) { ) IRRIGATION ( 6) ( ) COMMERCIAL ( 4) l ) MUNICIPAL S) ( ) OTHER (9 ) APPLICATION APPROVED - PERMIT NUMBER 7 c 9 : 7� (4 ) DRILLER DATE ISSUED • AUG 8 1914 Name ' 1 1 r r r, l an -_ - - EXPI RAT ,ATE AUG81816 Street 0 Box 189 .ele‘-b • f----- --'"er_________ Sis City _1 a ,) C , '`� L � +- an__ (STAT E IN , ( sta .a ) (zip) b R� ..1"1 E �r Telephone No. ___543_6=2..4.1,n_ Li _ 1 . D __ / ' 0 c?"--- \h/s . COUNTY € (5 ) THE LOCATION OF THE PROPOSED WELL and the area on ( 6 ) THE WELL- MUST BE LOCATED BELOW_ which the water will be used must be indicated on the diagram below. by distances from section lines . Use the CENTER SECTION ( 1 section , 640 acres ) for the well location . ÷ * .. -. — --� _' ---- - F _ _ _ 1 on ft, from n , t-. -.�. � . sec . lire 4- (north or south ) I ` d# ------ 1 M i LE, 5280 FEET ---- }-I t t i 1 ' _ ft. from _Fast Sec. line ei r feast or west )— 4— .+-4- H— LOT.--. BL..CCI _ .�_ F I LING C # _�__ - F s I NORTH SECTION LINE _ SUBDIVISION . . i I I (7 ) TRACT ON WHICH WELL Il1ILL BE I I LOCATED NORTH , — 2 _l I 4 — ..� s li _ a + — 7)1 —I— r if NJc , of acres , . C . Will this be M a nal the only well on this tract? Nn i_ ......,____w 3 3 (8 ) PROPOSED CASING PROGRAM I 2 En ' ralaln Casing La -It- -4-- 3 — —1— — __r ___. m ± te 5 9 / 1 6 in , from n ft. to 2fl _ ft, f 114 in , from . 2O ft, to 260 ft •L- -ti-- 4- - —i .T-._ Perforated casing SOUTH SECTION LINE I I 1-1-- -,._ in . from 2A0 ft + --i- ef- f -t- sailmia , -,,, in , from _ ft. to -- - ft. • i I -I • '� (9 ) FOR REPLACEMENT WELLS give distance -1 - --.-• -I,-. _l .. :..,. s .�.� - =_ . _ and direction from old welt and plans for plugging 4— � . { it : • - ; , ;- , . ; .t- i , - 4 . . 2 . , '�; . . The scale. aft cliagc?ry ,is 2. inch s 9 • niigb Each- small square represents 40 acres. WATER, EQUIVALENTS TABLE ( Rounded Figures) -An acre-foot acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second ( cfs} . . , 449 gafions per minute (gprn) A. farniiy of 5 will require aµprcxima: ew I acre-fora of water per year. 1 acre-foot . . - 43,560 cubic feet . . . 325, 900 gallons. 1 .000 gpm pumped continuously for one day produces 4 .42 acre- feet . --- - --- . ( 10 ) LAND ON WHICH GROUND WATERMILL BE. USA Owner ( s) : --- - r` th _ Ta cry LR No . of acres : Legal description: S74- S ? ' `j' • P .66.1AT 6th PM____________ ( 11 ) QETAI LED DESCRIPTION of the use of ground water : of .oI d tics ( 12 ) OTHER WATER RIGHT used on this € and , incl , ding wells. Type or right Used for ( purpose ) Description of land on which used s__,___a_s.a...____ __......__..( 't53if: U;oe- COF-v4v4k5/nlrALOta.___._______________.. ( 13 ) THE APPLICANT ( S ) STA E ( ) THAT THE I N EORMATI OIL SET FORTH HEREON N IS TRU 0 THE BES F HIS KNOWLEDGE , e. ,P7,3"-}re _ ,, I leaf I- SIGN TURF OF APPL. I NT(S) t Use additional sheets of paper if more space is required . ._ ... , t , vafral) %NF .1-26 72 COLORADO DIVISION OF WATER RESOURCES P 0511 - 'flails F9RX11 MUST BE SUBMITTED 300 Cttt ., Ni-Tiiir DAYS OF. COMP LETIoN OF ��� •�4tQ�{ K. QE��RIBED HERE - � Denver, CoIor �do 80203 . - _ . _ _ - \1 �'�SIVOI fa ON . TYPE OR KUM' IN BLACK . WELL COMPLETION AND PUMP I STALLATION REPORT SIAMCOllee INK. 42 7 - -- PERMIT NUMBER ` . ' } WELL OWNER Albert T . _ T agawa IPA �a f 1 �r� 1 tt t , -- -- — _ v the _ - 7 of Sec. R ADDRESS ESS Pariglaton , Ccilorado 80601 . 1 - ---_. N - - 65 W 6th DATE COMPLETED . November 28 , 1971_ 1HOLE DIAMETER t ,WELL LOG 9 —in from., 0 to 2n3 ft, I. ' 'Hater 1 972 . F-- 0 _ in.from 203 to ft. From To � TYp�e and Color of Material • .. Loot. �. _ -- — IT--- 3 w I 3 . '_ J ice. fror�'i • 51 • 56_ _ _ _ t. . S 56 � j BILLING METHOD r_� Dfl fireaAl' iECORD : Plain 83 i Sc85 lay - C - -- - , . .. Casing c 88 _Gr av el Size 6 &c kinds .e e1 from to _ 203 ft, 88 226 . Shale : . kin 226 : 227 . Rock - Size a & kind steel from 203 to .� 912 ft. 227 , 238 Dirty Sand 238 244 Sand Size & kind _ from - _ to ft, 2414-• 280 Shale 280 290 I Sand Perforated Casing 29O ! 345 ale i 3145 ' 5 Dirty Sa d a ••$ i7e 7 & kind Steel from972 ft _ 350 1437 Shale . . • L,-37 )-I45 Dirty Sabd Size & kird - . from to_ ft. - 445 472 Shale . y _ L72 41,74 Rick $ ize & kind from .. _ to ft. 473 I 557 Shale _ i . . . . 557 559 Bock piROUTING RECORD 559 578 Shale _ • I 578 580 Rock 1 Material cement 5805 5 Snady Shale g - 585 586 Rock ;fintervais 5/15 -- 897 /97 _ — _ _ - 596 59 + Shale 1 I 591 - 593 Rock Placement Method Pressure 598 607 Sand 607 625 Shale 625 625 Rc� � _ _ _ bRAVELPACIC ._ _MSira _._ . . . .. .. - - _ . -NTi7r'` •' rte- -ti.. :N.• 626 730 Shale Interval 730 731 Rock . 731 853 Shah :. .T . TEST C ATA 850 867 Fine Sand _ =. _. , � . , 867 875 Shale . . Date Tested . November 2 /1977 875 876 i1. 6-(2k F 'mot fi _.• — — �8 _� . r , . � 893 Rock - - - .J: t& c Water Level Prior to Test Wiaa._ 100 ft. 890 904 Shale a 904 909 Rock -Type of Test Pump ,sulortier 3 i b1 e 909 968 Sand _. ,.. . • 968 972 Shale JL r gth bf Test . C T S 97 ft Sustained Yield ( Metered ) .__._.__. IOGPN . - TOTAL DEPTH _ .--. - Asti 4 Use additional pages necessary to carr<ptete log. Striafr Pumping Water Level 2001 _ r 0- I • - I, ,,`~ •Tiles . \ •_, - • ' '� Ida _ A . ..a. ho PUMP INSTALLATION REPORT fr'�'' `'lli _ - y • ••, _ • r' r' - _ _ ":4114.1.; 1 • •J•y`,2% err . y : - • - i a Pump 47 � �i f , y '1...f' is - � •: iti, L t: 1 -L I `• J • k• Y.% - , !. Powered b • f ':•.' ';.Pun-1p Seual No . ... .'4 r tin r r Motor Serial No . \A a LE ta al re i MP Date Installed _ r _,-. -- `' 4 ccV),... Pump intake Depth a .,4. - , , 4 A7 I Remarks . era we sr • • _ t '1 fir. 1 s.pt . -- ' 1 / ` i ii / e a.• t S. 1 /4: 'a • • 4. I I + WELL TEST DATA WITH PERMANENT PUMP . . _ _ +�• ��ia. lr +. T 1 •ti, :: :I: u • .� C3 fe- Date Tested ' _ _ ; • Static Water Level Prior t wIndir �i is ` — tf � tt� C3 Test • •Length of Test _` Hours ler . : Sustained yield ( M►Metered ) GPI i ii r . . elf ., T it 0- 114 • L. a+l . r . 1 �r r . a r r Jam. —, - ti :f • 1 .• r.y --1 h 1 1 CONTRACTORS STATEMENT { ` . . a 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 - i thereof, and that the same-- true- cf hs-owrrknowtedgehe . • Hal d ein dc Holden - . . r r _r. : License No. .. , - - - tate of Colbradof . County of , Subscribed and sworn_ to before + - this hu'd of f My Com ..ese.ez________ , 19 22 . .. . iisston expires : ' • o9 . • r., iiii,of' . Notary 1:TibItc ,e, 7,_..,:d:arriar4 FORM TO SE MADE OUT IN QUA D R UPL ECA T Er Vitfi TE FORM most be an original eon both 'Y 4n t sic#es and signed. I WHITE AND GREEN copies must be filed with thaState-Engineentk.NK COPY is for the Owner and YELLDVI COPY is for the Driller. t ' � RJ, 5 75 COLORADO DIVISION OF WATER RESOURCES f 300 Columbine Bldg. , 1845 Sherman St. , Denver , Colorado 80203 WEN . PERMIT APPLICATION FORM Application must - lig2. 9. 117 be complete where ( ) A PERMIT TO USE GROUND WATEI --- applicable . Type or ) A PERMIT TO CONSTRUCT A WELL RCEt `' 0 print in BLACK FOR : ( X) A PERMIT TO INSTALL A PUMP +i�� RE INK,K. No overstrikes • Ax or erasures unless ( ) REPLACEMENT FOR NO. . .. .cote. in tia (ed . ( ) OTHER _ -- -- • WATER COURT CASE NO . -- ft .,.., s- ,` x f APPLICANT - mailing address — — . FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUN�(�LU o ,� k NAME .l Albert T . ` aga a - --- , Receipt No . F n. t 1 Box 1 8 STREET...` Basin Brighton Col orad 0601 Dist. - - Brighton CITY (State) ( Zip) CONDITIONS OF APPROVAL t 9-- 1 260 - TELEPHONE O . - This well shal 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 Weld right or preclude another owner of a vested water County - right from see€€ ing relief in a civil court action. NW NW.. '4 of the 14, Section 3 — Install plain . . „-_ fierti - - - s Twp 1 N M Rn9• (5 _��� , 6th P, M surface down to a minimum depth of ;h�, Si ( Ex and properly sealed top � � _. . prevent the pumpIng Of (3) WATER USE AND WELL DATA R--�— appropriation of tributary waters. Proposed maximum pumping rate ( 9pm) 5 Average annual amount of ground water 1 . 5 to be appropriated (acre-feet ) : a Number of acres to be irrigated : _. . Proposed total depth- (feet) : 290 Aquifer ground water is to be obtained from : araphoe Owner 's well designation GROUNDWATER TO BE USED FOR : _ . ( ) HOUSEHOLD USE ONLY - no irrigation ( 0) ( ) DOMESTIC ( 1 ) ( ) INDUSTRIAL ( 5) ( ) LIVESTOCK ( 2 ) ( ) I E RIGATION lei) ( ) COMMERCIAL ( 4 ) ( ) MUNICIPAL ( 8 ) ( ) OTHER (9 ) APPLICATION APPROVED • DETAIL THE USE CN BACK I ( 11 ) _ - 94287 DRILLER . - -- -�-- PERMIT NUMBER (4) DATE ISSUED 0CT18 1977 Holden e Holden . � Jane EXPIRAT RAT ATE _ CT 8 Street 1 O Box 188 Hudson , Colorado a • City __ E ( ETAT ENGINEE •. (State) ( zip) , Telephone No c3 62 �.. )f Lie . No . 1 BYI . D . 1#1 -4 - C22__ _____.. _� _ � �� �• , # COUNTY 6 02 - % � � � (5 ) T H E LOCATION OF T H E PROPOSED WELL and the e area on ---",.. —�,.,. which the water' will be used must be indicated on diagramtiti-; �� THE �'�IELL 11r1i)�T' � E LOCATED � �,L ~- below. by distances from section lines . . Use the CENTER .SECTION ( 1 section , 640 acres ) for the well location , 650 N - , ---b -�. -.4. __._ __ _ _ ___ nt.. --- __a__. _ i fit. from sec . i i � "'t" Irsorth or south ) 1 50 W , 1 MILE , 5220 FEET - -- I ft. fro 111 see, line iH 1- F Gast or crest) I LOT BLOCK FILING ; I f - - ---- I — ' N a R 1 H SECTION LINE .1_ ._._ , , _ SUBDIVISION _ r dS Ir (7) TRACT ON WHICH WELL WILL BE NORTH ' � E -I— 4— i. J _. .._ 4_ _ , _ 4 . _ ,,,, ± .7., g No . of acres 1 .__Will this be 1 a I CA E - 0 � • the only well on this tract? ± - + _ tau 3 GI zII (8) PROPOSED SEA ; ASII1 �PHf RA 1 r I Plain Casing I afa 6 in . from U _ I h . ft. to 200 ft. _ 1 '- 200 2I aJn. from ._}__ - _ fit. to y ft. .-. SOUTH SECTION -- - —4-- �- Perforated casing �i LINE 9 I k mot' - #in . from 250 it. to 290 ft. + - . :I- _i_. 4- —I- , in . from ft. to - ft. r I 3 (9 ) FOR REPLACEMENT WELLS givedistarice 4_ - - 4 ,.. IL —Is. + ._� H.a. and direction from old well and plans for plugging —� as — 4..a -- 4. it ; The scats of the diagram is 2 inches = 1 mile - Each smaft-square-represents 40 acres. - WATER EQUIVALENTS TABLE ( Rounded Figures) -- ' — _ __ _ Ar acre•foot covers I acre of land 1 foot deep 1 cubic foot per second (cfs) . . . 449 ga? Ions per minute (gpm) 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 gprn pumped continuously for one day p-oduces 4 , 42 acre- feet. • ( 10 ) LAND ON WHICH ROUND WATER WILL E- E Owner s :Albert T . Tagawa . '�i'� d NW-if 31 1� 1M65 No .. of acres : 5 Leg& description : 1 ( ii ) QETAILED DEaCRIPTIO I of the use of ground water: Household use disposal system to be used . e and darnstcr I s must indicate type of analiaastirr Domestic use - septic tank ( 1 2 ) QMEELVVATER RIGHTS used on this land, including webs_ Give and Registration Water Court Case Numbers . Type or right Used for ( purpose) Description of land on which used — , ( 13 ) THE APPLICANT (S ) STATE ( S ) THAT THE INFORMATION SET FORTH HEREON IS TR TO T E BST OF HIS KNOWLEDGE SIGIM EIRE OF APPLICA T -(g We additional sheets of paper if more space is required . . zxz . WELL CONSTRUCIIONII REPORT For OfBoo Use only 1 W STATE OF COLORADO, OFFICE OF THE STATE ENGINE I.•1Li_. .. •. _ ;It II ; ;. IL•c1I s i 0 ;nos • ' _. j : 1 IWELL PEFIATIP NUMBER _______LI.5. --__:i_a_g______2:- _ ijiv 2 5 200:3 N . WNER NAM E(S) i Cz Ci A `i 4 s', s . c_ t IY Y - . ' taifr Addr _ 9_9 2 _ s t 'to ; . , , �©. ` ' �, �. . cam► "1► % Co2zoicaz °I 05-- 0 -13 / Phone ; a NWaLLOCXnONASDRLLFD .31/4 5e, 1I4 Sec. 25 Tw■p. I KI s Range Lott DISTMCES FROM SEC. LINES: is ft. from 5 Sec. lima and 2,003Sic. line. OR F swth) Oast ar ARNO- SU I . ■Y-, ..- LOT BLOCK - FILING(UNIT) STREET ADDRESS AT WELL LOCATION: GROUND SURFACE ELEVATION . ft, DRIWNG hIETH - • i A . iOAThCOMPUITED . L 1 Lea , TOTAL C P1H So ft DES comak 1 ho es 8 ft. 5, GEOLOGIC LOG: 6. HOLE DV 44. (n) F To (It) Depth Description el ter, Water i) a ___Et_i . E4 stir , '` a _ . 0 a & iL In .■ .A0 S 4 7. PLAN CASING OD_a.... So(i nd Wall Size F Tgiti A ' '" O _Leas 5.3e sit 1 . 31s _ se) ii; . SING: Screen Slot Srze♦�-� a , MD _ 1 ■ SS i Ceres t1 4% I ,`_ YYY LIS s a FILTER PACK a PACKER PLACEMENT; _ Material Lo...ArtiC. L. Type Size riaCit.ies - interval _' 0 0 Depth N % 4 10, GROMIN3 RECORD: Material Arent Density Interval Placement REEKS: a _ _u.I 49 e€0 a- ' Zethettra. De, ...._,..e. al:54 antaktaa ` f s . e. ' . i..+i1 EDCCCNFE O : Type tiALOttgt• ZUCAC S oAn Used al thAiso ,..S. 5 al TEST DATk 0 Check box if Test Data is submitted on Foy No, GWS 39 Supplemental Wei Test_ TESTING METHOD - _ Static Level * 3 . ftDate int in tI gas 39 I Production 1, to tz 9■ 1. Pumping _met Dat a AA*& , Test Remarks � � i�- Hynes read the ■ 1•l7lifl `r-a .•Yol��lii-.e�ww.� .�� _a...i� —�_ • s ��camera ? a, s t they are thin to My knowledge. [Pursuant to Section 24-4404 3)(- CAS., the making of faise statements Wean constitutes pedant in ttbeAciegree and ss punis punishable angina j CONTRACTOR k . 4 .ge_24 Phone a tact( Lam. No Ate Mall II Add. • r++ ' ! s e�� ..-•o►' 'f m` I 1 .�.Si 1 .. �' ' `, t #+e (Pte r print) IA"' '. D iftteliate ISICti 941/4 • alb artomit AK Adatillilli.mista (0 -#23e3 war v aFarm No . OFFICE OF THE STATE ENGINEER • GW 25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg . , 1313 Sherman St.. , Denver, Coicrado 80203 (303) 86-3581 1200 WELL PERMIT NUMBER 195 i RJ R LICANT DIV. -I ��,rD 2 DES . BASIN D APPROVED WELL LOCATION WELD COUNTY SW 114 SE 1 /4 Section 25 TAGAWA GREENHOUSES INC Township 'I N Range 66 W Sixth RM . 17999 WCR 4 DISTANCES FROM SECTION LINES BRIGHTON ,N , CO 30603 - f 9 Ft. from South Section Line 2003 Ft. from East Section Line 3) - 1 O UTM C ORD , NA.TES PERMIT T ► CONSTRUCT A WELL Northing : 44292A Fasting : 523668 ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1 ) This well shall be used iii such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant 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 Installa :ion Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-00-137(2) for the replacement of an existing well, permit no, 195-k (decreed by the Division 1 Water Court as f ll in. 1 - 195, ease no. W-917), Upon completion of the new well , the old well must be plugged and abandoned in accordance with Rule 16 of the Water Well Construction Rules. A Well Abandonment Report form must be submitted within sixty (60 ) days of abandonment of the old well. 4 ) Approval of this replacement well perm t sha°1 not result in an expanded use of ground water. The use of ground water from this wrcie!I is restricted to the irrigation of 55 acres, 5) The maximum pumping rate of this well shatE not exceed 1103 GPM . 6) The annual amount of ground water to be appropriated shall not exceed 165 acre.feet. 7) The owner shall mark the well in a conspicuous place with well permit number(s ), name of the aquifer, and court case number3 as appropriate. The owner shall take necessary means and precautions to preserve those markings . 8) This well shall not be pumped unless included in 2 court approved prawn for augn- entatior or a suastituta water supply plan approved by the State Engineer. 9) A totalizing flow meter must be installed on thio well and maintained in good working ordYr-. Permanent records of all diversio:'s must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 10) This replacement well shall not be constructed any closer to any other existing well than the well it is replactnq, if such other well is within 600 feet of the replacement, is completed in the same aquifer, and is not owned by the applicant.. 11 ) This well shall be constructed not more than 200 feet from the original well lnrention. The decreed well location is inconsistent with the actual well location and the decree siould be amended to correspond with the actual well location . 12) This well is subject to administration by the Division Engineer in accordance with applicable decrees , statutes, rules; and regulations. NOTE : This permit has been approved with a change to the well location based on the field inspection. You are hereby notified that you have the right to appea, the issuance of this perm's, by filing a written request with this office within sixty (60) days of the date of issuance pursuant to the State Administrative Procedures Act. ( See Section 24 -4-104 through 106, C , R. S .) APPROVED ED JP OW 4 S ate Engineer By ' Receipt No. 0505341 DATE ISSUED 04- 01 -2003 EXPIRATION DATE 04-01 -2004 sue. m Px t-1f11"l4•FaiP.'fi: y.a.s . � ®a FprmNo . OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 C ntenniwt Bldg . , 1313 Shecmai SL : Denver, Colorado 30 '203 (303) 886-3581 1200 WELL PERMIT NUMBER 195 - R ARP CANT DIV . I WD2 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SW 114 SE 1 /4 Section 25 TAGAWA GREENHOUSES INC —ownship 1 N Range 66 W Sixth P .M . 17999 ' CR 4 DISTANCFS FROM SECTION LINES BRIGHTON , CO 80603 - 79 Ft. From South Section Line 2003 Ft. from East Section Line 303 i - �( ►;� UTM COORDINATES PERMIT TO CONSTRUCT A WELL Northingl : 4429283 Easfing : 523668 iSSUAR• CE OF THIS PERMIT DOES NOT CONIFER 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 assure the applicant that no injury will occur to another vested water right cr 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 Weil Construction Rules 2 CCR 402-2 , unless approval of a variance Las been Granted by the State Board of Exarnbers of Water Well Construction and Pump Installation Contractors in accordance with Rule 18, 3 ) Approved pursuant to CRS 37-90-137 (2) for the replacement of an existing well, permit no. 195-R (decreed by the Division 1 Water Court as Well no. 1 - 195, case no, W-91 ? ). Upon completion of the new well , the old well must be pugged and abandoned in accordance with Rule 16 of the Water Well Construction Rules- A Well Abandonment Report form. must be submitted within sixty (60) days of abandonment of the old well. 4) Approval of this replacement well permit shall not result in an expanded use of ground water. T :e use of around water from this well is restricted to the irrigation of 55 acres . 5) The max.i,ricm pumping rate of this well shalt not exceed 1100 GPM . 6) The annual amount Di ground water to be appropriated shall not exceed 270 acre--feet. h3owner shall mark the well Vt a conspicuous with well : nurnbe s i of the aquifer, and court case . 7 ) umber(s) as �. 1 place pe rrr I- �� name t,, appropriate . The owner shall take necessary means and precautions to preserve these markings. 8) This waUJ shall not be pumped unless included in a tour approved plan for au.gmentatior, or at-substitute water supply plan approved by the State Engineer. g, 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 10) This replacement well shall not be constructed any closer to any other existing well than the +pelf it is replacing, if such other well is within 6G0 feet of the replacement, is sornpleted in the same aquifer, and is not owned by the applicant. 11 ) This well shall be constructed not more than 200 feet from the original well location. The decreed well location is inconsistent with the actual we:l location and the decree should be amended to correspond with the actual well location. • 12) This well is subject to administration by the Division Engineer in accordance veltlt appf cable decrees , statutes, rules , and regulations. NOTE: This permit has been approved with a change to the well location based or; the field inspection. You are hereby notified that ycu have the right to appeal the issuance of this permit, by filing a witten request with this office within sixty (60) days of the date of issuance, pursuant to the State Administrative Procedures Act (See Section 24 -4-104 through 105, C. R-S .) I Condition no , 6 is amended to 270 acre- feet pursuant to a request by the applicant and a review of the augmentation replacements provided by the Central Colorado Waiter Consentancy District J 1 5/ 13/03 J APPROVED t _see-9-#1 dre.lif;te _ iEngiheerm By ,,`Receipt No, 0505341 DATE ISSUED 04-01 -20C3 EXPIRATION DATE 04-01 -2004 . 4 . Igs - P. P--- O50s39 / LRESOURCES FIELD INSPECTION REPORT Division I District C VA I OF PE T/O 1 3125/63 PURPOSE OF INSPECTION REG. OTHER: LjErnerqency Redrill APPLICANT: Tagawa Greenhouses PERSON ADDRESS: �J1y ��y.��(i �7j�{�j/f WATER)/ /.� CONTACTED: RJ Swartz ! �4f�� r T �� �' r / � ��. ` COMMISSIONER: ROBERT O E f Brighton, co 80601 PHONE # (3031 857-0742 PHONE: EXISTING WELL L O A TION, SW174, 5E 1/4, SECTION 25 TOWNSHIP 6 W SIXTH P. M. Di, T. 79 FROM ,3 SEC. LINE, 2003 FROMSEC. LINE; COUNTY-{ E i... � L �I Y�� �� � T Y- ADAMS IF REPLACEMENT, GIVE DISTANCE AND DIRECTION TO NEW WELL SITE- 120 feet TYPE OF WELL : drilled OTHER WEL L S ON THIS PA R EL ? yes HOW MANY? 4 PE RA417 , ASE , USE? see comments EST DATE WELL C NS TR TED: 1944 DATE OF FIRST USE: 944 EST. PUMPING 1100 GPM TOTAL # OF ACRES IN THIS TRACT/PARCEL : 120 ACRES ADDRESS OF PROPERTY IF DIFFERENT THAN ABOVE: n/a SUBDIVISION OR OTHER PARCEL INFO: nfa ACRES IRRIGA TED (non-exempt/crop irr. ) 55 NAMEAUG�' OF � � PEA N. Central USE OF WELL: • household use in single family dwellings) I watering of poultry and/or domestic animals watering of livestock on a tarn or ranch- how many head? 40 feed lot- how many head? O. historic lawn and garden irrigation 55 acres or s X fire protection q, ft. LI commercial other (see comments) WERE THE USES CLAIMED ABOVE INITIATED PRIOR TO SIGNED: .,rte din COMMENTS: permit ft 0195, w-917, other wells for domestic f/y�•j�� J// /{�J @3/31/03, tl?�'S ��'C use: 014531 -F, 75947, 38931, 94287 B'P'S.. 523668 ! 4429283 13: 11 :52 r _ LV/''"' w +� pS �:e �f C, � 'T:•L.;• r .p, t;i i r -': . i it:IL?---k r ry<< r; y r r-. °' ;rrT 3i-' 'F 1 '7Ym.liF 4? .'iJ e 't y r. J. 'f - t . •Y; tk;14 rcft fr�t : _ COLORADO DIVISION OF WATER RESOURCES - DEPARTMENT OF NATURAL RESOURCES _ RECEIVED FEB 2 1313 SHERIVIAN ST., RNI DENVER�. 818 DE ER Co 80203 200J phone - info: (303) 866-3587 main : (303) 866:3581 N FEB 0 6 Z003 GENERAL PURPOSE s1WateTWell Permit Application - T aL "iI ES (Please note: other forms are available for specific uses including residential, livestock, mnonitoringtohse ' erv_, gravel pits, tr8 fCioid weilej Review instructions rinr to completing form Must be completed in bl 9nk or typed 1 . APPLICANT INFORMATION j 6 . USE OF WELL (please attach detailed description) Marne of ippliCartli0 INDUSTRIAL O OTHER : Tagawa Greenhouses Inc . E3 COMMERCIAL 0 MUNICIPAL Mailing Addrars DC IRRIGATION OF GREENHOUSE AND LAND . 1799 ? Weld County Road 4 - • 0 FED LOT — number of head : 7 . WELL DATA C:ty State Zip Code . MS*rr piping rats Annual amount Brighton Ca 80603 j 11C prn 270 acre-feet Tatal depth Aquifer eet- T r�.rrnbcr . tea - — -. _ _ - . app r .. 9 3 {{ ALLUVIAL - _ 1 303 - 659 - 1260 8. LAND ON WHICH GROUND WATER WILL BE USED 2. TYPE OF APPLICATION (check applicable bolas)) A. LEGAL DESCRIPTION (may be provided as an atcnmentt: 0 Construct new well !..] Use existing well SEE ATTACHMENT I El Replace existing well 0 Change or Increase Use 0 Change (source) Aquifer 0 F eapp►l;cadon (expired permit) O Other : . itf used for crop irrigation. attach scaled map that shows irrigated area.) 3 . REFER TO (if applicable) ' S. it acre. C. Owner Waiter court. cast S Permit t 120 Tagawa Greenhouse W917 0195 D. List any other weft or water lights used en this land: Emer r_ncy Verbil # Monitoring hole acknowledgment 0 NE- I ill - SEE ATTACHMENT We:t name or S 9 . PROPOSED WELL DRILLER (opthnai) MAIN Name license number 14 ! L+.CATION -OF WELL Layne. Western r 1200 county Qu edquarter Quarter 10 . SIGNATURE of applicant ( s) or authorized agent WELD L % '4 The making of false statements herein constitutes r' perjury Section Township N or S Range E or W Principal Mdridian in the second degree , which is punishable as a class 1 mis- - 25 1 Ej O 66 0 6 demeanor pursuant to C.R.S . 24-4-104( 13)(a) . I have read Distance of well from section ine:a the statementsherein , know the contents thereof, and state 58 _fit front' N a� _ 19n ________ ._._ft from_ 1 _ E O w_ tI)at ttte _are true_to my knowledge Wso itcsticn bretm+r. ill €tfs/art f rwn r'r►llrsont esIran rF ap-plicAtJel Must be - - #,i - turd . ." PO . decal for replacement wale *Sy - Mince and dre'clan from old well to new wail ged.t) t p . 2 / 7 / 03 60 feet NEE direction OPTIONAL INFORMATION 5 . TRACT ON WHICH WELL WILL BE LOCATED US•Gs macs name DWRrnaa rro_ sur^ace elev._ i A. LEGAL DESCRIPTION !nay be provided as art attachment); Invoice 1;35341 Office Use Only itkicii. -.� ! i,:I . v -t wi. SEE ATTACHED LEGAL DESCRIPTION (A..01,47, 203 / 40...._........ ...01 �`�, ` � r} ID ; 3 SEg . ate DIV !(e) Q C,,,. 1`)1/4 (.,' L, '( ;vFci - 1 O L Check Putch ≥sr- #131.2a6 Co B. STATE PARCEL _ _ t cf SSA. ) "f ! C.: Sl* C L 1/463- 346 5 7 HAS Ac‘ wo 2.. , C_ teas in tract o- On 120 Tagawa Greenhouse Inc BA E. Will this be the only well on this tract? O YES B NO ( f other we#lk are on this tract, see instructions ) USE(S) MD Form GWS-45 (12/95) 1 J :11T 3 :T A LEGAL DESCRIPTION ., 2404487 B-1457 P--36-8 08/ 29 /94 04 : 36? 5 OF 7 FEB 0 6 2003 PkRCEL 1 ; L lTr,lATh MO` s Lots 57 through 64 , inclusive , Subdivision of Section 31 , Township 1 North , Range 65 West of the 5th P . M . , County of Weld . State of Colorado , according to the Plat of said Section by The Hudson Land Ccnpany , recorded in Rook 5 of Maps Page 12 . EXCEPT the following described property : r J All that part of Lots 59 aria 60 , Subdivision of Section i 1 , Township 1 North , Range 65 West of the 6th P . M . , according to plat of said section by The Hudson Land company , recorded in Book 5 of Maps , Page 122 , more particularly described as follows : Beginning 460 feet South of the Northwestcorner of said Section ; thence South 2O0 fee ; thence East ] OO fees. ; thence Nortrh 200 feeti thence West 304 feet tf the Point of Beginning .. ALSO the following described tract of land in Section 31 , Township 1 North , Range 65 West of the 6th P . M , County of Wald , Stare of Colorado / Beginning at the Northeast corner of said Lot 57 , which point if 1650 feet East of the Northwest corner of said section 31 ; thence South on the East line or Lots 57 , 59 , 61 , and 63 , in said subdivision of said Section 31 , 132O feet tare or less , to the Southeast corner of said Lot 63 ; thence East on the South line of said Lots 63 and 54 projected 470 feet ; thence North 24 degrees 10 minutes West 430 feet ; thence North 01 degree 51 minutes East 555 feet ; thence North 09 degrees West 38O feet to the North line of said Section 31 ; thence West 250 feet to the point of beginning . ALSO the SEI / 4 of the Sal / 4 and the E1 / 2 of the SW1 / 4 of the SZ1 / 4 of Section 25 . Tee,►ns : ip 1 North , Range 66 West of the 6th P , ]4 . , County of Weld , State of Colorado . Together with a11. ,darer rights and all wells and equipment used for the irriga ¢ ion of said land including , but nor. limited to , Well No , 1 , adjLdicated December 31 , 1911 in Case No . W-917 , in the War- er Cnurr in and for i`ater Division No , 1 , SL. aiLc of Colorado , at a pumping rate act to exceed 1100 CPM to irrigate a minimum of a& aces . " "To;ether with all 'dater rights and all wa11s and equip*zain. : used for the 4rr' igArion of said land including , but not limited to , Well No _ 2 , adjudicated December 31 , 19r ] , in Case No . `4 -917 , in the Water Court In and for Watar Division No . 1 . State of CoLcrado , ac a pumping rate not to exceed 50 GPM tot irrigate a minimum of 113 acres - " "Together wiCh act assignment of 12 shares of the capital stock of nia iar iers Reservoir and Irrigation Company . " <nr._+smp+�3tf� ,yy, ypgr„. 43voimie.#isanrarasfwanara -^- - - a...w:raicc.,... • «�_ .c...-...,...�-�-ao.,a-mac - . 0. ki itil . N • A Ta , awa Greenhouse Inc . 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IF ei I. 11LL . r• 1. fir. . . .......4 7<. •r• r• •- •••• . • •tilk4 .. �} I� • f�/ T• ?' . -••Ili • i•'r{•�.la f,.�of t-r• •. w r.\ • r� r? 1 I •J r_ 1"'a►'+1- r 'h J6/ ' _ ram a ;` ,�y�� dA ', AI r•�,I•� tom.._ s _ I �■s: ......11'.r ` '• i�ASPS xrxr r f ,rti _ �I�'fT • • •�' w •r •+'it 1 P I' • * • „ 4 +`'I� r �" +.. - f a r �.n' •+.1I' an...... .. •Jt.• 3'.+_. r,a. + • ' Y ! at. . . rss�y :L• f 4 - - IMMS _Sh • 1 M 1 IEE I 1 i I 1 1 I I r z-G END --,,,H.,___._._i A Portion C)f I a __. ..__ a.a... ..„_. . .. as QL'ARTERsgCT,oy LINE _.-'- Until a} r AR CEL NUMBER r20, 760 . Peivi\-d-- no . ) 95- R fccofr Iv) . 5702S-31 1 „7-a-a rem ' ., © L } \:\Nlinki I ' 1 central conservancy 32C9 West 28th Street Greeley, Colorado 80634 (970) 330-4540 • Metro (303) 825-0474 FAX (970) 330-4546 Arm Mr. RI Swartz • Tagawa Greenhouse 17999 \VCR 4 Brighton, CO 80603 5/5/03 Dear Mr. S w rtz, As per your request the following irifomiatio.n is being provided: Contract 4473 for Tagawa Greenhouses, Inc well 4195 covers 120 acres. The amount of au Ientation water allotted is 19 .85 acre-feet, this number appears low due to the 12 shares of stock in the Farmers Reservoir & Irrigation Company that are listed on your contract. Please contact us if any further infoir.nation is needed Thank you. - Sincerely, ert-e----n d17' -d-iji--- 1-e -7161/freLli / _ , , Lynn Kramer, Contracts Manager • A ‘ -- AO • II PRA - PETITION FOR CLASS D IRRIGATION WATER-ALLOTTvi ENT CONTRACT60 ff21 f r,OM THE G Ct�ha�� Sri .4TEFMANAGEMENT I I; T �?1 T ° ( 'I,es c) . `J . . i . OFTHE G `JTRAL COLORADO WATER CONSERVANCY DISTRICT PM1lrtrrtantr• hnre*!riallr•r riatrinti. It^rrny rr,''tinnt Ciro Growler, Wale; 1,A,7racririNtI Subdrctna:! 010141 Ccnlrai Colorado Water Conservancy Oistriet, 3 po'itreal ri sul divi5Jon of ilia Stale cl Colorado orgamicia Arid existing py value of Section 3745- 10 t . e, seq. C R S.. rot a Class 0lrrrgalien 'Alater A:Iolrnent Contract for i bencl'cial use: of warn:r ur.dr~r ;tut irillonir'g terms aril Conditions i Narnc, aidret5 and re'Cfihenc min-bier 0: Pc:li,rmn 'er ( .1150 re a.:dress 01 IOca" re11rese#tri.v+r, II any} tagawa Greenhouses , In; _ - • Ke=n :Tagawa - . 17999 WCR N4 Brighton , CC 80601 1 Phone . - 659 -1260 2. Farr t0 number ftta be assigner by Subdistrict), 1- 95 4/ 73 4 g4 3 List quarter section- sechan. ICwnSh'ro. and range al lands covered by this pet'libn (attach copy o' property deed): See Attached t w ad County - , 4. Total acres o' land rr1 l]ara;iraQh 3: 12C . ►. 5 Pc_tr(ion'tr ooraN and: or tzSCN cm lhP above-d'?sc:ifcd lands the lolewing water rights (attach copy of well decreelsir a well inlorrnalacn• - WeII Piirrnrt 'Location (Qtra.rtcr, Pumpknv . ..° a 6r Registration No . ' Quarter. - Ciaal ity Ad(trdlcatien • • • if any Section. TA l ig.R m.) Case Ho. 0195 SE4 S25 TIN R5 6 113O W-917 J , • b- Surface walla- fI:gl,ts Inlormalion 41 } Shares of Stack rn mutual ditch/reservoir and/or irr^gation Companies delivered ha above-descri;, d lame (treat COI:Nada-Big Ther•r-,pson as a SPMarale company) No. col shares ownea. ranted or Narne IL telephone no mbar al dllcI iii Ann q al Company kiss and used on IhJs farm rlderfStlperrtsor of othot gificlal I - Farmers Reservoir & Irri.g . Co . 12 Tom Fisher me Supt . a a (2) Decreed surface Natr rights owned try Petitioner other than through a company (fill out only it water rfphls not part of adlt h of reservoir Company) ( dt.ta4Jh cr3uy or deci ee) Ivf jmr o1 Ditch Amaarnl ni beee ee PerCcrniage Owr.ed (+r Ptsrrvo'e (second•Ieeilhcre-teat) of Total Prrcrrty Date 6 State aonlicabie acrr?ages of land described in Data graoh 3 that =A (Et irrigated Dy: • _ Sirelacr real-nt atone. - ,____ _ __'acres Method of :nigafjon- I r*..r. .t r:-wit:- 4,":-P. 120 fi —_acres �,t vily irrigated - - acres PI:mai:PT by st.rla ce waidr and surpremer+ted by 120 Sprinkler irrigated . acres • ground waxer . - --IICICS Pw+mardy by ground water and tupplcnirnteJ by . surface water acre$ T Thin uw 'arl arnrmltrs; rsi ,liicirrnr•nlalron plan raepl ceninnt water allotted Inr this farm is_ .9 . 85 . acre-feel. and the initial annual special • acc�Sctnent will lr't $ _181:I .. 58_ _____ at # 9_4 Q .--.._.._. nor acre- loot The arnounl al water illoll>;d. the special assessment and assessment per a c re •fraoi may cri angc ?tom year In year and Petitioner iota I e ROta 'S 61 a change in special assessment by a yearly bill of assessment. It i3 underslood and agrca d by Pcnllonr!f that the rl'aintrly of atigencrelalcon plan replacerna'*nt wat^r to be alraried I to be delermrned by the 8aard of OlirectGrs Or1 the basis of infi)crnaI^cn% rp rim 'n i'sr.3certl}l's ;j ihrou;.ti 6, in acculitancii wort the proposed Plan for Augmentation of the ^ � c Ground Wafer Management Subdistrict 0( the Cr!r i ad Sorry ado Water Carissrtriancy District in Case Jo. W. 7904 in the Disirrct Court in and lot Water f)istrtct Division No. I . Stale al Cptolaoo. or other plans • wh+cri alai be in elect In 'rd'u lc permit well pumping in accordance with rules and regcla3li►ons Of the Slate Engineer d' otherwise. The Subdis!rict will tako .sitar acitdns as it deems nr.•cessasy to promote a protect said plans ,. . .«...+.r. F`T1 T(O IE R MUST nit t: WIDE ALL INFORMATION REQUESTED OA THIS PETITION WILL NOT S€ A CCFPTFf? FOR Anima. rhir 1KFQRMA rlOe MUST Ge COSAECTANO AL:GRATE SINCE THE sugars micas RELIES ON IT TD GRANT THE CONTRACT'ANC CANNDr es tFSpoNSIRLE FOR fNCOPPECT C1R IN.40CL1AAT>: INFORMATION. • lily i.iEta, vA ytio0P le s.° Best Copy Available PC2t . ) 9S-- k -�- '1 g\ I tS Cj ftS l ti „ 1.\a ;caiiT AG AW A GREE FU SE S INC 17999 4 'E L D couvnrRai D 4 BRICHTCI , COLORADO 80603 PHONE: (3u3 65971:20 A-fa11; I r 1, 200 ' Office of the State Engineer Colorado Division of WaterResources SM ' Centennial Bldg 1313 ecmmmaaa St Denver,ver Colorado 80203 At: Heating Officer Dear Sin I need to protest the 165 acre foot IIrnthitJon which���eh has been placed upon ourReplacement lace ent 117e11, Permit # I95. I re qnes t hearing so thatlniaycxp/ain Our situation. Sincerely, . Sa .. ._ .... . . _ ..1. ' w�v ' -tea. •. • s J • 1 L—' i I GEOLOGIC LOG JUN 2 5 2thli Tagawa Farms Alluvial Replacement Well (Well Permit # 195-R) Drilled June 17, 2003 Geologist : Dennis Mc cane, C . P . G.. — Layne-Western, a Layne Christensen Company, 13ackgrpund : The geologic description below is based un a test hole drilled 10 feet west of the well site . The gain-size distribution of samples obtained while drilling the well were washed and not representative of the formation. Test1-role Drill method : The test hole that was drilled using dual-wall, air percussion methods using an AP- 1000 drill rig. Test hole samples are composite samples collected at 5 feet intervals. Samples were collected in .5 gallon buckets beneath a Cyclone sample collector_ Some minor sample washing occurred at depth due to increased water production . Laboratory sieve analyses were conducted for samples below 49 feet. General Geologic Description. The well is completed in the Beebe Draw portion of the South Platte Alluvial Aquifer. Grain size descriptions are based on the Modified Wentworth Scale (Lane et al , . 1947, Trans American Geophysical Union, as reported in AG! Data Sheet 17. 1 ). Percent sand, gravel and fines estimates are based on visual , volumetric estimates. DEPTH (ft) LITHOLOGY 0-4 Silty Sand : v. f. — med. gained . ; Poor Recovery; Moist . -9 Sandy Clay: Large clay balls up to 2" diarn. ; Numerous roots and organics.ics_ 14 Clay : Some v_ f sand; Hard; Dense. - 14- 19 Clay: As 9- 14 ft. ; High Plasticity. Clay: As 14- 19 19-23 f1 . 23 _24 Sand : Med gained sand and vi — med. gravel; moist; soft; clean . I 24-29 Sand : V. 1 — med . Grained; Loose; Clean; Light olive brown (5Y516) 29-34 Sand : As 24-29 ft; Few day balls with organics. 34-36 Sand: As 29-34 ft; Few clay bails with organics. 35-37 Clay : Hard; Dense; High Plasticity. 743 Sand : As 29-3 4 ft; with f — med . gavels (<5%); Few clay balls. — 4 j I _ 1 Y J ��+ I'. 2 5 2II03 DEPTH TAGAWA FARMS ALLUVIAL WELLSi . . . . - 4 r (It) LITHOLOGY (continued) 43 - Clay: Hard; Dense; High Plasticity. 44 _ Sand : As 29-34 ft; With € — med . gravels (<5 %); Few clay balls.49 49 -54 Sand : V. f — med. grained; With f — med . gavels (<5%). Wet at 54 ' . 54_ Gravelly Sand : V.f. -- med. grained sand with v. -- med . gravel. 59 59-6 1 Silty Sand : V. . — need . grained sand (70%) with. 30% silt; soupy sample. 61 -64 Clay: Hard; Dense; High plasticity and dry strength. 64-69 Sandy Gravel: 30 -90% v. f. — med. gavel with 10-30% sand ; Few rounded g gravel to 2"; Clean. 9-74 Sandy Gravel : As 64 -69 #t. More rounded gravels to 2" . 74-79 Sandy Gravel wit Cobbles : As 69-74 ft . Few sm, — It . cobbles at 77' . 79 Sandy Gravel : 69-74 ft. i Cemented Gravel: Very Hard; Silicious cementation Low Permeability. } Unable to penetrate with 26" drag bit; Reduce to 18" hit, penetrate, and ream out to 24". 3 90 Bedrock: Interbedded i — coarse grained sandstone with minor shale soft; friable; weathered. I i 1 P ♦ {t I I - 11 �► Well Nu ber: 18 in . Well A - Built �� ►)• • .„... ...--- lings; c r 11.1 • - V ‘,......2, . LB .„..,. Pe ` Perri-ill ( � mber: 1 95- F s it r r Date : 20-Jun-03 1 Borehole + 1 feet 42 Diameter zj;, : ,.+fsie . f >:•., . . .:.m feet 6" Diameter f •. :••••••••••:.. } {d�v__e 1S.gas Welded �J��(r [F Steel }�+/��+ Plate �y+ a..� • �' �•r /l Q ti , J �,1 •Y0.y• { {.0 %li � tfir = r , ::.f; ya. ..i...Crv: se. 30 A533 Steel 3�'5 '• • 'a1+'_. .,. - �`ta5"j,f ti LLW�Xt Y - -. - s X 375" 2,....„:74-53*, et..• a-::.,:sky. ,�� ;Y• !ni Cement �s '"" , ' rr��1,> 1. +tr �r — - •'y ��-', NIT . '�ev4pe Cement 0-,'54' k kiis k mss, . r . '. Cement 0-49' `��� a t �.,{ {.I°y a "z. ,�.yi,:7"y�.S�? i?e i �, �r i p s tir °+�trloitz .. 'W}}' "',rr " •-I'.-.E }•'r'�`.�'�•'"' '`l.{efA 4 •ti"' f•1r• i }+LY•Y {.Y• .44 f /�V� � ', 0' . : ; .:�� lte : Gravel Pack La Fame57/67 Gravel ti t .• feet Xt 54.,:..., 43 ....- rr } rq'�C : :'r"•''•1•- ■t Screen r 18" 304 SS Wire Wrapped �z; a+ 1 ` Slot T 4:.Fa • ,site.�•T,� �•. p .. . h... Screen Placement! —a r fS. .,:$4:4,..4:.'14,,.:-.'s- ♦.. .s. F"A" .:. • 65 to 83 ililepsmireings \SW"Y A., - 5 •. to ,:, r r4 eet ° .... 0,__:..< to 1'; 4: tY42'i ..'. .4Z" • . • i ;•kri6 to , t0 • • t4 • r_ - tO ..• g 83 feet ` s to ` r 83 feet Sum . 00 feet Hole Bottom to Casing - Total Screen Length = 18 Screen ago _,....... Layne-Western, Bentonite ate t" . .' a € sic of o a w s Sand Figure 1 :•;. Tawaga Alluvial Well Project Cement .:��ft { ti=• Br hton, Colorado ...........i 17800 E. 22nd Avenue Aurora, Colorado 80011 1 y i ' T Cc EI V ED FEB C 6 2003 ty►, ti9:..:z f"�� tts arE Ta.gawa Greenhouses Inc . c. 17 999 Weld County Road 4 Brighton,, o 80603 it 5 .e and Well #0195 Case W91 7 Provides water for greenhouse irrigation , cooling , and for agricultural crop irrigation . Well #014531F Greenhouse potable water system # CO- 0262735 Well # 75947 Domestic Residence We1D #38931 Domestic Residence Well #94287 Domestic Residence Surface water: Case w 917 : 12 shares Farmers Resermir & irrigation Company Mee ,.° R'f.'-_e.. vS' .'sYd.'AG::' SR , asv' SY"Y+s►a.�caevc.sacti rararrcr+�s-.n...rewn ..,. _,r..��•-.W—.-: .=+ rferawr +..anes.owvricn : �-tea..w--.xc 6 A • RECEIVED Tagawa Greenhouses Inc . 0 6 FEB 2003 17999 Weld County Road 4 R ri_ c, htcn , Co 80603 SKATE EN GI COM ;ri6 USE OF THE WELL Well #0195 is used to irrigate approximately 17 acres of Greenhouse crops , on a year round basis . If is also used to provide water for the pads(cooling towers) for the pad and fan cooling system during die warm months also used for agricultural crop irrigation. R eVII i. 94/ 203 ea 1. 5 : 20 97a- 230 - 454z . # ^ PAGE 04' - r 0. uCiliec: .. -at f f 1 a - Efe -4 2019 ill . . - • is - Nti" w;:* "' , !.I.14 _It - leymn •- MO •. '` y� a • :• _i Sr. TR '• ` - '�. • * • rR• �` • 7 V 1 04j;:al Ad • T.1 Y a.•'.-- ',r r.r' a -..'+R. ` r .t Lice . R. IN T a�E WATER 1 ER COURT IN AND FOR '�'1�U .,,jr:'`1'a. • r{r • ae1"#I ~ 'R - ° • R ��-�•�r4■ R. WATERDIVISI0N I , STATE C COLORADO •- #;' 4 7 "': - F ' . CASE N O .,., 9 P Z • slope • 1 aka a ,iy� •R��. �f�..yTT tr ��r.rR�y� •�.v 'Y r 77�--�-RR APPLICATION � �] T f a �' _ Z:111€15 t i +1 iT T nit 1 l.. r� �.,•.�� THE:i�:.1 ` i L ri• Vf lZ�,i �'�. FOR ti'l 4%; �w se'r._r �� r EU RIGHTS OP FINDINGS R IN �,�LD COUNT x 1 RE�, � - - - ` • R . •71'••• R THIS f a ' �•ILiFiT •• 1ir� E1R D having been filed with the Water Clerk , - �` e��,,�� . Z. R W .� Wteriisi ? * on April t' , 1971 and the Referee, beln & fully aUvl sed in the premises , does } erety find ; All notices required by law at the filing of , this application have been fulfilled , and the Referee has J uric am diction of this application ' . No statament of opposition to said application has been • filed } and the time for filing -such statement has expired . All matte' s contained In the application having been reviewed , and testimony having been taken where such testimony s necessary , �, a and such cc , r' ectscns made a+ 5 are indicated by the evidence presented herein , f IT IS fEREa- D= CfEED : z • The name and address or the a n licant : Fran !, Tagawa , Route 13 Box 185 , Brighton , Colorado , 80501 . 2 . The name or the structures to which the rights are hereby Decreed: Well Nc . 1- 195 , Well Na . 2s-414531-p . 3 . The le3al description or the z tructures : • - Well No , 1x195 is located at a point from which the SE corner of - Section 25 , TIN , R66W of the 6th P . M . bears S 1 ° 13 " a distance ^� 5 c 4th, East , eet . Well Nu . 2ft- 111531 - F is located at a point from which the SE carrier of Saeptscn • 25 , TIN , RSGW. berms ' South 33.041 , East ,, a distance of 700 feet . A . The source of water is groundwater . 5 • The dates of a prcpriation : W$ 11 . o . 1 - 195 , June 16 , 29411 . Well Noe 2 - 14531 - P , January 232 19704 • I • I i • SP • • laTTREMne ?rsi�xr��.�ri'� T.j�SF.. '���41R13a'�. e'F7O�.3y3iby'- - - a�y :rq�.7� ,��,a� f.� -l. M-v c ••. T rv1.1f -.+L ilk; . IP a • Pr C-0- ICE c (ii•a 44,., i t ""'.J ' 17 '�y I Tj. - ioF - 1 ••i 1{� r r •+� � ti�lif�r�4Eit �j .� { .Cs S. ».7r, ti.. 1 am II nr E' • iF - \� i 1 y.+ 1• 4 J 1 1 •I I 1 �. ■ • I•' 'lJ ;'•+- re ..� is , - - .a. (daiu; yl ' � . ti, 1 1' 111 �• ` tr. .�.' . a • ,y .- a i. T . ► ! . P . I .•Lii- .1. ; n 'r ' as r t 1J r (//I '6 IF 1 t Tr I ' . r :>L - f...". _ t• . , 1 . irr ,1 1 .� -1 4It l .L 1llitr rr 1d. �r +t. ' at. - •- .99ij A , . 1 f� y y } f s r.-'— . • 61 'v u f� LI 4.,} � C+ 1 1 ` ' •'` • 1 L i_% l • 'JAI c! �. 1 i t,�, . 1 r 1 r ( ' It" 1 p `• • '• X .L to •..1 4+i kJ '11 Iii les to Jr I.. .4 a Joy 3 C 4 i o 1 � � 4� L1 Ise is i a,7 e a and d W 4 2 ! +t 1 1 , fy r � � { ■ ' A 1 r . " i J141Ll 4 Z eras ed al ti' L 1 C.1 LIS ti . I: • ( 1r a • •a) T: 1 1 •� ea t r' n �''� +i` r " r1 inn �� +1 . rn } r y �' 4� a. L is J tL l .I I , 1: r� c. j 1 ! r s *i ' i J'j E 7 r f 'T 1 of t h c- ELII1 P . M s ,�. 1 II►••r�r ] I. ra L:• n = n 3 • a• 0. 0 O . i r, L Ai/ •• . 1 i + i .s` w t „.7.w7' _ ` a .• , 19 1 2 a 1// ( ) a Iti • ' -.•+..,a--. ies !o f"Tme . .fir ' ►a II.a. a -_ Water I� v , s ± on 1 ,, State cr. color ado 1 • • • i • • • It II �i•!s -z /4..r., brr. :. • �4. w ' ` "' 4r , /, ^-.r • -- 'i '. .a ,p �` y-' i a ! I. R�f�o,I�tl .*h�'91E ��Y•,{'�' �Tp� r 1 ,.r •6yKj?,�.,. rqi y, 7�.+.y' 1 x"t'+f7.L'5-1vlaYit.g. --.;- T r - mow` T .iUcF SX•":�C6`� init ..Yb '. F, "'8r:yaTe,'.+, V>eSt-3 ;12 ..i JI �' 5 ; ,,'i i •• ., .. +—, -r �,., ,if Pei- e S d. RECEIVED • • FE8 2 1 2003 Lots Fifty - seven ( 7 ) to S ixty e. four ( 64 ) , both i nC itaa `I-n s, 1 ,,mc:L" - in, subiviaion of Section Tbirtyeone CM ) . Township Ona COL ( 1 ) North Range Sixty-five Princi - pal Maridtani AND A tract of land in said Section Thirty - one ( 31 ) bounded and described as follows , toa it ; Beginning at the North east corner of said Lot Fiftyaseven ( 57 ) , which point of beginning is 1650 feet East of the Northwest ccruer of maid Section Thirtyeone ( 31 ) , thence South any the East i f satd Lc to Fitt w 3ev n ( 57 ) , Fi ft mine ( 59 ) , ix ye e ( 81 ) and Sixty - three C63 ) . 1320 feet , ire or leas to the Scut bea st carter of said lot . Sixty - three ( 53 ) , thence East on a Scuthline4tf said Lo a Sixcythree ( 63 ) , and Sixty ; four ( 4) prcJcted 470 feet , thence North 24 ' 101 West 430 feet , then:thencz Ncrth 1 . 55 ' East 555 feet , thence North We5t 380 ,! - e : to thia North line of said Section irt .. - lb ( 31 ) , hence West 250 feet to - the point of beginning , all the above described land being in Section ntirtycona ( 31 ) , Towlithip Oce ( 1 ) North , Range Sixty - five ( 65 ) Weat of the Sixth Principal Meridian ; AND The Southeast Quarter of the Sou hna t Quarter ( SE 1 / 4 1 / 4 ) and the mast Half of the Southwest Quarter of the South as2t ar car CE 1 / 2 SW 1 / 4 . 1 / 4 ) of Section Twenty five ( 25 ) , Township Dna ( 1 ) North , Range Sixtyasix ( 66 ) Waat of the Sixth Principal Meridian ; --s J a .r. ,a. a fF. ,ti 7 n C 19 rte, a ors 9 as +11 .a z 1 e. 11 a L . 4�Sg L air i S. I c a =arc o .IaD A s , with twelve ( 12 ) shame cf the capital sock of The 7armers Laservoir and Irrigatien Compamys - ., . • • .+ ♦. • • i A ' f y , j• " 1 • I�+ ^' ti a may. •- �.�._ .. . ar� ws - .5 5 • — �.�atitr� t o1 Lih 1 C ) L1 .1 .. { • S t as rI c nro ri $ I fln c rzi , 'r gaRISMAIIMIIIS .�Y•...-a.-,..... . 4.' Forai. STATE OF COLORADO For Office Use Orly , No . OFFICE OF THE STATE ENGINEER 7i GWS4O 818 Centennial B dg ., 1313 Sherman St. , Derver, CO 80203 j ,�. 612003. (303 ) 866-3581 Fax (333) 866-3589 ECEIVEL STATEMENT OF BENEFICIAL USE MAR 17 2004 . Insert the Well Permit Number I95 - RR . :,tiJ( Hi c:Ix. rii1.. S . n roil 6 4 NVt ipz- cr Name , address and phone of the well owner: NAME(S ) Tagatda. Greenhquses , Inc . Mailing Address _ 17999 Weld County Road 4 City, St. Zip Brighton , Co 80603 Phone ( 303 659 2 6 g 0. C-0 C3 ci i WELL LOCATION: County' Feld Owner's Weil Designation Ma n (Ad1€ess) . .. . . _ .. . . (City ) .. . . . . _ . . .. . (State) . . . (1p) S+ .1 /4 of the sE 114, Sec. 25 , Twp. 1 X N . or & I Range 66 ,_. E. or tI i ' y., ark P.M. i Distance from Section Lines _,-� s _ __ Ft From . N. or X S. , 2003 Ft. From . E. or ....... VI . Line. . Subdivision Name __ • Lot , Block , Filing nit _ _ -- - The well is being used for the folbw;rg purpose(s): Irrigation for 11 $ acrd of land and greenhouse Water from the well was frst used ber.:eficially under this permit number, for the above described purposes on 1 -- 1 — . (Do not report a date of use before the issued date of th]s permit.) = • The pumping rate claimed is 1100 ga:lons per minute . (From the Pump Installation and Test Report) The average annual amount of water diverted is 9 7 n _ . _. acre feet The land irrigated (watered) by water from this well is • 1 t 8 - E Acres r Square feet,�, described as : NurrLer See above legal description or as Subdivision Lots) Block Filing/Un t Weil constructed by: Layne Western License Nc . 12 Q 0. w 4 Pump Installed by : Layne Western License No . 12 00 3:: . . Meter Mfg. By : -i ? 1a ills - -- __ - _ . .�..._ Berial No. 03- 8- 37 Date Installed 1 - 1 - 3 I (we) claim and say that l (we) are the owner(s; of the well described above, know the contents cf the statements made herein , and state that they are true to my (our) kncwledQe. Please print the Signers Name & Title ' iGnatu (s ) of the owner. : i Date f k /rig 4r ti III r 14,6 Lidf&I& ) - . of � il) - - - S1 ,- ` For office Use Only I a State Engineer By Date I •,. _. . 7. .. .raJ..'•'.,_. y. f s.. t. :.; ::,.. t ,''. zP d ..e a w r$ _ .+ .. . ''4 _. C .. - J - ♦ '. a-• ttip k tr , b a.r r 01. 05341 195 R R L. Iv. 1 STATE OF COLORAIDO OFFICE OF THE STATE ENGINEER 0F . `ei Division of Water Resources Department of N'aural RCSOLIFLet5 wi r, .~. • March 10 , 2004 irc;n .- t `' 1313 Sherman Street, Room 818 K .�[. Denver, Colorado 80203 K 1876 Phone (303) 866-3581 FAX (303) 866.3589 dill Owens wv w.water•4t.2tn_C3 tic Governor Creg E. Walter TAGAWA GREENHOUSES INC Executive Director 17999 999 \NCR 4 Hai D. Siren., RE. State Engineer BRIGHTON CO 8C603- RE : 'veil Permit Number 195 R R Owner's Designation MAIN Located in the SW 114 , of the SE 1 /4 , Section 25, Township 1 N , Range 66 W, S P . M . • NOTICE This permit to construct a well and divert water for beneficial use was issued on 411 /2003 . The expiration date of the permit is 4/1 /2004 . In order for the permit to remain valid , certain actions must be taken by the well owner and documentation must be received prior to the expiration date of the permits As of this date, a completed Statement of Beneficial Use form or a request for extension of the expiration date has not been received by the Division of Water Resources . The permit was approved under Section 37-00- 137 (2), Colorado Revised Statutes, Under the statute, the welt must be constructed , pumping equipment installed and water diverted for beneficial use prior to the expiration date of the pert t. In order to affirm that the well was used prior to the expiration date , the well owner must complete and submit a Statement of Benefleiac Use, Form No. G\NS-10 .0 . The completed form must be received by the Division of Water Resources prior to the permit's expiration date. A blank Statement cf Beneficial Use form was provided with the copies of your original permit. If the well is not in use , the well owner may request, in writing, a one-time, one year extension of the expiration date. The request must be received with a $200 .00 (two hundred dollar) fling fee prior to the expiration date and must provide a reason or reasons for not having the well in use and why the expiration date should be extended for an additional year. if the well has been constructed, pumping equipment installed , and water will not be used until after the expiration date of the permit, the permit will expire and be of no force or effect. 1t will be necessary for you to obtain a new well permit by submitting a completed application for an existing we' 1 along with a $480. .00 (four hundred and eighty dollar) filing fee . If the expiration date has already been extended for one year, the statute does not allow more than one extension of time . If the well is not in use and the Statement of Beneficial Use is not received by the expiration date , the permit expires and is of no force or effect. If you have any questions or need additional forms , please contact any of the Division Field Office in your area, or the Ground Water Information Desk n Denver at (303) 866-3587 between the hours of 9 :00 am . and . 4 .00 p . m . , Monday through Friday. Thank-you for your immediate attention . . n •_r ••MfLfil Na. PUMP 1NSTALLM1ON AND TEST REPORT Far Office Lisa ar,h' i 10f34 STATE OF COLORADO, OFFICE CF THE STATE ENGINEER RECEIVED WELL PERMIT NUMBER .. ... t95 � _ _ i• DEC 2 2 2003 Z. OWNER NAME f { .C 4O r . wAT Rt t ,..c s ` STATr ENGNEER Mailing Address .53 _9 titicruzz. Cediglit b COLO. City, St Zip ac Pine ( , ', Loss _ moo • Ok ebg 3 - 3. WELL LOCATION AS RII 1 FD: 1 ,/4 SE 1 /4b Sec_ -2eS-2e, Twp. , age up 4 DISTANCES FROM SEC. LINES: Sec. line. and Z. 3 ft. from Sec. line, (no.m fit Our - - leasf6r veto; SUBDIVISION: LOT BLOCK FIUNG(UN] STREET ADDRESS AT WaL LOCATION: • 4, PUMP DATA: Type Li tabt Installation Completed rL. 1 tL> tos J, llurip Man fa :curer Sr- _ Pump Model No. t .- k +.. - -- = _ Design GPM A t f aZ RPM tell c , HP , volts tQ . , FuULoadAmpse I U CS Pump fieldmice Depth . t Feet, DroplCoiumn Pipe Sale fa inches, Knd 4&-ttetas s ADDMONAL INFORMATION F R PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: EtcEl EngineC Other Design Head 1Oe feet Numb of Stages .. Shaft size inches. 5 OTI ER E IP : Aimee InstaDed 13 . . Monitor Tube Idled `des D No, Depth ft. 7 • Flow Meter Mfg. 4. 4PUktpiS - este -ec Sir + } -i 3151 Meter Rat 7 Gallcm, t Thousand Gallon& I Acre feed . "4 Reading cc O_ o Ac Ice t TEST DATA: Check box f Test dola is submitted on Supplemental Form. krbetiodew Total Well Decith - OS. t Time * MI LO - Static- Level to ' . Rate (GPM) BOO OO Date Measured _ : t f 0 Pumping Lvl.. to b _ - 7. DISINFECTION: Type _ ID_Ant Used .__._3 cazdata,t34.1/25 - - . water Quality analysis available. I Yes No 9: Remarks . _ -- - -- -- allaN — -- - - a I have read the statements made herein and know the contents thereof, and that they true to my knowledge ge [Pursuant to Section 24-4-104 (13) (a) CRS.. the making of false statements herein constitutes s perjury in the SECOn • degree and is punishable as a class. 1 misdemeanor] • CONTRACTOR ud •o kiersitrybi - F one C5S -4102A Lie_ Na_ tteal tviaiiing A _ • :1,41Pi'-.. :, sib Narnef Ti (Please type or print) ignu : - - ; Date .. .. - _ . - _ _ __ _ - _ _ - _ _ . . ..-. 1.� -ls-. ._.-.. _ _ . ._ _Airit 9 ' E E'l 9 1970 ' r �`f W J-23- STATE OF COLCRADO lit c :,t! IS 1nuaax "a o. - / . C . DIVISION OF WATER RESOURCE , ? ; �-�rn ii Y " Y _ . rte IDWU " .r OFFICE CF THE STATE ENGINEER Us6) --1--------....-....... _ 'AUG 1,5 1969 Registers jez MAP -AID STATEMENT FOR WATER WELL FILING . ' . 1-4fftirn . A ��j` ' 1? PERMIT NUMBER 3 8 93 Z .r7 .--, -/: "'Mg - STATE OF COLORADO ) WELL LOCATION -7:- .--. SS ..,-----:.7.---7.::-.7 .....an thet COUNTY OF -- Weld , ) 74,121, ... Coun zY Know aiI men by these presents : That the undersigned NW 14 of NW }41 sec , 31 ---- -: :Frank T a. .w a r :pH- fa C3 : - • ._. . . T IN . . R . ..,SVI6 6 �y a claimant(s), whose address i s p - -3 .-. .. _Hex i 8 __ t IND ` C.ATE WELL LOCATION ON DIAGRAM City , Brighton Coloraglo 80601 , states : NORTH •s - I -- - .._..— Clairnant( s ) is (are ) the o vner(s ) of the well described hereon; the I l l I - total number of acres of land irrigated from this wel I is _ ,awn I — I ° work was commenced on this well by actual construction . Jitb cn F.r. I m ra l > LW -e - fi - - - �- - - t �. can day of - - , 19-6.1. ; I 3rn I the yield from said well is.T._ 2 . (gpm ), for l - � ` — � l I l E which claim is heresy - rrade` for - 6 : e r t _e purposes ; 1 I I nr +• f. M SOUTH that the average " antiu . mount of • water to be diverted is .. �. ... ..� acre-feet; and that the aforementioned WELL SHALL BE LOCATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS OR MONUMENTS, statements- are- rnade and this map And- statement are filed in OR SECTION LINES BY DISTANCE AND BEARING.. compliance with the law . o �� - —ft . from North section line . r ( North or South ) 4 1 r �' lafmant, s �:., . -. 50 ft. fromWest _ section line . • Subscribed before me on this day of ( East or West ) Ground Water Basin Re ebe, Draw - .. My commission expires .. r.. Water Management District _ MP. Oki i. Notary Public WELL DATA Domestic wed is may be located by the following : Date Completed - . . August 14. ft 1969 — _ . _ _ LOT . ... ... ,.. .., , BLOCK se ~ ..' " Static Water Level 36�t -- SUBDIVISION _ Total Depth __ _ Q3 t - . , FILING n_ A ACCEPTED FOP. FILING IN THE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS ♦ - _ _ DAY OF r 19_ State Engineer I FORM TO BE MADE OUT IN OUADRUPLICAI-E: WHITE FORM MUST BE AN ORIGINAL COPY ON BOTH SIDES AND SIGNED . WHITE copy & GREEN copy must be filled with the State Engineer within 33 days after well is completed : PINK copy is for the Owner & YELLOW copy is for the Driller . I Jr • 4 � ! WELL A ,� tL _+ G VEL DATA , I . From . To- -T--- ' Water Type of Material /1 Type {� f Loc . 1 y��pe Drilling d o t n r er V- - 30 ` S41114-7 Clay 30 Gre. vel . HOLE DIAMETER: 3n � 3 ; _ Clay T - in . from ft . to o3 ft . ' ,; ° ' 74 83 , Shale in . from ft . to ft . in . from - ft . to ft . • CASING RECORD PLain Casing Sizes l dndSteel frorrA n,° ft to': 6i ft . _CI ' overlap Size , kind- from ft . to ft . Size ` ' ; ' kirrd . from . ft . • _. ft .. Perforated Casing Size_5 'i< ind gaivircim 63 ft . to 8E1- ft . ' . Size , kind _ __ from ft , to ft . Size kind from: . ft , to GROUTING RECORD Material -ra.ve1 tiaIerva a :v top to bottom Placement Method dumped in GRAVEL PACK RECORD ° Size 3 Altxt Interval ton to bottom_ TEST DATA Date Tested August t , 1969 _ • Type of Punrip Bailed Length of Test 1fr hr' s . Constant Yield 28 am Drawdown. - 2 �. . .. 'mum WELL DHILLERS STATEMENT The undersig=n , being duly sworn , deposes and says.', he ts: the -dri ler of the well hereon re �ss described ; he has read- the statement made hereon ; knows the content thereof * and the same is true of his own know lede, use additional paper it necessary to complete log State of Colorado , County of 1 ss License No . Subscribed and sworn to before rre this day of , 19 My Cornrr issi on expires _ , 19 _ Notary Public , I' WRJ 5 - 68 STATE OF COLORADO D IV ! SI ON OF WATER. RESOURCES , ; - L_0. a , 1-1:1 s;,. .. . 414 li , 7 A PERMIT TO USE GROUND WATE et ? J �� -. X69 L7 •A. PERMIT TO CONSTRUCT J. L E L cp'J40hJ(;1 P TY '; APPLICATION FOR : 177 REPLACEMENT FO JO . CCILORADO - Ae_____ PERMIT TO INSTALL A PUMP PATEINGINER 1:7 OTHER . PINT OR TYPE LOCATION OF WELL I\ PPL i CANT Pram Tazaya _ COLUN7 a - _ - SStreet Address ;� 7 — � -� 4 y '� T'�'� ,,i , sec . 3 �- L t .� � � Ci t ` & State Brighton Colorado 8O n - Teel-17 \ F, , 6L� 6 P . M . Street or Use of ground water d Ci ,-j., C. Ars Lot 6-- 310ck . .... .. . Owner of i and on which wet t City or is located Fra7. k Ta aiam Sup r v i s d or Number of a ; res to be irrigated _ -- es- s- _ Ground Water Basin ee , e pi--1 r Legal description of Water iMand9eruent I r r I g {.� t L d t e n d • -. - w r. et V.r....� --- --•-.��. s t r i c 1. ..... . .. ...r.Other water rights on phi s l and _ ers _ LOCATE WELL ON THE SACK OF THIS SHEET Owner of irrigated land _ .. Sri_ Drillerawl No 1 Aquifer ( s ) ground water is to we obtained Dr i 1 1 er4 s P . ti . Box 16 from wi Beebe Dr �--yyil') Address Hudson. Colorado 800x2 " .� .r.. }./� rw..�.w• r�^rr r r , Iw ear. -— — — r...�+ ,7 7 Storage capacity A r _et ,6-4-.„4„- ---?-w----e- -, ,1 S ignar re of Applicant ITRE. FOLLOW I NG TWO FIGURES ARE MAXIMUKS AND CAN MOT BE EXCEEDED IN FRI L USE , CONDITIONS OF APPROVAL I RA I I UM PUMPING RATE 28 GPM AVERAGE ANNUAL, AMOUNT OF GROUND WATER TO BE APPROPRIATED ... . ... ... Acre - Feet EST I MATED WELL DATA An z i c i pated start of dr i 1 l i ng summer 196 9 . Anticipated start cf use s Inge r 19 69 �_ . . _ _ r APPLICATION APPROVED : Ho J e Diameter : VALID FOR ONE ( r ) YEAR AFTER DATE ISSUED 4 tram 0 f t . to 83 ft . UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO in . from ft „ to ft . THE ISSUING AGENCY . 38 Q 31Casino : PERMIT NO . CONDITIONAL / Nail 5 9/16 in . from 0 ft . to 63 ft . AUG 8 1969 in . from, ft . to ft . DATE ISSUE [ _ s l t Cies Pe rf . 5 9/16 i n _ from 63 ft . 84 f t . a in . from ft . to ft , STATE ENGIN ER . or CHAIRiMAN GROUND WATER COMMISSION ESTIMATED PUMP DATA Bte ../.9 . /? Ouhilost Type subtler sib 34, Si ze ' APPLI C r I ON MUST BE COMPLETED SAT i SFACTORI LY BEFDRE A. CEPT r : ( OVER ) THE LOCATION OF THE PROPOSED WELL SHALL BE SHOWN ON THE DIAGRAM BELOW WITH REFERENCE TO SECTION LINES OR GOVERNMENT SURVEY CORNERS OR MONUMENTS . feet from North . . ( Worth or South ) section line qo feet from _ West ( East or West ) section line IF WELL IS FOR IRRIGATION , THE AREA TO BE IRRIGATED MUST SE SHADED OR CROSS - HATCHED . This diagram represents n r ne ( 9 ) sections . Use the ENTEI SNARE ( one section ) to indicate the location of the well . — -- T.. - r f • - ± + + + 'I► t THE SCALE OF THE DIAGRAM IS TWO INCHES E JALS ONE - MILE 74 - c 9t 4f ti-� Y, p•;4♦, tY4L .� 4 •.�4•IF.�F.•x R, d \' ' l y�'Y r � .11� (r [M' T .t t ,&; .-,..,-..i.::::,;;;;;.±.,:,O, C - - + i , ..h ' f Pfa u' c r... g ' r. �1 '}`.. *V "F]�;ya J{. YN W � o , t iy . .. i i k7 r,„xi±r v r t tt—ys . .♦ T .. ail -N fix, `r � :,ti. ..: s r 1 1 d .h y T. a•L{s•yy--.._.-_....... -1.--. . .e.....-u. - -4.- • ,.t- 1Yl4TITs r •• -,:-4 , p COLORADO WATER WELL M'( D PUMP INSTALLATION CON -I RA `�•`-. rf P't,;" ,.r, 11..,:l. ti r— V.%Pump IN .) iikaLLATION REPORT ii ...i . , . — • .,. • / r l I ,t cameo4iitasaF--- . i . _ • 0WNER' SXDDRESS *' ) Y - •lI / ! 'I l�f1) _ f ! l f / ice' .+ a / f -' . f • te PUMP MAKE F �-Vr IYPE c.0 POWERED POWERED BY H P ` • ,! ' - r ,mod , t ;} • 1 " {f/fir F,• " • 1 1 • I ii • r� I • PHASE VOLTAGE DEPTH SET , ` PIPE - IZE WIRE $J,�E 15tiAET YZE IMPELLER SIZE NI_IMSEP OF 3t"3W'L_ 5 r IF 1 _ - -- - _ - .- _ - __ LL2 A G. P.M. DEL ) VERED AT OPEN DISCHARGE TANK SIZE i'JR Awn CloliN 1 / 1 I ,�..C ` L /• '* - — 3� rL. rte.7,••l-L , -_—. J• l .— _ Y —tis.- l I .! �. �- — �- .�—� � PUM /IhI T E SIGNATURE LICENSE NUMBER til /0„ / i t REMARKS ...3 -! - �.._+—r._ .�.,.- _ _ �_.�._ a- -�-. -�--•i 4. I �.. .....---.....- .......a.--.- tea—.— ._ _ Lr:-w _ -. - - - -wee=Y• -r---_-- -a sei 'r.. y is' •,NL� 1 Jit r i•V •4,.jr. Hello