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HomeMy WebLinkAbout20160692.tiff - • -, 4 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT �` • - 1555 NORTH 17TH AVENUE V GREELEY, CO 80631 PHONE(970) 304-6415 FAX(970)304-6411 Finaled r. Permit#: SP-0300166 Sec/Twn/Rng:29-09-67 Status: ISSUED Owner: SCHNABEL LESLEY Applied: 05/07/2003 Applicant: SCHNABEL LESLEY Issued: 05/15/2003 Permit Type: KNEW C�onanercial,R=Residential+NEW,REPair,VauLT Finaled: et 1318) Parcel#: 0453-29-4-00-024 Location: 7731 CR 100 WELLINGTON • Legal Description: Installer: Se ti Description: HOUSE Commercial: N Residential:Y Acres: 10 #of Persons: 5 Basement Plumbing: Y #of Bedrooms: 4 Bathrooms -Full: 3. 3/4: 0 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit#: 244947 Percolation Rate: 51 Limiting Zone: 8 ft 0 in Description: % Ground Slope: 1 Dir: NE Soil Suitable: (Y/N) Y Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 1250 gallons Absorption Trench: 1332 square feet or Absorption Bed: 1740 square feet Actual Installation . Septic Tank: 1 Soo gallons Absorption Trench: square feet Absorption Bed: 1 -1-1-€‘ square feet _5_ Design Type: C-,.A. . NOTICE 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 subject system will operate in compliance with applicable state,county and local regulations adopted persuant to Article 10,Title 25,CRS as amended,except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2). This permit Ls non transferable and non refundable. The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department li Health and Environment. . x `>!.3.a3 En ronme4ftal Health Specialist Date Fonn:S_FINAL WATER SUPPLY INFORMATION SUMMARY Section 30.22.133,(d), C.R.S. requires that the applicant tit to the County,'Adegate evidence that a water supply that is sufficient in terms of quantity, quaky ad dependabiity wM be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED • rCh-e AVM. m a Q . 2. LAND USE ACTION QV-50.a , Care, NtQS c, ')U J GLe.horne Dogs /cats 3. NAME OF EXISTING PARCEL AS RECORDED SUBDIVISION FILING BLOCK LOT P'' 4. TOTAL ACREAGE ID tf— 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED IX YES 6. PARCEL HISTORY- Please attach copies of deeds. plats or other evidence or documentation. „_—._...._...._.._.__..._..__.._ A.Was parcel with county prior to June 1, NO H yon, parcel ever previous toaction PA [` 972 3 S ne 0.5 2s .—_ry . B. Has 1M parceled evxdbea part of division of lad achy since June 19727 131 YES ❑ NO LOT t 13 7. LOCATION OF PARCEL-laded' a map &Misteq the project area and tie to a section corner. 114 OF 114 SECTION Z1 TOWNSHIP 9 IXN ❑ S RANGE_ __❑ E LVW PRINCIPAL MERIDIAN: 0 GTH 0 h.M. O UTE ❑ COSTILLA 8. PLAT- Location of all milk a we property roust be plotted and permit numbers provided. Ste_ o fetch eci, Surveyors plat *Yes ❑ Na J l Li vt tut at scaled hand drawn sketch ❑ Yes ❑ No 9. ESTIMATED WATER REQUIREMENTS-Germ per Day ter Acre het per Yea 10. WATER SUPPLY SOURCE Doerr- have- Ynonitori►''g C-Ab tb1 If+its *EXISTING ❑ DEVELOPED ❑ NEW WELL �S- N� WELLS SPRING ®MUMS ACME oen HOUSEHOLD USE it of units GPO AF WELL PERMIT NUMBERS ❑wurat a UPPER wuwnt ❑LOIN oetcet a WWI Anwadr ❑area WWI ❑awe sus Its COMMERCIAL USE I of S.F. GPO AF O sunup O MOM ❑inn IRRIGATION! of acres GPD AF STOCK WATERING d of head N/A- GPO AF O MUNICIPAL ❑ ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER - GPO AF O COMPANY ❑ DISTRICT TOTAL GPO AF NAME LETTER OF COMMITMENT FOR SERVICE 0 YES 0 NO 11. ENGINEER'S WATER SUPPLY REPORT O YES \ IF YES. PLEASE FORWARD WITH THIS FORM. obis ay be egad before our Woo csplaidJ 12 TYPE OF SEWAGE DISPOSAL SYSTEM -t'__ t4PTIC TANKILEACH FIELD 0 CENTRAL SYSTEM - DISTRICT NAME o LAGOON O VAULT- LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM (Attack a copy of eepaeb o deleW O OTHER State of Colorado Water Resources - View Well Details: Receipt 0494284 Page 1 of 2 Colorado.gov I Contact Us Colorado Department of Natural Resources t.JJf4]JJ D141.61.01] al lt, fa. cl f � . • Colorado's Well Permit Search Well Constructed Help I Last Refresh:9/29/2015 12:01:35 AM Receipt: 0494284 Division: I Permit#: 244947-- Water District: 3 Well Name/It: County: WELD Designated Basin: Management District Case Number: WDID: [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/Slate/ZIP Unknawn-Present MAULSBY JOHN FaJANF55AL 7557 WCR 100 WELLINGTON,CO 80599- I[-] Location Information I Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW SE 29 9.0N 67.0W Sixth 2850 N 1700 E Northing(UTM y): 4507468.8 Casting(UTM x): 507425.4 Location Accuracy: User supplied Physical Address Subdivision Name City/State/ZIP Filing Block Lot Parcel ID: Acres in Tract: 38.57 I[-3 Permit Details I Date Issued: 10/15/2002 Date Expires: 10/15/2004 Use(s): DOMESTIC Aquifer ALL UNNAMED AQUIFERS Special Use:ISSUED UNDER PRESUMPTION 3b-IIA (s)' Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report NO No No Cross Reference Permit Number Receipt Description Permit(s): Comments:appiicant will have driller correct log for PN 197030 and switch it to PN 197029. I[-3 Construction/Usage Details I Well Construction Date:07/12/2003 Pump a Installation tion Date:08/27/2003 Well Plugged: 1st BeUse: Elevation Depth Perforated Casing(Top) Perforated Casing(Bottom)Static Water Level Pump Rate 660 580 660 300 21 Lic# Name Address Phone Number Driller 1099 INGRAM,STEPHEN E. PO BOX 393 ESTES PARK,0090517 970-586-0592 I(-3 Application/Permit History I Ownership Change 02/24/2004 Pump Installation Report Received 10/17/2003 Well Construction Report Received 09/08/2003 Pump Installed 08/27/2003 Well Constructed 07/12/2003 Permit Issued 10/15/2002 Application Received 06/24/2002 I[-] Imaged Documents I Document Name Date Imaged Annotated .� ;;.. 12/01/2007 No 12/01/2007 No ,gym: f 12/01/2007 No 12/01/2007 No 11/30/2007 No 11/30/2007 No http://www.dwrstate.co.us/We1lPermitSearch/V iew.aspx?receipt=0494284 9/29/2015 State of Colorado Water Resources-View Well Details: Receipt 0494284 Page 2 of 2 11/30/2007 NO Copyright®2009 Colorado Division of Water Resources.All rights reserved. Home I Contact Us I Help I Water Links I Colomdo.gov I DNR I Privacy Policy I Transparency Online Project(TOP) http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=0494284 9/29/2015 COLORADO DIVISION OF WATER RESOURCES Office Use Only -- DEPARTMENT OF NATURAL RESOURCES Form GWS-45(07/2013) 1313 SHERMAN ST, RM 821, DENVER,CO 80203 - Main:(303)8663581 Fax:(303i 866-2223 iii :::.u,iii.iiiiiiiiii- GENERAL PURPOSE Water Well Permit Application Review Instructions on reverse side prior to completing form. The form must be computer generated,typed or In black or blue Ink. 1. Applicant Information 6. Use Of Well (check applicable boxes) Steve and Edie Messick/The Animal Debt Project, Inc Attach a detailed description of uses applied for. „c adx..,; ❑ Industrial ❑ Dewatedng System 7731 County Road 100 ❑ Municipal ❑ Geothermal(production or reinjection CityStalezp max ❑ Irrigation Domestic Wellington co 80549 0 Commercial other(riesaibe): Telephone e mica mac E rvna_r) Erie,lorYLx long reneged) 7. Well Oath (proposed) 415-844-0801 TheAnimalDebtProject@Gmail.com Mnem„mrmrp.n0rste e.,-,nos'nos:suit to bew,;ier,sr, 2. Type Of Application (check applicable boxes) 15 gpo 1 acre-feet ❑ Conshud new well ill use existing well Teta:uwoa, Aguilar ❑ Replace existing well ❑ Change or increase use 660 feel LUnkown C Change source(aquifer) ❑ Reapplication(expired pemrd) 8. Land On Which Ground Water Will Be Used (— COGCC Well 5 Other 3. Refer To (if applicable) Legal Description of Land inlay re pro,,coy as an auachmenn: 0543-29-4-00-024 The west 1/2 of the Southeeast quarter of 244947 Des,groled Bea„L»nrirelxn* wen name or A Section 29, Twonship, 9 North , Range 67 West of the fith 4. Location Of Proposed Well Principal Meridian, In Weld County, Colorado at used for crop imgabon.attach a scaled map that shows irrigated aiea.) Weld ow ,,..,ba se ,,; A. *Acme c_on 7ev.n.mo - Pa _ B. Owaer �� ` "� "°°"',l'""""° 10 Steve and Edie Messick 29 9 xr. I 67 n, IT CJ 6th C. -ISt any other wells or water f10M6 user,on tea land. ..'n2 C. ,Er(1 v'�il r:•rrnr^M1i I,M3: 2850 x N S 1700 P, lruniz1F L.]vv None _,a•.;A.a no orecucc",lron a norm„we'. 9. Proposed Well Driller License #(optional): feet direction 10. Sign or Entered Name Of Applicant(s)Or Authorized Agent Well location address(Include Cry,Slate,Zip) - - chedr if well address is sass in Item t. The making of false statements herein constitutes perjury in the second degree,which is punishable as a class 1 misdemeanor pursuant tc C.R.S. 7731 CR-100, Wellington, Colorado 80549 24-4.104(13)(a) I have read the statements herein.know the contents thereof and stale Thal they are true to my knowledge. Optional: GPS wall location irdormation in UTM formal You must check GPS unit for sp-.or cn°e•namele:r.'rea,cntei I,:h'n::np app':pean required settings as follows: Dare unmraa•r,»9 Format must be TIM Zone 12 ors Zone 13 R WON peel nacre and title Basting Datum must WJtn must be Metersbe NAM Northing Office Use Only U,ut must be sal to true norm Was GPS unit checked for above?OYES Remember to eat Datum to NAD8.7 USGS map come [YWR map no Surface elev. 5. Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) Receipt area only A. Legal Description(may be prowled es an anachmenr)-- 0453-29-4-00-24 The west half of the southeast quarter of section 29, Township 9 north, Range 67 West of the 6th Principal Meridian, In Weld County, Colorado B. Al of eves in parcel C. Owner AQUAMAP 10 Steve and Edie Messick WE D. wui tie be the only well on fisvim Y piYCPI7 YES©NG Of list other wells) PWCB TORO E State Parcel IO*tc tend- MYLAR Say DIV WD BA MD DFPARTMEN1 OF NATURAL RESOURCES 1313 SHERMAN ST. STE 821.DENVER.CO 80202 r ;:1�;wir -s;,e'� Application Receipt No. hrWlnwler state_w.us P I,p :3^1196(;. rr Applicant's Name: COMMERCIAL DRINKING AND SANITARY WELL WORKSHEET Review Instructions on reverse side prior to completing tors The form must be completed in black or blue ink or typed. .. 1. Nance and Type of Business: 1 2. Is this application for a new well? —_'_ —_—�-- ❑Yes IN No If no,is this application for a change of use for an existing well? NYes Permit Numb':: of well ,if applicable'. "� j , • Pilo Fn,wells use-i for dnnktnq and L.an t-r . , rpnse-.rein? to Map 8 1972. a field msptectiun of the well to verity 1161099dt uses may be required See term 'IMO art further irdorm:ilor, 3. Is the parcel the well is located on (or will be located on) within the boundaries of a water service area (water district, municipality, water company. etc.)or is water available from another source(such as a well)? f- ' Ycs If yi-s ,:,br:,lt:m4rrt tln= uthnr uwrce 1s [ Nn 4. Proposed type of disposal system to be used: ® Septic tank/absorption leach field ❑ Central System (district name) ❑ Vault(location sewage hauled to.) _ -- --, --- ❑ Other(attach copy of engineering design) - — - —. 5. Water Demand Calculations(for average factors for water demand see below) - — --Employees Number of X Number of Gallons X Number of Days Employee - Gallons per Year r 'n ph ryrf.'s per l_°ripL;yei. Works per Year X • X = A -- Customers Number of •X Number of Gallons X 'Number of Days Business --,= Gallons per Year Customers per Da) per customer Is :Open per Year r-- X k' X • B Other Lisa (Note: No uses outside of the building would be iwrli itte,,for this type of well.) n; I l.a: X Gallons per Use per Day X Days per Year - Gallons per Year X X /-O4/ = a Total amount of water required: ar Gallons per Year (A+B+C) For wells used for rpmmerelal drinking and sanitary purposes on or atter May 8, 1972, the total water demand cannot exceed 108,600 gallons(1/3 of an acre-fool)per year. For wells used for commercial drinking and sanitary purposes prior to May 8. 1972,the total water demand cannot exceed 325.900 gallons(1 acre-foot)per year General Guidelines for Water Demand in Gallons per Day Dap Workers al Offices 15 gallons/purson'day 1-trou St 7,vii,: E.tabhshmeniti (with inlet and kI!rtlen wIlsto:. gailpng/paOoNclay 1:hurrhr..e (does not include Enna servo el 1'oerruetit L.dymg 50 gallurslr,iytumnduat n,.Site- P'opnetor of overnight Lodelnc Ir s nn"site uw•ter i= Boo &Breakfast)—80 gallons/person/day Additional water demand figures may be obtained horn a private water consultant or from a technical reference on this suh(ed Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver,Colorado 80203 (303)866-3581 1099 WELL PERMIT NUMBER 299490 APPLICANT DIV. 1 WD3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SW 1/4 SE 1/4 Section 29 ANIMAL DEBT PROJECT Township 9 N Range 67 W Sixth P.M. STEVE & EDIE MESSICK DISTANCES FROM SECTION LINES 7731 CR 100 199 Ft. from South Section Line WELLINGTON, CO 80549- 1380 Ft. from East Section Line (415) 844-0801 UTM COORDINATES (Meters,Zone:13,NAD83) PERMIT TO USE AN EXISTING WELL Easting: 507529 Northing: 4506798 ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved to use an existing well constructed uner permit no. 244947 pursuant to CRS 37-92-602(3)(b)(I)and the policy of the State Engineer for appropriation of ground water tributary to South Platte River system. Issuance of this permit cancels permit no. 244947, 4) The use of ground water from this well is limited to drinking and sanitary facilities as described in CRS 37-92-602(1)(c), for a commercial business. Water from this well shall not be used for lawn/landscape/greenhouse irrigation, domestic animal/livestock watering,or for any other purpose outside the business building structure(s). 5) The pumping rate of this well shall not exceed 15 GPM. 6) The annual amount of ground water to be diverted by this well shall not exceed 1/3 acre-foot(108,600 gallons). 7) Approved as the only well on a tract of land of 10.00 acre(s)described as lot a of Weld County Recorded Exemption No. 0453-29-4 RE 3384,Weld County, reference attached exhibit"A". 8) The return flow from the use of this well must be through an individual waste water disposal system of the non-evaporative type where the water is returned to the same stream system in which the well is located. 9) 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 well shall be constructed not more than 200 feet from the location specified on this permit. APPROVED SMJ State Engineer By ,\\3/ 13 / /t Receipt No. 3672082 DATE ISSUED 11-19-2015 EXPIRATI N T 1 A . Ii COLORADO DIVISION OF WATER RESOURCES Office Use Only RECEIVEf.` Form GWS-45(07/2013) DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST,RM 821,DENVER,CO 80203 Main:(303)866-3581 Fax:(303)866-2223 gwrpgrmitsonlineaslate.co.us GENERAL PURPOSE 0CT 2 72015 Water Well Permit Application w.kn IATERTyniime s Review Instructions on reverse side prior to completing form. C L The form must be computer generated,typed or in black or blue ink. 1.Applicant Information 6. Use Of Well(check applicable boxes) Name of applicant - - _ Attach a detailed description of uses applied for. Steve and Edie Messick/The Animal Debt Project, Inc ❑ Industrial Dewatering System miming adaeea --_—. _ - ._. _. l Municipal El Geothermal(production or reinjection ❑ Irrigation Domestic City _ - c stale : Zp tole a Other(describe): Wellington Ico .80549 ® Commercial -Telephone (ereecode a number) E-mail(online fiinawand) "- 7.Well Data (proposed) 415-844-0801 TheAnimalDebtProject@Gmail.com Magnum pampinpmM Annual amount to be withdrawn 2. Type Of Application (check applicable boxes) 15 gPm 1 acre-feet ❑Construct new well 0 Use existing well Tod dept —_ - Mutter -- - ❑ Replace existing well 0 Change or increase use 660 feet Unkown ❑Change source(aquifer) ❑ Reapplication(expired permit) 8. Land On Which Ground Water Will Be Used o COGCC Well ❑ Other. Legal Description of Land(maybe provided as an attecunw ty 3. Refer To(if applicable) Wellpermit a Water Court case I 0543-29-4-00-024 The west 1/2 of the Southeeast quarter of 244947 Designated Basin Detemuatin• wet name or• - - Section 29,Twonship, 9 North , Range 67 West of the 6th Principal Meridian, In Weld County,Colorado 4. Location Of Proposed Well. (If used for crap imgation,attach a scaled map that shows irrigated area.) Weld nw 1/4 oldie se 1M A. aAts B. Owner SectionTTormatdp Nor S ' Range E or W pmopat Maiden 10 Steve and Edie Messick 29 !9 Ft r� 67 ❑ El ;6th C. list any other wets or water rights used on this land Distance of wet from when lines(section lines are typialy not property lines) None 2850 Ft from li N i—S 1700 Ft frm4E❑W For replacement wells only-distance and direction from old well lo new well 9. Proposed Well Driller License#(optional): feet direction 10.Sign or Entered Name Of Applicant(s)Or Authorized Agent -Will/oat-ion address d,wude cly;lute zap) ❑chsa awed sateen its same as in tern 1. The making of false statements herein constitutes perjury in the second degree,which is punishable as a class 1 misdemeanor pursuant to C.R.S. 7731 CR-100,Wellington, Colorado 80549 24-4-104(13)(a). I have read the statements herein,know the contents thereof and state that they are true to my knowledge. Optional: GPS well location information In 11TM format You must check GPS unit for Sign or anus namels)of peraonle)submitting appimion Date(nNddtmy) required settings as follows: • Format must be UTM a signing pint name and Otte rl Zone 12arLr)Zone 13 Easting Unds must be Meters Datweweat be NADUJ Northing Office Use Only unit must be set to true nom - --_.-- --— WasGPSuntahaabdlorebow2 YES u5GS map name-. - DWR map no. Swam elev. ❑ Remember to set Datum to NAD83 5. Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) 55'O 7 Sa I ceiptt'area only ,y - • e A. Legal Description(may be prowled as an anw,imeni). N 4Sabr74Sr 0453-29-4-00-24 The west half of the southeast quarter of / t d tag. - flu co Q = 9.0A. Cete-1 A, -1 section 29, Township 9 north, Range 67 West of the 6th 9 .a " �' 1 SW/ 5E Principal Meridian, In Weld County, Colorado AOUAM / aq/ 4 Nf (or7 icto B. sPaaas in pr 6 cN - C. Owner (/ linl_8T01)Fr. vii 20{,vii WE✓ Ilan 1nn:tnoi, 11 . 3 3AM 10 Steve and Edie Messick WR (� annarimn total S100 00 D. wt iris be the only weu on this same? in YES NO(itnoiuf Other welu) OWCe t/ CI 11_::K/drla7l if0t1 U0 TOPO E. Slate Parcel IDa bonbon): MYLAR ' mitt 655 DIV_ WDLJ BA MD Hello