HomeMy WebLinkAbout20170367.tiffWATER SUPPLY INFORMATION SUMMARY
Section 30-28.133.1dl, C.R.S. requires that the applicant submit to the County, -Adequate evidence that a water supply that
is sufficient in tins of quantity, quality and dependability will be available to ensure an adequate supply of water.
1. NAME OF DEVELOPMENT AS PROPOSED
2. LAND USE ACTION
3. NAME OF EXISTING PARCEL AS RECORDED
autsuivtatun ris.mt, tiLUCK LO I
1
• 4. TOTAL ACREAGE ' 5. NUMBER OF LOTS PROPOSED PLAT MAP £NCLOSEO C YES
I
6. PARCEL HISTORY - Plena attach copies of loads, plats or other evidence or documentation.
I A, Was parcel recorded with county prior to June 1, 1972? C YES C NO
1J B. Has the parcel ever been part of a division of tend action sInce June 1, 1312-? .. YES 0 NO
It yu. describe the previous action
7. LOCATION OF PARCEL - include a map datiniatutq the project area and be to a section corner.
114 OF 1'4 SECTION TOWNSHIP .2 N `..: S RANGE
PRINCIPAL MERIDIAN: C 5TH C N.M. 0 UTE C COST -ILIA
8. PLAT • Location of all wells on property trust be plotted and permit numbers provided.
Surveyors plat C Yea C No If not. scaled hand drawn sketch C Yes C No
fi
ESTWATERIMATED ff R UIR MEN S salami pry 0aratkill Fret par Year
HOUSEHOLD USE it / of units GPO I AF
16. WATER _............. ER SUPPLY SOURCE ..............-.......-,.,-........,-.,..........,-.......... ,......,..._....
...............
TING i.W DEVELOPED C NEW WELLS •
WELLS SPRING MIMEO AavetR ,rrIaA aw:
WELL PERMIT NUMBERS . C Auuvw ;Mot APAIA1,Eit
�, 7 / 3 _ rte, ae 7,-AMAaWPAecf
_ tart" oAwean ..LOAM cox wits
I COMMERCIAL USE a___."...- S.F. GPO AF
Maim
Mahn = tuaou
IRRIGATION p of acres GPO AF
v ono
C MUNICIPAL
STOCK WATERING t A00 of heed GPO 2- AF
OTHER GPO AF
C. ASSOCIATION WATER COURT DECREE CASE NO.'S
C COMPANY
TOTAL GPO AF
C DISTRICT
NAME
LETTER OF COMMITMENT FOR
SERVICE C YES C NO
11. ENGINEER -5 WATER SUPPLY REPORT ,2 YES C NO IF YE5, PLEASE FORWARD WITH THIS FORM. !The my ba faoatsat ratan ow rariHy s canout,sa: '
12. TYPE OF SEWAGE DISPOSAL SYSTEM ...............................,................. ...............
,'SEPTIC TANK:LEACH FIELD C CENTRAL SYSTEM - DISTRICT NAME
C LAGOON C VAULT - LOCATION SEWAGE HAULED TO
C ENGINEERED SYSTEM 1Anace i cony it twgmarra+p tempo C OTHER
DIVM ON OF WATER RESOURCES, OF NATURAL F;ESOURCES
101 Colurlbinc Bldg., lfi•!5 $Herman Strcev, Denvr, Colorado 8C2u3
! /
APPLICATION FOR: / /
1-3E7
/
PRINT OR TYPE
APPLICANT Io} e .7.n Catt7,' Co.
A PERMIT TO USE GROUND WATER
A PERMIT TO CONSTRUCT A WELL
REPLACEMENT FOR NO.
A PERMIT TO INSTALL A PUMP
OTHER
Street Address ='f. 2 To:: 107
ty & State ,7c,. • L-.,.r5or, Colo.
Use of ground water i:c,meetle
Owner of land on which well
is located
ner of irrigated
.and
Number of acres
to be irrigated
COUNTY
• • .
4002, J `� ' `
LOCATION OF WELL �Apr,
S. �—, of the
T. 2': , R. F<7
Street or
Lot & Block
sec. 9
6 P.M.
City or
Subdiv. Filing
Ground Water Basin
Water Management
District
Legal description of
irrigated land LOCATE WELL ON THE BACK OF THIS SHEET
Dri 1 ler P. E- Well f_ ms Co. No. 513
Other water rights on
this land
Aquifer (s) ground water is to be
from So _ _-o e
obtained
Storage capacity ``.2 c nj .
ANTICIPATED PUMPING RATE
15
AVERAGE ANNUAL AMOUNT OF GROUND WATER TO
BE APPROPRIATED 3
ESTIMATED WELL DATA
Anticipated start of drilling
Anticipated start of use
e Diameter:
Acre-feet
AF
GPM
'Pti'. 9 fn n
F-1=:r,,b. 1 1920
0 in. from 0 ft. to
5 5/8 in. from 2_}:0 ft. to
Casing:
Blain 6
C" • _, I :C
Perf.
200 ft.
5-,0 ft.
in. from_ 0 ft. to 200 ft.
in. from ft. to ft.
200 300
in. from ft. to ft.
in. frcm ft. to • ft.
:.� F 11tATED PUMP DATA
Driller's
Address 1'.5 16, r, S -he, Creelo-'-. Coin.
Signature of Applicant .L -
CONDITIONS .OE_APP R O_IIA L
APPLICATION APPROVED:
VALID FOR ONE (1) YEAR AFTER DATE ISSUED
UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO
THE ISSUING AGENCY
PERMIT NO. 42713 CONDITIONAL L_____/
DATE ISSUED
AUG 2 4 2°7D
•
..0
STATE ENG I Nc;.ErR %
ky'De IP
kPPLICri71C' NUS BF
Outlet
Size 14
. - i L,) S .r,T 15 FACTOR I L'
BY
•
J.
ACCEPTANCE
(OVER)
Form No.
GWS-Z5
APPLICANT
OFFICE OF THE STATE ENGINEER
COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 866-3581
WELL PERMIT NUMBER Sc17 / 3 /41-
DIV. 1 WD2 DES. BASIN MD
LIC
1
CANNON LAND CO
3575 CHERRY CREEK NORTH DR
DENVER, CO 80209-
(303) 321-6900
PERMIT TO CONSTRUCT A WELL
APPROVED WELL LOCATION
WELD COUNTY
SE 1/4 NE 1/4 Section 9
Township 2 N Range 66 W Sixth P.M.
DISTANCES FROM SECTION LINES
3465 Ft. from South
250 Ft. from East
UTM COORDINATES
Northing:
Section Line
Section Line
Easting:
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit
does not 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 Installation
Contractors in accordance with Rule 18.
3) Approved pursuant to CRS 37-92-602(3)(c) for the relocation of an existing well, permit no. 42713. The old well must be
plugged in accordance with Rule 16 of the Water Well Construction Rules within ninety (90) days of completion of the new
well. The enclosed Well Abandonment Report form must be completed and submitted to affirm that the old well was
plugged.
4) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not more than
three (3) single family dwellings, the irrigation of not more than one (1) acre of home gardens and lawns, and the watering
of domestic animals.
5) Production from this well is restricted to the Laramie -Fox Hills aquifer, which corresponds to the interval between 355 feet
and 651 feet below the ground surface. Plain casing shall be installed and grouted to prevent production from other zones.
6) The depth to the top of the Laramie -Fox Hills aquifer is approximate. To ensure the exclusion of poor quality water from
zones immediately above the aquifer, plain casing and grout shall extend through the lowermost coal and/or carbonaceous
shale that overlies the Laramie sand portion of the aquifer.
7) The maximum pumping rate of this well shall not exceed 15 GPM, as requested by the applicant.
8) This well shall be constructed not more than 200 feet from the location specified on this permit.
NOTE: The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than
the 100 years upon which the amount of water in the aquifer is allocated, due to anticipated water level declines.
NOTE: To ensure a maximum productive life of this well, perforated casing should be set through the entire producing
interval of the approved zone or aquifer indicated above.
NOTE: This well is decreed in Division 1 Water Court Case no. W-4962 for 0.04 CFS, domestic and stock watering use.
APPROVED
MTT
Receipt No. 0502053
State Engineer DATE ISSUED DEC 13 B EXPIRATION DATE DEC 2004
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