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HomeMy WebLinkAbout20142794.tiff SOLID WASTE DISPOSAL SITES USE BY SPECIAL REVIEW APPLICATION Department of Planning Services 1555 N 17`'Ave Greeley CO 80631 Phone (970) 353-6100 x3540 Fax (970) 304-6498 FOR PLANNING DEPARTMENT USE DATE RECEIVED: c•./.?/ :-'-DLL( RECEIPT#/AMOUNT# 1$ CASE#ASSIGNED: (, _ i['-i -C."C' ) APPLICATION RECEIVED BY PLANNER ASSIGNED: c k.',<, C 1(- t ,•.- Parcel Number 0 ?- ? -IL- 0 - D O -Wr (12 digit number-found on Tax I.D. information, obtainable at the Weld County Assessor's Office,or www.co.weld.co.us) (Include all lots being included in the application area. If additional space is required,attach an additional sheet) TO BE COMPLETED BY APPLICANT: (please print or type, except for necessary signature). I (we), the undersigned, hereby request a hearing before the Weld County Planning Commission and Weld County Board of County Commissioners concerning the proposed Use by Special Review Permit on the following described unincorporated area of Weld County, Colorado: r7 j LEGAL DESCRIPTION OF SPECIAL REVIEW PERMIT AREA.= kot uw i ection 3S T ?N, Rai W. LEGAL DESCRIPTION of contiguous property owned which Special Review Permit is proposed: Section T N, R W. Property Address (if available) /63sc WNW ?6, greNnal, GG gin" PRESENT ZONEA Qlla/LW OVERLAY ZONES TOTAL ACREAGE ZS-- PROPOSED LAND USE tdMh SPAM' EXISTING LAND USE CfmPdlr/A/.f SURFACE FEE (PROPERTY OWNERS) OF AREA PROPOSED FOR THE USE BY SPECIAL REVIEW PERMIT: Name: AWE W i &Sou Address: /63/0 96 City: and, w Zip: c06t sr- Home Telephone: yld• di e-2/t 3 Business Telephone: 9-7o • Vise 7ylZ Name: Address: City: Zip: Home Telephone: Business Telephone: APPLICANT OR AUTHORIZED AGENT (if different than above): Name: Address: / '0 611 WA City: e47V41 , CO Zip: Vat Home Telephone: • 330• Business Telephone: p•t7fp- 1`r%4t?'A-- List the owneer(ss)) annd/or lessees of mineral rights on or under the subject properties of record. Name: rx4'Kct 4 A ill Address: City: / Zip: I hereby depose and state under the penalties of perjury that all statements, proposal- ar./or• s submitted h or contained within the application are true and correct to the best of my knowledge. 1 Sign. ur= Owner orAuthoriz;• Agent 10 STATE OF COLORADO John W.Hickenlaoper,Governor Larry Wolk,MD,MSPH w-CD.<�o`, Executive Director and Chief Medical Officer �rj µpy�?a Dedicated to protecting and improving the health and environment of the people of Colorado .) 4300 Cherry Creek Dr.S. Laboratory Services Division •Inv5 4/ Denver,Colorado 80246-1530 8100 Lowry Blvd. _ Phone(303)692-2000 Denver,Colorado 60230-6928 Colorado Dcpartrnenr Located in Glendale,Colorado (303)692-3090 of Public Health www,colorado.gov.'cdphe and Environment May 9,2014 Weld County Commissioners 1150 O Street PO Box 758 Greeley, Colorado 80632 Re: Recommendation for Approval with Conditions Application for Certificate of Designation/EDOP SW/WLD/ECF 2.1 Dear Commissioners: The Colorado Department of Public Health and the Environment (the "Department") Hazardous Materials and Waste Management Division (the"Division")received an official referral notification dated November 8,2010 from Weld County requesting the Division's review of an Application for Certificate of Designation(the "CD Application") for an existing composting facility,the Eaton Organics Recycling Facility(the"Facility"), located at 16350 WCR 76, Eaton, Colorado. The tract is approximately 144.8 acres in size. An Engineering Design and Operation Plan(EDOP) dated September 2010 was received for review on November 12, 2010. The Division reviewed the CD Application to determine compliance with the requirements set forth in the Solid Waste Disposal Sites and Facilities Act, Title 30, Article 20,Parts 1 and10 (the"Solid Waste Act") of the Colorado Revised Statutes, as amended, and with the regulations promulgated there under 6 CCR 1007-2 (the"Regulations"). [n accordance with the Solid Waste Statute, CRS 30-20-103 (2), a "completeness review" of the CD Application was required within thirty (30) days of the receipt of the CD Application. The Division conducted the completeness review and notified the Facility and Weld County on December 9, 2010. In accordance with the Solid Waste Statute CRS 30-20-103 (2), a"technical review" was conducted after the completeness review. Initial technical evaluation comments were submitted to the Facility on March 16,2011. The EDOP was revised several times and re-submitted to the Division based on subsequent comment letters and meetings resulting in a final EDOP dated May 2014. On March 24,2014 the Division published a notice in the Greeley Tribune requesting written public comments on the final EDOP submitted by the Facility. The 30 day public comment period ended on April 24, 2014. No comments were received by the Division or the County. Weld County Commissioners May 9,2014 Page 2 of 3 It is the determination of the Division that the proposed facility can comply with the technical, environmental and public health standards of the Act and the Regulations if the facility is constructed, monitored and operated as detailed in the CD Application and with the conditions of the Division as stated in this letter. Based on this assessment, the Division recommends that this facility be approved by Weld County after consideration the requirements of C.R.S. 30-20-104 and any local criteria. Our recommendation for approval of the CD Application has the following conditions that shall be incorporated in the CD resolution or Use by Special Review permitting process when and if one is issued by Weld County: 1) The Facility shall comply with the public health and environmental laws, standards, and regulations of the Colorado Department of Public Health and Environment and all other applicable State, Federal and local rules and ordinances. 2) The Facility shall notify the Department's Air Pollution Control Division(APCD) and obtain the appropriate APCD permits for this Facility. 3) The Facility shall notify the Department's Water Quality Control Division(WQCD) and obtain the appropriate WQCD permits and update the storm water permit for the Facility. As required by the Act, 30-20-104(3)(a) and(3)(b), Weld County is obligated to notice their citizens and conduct a public hearing regarding the proposed solid waste facility. (3)(a)Prior to the issuance of a certificate of designation. the governing body having jurisdiction shall require that the report, which shall be submitted by the applicant under section 30-20-103, he reviewed and a recommendation as to approval or disapproval be made by the department and shall be satisfied that the proposed solid wastes disposal site and facility conforms to the local government's comprehensive land use plan andzoning restrictions, if any.Any technical conditions of approval made by the department in its final report shall be incorporated as requirements in the certificate of designation. The application, report of the department, comprehensive land use plan, relevant zoning ordinances, and other pertinent information shall be presented to the governing body having jurisdiction at a public hearing to be held after notice. Such notice shall contain the time and place of the hearing,shall.state that the matter to he considered is the applicant's proposal for a solid wastes disposal site and facility, shall provide a description of such proposed site and facility, and shall provide a description of the geographic area that is within three miles ofsuch proposed site and facility. The notice shall be published in a newspaper having general circulation in the county or municipality in which the proposed solid wastes disposal side and facility is located at least ten but no more than thirty days prior to the date of the hearing. In addition, the notice of such public hearing shall be posted at a conspicuous point in at least one location at the offices of the governing body having jurisdiction and in at least one location at the proposed site.Such notice shall be posted for a period beginning at least thirty days before the public hearing and continuing through the date of.such hearing. (3)(b)At the public hearing held pursuant to the provi.sion.s of this subsection(3), the governing body shall hear any written or oral testimony presented by governmental entities and residents concerning such proposed site or facility. All.such testimony shall be considered by the governing body havingjurisdiction in making a decision concerning such application. For the purposes of this subsection(3), "residents" means all individuals who reside within the geographic area controlled by the governing body having jurisdiction or within three miles of the proposed site and facility or who own property which lies within three miles of such proposed site and facility without regard to which county or municipality such individuals reside within Weld County Commissioners May 9,2014 Page 3 of 3 Following the County's decisions regarding the final resolution and the Certificate of Designation application, please forward a copy to the Division. Should you have any questions or concerns regarding this recommendation please contact Eric Jacobs at 303-692-3430 (eric.lacobsna,state.co.us). Sincerely, Eric K.Jacobs,P.G. Charles G. Jt nik(�n, Manager Solid Waste and Material Management Program Solid Waste and Materials Management Program Hazardous Materials and Waste Management Division Hazardous Materials and Waste Management Division cc: Heather Barbare, Weld County Department of Health and Environment Chris Gathman, Weld County Planning and Zoning Bob Yost, Al Organics Michael Pretti, P.E.,KRW Consulting, Inc. Doug Ikenberry, CDPHE Compliance Unit H:1Working File\Projects\County WeltEaton CompostinglCorrespondence\I40506 Eaton Composting Dcsignation Modification to Class I Compost Facility EDOP Recommendation FINAL does Al ORGANICS USE BY SPECIAL REVIEW APPLICATION 1. A completed application form (form attached). 2. A detailed description of the proposed operation and use shall be supplied. Details for the following items,when applicable,are required. a. Explain proposed use.We intend to continue composting at this site as we have in the past. b. Explain need for use.This site is currently a Class III site and we would like to reclassify it to a Class I site. c. Explain the types of existing uses on surrounding properties. Primarily agricultural.The town of Eaton is 1.5 miles to the east. d. Distance of the proposed use to residential structures in each direction. Approximately 'A mile north of the site are three residential homes, and approximately% mile north is a single residential home all surrounded by agricultural property. Approximately h mile west of the site on WCR 33 is one residential home and % mile west is another residential home both surrounded by agricultural property.Approximately 34 mile south of the site on WCR 74 are three residential homes surrounded by agricultural property. Approximately% mile east of the site are four residential homes all surrounded by agricultural property. e. Maximum number of users, patrons, members,and buyers.There are between 1,000 and 1,10018 wheel, 24 ton semi-truck loads of product shipped out of the site annually. Peak traffic is between March 1"and July ft which would bring about 40 trucks a week with the balance of the year bringing in between 5 and 20 trucks a week. Intra-company traffic is relatively steady throughout the year which would bring about 15 trucks a week. f. Number of employees, number of shifts,and hours of operation.The number of employees fluctuates on the composting site depending on the equipment in use at any one time from one to four. We run one shift with overtime if needed Monday—Friday from 7:30am to 5:00pm.The total number of employees on-site including the office is 15. g. Type of water source for the proposed use. If using a well, please complete the attached Water Supply Information Summary. North Weld County Water District supplies our water most of which is used in our office building. h. Explain the access route(s)to be utilized for the proposed use. From the southwest, WCR 33 to WCR 76 east 34 mile to the site. From the northeast,WCR 35 to WCR 76 west 36 mile to the site. i. Explain type,size,weight,and frequency of vehicular traffic associated with the proposed use. We use 18 wheel 24 ton semi-trucks as described in Section le. 1 j. Type of sewage facilities for the proposed use.There are three restroom facilities in the office complex which have running water,toilets and sinks all connected to a septic system on the site. k. Description of the proposed fire protection measures associated with the proposed use.We have North Weld County District Water piped throughout the facilities and we are located within the Eaton Fire Protection District. I. Types and maximum number of animals to be concentrated on the Use by Special Review area at any one time.There are no animals on this site. m. Type and size of any waste, stockpile, or storage areas associated with the proposed use.This Class III Organic Recycling Facility only receives Type I feed stocks which do not exceed 50,000 cubic yards at any one time.The Class I facility will accept Types I, II, and III feedstocks and would be limited to volumes agreed to in the final approved D&O Plan. n. Type of storm water retention facilities associated with the proposed use.We have an engineered retention pond with berms on the south end of the site which will contain a 25-year, 24-hour storm event. o. Time schedule and method of removal and disposal of debris,junk, and other wastes associated with the proposed use. Non-compostable materials are collected on-site in a roll-off dumpster and removed by our trash removal service when full. p. Explain proposed landscaping plans and erosion control measures associated with the proposed use. We have no plans to change or add to any of the existing landscape. The land is level enough that erosion has never been a problem. q. Reclamation procedures to be employed upon cessation of the Use by Special Review activity. In the event of closure of this operation,the land can revert back to an agricultural use without any major changes.We will implement our closure plan as outlined in our Engineered Design&Operations Plan. r. Time table showing the periods of time required for construction and start-up of the proposed use. The facility is already operational. 3. The following written materials and supporting documents shall be submitted as a part of the application: a. Statement demonstrating there is a need for the facility within the proposed area of service. We produce compost, some of which is used in the agricultural industry in the surrounding area. Recent increase in demand for composting of additional materials, such as source separated food waste has created a need to expand the facility capacity and broaden the services it can offer. The expansion is also needed to lessen miles and impact relating to haul distances from markets. b. Statement explaining how the proposal is consistent with the Weld County Code 22. This composting facility receives and processes organic materials all of which are non- toxic creating a beneficial material for landscaping and agricultural industries. c. Statement explaining how the proposal is consistent with the intent of the district in which the use is located. If applicable,statements explaining what efforts have been made in the location decision for the proposed use,to conserve productive 2 agricultural land in the agricultural zone district. We are consistent with the intent of the agricultural district which is provided for as a Use by Special Review. d. If applicable,statements explaining what efforts have been made in the location decision for the proposed use,to conserve productive agricultural land in the agricultural zone district.The use of our product does not remove prime agricultural land from production but contributes to the quality and development of the agriculture industry. e. Statement explaining there is adequate provision for the protection of the health, safety, and welfare of the inhabitants of the neighborhood and the county. Our existing Engineered Design & Operations Plan describes how we handle the above issues. f. Statement explaining the uses permitted will be compatible with the existing surrounding land uses(include a description of existing land uses of all properties adjacent to the property).All surrounding land is agricultural and is a potential customer of our products. g. Statement explaining the proposed use will be compatible with the future development of the surrounding area as permitted by the existing zone and with future development as projected by the comprehensive plan of the county or the adopted master plans of affected municipalities.We are 11/2 miles from the Town of Eaton, but are surrounded by agricultural properties. We are very compatible with the current and future plans of developing agricultural properties. h. Statement explaining the use by special review area Is not located in a flood plain, geologic hazard and Weld County Airport overlay district area;or that the application complies with Chapter 23,Article V,overlay district regulations as outlined in the Weld County Code.We are not in a flood plain, not a geologic hazard, and not in the Weld County Airport overlay district.We do comply with Chapter 23,Article V, overlay district. i. Proof that a water supply will be available which is adequate in terms of quantity, quality,and dependability(e.g. a well permit or letter from a water district).There is a letter on file from North Weld County Water District certifying their water supply is in adequate quantity, quality, and dependability. j. A copy of the deed or legal instrument identifying the applicant(s)interest in the property under consideration. If an authorized agent signs the application for the fee owner(s),a letter granting power of attorney to the agent from the property owner(s) shall be provided.There is a copy of the deed on file with the County. k. Two copies of a noise report unless waived by the Department of Planning Services, documenting the methods to be utilized to meet the applicable noise standards. Noise tests were conducted at the site in December, 2009 by our insurance company.The noise levels detected were below reporting levels as defined by OSHA.The report is attached. I. Two copies of a soil report of the site prepared by the Soil Conservation Service or by a soils engineer or scientist. In those instances where the soil report indicates the 3 existence of moderate or severe soil limitations for the uses proposed,the applicant shall detail the methods to be employed to mitigate the limitations.A soil report from the Soil Conservation Service is on file with the County. m. One copy of affidavit and certified list of the names, addresses and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners' of property(the surface estate)within 500 feet of property being considered.This list shall be compiled from the records of the Weld County Assessor,the Weld County Website,www.co.weld.co.us, or a person qualified to do the task,and shall be current as of a date no more than thirty(30)days prior to the date the application is submitted to the Department of Planning Services.The list is attached. n. Preliminary Drainage Report.This report is on file with the County. o. Preliminary Traffic Study.There would be an insignificant change in traffic on and off the site. p. Waste Handling Plan.This process is outlined in our existing Engineered Design & Operations Plan. q. Dust Abatement Plan.This process is outlined in our existing Engineered Design & Operations Plan. r. Flood Hazard Development Permit(FHDP). N/A s. Geologic Hazard Development Permit(GHDP). N/A 4 organics Colorado's Leader in Organic Recycling Eaton Organic Recycling Facility 16350 WCR 76 USR 930•Parcel#0707 35 000 003 Waste Management Plan Al Organics will be implementing a Waste Handling Plan for our Organic Recycling Facility(Class I Composting Facility)operations located in Eaton, Colorado-Weld County USR 930. Non-hazardous wastes will be generated by the general operations of the facility to include office, shop, bagging facility,and site production. Prior to disposal,waste will be collected and stored in a standard roll off container that will be sized for the volume of waste being created by the facility operations.The roll off container will be located to the south of the office/shop facility and north of the bagging facility for easy access. Smaller tote containers(up to 90 gallon capacity)will be located throughout the facility to collect waste for disposal in the roll off container. Front end loaders will be used to transport and deposit larger volumes of materials from production areas in the roll off container. When volumes contained in the roll off warrant it, or when potential nuisance conditions could exist from the nature and volume of waste collected,the roll off container will be transported for disposal of the waste at a permitted disposal facility. Any hazardous or special wastes generated from operations(shop supplies,cleaning fluids, etc.)will be collected and stored in a designated area and disposed of at an appropriate permitted facility on an as needed basis. The operation will have a 6000 gallon diesel fuel tank and a 500 gallon gasoline tank with approved secondary containment. A Spill Prevention Control and Countermeasures(SPCC) plan is in place for fuel and or vehicle maintenance liquid storage. The SPCC plan will be available at the site at all times. The fuel storage tanks are owned and permitted by the fuel supply company(currently Agfinity Inc., 55 W Bromley Ln, Brighton Colorado). Tanks are permitted through the State of Colorado—Department of Labor and Employment—Division of Oil and Public Safety. Waste will be disposed at: Waste Management, North Weld Landfill 40000 WCR 25 Ault, CO 80610 Phone(866)482-6319. 0‘,012..i0 ` Al Organics Corporate Headquarters: 16350 WCR 76 • Eaton,Colorado 80615 C Composting ‘'.t' ' J Tel 970-454-3492 • 800-776-1644 • Fax 970-454-3232S. a7 Council Facilities Eaton•Keenesburg Stapleton • Seal of Testing • F Assurance >,.e 'f? Las Vegas,Nevada rj/lomni www.alorganics.com NO kg organics Colorado's Leader in Organic Recycling Eaton Organic Recycling Facility 16350 WCR 76 USR 930-Parcel#0707 35 000 003 Dust Abatement Plan Al Organics will provide dust abatement for its operations at our Organic Recycling Facility(Class I Composting Facility)operations located in Eaton, Colorado-Weld County USR 930. A water truck will be used to treat the on-site areas(production, haul roads, etc.)in order to suppress dust. A water truck and/or sprinklers will be used to control dust in material handling/stockpile areas when necessary. Vehicle speeds will be reduced on-site and posted at 10 mph. All loaded trucks will be required to tarp/cover loads when entering or leaving the site to aid in dust suppression. On a daily basis prior to starting up site operations, all haul roads, processing area,and stockpile locations will be inspected to determine if welling the surfaces is needed. If the roads and stockpiles are dry where dust could be generated they will be wetted using a water truck or sprinklers. During daily operations, if dust is being generated that is leaving the site,the operator will employ the use of the water truck to control the situation. .1/4,OR.t Lh y Or, Al Organics Corporate Headquarters: 16350 WCR 76 • Eaton,Colorado 80615 ® US Composting Tel 970-454-3492 • 800-776-1644 • Fax 970-454-3232 J Council T.`j,- Facilities'. Eaton•Keenesburg•Stapleton Seal of ran ° Las Vegas,Nevada "osoonc www.alorganics.com 1/4>0 C 0(yyl. Weld County Public Works Dept. ( --C 1111 H Street ACCESS PERMIT 'o'ii "a"ti;,, P.O.Box 758 APPLICATION FORM O*:' �� Greeley,CO 80632 ,JC yi•—• Phone: (970)304-6496 Fax: (970)304-6497 Applicant Property Owner(If different than Applicant) Name !2oLI 7e75% Name 1D- URve 1; i .. 1s,9n/ Company At Of/? 4.-I ; <.-5 Address /Lo3 50 (Ai( k'- 7 L Address / La 3 Co L I d 2 7 L. City (. 47 to iiJ State CO Zip f{f'CC/S City c n ct' StateeD Zip XP6/ C Phone q7o - S 3-9-- >2/i a Business Phone 'J 70"4<-"! -.3 •f 4 2 Fax N/lit Fax C/ 7n — '/ S y - 3.L 3 2 E-mail it//A CU��I� E-mail la Oil I15/ E' '�4 J z? '� 4--,Le.C el ni ♦=Existing Access =Proposed Access Ur-- Parcel Location&SketchI L The access is on WCR 769 Nearest Intersection:WCR 7C0 &WCR '3 7a _ wcR 7¢, --aP2— Distance from Intersection 172._ NI r / t' Parcel Number 07077 &.S COA an3ei 2 Section/Township/RangeL/WVS 5 / 1-74/12 „04, td I M C3 Is there an existing access to the property?' 'ES NO 0 NI 3 3 (ri\ Number of Existing Accesses ,2 Road Surface Type&Construction Information J J Asphalt GravelC. Treated II Other WEIR L. Culvert Size&Type Ni A Materials used to construct Access (204-.41...;.c: ), c/c cy Ai Construction Start Date- 1S7' IFinish Date 1 '4fy 1 t 14 M 7 Proposed Use ['Temporary(Tracking Pad Required)/$75 ©Single Residential/$75 D Industrial/$150 DSmall Commercial or Oil&Gas/$75 ©Large Commercial/$150 DSubdivision/$150 0Field(Agriculture Only)/Exempt Is this access associated with a Planning Process? ONo DUSK ORE OPUD DOther Required Attached Docume>I is -Traffic Control Plan -Certificate of Insurance -Access Pictures (From the Left, Right,&into the access) By accepting this permit,the undersigned Applicant,under penalty of perjury,verifies that they have received all pages of the permit application;they have read and understand all of the permit requirements and provisions set forth on all pages;that they have the authority to sign for and bind the Applicant,if the Applicant is a corporation or other entity;and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions,all Weld County ordinances,and state laws regarding facilities const . I n. 7 Signature .✓l. 7�4 Printed Name -; 49 S./ Date Approval or Denial will be iss d in minimum of 5 days. Approved by Revised Date 6/29/10 q; organics ENGINEERING DESIGN AND UDOPERATIONSPLAN (EDOPI Al ORGANICS EATON ORGANIC RECYCLING FACILITY z Prepared For: Al Organics Eaton Organic Recycling Facility 16350 WCR 76 Eaton, CO 80615 cc Prepared By: KRW Consulting, Inc. 8000 West 14th Avenue Lakewood, CO 80214 sanniqt9PMp(t.‘‘ki fratari,?%.03: 4* /Olt re is / - i i 004503 8 1 5 / i Micha J. retti, P.E. < • < •• , ,• • , Principal Engineer lit ' ••. .... February 2012 tq Revised - May 2014 Table of Contents 1 .0 INTRODUCTION 4 1 . 1 Purpose and Scope 4 1 .2 Site Description 4 1 .3 Background 5 1 .4 Composting Facility Name and Address 5 1 .5 Waiver 5 1 .5. 1 Reduction of Storm Water/Leachate Containment Structure Freeboard 5 2.0 SITE CHARACTERIZATION 7 2. 1 Site Topography 7 2.2 Surface Water Drainage 7 2.3 100-Year Floodplain Information 7 2.4 Geologic Hazards 7 2.5 Public Water Supply Information 8 3.0 GEOLOGY 9 3. 1 Regional Geology 9 3.2 Site Geology 9 4.0 HYDROGEOLOGY 10 4. 1 Regional Hydrogeology 10 4.2 Site Hydrogeology 10 4.3 Groundwater Time of Travel 10 4.4 Groundwater Quality 10 4.4. 1 Local Groundwater Use 10 5.0 DESIGN CRITERIA 11 5. 1 Design Assumptions 11 5.2 Surface Water Control 11 5.3 Storm Water/Leachate Control 11 5.4 Construction Quality Assurance Plan 12 6.0 OPERATIONAL INFORMATION 13 6. 1 Operating Hours 13 6.2 Facility Management and Personnel 13 6.3 Employee Training 13 6.4 Site Security 13 6.5 Site Signage and Emergency Contact 13 6.6 Fire Protection Plan 14 6.7 Material Types 14 6.8 Composting Facility Processing and Staging 15 6.9 Facility Capacity 15 2 6. 10 Composting Operations 16 6. 10. 1 Liquid Waste Characteristics and Operational Procedures 17 6. 10.2 General Processing 17 6. 11 Contingency Plan 18 6. 12 Dewatering Storm Water/Leachate Containment Structure 18 6. 13 Recordkeeping 18 7.0 COMPOST SAMPLING AND QUALITY 20 7. 1 Sampling Frequency 20 7.2 Sampling Procedures 20 7.3 Pathogen Reduction 20 8.0 CLOSURE AND POST CLOSURE 21 8. 1 Composting Facility Closure 21 8.2 Post Closure Care and Maintenance 21 8.3 Financial Assurance 22 9.0 REFERENCES 23 Appendices Appendix A Drawing Set Appendix B Hydrogeological Report Appendix C SOPs ( Reserved ) Appendix D Closure and Post Closure Plan Appendix E Construction Quality Assurance/Quality Control Plan Appendix F Reserved Appendix G Drainage Calculations Appendix H Groundwater Monitoring Plan Appendix I Regulatory Cross Reference Appendix J Contingency Plan Appendix K Analytical Requirements of Finished Compost Appendix L Personnel Training Program Appendix M Waste Characterization Plan 3 1 . 0 INTRODUCTION 1 . 1 Purpose and Scope This Engineering , Design , and Operations Plan (EDOP) provides the siting justification , design , operations plan , and closure plan required to upgrade the current Al Organics Eaton (Al ) Organic Recycling Facility from its existing Class III composting facility designation to a Class I composting facility. Al proposes to conduct composting operations in 2 phases. The footprint for both phases will be included in the revised Weld County Use by Special Review (USR) and Certificate of Designation (CD) area for the facility. Phase 1 encompasses the northern half of the site. The Phase 1 site plan is shown on Plate 4 and the conceptual site plan at build-out is located on Plate 6, both in Appendix A. The existing Phase 1 retention pond will be maintained for Phase 1 operations and re-graded to improve drainage and eliminate site run-on conditions. Drainage calculations demonstrating the adequacy of the existing pond are included in Appendix G . During Phase 1 operations, finished products and finished product blending , wood and mulch storage and processing , and non-compost feedstock materials will be stored and processed outside of the Phase 1 operations areas as indicated on Plate 4 located in Appendix A, but within the USR/CD boundaries. Phase 2 operations will be permitted under the Amended USR procedure. A conceptual Phase 2 design is shown on Plate 6 located in Appendix A. Preliminary investigations indicate that the Phase 2 work pad will be constructed from compacted on site soils. A detailed working pad design will be submitted to Colorado Department of Public Health and Environment (CDPHE) and Weld County for approval prior to construction of Phase 2 compost production area. A new retention pond may be constructed at the south end of the Phase 2 composting area . A drainage conveyance may link the southwest corner of Phase 1 to the Phase 2 retention pond that would allow for removal of the Phase 1 retention pond . Alternatively, the Phase 1 retention pond may remain after Phase 2 is constructed . The facility location remains at 16350 WCR 76, Eaton , Colorado approximately 11/2 miles west of the town of Eaton , Colorado, and 6 miles north of the City of Greeley. This EDOP has been prepared to demonstrate that the Class I composting facility will meet all the applicable siting , design , operating , closure, and post closure requirements as provided in Section 14 of Colorado's "Regulations Pertaining to Solid Waste Sites and Facilities," 6 CCR 1007-2 (Regulations), as amended . To facilitate regulatory review, a regulatory cross reference is included in Appendix I . 1 .2 Site Description The Site Location Map (Plate 1 in Appendix A) illustrates the location of the facility relative to the Town of Eaton and the City of Greeley. The site is located on property leased to Lambland Inc. , DBA Al Organics. Al Organics is the operator of the facility. The amended USR/CD boundary will encompass approximately 144. 8 acres. The operational portion of the USR/CD boundary, (Phase 1 and Phase 2, Plate 6 in Appendix A) located within the USR/CD boundary will encompass approximately 45.2 acres. 4 The property and USR boundaries are shown on Plate 2 in Appendix A. Plate 2 also includes a legal description of the proposed USR/CD boundary. 1 .3 Background In 1974, Lambland Inc. formed Al Organics as a DBA. Al Organics began composting manure generated by the lamb feeding operation that existed on the site. Over the next 20 years Al 's composting operation expanded to include other organic materials including paunch manure from local meat packing plants, green waste, waste beer and brewers residuals, and various wood wastes. The original Site Specific Development Plan and Special Review Permit for an agricultural service establishment (Organic Materials Composting and Processing Facility) USR 930 was issued in January 1991 . USR 930 was amended in August 2002 to update the site boundaries. In July 2004, the site was approved as a Class III compost facility to comply with the Solid Waste Disposal Sites and Facilities 6 CCR 1007-2 ( Regulations). If the facility does not receive Class I status, the current Class III facility status will remain . 1 .4 Composting Facility Name and Address The name and physical address for the Eaton Organics Recycling Facility is: Al Organics Eaton Organic Recycling Facility 16350 WCR 76 Eaton , CO 80615 The mailing address is the same as the physical address. 1 .5 Waiver The following waivers are requested . Each waiver has been included with a justification for the request. 1. 5. 1 Reduction of Storm Water/Leachate Containment Structure Freeboard Regulation Section 14.3. 1 . B .7 states "Such that water/leachate containment structures shall be designed and maintained with a minimum 2 feet of freeboard measured from the lowest elevation at any given time" Waiver: 1 .75 feet of freeboard has been achieved at all locations except at the existing spillway where 1 .5 feet of freeboard has been achieved . A reduction in the freeboard requirement to 1 . 5 feet would eliminate the need to modify the existing embankment and spillway. The following conditions support the waiver request: The pond water surface elevation will be lowered to achieve the minimum 1 . 5 feet of freeboard within 2 weeks of the storm event that raised the water surface above the 1 . 5- foot freeboard elevation (See Section 6. 12) 5 C The 100-year storm is contained with a freeboard of 1 . 5 feet, further limiting the risk of discharge at the facility A staff gauge will be added to the retention pond and water depth for the 25-year, 24-hour storm event and the 1 .5-foot freeboard elevation will be supplied to the operator to aid in lowering the surface elevation of the water as needed . a During proposed regrading work for the retention pond , scarification and recompaction of the upper 8 to 12 inches of the liner area will be performed . The proposed regrading of the retention pond will remove built up sediments in the low portion of the pond , so cuts will not entirely removing liner material . After recompaction , the existing surface soils will be density tested . Testing will be performed in accordance with requirements shown in Table 3 of the Construction Quality Assurance/Quality Control Manual (Appendix E). a Al Organics' retention pond was constructed with on-site clayey soil to approximate elevation 4850 above mean sea level (amsl) in the sump area (Robert Tardy & Associates, Inc. 2004 drawings D2 and D3, showing the 4850 contour in the sump area of the retention pond ). The underlying soil , as shown in the boring log for MW-2 (nearest boring to the retention pond low point), is a sandy clay (CL/SC) that was encountered to an elevation of 4847 amsl , approximately 1 . 5 feet below the bottom of liner elevation , approximately 4848. 5 amsl . C Future removal of residual materials, if necessary, will be performed in such a manner as to not impact the integrity of the liner materials. No material shall be removed below elevation 4850 amsl in the retention pond . C Al Organics will annually perform testing of leachate contained in the retention pond . The testing will be based on constituents listed in Appendix IA and Appendix IB (metals) of the Regulations and feedstocks accepted . If any feedstock, bulking materials, or other material used for composting operations include industrial waste or other materials that may contain volatile organic compounds (VOCs), and these materials are transported to the Facility, the annual testing will include the Appendix IB VOC constituents listed in the Regulations. Al Organics will evacuate the liquid in the retention pond within 15 days of accumulation from a significant precipitation/moisture event (greater than 1 inch of precipitation in a 24- hour period ). Along with these construction procedures and operational conditions, i .e. removal of liquid within 15 days of accumulation , the surface water retention pond will perform within the design intent and will provide protection of public health and the environment. 6 2 . 0 SITE CHARACTERIZATION 2 . 1 Site Topography The site is located 11/2 miles west of the town of Eaton , Weld County, Colorado. The property occupies part of a broad southeast trending valley. Site elevation ranges from 4845 feet above mean sea level at the southern end of the proposed limits of operation to 4865 feet above mean sea level at the north end of the facility. Existing grades slope downward to the southwest. Regional topography is shown on Plate 1 . Plate 3 shows existing site contours. Plates are located in Appendix A. 2 .2 Surface Water Drainage The subject site is not located in the floodplain of any surface water body, perennial stream , or intermittent stream which may be inundated by the base flood . The Flood Insurance Rate Map, Community-Panel Number 080266 0475D , for the area indicates that the site is in Zone C — Area of Minimal Flooding . A floodplain map is included as Figure B3 in Appendix A of the Hydrogeological Report (Appendix B) . Surface water bodies and ditch laterals located within two miles of the site are shown on the site vicinity map, Figure B1 in Appendix A of the Hydrogeological Report. A portion of the Graham Seep is located along the southwestern portion of the site, but outside of the subject property. The portion of the seep that is adjacent to the site has been intercepted by a drain tile. The seep originates west of the southern part of the site and flows in the drain tile to the south and east where it comes to the surface and flows southeast under the Western Railroad in an existing tail-water ditch . The USGS has identified the seep as a perennial stream as shown on Figures B1 and B3 of the Hydrogeological Report. No other perennial streams are located within two miles of the site. Several unnamed ponds are located within 2 to 3 miles of the site, but they are all hydrogeologically up-gradient (north and northwest) of the groundwater flow, as shown in Figure B8 of the Hydrogeological Report contained in Appendix B . Since the ponds are up-gradient, there is no opportunity for the operations at this facility to influence these surface water bodies. See Plate B1 in Appendix A for surface water bodies and streams in the vicinity of the site. Wetland conditions do not exist at the subject site. Conditions are such that the site is not affected by inundation from local surface water bodies. Other than the adjacent Graham Seep discussed above, there is no discharge of groundwater to the surface near the site. Further, there are no significant swamps, marshes, bogs, or similar areas, typically fed by springs, which would support vegetation typically adapted for life in saturated soil conditions (i .e. , wetlands vegetation ). 2 . 3 100-Year Floodplain Information The compost facility footprint covered under this EDOP is not located in a floodplain . See Section 1 . 2 of the Hydrogeological Report for details on the site topography and surface water features. 2.4 Geologic Hazards Geologic hazards are addressed in Section 2. 3 of the Hydrogeological Report. 7 2a5 Public Water Supply Information Water wells within 1 mile of the site are shown on Figure B2 in the Hydrogeological Report. None of these wells are a public supply well . 8 3 . 0 GEOLOGY See Hydrogeological Report contained in Appendix B . 3. 1 Regional Geology See Section 2. 1 of the Hydrogeological Report contained in Appendix B 3.2 Site Geology Site specific geology is discussed in Section 2.2 of the Hydrogeological Report in contained Appendix B . On-site testing has indicated that the native soils are generally compactable to 1x10-5 cm per second or less (see Section 2 .2.2 of Hydrogeological Report). A confining layer of Laramie Fox Hills claystone exists between the surficial soils and the underlying Laramie Fox Hills aquifer. This layer is estimated to be 8 to 10 feet thick beneath the site. This Laramie Fox Hills claystone confining layer creates a nearly impermeable barrier which is conducive to impeding groundwater flow and restricting groundwater movement from the alluvial sediments to the underlying aquifer. The favorable geology along with operational controls and environmental monitoring (see Section 6 and Appendix H ) define the site as well suited for Class I composting operations. 9 4. 0 HYDROGEOLOGY See Section 3. 0 of the Hydrogeological Report contained in Appendix B . 4. 1 Regional Hydrogeology See Section 3. 1 of the Hydrogeological Report contained in Appendix B . 4.2 Site Hydrogeology See Section 3.2 of the Hydrogeological Report contained in Appendix B . 4.3 Groundwater Time of Travel See Section 3.2 .2 of the Hydrogeological Report contained in Appendix B . 4.4 Groundwater Quality See Section 3.2.3 of the Hydrogeological Report contained in Appendix B . 4.4. 1 Local Groundwater Use See Section 3.2 .4 of the Hydrogeological Report contained in Appendix B . 10 5. 0 DESIGN CRITERIA As required by Regulation Section 14. 3. 1 , the general criterion used in the design of the composting facility includes provisions for surface water and leachate control . These provisions are discussed in more detail in the following sections. 5. 1 Design Assumptions The permanent run-on drainage structures and the storm water/leachate retention pond were designed based on a 25-year, 24-hour storm event. A Type II rainfall distribution was used for the drainage calculations. Drainage was sized using the Urban Drainage Flood Control (UDFCD) criteria and design worksheets. 5.2 Surface Water Control The surface water drainage plan has been designed to divert run-on surface water from the Phase 1 compost production and product storage area in a manner that generally minimizes disturbance to existing drainage patterns. The addition of the ditch and berm structures along the north and west edges of the compost production and production storage area will improve the surface water control to prevent flow onto the facility during peak discharge from a 25-year, 24-hour storm event. An existing tail-water ditch located immediately adjacent to the east property line has been checked for capacity and is sufficient to prevent flow onto the facility during peak discharge from a 25-year, 24-hour storm event. See Appendix G for Drainage Calculations. Existing and proposed storm water drainage controls are shown on Plates 3, 4, 5, 7 and 8, and a conceptual Phase 2 storm water drainage control plan has been shown on Plate 6 in Appendix A. Plate H1 , showing drainage basin areas, is attached in Appendix G . The drainage calculations contained in Appendix G were prepared using the Peak Runoff Prediction by the Rational Method , Urban Drainage and Flood Control District (UDFCD), Denver, Colorado. This program applies the Rational Method to estimate stormwater runoff and peak flows from small urban catchments (less than 90 acres). UDFCD recommended design input parameters were used to determine rainfall intensity and runoff coefficients. 5.3 Storm Water/leachate Control The storm water/leachate control plan has been designed to control and collect the compost production and product storage area run-off water volume resulting from a 25-year, 24-hour storm event as well as contain and manage leachate for the 100-year, 24-hour storm . The existing surface water retention pond and a portion of the production and product storage area will be regraded to improve drainage to the sump location and a berm will be added to the north to isolate the retention pond from run-on and protect the existing leach field area. Also, a staff gauge will 11 be added to the retention pond to provide the operator an aid in lowering the surface elevation of the water. Hydraulic conductivity testing was performed in the retention pond and the production and product storage areas. The results of the testing indicate that the retention pond area consists of 18 inches of containment structure soils that have hydraulic conductivities ranging from 5. 9x10-5 cm/sec to 5. 9x10-8 cm/sec and the production and product storage area consists of 18 inches of containment structure soils that have hydraulic conductivities less than or equal to 5x1O5 cm/sec. Upon re-grading of the retention pond and a portion of the production and product storage area, testing will be performed per the CQAQC requirements to confirm that 18 inches of containment structure soils are maintained and that the hydraulic conductivities of the soils are less than or equal to 1 x10-6 cm/sec for the retention pond (in accordance with Regulation Section 14.3. 1 . B .4), and 5 x10-5 cm/sec for the production and product storage area. As noted in the Section 1 . 5 . 1 , a waiver request to reduce the freeboard requirement to 1 . 5 feet has been included . Per the waiver request, the pond water surface elevation will be lowered to achieve the minimum 1 .5 feet of freeboard within 2 weeks of the storm event that raised the water surface above the 1 . 5-foot freeboard elevation . See Appendix G for Drainage Calculations. The existing and a conceptual Phase 2 retention pond for storm water leachate control is shown on Plate 6 in Appendix A. 5.4 Construction Quality Assurance Plan See Appendix E for a copy of the Construction Quality Assurance Plan . 12 6 . 0 OPERATIONAL INFORMATION 6. 1 Operating Hours The hours of operation for the composting facility will fall within the normal operating hours of Al Organics. Normal hours of operation will be from 7: 30 AM to 5:00 PM , Monday-Friday. Hours of operation for the composting facility will be adjusted to accommodate volume fluctuations of compostable materials and production schedules and may at times require operating hours up to 24 hours per day and seven days a week. Hours may also be adjusted for special projects or other reasons. Hours of operation will be posted at the facility entrance and are available by calling (970) 454-3492 . 6.2 Facility Management and Personnel The names and addresses of the individuals currently operating the facility are: Kent Pendley Chuck Wilson Chief Operating Officer President, CEO 970-396-5295 (cell #) 970-381 -4550 (cell #) 970-454-3492 (office #) 970-454-3492 (office #) Bob Yost Chief Technical Officer 303-710-9121 (cell #) 970-454-3492 (office #) 6. 3 Employee Training Employees of the composting facility will be trained to adhere to the Contingency Plan in Appendix J . Employees will be trained to recognize prohibited materials, take action when nuisance conditions occur, and implement Al 's emergency procedures for the composting facility when necessary. The Al Organics Personnel Training Program is in Appendix L. 6.4 Site Security The composting facility is located within the overall USR boundaries. The following site security systems are in-place to control public access and to prevent unauthorized use of the facility: Fencing and gates Gate attendant On site occupied residence. 6.5 Site Signage and Emergency Contact Signage will be provided at the entrance to the facility and within the facility containing applicable traffic control information . Signage will include the facility name and a list of materials that will and 13 will not be accepted at this facility. Emergency phone numbers will be posted at the entrance to the facility. The emergency contacts for Al Organics personnel are listed in Section 6.2 . 6.6 Fire Protection Plan The composting facility structures will be equipped with smoke detectors and suitable fire extinguishers for suppression of any minor fires and for personnel safety. Fire protection for composting equipment and vehicles is provided by portable fire extinguishers. Any fire that occurs at the facility will be extinguished by composting operations personnel using composting equipment, with additional assistance provided by Eaton Fire Department, as necessary. If necessary, the facility water truck may also be used to extinguish fires. 6. 7 Material Types The composting facility will compost or process Type 1 , 2, and 3 feedstocks as defined in the Regulations. The proposed feedstocks include, but are not limited to: Type 1 a, Agricultural crop residues o Vegetable, grain , and feed crop materials resulting from normal agricultural production and harvesting activities. a Manure o Dairy, horse, cattle, and other animal manures, and related bedding materials normally associated with confined feeding operations. a, Source-separated yard , paper, untreated wood wastes, and green wastes. Type 2 a Animal material o Any material derived from animal products that are for consumption by humans or animals, including but not limited to agriculture, food manufacturing and processing industries, restaurants, hospitals, and food distributors. Source separated food waste o Restaurant, grocery store, food production facilities, food distribution operations, food grease trap waste, cooking oils, etc. Type 3 Biosolids o The accumulated residual product resulting from a domestic wastewater treatment works. Biosolids does not include grit or screenings from a wastewater treatment works, commercial or industrial sludges (regardless of whether the sludges are combined with domestic sewage), sludge generated during treatment of drinking water, or domestic or industrial septage. 4 Solid waste, processed solid waste, and sludges as approved in accordance with the Waste Characterization Plan (Appendix M ) Special Waste Screening process a Non-hazardous liquids and other non-hazardous solid waste suitable for composting as approved in accordance with the Waste Characterization Plan (Appendix M) Special Waste Screening process. 14 It is the responsibility of the generator to determine whether the feedstock is a hazardous waste. The Hazardous Materials and Solid Waste Management Division will assist the facility in identifying waste streams requiring additional up front and back end analysis to determine absence of constituents of concern in the finished compost. Thorough waste characterization will assist CDPHE in distinguishing waste type. A detailed waste characterization plan is included in Appendix M . Any generator that provides a Type 3 feedstock material will be required to provide a waste profile describing the material . Analytical testing may be required prior to acceptance of the material . Waste profiles and analytical testing results will be maintained and available for review by CDPHE and Weld County. Visual waste screening for Type 1 and Type 2 feedstocks will occur at the site when the material is off-loaded , unless justification , based on information gained from visual inspection such as odor, color, debris, suspicious behavior, or other information creates a basis for requiring additional information or analytical testing . Facility personnel will base their decision to require additional information or analytical testing based on personnel training and procedures outlined in the Waste Characterization Plan (Appendix M ). The objective of waste profiling is to assure exclusion of prohibited materials consistent with Section 2 . 1 .2 of the Regulations. 6. 8 Composting Facility Processing and Staging Processing and staging of feedstock material will be done within the Composting Facility production area . Non-feedstock materials may be staged adjacent to the composting workpad or elsewhere within the defined Certificate of Designation area, either to the west or south , including the area to the south of the existing retention pond . Materials placed within this area will be finished products, or inert wastes such as wood wastes, brush , topsoil , etc. This area may also be used for non-feedstock related processing such as grinding or blending of finished products. It may also be used for production of additional finished products the company markets, such as prepared mulch products. Mulch production may include coloring processes. Drainage from these areas will be directed to the tail-water ditch along the west edge of the operations area, and not into the stormwater/leachate containment structure. A stormwater diversion berm will be constructed along the south edge of the Non-Compost Production and Product Storage Area (along approximate grid line 3+40N ). The berm , along with natural contours of this area , will direct runoff to the existing sediment control logs (wattles) located in the southwest corner of the area. At this point the runoff will enter the tail-water ditch and flow off site along the south edge of the property. 6.9 Facility Capacity The maximum volumes of feedstock, in process composting material , bulking material , mulch , and other finished products on site at any one time will not exceed 260, 000 cubic yards. Typical on site volumes will normally be less than the maximum allowed as noted in the individual 15 categories of materials estimated below. The volume of any one category may vary above or below those noted , but the total volume will not exceed the aggregate total of 260,000 cubic yards. Quantities of Materials for Individual Categories Material Estimated Maximum Stockpiled Bulking Agents (includes 50,000 cubic yards 75,000 cubic yards wood and green waste material) Feedstocks (non-wood or green waste 5,000 cubic yards 10,000 cubic yards material) generally referred to as nitrogen sources for composting In-Process Materials (active composting , 75,0000 cubic yards 100,000 cubic yards soils, mulch production , etc. ) Finished Products (completed products 50,000 cubic yards 75,000 cubic yards ready for shipment) Liquid Wastes (contained in storage 250,000 gallons 1 ,000,000 gallons tanks) 6. 10 Composting Operations Al Organics' operations will be conducted in a manner to meet all regulatory requirements for protection of Public Health and Environment, including control of nuisance conditions. Al Organics will utilize a best management practice (BMP) philosophy in choosing the specific methods and technology and related Standard Operating Plan (SOP) for composting , site, and production activities. Specific Standard Operating Procedures been created to address the various composting and production methods and technologies associated with the site. These procedures are such as to still allow Al Organics the flexibility needed to maintain BMPs that are applicable to the types and volumes of materials they process and the conditions under which they must process them , while properly managing the site operations and meeting regulatory requirements. Any SOP utilized includes provisions for protection of Public Health and Environment in compliance with the site's USR/CD and Section 14 of the Regulations. In the event that a construction activity for the implementation of a specific SOP is required , the operator will obtain the required authorization for construction activities from Weld County. Environmental controls and monitoring for the site operations have been created to insure compliance with the Regulations and protection of Public Health and Environment. A copy of each SOP utilized will be maintained on site and will be provided at the written request of the CDPHE and or Weld County. Feedstocks and bulking agents will arrive at the facility by truck or other means of transportation . After an initial inspection of the material , receipt of the feedstocks and bulking agents will be documented . Documentation will include generator and transporter information , classification of 16 the material , and volume information . If required , samples of the materials may be taken at this time. After documentation is completed , the materials will be delivered to the designated area for composting or non-composting production . Biosolids, food waste, and similar materials capable of producing offensive odors will be mixed with bulking agents and placed in appropriate production windrows, piles, or vessels within 24 hours of receipt at the facility. Unprocessed biosolids or putrescible materials arriving late in the day will be covered with a layer of wood chips/bulking agent prior to the end of the day in preparation of further processing the next day. If an engineered mixing basin or pad is utilized , it will be designed and sealed by a registered Colorado professional engineer and approved by CDPHE and Weld County. Additionally, the physical characteristics of high-moisture materials being mixed or blended at the compost site will be observed . Should excessive amounts of free liquids or puddles be observed , they will be remediated and/or absorbed with wood or similar material and blended back into the composting material . 6. 10. 1 Liquid Waste Characteristics and Operational Procedures Liquid wastes are liquids approved for receipt and processing that are primarily used to benefit the composting process by addition of moisture. They may also contain some minor sources of nutrients or other properties beneficial to the composting process and or finished compost and soil products. Some liquids may also be used for dust control when approved by Weld County and CDPHE . Liquids will arrive in transport tankers and be off-loaded into storage tanks, directly into application equipment, or mixed directly into the composting materials. If above ground storage tanks are used , they will either be double walled , or single walled placed within a lined secondary containment berm capable of impounding the entire volume of the largest tank within the containment area plus freeboard . From the storage tank, the liquids will be loaded onto a water truck and applied directly to the windrows using spray booms or injection devices, or mixed directly into the composting materials as long as mixing methods meet required environmental controls contained in this EDOP and are detailed in the appropriate SOP for that process. No liquids would be mixed in below ground pits. If ponding at the base of the windrow is noticed , a front-end loader will be used to remediate the situation . 6. 10. 2 General Processing The composting area will be monitored for nuisance conditions and control measures used as required . Bulking agents will be processed as needed from the stockpiles of ground and un- ground materials on site. Crushed gypsum or other additives may be incorporated into the windrows during the final stages of composting . The exact amount of each added ingredient will be determined based on the targeted use of the finished compost. The site will be visually monitored to ensure no nuisance conditions exist. The Contingency Plan will be implemented if any incident or condition needing attention is identified . 17 After the compost process is completed , the compost material will be placed in a curing pile, screened , or shipped off-site. Material placed in a curing pile will be screened and/or shipped at a later date. Uncomposted organic materials that come off the screening unit (overs) will be reintroduced into the composting process or further processed for marketing and distribution , or if unusable, will be disposed of at an approved disposal facility. 6. 11 Contingency Plan A contingency plan has been included in Appendix J as requested . The contingency plan addresses the following : The delivery of unapproved feedstock, bulking material , liquid waste, or other waste materials C Contamination of surface or groundwater The occurrence of nuisance conditions either on-site or off-site. 6. 12 Dewatering Storm Water/Leachate Containment Structure The water level in the storm water/leachate containment structure will be lowered to achieve the minimum 1 .5 feet of freeboard within 2 weeks of the storm event that raised the water surface above the 1 . 5-foot freeboard elevation , and dewatered within 30 days of a storm event so that the full runoff storage capacity is restored and available. Water from the containment structure will typically be used as a wetting agent for composting materials or for dust control within the composting facility. The procedures applicable to applying water from the containment structure within the composting facility limits are outlined below. C The water may be pumped from the containment structure into a water truck for transport to the composting facility area . A spray-bar attachment on the truck, or similar distribution device, will be used to apply the water The water may be applied directly onto composting piles or windrows utilizing a pipe and sprinkler application system or via a water truck C The water shall be applied to composting materials at rates to avoid runoff or puddling . Water utilized from the containment structure for dust control will be sampled and tested at least annually, subject to water quality parameters appropriate for waste streams accepted at the facility. Copies of the analytical results will be submitted to Weld County and the CDPHE within 30 days of receipt. The CDPHE reserves the right to require that use of fluids from the containment structure for dust control be discontinued based on the laboratory analytical test results. 6. 13 Recordkeeping The composting facility will maintain , at a minimum , the following applicable records: Type and amount of feedstocks, liquid wastes, and bulking materials received , processed , and remaining on-site C Amount of finished compost sold , or distributed off-site 18 4 Water quality monitoring data 4 Liquid waste analytical data as applicable 4 Feedstock analytical data as applicable 4 Compost analytical data 4 Operational monitoring data , including time and temperature readings 4 Windrow/pile activity data 4 Financial assurance documentation 4 Engineering , Design , and Operations Plan (EDOP) 4 Certificate of Designation (CD) 4 Waiver demonstration documentation (when obtained ) 4 Facility personnel training records 4 SOPs for operational processes utilized on the site 4. As-built construction drawings and details. These records will be maintained at the facility, unless otherwise approved by CDPHE and Weld County, and will be made available during business hours to CDPHE and Weld County upon request. An annual report will be submitted for the composting facility by May 1st of each year to CDPHE and Weld County. The annual report shall provide the total volume of materials received at the facility during the previous calendar year, including by type: 4, The quantity of finished product used on-site, sold , or distributed off-site 4 The quantity and type of feedstocks, liquid wastes, and bulking materials received , processed , and remaining on-site. 19 7 . 0 COMPOST SAMPLING AND QUALITY Compost that is sold or distributed off-site will achieve, at a minimum , the standards set forth in Table 1 of Section 14 of the Regulations as enclosed in Appendix K. Compost that does not meet the levels specified in Table 1 will be: a Reintroduced into the composting process Disposed of in accordance with all applicable laws, regulations and ordinances, or used in other manners approved by CDPHE and Weld County. 7. 1 Sampling Frequency Finished compost will be sampled and tested at least once every 10, 000 cubic yards of compost produced , or annually, whichever is more frequent. 7.2 Sampling Procedures Feedstocks and bulking agents may be sampled and tested as needed to determine proper mixing and composting ratios. Finished compost will be sampled and analyzed for the inorganic and biological constituents listed in Table 1 of Section 14. 5. 1 of the Regulations and attached as Appendix K. Sampling procedures applicable for all types of finished compost envisioned per section 14.4.2 (S) of the regulations are detailed in the Sampling SOP located in Appendix C. If changes to the Sampling SOP are made, a revised SOP will be submitted to the CDPHE and the local governing body for approval . A copy of the sampling SOP will also be kept in the site SOP manual . Copies of all analytical information will be kept on file at the site or at another location approved by CDPHE and Weld County. Finished compost sampling methodology has been provided in the form of an SOP in Appendix C. (Please note that the SOPs referenced in Appendix C have been forwarded to CDPHE under separate cover and are not attached to this EDOP). 7.3 Pathogen Reduction All compost will be produced following the procedures described in this EDOP and the related SOPs to ensure that the composting process reduces pathogens. Finished compost will be tested for pathogens, either fecal coliform or salmonella , and must meet the limits as defined in Section 14. 5. 1 (B) of the Regulations. 20 8 . 0 CLOSURE AND POST CLOSURE Per Section 14. 8.2 of the Regulations, if at any time the facility ceases operation , including the discontinued receipt, processing , and sale of materials for more than one hundred eighty ( 180) days, the owner or operator shall notify the CDPHE and local governing body and unless otherwise approved by the Department and the local governing authority, the owner or operator will begin implementation of its Closure Plan . Closure activities will not exceed ninety (90) days in length unless extension of the closure period is granted by the CDPHE and the local governing body as a result of the owner or operator demonstrating that closure will , of necessity, take longer than ninety (90) days and that all measures necessary to prevent threats to human health and the environment will be taken . 8. 1 Composting Facility Closure A Closure and Post Closure Plan (Appendix D) has been prepared to describe the steps and costs necessary to close the site. 8.2 Post Closure Care and Maintenance The intent of the Closure and Post Closure Plan is to facilitate a Clean Closure and return the facility to a condition that will require no post closure care and maintenance. The post closure financial assurance may be released by the CDPHE in the event that the facility is clean closed . Closure activities can be associated with one of two closure conditions. The first condition is in the event the owner/operator closes the facility. The second condition would be in the event CDPHE is forced to close the site using the financial assurance instrument. Both scenarios are described within the Closure and Post Closure Plan . Should the results of the Closure Plan require post closure care and maintenance, a post closure care and maintenance plan approved by CDPHE and Weld County, including continuation of financial assurance, will be put in place in accordance with Section 14.9 of the Regulations to include at a minimum : Continued monitoring , sampling , and testing of soil , groundwater, or surface water as defined in the post-closure plan Inspection and maintenance of any cover material or vegetation , and An annual report submitted to CDPHE and Weld County detailing post-closure care activities during the prior year. The post-closure care and maintenance period shall be for a minimum of five (5) years. The length of the post-closure care period may be: 1 . Decreased by the Department after consultation with the local governing authority if the owner or operator demonstrates that the reduced period is sufficient to protect human health and the environment; or 21 2. Increased by the Department after consultation with the local governing authority if it is determined that the lengthened period is necessary to protect human health and the environment. Following completion of the post-closure care period the owner or operator must submit a certification signed by an independent Colorado registered professional engineer for approval by CDPHE and Weld County, verifying that post-closure care has been completed in accordance with the post-closure plan and has been placed in the operating record . If required , the post- closure care and maintenance plan shall contain adequate detail upon which sufficient third part cost estimates can be derived . 8.3 Financial Assurance Financial assurance specific to the closure, post closure care, and monitoring of the compost facility will be provided to CDPHE , along with a cost estimate for third party closure of the composting facility. This financial assurance will be updated annually, per the Regulations. The amount of the financial assurance will be calculated annually based on the highest volume on site as documented in the monthly inventories taken . Financial assurance calculations are provided under separate cover. 22 9 . 0 REFERENCES State of Colorado, Colorado Department of Public Health and Environment, Hazardous Materials and Waste Management Division . 2012 . Regulations Pertaining to Solid Waste Disposal Sites and Facilities, 6 CCR 1007-2, Part 1 , Effective June 30, 2012. Urban Drainage and Flood Control District. 2001 . Urban Storm Drainage Criteria Manual. Volumes 1 & 2 , Denver, Colorado, Revised April 2008. 23 APPENDIX A DRAWING SET 0 } r X 1- W J _ t z o cob - a am �... ‘ r LA- r O ' ‘ ` rpm x �- • ��'•»«� ��1 J% = z .LSO tAJ v)CI 6 o � s�� T '• y ,�lr CVO °va; ufliIzum •b ;3f t if k' zw < 99oa X t8 av, 4 � �t� _ � b • i I Qaa08 .t F-- W o ° z Jt oO o f i' - t� � a o V a OZ � � � � � 4 ' . . % ' s ►= z '�' el*' a z Qi ^ zip �I,` •�r,w....- . •—_J U � �' °ter W Ov >. C Z cn � � 'ail I- 0 a W � I ti ' � w Tina liC in 6.v � a - <vn v ui .onm II i � 1 ' i _ c ' t ' a . z M � E...., § Ron is . . wn a 1� . U i . 0 CU as t a� ✓ � z 80 iam IT . 00 ri F� IC 1iri . .) g thEL,4C fl l ‘ (V ; la Z • --1 Qui ;49 ... __A;-_ , I : A ... • -7 . •,I41 ..... ” • -Litt 5C i_��•�•y.-r r �(IL .... ti • In w 9 ' Z , `' It - ,• • fr. ii [1.1°)LI + t 0 ti 0 ,..4 Q , 8 b.' 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' _Ili F_ : t• ¢` _ p t . 1!I 8 a s 8 q a s r I a .1 R A K • 9 t IL rr Iir 6 .JiJt'C•w-c• +.+K ••A a. •nsaJ. s7\te. &%ai- .-.Vuril.wi».a.r.rn-mss.,\ APPENDIX B HYDROGEOLOGICAL REPORT HYDROGEOLOGICAL REPORT Al ORGANICS EATON ORGANIC RECYCLING FACILITY Prepared For: Al Organics Eaton Organic Recycling Facility 16350 WCR 76 Eaton , CO 80615 Prepared by: fie KRW Consulting, Inc. 8000 W. 14th Avenue, Suite 200 Lakewood, CO 80214 \1�,-gee a ; " A Michael J . Pretti, P. E. �e ' , Principal Engineer kt, % —� Project No. 0912-04 Date: October 10, 2012 Revised May 2014 Table of Contents 1 .0 ENVIRONMENTAL SETTING 1 1 . 1 FACILITY INFORMATION 1 1 .2 CLIMATOLOGY 1 1 .3 TOPOGRAPHY AND SURFACE WATER FEATURES 2 2.0 GEOLOGY 4 2. 1 REGIONAL GEOLOGY 4 2.2 SITE SPECIFIC GEOLOGY 4 2.2. 1 Site Surficial Geology and Soils 4 2.2.2 Site Exploration 5 2.3 GEOLOGIC HAZARDS 8 3.0 HYDROGEOLOGY 9 3 . 1 REGIONAL HYDROGEOLOGY 9 3 .2 SITE SPECIFIC HYDROGEOLOGY 9 3 .2. 1 Hydraulic Characteristics of the Uppermost Water Bearing Zone Beneath the Site 9 3 .2.2 Groundwater Time of Travel 11 3 .2.3 Groundwater Quality 11 3 .2.4 Local Groundwater Use 17 BIBLIOGRAPHY APPENDICES APPENDIX A: FIGURES APPENDIX B: SITE EXPLORATION LOGS APPENDIX C : NRCS DATA APPENDIX D: CLIMATE DATA APPENDIX E: GROUNDWATER LABORATORY ANALYSES APPENDIX F: PERMITTED WELL RECORDS APPENDIX G : SOILS LABORATORY ANALYSES APPENDIX H : SLUG TEST RESULTS Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 1 1 .0 ENVIRONMENTAL SETTING 1 . 1 Facility Information The Eaton Organic Recycling Facility is located in northern Weld County, Colorado, approximately one and one half miles west of the town of Eaton , Colorado on Weld County Road 76 (Plate B1 , Appendix A). The property is located in Section 35, Township 7 North , Range 66 , west of the 6t" Principle Meridian . The facility is owned and operated by Lambland Inc. , dba Al Organics (A1 ). The total Eaton property consists of approximately 144. 81 acres; the available area for the composting facility is approximately 14. 82 acres. As a Class 1 Composting Facility, the compost facility processes Type 1 , 2 and 3 feedstocks and other materials as approved by Weld County and the Colorado Department of Public Health and Environment. The facility composting operations are described in the "Engineering Design and Operations Plan for Eaton Organic Recycling Facility" dated May 2014. 1 .2 Climatology As shown in Table 1 , precipitation in the area averages 13.62 inches per year. Between October and April , most of the precipitation occurs as snowfall . The evaporation rate for the area is approximately 41 inches per year, occurring between March and November. The average wind for the area is 6. 8 miles per hour (MPH ). April has the highest average wind speed of 9.7 MPH . The prevailing wind is from the west. Climatic data is included in Appendix D. Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 2 Table 1 Selected Average Monthly Climatic Data for the Area near Eaton Composting Facility Month Precipitation Pan Maximum Minimum Normal Wind (inches)1 Evaporation Temperature Temperature Temperature Speed (inches)2 (°F)1 (°F)1 (°F)1 (MPH)3 January 0.29 NA 40.6 10.6 25.6 _ 6. 0 February 0.41 NA 44.6 14.9 29. 8 7. 1 March 0.86 2 . 50 52 . 5 22. 8 37.7 8. 3 April 1 .26 4. 52 60. 9 29. 9 45.4 9.7 May 2. 38 5.42 70. 1 39. 9 55. 0 8. 3 June 2. 05 6. 32 81 . 5 49. 0 65. 3 7.4 July 2.00 6. 92 88. 0 54. 3 71 .2 6. 1 August 1 .53 6. 07 86. 3 52. 9 69.6 5. 8 Sept. 1 . 11 4.74 77. 0 43.2 60. 1 5. 8 October 0.91 3.07 63. 1 31 .2 47.2 6. 1 Nov. 0.56 1 .48 48. 0 19. 8 33. 9 6. 1 Dec. 0.26 NA 41 .2 12. 3 26. 8 6. 0 Annual 13.62 41 .04 63.0 (avg) 31 .9 (avg) 47.3 (avg) 6.8 (avg) 1 . Precipitation and temperature data based on Nunn, Colorado Station (WRCC 1971 -2000), located 13 miles from the site. 2. Evaporation data and monthly distribution of evaporation data based on the Fort Collins station, located 22 miles from the site (WRCC 1900-2005). 3. Average Wind Speed data based on the Greeley Airport station (WRCC 1996-2006), located 8 miles from the site. 1 .3 Topography and Surface Water Features The Eaton Composting Facility is located approximately 11/2 miles west of the town of Eaton , Weld County, Colorado. The property occupies part of a broad southeast trending valley. Site elevation ranges from 4845 feet above mean sea level at the southern end of the proposed limits of operation to 4865 feet above mean sea level at the north end of the facility. Existing grades slope downward to the southwest at approximately 0. 5 to 1 . 5 percent. The subject site is not located in the floodplain of any surface water body, perennial stream , or intermittent stream which may be inundated by the base flood . The Flood Insurance Rate Map, Community-Panel Number 080266 0475D , for the area indicates that the site is in Zone C — Area of Minimal Flooding . A floodplain map is included as Figure B3 in Appendix A. Surface water Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 3 bodies and ditch laterals located within two miles of the site are shown on the site vicinity map, Figure B1 in Appendix A. A portion of the Graham Seep is located along the southwestern portion of the site, but outside of the subject property. The portion of the seep that is adjacent to the site has been intercepted by a drain tile. The seep originates west of the southern part of the site and flows in the drain tile to the south and east where it comes to the surface and flows southeast under the Western Railroad in an existing tail-water ditch . The USGS has identified the seep as a perennial stream as shown on Figures B1 and B3. No other perennial streams are located within two miles of the site. Several unnamed ponds are located within 2 to 3 miles of the site, but they are all hydrogeologically up-gradient (north and northwest) of the groundwater flow, as shown in Figure B8. Since the ponds are up-gradient, there is no opportunity for the operations at this facility to influence these surface water bodies. See Plate B1 for surface water bodies and streams in the vicinity of the site. Wetland conditions do not exist at the subject site. Conditions are such that the site is not affected by inundation from local surface water bodies. Other than the adjacent Graham Seep discussed above, there is no discharge of groundwater to the surface near the site. Further, there are no significant swamps, marshes, bogs, or similar areas, typically fed by springs, which would support vegetation typically adapted for life in saturated soil conditions (i .e. , wetlands vegetation ). Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 4 2.0 GEOLOGY 2. 1 Regional Geology The Eaton facility is located on the eastern plains of northern Colorado, a relatively flat area that generally slopes gently to the south and southeast. Surficial materials in the region consist of varying depths of aeolium (windblown clay, silt (loess), sand , and granules) and other alluvial sediments (generally related to fluvial processes) deposited in the Upper Holocene. Figures B4 and B5, included in Appendix A, show surficial deposits in the vicinity of the site. Underlying the alluvial deposits is a confining layer composed of the Cretaceous upper Laramie Formation . The upper part of the Laramie formation is generally 100 to 150 feet thick; although site investigations indicate it is thinner in the vicinity of the Eaton Composting Facility. This part of the Laramie formation consists of claystone, shale and may contain lenticular beds of sand and coal . The lower part of the Laramie Formation underlying the site is approximately 150 to 200 feet thick, and consists of sandstone and sandy shale interbedded with clay, shale, and coal . The lower Laramie Formation along with the underlying Fox Hills Sandstone serves as an aquifer in the Denver Basin that can be up to 400 feet thick. Figure B6 shows the regional bedrock geology. 2.2 Site Specific Geology The site is located on the eastern side slope of a broad valley trending downhill in a south- southeasterly direction . As shown on Figure 4, the Graham Seep emerges near the southwest corner of the site and flows southeast along the valley floor. 2.2. 1 Site Surficial Geology and Soils Figure B4 shows the surficial soils at the site, as mapped by the Natural Resources conservation Service (NRCS). Soil types in the area of the composting facility site consist of Kim loam throughout the majority of the site with some Olney fine sandy loam along the Graham Seep and in the southwestern corner of the site (NRCS , 2011 ). The Kim Loam is associated with alluvial fans and plains, and consists of mixed aeolian deposits derived from sedimentary rock. The soil is well-drained and is up to 10 feet thick. The saturated hydraulic conductivity of the Kim Loam is reported by NRCS as ranging between 0. 57 to 5.95 inches per hour (0. 0004-0. 004 cm/sec). The Olney Loam is associated with Great Plains topography, and consists of sandy, wind-deposited loam . This material , like the Kim Loam , is well-drained , and is up to 7 feet thick. The saturated hydraulic conductivity of the Olney Loam is reported by NRCS as ranging between 0. 57 to 2 .00 inches per hour (0.0004-0.0002 cm/sec). The Olney fine sandy loam exhibits a high risk for soil blowing . NRCS data for these soils is included in Appendix C. Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 5 Unconsolidated sediments underlying the Kim and Olney loamy at the site are described as aeolium (aeolian deposited alluvium ), consisting of windblown clay, silt (loess), sand , and granules. Figure B5 presents the area surficial geology. The Cretaceous upper Laramie Formation underlies the aeolian alluvial deposits at the site. The upper part of the Laramie formation underlying the site is approximately 8 to 11 feet thick in the site area, and serves as a confining layer above the Laramie/Fox Hills aquifer beneath the site. It is generally accepted that the upper Laramie Formation confining layer creates a nearly impermeable layer which impedes groundwater flow (Stevenson , 2006), restricting groundwater movement from the alluvial sediments to the underlying aquifer. Figure B6 shows the regional bedrock geology and Figure B7 demonstrates the relationships of underlying geologic units at the site, relative to determining the approximate thickness of the Laramie Formation confining layer beneath the facility. Site exploration activities, discussed in the following sections, indicate that surficial soils are loamy, with varying proportions of sands and fines. These soils range in depth from 1 to 2 feet. Beneath these soils, the unconsolidated aeolian alluvial materials extend to depths in excess of 34 feet and generally become progressively coarser with depth . The upper Laramie Formation confining layer was encountered at 21 feet beneath the surface at monitoring well MW-2 , but was not encountered in other site monitoring wells or test pits. Additional information regarding site specific geologic conditions is presented in the following section discussing site exploration activities. 2.2.2 Site Exploration Subsurface exploration at the site consists of six monitoring wells and seven backhoe-excavated test pits. In addition , Shelby tubes were pushed into surficial soils/ sediments at the site for the purpose of determining the hydraulic conductivity of the surficial materials. Figure B9 shows the location of wells and test pits and Appendix B contains test pit and well logs. Figure B11 shows the location of Shelby tube samples. Surficial materials encountered in the subsurface exploration are generally consistent with NRCS descriptions of the Kim and Olney Loams. Unconsolidated sediments encountered beneath surficial soils are generally consistent with regional descriptions of the aeolian alluvial sediments mapped in the area. Claystone bedrock, part of the upper Laramie Formation confining layer, was encountered in the drilling of one monitoring well (MW- 2). Shelby tubes were pushed/extracted into site surficial soils using heavy equipment to obtain undisturbed samples for laboratory hydraulic conductivity testing . Sample locations and laboratory results are shown on Figure B11 (laboratory reports are presented in Appendix G ) and are summarized in Table 2 . Hydraulic conductivity values ranged from 4.7 x 10-5 cm/sec to 5.9 x 10-8 cm/sec. The relatively low hydraulic conductivity values determined by laboratory testing of undisturbed surficial soils indicate that site hydraulic conductivity values are lower than published Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 6 values for surficial soils at the site (Section 2.2. 1 ). Although based on the limited data provided above, this condition further indicates that native surficial soils and sediments become less permeable due to compaction from heavy equipment used in the facility operations. Table 2 Laboratory Analysis of Shelby Tube Samples Depth (inches Average below ground Hydraulic Sample surface Conductivity No. (bgs)) (cm/sec) Description Clayey Sand (SC), ST- 1 6 to 18 5.7 X 10-6 Reddish-Brown ST-2 6 to 18 2 .2 X 10-7 SC, Reddish-Brown ST-3 9 to 15 2.3 X 10-5 -- ST-4 9 to 15 4.7 X 10-5 -- ST-5 9 to 15 8.6 X 10-6 -- ST-6 9 to 15 2.6 X 10-7 -- ST- 13 9 to 15 7.3 X 10-7 -- RPM 12 to 15 5.9 X 10-8 SC RPE 13 to 16 3.0 X 10-6 SC ST-W 6to9 1 .6X 10-7 SC ST-W 13 to 16 1 .9 X 10-7 SC The boring log for MW- 1 , prepared in May 2004 and included in Appendix B , indicates that the site is underlain by approximately 1 /2 foot of topsoil , underlain by and aeolian alluvial deposits. These aeolian deposits generally consist of silty sand to silty clay with gravel and cobbles at depth . The total drilled depth of MW- 1 is 25.5 feet, with bedrock not encountered in the well (Terracon , 2004). MW-2 and MW-3 were drilled on June 3, 2011 , MW-4 and MW-5 were drilled on August 10, 2012 , and MW-5A, a replacement well for MW-5, was installed on June 20, 2013. Drilling and completion logs are included in Appendix B . A one-foot thickness of topsoil was encountered at MW-2; topsoil has apparently been removed by site operational activities at MW-3, MW-4 and MW-5. Apparent aeolian alluvial sediments exist to depths of 5. 5 feet at MW-2, 23 feet at MW-3, and 9 feet at MW-5. With the exception of MW-4, the aeolian deposited sand , clay, and silt are underlain by sand and gravel deposits, apparently derived from localized fluvial activity (as noted in discussion of the site test pits). MW-2 was drilled to a total depth of 25 feet and claystone bedrock was encountered at 21 feet. MW-3 and MW-4 were both drilled to total depths of 34 feet Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 7 and bedrock was not encountered in either boring . MW-5 was drilled to a total depth of 24 feet and claystone and sandstone bedrock was encountered at 14 feet. MW-5A was drilled to a depth of 24 .5 feet and claystone bedrock was encountered at 23 feet. It should be noted that at MW-3, a 6. 5 foot thickness of sand and gravel is underlain by sandy clay from a depth of 29. 5 feet to 34 feet, indicating that fluvial deposition was likely contemporaneous with aeolian deposition in the area. Static water levels were measured and recorded at MW-1 , MW-2 and MW-3 in June and November of 2011 , January, April , July and November of 2012, and in June and November of 2013. Static water levels were measured and recorded at MW-4 and MW-5 in July and November of 2012, and at MW-4 and MW-5A in June and November of 2013. See Section 3.2. 1 for a discussion of groundwater characteristics beneath the site. Permitted water well records indicate that bedrock occurs at a depth of 39. 5 feet at a well approximately 500 feet north of the site. Additional such records indicate that bedrock occurs at a depth of 13 feet approximately 4,500 feet west of the site and at a depth of 57 feet approximately 2 ,000 feet east of the site. These well records indicate that depth to bedrock decreases from east to west beneath the site, consistent with findings related to the drilling of on-site monitoring wells, as well as with bedrock contours as demonstrated on Figures B6 and B7. Six test pits were excavated on May 31 , 2011 , and one test pit was excavated on November 30, 2011 in the southern portion of the site (Phase II ) at the locations indicated on Figure B9. The test pits were used to characterize the shallow soils, groundwater flow direction , and to explore for soils that might be appropriate for use in a compacted clay liner in Phase II . Sandy, clayey topsoil was encountered in all seven test pits to depths ranging from 1/2 to 1 foot. Topsoil is generally underlain by varying thicknesses of sand , silt, and clay deposits, likely aeolian deposits. However, sand and gravel deposits were noted in most test pits at depths ranging from 5.5 feet to 8.5 feet. These sand and gravel deposits may be the result of localized fluvial deposition within the aeolian sediments. With the exception of Test Pits 6 and 7 where groundwater was not encountered to a total depth excavated of 4 feet and 7 feet, respectively, groundwater was encountered in the test pits between 6. 5 feet and 15. 5 feet bgs (elevations of 4831 . 56 to 4838. 13), generally in sand and gravel sediments. Of particular concern is the highest anticipated groundwater level in this area (southern end of Phase 2). Very moist conditions were encountered from a depth of 6 feet to the total depth excavated of 7 feet. No staining of subsurface sediments was noted that might indicate groundwater had ever reached a level higher than 7 feet bgs at this location . At nearby Test Pit 5 groundwater was encountered at a depth of 9 feet below ground surface on May 31 , 2011 . However, given moisture conditions at Test Pit 7, it is reasonable to postulate the highest anticipated groundwater level in this area is closer to 7 feet bgs than 9 feet bgs. Therefore, the highest anticipated groundwater level in the vicinity of TP-7 is estimated to be approximately 7 feet bgs. Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 8 Table 2 summarizes Atterberg Limits and sieve analyses of soils/sediments excavated during the advancement of the test pits. In general, these materials appear to be only marginally appropriate for construction of compacted clay liners, due to their low plasticity, low fines content, and depth below the ground surface. Test pit logs are included in Appendix B , and soils laboratory results are included in appendix G . Table 3 Laboratory Analysis of Test Pit Soils Test Pit Depth Liquid Plasticity Percent Passing USCS (ft) Limit Index #200 Sieve 1 2 31 11 57 . 9 CL 1 4 38 17 86. 7 CL 3 2 35 17 75.6 CL 3 4 -- -- 38 . 9 SC 4 4 -- -- 37 . 0 SC 5 8 -- -- 9 . 0 SW-SC Groundwater levels were measured in test pits where groundwater was encountered . See Section 3.2 . 1 for a discussion of groundwater characteristics beneath the site. 2.3 Geologic Hazards No significant geologic hazards including seismic hazards, landslides, flooding , or severe erosion potential which would negatively impact the composting facility are known to exist at the site. A seismic hazard map, Figure B10, is included in Appendix A. While the Olney soils may exhibit high risk for soil blowing , the design and operational measures included in this plan will mitigate the potential for wind erosion . The northern portion of the site is currently in use as a composting facility with exposed surfaces and composting products in various stages of production . The southern portion of the site is currently being used for agriculture. Drainage control at the site consists of an engineered retention pond for the existing composting facility. Drainage for the agricultural area , south of the composting facility, is overland sheet flow into a tail-water ditch along the western property line. The tail-water ditch flows south into the Graham Seep. Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 9 3.0 HYDROGEOLOGY 3. 1 Regional Hydrogeology The Denver basin is a significant source of groundwater for the region . Starting with the uppermost aquifer, the four major aquifers of the Denver basin are the Dawson , Denver, Arapahoe and the Laramie-Fox Hills aquifers. This basin is centered south of Denver, Colorado and each aquifer pinches in thickness away from the center. At the north side of the basin , in the area of the subject site, the deepest aquifer (the Laramie-Fox Hills) is the only existing Denver Basin aquifer. Available water well information within one mile of the site (Figure B2) indicates that groundwater is derived from both the Laramie-Fox Hills Aquifer (well permit numbers 457 and 139703) and alluvial water bearing zones (water well number 14552) in the region . Regionally, bedrock groundwater flows in a general southerly direction until it intersects with the South Platte River. Figure B8 shows the regional flow direction of bedrock groundwater in the region . 3.2 Site Specific Hydrogeology 3.2. 1 Hydraulic Characteristics of the Uppermost Water Bearing Zone Beneath the Site The site is covered by loamy topsoil to depths of up to 2 feet. Clays, silts, and sands occur beneath the loamy soils, with the some gravel occurring at greater depths in some locations. Bedrock was encountered at two locations during site exploration , at depths of 21 feet and 23 feet in MW-2 and MW-5A, respectively. See Appendix B for test pit and drilling logs and Figure B9 for test pit and drilling locations. Groundwater was encountered in unconsolidated alluvial sediments at relatively shallow depths in Test Pits 1 through 5, as shown in Table 4. It should be noted that the relatively shallow depth to groundwater in Test Pit 1 suggests that there may be a groundwater mounding effect in the vicinity of the unlined ponds located along the west side of the property. These ponds are supplied by irrigation water through tail water ditches located to the north of the property. The current and historical use of the ponds has been for irrigation of crops. The ponds are not associated with , and will remain isolated from , any composting operations. Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 10 Table 4 Groundwater in Test Pits Test Pit Depth (ft bgs) Existing Surface Elevation Groundwater Elevation TP- 1 6 .5 4844 .63 4838 . 13 TP-2 15 . 5 4847 .29 4831 . 79 TP-3 8 4844 . 32 4436. 32 TP-4 8 . 5 4842 . 86 4834 . 36 TP-5 9 4840 . 56 4831 . 56 Table 5 summarizes the water levels measured at site monitoring wells. Table 5 Groundwater Depth (bgs) Monitoring May June Nov. Jan. April July Nov. June Nov. Well 2004 2011 2011 2012 2012 2012 2012 2013 2013 MW- 1 (down- 23. 0 17.4 16.7 16. 8 16. 1 17.64 18. 78 18.24 18. 34 gradient) MW-2 (cross/up- - 6. 0 5.6 6.2 6.4 5.24 7.45 8.55 6.57 gradient) MW-3 (cross/up- - 20.8 19.9 19. 8 19.6 22. 35 23. 54 24. 80 23. 12 gradient) MW-4 (down - - - - - - 17. 53 18. 32 17. 78 17. 88 gradient) MW-5 (up- - - - - - 7. 54 10.47 - - gradient) MW-5A (up- - - - - - - - 9.64 11 .2 gradient) Based on water level measurements, it appears that the uppermost groundwater flows to the south and east as it passes beneath the site. This surficial groundwater occurs within unconsolidated alluvial sediments under unconfined conditions above the Laramie confining layer. The Graham Seep may be a location where surface water and the groundwater table intersect, and the flow direction of the seep may coincide with regional groundwater flow beneath the valley Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 11 floor. Figure B9 shows the groundwater flow direction beneath the site based on the November 2013 sampling event groundwater depths as measured at the site wells and presented in Table 5. The groundwater gradient is calculated to be 0. 011 , with groundwater flow in an east- southeasterly direction . Also, it should be noted that localized groundwater recharge provided by the unlined ponds just west of MW-2 creates a mounding effect in the vicinity of the ponds during the irrigation season . Further, as stated in Section 2.2 .2, the highest anticipated groundwater level in the southern portion of phase 2 is likely approximately 7 feet bgs, based on test pit data in that area of the property. The Laramie confining layer underlying the unconsolidated sediments varies, but is assumed to have an average depth of approximately 40 feet (Figures B6 and B7). Given an estimated thickness based on site exploration activities of 21 to 34 feet of alluvial sediments, the nearly impermeable confining layer beneath the site ranges in thickness from approximately 8 feet to 11 feet. Given that the confining layer is considered a relatively impermeable barrier to water movement (Section 2.2. 1 ), the indicated thickness of this strata beneath the site should provide adequate protection to groundwater quality in the bedrock, regional Laramie/Fox Hills Aquifer. 3.2. 2 Groundwater Time of Travel Falling head recovery tests ("slug" tests) were conducted at monitoring wells MW-2 and MW-3 on June 21 , 2011 . The tests were completed by dropping a solid PVC "slug", suspended by a rope, into each well below the water table. The rapid introduction of a slug creates an instantaneous rise in the water table and the recovery of the water level at each well to static levels was recorded using a Hermit transducer and data logger. The recovery data was evaluated using methods adopted by Bouwer and Rice ( 1976) and Hvorslev ( 1951 ) to provide an estimate of the hydraulic conductivity of the uppermost water bearing zone in each well . Estimated hydraulic conductivity values in the alluvial sediments tested at the two wells range from 3.0 x 10-4 cm/sec in well MW- 2 to 3.4 x 10-3 cm/sec in well MW-3; however, the slug-in and slug-out data for MW-3 indicated discrepancies greater than the maximum allowable of 20% , therefore the data from MW-3's slug test was considered erroneous and was not used . Both MW-2 and MW-3 are screened in similar sandy, gravely soils and appear to be representative of the water bearing soils across the site. Test results and supporting documentation are included in Appendix H and results are summarized in Table 6. Table 6 Slug Test Results Well Test Date Hydraulic Conductivity (k) (cm/sec) MW-2 June 2011 3x10-4 3.2.3 Groundwater Quality Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 12 In May 2004, a groundwater sample from MW-1 was collected and analyzed . Additional analyses were conducted on samples collected from MW- 1 , MW-2 and MW-3 on June 8, 2011 and from MW-3 in January, April and July 2012. MW-4 and MW-5 were added in July 2012, and samples were collected in August and November 2012 for MW- 1 , MW-4 and MW-5. MW-5A replaced MW- 5 in June 2013, and samples were collected in June 2013 from MW- 1 , MW-4 and MW-5A. Results from sampling events for MW-1 , MW-4, and MW-5A are summarized in Table 7, and a complete groundwater analytic summary has been included with the analytical reports in Appendix E. A description of constituents of concern for each well , along with a narrative on these constituents has been provided below. Table 7 Groundwater Analytical Summary MW-1 MW-1 MW-1 MW-4 MW-5A November November Constituent Units2013 2013 2004 2011 November Down- Down- Up- Down- Down- Gradient 2013 Gradient Gradient Gradient Gradient Acetone µg/I NA ND ND ND ND 4-Methyl-2-pentanone µg/I NA ND ND ND ND Methyl iodide µg/I NA ND ND ND ND Bromodichloromethane µg/I NA ND ND ND ND Chloroform µg/I NA ND ND 0.72 ND Dibromochloromethane µg/I NA 0.063(J ) ND ND ND Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 13 MW-1 MW-1 MW-1 MW-4 MW-5A , Constituent Units 2004 2011 November November November 2013 2013 Down- Down- Down- Down- 2013 Up- Gradient Gradient Gradient Gradient Gradient Antimony mg/I NA <0.0020 <0.0020 <0.0020 <0.0020 Arsenic mg/I <0.005 <0.008 0.0028 0.0062 0.036 Barium mg/I 0.016 0.023 0.0707 0. 124 0.647 Beryllium mg/I NA <0.001 <0. 001 <0.001 0.0041 Cadmium mg/I <0.001 <0.0005 <0.0005 0.0005 0.00052 Chromium mg/I <0.004 <0.002 0.0127 0.0127 0.044 Cobalt mg/I NA <0.002 <0.001 0.0037 0.0227 Copper mg/I NA <0.01 0.0154 0.0207 0.0619 Lead mg/I <0.003 <0.0025 0.0057 0.00101 0.0485 Nickel mg/I NA 0.02 0.0165 0.0201 0.0497 Selenium mg/I 0.07 0.013 0.0066 0.0099 0.0086 Silver mg/I NA <0.0005 <0.0005 <0.0005 <0.0005 Thallium mg/I NA <0.001 <0.001 <0. 001 <0.001 Vanadium mg/I NA 0.0056 0.0156 0.0287 0. 142 Zinc mg/I 0.003 <0. 05 0.0526 0.0751 0.225 Bicarbonate as CaCO3 mg/I NA 500 451 382 400 Carbonate as CO3 mg/I NA <5.0 <5.0 <5.0 <5.0 Chloride mg/I NA 156 166 71 .9 39.6 Nitrate mg/I 26.9 23.7 20.3 12.2 9.6 Nitrite mg/I <0.05 <0.61 <0. 020 0.031 <0.020 TDS mg/I 3428 3310 NA NA NA Specific Conductivity u mhos/ NA 3100 313 2700 2300 Sulfate mg/I 1985 1670 1340 1270 1100 TOC mg/I NA 5.6 5.7 5.9 7.0 Calcium mg/I 346 316 295 255 239 Magnesium mg/I 271 256 218 172 145 Potassium mg/I 3.65 2.74 2.77 2.92 3.85 Sodium mg/I 212 224 219 213 155 Note: For a complete summary of analytical results, refer to Appendix E Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 14 3.2 . 3. 1 Monitoring Well 1 (Down-Gradient) In May 2004, a groundwater sample from MW- 1 was collected and analyzed for arsenic, barium , cadmium , calcium , chromium , lead , magnesium , sodium , potassium , selenium , zinc, nitrate, nitrite, and sulfate. The analyses, included in Appendix E, indicate that the shallow groundwater beneath the site met Colorado Agricultural Groundwater Standards for all constituents tested except selenium (detected at 0.07 mg/I with an agricultural groundwater quality standard of 0. 02 mg/I). The detection of an elevated concentration of selenium may be due to naturally occurring elevated selenium levels and the exceedance of the selenium agricultural groundwater quality standard noted in the 2004 MW-1 sample was not present in any additional samples at MW-1 or in the other onsite wells sampled in 2011 , 2012, and 2013. Nitrate concentrations detected in MW-1 have been consistently above the Colorado Domestic Water Supply standard of 10 mg/I , with nitrate concentrations in the well ranging from 22 .2 mg/I to 26.9 mg/I . Elevated nitrate concentrations were also observed in other wells at the site, although in lower concentrations. Also, TDS (total dissolved solids) concentrations in the well indicate somewhat brackish conditions with concentrations ranging from 3,310 mg/I to 3,428 mg/I . The presence of elevated nitrate and TDS concentrations in the uppermost alluvial water bearing zone may be related to the agricultural operations on and adjacent to the property. The trihalomethane, dibromochloromethane, was detected in well MW-1 in the 2011 sample at relatively low concentration levels estimated to be (0 .063 pg/I). The estimated value is substantially below the Department's Water Quality Control Division groundwater quality standards for dibromochloromethane ( 14 pg/I), and was not detected in the well prior to or since. 3.2 . 3.2 Monitoring Well 2 (Cross-Gradient) Nitrate concentration detected in MW-2 of 12. 3 mg/I (June 2011 ) was slightly above the Colorado Domestic Water Supply standard of 10 mg/I . Elevated nitrate concentrations were also observed in other wells at the site. As with the other wells, the presence of the elevated nitrate may be related to the agricultural operations on and adjacent to the property. Three trihalomethanes, bromodichloromethane (0. 39 pg/I ), dibromochloromethane (0.065 pg/I), and chloroform (3. 7 pg/I), were detected in MW-2 (June 2011 ) at relatively low concentration levels. Also, relatively low level concentration of dibromochloromethane and chloroform were periodically detected in wells MW- 1 , MW-3 and MW-5. The bromodichloromethane and the dibromochloromethane are below the Department's Water Quality Control Division groundwater quality standards of 0. 56 µg/I and 14 pg/I . The chloroform exceeds the Department's Water Quality Control Division groundwater quality standards of 3.5 µg/I . MW-2 is cross-gradient of the site, and the groundwater flow direction indicates that MW-2 is not influenced by the site; therefore it is possible that the presence of the chloroform is due to upgradient offsite activities. Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 15 Trihalomethanes are disinfection byproducts when chlorine or other disinfectants are used in treating microbial contaminants in drinking water. 3.2 . 3.3 Monitoring Well 3 (Cross-Gradient) Nitrate concentration detected in MW-3 ranges from 7.6 mg/I to 11 .6 mg/I . Two of the four samples were slightly above the Colorado Domestic Water Supply standard of 10 mg/I . Elevated nitrate concentrations were also observed in other wells at the site. As with the other wells, the presence of the elevated nitrate may be related to the agricultural operations on and adjacent to the property. The trihalomethane, chloroform , was detected in well MW-3 in two of the four samples at relatively low concentration levels (0. 12 pg/I to 0.41 pg/I ). The estimated value is substantially below the Department's Water Quality Control Division groundwater quality standards for chloroform (3.5 pg/I ). MW-3 is cross-gradient of the site, and the groundwater flow direction indicates that MW-3 is not influenced by the site; therefore it is possible that the presence of the low concentration levels of chloroform are due to upgradient offsite activities. 4-Methyl-2-pentanone and acetone were detected at concentrations under one part per billion (0.23 µg/I and 0.62 pg/I) . Also, the constituents were only detected in one of the four sampling events at MW-3. Since the acetone was not detected in the other wells or other sampling events, and MW-3 is cross-gradient of site activities, it is unlikely that the presence of this constituent is due to site activities. 4-Methyl-2-pentanone is used as a "solvent for gums, resins, paints, varnishes, lacquers, and nitrocellulose, as an alcohol denaturant, in the extraction of rare metals, and as a synthetic flavoring adjuvant" (USEPA, 1994). Sources include exhaust gas from vehicles and from land disposal of waste that contains this compound . Acetone is a photo-oxidation product of this constituent, suggesting that the presence of these constituents may be related to runoff from the road immediately to the north of the well or the past placement of materials containing these constituents (USEPA, 1994). It should be noted that no additional hits of acetone or 4-Methyl-2-pentanone were observed in MW-3, and it is possible that the low levels of the constituents in the wells were observed due to contamination during well construction . 3.2 . 3.4 Monitoring Well 4 (Down-Gradient) Nitrate concentrations detected in MW-4, ranging from 12 .2 to 18. 0 mg/I , were slightly above the Colorado Domestic Water Supply standard of 10 mg/I . Elevated nitrate concentrations were also observed in other wells at the site. As with the other wells, the presence of the elevated nitrate may be related to the agricultural operations on and adjacent to the property. The trihalomethane, chloroform , was detected in well MW-4 in two of the four samples at relatively low concentration levels (0.091 pg/I to 0.72 pg/I ). The estimated value is substantially below the Department's Water Quality Control Division groundwater quality standards for chloroform (3.5 Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 16 pg/I ). MW-3 (cross-gradient) and MW-5A (up-gradient) also have had historic detections of chloroform ; therefore, although MW-4 is downgradient, it is possible that the presence of the low concentration levels of chloroform are due to upgradient offsite activities. 4-Methyl-2-pentanone was detected at concentrations under one part per billion (0. 14 pg/I). 4- Methyl-2-pentanone is used as a "solvent for gums, resins, paints, varnishes, lacquers, and nitrocellulose, as an alcohol denaturant, in the extraction of rare metals, and as a synthetic flavoring adjuvant" ( USEPA, 1994). Sources include exhaust gas from vehicles and from land disposal of waste that contains this compound . It should be noted that 4-Methyl-2-pentanone was observed in the first sample of MW-4, and then not observed in any of the following sampling events. Additional sampling at this well is required to determine if it is a concern at this site. 3.2. 3.5 Monitoring Well 5 (Up-gradient) Nitrate concentrations detected in MW-5 of 12 . 1 mg/I (August and November 2012) were slightly above the Colorado Domestic Water Supply standard of 10 mg/I. Elevated nitrate concentrations were also observed in other wells at the site. As with the other wells, the presence of the elevated nitrate may be related to the agricultural operations on and adjacent to the property. The trihalomethane, chloroform , was detected in well MW-5 at a relatively low concentration levels (0.21 to 0.22 pg/I). The estimated values are substantially below the Department's Water Quality Control Division groundwater quality standards for chloroform (3.5 pg/I ). MW-5 is up-gradient and not influenced by the site, indicating that the presence of chloroform is possibly due to upgradient offsite activities. 4-Methyl-2-pentanone was detected at concentrations under one part per billion (0. 18 pg/I ). 4- Methyl-2-pentanone is used as a "solvent for gums, resins, paints, varnishes, lacquers, and nitrocellulose, as an alcohol denaturant, in the extraction of rare metals, and as a synthetic flavoring adjuvant" (USEPA, 1994). Sources include exhaust gas from vehicles and from land disposal of waste that contains this compound . It should be noted that 4-Methyl-2-pentanone was observed in the first sample of MW-5, and then not observed in any of the following sampling events. Methyl iodide was detected in site monitoring well MW-5. It is a halogenated VOC that can be produced by fungi and bacteria . It has been approved by the EPA as an insecticidal fumigant and is commonly used in the manufacture of pharmaceuticals and pesticides (USEPA, 2000). It should be noted that Methyl iodide was observed in the first sample of MW-5, and then not observed in any of the following sampling events. MW-5 has been replaced by MW-5A, and has been removed from the sampling program . Hydrogeological Report Al Organics Eaton Organic Recycling Facility May 2014 Page 17 3.2 . 3.6 Monitoring Well 5A (Up-gradient) Nitrate concentration detected in MW-5A of 11 .4 mg/I was slightly above the Colorado Domestic Water Supply standard of 10 mg/I ; however, the concentration for November 2013 fell below 10 mg/I . Elevated nitrate concentrations were also observed in other wells at the site. As with the other wells, the presence of the elevated nitrate may be related to the agricultural operations on and adjacent to the property. 3. 2.4 Local Groundwater Use A review of the Office of the State Engineer's well records indicates that a number of permitted agricultural and domestic water wells exist within 1 -mile of the composting facility ( Figure 2). Based on the subject records, these wells appear to be completed both in the Laramie Formation and the aeolian alluvial deposits. Some VOC's and trihalomethanes have been inconsistently observed in relatively low concentrations, with the exception of MW-2, which had a chloroform detection of 3. 7 pg/I , which slightly exceeds the Department's Water Quality Control Division groundwater quality standards of 3. 5 pg/I . The source and concentration of these constituents is still unclear. However, it should be noted that alluvial groundwater quality may already be somewhat impacted by local agricultural practices, as discussed in Section 3.2 . 3, and composting operations may have impacted groundwater quality related to feedstocks received which were restricted to clean untreated wood , yard waste (grass, leaves, and tree trimmings), and sheep manure. Also, as discussed in Section 3. 2. 1 the Laramie Formation confining layer has the potential to provide adequate protection to water quality in the underlying Laramie/Fox Hills Aquifer. Appendix F contains Colorado Division of Water Resources (CDWR) records for permitted water wells within 1 -mile of the property (CDWR, 2011 ). BIBLIOGRAPHY Bouwer, H . and Rice, R. C. , "A Slug Test Method for Determining Hydraulic Conductivity of U nconfined Aquifers with Completely or Partially Penetrating Wells", Water Resources Research , Vol . 12 , No. 3, 1976 Hvorslev, M .J . , "Time Lag and Soil Permeability in Groundwater Observations", U . S. Army Corps of Engineers Waterways Exp. Bull . 36, 1951 Colorado Department of Public Health and Environment, "The Basic Standards for Ground Water", 5CCR 1002-41 , Regulation No. 41 , November 30, 2009 Colorado Division of Water Resources Records (State Engineers Office), online GIS database for permitted water wells, 2011 Roberts, Stephen B. , "Coal in the Front Range Urban Corridor — An overview of Coal Geology, Coal Production , and Coal-Bed Methane Potential in Selected Areas of the Denver Basin , Colorado and the Potential Effects of Historical Coal Mining on Development and Land-Use Planning", in Petroleum Systems and Assessment of Undiscovered Oil and Gas in the Denver Basin Province, Colorado, Kansas, Nebraska, South Dakota , and Wyoming — USGS Province 39, USGS , 2007 Stevenson , Jake, "Hydrogeology of the Denver Basin Aquifers" , webpage project for Geohydrogeology class at Emporia State University, 2006 Terracon , "Limited Site Assessment, Al Organics. . . Eaton , Colorado" , Terracon project No. 21047003, May 27 , 2004 U .S . Department of Agriculture, Natural Resources Conservation Service, "Soil Map — Weld County, Colorado, Southern Part", Version 11 , August 27, 2009 U .S . Environmental Protection Agency, "Stage 1 Disinfectants and Disinfection Byproducts Rule" , 63 FR 69390, Dec. 16, 1998, Vol . 63, No. 241 U . S . Environmental Protection Agency, "Chemical Summary for Methyl Isobutyl Ketone" , Office of Pollution Prevention and Toxics, September 1994 U . S . Environmental Protection Agency, "Methyl Iodide (lodomethane) Technology Transfer Network, Air Toxics Web Site, http.//www. epa. gov/ttn/atw/hlthef/methylio. html Created in April 1992 , Revised in January 2000 U .S . 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SOUTHERN PART (C0618) MAP UNIT MAP UNIT DEPTH I SYMBOL NAME KIM LOAM 31 0-1% 0-60" SLOPES KIM LOAM • •• 32 1-3% 0-60" o s ••• • SLOPES N • • N •• • OLNEY FINE 3 •• • 4-6 SANDY LOAM 0-60" v • • 0-1y c` • • SLOPES • • (n • • 'o • • /U) • • • • • o a) • • o • • T • • • • C' • • • 46 • • / • • O • O. • • • O •• • • • to • • • U_ • • • C • • o • • rn • L_ o • • �, • •.0 •• .4, --,54„9ti' •• . • •• • ••• pp •• •••••• • i �t�` • / • •• • FAO • co •• • • N • • • • O •- S • • O DESIGNED: CHECKED: NOTES 3 DP TA PLATE FIGURE B4 DATE: DRAWN: B4 xRw CONSULTING, INC. GRAHAM SEEP AND SOIL UNITS o 8/15/12 DRF e000 W. 14TH AVENUE, svrrE 20o A-1 ORGANICS - EATON FACILITY FILE NAME: SHEET NO. LAKEW00D, C0L0RAD0 DATE REVISIONS EATON , CO soils r2 4 of 11 (303) 239-9011 N ,D/13/12 ADDRESSED CDPHE MAY 30TH COMMENTS PROJECT NO. 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I 80•e e .1 ilibl j AalR • U3WIUV rck LrTh O 1 3 M s1'°i . c,,. �;>, .1701 50i Sill ) I XOJ—JINV21br1 „0t ,'VV o'b0I M:ONO1 .,OZ ,Z0 00VN :1V1 d1IS ±oarens JO NOILVOO1 d1wWIXOeIddV - _ -_,� z-- - � - _CR 76 '_�=- _ _ : MW-3 W- t LANDSCAPING -� X X N: 1986817.94 REPLACED WITH MW-5A < < < < < < ' E: 3210802.86 DIRT PARKIN LOT - 1 ` GW = 4841.75 - / _ C i EG = 4864.87 x `.- TOR = 4867.37 1 MW-5A \ 8 / ' 0. N: 1986719.14 . 09 E: 3209898.80 GW = 4849.22 b EG = 4860.42 FUEL ANKS TOR = 4862.87 8 mac_-, m 18 4 .. a I GAS I --t9 a I LE: CH I�CH) \ FILDI �Id `• _ ' 0.010 1• MW-2 • 'rORM W• TER , N: 1985684.78 DETARNAON MW-1 E: 3209978.46 N: 1985742.93 GW = 4845.95 -_�' J '�I� ' E: 3210739.89 EG = 4852.52 i GW = 4838.38 TOR = 4854.95 EG = 4856.72 POND • TP_ , O —2 TOR = 4859.82 J . O TP-1 MW-4 N: 1985537.20 0 150 300 E: 3210720.60 L 1 P GW = 4837.41 EG = 4855.29 SCALE IN FEET TOR = 4857.81 1"= 300' LEGEND - -----cal-set--- PROPERTY LINE O TP-3 v LIMIT OF OPERATIONS co X X X FENCE PAVED ROAD • rn I I f I I I I f I I f I I I I f I I f I I I I I GREAT WESTERN RAILROAD NI W SD W m STORM DRAIN 4- N • • • • • • EXISTING WATERWAY / DITCH TP-4 • 0 STOCKPILE is GAS WELL a / LEACH HELD 0 o EXISTING INDEX CONTOUR (4/29/11) (5') • T EXISTING INTERMEDIATE CONTOUR (4/29/11) (1') L / 0, POTENTIOMETRIC INDEX CONTOUR (NOV. 2013) (5') 0 TP-7 J. ••POTEN11OMETRIC INTERMEDIATE CONTOUR (NOV. 2013) (1') o Q EXISTING STRUCTURE o \ j ` ≥> POWER POLE In o ( TP-1 TEST PIT c O TP-5 o \ �' MW-1 MONITOR WELL DESIGNATION o N: 1984410.58 LOCAL NORTHING .m E: 3209026.11 - LOCAL EASTING O 4:4m r' GW = 4839.40 — GROUNDWATER ELEVATION o EG = 4864.74 — GROUND ELEVATION \\ a TOR = 4867.34— TOP OF CASING ELEVATION / I = 0.011 GROUNDWATER FLOW DIRECTION 0 0 U DESIGNED' CHECKED: FIGURE NOTES: FIGURE B9 3 DP TA DATE: DRAWN: B9 KRw CONSULTING, INC. POTENTIOMETRIC SURFACE 0 3/2/12 DRF 8000 W. 14TH AVENUE, svrrE 20o A-1 ORGANICS - EATON FACILITY FILE NAME SHEET NO. `I LAKEWOOD, COLORADO EATON CO DATE REVISIONS O pot surf r2 9 of 11 (303) 239-9011 \8/13/12 ADDRESSED CDPHE MAY 30TH COMMENTS PROJECT NO. SCALE: 4/18/14 ADDRESSED CDPHE COMMENTS / 0912-04 1"=300' PREPARED FOR A-1 ORGANICS SOINV0d0 L—`d d0J OleiVd3dd ;S3MIN 00L=WL 170-Z L60 j SLN3rnoo 34 :103 03SS3y00v fL/oz/z :31v05 ON 103r0ad S1NiI'YC3 HIDE AYY* 31403 03SS3$00Y Zl/£l/s' rroo—ecz (sac) U. 1° 0 L ZA a i u1s!as R 00 N V2TOIO 'Q 01V3 0QO OOM2M �su�V7 sNo3a 31v0 0 a N 133HS WYN 311d < A111I0`d3 N0IV3 — S0INV0N0 L —V ooz ins '2fNSAV xt17r W 0009 daa aL/sl/e LA SCIeNZVH GIVERS 'ONI `ONI.L'I11SNOD J%&&?I 0l8 iNMvaO 131vo 0 L8 3zo13 [� Vl dO a :S310N 3 el n o Ij :03No3Ho :03NJI530 0 O a co r v O 0 I 0 H o C OOOQOOOUOOC� O <X) CO t' CV C3 CC\4 U Urt � En E H 8NtOr— NCOt LO 4 CON r O O in CO 111111 _ lift a in U_ Co o a' 0 z z O O n CO 1 3 N __ `v a ,saLC o r T N Q N f N _• (oO / M " 0o O � . . Z w ,, o CC QQp er— - O o ^ "`_-�� c a C __ j off- 1Ot ' tt V __-_Q (j,,... .2______-:::ca - -.--4----- a .. - 5 - r ; C BCD � ` _ 7. - ( _ ix, .2 0 .--/ - .\._, L„\--__c 2.op, )1 ?; = '2 r ,, O --0---__. ,-- � G) Z �_• f-=: co { r O.{ U ZO CO "---. - \ + Q O w I - z Li 2 2 CO z 1 ct a - o O , N ( Q O 5 O I- ---wrw- L S z 0 CO o_ I=II _ U) v) H Z L, o 0 o O LLI I- I- m0 U) � LAB RESULTS HYDRAULIC SHELBY TUBE CONDUCTIVITY (cm/sec) ST-1 5.70E-06 ST-2 2.20E-07 _ ST-3 2.3E-05 _ __ __ _- _= Jw_______--_-_____ - ___ - - __ __.t -_ ST-4 4.7E-05 7,__-_-,---_=-_- - ! - _ - ST-5 8.6E-06 Jr - - - ST-6 2.6E-07EL7F X c _ — _ J \ � — _ — ,`:�/ ST-13 7.3E-07 �^ r A ..�2-.--=___ ____ ___e_m_ ___________ ____A `-1� )�I� RPM 5.5e-08 _ /; - - — 1 - W r ® ST-10 - �- - i,i li RP 3.0E-6 s 1 ST-W 1.9x10-7 X IXIST 8J ;''4+4J vf� Euulr���', wII 1.6x10-7 J - \ �� ( ,R(IPc I� OFFICE / SHOP '� o ® ST-1 ,. / 0 0ov '12 ® ST-1 ELIN ST-9 LTI o1 ' 6 ST-4 \. i I o tST-3 N- \I d O ST-1 1 ( , l II r ----\ il a ® ST-7 ' ra I - II ST-2 \ ® ST-S. i PAC AGING FA ILITY / \ 1 \ --- 1 N t ( ® ST-`714 \ I/ O \ \ r- e--ol ` �1 ✓ N "), \ 1� / 1 � ) \ ` l PN \ N \ �Ifl- J • � N \ q1� 5 \ \ - '1// 1' li PR-3 , ® SST-6 1'I� fllid ) ✓ 1 \ \ (y Y ® PR-2 \ e ® ST-13 i�r� O PR-4 ® ST—W ® RPM a 1 1 N / \ 1 L- RPW ® PR-5 1 "1 11 -o • 4 fial I ® PR-1 \ \ 1 l ' 0 EXB-2 ® RPE ` 1 aEXB-1 - - - - --7 L-L----L__-_- -±—,.-La . . _=::ca b. • . N-7J 7 . \ ti • L , (f Il cn j LEGEND 4-6. u * a s PROPERTY a) / LIMITPERTS OF OPERATIONLINE rn o _ c x EXISTING FENCE a rn /O 4/29/11 EXISTING INDEX CONTOUR (5') O 4/29/11 EXISTING INTERMEDIATE CONTOUR (1') o 0 100 200 Ima ED EXISTING STRUCTURE \\ SCALE IN FEET N 1A=20C1 ® ST-4 SOIL TEST LOCATION (APPROX.) 0 o DESIGNED: CHECKED: FIGURE NOTES 3 DP TA FIGURE 811 DATE: DRAWN: B11 KRw CONSULTING, INC. SHELBY TUBE LOCATIONS 0 8/15/12 DRF 8000 W. 14TH AVENUE, svrrE 20o A-1 ORGANICS - EATON FACILITY I• FILE NAME: SHEET NO ` DATE REVISIONS LAKEWOOD, COLORADO EATON CO a shelby r2 11 of 11 (303) 239-9011 ,D/13/12 ADDRESSED CDPHE MAY 30TH COMMENTS PROJECT NO. SCALE: 2/20/14 ADDRESSED CDPHE COMMENTS j 0912-04 1"=200' PREPARED FOR A-1 ORGANICS APPENDIX B SITE EXPLORATION LOGS LOG OF BORING NO. MW-1 _ Page 1 of 1 CLIENT ENGINEER Al Organics Jason Komes SITE PROJECT Eaton, Colorado Al Organics SAMPLES TESTS WELL ii -J DESCRIPTION DETAIL m d 0 4 1!4 i n ci M w cn o_ w E BOREHOLE DIA.: w > z a. WELL DIA.: 2 in H U CD a }- p t Z Q TOP OF CASING: 104 n Q w 0 GROUND SURFACE ELEV.: 100 ft 0 D z ~ rt a. co 5- O Q c. ti.. `- 0.5 6" TOPSOIL 99.5 SILTY SAND — vi Light Brown, dry _ _ -. 1 — f . , 4 9S 1 tt SILTY SAND wall CLAY -- • i Light Brown, dry 5_ 1 ___, a 9 91 1 J SILTY CLAY WITH GRAVEL Light Brown, moist • 102 • 1 ' Interbedded clayey silt encountered ' from 14' to 19' color change to very light — brown observed 15_ a - 19 81_ . at SILTY CLAY WITH COBBLES — 1 Light Brown, moist 20 - 1 s , 1 25.5 74.5 25 BOTTOM OF BORING 1 e c: s . W The stratification lines represent the approximate boundary tines ,I between soil and rock types: in-situ, the transition may be gradual. ` WATER OBSERVATIONS, ft BORING STARTED 5-3-04 WL 4. 23 WD r BORING COMPLETED 5-3-04 i, WL_ 2 RIG CME-55 FOREMAN JCK erracon WL Initial Water Level Reading rels APPROVED `DAR JOB # 21047003, r Project Name/Number: A- 1 Organics 9412-04 Boring No.: MW- 2 Project Location: Eaton Logged By: D. Peak Date: June 3, 2011 Sheet: 1 of 1 U m 8 a o 2. 43' Riser with locking cap g and concrete cap at base 0-1 ' Topsoil - - , - 0-3' bentonite chips _ — 1 -5.5' Clay, sandy, soft, brown, very moist to — — L wet. (CL— SC). -_ 3-4' granular bentonite grout 5 - - — : U 5 -- 0-4' 2"0 thread joint, PVC ...1:::,.-q- Eo.: NJ _— 10 ".: � 10 —:''` . 5.5- 19' Sand and gravel, loose, red, brown, - :;�.a black, wet. (GM)(Fine sand with gravel 10-11 '). -'``" ''' 5- 20' 2"0 thread joint, PVC, .010 `- slot screen 15 E 15 ;:.:; — —..-'ku N . —;;: c .. __j?. r •-•' thread joint bottom cap 19- 21 ' Clay, slightly sandy, soft dark gray with ` 20 coal and iron lenses, moist. (CL) 20 N � .. 1 S t 4-25' 10/2O silica sand 21 - 25' Claystone bedrock, very hard, dark gray, _ .:;.:;.:. -..::� / brown, moist. 25 25 - T.D. 25' - T.D. 25' 30 30 35 35 40 40 45 45 50 50 55 55 60 60 - TOR = TOP OF RISER - / Hollow stem auger Well Elevations: ground: 4852. 52', TOR: 4854.95' Rig Type/Drilling Method: CME 75 8 Hole Diameter/Sampling Method: '/split spoon KRW CONSULTING, INC. Project Name/Number: A- 1 Organics 9412-04 Boring No.: MW- 3 Project Location: Eaton Logged By: D. Peak Date: June 3, 2011 Sheet: 1 of 1 a C 8 o, at' 2. 53' Riser with locking cap V) and concrete cap at base 0-4' Sand, clayey, loose, brown, moist. 0-15' bentonite chips ;..:� _ . J h - r :. 5 N :� 5 4-9' Sand, slightly silty, loose, light brown, - N ~ moist. (SW) ` ` V/ r _ V r N 0- 19' 2"0 thread joint, PVC 10 rn 10 y N / \ '1 - -, 4. 01 - 9-20' Sand, very clayey, loose, light brown , - 15 moist to wet. (SC) 15 - _- 15- 17' granular bentonite grout N ,_ T 20 sx, 20 J; 20-23' Sand, slightly silty, loose, light brown,wet. -.=: 17-34' 10/20 silica sand co — — N -.S. . .. _, 25 C.,.,_ 19- 34' 2"b thread joint, PVC, . 010 N 23-29.5' Sand and gravel, loose, red, brown, _.: r slot screen ' "x f;" ccr black, wet. (GM) r L _ — N - - 30 N - 30 — - CV V - 29.5-34' Clay, sandy, soft, light brown with - . . �� pockets of gray. (CL) J . thread joint bottom cap c,, r `N r 35 T.D. 34' 35 - T.D. 34' 40 40 45 45 50 50 55 55 TOR = TOP OF RISER - 60 60 Rig Type/Drilling Method: CME 75 / Hollow stem auger Well Elevations: ground: 4864. 87', TOR: 4867.37' Hole Diameter/Sampling Method: 8"/split spoon KRW CONSULTING, INC. Project Name/Number: A-1 Organics 9412-04 Boring No.: MW- 4 Project Location: Eaton Logged By: D. Peek, C. Hollister Date: August 10, 2012 Sheet: 1 of 1 a m p O.e 2. 52' Riser with locking cap, a -I J— plug and concrete base -- 0-10' bentonite crumbles. % • ' 0- 18' Sand, slightly clayey, loose, light brown, _ 5 moist, organics to 4'. (moist to very moist with 5 N ,i'::;:. — increased clay at 12') ;: 0- 10' 2"0 solid PVC 10 N 10 , :a. .— 12' Moist to very moist, more clay. •: 10- 18 silica coarse sand CO :.P .i. :.:.i'_ .- . : 15 15 ' �`<. CD .: 20 N 18- 22' Clay, slightly sandy, moist, soft, grey. 20 —;,`' * ��--`Y� 0 22'. ' 18-34' 10/20 silica sand co 25N 22-34' Sand, clayey to very clayey, loose, very 25 —`11 10-30' 2"0 thread joint, PVC, .010 — :_ ': slot screen co moist to wet, light brown. (Black organics at • _ .:. N r 30 30 —, ''.,: - 30-34' 2"0 solid PVC bottom cap 34' Organics (coal) at 34'. 35C - T.D. 34' 35 - T.D. 34' in 40 40 45 45 O WATER LEVEL AT TIME OF DRILLING. _ 50 50 _ 18/12 INDICATES THAT 18 BLOWS OF A 140 _ V POUND HAMMER FALLING 30 INCHES WERE A REQUIRED TO DRIVE A 2.5 INCH O.D. 55 SAMPLER 12 INCHES. 55 - TOR = TOP OF RISER - 60 60 / Hollow stem auger Well Elevations: ground: 4855.29', TOR: 4857.81 ' Rig Type/Drilling Method: CME 55 Hole Diameter/Sampling Method: 8 /split spoon KRW CONSULTING, INC Project Name/Number: A-1 Organics 9412-04 Boring No.: MW-5 Project Location: Eaton Logged By: D. Peek, C. Hollister Date: August 10, 2012 Sheet: 1 of 1 a c p L T €a 2. 75' riser with locking cap a 3 and concrete at base :,:. 0-2' Sandy, ravel) loose, moist, light brown L gravelly, g 0-10' bentonite crumbles. 5 N X--7 2-9' Clay, sandy, silty, soft, loose, very moist, 5 N light brown — -... - 9' 0- 10' 2"0 solid PVC 10 1.-.2.) 2 Y: 10 , 03 - 9-14' Sand, slightly silty with interbedded - -^'' =.'� gravelly material, wet, light brown _ 10-24' 10/20 silica sand 15 � X 15 S - 14-19' Claystone bedrock, sandy, dense, moist, �< _ :t 10-20' 2"� thread joint, PVC, .010 light brown _ slot screen 20 - H'-, _ 20 c\J - to 19-24' Sandstone bedrock, clayey, very hard, ` 20- 24' 2"o solid PVC _ = moist, light brown _ `' bottom cap � 25 N X _ T.D. 24' 25 _ T.D. 34' N M - - 30 30 35 35 - Y WATER LEVEL AT TIME OF DRILLING. 40 40 _ 18/12 INDICATES THAT 18 BLOWS OF A 140 _ V POUND HAMMER FALLING 30 INCHES WERE - A REQUIRED TO DRIVE A 2.5 INCH O.D. 45 _ SAMPLER 12 INCHES. 45 - - TOR = TOP OF RISER - 50 50 55 55 60 60 / Hollow stem auger Well Elevations: ground: 4859.81 ', TOR: 4862. 56' Rig Type/Drilling Method: CME 55 8 /s Hole Diameter/Sampling Method: plit spoon KRW CONSULTING, INC. Project Name/Number: A-1 ORGANICS 9412-04 Boring No.: MW-5A Project Location: EATON Logged By: D. PEEK, J. HESS Date: JUNE 20. 2013 Sheet: 1 of 1 m8 — _ I 1a a1 30„ 34" 4 J O C7 , - 0'- 3. 75' 10/20 silica sand 0-10' 2"0 solid PVC N _.r_° - 3. 75'-4.5' hydrated bentonite 5 z' ' : - - 0'-9' Sand, brown first 6', moist 5 —::.l chips 4.5'-24.5' 10/20 silica sand r 577, V_ .J , - z - 4.5'- 24.5' 2"0 thread joint, PVC, 15 _ ::- 9'-23" Sand, clayey to clay sand, more clayey 15 —�:• .020 slot screen - ._ ._ with depth, brown to dark brown, moist to wet. �. . ;_:= - Clean sand seams (SP) '9. 5 below ground - = - surface. (Isolated sand seams) - - 20 20 — _t - •z_ K,....: . _ 23'-24.5' (Stiffer bore) Claystone, weathered to _ bottom cap g gray _ _ hard, moist, brown, oran e and ra 25 T.D. 24. 5' 25 T.D. 24.5' 30 30 35 35 40 40 45 45 _ O WATER LEVEL AT TIME OF DRILLING. _ 50 50 _ 18/12 INDICATES THAT 18 BLOWS OF A 140 _ XPOUND HAMMER FALLING 30 INCHES WERE REQUIRED TO DRIVE A 2.5 INCH O.D. 55 SAMPLER 12 INCHES. 55 - Notes: 1 . Water level immediately after bore: 12.90' below top of casing. 60 60 2. This well replaces well mw-5 / Hollow stem auger Well Elevations: ground: 4860.42', TOC: 4862.87' Rig Type/Drilling Method: CME 75 Hole Diameter/Sampling Method: 854 SPLIT SPOON KRW CONSULTING, INC. Project Name: A- 1 ORGANICS — EATON Boring No.: TP - 1 Project No: O912— O4 Logged By: D . Peek Date: May 31 , 2O11 Sheet: 1 of 1 CC U p O � J Eg (2 r Jp 0- 1 ' Topsoil, sandy clay, organics, dark brown. �r 1 -3' Clay, sandy to sand, clayey, brown, moist. 3- 5.5' Clay, sandy, brown, moist. 5 V `_ 6.5 ::.;`L 5.5- 10' Sand and gravel, well graded, red, brown, black, very moist to wet. 10 • T.D. = 10' 15 20 25 30 35 40 45 '- 50 Drilling Method: test pit KRW CONSULTING, INC. Hole Diameter: 8000 W. 14th Avenue Rig Type: backhoe Suite 200 Test Boring Elevation: 4844.63 Lakewood , CO 80214 (303) 239 -9011 Sample Method: bag Project Name: A- 1 ORGANICS — EATON Boring No.: TP - 2 Project No: 0912- 04 Logged By: D. Peek Date: May 31 , 2011 Sheet: 1 of 1 U O O p " E u 33 NJ --,- 0-0.5' Topsoil, sondy clay, organics, dark brown. 5 ` 0.5- 8.5' Sand, slightly silty, light brown, moist. 10 ' ' . 8.5-11 .5' Sand and gravel, well graded, red, brown, black, moist. — —� 11 .5-16' Clay, sandy to sand, clayey, light brown, very moist to wet. 15 - - Q15.5 T.D. = 16' 20 25 30 - 35 40 45 50 Drilling Method: test pit KRW CONSULTING, INC. Hole Diameter: 8000 W. 14th Avenue Rig Type: backhoe Suite 200 Test Boring Elevation: 4847.29 Lakewood , CO 80214 (303) 239 -9011 Sample Method: bag Project Name: A- 1 ORGANICS — EATON Boring No.: TP - 3 Project No: 0912- 04 Logged By: D. Peek Date: May 31 , 2011 Sheet: 1 of 1 es a s cc 4O J L , 0- 1 .5' Clay, very sandy, organics, dark brown, moist. 1 .5-3.5' Clay, sandy, brown, moist to very moist. 5 3.5- 7.5' Sand, clayey, slightly silty, light brown, slightly moist. 7.5- 11 ' Sand and gravel, well graded, red, brown, black, very moist to wet. 10 T.D. = 11 ' 15 - 20 - 25 - 30 35 - 40 - 45 50 Drilling Method: test pit KRW CONSULTING, INC . Hole Diameter: 8000 W. 14th Avenue Rig Type: backhoe Suite 200 Test Boring Elevation: 4844.32 Lakewood , CO 80214 (303) 239 - 9011 Sample Method: bag Project Name: A- 1 ORGANICS - EATON Boring No.: TP- 4 Project No: 0912- 04 Logged By: D. Peek Date: May 31 , 2011 Sheet: 1 of 1 u e8 f p oU 3 ' v9) 3 0- 1 ' Topsoil, sand, clayey, silty, organics, brown. = 1 - 2.5' Sand, clayey to very clayey, light brown, moist. 5 — 2.5- 7' Sand, clayey, slightly silty, light brown, moist. v 7-9' Sand and gravel, well graded, light brown, very moist to wet. 8.50 1T.D. = 9' 15 - 20 25 30 35 40 45 50 Drilling Method: test pit KRW CONSULTING, INC. Hole Diameter: 8000 W. 14th Avenue Rig Type: backhoe Suite 200 Test Boring Elevation: 4842.86 Lakewood , CO 80214 (303) 239 -9011 Sample Method: bag Project Name: A- 1 ORGANICS — EATON Boring No.: TP- 5 Project No: 0912- 04 Logged By: D . Peek Date: May 31 , 2011 Sheet: 1 of 1 m z& $ a .- N J -' 0- 1 Topsoil, sand, clayey, silty, organics, brown. 1 - 7' Sand, slightly silty, light brown, slightly moist. 5 iI Q , _ 7-9.5' Sand and gravel, light brown, very moist to wet. 9 10 9.5- 12' Sand and gravel, well graded, red, brown, black, wet. T.D. = 12' 15 20 - 25 30 - 35 - 40 - 45 -- 50 -- Drilling Method: test pit KRW CONSULTING, INC . Hole Diameter: 8000 W. 14th Avenue Rig Type: backhoe Suite 200 Test Boring Elevation: 4840.56 Lakewood , CO 80214 (303) 239 -9011 Sample Method: bag Project Name: A- 1 ORGANICS — EATON Boring No.: TP - 6 Project No: 0912- 04 Logged By: D. Peek Date: May 31 , 2011 Sheet: 1 of 1 L v o E u C7 J N J -_== 0- 1 ' Topsoil, sandy clay, organics, dark brown. 1 -4' Clay, sandy to sand, clayey, dark brown, moist. 5 — T.D. = 4' 10 15 20 `- 25 30 — 35 40 45 50 Drilling Method: test pit KRW CONSULTING, INC. Hole Diameter: 8000 W. 14th Avenue Rig Type: backhoe Suite 200 Test Boring Elevation: 4845.67 Lakewood , CO 80214 (303) 239 -9011 Sample Method: bag Project Name: A- 1 ORGANICS — EATON Boring No.: TP- 7 Project No: 0912- 04 Logged By: G. Knel Date: November 30, 2011 Sheet: 1 of 1 U es o J O O to. Eg U {!) J 0- 2' Topsoil, sandy loam, slightly moist. • 2- 7' Sand, medium grained, well sorted, brown, moist, some gravel 6.75-7', very moist 6-7'. 5 T.O. = 7' 10 15 20 25 - 30 - 35 40 - 45 - 50 - Drilling Method: test pit KRW CONSULTING, INC. Hole Diameter: 8000 W. 14th Avenue Rig Type: backhoe Suite 200 Lakewood, CO 80214 4845.67 Test Boring Elevation : (303) 239 -9011 Sample Method: bag APPENDIX C NRCS DATA o. a-' 'Q O m 1 m Y a-1 . d O b • A w,L F F >. •p .. Pa ra 0 ca Cr a00� > a. aDi•+ tl �.As. y w. I LIP @ '� .�tros • o �•o�i dF3- oFyb 6m.3 _.�. o0 •5 (5 2 a4a 4 ° °°vA� a_g rat �W ,a LIP s>l -re-; P x,2111.1 , sift Si co .o s v m 1▪"2.2 w > '? C 7 O t0 yt +. �°+� •o s u T� ph c O�t^Fw 6.6 F+$ •stn D. S •� � 0)^Q'w mr.' ,,w� f� T es A44 e � OC „yCI N� �•� •F�+Aw Cal.r y �y �0 � p A .' E', O O y 704-c �-•••-. F. v ,C 0 w ^ a V O Q 00 r.M eD A V O ► .,. a- m'ca. 2vEa ; vx6. as .°.. 3� ytc'g :yid I ,y •r rob.. 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M N a a < co vs a 2 . -o 0 N 0 E _N m N = N O CO I O CO a 0 a) C (a > 2 D C -5 a — (n 3 0 = c > U O O w O ca O L v (� S a a a � a >' o o (a (o V) co > m n a ( w $ ja oa o 2 >, v0i > > o Co a) O ac) -d c 'a a`) Y aa)) -co Q c • 3 L m m c > c U' L c) c > a a 'o to Q (no g m co c0 c0 0 0 CO 3 2 2 2 a ao in (o (o v) (n (no (o 0) C'1 9 ± �, ® x • x ® 4 x o o > + . . i. . p o ,rte isk n1 0 P Cup) T.- OS 0 DI Soil Map—Weld County, Colorado; Southern Part Al Organics Eaton Site 0 0613 CIG HJ HQG : IC &RXQM &R0RIDGR 6 RXN[IIW 3 DtW&2 0 DS 8 QW61 P ERO 0 DS 8 G*W DP H $ FI!-IV LQ$ 2 , 3 HLFHC VIRI $ 2 , 31 Kim loam, 0 to 1 percent slopes 4.4 3.6% 32 Kim loam, 1 to 3 percent slopes 108.1 88.1% 33 Kim loam, 3 to 5 percent slopes 2.9 2.3% 46 Olney fine sandy loam, 0 to 1 6.6 5.4% percent slopes 47 Olney fine sandy loam, 1 to 3 0.7 0.6% percent slopes 7RIUY EJ$ l}Df LQAAU-NW ME 1n n-11rn LSLA 1 DVXLD06 HVRXLFHV Web Soil Survey 5/6/2011 a &ROVRYEMiRQ6HINIFH National Cooperative Soil Survey Page 3 of 3 Map Unit Description: Olney fine sandy loam, 0 to 1 percent slopes—Weld Al Organics Eaton Site County, Colorado, Southern Part : HaBLRX t CIAR0RLEGRII6 IV O13 DUN 22 C 4 1,LCHAIDQG MOP SRFHCMIKERSFIV 0 D6801116RW i ( ® 4,600 to 5,200 feet 0 I-DaDCOXIXSUIRSIIMM 11 to 15 inches 0 FIDGDCOCDGDWIAF SHUDINIJH 46 to 54 degrees F ) IR WUH-I SHIM 125 to 175 days 0 D6 8 C 13A&RP SRVLIARQ 2 (0 1-71 DOG VIP IMARCIT135 percent 0 LQRI FFP SR /ICI5 percent ' HVFl1SIARQ RI 2 C41-E 6FM1E0 / DC RP [Plains ' PZ Q VRSH VKDSH Linear $ FLRW 1 RSH VKDSH Linear 3LXII APDI CIDOMixed deposit outwash 3 URSHLJAI-IV DQG TXD014HV 6 c&SH 0 to 1 percent ' HStl W/W' LCAMEI 1-111-DMK M ore than 80 inches ' C IHF®WLWell drained &DSL FLW R'[-It lP RWIEP LW?J QJA HJW VD /P LW/IZ DIMJ VDW1Moderately high to high (0.57 to 2.00 in/hr) ' /-BWINZDI (J1 ®IJVlore than 80 inches ) tillTXHCF1 .RfJGPRGQJ1 None CHDa-QR iLR[SREQJ None &DOIXP FDLERCON P IJ LP XP FROMGVV15 percent 0 giPXP NO UN Nonsaline (0.0 to 2.0 mmhos/cm) $ VENDED/ZDtMJFDSEFLW Moderate (about 7.0 inches) ,QAISSLJ-L YH J LRXSV / DCGIDSCELOVREDWILEDOM 1111 11 LWG m_ e / LOG FOSC L IJW GM=DWG 4c ( FFXRJLFD0VLW Sandy Plains (R067BY024CO) 7\ SIFDCJS1RI L®1 olACIEFKHV Fine sandy loam ❑r1rthriIICTKHViSandy clay loam 7- W 'rKYKI-JV-Sandy clay loam LLTKH/ Fine sandy loam 0 LQRU&RP SRQ-IG W =LIZ FIG 3H(Ff- PDISXQ_W8 percent sDA 1 EAM1DO5 HVRXIFHV Web Soil Survey 5/6/2011 &ROVRY MiRQ6RYLFH National Cooperative Soil Survey Page 1 of 2 Map Unit Description: Olney fine sandy loam, 0 to 1 percent slopes—Weld Al Organics Eaton Site County, Colorado, Southern Part 9RQJ 3 htIFHW P DS XCIWT percent ' CAD 6 RXIFHLQI RIP EMRQ Soil Survey Area: Weld County, Colorado, Southern Part Survey Area Data: Version 11 , Aug 27, 2009 SDA 1 1101113O5 HVRXIFHV Web Soil Survey 5/6/2011 &RQ/hL'OMiRQ6RMFH National Cooperative Soil Survey Page 2 of 2 Map Unit Description: Kim loam, 1 to 3 percent slopes—Weld County, Colorado. Al Organics Eaton Site Southern Part : HaB134RXCWW&RORLDGRII6Imo/ 3 I.. 1 2. LP IJDP mLWI. SHIFHQIWRSHV 0 D6 8 QI.N6 FM CO ( ®IYDVFQ 4,900 to 5,250 feet 0 I-DQDCOXIXSUIFLSIIMEQ 13 to 17 inches 0 EDGCCOallUthr SHUDINIP 46 to 52 degrees F ) IR WUH-I SHW 125 to 150 days 0 D6 8 Q IA&RP SRVLIARQ . LP { oe • LOUVRED' 90 percent 0 LQRJFRP SFQ-KEW/ 10 percent ' I-MRISIARQ RI . LP 6FMIC0 / DC, RP IJAlluvial fans, plains ` PZ Q VCISSH VKDSH Linear $ FLRW 1 RSH VKDSH Linear 301-0 f° DIMIDOMixed eolian deposits derived from sedimentary rock 3 IRSRW-IV DQG TXDOIFIV 6IRSH 1 to 3 percent ` HSIN UMMEIVHIEDIATJH More than 80 inches ` LI,l!QJJHROW Well drained &DSL FLW R FM/YEP LW)] I-i(AA?_WLQ/P LIAZ DtMJ . VDV1/ Moderately high to high (0.57 to 5.95 in/hr) Halt?' Z DIMMIEDI More than 80 inches ) LIH XHCFI Si7ORGQlrNone ) UHDO-CF1 iLR SFWQJ None &DOLXP FDI E 1 P lx LP XP rFROACVV15 percent $ VENDED/ZD LIFDSEFLW Moderate (about 9.0 inches) ,CMASU-LWH J IRXSV / DC E LIV FQDWILFDVARQ Hal l DWG i_i_ e / DCGFDSL LIJW QC1LIIJL/DWG 4e ( FRRILFDOVLW Loamy Plains (R067BY002CO) 7\ SIFDCBIRI Lam LJAC,1QFKI-M Loa m DDIRTITICFKHVioam DE1Ctm_71 K/ A/-Fine sandy loam LSLA 1 UIXIDO5 HVRXIFHV Web Soil Survey 5/6/2011 &RQ/hL'0MiRQ6RMFH National Cooperative Soil Survey Page 1 of 2 Map Unit Description: Kim loam, 1 to 3 percent slopes—Weld County, Colorado. Al Organics Eaton Site Southern Part 0 LQRU&RP S RGA- NN 2 '%MR 3 FitIFFICYRIP EASXQW10 percent EW 6 RXIFHRO RIP R 4RQ Soil Survey Area: Weld County, Colorado, Southern Part Survey Area Data: Version 11 , Aug 27, 2009 LSLA 1 DVX113O5 HVRXIFHV Web Soil Survey 5/6/2011 &RQ/hL'OMiRQ6RMFH National Cooperative Soil Survey Page 2 of 2 APPENDIX D CLIMATE DATA 44 v-4 o O 4-4O O. M N M M Oh 6., r+ kn v a a) a) • N en 1/40 o O , 'b U O p,, E a ocivi /•� U O 00 1/40 O a3 :.,C O ° o 0 Ca �" Z u, o .� cCA d v-.M N rn �° P p -ri U '-' O \o M O *c÷ci cd 1;41> vs 7°3 O N - 'O U rd^'cn O t� 1- elan Q a O en a\ (1 ,...„ 4-4 O N �? •� cd co I zi M d oo �, -. id a t el O en o > b Q tocbzo O )---, • 00 �t N O C1) '� i7 >, o 0 U -. o o o 00 n o b 40 L en N cet -c O O ti-i 0) z A "O N N•-• O N gC) ccs 4— O I v v> 00 1/40 ON > G U I- g Eil eNi cNi co o -d° d T cu _ in N O a o s t: o'cr j � � � N w '-" a, co 4) O V co 1/40 1/40 N O C U "� 'co y O O >-1 41 -t- ,--. ci -8 ce, 0 4_4 - . 'b O .� 11 U cd E p C N 'CJ "n w criS. 2-,-(1 0 '�4 __, O , rr. O0.) 4.... co _ crd �0 M 40 O U ai U ° U cd , — U b b �+ \o { i cd t c� c� •U. U .� a"d OU a a ., an �; C.. 4 N c. v.- > ( > .) 88rgg c a. CI E ti) __ en M '—' ci3�� 1 Cd n t . -a plc 4 ,-c? ot U I c-F• --.:;! La 0 i c4.)_ c _.l\ : C Ps • etalj Z •1Z)if it Ri d ti O i c0 O i a a) E ° 4c-ti Oc44 CL as :+ as at V] Q ��2 Et)al .11 .� l co t Cl V! ail a ra. r":'I � .-o ri O �-•t .Q E~ !�1 A �•-' le4 O :r , ..{1Ci L QJ cd 4) 4., CCR Z U ► � 1 � � � _ : W o. - O U ,.S .E5. O U C c� cd U CI Ucti E rS4 4.2 0Irn � O4�Est 2.1, if) o ;4 n o z O1 ON6• - . „, r0ry j Ha, ZVC a. C� 4 H A ,--- • • • • - • • • • I 04 • • C EFL • • • • i ,„� E2 Page 4 of 7 UKIAH AIRPORT ASOS 1KUK.L11996-20061 2 .6 3 . 5 4 .1 4 .6 4 . 9 5 . 5 4 .5 4 . 0 3 . 2 2 .7 2. 5 2 . 9 1 3 .7 VACAVILLE AIRPORT ASOS (KVCB11998-2006 { 4 .4 5 . 5 6 .3 7 . 1 7 . 0 , 7 . 5 7 .3 6 . 7 5 . 9 5 . 5 4 . 4 4 . 9 1 6 . 0 VAN NUYS AIRPORT ASOS 1KVNY11996-20061 5 .9 6 . 3 5 .5 6 . 0 5 . 7 5 . 7 5 . 6 5 . 0 4. 6 4. 5 5 .1 6 . 5 I 5 . 5 VISALIA AIRPORT AWOS KVIS11996-20061 3 .3 4 . 0 4.3 5 . 1 5 .9 5 . 9 4 . 9 4 . 4 3 . 8 3 . 2 3 . 0 3 .1 1 4 . 2 WATSONVILLE AP ASOS KWV111998-20061 3 .2 3 . 8 3 . 7 5 .1 5 . 1 5 .2 4 . 9 4 . 6 4 .1 3 . 6 3 . 1 3 . 4 1 4 . 1 COLORADO AVERAGE WIND SPEED - MPH STATION ID Years Jan Feb Ma.: Apr May Jun Jul Aug Sep Oct Nov Dec Ann AKRON AIRPORT ASOS KAKO 1996-2006 11 . 5 12 .5 13 . 1 14. 2 12 . 7 12 . 6 11 .5 11 . 2 11 . 5 12 .1 12 .0 12 . 0 12 . 2 ALAMOSA AIRPORT ASOS KALS 1996-2006 5 . 7 6 . 8 8 . 8 10. 8 10 . 0 9 . 5 7 .1 6 . 6 7 . 1 6 .9 6 . 2 5 . 4 7 . 5 ASPEN-PITKIN COUNTY AP KASE 1996-2006 5 . 1 5 . 6 6 . 4 7 .5 7 . 6 7 . 7 7 . 1 6 . 9 6 . 9 6 .2 5 .2 5 . 1 6 . 4 AURORA-BUCKLEY AFB KBKF 1996-2006 8 . 3 8. 6 9 .3 10 . 1 8 . 6 8 . 4 7 . 9 7 . 6 7 . 6 7 . 9 8 . 0 8 . 6 8 . 4 BOULDER-.IEFFCO AP ASOS KBJC 1996-2006 11 . 0 10 . 3 10 . 8 11 . 1 10 . 4 10 . 1 9 . 5 9 .3 9 . 2 9 . 2 9 . 6 11 . 0 10 . 1 BURLINGTON AIRPORT ASOS KITR 1997-2006 11 , 2 12 . 5 13 . 2 14 .0 13 . 1 12 .9 11 . 8 10 . 9 11 . 9 11 .9 11 . 8 11 . 5 12 . 2 COLORADO SPRGS Ap ASOS KCOS 1996-2006 8 . 8 9 . 5 10 . 6 12 . 3 10 .9 10 . 6 9 . 2 8 . 9 9 . 1 9 .7 9 .0 9 . 2 9 . 8 CORTEZ AIRPORT ASOS KCEZ 1996-2006 5 . 8 6 . 5 7 . 6 8 . 8 8 . 5 8 . 4 6 . 8 6 . 3 6 . 6 6. 3 6. 1 6 . 0 7 . 0 CRAIG AIRPORT AWOS )(GAG 1996-2006 4 . 0 4 .5 5 . 7 7 . 6 6 . 8 6 .9 5 . 8 5 . 7 5 . 4 5 .1 4 .3 3 . 9 5 . 4 DENVER INTL AP ASOS LKDEV 1996-2006 9 . 7 10.0 10 . 8 11 . 9 11 . 0 10 .7 10 .3 10 . 1 9 . 9 9 .9 9 . 6 10 . 1 10 . 3 DENVER-CENTENNIAL AP ; KAPA 1996-2006 8 . 3 8. 7 9 .3 10 . 5 9 . 5 9 . 6 8 . 8 8 . 4 8 . 4 8. 1 8 .1 8 . 5 8 . 8 DURANGO AIRPORT ASOS 1KDRO 1996-2006 4 . 6 5 .5 6 .6 7. 9 7 . 6 7 . 3 6 . 3 5 . 8 5 . 6 5 . 7 4 .9 4 . 6 6 . 0 EAGLE AIRPORT ASOS IKEGE 1996-2006 3 . 9 4 . 6 5 .9 7 .2 7 . 1 7 . 1 5 . 3 5 .1 5 . 1 4 . 9 3 .8 3 . 6 5 .3 FORT CARSON-BUTTS AAF KPCS 1996-2006 9 .7 11 .0 12 .1 13 . 0 11 .3 11 .4 9 . 8 9 . 1 9 .5 10 . 1 9 . 8 11 . 0 10 . 6 FORT COLLINS AP ASOS KFNL 1996 -2006 6 .2 7 .1 7 .9 8 .9 7 . 6 7 .2 6 .9 6 . 7 6. 4 6 .5 6 .3 6 . 6 7 . 0 GRAND JUNCTION AP ASOS KGJT 1996-2006 5 .1 6 . 5 7 . 9 9 . 7 9 . 5 9.9 9 . 6 9 . 1 8 . 5 7 .6 5 .7 5 . 3 7 . 8 GREELEY AIRPORT AWOS KGXY 1996-2006 6 . 0 7 . 1 8 .3 9 . 7 8 .3 7 . 4 6 .1 5 . 8 5 . 8 6 . 1 6 .1 6 . 0 6 . 8 GC/N(1150N AIRPORT AWOS KGUC 1996-2006 2 . 7 . 3 . 6 5 . 3 7 . 3 6 . 6 6 . 3 5 .3 4 . 9 4 .7 4 . 8 3 .4 2 . 6 4 . 8 HAYDEN AIRPORT AWOS HON 1996-2006 6 . 8 6.8 7 . 2 8. 5 8 . 3 8. 5 8 .0 8. 0 7 . 8 7 . 6 6 .8 6 . 8 7 . 6 LA JUNTA AIRPORT ASOS KLHX 1996-2006 8 . 9 9 .9 11 .3 12 .9 11 . 5 11 . 9 10 . 1 9 . 5 9 . 5 9 . 9 9.2 9 . 4 10 . 3 LA VETA PASS AWOS KVTP 2001-2006 18 .8 18 .0 17 .1 17 .1 15 .8 13 . 8 12 . 3 12 . 1 12 . 4 16 .7 14 .2 17 . 8 15 . 5 LAMAR AIRPORT ASOS KLAA 1996-2006 7 . 9 9 . 2 10 . 5 12 . 1 10 . 7 11 .5 10 . 2 9 . 1 9 . 2 9 . 0' 8 .3 8 . 0 9 . 6 LEADVILLE AIRPORT ASOS KLXV 1998-2006 8 . 2 8.2 8 . 0 8 . 6 8 . 3 7 . 9 6 . 2 5 . 8 6. 7 7 . 5 7 . 4 8 . 1 7 . 6 LIMON AIRPORT ASOS KLIC11996-2006 8 . 3 9. 8 10 . 5 12 . 2 10 . 7 10 .3 9 .0 8 . 7 8 . 6 9 . 3 8 . 6 8 . 6 9 . 5 MEEKER AIRPORT ASOS KEEO 1997-2006 3 .8 4 .5 6 . 0 7. 4 7 . 3 7 .5 6 .4 6 . 1 6 . 1 5 . 5 4 .4 3 . 6 5 . 7 MONARCH PASS AWOS KMYP 2001-2006 ] 24 . 7 20 . 6 21 . 6 21 . 3 19 . 7 17 . 5 13 . 4 11 . 4 14 . 8 19 . 8 22 . 5 22 . 6 18. 8 MONTROSE AIRPORT ASOS KMTJ 1996-2006 5 . 5 6 . 2 7 . 6 8 .9 8 . 9 8 . 8 7 . 7 7 . 1 7 . 2 6 .7 5 .9 5 .3 7 . 1 MON•JN.ENT PASS AWOS KMNH 2001-2006 9 . 1 9 .2 10 .1 11 . 3 9 . 8 9 . 6 8 . 7 8 . 9 9 . 1 9 . 3 9 .3 9 . 3 9 . 5 PUEBLO AIRPORT ASOS KP(B 1996-2006 6 . 8 7 . 3 8 . 6 10 . 2 9 .1 9 . 4 8 . 3 7 . 8 7 . 4 7 . 7 6 .7 7 . 0 8 . 0 RED CLIFF PASS ASOS KCCU 2001-2006 10 .1 10 . 2 12 .0 12 . 5 11 .2 9 .3 8 . 5 8 . 2 9 . 4 11 . 1 9 .7 10 . 6 10 . 2 RIFLE AIRPORT ASOS KRIL 1997-2006 3 . 4 4 . 3 5 .9 7 . 4 7 .2 7 . 1 6 . 0 5 . 6 5 . 5 5 . 1 3 . 9 3 .2 1 5 . 4 SPRINGFIELD AP ASOS KSPD 1998-2006 10 . 3 11 . 6 12 . 5 14 . 3 13 . 2 13 . 4 11 . 7 10 . 8 11 . 9 11 . 3 11 . 1 10 . 7 1 11 . 9 TRINIDAD AIRPORT ASOS KTAD 1996-2006 9 .6 9 . 9 10 .8 12 . 0 11 . 0 10 .9 9 . 9 9 .2 9 . 6 9 . 9 9 . 3 9 . 5 1 10 . 1 WOLF CREEK PASS ASOS KCPW 2001-2006 10 . 8 11 . 9 12 . 2 14 . 7 13 .7 12 . 4 9 .2 8 . 9 9 . 5 8 .9 9 . 3 11 . 3 1 11 . 2 HAWAII AVERAGE WIND SPEED - MPH STATION ID 1 Years 1 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Ann BRADSH.MJ ARMY AIRFIR.Ln PHSF11996-20061 12 . 0 11 .5 12 . 0 12 . 3 11 . 0 11 . 7 13 . 0 12 . 1 10 . 8 11 . 1 11 . 8 13 . 5 11 . 9 HILO INTL AIRPORT ASOS PHT011996-20061 6 . 5 7 . 1 7 . 0 6 . 9 6 . 6 6 . 6 6 . 4 6 .2 6 . 2 6 . 1 6 . 1 6 .3 6 . 5 HONOLULU INTL AP ASOS PHNL11996-20061 8 .8 9 . 5 9 .9 11 . 6 10 . 6 12 . 1 12 . 5 12 . 0 10 .7 10 . 2 9 . 5 9 . 4 10 . 6 KAHULUI AIRPORT ASOS PHOG 1996-2006 11 . 1 11 . 6 11 . 6 13 . 3 12 . 8 15 . 2 15 . 2 14 . 6 13 . 4 12 . 3 11 . 4 11 . 3 12 .8 KAILUA-KONA INTL AP ASOS PHKO 1996-2006 8 . 4 8 . 4 8 . 4 8 .2 8 . 1 8 .1 8 . 2 8 . 3 8 . 0 7 . 8 7 . 9 8 . 0 8 . 1 KANEOHE BAY MCAS PHIC11996-2006 7 . 4 8 . 4 8 .4 9 . 4 8 . 1 9 . 3 9 . 7 8 .7 8 . 2 8 . 0 7 . 7 7 . 8 8 . 4 KAPOLEI-KALAELOA AP ASOS PHJR11999-2006 8 . 6 7 .8 8 . 4 8. 6 7 . 9 8 .2 9 . 0 8 . 8 7 . 8 7 . 5 7 .4 7 . 6 8 . 1 LAHAINA-KAPAI,UA AP AWOS PHJH11996-2006 14 . 4 15 . 1 14 . 9 16 . 7 15 . 7 16 . 9 17 .1 16 . 8 15 . 8 15 . 1 14 . 2 14 . 6 15 . 6 LANAI AIRPORT PHNY 1996-2006 9 . 5 10 . 4 10 . 1 11 . 4 10 . 0 10 . 5 12 .1 11 . 1 10 . 3 9 . 5 10 . 1 9 . 5 10 . 4 LIHUE AIRPORT ASOS PHLI 1996-2006 12 .0 12 . 5 12 . 5 14 . 4 12 . 8 14 . 2 14 . 8 13 . 6 13 . 0 12 . 7 12 . 8 12 . 5 13 . 1 MOLOKAI AIRPORT ASOS PHMK11996-2006 10 . 2 10 . 7 10 . 6 12 . 5 11 . 3 13 . 2 14 . 0 13 . 3 11 . 8 11 . 4 10 . 8 10 . 3 11 . 7 wAHIAWA-WHEELER ARMY AF PHHI11996-2006 8 . 9 9 .2 9 . 3 9 . 9 9 . 4 10 . 1 10 . 0 9 . 8 9 . 3 8.1 7 . 6 8 . 3 9 . 1 IDAHO AVERAGE WIND SPEED - MPH STATION ID Years 1 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Ann BOISE AIRPORT ASOS KBOI 1996-20061 6 . 7 8. 1 9 . 0 8 . 8 8 . 1 8 . 3 7 . 4 7 . 4 7 . 3 7 . 2 7 . 0 7 . 4 7 . 7 BURLEY AIRPORT ASOS KBYI 1996-20061 9 . 2 9 . 3 10 . 3 9 . 9 9 . 3 8 . 6 7 .0 6 . 9 6 . 8 7 . 9 8 . 5 9 . 4 8 . 6 CALDWELL AIRPORT %4'JOS KEUL 1997-20061 5 . 8 7 . 5 7 . 9 7 . 7 6 . 7 6 . 6 5 . 6 5 . 3 5 . 0 5 . 3 5 . 8 6 . 1 6 . 2 CHALLIS AIRPORT ASOS KLLJ 1998-20061 1 . 9 2 . 8 5 . 0 6 . 1 6 . 2 6 . 1 5 . 5 4 .8 4 . 0 3 . 6 2 . 8 2 . 2 4 . 2 COEIJR D ' ALENE AP AWOS KCOE 1996-20061 7 . 8 7 . 5 8 . 3 7 . 9 7 . 6 7 . 2 6 .7 6 . 6 6 . 7 6 . 8 7 . 5 7 .7 7 . 3 http://www.wrcc.dri.edu/htmlfiles/westwind.final.html 5/19/2011 <clog Page 2 of 6 ? (A:1\ •Re\ike) AUBURN DAM PROJECT 1972-1984 1 .42 1 . 89 3 . 13 4 . 89 7 . 73 10. 08 11. 66 10 . 70 8 . 08 5 . 00 1 .97 1 . 36 67 .91 AVENAL 9 SSE 1955-1961 1 . 80 2 . 90 6 .20 9 .39 12. 96 16 .73 18.67 16 . 37 12 . 61 8.05 3 . 85 2 . 44 112 . 01 BACKUS RANCH 1948-1963 2 . 85 3 . 86 6 . 77 9 . 80 12 . 69 15 . S3 16.92 15 . 95 12 . 19 8 . 01 4 . 25 2 . 98 112 . 20 BEAUMONT PUMPING PLANT 1948-1975 2 . 90 3 .29 4 . 08 5 . 03 6.40 8. 15 10 . 64 9 .97 7 . 90 5. 87 3 . 22 2 . 90 70 . 35 BEAUMONT 1 E 1948-2001 3 . 10 3 . 73 4 . 99 5. 23 7 . 60 9. 31 10 . 97 10 . 66 8 . 85 6 . 53 5 . 16 3 . 95 80. 08 BERRYESSA LAKE 1957-1970 1 . 53 2 . 15 3 . 79 5. 82 8. 90 11. 00 13 . 22 12 . 06 8 . 67 5 . 72 2. 48 1 . 66 77 . 00 BOCA 1948-2005 0. 00 0 . 00 0. 00 0. 00 6 . 83 8 . 52 10 . 01 9 . 09 6 . 48 4 . 32 0. 00 0. 00 45 . 25 BRANNAN ISLAND 1968-1977 1 . 15 1 .74 4 .36 7 . 03 10.49 12 . 39 13. 51 12 . 02 9. 03 4 . 80 1 . 83 1 . 08 79. 43 CACHUMA LAKE 1952-2005 2 . 44 3 . 53 4 .41 6 . 01 7.55 8.56 9. 50 8 . 98 7 . 00 5 . 42 3. 49 2 . 79 69 . 68 CAMP PARDEE 1948-2005 0 . 72 1 . 12 2 . 32 4 . 18 7 . 04 9 . 43 11 . 17 9. 50 6 . 51 3 . 77 1 . 40 0. 72 57. 88 cHIcO EXPERIMENT STN 1906-2005 1 . 26 2 . 13 3 . 82 5 . 63 8.28 10 . 11 11 . 48 9. 71 7 . 36 4 . 46 2 . 09 1 . 30 67 . 63 CHULA VISTA 1948-2005 2 . 81 3 .45 5 .03 6. 06 6. 76 6. 96 7 . 63 7 . 48 6 . 21 5. 02 3 . 58 2 . 78 63 . 77 COW CREEK 1948-1961 3 . 21 5 . 62 9.78 13. 98 17. 25 21. 37 21. 89 20 . 17 15 . 36 10. 71 4 . 91 3 . 85 148 . 10 DAVIS 1 NSW 1917-2005 1 . 49 2 . 34 4 . 54 7. 13 10. 19 12 . 17 12 . 77 11 . 28 9 . 08 ' 6 . 35 2 .89 1 .45 81. 68 DEATH VALLEY 1961 -2005 3 . 93 5 . 38 9 . 10 13 . 00 16 . 76 19 . 11 20.98 18 . 86 13 . 95 9 . 78 5 . 54 3 . 75 140 . 14 DUTTONS LANDING 1955-1977 1 . 42 2 . 09 3 . 87 5 . 70 7. 74 9 . 34 9. 34 8. 27 6 . 75 4 . 65 2 . 25 1 . 46 62 . 88 FALL RIVER MILLS INTAKE 1948-2005 0 . 00 0 .00 2. 47 5 .80 7. 54 9 . 48 12 . 14 10 . 57 7 . 59 3. 78 1 . 14 0 . 00 60. 51 FERNDALE 2 NW 1963-1973 0 .70 1 . 17 2 .26 3 . 21 3. 95 4 . 38 4.49 4 . 07 3 . 59 2 . 06 1 . 04 0.72 31 . 64 FOLSOM DAM 1955-1993 0 . 92 1 .90 3 .47 5 . 21 8. 07 9. 91 11 . 12 9. 93 7 . 45 4 . 89 2 . 06 1 . 25 66 . 18 FRIANT GOVERNMENT CAMP 1948-2005 1 . 46 2 . 12 3 .82 5. 89 9. 42 12 . 07 13 . 96 12. 47 9 . 00 5 . 76 2 . 61 1 . 37 79 . 95 GRIZZLY ISLAND REFUGE 1971-1977 1 . 45 2 .25 4 .00 5. 72 8. 07 9. 82 10 . 69 8 . 93 6 . 88 4 . 33 2 . 10 1 . 55 65 . 79 RETCH HETCHY 1931-2005 0 . 00 0 .00 0 .00 3 . 84 5. 31 7 .34 8 . 78 7 . 86 5. 85 3 .23 1 .74 0. 00 43 . 95 INDIO FIRE STATION 1927-2005 2 . 85 4 . 38 7. 15 9 . 98 12 . 73 14 .85 14 . 95 13 . 59 10 .80 7. 60 3 . 98 2 .49 105. 35 KETTLEMAN CITY 1 SSW 1955-2005 1 . 73 2 . 99 5 . 80 8 . 32 11 .75 14 . 27 16 . 11 14 . 74 10. 82 7. 30 3 . 46 1 . 74 99. 03 KNIGHTS FERRY 2 ESE 1959-1977 1 . 00 1 . 69 3 . 14 5 . 65 8. 54 10. 14 11 . 60 10 . 31 7 . 74 4. 62 2. 69 1 . 00 68. 12 LAKE PILLSBURY 2 1964-1970 0. 58 1 . 42 3 . 01 4. 62 7. 41 8. 38 10. 31 9 . 35 6 . 93 3 . 61 1 . 19 0 . 87 57 . 68 LAKESHORE 2 1948-1972 1 . 09 1 . 68 2 . 97 4 . 78 6 . 15 7 . 43 9. 71 8. 79 6 .44 3 . 40 1 . 41 0 . 95 54 . 80 LAKE SOLANO 1975-2005 1 . 48 2 . 37 4 .28 6 . 66 9. 24 11 . 24 11 . 53 9. 86 7. 58 5. 26 2 . 59 1 . 67 73. 76 LAKE SPAULDING 1914-2003 0 . 00 0 .00 0 . 00 0. 00 4 . 57 6 . 52 8 . 16 6 . 78 4 . 54 1 .98 0 . 00 0 . 00 32 . 55 LAKE SPAULDING DAB 1955-1971 0.00 0 . 00 0 . 00 0.00 7.20 9 .98 12 .38 11 . 65 8 . 94 6 . 64 0 . 00 0 . 00 56 . 99 LITTLE PANOCHE DET DAN 1968-1975 1 . 77 2 .89 5 . 87 9. 39 14 . 56 16_ 31 18 . 45 16. 63 12 .46 7. 60 3 . 04 1 . 78 110 . 75 LOD! 1948-2005 1 . 19 1 .95 3 .82 6. 01 8 . 60 9. 92 10. 63 9. 11 6 . 68 4 . 08 1 . 86 1 .07 64 . 92 LOS BANGS DET RESV 1968-2005 1 . 57 2 . 71 5 . 44 9. 34 14. 18 16 . 58 17 . 85 15 . 63 11 . 87 7. 49 3. 34 1 . 82 107. 82 MANDEVILLE ISLAND 1955-1965 1 . 10 2 . 38 4 . 77 6 . 95 8. 55 10. 44 11 . 22 9 . 71 7 .41 5. 12 2 . 47 1 . 13 71 . 25 MANTECA 1965-1977 1 . 20 1 .71 4 .04 6 . 33 9. 24 10 . 53 11. 64 10. 22 7 . 19 4 . 13 1 . 78 1. 16 69 . 17 MARKLEY COVE 1970-2005 1 . 03 1 .51 3 . 03 4 . 80 7. 33 9 . 60 10. 82 9. 45 6 . 99 4. 35 1 . 75 1 . 01 61 . 67 MOJAVE 1948-2005 0 .00 4 . 65 6 . 45 9. 97 13 . 59 15 . 33 17. 21 16. 00 11 . 83 8 . 28 4 . 76 3 . 52 111 . 59 MONTICELLO DAM 1957-1970 1 . 02 1 . 83 3 . 24 4 .96 7. 35 9 .36 11 .20 10 . 07 7 . 56 4 . 82 1 . 98 1 . 08 64 . 47 NACIMIE4TO DAM 1957-1978 1 . 58 2 .20 3 . 92 5 .53 7 . 92 9. 85 11 . 28 10 .43 7 . 76 5. 16 2 . 57 1 . 66 69. 86 NEWARK , 1948-2005 1 . 71 2 . 15 4 . 16 5. 76 7 . 77 8 . 64 9 . 04 8 .00 6. 64 4. 52 2 . 36 1 . 55 62 . 30 NEW MELONES DAM 1979-1992 1 . 34 2 .25 3 . 56 5 . 93 9. 16 11 . 85 13 . 73 12 .29 8. 86 5 . 75 2 . 37 1 . 28 78. 37 NEW NE WNES DAM HQ 1992-2005 1 . 30 1 . 83 3 . 46 5. 25 7. 94 10 . 23 12 . 23 11 .72 8 . 71 5. 52 2. 23 1 . 19 71. 61 OAKDALE WOODWARD DAM 1948-1967 1 . 03 1 .72 3 . 42 5 . 47 8. 95 11 . 88 14 . 23 12 . 22 8 . 53 5 . 52 2 . 10 1 . 02 76. 09 PLACERVILLE IFG 1955-1991 1 . 53 1 . 67 2. 72 3 . 98 5. 84 7 . 79 9.41 8 .45 6 . 62 3. 93 1 . 87 1 . 51 55 . 32 RIVERSIDE CITRUS EXP ST 1948-2005 3 . 32 3 . 59 4 . 86 6 .28 7 . 33 8. 59 10. 88 10 . 28 7 . 84 5 . 85 3 . 81 3 . 03 75 . 66 SALT SPRINGS FWR HOUSE 1948-1998 1 . 84 2 . 47 3 .27 4 . 86 6 . 49 7. 92 10 . 30 9. 95 7 . 89 5 . 18 2 . 68 2 . 26 65. 11 SAN LUIS DAM 1963-2005 1 . 41 2 .49 5 . 31 8 . 67 13 . 14 15. 75 18 . 38 16 . 68 12 . 01 7 . 42 3.02 1 . 56 105. 84 SHASTA DAM 1948-2005 1 . 50 2 .08 3. 17 5 . 05 7. 28 9. 18 11 . 36 10. 36 7 .55 4 . 85 2 . 29 1 .63 66 . 30 STOCKTON MOWRY BRIDGE 1955-1965 0 . 72 1 .58 3 . 87 5. 97 8. 47 10. 95 10 . 82 9 . 56 6 . 60 3 . 93 1 . 70 0 . 74 64 . 91 TAHOE 1914-2005 0 . 00 0 . 00 0. 00 0 . 00 4 . 27 5. 23 5 . 98 5 . 35 3 . 16 1 . 57 0 . 00 0 . 00 25 . 56 TRACY PUMPING PLANT 1955-2005 1 . 53 2 . 47 5. 30 6 . 20 12 . 01 14 . 88 16 . 92 14 . 55 10. 64 6 . 57 2 . 93 1 . 48 97 . 48 TRINITY DAM VISTA POINT 1959-1973 0 . 00 0 .00 2 . 83 3 . 98 6. 56 8 . 32 10. 67 9 . 15 5 . 97 2 . 74 0 . 57 0 . 85 51 . 64 TRINITY RIVER HATCHERY 1974-2005 0 . 58 1 .00 2 .77 4 . 43 6. 78 8 . 32 9. 71 8 . 91 6 . 15 3 . 20 0 . 99 0 . 51 53 . 35 TULELAKE 1932-2005 0 . 00 0 . 00 0 . 00 4 . 56 7 . 55 8. 39 9 . 52 8 . 53 6. 80 3 . 49 0 . 00 0 . 00 48. 84 TURNTABLE CREEK 1948-1969 1 . 98 2 .60 3 .76 5 . 25 6. 32 8. 29 10 . 23 9. 90 8 . 35 5 . 71 3 . 08 2 . 37 67 . 84 TWITCHELL DAM 1962-2005 3 . 08 3 . 33 4 . 47 5 . 89 7 . 36 8. 15 9 . 22 8 . 69 7 . 42 5. 92 4 . 07 3 . 14 70.74 WALNUT GROVE 1953-1961 1 . 53 2 .90 4 . 74 5 . 73 7.76 10. 04 10 . 22 8.81 6 . 40 3 . 60 2 . 10 1 . 32 65. 15 WARM SPRINGS DAM 1973-1998 1 . 17 1 .83 3 . 23 5 . 37 7 .83 9. 33 10 . 04 8. 45 6 . 58 4. 59 2 . 10 1 . 17 61. 73 WHISKEYTOWN RESERVOIR 1960-2005 0 . 87 1 . 23 2 . 51 4. 05 6. 41 8 . 05 10 . 04 8 . 80 6 .25 3 . 40 1 . 14 0 .78 53. 53 WILLOW CREEK 1 NW 1968-2005 0. 58 1 .35 1 . 81 2 . 74 4 . 73 6 .50 7 . 53 6 . 05 3 . 79 1 . 94 0 . 75 0 . 92 38. 69 COLORADO MONTHLY AVERAGE FAN EVAPORATION (INCHES) FERIOD OF RECORD JAN FEB MAR AFR MAY JUN JUL AUG SEP OCT NOV DEC YEAR AKRON E 1918-2005 0 . 00 0 . 00 0. 00 7 . 30 9 .29 11 . 43 13 . 26 11. 16 9 . 09 6 . 16 0. 00 0 . 00 67 . 69 ,GSA NSO AP 1948-2005 0 . 00 0 .00 0.00 7 . 06 9 . 01 10 . 08 9. 16 7 . 81 6 . 40 4 . 39 0 . 00 0 . 00 53 . 91 ARBOLES 1957-1963 0 . 00 0 .00 0 . 00 5 .41 7 . 95 9. 56 9 . 78 8 . 61 6 . 52 0. 00 0 . 00 0 . 00 47 . 83 BONNY LAKE 1949-2005 0 . 00 0 . 00 0 .00 7 . 26 8 . 69 10. 86 11 . 78 10 .61 8. 12 6 . 12 4 . 57 0 . 00 68 . 01 CLIMAX 1949-2005 0 . 00 0 . 00 0 . 00 0. 00 0. 00 5 . 36 5 . 32 4 .44 3 . 41 0 . 00 0. 00 0 . 00 18 . 53 CONEJOS 3 NNW 1948-1960 0 . 00 0 . 00 0. 00 6 . 30 7 . 14 7 . 67 7 . 41 6.87 7 . 19 5 . 74 0 . 00 0 . 00 48 . 32 ESTE 1948-1994 0 . 00 0 . 00 0. 00 5 . 78 5. 26 7 . 09 7 . 13 6. 15 5. 04 4 . 04 0. 00 0 . 00 40 . 49 FORT COLLINS 1900-2005 0 . 00 0 .00 2 . 50 4 . 52 5 . 42 6 . 32 6 . 92 6 . 07 4 . 74 3 . 07 1 . 48 0 . 00 41 . 04 G JUN ION WALKER 1900-2005 0 . 00 0 .00 4 . 67 8 . 53 12. 18 15 . 96 16 . 53 14 . 02 10 . 98 7 . 05 2 . 42 0 . 00 92 . 34 GRAND JUNCTION 6 ESE 1962-2005 0 . 00 0 .00 0. 00 6 . 60 9 . 29 11 . 77 12 . 01 10 . 24 7. 48 4 . 65 2 . 09 0 . 00 64 . 13 GRAND LAKE 6 SSW 1948-2005 I 0 . 00 0 . 00 0 . 00 0 . 00 4 . 82 7 .75 7 . 81 6 . 79 5. 24 3 . 10 0 . 00 0 . 00 35. 51 GREEN MOUNTAIN DAM 1948-2005 J 0 . 00 0 . 00 0 .00 0. 00 4 . 96 6 . 56 6 . 93 5 . 90 4 . 65 2 . 90 0. 00 0 . 00 31 . 90 JOHN MARTIN DAM 1941-2005 I 0 . 00 0 . 00 6 .40 8 .04 9 . 67 11 . 30 12 . 31 10 . 28 7 . 82 5 . 61 2 . 78 0 . 00 74 . 21 LAKE GEORGE 8 SW 1948-2005 0 . 00 0 . 00 0 . 00 0 . 00 5. 15 8 . 26 7 . 39 6 . 02 5 . 72 0 . 00 0 . 00 0 . 00 32 . 54 MEREDITH 1963-2005 0 . 00 0 . 00 0. 00 0 . 00 7 . 69 8 . 26 8. 34 6 . 96 5 . 25 3 . 21 0 . 00 0 . 00 39 . 71 MONTROSE 1 1948-1982 1 . 68 1 .49 3 . 34 5 . 69 7. 49 9 . 47 9 .04 7 . 39 5 . 54 3 . 45 1 . 61 1 . 26 57 . 45 PLATORO 19d9-1991 0 . 00 0 . 00 0 .00 0 . 00 5. 86 8. 10 6 . 57 5 .24 5 . 52 3 . 33 0. 00 0. 00 34 . 62 PUEBLO WSO AP 1954-2005 0 .00 0 .00 0 .00 8 . 71 9. 50 11 . 51 12 . 14 10 .41 8. 17 6 . 14 0 . 00 0. 00 66 . 58 http://www.wrcc.dri.edu/htmlfiles/westevap.final.html 5/19/2011 Page 3 of 6 PUEBLO CITY RESERVOIR 1948-1971 0 . 00 5 . 13 5. 86 6. 85 8 . 81 10 . 09 10. 60 8. 85 7. 43 5 . 30 2 . 99 2 . 71 74.62 PUEBLO RESERVOIR 1975-2005 0 . 00 0 .00 0.00 7 . 18 9 . 34 10. 87 11.58 9 . 92 7 . 90 5 . 88 0. 00 0 . 00 62 . 67 PUEBLO 6 SSW 1971-1985 0. 00 0 .00 4 . 82 7 . 47 8. 57 10. 65 11:30 9 . 40 7 . 13 5 . 53 0. 00 0. 00 64 . 87 SAN LUIS LAKES 3W 1948-1955 0 . 00 0 . 00 4 . 50 6 . 07 8 . 51 9 . 88 3. 49 7 . 77 6 . 57 4 . 53 0 . 00 0. 00 56 . 32 SPRINGFIELD 7 WSW 1956-2002 0 . 00 0 . 00 0 . 00 7 . 85 9 .73 11 . 44 12.69 11. 28 8 . 53 6 . 29 4. 57 0 . 00 72 . 38 SUGARLOAF RESERVOIR 1948-2005 0 . 00 0 . 00 0.00 0. 00 0 . 00 7. 03 6 . 15 4 .97 4. 15 2. 93 0 . 00 0. 00 25 . 23 TRINIDAD LAKE 1989-2005 0 .00 0 . 00 0.00 6 . 75 9 . 04 10. 55 9 .88 8 . 27 7. 65 6 . 17 3. 92 2 . 21 64 . 44 TWIN LAKES RESERVOIR 1949-2005 0 .00 0 .00 0 . 00 0 . 00 6 . 93 8. 65 7. 92 6 . 79 5 . 33 3 . 96 0. 00 0.00 39 . 58 VALLECITO DAM 1948-2005 0 . 00 0 . 00 1 . 91 3. 82 5. 29 6. 22 6 . 09 5. 31 4 . 39 3 .04 1 . 60 0 . 00 37 . 67 WAGON WHEEL GAP 3 N 1948-1972 0 .00 0 . 00 0 . 00 0 . 00 6 . 69 7 . 90 7 . 15 5. 81 5. 30 2 . 61 0. 00 0 . 00 35 .46 WALSH 1 W 1951-2005 0 . 00 0 . 00 0 . 00 0. 00 10. 78 12 .35 12 . 76 11 . 63 9. 42 6 . 88 0. 00 0.00 63 . 82 WIGGINS 7 SW 1960-1971 0 . 00 0 . 00 0 . 00 6 . 82 ' 8. 50 8. 42 9. 97 8 . 09 5 . 87 4 . 22 2 . 23 0 .00 54 . 12 HAWAII MONTHLY AVERAGE PAN EVAPORATION (INCHES) IPERIOD OF RECORD I JAN FEE MAR APR MAY JUN JUL AUG SEP OCT NOV DEC YEAR HILO WSO AP 87 11949-2005 ! 5 . 06 4. 87 5 . 15 5.40 5 . 66 6. 49 6. 44 6 . 13 5. 40 5 . 37 4 . 06 4 .46 64 . 49 HONOLULU OBSRVY 702 . 2 11962-2005 I 4 . 72 5 . 23 7.01 7. 84 8 . 93 9 . 41 10. 10 10 . 09 8. 82 7 .68 5 . 94 5 .08 90 . 85 LIHUE WSO AP 1020. 1 11950-2005 I 5 . 62 6 . 22 7 . 62 8.22 9 .21 9 . 85 10. 40 10 . 21 9. 18 8. 04 6 . 27 5 . 67 96. 51 U S MAGNETIC OBSERVATOR 11949-1960 I 4 . 16 4 . 58 5 .90 7 . 09 7 . 87 8 . 16 8. 15 8 . 21 7 . 24 6. 17 4 . 41 4 . 83 76 .77 PACIFIC ISLANDS MONTHLY AVERAGE PAN EVAPORATION (INCHES) PERIOD OF RECORD JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC YEAR GUAM NAS 1945-2005 6 . 98 0 .00 0 .00 7 . 96 7 .20 6 . 58 6 . 22 5 . 53 4 . 68 4 . 70 0 . 00 0. 00 49 . 85 GUAM WSMO 1957-1998 5.84 6 . 07 7 . 38 7. 82 7 . 73 6. 92 6. 02 5 . 28 5 . 15 5 . 36 5. 42 5 . 74 74 . 73 JOHNSTON ISLAND WSO AIR 1953-2004 8 . 69 8 . 76 10 . 29 10.25 10 . 79 11. 42 11 . 50 10 . 82 9 . 81 9 . 53 8. 19 8 .75 118 . 80 MARCUS ISLAND wB 1953-1968 6 . 91 8. 06 8 . 66 8 . 70 8 . 71 9 . 49 8. 89 9 . 40 R. 22 7. 46 6 . 91 6 . 81 98 . 22 PAGO PACO WSO AIRPORT 1966-2005 7 . 96 6 . 17 6 . 84 5 . 95 5 .94 6. 66 6 . 69 6 . 62 7 .36 8 .08 7. 13 9 . 12 84 . 52 WAKE ISLAND WSO AP 1953-2004 0 . 00 0 . 00 0. 00 7. 57 0 . 00 5. 89 0. 00 0 .00 0 . 00 0. 00 0 . 00 0 . 00 13. 46 YAP ISLAND WSO AIRPORT 1953-2005 6 .31 6 .20 7. 37 7 . 40 6 .97 5 . 51 5 . 61 5 . 68 5. 61 5 . 85 5. 50 5 .93 73 . 94 IDAHO MONTHLY AVERAGE PAN EVAPORATION (INCHES) PERIOD OF RECORD JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC YEAR ABERDEEN EXPERIMNT STN 1914-2005 0. 00 0 . 00 0. 00 0. 00 7 . 46 8. 95 10 . 28 9 . 40 6 . 41 3 . 85 0 . 00 0 . 00 46 . 35 ARROWROCX DAM 1916-2005 0. 00 0 . 00 0.00 0 . 00 5 . 94 7 . 53 10. 18 8 . 93 5. 75 2 . 35 0 . 00 0 . 00 40 . 68 BLACKFOOT DAM 1948-1971 0. 00 0 . 00 0 . 00 0 . 00 0 . 00 7 . 56 9. 19 7 . 42 3. 97 0. 00 0 . 00 0 . 00 28 . 14 EMMETT 2 E 1948-2005 0 . 00 0. 00 0. 00 5 . 62 7 . 09 8. 82 10. 58 9 .44 6 . 56 4 . 57 0. 00 0. 00 52 . 68 ISLAND PARK 1937-2005 0. 00 0 . 00 0 . 00 0 . 00 0 . 00 4 . 90 6. 58 5 . 69 0 .00 0 . 00 0. 00 0 . 00 17 . 17 LIFTON PUMPING STN 1935-2005 0 . 00 0 . 00 0. 00 4 . 08 5 . 97 7 . 41 8 . 70 7 . 80 5 . 35 3 . 02 0 . 00 0 . 00 42 . 33 MACKAY 4 NW 1965-1988 0 . 00 0. 00 0. 00 0 . 00 6 . 81 8. 39 10.23 8. 73 6 . 39 0.00 0. 00 0 .00 40. 55 MINIDOKA DAM 1947-2005 0 . 00 0. 00 0 . 00 6 . 79 8 . 17 10 . 76 13 . 01 11 . 48 8 . 26 4 .63 2. 94 0 . 00 66. 04 MOSCOW UNIV OF IDAHO 1893-2005 0.00 0 . 00 3 . 03 3 . 85 5 . 66 6 . 53 8. 62 8 . 23 5 . 29 3 . 03 2 . 85 0 . 00 47 .09 PALISADES 1947-1993 0 .00 0 . 00 0 . 00 4 . 01 5. 56 7. 04 9 .38 8. 32 5. 48 3 . 58 0. 00 0 . 00 43 . 37 PARMA EXPERIN&DT STN 1922-2005 0 . 00 0. 00 0. 00 6 , 00 8. 26 9 . 05 10. 41 9 . 47 6 . 30 0 .00 0 . 00 0 .00 49 . 49 REXBURG RICKS COLLEGE 1977-2005 0 . 00 0 . 00 0 . 00 0 . 00 6 . 59 7 . 29 8. 06 7 . 36 5 . 23 0. 00 0. 00 0 . 00 34 . 53 SANDPOINT EXPERMNT STN 1910-2005 0 . 00 0. 00 0 . 00 0. 00 4 . 96 5. 51 7 . 47 6.78 4 . 47 0 . 00 0 . 00 0 . 00 29 . 19 TWIN FALLS Ws0 1963-2005 0 . 00 0 . 00 0 . 00 5 . 80 8 . 09 9. 15 10. 24 9 . 09 6 . 65 4 . 25 0 . 77 0. 00 54 . 04 MONTANA MONTHLY AVERAGE PAN EVAPORATION (INCHES) PERIOD OF RECORD JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC YEAR BABB 6 NE 1948-2005 0 .00 0. 00 0 . 00 0. 00 5 . 23 5 . 91 6 . 87 5. 90 4 . 06 0 . 00 0 . 00 0 . 00 27 . 97 BOZEMAN MONTANA Sr UNIV 1892-2005 0 . 00 0 . 00 0 . 00 3 . 34 5 . 58 6 . 03 8. 34 7 . 17 4 . 57 2. 62 0. 00 0 . 00 37 . 65 BOZEMAN 6 W EXP FARM 1966-2005 0.00 0. 00 0. 00 4 . 24 5 . 68 6. 62 8. 19 7 . 73 4 . 88 2. 99 . 0. 00 0 . 00 40 . 33 CANYON FERRY DAN 1948-1957 0 .00 0 . 00 0. 00 0 . 00 7 . 98 7 . 13 8. 17 7 . 41 5 . 50 3 . 11 0. 00 0 .00 39 . 30 CANYON FERRY DAM 1907-1996 0 . 00 0. 00 0 . 00 3 . 15 5 . 04 6 . 21 7 . 91 7 . 04 4 . 18 1 . 93 0. 00 0 .00 35 . 46 DILLON WMCE 1895-2005 0 .00 0 .00 0 . 00 3 . 05 4 . 72 5. 32 6. 41 5 .45 3 . 48 2 . 84 0. 00 0 . 00 31 . 27 FORT ASSiNNIBOINE 1917-2005 0.00 0 . 00 0 . 00 4. 54 6 . 43 7. 30 8. 86 8 . 12 5. 00 0 . 00 0 . 00 0 . 00 40 . 25 FORT PECK 1948-1956 0 . 00 0 . 00 0. 00 0 . 00 5 . 99 8. 17 9 . 51 8 .04 5 . 36 4 .25 0 . 00 0 . 00 41 . 32 FORT PECK POWER PLANT 1956-2005 0 .00 0 . 00 0 . 00 0. 00 7 . 34 8. 45 10. 42 9 . 81 5 . 83 3 . 53 0. 00 0 . 00 45 . 38 HUNGRY HORSE DAM 1948-2005 0 . 00 0 . 00 0. 00 0 .00 4 . 83 5 . 62 7 . 81 6 . 63 3 . 46 1 . 37 0. 00 0 . 00 29 . 72 HUNTLEY FDCPERIMENT STN 1911-2005 0 . 00 0 . 00 0 . 00 5 . 03 6 . 71 7 . 40 8. 88 8. 15 5. 10 0. 00 0. 00 0 . 00 41 . 27 LONESOME LAKE 1948-1981 0 . 00 0. 00 0 . 00 0 . 00 7 .42 7 . 60 9.25 8. 31 5 . 70 0 .00 0. 00 0 .00 38. 28 MALTA 7 E 1972-2005 0 . 00 0. 00 0 . 00 4 . 67 6 . 50 6 . 51 7. 61 6 . 84 4 . 17 1 . 34 0 . 00 0 . 00 37 . 64 http://www.wrcc.dri.edu/htmlfiles/westevap.final.html 5/19/2011 APPENDIX E GROUNDWATER LABORATORY ANALYSES (Reports presented do not contain the QC Summaries. However, QC Summaries are available on request. ) a N 0 I AAZAAAgM 'tO 6rvv �ov7og0 � Noo �c � oQo8oMa+ Vn 'nVI v 3 �' Z Z Z O O O O O o • ry v V VI M O` O Z N -- n •n el on on -- M .. �.i O O O D D O O C C O C O V O a V M ZD R A G A 0 'o N C) O 6 O o el 0 O O O O O O M vi n N O Z O N ' . M len N n N N ZZZZoz o v oOoDooO• v c '" o N - .. o ao n r' n et n h .o o O 3' AAAflAptpoN8 "� p - poO — FA' —„rift _• oe'? p ¢ en � n• .! v1, 00nas G Z 44444 %-:O O o c>, 0 . o6 o 0 o 0 0 0 . 0 0 0 N OV Z M ^ 'n n N N �i N M0 pp8pp8 N J. Z Z Z Z O Z O o 0 O 0 0 0 0 0 0 g O OV O O 'r+ V - O Z N rr r N N 'Cl- N 3ri en'C A A A A A A CD O O O o O O O O O O S c) O N - h O vj - < p N N M n M - �. Z Z Z Z Z Z . •0 O O• 0. 0 0 0• 0• 0• 0• 0 O O O Try "' ^- p Z N N in N -- M N 3 A A Z A A A D O N 00 O n C14 5?0 0 c> 0 el i "0 0 0 `5 O M �1 ^ N Tr '4( ON O 0 r- N N M Z Z Z Z Z 'Z v p 0 0 0 0 0 0 0 0 c\:.5) 0 0 0 v N N O Z M Tr 'n N N re; N 3 on op O VD VD d' h on p S� O M O OC O O A A A a N A p tin 0 0 0 0 0 0 O 0 0 0 CD 7 vi O N t7; < M N tO g a N O ZZZZDZ00008C10• • 0 • 0 • 0K, v v, — oZN °° ‘o � N -- in en i el CD CD evev ND 3 O Z Z a Z Sp Z 0 ?CD 0 p 0 ° 0 C5 0 09g lin - c 0 C c °° = 00 o Z tee et it; • N N �.j N ‹C en CV Ces N n oo 00 O 27 O V O V O O D O D O O D O O v N -• r4 -- — ih l+ Z Z Z Z ^ z 0 0 ,6 6 $ O $ O o o o D O 004 on c a` N O Z � N, � � M N ri N G O v O V O O p O O O O O p o O V N ^FA CI a: b.° -- et ev 00 DO 00000000ODOt- 0vici 7 ¢ nONMo7a+ er M E p Z •0 0 Z 0 Z 0 0 O O O O O V D �j C O O O M V d -- O z N n n N ^ eV E d v v v D N to N 3 A1 Itill - (� AAASom_ oTr enk In °pp' mon - `°000 opoon "' d 'nvpOd ( v ', np `° pa' sfa Z O ZZZ O O d O 0 o D O o 0 . 0 O d o M V -- O Z N N `O n N _ M N C d o v = d en p pp. cu I 7 Z Z z Z Z Z p 0 609 0 O O O O O O O O M el O M p O N O in N �" ' V O 0 0 ° ° ° ° ° ° ° 6 ° V17 N C O CD Q o V I A A A A A A O O O O c) O O O O O O O O 0 i v� 0, O Q N O v? OT 7 e! G p Z Z Z Z Z 0 0 0• 0 0 0 0 0 0 0 0 OV °• O -t V ^ N O Z O t0 h r N N M N d v v �2 a, wl Z Z Z Z o" 08 0 0 0 0 0 en 0 0 g o 0 0 •0 mar" c) c - o Z S NV - N oo - n G d V O 0 0 0 0 0 0 0 0 Ov o O v V N .-.ell eq rCA CN 00 Tr CA ICS CA 3 ^' 7 N .O O O el M O M p VI 00 O O ^ n wl c> ena' v7 M M Q OM 6° v7 CA 00 Cl 0O n ON° O O ; A ; AD 2 ' Z Z Z 0 Z O 0 O ca?O O O• o 0 •0 0 d 0 0 0 0 et v n O Z N N N ^ V rM N g A A A in o QQ° n M M o n n N co, °Q° 0 Q� vi p O N et ^ O O p DO oo M VI VD CA D D Z Z Z Z 0 0 600 ° 0 0 0 O O O O CD V M p o0 =92 v1 en n ^ Cl ON M M V O O O v O O o O c:; O V O v V "" h r1 N I A A Cr. t` v) O p N O M O p O M vl eq N O O O n o 0 • - 07 M p N Sli C> N r- et r4 e et op it cN 3 O ZZ OMOOOOOOOOp00000OC "' V � =+ ONN Cl 'r' i- N - � ^ �G ., D V D V C V V V V p vn in in p p 3 Z Z Z Z Z o <5 65 5.c o 0 O OD O a o0 ("4 C o O O O O -- N O M _ h e- M N N N G o V V V e In en et. 3 0' << < < < < d $ od5O « $ ¢ oaa < 9 < < d • o oo rg < oo'oQdNa — t4 N S Z Z Z Z Z Z. Z o 0 Z o d Z Z o Z 6 Z Z Z O Z Z Z N O M Z 2 Z Z rn N M N E tit I a) °- °�1 _°4 � 9) -a) 5) ) -&) 5) 5) °% 51rY-0) 11 Sai -J - I5 % 5 OA 0) D�0) I DA = � W aa a• a a. c- E E E E E E E E E E E E E E E E E E E E E E E " E E E E 7 U v o O en O c E E X0 •7 Y O n U v L" a < t 80 '62: QmmLiUUUfZc' 3P > NC UUZZF- 81112 0- cOXa° � APPENDIX F PERMITTED WELL RECORDS LE (4( . • • g1O44;?� i±-•• . � .in, si OFFICE OF THE STATE ENGINEER CtvISIOn OF WATER RESOURCES FROM : A E . O& rE1_1_I1313 Sherman Street-Room 31 • Oen•,ec Calcrndq 80233 PERMIT NO . / 397034. (233) spa-353: DATE : 01/6 � REQUEST FOR CORRECTION OR ADDITIONAL - IHFORMAT ( ON ON STATEMENT OF BENEFICIAL USE Please correct or complete the Statement where checked in RED and initial all changes on Statement. IMPORTANT : Please return Statement as soon as possible for completion of the well file . ( . ) The 1 /4 , 1 /4 location does not agree with the given distances from section lines . Please verify and correct Statement . • • ( ) The location of the well on the Statement differs from the .permitted • location . No amendment of the location was approved by this office . Please clarify this matter on the Statement of Beneficial Use or as. ar.. at tachment . ( • ) The date to be shown is the date the water from this (new ) (replacement ) well was • •..first put to: benericial use . . ( ) Our records indicate your well was completed and the permanent pump was installed on . However , your date of beneficial use is . Please clarify this discrepancy . ( ) The test/completion report indicates a maximum yield of the well of GPM . Therefore , the pumping rate claimed cannot exceed that amount . ( ) *The maximum allowable pumping rate of this well according to the permit issued is • GPM . • ( ) *The total amount of water to be diverted as approved on the permit is ac?'z - feet. The amount claimed cannot exceed the permitted amount . Please ex nc the Statement accordingly . ( ) *The approved total ( acreage ) ( square feet ) to be irrigated is• _ • ( ) The driller ' s l l er ' s report indicates a total depth of feet . Please explain the different amount claimed . ( ) The permit was issued for purposes while your claim is made for purposes . Please amend the Statement accord - ingly or clarify the discrepancy . ( ) Legal description : Show Lot , Block , Filing/Unit No . , or Street Address if well location if applicable . • *If an additional amount is required , then a written request for the increase must be made to this office by submitting an application . ( CONTINUED ON REVERSE SIDE ) State of Colorado Water Resources - View Well Details: Receipt 9062009 Page 1 of 1 i f Co'oraCo Department cf Natural Reseaices Colorado goy I Contact Us vJJJr dt � � L`l � -J1J1d J ./ Colorado's Well Permit Search • Well Constructed ( Help ] Last Refresh: 5/10/2011 12:01:39 AM Receipt: 9062009 Division: 1 Permit #: 14551-R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: 0305342 - NOFFSINGER WELL 1-14551 [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip unknown • Present ANDERSON ANDERS W WIBAUX, M+ [-] Location Information Approved Well Location: Q40 Q16O Section Township Range PM Footage from Section Lines NE NE 35 7.0N 66.0W Sixth Northing (UTM y): 4487404.7 Easting (UTM x): 522220.3 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: Date Expires: Use(s): IRRIGATION Aquifer UNNAMED AQUIFERS Special Use: (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: [-] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 58 28 900 [-] Application/Permit History [-] Imaged Documents Document Name Date Imaged Annotated Original Fife 12/08/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. 1 Come I Conlaci Us I Help I Writer I I Colorado-gov l DNR i Privacy PCI'cy I -ransparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=9062009 5/10/2011 'FEB 8 ' tece ! pts and Notices retd to Oliver Weil works , cireeley , Loloraoo .M ., (Rev. ) Y ;! • Foam F C7i1L.0 ' c 7 -52/6M' STATE OF COLORADO APB 3 0 !9 DIVISION OF WATER RESOURCES �y/\�P� 60 gip Sow OFFICE OF THE STATE ENGINEER, GROUND WATER SECTIAOUND WATER SECTA . - ) OCT REGISTRATION NO. J11‘ c4 ELL 4' / STATE ENGitx.FP • ire, Id. 4- Registrant Olio Anderson Date Aoril 29 19 60 P. O. Address . _ -TI- �� x, �-:t.-..-�.ai , , Colo. st3WELL LOCATION v WELL DATA County _ Weld Lo Depth 5 ft. Diameter 140 In. , NE , NE aSection 3 1 Casing : 28 ft. Plain; 30 ft. Perfor . Twp- 7 N, Rge.66 W 6 RM Static Water Level 28 i , ft. from top , / i Yield 9 (c s(gpm) ) from 50 ft. N Used for Irri. gat i on on/at -7({1 i I 1/. i � ... - - -I- - NEa, sec . 35 , Twp, 7 N , Foe . 66 W - 'G0 11 r (legal description of land or site) I 1 I I 0. Water conveyed by Pipe , size 12 inch W I E PUMP ISATA `r' I Type Turbine Size - - 8 inch v `�A O t ca Ic .p - - --1 - - - - -t--- — Driven by 15 H . P . I,1,--c . at 1760 RPM '' cc' I itgdD 1 Well was first used q -y 19 214 s cfs for Irri =rat ion using 9c0} gpm ` WELL TO BE LOCATED AS ACCUR- radrilled ATELY AS POSSIBLE WITHIN A Well do July . 19 )49 to SMALL SQUARE WHICH REPRESENIS dot 40 ACRES; OR IF IN A TOWN OR t _ _ 900 (gpmn)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well Si= (has not) been registered in the Office of the State Engineer prior to May 1 , 1957 . if Registered give Filing No . . If NOT Registered prior to May 1 , 1957 , a $5. 00 filing fee accompanies this form. The above statements are true and correct to the best of my knowledge and belief. Subscribed and Sworn before me OTTO ANDERSCN this 5 0 4- day of rt., e. , 19/it. ti J . __ _ C My commission expires - / / / Registrant (SEAL) I tti a . atary P lic -.. - .- -.r-e FORS ATE EN EER'S USE "Located in 1. y district, ''' ee County for I RRIC114:004-4-- Registration No. _ in J-- 3 ' p on _ , APR 3 0 1960 , 19_. 'C. ; • f r ; .J STATE OF COLORADO RECEIVED OFFICE OF THE STATE ENGINEER DIVISION OF WATER RESOURCES sp23 92 BENEFICIAL USE FIELD INSPECTION WATER Re-t)URCES ' ', 551 f�+�''' SThTE fhtts`+NEEI2 WELL' PERMIT NO . ? v3 - �/ fits . 1 ) Has water been put to beneficial use . as claimed? I ES ( Yes or No ; 2) Is the well located where claimed? "( ES Yes or NOJ 3 ) Are the number and legal description of the acres irrigated accurate? NI as ( Yes or No ) 4 ) Is a totalizing flow meter installed on the well ? YES ( Yes or No ; 5) Comments : ± ocp7-I ! CA) t= 7- 0 Q U G4 ASL. L 4.' 5 • _ _ - - - . .«, inamboarma - I field inspected the site of the well permitted under the referenced well permit number on _4-ept , !q74 and the above is an accurate report of my findings , .\-mg- Attetirn 4177/IfSignature Date 3 Title Division/Oat-strict 11211 1 • OFFICE OF THE STATE ENGINEER i SFY COLORADO DIVISION OF WATER RESOURCES B' CEO I ED 821 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 003) 866-3581 [ 2 '92 STATEMENT OF BENEFICIAL USE REPORT CHANGE REQUEST el( I . WELL PERMIT NUMBER PA 5$ ( RF FROM: oil /Gil DATE: —t - .. (zo&rfaxia )602° 7 )2- ffiiifitilewurvirL' ' )9, • 97'8 g Gi/g1; .eyt LID This Statement neflcial Use is being returned to you for more compete or a correction of data. Complete and/or amend as necessary and. return as soon as possible. PLEASE i u ANY C HANGES YOU WOE TO THE FORM Enter or verify the permit number. Our records show permit number at this location. I. Complete the well owner name and address. 2. -. Complete the blanks for the location of the well where checked. 2A The location given does not correspond to the location on the well permit. Please amend or explain the discrepancy. (It Is possible that a new application for a permit to reflect the constructed location will b© necessary.) Our records indicate that the well is located in the 1/4 of 1/4 Sec. Township , Range. P.M. Ft. from N or S and Ft. from E or W Section lines. 3: Describe the use(s) to which the water has actually been applied. Permitted uses aro described in the conditions of approval of the permit, 4. __ Enter or amend the date of first beneficial use. This is the date water from the well was first used beneficially for the purposes descnbed in item 3 under the permit number indicated. The date claimed cannot predate the Issuance of the permit. It is not the date the form is completed, nor is it the date the well was test pumped. 5. The pumping rate claimed cannot exceed the permitted maximum rate or the actual pumping rate In gallons per minute, whichever Is less: 449 gallons per minute is equivalent to one cubic foot of water per second, 6. The amount diverted on an annual basis cannot exceed the physical capacity of the well or the permitted amount as limited by any conditions of approval One acre foot is equivalent to 325,900 gallons. An ordinary home with lavrvri:and garden irrigation Levens art average *of less than one acre foot. Average in house tise which does not include lawn and garden irrigation (watering) diverts 1/3 acre foot. 7. Report the area irrigated either as acres or square feet. You must describe the specific area irrigated using either i the legal description of that land or by referencing the Subdivision, Lot, Block and Filing or Unit number, Lawn and garden watering Is considered Irrigation. If the well is not used for Irrigation, place a zero In the acres/square foot irrigated blank. One acre is equals 43,560 square feet One acre foot is equivalent to 43,560 cubic feet of water. 8. _ Indicate the Well Construction and Pump installation Contractors and their License Numbers. If you did the work yourself, so indicate. You must submit work reports if you constructed the well and/or installed the pump. a A totalizing flow meter is required. Indicate the meter manufacturer, it's serial number and the date of Installation. 10. The well owner must sign the Statement. Print or type your name In the first block If signing es a representative of a company who owns the well, then your title must also be included in the first block. Sign the second block and date the last block. sZ Other. • • � - �► Ili.. ' - . .. w•. ' .. � _ • , \ �s ii (' Imo. ' • �� . i State of Colorado Water Resources - View Well Details: Receipt 9062010 Page 1 of 1 Colorado Department a Natural Resources agoraeo.gov I Contact Us uoJaridc ! 1V1i1JJJ J '! Colorado's Well Permit Search Well Constructed C Help Last Refresh:5/10/2011 12:01:39 AM Receipt: 9062010 Division: 1 Permit #: 14552-R - Water District: 3 Well Name / tt: County: WELD Designated Basin: Management District: Case Number: WIND: 0305557 - NOFF"SINGER WELL 2-14552 [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown -Present ANDERSON ANDEP.S W W:BAUX, 'IT [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE NE 35 7.0N 66.0W Sixth Northing (UTM y): 4487404.7 Fasting (UTM x): 522220.3 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: Date Expires: Use(s): IRRIGATION Aquifer ALL UNNAMED AQUIFERS Special Use: (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: [-] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 57 28 600 [-) Application/Permit History [-] Imaged Documents Document Name Date Imaged Annotated prininal File 12/08/2007 No Copyright O 2009 Colorado Division of Water Resources.Alt rights reserved. Home I Cocitect Us I Help I Water Links I Colorado.gov 1 OUR I Privacy Poky Traunspare:xy Online Project (TOP) http://www.dwr.state.co.us/WellPerrnitSearchlView.aspx?receipt=9062010 5/10/2011 • Y �.t5.7b . ,� C C RECEIVED po' k . , COLORADO DIVISION OF WATER RESOURCES TY,aaEtOR 819 Centennial Bldg., 1313 Sherman St. SAN 21 1987 • PRINT SN BLACK INK. - 1 COPY OF ACCEPTED Denver, Colorado 80203 S 1MIi,TkR REsGCCS TATEMENT MAILED ON REQUEST. STATE OF COLORADO WWII SS. 1; COUNTY OF i Weld XX STATEMENT OF BENEFICIAL USE OF GROUND WATER . AMENDMENT OF EXISTING RECORD LATE REGISTRATION PERMIT NUMBER RNs 14552elist LOCATION or WELL THE AFFIANT(S) Noffsinger Farmscounty W@1d whose mailing address is 500 — 6th Avenue INi. of tl.. NE , y, Snc *io„ 35 City --- Greeley, Colonels) _ _ _ 80631 T wp. 7 I Rn9. 61.., _ W 6 p , 1]*A•C1 lop) 11.7.07-11 IE OA Ail N • being duly sworn upon oath, deposes and says that ht (they) is (are) the owner( s) of the well described hereon; the well is located as described above, at distor;cts of � feet from the North section line and 1360 feet from the INOR TN Olt SoUll.) East section line; water from this well was first applied to a benefitial use for the purpose( s) described herein on the 1St , leer CR w1. 1 • 1 66 day of December , 19 . _. ; the maximum sustained pumping tate of the well is _61a gallons per minute, the pumping rote claimed hereby is 600 gallons per minute; the total depth of the well is 6o feet; the average annual amount of water to be diverted Is 462 acre feet for whi h claim is hereby made for crops irrigation . shared wells jI .. 1455 and 3 fa 14553 purpose( s) ; the legal description of the land on which the water from this well is used is of Section 35, Township 7 North , Range 66 West of the 6th P. M. of which 154 acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (hove) read the statements mode hereon; knows the content thereof; and that the same are true of his (their) knowledge. „ • ,-�- ; ' (COMPLETE REVERSE SIDE OF THIS FORM)„,,..2„' J P2 3/ 10'8 . iaeat1/ce( .�)1 / lI?�' � U "C -- tiA ci.1lu,+d .pnd+_3,A /� FOR Off ICE USE ONLY 1 v w = 71t b�`fitre -rTt n 1Cli6 i f day of _ , 19 —e."--c•—es.- •_ Cow Cosa No l l/vJ/ ,,�c . z �'X� 'OrTI�tS'S1l;r. t?lfpES: _ • 'e - int ,i 1 _a 'ti �\ ` - Prlor, Mo. a0y Yr �— f f /••._ ' • NU MU01,IC �,., •. Div. C ty. • ACCEPTED FOR FLING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: sac . . %, 'A. — ._-- Y. Accepted that those conditions of approval as We II u . _ 6 _ stated on the permit are complied with." - 11 -1 fl . Ont a - eosin •"„ Mon . 0, . -_ , I ♦ • AUG 191992 he Z . citeciced 5: 792/- 4,1,t.a DATE STATE ENGINEER Ti . , J • • _ . • Well drilled by _- - Lie. No. _ . . . . . • I - Permanenf . Bump installed by _ Lic. No. • • Meter Serial No. _ _ _ O Flow Meter Date Installed _ Owner of land on which - water is being used THE LOCATION OF THE WELL MUST BE SHOWN AND FOR LARGE CAPACITY IRRIGATION WELLS THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. 4. • This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well, if possible. • -- I - -• --1 - . . . .1. - - . • • • . i . . + ..` + - -~ + --- + 4-. + -~•• • . , t1 , • NOR 1 SECTION LIE . . • . t NORTH - . ...i MP rn eeei O U Z W , . . i w t :• { �. 11 �.. --_ }�_ SQUTS1 SECTION LIME •.t -••f. , Jr.• r n • i r • • _ • THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE-µI E - '': - , , , � !,. ' n • . ` • •+ + - I- + +' '�' ' 1 �' Ss ,. > C ' � i Thi M I I e —am-. _ _ .. ... _ 4_ .... ., .... 46.-s- I I • WATER EQUIVALENTS TABLE ( Rounded Figures) An acre-foot covers 1 acre of land I foot deep. • • . 1 cubic foot per second (cfs) . . . 449 gallons per minute (gpm). . 1 acre•foot . . . 43,560 cubic feet . . . 325,900 gallons . 1,000 gpm pumped continuously tor one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet, (WHITE AND PINK COPY TO BE FILED -WITH THE, STATE. ENGINEER ' PINK COPY WILL BE RETURNED TO OWNER).- •• 0 z X rA� WJR-26-77 ^ � _ '(�(1 VV Y • COLORADO DIVISION OF WATER RESOURCES R EC E d L Li THI ORM MusT BP suRMIDFED 1313 Sherman Street - Aoom 818 WITHIN 6O DAYS OF COMPLETION Denver, Colorado 80203 SAN 0 6 1987 OF Tt WORK DESCRIBED HERE- ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT WATER R 1RC* INK. PATE Itifet PERMIT NUMBER It 114.52 . R7 • • Ef+G flDL0. WELL OWNER NC'f fsi er Farms NW Y. of the NE 1h of Sec. 35 __ ADDRESS 500 as 6th Avenue , Greeley, Co, 80631 _ T. 7 N . R 66 _ W. 6th .. P.M. „ DATE COMPLETED ___ November 19th, , 19 . HOLE DIAMETER - IP ti n . WELL LOG 30 in. from 0 to 60 ft. Water From To Type and Color of Material Loy. - - _ in, from to ft. 1 .1 0 3 Topsoil in. from to ft. 3 19 Buff Colored Clay DRILLING METHOD. ._...$AYA3'38Q CASING RECORD: Plain Casing 19 40 Loose, Medium Sized Gravel nth some sand Size _. 16 & kind Steel from Above to 38 ft. 40 45 Sandy Clay Streaks Inter• Size 16 _ & kind Steel from 58 _ to _.60_ h, veining gratel l;.j 57 large Gravel *with Some Size & kind - from .._ to ._.. _ _ ` ft. Boulders and Thin Con- cretions Tonrd Bottom Perforated Casing 57 60 Gray Shale Size 16 - & kind(Ml4 Se eftom _3$ _ to _. _58 ft. h Size 8i kind _ from to ft. Size _. _ & kind _ from .., ..,... to - ft. GROUTING RECORD Material Cement Intervals 0 - 10 _ . . . ._._ _ _ . .. ure Placement Method .___Pod.... . GRAVEL PACK: Size __.._3/4' ' X 1') Interval 10 - 60 TEST DATA Date Tested _ NOV. 20, , 1986 • 4. Static Water Level Prior to Test 30 't.1u Casing 'ft. •ri, Top .. Type of Test Pump _ _,.- . --- - . --____ Length of Test-. __ _.,..........„_,.-6 6 _o. .-4-- r -,__ .._- , -S ,. �. Sustained YiekEiMetered? 720.. TOTAL DEPTH _ _ 601 Use additlonai pages necessary to complete log, Final Pumping Water Level 3919P PUMP INSTALLATION REPORT , „Ate... _•et ' •. ' Ir., , r Peerless : `•:f' a r Primp Make Turbine t e.` + I age Electricity ar .z its '�. Powered by _ - H P —1 I _• • A ,r Pump Serial No. ale • ; • t -3 WATER Motor Serial N . ''"' - . _ _ 3 TABLE 1 2 19$6 �' / • w •a W H � Oate Installea _.. rIL N J. Pump Intake Depth 53' __. �. '4- _ _ IM a _ asj• r Remarks _ _ ;.r .. ti +r• f 1 ear ti - ./11 g!..: a i • d7 JJr WELL TEST DATA WITH PERMANENT PUMP — '- ." t l2 119% ~ )sate Tested a z GONE. OF ~ • • , DEPRES$ZQN Static Water Level Prior to Test .)011ti CaSThg Tap C) `w J.• , Length of Test .: . HoursIn: t Sustained yield ( Metered) _ 610 GPM . '' Pumping Water Level _8! _ . 1 Remarks -, ; tt R • r' _ _T _..__ :- _ - �r._....... CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes a a • that he is the contractor of the well or pump installation described hereon; that he has rea• e .ternent made hereon; knows the content thereof, and that the sam of his o no .d• : Signature ♦/�r:.� f _. _._— License No. zl State of Colors a 'Coup •of 779 ._ . SS . • . • • a Subscribed and spit rn to before me thisat day of , 19194 . CAA BURNH �y ��nmissfon Expires 30 61 S 1 ct /�vsM+.to My Commission expires: , -Il4Y . 1988 Mitr CO ;E,�O Notary Publid QCe.a.A.4ctiarni FORM TO of MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer, PINK COPY is for the Owner and YELLOW COPY is for the Driller. Co RECkIVE0 • "f WR.1-s-Rov, 76„ ' COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 FEB 0 5 I9 t . w aigs • ' . ' PERMIT APPLICATION FORM Se Application must . OS - be complete where (X ) A PERMIT TO USE GROUND WATER applicable. Type cif ,• (X ) A PERMIT TO CONSTRUCT A WELL print in _ BLACK FOR : (X ) A PERMIT TO INSTALL A PUMP INK. No overstrikes ' or erasures unless ( ) REPLACEMENT FOR NO. 2-14552 initialed. ( ) OTHER WATER COURT CASE NO._ W 3M2 (1 ) APPLICANT - mailing address FOR OFFICE USE ONLY ; DO NOT WRITE IN THIS COLUMN Noffsin er Farms G ;O -7 7 NAME .�.� � Receipt No. _ _. I STREET .560 - 6th Avenue Basin V 1... t' t f .1- b st. - - CITY Greeley, Colorado 80631 (State) (ZIP) OMNI QNS OF APPROVAL TELEPHONE NO. 352-0463 This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION or PROPOSED WELL 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 Feld _ right from seeking relief in a civil court action. 1) APPROVED PURSUANT TO C . R . S . 37-90- 137 ( 2) FOR NW '/, of the NE '/., Section __ tHE REPLACEMENT OF AN EXISTING WELL , PERMIT NO . Twp 7 N Rng 66 W 6 Pm. 14552-R, DLCREED BY TEE DIV . • 1 WATER COURT AS 1N•S', ([,W) WELL NO . 2 IN CASE NO . W-3662 . TUE EXISTING WELL (3) WATER USE AND WELL DATA 1ST BE PLUGGED AND ABANDONED ACCORDING TO THE RULES AND REGULATIONS FOR WATER WELL AND PUMP INSTALLATION CONTRACTORS . THE ENCLOSED AFFIDAVIT Proposed maximum pumping rate (gpm) _ 600 FORM MUST BE COMPLETED AND SUBMITTED WITHIN SIXTY Average annual amount of grou d'wat r ( 60) DAYS AFTER THE CONSTRUCTION OF THE NEW WELL, to be appropriated (acre-feet) : `6L_ Shared with l-1M55]AFFIRMING THAT WELL NO . 14552-R WAS PLUGGED AND and 3-14553 �5 ABANDONED. Number of acres to be irrigated: 2) TUE MAXIMUM PUMPING RATE OF THE WELL SHALL NOT Proposed total depth (feet) : 40 EXCEED 600 G.P .M. 3) A TOTALIZING FLOW METER MUST BE INSTALLED ON Aquifer ground water Is to be obtained from: THE WELL AND MAINTAINED IN GOOD WORKING ORDER . Alluvium PERMANENT RECORDS OF ALL DIVERSIONS MUST BE MAIN- - TAINED BY THE WELL OWNER (RECORDED AT LEAST AN-- Owner's well designation #2 _ NUALLY) AND SUBMITTED TO THE DIVISION ENGINEER UPON GROUND WATER TO BE USED FOR : APPROVALREQUEST . 4)) AA OF THIS REPLACEMENT PERMIT SHALL NOT ( ) HOUSEHOLD USE ONLY - no irrigation (0) RESULT IN AN EXPANDED USE OF GROUND WATER . THE ( I DOMESTIC ( 1 ) ( i INDUSTRIAL (5) USE OP GROUND WATER PROM THIS . WELL COMBINED WITH ( ) LIVESTOCK (2) ( X) IRRIGATION (6) APPLICANT ' S OTHER WELLS , PERMIT NOS . 14551-R AND ( ) COMMERCIAL (41 ( 1 MUNICIPAL (8) — CONTINUED , ATTACHED SHEET - ( ) OTHER (9) _ - APPLICATION APPROVED - DETAIL THE USE ON BACK IN ( 11) (4) D ; LF PERMIT NUMBER It" 1 1 6s a - R F ..R DATE ISSUED MAY 01. 9O6 Name Leah Drilling , Inc . MAY 0 1 1987 EXPIRATION TE ,�Q ��-3_ So. _Highway 85 (P. d. Boat fib) � Street , CI .\ l6s.tea City Ault , Colorado 80610 a (ST • G (Zip) 18 2868 BY PR) Telephone No. Lie. No. 21 �^ I.O. . )^ r..O 3 COUNTY ._ _ es . f •• r t • 'i (5) THE-LOCATION OF THE PROPOSED WELL and the area on (6) THEE ELL M T BE . AT€D►BELQW which the Water will be used must be indicated on the diagram below, by distances from seal t .„ 140tit CENTER SECTION (1 section, 64O acres) for the well location. •.:•:, •. •. .,, , ,- 0a 5 •• ` ' ' — + ... -.-._ —1-. — I • — - 1 . r.. . — 4 ft. from o Lf sec. line 'I I . 1g;6-' ' G{ 1 MILE, 52/$0 FEET I - 1360 h. from . But ,fi ,$ec. line LOT_ B LCK _ ....• ;._fG to I r - I I pt. . + �.. `1 J_ NORTH SECTION LINE y SUBDIVISION i I � r I i � I (7) TRACT Olt WHI H WELL WILL in IvoaTH LOCATED Owner:. Sae 11 - — + ± No. of acres__ 15k - - Will this be I z I ' o the only well on this tract ells i-14551,:3-14553 Q - --1-- — _ #._ �,.... .__. �.__. .r _ o • (8) PROPQ�SED CASING PROGRAM I r f r I Plain Casing - - - co r. -tn * 16 in. from 0 ft. to _ . _ 20 f3, I in. from _ ft. to ft. SOUTH SECTION LINE - __ -+ , Perforated casing I I I 16 in. from ?0 ft, to 40 • ft. 4. -f- +- 4• 4- 4 -I-- 4- in. from ft. to ft I I I ! I (9) FOR REPLACEMENT WELLS givedistance +- and direction from old well and plans for plugging --- --4- - 4- - -I-- - ± - +- — -)- - - +- 7- it; Test Holes have notbeen drilled to The scale of the diagram is 2 inches • 1 mile Each small square represents 40 acres. date, . However will locate w/in WATER EQUIVALENTS TABLE (Rounded Figures) 301 of existing well-to the west. An acre•foot covers I aLre of land 1 foot deep 1 Cubic foot tier second Ids) . . . 449 gallons per minute Igpm) A family at 5 will require approximately t acre-foct of water per year. 1 acre-foot . . . 43.560 cubic feet . . . 325,900 gallons, "" " ' "- - - 1 ,000 Qom pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED : Ownerisl : Noffsinger Farms No. of acres: 154 Legal description: NF* of Section 35 , T. 7 North, R 66 West 6th P, MD - (11 ) QETAILED DESCRIPTION of the use of ground water : Household use and domestic wells must indicate type of disposal system to be used. Water will be used for crop irrigation (12) OTHER WATER. IG - TS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which used Well •11 1-14451 Case #W 3662 Irrigation NE+ T7N - Range 66W - Cane pw 3662 Irrigation Nie T7N - RangQ .66W ( 13) THE APPLICANT (S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRU TO THE BEST OF HIS KNOWLEDGE. Ca/ // C-i , e4/$11 SIG ATURE F APPLICANT(S) t-Citud ,at, the additional sheets of paper if more space is required. 9 i • • • APPLICANT : NOFFSINGER FARMS WELL PERMIT NO. - j � .fl F CONDITIONS OF APPROVAL , CONTINUED 14552-R , IS RESTRICTED TO IRRIGATION OF 15 ACRES IN THE NE1 OF SECTION 35 , TOWNSHIP 7 NORTH , RANGE 66 WEST , 6TH P . M. 5 ) THE OWNER SHALL MARK THE WELL IN A CONSPICUOUS PLACE WITH APPROPRIATE WELL PERMIT NUMBERS , NAME OF THE AQUIFER, AND COURT CASE NUMBERS . HE SHALL TAKE NECESSARY MEANS AND PRECAUTIONS TO PRESERVE THESE MARKINGS . 4/s /et , DIVISION OF w cATTR c>:s RECEIVE ' cait" " 131.3 3icatmo 3 RM. 818 DENVER, CQLQRADO 8o2O3 JAN O. 11 WAIR WELL ABANDONMENT AFFIDAVIT* >>l' STATE OF COLORADO ) ss • COUNTY OF Weld I (we) - Fri Lash, Jr. of Lesh Drilling , Inc. , being first duly sworn upon oath , despose and say : That an old well , located in the NW of the NE 1 /1+, Section �� , Township 7 N Range 66 �, - _ 6 P .M . , was replaced for the following reason(s): Old Well casing deteriated and collapsed, That the oid wells which was replaced by a new well drilled under permit number R-145524'RF ., was plugged and abandoned according. to the rules and regulations of the State Board of Examiners of Water Weil and Pump Installation Contractors by Lech Drilling , Inc iperson (s ) or company) on November 29 , 19 86 That the old well was plugged with the following materials placed at the indicated intervals : Topsoil from 0 feet to 6 feet Cement from 6 feet to 7 feet Wanhed well rock 1" in diameter om feet to 52 feet • Signature of Off i ant (s tee Subscribed and sworn to before me this 3a ' day • o f - --07`tere1 -)-tea.- , 19.E L. • .- _My --Cain i:s ton expires : MY Commission Expires Ju!zr 30, t4 8 CLE"A BURNHAJbi Old 615 iSt Avonue = ho to ry Pub ' i c Ault, CO 14Q5 , n 0.41 •Y ' Ft�-i s- th-a .&mar ' s responsibility pursuant to the conditions of approval to see that. the affidavit is returned. (see rimers* aide for A≥ szdcr nt Regulatt e ) • s REVISED AID MENDED RULES AND REGUTATI0NS FOR WAS WELL AND PUMP INSTA.LIATION CONTRACTORS ABANDONMENT APD APPEALS S CTTONS EF`ECTIVE DATE DECEMBER 15 , 1972 Section 1. COLORADO CODE FOR WATER WELL CONSTRUGTIQN AND PUMP tNSt4LLATION (1) These rules and regulations provide minimum standards for location, construction , modification or abandonment of water wells and inst&llAtion , mfication or repair of pumping equipment . After the effective date of adopting of these rules anal, regulations , no water well shall be constructed , repaired , or codified or any pump be installed , repaired , or modified contrary to the provisions of these rules and regulations . Section 5 . ABMDQfME T REGUTA` IQNS (1) General : The sealing of abandoaed wells is intended to prevent con- tamination of a,,,x ound water aquifers . ( 2) Unconfined Water Wells : (a ) Small diameter wells formerly producing from unconfined material shall be abandoned by filing with sand or gravel to the static water level, then with inert materials to within 10 feet of the surface . The top 10 feet shams,, be filled with concrete , neat cement , or other apvi oved material . (b ) Large diameter wells formerly producing f om unconfined material shall be abandoned by filling with sand or gravel to the ' top top of the water level , with _ inert material to the surface and by installing a permanent cover of ade - quate strength water tight at the ton of the casing . On farm 1Rrda the top 5 feet of casing shall be removed , the hole filled. with sand or gravel to the top of the water level, with inert materials to within 5 feet of the eurface , and shall be capped with concrete or steel 5 feet belay the surface _ (3 ) Confined-Water Wells : Wells formerly completed iA confined and, unoon- - -fined formations . er La_con. finned.- farLsttots -0n23 sbalt -be '*bane. ohed . by plu ing - . with concrete , neat cement or other approved material at the first impervious strata above each zone and cement grouted from the surface to a depth of 10 feet. No plug shall be less than 5 feet in ,leech . Section 7 . APPEALS • ( 1) Requests for exception to any of the foregoing rules muit .befluba witted to the Board in writing and contain all information relevant to -the request . Such requests must specifically set faith why such exception ' andv.J. . : _ be considered. : . The Isoltrd may make- exceptions after due consideration chi^ such appe , .t . -str5 SOWN Receipts and Net ten rota to Oliver WeI I Works , Greeley , Colorado ; - Form F. (Rae) . 8 199G ilij = liz: ., 7 -57/5M ill ‘ STATE OF COLORADO GO 19 DIVISION OF WATER RESOURCES OFFICE OF THE STATE ENGINEER, GROUND WATER SECTI UNfl WA )9Sp TAR SECT. 14552 STATE 'REGISTRATION NO. - OF WELL .x ENGINEER „Au. Registrant Anderson Date April 29 1S 60 P. O. Address r Ten l . � d .,. _ . Colo-. 4) WELL LOCATION r � WELL DATA County _ Weld 6 a Depth 57 ft. Diameter I48 in. , ‘3 NY , NE Section 35 Casing : 30 ft. Plain; 27 ft. Perfor. Twp . 7 N , Rge. 66 w . , 6 PM 1.44 Static Water Level 28 "/ ft, from top Yield 600 (gpm)(c s) from 15 ft. N .;,�► Used for Irrj. ation _ on/at I t, �s- — — — — —� a. « .. N , Sec . 35 , Tw,p . 't N , age , 66 W if, T a. O6 4 (legal description of land or site) AGO ',‘ % W E Water conveyed by Pipe , size 12 :inch 0 6 PUMP DATA I Type T��rb -�.ne Size 7 inch � �0 `�C. I I I Driven by 10 H . P . Elec . at 1760 RP1(4y cc' ' fi � ta el) I Well was first used July 19 �3 i4 f ati s cis for Trr?.:-at ' on using 600 gpm WELL TO BE LOCATED AS ACCUR - ATELY AS POSSIBLE WITHIN A Well enlarged - , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or £uCaivision Street address or Lot and Block The above well ( (has not) been registered in the Office of the State Engineer prior to May 1 , 1957. If Registered give Filing No. . 1.1 NOT Registered prior to May 1 , 1957 , a $5 . 00 filing fee accompanies this form . The above statements are true and correct to the best of my knowledge and belief. Subscribed and Sworn before me OTTO AIN-DEkSON .a this �-j` day of is L� l! _ 1 � _—.- My commission expires f /V6,/Alit ' Registrant (SEAL) fiVd/h4c4. '1 , 0,,,t Notary Pu lie FOR AT INEER'9 USE Located in .r-- ,3` district, `"7,� County for JRRIGATLON I Registration No, saA in_Z-.L.1. .C._,..1, on APR 3 U 1960, 19 . . ......, .. _. .. w _. _ ._ --- •• VER AL AND REMARKS INFORMATION SHEET ,t --_ �.-. . .. . _ initial Permit No. Doti ver42. appr ' ven: `iris ' ermi o: QUEST FOR PEAL APPROVAL aci • A Driller Location County: s : - Tie• No. Ph one 8 @C `S�Twp. ieRna New C3 Repl. Permit co,9153-0Z Phone - . Alt. Pt. Div= T.H.L. 1 Distances from Sec . Lines Approved ea ' N - PrODOS e� D � Plan: By : Date of Construction ID Co\lty StdivI s i on contact and. 4) 13 b 6 # a, _ D at a Initial Nwnb er �,...,,M,. R S M A k ., .S - �` r 4 g 4 +CJII a 3 e ✓I/Yu � , ` , „ • _ . r-� • r - `. E a ON 07 WATER RESOURCES <79 4-9 STATE- OF -COLORADO CF COT�ORA 00DIVISION NS-d, _ • . . • FLEW TNClieeTTON f EPOWi . . - - - - .- . -.. : . • ?EESON CONTACTED : PURPOSE OF INSPECTION: • Name 0 LaS$ Late Registration Abandoned old Well Address t! , Sc•a•�1, A,O. $a Hkif $ d C4 Replacement' , Construction , „ . • • City PI')L ' • Complaint Other ...a Phone No : Home Nature• of Complaint . Office * NI ^ Z$ecie ' Owner Tenant Other brie _i_.... • LOCATION: Count-, \I EL. . , NW l./4, tie 1/4, Section 'S, Township .2.% . - Range 46 r tf ..e feet from (N444). and 11430 feet from. CE V Section line ; . . • • Filing . Current Use of Property • a r,tr,;,,,, �_. SGLJCE OF WATER IF NOT BY SUBJECT WETS.: - •' Permit No. 1.7 ,44 St , Use of Water J ;v •-(, (P :1:1 attee:s • --- :Yel' Seal Grout Meter ' . . ' , .- .. .. Pump sizs and type Jo Ham,. esar ____;_ _ ' • ; .. . , ,� . :'Distance from source of pollution • . feet , type . : • - • OB 3ERVAT?'ON : • _ Surface Water Tgn se n • • • . . ' Number of Acres Historically Irrigated By This Well : . • Reasons For This Replacement : . Aj.,..r,,„ 6 saws a �'r-.�,,,a CORI- 'MS : Nit, )rot/ii..... w;- L A. e'd*: M V r+ h'icrl•y :' •o •�/ • 6 • . . tAc 1 0‘,ac `iN ca i..! • 35 $ .,.. �o4 , . �ew geY� • All 3 , . �s. Pt IAA OS e., . o k , A4ae. i t., 40,4 h ' iN '1 1 l orljn O . • • • Sl I Title (use back of this form for additiormi space for coniec_ts ) K S RECEIVED STATE OF COLORADO OFFICE OF THE STATE ENGINEER OCT ,1 , ,,l1R DIVISION OF WATER RESOURCES WATER BENEFICIAL USE FIELD INSPECTION srATI - E?4r;,;�-�� CU1.C WELL PERMIT N0 . R— I4 SS F ' RF 1 ) Has water been put to beneficial use as claimed? JOY' NoJ- 2 ) Is the well located where claimed? _ ( Yei or No ) 3 ) Are the number and legal description of the acres irrigated accurate ? �Ye`5 or No) 4 ) Is a totalizing flow meter installed on the well ? (Yes or No : 5 ) Comments : arc, if •_ Q? oq/ fq (a ! 00674414 rotrofiD pilitt_s . tutc w-gioA.41, ck170/L4Ni , 66 eriS Watt() t..e'171n.k1. a 76 , kMP healer.P f _ I field inspected the site of the well permitted under the referenced well permit number on cr-- 9. 7 8R _ , and the above is an accurate report of my findings . ,----.) AcLeryi kat? Signature Date 1 Title Division/District 11211 State of Colorado Water Resources - Vicw Well Details: Receipt 0262079 Colorado Department of Natural Resources Colorado.yov I Contact Us Colorado Division of • _ „ = J.'•, ,� u� �L)1�\`Yi \ �Y�+��{�� 1 ' •j ate. n' tics= i Y1 ? _ I ���' a� v � `�`4�C� Water Resources r 5ts,;r Fl .;jin ` ^PIN! `• .:rcz .•. • . :r - - - ::::E0CUSed on Co/aradoiSPeotii WDirer arYdh SteWafdS(11) Colorado's Well Permit Search r.' Well Constructed A Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0262079 Division: 1 j Permit #: 14552-R -R Water District: 3 Well Name / #: County: WELD i' Designated Basin: Management District: Case Number: WDID: 0305557 - NOFFSINGER WELL 2-14552 • [- ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present NOFFSINGER FARMS 500 6TH AVE GREELEY, CO 80631 I'. [ ] Location Information r ' k,. Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NE 35 7.0N 66.0W Sixth 45 N 1360 E • Northing (UTM y): 4487589.7 Easting (UTM x): 522021.6 Location Accuracy: Spotted from section lines 13 Physical Address Subdivision Name ' City/State/zip Filing Block Lot Parcel ID: Acres in Tract: [ - ] Permit Details Date Issued: 05/01/1986 Date Expires: l: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS h - :• Special Use: Area which may be irrigated: Maximum annual volume of appropriation: 462 Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report • Yes No No Cross Reference Permit Number Receipt Description Permit(s): 14552-R - 9062010 Comments: [ -] Construction/Usage Details 1 Well Construction Date: 11/19/1986 Pump Installation Date: 12/01/1986 Well Plugged: 1st Beneficial Use: 12/01/1986 14 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 60 38 58 30 600 r; i; Lic # Name Address Phone Number • Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834.2868 Pump Installer 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [ -] Application/Permit History Pump Installation Report Received 01/06/1987 rz Well Construction Report Received 01/06/1987 First Beneficial Use 12/01/1986 Pump Installed 12/01/1986 Well Constructed 11/19/1986 Permit Issued 05/01/1986 Application Received 02/05/1986 [-] Imaged Documents Document Name Date Imaged Annotated http://www.dwr.state.co.us?WellPennitSearch/View.aspx?receipt=0262079[6/I 2/2012 10:1 I:21 AM] State of Colorado Water Resources - View Well Details: Receipt 0262079 Copyright O 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR ( Privacy Poi•cy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPennitSearchNiew.aspx?reccipt=0262079(6/12/2012 10:11:21 AM] State of Colorado Water Resources - View Well Details: Receipt C620457 Page 1 of 1 Cc'oraCo Deportment of Natural Resources Co')raCo.gev I Contact Us v' JJsiJ is Divioio13 al Colorado's Well Permit Search Well Constructed r Help Last Refresh:5/10/2011 12:01:39 AM Receipt: C620457 Division: 1 Permit #: 457-WCB- Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number. WD1D: [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present LARIMER&WELD !RR CO [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines 34 7.0N 66.0W Sixth Northing (VIM y): 4486743.5 Easting (t1TM x): 519936.2 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: 06/08/1955 Date Expires: Use(s): AquiferALL UNNAMED AQUIFERS Special Use: (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: [-] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 257 tic # Name Address Phone Number Driller 5 O'JVER, F 603 EGHTH ST GREELEY, CO 50631 303 352-7672 [-] Application/Permit History Permit Issued 06/08/1955 [-] Imaged Documents Document Name Date Imaged Annotated Original File 07/12/2006 No Copyright p 20C9 Colorado Division of Water Resources. All rights reserved. Home I Contact Us ( Help I Water Links I Ce.oradv.gov I DNR Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=C620457 5/10/2011 !:* ••::•: •:.•-.;!"•:.,...c. - ,. ' '. 1 • •• •.• - .- •• • •• ' - .% . • . I • ' ,- 1.• ' •%. • : • _t.. Form No. -; . . t1: 1,1rrd 61 tit 1 s; 37- 1 ‘ a3 / c :Y,LORADO WATER CONSERVATION BOARD • ,_, LOG AND HISTORY wet, . :.......,-- tl• Cs '1- • . .- �_` .3b_._.. . .-T ??1 R..66Id......P M _._6 . Sec SW.- . ...County Weld .- •►.Kilt tl)R : Ste...... .3h..... .. .... ... or Street Address City.......... .._ Owned by Larlar & SEA 3rsl.pios.Co.........Address. ....MtAlAa..cn7A.X440... .. .._ ... . .. .. . Tenant. . .__. ...... . .._.................. Address Drilled bs•.31iTcr..tit71 rark3,..1M Address Qzee ,ei,. ..041orado ..... . .................. . . ' - • Water Well Driller's Lic erne No.. ....... ..b............. ....Nsme or No o€ Well... . .. Type of Well : Domestic '4. Municipal 0• Stock 0. Irrigation ❑, industrial 7, Drainage 0. Other _........... Cased : 0 . ft. to . 182 •ft. Type...914D Size ... . $" . Wt. of Casing: Lbs./Pt..121,8* ' ' Cased : . .. . . . ..... .ft. to... . . . ...ft. Type.............._..... Sin- WL. of Casing: Lbs.•'Ft. ' ,_. t':;tscd : . .. .. ._....ft. to.... . . . ..ft. Type...... ... ...........Size Vt. of Casing: Lbs..'Ft. ...... ..... ...... Peril1rr1ted or Screened : F:..... . to Ft...._.. : Ft to Ft .. j lily of Screen or Perforazioa . .m.. . QX'fl1P... • Dale started .. 21.--2.14•511 Date Completed 1146-5 14. .............._ _ s1 :,iit. Water Level �?C. �.__...Ft. • or Shut in Pressure .lbs sq, in. Date • Pumping Water Level... . . ... ...Mi_....... . ... . ..... Ft. at 3 GPM yield. Hew 'rested : . . ...Wind. .Length of Test...... ... . 3 ... . ..... .. .....................Hours • • Pot Formation Log on Re-.crse Side ICEMARKS : (Gravel Pac:thg. Cementing. Pnckers. T7.•jii• of Shut-off, Depth of Shut-off, Method Trilling. ettc.> 1411 drilled to a depth of 259 feet. 182 feet of casing installed. • .- . RECcig C kis.'I ..: TO RE MADE IN TE1PLLCA'VE: White copy to owner, Blue copy tt Colorado Wat WN 8 1955 I' Conservation Board, and other copy to driller. Amt veldt ntIa WRP • ( • ., .. i • ••" •I• •0. • • --, , • • ••• ..• • • • .• • • • • I •,•. ..•••••-•••l• ti. ••' ••• • .• • ..• • • t " LOG OF WELL • . • • DESCRIPTION OF MATERIAL DRILLED METHOD OF DRILLING • : • , �•� rotaq 0 • .' . • • (0 to ... 13• igloo shsla 2h to - 26 Coat . • • 26 a tallow shale .' to 1i3 Acct Iii ..._ Tallow shale • t• 148 50 t)oal 50 tu. 62 Yellow shahs • • 62 65 Blue s� • •65 61 .... Coa.I • 67 to CO F'h i shale - 8b. ..... 81 ibck - 81 85 Blue shale f••.- 85 87 Coal • 4 •1 '•• 87 109 Blue that. 109 U5 Gray said rock 115 131 Blum dale ' • 1.31 134 Coal ' :I. 1314 157 Gray *sad rock _• .. 1.57 16 2 Blue shale :: 162 165 Oral n amd rock ' 165 in Blue ah,al.e , • :- 3.71 173 Gray sand rock J . . 2.73 196 Blue stale - • 1% 201 (Irvseal shale 0 ':0. ,'• 201 222 Graz? raa sd rock ••`est 222 233 Blue &a l. • et� • ; 233 253 Grey *sad rock 0. • • - •• 253 256 Blue sandy shale I. • 256 257 Gra y pond rook i. • . J • • t • . . •- _• . •. ••. � . ::• • ' •1• •-F • ••• • •• • •1 • •'\ • • ' r .`.• PIP - •••.• •, ,' • r\ • 0 . ; • • •• y' • • �••. • • .t•.•.....44. .•'•••'✓•( ••-• �• . .� • •••••Y sit ••'.., ••'•.: ,•- ;: • .;• : • • • •• •• • Form No. 3 (Refired 6/611 a COLORADO WATER CONSERVATION BOARD . • NOTIFICATION OF INTENTION TO DRILL 7). KEDRI LI. L. . • . . • ItECASE p. OR DEEPEN f= A WATER WELL. • District No• • . : .. .. . Name or Numlwr.of Well. . . . . ' • • Name of •Driller• . •. . .• :.Oliver. Well , iorl s,. .In.c Phone No. 613 - • Address. • . . .. • . .GreE1e3j C9lcr. do . . . • . Wr!1•Driller's License No.:. ... ..6 .... ... . . Start -of Work . . .. • ... . • Lund Owner's Warne........- --LariraEr &. let. Irrigation CanPa • • .ny. .. .. . . . .. . Address. ... . :. Baton, Ccicr`ilo. .. .. . ... . Estimated Depth of Well . ..?57. . .- .Ft. • • . • Location of -Well Diameter of Well .. .. . 8. ........••In. Section N0.. 34 . County. .Weld . .. .. • Diameter of Caging 6 . in. Twp• . 7N. . ...Range. . 46W . . . P.M. Weight of Casing •Ji Bar . .Lbs.•Ft. . . Please mark well location to nearest •lt) :ccTc:s • .•, (small square) below. • Type of Well : Domestic ¶3 i I iI .. Irrigation (1 -- ' ._. I . • . Municipal n 1 I l . ' Stock O j Other .. .. . .. ...... .. . •.. .. ,. S Method to be used in drilling:. .. cable. tog1- If above location is unknown, complete the fol- -•'. • lowing: . '• County.. • .•.•.•_.. .. •.•.•............ ••. •.• . •. •. • S. Estimated Depth of Bottom and Top of Shutoff City. Town or Subdivision . •.•..••,•••.•••• .•..•.••. ....... .... .. ... . • • • .. • Type of Shutoff .•, . Street Address of Well Loeati�n.�,y I if • - .--jur. • • .. • • .. .... ... ........ .... . ....... ...... . .. ... . .. . . ..... . •..�. ....... . ...: v • 7 , Pi rre � 1 r•, '' 1955 MAY 5 .- ! in, t•t . t. _ � State of Colorado Water Resources - View Well Details: Receipt 0254720A Page 1 of 1 • Colon o Ce;,artmen:cf Natural Resources Co1crado.goi I Contact Us .3JiStaLJJ diqr Colorado's Well Permit Search Permit Issued: Completion Status Unknown Help J Last Refresh: 5/10/2011 12:01:39 AM Receipt: 0254720A Division: 1 Permit #: 139703- - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: [-] Applicant/Owners History Date Range Applicant/Ovmer Name Address City/State/Zip Unknown - Preterit MONSON BROS GREELEY, CO 60631 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SE SW 26 7.0N 66.0W Sixth Northing (UTM y): 4487798.7 Easting (UTM x): 521431.4 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: 05/28/1985 Date Expires: Use(s): DOMESTIC AquiferALL UNNAMED AQUIFERS Special Use: (5): 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: [-] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate [-] Application/Permit History Permit Issued 05/28/1985 Application Received 04/22/1985 (-) Imaged Documents Document Name Date Imaged Annotated Original File 12/05/2007 No copyright O 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water tin's I Ce orado.gov I DNR 1 Pr.vacy Potl y I Transparency Online Project (TOP; http://www.dwr.state.co.us/WellPermitSearchlView.aspx?receipt=0254720A 5/10/2011 I WRJ.25.7S , • RECEIVE !" COLORADO DIVISION OF WATER RESOURCES TYPE OR 818 Centennial Bldg., 1313 Sherman St. APR 2 2 r. ' PRINT IN BLACK INK. COPY OF ACCEPTED Denver, Colorado 80203 STATEMENT MAILED WATER ~ ON REQUEST . STATE STATE OF COLORADO AFFIDAVf'fW : ( eatt COUNTY OF _ . Weld _ SS. . STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD __X_ _ LATE REGISTRATION / 39703 PERMIT NUMBER Registered LOCATION OF WELL (HE AFFIANT( S)IANT( S) .. Monson Bros. Y�_ _ __ _ county _Weld whose mailing address is 31466 Weld County Rd. J91 SE A of rfie SW �V.. 4ci•o., 26 City .... .__ Greeley, . Colorado - 806,31. m 7__ TWP. __. .... N R„ _ 66 W . 6 P M ---Is• •.t ) Irl :M on Si 9 .F cw •%: being duly sworn upon oath, deposes and says that he (they) is (ore) the owner! s) of the well described hereon, the well is located as described above, at distances of _., 680• feet from the South section line and 1699 feet from the (NODlI p0 •ry.,_•Li West section line; water from this well was first applied to o beneficial use for the purpose( s) described herein on the _`_. ;1 .9• nil A! lei day of Summer , 1936 . ; the maximum sustained pumping rate of the well is _ 0_,_ gallons per minute, the pumping rate claimed hereby is .. ___ gallons per minute; the total depth of the well is _ 200 feet; the average annual amount of water to be diverted is 3 _ acre-feet; for which claim is hereby mode for Domestic ,�_ purpose( s); the legal description of the land on which the water from this well ' s used is 40 Acres in the SE* of the Sidi of Section 26, Twp ?N, Rng 66W . 6 PM _ - —_of which 1 _ _acres ore irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with low; he (they) has (hove) rend the statements mode hereon; knows the content thereof; and that the some ore true of his (their) knowledge. (COMPLETE REVERSE SIDE OF THIS FORM) 4c ASignature{ s) iv, dint a.. '1, 4,, .y;_- 1 J f ..,„. .4 r u /p Subscribed and sworn t4,.. FOR OFFICE USE ONLY to before me on this /7 day of CL/24:'4 , 198 My Commission Expires July 30, 1988 Court Case Na __ _ _______... . ._ _. _ __ My Commission expires: . •. . . Pilot ._ . Mo — . ._. Day .. . . V. .. •I1°.Nr rynli:. D... / Cry. 1/ � _ ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: �� �� Sec . ••- 1/4'�� - . . 4.alalt i,1 i - .. �t'▪ l 11►►dry{ well 1�,s 1 ACCEPTED PURSUANT TO C.R.S. 4 . . 37-92.6112 _ _. 615 ___. . ..— lst �,. , i ▪ ..e .. (5) FOR USE AS DESRIBED IN C.K.St Ault, CO 80 510 37,92602 (1X....a....), arts':,;15 " , 04411 D.st Qa .. ags.n .�.. u3.• r,,•• • .�,.yt • MAY 2 $ 1985Q5u :►.. r , >• ATE ENGINEER.. . . .. ._ ,t, L-s:a:'-nzo--CQIYF1/4 Assistant . __ .. . . . Well drilled by Unknown Lic. No. Unknown Permanent Pump installed by Unknon _ Lic. No. Unknown Meter Serial No. _ _ 0 Flow Meter Dote Installed Owner of land on which water is being used Morison Bros. - THE LOCATION OF THE WELL MUST BE SHOWN AND FOR LARGE CAPACITY IRRIGATION WELLS THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. This diagrom represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well , if poss'sble. - + - + - .+ + -f- -- +- + + .+ +- - + ---- -f- --- NORTH SECITION L1fs1E NORTH i -- ( j ____ J �— w cn rn z n 1 z w 2 r N - -I-- -1 if-,- I- - Q J ris I 4 SOUYH SECTION LINE -- + --- + — + 4- + ± +- — 3 1 —+— l -I-- }--- THE SCALE OF THE DIAGRAM IS TWO INCHES E UALS ONE-MIL E + — + — --I-- -- + + - -h --t MiIe - I ---t I ? I WATER EQUIVALENTS TABLE ( Rounded Figures) An acre- foot covers 1 acre of land 1 foot deep . 1 cubic foot per second (cf s) . . . 449 gallons per minute (gpm) . 1 acre- foot . . . 43,560 cubic feet . . 325,900 gallons 1 ,000 gpm pumped continuously for one day produces 4. 42 ocre- feet . 100 gpm pumped continuously for one year produces 160 acre-feet . ' � (WHITE' AND PINK COPY TO BE FILED WITH THE STATE ENGINEER PINK COPY WILL BE RETURNED TO OWNER) __ .. .. .. . . __ . I _. .. . .. . _ ... .__.. .. . ___ 1. . .__ .__. Well drilled by Unknown Lic. No. Unknown P ermanent Pump installed by _ Unmotrin _ Lic. No. Unknown Meter Serial No. __ ❑ Flow Meter Date Installed Owner of land on which water is being used Monson Bros. THE LOCATION OF THE WELL MUST BE SHOWN AND FOR LARGE CAPACITY IRRIGATION WELLS THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. This diagram represents nine (9) sections . Use the CENTER SQUARE (one section) to indicate the location of the well , if possible. I I I I 1 - 1 — + _._. + — + — + -t- f — + I I I- f -- - + — + — -I- + — f NORITN SECT ION L 1L ` - NORTH * I ntnIf - f .... Ina z w + 2 r- v' rn_, - - - -- - Lt -)-ct + + r I � I ! SOUTH SECTION LIME 4 I - -I- --- + — + — + . — + — + I - -- {-- - I }- I THE SCALE OF THE DIAGRAM IS TWO INCHES E5UALS ONE -MIL E + — + ' -+ -r + -'- ± ± , ,--1 Mule --- - f ____L I L L WATER EQUIVALENTS TABLE ( Rounded Figures) An acre - foot covers 1 ocre of land 1 foot deep. 1 cubic foot per second ( cfs) . . . 449 gallons per minute (gpm). 1 acre-foot . . . 43,560 cubic feet . 325, 900 gallons . • 1 ,000 gpm pumped continuously for one day produces 4 42 acre feet 100 gpm pumped continuously for one year produces 160 ocre-feet. r ;`_ (WHITE AND PINK COPY TO BE FILED WITH THE STATE ENGINEER i PINK COPY WILL BE RETURNED TO OWNER) I • REC7A. ED • COIARALO DIVISION OF WATER RESOURCES 0 APR 2 3 1985 FIELD INSPECTION REPORT • NAM Rt5UUIU'tS a3ATE NEER APPLICANT: 1- i °NSO N fl'I v- Q s . _ PURPOSE OF INSP$ ON ; Late Registration Replacement Address: 3) 444 MG, f', 33 q .- - Abandoned Old Well _-_ C afl 1pla n t __ /n1 Other City : L_ree le ask, �11� 1 — Nature Ti5cnpi is nt Caved /4, / 1— Phone ;Jo . Home 3517 4 MO —.— Office Person contacted , if not applicant : L1C)CATIC.x'J Ui' AELL: / cis y/ gel/, NJiYCounty 1/4_5W 1/4 Type of Disposal System ,f irk 4 / eeJ Range G� . Township _T-1L.._ se : . nu 70O _ teat Ito m (m s) art.] / 2OO Totril minter of acres in tract on feet from (0 W) Section .lin _ . well is located Lot L&1K —� Filing Subdivision : Are there any other wells yis ? If yes , how many Used tor : +- : Ves41 O k 4 +' rr :r7tD/v L ate At5 C a±JeAls sn O s PLEASE VERIFY THE HISLORIC USE AND THE CURRENT Oft PROPOSED US:: FOR LATE REGIS- TRATIONS TRATIONS (SEE B :LC 4) A. The use of the well described herein, prior to May B , 1972 , was : ( J ORDINARY HOUSEHOLD PURPOSES IN 0 SINGLE-FAMILY L A/ELLTh (S) ( ) WATERING OF POULTRY AND/OR ocmasric ANIMALS . ( ) WATERING OF LIVESTOCK ON FARMS AND RANCHES. HOW MANY ,'-EAD FLED for YES NU Os) IRRIGATION OF NO MORE THAN ONE ACRE OF H114E GARDENS AND Lewi SQUARE—FEET. (NO FIRE PEL7PFrPICN . ft ( ) FOR CCWEEtCIAL WEIL, SEE BACK OF THIS FORM. ( ) OTHER ( ) TYPE OF WELL DRILLED HAND DUG, SPRING WELL) '' s��t' l _Ca�� rt spring well , " e details on how and when developed 8 . The current or proposed use of the well (If different than stated above) : • (over) r r COMMENTS: (please add any additional information that might assist in the evaluation of this (these) application (s) . -riled P f l y e r nil Ow vt e r A ea. I 1/10.3!- -- Dr / /I/nj - - - *C0MMERCIAL WELL: 1 . Type of Business 2 . Size of building (s) square feet . 3 . Number of employees 4 . Number of days per week business is open . 5 . Does the general public have access to the facilities? If so , estimate average number to daily use the facilities 6. Pumping rate in gallons per minute 7 . Is there any other source of water used in conjunction with the well (s) ? -_ yes no . If yes , explain: Signed Date f/2 • 2/ Water issioner , -District /,'4., ,1 _ (use this space as needed for additional comments) i 1 1 . . . ( ) The Conditions of Approval on the permit require the installation « F a total: , flow meter . • Please enter serial number of meter on the ba.. : . of Statement . ( ) The Conditions of Approval on the permit require that a filing be made in the Division No . Water Court for the change of stater right or for a new d1≥r:. _ . for the subject well . Please provide evidence of compliance by indicating Li ;c Court Case Number or details of filing . ocThe Conditions . of Approval on the permit *require that tha old well , Plo . /3Y7oJ be plugged and abandoned . Please complete and . submit the enclosed Plugging and Abandonment Affidavit . . . . ( ) Signature ( s ) of owner ( s ) is/are required on the Statement . If til St tement is . signed by an attorney or agent then the Statement must be accompanied by Pawer of Attorney or Agency , signed by the owner , and notarized . A new Statement form ' is enclosed in the event that Power of Attorney or Agency is not available . ( ) The Statement indicates that the permanent pump was installed by the owner . Please fill out and submit the enclosed pump installation report . Return the wLi to and . ' green copies ; !pink and yellow copies are owner and pump installer copies respec- . . . ti vely . . ( ) Please enter the permit nur•itber on the! Statement . ' tatement . ' ( ) Please verify the permit number , as it does not correspond to current : for this well . ( ) SigmaLure ( s ) HOST he notarized . - ausalstrair _ --- . • - -- _. _.._._.� . �.—.._. _ ...• +�— ....r l —..—_.. • .. _.._�-.... —• /—_.ti�.see.1/ummI_��.�.^•.iT11.!_._/r1..--�.—....... . • .� •.. . �._..+. • - . _ • . _r. . --►—. — r_ _Y._...._..../•_ . State of Colorado Water Resources - View Well Details: Receipt 0273471A Colorado Department of Natural Resources Colorado.gov I Contact us Colorado Division of < ,° -r, '..4.1.‹.):' Z.- r Water Resources _ } = . =aa=-} c;"; - ,,.:..; - rn'e ..'"`"a"'---"--;-'7-71-;=727 Qcused on Colorado's People, Water' and,.Stewardsfrip- Colorado's Well Permit Search We1LConstructed Mall Last Refresh: 6/12/2O12 12:01:21 AM Receipt: 0273471A Division: 1 r' Permit #: 147746- - Water District: 3 I .. Well Name / #: County: WELD l'- Designated Basin: Management District: Case Number: WDID: J. i: [-] Applicant/Owners History `- Date Range Applicant/Owner Name Address City/State/Zip F; Unknown - Present YOST JIM 4-46 SO FIRST ST SEVERONCE, CO 80546 [-] Location Information i' Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines :t NW NW 1 6.0N 66.0W Sixth 200 N 100 W ' i ' ! Northing (UTM y): 4485937.2 Easting (UTM x): 522344.1 i; Location Accuracy: Spotted from section lines k 9 Il Physical Address Subdivision Name r City/State/Zip Filing Block Lot ' r ' I Parcel ID: Acres in Tract: • [ -] Permit Details 1,!, Date Issued: 05/06/1987 Date Expires: Use(s): DOMESTIC Aquifer(s):ALL UNNAMED AQUIFERS Special Use: • Area which may be irrigated: Maximum annual volume of appropriation: 1 .5 ` Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description ;'„ Permit(s): 147746- -A 02734718 Comments: 1ST USE 1947 SEE REC #369360-6/28/94 [-] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 38 30 Y [-] Application/Permit History c' Permit Issued 05/06/1987 , 's i` Application Received 03/05/1987 I [-] Imaged Documents • t: Document Name Date Imaged Annotated • • r Original_ Hie 12/05/2007 No • f. Copyright © 2009 Colorado Division of Water Resources. All rights reserved. i. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPennitSearchNiew.aspx?receipt.0273471A[6/12/2012 11 :02.25 AM] WRJ-25-'r5 -- RECE1WD . , COLORADO DIVISION OF WATER % 3S TYPE OR . 818 Centennial Bldg., 1313 Sherman Si, PRINT IN BLACK INK . ACCEPTED WATER RaINURO� COPY OF Denver, Colorado FA203 :'ATE - Ft�rrixEEa STATEMENT MAILED ON REQUEST. STATE OF COLORADO axn AFFIDAVIT SS . - COUNTY OF _ e _ STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD X LATE REGISTRATION PERMIT NUMBER _ 147746_ LOCATION OF WELL THE AFFIANT( S) cifth year County _ Pi whose moiling 11�� // ��? _ ^^// / address ) s 49 _SUS- 6/2^S1 S A/a/ y. of the / r�f A. Section ____ City , Sell v 0.A CP, a ;300-96 Two. A! , Rng. Zeal__ Id P M (trr,rt ) IrInt IN OR $I 1E on WI being duly sworn upon oath, deposes and says that he ( they) is (ore) the owner( s) of the well described hereon; the well is / located as described above, at distances of GOO feet from the /YQ4..a section line and /00 feet from the IHOmt ) on 'Out w) /44os/ section line; water from this wetl was first applied to a beneficial tne for the purpose( s) described herein on the l l_ S,t OM «L1 • I day of 5O/12/ , 19 "7 ; the maximum sustained pumping rote of the well is SO gallons per minute, the pumping i rate claimed hereby is _.,, Q. gallons per minute; the total depth of the well is 3S feet; the overage annual amount � �of water to be diverted is 1_17.1_ acre- feet; for which claim is hereby mode for ���'� 1r' purpose( s); the legal description of the land on which the water from this well is used is 1�T1 ca/�� /•i Ste" �� /1 T // JJI4cu� (L� Af which / acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his ( their) knowledge. (COMPLETE REVERSE SIDE OF THIS FORM) II Signature( s) — s <� �` Subscribed and sworn FOR OFFICE USE ONLY to before me on this day of 22'1 •-t _ , 194) 7 Court Cost No — ____ My Commission expires: My Commission Expires July 30, 1988 tat At o Prior . Mo Day Y+ al-A-Sa; ±1.41Q—da—rnJ OTSAI PVe IIC I 6 .� D1 .. _ CIy . _ ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIOte-I-A BURN Sec _ _ 'r.. __ _ ''A. - Vs . H� 1 ) IN ACCORDANCE WITH C . R . S . 37-92-60 ) ORIC Well U, e J USE AS INDICATED BELOW AND DESCRIBED . � .B 80510 - - 37-92-602 ( 1 ) (e ) . C441Chit . Eosin Mor . Pis 2 A WELL PRODUCING .3o GPM OR LESS AND USED FOR ORDINARY - - __- HOUSEHOLD PURPOSES IN 1 SINGLE FAMILY DWELLING(S) , FIRE f PROTECTION AND THE IRRIGATION OF NOT OVER<> OF HOME GARDENS AND LAWNS . v/is/k7 AV Moon Siff-. • MAY 061987 6?f%' ______ _f _9aTE STAE ENGINEER Or BY Assistant Well drilled by ( 194.VDu1 h Lic . No. P ermonent Pump installed by Lic. No. Meter Serial No. _ ❑ Flow Meter Date Installed Owner of land on which water is being used _ THE LOCATION OF THE WELL MUST BE SHOWN AND FOR LARGE CAPACITY IRRIGATION WELLS THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. This diagram represeots nine (9) sections . Use the CENTER SQUARE (one section) to' Tn.dicote the location of the well, if possible. J I I --1 T 1 — 1' + + + I I { ` - - I I .+ + 4- - + ___. + f — NORTH SECTION LINE f-4 r --�} NORTH + — z + -- ± - LA - + * vi J MI m z �w I- I n o f -i - 4 Z , w 2 r "' {- - rn -+- + - re w { + SOUTH SECTION LINE + + -- - + + + + r I 1 THE SCALE OF T E DIAGRAM IS TWO INCHES E ,XUALS ONE-MIL E L -+ + -+ - + - + - + -- I -4*---1 Mile - j I L , WATER EQUIVALENTS TABLE ( Rounded Figures) An acre- foot covers 1 acre of land ? foot deep. 1 cubic foot per second ( cfs) . . . 449 gallons per minute (gpm) . 1 acre- foot . . . 43,560 cubic feet . 325, 900 gallons . 1 , 000 gpm pumped continuously for one day produces 4. 42 acre-feet. 100 gpm pumped continuously for one year produces 160 ocre•feet. (WHITE AND PINK COPY TO BE FILED WITH THE STATE ENGINEER PINK COPY WILL BE RETURNED TO OWNER) - rt tCEIVED MAR 30 1987 COLORADO DIVISION OF %aTER RESOURCES whIMig FIELD INSPECTION REPORT • at APPLICANT: 3 ; rr-, / o4 PURPOSE OF INSPECTION; Late Registration_ Replacement-"A. Address : 4't(e So I - Abandoned Old Well Complaint Other City : Sav -,r ' CO / o Nature of Complaint Phone No . Home - 7-7n- Office Person contacted, if not applicant: LOCATION OF WELL: County , iv Nei 1/4 N vb•l1/4 Type of Disposal System <cp17r Range cpCa , Township <0 Sec. I too feet fran (NV and /- Total number of acres in tract on feet from W) Section line . well is located /�. Lot Bloc Filing Subdivision : Are there any other wells plc. 3 If yes , how many Used for : PLEASE VERIFY THE HISTORIC USE AND THE CURRENT OR PEED USE FOR LATE REGIS- TRATIONS (SEE BELOW) A. The use of the well described herein, prior to Mav 8 , 1972 , was : . �Q ORDINARY 1flJSEEiOLD PURPOSES IN / SINGLE-FAMILY ZxdELL NG (S) . .=( ) WATER OF Pan= AND/CR DOMESTIC ANIMALS. ( ) WATERING OF LIVESTOCK ON FARMS AND RANCHES . HOW MANY HEAD FEED EDT �____ YES NO XRRIGATION OF NO MORE THAN ONE ACRE OF HOME GARDENS AND LAMS / 0 Got, St2UAREeFEET, ( ) FIRE PRDS L5SI N . * ( ) FOR 1 IAL WELL, SEE BACK OF THIS FORM. ( ) UI'EiER _ ( ) TYPE OP WELL (DRILLED, HAND DUG, SPRING WELL) If spring well , give details on how and when developed S. The current or proposed use of the well (If different than stated above) : (over) • • - -, ,,.:_ 1TS : (please add any additional information that might assist in the :valuation of this ( these) application (s) . No robkre, vN . \4. Aee (4a ;n\y IMMINS *COMMERCIAL WELL: 1. Type of Business 2 . Size of building (s) square feet. 3 , Number of employees 4 . Number of days per week business is open 5 . Does the general public have access to the facilities? I'f so , . estimate average number to daily use the facilities 6 . Pumping rate in gallons per minute 7. Is there any other source of water used in conjunction with the well (s) ? yes no If yes, explain: Signed -8t. �� - Date 3 -tar Z1 Water Commissioner , District ,-- (use this space as needed for additional contents) State of Colorado Water Resources - View Well Details: Receipt 0273471B Colorado Department of Natural Resources Colorado.gov I Contact Us %ii o ino :. ._ •...t.c. : ....; _.7z,..._:::....:. .... .. . er Resources = •4:ishiot.i-, • 1 aor : ..,..', - i 3 A r re? I e'r" t-.S41M'i leff.ilziLort2 : -..).c"-ricC--..,a_t.. .. __7.-4-_-: $Focused o/7 Co!orad0'S t'eop le Ste a etrgar s px _ .... .:. Colorado's Well Permit Search eILG_Onstruc esi "IT I Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0273471B Division: I • Permit #: 147746- -A Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: • Case Number: WDID: ' .. I [ -] Applicant/Owners History _i Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present YOST JIM 446 SO FIRST ST SEVERONCE, CO 80546 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NW 1 6.0N 66.0W Sixth 200 N 120 W I Northing (UTM y): 4485937.7 Fasting (UTM x): 522350.2 Location Accuracy: Spotted from section lines Physical Address Subdivision Name • City/State/Zip Filing Block Lot 4 Parcel ID: Acres in Tract: . [- ] Permit Details Date Issued: 05/06/1987 Date Expires: 05/06/1989 ` k. Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: ti; Maximum annual volume of appropriation: Statute: r .) Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No : ` Cross Reference Permit Number Receipt Description 2i Permit(s): 14.714fi_ 0271471A Comments: SEE REC #369360-6/28/94 r F[ -] Construction/Usage Details I. Well Construction Date: 05/12/1987 Pump Installation Date: .. Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 50 27 47 23 18 Lic # Name Address Phone Number !' Driller 21 LES'i JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 rI [-] Application/Permit History Well Construction Report Received 05/29/1987 Weil Constructed 05/12/1987 Permit Issued 05/06/1987 Application Received 03/05/1987 [-] Imaged Documents '` Document Name Date Imaged Annotated Sri final File 12/05/1.007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us + Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) iup://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=027347IB[6/I2'2012 1 1:04:51 AM] L4- . K'RJ -Rev. 76 - COLORADO DIVISION OF WATE• 818 Centennial Bldg., 1313 Sherman St., D Sad203 • PERMIT APPLICATION nOilt10 5 1987 Application must be complete where Oe ) A PERMIT TO USE GROUNC ag 03-0J-87 12:36 P applicable. Type or V ) A PERMIT TO CONSTRUCT argaSIBIEER 13 472 5. 00 print in BLACK FOR : (X) A PERMIT TO INSTALL A PUMP C0M WATRES P0021 INK. No overstrikes �- i9/. ,, or erasures unless ) ) REPLACEMENT FOR NO. Jeri Qt)C 5.00 initialed. ( ) OTHER . V S/T WATER COURT CASE NO. (1 ) APPLICANT - mailing address FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUMN NAME f /c,f ` e S1 Receipt No. 3 `/ 7/ 8 / STREET 99 Sn (11'SF , / - - Basin - Dist. _ CITY eYelle ''0-t? ca 1150 RQcr9e CONDITIONS OF APPROVAL (State)TELEPHONE NO. ae36 — & ?_9-2 This well shall 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 �,� right or preclude another owner of a vested water County right from seeking relief in a civil court action. 'h of the f�Cli %, Section / �/ 1) APPROVED PURSUANT TO C . R. S . Twp. 4' 4( R .4ng. _ III 6 P.M.(3 -90-602 ( 3} ( c) FOR THE EDI OF tN.sl 1E.W EXISTING WELL PERMIT NO . j . THE EXISTING WELL MUST BE PLU (3) WATER USE AND WELL DATA ABANDONED ACCORDING TO THE RULES AND REGULATIONS FOR WATER WELL AND PUMP INSTALLATION CONTRACTORS WITHIN NINETY Proposed maximum pumping rate (gpm ) _ _3Q ( 9O ) DAYS OF COMPLETION OF THE NEW WELL . THE ENCLOSED AFFIDAVIT FORM MUST BE Average annual amount of ground water / /� COMPLETED AND SUBMITTED AFFIRMING THAT THE to be appropriated (acre-feet) : _ OLD WELL WAS PLUGGED AND ABANDONED . 2) THE USE OF GROUND WATER FROM THIS WELL Number of acres to be irrigated: IS LIMITED TO FIRE PROTECTION ORDINARY HOUSEHOLD PURPOSES INSIDE 1 SINGLE FAMILY DWELLING( S) , THE IRRIGATION OF NOT MORE Proposed total depth (feet) : _ _67 THAN /o..ems, •i:4, OF HOME GARDENS AND LAWNS . 1-Rs 46 Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR : ( ) HOUSEHOLD USE ONLY • no irrigation (0) X) DOMESTIC ( 1 ) ( ) INDUSTRIAL 15) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN X11 ) } `4 � � 4f �A PERMIT NUMBER (4) DRILLERL `) DATE ISSUED MAY 0 0 1987 Name j2-4 DATE MA/ 0 6 1989 _ Street BO /1(4, J / C te City 4 /M atA 80,6/0 STATE E WEER) (State) (zip) fl Telephone No.81yea6_43 Lic, No. _ dr;W 1 .0 . ) Q COUNTY C (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW which the water will be used muit be indicated on the diagram below. by distances from section lines. Use the CENTER SECTION ( 1 section, 640 acres) for the well location. --i-- —L— J _ _ _ - �> ft. from , ['�y7r sec. line * '7- -1 ` i- (north or south) 1I I 1,.� ft. from _ _ sec. line �� I MILE, 5280 FEET (east or west) 1- 4- -I-- + -F- ± -f- + -i I I i I LOT BLOCK FILING i NORTH SECTION LINE - + SUBDIVISION (7) TRACT ON WHICH WELL WILL BE { I l NORTH w 11 i mI LOCATED Owner: 5c42e 4' T _. D ± ± No. of acres %� Will this be :I rn 1 2 4.______L_______I___ to i - o ' the only well on this tract? cam�- -{- U - i _j N , a (8) PROPOSED CASING PROGRAM 1 r Plain Casing W f ir in. from O ft. to ° ft. I I i I in. from ft. to ft. --- ---- 4_. - _(_ __ Perforated casing SOUTH SECTION LINE I I IL5 __ in. from 40 ft. to 90 ft. +- + T i >l -r in. from ft. to ft. II I (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging The scale of the diagram is 2 inches - 1 mile -_r'P 4 iriUIPs i--- Each small square represents 40 acres. /! WATER EQUIVALENTS TABLE (Rounded Figures) Ayaie f — Nail Wei e 1 An acre-foot covers 1 acre of land 1 foot deep e kell C c .20 re 2To _ - 1 cubic foot per second (cfs) . . 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1Aitat-- 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 WATER WILL BE USED : o Owner(s): ��> �(,3ST __- No. of acres: �,,2__ Legal description : _ 0 /l1 '�la2 /� CScj k e -____-_ ( 11 ) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. r� f the Al Ae 6/....CMre AVAI,I 4 govichcam 1 nolo/i> -- 4D Uk4 /4 1 , -_(�1t� f cal' l S di, sl�Q- _ .e T m _ _/p i o e- tJ 4 - ( 12) 0T1-iE_3 WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers . Type or right Used for (purpose) Description of land on which used Noes _ - (13) THE APPLICANT (S) STATE (S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST-Of\ HIS KNOWLEDGE. SIGNATURE OF APPLICANT(Sl Use additional sheets of paper if more space is required. State of Colorado Water Resources - View Well Details: Receipt 0030287 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of Water Resources . , _... ___...=Amt s.-..1,_A .F -r - o. Ct ,:. ...• . , ,_ a ....' �. . �yocusea on CO/ctadoSYeopie, 6' ater.ana Stewartls(1r�: Colorado's Well Permit Search r Well Constructed lit, '. ' 1 Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0030287 Division: 1 1_ Permit #: 48011-F - Water District: 1 • Well Name / #: County: WELD Designated Basin: Management District: ail Case Number: CA11217 WDID: [ - ] Applicant/Owners History y Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present RENFROE JACK 6180 W 10TH ST GREELEY, CO 80634- I -1 Location Information is Approved Well Location: i . Q40 Q160 Section Township Range PM Footage from Section Lines NW NE 1 6.0N 66.0W Sixth 74 N 7672 E Northing (UTM y): 4485964.2 Easting (UTM x): 521741.5 Location Accuracy: Spotted from section lines - tt Physical Address Subdivision Name City/State/Zip Filing Block Lot • Parcel ID: Acres in Tract: [ - ] Permit Details Date Issued: 03/24/1997 Date Expires: '• Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS i. I' Special Use: 1ti P i:, Area which may be irrigated: Maximum annual volume of appropriation: t: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report c. No No No ., Cross Reference Permit Number Receipt Description Permit(s): • Comments: [-] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 06/30/1940 N Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate is 54 604 r r r [-] Application/Permit History > 1: Ownership Change 06/12/2003 Application Received 03/24/1997 Permit Issued 03/24/1997 First Beneficial Use 06/30/1940 F >< [-] Imaged Documents - ' Document Name Date Imaged Annotated Original_file 12/09/2007 No LI1arge_n Q�^wner lame/Address 11/30/2007 No 1 Copyright @ 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) - ` http://www.dwr.state.co.us/WellPermitScarchNiew.aspx?receipt=0030287(6/12/2012 4:l 1:09 PM] "P+ Na STATE OF COLORADO For Office use only Gw512N 1 04801 rams OFFICE OF THE STATE ENGINEER PERMIT NUMBER , - 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 {30.31 am-na 1 - . . REGISTRATION OF DECREED EXISTING WELL PURSUANT TO C.R.S.37-92-3O4(8) 1 WELLtOWNER NAMES) : NOFFSINGER MANUFACTURING CO., INC Mailing Address: P 0 BOX 488 City, St. Zip : GREELEY CO 80632 Phone: 970 352 0463 3G281 2 . WELL LOCATION: COUNTY: WELD OWNER'S WELL NUMBER: BROWN #1 (Address) (City) (State) (Zip) NW 1 /4 of the NE 1 /4, Sec . 1 Twp. 6 N, Rng. 66 W, 6TH P.M . Located at 74 feet from N Section Line, 1672 feet from E Section line. 3. The well has historically been used for the following purpose(s) : IRRIGATION. 4. Water from the well was first used beneficially by the original owner for the above described purposes on JUNE 30, 1940, 5. The total depth of this well is 54 feet. 6. The pumping rate is 1 , 34 cfs, 601 gallons per minute. 7. The average annual amount of water diverted is NOT REPORTED. 8. The land area irrigated from this well is: 160 acres described as:NOT REPORTED. (Legal Description) or as Subdivision Lot(s) Block Filing/Unit FOR OFFICE USE ONLY IN ACCORDANCE WITH THE PROVISIONS OF SECTION 37-92-304(8), CRS, THE STATE ENGINEER HAS ENTERED INTO HIS RECORDS, UNDER THE ABOVE ASSIGNED WELL PERMIT NUMBER, THE DETERMINATIONS MADE BY THE DIVISION 1 WATER COURT IN CASE NO. CA 11217 FOR WELL NO. 1 . THE REGISTRATION FOR THIS WELL HAS BEEN AMENDED TO REFLECT CURRENT OWNER,ADDRESS AND LOCATION INFORMATION. �._ MAR 2 4 1997 State Engineer By Date .1 Court Case No. CA 11217 Div. 1 Co. 62 WO I Basin MD Use 1 1 . • - . . ••••':' . ••. •••;• s ' 0-4,- . :a - ...•4,..,... : • • • • •• •• .. . • .. .• . • • II 0 . • •• • • ,: r •' • •�1, ,..c r.ry, -M4 [- • i'• 4. •• .!,• -•rj :Cr4 ,+t4b:Sr. ,;' • • ••• . •, • • • ! '.�' •.I{ .if�r�'L;L^fir - •••r: t- .• • i••:'rr• VI CO PI:WP IQ SUNS Me -.; ,,Ir;`:� ;�,` R: .. i . .•.. • •.• • .t•. i .•Q• •••t r... 1 Zs... . L... • • • • • •, 1 'he allegations". of feet Sn•the claim' here.— tiled ••• cfor:said`syirt►ei'y: '• 4; :; ;:�: k ' • •• d by t� • ''evidence. ��.,II�� _ • 'Ir." • i.} Y•..••.t•+• •.,..1�•••r,• 'ar• •. • I. •4•! N :•4041.u1•••• • • •' • !•.•j' • • ..r• .. :.= • '�••:•' • • • ,2. 7 name- of the claimrzt is V. MSS EMI ant his poet od'liee • •-1m'.:. • . Mt .. •••• ••• •,, •• � • •7. • 7'. '♦J • •••.4j••\+,t:• : ' • •,- 3 :Th• e. Bare of Chet troll. coflectivaly ecsprietng • ?��P •4: ::•:.••••‘.,.7-' ; ' • ea... •• • • - • • • ' • ..• • oii•• 4•• '' .� •' ' syste •* tres vhich the appropriation hereby claimed is derived is the •Biro :: • • 47::•:; :; ••r ',f. , .%f •, +t, : �; : . .•:•a� •%t . •;ice+'• • •• . •4•. • • RAC ST$'D NO. 1. r • . �' •t t • • ' • forth claim' ':•: -, s ' :• • '• L: I. gene• nob description of said system., as set in the N • ,'':•• j'': tf.,: 'ry;,E°: .•u,; . •' t �L���or' is :as follows: Said syatau 'consists of and inclveis' ttto m'+6•• • r=••„'41?et y:�'°`�'ee'rS iji: • • • .�_. • •• ' ,. •:'. . • . • •`s•it1;',...t''.•••?J' • '. • • •locate•d on the of claimant, includes '''• '♦i `�-•'•��' �; • • .•• _ i tel.- ventt 7 vhieb tbs lioxtbs ♦, *.J,4..;:.C. •:•m; '0,4.•:‘,•,40` • i' I .. T .f•• •t• . . Q •wurter ss ) of section One (1), in Township ail (6) :Borth, : �a8e•;Ss ter» nri- :� R� . ' • . so"... .. ;• •-..• • 0 .,• '� : s, • id2s+a, in �isld Country . .• cats' :I-.':;' • ••,- .:w." • '`iY _ • . t i : atY ,(66) -Vest of the Sixth Principal Vet ,, ,; • ••• 1,:n4: 4t •• :•• . - Ii'• ' •• YV�';r+,t•<b•�- •. 111FFF ` •• \.* •{ • • ,;" • . .• • •.'`'., • ' . • • Vett lb• ._ 1 is -located in a plot of gro"M 5Q feet - sgiri'bordes;...• , "` , ' o r4 line of said fan, theint 't1m, " �•/ ` �' .3 i•:' •:: . t North lenca center of 'With is a.p° • °" x: • ` r. �/����amt cotes Section 1 bears Sarth 8T ..., • .st.J."' :,„g.•;„„.a. 4 r1.. . .'_ •'t •a,•• • ...whence he northeast. t � ...tor.• •, •4•.•�N• ,'`••JIi•'� �7 TZII. ij ';l•. � • • .v a•r' • '�,•• 1 •.�•••• ' • .••• .16 +eeyi • - • • t.• • . . • ,Y�, hr •r`'�'4 t4 "µ••. '1.'.'�' �'�r•• fe••• •1•. . • •• • , • �• •••J''S,,. .1,.I � , -•, it .• • • • an• • `h• •-,'�•�4y S • d is a t} of Ground '50'feet •3n ..they:,ic• •••t ' f -1: • .' • i.„t.,: .;• . • • ' < .1 en 'stn. . 2 is locate plc thaws "�' '' .:;t �cxd . tt 71.k.:1•••••• •'',?::• •t ' 0s ct tr$ich is a po�.nt. trot vhenae said northesit corneas-suers r:�•1•4. yxlri :�;tr ;CI! . : ;1• • .. S ..' : . . • . 1 + • •1 •I�h•,,,...e4::•• i6` ;a�'O e..'(.....2i . en • ' `'• • ',pith •less •1/56 t • , r ,.• i'•' ,,•' it•t, t..• y. f G .0 feet: •• : � •\ N . � • • '•• ,'•••.. ,- ....'•..r. •.:'?r• ••.•;.•'_v N,'�•tt,...,. 04 `. ` i* for' the . irrigsti d�'tM�•`'i'"\' •t. •rr •: ':••s r Baia Vella comprise. a single sysi �` •�• .. _, „;..��r• �•t • . . • ;. .. .. together. mittens frail said.• vel is �s peipi�4 t a> f-r.�,If • • •' \• a • Y • bs••used e+++g+7 .r •�!••+. . ••lt •`•• •••• it k•{ •%"••• .• tli' ' �!h lit .dit h l■crth $�di of a t4- rantthrough._aton •it, •,• • ••a• �A•'..,:� ..r•'0• -,,, ..:ft So^ iAVb .a •h on V{� .r./ t•f7 ;7y•• •-'�.• ••.1.:'i`•1 E ••�- or he,:t eci a �terti r%�iM,,S r c':I 1 n'-t) redo=to •. - - r the. test or • .Sias , ... _ f :'!< ::: •;•••;;•••.,t � i`.r '�` a• • . • • • • ' ••• t• • . • • ' •' . "• •' :• •r . .� - , .• •. • _r.'• • •r7.K •• • •..� a.'fr�' • •••:: . . . 'eoatl aattjYl� j //sti04 of said tax'= • ': : • ' , ,. :d• ••._ ,:�:at;•I,ti; •* • • • f s • ••: for. the in` • . •:ease �':s•• '•:r •.J r:. ••. ,• .*I* • 'I . • • • \•• • • •9.. '• , . JJ• _ ��`yy . . r�i1 •.' ' -. •• '•\•' • • •• :..• .y„�'. •••• - : • .•-. *... �,- r• el. I .. A ..• ••...lc • • •T �. , • ,•• . •',y4•:.,6. •• •f' .• 'g;,111. .: •.4�S_0or,. . .%• 1Si a W4••• .r • • • • •• r•••.• ••• '. •t•' •• ..• •• •• ••- .P• .. 'a •:•,•.♦'•' •' �f'•}'•\�• .ti• t\7�• r C•.iC. •• •l • r '1t ••r' •. • I•' • • • • • - •••' ••: • • r • •,4:, �"..tt,:... '.•4:1•Li J.yt-•-y ;:A� • 'a. V.'•i • ''..~•.•{4�• :1 '•' f r-' '• 441 • • • • • 1•' • - .4 • ' , . . j• 4 • 1• Pr • ,•S: .q.:�r ••'''t-I�4.v �.'aa-� u. I^^ ' O 'j4i: '• ?. •''.�' !7 ••i • • ,. . .� • �I• •• •. •r... ff1'♦•�f�+ f •• * S�• •t: 6• i. ,.„\*�'r +a' Pre..., ' •S roe.:� , f ., t k.=♦ �:r' :4•2(4.1.:14s": •' f + d'.4.1‘111.:1 % 7•... •• jet {•{ •••••••4•.• •t•• : • •••11O•••2•, ,. .�1+ • ' .:....;;•• •' •.41~' Jr :, •,4,,�rQ 1 . • 1q • , .t•},.. • r ' .. • r+ o. - .! • �•,. . - J'(• � M. .. t IBC ♦ 11• s.i L ,ii• • tfIrt St • •Jam•'`� '•' 4 .. ' • ., I •.. '°`' •,' '�f w.. �y• ••.«• } . • . r• • w•� • •,• •: ,v,.• -•eIC.111 4•x•r. - • { •�15 `a•• .'• ,...... 1. • . .r • . .. • •• •.• . • •r •••; f •.% rt..," ::...,`Vtilpi •4 • ••• irl: .i ti •n.i -• •• •:,. • • ' 4%.**.. •. • `•• •` yy • • PM .i • • Said yells are designated as: WELL NO. WILL :_2„ r • .. ; _.. `• '• Depths: 5h feet 57 feet : ;' ", '�' .'r i•••J.J •1 � .• !',• Diameters of casings : 46 inches 46 inches . . '' - `•'yd. •. :•t i:4,4: 8�.ees of pumps: 8 inch 10 inch ' ;'' ••.•:. .; ' C.4;� �_ • •• •- . • •_ e• '•. ' • ice: • • Capacities 'developed by ping: i.3h cm 1.67 car . •:� :.. :� Commenced by actual construction in: , • ibni 1.940 iihrch 1932 :•~+'.' "'; 'fie %:fi'' •--7-t%. Casp1etad JAI I Jul& 1940 t . ally 1932 ' -*- * - • • .. ••• • : s.2 •- •:••• •• ': 5. The source of supp:�y frc which water is drawn and diverted is a - .,.� ,. t j ...M .• • distinct source of tundlrgz`o sd .or subterranean water in subsurface strata ▪ `s• ' underlying lands owned by claimant and others, from which eater is' pumped to .•tm ! .........•• ' •• : • the surface from the irrigation wells of Brown Pumping System to. 1 '` • • -. :• . • ',�. •♦^"G 1-'(• - Said water is drawn Tram beneath clap strata to the surface o . said : '^)! ; ;,_ :;) • lam, is not tributary to or, a part of any known or natural strata � would : • _ a ' . • not in natural course, if left undisturbed in its natural condition, augment •• • : •;-•• - the flout of any natural at • • ream, and., except for that portion consumed by ' 410 crops and evaporation, the water. so released, Duped and spread upon the -; ';' ,,• • land •replenishes the raters under said lands :: �"`�i :�▪: "6. ` '.t 411's' i3>2: mid land esyd all border lands an irrigated from dit• . . ••" ' ' •• .•-•4-0•gib• ` • 3 '4_ . taking crater fromtbt+ Cache la Poudt`Q River and are located titithin ` " 3• *` - • .' • `A:t'i. 41▪ of ; • District No. 3, Miter iivieion i of the State of Colorado. :, '��;' 6. Said nueping system was initiated by the commencement of We3,J, Dfo. 2 ' •, s + % .. >. in March, 1532, and has been. developed with a:. diligence by construatSon - . . ;• �„w• ' •'` r of Well 3o. 1; and water has been used Tram said veils , to their &L.:tl. - : ?v ' •.: `T :t.?? '' . `= capacities, •and applied to beneficial use for irrigation of claimant's said • :,`.,..e. v4 60 acre of land, continually eve:- a inc. the respective dates of complo�tioa • ..i.--.:.'27k0.8 M' • . of • `. '• OA* said wells . - ; •.: •••-.• T . ' •'r. �! 7. Claimant has perfected appropriation;. of water from his said pezap•• ' �`'� its system, by Well Ito. 1 of 1.34 cubic feet of rate'- per ssconl of tiros as. - '▪ :••;:a IA. . . • ' • • 1 ` • ••, ,'• • •• ' . , •- ti - - ♦ ••• , •4 .164,,. N'1• •.',j ..: • • .•• . .., •, • , - "�Y.i`' ' • • •!': .♦ ••'4 w • . •1i'4 ... Jo I.''• :• . ,I :. 4e, •- A. •• ' , %.1. ••,y • •, ;I. , • r • ', •, , . . •.• 1.y: •1'ft• • ♦ • .} ,• •, 1•\�I,xtJl;,• • ••1, - • �. ' -2• • •. r r•.•. �' : of: Bite Mine 30, 1940, ant by Well Ito 2 of .1.67 cubic feet of titer' g .r.- , ,eeomd • • . . . . fof♦ • flee as t f date ll�rch 31, 3.932• • . �:4•4:1• ••••-•_ • f• 8 ' The eat lmt of tater claimed is reasonable and is necessary for the' •;• ., -•` • • t '' • • ' • j j son od said lea& and correlates to the• needs • ' • • t.:. ....,s : . . . of claimant- and others • :.:• •s, • »� : watt lends overlying said soti:'ce a the under Ound water diverted by • 4:.:;‘,„3.• •,. . :. . 'said wells?• • -f<�' • ' I-. • • • • CONC� I01� v • •'••1:41.. :. '♦ • .1, • claise3e • .f titled by law and la equity to a decree per>�aitting ,'• • ' Y :' • to p. • divert and use eater from said' source for the irrigation of • • • - . ••:•••••• •-• , , his land, and ann ling priority dates and numbers as follows: • t Bra= p►a�iag Cubic Fret Per pr• iority S• ubterrat�saa Water '' : -. . .���•:•_ ;• ' j :, •• • • 8�Istes• 'xo. 1 Seoc of• l'Swe Date Nell Yjc'3 nritl l_to. _•.• ' to.: ,•Xo. 1 1.34 Juno 30, 1910 �. • . . ... ,.• __ O.tii� ' :.� a� • • • •Z41G 2 1.67 t0►rnh 31, 1932 - mil„ 8 'W " • r• mow•► •• ••,-••�:1+.•. ,o.• •'�tRTORS IT IS , ADJCDRZD AID =REVD, itat the party or parties • •• •-•'r -'is' entitled te• • the valls, pis and equipment herein called BROM P S •'•`t .;•'•i *•1 L. . ,• ♦••• . SOloowted in,the l�rtheast Quarter (me) 1 •• ••` ems• ' � ' 1, of Bsction • : Offs ( ), in Tcsrfaship ,• �,. -. th Prinei rt;";j ,,,.� • Sit (6) ?tnx-tb, Bengt Si."ty-nix (66) Vest at' the Six pal tridian, .it • t. •, ;•I, tie and the hereby permitted to pump, _ divert and ' ,ix • • Held County, Colassdc, Y +►i'e ,. --, Y: bly; use the varier nd waters described in mid elsi• m and findings,' th vgnfl mad ' . • - • •,j�•�� • .•,'.,C. / • • • • •• , by Beene of tbs tells and equijte comprising said system, for the irriga .' f•• : • .• .. tic= of. said 160 scree Of lath, and located as follars: , ! • : �+: -' • • • • feet : • ua t �!i• * . M.• Well Ito. 1'is located is r. plot of ground: 50 ,• .6.1"...4 ,„ ;a, ells nth lanes lime of said tar., tie center of xb�ieh ii .: :•:+ • point from thence the northwest eor?�r of said Seation- 1 f ;ti..•e 8 1* • —. mast 167* feet. • t4r•, • • bears North T , .. :: :. „N. 50A. ••1/4:I'''. . • '.: . Well so. 2 -is located in a plot of ground 50 feet in timmetsr, the a.. - • •~ center • of shah is a point Tree ' thence said northeast tOrner • • o. • bears !forth 78.55' twat 1956.0 • filet. ': . • - '� •:, , - . •f •' ' `� �M 1.6.parts . particle are -wad, shall be permitted to l'i dingy •• ..*.n.- :•,....::.• • • ♦ • 4• - • ,, �" - - •• . ' ' fi •e' •- • _•1i' ., , ••♦ ,• '•y' :l'-V ••• Cs , 77 r,, • ••4!...,..1...,4 t , • . ♦, - • • 'L, •. .. • .• _ 'YL r. r�11 �i.t• itioe ,1 • i - . . . • „ • • 1' ,4,0•1` ••• n • . ,. . • . . • ' . . • . - . . -• • ••••• • • - • • • . • ••'•. • �' • ••i1r••..••• • •1.. • •• ••• •• . • • • •�„'' :vii •• '• • ,rear Lr i•• .• S‘▪ y • . . - . • • L•I a•, r • ~• V▪ , •• ' +' • \' •t use aforesaid the t. of eater and are, awarded the priority dates'and - • • ��` ' '` ' priority .numbers as tollovs ' • ••.41, •`- ^ • •• Bubterratefu :Wate• r, • 1•, : -\• •�4_• 'i• • ;JR: , .' 'Ql1•?espies- • {,iibic Tset Per Priority :• r: '. • �`'' '�,:_ • Second bf �a` Dste 1�e11 priori Ito. II .1.cen. • .� c • • �•� � • • • 1 t/!Ir*• . '•l • • 11, •Y 'Mae 30, V 40 •I '9 � �.•r. • .•I i•, I, •''•'' ••�\ 1y,t{y " p� • • x:67 *web 312 1932 _5& •t� •••• • g$,,. .. 4. • '=!�: � Be►it•at:Mat :o! i tter heretofore appropriated and said diversion rate:"": .r "..▪ • • ,1 :` • •' .• .••••t .J • • . , ,J •v. I•� i •• %• • K ` art reauc*sbie• sad accessary far irrigation of. said lands eM are' correlated'••• • +•to the needs of.' other Loss overlying the source Of the underground ' . . . :- .. r .` : •• =r • .3 r..' rater divertad by said veils. • . ti �, • . • .- .1•:.1 t /, 0 t .•�•,• T ▪ ' •' '' r r' ;fi I.•3-;' . '` N •• • • . • • _ •fr.••1, • • • .. I • ••• 1)1 • '.' 4' I •. ' • • , , • • • , , • • f • ' •• „ •• 1' •p. • . . ' ••• • • . • .• ••' .• • . •• • •`•, , . • • • , • , • . • • •.• • • .• .• • •• • •• , , • , . •• • • •• •' .• •• ••• • • • . • . . •• • . ••• • •• .•• •, ' • .� •• :• ••« {• 5• ' ,t • . . ..., •• s `•,r • •it,4�. E • ", •, • • • t. r .r�••' • r'.i• 'I• • • • • • • • • • •. ' • • • •1 • •I: / • • • • , • •• • •. •.i •' • • • •sa�.l• • • , : w±,, •• `• .:......'(,4 7 • t': • �,. • ••• ••• •••• •. • ••"•''• e'- •• ,. •Y•, • •• • ,.14 .t•*:1. • •t :• ' i • . •♦ .l•.y•• • •.•i•••..• •• • • ♦• • •' •i. \ ••t , • •• • •C•1.•• ' • _J .• • •• ,;• '• •• •• •• •• AS. • . . . A.e.Awsel•t4i,c,ilo;...•• • ••,' I• , Ir .,• w• • • . . - . . a. a. • •V•• •••••N•••••••/•t•• . • • • • • • i I r FORM NO. STATE OF COLORADO For Ofrice the only oYvs 11 OFFICE OF THE STATE ENGINEER 07,133 816 Centennial Eiidg., 1313 Sherman St. Oerwar, Co'mat 60203 330.3) 800-3581 • PRIOR TO C]OMPLEffNG FORM, SEE INSTRUCTIONS ON REVERSE SIDE CHAINGE IN OWNERSHIP/ADDRESS / LOCATION WELL PERMIT, LIVESTOCK TANK OR EROSION CONTROL DAM 1 . NEW OWNER RECEIVED NAME(S) Noffsinger Manufacturing .CO . , Inc ., ,,,,,,,,, JAN 2 9 1997 Mailing Address P 0 Box 488 wA „ City, st. zP Greel.c ax.o. Phone (970. ) 352-0463 2. This CHANGE IS FOR ONE OF THE FOLLOWING: Brown Pumping Sys - la WELL PERMIT NUMBER CA 11217 f tern No . 1 , Well No . 1 UVESTOGK-WATER TANK NUMBER • .• - . -- - • - - . t...J EROSION CONTROL DAM NUMBER . / - 3. WELL LOCATION: COUNTY T.fe d • OWNER'S WELL DESIGNATION Brown No . 1 ( ► ) (C1 (Stair) (ZP) NW 1/4 onto NB 1/4, Set. 1 Twp,..,....6... . X N. or ❑ S., Range 6 6 E. or X W. 6th P.M. Distenn s from Section lr s Ft. from N. o. El S. Line, . Ft. from ❑ E. or El W. Line. Subdivision Lot Block Filing (Unit). .. ... ... .. .__ 4. LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY . .. . ... ..,. . . ... 1/4, Sec. , Twp, N. or • S., Range III E. or ■ W. P.M. 5. The above listed owner(s) say(s) that he (they) own the structure described herein. The existing record Is being amended for the following reason(s): �} Change in name of owner. Change In mailing address. I ...1 Correction of location. 6. I (we) nave read the statements made herein, know the contents thereof, and state that they are true • to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements erein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] Name/Title (Please type or print) • ' as atone r/ Date James L . Noffsinger , VicePres . ' 1 / 28 / 97 .. _ . _ . — .._.._ • •••_• FOR ► Fl USE ONLY State Engineer 8Y DaLe Court Case No. Div. Co. WD Basin MC) _�_T� Use_ INSTRUCTIONS CHANGE OWNERSHIP-ADDRESS LOCATION CORRECTION FORM JULY 1993 NO FEE IS REQUIRED The form must be typewritten or printed in BLACK INK. Initial and date any changes you make on the.form. This FORM MAY BE REPRODUCED BY PHOTOCOPYING OR WORD PROCESSING MEANS. INCOMPLETE FORMS WILL BE RETURNED. ATTACH ADDITIONAL SHEETS IF MORE SPACE IS NcEDED. 1 . Pi'ie new owner's name and include the mailing address and phone number. 2. liidicate1f'the change in ownership/address is for a well permit, livestock water tank or erosion control darn, Stsure to include the proper permit, tank or darn number. . Wt , 3. Complete the well location information. If the address of the well location is different than the mailing address of the owner, include the address where the well is located. if the owner has more than one well, provide well name or number as designated by the owner; I.e. North Well. The actual well location must include 1/4, 1/4, Section, Township and Range. Check the appropriate boxes for North or South and East or West directions. Complete the Subdivision, Lot, Block and Filing information, if applicable. 4. Complete the location information for the livestock water tank or erosion control dam. The actual location must include 1/4, Section, Township, Range and P.M. Check the appropriate boxes for North or South and East or West directions. 5. Check the reason(s) for submitting the form, whether it is a change in ownership/address and/or location correction. 6. The owner of the structure must sign. Print or type your name in the first block if it is different from Item No. 1 . tf signing as a representative of a company who owns the structure, then your title must also be included in the first block. Sign the second block and date the last block. USE THIS FORM TO CORRECT THE LOCATION OF YOUR WELL IF: A. Your well was permitted, registered, or first used prior to May 8, 1972 for ordinary household purposes in up to three single-family dwellings, fire protection, the watering of poultry, domestic animals, and livestock on farms and ranches and the irrigation of not over one acre of home gardens and lawns. B. Your well is not of the type described in A above, but was permitted or registered prior to May 17, 1965. Inside the Designated Ground Water Basins, other procedures and publication may be required. C. Your well was decreed by the Water Court for the correct location. IN ALL OTHER CASES USE FORM GWS-42 All other types of changes concerning Livestock Water Tanks and Erosion Control Dams should be submitted on the standard Permit Application form and be accompanied by a $15.00 filing fee. If you have questions, contact the Denver or the Division Office where your well is located. DIVISION 1 DIVISION 2 Box 5728 DIVISION 3 Box 269 DIVISION 4 Box 466 800 8th Ave Rm 321 219 W 5th Rm 223 422 4th St 1540 E Niagara Greeley CO 80631 Pueblo CO 81003 Alamosa CO 81101 Montrose CO 81402 (303) 352-8712 (719) 542-3368 (719) 589-6683 (303) 249-6622 DIVISION 5 Box 396 DIVISION 6 Box 773450 DIVISION 7 Box 1880 DENVER OFFICE 50633 US Hwy 6 & 24 625 So. Lincoln Ave 1474 Main St Rm 821 Glnwd Spgs CO 81601 Stmbt Spgs CO 80477 Durango CO 81302 1313 Sherman St (303) 945-5665 (303) 879-0272 (303) 247-1845 Denver CO 80203 (303) 865-3581 { S . . ,Form STATE OF COLORADO RECEikirifffice Use Only No. OFFICE OF THE STATE ENGINEER GWS-11 818 Centennial Bldg., 1313 Sherman St, Denver, CO 80203 06100 (303) 866-3581 Fax (303) 866-3589 J U L 2 4 2002 • ECEIVEO CHANGE IN OWNERSHIP/ADDRESS w�,TERRsr"T _so=RCE= CORRECTION OF THE WELL LOCATION COLO. ER FEB 1 4. 2002 . 09-801/ - F Insert the Well Permit Number p • g' y _ STATE t��NEEts Well 1 Brown Pumping' S stun No . 1 STATEENGINEEA COLD. Name, address and phone of the person claiming ownership of the well: 7 NAME(S) Jack Renfroe , Scu t 'ro d 36"2 6180 W . 10th Street lf your well has an absolute water right, decreed Mailing Address by the court and the well is not registered with the State Engineer, enter the Water Court Case City, St. Zip Greeley, CO 80634 Number / Civil Action Number and well number // as decreed. _ Phone ( 970 ) 3S a 374) This form is filed by the named individual/entity claiming that they are the owner of the well permitted as referenced above. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: County Weld Owner's Well Designation Brown Well 1 (Address) (City ) (State) (Zip) GtJ NW 1/4 of the SW 1/4, Sec. f. , Twp. • Qi . X N. or S., Range 66 E. or X W., 6th P.M. Art 7 Distance from Section Lines 7V Ft. From N. or S., lop 71 Ft. From °A E. or I W. Line. Subdivision Name _ Lot , Block Filing/Unit The above listed owner(s) say(s) that he, she (they) own the well described herein. The existing record is being amended for the following reasons: x Change in name of owner Change in mailing address Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted after May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are) the owner(s) of the well described above and that the commencement of extraction of ground water from this well, lawfully made under the well permit, occurred on the date indicated, and that the statements made herein are true to my (our) knowledge. Please print the Signer's Name & Title S nature(s) of the n - wner. Date Jack Renfroe 01/ 16/02 It is the responsibility of the new owner of this well to complete and sign the form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon its receipt. For Office Use Only ACCEPTED AS A CHANGE IN OWNERSHIP AND/OR MAILING ADDRESS. • alt44 4 . inc -O3 to ineer • By Date � J State of Colorado Water Resources - View Well Details: Receipt 0359189A Colorado Department or Natural Resources Colorado.gov I Contact Us Colorado Division ofk. ` '' '`iti ` Water Resources ,r�^ � — : '4� K;) .rf� .( .v n� �' •5 i .--,-4. i�` 4 •.1:12- 7 r3'-o.e.aT! 11-7A.�1� •fro yJ }�, w„ ,,..- •� ..jt` Focused oii`Cofo at ',}?e'o1i?4. a eb V V ardsh+r" Colorado's Welt Permit Search Well Abandoned ... '? ;' . Last Refresh: 6/12/2012 12:01:21 AM t' Receipt: 0359189A Division: 1 i Permit #: 173547- - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: . Case Number: i. WDID: r' i. r[_, Applicant/Owners History • Date Range Applicant/Owner Name Address City/State/Zip I'. Unknown - Present VIC LEFFLER & SONS INC 16977 WCR 74 EATON, CO 80615 t [- ] Location Information i. tl Approved Well Location: ?, a Q40 Q160 Section Township Range PM Footage from Section Lines l• NE NE 2 6.0N 66.0W Sixth 40 N 60 E I! Northing (UTM y): 4485984.7 Fasting (UTM x): 522290.5 , Location Accuracy: Spotted from section lines Physical Address Subdivision Name .. r! City/State/Zip hr P Filing Block Lot Parcel ID: Acres in Tract: I -- ] Permit Details Date Issued: 10/07/1993 Date Expires: 10/07/1995 Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS • Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: t Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report Ai No No Yes Cross Reference Permit Number Receipt Description t Permit(s): Comments: 1ST USE 1/1/1940;40 AC@34945 WCR 35;20,000SQFT LAWN IRR&DOM ANIMALS f,•r [-] Construction/Usage Details I;- Well Construction Date: Pump Installation Date: Well Plugged: 10/13/1993 1st Beneficial Use: 01/01/1940 I' Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate -. 40 30. i. 1l [- ] Application/Permit History i` Abandonment Report Received 11/24/1993 , Well Plugged and Abandoned 10/13/1993 k Permit Issued 10/07/1993 i. Application Received 08/20/1993 ;; First Beneficial Use 01/01/1940 r [ - ] Imaged Documents Document Name Date Imaged Annotated 1. Original File 12/06/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Polity I Transparency Online Project (TOP) http://www.dwr.statc.co.us/WrI IPcnnitScarch/View.aspx?receipt=03591 89A[6/12/2012 11:08:51 AM] Form No. OFFICE OF THE STATE ENGINEER • • GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 (303) 864'x3581 LR WELL PERMfT NUMBER 173547 - _ - APPLICANT DIV. 1 CNTY. 62 WD 3 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY VIC LEFFLER & SONS INC NE 1 /4 NE 1/4 Section 2 16977 WCR 74 Twp 6 N RANGE 66 W 6th P.M. EATON CO 80615 DISTANCES FROM SECTION LINES ( 303)454-2515 40 Ft. from North Section Line 60 Ft. from East Section Line REGISTRATION OF EXISTING WELL • 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 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 right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation 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 17. 3) This well is recorded, and permit approved, in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1 ) (e), being a well producing 30 GPM and used for fire protection, the watering of domestic animals and poultry, and the irrigation of not more than 20,000 square feet of home gardens and lawns. This well is located on a 40 acre parcel at 34945 Weld County Road 35, Eaton. 4) The average annual amount of ground water to be appropriated shall not exceed 1 acre-foot. AW/4 • G- 9,� APPROVED l Ifx • TLC , Stele Engineer By Receipt No. 0359189A DATE ISSUED OCT 0 7 1993 EXPI TION DATE /WA ifi -- 053 WRJ•5• Rev. 76 • COLORADO DIVISION OF WATER RESOURCES • • y 60 i ; ��r ;•; 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 • . RECEIVED t , , . • PERMIT APPLICATION FORM mm i Application must Quo 2 0 '93 r ■ be complete where ( X ) A PERMIT TO USE GROUND WATER FiW m applicable. Type or ( x ) A PERMIT TO CONSTRUCT A WELL print in BLACK FOR : ( x ) A PERMIT TO INSTALL A PUMP WATER RESOURCES t • INK. No overstrikes STATEENGIRE or erasures unless ( x ) REPLACEMENT FOR NO. � 1 ate rag . COED. initialed. ( ' ) OTHER WATER COURT CASE NO . • ( 1 ) APPLICANT - mailing address : FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUMfm r7 -13 es NAME V i r- Leffler & Sons Inc . Receipt No. 357/ A p ! _13 / !� R 74 16977 WC STREET Basin Dist. _ - ( CITY Eaton . CO 80615 (State) (Zip) CONDITIONS OF APPROVAL to m TELEPHONE NO. 454 - 2515 This well shall 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 right or preclude another owner of a vested water County Weld right from seeking relief in a civil court action. / NE Y, of the NE '/., Section Twp. 6 N , Any. 66 W , 6 P.M. tN.SI ( E.W) (3) WATER USE AND WELL DATA / Proposed maximum pumping rate (gpm) 3 °. J/ Average annual amount of ground water 1 to be appropriated (acre-feet) : ,' / Number of acres to be irrigated: 20 , 000 sq . f t . k Proposed total depth (feet) : 40 Aquifer ground water is to be obtained from: gravel _ ) Owner's well designation • GROUND WATER TO BE USED FOR : ( ) HOUSEHOLD USE ONLY • no irrigation (0) / 004 DOMESTIC ( 1 ) ( ) INDUSTRIAL (5) ( ) LIVESTOCK ( 2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED I DETAIL THE USE ON BACK IN ( 1 1 ) • PERMIT NUMBER (4) DRILLER . • • DATE ISSUED Name R & R Well and Pump , Inc . _ EXPIRATION DATE Street P . O . Box 577 . . •. City Greeley , CO 80632 (STATE ENGINEER ) (State) (Zip) i Telephone No. 353 - 31 1 8 Lic. No. 857 BY _ 1 .D. l COUNTY 6 Q - 03 V it� J •• (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. • + — __ — _�_ __ __ ._1 ._,• } 120 ft. from North sec. line / - } -�- -I _ + �' _� (north or south) ..:4!t :•i1',!�%ti' Si I4, 1 MILE, 5280 FEET ------ri I 1 20 ft. from East sec. Iine,•,ur least or west), I • • LOT BLOCK FILING . f ! u � ., 4- _ --I _ NORTH SECTION LINE SUBDIVISION I x (7) TRACT ON WHICH WELL WILL BE I I LOCATED , . , , _ •., _ , . I ii ;; r t ' I. 4_NORTH� _ r - m Owner: same as(7) 2 y No. of acres 40 . Will this be • IA { o • , . us m I` the only well on this tract? flO 2 I 5cs + T (8) PROPOSED CASING PROGRAM• . I (.0I I z • ' t r 1 ( t • ' i • ' ' r I Plain Casing rn +— .— — F . : :. _m . + f 6 in. from + 1 ft. to , 20 ft, 1 I I . I in from ft. •to • ft. /.,it - r.. +. - L _ _1_ _} Perforated casing SOUTH SECTION LINE I . ' 5 in. from 2 0 ft. to 4 0 ft.; . •• . + 4- +• -4-- -•I- -4- -1-- -4- in from ft. to `t. • I { I I I ' (9) FOR REPLACEMENT WELLS givedistance . and direction from old well and plans for plugging i_ - _i_ -- _t_ - 4_ - ± - 4_ - _ - _4_ - + it: _ .. The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep . As per rules and reqs _ 1 cubic foot per second (cfsl . . . 449 gallons 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 gpm pumped continuously for one day produces 4.42 acre-feet. ( 10 ) LAND ON WHICH GROUND WATER WILL BE USED: • . , •.. , , .., , .. (, , Vic Leffler & Sons Inc . 40 Owr er(s) : No. of acres: Legal description ; NE1 / 4 , NE1 / 4 , Sec . 2 , Twp . 6N , 66W . , 6PM ( 11 ) OETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. To irrigate 20 , 000 sq _ ft _ of yarn surrounds 11g single • family dwelling . 4 . : - -4k.f rttli ;r + t (: s . • r . J • . : 1 ' ' ' 1 ` • t ( 12 ) OTHER WATER BIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. • ' 1 • . ;h , .' ( � ) Type or right • Used for (purpose) Description of land on which used Well # 1 Permit # 1597• Flood crop irrigation NE1 / 4 & E1 / 2 of NW1 / 4 , Sec , 2T6NR66W / • Case # 11217 Well # 2 Case # W6085 , 12 shares Larimer and Weld`Re'servoir •( 13) THE APPLICANT (S) STATE (S) THAT THE INFORMATION SET FORTH HEREON IS 1 i :' 1 .li;isc,► 1 ;1 ? ' • TRUE TO THE BEST OF HIS KNOWLEDGE. S1GNATUf? Of P ANTIS) • . _ I 711i r.tr., 7,•.) r ' •Use additional sheets of paper if more space is recuired. ;e4 I in �i li t rr?a. , .� __ .. ... . _._ _ .... _ „... ... I ) )t t )l IAI ) ) I nl l MHlra use glut - 1AF. � iC � . . K.) y �� 10/89 OFFICE OF 111E SI ME ENGINEER ' KIWI t- NUMBER 018 Centnnniol ttldp., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 FOR tNSTt7UCT10NS SEE REVERSE SIDE RECEIVED REGISTRATION OF EXISTING WELL pig 2 093 us 1 . WELL OWNER WATERIMACES w S NAME(S) Vic Leffler & Sons Inc 001A r 0 Mailing Address 1 6 977 WCR 74 a- / City, St. Zip Eaton , CO 80615 ri m O' Phone ( 303 ) 454 - 2515 I — flectipt tJo.3S9 f P3 oleic WELL LOCATION: COUNTY Weld OWNER'S WELL DESIGNATION// / r A 344j WCR 35 Eaton CO 80615 t fig,{' ea (Address) (City) (State) (Zip),01 tt-te NE 1/4 4;(Iire. NE1;A1/4, Sec. 2 1 wp. 6 12 N. of r S., Range 66 _ E. or RI W. _6_—P.M Distances trorii Section Lines ! X{ 40 Ft. from VA N. or I S. Line, 60 Ft. from 'E. or W. Line. 3. The well has historically been used for the following purpose(s) : Irrigating yard and garden / Watering of livestock 4. Water from the well was first used beneficially by the original owner for the above described purpose(s) On Jan . 1 19 40 . � 5. The total depth of this well is 60 _ ^ feet. 6. The pumping rate is 30 gallons per minute. / 7. -The average annual amount of water diverted is _ 1 acre feet. 8. The lend area of home lawn and garden irrigated from this well is:_20 . 000 [1 Acre or II Square feet, (Number) • described as: part of Ic? J4,NE1L4 or Sec . 2 T6N , R6 6W . II ennl t crir'linn) o: as Subdivision Lot(s)_ Block Filing/Unit I (we) have read the statements made herein, know the conturlts thereof, and state that they are true to my (our ) , knowledge. (Pursuant to Section 24-4-101 ( 13) (a) C. R. S., the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor. ] 9. Name/Title (Ptonse typo or print) Signature Date / VIC_ Lef f ley - ton s 171C , l793J aa Y k -is flzL 2 �iCFLER FOt3 OFFICE USE ONLY } • use; cue.. -ia jg-- Z10 EPPX 17'613 ) 443`-1 3 4-2 Ave, look. — 7j ;l'�r9" D+•t u/�'1 (see, c Z. re fe-V./-Ai5 X/14,x/ nett-A;r C./ I o • €2.d '- " o.r.k 6. & rnuts 01-1111 co.se,'o It Z1-1 ' errlgaol'irw. NON Ir ts\i.{— "ell 5 .t Vh,,"t19 * c,c +�- 2 oItvr i rri cctitA wells o,, +t+''' fer, — see �' or KPI, 7p' a see. 1 on Woe-f b State. eirpineer ray Data Court Case No. Div. 1 Co. G Z. WD O3 Bashi MD Use ilI . - . t •- I t • • INS i RUCT 1ONS FOR l T HE COMPLM I iUN OF I REGIS I f Al ION OF EXIS I iNG WELL . IMPOITTANT INFORMATION: CERTAIN WELLS NOT PREVIOUSLY REGISTERED Oil PERMITTED MAY BE REGISTERED PURSUANT TO C.R.S. 37-92-6O2(5). THE WELLS MUST HAVE BEEN CONSTRUCTED AND PUT TO BENEFICIAL USE PRIOR TO MAY 8. 1972. THE TYPES OF WELLS THAT MAY BE REGISTERED ARE 'DBNIIFlED AS FOLLOWS: 1 ) Wells not exceeding fifteen gpm which are used for ordinary household purposes. fire protection, the watering o= poultry, domestic animals and livestock on farms and ranches. and the irrioation of not over one acre of home gardens and lawns, but not used for more than tnree single family dwellings. 2) Wells not exceeding fifty gpm which are in production as of May 22, 1971 , and were and are used for the purposes described in (1) above. 3) Wells not exceeding fifteen gpm which are used for drinking and sanitary facilities in individual commercial businesses. 4) Wells used exclusively for fire-fighting purposes if said wells ere capped, locked and available for use only in fighting tires. 5) Wells within Desionated Groundwater Basins may be registered provided they do no! exceed 50 gpm and are used for not more than truee smote family riwellinos arid me irrioation of not over one acre of home nardens and lawns, or the watering of livestock on ranrre :rricf rasture. They may be used In one commercial business, but may be further restricted by applicable Ground Water Management District Rules and Regulations. The Form must be typewritten or printed in BLACK; IN'NIK. Initial and date any changes you make on the form. INCOMPLETE FORMS ARE NOT ACCEPTABLE AND WILL BE RETURNED. ATTACH ADDITIONAL SHEETS IF MORE SPACE IS NEEDED. T IE FEE FOR nuns OFA LATE REGISTRATION Pl+YAB E To T� TE 'STATE ENGINEER-. iF 1FIE 1JCTE r. .-�r.T ♦+.�... .. rte.... • �- TIEGISTRATION iS ACCOMPANIED BY AN APPIJCATION FOR A PERMIT TO REPLACE THE EXISTING WELL IN THE SAME AQUIFER THERE IS NO ADDITIONAL FEE 1 . Print the well owner's name and include the mailing address and phone number. 2. If the well location is different than the retailing address of the owner. include the address where the well is located. North Well. The actual well tomtits' rnust include 1 /4. 1 /4, Range. Township, Section and distances from Section lines. Mark the appropriate boxes for North or South and East or West directions. 3. Describe the use(s) to which the water has actually been applied. • 4. Enter the date of first beneficial use by the original owner. This date must be prior to May 8, 1972. 5. Enter the total depth of the well 6. Enter the pumping rate of the well in gallons per minu;t . 7. The annual amount of water diverted in acre feet must be indicated. One acre loot is equivalent to 325,900 pallor's. An average home with lawn and garden irrigation divers an average of one acre loot. Average home use which does not include lawn and garden irrigation (watering) diverts 1/3 acre toot. 8. Report the area irrigated either as one acre, fraction of one acre or square feet by filling in the correct number and check the appropriate box. You must descrioe the specific area irrigated using either the ;eclat Description of that land or by referencing the Subdivision. Lot. Block and Filing or Unit number. The watering of home gardens and lawns is considered irrioation and must be reported. -If the well is not used for irrigation, place a zero in the acres irrigated blank One acre is equivaient to 43,560 square feet. 9. The well owner must sipn the form. Print or type your name in ttre first block if it is different from Item No. 1 . 1, signing as a representative of a .cong,nrw who owns the well, then your title must also be included in the first block. Sign the second block and date the last block. • • The existence and use of the well must be verified try field irrsriection before the registration can be processed. For an inspection, contact the Division O11ice where your well hx;ntud. Divisions are based on major river Drainage areas. For example, the Division One Office aorninisters the South Platte River Basin. DIVISION 1 DIVISION 2 '' DIVISION 3 DIVISION 4 209 ARIX BUILDING 219 W. 5TH RM. 223 422 4TH ST. 308 S. FIRST ST. 800 8TH AVF. PUEBLO, CO. 81003 ALAMOSA. C:O 81101 fv1ONTROSE. CO. 81402 GREEL.EY. CO 80631 (719) 542-3368 (719) 589-6683 (303) 249-6622 (303) 352-8712 DIVISION 5 DIVISION 6 DIVISION 7 DENVER OFFICE 1429 GRAND AVENUE 320 LINCOLN AVE. STE. E 1474 MAIN ST. RM. 823 GLNWC SPGS. CO. 81601 STMBT SPGS., CO. t u4n DURANGO, CO. 81302 1 313 SHERMAN ST. (303) 945-5665 (303) 879-0272 (303) 247-1845 DENVER, CO. 80203 (303) 866-3581 GWS-.13 (9/92)_ COLORADO DIVISION OF WATER RESE €DELD INSPECTION REPORT I Please complete this form in INK NIG 2 0 993 appL receipt no(s). DIV. o I WD o 3 ‘; • cIcSOURCEF DATE OF INSPECTION: S ` / - 119 .3 PURPOSE OrINSgEp71t7N: LATE REG. V , OTHER f IQ I L_ C. APPLICANT: U1 C- LEFFL.ER ¢ 50AJS /tiC. person contacted if not applicant Kut55 L E EFL E& ADDRESS: / 9 7 7 WC R 74 W.C. name &phone #: ,3Nri km.) N o FF 64rolJ , co 80G ( 5 303 - aa6 -33o3 phone: 3 D 3 — — d 575 EXISTING WELL LOCATION: N E 1/4, /OE 1/4, Sec. , Twp. . 6 AJ , Rng. 6 6 Id , 6 PM M. DIST. 40 fm 0 S sec.line, i ' O fro SW sec.line; County t o (if rept, give dist & dir. to new well site - /oo To THE Soca1t tvEsT" ) circle type of existing welt DRILLED, HAND DUG, SPRING WELL, GALLERY WELL, GRAVEL PIT, OTHER 6/taviS 178541 n a + 7 *I547fi , ,RR/l ,ik4 any other wells are located on this parcel? (yes)how many a , (no); pernut#,case#,use? 6tou65 w-4085 rStg tRpthfina EST DATE WELL CONSTRUCTED 1- 1 -- 17 ' -O DATE OF FIRST USE /^/ - f q g o EST PUMPING RATE 30 gpm TOTAL # OF ACRES IN THIS TRACT/PARCEL a I a ACRES address of property (if different than applicant address): 34 ? 4S k G R ,.3 --_ add. subd/parcel info.: # acres irrigated (rion-exempt/crop irr.) NAME OF AUG. PLAN? USE OF WELL household use in (indicate how marry) single family dwelling(s) watering of poultry and/or domestic animals (`domestic animals' would include a few cows, horses, etc.) watering of livestock on a farm or ranch - approx how marry head? is this a teed lot? ; how many head? X (it is important to specify estimated historic lawn/garden irr.) in: Doi Do o square feet/acre of lawn and/or garden K fire protection commercial - drinking & san. only? (write details in 'comments' section) other (write details in 'comments' section) / no WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE: IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8. 1972, please indicate the daie(s) the use changed, and discuss this change/and/or expansion of the current/or proposed use in the 'comments' section of this form signed : dated: 8 / 1 ? / 13 additional comments and/or information: 6-X13-100 G t t 16LG is L o c o re b i 4 S7 pt o L D eit FeioRmi j�ou�5E . 4PPL ( CPrM -r Nits BUILT A MAO HogSE PEDRILL 14) 1_4_ 1_ BE 1- 0 I4ere Q AUshcENT To Tit 5 JEw Hock;Et "..m line-, i.5 ae CGentt-tok - sutrti s� ftJ04k X4/1 � e7 \SIAa & J/n More room for comments.on-the back F f .: GWS-13 A (9/92) Page 2, FIELD INSPECTION REPORT - COLORADO DIVISION OF WATER RESOURCES EMERCJENC:Y VIHtiAL titUUt5 I INF-UHMA I JUN GYPS,-24 to be completed in INK DIV ,CO ,WD ,BAS ,M FAXED Dee. DATE CALLED IN 1O / / e 3 Approval # VE TAKEN BY ,NAME OF CALLER Approval Gwen I I ; Given By (1 (INITIALS) APPROVAL GIVEN TO (name, company) APPLICANT: Yit . ;' _Q k6446CONTRACTOR: R%-k---- R LOS ADDRESS: \ Loc\ ) , ‘ItS) 7ICOMPANY ADDRESS: PCli Cam.- R O G3 2 FitsrAzyt,_) Q o c i s UC #: ; phone: phone: • (H) / (0) , APPL RECEIPT,* & DATE • 3 5 9 I3 9 'O ≥o ye:4 ?3 USE OF WELL PERMIT # , ° - ; CASE # PROPOSED LOCATION OF (new) REPLACEMENT WELL AUG PLAN NAME y 1/4, KJ 1/4, Sec. o> Twp. {o , Rng ( (o w C IN P.M. DIST. Po • glP S sec. line t a p • E ' W sec. fine; County L distance & direction from old well to new well site \ Do + LU ; DEEPEN (circle if deepen) subdivision info: total * ac. lot(s) bik. flg. subdv. additional parcel info. / ADDRESS OF Wat, if different than applicant add: REASON FOR EMERGENCY: OUT OF WATER OCCUPIED RESIDENCE? / no) STOCK ON PASTURE CROP IRRIGATION (circle) OTHER , CASING INFO: DEPTH OF OLD WELL? Co Q ; PROPOSED DEPTH? 'CPO ; AQUIFER? CASING? plain plus 1 '- per₹. DATE TO START? j O / `J� / 3 FIELD INSP. REQ.? YES ( NO ) over for field inspection report information; called in? — date / / EVALUATING STAFF COMMENTS: No T twod\ eC. v 0 44A trttsee Add r re' vcia/._-- Mt") APPROVAL c?/ L / CONDONS OF APPROVAL �-c�� �`�� T `�' J�-�-t tia. a,v- %t' \,7 AID S`?t, /10. ff /Par AN iffilfalifiXey INO1.1.E f l 1 r f i a t `. -co r sod' ap,t0 ha y is is JD/03 to �� -�� �-�t ( 0/61/4-'5 _r_ ', �,����)17:-.)j) /Lc" , • / /2: EVALUATED BY: ; DATE: • �• =►.! +a� BY: L �1 CC' , DATE:/CI5/ 1 . (INmALS) (SIGNATURE) r ' 3 �3 RECEIVE 2 0 '93 • • • • $;A NEAR GOW Colorado° Division of Water Resources 818 Centennial Bldg . , 1313 Sherman St Denver , CO . 80203 %Dear Sir , • We are Requesting a variance to section 10 . 4 . 3 of the " Revised and Amended Rules and Regulations of The Board of Eximaners of Water Well Construction and Pump Contractors " allowing the use of PVC casing to 1 foot above static water level , with steel casing from 1 foot above static water level , to 1 foot above surface , on Well Permit Application form , applicant , Vic Lel4f1fler and Sons Inc . This well is being drilled in shallow gravel allivum with a high static water level . Sincerely , 1 • \ l - STATE OF COLORADO BOARD OF ©(AMWE tS OF WA ILA WELL CONSTRUCTION AND RUMP INSTALLATION CONTRACTORS OC-CO40 Division of Water Resources �� _„ , Department of Natural Resources ti 49 • * 1313 Sherman Street, Room 818 * • • •.. Denver, Colorado 80203 * 1876 Phone (303) 866-3581 FAX (303) 866-3589 Roy Romer Governor Ken Salazar Executive Director, DNR September 13, 1993 Hal D. Simpson SecRtary Russell Leffler 16977WCR7 Eaton, CO 80615 RE: Construction regulations variance request no. 93-093, well located in the NE1 /4 of the NE1 /4 of Section 2, Township 6 North, Range 66 West of the 6th Principal Meridian in Weld County, Receipt No. 359189-B. Dear Mr. Leffler: Your August 20, 1993 request for an exception to Rule 10.4.3 of the Water Well Construction and Pump Installation Rules for the above-referenced well has been reviewed. Pursuant to Rule 17 and the authority granted by the Board to the staff, your request is granted to allow the well to be completed with less than twenty feet of watertight steel casing in this area where the water level is less than twenty feet below ground surface. Watertight steel casing must be installed from one foot above ground surface to one (1 ) foot above the static water level in the area and grouted in compliance with Rule 10.5. All other applicable rules shall be complied with. Sincerely, -732.ate he-A3lic`%sa‘ Bruce E. DeBrine Water Resources Engineer BED/jmg cc: Division 1 Well File R & R Well and Pump, Inc. 4215L.bd/2017.mrg KEN ROLLIN. CHAIRMAN, Longmont; PAUL BERGLUND. Golden; R. LYNN T[WLSS, Wray; GLENN A. RODNAR. t)enver State of Colorado Water Resources - View Well Details: Receipt 0359189B Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of ,� w ' . = rm� +.:.. J . Waiter Resources _ 4. -74 ..21256e mse c.` . : . ' - iPr 1�°` - . r_ - -.+r:v- _ - -"`t';:t o 'r 1. f ~= 'a2'^ oCosed anCol�rad:,'s: ea/.�la, .4,a��r 3na Stewardship�' Colorado's Well Permit Search Well Constructed .-..... k.' j Last Refresh: 6/12/2012 12:01:21 AM Receipt: 03591896 Division: 1 E` Permit #: 173547- -A Water District: 3 t Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: c 1 - ) Applicant/Owners History t' Date Range Applicant/Owner Name Address City/State/Zip f' Unknown - Present VIC LEFFLER & SONS 1NC 16977 V/CR 74 EATON, CO 80615 i [ - ] Location Information 1' Approved Well Location: I,, e Q40 Q160 Section Township Range PM Footage from Section Lines I' NE NE 2 6.0N 66.0W Sixth 120 N 120 E ii I Northing (UTM y): 4485960.2 Easting (UTM x): 522274.6 • Location Accuracy: Spotted from section lines Physical Address Subdivision Name • City/State/Zip S, Filing Block Lot ft I . 1. Parcel ID: Acres in Tract: i; i [ - I Permit Details l t. Date Issued: 10/07/1993 Date Expires: 10/07/1995 • Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS '1. r ' Special Use: Area which may be irrigated: . Maximum annual volume of appropriation: 'tt ;d Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report .: No No No k . p Cross Reference Permit Number Receipt Description E Permit(s): Comments: REPL 1940 WELL;40AC@34945WCR35;20,000SQFT LAWN lRR&ANIMALS;VARIANCE ' t J,' l: ` [- I Construction/Usage Details Well Construction Date: 10/12/1993 Pump Installation Date: 10/14/1993 i, Well Plugged: 1st Beneficial Use: :- Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate . • r. . 38 18 38 14 20 I Lic # Name Address Phone Number Driller 857 CLEMENT, GLENN A. 1960 24TH AVENUE GREELEY, CO 80634-5028 970-353-5648 C' Pump Installer 857 CLEMENT, GLENN A. 1960 24TH AVENUE GREELEY, CO 80634-5028 970-353-5648 f t [ -] Application/Permit History V Pump Installation Report Received 11/22/1993 r. • Well Construction Report Received 11/22/1993 a Pump Installed 10/14/1993 Well Constructed 10/12/1993 • kl'i Permit Issued 10/07/1993 Application Received 08/20/1993 3 [-] Imaged Documents • `` Document Name Date Imaged Annotated a r Original File 12/06/2007 No is . iCopyright © 2009 Colorado Division of Water Resources. All rights reserved. http //www.dwr.state.co.us/WellPennitSearchNiew.aspx?receipt=0359I89B[6/12/2012 11:06: 12 AM] State of Colorado Water Resources- View Well Details: Receipt 03591898 Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPcnnitSearchNiew.aspx?rcceipti-03591898[6/I2/2012 11:06:12 AM] r • lee/ QORM NO.. PUMP INSTALLATION AND TEST REPORT For Office Use on G/-32 RECEIVED 11/90 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1 . WELL PERMIT NUMBER 173547 A 3 NW 2 2 93 2. OWNER NAME(S) Vic Leffler & Sone n e Inc . WTER S'T RESouR� ENGMEER Mailing Address 16977 WCR 74 Opa City, St. Zip Eaton , Co . 80615 Phone ( 303 ) 454 - 2515 ,0 _ 7-93 a WELL LOCATION AS DRILLED: NE 1/4 NE 1/4, Sec. 2 _ Twp. 6 N , Range 66 W DISTANCES FROM SEC. ONES: 120 ft. from North Sec. line. and 120 ft. from East Sec. line. (north or sough) (east or west) SUBDIVISION: LOT _ BLOCK FILING(UNIT) . STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA: Type Submersible Installation Completed 10- 14 - 93 Pump Manufacturer c e u l d s Pump Model No. 1. 8E 10412 Design GPM 20 at RPM 3600 , HP 1 , Volts 230 , Full Load Amps 8 Pump Intake Depth 35 Feet, Drop/Column Pipe Size 1 4 . Inches, Kind PVC ADDITIONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: ❑ Electric IN Engine ❑ Other Design Head feet, Number of Stages , Shaft size inches. 5. OTHER EQUIPMENT: Airline Installed II Yes © No, Orifice Depth ft. . Monitor Tube Installed ❑ Yes x No, Depth ft. Flow Meter Mfg. Meter Serial No. Meter Readout ❑ Gallons, IN Thousand Gallons, ❑ Acre feet, ❑ Beginning Reading 6. TEST DATA: ❑ Check box if Test data is submitted on Supplemental Form. Date 10 - 17 - 9 .3 Total Well Depth 38 Time 2 : 00 PM Static Level 14 Rate (GPM) 20 Date Measured 10 - 12 - 93 Pumping Lvl. 20 7. DISINFECTION: Type HTH Amt. Used 1/2 ft 8. Water Quality analysis available. El Yes Yes No 9. Remarks 10. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] CONTRACTOR R & R Well & Pump Inc . Phone ( 303 ) 353 - 3118 Lic. No. 857 . Mailing Address P . O . Box 577 Greeley , Co . 80632 Name/Title (Please type or print) Signature, Date OWNER Glenn A . Clement 10 - 28 - 93 a S INSTRUCTIONS FOR PUMP INSTALLATION REPORT The report must be typed or printed in BLACK INK All changes on the form must be initialed and dated. Attach additional sheets if more space is required. Each additional sheet must be identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Report depths in feet below ground surface. This form may be reproduced by photocopy methods, or by computer generation with prior approval by the State Engineer. The original and one copy of this form must be submitted to the State Engineer's Office within 60 days after completing the well or 7 days after the permit expiration date, whichever is earlier. Another copy of the form must be provided to the well owner. If this form is submitted in conjunction with the Well Completion and Test Report, form number GWS-31, ONLY THE PERMIT NUMBER AND OWNER NAME NI-E-O TO BE COMPLETED in items 1 and 2. 1 . Complete the Permit Number in full. 2. Fill in Name and Mailing Address of Well Owner where correspondence should be sent. 3. Complete the blocks for the actual location of the well. For wells located in subdivisions the lot, block and subdivision information must also be provided. 4. Indicate the type of pump installed and complete the requested information. When installing pumps greater than 50 gpm, complete the additional information in this area. 5. Provide the information on other equipment which may be installed in the well. 6. Report test data as required by Rule 13.9. Spaces are provided to report all measurements made during the test, The report should show that the test complied with the provisions of the rules. If a test was not performed explain when it will be done. If available, report clock time when measurements were taken. 7. Record the type and the amount of disinfection used, how placed and the length of time left in the hole. 8. Indicate if a water quality analysis was performed and submit a copy of the report if available. 9. Use the remarks area to note any additional information including additional equipment installed, water supply construction problems. 10. Fill in Company Name and Address of Contractor who constructed the well. The report must be signed by the licensed contractor responsible for the installation of pumping equipment. e- mN o.• / WELL CONSTRUCTION AND TEST REPORT For Office Use only 131/93 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER RECEIVED t WELL PERMFF NUMBER 173547 A NOV 2 2 '93 2 OWNER NAME(S) Vic Lefler & Sons tin c . . WATER RESOURCES Mailing Address 16977 WC R 74 ENGINEER STATE�tNFER City, St. Zip Eaton , Co . 80615 Casa Phone ( 303) 454- 2515 io- 7-93 3. WELL LOCATION AS DRILLED: NE 1/4 NE 1/4, Sec. 2 Twp. 6 N , Range 66 W DISTANCES FROM SEC. UNES: 120 ft. from North Sec. line. and 120 ft. from East Sec. line. OR (ndlith Or scum) (oast or wosf) SUBDIVISION: LOT BLOCK FILING(UNIT)h. STREET ADDRESS AT WELL LOCATION: 4. GROUND SURFACE ELEVATION ft. DRILLING METHOD Rotary DATE COMPLETED 10 - 12 - 93 . TOTAL DEPTH 38 ft. DEPTH COMPLETED 38 ft, 5. GEOLOGIC LOG: 6. HOLE DIAM. (in.) From (ft) To (ft) Depth Description of Material (Type, Size, Color, Water Location) 8 7/ 8 0 38 0 - 6 Clay sand mix 6 - 12 Coarse sand _ 12 - 18 Coarse sand to 1 " gravel x 18 - 20 Am . /white clay 7. PLAIN CASING 20- 29 Coarse sand to z " gravel x OD (in) Kind Wall Size From(ft) To(ft) 29 - 37 clay w/ scia'rttered gravel 6 5/8 Steel . 188 + 1 12 37 - 38 Shale 5 PVC . 277 12 18 PERF. CASING: Screen Slot Size: . 035 5 PVC . 277 18 38 8. FILTER PACK 9, PACKER PLACEMENT: Material Gravel Type Size 3 / 8 Interval 13 - 38 Depth 10. GROUTING RECORD: Material Amount Density Interval Placement REMARKS: Cement 1 AG . 1 . 86 0 - 13 Poured 11. DISINFECTION: Type HTH Amt Used 24 12. WELL TEST DATA: U Check box if Test Data is submitted on Form No. GWS 39 Supplemental Well Test. TESTING METHOD Bailed Static Level _ 14 ft. Date/Time measured 10 - 12 - 93 , Production Rate 20 gpm. Pumping level 20 ft. Date/Time measured 10 - 12 - 93 , Test length (hrs.) 2 • Remarks 13. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. {Pursuant to Section 244104 (13) (a) C.R.S., the making of false statements herein constitutes perjury In the second degree and is punishable as a class 1 misdemeanor.] CONTRACTOR R & R Well & Pump Inc . Phone ( 303 ) 353 - 3118 Uc. No. 857 . Mailing Address-P: 0 . Box 57 Greeley , Co . 80632 Name/Title (Please type or print) Signature Date OWNER Glenn A . Clement �Crz 10 - 28 -93 d- I INSTRUCTIONS FOR WELL CONSTRUCTION AND TEST REPORT The report must be typed or printed in BLACK INK All changes on the form must be initialed and dated. Attach additional sheets if more space is required. Each additional sheet must be identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Report depths in feet below ground surface. This form may be reproduced by photocopy methods, or by computer generation with prior approval by the State Engineer. The original and one copy of this form must be submitted to the State Engineer's Office within 60 days after completing the well or 7.days after the permit expiration date, whichever is earlier. Another copy of the form must be provided to the well owner. 1 . Complete the Well Permit Number in full. 2. Fill in Name and Mailing Address of Well Owner where correspondence should be sent. 3. Complete the blocks for the actual location of the well where drilled. If the owner has more than one well serving this property, provide the identification (Owner's Designation) for this well. DO NOT USE THE OWNER SUPPLIED LOCATION unless a survey has been provided. For wells located in subdivisions the lot, block and subdivision information must also be provided. 4. Report the ground surface elevation in feet above sea level if available. This value may be obtained from a topographic map. Describe the drilling method used to construct the well and the date completed. Indicate the total depth drilled and the actual completed depth of the well. 5. Fully describe the materials encountered in drilling. Do not use formation names unless they are in conjunction with a description of materials. Examples of descriptive terms include: Grain size--Boulders, gravel, sand, silt, clay. Hardness-Loose, soft, tight, hard, very hard. Color--All materials. Most critical in sedimentary rock. Depth when water is encountered (if it can be determined). 6. Provide the diameters of the drilled bore hole. 7. The outside diameter, kind, wall thickness and interval of casing lengths must be indicated. 8. Indicate the type and size of filter (gravel) pack and the interval where placed. 9. Indicate the type and setting depth for any packers installed. 10. The density of the grout slurry must be reported and may be indicated as pounds per gallon,. gallons of water per sack, total gallons of water and number of sacks used, etc. Specify the grout placement method, i.e. tremie pipe or positive displacement. The percentage of additives mixed with the grout should be reported under remarks. 11 . Record the type and the amount of disinfection used, how placed and the length of time left in the hole. 12. Report well test data as required by Rule 10.7. Spaces are provided to report all measurements made during the test. The report should show that the test complied with the provisions of the rules. If a test was not performed explain when it will be done. If available, report clock time when measurements were taken. • 13. Fill in Company Name and Address of Contractor who constructed the well. The report must be signed by the licensed contractor responsible for the construction of the well. Form Ro. OFFICE OF THE STATE ENGINEER " • GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866.3581 857 WELL PERMIT NUMBER 1 ! 3,51/ - - A APPLICANT DIV. 1 CNTY. 62 WD 3 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY VIC LEFFLER & SONS INC NE 1/4 NE 1/4 Section 2 16977 WCR 74 Twp 6 N RANGE 66 W 6th P.M. EATON CO 80615 DISTANCES FROM SECTION LINES ( 303)454-2515 120 Ft. from North Section Line 120 Ft. from East Section Line PERMIT TO CONSTRUCT A WELL 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 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 right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation 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 17. 3) Approved pursuant to CRS 37-92-602(3)(c) for the relocation of an existing well, permit no. ( 1 -S— Zf 7 . The old well must be plugged and abandoned according to the Water Well Construction and Pump Installation Rules within ninety (90) days of completion of the new well. The enclosed well abandonment report form must be completed affirming that the old well was plugged and abandoned. 4) The use of ground water from this well is limited to fire protection, the watering of domestic animals, and the irrigation of not more than 20,000 square feet of home gardens and lawns. This well is to be located on a 40 acre parcel at 34945 Weld County Road 35, Eaton. 5) The maximum pumping rate shall not exceed 30 GPM. 6) The average annual amount of ground water to be withdrawn shall not exceed 1 acre-foot. 7) This well shall be constructed not more than 200 feet from the location specified on this permit. 8) The well shall be constructed in accordance with variance 93-093, granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors on September 13, 1993. fD . 6 .f3 APPROVED TLC * `� , S'atte Engineer OCT 0 7 1993 ey Receipt No. 0359189B DATE ISSUED - EXPI ION DATY 0 7 1995 FORM NO. STATE OF COLORADO For Office Use only '47 . /89 OFFICE OF THE STATE ENGINEER 7/89 818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 RECEIVED (303) 866-3581 TYPE OR PRINT IN BLACK INK Nov 2 4 *93 WELL ABANDONMENT REPORT WEER RESNRCES SIMEER ABANDONED WELL NUMBER IF REG1S1 EHED 173547 cN 1 . INDIVIDUAL/COMPANY RESPONSIBLE FOR PLUGGING NAME(S) Vic Leffler & Sons Inc . Mailing Address 16977 WC R 74 City, St, Zip Eaton , Co . 80615 Phone (303 ) 454 - 2515 2. ACTUAL WELL LOCATION: COUNTY We 1 d PROPERTY ADDRESS (Address) (City) (State) (Zip) NE 1/4 NE 1/4, Sec. 2 Twp. 6 X N. ❑ S., Range 66 ❑ E. X W. 6 P.M. Distances from Section Lines 120 Ft. from © N. ❑ S. Line, 120 Ft. from X E. or ❑ W. Line. 3. I (we), report that an existing well was plugged and abandoned for the following reason(s): is The well was plugged and abandoned as required under the conditions of approval of Well Permit No. 173547 A The well was not in use and was abandoned. Other (please explain) 4. The well was plugged and abandoned according to the Water Well Construction and Pump Installation Rules on 10 - 13 - 93 , 19 5. The well was plugged with the following materials placed at the indicated intervals: AMOUNT AND TYPE OF MATERIAL METHOD OF PLACEMENT INTERVAL Sand & Gravel Poured from 35 feet to 10 feet Cement Poured from 15 feet to 0 feet from feet to feet from feet to feet INTERVALS OF CASING REMOVED/RIPPED IN FEET from feet to feet from feet to feet I 6. I (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13) (a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] - Name/Trtle (Please type or print) Signal re 0 Date OWNER Vic Leffler & Sons Inc . , 10 - 28 - 93 K 1.1. .1n 4_.es --INFORMATION- It is the responsibility of the well ownet'to gve the well property plugged and abandoned. The well construction contractor is responsible for notifying the well owner of the plugging and abandonment requirement This form may be reproduced by photocopy or word processing means. - I . F p k . . { t } t August, 1988 RULE 11 ABANDONMENT STANDARDS 11.1 General 11.1 .1 The plugging and sealing of all wells and test holes is necessary to prevent contamination of ground water and the migration of water through the unused borehole. It is the ultimate responsibility of the well owner to have a well properly plugged and abandoned. The well construction contractor is responsible for notifying the well owner of the plugging and abandonment requirement pursuant to this Rule 11 . 11.1 .2 Persons authorized to install pumping equipment may plug and abandon wells which do not require the removal of casing from more than one aquifer or the ripping or perforating of casing opposite _ confining_lay_ers. _^ _ _ _ __- _ . . _ . _ —_ - - 11 .1 .3 All materials used for backfilling shall be clean, free from contaminants and chemically inert. 11 .2 Unconfined Wells - Wells completed into unconfined aquifers shall be abandoned by filling with either on-site materials, clean sand or gravel to the static water level, then with chemically inert materials to the ground surface. A permanent watertight cover shall be installed at the top of the casing. The casing may be cut off up to five (5) feet below ground level provided the watertight cover is welded or permanently attached to the top of the casing and the hole is backfilled to the land surface. 11.2.1 Cathodic protection holes, dewatering wells, horizontal drains, monitoring and observation holes, percolation holes, piezometer holes, sump pumps and test holes shall be abandoned either pursuant to Rule 11 .2 or by removing all casing which was installed and by filling the hole(s) with drill cuttings or chemically inert materials to within five (5) feet of the ground surface. The top five (5) feet of the hole shall be sealed with materials equal to or less permeable than the top foot of the surrounding soils. 11 .3 Confined Wells 11 .3.1 Wells which were constructed through more than one aquifer shall be abandoned by placing a grout plug at the confining layer above each aquifer. If records do not show that the casing opposite each confining layer has been grouted when originally installed, the casing shall be either completely removed from the hole, or perforated or ripped opposite such layer prior to placing the grout plug. • No plug shall be less than twenty (20) feet in length. 11 .3.2 The well casing except for the grout plug intervals shall be completely filled to the land surface with chemically inert materials. A watertight cover will be permanently welded or attached to the top of the casing. The casing may be cut off up to five (5) feet below land surface provided the watertight cover is welded or permanently attached to the top of the casing and the hole is backfilled to the land surface. State of Colorado Water Resources - View Well Details: Receipt 9058282 Colorado Department of Natural Resources Colorado.gov I Contact Us yyrr, ara .pv �+nCc<�v r.. Colorado Division of = -� .: : • , _,3=� �!*'= �..___�--�.:. ^'":'� ate . �����,� L- ' r� 4 Water Resources -= _ „ r __ . - • • - • on-) -6 -.Y—�- ,�'° _ -�. -- ;-.- -- .,; ocused on. Colorado's'Pe'o t1e Wafer and Stewardship Colorado's Well Permit Search Well Constructed - . N1/2 .: Last Refresh: 6/12/2012 12:01:21 AM 'v, Receipt: 9058282 Division: 1 Permit #: 107-RD - Water District: 3 Well Name / #: County: WELD 6 Designated Basin: Management District: Case Number: CA-11217 WDID: r r, [- ] Applicant/Owners History if Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present LEFFLER GLENN C & LEE S 16264 HWY 14 AULT, CO 80610- 1. [- 1 Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines • NE NW 26 7.0N 66.0W Sixth • Northing (UTM y): 4489015.7 Easting (UTM x): 521424.3 • Location Accuracy; Spotted from quarters Physical Address Subdivision Name I City/State/Zip Filing Block Lot ' I s Parcel ID: Acres in Tract: z: 1 - 1 Permit Details • 't Date Issued: 04/19/1960 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: • Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: t. [- ] Construction/Usage Details • Well Construction Date: Pump Installation Date: ' Well Plugged: 1st Beneficial Use: 05/15/1935 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 52 27 400 r [- ] Application/Permit History Ownership Change 04/15/2011 • r. Statement of Beneficial Use Received 05/11/1960 Well Construction Report Received 05/11/1960 1.1 i Permit Issued 04/19/1960 ` First Beneficial Use 05/15/1935 [- ] Imaged Documents c • Document Name Date Imaged Annotated II• Changein_Qacner IVarne/M.ddtess 05/09/2011 No Original_Eile 12/08/2007 No Change inOwner Name/Address 11/30/2007 No i. Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) htip://www.dwr.state.coms/WellPermitScarchNiewaspx?rcccipt----9058282[6/12/2012 4:51:09 PM) Form STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-11 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 1/2009 Phone — Info: (303) 866-3587 Main: (303) 866-3581 RECEIVE'_ , Fax: (303) 866-3589 http://www.water.state.co.us CHANGE IN OWNER NAME/ADDRESS MAR 2 5 2011 CORRECTION OF THE WELL LOCATION WATER RES_- STATE ENV, Review instructions on the reverse side prior to completing the form. CCLI Name, address and phone of person claiming ownership of the well permit: NAME(S): Glenn C Leffler and Lee Shannon Leffler Mailing Address: iip2L, Li H ►,, � I y City, St. Zip: A, I } $ Co o Phone: ( 17O ) _38L- 21,53 E-mail (optional): Ltfhc ry/J as 1. c n rfl This form is filed by the named individual/entity claiming that they are the owner of the well permit as referenced below. This filing is made pursuant to C.R.S. 37-90-143. _ WELL LOCATION: Well Permit Number: 107—RD Receipt Number: 9ce 6.2802--Case Number: County Weld Well Name or # (optional) 16359 WCR 76 , Eaton , CO 80615 (Address) and E 1 /2 NW 1 /4 (City ) (State) (Zip) E 1 / 174 of the SE 1/4, Sec. 76 , Twp. 7 Di N. or ❑ S., Range 66 ❑ E. or [j W., 6th P.M. Distance from Section Lines: Ft. From ❑ N. or ❑ S., Ft. From ❑ E. or ❑ W. Line. Subdivision Name Lot , Block , Filing/Unit The above listed owner(s) say(s) that he, she (they) own the well permit described herein. The existing record is being amended for the following reasons: ❑ Change in name of owner ❑ Change in mailing address ❑ Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are) the owner(s) of the well permit described above, know the contents of the statements made herein, and state that they are true to m (our) knowledge. Signature(s) of the new owner Please print the Signer's Name & Title Date 10 �' -(1 f Glenn C Leffler - cj Anmm 1� L e Shannon Leffler 3 /8 - / / It is the responsibility of the n &ner of this well permit to complete and sign this form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon its receipt. For Office Use Only ACCEPTED AS A CHANGt. IN r ANT/OR MAILING A»np reTh , � � 0 V-/c// State Engineer By Date c PA X56 ► , 2 m, F Rev. 90 fir, ,,.— � .� ,r `-:. 4 � V ., . ( '� . - 7 . 7'�57'/5M STATE OF COLORADO _. DIVISION OF WATER RESOURCES r. . 19 1960 OFFICE OF THE STATE ENG 1N EE • _ . ROUND WATER SEC TIMuND WA- 1 - r.-Ger. : a REGISTRATION No . _ + • WELL -- f STATE ttitiiiitift • Anita K . Demo ril 6 Registrant Date�P i9 60 ' P. O. Address Box 114, Eaton , Colo. - WELL LOCATION (O°21 WELL DATA Count ._.7-2/3 Weld • Depth 52 'eft. Diameter 4k3 in. �' ' 31 21 c o f }g Section 26 Casing -` ft. Plain; ft. Perfor . � � -- 66 / WW 6th pM 1 Twp. '�/� , fie. ,` �. Static Water Level 27 f ft. from tope ' f the F1 e Yield (gpm) ( a) from 400 27 ft. 1500 ft East of WVNcorner/of Section 26 Used fortrrigation of crops on/at i IL �f" 1-, 160 acres in E?W* of Section �26 , Township ? North, s i Range 66 West of the 6th P . N . , Weld County, Colo . — — — T - - - - - (legal description of land or site) $ its 40 concrete W ' 1 E Water conveyed by sYPhon , size T PUMA DATA I • Type Bean Electric Size 7+ horsepower I ,r - - -is — - - - `t — .— i Driven by electricity at RPM I I - Well was first used Nay 15 , 19_3 S d for irrigation using 400 gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened '— 40 ACRES; OR IF IN A TOWN OR - (gpm)(cfs) (ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE SEE REVERSE Sfi_ E Town or Sutdivision Street address or Lot and Block The above well fig) (has not) been registered in the Office of the State Engineer prior Subterranean water well . Priority No . 107 S .W. assigned by District Court to May 1 , 1957 . xlbc .gtexec , of Larimer County, , Colorado . Colorado . If NOT 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 this 6th -say of April , 19 60 . , �. . June 17 , 1963 Anita 'K . enio Registrant My cominiss ; expires (SEAL) - � Notary Public _.—.....„. . -1- - - .*.:_ FOR STAT NGINEER 'S USE Located in / 3 district, _ - �t,9.. County f • n 2 _ Registration No. 71,5_ in on ".4 . 1 r7 19 .. . �T r .�.. •-.. .. .. .. . ... . .. k t a Ca ' bails • -r LOG •_...•_... ...•. v 0 - 28 soil 28 - 3? sand and- gravel 37 - 43 clay 43 - 45 sand and gravel 45 a 48 gravel and clay • 48 - 52 sand and gravel I . + ' 52 shale • a • • . - - • • • - • . • ♦ • • . • . • . • •.• •• a. • , - r • r .• • •• ^ • • • . . :, 1 * f Fo�b' F (Rev. ) - - ; 7 -57/5M STATE OF COLORADO • • , DIVISION OF WATER RESOURCES OFFICE OF THE STATE ENGINEER GROUND SECT ; r►WATER ,. , REGISTRATION NO � j 7OF WELL MAY �- 11960 '�1 �� ---Y--�. GROUND 1AT.._ R 5tt, Registrant Anita K. Deltic Date NaY 9 _`'i } P. O. Address Box ilk, Eaton , Colo. WELL LOCATION WELL DATA County •• Weld • - 1 Depth_ 5z ft. Diameter 48 in. E Jtf, W l Section 24 • Casing : 31 ft. Plain; 21 ft. Perfor. Two . 7 , Rge. ` 66_ ,W 6th PM Static Water Level 27 ft. from top 1500 ft . East of NW corner of Section 26 Yield '°0 (gpm) (1130 from 27 ft. N • a .i Ted for irrigation of crops on/at I + 160 acres in Zr'r or Section z6 , Township 7 North, f I Range 66 West of the 6th P . N , Weld County, Colo . (legal description of land or site) I I concrete y I I ' E Water conveyed by syphon , size r r PUMP DATA I ; • Type Bean electric Size 7+ hersepover I + — Driven byelectricity at RPM I I • I - __ 1 . . . Well was first used May 15 19 35 S rfs�c for irrigation using 4130 gpm WELL TO BE LOCATED AS ACCUR - ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESEN S deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs) (ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE • SIDE IF AVAILABLE SEE REVERSE SIDE Town or Subdivision Street address or Lot and Block The above well (has not) been registered in the Office of the State Engineer prior Subterranean water well . Priority No . 10? S .W. assigned by District Court to May 1 , 1957 . tblognstratedegnxtalgictitix. of Lariaer County,, Colorado . If NOT 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. -SubscObed and Sworn before me ' its9-:ti!--:41u. of May 19 60 . Mt" �commri� iori =expires June 17 , 1963 egistrant at9r-75; Notary Public FOR STATE ENGINEER 'S USE Located in district, County for I, Registration No . in , on - , 19_, 1 • a ] 'a 1 !.. -. '.4 ` LOG d - 28 soil 28 - 37 sand and graved 37 - 43c1a ' ' \, 43 a 45 sand and gravel ' 45 - 48 gravel and clay 48 - 52 sand and gravel 52 shale r . . IP . ' ,� :' , N ..• `, . • . • '% dee ;• en l w .. • - r; F "., a : 1 r ▪ �+ I `NOr. - - -- — - a Form STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS- 11 818 Centennial Bldg., 1313 Sherman St. , Denver, CO 80203 06/00 (303) 866-3581 Fax (303) 866-3589 RECE/VEp CHANGE IN OWNERSHIP/ADDRESS . JUL 2 3 200 CORRECTION OF THE WELL LOCATION 2 STn TESGC:.,c Insert the Well Permit Number l � RD _ cetrErk Name, address and phone of the person claiming ownership of the well: NAME(S) Andrew W . Mill and LeeAnn Mill q 0S t1 e2_ I( your well has an absolute water right, decreed Mailing Address - 1 / ( .C O5Ptcy 40/9-06 by the court and the well is not registered with the State Engineer, enter the Water Court Case City, St. Zip >✓i4 TOP1 e 8o&tr Number / Civil Action Number and well number as decreed. Phone ( 970 ) U,i c/ - 7 .?a This form is filed by the named individual/entity claiming that they are the owner of the well permitted as referenced above. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: County Weld Owner's Well Designation 16)59 WCR 76 , Eaton , CO 80615 (Address) and E1 / 2 NW 1 /4 (City ) (State) (Zip) El / 2 7 X 66 6th 11ld SF 26 f the 1/4, Sec. , Twp. N. or _ S. , Range L E. or . W., P. M. Distance from Section Lines Ft. From N. or S. , Ft. From E. or W. Line. Subdivision Name _ Lot , Block , Filinq/Unit The above listed owner(s) say(s) that he, she (they) own the well described herein. The existing record is being amended for the following reasons: X Change in name of owner ❑ Change in mailing address Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are) the owner(s) of the well described above and that the commencement of extraction of ground water from this well, lawfully made under the well permit, occurred on the date indicated, and that the statements made herein are true to my (our) knowledge. Please print'the Signer's Name & Title Signature(s) of the new owner. Date Andrew W . Mill keY, LeeAnn. Mill 7ao D:71. It is the responsibility of the new owner of this well to complete and sign the form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon its receipt. For Office Use oniyACCE1't hD AS A CHANGE TN OWNERSHIP' AND/OR MA[LING ADDRESS.24i o ate(A4 C . .75�Lc. - 614 -0_3 to Engineer By Date State of Colorado Water Resources - View Well Details: Receipt 9058780 Colorado Department of Natural Resources Colorado.gov I Contact Us 5gBASt _.llaeyi: -4 • . 1 t.7'h , ----:::-IN- -� x: K i.. j/ ns v Colorado Division of 4 P r £y. __\Alater Resources J^•Y�a }? . • ocvsed on .,vlo. ado s'I?eo/f1e nC�/ate artd Sf wet• tr,� • Colorado's Well Permit Search Well ConstructedtisttAll Last Refresh: 6/19/2012 12:00:47 AM Receipt: 9058780 Division: 1 Permit #: 1630-R - Water District: 3 r Well Name / #: County: WELD r: Designated Basin: Management District: Case Number: - WDID: 0305536 - CLARK WELL 1-1630 [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip ' r: Unknown - Present CLARK MARY C TRUST PO BOX 245 EATON, CO 80641 • [ -] Location Information I Approved Well Location: I' Q40 Q160 Section Township Range PM Footage from Section Lines - q SW NW 25 7.0N 66.0W Sixth Northing (UTM y): 4488622.7 Easting (UTM x): 522638.5 • i Location Accuracy: Spotted from quarters , Physical Address Subdivision Name ' City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: ? [ - ] Permit Details 'i• Date Issued: 02/23/1960 Date Expires: - i• • ' Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: .' Maximum annual volume of appropriation: • Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Y?' Comments: ti 1i [-] Construction/Usage Details , r Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 03/31/1934 , Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 65 27 900 [-] Application/Permit History i Permit Issued 02/23/1960 First Beneficial Use 03/31/1934 ' [ -] Imaged Documents ti ei Document Name Date Imaged Annotated FOriginaLFi;e 12/08/2007 No 41 Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR ( Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitScarch/View.aspx?receipt=9058780[6/19/2012 8:57:55 AM] -Worm F (Rev. ) Y- ` '7/51Vt. X STATE OF COLORADO ' . .' �.■ .:4 DIVISION OF WATER RESOURCES . i._:,: : : .. . : � OFFICE OF THE STATE ENGINEER, GROUND WATER SECTION Ei .�; ;,; ;::a ; :, ,: i.REGISTRATION NF WELL r `��'�`'''`" ,f4Mary C . Clark , Trust Set" 1 0 _ � ;.` +t: F �'�C1:. :=_. . Registrant ,f e Harry Clark - Trust Officer Date Feb . 16 19 60 P. O. Address Box 216 - Eaton , Colo. C•( WELL LOCATION .: WELL DATA County__ Weld Gj Depth 65 ft. Diameter ho x 2i in. sw se, NW i Section 25 Casing : 35 ft. Plain; 30 ft. Perfor. Twp. 7 N', Rge. 66 'Ie, 6 PM Static Water Level 27 ft. from top Yield 200 (gpm)(k) from 52 _ ft. N 'Sawa Used for Irrigation on/at I 1 �T c /� Ran .•-.. •�. . SW I Sec • 25, Twp • 7 , Range 65 I— T w w ; —^ fr-b• 1 L� (legal description of land or site) W wen1 X 1 1 Water conveyed by Alton, size 1 I ., .... ...0 E PUMP DATA I I Type Peerless Turbine Size . 8 inch Std. I Driven by 15 H. P . Elec . at 1760 RPM I t Well was first used April r 19 Sit ' - s - cis 4, for Irrisation using 900 gpm WELL TO BE LOCATED AS ACCUR- Re laced ATELY AS POSSIBLE WITHIN A Well exulaag et 1957 , 19 to SMALL SQUARE WHICH REPRESENTS cad 40 ACRES; OR IF IN A TOWN OR 900 (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well furl (has not) been registered in the Office of the State Engineer prior to May 1, 1957 . If Registered give Filing No. If.NOT Registered prior to May 1 , 1957,. a $5. 00 filing fee accompanies this form. . The above statements are true and correct to the best of my knowledge and belief. - Subscribed and Sworn before me tA this _Pt _day of '9.c,$ , 1911s. . \. `". ' '• •• ') - My commission expires s�0_ P�. 11r 1��.�, R gistrant (SEAL) WLLA /L fli Notary PulItadaelte ■M Mi -- w w� - , r' -A--- r - - rr r i■■ i u i - tC .. . FOR ST 30 ENGINEER 'S USE • Located in 7. No district, ..a. /.. County f r Registration No, in__ M / , on 0412.44„a4., A _ , 19d,Q 6 0 to 37 Soil 37 to !4? Clay !a to 52 Sand and Gravel 411 52 to 59 Sandy Clay ~' 59 to 65 Sand and Gravel • Static Water Level 27 feet R ,fir J. wf�t LEN L. T. BURGESS la. ' glue Engiuecr a Chief Hydrographer C. C. HEZMAI.HALCH HARRY L. SLTTSER, dr. p ty .t,. Office Engineer wi�ti\.�s +/. .j•" vat. STATE Or COLORADO Dij i , OFFICE OF STATE ENGINEER MAR 3 n1960 GROUND WATER SECT, DIVISION OF WATER RESOURCES np�� DENVER s %i. �Vlit1QO STATE ENGINEER March 1 , 1960 suIJEC7c Mr . Harry Clark P . 0. Box 245 Eaton , Colorado Dear Mr . Clark : In checking Registration Forms 1630 , 1631 , i632 . and 1633 we find they are made out as "Harry Clark , Trust Officer . " In order that we may properly record these on our IBM cards we would appreciate your advising if you are acting as Trust Officer for an Estate , and if so, the name of the Estate . Thank you for your cooperation . Very truly yours , Q' E . WH ITTEN State Engineer .11<- - 1 is . n .7 7/I Geo, W . Colburn Engineer r Ground Water Section JEW ; GWC ; hrr R -- ;.. Vc.-A.,\,i.... ,_)---'• - ;i • .• J 41 f • _, • • • • - _ _ • 4 • t. • • • , • • . • • • . • •• • •• 7 'S •• • , r )'. %. • • •I. ' '• 1 ' 'i •• I • - • . . . • , I C • •• . • • •e I • .. fi. 1. 'i ,\ �e1 , C. e \ • ,l ' l � • � . I. .. ... - - - - -- - ��� . I •.�� a • mesa • S . , 1 • • :a .• I t I i • • • • • : *r March i , 1960 Mr. Harry Clark P. 0. Sox 245 Eaton, Colorado Door Mr. Clarke in chocking Registration Farms 1630, 1631 ,. 1632 :4 1633 we find they are made out as "Harry Clark, Trust Officer . " In order that we may properly record these on our 1801 cards we would appreciate your advising if you are acting as Trust Officer for an tstate , and if so, the name of the Estate. Thank you for your cooperation. Very truly yours, jSanfiC , S. MOTTO - - - State engineer Aye tso. W. Coburn engineer $round Water Section JIW: VWC: hrr .. w o•..rwr•w . w•.p• ..� • I I . • . • •• . .... • —. .. . _. .._. - .. .. • • • * .. - .` :61 so* a • r 1 11.. 4 • ` • S • . 4 • •t, • • • • s,.. ••: '••••,..t.&.{.. • ••w` •, •• •• •IV•''6. • •• ♦• .•t. • � •. ,�i�� .Jr•,.....,;.•.• . •y�y, �� ••••.”.•� • %.�•yi:.,�- .sY r✓" . .';r._�R7f`::• ;' •• :"s:'▪c i -►'•• , •. :71....2:fr•Sal' ilattL;c4,'.... ?•••C,. 't. . 11•••• .,•47.4.. 'yj.���•+/• '.�. .i.. .1. •\'• .w! • v�f •Y.lr+(1: •--. '! • , t ' • � ��; :•1:��•r•' 1•�,/.i•' '3 j"••77��A�`I J '•▪= :N4%1 • :.77C.., •i1: •♦ !�. .J • �•• '-/•I • •j„ -:;/;;;•47.,�'•.• . . R.. ire;'•. •.timed`0..y..: ., ,4a :11„ .•. ± •f.• i.\ �'il�'.!J''w 'S• • ,* Cid I?IL.. r?T•t, • .� ., •r, .er r♦: 4•f..:.f• •v.• • • •• •F, C ! 1• . • . Sly. N• . +•.: !r • •V> Tim"rJ 'fume ' � . t • . 41 :�:7�••••.,,�.}r(,�,. Crt 4►•. •.• 'y�j' ~t• ! ::::—.46.1:1.1::::: : : i�{. t .1j J.'Oi 1-•' w�.•i•/ �f:•f •' •,(.•• '•t•: •-'Gib•1iiAn,�Ze t' •;.•% •:• - . • t'V' `•••• ♦•� �'�• -�•••• '.�'1N/. .�•J,! •> ''. ! .M�,:'•• 'Y•::�,•,' •• i• •*�.•iN .i • ! •. ••. Y _••••1 i..1.' • •• Y�•�- ' •`,4u�K ✓ti Ci • :, I••. ..7L•.. w�d,� •F •�: •.. . ▪ 'j•II'v••'L v:• w•�;: '•�-4,•:.,3.:..- . t•.•Cr^b;r:w . re- 4r-• •-;'-' 1. E` .f/• •; ► iw. .^'_y� • r • • •Y,.• •�'•.�i•\•v� 4.::16 1',`•• •:.• •.yj! •ry+.•, I •.i.'�•~_ r •7 •;:„•••••••••;.... r.:...4. �.'iti' ;. •. ::•it:'•.v ,_i . �•.s..•.•••.ti;.t. ' Pt ;4.41 • • / • l..4. • , : •�jV-,..3.. •e: C.1.i•N . .• ....• 0„!...144-7. .4▪ -.A.;• i • e • ., v•.. - .- - -i<t/ if. \se -A. ••/y/�(am�i,�.� \ �, � • t I • .Y . .•„,..,_.:.,•.........-„,..„4.,,,,,,. . ..,.. ,Y^.:V:-•S., t•' - tla :`•,p •,S •S= -,GYM f'' •�J y .f t. T. / : •. ▪ w...-� .jj �.yq killi„:17,4 l'f. iw. .S.q•S21::.`r .�M:�,. •••••50.••••••• C .♦ .• •*••":"•• •‘:4'....:(1:_ ♦ 1. [, • ,' r f f� �/2:•. • ti'•T. r ; •Y• , • 'II.�•: sc_:Yv .• .ti• T .,,�•. .4..•- ‘\� .1''Y. , .t 1\1: 1,/ i• '�L' ,YJ ~�.•t• �• l9♦ r ,'y.�'f.� • v• . +•y• .•��-j*Q. �f . : v• • %�`.:(•• �/'.iA.lt : - • .::` • ,. i?.. •• : • ..-i•:w'.:t.S v41▪ . . • • •:::may- • V--••• -`^�t.. ••,•.•;. Pt.��\� - ` • 14▪ ,•417,,S.:.•••••••• -2�i 1•:•r( •. ".a '• �' •r.�I.ti.':..• w• k•J6..' . I:rJ•1�:.•';•n'L- Ly'Yi;,! •'!•f �� • .. G .J:••.KJ1. �• •y� F• Ai':• ,.•.N A'. •♦F y•�, t:::�•?:� ':.• If•• S ✓�.•�• .11• r-s •�tv ;♦ -;:r.,•' Zr• 4 • ••� n /�//� Ni �S,Y i�..i.i.:•t ♦•a:♦Y: ' •••-::71.-% ••,•'y••;•••lt• •. ' .y7• -...11•F; Y J •� '%..:a * •Xj•�, •��: / /V :••y,' '; '-:_',';T'��:i,:,i.y:•. � 4.:•• •y • i '. '�'tt• ir. '' +/ i'•/?:Y P`•:/ i'7 11'CY:�••-�.,, �. J7`-J • ', • '� •!/`.,ti, 4,:,.:, ' �%4{:*: • �/.�; •.. IS. J-0r ice: �•tP .• Y• .ter•• �i at.•.t�•'•/' . 1� •V .. •.•.• ' • •:a• • •\^t -:.X.T.1, :. 'r• •,�': . RT•0i (' .t♦♦•VC. .r�1'• '.. �•• 'y.' •.:',•,. •f •' •• • • •• 1 ) j t •..` • :�••. . . ••�•'.� '• .• ;�.! L Y Y' �•Ike'• • N',`��x. ,�•.•, • ,'t7 • t(•:•�: "L'.i�:..V. {Il, ...:••;,.�. • !.S rim- 1.,: • � i♦• \`�".!}vw 'l. • ••. r •• -� � w . . ....pay. . .r...• •••.v • • vr.v� ... . . - State of Colorado Water Resources - View Well Details: Receipt 9058781 ' Colorado Department of Natural Resources Colorado.gov i Contact Us Colorado Division of - .' ..yy�� ��f yr Water Resources ,.t � , y • N -- iti .-•. . tiotiligelan Colorado's Peojt e, e l't SteVf'a 4tyJ * Colorado's Well Permit Search . z Well_Cortstructal riElla Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9058781 Division: 1 f: Permit #: 1631 -R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: W1576 WDID: 0305901 CLARK WELL 2-1631 .l [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip - Unknown - Present CLARK MARY TRUST PO BOX 245 EATON, CO 80641 tr [-] Location Information i r Approved Well Location: is Q40 Q160 Section Township Range PM Footage from Section Lines • SW NW 25 7.ON 66.0W Sixth Northing (UTM y): 4488622.7 Easting (UTM x): 522638.5 l Location Accuracy: Spotted from quarters , , Physical Address Subdivision Name i City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: , - [-] Permit Details Date Issued: 02/23/1960 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: a 't Area which may be irrigated: 100 acres Maximum annual volume of appropriation: Statute: h Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description I Permit(s): 1631:R- -R 905.87-81A 1, Comments: i 1[ - l Construction/Usage Details I Well Construction Date: Pump Installation Date: : Well Plugged: 1st Beneficial Use: 06/30/1940 i Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate T. 68 40 600•: [-] Application/Permit History t Permit Issued 02/23/1960 First Beneficial Use 06/30/1940 [- ] Imaged Documents Document Name Date Imaged Annotated Oriainal File 12/08/2007 No 3 Copyright © 2009 Colorado Division of Water Resources. All rights reserved. ii t-feme I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPcnnitSearchNiew.aspx?receipt=9058781[6/12/2012 4:43:10 PM) 315iip • Form F (Rev. eiiw 1 $ me 7'-5'r�`/5M STATE OF COLORADO EL' : • • DIVISION OF WATER RESOURCES •-- • . , . ) OFFICE OF THE STATE ENGINEER, GROUND WATER SECTION ��(`�a�f``ts . ., �iiOU:,•. • '• • -. V L.' • •• i REGISTRATION NO. OF WELL - 4111 # i • ' ' 44 ,i.- STATE Registrant ar Clark r- Trust Officer Date Feb . 16 19 60 4, P. O. Address Box 245 - Eaton _ , Colo,. V4ELL LOCATION WELL DATA County Weld . . , Depth 68 ft. Diameter 148 x 140 in. SW _ i, NW ,u, Section 25 Casing : 38 ft. Plain; 30 ft. Perfor. Twp. 7 N , Rge. _ 66 "✓ , 6 PM Static Water Level 140 ft. from top Yield 600 (gpm)(r, s) from 60 ft. N 1 1 Used for Irrigation on/at • 1 S it, Sec . 25L Twp . 7, Range 66 W 1 —1— - ._ - - - - - (legal description of land or site) Well OX W I E Water conveyed by Ditch , size open - PUMP DATA I- 1 TypePeerless Turbine Size _ 7 inch 0D. I Driven by 3.0 H .P t Elec . at 1160 RPM 1 t Well was first used _ July , 1910 I cfs 5 for f,hatjo_sing t2 gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well (EMI (has not) been registered in the Office of the State Engineer prior to May 1 , 1957. If Registered give Filing No . . If NOT Registered prior to May 1 , 1957,. a $5. 00 filing ' fee accompanies this form. The above statements are true and correct to the best of my knowledge and belief. Subscribed and Sworn before me i. • this j q day of 9.rc..$ , 19lQ.2.. b c`') , \,,, c.My commission expires at e.r- 1 J f /941 Re •istrant Wthi(SEAL) 4 517 .i r. Totar Public FOR ST E EEIUS USE '� Located in /--�- district, County � f Registration No. oQ/S in 1---, , on nr goti , 1940 4, . 0 to 10 Soil '. 10 t026 Clay 26 to 25 Gravel 25 to j3 Clay 33 to 35 Gravel 35 to 37 Clay 37 to 39 Gravel • 39 to 40 Clay 40 to 49 Gravel 19 to 51 Clay 51 to 63 Gravel 63 to 65 Clay 65 to 65 Gravel Static Water Level 40 feet State of Colorado Water Resources - View Well Details: Receipt 9058781 A Colorado Department of Natural Resources Calorado.gov I Contact Us ' ColoradoY 1PJ �g ! "o'' w° ,�.-^-^•^..r^,,�s�-.ter^ Y r� � Division of 'ti' iciakiffM �° •i ` ♦1 } .;fl---� , ~� -�. -r �. " ""n.��+'bC�� . , ; Water Resources \ .V .4 • 1 --� r.� 'y'3 .`6s 3� /'.Y1 -✓�.- -"Z'C- _ c..L.o u d ado's' t StSa ashsp 1 h� _ s .�s _ mac ar �C11 Oi()i c L` S 1ry• 8.. ,, 3t2f c3 -04x--e-c, . �, I Colorado's Well Permit Search • P_etmit_C;ancelesl MT.F4WW Last Refresh: 6/12/2012 12:01:21 AM ' Receipt: 9058781A Division: 1 E. Permit #: 1631-R -R Water District: 3 i. Well Name / #: County: WELD • Designated Basin: Management District: • Case Number: W1576 WDID: 0305901 - CLARK WELL 2-1631 !•t [-] Applicant/Owners History is Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present CLARK MARY TRUST 1000 10Th ST SUITE 209 GREELEY, CO 80631 I [- ] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines • SW NW 25 7.0N 66.0W Sixth 1584 N 60 W i - ri: Northing (UTM y): 4488745.2 Fasting (UTM x): 522452.0 , Ii. Location Accuracy: Spotted from section lines - /M 1t Physical Address Subdivision Name Li City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: • [ -] Permit Details Date Issued: 08/23/1973 Date Expires: 0 . Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS c Special Use: >• Area which may be irrigated: t 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): 16231-R - 905_8281 Comments: See 63702-F [ -] Construction/Usage Details :A Well Construction Date: 01/15/1974 Pump Installation Date: 03/13/1974 '' ' Well Plugged: 1st Beneficial Use: 06/30/1940 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate /0 39 69 30 950 Lic # Name Address Phone Number Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 . Pump Installer 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 'r, [-] Application/Permit History is Permit Canceled 12/19/2005 Pump Installation Report Received 04/02/1974 • Well Construction Report Received 04/02/1974 • Pump Installed 03/13/1974 z: Well Constructed 01/15/1974 Permit Issued 08/23/1973 First Beneficial Use 06/30/1940 } ( - 1 Imaged Documents Document Name Date Imaged Annotated x. r QUgioal File 12/08/2007 Yes http://www.dwr.state-co.us/WellPermitSearchNiew.aspx?receipt-905878IA(6/I 2/2012 4:43:55 PM) State of Colorado Water Resources - View Well Details: Receipt 905878IA 9liginaL File 12/08/2007 No Correspondence, Memosjindings_8t`Hearings 11/27/2007 No Copyright O 2009 Colorado Division of Water Resources. All rights reserved. Home p Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.stale.co.us/WellPennitSearchIView.aspx?receipt=9058781 A[6/12/2012 4:43:55 PM] • tr WRJ-5s72 COLORADO DIVISION OF WATER RESOURCES f • I 101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203 , gni• .. ; •'i�. PERMIT APPLICATION FORM 'l r Application must i� be comp(Ize where ( x ) A PERMIT TO USE GROUND WATER 10ATER RtSaliten applicable. Type or ( x ) A PERMIT TO CONSTRUCT A WELL ETA.t print in BLACK FOR: ( x ) A PERMIT TO INSTALL A PUMP INK. No overstrikes or erasures unless ( X ) REPLACEMENT FOR NO 1.631 use 4 it a 1576 initialed, ( ) OTHER (1 ) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Mary C . Clark Trust ?o./ tir 731 l� NAME Riohard Blake (trust officer ) Receipt No. --1,64-7/-07— / STREET Q � la' ih +� Sifts 209 Basin Dist. cry Greeley, Colo . 80631 (state) (Zip) CONDITIONS OF APPROVAL • TELEPHONE NO. 3E2.6875 _ This well shall be used in such a way as to cause no material injury to existing water rights. The (7) LOCATION OF PFIOPQ$ED WELL 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 Weld right from seeking relief in a civil court action. SW Y of the NW 1%, Section 26 APPROVED AS REPLACEMENT FOR WELL REG I STRAT ION NO . 1631 . THE OLD WELL MUST BE PLUGGED AND ABANDONED N__ , Rng. _.-.. _ 6 P.M. ACCORDING TO WELL DRILLING CONTRACTOR ' S RULES AND REGULATIONS . // . 73 (3) WATER USE AND WELL DATA 600 I Proposed maximum pumping rate (gpm) Overage annual amount of ground water to be appropriated (acre-feet) : 350 Number of acres to be irrigated ' - 100 Proposed total depth (feet) : 68 ' Y . Aquifer ground water is to be obtained from: • Alluvium Owner's well designation GROUND WATER TO BE USED FOR : ( ) HOUSEHOLD USE ONLY - no irrigation (0) ( ) DOMESTIC ( 1 ) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) (X. ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) _ . APPLICATION APPROVED PERMIT' NUMBER 13 / 42 / `~_`eP (4) IpR LLER AUG �j 1973 DATE ISSUED uv �! Name Lash Drilling Co . - EXPIRATION DATE AUG 2 3 1974 Street Box 66 ,rr"'''°"r'' . +- • r�■�r • City Ault , Colo. 80610 �_. ( AT ' - : N r (state) (zip) BY Telephone No. 83'x''2668 Lic. Nc. I .D. / 3 COUNTY _ e I (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BEt i ,OW which the water will be used must be indicated on the diagram below_ by distances from section lines. a , . • Use the CENTER SECTION ( 1 section, 640 acres) for the well location. + — — + — + . — ..--. + — —1-1 . . .- — --I- 15840 ft. from sec, line . . (north or 70u1h) I �'t— - 1 MILE, 5280 FEET - , 1 I .60 ft. from West ll - sec. tine + 4- + + _ l (teat or west) f T LOT BLOCK FILING a ! . 1-. - I + — _ i NORTH SECTION LINE ---..- `. ri - SUBDIVISION I F I I (7) TRACT ON WHICH WELL WILL BE NORTH LOCATED -}- + w .. — 4_ _ . m b 2 Z r No, of acres x00- . WHi this be J N - 6, + —I N�' I n — the only well this tract? YOU co' -4-fv:8) PROPOSED CASING PROGRAM I r" I Plain Casing t m -- - ` - ._ in. frame ft.ZO -*Q fit. in. from �_ �_____.ft. to ft. 1— - -� - I N �_ — + — Perforated casing SOUTH SECTIO t_iNE 1 I I 16 _ in. from 58 .ft. to 68 ft. I + + . . -T- + . , 4- - 4 --i -I- in from . - ft. to ft. 1 . I_ • • - - I • I (9) FOR REPLACEMENT WELLS givedistance t and direction from old well and plans for plugging . .. + :�. _f__ - -�- - -+— — -r it: Section 5 of the Required in The scale of the diagram is 2 inches = 1 mile As Each small square represents 40 acres. ti, --look of Rules and Ro iationa WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot Coven 1 acre of land 1 foot deep 1 cubic foot per second (cfs) , , . 449 gallons t:er minute (gam) 4i 1 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 gam pumped continuously for one day produces 4.42 acre-feet, •9 ( 10) LAND ON WHICH GROUND WATER WILL BE USED : - Owner(s) : Mary it, Clark Trust Richard Blake Trust Officer No. Of acres: 100 Legal description: North : .of the 34: and South ? of the $We of the Wilt of Sects 25 . Mrs $6T (11 ) D TAJ L P D” R1.P1U N of the_use of ground water: -- - - _ _ . — . _... _ . - wta f ar_JQ--be-ueed_tn r crap- irrigation (12) OTHER WATES R GHTS used on this land, including wells, - Type or right Used for (purpose) Description of land on which used lQne . - ____- - (13) THE APPLICANT (S) STATE (S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. if �t C J C - .7/ /t✓ S! NA URE F APPLICANT'S) , - a , . r Use additional sheets of paper if more space is required. .. — - -- - - -, --- _i • wRi-25-7S V ellelailt THIS P01144 MUST BE Y SUBMITTtD PRICs'tt TO COLORADO DIVISION OF WATER RESOURCES 4- ;I E EXPIRATION OF THE . PERMIT. TYPE OR Columbine Bldg., 1845 Sherman St.tRINT IN BLACK INK. ' COPY OF ACCEPTEDtuil0 Denver, Colorado 80203 ‘ ''l. STATEMENT MAILED RECEIVED ON REQUEST. X STATEMENT OF BENEFICIAL USE OF GROUND WATER Iniq �, ~ FOR OFFICE USE ONLY AMENDMENT OF EXISTING RECORD C � Div. / Cry. Y .‘'rr nA i EA Ifrl4Urtf!' INNIS PERMIT NUMBER "Mit STATE OF COLORADO t SS. COUNTY OF . . Weld LOCATION OF WELL THE AFFIANT(S) Richard Blake (Trust offieer ) for the County , Weald whose mailing Vary C'. Clark Trust address is 1000 + 14th St : film 209 SW v, of the NW '4, Section 25 City Greeley,. Colo. 1 Twp. , Rng. ,a6.._ , 6 P.M (TA`) (ZIP) 7 r.rT oa 9) iF OR w) being duly sworn upon oath, deposes and says that he (they) is (are) the owner( s) of the well described hereon; the well is — located as described above, at distances of 1584 feet from the I brth section line and 60• feet from the [NORTH OR eourn) West section line; water from this well was first applied to a beneficial use for the purpose( s) described herein on the 1 (EAeT OR weer) day of MY , 19 7'4 ; the maximum sustained pumping rote of the well is 600_ gallons per minute, the pumping rate claimed hereby is 600 gallons per minute; the total depth of the well is 70 feet; the average annual amount of water to be diverted is 360, acre-feet; for which claim is hereby made for _ [rr&gation purpose(s); the legal description of the land on which the water from this well is used is North 1 of the SE4 of the South * of the $W# of the 111111 of $eatiOn 25, T7Nt R6FW which totals 100 acres and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his ( their) knowledge- Signatyre(•sr. :1.- -erj,,, — •art ` _ ---27P---+.:. x� it,' /f ` .�. •.. -.__— SubSCY+besd and s'N4 -( FOR OFFICE USE ONLY 4b.fr+ oremeonthile ay of 6,32-4A i , 19 9V Y t _ Court Case Na. _ (001 1 /9q/7 -N4q Commission expires: : �� r .�i . See. ',4, 1/ %4 . , - - • h_n 4 / Athz. 1 .'r",, 1 - - _ ) VOTARY PlJ\\,]C Well Uso 6 e ACCEPTED .FOR FiLt11G BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: Dist. _2_ Rosin Men. Dig . , Prior. Mo. Day Yr. DATE STATE ENGINEER BY Well drilled by Lic. No. r Pump installed by Lic. No. Meter Serial No . Ei Flow Meter II Electric Meter n Fuel Meter Owner of land on which water is being used - ._ THE LOCATION OF THE WELL MUST BE SHOWN AND THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well , if possible_ I I l I - . T _ — + — —I- — + • 1+ -- f: — • I 1 t I I + — + } , -+ — -I_ = ._ -.- + _ + — T NORTH SECTION LIME - II I NORTH I- -- ' -}- - W 1.. + - N J at rn Z _ } 2 Z w r "' - + - . + z_ -. - N + + — T. rn .d w I H r SO SECTION L ItsiE - -} U �r LL • 1 THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE-MILE - -f-- - + T -F - + ±f- --- + - 1 Milei 1 1 _ WATER EQUIVALENTS TABLE ( Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) . . . 449 gallons per minute (gpm). 1 acre-foot . . . 43,560 cubic feet . . . 325,900 gallons. 1 ,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. .- T� _ 7 it EW COLORADO DIVISION OF WATER RESOURCES R THIS F.ORN1 MUST BE SUBMITTED 300 Columbine Bldg., 1845 Sherman St. \t-- t WITHIN 00 DAYS OF COMPLETIO Denver, Colorado 80203 An 2 7 QF THE WORK DESCRIBED HERE- ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT �A1f� I at INK. PERMIT NUMBER ft .631-ARF sty e WELL OWNER Mtry Clark Trust S W Y. of the . - N W '/ of Sec. 25 - - -- - - suite # 209 ADDRESS 1000, aOth st. Q e toy, Co10 8o6n T. 7 - DI - , R• 66 - w 6 • P.M. DATE COMPLETED TP? 1.5 , 19' HOLE DIAMETER 0 WELL LOG 30 in. from to 70 _ ft. ------- - ' v Water From To Type and Color of Material Loc. - - n. from _ to _____ ft. O 2 Topsoil in. from to ft. DRILLING METHOD Reverse Rotary 2 24 Clay CASING RECORD: Plain Casing 24 55 Medium sized loose gravest Size 16 & kind steel from 0 to . 39 ft. 55 69 Large gravel and cobble aka Size 15 & kind steel from 69 to 70 ft. 69 70 Grey shale Size & kind from to _ ft. Perforated Casing Size 16 & kind perferatOom _._..J9 to 59 ._ ft. Size 16 & kind screen from 59 to 69 ft. Size & kind __. _ — from _._ to . __ ft. GROUTING RECORD , Material cement __ . ' Intervals 6t X 61 pad 0 to gt Placement Method _ _ ___ GRAVEL PACK: Size 3/14tj X 5/8" Interval _ St to 70t _ _ _— TEST DATA Date Tested January 17 , 19744_ I Static Water Level Prior to Test 1o" ft. Type of Test Pump nR •-�:- sif;^-_ . Length of Test i t-bot :. " 7Ot Sustained Yield (Metered} c 9Sa. 'm TOTAL DEPTH Use additional pages necessary to complete log. Final Pumping Water Level - , 65t - __ - � PUMP INSTALLATION REPORT i'i e"' . tietit tf Zieft Pump Make _. ,. ' ; �1. , ' as ariFfi ~ 'type turbine - > ` -" ''t N. Powered by HP '•_'• • 7 Pump Serial' No. . , b' . • •rr W - WATER Motor Serial No. J 3' J v • . .W;I U w TABLE I'- Date l nstalled 31 / 1914 — it y J Pump Intake Depth _ 680e . �k. is _ Remarks -- _ 1 ;: 2 � _ `. .j• , J j 4 •r .o fa . � •.. O ` w.. . WELL TEST DATA WITH PERMANENT PUMP a.a. • U 0 ''• . r Date Tested ._ _ .� a ;; ,'.. CONE Or 1 a ...0-. .4), • . DEPRESSION Static Water Level Prior to Test ^.-.._: . X ;)a • ,. t b / •;• Length of Test . ._ Hours• _ . Sustained yield (Metered) ._ . GPM `' •: Pumping Water Level _.� . r. Remarks t ` r•'w v ,. t • - ..._tr..,: - \ - T-- i:: , .. _ . .-- . . _ • -. • CONTRACTOHSSTATEMENT 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 'ha the statement made hereon; knows the content thereof, and that the ' I. ow %wle• Signature •- .�� �1�. _ License No. . ,;• c.,,-) State of• 'ejorattb; rtiby of 1- -e_1 SS SubscIbad ,a"htlisw 1034ifor me this "s' day of 'e? ? a. t_a' • 'i , 19 f My Ctimmissiori ex'Direr; - - - ' , 19 7 6 . I Notary Public <& (- 41a )1 _ • 4l.• t - j j >__ r FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer. PINK COPY is for the Owner and YELLOW COPY Is for the Driller. - t.. 1 •- IX f WPJ-S.72 - COLORADO DIVISION OF WATER RESOURCES ME . • I ' 1 f 101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203 '' .r, PERMIT APPLICATION FORM — p 4 �T Application must `� be compl'tle where ( x ) A PERMIT TO USE GROUND WATER +04rrvt mouton STATE' Egypt applicable. Type or ( X ) A PERMIT TO CONSTRUCT A WELL tem print in BLACK FOR : ( y ) A PERMIT TO INSTALL A PUMP INK. No overstrikes or erasures unless (_ ) REPLACEMENT FOR NO. 1631 Case .1 It -• 1576 initialed. ( ) OTHER (1 ) APPLICANT - mailing address FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUMN Mary C . Clark Trust 90-V ff 7 3/ I NAME . Richard Blake (trust officer ) Receipt No. a. / STREET FOOO `JQ' to at. .- S}].. 0_ 209 _ Basin Dist. CITY Greeley, Colo , 80631 , (state) {tip) • CONDITIONS OF APPROVAL r TELEPHONE NO. 312.4875 This well shall be used in such a way as to cause no material injury to existing water rights. The ( ) LOCATION OF PROPOSED WELL 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 WB1d right from seeking relief in a civil court action. SW is of the NW '/a, Section 25 APPROVED AS REPLACEMENT FOR WELL REGISTRATION NO . 1631 . THE OLD WELL MUST BE PLUGGED AND ABANDONED Twp. _.i 1L , Rng. iL—.... , _ 6 P.M. ACCORDING TO WELL DRILLING CONTRACTOR ' S RULES AND REGULATIONS . o2, 7" . 73 (3) WATER USE AND WELL DATA CANCELED maximum pumping rate (gpm 60O ) _-- CANCELED (SEE 63742-.F_IDC-12/19/2065) Average annual amount of ground water to be appropriated (acre-feet) : . 350: Number of acres to be irrigated: 100 Proposed total depth (feet) : 68 r . Y Aquifer ground water is to be obtained from: J ' Alluvium Owner's well designation GROUND WATER TO BE USED FOR : ( ) HOUSEHOLD USE ONLY - no irrigation (0) ( ) DOMESTIC ( 1 ) ( ) INDUSTRIAL (5) { ) LIVESTOCK (2) (X ) IRRIGATION (6) ( } COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED R PERMIT NUMBER R i.�L _ __e_F_ _____...._ (4) aBILLEJ3 AUG 2 3 1973 DATE ISSUED �i 1 �t Name Lech Drilling Cos ' EXPIRATION DATE AU G 2 3 1974 • Street Box 66 ( 41:711.6 City Ault , Colo. $0.610Csisr (jAINE (State) (Zip) - „se- BY , � Telephone No. 832868 Lic. No. I .D. .1 - 3 COUNTY . 46.E _, (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE �QAE_[ BEI;QW , which the water will be used must be indicated on the diagram below. by distances from section lines. - J 0 Use the CENTER SECTION (1 section, 640 acres) for the well location. ` 1584 ft. from ?Port h+ — — + — 1— — + — + — -+ — E (north or sec, line south) I L4--- 1 MILE, 6280 FEET •— �I I • LBO ft, from Wes- sec. line + +. � t- 4. + ; (east or west) LOT BLOCK FILING . I I - - + I — _ NORTH SECTION LINE - u i SUBDIVISION t I i (7) LOCATED NORTHN WHICH WELL WILL BE w r. — - m --i- Z a ± No, of acres - I00.. . Will this be J , -4 m the only well on this tract? • Yea (8) PROPOSED CASING PROQRAM co z N ' \ r.Z Plain Casing -1-- -� '� ± "' ...S "' — - - — f . . --O- - . _id_ in. franc -TO- ,- 0 ---ft---- - I I I I in, from __ ft. to ft. -I- — -#- - L__— I t_ — _+ - 4 Perforated casing . SOUTH SECTION LINE I I 16 _ in. from 58 ft. to 68 ft. -{' . -f- + . . 4- -(- - 4 -)-- -l- in from ft. to ft. 1 - . . - - I (9) FOR REPLACEMENT WELLS give distance 1 and direction from old well and plans for plugging The scale of the diagram is 2 inches = 1 mile As Required. in Section 5 of the Each small square represents 40 acres. L s WATER EQUIVALENTS TABLE (Rounded Figures) �IOO� of Rules and Regulations . An acre-foot coven 1 acre of land 1 foot deep , 1 cubic foot per second (cfs) . . , 449 gallons Per minute (gpml s A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot . . . 43,560 cubic feet . . . 325,900 gallons. — - ` _ 1 ,000 gore pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED : Owner(s) : Mary al Clark Trust Richard slake Trust Officer No. of acres: T00 Legal description: _North 3. of _ the __0F and South 2 of the SYVI of the tniti of Sect. _25s t , R6r . (11 ) MI-AILED Dg$CR1QTJON of the_use of ground. water n -- - .-- - — - - — . _... - • -- -- . Wetter to be used for crop Irrigation • (12 ) OTHER WAT. f R ' GHTS used on this land, including wells. 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 TRUE TO THE BEST OF HIS KNOWLEDGE. frits., e ci,d rie;,4,4- .-2 ,. _y2sfa,pict_te/- "ix yccirece4C2, /-d-reccric---I. .7 .: S! NATURrc, F APPLICANT'S) . ` r - Use additional sheets of paper if more space is required. — . -___ —.-- - —_ _ J I wgr27 7?! tH LI fb rO MUST BE 111111"11117 Y SUBMITTED PRRAZ TO COLORADO DIVISION OF WATER RESOURCES _4P' ./rti`‘ THZ EXI*IRAT10N OF THE PERMIT. TYPE OR 0 Columbine Bldg., 1845 Sherman St. TINT f i BLACK INK. COPY OF ACCEPTED �( ,' Denver, Colorado 80203 4' . RECEIVED CZ STATEMENT MAILED / '" n V ON REQUEST. X STATEMENT OF BENEFICIAL USE OF GROUND WATER Itni, 2 _ FOR OFFICE USE 4/ONLY AMENDMENT OF EXISTING RECORD �74.Div. / CIY• a. . .C1rr VA I.EA in lfn` Illagit PERMIT NUMBER __ "ea► STATE OF COLORADO t SS. COUNTY OF Weld _ LOCATION OF WELL THE AFFIANT(S) Riohard Blake (True offload: for thn County Weld whose mailing Mary C'• Clark Trust address is 31000 14th itte 11If.t3 209 SW ;, of the NW !4, Section 2fr City Greeley, Colo, 804,31 Twp. 7 1i , Rng. gib. 1 _a_- P .M. t7TAT[ (no Tw OR s) { OR w> being duly sworn upon oath, deposes and says that he (they) is (are) the owner( s) of the well described hereon; the well is located as described above, at distances of 1584 _ feet from the lcbrhh section line and 6O- feet from the INORTH OR eOUTr) West section line; water from this well was first applied to a beneficial use for the purpose( s) described herein on the 2. (LAaT OR *EST) day Of ILLY , 19 74- ; the maximum sustained pumping rate of the well is 604 gallons per minute, the pumping rate claimed hereby is 600 gallons per minute; the total depth of the well is 70 feet; the average annual amount of water to be diverted is _ 360' acre-feet; for which claim is hereby made for . Irrigation purpose (s); the legal description of the land on which the water from this well is used is North if of the Se of the South * of the SW of the 1114 of $eatton 25i.T'lj,__RF61Y___ which totals 100 acres and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his ( their) knowledge. Signat+�re(•sr ~a.1T -ec,,re oe )- L.,-�.v,/ 4 — Stebse*ibed and swDwt - / 1)64 .0 FOR OFFICE USE ONLY &Erefore me on this` - ay of , 19 9V _ r y Court Coca No. •_ 7 M Commission expires: _ C Ltiet�.Qh .) GeV/ / 917/7 `: //� ///n y /�(/'y7�/ / 1 //6 yAAA `A �yy /J See. i'4, 1, , it , '• - _ ,'. NOTARY ROM MC VEC I Uzo 6 _ACCEPTED FOR. FIL64G BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: Dist. _ Basin Man. Dls . , Prior. Mo. Day Yr. DATE STATE ENGINEER By .1 P • = Well drilled by Lic. No. c t. Pump installed by Lie. No. • Meter Serial No. O Flow Meter O Electric Meter O Fuel Meter Owner of land on which water is being used THE LOCATION OF THE WELL MUST BE SHOWN AND THE AREA ON WHICH THE WATER IS USED . MUST BE SHADED OR CROSSHATCHED ON THE DIAGRAM BELOW. This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well, if possible. I i I 1 • • v. I . _ . , . • - + ._... + + _ + r + _ + - r NORTH SECTION LI E . t NORTH ' + :4: ---- -- Lii + , + • aki V+ J in Z n _ .MN I I 2 z w r V' + rn rn + + T". z _ W SOU H SECTION LI E — + _ + + — + + T + _ Y { i I I I ' - r I• TIC SCALE OF T E DIAGRAM IS TWO INCHES EQUALS ONE-MILE ' - -- - + # --- + - - • .: ` - -�-1 M • ile1-"- • • -1 1 WATER EQUIVALENTS TABLE ( Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) . . . 449 gallons per minute (gpm). 1 acre-foot . . . 43,560 cubic feet . . . 325,900 gallons. 1 ,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. T - -. ti wAJ:zs 72 `jEWED F v _ COLORADO DIVISION OF WATER RESOURCES THIS f OFNV1 MUST BE SUBMITTED 300 Columbine Bldg., 1845 Sherman St. \S- r n IA WITHIN 00 DAYS OF COMPLETIO Denver, Colorado 80203 AFR 0 z QF THE WORK DESCRIBED HERE- ON, TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT �At� M pm INK. PERMIT NUMBER stye WELL OWNER Yary Clark Trust _W %, of the W Y. of Sec. 2 __ , suite # 209 ADDRESS 1000, 3.0th st. 4repley, Cnl n. 8O631 _. T. - _ N , R. 66 w . 6 P.M. DATE COMPLLTED JSt2U3 7 , 197k HOLE DIAMETER 3WELL LOG - _ in. from to 70 ft. • Water From To Type and Color of Material Loc. - in. from to ft. O 2 Topsoil in. from to ft. DRILLING METHOD Reverse RQtry 2 24 Cl$Y CASING RECORD: Plain Casing 24 55 Medium sized loose gravel Size 16 & kind steel . . from O to ._32 ft. 55 69 large gravel and cobble std Size 16 & kind steel from 69 to _70 ft. 69 70 Grey shale Size & kind from to _ ft. Perforated Casing Size 16 & kind perferate m _...3.2_ _ to 59 __ ft. Size 16 & kind screen from 59 to 69 ft. Size _ & kind _ from ... to to _ ft. GROUTING RECORD Material ceinant _ _ __.. Intervals 6t X 6t pad C) to 81 sa ___ Placement Method GRAVEL PACK : Size 3/4't X 5/8e _ Interval 81 to 70t TEST DATA Date Tested January 17 ._,_. . , 1971 Static Water Level Prior to Test 29.3 1 t10 ft Type of Test Pump ,j ,nn- ;��;_ Length of Test = t-hums -- Sustained Yield (Metered) :.C- 7Ot f TO I AL DEPTH _ b5t Use additional pages necessary to complete log. Final Pumping Water Levi • - - i` - .. a t ET 11 PUMP INSTALLATION REPORT ` 'f;• Pump Make - ,: g5f \ � ti: II2P ,LiTypeturbind - j:P.,kn . t A Powered by HP 'h J' v Pump Serial No. _ . a .,, ..- • W . _ . - _ . z - - d c ` • WATER 'Y: 3 Motor Serial No. _ _ U TAEILE Li 3/ / c 1- ur Date Installed _ .� _ CC 0 Pump Intake Depth 42 '11Y- _ _ _ _ _ _ • F 1 •• _ Remarks -- - - - 1- . ,�er: x +._, • •- .. -. , . -1W - '\ t- ' - me-,, tie-- . • . . p - WELL TEST DATA WITH PERMANENT PUMP 4 �` ktC - Date Tested _ _._ _ a .0 tCANE OF a ,•,7, 4 DEPRE S SiON Static Water Level Prior to t - T: t _ o x ?�' , 7 jar, Length of Test - . . Hours ~' � - ,f Ie Sustained yield ( Metered)_ ___w GPM rAi Pumping Water Level _ a�, Remarks _ _ - .-. — •‘f4 , y ' - I , _ 5, • . .. - - - ... T l • ,. CONTRACTORS STATEMENT 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 ha the statement made hereon; knows the content thereof, and that the sa - ' fr. ' ' ow wle 22. signature - - g License No. c State of-Coforattb;-(%sa Styr of I- -- '- -/‹ '-- - - — - SS N ' . SUbsc bed P1;l1swgnt tv 194ifOf me this ‘`(-) day of )2 j a. t_cp .11 9 19 7 My C&nmissiorr expires:_ --e. /6 , 19 76 . 1 - Notary Public - (. ,„i [al •L 1 �,. )5 . :...r.1.. ;t - y 7 /� �, t) 1 FORM TO BE MADE OUT IN QUADRUPLICATE : WHITE FORM must be an original copy on both sides and signed_ WHiTE AND GREEN copies must be filed with the State Engineer. PINK COPY is tor the Owner and YELLOW COPY is for the Driller. 1 ORDER OF THE STATE ENGINEER IN THE MATTER OF WELL PERMIT NO. 1631 -RR LOCATION: SW 1/4, NW '/4, SECTION 25, TOWNSHIP 7 NORTH, RANGE 66 WEST, 6TH P.M. APPLICANT: ROY H. MILLER AND JEANNETTE M. MILLER THE STATE ENGINEER FINDS: A permit to replace the original permit no. 1631 -R was issued on August 23, 1973, and had an expiration date of August 23, 1974. On October 13, 2005, the applicant submitted an application (receipt no. 544656) for the change •of use of an existing well permit no. 1631 -RR in accordance with the decree entered in case no. 2004CW182. The well permit 1631 -RR is hereby canceled and is of no further force or effect. Dated this 19'" day of December 2005. Hal D. Simpson State Engineer By: A-7M 10.1Oq loana Comaniciu Water Resource Engineer Prepared by: IDC cc: Division 1 Applicant State of Colorado Water Resources - View Well Details: Receipt 0544656 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of r s � � _, :,...... . "� -° Water Resources - .. - ---21 .1. i,_ - _. - _ .r.,_ Am ahak „ well 7 err- `_'a. 91 4 .f.'XS.'i;'. ,-�-'�. ^ �• ...�w��1b:.-.•..rr "!�C!'ir3 . .-.i_" - _ } .. Z , a / � ip ... ,,, Focus„d err.ColoradosF,eopleWafeeftdSie►vardsfr�p: Colorado's Well Permit Search WeILConstructed Last Refresh: 6/12/2012 12:01:21 AM ' Receipt: 0544656 Division: 1 • Permit #: 63702-F - Water District: 3 Well Name / #: County: WELD 4. Designated Basin: Management District: F Case Number: W1576,04CW0282 WDID: n F [- ] Applicant/Owners History r. Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present MILLER ROY H. AND JEANNE! t t M. 17541 COUNTY ROAD 76 EATON, CO 80615- [—] Location Information Approved Well Location: Q4O Q160 Section Township Range PM Footage from Section Lines a: SW NW 25 L0N 66.0W Sixth 1584 N 60 W I Northing (UTM y): 4488745.0 Easting (UTM x): 522452.1 4;' i. Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot • Parcel ID: Acres in Tract: t. i.• [ -] Permit Details Date Issued: 12/19/2005 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report Yes No No i Cross Reference Permit Number Receipt Description Permit(s): 1631A -R 2058181A Comments: [ -] Construction/Usage Details Well Construction Date: 01/15/1974 Pump Installation Date: 03/13/1974 Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 14 1 [ - ] Application/Permit History t, Permit Issued 12/19/2005 Pump Installation Report Received 12/19/2005 Well Construction Report Received 12/19/2005 Application Received 10/13/2005 Pump Installed 03/13/1974 Well Constructed 01/15/1974 f. [ -] Imaged Documents Document Name Date Imaged Annotated • Well. ConstructiorL&Test 11/27/2007 No Es Construct to onstruct a Well 11/27/2007 No F Pump Iectallat[onAlest 11/27/2007 No t Maps,J .ee egal Descriptions 11/27/2007 No i EeaeraL.EurposelApplication 11/27/2007 No a Correspondence, Memos_Findings .&-Hearings 11/27/2007 No http://www.dwr.state.co.us WellPenritSearch/View.aspx?receipt=0544656[6!1212012 4:46:45 PM) State of Colorado Water Resources - View Well Details: Receipt 0544656 Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.statc.co.us/WellPermitSearchNiew.aspx?receipt=0544656[6/12/2012 4:46:45 PM] a. . WA.+Ql-l? ' ) ' 1 �E r f 1 COLORADO DIVISION OF WATER RESOURCES 7H18 EDAM MUST BE SUBMITTED 300 Columbine Bldg., 1845 Sherman S1. OR r[f� . WITHIN 00 DAYS OF COMPLE]7 Denver, Colorado 80203 APR 0 Z QF THE WORK DESCRIBED HERE. \S- ON. TYPE 014 POINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPQRT_.. Din X67 moll INK. PERMIT NUMBER = MS . Miry WELL OWNER Clark Trust S W _ A of the N W 'k of Sec. , V•••Ar suite # 209 66 f at.6.Nsi ,'ES�P.m. ADDRESS _a00OL2 ate 4rfte1R ', Lulu. 8063.1 T. - _ N -, R. DATE COlviPLETED srar.ruarr 15 , 1971 HOLE DIAMETER 1 3 2005 • WELL L(1O 30 in, Er QM 0 to . ?� OCT fL Water '1/a • , RESOURCES 5Tn't'C INGINEER. From To Type and Color of Material Loc. in. from _ to _ ft. COLO. • 0 2 Toil in. from to ft, DRILLING METHOD ReVerkla RiPat43,17 2 214 City • CASING RECORD: Plain Casing 2.4 55 xa<e m sized loose gravel Size 16 _ & kind tribal from D to 39 ft. 55 69 large gravel and cobble ems Size 16 & kind steed. _ from 69 to _T0 ft. 69 70 Grey shale Size & kind from to _ _ ft. Perforated Casing Size 16 & kind Perferat► om .39 to 59 ft. Size 16 & kind screen from 59 to _69 ft. Size . & kind from _ . to _._ ft i GROUTING RECORD , Material _ cement • Intervals 61 X 6: pad 0 to Bt -- 1 Placement Method - . --- 3/1ia x 5/e" GRAVEL PACK: SiZO _. Interval 8' to 7 QI TEST DATA Date Tested _ ,uarY 17 . 1 Static Water Level Prior to Test s inn ft. Type of Test Pump .-,.Jl� • Length of Test a.:;,'"_ -=.- . I • Sustained Yield (Meteletl) % V50. ;-• 70 �. TOTAL DEPTH 651: _ Ws additions) pages necessary to complete loo- Final Pumping Water Level - --•---------- ----- - I I . if Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 • (303) 866-3581 EXST F WELL PERMIT NUMBER 63702 - F - APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SW 1 /4 NW 1 /4 Section 25 r ' ROY H. AND JEANNETTE M. MILLER Township 7 N Range 66 W Sixth P.M. 17541 COUNTY ROAD 76 DISTANCES FROM SECTION LINES EATON, CO 80615- ! i 1584 Ft. from North Section Line 60 Ft. from West Section Line UTM COORDINATES (MetersLZone: 13,NAD83) (970) 454-2868 t ' CHANGE/EXPANSION OF USE OF AN EXISTING WELL Easting: Northing: E I ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT I CONDITIONS OF APPROVAL y 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 E , 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 37-90-137(2) for the change of use of an existing well permit no. 1631-RR (decreed by the Division 1 Water Court as Clark Well No. 2-1631 , case no. W-1576 and changed in case no. 2004CW282). The operation of this well is subject to the terms and conditions of decree entered in case no. 2004CW282. 4) The issuance of this permit hereby cancels permit no. 1631-RR. • 5) Approval of this change of use well permit shall not result In an expanded use of ground water. The use of ground water from this well iI combined with Clark Well No. 1 (permit no.1630-R), and the applicant's surface water rights (one share of Windsor Reservoir and one share of the Larimer & Weld-Eaton Ditch) is restricted to the irrigation of 100 acres in the S 1/2 of the SW 1/4 of the NW 1/4 and the SW 1/4, Sec. 25, 1 Twp. 7 N, Rng. 66 W, Sixth P.M. (as decreed in case no. 2004CW282). 6) The pumping rate of this well shall not exceed 275 GPM (0.613 cfs as decreed). 7) The average annual amount of ground water to be appropriated combined with Clark Well No. 1 (permit no. 1630-R) shall not exceed 400 1 I acre-feet or the quantity covered under a court approved plan for augmentation or substitute water supply plan approved by the State Engineer, whichever is less. 8) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 9) This well shall not be pumped unless included in a court approvedplan for augmentation or a substitute water supply plan approved by the P P Pp 9 PP Y pP State Engineer. At the issuance date of this permit the well was included in the Cache La Poudre Water Users Association plan for augmentation as decreed in W-7921(75). 10) 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. 11 ) This well shall be located at least 600 feet from any existing well, completed in the same aquifer, that is not owned by the applicant. 12) This well shall be located not more than 200 feet from the location specified on this permit and not more than 200 feet from the location decreed for Dark Well No. 2-1631 in case no. W-1576 (decreed location is 1584 feet south and 60 feet east of the NW corner of said section 25). 13) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. NOTICE: This permit has been approved for a change of the maximum pumping rate and the annual amount to be withdrawn applied for, to be consistent with the maximum pumping rate decreed in case no. 2004CW282 and the annual amount covered by the Cache La Poudre Water Users Association plan for augmentation. You are hereby notified that you have the right to appeal the issuance of this permit, 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.) /4. /9. a05 APPROVED __4/ 2 I DC L�- I State Engineer //�t By Receipt No. 0544656 DATE ISSUED 12-19-2005 EXPIRATION DATE /WA f� ( 1 { r PUMP INSTALLATION REPOR'► • �2J-/e%�/�//� F .. J44 • i-t 1 Pump Make _ _ ,• ; .� `: [Th b'Z.. nt ""tt,..,N\ - • liable Type _ . Powered by ,,,elate • HP 35 - - OCT 13 2005 Pump Serial' No. .b . �, t . ) • ' ; , 'L;ATER 4ESOUACE$ ,• 3 WA7ERLo WEER Motor Serial No. �• to TABLE _ - • 'y ,, › Date installed 3/ 33/ VA c J It - Pump Intake Depth 458. '� if Remarks • '' - 5 _ % i a l •_ ... c. -. "_. . c . _ � �, •• ` . _ .- a. C •; •. • ., • .- - - ' 4 - • , ;• l'i WELL TEST DATA WITH PERMANENT PUMP a. e +. w �-1 • _. 1 Date Tested _ „I Z • a CON EC OF a . , DEPRE S VON Static Water Level Prior to Test __ ., `W • Length of Test Hours =:� .n f• • r ._ � _ 1 i. Sustained yield (Metered) GPM ;j .. Pumping Water Level - • p�Ml! ID" anitabIS to y .i Remarks . ..: ``. :J Y .,1 r. S 1 - I 1 Cr. 4 ` -T 41•••••- CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation descrihed hereon; that he ha - a '%the statement made hereon; knows the content thereof, and that the ow 1 . . . "� stj• ,�• � Signature �� ��i/.�. _ License No. • State of-*f knot ;C is ty of ___.-J SS • Subsct4bed imH' to ta"�f me this 3r' day of . fn) et- ti1>• �- , 19 7 V • My Ceimrnission e4irt -4S e /6 _ , 19 7 6 . 1 • - Notary PUb1lC • ,� _ (��.Le-� •-' 4- 4•1•••/* . 71 19(-rR i} 1 • FORM TO BE MADE OUT IN UIUAO*UJPLICATE: WHITE FORM mutt be en original copy on both sides and signed WHITE AND GREEN oopis must be flied with the State Engines,. PINK COPY is for the Owner and YELLOW COPY Is for fin Dn1 ss. i . . I:. I 1$.• '1•^ifL,•1[C •1:' :.y Jr I •r rT ,.• :.•,,L".1- -if • y, {, • r " . • : - M 11 • '� . 1�tii21S• �' �, •• •tw.. �:aVr..r1��\. ' . r • i • •' • •• J'7: 4 • ni ': • a.\}7'r'•• f•I • 1 • • ! 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'},•.'C •••..' .•f• it '1 ••• ♦. •1 • • t'• • j'�11 • ��. n _ •• I'% .41f; . 2 .t, ! - „ .,• ,, ;,.t1 P..; . ♦ • ' 4 at- .."' 1{ 11KF•.,:•; L' ' 3' '' I , RECEIVED f EXHIBIT B OCT 1 3 2005 Land on Which Ground Water will be Used WATER RESOURCES STATE ENGINEER 8. Legal description: COLO. A. Continue the decreed place of use of the Clark Well No. 2-1631 at the S '/2 of the SW '/4 NW '/4 Section 25, Township 7 North, Range 66 West of the 6'h P.M., Weld County, Colorado. B. Change the place of use of the Clark Well No. 2.1631 from the N %2 of the SE '/4 Section 25, Township 7 North, Range 66 West of the 6th P.M. Weld County, Colorado to the SW '/4 Section 25, Township 7 North, Range 66 West of the 6th P.M., Weld County, Colorado. 8C. List any other wells or water rights on this land: Besides Clark Well No. 2-1631 , applicant has Clark Well No. 1-1630 for .613 c.f.s. for 120 acres. Applicant also has one share of Windsor Reservoir and one share of Larimer & Weld (Eaton Ditch). • I , i I c.f.s. Well Acre Feet per Name and Address Legal Description Capacity Year (Est) and (Total) Decree Number 101 . Lockman, Fred and Karen NW '/4 NE 1/4 33-8-65 3.063 200 3951 E. Co. Rd. 58 W-4375 Fort Collins, CO 80524 102. Lohr, R. Mike and Nancy 2 wells 3.91 100 30350 WCR 66 NE '/4 NW '/4 30-6-63 Gill, CO 80624 W-383 103. Lucerne Potato Growers SE 1/4 SE 1/4 18-6-65 0.437 2 do Ralph T. Anders W-2230 P.Q. Box 14 Lucerne, CO 80646 104. Marcy, Dewey NE '/4 31 -6-64 3.27 150 24576 WCR 64 W- 1878 Greeley, CO 80631 105. Meyring, David E. 2 wells 2.790 300 Star Route Box 700 NE '/4 SW 1/4 27-7-65 Walden, CO 80480 #11074-F NW '/4 SW '/4 27-7-65 # 16197-R CA# 16704 • 106. McGraw, Jarrett NW 1/4 SE 1/4 4-5-65 1 .33 45 R & S Equipment, Inc. W-1391 P.O. Box 940 Greeley, CO 80632 107. McLavey, Bernard & Brenda NW '/4 NW '/4 19-6-64 .78 25 32864 WCR 49 W- 1291 Greeley, CO 80631 108. Miller, Roy H. SW 1/4 NW 1/4 25-7-66 1 .22 400 17541 WCR 76 • W- 1576 Eaton, CO 80615 # 1630 # 1631 109. Monson Brothers Co. NW '/4 SW '/4 20-6-65 2.23 122 I Joe P. Martinez Lane W-2002 Ault, CO 80610 13 I mitlitif t - . COLORADO DIVISION OF WATER RESOURCES Office Use Only Form GWS-45 (02/2005) I DEPARTMENT OF NATURAL RESOURCES . 11313 SHERMAN ST., RM 818, DENVER, CO 80203 DECEIVED phone — info: (303) 866-3587 main: (303) 866-3581 fax: (303) 866-3589 httpJ/www.water.state.co.us GENERAL PURPOSE 0CT 1 3 2005 Water Well Permit Application WATER RESOURCES . Review instructions on reverse side prior to completing form. STATE ENGINEER • The form must be completed In black or blue ink or typed. COLO. H • 1. Applicant Informationle _ _ 6. Use Of Well (check applicable boxes; __ Name of applicant Attach a detailed description of uses applied for. Roy H. Miller and Jeannette M. Miller , ❑ Industrial O Other (describe): I . Malting address Municipal 17541 County Road 76 _ _ _ 0 Irrigation 14%‘ City state zip coda ___ 0 Commercial fr, Eaton T CO 1 80615 — Tetephone 7. Well Data (proposed) _____.__—__. I (970) 454-2868 Maximum pumping rate I Annual amount to be withdrawn 600 gpm 1350 . acre-feet .1I �2. Type Of Application (check applicable boxes) Twat ... _ Aquifer I ❑ Construct new well ❑ Use existing well . ❑ Replace existing well O Change or increase use 68 feet ; Alluvium ❑ Change source (aquifer) 0 Reapplication (expired permit) 8. Land On Which Ground Water Will Be Used f ® Other. Change in place of use of Clark Well No. 2-1631 Legal Description (may be provided as an attachment): See attached map, 3. Refer To (if applicable) Exhibit A and description, Exhibit B 1 I Well permit M .__- -- .__....-Water Court case* - - ' _ R1631 -RF W-1576 and 04CW282 1 Designated Basin Determination# Well name or* n/a i. Clark Well No. 2-1631 ▪ . 4. Location Of Proposed osed Well - -- - •) , County -- --- -- — (If used for crop irrigation, attach a scaled map that shows irrigated area.) ▪ . Weld 7 SW 114 of the NW Ira A. *Acres ' B. owner i l ..-__. __ r_ 100 Roy and Jeannette Miller Sedion Township N or S Range E or W ; Principal Meridian —.— _ _ ._..___ _ . I C. List any other wells or water rights used on this land. 25 — 7 _ ® ❑__[ 66 ❑ ® 6th _-__ See attached oistance of well from sectioniines (section knee are typically not property lines) 1584 Ft from El N ❑ S 60 Ft. from ❑ E ® W - 9. Proposed Well Driller License #(optional):n/a Fkxreplacamentwells«ityy-dlstanoeanddredionfromoddweletonewwail 10. Signature Of Applicant(s) Or Authorized Agent_ _ _ 1 n/a feet n/a direction ---------- - ______ ---- _� The making of false statements herein constitutes perjury in the second ( ( •wai iocalian address fa a�pi�csbie) - degree, which Is punishable as a class 1 misdemeanor pursuant to C.R.S. i ' n/a 24-4-104 (13)(a). I have read the statements herein, know the contents -____ ._ ______ . ...w -___._.____._ - thereof and state t tt are true tom knowledge._ i Optional: GPS well location information In UTM format _- —_ _ — -_y_.___._ _ _ _,_ ____..._ You must check GPS unit for required settings as follows: -S' — sr / a at;r Date ' //A/kr i 1 Format must be UTM OZonel2or0Zone13 ..._� __..._.._---____-. Eastingn/a Print &tide Units au must Meters 8 M,I t er p 4r V? 7?'// Datum must bo NAD83 Northing n/a �Q ✓L' ? Unit must be set to true north O ice Use Only I Was GPS unit checked for above? ❑ YES i Remember to set Datum to NAD83 USES map name w — ] DWR map no. i Surface elev.- ` 5. Parcel On Which Well Will Be Located `p► . >< I Co I l . A. Legal Description (may be provided as an attachment): Receipt area only I ! SW 1/4 of the NW 1/4, Section 25, Township 7N, Range 66W • • of the 6th P.M., Weld County I • Invoice D 544656 ' 10/13/2885 -- 11 :25:19 Cashier ID: 81 j $488.88 a i ✓ L Check_Purchaee---112824 WE B. *of acres n parcel r C. own-e7-- -- _.-._.� --- - --- •_-- WR V 100 I Roy and Jeannette Miller cwce v D. W41 this be the only well on els penal? DYES ®NO (if no-list otter wells) _ TOPO l: 1 Well No. 1-1630 __ MYLAR E. State Parcel ID1M(optional): 3 I n/a - —__._ SEIS - DIV 1 WD BA MD . I I I , • FISCHER, BROWN & GCTNN, P.C. ATTORNEYS AT LAW i Ward H. Fischer (1929-1996) William H. Brown 1319 F. PROSPECT ROAD PHONE: (970) 407-9000 William C. Gunn FORT COLLINS, COLORADO 80525 FAX: (970) 407-1055 William R. Fischer Margaret A. (Meg) Brown EMAIL: fbg®fbgpc.com Daniel K. Brown MAILING ADDRESS • Brent A. Bartlett P.O. BOX Q Thomas 11. Shanley 1RECEIV 5 Margaret A. Althoff FORT COLLINS, COLORADO 80522 October 4, 2005 0CT 1 3 2305 WS s STATE EF G NEER (.01.0.Colorado Division of Water Resources Department of Natural Resources 1313 Sherman St., Rm. 818 Denver, CO 80203 RE: Change of place of use well permit amendment for Well No. R1631 -RF To. Whom It May Concern: Attached please find a completed "General Purpose Water Well Permit Application." 1 have also included the filing fee of $480.00. My client, Roy H. Miller, is in the process of obtaining a change in place of use decree for one of his wells, Clark Well No. 2-1631 . As discussed with your office, Mr. Miller is only changing the place of use of a portion of the land that he irrigates. Aside from this change, the information contained in Mr. Miller's original well permit for Well No. 2- 1631 will remain the same. Accordingly, I have included as attachments to the well permit amendment the proposed change to the legal description, a map of the land to be irrigated, and a copy of the proposed decree. 1 have also included a copy of the original well permit for your convenience. Once the final decree is filed 1 will send you a copy. In the meantime I would greatly appreciate it if your office would begin the filing procedures for this amendment to expedite the process. / Thank you again for your assistance in this matter. Sjiould you ve any questions or concerns, please do not hesitate to contact my/ ' ffic Since ely ?.., • rent Bartlett Enclosures cc: Mr. Roy Miller . a - _ . • , • IN THE WATER COURT IN AND Fill WATER DIVISION I , STATE OF COLORADO RE C 0VED CASE N0 . W- 1576 IN THE MATTER OF THE APPLICATION FOR ) on 1 3 2005 WATER RIGHTS OF } FINDINGS AND RULING =VA [ERERces MARY C . CLARK TRUST } S� TE �NGINS°uEER ) OF THE REFEREE CoRto, ) IN WELD COUNTY ) - THIS CLAIM , having been filed with the Water Clerk , Water Division I , on November 3 , 1971 and the Referee being fully advised in the premises , does hereby find : All notices required by law of the filing of this application have been fulfilled , and the Referee has jurisdiction of this application . No statement of opposition to said application has been filed , and the time for filing such statement has expired . All matters contained in the application having been reviewed , and testimony having been taken where such testimony is necessary , and such corrections made as are indicated by the evidence presented herein , IT IS HEREBY DECREED : 1 . The name and address of the claimant : Mary C . Clark Trust , by Richard W . Blake , Trust Officer 1000 Tenth Street Greeley , Colorado 80631 2 . The name of the structures to which a right is hereby Decreed : Clark Well No . 1 - 1630 Clark Well No . 2 - 1631 Clark Well No . 3- 1632 Clark Well No . 4- 1633 3 . The legal description of the structures : Clark Well No . 1 - 1630 is located in the SWq NWa Section 25 , Township 7 North , Range 66 West of the 6th P . M . ,Weld County , Colorado , at a point 2110 feet south and 45 feet east of the NW corner of said Section 25 . Clark Well No . 2- 1631 is located in the 5W; NW4 Section 25 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado , at a point 1584 feet south and 60 feet east of the NW corner of said Section 25 . Clark Well No . 3 - 1632 is located in the NW% NW; Section 25 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado , at a point 528 feet east and 30 feet south of the NW corner of said Section 25 . Clark Well No . 4- 1633 is located in the NW; NW% Section 25 , Township 7 North , Range 6b West of the 6th P . M . , Weld County , Colorado , at a point 1056 feet east and 30 feet south of the NW corner of said Section 25 . --- - — • • - 1576 . i - • • • 4 . The s : r. rc or :: . ,. er is : Groundwater RECEI1WEL9 5 . The e of : :: ; : cF ratior. : Clark Well No . 1 - 1630 : April 30 , 1934 OCT 1 3 Clark Well No . 2 -1631 : July 31 , 1940 2005 Clark Well No . 3- 1632 : August 31 , 1954 Clark Well No . 4 - 1633 : August 31 , 1954 winERREsot ICES STATE ENGINI_ER COLO. • 6 . The i: ::::-ur, t of t: stet : Clark Well No . 1 - 1630 : 0 . 613 cubic feet per second Clark Well No . 2- 1631 : 0 . 613 cubic feet per second Clark Well No . 3 - 1632 : 0 . 613 cubic feet per second Clark Well No . 4 - 1633 : 0 . 514 cubic feet per second 7 . The use of the water : Clark Well No . 1 - 1630 : Irrigation of approximately 120 acres in the S ; NW: and SW4 of Section 25 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado . Clark Well No . 2- 1631 : Irrigation of approximately 100 acres in the N1/2 SE: and 51/2 SW4 NW; Section 25 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado . Clark Well No . 3- 1632 : Irrigation of approximately 80 acres in the E1/2 NWa Section 25 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado . Clark Well No . 4 - 1633 : Irrigation of approximately 80 acres in the Eye Nw; Section 25 , Township 7 North , Range 66 West of the 6th P . M . . Weld County , Colorado . • DATED this YT2` day of ot , 1972 ;` • f oger C . Li lkenloir, Water Referee Water Division 1 , :State of Colorado No protest was filed in this matter . The fo : sing R:r ; : r.g is confirmed and approved , and is made the JudgiuL•I: t and Decree of th ; s Court . Data :: : \ CC a 4 •t- at / ?7:2-- [ I 1 ' • Roy and Jeannette Miller Case No. 20.0.4 CNt'S FinalDccrec i EEI I.r;l) Document CO Weld County District Court 19th .11) 25. Such measuring del ices shall he installed and mainraitiW MetII`:Jiil h7 ?9 :VAR �:'Nge. maintained and provided io the Division I• oineer. as :he 1) v icilif P�iNg73ma' reQuiil_ for vne« krr onnsrs Lo pea al aiiiiiStnli c:n Of this water right. 2i . Applicant.; :;hall comply with the reasonable reporting of the amounts and dates ot' w'ater t shall C.I�Jt a �. divert ion under this i • the Division Engineer Water .; t .+,}-� � . s right v . . :z r:t��,i.�c,et and Commissioner. the D'sN ision F rgi er and Water Commissioner may require under their statutory authority • r DA ITED) ill i;.: day o sS`� r rJ 2005. . - .' G fi ti Lori J. Cou.ttr Water Retgree Water Division No. I THE COURT FINDS THAT NO PROTEST WAS FILED IN THIS MATTER. THE FOREGOING RULING IS CONFIRMED AND APPROVED, AND IS HEREBY MADE .I HE JUDGMENT AND DECREE OF THE COURT. IT IS ORDERED THAT A COPY OF THIS RULING AND DECREE SHALL BE PROVIDED TO THE STATE ENGINEER AND THE DIV'ISIO'N ENGINEER OF WATER DIVISION NO. I .4R.c ger r Klein • IL. . /1 . . „. ... r. . . .... Water Jake Wa(l,r Division No. I State of Colorado i State of Colorado Water Resources - Vicw Well Details: Receipt 05422826 Colorado Department of Natural Resources �•,'QQ� �}y. Calrrado.gov I Contact Us Cao Division of ' . �♦ ; �{ ,. T� 1�.� .r.,.:, ,� ,*. � , 1. _� ;: iva°t ; Resources '.ti-.,�. ,., ,.,, ..Focused on CotoratJ's People, L47a Ogt�ewirde rti p Colorado's Well Permit Search We1LConstructed lop Last Refresh: 6/12/2012 12:01:21 AM Receipt: 05422826 Division: 1 1, Permit #: 265544- - Water District: 3 I; Well Name / #: County: WELD Designated Basin: Management District: Case Number: ki WDID: [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present MILLER ROY H & JEANETTE 17541 WCR 76 EATON, CO 80615- [_] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SF SW 25 7.0N 66.0W Sixth 188 S 2565 W Northing (UTM y): 4487678.0 Easting (UTM x): 523218.8 Location Accuracy: Spotted from section lines Physical Address Subdivision Name 6, City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: 165 [ -] Permit Details Date Issued: 09/15/2005 Date Expires: Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: 0.5 ACRES Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description r; Permit(s): Comments: [ ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 12/31/1920 • Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate [ - ] Application/Permit History Permit Issued 09/15/2005 Application Received 08/12/2005 First Beneficial Use 12/31/1920 [- ] Imaged Documents Document Name Date Imaged Annotated Fieid.lnspection 11/29/2007 No Permit to Construct a Well 11/29/2007 No Registration of an existing.. ell 11/29/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home ( Contact Us I Help I Water Links I Calorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) htip://www.dwr.state.co.us/WcllPcrmitSearch/View.aspx°rcccipt=05422828[6/12/2012 4:01:55 PM) I CPC-I 3 prirIj _ COLORADO •DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT RECEIVED Please compolete ibis form inINK AUG 1 2 2005 ow. t WE _ 2) teC Pecept no(s). QAwEOF0 'TION: { — ....,c. . ., �a -��s - STATE.i �:(3u rA GOto. person contacted if not apptrcaac AOORESS: 7 91) WrAL w_G_mane&phone at: 2X- t v,J t) - 3s l - 55 7,5( 03S7WG-W$.L LOCATION: St 114, cci 1Pt,. Sec- , lisp_ -7N , Rog. (96 kJ , czar. t 1 t _from H/��• , 2515- 1 trom E l ie;cocorty i - - - orrept. give ay. a cry_ to aew urea site — carfe type Orairt. ing w CR0L@3, Dt 3 , GALLERY WEIL GRAVE_ PI)", OM ER bow many adterweas are located Ors Mac parcen 2 use? C�,5e1, o are they peanitkase c(4? � 10117 N4 1-100 t Nor 7-- i V ' Ear_ IWE va. CONSTrUcrE I °t 20 > (WE MST. USE 92- s EST. PUMPING RATE C gpn to TAL a of ACRES al7hrnACTIPAI( I(5- ACS inku _ USE OF • UL.... how o t ass t _ Jamie Maly divelfrag(s) w®edigy d poultry indict cbarsess- ara3radt rdoramdc a it t r takt include a sew cows, norm. etoc..) • r' 'd a7 a Q i —apprac Is manyaerie? k t#sr a feed 100 ; boar many heart? ?� ins ige so specify estimated 1ar.) irr • 572 stirstwelecGr l.n endi r garden _ fins protection cosimeagai— dtbislag b aan. oar fruit details ire V oniarr,csa sermon) ocher three details ii '+a nnr. cr section) S I no WERE 1NE USES CHECKB3 ABOVE INITIATED PRIOR TO MAY 8, 1972? NC FIE F nit CHANGE *I at HISioRIC USC OF THIS WSJ- MS O "AY % 191- please aflcate she the tie enddiscrr s or a tsion of Cie acre r pro�pa�e+d case in the bominana' section of disbar (Q USES, use oorrxr a sermon below (ic* de case S. c acres or. it appAcao/e, cic )) gnu : A/ A ___T dared: S11 c1 - acid:Dona/ comments and/or information. -r_ � - ( gr S17`t21\-,n tor-) _- — - ---- --• . _ _ . Forrr`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 LR WELL PERMIT NUMBER 265544 APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SE 1/4 SW 1/4 Section 25 ROY H & JEANETTE MILLER Township 7 N Range 66 W Sixth P.M . 17541 WCR 76 DISTANCES FROM SECTION LINES EATON, CO 80615- 188 Ft. from South Section Line 2565 Ft. from West Section Line (970) 454-2868 UTM COORDINATES (Meters,Zone: 13,NAD83) REGISTRATION OF EXISTING WELL Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1 ) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) Construction details for this existing well have not been provided to this office; therefore, it is not known if the construction of this well is in compliance with the Water Well Construction Rules, 2 CCR 402-2. The issuance of this permit does not relieve the well owner of responsibility or liability in the event contamination of the groundwater source results from the construction or use of this well, nor does the State Engineer assume any responsibility or liability should contamination occur. 3) This well is recorded and permit approved in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1 )(b), being a well producing 15 GPM and used for ordinary household purposes inside 1 single family dwelling(s), fire protection, and the irrigation of not more than 0.5 acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is 1920. fel - ( S - 2 005 APPROVED da hstfc4' PAT State Engineer By Receipt No. 0542282B DATE ISSUED C9-15-2005 EXPIRATION DATE /WA -4 Form . STATE OF-COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS- 12 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 1/2005 (303) 866-3581 Fax (303) 866-3589 http://water.state.co.us/default.htm REGISTRATION OF EXISTING WELL RECEIVED Name, address and phone of the well owner: / AUG 1 2 2005 NAME(S) A vfit - tsaMJtp PI I ) NE3OCACtiS Mailing Address 17 'V/ G') Kr) 1V ,7 ��� 9 ED1 SiATt. ENGINI1 CALL. ` City, St. Zip - � !'t er . eO6 l b Phone ( _) 17/ 5-11 -- z9‘ WELL LOCATION: County 6 ). ' /rj Owner's Well Designation /7fY1kY -/ 7é fre.g (old e0 go1S" :(Address) (City ) (State) (Zip) ACS 1/4 of the J W 1/4, Sec. c2 S Twp. 7/Y ❑ N. or ❑ S., Range 66 util E. or ❑ W., C- P.M. Distance ftorrrSectiorrEine / Ft:-From-fl N. orf6 Ft-From ❑�-o� Line. Subdivision Name Lot , Block , Filing/Unit Optional: GPS welt location information in UTM format. The following GPS settings are required: Format must be UTM. Zone must be 13. Units must be in meters. Easting -Datum must be NAD83. Unit must be set to true north. Northing Was GPS unit checked for above items? ❑ Yes ( I No The well has historically been used for the following purpose(s): do )94_-0.5?'i C , 4f- C-cc Water from the well was first used beneficially by the original owner for the above described purposes on The total depth of this well is feet. The pumping rate of this well is _ gallons per minute. The average annual amount of water diverted is acre-feet. The lawn and garden irrigated (watered) by water from this well is cre or ❑ Square feet. Number The making of false statements herein constitutes perjury in the second degree, which is punishable as a lass '1 misdemeanor pursuant to C.R.S. 23-3- 104(13)(a). I have read the statements herein, know the contents thereof, and state that they are true to my knowledge. Signature(s) of the well owner Print Print Name & Title of Well Owner Date 1/ �/�i �%t�- ti.. R O }1t c—(7eOn (tIe M ; Air j(-05-; Invoice $ ntar2.6 _ Ga C / For Office Use Only 8/12/2885 -- 15:43:14 WE Cashier ID: 6 wR - $688. 08 Check Purchase- 82768 CWCB _ TOPO 6 - o MYLAR Div 1 — WD 3 Basin _ MD _ _ State of Colorado Water Resources - View Well Details: Receipt 9058338 Colorado Department of Natural Resources Colorado.gov l Contact Us Colorado Division of • s., k � • WaterResources �- - _ , ., - . . 'ors c .i . -�\'• t..'..Y � %g.+ n ..o- .n;. :h ---". y •wrr...Y' _ v- .. ` I y -M oCused on Colorado sPeople �St hrshrn.% Colorado's Well Permit Search . Well Constructed akr Last Refresh: 6/12/2012 12:01:21 AM it Receipt: 9058338 Division: 1 ri Permit #: 195-RDA- Water District: 3 F'• Well Name / #: County: WELD Designated Basin: Management District: i. Case Number: CA-11217 1. WDID: 0305938 - HARRY SCHOONOVER WELL 1 [-1 Applicant/Owners History t Date Range Applicant/Owner Name Address City/State/Zip E Unknown - Present KITTS FLORENCE & SCHOONOVER F M 1608 12TH AV GREELEY, CO 80631 [ -.) Location Information : Approved Well Location: I-= Q40 Q160 Section Township Range PM Footage from Section Lines V NW NW 26 7.0N 66.0W Sixth Northing (UTM y): 4489011.7 Easting (UTM x): 521020.8 Y. Location Accuracy: Spotted from quarters G Physical Address Subdivision Name • • City/State/Zip Filing Block Lot • Parcel ID: Acres in Tract: • ; (1 [ - 1 Permit Details Date Issued: 10/28/1958 Date Expires: it Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS is Special Use: Area which may be irrigated: • Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report , No No No i Cross Reference Permit Number Receipt Description l Permit(s): L; Comments: DECREE UNDER SCHOONOVER l �' [- 1 Construction/Usage Details , Well Construction Date: Pump Installation Date: t ik. Well Plugged: 1st Beneficial Use: 06/29/1940 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 56 40 800 [- 1 Application/Permit History Permit Issued 10/28/1958 r First Beneficial Use 06/29/1940 [ - 1 Imaged Documents E• Document Name Date Imaged Annotated OriginaLFile 12/08/2007 No i ;. Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.usiWellPennitSearch/View.aspx?receipt=9058338[6/12/2012 4:41:53 PM) .,. • ...... . r ,/...3644- 7 ,� a lliantlifa - .Form F (Rev. ) s 7 -57/5M STATE OF COLORADO ois.s3y Cs 4-t,i r l Ii •` DIVISION OF WATER RESOURCES • OF THE STATE ENGINEER, GROUND WATER SECTION 0CT 2 81958 ��f.t,�yr.•� .gOFFICE JLLI a ,. .� , ( �9 9H rr ehoanovr WATER SECT. <�. s'` 9' REIsY'3 ATION Nom: OF E L No • J. COLORADO Registrant Potence M„ Schoonover & Florence F. Kitt a Date la .. &E 19 lifer P. O. Address 1608 - 12th 4 verns . Greeley Colo. 69 ,2 WELL LOCATION �,•� WELL DATA County I ; • . ••''' _ Depth 56 ff. Diameter 2 in. - `'. wii •„tt. .,; . 71 s �' �' 1jesaftkies Section :fit. ' ` . Casing : ft. Plain; ft. Perfor . e. , • .•` , Twp• ,_' Rg _...... ..' .•.. L._..rPM *:'• j3 $ • Static Water Level 4.0 f'f. from top En plot of land 1001 in diameter , ^ •,4 der of which is 8 ' Week. �. f South of • . Yield 800 m from ft. 1 1. "`' • Used for irrigation -, .� on/at ---- . _ _.. . •• �,.1._._. • '1 — - • I Win 26 -7-66 , Weld County - - T - - - - -1- - - (legal description of land or site) I 1Si W E Si"_'�— War conveyed by size 4-1 PU14 DATA s 1 7 „ I I . Type Size 1 Driven• by 10. RPM. at RPM 1 1 Well was first used June 29 , 191. 0 S cis for irrigation_ using 1 .8 *arc ' WELL TO BE LOCATED AS ACC ( , • ATELY AS POSSIBLE WITHIN A ass: i ,' �:J Well enlarged �� , 19 to SMALL SQUARE WHICH REPRES : . . :> > deepened 40 ACRES; OR IF IN A TOWN O - ,:e.a.7_ t -- (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOL ti.,' ::-. ; s^ r.. INO: _ LOG SHOULD BE GIVEN ON REVERSE . SIDE IF AVAILABLE Town or Su • I ivlsion .. .��,�"� Street address or Lot and Block The above well (has) (hamRimiti been registered in the Office of the State. Engineer prior General Adjudication, Water Dist . #3 , to May 1 , 1957. If Registered give Filing N0 . 9"1°43 : C 3v 11 Action N o . 3.1217, District Court ,y i If NOT 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 knowle __ and belief. Subscribed and Sworn before me OI al I a--> � h is ' day of l �'P1-xr�-. crte al ,�.. G� �„�! • -- .... / `f• C/2 CUlil i.\!r,lC'1 C•eiti)i1( {,) \/1•l i.j;e 24, 1./'1J Registrant v,�My�.c. miiis .fon ex �s g w r. _ ..-%.(SEIL) No_- w - ti Public • -r _ FOR ST T ENGINEER'S USE ''••.jattee rted '� district, sta, County for_.., ..........______ • Registration No. (r in r°- 3 , on , PC 1, 19 011 -.w.. "ry. 1 •v • • • . • ,►;f.tilit •- - . . t". ..1.:1: - i a r'i... ; • • • • -• - . • • y . • • • �J• j.-. { r tJ l A- •. ir. . . — r es If. • ••4 itit • •1 •Y • v ' 4 '�• • ..v a'• . . .— _ • t - • it . . ► t. , 0- . — • .•• •: •• • 4 •, •• • i•; . : 10 1.6, ' - i� .t 1� r • �/6.:1 • •, •-• •w r \• A .•' •S4 •.. ,/ • V Is • /1 -. ••♦ ► - • N • • 4... + • is, r • •K • • • w • 1 . ...0 • 1 •' a. -• • `� :,, • �7-• � . ;I • ii•y • 1!i •• _ • . // .ze •J/ (4\v5 \ . Form F- (Rev. ) • ,-;,r;.7. r;= T2 n 747/5M STATE OF COLORADO . iri 0.-10: L I IJ 1: - Ott 3 1 '9 DIVISION OF WATER RESOURCES it; OFFICE OF THE STATE ENGINEER GROUND WATER SECTIONOCT 2 61958 O1-"44r- - ". /. et4 "1_,' 7r P in- Harr Schoonover GROUND WATER SECT -"-''e-i C REGISTRATION I4O. - - OF/WELL n- COLORADOwri - `��2r STATE ENGI Re istrant to nee M, 3choanover & E 9 . LT�t, g� R for nce � �,t# s Date l0_ -� � 51193 P. O. Address 1608 - 12 th Avenue z Gree 11y, , Colo . E LOCATIONO2. WELL DATA County PWatt , . Depth 52 fti Diameter 21;. in. 21 )4) 1 11��, Whit 7>1r, ►t i Section 2 6 Casing : ft. Plain; ft. Perfor . Twp . 7 n , Rge , 66 vi , 6 PM Static Water Level 34. ft from top In plot of land 100 ' in diaxneter , center of which is 2001 !ger 46 , So . of the NE Yield 700_ __ (gpm) (erst) from ft. corner of Win of gb. id - Section 26 Used for irrigation on/at . 1 - I I' -1412-- 26.•U� 7 66 s We 1.d Co y _ T I _(legal description of land or site) W i I E Water conveyed by , size PUMP DATA r , I I Type Size I _ _ - -I — I I Driven by 7a .g. p .M. at RPM I I Well was first used Jonsa 2 9 , , 191_0 0 S cfs for lrriga tion using 1.5 WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged __ _ , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs) (ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well (has) (ham- ) been registered in the Office of the State Engineer prior General Adjudication, Water Dist . #3 , to May 1 , 1957 . If Registered give Filing No . 9a10-5,3 , Civil Action No , 11217 , Larimer County District Court If NOT Registered prior to May 1 , 1957 , a $5. 00 filing fee accompanies this form . %,3'- .. Tire' -abgve statements are true and correct to the, b9.st of my kno 'le a belief. "S scribed and Sworn before me -0 • U etz...f : 3-c . " at1'`-''_i r. ,-- aelo,--74-- -e.--1 el. 94*.;•4"." ani---3-f _Malie -7 r day of , 195 �� - _ a My Commission exp r�s October 2 ril 4 . 4 - 4-- --t-,- iy -cGatizi aion expires Registrant --- ^- -- -� Nota Public FOR STATONG NEER 'S USE Located in / -3 district, _ � County for (.*Z24, 2a./ Registration No. 37 in ,3 , on _ . -c: _. , 19 cr, rill • . a . 1 • IP r •• • . M ` • '. l -•. I . • I I S . ....• I. • •�. .. .. .___ _ . -�.w- �. .. ..r• • r • 4. f 4 1 • . • M ' a . .. . . I t • !. Mt. • t _ M• ..• '• •111 .. t A lies • 1, !`• • /•.• i .• •' • _• a I .• • • • • ti • . �Oa e v.. 1'r- IMP • 1. •ti I u . . I. ". a .4 .. M• L . O alr, w -a •• ` V V. •f •.C • • \ ,t L ir r.••.r•• '•-' %' OP - State of Colorado Water Resources - View Well Details: Receipt C620645 Colorado Department of Natural Resources Colorado.gov I Contact Us L1 l+ fit; Colorado Division of ' E �' �` " � . 1 OY S—imp �Y S .vim_ _ i li. Water Resources , .� :y. jr g, p `.A :��`` , '.` `J _:.. �7 eoes=."^ !-"'' o::.�,.,,�:�-:�. .,.�- -=-= �l�rz- -'µFocused oii ColoradO� regaaSta na�ea, hie ' Colorado's Well Permit Search WelKonstructed i+' Last Refresh: 6/12/2012 12:01:21 AM Receipt: C620645 Division: 1 Permit #: 645-WCB- Water District: 3 • Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: [ - I Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present DALTON ARNOLD •. [-] Location Information Approved Well Location: - Q40 Q160 Section Township Range PM Footage from Section Lines • 26 7.0N 66.0W Sixth Northing (UTM y): 4488407.5 Easting (UTM x): 521630.5 • Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot • i• Parcel ID: Acres in Tract: [ - ] Permit Details Date Issued: 06/07/1955 Date Expires: Use(s): Aquifer(s): ALL UNNAMED AQUIFERS Special Use: • Area which may be irrigated: Maximum annual volume of appropriation: Statute: • Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report NO No No Cross Reference Permit Number Receipt Description Permit(s): • Comments: r' [ - ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: ] Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 52 f." Lic # Name Address Phone Number Driller 10 RANK, SAMUEL Unknown GREELEY, CO [- ] Application/Permit History Permit Issued 06/07/1955 V [ - ] Imaged Documents .s Document Name Date Imaged Annotated Original File 07/12/2006 No• Copyright d 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) • http://www.dwr.state.co.us/WellPermitSearchNiew.aspx?receipt—C620645[6/12/2012 4:39:33 PM] f+: `I raised 0/i7� • .., • ,I ,..�•� .r •• '!+is � � Z! CONSERVATION J :1 � :�{ COL•ORk DO WATER CONSERV A t ION BOARD • 's:'. �� • , . LO('. • • . AND HISTORY . . 0 ,w / gi 7 Air1024 '::: . Location : Sec....., 26 ._T_ r..:_: _••_P.M 1 Sec..............._.County _. ! • 1.,.• t ! fir Streit • d:t ess..••..u.»_•.-• •.My.•._._aim•••:•••w_•••••••Wage.,••a.w.•r..• City / •i • -iwt .`:• . Owned by • 'A Dr31Of• Address. • paeans Cola. •_. •. . _.•- wr_.••_•., -r w�_•_•uu .•.•A •.•.•»•..•M.••r.••r. ••wr•�_' ••.»• •••,•.._�.. • • NICIA• Int • Tenant.•._.._._.. •._____••••..r»•:..•_...-»_•_•..._..._.•_Fin._..Address...•.'De • Drilled bye. _._....._... ._. _.....Address ••»..•... • •. • • •r•..• ,. • 'J'el" . T • IItltAtt 4:,•. Water Well Drillers•License No.......:..�0...__......r.. . ame 6, No. of Well • .�. . .. •;_: . ••• • .; Type of• Well: Domestic 0, Municipal 0, Stock 0, Irrigation a • ••1 ;Sri •. to • • • Industrial Q, Drainage ❑, Other.sr. . Cased : .._..`'__._.ft. to. .52 ft. TypeX env•Size 18". .. ........Wt. of Casing: Lbs./Ft. 23.; ,l.i.4; Wt. of Casing: LLB./F Cased : .. ._....__.ft. to._......._.._.4t. Type_ _Size t .. . ..... .. tip•-;. . j. • : . Cased : ........_.........._..ft.•. -_._..ft. to. ._ . ..: ..ft. Type • ._.Size....•....... .• Wt. of Casing: Lbs./Ft ... • Perforated cc Screened: F't, '.3z. ......: ........to Ft...._5? .. ; Ft... ........ to Ft • Type of Screen or Perforation. .•. '6 • : Date Started • 5/31/5 ... ......Date Completed ....._• rl • . . ter Level.. .2?M»» _....Ft.„se. St:ittt «t8 • ,,i. . or :•,'�i%_. ihut in Pressure ..... lea/sq. in. Date • G P h! yield. .7... .' i'uanpirg Water Level , . .___»...... Ft• at • w.•.. ... • 1dc • How /Te., ad:bonsot .C2eIi_.d1: » l.r Length of Test-._... ... 0 •Hours, • Put Formation Log on Reverse Side • 4.a ;: . REMARKS: (Gravel Packing. Con. sting, Packers. Type of Shut.nff, Depth of Shut-,.tf. Method cis- • Drilling, etc.) - rotary cLtd13Ards gravel packed WY . • ': • ARIL sr am . ri .. . . ItiircEiyi tA ..,„ • . . ...- • ,:,,,,,.. ,...., • • . ubit 11/4.„ ON 7 1955 • Nit ISM 1 • • :r;; ' TO BE MADE IN TRIPLICATE: White copy to owner, Y,:ae copy to Colorado Water 4 •=' Conservation Board, and other -copy to driller. ftf.. • �'.s- i . • " •. �� ' .•_ �yiti . • • : . . i 1 . • LOG OF WELL DESCRIPTION OF MATERIAL DRILLED . METHOD OF DRILLING , 0 y• • Feet 9n to..... l - _...•..•3S to. 54..••..• sandir clay ' • t .to. • :.�_.,._.to:_. .... t..__.. Mid. . I _:...IO to - .I?.a__...... �rtt Ida . • • t to 23 t o 2z streaks of suz • . . ;▪ �. : 2311 to 52 II Wriel • • • •• . - • • • • _ • • �,•1 C . ;, •• 4.4 •,' f. 3•• •% • • ' ••• . •.•.% ... ;• - is • ... •••• ▪ • •' _ ••.. • . A. • • I. •M▪ •• $ ;• •I•. . •. . • •• • • •• • • •f.. •••�i .• • • n.•I• • •• ••• • • • • t • •• • •• • • S.� �!In•• • •" • . r• • • •A r A. • • •• . •• ▪ 'e •• • • .• .•-•i• .' t !• "t : . • • • . I • . , 'M•••1 ' • • • J .- • ••'~••,••••.1•, .grief" ! ••,••*. • • • •,`•rj• • ' •• • ' . , •w •••;• • • 4 - • • •'- I•,•:'� .• r ' . •▪ 1• •1 • • • • �..°. •J.: ••-• ' • ••I. ;, • ' • . - •• .. . • �• ." . . • • • • , • ' • • • • • • . • . • • . • • ••• 'ems,. ~• • • .• s`• •• ' ,', . • • , • .. • - • - I • • . • . •• , •. • • • • .• • 4.••w . • ''rL . '. •!4• • • ' •\'••�•���. • - • •. • . .. , . •r• ' • • • . 5 •• • �•• • • • • • • •. • 4 •' •• • , • ti State of Colorado Water Resources - View Well Details: Receipt 9059742 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of • � A-...- ttt : y.T� � .3-._. � �, f > \ Y • .; �{ _- 1 7 S71..\.i',2, ` •r Y. C:4;.‘,.._,:,-Yt, > 1 t~- q��vy�`.�.0 Water Resources : t 7� ct!Fr .... n .-r. 'ti a�.� ; r„-1 t.";+,tn.).,",'ate ----/ .- ,-�+...-.:•, ,-- .t .a r _ - ..,. towards � �` -.--_ `' ocused of?"Colorado's•PP ogle, Water and St wardship - _ = Colorado's Well Permit Search Well Abandoned H` Last Refresh: 6/12/2012 12:01:21 AM i. Receipt: 9059742 Division: 1 Permit #: 6926- - Water District: 3 Well Name / #: County: WELD ?: Designated Basin: Management District: Case Number: WDID: €: L(- ] Applicant/Owners Historyf. -- Date Range Applicant/Owner Name Address City/State/Zip r Unknown - Present KINDSFATER KIRK 1713 BRENTFORD LANE FT COLLINS, CO 80525ii - t; P. [-1 Location Information .I t:, Approved Well Location: `• Q40 Q160 Section Township Range PM Footage from Section Lines NE SW 26 7.0N 66.0W Sixth • Northing (UTM y): 4488204.2 Easting (UTM x): 521429.0 Location Accuracy: Spotted from quarters ti Physical Address Subdivision Name i t; 1, City/State/Zip Filing Block Lot i Parcel ID: Acres in Tract: R . [ -] Permit Details f. Date Issued: 09/08/1960 Date Expires: Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: % Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report M> • No No No is Cross Reference Permit Number Receipt Description Permit(s): Comments: •• [ -] Construction/Usage Details • Well Construction Date: 08/31/1960 Pump Installation Date: Well Plugged: 02/20/2012 1st Beneficial Use: - . Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 40 30 40 17 24 1- ] Application/Permit History Abandonment Report Received 02/22/2012 .; Well Plugged and Abandoned 02/20/2012 u Well Construction Report Received 10/06/1960 Application Received 09/08/1960 Permit Issued 09/08/1960 t: Well Constructed 08/31/1960 e [ - ] Imaged Documents • Document Name Date Imaged Annotated Well Abandonment 03/02/2012 No P_erniit to Construct a Well 12/07/2007 No t, WellConstruction & Test 12/07/2007 No Change in Owner Name/Adriress 11/27/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. • http://www.dwr.statc.co.us/WellPennitSearch/View.aspx?receipt=9059742[6/12/2012 4:29:43 PM] State of Colorado Water Resources - View Well Details: Receipt 9059742 Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) sip://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=9059742[6/12/20I2 4:29:43 PM] Form No. STATE OF COLORADO, OFFICE OF THE STATE ENGINEER For Office Use Only GWS-09 1313 Sherman St , Ste 821, Denver, CO 80203 10/2O11 (303) 868-3581 Fax (303) 886-3589 http:/lwww.water_state.co.us WELL ABANDONMENT REPORT Use to report plugging and sealing of permitted wells, monitoring and other holes. Type or RECENED print In blade or blue ink. Instructions and plugging standards are on reverse side of form. Well Permit Number of the well being plugged _ 6 9 26 or FEB 2 2 701 MH File-Number MH- Hole ID dame fiSTAT�t,, S i ' Individual/C0MPany resoornsiblefor plugging and sealing the well: NAME(S) Dr .. Kirk & Debora Kindsfater Malting Address 6 2 8 5 WCR 7 6 City, st, rip Eaton , CO 8061 5 Phone ( 970 ) 454 - 5262 Well (Mole) Owner. • NAME(S) Same Phone ( ) Mailing Address, Ctty, St, Zip Same ACTUAL WELL LOCATION: County Weld Property Address, City, St, Zp 1 6 2 85 WCR 7 6 Eaton , CO 8 0 61 5 SE 1/4 of the SW114, Sec. 2 q Twp. 7 ® N. or ❑S., Range 66 ❑ E. or® W., 6 t 1P.M. Distance from Sermon Lines 1 014 Ft From ❑ N. or f2fi S., 1 9 2 4 Ft. From ❑ E or di W. Line. Subdivision Name ! ' - Lot . Block _ , Filing/Unit Optional: GPS well location information in UTM format You must check GPS unit for required settings as follows: Format must be UTM, zone 12 ❑ or zone 13 ❑ ; Units must be meters; Datum must be NAD83; Unit must be set to true north. Easting 5 2141 4 Northing 4487896 t (we) report the existing well (hole) was plugged and sealed on the date of 2 - 2 0 - 1 2 for the following reason(s): ❑ The well was plugged and sealed as required under Well Permit Number 6 9 2 6 -A ❑ The well was not in use and was plugged and waled. ❑ Other (please explain) The well was plugged with the following materials placed at the indicated intervals: Amount and Type of Material Method of Placement Interval Washed pea gravel Poured from 19 feet to 32 feet Cement Poured • from 5 feet to 1 9 feet **The old well was located in a S ' pump pit from feet to feet Intervals of casing removed/ripped In feet from feet to feet Report rat be signed by person vitro performed the well plugging work or by the well-owner if this person Is unknown or not reachable. I (we) have read the statements made herein, know the contents thereof, and that they are true to my (our) knowledge. ( r Please print the Signet's Name & Titre Date Edwin D . Lesh President , Lesh Drilling Inc . 2 - 20 - 12 it is the responsibility of the well owner to have the weli/hole properly plugged and sealed. The Well Construction Contractor is responsible for notifying the owner of this requirement Form C(Rev . ) STATE' F COLORADO 13ECEOF ' Frr 7 -58/5g APPLICATION FOR USE OF GROUND WATER \.` (Use Indelible Pencil or Typewriter) SEP 8 1960 OUND WATER SEC's'. ! Applicant _ Anita I. Nato (Cooper ) LOCATION OF WELICOLORADO County ..14 SINE ENGINEER P. O. Address Box-_ 114 Eaton, Caro ._ Quantity applied fort:/...... m. or NE S, � W , 3 Sect. 26. Twp. AF Storage Rge. 88W , 6 P. M. OR Used for Deetectie Purposes on/at Street Address or Lot & Block No . (legal description of land site) ' Town or ivision Tots acreage irrigated and other rts . ESTIMATED DATA OF WELL N Hole size: 7 in. to sit.ft. i t "" in. to ft. I ; • f _ - — Casing Plain a in. from a to 0 , ft. I r Locate in. from to ' ft. a 1 well in I Perf.,jin. from to_ _ft. WI _______Fass\ E 40 acre in. from ft. (small) PUMP A Outlet i a I square DATA. Type sot . HP Siz e 1 as near as possible Use initiation date Sept . 19 4 . i 1 I (Use Supplemental pages for additional data) • , _ - _ _ .I ..�M Y S $25. 00 fee required for Industrial, THIS APPLICATION APPROVED Commercial or Irrigation uses. NO. 6926 Applicant A. g. Peale Agent or DATE SEP 8 - NW 19 Driller Ed tesh Well Drilling CJ p.. U I Address Ault. Colo. NOTE --- SATISFACTORY COMPLETION REQUIRED FOR APPROVAL OF APPLICATION ^ r ,I .� .?C7Yir• `?F�'""'"" .7r-o-• ^ ,7,--- i_. . •(.'.- y'; •' 1ij:A/q✓�.�^ �.. ` • •:.'%J.r 1 • 4t' ' i �'f 1•} T''�,�. N•YI �''.r � ;Zk' ej:y���L~•5 tii4i1• ! •ety . ‘'.r.l.•'ti.��`yh, ,�.�6�y..�d4•' -r p - E r7S. . I V P.4. rtlel4W:Its' 9./C 4 ' Form E (Rev. ) . - STATE OF COLORADO - -• � -.. _ -r DIVISION OF WATER RESOURCES OCT 6 •- 1960 "2\1 Indies Na •OFFICE OF THE STATE ENGINEER GROUND WAfl r IDWD _w,, a....,. GROUND WATER SECTION , :• • ,_ Us• / • apist•rplIe LOG AND HISTORY OF WELL ��'�?� �I�• cue Tv PERMIT NO. Sete /,, Cf?- Lic. Drilled•- by 4d Leah wad 1 Dr i lZing No. gi 411/0**WELL LOCATION Owner Anita ics_ Psaiii try Mt x County Address Box 1 ,n, Ca1a. n u of E , of Sect. ' Tenant_________________________ Two. .73._,, lige. . ., sPM Used for. neatekik LOCATE WELL ACCURATELY IN THE SMALL SQUARES REP- on or by PRESENTING 40 ACRES (description of site or land) Date Started InI, , 19 N 48 3 ) Date Completed__^ _ , 19� 1 I _ 1 4tai Date Tested 19 a t — a+ — —Ia AS —� i Yield 14 V gpm 26* DP cfs w --- ; I E ' I Pump type 41 Outlet Size 1 I I Driven by HP@RPM `" . -4 `' '" """' - `t'- Depth to Water 17 '/Ft. Draw down Ft, I I Depth to Inlet - - Ft. ; Bowl Ft. $ Size and Kind of Casing: _ If the above is not ,applicable fill in: From _to Typeut, _a_—. • From to Type Wt , Town or gubdivision From to Type Wt. Street Address or Lot & Block .— Perforations : Size and Type Type Size Ground elevation From ,to _r • t3 t ---�_ (if known) From to Type Size How Drilled: From Type Size Starudard Rotary Well description: Total Depth op Ft. REMARKS (from 0 to 40 , 7 in. Hole ( Cementing, Packing, Type of (from to , _ in. Shut-off, Depth to Shut-off, etc . om D '( PUT LOG OF WELL ON RE- (from to , in. VERSE SIDE TO BE MADE OUT IN QUADRUPLICATE: Oritinal- Blue and Duplicate Green to State Engineer ' s Office, White copy to Owner, and Yellow copy to Driller nr- Is.� Kr L'._ .,. •✓ �J d.i�• •'.•,,. .,q _ • ..44%..,• • •'•i i...�ti� r='i.• �•w- " �Ni .1/,•i'?._ •.h. • / • �amitt-•r'•1:+ 5.' •,,.:4•6••'• j{ -41.4 rl. .♦ -'. Lc• • 7 !'.�.♦1:1,c4-♦/.tit's,.' ' ~l •• t• � i. :19 .." Ajw iii • :. • Trfri • . . . .. : • .%`` r'••��'` c..;. 4t,....-?...4,-4•.:;;;;'," ,- ti _ t.� .9► ca y y'n _..". •♦• t w_.. G {'!�S] ,�• . , .nc. ':tom. • • _::i ! '.�i• i,:'�•Ky �. • ,!!t• ,4•• ' h :? 'I i. �`. h ^n.. cLA•ii+ • • •y i f• '.i .. •4• 'F • - ., LV.• 11h% ' • 4,4 . ... r • ♦.....k,, ,- •.� ".v�.. • 4 tii't - .G. • .1 ��:- •7 P .•'% •:'•••••• •••=14"..11•, �•v. J. .'�:•. •�S .r.. r •'r. +." r +. -..‘,...t.1r . s .,,,t. .‘, 'L. r .01�•t� T''. ..'.� �I .=� : .. . ..'3• • 4 . . . 9 • • LOG OF WELL .• • • (ADD SPACES AS NEEDED) , ' : 2, • From _ 0_ ft. to ! ft. tipra li •• • d ft. to • 14 ft. brows sandy stay • • • . 14 ft. to .. 14 ft. panty slat • • • 16 ft. to 14 ft. Woe Hoer easy U ft. to 37 ft. atoll i ait a graVel (mss ) sad e1en toward 3bc y'- 41 weathered abate 43 gray ale • Botts?s.l well at 40* • • ,Form- ' STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-11 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 ,_ • 6/2006 Phone - Info: (303) 866-3587 Main: (303) 866-3581 . . • Fax: (303). 866-3589 - - - . http://www.water.state.co.us - • CHANGE IN OWNERSHIP/ADDRESS _ RECEIVED . CORRECTION- OF THE WELL LOCATION Review instructions on the reverse side prior.to completing the form. • SEP 1 7 2007 Name, address and phone f the person claiming ownership of the well: WATER RESOURCES STATE ENCINEfiR COLD, NAME(S): (.4/ Mailing Address: /7/3 e'en/Gene, ≤ai City, St. Zip: igt C/'%n p, 6. dbcer Phone ( 770 ) ' za4 - OVdt PcccpL # 9O !597 &i'Z- This form is filed by the named individual/entity claiming that they are the owner of the well permitted as referenced above. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: Well Permit Number: 6 ` Zt‘ Receipt Number: Vete- County CJe /1 Owner's Well Designation (optional) VC- / 6 2. 9 s tvc g 74 - EATON ro € L or (Address) . (City ) (State) (Zip) E L1 /4 of thesott 1/4, Sec. , Twp. cal Q N. or ❑ S., Range 4. 4 ❑ E. or NI W. , 2-P' ff P.M. Distance from Section Lines: / 004e . y Ft.From O. A.' or FrS., /90j - Ft. From ❑ E. or k W. Line. Subdivision Name - t /cz . Lot X114 , Block 7//41 , Filing/Unit 7)/et The above listed owner(s) say(s) that he, she (they) own the well described herein. The existing record is being amended for the following reasons: Change in name of owner ® Change in mailing address [j Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are) the owner(s) of the well described above, know the contents of the statements made ' herein, 'arid state-that they are true to my (our knowledge.,__ • • Signature(s of the new w nec Plea e/prinnt e Sig er Name & Title Date ra/07 , p� - '040ra- �1 t ti)9/154k r 7//3/6; It is t e• responsibiii of t e new ner of this well to complete and sign the form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon its receipt. For Office Use Only ACCEPTED AS A CHANGE OF OWNERSHIP ANIWORMAILINGADDRESS r / °/1 g/ot Qr ft et State Engineer /By Date State of Colorado Water Resources - View Well Details: Receipt 3652011 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of `-f n L. YC yt {�. �Y �"B Y .).rwc M.N i.-�ti'V nI�t1/4 J i. _ /Y _.l •.sv.r�l +sa.r-.+-Y-.� •1 Y k t e�G 1 r��-j WaterResources ...:-;.- -, -- ..7 . ----- t-r .. ,�. ., --'-'7. . '7" - - .. - - _ - do's P � W t <_ -- '-5..�.-,.� �3. ocused on'Colora eoF�ls; a(8( �11Q,Stc;h`�,'ds�7rF; Colorado's Well Permit Search t Well Constructed _:ri `:_. a Last Refresh: 6/12/2012 12:01:21 AM i r Receipt: 3652011 Division: 1 Permit #: 6926- -A Water District: 1 Well Name / #: County: WELD Designated Basin: Management District: L, Case Number: �? WDID: r 16 [-] Applicant/Owners History !:: Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present KINDSFATER KIRK & DEBORA 16285 WCR 76 EATON, CO 80615 • - `s [- ] Location Information , Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SE SW 26 7.0N 66.0W Sixth 1004 S 1924 W • Northing (UTM y): 4487896.0 Fasting (UTM x): 521414.0 Location Accuracy: User supplied Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: 15.54 [ - ] Permit Details Date Issued: 08/26/2011 Date Expires: 08/26/2013 Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: 1 ACRES 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): 692,6_:_ 2059242_ • • Comments: • [ -] Construction/Usage Details Well Construction Date: 09/02/2011 Pump Installation Date: 09/22/2011 f Well Plugged: 1st Beneficial Use: I, f Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate f_ 45 31 41 19 14 L. Lic # Name Address Phone Number L• Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610.0055 970-834-2868 z. E Pump Installer 21 LESH JR., ED BOX 56-113 5 HWY 85 AULT, CO 80610-0056 970-834-2868 Z. E [ - ] Application/Permit History i. Pump Installation Report Received 10/04/2011 ' Well Construction Report Received 10/04/2011 Pump Installed 09/22/2011 . Well Constructed 09/02/2011 Y Permit Issued 08/26/2011 Application Received 08/25/2011 F [ - ] Imaged Documents Document Name Date Imaged Annotated YeeiL Coastruction & Test 10/14/2011 No ; Pump Installation &_Test 10/14/2011 No http://www.dwr.statc.co.us/WcllPennitScarchNiew.aspx?receipt=365201 l[6/12/2012 4:32:29 PM] State of Colorado Water Resources - View Well Details: Receipt 365201 1 Original Replacementfile 09/14/2011 No ° Copyright © 2009 Colorado Division of Water Resources. AU rights reserved. Home I Contact Us I Help I Water Links i Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WcllPcrnzitSearch/View.aspx?receipt-365201 I[6/122012 4:32:29 PM] Ma TE OF COLORADO, OFFICE 0420(0 Ow a, Room CT1 ATE ENGIPhone—bib tC 41. Miner WW1 PM MIMI .NEER • _ FM r, t, : . i .lhee�► atar sisiempai �/•_immmumest • • . I ' - ' _ hit„itt�- 1 v1/O • - • ;-'� • : - .:-. I 14itk 1, • 1. O I.OWN Dr . Kirk & Debora Ki . . cfat-nr -o, O,,, /F,t mAg.ii6 : 1 6 2 $ 5'•WCR 76 ..L Y Fat-nn STATE rQ ZIPCODtBnA1 s *BMW ( 970) 4S4.:- 5767 1. 3. vligUatmAtrwis MEM alF.L.114. SW 1l - •Set 7k , Pax ....a. 0 N 0,0 S, Raves 66 Q E asi]W mortis=FROM SEC. L S 10 0 4 .f tam- O N or 0 S section line and 1 (124 4 !L tw, ❑ E ark] Wsecton t , LOT..., BOCK . FILING map Optional OPS� LA'S Unit most use Se g stewFa mot bitWs, UnitsOwes Well Sc. must be eiliers, Mtn must be NNW, Lit must be set to tue N, ❑ Zone 12 or❑ Zone 13 &diaS 21414 4487896 • L d, MOUND SAME ELEVATION feet DRusismEno, mud standard rotary DATE 9 - 2- 1 1 TOTAL DEPTH 4 feet •' -DEPTH COMPLETED . _A 5 fleet 5. C OLOGiC LOG: -6t, HOLE Dom! (fit.) Fran fftt To D ...-No • • :• - Greta 4- Color yes u14.4 10 0 49 . - k.; • S . . . a S . • - Ell - OD KW Wail Sze (In) From (I) To (11) 6 . 5 st( . 250 ' 1 ' above 35 es 1 . _ - : .IIIIIIIIIIII 6 . 5 st _,Y250 41 4c • PERFORATED CASING: Sa een %X Size (Is* =0 23- 8 - medium I fi . 5 s.§ • 250 31 ..... - . - . 13. FILTER PAOC t PACKER PLAC T: gravel - • ' . - • - . 250 - 375Ste • koggvai 2Q ' - 45 ' D • . , _ , JO. 'GROUTING RECORD - • - • .Ate Den* Interval Platen* Remerkt cement 4cu f t _ b gal 0 - 20 ' pplbre& 1L D H . T . H . ' • aMmtatl .. 1 n7Z - .s -Dated(C box'Test.tile is man Roam r GMT 19Suppktgentei Wel Test TESTING MEW° Subr2ersih.l A pipnp Static Level 1 Q • it. DateMme m . L gJ .1 _1 1.. . Production ire 19 gpm. Pumping East ?.L e. thatiernme measured 9 - 21 --1 1 , Teat Length (vs} _ g eve ra l hour s NdiA . - �. .t . i Vt. lien tS ems s mm �kno to we1 iheiy are to to my PS thb document ke signed aimed in a000etim we Rgb 174 of tbeYwoktr WeI Oxistnictinn ROM 2r 4024. [The Ong ea documesd OW worts fie otatennnts b a vl tabor or e}.C►R.S„a 6 b by fees up td l6QQ0 entre onomsbott of the amtmcfn license.) . Compsnytlenm Rime Number: _ 1 B T.P . • a ' . . Tnr_ • • i_ i � • } t 7t _ 3 Agar= . P . O . Box 56 Ault Ce • • i . • .- rya and Timm — p r DWD Edwin D . Lesh , President 9 - 29 - 11 VOF L l GV I I Ia . [V rISA a 004/003 NO. PUMP INSTALLATION AND TEST REPORTRORM Fat o any STATE OP OFFICE OF DE STATE ENGINEER 05/2011 1313 Sherman St, Room $21, Denver, CO 43 Main (303) 868-3551 Fax (303) 885.3589 �ls - 1. Val. PERMIT NU 69 ? 6—A frkfTF� �r� 1:. WELL OWNER INFORMATION 4rF Oj NAME OF OWNER C��Ci UeY Dr Kirk it Debra Kind-sf at.ar -0 ilt4;s MAILING ADDRESS 16285 WCyte cmr CODE mipirioNsf,at;� �Tr CO _ J 80615 970)- 454'-5262 3. WELL LOCATION AS GRILLED: , _114, S W __1/4 Sec. 2 6, Twp.. .7._ ?[$N w❑ S, Range 6 6 ❑ E of Ll W DISTANCES FROM SEC. UNE9: 1 0 04 ft. from ❑ Nor US sevtbn line and 1924 IL from ❑ E or® W section Ana SUBDIVISIOft , LOT BLOCK FLING (U? 1) Optional GPS Lin: GPS Unit must use the following settings: Format must be UTM, Unite S21414 4 must be meters. Datum mum be NA i, Unit must be set to true N, ❑ Zorte 12 ar ❑ Zane 13 4487896 STREET' ADDRESS AT WELL LOCATION Same .i_MP_4ATS type: Submersible min 9- 22 - 11 pumpmanufacturer: Goulds p �1 3LS 1 041 1 - Design OPISit 1 4et RPM 3450 HP 1 vats 230 RA Load Amps Purnp Intake Depttt 35 Feet, Drap/Column Pipe Size 2 inches, Kind of Drop Roe Pvc RDDmoNAt 1NFORM4jlQN FOR PUMPS GREATER THAN SO GPM Turbine Driver Typa O Electric O Engine O Other Design Head feet Number of Stages Shaft sIze Inds $, OTHER EQUIPMENT:Airline Installed D Yes art, Orifice Depth ft. Monitor Tube installed O Yes DI No, Depth ft. 35 ' now Mater Mfg. None Ater Serial Na. Meter Readout ❑ Gallons, Q Thousand Goons, [] Aare feat Beginning Reading 8. TEST DATA: ❑ check box ff Teat Data is submitted on Supplemental Form. pate: 9-22- 11 TctEi Well Depth: 45 ft_ Tlma _Static Level: 19 ft, Rate (gpm open discharge 18 wpm- 70__pst 14 - 1 gpm Date Meaeured: 9 — 2 2— 1 1 Pump Level (ft): 2 3 ' 7. DISINFECTION Type H „ ' R H * . Amt Used 3 pz s 8. Wffier o eruai easileble (] Yes t 1 No if yeg, please submit withthls report, 9. Remarks: 10. I have rea . the statements made he lln artd hewer contents , en ere true to my dge. Hits document is signed and =stifled in actarrdsnae with Rule 17.4 of the Water Well Construction Rules. 2 CCR 402-Z [The Bing at a dornment that contains false statements Is a violation of section 37.91-108(1 Xe), C-RS., fired is punishable by fines up to $5000 andfor revocation of the erg Ito __ . CompanyNBma Phan: Ucanse Number: • 834 - 2868 mailing Address: P . O . Box 45 t , CO 80610 Sdgn a and HO Data O , Edwin D . Lesh , President 9- 29 - 11 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 21 WELL PERMIT NUMBER 6926 - A APPLICANT DIV. 1 WD 1 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SE 1 /4 SW 1 /4 Section 26 DR KIRK & DEBORA KINDSFATER Township 7 N Range 66 W Sixth P.M. 16285 WCR 76 DISTANCES FROM SECTION LINES EATON, CO 80615- 1004 Ft. from South Section Line 1924 Ft. from West Section Line (970) 454-5262 UTM COORDINATES (Meters,Zone13, NAD83) PERMIT TO CONSTRUCT A WELL Easting: 521414 Northing: 4487896 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 pursuant to CRS 37-92-602(3)(c) for the relocation of an existing well, permit no. 6926. 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 1 single family dwelling(s), the irrigation of not more than 1 acre of home gardens and lawns, and the watering of the user's own non-commercial domestic animals. 5) The pumping rate of this well shall not exceed 15 GPM. 6) This well shall be constructed not more than 200 feet from the location specified on this permit. £ '(o2O'I (7 )APPROVED JLV re State Engineer B( `Receipt No. 3652011 DATE ISSUED 08-26-2011 ;EXPIRATI N DATE 8-26-2013 1 ill COLORADO DIVISION OF WATER RESOURCES Office Use Only I (06/2006) 1 DEPARTMENT OF NATURAL RESOURCESRECEIVED 1313 AAl18T., RV a1>I<. DENVER, CO So203 • 1313.—ktioc (309)892 7 main ( NV 8� , CO fe �sesas1e httpfJlwwa.v+ estate.cp.ue • RESIDENTIAL Note Also use this Ion to apply t«�rseodt waysrtog AUG 25 20 11 Water Well Permit Application - WATER RESOURCE ROAM ids act oes on swine side prior b completing tiorta STATE ENGINEER S The floret east be completed in bbck or bled ink or typed Coin . .1. Applicant Information re. Use Of Weil (check appficabie boxes) _ • • pitta.d rests* ____ —�_.—. See Instructions to determine tree(e)for which you may try 0 A. Onlnsry household use in e sirgle4arney cheating_ irk_ i_.Dabora Jc a nds f&t_er Using deers awe on _ _ u_ B. Ordi nary household use in 1 b 3 sugie-/ashy Goslings: 16 285 WCB 76 — sw. ` — -- Number d dnrdtngr___j_____ny 710 ads -TEata elephone� l r -CO 8 0 61 .-- ---- 0 Home pacderrtawn irrlSadort, not b exceed one acre: i'-.r�+t„iii Wong) area irrigated 1 ON_ tt. E) acre (9 7 0 4 5 4 - 5 2 6 2 0 Melee&antaiii watering—(non commercial) 2. Type Of Application (check applicable boxes) ` a C. livestock wagering (on 0 Con text nee well D tree(wising well al Repixe adding well 0 Charge a uaarease use 7. Wen Data (proposed) I — __ __-- . _ Change sots (aquifer) 0 Reapplication (expired p mormiss waft all. Amid rout a bacteria ❑ Other. 1 5dv.+ st 1P�clOrn tharuj- brPe _ 3. Refer To (tf applicable) T°"' �c a Wider apart cases 6 0 a f9et Alluvium Designate 3: Belo o_war well n aeon a em ore — S. War 3t1AplY+lr ___N_. We 1 d_. i a t e z t ,C_t-_— b this parcel within boundaries 01* water service area? ErYis-BUI NO if yea, provide name of supplier: 4. Location Of Proposed Wed - --__�_— 9. Type Of Sewage System CourtsWeld SE Ia d ea SW w at septic tank/absorption leads tide , Section • Towhee w a e Ringo E or w . i*ttrolve1)"adores - 0 Central syabnt: D1sbc t name: 2 6 - 7 51 ❑ 66 Oct 6th _` Vault0 Vault Lit savage to be hauled I is ' tan d ill born .)theca fade*OM rneiw tire not Mist'Mist'II -----. 0 Other( __1_0 0 4 r;kaah O N [RS 1 2..4- Pk Ikea 0,E K W0:D'y ef enclineefth9 design 8ttd q For ropier**was oily-dna and Intim from de welt now 10. Proposed Wail Driller License 2.D - due North d�tem 11. Siure **bona!): 2 " crate loolon eetYaas(tidues C0%erase,spy 0 Co tend adbw S 1.n."1"4"1- Of App icant(s) Or Authorized Agent -- The making ct fides stMlinteires herein consdlulas perjury In the second degree, wSai is punishable n a c#9s 1 misdemeanor pursuant b C.R.S. 24.4-104 (13X.). I hive reed the statements herein, know be contents theopb.ac OPS wee location r,rornrran b WW M rant GPS unit 1.000•w e So - sphere re and stale ti'tef ignellbw are true to my ivtowledge -- .— Farad -- _l"'9ga ra.aa(sewn�.alyateraleneaw) ..o+. Farad neat be UM _ ❑Zoe*l2or0 Zone 13 521 41 4 Units roust w heelers Ki k o r Dj1 • • 4J _K i n d f a t- P r Cana art be NS 4487896 , foe Uremia be setiO ilia rorrot / was GP8 unit checked for en? ❑ YES R al arelelbur to set Des to rides r ' Office Use Only 6. Parcel On Which Well Will Be Located us�t,,.p,,.,,,. - . _ DWR map no. ..___`8ixrtiaWes. _._- ,_- (PLEASE ATTACH A CtllliT DEED FOR TIE SUBJECT PARCEL) ._ a You must check end complete one of the following; Receipt - - - _ __.-------_____. y ❑" Subdividort Nerve see a t t : Deed of Trust Lot Brock Fing/Unit O Courdy exernc4ion (attachcopy of county approval anny): . Nandi Lot s O Parcel lets than 35 eats, not in a subdivision, *tech a deed with metes • and bounds description recorded prior to June 1, 19T2. and a current deed ❑ Mining claim owe.copy dead deed or at... Nartnett � ❑ Square 40 sae parcel as described ki item 4 Trans ctlon • 365202 t SM.Parcel of 35 Or mad ae(Seth it see and bands law ,wfon oe amen / Date: 8/25/2011 3:04:19 PM ❑ air MS&teti °'d"°tp'ot'or tunny end supporting°o" '" GGG`�I�MKCC Transaction Total: $60.00 B.s deals in Mai r C. *snag is own et w tie 0S? / CREDIT CARD .1 5 _ 544 ' KIMONO O NOorno-1..raetuolnny — T'P°ttV/// $60.00 D. w+w tee be the a r ant.d,efmat? OYES OatOa mno-eatO Ober V • -._.— - Domestic _ see DIV WD ell► MD E. SUS PIPS as k ._• '170 834 186? FOR REGQR8M JE ONLY CONSTRUCTION DEED OF TRUST AUG 2 5 2011 MAXIMUM PRINCIPAL AMOUNT SECURED. The Lien of this Deed of Trust shall not exceed at any one time S1 ,400,00O.00 except as allowed under applicable Colorado law. WATER RESOURCES STATE ENGINEER THIS DEED OF TRUST is dated February 6, 2009, among KIRK A. KINDSFATER, whose acfai4g§ is 1713 BRENTFORD LANE, FORT COLLINS, CO 80525 and DEBORA J KINDSFATER, whose address is 1713 BRENTFORD LANE, FORT COLLINS, CO 80525 ("Grantor"); First National Bank , whose address is Main Office, 205 W Oak ST, PO Box 578, Fort Collins, CO 80522-9986 (referred to below sometimes as " Lender" and sometimes as " Beneficiary" ); and the Public Trustee of WELD County, Colorado (referred to below as "Trustee" ). CONVEYANCE AND GRANT. For valuable consideration, Grantor hereby irrevocably grants, transfers and assigns to Trustee for the benefit of Lender as Beneficiary all of Grantor's right, title, and interest in and to the following described real property, together with all existing or subsequently erected or affixed buildings, improvements and fixtures; all easements, rights of way, and appurtenances; all water, water rights and ditch rights (including stock in utilities with ditch or irrigation rights); and all other rights, royalties, and profits relating to the real property, including without limitation all minerals, oil, gas, geothermal and similar matters, (the "Real Property") located in WELD County, State of Colorado: Lot A of Recorded Exemption No. 0707-26-03 RE-4536, recorded May 14, 2007 at Reception No. 3475667, being a part of the East 1 /2 of the Northwest 1 /4 and East 1 /2 of the Southwest 1 /4 of Section 26, Township 7 North, Range 66 West of the 6th P.M ., County of Weld, State of Colorado. The Real Property or its address is commonly known as 16285 County Road 76, EATON, CO 80615. Grantor presently assigns to Lender (also known as Beneficiary in this Deed of Trust) all of Grantor's right, title, and interest in and to all present and future leases of the Property and all Rents from the Property. In addition, Grantor grants to Lender a Uniform Commercial Code security interest in the Personal Property and Rents. THIS DEED OF TRUST, INCLUDING THE ASSIGNMENT OF RENTS AND THE SECURITY INTEREST IN THE RENTS AND PERSONAL PROPERTY, iS GIVEN TO SECURE (A) PAYMENT OF THE INDEBTEDNESS AND (B) PERFORMANCE OF ANY AND ALL OBLIGATIONS UNDER THE NOTE, THE RELATED DOCUMENTS, AND THIS DEED OF TRUST. THIS DEED OF TRUST, INCLUDING THE ASSIGNMENT OF RENTS AND THE SECURITY INTEREST IN THE RENTS AND PERSONAL PROPERTY, IS ALSO GIVEN TO SECURE ANY AND ALL OF BORROWER'S OBLIGATIONS UNDER THAT CERTAIN CONSTRUCTION LOAN AGREEMENT BETWEEN BORROWER AND LENDER OF EVEN DATE HEREWITH. ANY EVENT OF DEFAULT UNDER THE CONSTRUCTION LOAN AGREEMENT, OR ANY OF THE RELATED DOCUMENTS REFERRED TO THEREIN, SHALL ALSO BE AN EVENT OF DEFAULT UNDER THIS DEED OF TRUST. THIS DEED OF TRUST iS GIVEN AND ACCEPTED ON THE FOLLOWING TERMS: GRANTOR'S REPRESENTATIONS AND WARRANTIES. Grantor warrants that: (a) this Deed of Trust is executed at Borrower's request and not at the request of Lender; (b) Grantor has the full power, right, and authority to enter into this Deed of Trust and to hypothecate the Property; (c) the provisions of this Deed of Trust do not conflict with, or result in a default under any agreement or other instrument binding upon Grantor and do not result in a violation of any law, regulation, court decree or order applicable to Grantor; (d) Grantor has established adequate means of obtaining from Borrower on a continuing basis information about Borrower's financial condition; and (e) Lender has made no representation to Grantor about Borrower (including without limitation the creditworthiness of Borrower). GRANTOR'S WAIVERS. Grantor waives all rights or defenses arising by reason of any "one action" or "anti-deficiency" law, or any other law which may prevent Lender from bringing any action against Grantor, including a claim for deficiency to the extent Lender is otherwise entitled to a claim for deficiency, before or after Lender's commencement or completion of any foreclosure action, either judicially or by exercise of a power of sale. PAYMENT AND PERFORMANCE. Except as otherwise provided in this Deed of Trust, Borrower shall pay to Lender all Indebtedness secured by this Deed of Trust as it becomes due, and Borrower and Grantor shall perform all their respective obligations under the Note, this Deed of Trust, and the Related Documents. CONSTRUCTION MORTGAGE. This Deed of Trust is a "construction mortgage" for the purposes of Sections 9-334 and 2A-3O9 of the Uniform Commercial Code, as those sections have been adopted by the State of Colorado. POSSESSION AND MAINTENANCE OF THE PROPERTY. Borrower and Grantor agree that Borrower's and Grantor's possession and use of the Property shall be governed by the following provisions: Possession and Use. Until the occurrence of an Event of Default, Grantor may (1 ) remain in possession and control of the Property; (2) use, operate or manage the Property; and (3) collect the Rents from the Property. Duty to Maintain. Grantor shall maintain the Property in good condition and promptly perform all repairs, replacements, and maintenance necessary to preserve its value. Compliance With Environmental Laws. Grantor represents and warrants to Lender that: (1 ) During the period of Grantor's ownership of the Property, there has been no use, generation, manufacture, storage, treatment, disposal, release or threatened release of any Hazardous Substance by any person on, under, about or from the Property; (2) Grantor has no knowledge of, or reason to believe that there has been, except as previously disclosed to and acknowledged by Lender in writing, (a) any breach or violation of any Environmental Laws, (b) any use, generation, manufacture, storage, treatment, disposal, release or threatened release of any Hazardous Substance on, under, about or from the Property by any prior owners or occupants of the Property, or (c) any actual or threatened litigation or claims of any kind by any person relating to such matters; and (3) Except as previously disclosed to and acknowledged by Lender in writing, (a) neither Grantor nor any tenant, contractor, agent or other authorized user of the Property shall use, generate, manufacture, store, treat, dispose of or release any Hazardous Substance on, DEED OF TRUST Loan No: 92311142 (Continued) Page 2 -- -- RECEIVED under, about or from the Property; and (b) any such activity shall be conducted in compliance with all applicable federal, state, and local laws, regulations and ordinances, including without limitation all Environmental Laws. Grantor authorizes Lender and its agents to enter upon the Property to make such inspections and tests, at Grantor's expense, as Lender may deem appropriate to determine compliance of the Property with this section of the Deed of Trust. Any inspections or tests made by Lender shall be AUG 2 5 2011 for Lender's purposes only and shall not be construed to create any responsibrirty or liability on the pert of Lender to Grantor or to any other person. The representations and warranties contained herein are based on Grantor's due diligence in investigating the Property for Hazardous Substances. Grantor hereby (1) releases and waives any future claims against Lender for indemnity or ROES contribution in the event Grantor becomes liable for cleanup or other costs under any such laws; and (2) agrees to indemnify, WATER RESOD defend, and hold harmless Lender against any and all claims, losses, liabilities, damages, penalties, and expenses which Lender STATE ENLGjnJEER may directly or indirectly sustain or suffer resulting from a breach of this section of the Deed of Trust or as a consequence of any COO' use, generation, manufacture, storage, disposal, release or threatened release occurring prior to Grantor's ownership or interest in the Property, whether or not the same was or should have boon known to Grantor The provisions of this section of the Deed of Trust, including the obligation to indemnify and defend, shall survive the payment of the Indebtedness and the satisfaction and reconveyance of the lien of this Deed of Trust and shall not be affected by Lender's acquisition of any interest in the Property, whether by foreclosure or otherwise. Nuisance, Waste. Grantor shall not cause, conduct or permit any nuisance nor commit, permit, or suffer any stripping of or waste on or to the Property or any portion of the Property. Without limiting the generality of the foregoing, Grantor will not remove, or grant to any other party the right to remove, any timber, minerals (including oil and gasl, coal, clay, scoria. soil, gravel or rock products without Lender's prior written consent. Removal of Improvements. Grantor shall not demolish or remove ony Improvements from the Real Property without Lender's prior written consent. As a condition to the removal of any Improvements, tender may require Grantor to make arrangements satisfactory to Lender to replace such Improvements with Improvements of at least equal value. lender's Right to Enter. Lender and Lender's agents and representatives may enter upon the Real Property at all reasonable times to attend to Lender's interests and to inspect the Real Property for purposes of Grantor's compliance with the terms and conditions of this Deed of Trust. Compliance with Governmental Requirements. Grantor shall promptly comply with all laws, ordinances, and regulations, now or hereafter in effect, of all governmental authorities applicable to the use or occupancy of the Property. Grantor may contest in good faith any such law, ordinance, or regulation and withhold compliance during any proceeding, including appropriate appeals, so long as Grantor has notified Lender in writing prior to doing so and so tong as, in Lender's sole opinion, Lender's interests in the Property are not jeopardized. Lender may require Grantor to post adequate security or a surety bond, reasonably satisfactory to Lender, to protect Lender's interest. Duty to Protect. Grantor agrees neither to abandon or leave unattended the Property. Grantor shall do all other acts, in addition to those acts set forth above in this section, which from the character and use of the Property are reasonably necessary to protect and preserve the Property. Construction Loan. If some or all of the proceeds of the loan creating the Indebtedness are to be used to construct or complete construction of any Improvements on the Property, the Improvements shall be completed no later than the maturity date of the Note (or such earlier date as Lender may reasonably establish) and Grantor shall pay in full all costs and expenses in connection with the work. Lender will disburse loan proceeds under such terms and conditions as Lender may deem reasonably necessary to insure that the interest created by this Deed .of Trust shall have priority over all possible lions, including those of material suppliers and workmen. Lender may require, among other things, that disbursement requests be supported by receipted bills, expense affidavits, waivers of liens, construction progress reports, and such other documentation as Lender may reasonably request. DUE ON SALE - CONSENT BY LENDER. Lender may, at Lender's option, declare immediately due and payable all sums secured by this Deed of Trust upon the sale or transfer, without Lender's prior written consent, of all or any part of the Real Property, or any interest in the Real Property. A "sale or transfer means the conveyance of Real Property or any right, title or interest in the Real Property; whether legal, beneficial or equitable; whether voluntary or involuntary; whether by outright sale, deed, installment sale contract. land contract, contract for deed, leasehold interest with a term greater than three (3) years, lease-option contract, or by sale, assignment, or transfer of any beneficial interest in or to any land trust holding title to the Real Property, or by any other method of conveyance of an interest in the Real Property. However, this option shall not be exercised by Lender if such exercise is prohibited by federal law or by Colorado law. TAXES AND LIENS. The following provisions relating to the taxes and liens on the Property are part of this Deed of Trust: Payment. Grantor shall pay when due (and in all events prior to delinquency) all taxes, special taxes, assessments, charges (including water and sewer), fines end impositions levied against or on account of the Property, and shall pay when due all claims for work done on or for services rendered or material furnished to the Property. Grantor shall maintain the Property free of all liens having priority over or equal to the interest of Lender under this Deed of Trust, except for the lien of taxes and assessments not due and except as otherwise provided in this Deed of Trust. Right to Contest. Grantor may withhold payment of any tax, assessment, or claim in connection with a good faith dispute over the obligation to pay, so long as Lender's interest in the Property is not jeopardized. If a lien arises or is filed as a result of nonpayment, Grantor shall within fifteen (15) days after the lien arises or, if a lien is filed, within fifteen (15► days after Grantor has notice of the filing, secure the discharge of the lien, or if requested by Lender, deposit with Lender cash or a sufficient corporate surety bond or other security satisfactory to Lender in an amount sufficient to discharge the lien plus any costs and attorneys' fees, or other charges that could accrue as a result of a foreclosure or sale under the lien. In any contest, Grantor shall defend itself and Lender and shall satisfy any adverse judgment before enforcement against the Property. Grantor shall name Lender as an additional obligee under any surety bond furnished in the contest proceedings. Evidence of Payment. Grantor shall upon demand furnish to Lender satisfactory evidence of payment of the taxes or assessments and shall authorize the appropriate governmental official to deliver to Lender at any time a written statement of the taxes and assessments against the Property. Notice of Construction. Grantor shall notify Lender at least fifteen 115) days before any work is commenced, any services are furnished, or any materials are supplied to the Property, If any mechanic's lien, materialmen's lien, or other lien could be assorted on account of the work, services, or materials. Grantor will upon request of Lender furnish to Lender advance assurances satisfactory to Lender that Grantor can and will pay the cost of such improvements. PROPERTY DAMAGE INSURANCE. The following provisions relating to insuring the Property are a part of this Deed of Trust. Maintenance of Insurance. Grantor shall procure and maintain policies of fire insurance with standard extended coverage endorsements on a replacement basis for the full insurable value covering all Improvements on the Real Property in an amount sufficient to avoid application of any coinsurance clause, and with a standard mortgagee clause in favor of Lender, together with such other hazard and liability insurance as Lender may reasonably require. Policies shall be written in form, amounts, coverages and basis reasonably acceptable to Lender and issued by a company or companies reasonably acceptable to Lender. Grantor, upon request of Lender, will deliver to Lender from time to time the policies or certificates of insurance in form satisfactory to Lender, Including stipulations that coverages will not be cancelled or diminished without at least ten (10) days prior written notice to Lender. Each insurance policy also shall include an endorsement providing that coverage in lavor of Lender will not be impaired in any way by any act. omission or default of Grantor or any other person. Should the Real Property be located in an area designated by the Director of the Federal Emergency Management Agency as a special flood hazard area, Grantor agrees to RECEIVED as _... scai o AUG252011 INS WATER. RESOURCES CC 4 in I STATECOLOiNEER iassT ` ca x LOT B o r 65.419± ACRES ■ ■- • . y I 369 c-STp6,. TOrs et.. 23I E '1, S 64ttst48" E Parcel $ cos ' 7 46.18' W Wit;as N S434$'54' E 151 w C7 ti 89°59"31" w nu intat oc o -- 12461' wawa in ... - _ 1 i �,, o ► ; • FD. #4 REBAR tee, 1t , W. NO CAP I LOT A 15.215*A.C. ( ? •• i 15.544k ACRES r- - w 30.00' DEDICATED ACCESS EASEMENT - $ TO LOT 8. DEDICATED PER THIS PLAT E I Wc" t 5 a a r ./- .-: . S 49'°2217" W I118-71' WEST 1 /16 ON S. LINE 4 L v SEC. 28 END. #6 REBAR 3 1 /4" / POND o `3 AL CAP LS . 4392 IN RANGE BOX o � • Is -1- wty , — i.�-s'� . ga73o 1325.06 — — - -- 2650. 121 - SOUTH S 89°2715r SOUTH LINE OF T� SOUTHWEST 1/4 OF SECTION 26 SOUTH 1 /4 COR. SEC. 26 END. D. #6 REBAR W. 3 1 /4" AL CA P LS. 10855 IN RANGE BOX State of Colorado Water Resourccs - View Well Details: Receipt 9060669 Colorado Department of Natural Resources Colorado.gov I Contact Us -a S. ) y' W .:P • i ...- ' .r' .,.,7.- zrr' Colorado Division of ; �w: : , ', T : _ = � e � -, Ti? ' + Water Resources ` - - - 44; , 4 1. .: 1 PA 01411feril s rsr ►.a' ,t - 1 .-- 4 •dosed orr'Colcr,;0 , i'eople. r'vJ/t' and Stervardsh:p: Colorado's Well Permit Search i' Well_Constructed rim Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9060669 Division: 1 Permit #: 113224 - Water District: 3 Well Name / #: County: WELD ` Designated Basin: Management District: ' Case Number: i. WDID: 0305558 - KAVENY WEST WELL 11322R i. it [ - ] Applicant/Owners History V. Date Range Applicant/Owner Name Address City/State/Zip t. Ur known - Present KAVENY A 1 SR 1925 18111 AV GREELEY, CO 80631 [-] Location Information Approved Well Location: ' Q40 Q160 Section Township Range PM Footage from Section Lines `�t NW NE 26 7.0N 66.0W Sixth !: Northing (UTM y): 4489019.7 Easting (UTM x): 521827.8 Location Accuracy: Spotted from quarters Physical Address Subdivision Name a ti City/State/Zip Filing Block Lot • Parcel ID: Acres in Tract: ' [ - ] Permit Details Date Issued: Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: I. Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report i No No No s , Cross Reference Permit Number Receipt Description Permit(s): Comments: r[- ] Construction/Usage Details i, Well Construction Date: Pump Installation Date: i� Well Plugged: 1st Beneficial Use: . Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate rti 60 28 778 i . [ -] Application/Permit History a it [-] Imaged Documents Document Name Date Imaged Annotated Originalfile 12/08/2007 No Copyright © 2009 Colorado Division of Water Resources. AU rights reserved. r: , ' ' Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.usAVelIPennitSearch/Vicw.aspx?receipt=9060669[6/12/2012 4:57:14 PM] P .I 15- 09 DIVISION OF WATER RESOURCES, DEPARTMENT OF NATURAL RES-rteOURCES r 101 Columbine Bld9., 1845 Sherman Street, Denver, Colorado 80203 1 r l A PERMIT TO USE GROUND WATERAS,/'' / / A PERMIT TO CONSTRUCT A WELLni APP L i CAT I ON FOR : /- II REPLACEMENT FOR NO . 11322 No . 2 Well L ,) A PERMIT TO INSTALL A PUMP a7 RECEIVED -4-1:),/- J OTHER v CT ATE iNGItga it,PRINT OR TYPE LOCATIONOF W (iio sesetziAt y - COUNTY 'bid - reet Address 11b29 — 15th Ave . NR 41 of the 1911 ,; sec . 26 ty & State Greeley, Col. T . 7N - . R , 66W 6 P , M . Street or e of ground water Crop Irriation Lot S. Blockner of land on which well City or s located A. J . KAvany Subdiv . Filing ner of irrigatedand A. J . ia4eny Ground Water Basin mber of acres Water Management o be irrigated 205 Districtgal description ofrrigated land > $ d >FI1t of t) oi1$-1 LOCTE WELL ON THE BACK OF THIS SHEET of §eotion 26 Mt R66' _ 6F _ Driller bash Drillint Co . No . 21 her water rights on Driller ' s his land Address d Ouifer (s ) ground water is to be obtained r orn .Alu yiwn 4 •- Signau Applicant orage capacity Nome AF 7CDl a1TrnN& . Q AMICIVAL . TICIPATED PUMPING RATE - GPM VERAGE ANNUAL AMOUNT OF GROUND WATER TO E APPROPRIATED 51? Acre - feet IMATED WELL DATAticipated start of drilling Au1911ticipated start of use ,le Diameter :34 _ in . from O ft . to _ so ft. . APPLICATION APPROVED :in . from ft . to ft . VALID FOR ONE ( 1 ) YEAR AFTER DATE ISSUED UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO sio ; THE ISSUING AGENCY lain Is in . from Q ft . to soft . PERMIT NO . R �_ / L � CONDITIONAL /in . from _ ft . to ft . AUG 1 9 1971 DATE ISSUEDrf . is in , from so ft . to in . from ft , toIMATED PUMP DATAOutlet BY T i - --- - LICATIOiN MUSTHBE COMPLETED SATISFACTORILY BEFORE ACCEPTANCE ( 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 . 905 feet from _ North (North or South) section line 2545 feet from E (East or West ) section line 4 I IF WELL IS FOR IRRIGATION , THE AREA TO BE IRRIGATED MUST BE SHADED OR CROSS -HATCHED . r This diagram represents nine (9) sections . Use the. CENTER SQUARE (one section) to indicate the location of the well . I — + — -- -- - -}- — ± -- + --- 4- - I 1- . - I 1 — l al — -1 -- U + -- + -- + a - - — -I- I _ 1 e• — ) - - - - alma— . I - I -I- - + - . + - -+ - 11 N / .1 I 4 7/1 A , , r • I I , - - ' , F I • - - + - + _. + -- + -- _ I 1 I f I + - I E I - 4- - - + -- + - - - - .a et ftO 6 - 0 ` THE SCALE OF THE DIAGRAM IS TWO INCHES EQ UALS ONE -MILE X fc if RJ 2S-7o r ------SP AT LORADO tndgx Na:r. (Pi IISIONOER RESOURCES IDWD OFFICE OF THE STATE ENGINEER . rG789-1( >>Completion -, ki Yield MAP AND STATEMENT FOR WATER WELL FILING AN 1972 Checked By cr) RECEIVED `v - PERMIT UMBER Rf a 1011 °� �, WATER RESOURCES �, (-`� STATE ENGINEER W` STATE OF COLORADO ) SS - • WELL LOCATION ass) COLO. GZ,`b` J Sep` CZEt\2 CLAIMANT ( s) .____ A , J Ka Weld ounty la being duly sworn upon oath deposes and says .that he (they) is ( are) - °€ 1/4, sec ,_ 26 the-owner ( s) of the well described hereon; the total number of acres T. 711. R� P.M. of land irrigated from this well is 205 - work was commenced on this well by actual construction on the INDICATE WELL LOCAIDIAGBA . - __ 9 day of. August 19� ; the sustained NORTH .. I I I I I I yield from said well is 778 gpm, for which claim is hereby made I It I . I for Crpp Irrigation _ purpose ( s); Iisi - - the average annual amount to be diverted is 512 __ �n _ 1 _ _ I _ I _ K acre-feet; this map and statement is filed in compliance with law; l r I Y (in I r- l m he (they) has ( have) read the statements made hereon; knows the I ( content thereof; and that the same are true of his (their) own knowledge. I I . I I I Signature ( s) lefir ritfsO` i t / SOUTH Address: 1829 1 h Ave791-rnte - WELL SHALL BE LOCATED WITH REFERENCE TO Greeleitl..Colorado SOCA GOVERNMENT SURVEY CORNERS OR MONUMENTS, 27th OR SECTION LINES BY DISTANCE AND BEARING. Subscribed and sworn to before me on this day of _ Dec labor_- --- ' /- , 19 71 905 ft. from North sect ion line. (North or South ) My Cornmission . expir.“: `_Ju r 29 , 1973 .- iSaa�) ,"`- Y� = . . _ - 254 ft. from section line. E c/ ,b ) (East or West) - , . Notarytubl is • -- Ground Water Basin _ Water Management WELL DATA District Date Completed August 10,' 197.1_ Domestic wells may be located by the following: Static Water Level 28 LOT . BLOCK __ Total Depth .of, Well 60 ' SUBDIVISION FILING if t ./- •.-. ACCEPT tF01 (L}NGxIN THE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS _ DAY OF;. ,. ,-- - -- - , 19 _ • •- - STATE ENGINEER - r ',-f -- FQRMPI TO, REMADE OUT IN QUADRUPLICATE: WHITE FORM must be on original copy on both sides and signed. WHITE-AND GREEN copies must be filed with the State Engineer within 30 days after the well is completed or within 7 days after expiration date of the permit, whichever i$ sooner; PINK COPY is for the Owner and YELLOW COPY is for the Driller. - _ . . WELL LOG WELL DATA �.�. From To Type & Color of Material Loc. Type Drilling_ Reverse Rota HOLE D AMETER: 30 in. from 0 ft . to W_ft. in. from _ ft. to _ft. 0 2 ' Topsoil _ in . from _ft. to ft. • 2 27 Clay CASING RECORD , - Plain Casing 27 56 Medium sized;' loose gravel size , kind�teel _from 0 ft. to 50 ft. 58 60 Weathered shale 5i2e_, kind from ft. t0 ft. 60 - ...,...... crray shale size_. kind from._ ft. to ft. p , • -. • - Perforated Casing -- - Size6 , kincl� !QZl from 50 - -ft. to_ 60 ft. Size—, kind _from ft . to _ . ft. Size— , kind from ft. to ft. GROUT]t G RECORD Material Gement Intervals . . 0 -• ..i0 ' Placement Method__- . • GRAVEL PACK RECORD . Size 5/8 Interval_ 10 •• 60t — TEST DATA � `_: . Date Tested ;ti SQ � be jQ� f 1 Type of Pump a-` 1 Length of Test i - Sustained Yield ( hletenosiec,_ ,gam_ Drawcbwn WELL DRILLERS STATEMENT The undersigned, being duly sworn, deposes and says; he is the driller of the well hereon described; he has read the statement made hereon; knows the content thereof, and, the same is true of his own ` .- e .. .7 Use additional paper if necessary to complete log, f ` .;,:e._•--- T w State of Colorado, County of_________ } ss License No. -:-- 2i _ --�" i / Subscribed and sworn to before me this_ day of CCI -0 u - _j= . . g� My Commission expires 2 - . r 73 , 19 a.:• N Pub is .. tet: tri4 1 ,b'` ,t` e "& Add-4e titsit4/ aa—e AgsimPfP AMO• ' rero 57/.5M $ STATE OF COLORADO ! `--s=-••• �:. i. tirz -21 , DIVISION OF WATER RESOURCES ' ;; OFFICE OF THE STATE ENGINffile,f4ROUND WATER SECTIathir; w1.42.7,!9.. 69 REGISTRATION NO. ',r OF WELL 0 � STATE r ;,. •, Registrant a A. 3 . Kaveny, Sx . Date April !4 19 60 .r. F. O. Address __1925 - 18th Avenue - (}reeky _ , Colo. WELL LOCATION WELL DATA County Weld Co Depth CCft. Diameter ),8_ in. , NW , N E _ u Section 26 Casing : 3`t. Plain;27 ft. Perfor. Twp. 7 N , Rge. , 66 ti 6 PM Static Water Level 28 ft. from top Yield ?78 (gpm)(ctiO from l'2 ft. N 441186 1 w .- s i Irri_ ati.cn I �-- Used for g on/at I I y3 I . X Part NE*, and SE , See . 26, Twp . 7 N , itge . 66 W In. - - T - - '- a + - -- (legal description of land or site) I I W I - - E Water conveyed by Ditch , size I PUMP DATA I I Type Turbine Size 6 inch .- - .- -I - - - - .- i- - a Driven by 10 H .?. El ec . at 1760 RPM 1 I 1 I I I Well was first used _ - July , 19_3)1 S cfs for rIrrip_atton using 778 gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged _ , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well (his) (has not) been registered in the Office of the State Engineer prior to May 1 , 1957. If Registered give Filing No . . 4 NOT * Registered prior to May 1 , 1957, a $5. 00 filing fee accompanies this form. The move statements are true and correct to the best of my knowledge and belief. - • .Subscribed . and Sworn before me A. J . KA V►' ::NY, SR. this fY" c day of Ad , 1911. 8 YI 47 .—., .-ti ----i L' -...r1/2„ 1. My. commission expires L JJ JILL. r egistra9k /1k4'v . (SEAL) a 5' j . .c Notary Public r , r r r • FOR STATE ENGINEER'S USE Located in _ I-t .5' district, Wed County for IRRIGAT!Qft Registration No. S 91 in 1-- 3 , on APR 12 . State of Colorado Water Resources - View Well Details: Receipt 9060670 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of :---z " ' ' - - � „••, .!- _rt.a- +s_ - .-��.'L'� rr .fin .. -:-n ._ _ f'r. (Water Resources -_;,: .....__.�it -� 0, ;A ftq --: '. - 4 e OA' - e a'.•„as, • -474ta , :-- -;� . , ,> ocused on Colorado's Peoplefylafer•and Steievardship . Colorado's Well Permit Search Well.Abandoned f • i Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9060670 Division: 1 Permit #: 11323-R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: 0305559 - KAVENY EAST WELL 11323RR g [- ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip r Unknown - Present KAVENY A J SR 1925 18TH AV GREELEY, CO 80631 s 1—] Location Information `• s Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines j SW NE 26 7.0N 66.0W Sixth ' Northing (UTM y): 4488614.2 Easting (UTM x): 521829.7 tLocation Accuracy: Spotted from quarters r hi Physical Address Subdivision Name E; I City/State/Zip Filing Block Lot.44 Parcel ID: Acres in Tract: r? I • [- 1 Permit Details 1. Date Issued: Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS i Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No -� b • Cross Reference Permit Number Receipt Description Ti. Permit(s): Comments: 1- ] Construction/Usage Details 1 Well Construction Date: Pump Installation Date: is Well Plugged: 12/22/1992 1st Beneficial Use: 04/30/1947 ° F Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 54 25 1000 ' 1 -] Application/Permit History Abandonment Report Received 02/17/1993 4. Well Plugged and Abandoned 12/22/1992 First Beneficial Use 04/30/1947 ;r [ - ] Imaged Documents Document Name Date Imaged Annotated 4r. ginaL-Eile 12/08/2007 No Copyright CO 2009 Colorado Division of Water Resources. All rights reserved. . Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) • littp://www.dwr.state.co.us/WellPcr nitScarch/View.aspx?receipt=9060670[6/12/2012 4:53:58 PM] OWS-24 A (3192) COLORADO DIVISION OF WATER RESOURCES TER VERBAL FIELD INSPECTION. REPORT, • `.' kc.UE1 ` Please cam' this form in INK OCT 2 ria DIV. _ 1 WD ,L___ 1 _ receipt WM.DATEOF INSPECTION: 1 M / jn J f 9 9a. vat s ST 't�M�N�� APPU y CANT: c e 1�1 parson conf +�d ff not applicant (5- ADDRESS: ( )( Halo W_C nwr e&phone #: 1._ es S O o f N to 1 fl c v-e CALL, ( I_. phone: ' .3 S b -- Ln u o EIJSTING WELL LOCATION: S.,\) 1/4, e 114, Sec. , Twp. _ 9. 6�� , P.M; DIST.)_ ] from N I S sec_line, j b from E I W sec.line; County N.Q L (t rept, give dist & dir. to new well site -- (4 ‘,1/4+:4\ circle type of eadsting we DRiZ D HAND DUG, SPRING WELL, GALLERY WELL, GRAVEL PIT, OTHER how marry other wells are located on this parcel? ) use?_ I fr_� W f or -_. are they registered? permiticase #(s)? - ,t) \\ EST. DATE WELL CONSTRUCTFDO> j3 'CkL•C\ DATE OF FIRST USE o c j 1 4t t-1 i EST. PUMPING RATE CZa gpm TOTAL # OF ACRES IN THIS TRACTIPARCEL u o ACRES a rlit o ai stabdlparce! Info. USE OF WELL: household use in (indicate how many) single family dwelling(s) watering of poultry and/or domestic animals (''domestic animals' would include a few cows, horses, etc.) watering of livestock on a farm or ranch - approx how many head? is this a feed lot? ; how marry head? (it is important to specify estimated historic lawn/garden hr.) irr. square feet/acre of lawn and/or garden fine protection commercial - drinking & san. only? (write details in `comments` section) other (write details in 'comments' section) yes / no WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE: IF ANY CHANGE iN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8, 1972, please indicate the date(s) the use changed, and discuss this change/and/or expansion of the currentlor proposed use in the 'comments' section of this form (if completing inspection for NON-EXEMPT USES, use comments section below (include case #, # acres irr. if applicable, etc)) report taken by: e \MC:1*- ; dated IV / 06 I ; called in by: \j\ist 1 additional comments and/orf information: \�J c �� Z• � ��I �, r. �. Cs b, L 3 t c Lt 4 Q% RAOO DIVISION OF WATER RESOURCES EMERGENCY VERBAL REQUEST INFORMATION to be'completed in INK DIV ,CO ,WD ,BAS ,MD �. verbal receipt # FAXEDD DD- DA IN lb 261 77 Approval # VE TAKEN BY 67 L ,NAME OF CALLER---- z Approval Given /. / - ; Given By ( a (I APPROVAL GIVEN TO (name, company) APPLICANT: C- CONTRACTOR: L ET) RI lb_r_ rtiC-_ ADDRESS: Rof( /4 2 6 COMPANY ADDRESS: Pi 0 fir . 5-‘ 4/$(2 f lC/c r,;(-) 74,„ (-0 O65 2 uC #: 2 a ; phone:: —(C 4- A�;-6 8 • Phone: ,303-- 356 4700 (H) 1 OD APPi.. RECEIPT #E & DATE USE OF WELL: ._,Lrri ;ft 7i on-, PERMIT # `7 .> L 7 A-) ; CASE # _ 4r\ -7c..(I: i PROPOSED LOCATION OF (new) REPLACEMENT WELL AUG PLAN NAME ' I 14 SEA/ 1/4, iYt 1/4, Sec. _2_6______ , Twp. —7/4,/ . R (A/16 , R.M. :, Dist /3 70 froaAc. Erne, 2 c*o • Q iec. line; county ("7Q /c/ distance & do ion horn old well to new well she 7o h rot, ii, ; DEEPEN (tate if deepen) subdivision into: total # ac. lot(s) ..T btk - - • fig_ subtly- t additional parcel into. / AOOF SS OF WELL. It differord than appficant add: nEAS]rs1 FOR EMERGE ICY: OUT OF WATTR OCCUPIED IDEN F. (yes j no) MOCK ON PASTU CROP IRRIGATION ( OTHER -4 7/ G �a a� r rM / o • CASING INFO: DEPTH OF OW WELL? 55 ; PROPOSED DEPTI-TI5 , . ; AQUWER?//////le ///a "Li CASING? • . plus 1 '- c pert. c--.Qt DATE TO START? /US/ i FIELD INSP. REQ.? ( YES ) ( NO ) over for field inspection report information; called in? — date /0 ; / ..-C 17 L EVALUAI ING STAFF °MOME]vTS: i (O 0 r otaatlic f v It e 4.44-4-AAILAti IA tgl &ral i j jtL14 .: U, . pia r NS OF APPROVAL: I3't f g33 "i , Ara,L., f tiv- At / atf - *tf a, co a i- ,4 El s. (.2G 7' 7t/1R64 4 f . i EVAUJATED BY: A E ; DATE: I0/2 `I APPROVED BY: ; DATE (INITIALS) ►T� - -- - - r D COLORADO ADO DIVISION OF WATER RESOURCES RERGEmCY VERBAL FIELD INSPECTION R Please complete this form in INK appl receipt no(s). `i,. DN. if WE DAM INS HON: __/,..__J _ PURPOSE OF INSPEG71ON: LATE REG. , OTHER4d2,____ .a ' APPLICANT: Al7 /1O (142t1y AA pason contacted If not qp fXn "-Pi-4_ j),- by ADDRESS: /3o, /7_ 2 ( WC. name&phone #: lei .2 phone: EXISTING WELL LOCATION: Sciti 1/4, We 1/4, Sec. 2 6 . Twp. 24L. ling 62v , r P.M. 0157. 1 ? 2°fr S sec.line, w sec./ine; County \ ki 41r/ (rf rept, give disc & dir to well site — 2 (7 es:--4,7`7, ) circle type of eadsting welt VLF. 1-IAND DUG, SPRING WELL, GALLERY WELL., GRAVEL PIT, OTHER v......_. I any other wells am located on INS patCSP ) many9 1 , (no) ps wfl,case#.use' jP F )e/l EST D.ATE WE I L CONSTRUCTEDc/37/ 2 DATE OF L7RSr USE 5/07 (Si: PUMPING RATE. 83 ] gpm TOTAL # OF ACRES IN THIS TRACT/PARCEL :j.--_*; ._ ACRES address ofproperty(f different than applicant address): - add. subdlpa info: # acres irrigated (non-exempt/crop irr) 2o0 NAME OF AUG. PLAN? USE OF WELL- household use in (indicate how may) single family dwelling(s) watering of poultry and/or domestic animals ('domestic animals* would include a few cows, horses, etc.) watering of mock on a fa!m or ranch — epprr. how rimy head? _ is this a feed lot? ; how many head? 7<. (it is important to specify estimated historic lawn/garden krr.) in. square feet/acne of lawn and/or garden fire protection commercial — drinking & SEIM only? (write details in *comments* section) other (write details in 'comments* section) yes I no WERE THE USES CHECKED ABOVE INITIATED PR/OR TO MAY 8, 1972: NOTE IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL MS OCCURRED SINCE MAY 8Z 197 please indicate the dais) the cue changed, and discuss this cl ngeland/or expansion of the curmntlor proposed use in the `comments' section of this form (if completing inspection for NON-EXEMPT USES, rise comments section below (include case lt, # acres irr. if applicable, etc.)) report taken 74L ' dated: /4? 26 17 2 - called ini20 /I7 additional comments and/or iron: r 7= /1/114640.\-1 � . ' : 17 10/26, 92 LES-4 DRILLING 3036342969 PACE 03 aw$.gM a/ COLORADO DIVISION OF WATER RESOURCES r 4 IERGENCY VERBAL REQUEST REFERENCE SHEET Phone number Monday Pau Fr ' y 7:00 A.M► flu 11:30 A.M. (am) 888-241 11 Phone number Monday IIiru F :• .v tI:30 A.M. thlU 5:00 P.M. (303) 866.3587. .iI-. , Sr& COntractor: hWs "ki' Address: 13O-It 0 1141,24 cornpuny Address: ea ankaA,The c 0 6trakittaargt3A... Lie 46: al ; Phone: .4102i2 — , � .$ Phone: • � '�"'.- 3 5740 /40 Pormh 4L3— J/fl3 r- ; case . IV" a e4i if an application to this well ha- men submitted when should DWR have received tt I Q7-4 -92 use ot well: Include irurnhiir of : :•a•etfngs served. number of acres irrigated, number of stock watered. (Uses may be venire(' I 1 field i'spwtion) • Iff'r ion or +, 40011 Ol tey . Proposed Location W Lt`t..F ELL AC 1ENT U 1/4, . Sec. 2i�-..r , Twp. _ zip t$ , Rng. 4,‘ )fr" , _ea_ P.M.; . • plat. /37o from N • Y SAC. usn 90qd from 5 /Arne°. line; County weld Distance & direction trot. Id well to new wait abbe DEEPEN Subdivision tntarmatlon Lot(s) Rik. Fig. Subdiv. - Acidklonet parcel Into. / car Dolma. i omm©nt$ 4 REASON FOP EMERGENCY. S` // X Peirce.* Occupied Resldnnve? ( / no ) Stock in Pasture ( yes / no ) Crops being irrigated ( yes / no ) Depth d Old WI Alf ; Proposed Depth tr,.-. ; Aquifer w`allik wliirr Plain Casing f-mrn Pius sell to 4.0" Pertoratnd Casing From to " J Proposed Pumping Rate Dato to Start __Lai 454 p = m=innow -7 r a . aloe =o:simana .trvr -aewn�� 7nt=a asznatni one ar. = cciam ,. n CONTRACTOR NOTES Field Irtspeoticn Requited ( YEE. • ( NO ) Who has been or will be contact -1 nor Inspection of the well: water Commis r /44,t a PwrAtAfryen _ Phone y3:2 - Drolslon OIRCP `Vc3�ot+ Ca ra ady y - Phone - — 8 7 !,,2 1 19B? Oat 1 , ALett .%u- /..�, a:�_ . 4:1 Form F ( v. 1 ,tr.,cts. 0:-.C:, . rjedlit gitEpir€ 7 -57/511 -f STATE OF COLORADO • " DIVISION OF WATER RESOURCES . 121960 OFFICE OF THE STATE ENGINEER,„ WyKij.IND WATER SECTIONGROUND WAT:T REGISTRATION NO. ( OF WELL 33 STATE kiriiiNEER Registrant A . J . Kaveny, Sr . Date April 1960 P. O. Address 1925 p 18th Avenue - Greeley Colo. WELL LOCATION WELL DATA County Weld Depth 5'f ft. Diameter lib in. SW u NELA; Section 26 Casing : 30 ft. Plain; 214 ft. Perfor . Twp. 7 N , Rge. 66 W 6 PM Static Water Level 25 ft. from top Yield 1000 (gpm)O from 50 ft. N I 4W,' Used for Irrigation on/at E i t 6-'.)._ Part NE. and SE1, Sec . 26 , Twp . 7 N , age . 66 W - - - T - " "7-\- - - - - z 71 (legal description of land or site) ! I 1 Water conveyed by Pipe inch W . T ( E size 10 PUM DATA Type Turbine Size 8 inch t Driven by 15 H . P . Oleo . at 1760 RPM I Well was first used May , 19 h7 t . ..... cfs S for Irrigation using 1000 gpm WELL TO BE LOCATED AS ACCUR - ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACHES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SB I3DIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE - SIDE IF AVAILABLE Town or &ubdivision Street address or Lot and Block The above well (KW (has not) been registered in the Office of the State Engineer prior to May 1 , 1957 . If Registered give Filing No . _ , If .NOT '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 g, J , K ,c,i �Y, SR. ZIP. this k ' day of , 1940. �_, Y " My commission expires /€ / % / ?dpi R�gistran (SEAL) k 3 4/1 , ,e_re .- Nota y Public FOR STATE ENGINEER 'S USE ����'O� Located in /--- ,..5" district, wal, County for IRRIGATION _ r , Registration No. 3 2 7 in / -- .6 , on APR 1 2 ,1 . State of Colorado Water Resources - Vicw Well Details: Receipt 0345940 Colorado Department of Natural Resources Cotorado.9ov I Contact Us Colorado Division of Y , .,- f - �i 11 - �C. •is w .✓ '� tt � 's* / 1. ., Water Resources _ _- 4121 l� (!.{ '.•_P� fees . IC'l rs -es R y� - M� .._VYNw.•� _-- -�.. `if - ' t ,'" 5 • - ocused on'Coloradas People;`" arert a° d>Sfewardshrpa Colorado's Well Permit Search Well Constructed H ';. Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0345940 Division: 1 • Permit #: 11323-R -R Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: W3864 WDID: 0305559 - KAVENY EAST WELL 11323RR [- ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present KAVENY JR A J TRUST PO BOX 1426 GREELEY, CO 80632 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines • SW NE 26 7.0N 66.0W Sixth 1370 N 2.040 E Northing (UTM y): 4488804.7 Easting (UTM x): 521811.8 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [ - ] Permit Details Date Issued: 11/16/1992 Date Expires: 11/16/1993 Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS • Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report Yes No Yes Cross Reference Permit Number Receipt Description Permit(s): 11323 U_nkno_m • Comments: [ ] Construction/Usage Details Well Construction Date: 12/21/1992 Pump Installation Date: 12/23/1992 • • Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 56 38 53 32 850 • • Lic # Name Address Phone Number :• .. Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 s. Pump Installer 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [-] Application/Permit History Pump Installation Report Received 02/18/1993 Well Construction Report Received 02/17/1993 Pump Installed 12/23/1992 Well Constructed 12/21/1992 Permit Issued 11/16/1992 '' Application Received 11/04/1992 • [- ) Imaged Documents • Document Name Date Imaged Annotated 4rigtnaLFile 12/08/2007 No http://www.dwr.state.co.us/WellPermitSearchNiew.aspx?receipt=0345940[6/I 2/2012 4:56:04 PM] State of Colorado Water Resources -View Well Details: Receipt 0345940 Copyright ® 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitSear+chNiew.aspx?receipt=0345940[6/I2/2012 4:56:04 PM) L r , u W'RJ-5•R.v. 76 COLORADO DIVISION OF WATER RESOURCES RECIIVED 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 NOV PERMIT APPLICATION FOR M 04 '92 Application must be complete where fl) A PERMIT TO USE GROUND WATER Wan pinsOURCES applicable. Type or print in BLACK FOR ' p ) APERMLTTOCONSTRUCTAWELL ) A PERMIT TO INSTALL A PUMP Got INK. No overstrikes or erasures unless ( ) REPLACEMENT FOR NO. 3 - 11323 " initialed. ( ) OTHER WATER COURT CASE NO ....._ W s 3864 ( 1 ) APPLICANT - mailing address FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUMN NAME _, A . J . Kaveny, Jr. Trust: . Receipt No. ?' l t71° STREET Box #1426 Basin Dist. CITY Greeley, CO. 80632 (state) (ZIP) CONDITIQN4 OF APPROVAL TELEPHONE NO. (303) 356-4700 This well shall 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 right or preclude another owner of a vested water County Weld _ right from seeking relief in a civil court action. SW V. of the a 14. Section 26 Twp, 7 N Rng, 66_ry W 6 P.M . N,S) (E,W) (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm ) 83, _ Average annual amount of groun9j,wat hg a W to be appropriated (acre•feet) : o U /Well 12 RF - 1411 Number of acres to be irrigated: 200 .r Proposed total depth (feet) : 55 - Aquifer ground water is to be obtained from : • Alluvial Owner's well designation GROUND WATER TO BE USED FOR : ( ) HOUSEHOLD USE ONLY - no irrigation (0) ( l DOMESTIC ( 1 ) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) (XX) IRRIGATION (6) ( ) COMMERCIAL (4) ( 1 MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN ( 1 1 ) PERMIT NUMBER _ (4) DRILLER DATE ISSUED - Lesh Drilling, Inc . Name - EXPIRATION DATE Street P. 0. Box 56 City _ Ault , CO, 80610 (STATE ENGINEER) (State) (ZIP) BY_ Telephone No. 834-2868 Lic, No. 21 l,D: ____.__ �___ COUNTY - O�3_ 3 .• '+:. . (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. + — --I — + — I —' ÷ — + — I — —1- -- --1- 1370 ft, from (north or North south) sec. line • < .4 1 MILE, 5280 FEET —mil I , 2040 ft, from ....._ East sec. line Gast or west) I- 4- --1- . + I LOT BLOCK FILING # • — - I — NORTH SECTION LI? - ± - SUBDIVISION + I ( I j (7) TRACT ON LOCATED WHICHSame WELL • WILL BE NORTH _ uL - .�.. _ _ + - + 2 OOwner. T D No. of acres Will this be I z I ti no. . Well. #2-RP-1011 I Lo I 11 �m the only well on this tract? S}tams in Decree � �� -(-- + __ Kam- 64 w I I S (8) PROPOSED CASING PROGRAM • r- I Plain Casing _ w . . , . . - — -i W -#._. _. — _ al- .� .. _ _ 1 from 1'Above ft. to _. ..�ft. I' T _1E� in. I I • . I in. from ft. to ' ft.. SOUTH SECTION LINE - __ - Perforated casing • I I ( 16 in. from . 35 ft. to 55 ft. -f_ 1 --1- '4" 4- + -1- 4- -I- in. from ft. to :t. I I (9) FOR REPLACEMENT WELLS givedistance • and direction from old well and plans for plugging The scale of the diagram is 2 inches = 1 mile New well to be located 20 ' South Each small square represents 40 acres. ,-pt elid Well. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep The old well to be plugged in accords 1 cubic foot per second lcfs) . , . 449 gallons per minute (9pm) 1 A family of 5 will require approximately 1 acre,foot of water per year. ance with Rules and Regulations. 1 acre-foot . . . 43,56O cubic feet . , , 325,900 98llons. 1 ,000 gpm pumped continuously for one day produces 4.42 ecresfect. .--.______ _ - ( 10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s) : A. J. Kaveny, Jr. _ :.. •• 'rRcst-r ' No. of acres: 209 Legal description: 200 Acres located in the El of Section 26 . Township 7 North . Range 6b Weft (11) DETAILED. DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Irrigat.9 nn nf 200 ArrRR nt Farm- Land_ (12) OTHER WATER RIGHT$ used on this land, including wells. Give Registration and Wator Court Case. Numbers. Type or right Used for (purpose) Description of land on which used Well 42 — RIP -- 1011 Case 4W - 3864 200 Acres in the re of S2ctian 264 Township 7 North, Range 46 West of 6 P '! (13) THE APPLICANT (S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. - r k 'AiN.--SIGNATURE OF A /CANT(S) • • Use additional sheets of paper if more space is required. FORM 140. PUMP INSTALLATION AND TEST REPORT For olfioo Use only cut- * • -: It/9Q STATE OF COLORADO, OFFICE OF THE STATE ENGINEER `j Jr 'nJ Li- 1. WELL PERMIT NUMBER 11)23 B. - R . FEB 1 8 193 2. OWNER NAME(S) A. J . Kaveny, Jr. Trust Mailing Address P. 0. Box 1426 w5r�r+ City, St Zip ureeley, co 806 TE laillillatn cote. Phone ( '.30753-6.4-'?00 /i- rle - 92" 3. WELL J..O QN AA QRtLLack _ SW 1/4 NF, 1/4, Sec. -36- Twp. 7 _IL,, Range 66 W . I NOES FROM SEC. LINES: ft. from North Sect line. and 204O ft from East Sec. line. (north or south) Iasi* a weal$ SUBDIVISION: LOT BLOCK FILING(UNIT) . STREET ADDRESS. AT WELL LOCATION: . 4. PUMP DATA: Type Turbine installation Completed 12-23-92 . Pump Manufacturer Peerless - Pump Model No. H. - 48291 . Design GPM 85O at RPM 176O , HP 15 _ , Volts 230 , Full Load Amps Pump Intake Depth 54 Feet, Drop/Column Pipe Size ...2.....Inches, Kind - Stec1 . azagsaamaosapsmusegArgajtamges TURBINE DRIVER TYPE: El Electric O Engine Q Other _ . Design Head 59 feet, Number of Stages 2 , Shaft size UM inches, 5. OTHER EQUIPMENT: tx-1 t�-� Airline Installed II Yes! No, Orifice Depth ft . Monitor Tube installed t"_1 Yes No, Depth ft. Row Meter Mfg. McCrometer Meter Serial No. 92-8-2887 Meter Readout r Gallons, ill Thousand Gallons, II Acre feet, NI Beginning Reading 0000 . 6. TEST DATA: El Check box if Test data is submitted on Supplemental Form. Date _ Total Well Depth 56 lime • Static Level 32 ' 3« Rate (GPM) Date Measured 12-23-92 Pumping Lvi. 7. DISINFECTION: Type H. TAI. Amt. Used Et . ! a_ . 8. Water Quality analysis available. O Yes {_n No 9, Remarks The turbine pimp Wass installed ]2-23-1992,E owever because of freezing condi- tions no electrical power is avallble to date nor is the meter and discharge hookup to an existing underground pipe line completed, Tea will be furnished u comple- tion o ese ems. ....,... 10. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.) . CONTRACTOR Leah Drilling, Inc. Phone ( 303 ) 834-2868 Lic. No. 21, . Mailing Address Pp BoxS. Ault. Co 806 ,0 _ Name/Tirtle (Please type or print) Si -� r __,,�-- Date Ed lash , Jr. r r, - _ f t ' . INSTRUCTIONS FOR PUMP INSTALLATION REPORT , The report must be typed or printed in JACK INK All changes op the form must be initialed and dated. Attach additional sheets if more space is required. Each additional sheet must be Identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Report depths In feet below ground surface. This form may be reproduced by photocopy methods, or by computer generation with prior approval by the State Engineer. The original and one copy of this form must be submitted to the State Engineer's Office within 60 days after cornpieting the well or 7 days after the permit expiration dal, whichever k earlier. Another copy of the form must be provided to the well owner. It this torm is submdted in conjunction with the Weil Completion and Test Report, form number GWS-31 , ONLY THE PERMIT NUMBER AND OWNER NAME NEED TO SE COMPLETED in Items 1 and 2. 1 . Complete the Penni Number in full. • - 2. — Flinn Nana and Addrr�ee .& Weil Owner where correspondence should be sent: 3. Complete the blocks for the actual location of the well. For welts located in subdivisions the lot, block and subdivision information must also be provided. 4. Indicate the type of pump installed and complete the requested information. When installing pumps greater than 50 gpm, complete the additional information In this area 5. Provide the information on other equipment which may be installed in the well. 8. Report test data as required by Rule 13.9. Spaces are provided to report all measurements made during the test. The report should show that the test compiled with the provisions of the rules. If a test was not performed explain when it will be done. If available, report clock time when measurements were taken, 7. Record the type and the amount of disinfection used, how placed and the length of time left in the hole. 8. Indicate tf a water quality analysis was performed and submit a copy of the report It available. 9. Use the remarks area to note any additional information including additional equipment installed, water supply construction problems. 10, Fill in Company Name and Address of Contractor who constructed the well. The report must be signed by the licensed contractor responsible for the installation of pumping equipment FORM NO. WELL CONSTRUCTION AND TEST REPORT For Oboe Use only �' CMS=3: STATE OF COLORADO, OFFICE OF THE STATE ENGINEER Ito - , . 'tin.) 1. WELL PERMIT NUMBER . 11323_K - R --i FEB 17 '93 2. OWNER NAME(S) A. J . Kaveny, Jr. Trust Mailing Address P__ Bea 1426_ wA1 niosoirlea City, St. Zip Greele • .CO 80632 soot Sae cots. Phone (. ) 356-4700 _ 11 —ico -4Z 3. WELL LOCATION AS DRILLED; SW 1/4 MS 1/4, Sec. 26 Twp. 7 N , Range 66 W . _DISTANCES FROM SEC. LINES: 1370 ft. from North Sec. line. and 2040 ft, from East Sec, line. OR (north or south) (east or west) SUBDIVISION: LOT BLOCK FILING(UNIT) . STREET ADDRESS AT WELL LOCATION: --- 4. GROUND SURFACE ELEVATION ft. DRILUNG METHOD Reverse Rotary - DATE COMPLETED December 21 , 1992 . TOTAL DEPTH 56 ft. DEPTH COMPLETED 56 ft. • 5. GEOLOGIC LOG: 6. HOLE DAM. (in,) From (ft) To (ft) Depth Description of Materiel (Type. Sire. Coke-. wat.r Location) JO 0 56 2 28 Brown -s-ort. Clay 7. PLAIN CASING O0 (in) Kind Wail Size From(ft) To(ft) 28 33 Medium to Coarse Gravel With Some 16 Steel 1/4 I Above 38 Sand Toward Bottom of Formation, - Was 16 Steel 1 /4 53 -56- Very Loose and Clean-Considerable _ Water Loss - - PERF. CASING: Screen Slot Size: 53 56 Gray Shale 16 Screen 1/4 33 .T 53 8. FILTER PACK: 9. PACKER PLACEMENT: Material Gravel Type None Size 3/4" Interval 10 ' - 56 ' Depth 10. GROUTING RECORD: — Material Amount Density Interval Placement REMARKS:.. T T Cement 3-} Yds , 6 Gal. 6" Aboa 10 ' 11 . DISINFECTION: Type R • T•B. • Amt. Used 10 oz ' so 12. WELL TEST DATA: Check box if Test Data is submitted on Supplemental Form. TESTING METHOD Turbine Pump Static Level 32' 3 " ft. Date/Time measured u-ZZ-94 , Production Rate 850 gpm. Pumping level50 ' 6" ft. Date/Time measured - 12-22-42 , Test length (hrs.) 6 Hours Remarks 13. i have read the statements made herein and know the contents thereof, end that they we true to my knowtedge. [Pursuant to Section 244-104 (13)(a) C.R.S.. the msklnry of false statements herein constitutes perjury in the second degree and is punishable as a clews 1 misdemeanor.] CONTRACTOR Leah Drilling, Inc. Phone ( 303 ) 834-2868 Lic. No. 21 , Mailing Address P. 0. Box 56 Ault, CO 60610. Name/Title (Please type or print) Signa Date Ed Lash , Jr. al.--1‘' Pree dent �- —i INSTRUCTIONS FOR WELL CONSTRUCTION AND TEST REPORT The report must be typed or printed in BLACK INK. All changes on the corm must be initialed and dated. Attach additional sheets if more space is required. Each additional sheet must be identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Report depths in feet below ground surface. This form may be reproduced by photocopy methods, or by computer generation "with prior approval by the State Engineer. The original and one copy of this form must be submitted to the State Engineer's Office within 60 days after completing the well or 7 days after the permit expiration date, whichever is earner. Another copy of the form must be provided to the well owner. 1 . Complete the Well Permit Number in full. 2. Fill in Name and Mailing Address of Well Owner where correspondence should be sent 3. Complete the blocks for the actual location of the well where drilled. If the owner has more than one well serving this property, provide the identification (Owner's Designation) for this well. PQ NOT USE THE OWNER SUPPUED LOCATION unless a survey has been provided. For wells located In subdivisions the lot, block and subdivision Information must also be provided. 4. Report the ground surface elevation in feet above sea level if available. This value may be obtained from a topographic map. Describe the drilling method used to construct the well and the date completed. Indicate the total depth drilled and the actual completed depth of the wall. 5. Fully describe the materials encountered in drilling. Do not use formation names unless they are in conjunction with a description of materials. Examples of descriptive terms include: Grain size-Boulders, gravel, sand, silt, clay. Hardness--Loose, soft, tight, hard, very hard. Color--All materials. Most critical in sedimentary rock. Depth when water is encountered (if it can be determined). 6. Provide the diameters of the drilled bore hole. 7. The outside diameter, kind, wall thickness and interval of casing lengths must be indicated. 8. Indicate the type and size of fitter (gravel) pack and the interval where placed. 9. Indicate the type and setting depth for any packers installed. 10. The density of the grout slurry must be reported and may be indicated as pounds per gallon, gallons of water • per sack, total gallons of water and number of sacks used, etc. Specify the grout placement method, i.e. tremie pipe or positive displacement, The percentage of additives mixed with the grout should be reported under remarks. 11 . Record the type and the amount of disinfection used, how placed and the length of time left in the hole. 12. Report well test data as required by Rule 10.7. Spaces are provided to report all measurements made during the test. The report should show that the test complied with the provisions of the rules. If a test was not performed explain when it will be done. If available, report clock time when measurements were taken. {{� . 13. Fill in Company Name and Address of Contractor who constructed the well. The report must be signed by the licensed contractor responsible for the construction of the well. Focal No. OFFICE OF THE STATE ENGINEER GWS-2'5 . COLORADO DIVISION OF WATER RESOURCES411 818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80243 (303) 8683681 21 WELL !'ETif NUMBS tlic APPLICANT DIV. 1 CNTY. 62 WO 3 DES. BASIN MD Lot: Block; Filing: SubdN: A'PR.QVA WF L.QQAT1QN WELD COUNTY A J KAVENY JR TRUST SW 1/4 NE 1/4 Section 26 P O BOX 1426 Twp 7 N RANGE 66 W 8th P.M. GREELEY CO 80632 DISTANCES FROM SECTION LINES ( 303)358-4700 1370 Ft, from North Section Line 2040 Ft from East Section Line PERMIT TO CONSTRUCT A WELL. ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONP(IQN$_ QF APPf;OVAL_ 1) This well shall be used In such a way as to cause no material injury to existing water rights. The 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 right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation 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 17, 3) Approved pursuant to CRS 37-90-137(2) for the replacement of an existing well, permit no. 11323-R (decreed by the Division 1 Water Court as the Kaveny Well no.3-11323 , case no. W-3864). The old well must be plugged and abandoned according to the Water Weil Construction and Pump Installation Rules. An abandonment report must be submitted within sixty (60) days aster construction of the new well, affirming that the old well was plugged and abandoned, 4) The maximum pumping rate shall not exceed 833 GPM, 5) The average annual amount of ground water to be appropriated by this well In combination with well having permit No. 1011 -RF shall not exceed 600 acre-feet. 6) Approval of this replacement permit shall not result In an expanded use of ground water. The use of ground water from this well combined with applicant's other well, permit No. 1011 -RF is restricted to the irrigation of 200 acres in part of the E1/2 of Sec. 26, Twp. 7N, Rng. 66W, OM P.M. 7) A totalizing flow meter must be installed on the well and maintained In good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request, 8) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 9) This well shall be constructed not more than 200 feet from the location decreed for well no. 3-11323 in case no. W-3864. 10) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations, N_u•r APPROVEDAEE L -3t1A-Ce g• 162S1;14-' a.EF R-A9 -1 suthirig,ims ay Receipt No, 0345940 DATE ISSUEDN 0 V 1 6 1992 EXPIRATION DATE N 0V 1 6 1993 ,, COLORADO DIVISION OF WATER RESOURCES EMERGENCY VERBAL REQUEST INFORMATION avirsil(two to be completed in INK DIV 1 ,CO ,WD - ,BAS MD 199'72 verbal receipt # FAXED DA D IN jtj ,26/ F2_ Approval # SVEt TAKEN BY cm t ,NAME OF CALLER— Approval Given 10 /c' l 1 fc ; Given By __M_ APPROVAL GIVEN TO (hams, company)_ APPUCANT: CONTRACTOR: li ',� r1 JIi �, . � ADDRESS: SOK /4 Z COMPANY ADDRESS: QJ. O j?çc . cc Ara 6ree4 ('0 g0652 UC #: 2 [ ; : O T - Q phone: 303- 354 17CO 01) / vt APPL RECEIPT # & DATE USE OF WELL: y-i _ ¢ o" PERMIT # 8 Z 2 3 i ; CASE # VV-506 t PROPOSED LOCATION OF (new) REPLACEMENT WELL' AUG PLAN NAME _ _-L Al 1/4, /VE 1/4, Sec. 2 6 , Twp- WV , Rng. o6 ci/ , _ th 7 - P.M. DIST. /37 7o froaitc. une, ,7 C f 0 • E . : ` . Ile; Cot mty IV..Q id distance & direction from old well to new well site s'A`1 ‘.1'" ::" ..4.24160hatrilladti - DEEPEN (circle if deepen) subdivision into: total # ac. _ logs) _ bit M. subdv. _ additional parool info. / ADDRESS OF WELL. If different than applicant add:_____ REASON ron EMERGENCY: OUT OF WATER QCCUPIEDRFIS IDEN 9 E? (yes / no) OCK QN PASTU E CROP IRRIGATION (circle) OTHER , (1 / e4 M3 r, CASING INFO: DEPTH OF OLD WELL? 5 5" ; PROPOSED DE : AQUIFER? 4S"%( V/4e ai CASING? plain plus 1 '-- C pelf. (---- . V" - DATE TO START? ____ it/ FIELD INSP. REQ.? ( j) ( NO ) over for field inspection tion report information; called in? — date /0 j 2c / , 6 EVALUATING STAFF COMMENT'S: 0 - toy /b- Aj µce; Valiki pia AhuAbli7Iitiyip"te) etr, -denai a lipicit:-:,-trvartt:A0L 44 ° CONDTTIONS OF APPROVAL: M -- Ati4 A-- R 33 XV)) Q jtrJJ . f %re-4ra Po, 01 I - g f ol. or a •A. .4 4'//4 £t - � a G 7' 7A1 le 44t0/4191, ,�vlac.y .tJv � 1 f EVALUATED BY: 4-E6-. ; DATE: /e 2 7, 92- ; APPROVED BY:3. 8 ; DATE:__________ a- (tNt11AS) (SIGNATURE) G WS-24 A (DAV) COLORADO DIVISION OF WATER RESOURCES EMERGENCY VERBAL FIELD INSPECTION REPORT 4 Please complete this form in INK gap]. rece4 t no(s). DIV. / WD DATE OF INSPECTION: / PURPOSE OF INSPECTION: LATE REG. OTHER 2 / I42xi4 •, 7 �i ot /mil er/psoncaor�cted !fnppli�tt rs 1 f l ADDRESS: /4 2 ( W.C. name & phone #: 2�,� /Do/ Q phone: EXISTING WELL LOCATION: Gil 114, NE 114, sec. 2 c , Twp. 74j , Rng. 66-LA r P.M. DIST. 17 ?ofrorr S S sec.line, Wefr and W secline; County \ it Iii (if rept, give disc & aflr. to rte► well site — 2 co . 5 ,4174% y - ) circle type of existing well: RIVED HAND DUG, SPRING WELL, GALLERY WELL, GRAVEL PIT, OTHFR any other wells one located on this parcel? marry speips , (no) pe►mll,casatuse? F 10d EST. DATE WELL CONSTRUCTED 0/1 7 DATE OF FIRST USE e 5-/$ 7 EST. PUMPING HALE p 3 ] gpm TOTAL # OF ACRES IN THIS TRACT/PARCEL s 52‘,„20 ACRES address of property(if different than applicant address): add sutxrilparcel info.. ft acres irrigated (non-exempt/crop 1n:) 20 ) NAME OF AUG. PLAN? USE OF WELL: household use In (indicate how many) single family dwelling(s) _ watering of poultry and/or domestic animals (`domestic animals' would Include a few cows, horses, etc.) watering of livestock on a farm or ranch -- eppmxt how many head? is this a feed lot? ; how marry head? x. (d is irnportarrt to specify estimated historic lawn/garden irr.) irr. square feet/acre of lawn and/or garden fire pmtectian commercial -- drinking & san. only? (write details in 'comments' section) other (write details in 'comments' section) yes 1 no WERE THE USES CHECKED ABOVE IN MATED PRIOR TO MAY 8, 1972? NOTE: IF ANY CHANGE IN THE HISTORIC USE OF THIS WEL( HAS OCCURRED SINCE MAY 8, 1972, p/case Indicate the dates) the use changed, and discuss this chanfiefandlor expansion of the current/ar Fx_o_posed use in the 'comments' section of this form (if completing inspection for NON-EXEMPT USES, use comments sewn below (include case #, # acres kr_ if applicable, etc.)) report taken . (7 ; dated: A / 6 / 7 2 ; called In . /I)/ additional comments and/or information: a /A# r Gtr .' 1 / r r t lel be] 7-- o de, /C /6ti22 2 ge, /at , //3 11: 17 10/26/ ' 92 LESI-f DRILLING 3038342869 PAGE 03 OWS-MA (7I COLORADO DIVISION OF WATER RESOURCES MERGENCY VERBAL REQUEST REFERENCE SHEET Phone number Monday rtrru 'j 7:00 A.M. thru 11:30 A.M. (303) 868.2418. Phone number Monday tutu I• v 11:30 A.M. thru L00 P.M. (303) 866-:3587. Applicant: 1141_ ifoithiztja.ffstrzg. Carla-actor; 2task itf Roc. : P. D. A/ra Aadre�: �� #_11142‘ Company Address: 6C2fitleti. C. E3C434, _ Lie #: 21 _ ; Phone: S, - fl-2 _ Phone: ..L j e 1740 (H) / Perrnii #^ Ja 1,3 ` ; Case s kY— 3 S4± 1 if an application to. thp, wull Fur Hen submitted when should DWR have received It7 [aaft*hf kr -I.,. 2 Use of well: Include rnrrnhrx of • !-Ivellings served, number of acres Irrigated, number of stock watered. (Uses may no ventiud II, A field Inspection) . W.. . . �._ . Ater 79 7,a, Or at *M -Ox /PI d4 Soared imiiiiiievii/fitzt-2_4c. AO Proposed Location of ANEW) RW;QEMENT WEL : 5$J '1/4, M . Sec. . , Twp. . , ring. t>? j,e , .__ P.M.; • Dist. inn from N V SAC. Lino, from E /,1Wsec. line; County With) Distance 84 cilrectk>n troy lid wee to new well site DEEPEN Subdivision information Lot(s) �slk, Flg. Subdiv, Additional parcel info. / or i'geneta. .:omments: REASON FOR EMERt4ENCY. A- rem rfy)th a cvma yip- is r so i r ' Occupied Rnsirinr ee? 1 a / no ) Stook in Pasture ( yes / no ) Crops being Irrigated ( yes / no ) Depth of Old Wnk sloe : Proposed Depth _ S, - ; Aquifer ,4lluwonl7 ss Plain Casing Porn blur. Int to 43, Perforated Casing From JO to raw Proposed Pumping RAM eugs_vot Date to Stan f J_ , j lOeSOl�R�!#MfR• R �rAlFQY7 ;.IG[7� csrRa/C .w � � -� �x� soatt�m0c* X� 7CAAen +aaaooGs�aa � a�aeaaer CONTRACTOR NOTES Field inspection RetcpSeci R YEE• . ( NO ) Who has been or will be contactui' i for inspection of the well: Wrier Conwnissu.„wr d'i /i Kt:Mer Phone 1 , i - 5L f givielon Otftcy of •T. Phone ..35:47 -•S' 71.2 (10.5 1046,'92 L 4 DRILLItit;4 383,33C869 i 'n L If! Ill' ::i: l :: ': : lit /t•:'' ; •/r. HAIEN ir ! Vt " Iv:; I . '• I .11r uI" ':ut-trRhltu CARE Nt1 . 3864 IN Till' V.4 ; ; I4► "I ArrI. IcATi1n i•uh j YAM kt( 111 ':;' I . . 1 A, 4 . KAVi Ill . JR . i kuISYtt OF THE FINDINGS AND RULING ESTATE Or A . A . t. - NY . SR. ) OF Tift. Itf.FERtt IN Vold CnunIr I Ii11C 1: •iavina been filed k : th the 12atc'r Clerk . Water Division T , 0!i June Fn . 1 {t; owl the itr1rrrr2 being fully advistrtf iii the Promises . .'.:• ' 'rr • f find : Al I r ► ► cguired by law of the filing of this application have been ful I I I • •,t ! he Referee has Jut 1 •a►l iction nr this application. Ni' -., it , Dl• opposition to m•: $ e application hos been filed , nod tha time 1;': ! I ; .uch statement has .•.tplred . Al ! ► . ' &i•t ,ontained in the application having been reviewed . t+nd testimony b.: c I •e taken where such I.u. tlruny is necessary , and such cart•ar. 1. 1 ►►n•• Sr.' . r are indicated by the evidence presented herein , IT 15 IICtH], V ¶ :•1 • NC Or THE WATER RCI t RI L : - - 1 . r • • n 4nd address of the t: l .riamont : 4 J . luny , Jr. . Trustee of the Estate of A . J . Keveny , Sr . Avenue t.•ooe ll Colorado 00631 1 2 . ; •• 'r., of the structures : • •► iun: ,' l 1 SI - 4RF-556 . ' I ,t•"t' ,n • •'1 1 22 - IIRF-1011 ' anon. all 43 - (11323 r ., N.:n} •: II 14 - 111324 • 3 . • I•'' I ' description of the structures : t even ; rill 11 - I Rf• S56 is located in the HNC of the SW% , '•••' I. I ' 2 . Township 4 North , Range 66 West of the $th P .M . . W'e ' d I •' ty . Colorado , at. a point 13611 feet north from the '.•.•• It' ': tian line and 112 teat East frost the West section ' lily • , aid Section 22 . . unif ,, ll 1? - 4Rf- 1011 is 1 "tanted in the Nllk of the NE>st 0. c ire '6 , township 7 North , Range 66 West of the 6th P . M . , 4, • .I • 'ay , Colorado . at a point 905 fart South Eros the th (ion lino and ?. 545 feel We:, t from the East section Ism! r• said Section 26. • Yawc•u•-t ' I1 13 - 411323 is Iu•:atsd in the S11'6 of thu HE% , lit 6 , Township 1 North , Itenge 06 'lost of the 6th P .M . , W.- id t. ' ly , Colorado , at a point 1350 feel South and 600 feet I 1' i '. she IN Corner of said Suction 26 . t •►ti rn', ' l l 14 - 111324 is 1 vt:cttcud in the 11W'4 of the Silk , ' • ' ir: , Township 4 north , Rang,± 64 Wett of the 6th P .M. , 9 •: : „ ty . Colorado , al. a puhI1t 1320 feet North 'rein the ' a Hi Lion lint! and 600 feel bait from the Most section • • r .- a old SecCinn 24 . ..• .... i • 11:16 1Srdg,'92 LE W DRI1.up i a v . 8 • • - • 4 . The . nnrze water is : K:wt•i,y 0 011 - ARF -a56 : South Platte River Kcctien, Well ' - IR1- 101 1 : Cache La Pevdre River Keaton., well • - 111373 : Cache la Poudre River K,tv,•nf b" h I : - 11132.1 : South Plotte River S. 11►,0 .t.► n►• u : .:proprintion : K.cus••ni 4 • I l • .. 0411- 556 : December 31 , 1935 KAveny well .' - ERE -10111 July 31 . 1934 Kuv ny well 1 - 011323 : May 31 , 1947 Kuvt•ny Aril •I - 111374 : July 31 . 1954 6 . 111,, .,aurint water : Liven / del 1 - JRF - 556 : 2 . 39 cubic feet per second Karen! del : - DI11• -11111 : 1 . 63 cubic feet per second Kar,tnv Wel 3 - 1113?.3 : 1 . 85 cubic feet per second Kavv,r,r Wel •4 - 111324 : 2 . 2S cubic feet per second 7 . 71ie u•., or •„% water: Kdv.•„ y Wei (1 - fttt-556: Irrigation of approximately 160 al , r. the W5 of Section 22 , Township 4 North , Runge t t. V '. of the 6th V .M . , Veld County , Colorado . Kevr•,l► Ve • 02 - 1Rf - 1011 : Irrigation of part of 200 acres ill the I ', Section 26 . Township I North , Range 66 West of ; ter III . M. , Weld County . Colorado . I'nv':, i Wt. ' ti - 111323 : Irrigation of part of 200 acres , n the t ♦, Section 26 , Township 7 North , Range 66 West el t♦ia• t.c • . M . , Weld County , Colorado. • I:,,v.•.: 4 lir i4 - 411374 : Irrigation of approximately 1 (111 aslant . tht, 114 of Section 22 , Township 4 North , R.,41. . !.n t. of the 6th P.N., Weld County , Colorado . 14 DATE I1 ii,. _ day of 401 ..... �.�_., 1913 . • kk, even;Awe 'en H: 411nnon , a 'll ree`r Water Division 1 , State of Colorado No Ipr 'o.• • ' n tiled in 6his matter . Iln I •,►•♦♦u., If .cling Is confirmed 4nd .,lip, lor.',I Rd is made the Mime'. .tn' 'see or this Court . paLyn : On • ..tem.,?4.5-42 .�.. ilt— t.ta ,.Ji ♦ 4 M., 1 • ♦�itl�i P ,FORM NQ. STATE OF COLORADO For Office Use only GWS-9 OFFICE OF THE STATE ENGINEER , 7189 a mvED 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado Fdo 80203 � (303) 888-3581 TYPE OR PRINT IN BLACK INK FEB 1 7 '93 WELL ABANDONMENT REPORT ,, :r�;r ��:Sjwe:- �s . . ABANDONED WEI I NUMBER IF REGISTERED 3.„...iyaLefi-R ucitck 1 , INDIVIDUAL/COMPANY RESPONSIBLE FOR PLUGGING NAMES) A. J . Kaveny, Jr, Trust Mailing Address P. 0. Box 1426 City, St Zip Greeley, Co An637 _ Phone ( 301 ).__3,5, a7nn 2. ACTUAL WELL LOCATION: COUNTY Weld PROPERTY ADDRESS (Address) (City) (State) (Zip) SW 1/4 NE 1V4, Sec. 26 Twp. 7 X N. II S., Range 66 ❑ E. III W. 6 P.M. Distances from Section lines 1350 Ft. from I X N. II S. Line, 2040 Ft. from LI E. or ❑ W, Line. 3. I (we), report that an existing well was plugged and abandoned for the following reason(s): II The well was plugged and abandoned as required under the conditions of approval of Well Permit No. 11323- R-R The well was/ not in use and was abandoned. ❑ Other (please explain) 4. The well was plugged and abandoned according to the Water Well Construction and Pump Installation Rules on December 22 ► , 19 92 , 5. The well was plugged with the following materials placed at the indicated intervals: AMOUNT AND TYPE OF MATERIAL METHOD OF PLACEMENT INTERVAL Topsoil Dumped from 0 feet to __feet Cement _ _ , 2 yards - Pored from 5 feet to 7 feet Gravel - 15 Yards Poured from 7 feet to 50 feet from feet to feet INTERVALS OF CASING REMOVED/RIPPED IN FEET from feet to feet from feet to feet 6. I (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) knowledge. [Pursuant to Section 244-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] Name(Title (Please type or print) Sin Date Leah Drilling , Inc , Ed Lesh , Jr. 2-15-93 -INFORMATION- It is the responsibility of the well owner to have the well properly plugged and abandoned. The well construction contractor is responsible for notifying the well owner of the plugging and abandonment requirement. This form may be reproduced by photocopy or word processing means. - I w August, 1988 RULE 11 ABANDONMENT STANDARDS 11.1 General 11.1 .1 The plugging and sealing of all wells and test holes is necessary to prevent contamination of ground water and the migration of water through the unused borehole. It is the ultimate responsibility of the well owner to have a well properly plugged and abandoned. The well construction contractor is responsible for notifying the well owner of the plugging and abandonment requirement pursuant to this Rule 11 . 11 .1 .2 Persons authorized to install pumping equipment may plug and abandon wells which do not require the removal of casing from more than one aquifer or the ripping or perforating of casing opposite confining layers. 11 .1 .3 All materials used for backfilling shall be clean, free from contaminants and chemically inert. 11 .2 Unconfined Wells - Wells completed into unconfined aquifers shall be abandoned by filling with either on-site materials, clean sand or gravel to the static water level, then with chemically inert materials to the ground surface. A permanent watertight cover shall be installed at the top of the casing. The casing may be cut off up to five (5) feet below ground level provided the watertight cover is welded or permanently attached to the top of the casing and the hole is backfilled to the land surface. 11 .2.1 Cathodic protection holes, dewatering wells, horizontal drains, monitoring and observation holes, percolation holes, piezometer holes, sump pumps and test holes shall be abandoned either pursuant to Rule 11 .2 or by removing all casing which was installed and by filling the hole(s) with drill cuttings or chemically inert materials to within five (5) feet of the ground surface. The top five (5) feet of the hole shall be sealed with materials equal to or less permeable than the top foot of the surrounding soils. 113 Confined Wells 11 .3.1 Wells which were constructed through more than one aquifer shall be abandoned by placing a grout plug at the confining layer above each aquifer. If records do not show that the casing opposite each confining layer has been grouted when originally installed, the casing shall be either completely removed from the hole, or perforated or ripped opposite such layer prior to placing the grout plug. No plug shall be less than twenty (20) feet in length. 11.3.2 The well casing except for the grout plug intervals shall be completely filled to the land surface with chemically inert materials. A watertight cover will be permanently welded or attached to the top of the casing. The casing may be cut off up to five (5) feet below land surface provided the watertight cover is welded or permanently attached to the top of the casing and the hole is backfilled to the land surface. State of Colorado Water Resources - View Well Details: Receipt 9061992 Colorado Department of Natural Resources Cdorado.gov l Contact Us ``'acC' ' Colorado Division of .,- � � ` . e.CeSt1;. .: , ..•: - - ../. Water Resources . . �{(- - ,-.7 --w' _-:; i -V'— r�s ocust oil lof'ady .s i eon�e /Mate ,.: Stevie' ship.. Colorado's Well Permit Search Well Abandoned H Last Refresh: 6/12/2012 12:01:21 AM r Receipt: 9061992 Division: 1 f' Permit #: 14531 -R - Water District: 3 te Well Name / #: County: WELD 't Designated Basin: Management District: Case Number: a WDID: 0305344 - DALTON BROS WELL 1-14531 [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip I r Unknown - Present DALTON BROTHERS R F D [At ON, CO 80011 r Ti [ -] Location Information • Approved Well Location: • ` Q40 Q160 Section Township Range PM Footage from Section Lines NW NE 26 7.0N 66.0W Sixth Northing (UTM y): 4489019.5 Easting (UTM x): 521827.8 !: Location Accuracy: Spotted from quarters i. Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [ -] Permit Details Date Issued: Date Expires: .. Iti Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): 4 Comments: K • . [-] Construction/Usage Details I Well Construction Date: Pump Installation Date: t= Well Plugged: 06/15/2005 1st Beneficial Use: `; Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 39 12 800 I. v. t; [- 1 Application/Permit History lR Abandonment Report Received 06/29/2005 Well Plugged and Abandoned 06/15/2005 a it" [- ] Imaged Documents • Document Name Date Imaged Annotated F: Registration_of aa_existingieell 12/08/2007 No Well..A.bandonment 11/28/2007 No i Copyright © 2009 Colorado Division of Water Resources. All rights reserved. r• I ' Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WcllPennitSearch/View.aspx?receipt=9061992[6/12.2012 4:58:40 PM] Receipts and Notices recd to Oliver Well Works, Greeley , Catered* E7R10 .\\IFP Form F (Rev. ) 7 -57/5M STATE OF COLORADO DIVISION OF WATER RESOURCES APR 3 01960 .20111° OFFICE OF THE STATE ENGINEER, GROUND WATER SECTIOr OUND WATER SEC-. 9rt 14' _^ 14531 COi. ;hAuC REGISTRATION NO. t. OF WELL _r4-i STATE ENGINEER Registrant Dalton Brothers Date April 2R 19 60 P . O. Address R . F . D . - Eaton Colo. WELL LOCATION WELL DATA County Weld 6 2 Depth 39 f ft. Diameter liB in. NW ,-,, NE Ili, Section 26 Casing : 21 ft. Plain; 1a ft. Perfor. Twp. _ 7 N. Rge. h6 6 PM Static Water Level 12 I ft. from top Yield 800 (gprn)(c ) from 35 ft. N -- r ) 9Ea Used forte ij cat ion on/at I1'' Part NE-, Sec . 26 , Twp . 7 N , Rge . 66 W - T I (legal description of land or site) 7 I I 1 6 0 Water conveyed by Pipe , size 10 inch 1. % W E A PUMP i3ATA 1 Type Turbine Size o , inch `:4 Ord d s�'1 `, S - _ ...I - _. - — ...t- t Driven by 11` _;I , Y . Elec . at 1760 RP1 # 0 vo 0 t3 tPI I Well was first used I1..r �P-e -r e- -- , 19 24 S rr /1 cfs ' 0► for Ts•rivati.on using Boo gpm O WEL 'A BE LOCATED AS ACCUR - ATELre aced AS POSSIBLE WITHIN A Well 19 29 to SMALL SQUARE WHICH REPRESENTS 40 ACRES; OR IF IN A TOWN OR (gprxi)(cfs) (ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well (has not) been registered in the Office of the State Engineer prior to May 1 , 1957 . If Registered give Filing No . - If NOT 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�jJ� and Sworn before me DALTON BRC,TII Ei;S _ this 0 a day of �.c-_ , 19�. �.. . My commission expires 4 -1/j 19(x/ g strant (SEAL) d a f'- -t� otar u lie FOR 7 . NGINEERTS USE � Located in "e--- ..3 district, V County for f� Registration No, 667 7in 3 , on , APR 3 0 1960 , zs tl_ i FROM : 2RS FARM PHONE 110. 9707372689 Nov. 04 2004 10; 37A,M P7 Form STATE OF COLORADO For Office Uxe Only RECEIVED . No. OFFICE OF THE STATE ENGINEER GWSM9 821 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 22004 (303) 886-3581 Fax (303) 866-3589 JUN 2 9 2005 WELL ABANDONMENT REPORT WATER RESOURCES Type or print in black Ink. STATE coop. Well Permit Number of the well being plugged 1 4 5 31 -R . L -Indiyidual/CompanY responsible for plugging apd sealing the weir, NAME(S) Dalton' Brotbrs Inc _ titSaaing Aadr s 37905 WCR /135 _ city, St. .zip Eton, CO 80615 Phone ( 970 .1 .454 - 2239 •, . .. . ACTUAL WELL LOCATl9N: County Veld propertyNb mst same (Address) (City ) (State) (Zip) NW ix of the N E 114, sec, 2 6 , Twp. ? ?s l N. or II S.. Range 6 6 OE. or © W., 6 P.M. 340 R iron Sect:n Lines Ft. From X N, or J S„ 2160 Ft. From Q E. or ❑W. Line Subdivision Name _ Lot . Block Fllingf9nt I (we) report that an existing well was plugged and sealed for the following reason(s): X The well was plugged and seabed as regulred under WO Permit Number 2 453 1 —R —R QThe well was not in use and was plugged and sealed. LJ Other (please explain) The date the well was plugged actotding to the Water Well Construction Rues was 6 — 1' 5 - 05 • The well was plucged with the following materials placed at the indicated intervals: Amount and Type of Material Method of Placement Interval Top i 1 Llualpe d _ trorn 0 feet to • 4: feet • Cement Poured from 4 fast to 6 beet Washed gravel Poured from 6 feet to 40 teat from feet to _ _.._ feet lntecvats of casing removed/ripped in feet from feet to feet i (we) have read the statements made herein, know the contents thereof. and that they arttrue to my (our) knowledge. Please Print the Signer's Name & Title n Date Edwin D . Lesh -etc • Pres . Lesh Drilling Inc . ' az-- It Is the responsibility of the well owner to have the well properly plugged end sealed. The Well Construction Contractor is responsible for notifying the owner of this requirement. State of Colorado Water Resources - View Well Details: Receipt 0535890 Colorado Department of Natural Resources Colorado.gov l Contact Us 1 SMOill. Colorad o Division of ,r.,,s ,�,,,�.,,, ., ;� Wda�ber Resources -L. - , t . . i 0 2cir !�Act^1R ,r¢-e3/4" ' •_ ---" --r. '- -- - -----t -- Focused on'Calofado s People, Water' - St4Wir shr . Colorado's Well Permit Search Well Constructed '" '1:_;,_1 Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0535890 Division: 1 • F Permit #: 14531 -R -R Water District: 3 • • Well Name / #: County: WELD Designated Basin: Management District: 3 Case Number: W2938 , 'I WDID: 0305344 - DALTON BROS WELL 1 - 14531 I. . i ----- - i< [ - ] Applicant/Owners History ' !• Date Range Applicant/Owner Name Address City/State/Zip ` 1 Unknown - Present DALTON BROTHERS INC 37905 WCR 35 EATON, CO 80615- , [ -] Location Information Approved Well Location: • .11 Q40 Q160 Section Township Range PM Footage from Section Lines NW NE 26 TON 66.0W Sixth 300 N 2160 E • 1. Northing (UTM y): 4489130.5 Easting (UTM x): 5717/4.3 Location Accuracy: Spotted from section lines Physical Address Subdivision Name , City/State/Zip Filing Block Lot i, , Parcel ID: Acres in Tract: 60 • {. I [-] Permit Details • Date Issued: 03/15/2005 Date Expires: 03/15/2006 Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS i• Special Use: Area which may be irrigated: Maximum annual volume of appropriation: rf ti' Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report Yes No No Cross Reference Permit Number Receipt Description Permit(s): 14531_x.= 9061992 Comments: [ -] Construction/Usage Details �`: Well Construction Date: 05/10/2005 Pump Installation Date: 06/15/2005 • Well Plugged: 1st Beneficial Use: f, Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 47 34 44 18 750 . Lic # Name Address Phone Number Driller 21 LESH DR., ED BOX 56-113 5 HWY 85 AULT, CO 80610-0056 970-834-2868 }, Pump Installer 21 LESH JR., ED BOX 56-113 5 HWY 85 AULT, CO 80610-0056 970.834-2868 r [-] Application/Permit History i% Pump Installation Report Received 06/29/2005 Well Construction Report Received 06/29/2005 i Pump Installed 06/15/2005 r Well Constructed 05/10/2005 • Permit Issued 03/15/2005 Application Received 03/07/2005 t [ -] Imaged Documents Document Name Date Imaged Annotated Supplemental Well Test 11/28/2007 No Ir. WeLCpnstruction & Test 11/28/2007 No http:U«ww.dwr.state.co.us/WcllPcnnitScarch/View.aspx'receipt=0535890[6:122012 5:00:30 PM] State of Colorado Water Resources - View Well Details: Receipt 0535890 G.enecaLPurpos_e_Applicatinn 11/28/2007 No P_ermitlo_tonstrtict_&Well 11/28/2007 No .. Pump Installation & Test 11/28/2007 No ForrP< de,�mos. Fin ings & Hearino=� 11/28/2007 No .. ft Field Inspection 11/28/2007 No . Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.usfWellPcrtnitSearch/View.aspx?receipt=0535890[6/l2/2012 5:00:30 PM] r lS Form STATE OF COLORADO jFor Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-7l 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 piv WD 9/03 (303) 866-3581 Fax (303) 866-3589 I RECEIVED Basin MD http://waterstate.co.us/default.htm MAR 0 7 2005 NON-EXEMPT WELL SUPPLEMENTAL INFORMATION (To be submitted with Form GWS-45 WATER RESOURCES ) STATE ENGINEER Colo. Name, address and phone of the well owner NAME(S) Dalton Brothers , Inc . Mailing Address 37905 WCR# 35 City, St. Zip Eaton , CO 80615 Phone ( 970 ) 454 - 2739 WELL INFORMATION AUGMENTATION OR SUBSTITUTE SUPPLY PLAN INFORMATION Name of Plan: Cache LaPoudre Aug . Water Court Case No: W2938 Water Court Case No: W- 2938 Contract No: Date Constructed: December 31 , 1924 Number of Units: 3-a0 A /F Attach additional information WELL LOCATION(S) gD Decreed Well Location NW 1/4 of the NE 1/4, Sec. 2 6 , Twp. 7 R1 N. or ❑ S., Range 6 6 ❑ E. °JD W., 6 P.M. 325 Ft from the xi N or ❑ s Section Line: 21 6 0 Ft from the ' xi E or ❑ W Section Line. Existing Well Location Same ❑ Same as decreed 114 of the 114, Sec. . Twp. ❑ N. or ❑ S.. Range ❑ E. or ❑ W., P.M. Ft from the ❑ N or ❑ S Section Line; Ft from the El E or [j W Section Line. Proposed Well Location ❑ Same as decreed ❑ Same as Existing NW 1/4 of the NE 1/4, Sec. 26 , Twp. 7 H N. or ❑ S., Range 66 E. or ❑x W., 6 P.M. 300 Ft from the L Nor ❑ S Section Line; 21 6 0 Ft from the E or ❑ W Section Line. 600 Foot Spacing Are there wells, not owned by the applicant, that are within 600 feet of the proposed well location? Yes No If yes, please attach additional information including owner contact information, well permit nos. and approximate location. -Use Of Wellscheck applicable boxes) _ ._ _ __ __ Land On Which Well Will Be Used (If For Irrigation) Attach a detailed description of uses applied for. Number of Acres 60 shared w/We 11 # 3 - 1 4 5 3 3 ❑ Industrial ❑ Other (describe): - same -decree [� Municipal Legal Description: (may be provided as attachment) 5B Irrigation Irrigation of 60 acres located in the ❑ Commercial NEI of Sec . 26 —T 7 N — R 66 W I (we) claim and say that I (vve) are the owner(s) of the well described above. know the contents of the statements made herein, and state that they are true to my (our) knowledge. Please print the Signer's Name & Title Signature(s) of the owner. Date / f / G&FdL ./rei 1944 !�' . jt e 2/34/ I - - - 1 M I MWELL CONSTRUCTION MD TEST 'T. For. Office Use only _ STATE OF COLS, OFFICE OF, THE STATEENdIN i REcEiVE_D it VIL PERMIT NUMBER 14'53'i.- R T R .. JUN 2 9 2005 • 2W OR NAME(S) Dalton* Brothers Inc . ff WATER RESOURCES M Address STAT "FAG NEER Ong 3 Z9� 5 W CB 3 5 __ COLO. ! COY, St Tip Fat- wt. Ct) Rntij5-Hinlonet 970 454 - 2739 .WELL LOCATION AS DRILLED: NW _i14• NE 114, Sec. 26 Twp. 7 N , Range 6 6 W 1 DISTANCES FROM SEC. LINES: . 300 ft. from Nor Sec- fine. and .2160 _ ft from itat *est) Sec. line. OR SUBDIVISION: _ - LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: • f 4_ GROUND SURFACE ELEVATION F : . it . . DRILLING METHOD Reverse rotary DATE COMPLETED 5 - 1 0 --.05 . .TOTAL DEPTH 4 7 ft DEPTH COMPLETED 47 ft I _ a GEOLOGIC LOG: _ 6. HOLE DLAM. (in.) From (ft) To (ft) Depth Descriptor of Mrderiai (Type, Size. Colo?, Water Loca tor,) 28 " 0 47 ' 0 - 2 'topsoil 2 - 15 Buff colored clay j 15 - 43 CleQa SP toward- the n r t nm ?_ PLAIN CASING 43- 47 Gray shale OD ci 1} lend Wall Size Frorr1(ft) To_th} 16 steel . 219 1 " above 4 16-7 steel . 219 441- 47 'I PERF_ CASING: Screen Slot Size:_J 0 I _ - • 16 " s . s . screen . 250 341 44t ! ._. i - ., I ti. FlL t EH PACK: i 9_ PACKER PLACEMENT: i _ _- Material Grave l Type _� E size . 250x . 3 / 5 interval 19 ' - 47-T Depth 1O. GROUTING RECORD: • Material Amount Density Interval Placement REMARKS. - _ ' . - concrete 3yds 6-gal 6 " above poured t3-1-9-r- . - 1 .11 DISINFECTION: Type H'. T �R ` • Amt Used 7 o z s . 2, WELL TEST DATA O Check box if Tesi,Data is submitted on Form No. GWS 39 Supplemental Well Test. IESlING MEmoo submersible . 4'u'mp Static Letiel 1 8 ' ft Date/Time measured 5 - 10 - 05 , Production Rate 78 0 gpm. Pumping level 33 ' ft Da./Time .heaured _ Test length (hrs.) several _ _ `RemarksT i3. I have read the sta ugs made herein and knowrthe contents thereof, and that they are true to my knowledge_ [Pursuant to Section 2,1 a 104 (13) a., C.R.S.. the making at false statements herein constiRrtes perjury in thensecond degree and is punishable as a clew I misdemeanor.) . CONTRACTOR Lesh Drilling , . Int . _• phone ( 970) 834 - 2868 Lic, No. 21 -B . Mailing Address P Laa, pox 5c , 111 t ,r CO, A - NdrrrefTale (Please type or prints Date , Edwin D . Lesh Pre's . � � _(/Y!,/7 I i I' COLORADO DIVISION OF WATER RESOURCES Office Use Only Form GWS-45 (1/2001 ) 1 DEPARTMEN3 OF NATURAL RESOURCES I 1313 SHERMAN ST., RM 818, DENVER, CO 80203 Ni< phone — info: (303) 866-3587 main: (303) 866-3581 RECEIVED fax: (303) 866-3589 http://www.water.state.co.us GENERAL PURPOSE MAR 0 7 2005 Water Well Permit Application Review instructions on reverse side prior to completing form. WATER RESOURCES . The form must be completed in black ink. STATE ENGINEER / ^_4i0. 1 . Applicant information _ _ 6- Use Of Well (check applicable boxes) Name of applicant - Attach a detailed description of uses applied for. Dalton Brothers , Inc . O Industrial O Other (describe): Mailing address 37905 WCR # 35 ❑ Municipal 0 Irrigation � City State CO Eaton 8 0 61 5 ❑ Commercial Telephone : 7. Well Data (proposed) ( 970 ) 454 - 2739 . maximum pi:mping raze : Annual amount to be withdrawn 2. Type Of Application (check applicable boxes) ❑ Construct new well _ -- - 800 gPm i 1 80 �L)Va-r acre-feet_ Q Use existing well Total dead) 4 5 t Aquifer IA Replace existing well O Change or increase use feet I Al 1 uvi i um ❑ Change source (aquifer) O Reapplication (expired permit) 8. Land On Which Ground Water Will Be Used Ell Other: A. Legal Description ►may be provided as an attachment,: 3. Refer To (if applicable) 60 acres located in the NE4 of Sec . 26 We"pu'n"t ; water cot,rt case_i T 7 N — R 66 W shared with We11 # 3 - 14533 1 - 14531 , W- 2938 Designateo Basin Determination z I well name or J i i • 4. Location Of Proposed Well _— (If used for crop irrigation, attach a scaled map that shows irrigated areal County i B. J Acres ; C. Owner Weld N_W 1RIof :ne NE ,it. 60 i same Sect.on ! Township N or S Range E cr W Pnnc,pat Mercian a. List any olhe: weal' or water rights used on this land: 26 1 7 D ❑ 66 ❑ ® 6 We11 # 3 - 1 4533 Distance of wen Ittra section lines (section lines are typically net progeny Gees) 3 0 0 Ft. from ® N ❑ S 21 6 0—_,—Ft. trod ® E ❑ W 9. Proposed Well Driller License #(optional) : 21 - E3 For replacement wells only - distance and ritrectton from o'd well to new vigil - —• . 10. Signature Of Applicant(s) Or Authorized Agent 26 feet North direction -... _.-_... _.... ..._ .. . -. ... _.._.. .. ___.__-_ __-___ ..______-______ ._._ _._ _.._.___. .. The making of false statements herein constitutes perjury in the second Well location address lit apoliicable) 1 degree, which is punishable as a class 1 misdemeanor pursuant to I C.R.S. 24-4- 104 ( 13)(a). I have read the statements herein, know the Optional: GPS well location information in UTM format contents thereof and state that they are true to my knowledje. Required settings for GPS units are as follows: srgr. rare (Must be original signature: /� j �j i Date /� �J (�/1 GZtA•/At. // , Format must be UTM --1. 4!'^`ADO e ila I Z/ 3/• ate. • lone must be:3 ' yr / gaze (l// Northing Prim name & tale Units must be Meters �j a / n Datum mint be NAD27 (CONUS) 1 Easting _ _iffe afr 1 Da, / ' " h `�(' e c Unit must be set to true north Office Use Only Were points averaged OYES NO _ --•-----._ ___ -_., ❑ ! USGS -tap rime I DwR map no. i Surface elev. 5. Parcel On Which Well Will Be Located ag - `` 6,O i keceipt area only A. Legal Description (tray be provided as an attacrment)- NW—NE — Section 26 -T 7 N -R 66 W Ihvoice 0 535890 3(7/2005 -- 89: 46:59 Cltshier ID: 6 $1240. 00 Ci Pak Purchase- 046`1 vi B. w of acres in parcel : C. Owner --- - — we ./ — I r( a&ceed /1a-la itidtc WR 60 same ✓ r ¢ 0. mil this be the onty web on this parcel? LI YES )NO (if no - kst other wells) `e ' Shared with Well # 3 - 14533 r°Q° E. State Parcel low (optional): MAAR -- 60 acres irrigated in the NE '- of Sec . 26 cos afv , wo 3 BA MD _ 4 t 4.tf4QM 11322. - E_ ey-!/02q Gas 3 ' iv - arc y — 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 21 WELL PERMIT NUMBER 14531 - R _ R _ APPLICANT DIV. 1 WD 3 DES. BASIN MD 1/4 APPROVED WELL LOCATION WELD COUNTY NW 1 /4 NE 1/4 Section 26 DALTON BROTHERS INC Township 7 N Range 66 W Sixth P.M. 37905 WCR 35 DISTANCES FROM SECTION LINES EATON, CO 80615- 300 Ft. from North Section Line 2160 Ft. from East Section Line (970) 454-2739 UTM COORDINATES (Meters,Zone: 13,NAD83) PERMIT TO CONSTRUCT A WELL Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1 ) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(2) for the replacement of an existing well, permit no. 14531-R (decreed by the Division 1 Water Court as Dalton Brothers Well no. 1-14531 , case no. W-2938). 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 permit shall not result in an expanded use of ground water. The use of ground water from this well combined with Dalton Brothers Well no. 3-14533-R is restricted to the irrigation of 60 acres in the NE 1/4 of Sec. 26, Twp. 7 N, Rng. 66 W, Sixth P.M. 5) The pumping rate of this well shall not exceed 800 GPM (1 _767 cfs as decreed). 6) The average annual amount of ground water to be appropriated by this well shall not exceed 180 acre-feet or the quantity covered under a court approved plan for augmetation or substitute supply plan approved by the State Engineer, whichever is less. 7) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 8) This well shall not be pumped unless included in a court approved plan for augmentation or a substitute water supply plan approved by the State Engineer. At the issuance date of this permit, the well was included in the Cache La Poudre Augmentation Plan (W-7921 ). 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 replacement well shalt not be constructed any closer to any other existing well than the well it is replacing, 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 location specified on this permit and not more than 200 feet from the location decreed for Dalton Brothers Well no. 1-14531 in case no. W-2938 (decreed location is at a point 325 feet South and 2160 feet West of the NE corner or said section 26). 12) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. 0 3 , /5, 02005- 1. 0. c , APPROVED CDC �---� State Engi eer By `Receipt No. 0535890 DATE ISSUED 03-15-2005 EX'PI ION DATE 03-15-2006 FORM HO. PUMP INSTALLATION AND TEST REPORT For office taE,A,E_N E symn Casa: STATE OF COLORADO, OFFICE OF THE STATE ENGINEER JUN 2 9 2005 1. WELL PERMIT NUMBER 1 4 5 31 -R- R WATER RESOURCES SIAM tiNGINEER 2. OWNER NAME(S) Dalton Brothers Inc . COLO. Mailing Address 37905 WCR t35 I City, St Zp _ Eaton , CO _BD 6 (15 Phone ( 970 ) 454 - 2739 a WELL LOCATION AS DRILLED: ' NW 114 NE 114, Sec- 26 Twp. 7 N , Range 66 , W . DISTANCES FROM SEC. LINES: 300 ft frorn North Sec. line. and 2160 ft. from East Sec. line. (norm or :otrOlj (east or w9sli SUBDMSION:_ LOT BLOCK FIUNG(UNIT) STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA: Type Vertical turbine • Installation Completed 6 - 15 . 05 Pump Manufacturer J -Line Pump Model No. 121S singlq stage • Design GPM 750 at RPM 1760 , HP 15 , Volts 2 l0 _, Full Load Amps Pump Intake Depth 46 ' Feet, Drop/Column Pipe Size 6 " xJ 1 " x 1 Inches, Kind _ stpc 1 ADDMONAL INFORMATION FOR PUMPS GREATER THAT 5o GPM: TURBINE DRIVER TYPE: Electric Q Engine . Other . Design Head feet, Number of ,Stages , Shaft size inches. 5. OTHER EQUIPMENT: tt----�� Airline Installed { 1 Yes !ICJ No, Orifice Depth ft . Monitor Tube Installed I Yes {XI No, Depth ft Flow Meter Mfg. MycCrometer Meter Serial No. MO306 - 2200 serf04 - 06 - 1 31. 9 . Meter Readout [1 Gallons, El Thousand Gallons, el Acre feet, t Beginning Reading 0000 6. TEST DATA: - ❑ Check box if Test data is submitted on Supplemental Form. Date' Total Well Depth 4 6 ' Time Static Level 1 g ' Rate (GPM) 75.0 Date Measured A _ 1 S - 0 c Pumping Lvi. 41 7. DISINFECTION: Type H _ T . H . Amt Used 7 o z s . 8_ Water Quality analysis available. NI Yes © No 9. : Remarks • • 10. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge [Pursuant to Section 24-4-104 (13)(a) C.RS., the making of false statements herein constitutes perjury in the secon degree and is punishable as a class 1 Misdemeanor.] CONTRACTOR Lesh Drilling , Inc . Phone ( 970) 834 - 2868 Lie. No. 21 - B Mailing Address P . 0t Box 56 Au1tt CO 8061 5 - 1 . 4 - NameTrtle (Please type or print). re Date Edwin D . Lesh Pres . - 6 ,cP8 -,S— i „ .ter' AMEMEIMMMINIIMMM - , - . . . ..._ _._ .MKT IN THE WATER COURT IN AND FOR ' r"t t8t7s L ` ION I ' STATE OF COLORADO. 61 HATER DIYIS i ior. DOMI b, CASE KO . W -2938 • RECEIVED IN TAE MATTER Of THE APPLICATION FOR ) WATER RIGHTS OF MAR 0 7 200 INDINGS AND RULING DALTON BROTHERS , INC . , OF THE REFEREE a Colorado corporation AND DECREE OF I WATER RESOURCES THE WATER COURT STATE ENGINEER IN WELD COUNTY COLO. THIS CLAIM , having been filed with the Water Clerk , Water Division I , on May 30 , 1972 , and the Referee being fully advised in the premises , does hereby find : All notices required by law of the filing of this application have been fulfilled , and the Referee has jurisdiction of this application . , No statement of opposition' to said application has been filed , and the time for filing such statement has expired . All matters contained in the application having been reviewed , and testimony having been taken where, siuch' testimony is necessary , and such corrections made . as are indicated by. the evidence presented herein , IT IS HEREBY THE RUL1NC OF THE WATER REFEREE : 1 . The name and address of the claimant : Dalton Brothers , Inc . , a Colorado corporation R . F . D Eaton , Colorado 2 . The name of the structures : Dalton Brothers Well No . 1 - 14531 Dalton Brothers Well No . 2 - 14532 Dalton Brothers Well No . 3 - 14533 - Dalton Brothers Well Ho . 4 - 14534 Dalton Brothers Well No . 5 - 00168 Dalton Brothers Well No - 6 - 1493 3 _ The legal description of the; structures : Dalton Brothers Well No . 1 - 1 ,4531 is located in the NWT of NE4 Lof Section 26 , Township 7 Nosrth , Range 66 west of the 6th P . M . , �� Weld County , Colorado , at a point 325 feet South and 2160 feet ,C\� West of the NE Corner of said Section 26 . I W 1 Dalton Brothers Well No . 2 - 14532 is located in the NE4 of NEI of Section 26 , Township 7 North , Range 66 West of the 6th P . M . , , t Weld County , Colorado , at a point 40 feet South and 510 feet ,\-1f / West of the NE Corner of said Section 26 . \,'G ; • nj 10264 I tt�tiv ru Ca..-e No . W- 2938 MAR 0 7 2005 Page 2 WAITER RE$ouRcis Dalton Brothers Well No . 3- l45 A seal hAped in the NW4 of NE4 of Section 26 , Township 7 North , Rfiii 66 West of the 6th P . M . , "'� Weld County , Colorado , at a point 333 feet South and 2090 feet s"93 West of the NE Corner of said Section 26 . Dalton Brothers Well No . 4 - 14'534 is located in the NE4 of NE4 of Section 26 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado , at a point 1105 feet South and 200 feet f-r; West of the NE Corner of said Section 26 . Dalton Brothers Well No . 5- 00168 is located in the NW4 of SE4 , yF of Section 23 , Township 7 North , Range 66 West of the 6th P . M . , y�u9 Weld County , Colorado , at a point 2210 feet North and 1460 feet t�. West of the SE Corner of said Section 23 . Dalton Brothers Well No . 6 - 1493 is located in the NE4 of NW4 ric1 ' '` of Section 23 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado , at a point 330 feet South and 1580 feet iW East of the NW Corner of said Section 23 . 4 . The. source of water : Groundwater 5 . The date of appropriation : Dalton Brothers Well No . 1 - 14531 : December 31 , 1924 - Dalton Brothers Well No . 2 - 14532 : September 27 , 1950 Dalton Brothers Well No . 3 - 14533 : July 7 , 1950 Dalton Brothers Well No . 4 - 14534 : June 28 , 1942 Dalton Brothers Well No . 5 - 00168 : March 31 , 1936 Dalton Brothers Well No . 6- 1493 : March 17 , 1949 6 . The amount of water : Dalton Brothers Well No . 1 - 14531 : 1 . 767 cubic feet per second Dalton Brothers Well No . 2 - 14532 : 1 . 111 cubic feet per second Dalton Brothers Well No . 3 - 14533 : 0 . 667 cubic feet per second Dalton Brothers Well No . 4- 14534 : 0 . 333 cubic feet per second Dalton Brothers Well No . 5- 00168 : 1 . 556 cubic feet per second Dalton Brothers Well No . 6 - 1493 : 1 . 933 cubic feet per second 7 . The use of the water : • Dalton Brothers Well No . _L--1 .5.3.1 and Dalton Brothers Well No . 3 - 14533 : Irrigation of 60 acres in the NE4 of Section 26 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado . Dalton Brothers Well No . 2 - 14532 : Irrigation of 30 acres in the NE4 of Section 26 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado . Dalton Brothers Well No . 4 - 14534 : Stock watering Dalton Brothers Well No . 5- 00168 : Irrigation of 80 acres in the Ell of SE4 of Section 23 , JTownship 7 North , Range 66 West of the 6th P . M . , Weld County ; Colorado . Dalton Brothers Well No . 6 - 1493 : Irrigation of 100 acres in the ?1W; of Section 23 , Township 7 North , Range 66 West of the 6th P . M . , Weld County , Colorado . 10265 • Nina ELai-JI _ Y LL MAR 0 7 205 C< _ No . W - 2938 Page 3 i • WATER RESOURCEE DATED this on7 STATE ENGINFE.Ft 7 5 . Lh day of COW. _ C-24153 ?--( g ° TH J . A • 0 , JR . Wa Referee , Division I THEICOURT 00TH FIND : NO PROTEST WAS FILED IN THIS MATTER . THE : FOREGOING RULING IS CONFIRMED AND APPROVED , AND IS HEREBY MADE THEIJUDGMENT AND DECREE OF THIS COURT . Dated : wt- //1 1115 A D C : RP � R J DGE DON Water Judge , Division I . • • 10266 State of Colorado Water Resources - View Well Details: Receipt 9061994 Colorado Department of Natural Resources Colorado.gov I Contact Us ' r Colorado Division of • WaterResources �- ` e ila z v ekti^ ►ne r%ee4e .= .V::Foaused on cotor".cio's Peyote: Wafer and Steivardsliim Colorado's Well Permit Search Well Constructed Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9061994 Division: 1 Permit #: 14532-R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: 0306439 - DALTON BROS WELL 2-14532 [- ] Applicant/Owners History '• Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present DALTON BROTHERS R F D EATON, CO 80641 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NE 26 7.0N 66.0W Sixth Northing (UTM y): 4489019.7 Fasting (UTM x): 521827.8 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [ - ] Permit Details Date Issued: Date Expires: •Y Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: - — [ - ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: t• Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 41 12 500 is [— ] Application/Permit History } [ — ] Imaged Documents Document Name Date Imaged Annotated Registration_oLan existing well 12/08/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. • Home I Contact Us I Help I Water Links J Colorado.gov ( DNR I Privacy Policy I Transparency Online Project (TOP) htip://www•dwr.state.co.us/WellPerrnitSearchr'View.aspx?receipt=9061994[6/1212012 5:03:57 PM] oin Wiese rota to Oliver Wel 1 Works, Greeley , Catered() �ilru Fdrm� Iffelk l� ..�il tl . . . in 7 -57/5M STATE OF COLORADO u ,IoISO DIVISION OF WATER RESOURCES APR 3 01960 OCT i4 i3$O OFFICE OF THE STATE ENGINEER, GROUND WATER SECTI ND WATER Si 14532 REGISTRATION NO. OF ��'i` WELI k t-- S�STATEEliGf ? t i• Registrant _ Dalton Brcther� Date April 28 19 60 _ P. O. Address R . F . D . Eaton , Colo . WELL LOCATION / WELL DATA County - Weld e, z Depth Li J ft. Diameter 40 in. 'j l NE '— Section 26 k, u, Casing : 21 ft. Plain; 20 ft. Perfor. Twp , 7 N , Rge. 66 ?ka , 6 PM Static Water Level 12/ ft. from top Yield 500 (gpm)( s) from 35 ft. N� _ r Used for Irrigation on/at 1 x' I Part ti' ' , Sec . 26 , Tim . r 14 , ice . 66 W (legal description of land or site) -yam I E Water conveyed by Pipe , size 10 inch '47� PUMP- ]5ATA �` I Type Turbine Size 8 inch SA O �• I I -1' v G 1 Driven bylo H . P . Elec . at 1760 RPM Gef, < (s) I c I Well was first used Sent Sae 1 C its �� �` S cfs for Irrigation using 500 gpm WELL T LOCATED AS ACCUR - ATELY A POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESEN'IS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW - ING : LOG SHOULD BE GIVEN ON REVERSE _ SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well ) (has not) been registered in the Office of the State Engineer prior to May 1 , 1957 . If Registered give Filing No . . . If NOT 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 DALTON 13-cLTIERS this• `� 4a-c` D — day of , 19fra . "� _.� j� n • My commission expires f t- Aiq '1/ I Registrant (SEAL) WS zi i ` X t-_ • Notar Public /"..-.3 r FOR T E GINEER 'S USE IRRIGATION Located in J district, County for \Registration No. 1in f —3 on APR 3 0 1960 , 19 . __ State of Colorado Water Resources - View Well Details: Receipt 9061996 Colorado Department of Natural Resources Colorado.gov i Contact Us 1 .ti Colorado Division of i � -P,ppm s --. Water Resources _ _ . ii,,, ` . _ 1w - Mrw 61 ti -- -_ l and e. r.r3 ore, ,,, I1 �sr!►•�* :�,�.:,..,...x:•� . : - ,... Luc' anColorado's ��erS� �v� � d Fecp e, w� r shim Colorado's Well Permit Search Well Constructed =SW Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9061996 Division: 1 ,: Permit #: 14533-R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: r.. Case Number: `= WDID: 0306417 - DALTON BROS WELL 3-14533 I: [ - J Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present DALTON BROTHERS R F D EATON, CO 80641 [ - 1 Location Information , Approved Well Location: •' • Q40 Q160 Section Township Range PM Footage from Section Lines t NW NE 26 7.0N 66.0W Sixth Northing (UTM y): 4489019.7 Easting (UTM x): 521827.8 Location Accuracy: Spotted from quarters ' '' Physical Address Subdivision Name ` City/State/Zip Filing Block Lot 4 i; w i4 Parcel ID: Acres in Tract: I, [- ] Permit Details Date Issued: Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: r J is Area which may be irrigated: Maximum annual volume of appropriation: a,t Statute: 3 Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report I +, I- No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: ' , [- 1 Construction/Usage Details '` Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: is Ii Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate i' • 'i 54 25 300 is i• [ - J Application/Permit History f E, [ -- 1 Imaged Documents t. Document Name Date Imaged Annotated r. Registration of an existing.well 12/08/2007 No r r f" I. Copyright © 2009 Colorado Division of Water Resources. All rights reserved. i. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) . hup:f/www.dwr.state.co.us/WellPermitSearch/View.aspx?reccipt=9061996[6/12/2012 5:05: 10 PM] Receipts end Notices retd to 01 i ver Well Works , Greeley , Colorado rt, ,-._, 0iir Form F (Rev, ) 11111-1-2,tft2: Lit .. 115: ,n !� 7 - /5M c STATE OF COLORADO PR ; 0 1960 DIVISION OF WATER RESOURCES SEP 20 FFICE OF THE STATE ENGINEER, OCT1q ��� WATER SECTI�0i1hD WATER y REGISTRATION NO. r OF WELI3,1_ 3 STATE ENGiir r : Registrant Dalton Brothers Date April ?_f3 1960 P. O. Address H. F . D . - Eaton _ , Colo, WELL LOCATION WELL DATA County Weld t -Z Depth 54 _ ft. Diameter _ _ho in. 1 NE ' l 26 NWSection ki k► Casing : 30 ft. Plain; 2b ft. Perfor . Twp, 7 N , Rge . 66 W , 6_ PM Static Water Level 25 i ft, from top Yield 300 (gpm) (c s) from 50 ft. , ' Used for Irr i gat ion on/at i, I Part NE:i , Src . 26 , T141.-.) . . 7 N , -Age . 66 W I[ (legal description of land or site) „� ni(�, I Water conveyed by Ditch , size O/�A E $PUMP DATA si O 6 • I I Type `Th rf.b ne Size 6 inch I _ I I C .• - -I — - - -I -ti, CDriven by 5 H .P . Elec. . at 1760 RPM1itit % 0) Well was first used J\Lly , 19 50 4'4) • S - cfs /%ELL for Irr gation using 300 gpm TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES ; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING ; LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well jIi (has not) been registered in the Office of the State Engineer prior to May 1 , 1957 . If Registered give Filing No . If NOT 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 DALTON SRC III S this o --�-- day of GO i, 19t'e ., BY: (i,/.11,,e__. t.-4_, , /1 My commission expires aetp, /9L,/ lBegistrant N>2/sfr(SEAL) /4ct 1 ttA ., u Notary is FOR $TA E GTNEER 'S USE IRRIGATION Located in /--.3 district, / Al County for _ Registration No. K--2 7In , on APR 3 0 1960 , 19_, State of Colorado Water Resources - View Well Details: Receipt 9061997 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of : . ,<Water Resouresjj:tS.. _ tternirer Alf i; 4 el fl<`"¢ 4"-, ^ell eek-es. ' • -'"'` "'"' `-- 000 " =;ter ()cased Colorado's Peopfe;_Nate≥ and StewardshlpA Colorado's Well Permit Search ,: Well Constructed R.H9, _:I Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9061997 Division: 1 Permit #: 14534-R - Water District: 3 1 Well Name / #: County: WELD Designated Basin: Management District: • 1 , Case Number: V WDID: 0306041 - DALTON BROS WELL 4-14534 c t, [ - ] Applicant/Owners History S t Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present DALTON BROTHERS R t- D EATON, CO 80641 • 1: [- ] Location Information f° Approved Well Location: • r Q40 Q160 Section Township Range PM Footage from Section Lines NE NE 26 7.0N 66.0W Sixth Northing (UTM y): 4489023.2 Easting (UTM x): 5222.31.2 ' Location Accuracy: Spotted from quarters i` Physical Address Subdivision Name i, City/State/Zip Filing Block Lot t Parcel ID: Acres in Tract: [ -- ] Permit Details • k Date Issued: Date Expires: -, K Use(s): STOCK Aquifer(s): ALL UNNAMED AQUIFERS Special Use: i • Area which may be irrigated: Maximum annual volume of appropriation: Statute: l: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report !, No No No Cross Reference Permit Number Receipt Description • Permit(s): Comments: : [ - ] Construction/Usage Details 4.Y Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: if Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate ., 57 28 150 • r [ -] Application/Permit History i 1` : [ - ] Imaged Documents l` Document Name Date Imaged Annotated Registration_of an existiagsell 12/08/2007 No r. F Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us ► Help I Water Links I Colorado.gov I ONR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPennitSearch/Vicw.aspx?receipt=9061997[6112/2012 5:07:07 PM] - Rittotote end blot1oss recd to Oliver Wolf darks, Greeley* St�,ckwel]. • Form F (Rev. ) !U l 3��L 7 -57/5M 1or�4i0 STATE OF COLORADO ` ,-' No Check ti, DIVISION OF WATER RESOURCES APR 3 0 t9�? f 0 OFFICE OF THE STATE ENGINEER, GROUND WitiallifineVibilECI . 53 up �R IiC _f. REGISTRATION NO. F WELL STAY(C ENGINEER R gistrant :. : Dalton Brothers: . DateApril 29 1960 P. O. Address R;. F . D. - Eaton ... 7 Colo. WELL LOCATION WELL DATA County Weld 6 1 Depth 57 4 ft. Diameter 12: _ in. PTE •i, NE , Section 26 _ Casing : 3.7 ft. Plain; 20 ft. Perfor . % Twp. 7i:N , Rge. 64.3 6 PM Static Water Level 28 " ft. from top Yield 9,9 (gpm)( s) from 60 . ft. N 4UP . Used for $bven.:Watftring on/at I 1 �_... . f seer Party . Sec 26 Twp_ lifi Range 6f+s — - T - - -- --l— — (le : : description of land or site) '9 I 1 �; I rcow I I E Water conveyed by Pkpe . i►iqesize 2" 4, .- PUMP DATA v I 1 LI" Type Turbine Size I% Od •,p T I. e a Driven b HP at 1760 RPM % ° I i Well was first used Jane 19 4 S cfa for SiMk :Witetilng using 150 _ _ gpm L TO BE LOCATED AS ACCUR - ttLY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- - . - �- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Su&division Street address or Lot and Block The above well IligA (has not) been registered in the Office of the State Engineer prior to May 1 , 1957. If Registered give Filing No. If NOT Registered prior to May 1 , 1.957,. 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 DALT0N BHDTHEILS this 30th day of April , 1960 . . - BY: --f.i 1 .AcciL, My commission expires Dec . 1.1, 1961 •t. . Registrant (SEAL) &Ala. �n I Wotary Pub is • tea. ..,. �--- � „"� - -- r•�rr ". ..a n T - - - FOR �T GINEEWS USE STOCK „ ,%2 \' Located in / �'3 district, %-- . e county for L. Registration No. d:7in / -- ...1 on APR 3 0 196 19 State of Colorado Water Resources - View Well Details: Receipt 9061998 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of trt s �g7�+r' k. � - y ice^ � •:1--.:w�.�►:J� -Z :}. M �. 4`1'ei. �L�,r ti= t Water Resources --. - �wii ?�. sw [ p. n.litcsrtR a ?Ft i.k.irl 41-%- i I 'f`"2"11‘ : --a : _ - ' Focused on Colorado's Pec;21a Water and Stewa c1s Colorado's Well Permit Search Well Construes .22.S#*i. last Refresh: 6/12/2012 12:01:21 AM Receipt: 9061998 Division: 1 I Permit #: 14534-R - Water District: 3 i` Well Name / #: County: WELD It Designated Basin: Management District: ;. Case Number: I: WDID: • • [-] Applicant/Owners History :` I,. Date Range Applicant/Owner Name Address City/State/Zip • , Unknown - Present DALTON BROTHERS RFD EATON, CO 80641 ; [ - ] Location Information ! Approved Well Location: 11, Q40 Q160 Section Township Range PM Footage from Section Lines • } NE NE 26 7.0N 66.0W Sixth Northing (UTM y): 4489023.2 Easting (UTM x): 522231.2 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot . i .4 t Parcel ID: Acres in Tract: • LL [ -] Permit Details Date Issued: Date Expires: Use(s): STOCK Aquifer(s):ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: (,` Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report .' No No No i Cross Reference Permit Number Receipt Description i' • Permit(s): ,'l Comments: [ ] Construction/Usage Details 4. Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 05/31/1942 . ',t Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 57 28 150 f _ [-- ] Application/Permit History First Beneficial Use 05/31/1942 [-] Imaged Documents i Document Name Date Imaged Annotated {• Correspondence, Memos, Findings &iiejrings 11/10/2008 No A Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WelIPennitSearch/Vicw.aspx?receipt=906I998[6/I2/2012 5:08:39 PM) PNtT 1 LI c 3 q-t Q. iiiii _ Cl0 DEPARTMENT OF NATURAL RESOURCES -e r t g cn DIVISION OF WATER RESOURCES 4 � :,.;,,,i`' October 23, 2008 Bill Ritter, Jr. * 1876 IIL Governor Chris a man Harris E),Sherman Weld County Planning Department Executive Director ck W 1555 N 17th Avenue DiDireectoolfe, P.E. r Greeley, CO 80631 Re: Rusco Site Specific Development Plan and Special Permit Review Case No. USR-1675 Sec. 26, T7N, R66W, 6th P.M. Water Division 1 , Water District 1 Dear Mr. Gathman: We have reviewed the above referenced proposal for a livestock confinement operation • • Since the submitted material does not appear to qualify as a "subdivision" as defined in §30-28- 101 ( 10)(a), C.R.S., pursuant to the State Engineer's March 4, 2005 memorandum to county planning directors, this office will only perform a cursory review of the referral information and provide comments. The comments will not address the adequacy of the water supply plan for this development or the ability of the water supply plan to satisfy any County regulations or requirements. From the submittal materials, the applicant indicated that the water for the livestock feeding facility will be provided by one well and one North Weld County Water district tap. However, no information was provided on the well and its permitted uses. From information in . this office, well permit no. 14534-R is located within the boundaries of this referral. This well is decreed for stock watering purposes in case no. W-2938, as Dalton Brothers Well No. 4-14534. The decreed pumping rate for this well is 0.333 cubic feet per second or 150 gallons per minute. Use of this well in a livestock confinement operation is not exempt from administration in Colorado's water rights priority system. This well would withdraw ground water hydraulically connected to an over-appropriated stream system and will cause material injury to other water rights. Therefore, an augmentation plan would be required to offset depletions caused by the • pumping of this well if used to supply the livestock confinement operation. If you have any questions in this matter, please contact Megan Sullivan of this office. Sincerely, kr I ....wirs, Jeff Deatherage, P. E. Water Resource Engineer Cc: Jim Hall, Division Engineer Permit file ✓ JD/MAS/Russo Special Use (Weld) Office of the State Engineer 1313 Sherman Street, Suite 818 • Denver, CO 80203 • Phone: 303-866-3581 • Fax: 303-866-3589 www.water.state.co.us , State of Colorado Water Resources - View Well Details: Receipt 3633967A Colonio De`.artrnent of Natural Resources Colorado.gov I Contact Us -pats)-- t r- 7+�pD"'.♦.. �.-w'71 ....err-- �t.^Tlro`S�; , !! xk Colorado Division of = ' �� � �:�,�;�; .~• �:���� _ � ! t Water Resources -_ . :�� - i . _ FA f q ? trim et .: , _,.._ - ,.c,,...es..,, - _ octtsed oh:Color do's:P, o Je. 'relater ?rya' Ste via!as r,;l, Colorado's Well Permit Search • . : Well Constructed 1,` ` 6.`, '1 Last Refresh: 6/12/2012 12:01:21 AM Receipt: 3633967A Division: 1 tt Permit #: 279235- - Water District: 3 Wet) Name / #: County: WELD Designated Basin: Management District: I. Case Number: i WDID: i• r [ -] Applicant/Owners History j 1. C Date Range Applicant/Owner Name Address City/State/Zip ' lr Unknown - Present LEFFLER RUSSELL D & JOHN A 16977 WCR 74 EATON, CO 80615- . is - [ -] Location Information Approved Well Location: ` Q40 Q160 Section Township Range PM Footage from Section Lines SE SE 26 7.0N 66.0W Sixth 427 S 196 E 11 r, Northing (UTM y): 4487738.0 Easting (UTM x): 522377.0 . Location Accuracy: User supplied s Physical Address Subdivision Name a I.' City/State/Zip Filing Block Lot g. i Parcel ID: Acres in Tract: F [- ] Permit Details Date Issued: 11/13/2008 Date Expires: ii Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS STOCK `- } Special Use: . !' Area which may be irrigated: 1 ACRES Maximum annual volume of appropriation: 4 Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No t: Cross Reference Permit Number Receipt Description Permit(s): Comments: , [-] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 12/31/1950 s Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 3 100 15 F 1 [-] Application/Permit History - 1 • Permit Issued 11/13/2008 Application Received 10/06/2008 First Beneficial Use 12/31/1950 tt [ -] Imaged Documents Document Name Date Imaged Annotated Original tile 11/26/2008 No Copyright O 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Co!orado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/Wel IPermitSearchlVicw.aspx?receipt=3633967A[6/12/2012 4:17: 15 PM] • 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 LR WELL PERMIT NUMBER 279235 - - APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SE 1/4 SE 1 /4 Section 26 RUSSELL D & JOHN A LEFFLER Township 7 N Range 66 W Sixth P. M. 16977 WCR 74 DISTANCES FROM SECTION LINES EATON, CO 80615- 427 Ft. from South Section Line 196 Ft. from East Section Line (970) 454-2515 UTM COORDINATES (Meters,Zone:13, NAD83) REGISTRATION OF EXISTING WELL Easting: 522377 Northing: 4487738 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) Construction details for this existing well have not been provided to this office; therefore, it is not known if the construction of this well is in compliance with the Water Well Construction Rules, 2 CCR 402-2. The issuance of this permit does not relieve the well owner of responsibility or liability in the event contamination of the groundwater source results from the construction or use of this well, nor does the State Engineer assume any responsibility or liability should contamination occur. 3) This well is recorded and permit approved in accordance with CRS 37-92-602(5) for historical use as indicated herein and described in CRS 37-92-602(1 )(b), being a well producing 15 GPM and used for ordinary household purposes inside one single family dwelling, fire protection, the watering of domestic animals, poultry, and livestock and the irrigation of not more than 1 acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is December 31 , 1950. NOTICE. This permit has been approved subject to the following changes: The distances from section lines were calculated from UTM coordinate values provided with the Field Inspection. You are hereby notified that you have the right to appeal the issuance of this permit, 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.)3.'o, N. ►t!/S/ ol APPROVED 3/041-41-4 BDH State Engin By `Receipt No. 3633967A r DATE ISSUED 11 -13-2008 EXPIRATION ATE " a Form STATE OF COLORADO For Office Use Only No. . OFFICE OF THE STATE ENGINEER GWS-12 818 Centennial Bldg., 1313 Sherman St, Denver, CO 80203 6/2006 (303) 866-3581 Fax (303) 866-3589 k e http://water.state.co.us/defaufthtmd' REGISTRATION OF EXISTING WELL NAME, ADDRESS AND PHONE OF THE WELL OWNER: NAME(S) t -y )) 2-4/441- -2i 2-e 1e RECEIVED MAILING ADDRESS1, / l y a 7 , / OCT (1 6 2008 ' i /CITY STAT ZIP f' CODE: er -h _ el �0e/.< WATER RESOURCES y metre! r.weNEER TELEPHONE NUMBER E-MAIL (OPTIONAL) cote, ' ) - tfi' i17c _ WELL LOCATION County j U / Owner's Well Designation (optional) / pciaress �� /0 ' Xi fjiL# r/ 04nJ Mae- (A ) (City ) (State) Rip)P) ii 1/4 of the t G 1/4, Sec. Z` , Twp. 7 UN. Of ❑ S., Range ` ❑ E. of WAN., G PM Distance from Section Lines Ft. ❑ N. or ❑ S. Line, Ft ❑ E. or ❑ W. Line. PLEASE ATTACH A COPY OF A CURRENT DEED FOR THE SUBJECT PARCEL Subdivision Name , Lot Block , Filing/Unit Optional: GPS well location information in UTM format. The following GPS settings are required: Ea sting Format must be UTM. Units must be in meters. Datum must be NAD83. Unit must be set to true north. ❑ Zone 12 or ❑ Zone 13 Northing Was GPS unit checked for above items? Q YES D NO ' The well has historically been used for the following purpose(s): shelf L /�A 0, int 6 t / v Water from the well was first used beneficially by the original owner for the above described purposes on ) The total depth of this well is les feet. The pumping rate of this well is /•' gallons per minute. The average annual amount of water diverted is acre-feet The lawn and garden irrigated (watered) by water from this well is / [WAcre or ❑ Square feet, Number 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. 23-3-104(13)(a). I have read the statements herein, know the contents thereof, and state that they are true to my knowledge. Signa e( of th O er Pri Name and Title of Well Owner Date t4fite, /) D Le_fI,hP 1 b F . if,e-i/Ar Jo - L - %' �1 For Office Use Only Trans Number:_1133 ' 4 �� o . L'Vo/4h �JeI� C 1Qr1t2C0812:52:08 I�V " J James Martin (19) WE �F Sr 1 n T �� Total Trans Amt: $200.00 WR " - . giG 1 C / 7 &it CHECK Number: 1002 CWCB ✓ 41,97 ' S Check Amount: $200.00 rop° ✓s 19o'E ,SLYLAP— Div I WD . 3 Basin MD Page 1 of 1 Hoisington, Brenda From: Hoffman, Rick M. Sent: Thursday, October 30, 2008 2:02 PM To: Hoisington, Brenda Subject: RE: Leffler LR's Brenda, Good afternoon, I should have marked that there was 1 dwelling @ each address and there weren't any live stock at the moment but the properties was set up with corrals for livestock. I am so sorry I try to be very precise on my inspections, I am not sure why I missed those items. Thanks for picking up my slack ! Rick H. From: Hoisington, Brenda Sent: Thursday, October 30, 2008 1 :30 PM To: Hoffman, Rick M. Subject: Leffler LR's Rick, I am evaluating two applications for Russell & John Leffler and have attached a scan file of the applications and field inspection reports. On the applications, they are claiming domestic, yard and livestock uses however on the field inspection 0 dwellings are marked as well as the domestic animal and livestock. Could you please clarify for me what this means? I am interpreting it to mean that they only have livestock watering and the irrigation of not more than one acre of home garden and lawn irrigation for both wells. Is this correct? Thanks, ftenda cfobin8ton c stet os3orctce jj'peclallst Colotado Jlviblon of W atet cApoatce9 1313 eltetinwt &heat, dtgoin 878 J)envet, ee 80203 Atone: 303-866-3581 ext. 8211 (fax: 303-866-3589 `'Please consider the environment before printing this a-mail. 11 /13/2008 1 1 / 13/2UU? , • ' GWS-13A (01/2007) COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT Please complete this form in ink Application Receipt No(s): r,.. r DIV i WD I WELL STRUCTURE NO. (IF APPLICABLE): DATE OF INSPECTION: / 0 --.1 -44 PURPOSE OF INSPECTION: LATE REG x OTHER nn C T 0 6 7QQ3 WATER COMMISSIONER NAME: /1Q4tanua. PHONE NUMBER: ( 1D ) "15-.2 - x}1/1 or ( f 70 ) 7-A - WATER RESOURCES 3� STATE eictniaki le cc/tr :.�,�. , APPLICANT: jai" 1 )24,u CJ Person contacted if not applicant: ADDRESS: la 9' 4' - ``.) C. fe- 7* ea4t -C cOei Ui/bih 4]rlres.s //- 977 it ri-e 1 c/ &/v ELI Ce 4W' PHONE: ( 97v ) 457/- 252Sext. EXISTING WELL LOCATION: 5 '/,, of the scar ''/, of Section 2 I , Township -7 Is N or ❑S, Range (4 ❑E or EIW, ,≥ ft-- P.M. Distance from section line '/1? ON or y( S, Nis EE or ❑W, County Leic /4/1 OPTIONAL INFORMATION (GPS unit must be set for NAD83, meters, and true north) Zone 12 ❑ or 13 ❑ Fasting 5,2 3 7 ? Northing V9 f 7 7 35 • Mark type of existing well: 71 drilled, ❑ hand dug, ❑ spring well, ❑ gallery well, ❑ gravel pit, ❑other Estimated date well constructed: /9950 Date of first use: 1954 Estimate pumping rate: j c GPM Total number of acres in this tract/parcel: .A0 acres Address of property (if different from than the applicant address): Additional subdivision /parcel information: Number of non-exempt acres irrigated: Name of Aug. Plan? _ Any other wells located on this property? (yes) how many , (no); permit #, case #, use? Use of Well: 11 Householduse in (indicate how many) ( single family dwelling(s) Watering of poultry, domestic animals, and livestock — approximately how many head? O Watering of livestock only — approximately how many head? O Is this a feed lot? ❑ yes ❑ no iFR Estimated area of historical lawn and garden: A ❑Square feet acre of lawn and garden ❑ Fire protection ❑ Commercial - drinking & sanitary only? (write details in "comments" section) O Other (write details in "comments" section) (EYES ONO WERE TI-fE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE: If ANY CHANGE IN HISTORIC USE OF THE WELL HAS OCCURRED SINCE MAY 8, 1972, please indicate the date(s) the use changed, and discuss this change/expansion of the current or proposed use in the comments section of this form. l40 _DY Dated: Signature of Water Commissioner: _ (NOTE: If filing electronically without a signature, please check the box. ❑) Additional comments and/or information: More room for comments on the back Page 2, FIELD INSPECTION REPORT State of Colorado Water Resources - View Well Details: Receipt 0019972 Colorado Department of Natural Resources Colorado.gov 1 Contact Us 1r ro , Colorado Division of3' . w : +c.kt ' , :Na ,.. ,, , : glass- � � 'Y •4gf ): . .7.:,\.• _L ,�, `tar...”.1_:•-r.-----", ..tfww n a. 'Y�, ' �v. 'a..i �-•f� 4 ` Water ResOUrces /� _ _ . • t(? ( .�i�_ ♦ c,:,, yr :,..,„,,7,,,,;,,": .h A"!p' .B R P> F R a* � : .a...,.. - _ e,,- . f .. ~"'°"'"' ' J ocosed on Co% aas P n� der a17d'Stwardsfir `' j Colorado's Well Permit Search • • Permit Issued; Completion Status Unknown . !lec . .l Last Refresh: 6/12/2012 12:01:21 AM t Receipt: 0019972 Division: 1 Permit #: 92410-VE - Water District: 1 • Well Name / #: County: WELD • li Designated Basin: Management District: Case Number: W3864 WDID: [ - ] Applicant/Owners History • Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present KAVENY A J ESTATE PO BOX 1426 GREELEY, CO 80632 [ -] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SW NE 26 7.0N 66.0W Sixth 1370 N 2040 E Northing (UTM y): 4488804.7 Easting (UTM x): 521811.8 • Location Accuracy: Spotted from section lines F Physical Address Subdivision Name City/State/Zip Filing Block Lot 1, ( Parcel ID: Acres in Tract: r ,, ' [ - ] Permit Details `' Date Issued: 10/27/1992 Date Expires: q, i !,- Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS : Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: . Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report • No No No • 'i Cross Reference Permit Number Receipt Description w Permit(s): 11323-R : 90.6O670 Comments: ` ( - ] Construction/Usage Details • Well Construction Date: Pump Installation Date: \ s' Well Plugged: 1st Beneficial Use:14 7 i. _ Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate :' `, t Lic # Name Address Phone Number Driller 21 LESH JR., ED BOX 56-113 5 HWY 85 AULT, CO 80610-0056 970-834 2868 ti t g [•- ] Application/Permit History • i. Application Received 10/27/1992 ? Permit Issued 10/27/1992 S? _F. [ - ] Imaged Documents - Document Name Date Imaged Annotated r Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.slate.co.us/WellPetmitScarch/View.aspx?receipt=00I 99746/12/2012 4:55:29 PM) State of Colorado Water Resources- View Well Details: Receipt 0262079 Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) olp://www.dwr.state.co.us/WellPennitSearcWView.aspx?reccipta-0262079[8114/2012 4:23:28 PM] State of Colorado Water Resources - View Well Details: Receipt 0262079 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of � Water- , Resources - : .* ar 1*o*e.ton .o :, .. -ail"-,�- - - ,usecIon colorada`s peop1Oj Watet rrcfsStewardsh: Colorado's Well Permit Search 6 Well Constructes1 nor_ ' Last Refresh: 8/14/2012 12:00:42 AM Receipt: 0262079 Division: 1 , Permit #: 14552-R -R Water District: 3 • Well Name / #: County: WELD f, Designated Basin: Management District: t. • Case Number: • WDID: 0305557 - NOFFSINGER WELL 2-14552 [r L[ ] Applicant/Owners History ii Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present NOFFSINGER FARMS 500 6 H AVE: GREELEY, CO 80631 Is [— ] Location Information „• Approved Well Location: k' Q40 Q160 Section Township Range PM Footage from Section Lines NW NE 35 7.0N 66.0W Sixth 45 N 1360 E • Northing (UTM y): 4487589.7 Easting (UTM x): 522021.6 Location Accuracy: Spotted from section lines Physical Address Subdivision Name Ci4. ty/State/Zip Filing Block Lot 4. 1 I Parcel ID: Acres in Tract: • Cs, 1. [ -] Permit Details Date Issued: 05/01/1986 Date Expires: fc Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS 2. Special Use: ' Area which may be irrigated: Maximum annual volume of appropriation: 462 Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report Yes No No Cross Reference Permit Number Receipt Description Permit(s): 14552-R_= 9062010 • Comments: • H ] Construction/Usage Details r Well Construction Date: 11/19/1986 Pump Installation Date: 12/01/1986 4- Well Plugged: 1st Beneficial Use: 12/01/1986 • ''' Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate • 60 38 58 30 600 Lic # Name Address Phone Number Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 • Pump Installer 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [- ] Application/Permit History Pump Installation Report Received 01/06/1987 I 1 Well Construction Report Received 01/06/1987 `z First Beneficial Use 12/01/1986 ' 1 , Pump Installed 12/01/1986 II' Well Constructed 11/19/1986 ' Permit Issued 05/01/1986 Application Received 02/05/1986 i 1 - ] Imaged Documents i Document Name Date Imaged Annotated i. http:Nwww.dwr.state.co.us'WcllPennitScarchNiew.aspx?receipt-0262079[8/14/2012 4.23:28 PM) •\•' ♦ ..•C. .a ...i....I py•44•••••Mj.d.t be" 'r--. • ir • • r.. • • •••• ••4 4' • •:• 1 LOU OF WELL • •• ' DESCRIPTION OF MATERIAL DRILLED METHOD OF DRILLING .0' 0 ill Feet 00 to e••..••.. 4. ,, a r �•r,,♦,• .: - • ...q2(..,•:. • . • 1 ,•• •• a•.••••.�Yuw• .N N..a , • . ' • . • O•. • • .•• • Xl•�j./�•,/• ;••• .......--•• to r.M.... •,• • . '.• 71V• o••.....ww..w.w. . . 1• ) • , .1 •••; •,. •,• I. p 1•) . (Vs:. y 5; • . •.. • . . • • • _ 5 -••.• •. ..•;' . . • • .• ..; •.• . • • •; • -•TI � • • . • •. •1 • •. ., , . Y.. • ••• . • •• •• • • • • • • • I :• .•' . • •• •• • • • •.• - •• • •• •. , • S.•1♦k • a'$ . . •• • :Ris• • • • • • {. • ».f . . .. .. � . • . Lt,.••`� • .1 • •� • •,f.• -i\? • •. ._ • .. ,•,•.\i... • • ' •• • - - .,ji: i _ •• 1 • ••• S •_ • . - • S. • Zr.: • • • • • ' • • • • It,. •• 1 •$. • • • • .. . .• •. • . . ' •• • . •• . • • •w . ..• • L. •,;• ••• • t.; J. ..%tir• L. •�;.-4 ,�I •••‘'' 1 •. • •• •I ....<‘ .. . •M.7• • - :- ♦ . • ..• ,•.r. • • •• • •..., • • • • • F• 1 • • • . • • • . 4. • • 4.• • . • C • . • , �V� _• ,, • • • Vu ' 'i1 -• 1• • . • 1° • ••- •.;•' ♦ • • �. I• • •40;;.•♦ . I - . • • •• - • :••••• . • 7•rea • r-: . • • li'l _•' t ::.•.% ; is r• • • • • • 'Z � • •• • - ' •� .• ' , \ ' •� -, , •• • • •. • ,• •. • . -•• • II •. . • . . ••• • •t 1 •• •el;f . ....\ '••1�• . • ,..-•,i•• '�• s• •I.\1•, ;s . • . • • • •il .• IA• .I.�`1 + :. •• 1 • 5 . • • • . 5. • • . • • •ii..ot••'Pe.1 •, . . •• •• . •• • • • - . • . . f , ��� , -. • F�ormNo. 4 f 4P • (Rev1eai 6/64) •aZ fir ;�': e/ COLORADO WATER. CON.SE t ATION BOARD ` �.,v • -. .. . • , .• . LOG AND, II$T•ORY . _ ... • . . . . /1"-.s.:.:.. • 0 02 e. • . -44•:•:.; 'wo .• Location:. Sec..! a.. ..0 �. . 1/L.................T 6 R.. � Pl . Sec ; County..... 'Sid v • ..:...:•,.... or Street Address..... • City. .., .. . �yNMN�rYN..• yr•bMN•.•N.HN.M N• "6▪ '▪ ` ' Owned by ... £1i 07.0001*..,.. kton� 1 UN •.gNN•LAddreaswrY • .• Colo. • Asic..5 ; Tenant N Address 4.4 : • • it Ino �, �,�' •• : .: • Drilled by...........N.....:....• p. ! ..•.......... Addresseasy, Water Well Driller'a License No I4 . Namo or No• of Well s l;r.,.: Type of Well: Domestic 0, Municipal ❑, Stock 0. Ir.•igation i•; I Industrial 0, Drainage 0, Other • • N. feast : Cased : ..: 0 ft. to 30 It. Tyaka• lY -.Size I » Wt. of Casing: Lbs./Pt. • Cased .* It. to.. ft. Type Size Wt. ..r;:" : of Casing: tbs./Ft xi ;• • Cased : ft. to.........._......it. Type Size Wt. of Casing: Lbs./Pt s".;:* - - • Perforated or Screened :-Ft...... - 9 • • to Ft......:..�.. • • � ; FVr.....•.�.•.r... .N I.NN.to Ft M..1• IJt e r"T of Screen or Perforation 1-cram 1. . Type •N.NN....YY...N1r.M.. • fr.i Date Started �915S.. Date Completed . 4/34/t 5 .. . . Static Water Level 2 It. ,,i Li. . •c,• • or • • L . 1 ti. Shut in Pressure lbs./sq, in. Date Pumping Water Level $ _Ft. at 300G P M yield. W.; ;c...• • How Tested: bot-i>Dooatat ti opal discharge .Y,ength of Test 11 Hours. •`1 1 • Put Formation Log ou Reverse Side REMARKS: (Gravel Packing, Cementing, Packers. Type of Shutoff, Depth of Shut-off, Method Drilling, etc.) rotary d>ril3ad s rel packed tzt ; • • • )r :• • R t 7.. ... ., cg:... • r. .A . • . . • rut. 4. • • • •• - •• • ... . . . . .. • . . . . I. '. ilAY 13 telii) littlyty ; "1, 1 cia: 0 . . . .. • 130•*'... • TO BE MADE IN TRIPLICATE: White copy to owner, Blue copy tog � a o rr .• Conaervution Board, and other copy to drill Y.04 faits .i; . . r ., ,: .. • • State of Colorado Water Resources - View Well Details: Rcceipt C620637 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of it ,A, M " ;” .. . , .. , -fi ` 1` ti i , ' Water Resources i - F � �. ,:.,. :*r; ii I -..1II • , r�.rf =•.c • �` C Se 0`S hate- .�'..•�-' � -r�-� - F,o u don Colored Pea,�le, r, t ari�8shrpm Colorado's Well Permit Search Well Constructed "--t_A Last Refresh: 8/14/2012 12:00:42 AM Receipt: C620637 Division: 1 Permit #: 637-WCB- Water District: 3 Well Name / #: County: WELD i Designated Basin: Management District: Case Number: WDID: [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip , Unknown - Present GROVES GLENN [-] Location Information "• Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE NE 2 6.0N 66.0W Sixth Northing (UTM y): 4485197.0 Easting (UTM x): 521570.4 ••` Location Accuracy: Spotted from quarters Physical Address Subdivision Name t City/State/Zip Filing Block Lot .l r n Parcel ID: Acres in Tract: ., [ - ] Permit Details ., Date Issued: 05/13/1955 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS .t 4 Special Use: Area which may be irrigated: • Maximum annual volume of appropriation: Statute: I; Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description l. I Permit(s): Comments: [ -] Construction/Usage Details tWell Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: i. Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate • c. 30 _,5 I. Lic # Name Address Phone Number i. Driller in RANK, SAMUEL Unknown GREELEY, CO c. i`; t [ -] Application/Permit History if Permit Issued 05/13/1955 .1[-] Imaged Documents 1l Document Name Date Imaged Annotated Original_Eile 07/12/2006 No I. :i L Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http:// wwv.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=C620637[8/14/20)2 2:54:30 PM] State of Colorado Water Resources - View Well Details: Receipt C620444 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of s,. Water Resources � _- . _ j :� . •t". R. - o 2 , grak, . ,vim.e� fl q'� -as.a rs +-'-***" cs,' , . - - �s ` Focused oll Colorado's r,t—.a4[ '. People, Water ana SftuYaashrp Colorado's Well Permit Search g Well Constructed , u'r I Last Refresh: 8/14/2012 12:00:42 AM Receipt: C620444 Division: 1 Permit #: 444-WCB- Water District: 3 Well Name / #: County: WELD e Designated Basin: Management District: Case Number: ' WDID: • (-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present ANDERSON DON [-] Location Information 3 Approved Well Location: Q4O Q160 Section Township Range PM Footage from Section Lines NE NE 2- 6.0N 66.0W Sixth Northing (UTM y): 4485795.5 Easting (UTM x): 522125.4 • Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot 4 i. Parcel ID: Acres in Tract: 'e r • [- ] Permit Details , Date Issued: 03/20/1955 Date Expires: `r • Use(s): STOCK Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: } • Maximum annual volume of appropriation: N Statute: i Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report i No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: i. [ - ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 33 Lic # Name Address Phone Number Driller 6 OUVER, F 603 EIGHTH ST GREELEY, CO 80631 303-352-7672 [-] Application/Permit History Permit Issued 03/20/1955 • x. • I [ - J Imaged Documents Document Name Date Imaged Annotated Original File 07/12/2006 No • i:, • r Copyright © 2009 Colorado Division of Water Resources. All rights reserved. 1. Home I Contact Us I Help I Water Links I Colorado.gov I DNR ] Privacy Policy I Transparency Online Project (TOP) hltp://www.dwr"state.co.us/WellPennitSearch/View.aspx?receipt=C620444[8/1412012 2:06: 18 PM] • • .. • � )8 1•VU an No. 3 . t 21 . ed 5/54) COLORADO WATER CONSERVATION BOARD . NOTIFICATION OF INTENTION TO 01( 11.41.11,t. ®, It le;l)1t 11414 r'. • . . RECASE 0, OR DEEPEN C7 .A 1v,\'n;tt WELL • District No... . . NE no. or Number of Well.... .. . .. . . . . . . .... ... .. . . ,. . •• • • c-...is r Well.. .-.-.1440:1;S,5 Inc. . • . . . .. Phone NO. fl . . . ... . . . Name of Driller r ... . . . >�. , ... . 1°. .. .. .1ddre ss .... .. ....... ... . Greeley1 `'o&orado- .. .. . . . . . .. . .. . _.. . . . . Wen Drakes License No, 6 .. ... Date Star: of Work „Jan. 17, . 1955•. . • .. . . . Land t h. • .1ddre ss . . ........... . ...... . .... ato n, Colors o ...... .... .. . . . . . . . . . . . . '• .Estimated Depth of Well . ...32 Ft. 1.tt4••%•t•tebN int Vi a.l.e. I)iunletrr of Well . 15. In. ► 'ection No. County .. .weld Diameter of ( asim a•. In. ( wp.. . .. • t 1'gt. liens,' mark well loc:>tiltn to nearest 40 acres Ismail ail squire ) tte'low•. . . 0Type e,t ��'rll : f)onls'-tlr Irrigation 0 . . _. i .. • . . 1Sunicipaj Cl r w • • Stock Other .I_ . ._._ . _. ._ . S Method to be used in drilling :. .. If above locution is unkut►Wlt. ('Ittttlele►tr Ilir fat- lowing : County_ . . .._ . .. .. . .. . . . . .. .. . .. .. . l!;►ltimutrd Depth of liottonl and Top k of Shutoff City,, Town or Sut►elivi .ion .. •- Type of Shutoff .. . ... Street Address of Well . 0 t ion...,,,• �;.r . ._..•• . I. )14 rg . . . . ... .. . .... ... .. ... . .. .... ...... . .. .... ... ........ ... ............... ... . . . . . ... .... .. ... . ... . .... . .. . ... .... , . t'( 1 , i !Irc • J J e lb. . . • 1. JJj l •j • PI ' ! ;k } '•" ...e 8Jidy _ ', L l • • • • • • ••• • • • .•• ♦ LOG OF WELL •• DESGRiFTION OF MATERIAL DRILLED METhOD C? DRILLING rotur,7 • • Feet • 00 to is soil 4 to... 10 QRO► • • • 4 : • • • • • 1Q to 19 Gravel • , • • 19 to a vii► 4 • . 2� Gra' a to.... 29 • . • 29 to 3 Td110w ian ck • • • • • •• . • 1: • • •• • •• •• • • • • • • • :. •• •• '. • • • : • • • , • . ;t • '• • •• • •••• • • • • •; • •• • ••• ' • ••, • • • S. :1 • 1%.% • • • • • • • • • •• •• •• • ••• • •• • • •I • • • •: ••S. .• •'• . • • • • •• • r ti' .. • • •• • • • • • ••N ••• 1 • et:" • • • • •• • • ♦ •• • • .' � • ••,• • 7• • • ••. ••• • •{• • ••• • • •S • •• ; •• .. •1• •• .. • • 1/2 • A No. eilltimmi 6154) �� : COLORADO WATER CONSERVATION BOARD t 7 t / it LOG AND HISTORY • • Location: Sec. 2 T...6x R....66i1 P.M... Sec. RE County Weld or Street Address ................... ... City Owned by ... . ?A.4PdtrDQn Address Eaton,..Colorado.... . . .. Tenant ....Address.. .•• :milled by Oliver %%11 korkaa...inc Address...... �,Ox,..GS? ix •;,C� Water Well Driller's License No 6 .Name or No. of Well. ........... Type of Well : Domestic 0. Municipal O, Stock XI, Irrigation 0. Industrial a Drainage ❑, Other • , Cased : 0 ft. to J•8 ft. Type ...D id Size ..... ...12." Wt. of Casing: Lbs./Ft..lh.ga..... ,: Cased : ..18 ft. to T' .. .....ft �•peperf ......Size .2" . ....1Vt of Casing: .!assn Lbs I�`t..�Il . PR. • Cased : . ft. to ft. Type ....Size Wt. of Casing : Lbs./Ft Perforated or Screened : Ft to Pt...._ ; Ft.. to Ft r• •' Type of Screen or Perforation OA........................ I. '~' Date Started 2-1'($,5 Date Completed 1-2t-;r • `;. Static Water Level.. 1O Ft. • or Shut in Pressure lbs./sq. in. Date • Pumping Water Level =O Ft. at G P M yield. • How Tested : bailed 3 Length of Test ....Hours, • • Put Formation Log on Reverse Side • REMARKS : (Gravel Packing, Cementing, Packers, Type of Shut-off, Depth of Shut-off, Method • : . Drilling, etc.) • 15" wall drilled to a d*pth of 33 feet. 12" casing cet in center of bow and ravel$ packed to surface of ground. • . , . f. "AR r 19551 . • . • • f • . TO TO BE MADE IN TRIPLICATE : White copy to owner, Blue copy to Colorado 'Wntiet0 :355 Conservation Board, and other copy to driller. of& • r • • vor L,/ w I I is . CV rrsA l 004/005 • PUMP INSTALLATION AND TEST REPORT ri "a rat o Use artySTA STATE OP COLORADO, OFFICE OF THE STATE ENGINEER 06/2011 1313 Sherman St, Room $21, Denver, CO 80203 ' 8 471 Main (303) 8684881 Fax (303) 860-3589 � Oct 4. WELL PERMIT NUMBEIt 6921E_A bcSint ®1 2. WELL OWNER INFORMATION TF irk J, NAME OF OWNER r el& Dr Kirk R Mehra K i nd sf a t er `O�0C/4FFc MAILING ADDRESS 16285 WC 7l6 CITY STATE ' ZIP CtIDE 80615 (9704454'- 5262 - -- 3. WELL. LOCAMON AS DRILLED; 8_114, SW_,1{4 Sec. __16, D. _7 fl N or❑ S, Ike 6 6 ❑ E or [21 W DISTANCES FROM SEC, UNES: 1 0 0 4 fl from D N or DtS section One and 1 9 2 4 R. from D E or W section Tina SUBDMSIOIt , LOT . BLOCK RUNG amp) Optional GPS Lin: GPS Unit must use the following settings: Format must be UTMI Units Emdng 9 21414 must ha meters, Datum must be NAM, Unit must be set to true N, ❑ 7ane 12 er❑ zone 13 4487896 Northing: _ STREET ADDRESS AT WELL LOCATION: Same 4. tN lMDl�1_ �DAT�I: Types Submersible _ — gate installed: 9 - 22 - 11 pumpmanufseturer: Goulds Pump WAS N13LS 10411 Design GPM 1 4at RPM 34 0 iv 1 yet 230 FWI Load Amps _ • Pump Intake Depths 3 5 Feet, Dr ptColumn Pipe S 2 (haunt, lend of Urap Rye PVC AUDiTlt3PlAL .NFORMATION FORPl ii TPS GREATERT-IAN 50 GPM Turhtne Driver Tye ❑ @et:ic 0 Engine 0 Other t2 ign Head fee Number of 3lagea Shaft size _ irxlreg $. OTk IER E UIPMENT: • Airline Installed D Yes CINo, Orifice Depth ft Monitor Tube Installed ❑ Yes 2 No, Depth t 3 5 Flow Mater Mfg. None Meter Serial No. Meter Readout: C] Galion, Q Thousand Goons, El Acre lea Beginning Reading B. TEST DATA: ❑ check box if Test Data is submitted on Supplemental Form. Data 9 -22 - 11 Totes Well Depth: 4 5 R Tune Static Levet 19 ft. Rate (gpm) open dipcharge 18 qpm- 70_pst 14 - 1 gpm Date Measured: 9 - - 1 1 pumping Level (R}; 23 7. D1StNFECTIONN Type H „ T „ H , Amt Used 3 z s 8. Wales Quaik�anslyS available O Yes ] to If y24, please submit with this report, • 9. Remarks: 10. I have reacithe ststernents made heron and 14m$+the caftan's , an are true to my edga This document Is signed and certified In accordance wilt) Rule 17.4 of ttre Water Weil Construction Rides. 2 CCR 402.2. (The flung of a document that contains false statements Is a violation of section 37~91-108(1Xe), C-k$., and Is PUTLIShable by fines up to Wm andlor revocation of the conirueting IIQQrt$Qa Company Norm l na License Number _____ Lesh Drilling Inc . _ . t7C 824 - 2868 21 -B t+Aaiting Address: P . O . Box 45 t , CO 80610 3lgnst ' Print Nfsrrfe anicre Date Edwin D . Lesh President 9 - 29 - 11 cola STATE OF • OFFICE OF THE STATE ORa004 1313 SMeeteet S ., Roan 8* Denver,CO 1,0:00 tic . nine n* eoe , afloat MCP 1. MIL Saar mon r. lit N Ol41k ,LOWjlat &Dr . Kirk e Kind za Qfnfer i ti 0 C�� , 11;*/` .SADDRESS: 16285••WCR 76 = STATE rn VP CODE+ R 0 61 c 3. an „ E U4. akielPS, Sea; 2k > .2 .. Q N ar Q Si Raage 6 f ❑ E urn W DISTANCES SM. !DES: 1 004 it Than El N ar&I S sermon fine end 1 0:17 4 u tvm O E am W setkon 1 sU$QNtmotk , LOT BOOC C FILING (unn) Options;OPS lesat OPS Unit must use the Mowing settings Fans amt be UM Uses Owners t Da must be n must be NAM, Unit must be set to evert O Zane 12 or❑ Z one 13 521414 S 'A AT .1. LOCAT#i 4487896 4. GROW)SURFACE B.EVATON feet mum hence mud standard rotary DATE COMPLETED 9 - 2- 1 1 TOTAL DEPTH 4 rt feet - DEPTH COMPLETED . a 5 feel t CipOLOGC ice HOLE DMA (k1,.) From (fit To t Dna `'fie Grain $ire Color . •- Warta 10 0 45 0 14 f o-ni 1 }'lrnran ..r. - - • 7. _PtAlN CASING: '3- 11 . v ' fine huff . OD (In) kW Wall Ste (kt) From ) To (14 6 . 5 sty . 250 . 1 ' above 35 11 , 14 gravel small 6 . 5 st.s.250. 41 fine huff PERFORATE) CASNC Screw, Slot Size or* 23 - 38 q'rave1 medium 6 . 5 ss . 250 31 38- 45 _shale fine gray -� f , . . •.......�. . at PACK: S. PACKER PLACEMENT: hftliw gravel T file - - Site . 25Q- _ 375 Into al 21 ' - ' ' • ...:. GROUTING RECORD Monti Amount Density Intend Kann n Remoioec cement 4cu ft 6 gal 0 - 20 ' nolared Jr • let DISWEECTIOtt H . T . H . Amt. tiled n7C it MOW W#V Chedt bmt iTeat.Dab is wed on Fr Number f S9 Suppiementai Well Test. TEMMGMEIMOD submersth,l P nnmr Str9CIad " Q . ft Dt1krfe measure* j 1 -1 1,... . Ptedtsction Rate 1 s gpin. Pumping Level AI._,,,_* Thy measured 9 - 21 -,.1 ' , Tea! Levi (is s ever4,l hours 1'`4d 'i 1 b ws aid tr et ter _aide ire ► oonte is seder reeve tow k a. 'fhb dammed is signed •':.' sued i_i e000ttl ooe Met lbS 17A ofthe1NSIer Wee ConstructIon ROss, 2 OCR An Me Ong of a sit contains tae cdstergsts b a natation 0 rat sod is tubes to anew of On onacting 6oaeee.1 • Cottrpesfitttsreec Phaseec 1 B • , (9 ) - a Nuster 7s _ 34 Addle= P . O . Box 5 6 Ault C pain am Tine '- r DSc Edwin D . Lesh , President 9 - 29 - 11 State of Colorado Water Resources- View Well Details: Receipt 3652011 Original Replacement File 09/14/2011 No Copyright rJ 2009 Colorado Division of Water Resources. All rights reserved. • Home l Contact Us l Help l Water Links l Colorado.gov I DNR l Privacy Policy l Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitSearch/View.aspx?rcceipt-3652011[8/14/2012 4:31:41 PM] State of Colorado Water Resourccs - View Well Details: Receipt 3652011 Colorado Department of Natural Resources y Celorado.gov I Contact Us alIPIOM Colorado Division of - ' . v. . r =� k :sew titor _.sao•.w/. �•�•1 Ylt-�..-�-r sue.-.�.-.- � �. ♦'y \ .� ♦ �'j�.♦ 1 �'C..t Water Resources .‘..-"--_ -T4.,. .,,,_ ..... ... ,A pi"ni► • r' �^�_' - --' yr cased oiritd)adb's People Water and Stettia ship Colorado's Well Permit Search Well Constructed HttP I Last Refresh: 8/14/2012 12:00:42 AM Receipt: 3652011 Division: 1 Permit #: 6926- -A Water District: 1 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown Present KINDSFATER KIRK & DEBORA 16285 WCR 76 EATON, CO 80615- [ ] Location Information Approved Well Location: IC Q40 Q160 Section Township Range PM Footage from Section Lines k. SE SW 26 7.0N 66.0W Sixth 1004 S 1924 W • Northing (UTM y): 4487896.0 Fasting (UTM x): 521414.0 • Location Accuracy: User supplied Physical Address Subdivision Name r City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: 15.54 [ - 1 Permit Details t. Date Issued: 08/26/2011 Date Expires: 08/26/2013 Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS • Special Use: i • Area which may be irrigated: 1 ACRES i Maximum annual volume of appropriation: • Statute: • Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report i• No No No • Cross Reference Permit Number Receipt Description • Permit(s): 6926- - 90597.42_ c Comments: '.� i ;: • .i r[ - ] Construction/Usage Details Well Construction Date: 09/02/2011 Pump Installation Date: 09/22/2011 r Well Plugged: 1st Beneficial Use: Li .} Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate ,, 45 31 41 19 14 Lic # Name Address Phone Number Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 ' Pump Installer 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [- ] Application/Permit History 5 ' Pump Installation Report Received 10/04/2011 • Well Construction Report Received 10/04/2011 Pump Installed 09/22/2011 Well Constructed 09/02/2011 .1 Permit Issued 08/26/2011 i; Application Received 08/25/2011 • <. [ -] Imaged Documents '• Document Name Date Imaged Annotated '• Well Constnllttion & Test 10/14/2011 No Rump Installation & Test 10/14/2011 No hup://w w.dwr.state.co.us/WellPermitSearchNiew.aspx'?receipt=365201 I[8/14/2012 4:31:41 PM] • .Form- ' STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS- 11 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 6/2006 Phone — Info: (303) 866-3587 Main: (303) 866-3581 Fax: (303) 866-3589 • • - - http://www.water.state.co.us --• - • • CHANGE IN OWNERSHIP/ADDRESS _ . RECEIVED • . • CORRECTION OF -THE WELL LOCATION Review instructions on the reverse side priori() 'completing the form. SEP 7 2007 Name, address and phone f the person claiming ownership of the well: WATER RESOURCES STATE EtUC PJEER GA1,0, NAME(S): Mailing Address: /7/1 elen9de, (aka., City, St. Zip: ag,J', ifrirer Phone a • ZOQ - aid ;Leipjf), 0� 7VZ__ This form is filed by the named individual/entity claiming that they are the owner of the well permitted as referenced above. This filing is made pursuant to C. R.S. 37-90-143. __ WELL LOCATION: Well Permit Number: 6 92Z' Receipt Number: "MCC-- County Cale /a Owner's Well Designation (optional) Vets 62. 9ntiCA ens DTPJV De) go / S's of (Address) (City ) (State) (Zip) E t. h) 1/4 of thesen_ 1 /4, Sec. 2 t , Twp. I © N. or ❑ S., Range L b ❑ E. or [k' W. , O-P 6 f4 PM Distance from Section Lines: /.0O4e Ft From ❑'N. or RS., /9ox Ft. From ❑ E. or l:'4 W. Line. Subdivision Name ICs - • • . Lot N4 , Block 71/4 , Filing/Unit 7 /q. The above listed owner(s) say(s) that he, she (they) own the well described herein. The existing record is being amended for the following reasons: Change in name of owner ® Change in mailing address ❑ Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are) the owner(s) of the well described above, know the contents of the statements made herein, `and state-that they are true to my (our) knowledge.7-- • Signature(s of the new w der Plea,�prin,���grler's Name & Title Date 97/07 / LAboraJT 11/ Md / is t e responsibili of t e new ' ner of this well to complete and sign the form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon its receipt. For Office Use Only ACCEPTED AS A CHANGE OF OWNERSHIP AMR MAILING ADORESS • 9/./0/ Fo ✓ State Engineer /By Date .'1r • g w•. dam' - -. r 11• •�:/Q>t•Ji•'' ��j� � �'. S .i• . • lie1 �i:•(�� ;•7' •6.'llf l'�:•t, 7Y` . '•' — Mfir... -~• •r•'�v •O '^• •.14 � ' • •.�' .....:: , M . .'y`�t{e! 1/1-. .� ?L y�5 z. 4:.)).• '. . 417•10:1%: . jvr. ?,i» ,yJ�{ w t os �^' r:. t''' . 1.-1.-„(‘..'•14I i 4- :r • r1t "14,,S.24.: -.`i .PJ 'j •. • re: . •':/ •1 y' ✓ .. f�V."•` • I.l .1'. . p / �. •�� *:� e••• �.5 �. �r•• •t r/ 7✓• .ni • ( • .I A -tt• ik,itt > �. ?.. 'q•'l':i r C •• -4 b .1'.t• J• �..1 • w .:4.. �C r•, •.'%J' f. ``�. 7,v,L • • • • • • • • J LOG OF WELL :- , (ADD SPACES AS NEEDED) t.'' ' . • From 0 ft. to 2 ft. 'bupra itl _ _ II ft. to • 14 ft. dandy slay . •ft . 14 ,ft. to 15 ft. gravely slat • • • 141 ft, to 24 ft. brawn essay ality • 24 ft. to 37 ft. sill I modifies rnl (Jane ) sad sins taawr& Is 3yM 41 wwsstbre d *Ws 41 43 gray Ahab* Botttai4l nfl at 40' • • • C. • • l'..:: • t x .)kr. !t. • '1,!:.i•1. t• • .4 ,` r.. "Ft 1. •'. ♦R•Y1r 0''�`''Y�e •.:::!..4":4:::' - . ..• ••. ♦.:' • ry �yl.y+rr •-Y s;. ] � . , -, .A'.� n\t � •f•' •'4\-, (( I ��.• .�Y: :e-I. w~�f/ , S{ •:4-..r. •rq- � .J ��..�� .•S '!-�ii ' ..ti•}+ J • =t 1L rif\ .1- - •• •'•'t 1 _ 4-1 2 +M \ •. `.. ,7 : .7 -1, t .,. 4 „V Y. 1J� • • +�. �{;� ` ,` � • rfew -�. I t • !•..� Y .] •I!y -,. `. --•�' • korin E (Rev. ) STATE OF COLORADO - ' . SW ----w DIVISION OF WATER RESOURCES 0CT 6 - 1960 `- Inds Na. if .^,,. OFFICE OF THE STATE ENGINEER 4R0tINt? PIMP' r; IDWD e_ ......e GROUND WATER SECTION Us• ' - .,E.1 , Ic R st,rs�d 'etso LOG AND HISTORY OF WELL STATE �'' Cwds T _ PERMIT NO. 6924 (1792-V ( Lic. `�� Drilled by id Leah Won f Driluag.No. at AilloitWELL LOCATION Owner peal.Anita L l. (c/�►g r - WeldL County Address _Box in Awn, eels . if u of SW k of Sect. 26• Tenant afrapir Twp. nt , Rge.__ , FPM Used for Dasokidi LOCATE WELL ACCURATELY IN THE SMALL SQUARES REP- on or by PRESENTING 40 ACRES (description of site or land) - Date Started in t, _, 19 N 444$ Date Completed ass , 19 1 I Date Tested 19 '— la — — . , S+ Sao la Yield p4 ✓ gpm IV w cfs W -- I E 1I Pump type Jab Outlet Size Y I I z I Driven by HP@RPM ... . ... -4 ..- ... .. ..- --` t_' ein Depth to Water 17 �Ft. Draw down I Depth to inlet Ft. ; Bowl Ft. S size and Kind of Casing : If the above is not .,applicable • fill in: From -to Type.. s • .n._ _ . From to Type Wt , Town or subdivision From to Type Wt. Street Address or Lot & Block Perforations : Size and Type From to as Type gize Ground elevation -,a--- --------- -tom --�-� (if known) From to Type Size -------- How Drilled: From to Type Size _- Standard Rotan Well description: Total Depth E ' Ft. REMARKS (from 0 to 40 , 1 in . Hole ( Cementing, Packing, Type of Diana"(from to , in. Shut-off, Depth to Shut-off, etc . ( PUT LOG OF WELL ON RE- (from to , in. VERSE SIDE TO BE MADE OUT IN QUADRUPLICATE: Original Blue and Duplicate Green to State Engineer 's Office, White copy to Owner, and Yellow copy to Driller YdEd[gilF RP Form C (Rev . ) STATE' OF COLORADO -,1 7 -58/51 APPLICATION FOR USE OF GROUND WATER SEP 8 (Use Indelible Pencil or Typewriter) 1960 C. GROUND WATER SECT, Applicant Mita K. Dotio (Cooper ) , LOCATION OF WELICOLORADO County lead STATE iNGINEER P. O. Address Box 114 Eaton, Colo . Quantity applied for 10 _ gpm or NE , k 5, 4 Sect. 26 __, Twp. 7N AF' Storage Rge. 6671 , 6 P. M. OR Used for DQnagtf o Purposes on/at Street Address or Lot & Block No . (legal description of land site) ' Town or Su ivision Total acreage irrigated and other rts . ESTIMATED DATA OF WELL N Hole size : 7 in. to_rift. ; �" in. to ft. I i Casing Plain g in. from 0 to 25 _ ft . I r Locate in. from to ft . I well in Perf. j5 in. from to t ft.25 37 w ' E acre in. from to ft. (small) mall) PUMP Outlet ; I square DATA: Type jot . HP_iliSize 1, 4 , _ _ -1 as near as possible Use initiation date Sept . 19 60 . I 1 (Use Supplemental pages for additional data) t _ . s $25 . 00 fee required for Industrial, THIS APPLICATION APPROVED Commercial or Irrigation uses . NO, 6926 Applicant A . Se Demo Agent or DATE SEP 8 - 1960 19 Driller Ed Lash Well Dr± llinK Cam',. 21 Address Ault , eel*. NOTE -- - SATISFACTORY COMPLETION REQUIRED FOR APPROVAL OF APPLICATION Form No. STATE OF COLORADO, OFFICE OF THE STATE ENGINEER For Office Use Only , GWS-09 1313 Sherman St. , Ste 821, Denver, CO 80203 I012011 (303) 888-3581 Fax (303) 888-3589 http://www.water.state.co.us WELL ABANDONMENT REPORT Use to report plugging and sealing of permitted wells, monitoring and other holes. Type or RECEDED print in black or blue ink. Instructions and plugging standards are on reverse side of form. Well Permit Number of the well being plugged 6926 or FEB 22 2017 MH Ale Number MW Hole ID *Name "s'sAr` ` ►� por GOL Individual/Company responsible for Plugging and seelirm the will: NAME(S) Qr _ Kirk & Debara Kindsf at- er Mailing Address 2 8 5 WCR 7 6 • city, St, rip Eaton , CO 80615 Phone ( 970 ) 454 - 5262 Well (Ho#e) Ovmer, • NAME(S) S am a Phone ( ) Malting Address, City, St, 71p Same ACTUAl WELL LOCATION; County Weld Property Address, City, St, Zip 1 6 28 5 WCR 76 Eaton , CO 80615 SE 1/4 of the S W1/4, Sec. 2 II Twp. 7 ❑ N. or❑ S., Range 66 ❑ Ear❑ W., 6 t]W.M. Distance from Section Lines 1014. Ft. From ❑ N. or L S., 1924 Ft From ❑E or d W. Line. Subdivision Name - 1 J Lot . Block , Fiiing/Un$t Optional: GPS well location information in UTM format You must check GPS unit for required settings as follows: Format must be UTM, zone 12 ❑ or zone 13 ❑; Units must be meters; Datum must be NAD83; Unit must be set to true north. Easting 521414 Northing 4487896 I (we) report the existing well (hole) was plugged and sealed on the date of 2 - 20 - 12 for the following reason(s): ❑ The well was plugged and sealed as nuquired under Weil Permit Number 6926 -A ❑ The well was not in use and was plugged and sealed. ❑ Other (please explain) The well was plugged with the following materials placed at the indicated intervals: Amount and Type of Material Method of Placement Interval WaghPri pPa gravel Poured from 19 feet to 32 feet Cement Poured • from 5 fleet to 19 feet **The old well was located in a 5 ' pump pit from feet to feet Intervals of casing removed/ripped In feet from feet to _ feet Report mat be signed by person who performed the well plugging work or by the wen-owner if this person is unknown or not reachable. I (we) have read the statements made herein, know the contents thereof, and that they am true to my (our) knowledge. S' sr< Please print the Signet's Name & Title Date Edwin D . Lesh President , Lesh Drilling Inc . 2 - 20 - 12 tt is the responsibility of the well owner to have the well/hole property plugged and seared. The Well Construction Contractor is responsible for notifying the owner of this requirement. State of Colorado Water Resources - View Well Details: Receipt 9059742 Home I Contact Us I Help I Water Links I Colorado.gov DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitSearchNiew.aspx?receipt=9059742[8/I4/2012 4:28:28 PM] State of Colorado Water Resources - View Well Details: Receipt 9059742 Colorado Department of Natural Resources Colorado.gov I Contact Us • Colorado Division of r'' ^� -- z �+#.'rc��. , t ' Wat•e_ _r Raeni irce� • . �f � .. -� _ ,_ :T w y . Ar ''` "°zik'taQ "a " . —" '°"„0"-'`" - .. -.Focused cused Qt Colorado's People Water and`Stewardship. Colorado's Well Permit Search . Well Abandoned 7:44,4:19,: . . . Last Refresh: 8/14/2012 12:00:42 AM ' t• Receipt: 9059742 Division: 1 Permit #: 6926- - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: ' Case Number: l; WDID: 0 i t‘i [ - ] Applicant/Owners History .1 Date Range Applicant/Owner Name Address City/State/Zip • Unknown - Present KINDSFATER KIRK 1713 BRENTFORD IAN{ FT COLLINS, CO 80525- : 3' [- ] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines tt• NE SW 26 7.0N 66.0W Sixth if Northing (UTM y): 4488204.2 Easting (UTM x): 521429.0 Location Accuracy: Spotted from quarters Physical Address Subdivision Name 0. City/State/Zip Filing Block Lot i i Parcel ID: Acres in Tract: ii [- ] Permit Details Date Issued: 09/08/1960 Date Expires: Use(s): DOMESTIC Aquifer(s):ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: ' Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No p. Cross Reference Permit Number Receipt Description N Permit(s): 4. Comments: [ - ] Construction/Usage Details t' Well Construction Date: 08/31/1960 Pump Installation Date: f~ Well Plugged: 02/20/2012 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 1' 40 30 40 17 24 t [- ] Application/Permit History Abandonment Report Received 02/22/2012 Well Plugged and Abandoned 02/20/2012 t Well Construction Report Received 10/06/1960 s y Application Received 09/08/1960 ii Permit Issued 09/08/1960 II Well Constructed 08/31/1960 ;; [ -1 Imaged Documents i; Document Name Date Imaged Annotated We!LAbansionment 03/02/2012 No 1 Permit tQConstruct_&.welil 12/07/2007 No • Well Construetion_.&.Iest 12/07/2007 No • Change in Owner Name/Address 11/27/2007 No • i Copyright © 2009 Colorado Division of Water Resources. All rights reserved. http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=9059742[8/1412012 4:28:28 PM) FORM NO. STATE OF COLORADO For Office Use only Gws=12 ONCE OF THE STATE ENGINEER i o/89 • PERMIT NUMBER 818 Centennial Bldg, 1313 Sherman St., Denver, Colorado. 80203 . '(303) 866-3381 FOR. INSTRUCTIONS SEE REVERSE SIDE 7.27 .17:7 REGISTRATION OF EXISTING WELL • APR _ (r2-0 1. WELL OWNER NAMES) Noffsinger Manufacturing Co . `` J Mailing Address P . O . Box 4 8 8 City, St. Zip Greeley , CO 80632 Phone ( 9703- 352 - 0463 _ Receipt No. q5- 1 0 9 D A 2. WELL LOCATION: COUNTY Weld OWNER'S WELL DESIGNATION (Address) (City) (State) (ZiP) SE 1/4 of the SW 1/4, Sec. 36 Twp. 7 X N. or ❑ S., Range 66 ❑ E. or X W. 6 P.M. Distances from Section Lines 1 8 0 Ft. from ❑ N. or XIS. Line, 1 7 00 Ft. from ❑ E. or 0 X W. Line. 3. The well has historically been used for the following purpose(s): Household and lawn and garden irrigation livestock irrigation • 4. Water from the well was first used beneficially by the original owner for the above described purpose(s) on April 1 19 31 , 5. The total depth of this well is 6 0 _ feet. 6. The pumping rate is 20 gallons per minute. 7. The average annual amount of water diverted is 1 acre feet. 8. The land area of home lawn and garden irrigated from this well is: . 7 I Acre or ❑ Square feet, (Number) described as: Part of the SE1 / 4 , SW1 / 4 , sec . 36 , Twp7N , Rng66W , 6thPM (Legal Description) or as Subdivision Lot(s) Block Filing/Unit I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13) (a) C.RS., the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor.] 9. Name/Title (Please type or print) ignatur V116/a Date James D . Pickett/Agent .' j1-rGrti10( emir/ / & o d ✓ Set5L) ✓ 4 it 1 ) 1931 FO OF CE USE � Y ao U?wk L 2 -bit e•r\ifrt-tn—sckska Rrik v., ae�- rely • 1-p — (CO -771.54 P441 eLtat eta air( 'NV • State Engineer By Date Court Case No. Diva I Co. WD 3 Basin MD Use Form N0. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 LR WELL PERMIT NUMBER 22529O e - APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY NOFFSINGER MANUFACTURING CO SE 1 /4 SW 1/4 Section 36 P O BOX 488 Township 7 N Range 66 W Sixth P.M. GREELEY, CO 80632- DISTANCES FROM SECTION LINES 180 Ft. from South Section Line (970) 352-0463 1700 Ft. from West Section Line REGISTRATION OF EXISTING WELL 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) This well is recorded and permit approved in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1 )(e), being a well producing 20 GPM and used for ordinary household purposes inside one single family dwelling(s), fire protection, the watering of domestic animals and poultry, and the irrigation of not more than one acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is April 1 , 1931G),7 y/a,. ai, • APPROVED Z • • JSG State Engineer B` y Receipt No. 0459090A DATE ISSUED APR 262000 EXPIRATION DATE N April 1 , 1995 STANDARDS FOR PLUGGING AND SEALING WELLS AND WELL EXCAVATIONS RULE 15 15. 1 General - The plugging and sealing of . all wells , monitoring and observation wells , monitoring and observation holes, and test holes,. which are no longer intended to be use , is necessary 'to prevent contamitnationddf ground water and the migration of water through the unused borehole . It is the ultimate responsibility of the well owner to have a well properly plugged and sealed . The well construction contractor or authorized individual is responsible for notifying the well owner of these plugging requirements . Persons authorized to install pumping equipment may plug and seal wells which do not require the removal of casing from more than one aquifer or the ripping or perforating of casing opposite confining layers . All materials used for backfilling shall be clean and free from contaminants . The well casing may be cut off below land surface so that it will not interfere with the anticipated use of the land. If the casing is cut orf below land surface, a watertight cover shall be permanently attached to the remaining casing and the excavation shall be filled with materials which are not more permeable than the surrounding soils . 15 .2 Unconfined Wells - Wells completed into unconfined aquifers shall be plugged and sealed by filling with drill cuttings, clean rand or clean gravel to the static water level , then with clean native clays , cement or high solid bentonite grout to the ground surface . A permanent w. tertight cover shall be installed at the top of the casing . L . 1 .5 ,2. 1 . Cathodic piOtection 'holes, dewatering vt ails , horizontal drains, monitoring and observation holes, percolation holes , r iezometer holes, sump pumps and test holes shall be plugged and sealed i ither pursuant to Rule 1 5 . 2 or by removing all casing which was installed c id by filling the hole(s ) with drill cuttings , clean native clays , cement or hie i solid bentonite grout to within five (5 ) feet of the ground surface . The Lop five ( 5 ) feet of the hole shall be sealed with materials less permeable than the surrounding soils . 15 '3 Confined Wells - Wells which were constructed through more than one aquifer shall be plugged and sealed by placing a grout plug at the confining layer above each aquifer. If records do not show that the casing opposite each confining layer has been grouted when originally installed , the casing shall be either completely removed from the hole , or perforated or ripped opposite such layer prior to placing the grout plug . No plug shall be less than twenty ( 20) feet in length and shall be designer, to withstand the maximum potential pressure differential between the aquifers . The well casing except for the grout plug intervals shall be completely filled to the land surface with clean native clays , cement or high solid bentonite grout . A watertight cover shall be permanently welded or attached to the top of the casing . `: STATE OF COLORADO For Office Use only No. OFFICE OF THE STATE ENGINEER 12/95GWS- 818 Centennial Bidg., 1313 Sherman St„ Denver, Colorado 80203 12/95 (303) 886-3581 TYPE OR PRINT IN BLACK INK JUN I 3 ZQ� WELL ABANDONMENT REPORT ° (To Report Pluugino end Sealing Wells) PERMIT NUMBER OF PLUGGED WELL $TA f'T11 `• EE.R F FN(GIN EE.R � _-- _i qq. .... COLU. 1 . INDIVIDUALLCQMPAN_Y RESPONS1BLE_FOR PLUGGING NAME(S) l�� FFSitkirrEk H -"J u PR Cue( NG- CO Mailing Address PC) 80x k_ RS, • City, St. Zip aR - . I..e 00 Lij2637.i _ _ Phone 470 ) 3, a -o -63 _ 2. ACTUAL WELL LOCATION: COUNTY Mai--1.3 - PROPERTY ADDRESS 4Address) • - - - - - (City - --- -• — �(#SteteJ (Zip) - S I 1 /4 SW 1 /4, Sec. 36 Twp. N. EIS., Range 66 , II E. ReW. 6 +A P.M. Distances from Section Lines )8O Ft. from N. F S. Line, Ft. from E. or W. Line, 3. 1 (we), report that an existing well was plugged and sealed for the following reason(s): '"The well was plugged and sealed as required under the conditions of approval of Well Permit No. ,2 a7, 90 - 7 . ElThe well was not in use and was plugged and sealed. tther (please explain) ta1L� heagaw Ewo-&' A*.iN I4$AN 'DcNkn S v 4. The well was plugged and sealed according to the Water Well Construction Rules on 19 Q5 5. The well was plugged with the following materials placed at the indicated intervals: AMOUNT AND TYPE OF MATERIAL METHOD OF PLACEMENT INTERVAL _ _ SAflJ h ANA G V ie L J baR N _ from 5 Q feet to eg..0 feet_. - -- �.k `R, u R i" from 2-0 feet to _I.0 _feet ToP so ii... 2un a V IN from 1 0 feet to O feet _ from feet to feet INTERVALS OF CASING REMOVED/RIPPED 1N FEET from 0 feet to t © feet from feet to feet 6 . 1 (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) knowledge. [Pursuant to Section 24-4- 104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor. if N megitie (Please type or pri ) natur� Date freta& & fihkett tztfe9 _ 6 - 52°- ea --INFORMATION-- It is the responsibility of th well owner to have the well properly plugged and sealed. The Well Construction Contractor is responsible for notifying the well owner of the plugging and sealing requirement. This form may be reproduced by photocopy or word processing means. State of Colorado Water Resources - View Well Details: Receipt 0459090A I • Colorado Department of Natural Resources Co'orado.gov l Contact us f �n -.sr— Colorado Division of Water Resources_ � . � - _ = t,. -� ;.._. : �: ,, \ ' • r on do Peak1a, 'ti14t8iYdStv8t3shtp.. Colorado's Well Permit Search Well Abandoned -:* Last Refresh: 8/14/2012 12:00:42 AM Receipt: 0459090A Division: 1 r Permit #: 225290- - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: UNKNOWN Case Number: WDID: [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present NOFFSINGER MANUFACTURING CO PO BOX 488 GREELEY, CO 80632- [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines • SE SW 36 7.0N 66.0W Sixth 180 S 1700 W Northing (UTM y): 4486062.2 Fasting (UTM x): 522830.1 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [ - 1 Permit Details Date Issued: 04/26/2000 Date Expires: Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: 1 ACRES Maximum annual volume of appropriation: 1 Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): 225290=A 045909.06 Comments: [- ] Construction/Usage Details ' Well Construction Date: Pump Installation Date: Well Plugged: 04/01/1995 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 60 20 [-] Application/Permit History Abandonment Report Received 06/13/2000 Permit Issued 04/26/2000 Application Received 04/12/2000 Well Plugged and Abandoned 04/01/1995 [ -] Imaged Documents Document Name Date Imaged Annotated OriginaLFile 12/08/2007 No • Qriginal File 12/01/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us J Help ( Water Links Colorado.gov I OfNIR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WcllPcrmitSearch/View.aspx?receipt=0459O90A[8!14./2012 1:57:32 PM] State of Colorado Water Resources - View Well Details: Receipt 0017446A Colorado Department of Natural Resources Colorado.gov J Contact Us Coloradktt°rh w -. di Wte r � _ v� .. . _ • s+r_ _ z -, a w s5 n [re R - $ eeni flit;,.! Seen) ei :tea ,,,� _ _._ ._ r- lx .; n octlsed on Gelor a s People il/ate69nd Stewardship, Colorado's Well Permit Search Permit Issued. Com letion_Statusslnknnwn Minia Last Refresh: 6/12/2.01212:01:21 AM '" Receipt: 0017446A Division: 1 t Permit #: 91118-VE - Water District: 1 '• Well Name / #: County: WELD Designated Basin: Management District: Case Number: • WDID: u l• [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip t- Unknown - Present CAZIER JACK 36834 N! C R 4 35 ETON, CO 80615 a. " [-] Location Information r t1 Approved Well Location: ,y Q40 Q160 Section Township Range PM Footage from Section Lines _ NW NW 36 7.0N 66.0W Sixth 1000 N 200 W Northing (UTM y): 4487305.7 Easting (UTM x): 522473.7 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: 4 [ - ] Permit Details I Date Issued: 04/17/1991 Date Expires: r by Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS Special Use: P Area which may be irrigated: Maximum annual volume of appropriation: 1. t Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report 14 t. No No No , - Cross Reference Permit Number Receipt Description b. Permit(s): 4 Comments: i [-] Construction/Usage Details '" Well Construction Date: Pump Installation Date: : Well Plugged: 1st Beneficial Use: t i . ., Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate < I F ] Application/Permit History }, Application Received 04/17/1991 E Permit Issued 04/17/1991 R [-] Imaged Documents Document Name Date Imaged Annotated • a � r L. Copyright CO 2009 Colorado Division of Water Resources. All rights reserved. • i Home I Contact Us I Help J Water Links I Colorado.gov I DNR j Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WcllPennitScarchfVicw.aspx?reccipt=0017446A(6i 12/2012 3:24:30 PMI i (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELO ^ 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. II I � 970 ft. from North sec. line + J�__ _ _ I `-1- 4_ — 1 — T — 4._ (north or South) .4---- 1 MILE, 5280 FEET ---)) 212 ft. from hest sec. line f -I- 4 + -1- ± TI (east or west) T LOT BLOCK FILING a I _ �VQNORTH SECTION LINE _ I SUBDIVISION t �� �� d L�1 1 ± t � (7) TRACT ON WHICH WELL WILL BE I LOCATED Same NORTH I Owner: T w� - + - �- - + _ _ m -� j_ z r No. of acres One . Will this be 3 in zI o I m the only well on this tract? Yes _ U� U z 4_ (8) PROPOSED CASING PROGRAM r I r I Plain Casing . en —{— m + f 6 in. from 1 Above ft. to 20 ft. I I I 5"" P• Vfn from 6 ft. to 40 ft. +- - __ 1 _4_ — H- Perforated casing SOUTH SECTION LINE j I I 5 " P. V4cfrom 4e ft. to 60 ft. 4' 4 + + 4 + 4 -I- in. from ft. to I I I i I (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging The scale of the diagram is 2 inches - 1 mile New Well to be located 146 ' NW of Each small square represents 40 acres. - the old well, WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep Old well to be abandoned in accord- 1 cubic foot per second (cfs) . . 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. ance with Rules and Regulations . 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 WATER WILL BE USED : Owner(s) : Jack D. Cazer, Jr. No. of acres: • one Legal description : One Acre located in the NW4 of the NW4 of Sec . 36 , Tarp. 7 North , Range 66 West 6th. P. M. ( 11 ) QETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Domestic . A new return type sewage treatment facility has been installed. ( 12 ) OTHER WATER _ BIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers . Type or right Used for (purpose) Description of land on which used None ( 13) THE APPLICANT (S) STATE (S) THAT THE INFORMATION SET FORTH HEREON IS TRU TO THE BEST OF HIS KNOWLEDG . it ncV 0 CA-C-- -e--e • SIGMA TUN OF APPL ICANT(S) / Use additional sheets of paper if more space is required. • • 1/J ` �J-S• Rev. 76 COLORADO DIVISION OF WATER RESOURCES REEVED 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 •4 APR 15 '91 PERMIT APPLICATION FORM Application must Ai WATER RESOURCES 23 be complete where (X ) A PERMIT TO USE GROUND WATER I � STATE ENGINEER applicable. Type or (X ) A PERMIT TO CONSTRUCT A WELL l� C0LO -c pr int in BLACK FOR : {K ) A PERMIT TO INSTALL A PUMP r` INK. No overstrikes or erasures unless ( )( ) REPLACEMENT FOR NO. Late Registration w initialed. ( ) OTHER w WATER COURT CASE NO. Aim - ' (1 ) APPLICANT - mailing address FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUMN Lc) ['NJ pp In NI- NAME •� _ Jack D. Cazer, Jr. Receipt No. - / eq 36834 Weld County Road #35 o ca STREET Basin Dist. _ rii Q, CITY Eaton , Co. 80615 in ri (State) (Zip) CONDITIONS OF APPROVAL t m TELEPHONE NO. ( 303 ) 454-3309 This well shall 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 seeking relief in a civil court action. NW _ h of the NW %C, Section 36 5/ 11Pf l tl +91 Twp. _ 7 N , Rng. 66 W . 6 _ P.M. qi (N.S) IE.WI (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) "5 Average annual amount of gro d wat r to be appropriated (acre-feet) :Less %han three Number of acres to be irrigated: Less than one Proposed total depth (feet) : 60 ' Aquifer ground water its to be obtained from: Alluvial Owner's well designation . GROUND WATER TO BE USED FOR : . ( ) HOUSEHOLD USE ONLY • no irrigation (0) ( X ) DOMESTIC ( 1 ) ( ) INDUSTRIAL ( 5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) { ) OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK I N ( 11 ) (4) DRILLER PERMIT NUMBER DATE ISSUED Name Lesh Drilling , Inc , EXPIRATION DATE p, 0. Box 56 Street City Ault , Co. 80610 (STATE ENGINEER) (State) (Zip) BY Telephone No. 834-2868 Lic. No. 21 I .D . / _TM COUNTY 6 a Q 3 Fo,rm No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES • 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 802O3 4 (303) 866-3581 1O18 311 21 WELL PERMIT NUMBER /ó/ ? O APPLICANT DIV. 1 CNTY. 62 WD 3 DES. BASIN MD Lot: Block: Filing: Sabdiv: APPROVED WELL LOCATION COUNTY WELD JACK D CAZER JR NW 1/4 _ NW 1/4 Section 3 6 36834 W CO RD 35 Twp 7 N Range 66 W 6th P.M. EATON , CO 80615 DISTANCES FROM SECTION UNES 303/ 454 -3309 970 Ft, from North Section Line PERMIT TO CONSTRUCT A WELL 212 Ft. from West Section Line 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 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 right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation 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 17. 3) Approved pursuant to CRS 37-92-602(3)(c) for the relocation of an existing well, permit no. /‘//i3. The old well must be plugged and abandoned according to the Water Well Construction and Pump Installation Rules within ninety (90) days of completion of the new well. The enclosed well abandonment report form must be completed affirming that the old well was plugged and abandoned. 4) Approved for a residential site of one acre in the NW 1 /4, NW 1 /41 Sec. 36, Twp.7 N., Rng. 66 W., of the 6th P.M. Weld County. 5) The use of ground water from this well is limited to ordinary household purposes inside one (1 ) single family dwelling, the watering of domestic animals, and the irrigation of less than one acre of home gardens and lawns. 6) The maximum pumping rate shall not exceed 45 GPM, 7) The average annual amount of ground water to be withdrawn shall not exceed three acre-feet. 8) This well shall be constructed not more than 200 feet from the location specified on this permit. 9) Verbal approval 91VE118 given 4/17/91 . -?LOVED: Alam:414144te---' 1:3-W-C /9a(3-u--,u2 BY Receipt No. 032452 DATE ISSUED A 2 7 1991 EXPIRATION DATE AUG 2 2 1993 State of Colorado Water Resources - View Well Details: Receipt 0324525B Colorado Department of Natural Resources Ceorado.gov Contact Us Colorado Division ofa • �� _ 7� �- .�'+�,,� .. J •'ran+,'..,,. �� ." .;, �+ • ,- .� , .\. �� Water Resources • ��. -Th _�. . :. 'L6'J ° "rte. —"'�-' ,,�,;,- ,. �..Y c '.- rocUsda70&.Colorado's Peb57e, li a'en::wti Stewa?dshrp, . ..,r :._,tee,. _.;,:�:....�:-� .,:.•_ .:. . Colorado's Well Permit Search - Permit Issue_dF_Comntetion.-Status Unknown lia0 1 I Last Refresh: 6/12/2012 12:01:21 AM Receipt: 03245258 Division: 1 Permit #: 161283- -A Water District: 3 4, Well Name / #: County: WELD • Designated Basin: Management District: • Case Number: WDID: it [- ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip J. Unknown - Present CAZER JACK D JR 36834 W CO RD 35 EATON, CO 80615 [-1 Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NW 36 7.0N 66.0W Sixth 970 N 212 W Northing (UTM y): 4487314.7 Easting (UTM x): 522478.1 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot • Parcel ID: Acres in Tract: 1 --] Permit Details • Date Issued: 08/22/1991 Date Expires: • Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: 91118VE it [ - ] Construction/Usage Details 1 !, Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate Lic # Name Address Phone Number Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [ -] Application/Permit History • Permit Issued 08/22/1991 Application Received 04/15/1991 [ - ] Imaged Documents Document Name Date Imaged Annotated Original File 12106/2007 No • Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home ) Contact Us I Help ) Water Links ) Cotorado.gov ) DNR ) Privacy Policy I Transparency Online Project (TOP) htip://www.dwr.state.co.us/Wel IPermitSearchNiew.aspx?receipt=0324525B[6/I2/2012 3:29:34 PM] GWS-24A 8/89 OFFICE OF THE STATE ENGINEER VERBAL FIELD INSPECTION REPORT APPLICANT J OcC C.Ci1 e)^ -3',�` . RPT TAKEN BY aQt DATE �--1)O)APPL.RECEIPT NO.(If known) INSPECTED BY .S0\11 Alar- AT ` ) 1U ) DIST ) REPORTED BY-103-)%n A coo, WELL LOCATION )41/4) 1/ 4 (,171/4 , SEC3 C , TWP.3N RNG b64) DIST ' S oQ0 naL -74 1O UNREGISTERED EXEMPT WELLS USE OF EXISTING WELL ( vi # OF SINGLE FAMILY DWELLINGS? ( WATERING DOMESTIC ANIMALS AND POULTRY ( `-' ) WATERING LIVESTOCK ON A FARM OR RANCH , # OF HEAD? 11) ( ) IRRIGATION OF C ‘ g(l,4 SQUARE FEET OF HOME GARDENS AND LAWNS ( ) FIRE PROTECTION ( ) DRINKING AND SANITARY IN COMMERCIAL BUSINESS , DETAILS OF BUSINESS ? DATE WELL CONSTRUCTED? \ - 1 5 EST . PUMPING RATE DATE FIRST USE FOR ABOVE PURPOSES DEPTH OF WELL c () TYPE OF WELL: DRILLED HAND DUG DEVELOPED SPRING NO . OF ACRES IN TRACT? \ O C , ANY OTHER WELLS ON PARCEL? ') L) , # ' S USED FOR == NONEXEMPT WELLS OLD WELL PERMIT NO . CASE NO . # ACRES IRRIGATED LEGAL DESCRIPTION AUGMENTATION PLAN NAME OR CASE # USES OTHER THAN IRRIGATION ! ARE THERE OTHER WELLS WITHIN 600 FEET? WILL THE REPLACEMENT BE CLOSER TO WELLS WITHIN 600 FEET THAN BEFORE? IS THE REPL BEING MOVE MORE THAN 200 FT? WHY OTHER WELLS USED FOR THE SAME PURPOSE? PERMIT # ' S SURFACE WATER RIGHTS USED IN CONJUCTION WITH THIS WELL COMMENTS NOTE : A WRITTEN REPORT MUST BE SUBMITTED • GWS -24 Rev 8/ 89 J VERBAL EMERGENCY REQUEST INFORMATION V# 9 / V F / l / ' File C # 17446 - 4 Office of the State Engineer Division of Water Resources ID ) - 1 CTY ejl- Ground Water Section Basin MD TAKEN BY GVC NAME OF CALLER _ DATE APPLICANT -f%t G CG1 a tr.' --.J r_ CONTRACTOR Lt 3 --) ADDRESS 36•R3# wry #34- LIC # PHONE Clran rP 8 0615 EXISTING PERMIT # L.,z PHONE 4-51- - C7r'� ( H ) ( O ) CASE # USE DerK" APPLICATION RECEIPT DATE CTY Weld DIST 1 LOCATION 0 k/ 1/4 Nh) 1/ 4 , SEC 36 TWPI' / Y b RNG C� f_A) PM 6 DIST FROM SEC LINES \Don (N ) - 4+-7-0-o (W) [ REQ FOR DB & Kd/KcJ LOT BLOCK FILING SUBDIVISION DIST & DIREC FROM OLD WELL ) 4{-- N L) DEPTH OF OLD WELL L o PROPOSED : DEPTH C_) , CASING PLAIN 51'vch,' PERF -g(5 , AQUIFER tN ( I )i} )-) vi REASON FOR EMERGENCY CPT c Y y-, Cc } ) Ap nsd\ DATE TO START 4i ) le ` COMMENTS : FIELD INSP REQ' ( Y ' tie DONE? ( Y) (I) BY? 3311 v IE n 52-AIDATE RECCSITHOM ) ( NOTE : ATTACH OF WRI ' PORT OR VERBAL REPORT) DWR STAFF RECOMMENDATIONS ¢ /dO /0 r / ital . ‘e) t BY 77227 VERBAL APPROVED BY DATE 1 -/0 - 9/ CONDITIONS }la- ft-Q 406--&-dam ..-3VERBAL GIVEN TO fJ ACS k BY ,0 DATE 4//0/ 2,40 c COt irS : (please add any additional information that might assist in the evaluation of this ( these) application(s). rig MAI We.' w: /f Le rfirdfccwialf l /60 'rte oil' agt +L..e di Asir--e /wig . 71-e ill met carrile, {6'147e/ 91 (-J2 tiyeg(fa/7;1v / reicic-/- 1,z-‘ . //as 2 eox/Vt. a S a. ze/et, .2 �tv h i ; G,�, `it/ / `et 56,0 h /,4 4' Cy rar 1 celled Jc d// r vP-�/' ?Pie r 0-491 9r/ 1/17.frn,a/ 1(024-W i h (-! 1, 4 447 . fl i 'PIA 6t/ -, P•e' CO2.7aal- 2 e l/Z c Tde% okget 'CCX ► ErCIAL WELL: 1. Type of Business 2 . Size of building (s) square feet. 3 . Number of employees 4 . Number of days per week business is open . 5 . Does the general public have access to the facilities? If so , estimate average number to daily use the facilities 6 . Pumping rate in gallons per minute . 7. Is there any other source of water used in conjunction with the well (s) ? , yes no . If yes , explain: Date // Oc Water sioner ,, District // '94 / . (use this space as needed for additional comments) G/ J • • RECOVED r 10 - 2- i7 - 01 tgr IARADD DIVISION OF R RESOURCES APR 15 91 C FIELD INSPECTION REPORT WATER RESOURCES _ STATE ENGINEER APPLICANT: OW Tack�k A Cou aP,, � r. PURPOSE OF INSPECTION; Late Registration )< Replacement x( Address : 34‘8M4 444 (T/9 71135 Abandoned Old Well Complaint ____ Other City: EG- 1°‘e (O. (f O 6 /5 Nature of Complaint Phone No. Home ?D ? - L/ 5y- X709 Office Person contacted, if not applicant: IACATION - OF WELL:: ibries f.t .. slam County L44 , M1/1/4a1/4 Type of Disposal System -f-Y, e s ew7 e S ysfen, Range , Townshi —774/ Sec . 3< D D feet from : and 0776 Total number of acres in tract on feet. from gi30 Section line . well is located Lot Blk Filing_ Subdivision : Are there any other wells /Ii(2 7 If yes , how many Used for : . PLEASE VERIFY THE HISTORIC USE AND THE CURRENT OR PROPOSED USE FOR LATE REGIS- TRATIONS (SF'$: BELOW) A. The use of the well described herein, prior to May 8 , 1972 , was : (4 ORDINARY HOUSEHOLD PURPOSES IN / SINGLE-FAMILY DWELLING (S) . (x) WAItRING OF POULTRY AND/OR DOMESTIC ANIMALS . (/<) WATERING OF LIVESTOCK ON FARMS AND RANCHES . HOW MANY HEAD 1 i hia) LOT YES NO . mil, `n 1n4 7 , '� Went v-e (\,1 IRRIGATION OF NO MORE THAN ONE ACRE OF HOME GARDENS S AND LAWNS # 3560 SQUARE-bwr. V) FIRE PROTECTION . * ( ) FOR COMMERCIAL WELL, SEE BBC OF THIS FORM. ( ) OTHER • 0- TYPE OF WELT. (DRILLED , HAND DUG , SPRING KEEL) /935 If spring well , give details on how and when developed 8 . The current or proposed use of the well (If different than stated above) : (over) •• INSTRUCTIONS FOR THE COMPLETION OF REGISTRATION OF DCISIING WELL ' ; s . IMPORTANT-INFORMATION: -CERTAIN WELLS NOT PREVIOUSLY REGISI tHLD OR PERMITTED MAY BE REGISTERED • PURSUANT TO C.R.S. 37-92-602(5). THE WELLS MUST HAVE BEEN CONSTRUCTED AND PUT TO BENEFICIAL USE PRIOR TO MAY 8, 1972 THE TYPES OF WELLS THAT MAY BE REGISTERED ARE IDENTIFIED AS FOLLOWS: 1 ) Wells not exceeding fifteen gpm which are used for ordinary household purposes, fire protection, the watering of poultry, domestic animals and livestock on farms and ranches, and the irrigation of not over one acre o home gardens and lawns, but not used for more than three single family dwellings. 2) Wells not exceeding nth/ gpm which are in production as of May 22, 1971 , and were and are used for the purposes described in (1) above. 3) Wells not exceeding fifteen gpm which are used for drinking and sanitary facilities in individual commercial businesses. 4) Wells used exclusively for fire-fighting purposes if said wells are capped: locked and available for use only in fighting fires. _ 5) Wells within Designated Groundwater Basins may be registered .provided they do not exceed 50 gpm and are used for not more than three single family dwellings and the irrigation of not over one acre of home gardens and lawns, or the watering of livestock on ran a and pasture. They may be used in one commercial business, but may be further restricted by applicable mound Water Management District Rules and Regulations. The Form must be typewritten or primed in BLACK INK Initial and date any changes you make on the form. INCOMPLET -FO;MS ARE- NOT ACCEPTABLE AND WILL BE RETURNED. ATTACH ADDITIONAL SHEETS IF MORE SPACE IS NEEDED. THE FEE FOR HUNG OF A LATE REGISTRATION iS $60.00 PAYABLE TO THE `STATE ENGINEER'. IF THE LATE REGISTRATION IS ACCOMPANIED BY AN APPLICATION FOR A PERMIT TO REPLACE THE EXISTING WELL IN THE SAME AQUIFER, THERE IS NO ADDITIONAL FEE 1 . Print the well owner's name and include the mailing address and phone number. 2. If the well location is different than the mailing address of the owner, include the address where the well is located. North Well. The actual well location must include 1 /4, 1 /4, Range, Township, Section and distances from Section lines. Mark the appropriate boxes for North or South and East or West directions. 3. Describe the use(s) to which the water has actually been applied. 4. Enter the date of first beneficial use by the original owner. This date must be prior to May 8, 1972. 5. Enter the total depth of the well. 6. Enter the pumping rate of the well in gallons per minute. 7. The annual amount of water diverted in acre feet must be indicated. One acre foot is equivalent to 325,900 gallons. An average home with lawn and garden irrigation diverts an average of one acre foot. Average home use which does not include lawn and garden irrigation (watering) diverts 1 /3 acre foot. 8. Report the area irrigated either as one acre, fraction of one acre or square feet by filling in the correct number and check, the appropriate box. You must describe the specific area irrigated using either the legal description of that land or by referencing the Subdivision, Lot, Block and Filing or Unit number. The watering of home gardens and lawns is considered irrigation and must be reported if the well is not used for irrigation, place a zero in the acres irrigated blank One acre is equivalent to 43,560 square feet. 9. The well owner must sign the form. Print or type your name in the first block if it is different from Item No. 1 . tf signing as a representative of a company who owns the well, then your title must also be included in the first block. Sign the second block and date the last block. The existence and use of the well must be verified by field inspection before the registration can be processed. For an inspection, contact the Division Office where your well is located. Divisions are based on major river drainage areas. For example, the Division One Office administers the South Platte River Basin. DIVISION 1 DIVISION 2 DIVISION 3 DIVISION 4 209 ARIX BUILDING 219 W. 5TH RM. 223 422 4TH ST. 308 S. FIRST ST. 800 8TH AVE. PUEBLO, CO. 81003 ALAMOSA, CO 81101 MONTROSE, CO. 81402 GREELEY, CO 80631 (719) 542-3368 (719) 589-6683 (303) 249-6622 (303) 352-8712 DIVISION 5 DIVISION 6 DIVISION 7 DENVER OFFICE 1429 GRAND AVENUE 320 UNCOLN AVE. STE. E 1474 MAIN ST. RM. 823 GLNWD SPGS. CO. 81601 STMBT SPGS., CO. 80477 DURANGO, CO. 81302 1313 SHERMAN ST. (303) 945-5665 (303) 879-0272 (303) 247-1845 DENVER, CO. 80203 (303) 866-3581 • kfre?-112 ORM No. STATE OF COLORADO For Oboe Use one6-- - __ T /Zig✓, o1ew OFFICE OF THE STATE ENGINEER ;� `/ e1e c.r,�.nr,�.+ �. 1313 Shuman St, one. Co�oredo eoQao _ _ , r� e6e-3561 . . .. .r . I FOR INSTRUCTIONS SEE REVERSE SIDE Q©R 1 5 `9 1 REGISTRATION OF EXISTING WELL • 1WA1ER 1RES^.Lhctz STATE ENGl`' 1. WELL OWNER NAME(S) Jack D. Cazer , Jr, Mailing Address 36834 Weld County Road #35 City, St. Zip Eaton , Co. 80615 Phone ( 303 ) 454-3309 . C9�.li-cl'c-2. A il r 2. WELL LOCATION: COUNTY Weld OWNER'S WELL DESIGNATION #1. r 36834 Weld County Road #35 Eaton , _ Co. 80615 (Address) (clY) (Son) RP) v' NW 1/4 ot ,t» NW 1 /4, Sec. 36 Twp. 7 ^I N. or ❑ S., Range 66 E. of I1 W. 6 P. Distances from Section Lines 1080 Ft. from fl N.. or Q S. Line, 276 Ft from Ill E. Of Ltd W. Line.j3. The well has historically been used for the following purpose(s): _ Domestic and Livestock 4. Water from the well was first used beneficially by the original owner for the above described purpose(s) on Summer 19 35 . 5. The total depth of this well is 60 faet+ 6. The pumping rate is 45 gallons per minute. 7. The average annual amount of water diverted isLess than 3 acre feet. 8. The land area of home lawn and garden irrigated from this well is: Less than one X Acre or U Square feet, (Number) described es: One Acre located in the NW? of the NW4 of Sec . 36i Two, 7 No , Range 66 Wes (Lactri ) or as Subdivision Lot(s) Block Filing/Unit I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowiedge. jPursuant to Section 24-4-104 (13) (a) C.R.S., the making of false statements herein constitutes perjure, in the second degree and is punishable as a Class 1 misdemeanor.) r - 9. Name/Title wise type or print) :signature Date Jack D . Cazer , Jr, Owner /41_ fi CP471.--Zc2---- 4-9-1991 a. FOR OFF E USE ONLY i State Engineer By Daze Court Case No. Div. / Co. 4 a- WD (13 Basin MD Use e - .- . 7L G Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 618 Centennial Bldg., 1313 Sherman St.. Denver, Colorado 80203 (303) 866.3581 LR WELL PERMIT NUMBER _duns - - APPLICANT DIV. 1 CNTY. 62 WD 3 _ DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION COUNTY WELD NW NW 36 JACK D CAZER JR _ 1/4 1 /4 Section 36834 W CO RD 35 Twp 7 N , Range 66 6 W 6th P M EATON , CO 80615 DISTANCES FROM SECTION LINES 303/ 454 - 3309 1080 Ft. from North Section Line REGISTRATION 2 6 Ft. from West Section Line OF EXISTING WELL 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 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 right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation 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 17. 3) This well is recorded, and permit approved, in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1)(e), being a well producing 45 GPM and used for ordinary household purposes inside one single family dwelling(s), fire protection, the watering of domestic animals and poultry, and the irrigation of not more than one acre of home gardens and lawns. ) The average annual amount of ground water to be appropriated shall not exceed three acre-feet. a a a44:164.". ... ''.79tisaLW 19,3124:0 •032452 1991 " . . .. .�� AUGAU� 2 By Receipt No. DATE ISSUED EXPIRATION DATE State of Colorado Water Resources - View Well Details: Receipt 0324525A Colorado Department of Natural Resources Colorario.gov I Contact Us "''�:'�'•�\" Ct . .� ,� � fix•+-t Colorado Division of �w -� ` � , ,, ' a Water Resources y • _ _ _ ..„ .� �6 wer 7 ■ .w rtFocustd oCQlorado's r?eo�Jle: 'rY��fer and/Stewardship�� .� ... :;wygY. . - , ..w._ -. .'T�>e.n•�� .�Ju.r. :•C Colorado's Well Permit Search Wet Constructed ' ,' I Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0324525A Division: 1 Permit #: 161283- - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: [- ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip • Unknown - Present GAZER JACK D JR 36834 W CO RD 35 EATON, CO 80615 • [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NW 36 7.0N 66.0W Sixth 1080 N 276 W Northing (UTM y): 4487281.7 Easting (UTM x): 522494.9 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot • Parcel ID: Acres in Tract: '• [ -] Permit Details Date Issued: 08/22/1991 Date Expires: Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS STOCK Special Use: Area which may be irrigated: Maximum annual volume of appropriation: 3 Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report ?, No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: - ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 60 45 [-] Application/Permit History Permit Issued 08/22/1991 Application Received 04/15/1991 Notice of Well Construction Report received 12/31/1935 [ -] Imaged Documents Document Name Date Imaged Annotated Original File 12/06/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us Help I Water Links I Colorado.gov I DNR I Privacy Polity I Transparency Online Project (TOP) http://www.dwr.state.co.us/WelIPennitSearch/View.asps:'rcccipt=0324525A[6/l2/2012 3:26:48 PM] Form STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS- I I 818 Centennial Bldg., 1313 Sherman St, Denver, CO 80203 q0 62 008 06/00 (303) 866-3581 Fax (303) 866-3589 CHANGE IN OWNERSHIP/ADDRESS CORRECTION OF THE WELL LOCATION . • . ._ ;RECEIVER_ • . . . * . insert the Well Permit Number , 2 -- 14544 - _ - ; .FEB 14 2002 . . Name, address and phone of the person claiming ownership of the well: STATE ENGSNEEA • COLO. NAME(S) Jack Renfroe If your welt has an absolute water right, decreed Mailing Address _ 6180 W . 10th Street by the court and the well is not registered with the State Engineer, enter the Water Court Case City, St. Zip Greece ,,, CO 80634 Number / Civil Action Number and well number as decreed. Phone ( ) This form is filed by the named individual/entity claiming that they are the owner of the well permitted as referenced above. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: County _ weld Owner's Well Designation (Address) (City ) • (State) (Zip) NW____1/4 of theSW 1/4, Sec. 36 , Twp. 7 !LC ] N. or S., Range • E b6 , . or x W 6th.,. P.M. Distance from Section Lines Ft. From P. N. or Li S., Ft; From E. or W. Line. Subdivision Name _ _ _ Lot _ , Block , Filing/Unit ____ The above listed owner(s) say(s) that he, she (they) own the well described herein. The existing record is being amended for the following reasons: L Change in name of owner , Change in mailing address 11 Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted after May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are) the owner(s) of the well described above and that the commencement of extraction of ground water from this Weil,- lawfully. made under the well permit, occurred on the date indicated, and that the statements made herein are true to my (our) knowledge. Please print the Signer's Name & Title Sig ature(s) of the new f . Date Jack Renfroe 01 - 16 - 02 It is the responsibility of the new owner of this to complete and sign the form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon its receipt. For Orrice Use Only • ACCEPTED AS A CHANGE IN OWNERSHIP AND/OR MAILING ADD ESS. • •' • • Z f APR 2 2 ?tin? State Engineer Dy Date ..w a.. ••ti.._-y—ar s.�.r-. ��.... •.• .. .. .- - .. .� .. ._ ..y.♦.4a��._r. .rr.a. as . M Y/W_ -mot N V�• . • • • �e ' ►e, to) r n.0r. Lav 1962 LAW OFFICES , fir,• • ��+�f ;.' t2:....,� �3�,U� HOUTCHENS, HOUTCHENS AND DOOLEY ,. C :IL.0 1007 NINTH AVENUE 1'�Yp�- �I�r �;� GREELEY. COLORADO 90631 ' ure ��'`l::iwi..1,� 6ARHAiPO HOUTCHENS TELEPHONE 352-4050 S. ROBEAY HOUTCHLNS AREA CODE 303 RODOCR I. HOUTCHENS JOHN J. DOOLEY October 30 , 1967 • Division of Water Resources Office of State Engineer Denver , Colorado Gentlemen : Will you kindly transfer the registration of the following described irrigation wells from Otto Anderson , Eaton , Colorado , to Margarethe A. Farr and James R. Parr , 998 Glen Drive , San Leandro , California : Irrigation Well No. 1 , situated in the NW 1/4 , SW 1/4 , Sec . 36 , Twp . 7N , Rge . 66W , 6 PM , Weld County , Colorado , assigned No . 14543 July 18 , 1960 . Irrigation Well No . 2 , situated in the NW 1/4 , SW 1/4 , Sec. 36 , Twp . 7N , Rge . 66W , 6PM , Weld County , Colorado , assigned No. .4544 July 18 , 1960 . . Will you kindly transfer the registration of the following described irrigation wells from Otto Anderson , Eaton , Colorado , to Anders W . Anderson , Wibaux , Montana : Irrigation Well No . 1 , situated in the NE 1/4 , NE 1/4 , Sec . 35 , Twp . 7N , Rge . 66W , 6PM , Weld County , Colorado assigned No . 14551 July 18 , 1960 . Irrigaion Well No . 2 , situated in the NE 1/4 , NE 1/4 , Sec . 35 , Tarp . 7N , Rge . 66W , 6PM , Weld County , Colorado assigned No. 14552 July 18 , 1960 . Irrigation Well No. 3 , situated in the NE 1/4 , NE 1/4 Sec. 35 , Twp . 7N , Rge . 66W , 6PM , Weld County , Colorado assigned No. 14553 July 18 , 1960 . Enclosed is our check in the amount of $5 .00 to cover your fees . Very truly yours , it? 12 • ,2 14 BH/w and outc ens Enclosure FEB it .. ... fcsipts oats Not ion ret4 to •$ I vent We! i Works, iteoswft °Mor' RI + j i ��s __ p; •. ' ? (Rev. ) E3G 11wF . ate— 7';51i STATE OF COLORADO EP 201960 DIVISION OF WATER RESOURCES APR 3 01960 OFFICE OF THE STATE ENGINEER, GROUND WATER SECifele WRIER SEM T REGISTRATION NO. ' r WELL °' STAlE ENGINEER Registrant 7�•yaoL �, l /A iiz� Date April 29 eg 19 60 , 9 et 424. • P. O. AddressAddress Aphrtiorit.g.ity , eclat WELL LOCATION WELL DATA County Weld �o Depth 60 v_ ft. Diameter 46 in. "- W e, SW I, Section 36 Casing : 30 ft. Plain; 30 ft. Perfor . ni/ - 7 N , Rge. 66 W , 6 PM Static Water Level 28 ft, from top Yield 90O (gpm)( s) from 45 ft. N Used for Irrigation onjat I 1 7 � 1 SWf, Sec . 36, Twp . GN Rge . 66 w 7 C� T _ _.. __� .. .. t (legal description of land or site) 0 e 1 Ok Water conveyed by Pipe size 12 inch '9► O s 1 E PUMP T $ / I i Type Turbine Size 8 inch i o I 1 0 R" Driven by 15 M. P . sec . at 11;60 _RPM to11-tio (" , I ( Well was first used cfs for Mr __sat irn using 900 _ gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged _ , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block . The above well MO (has not) been registered in the Office of the State Engineer prior to May 1 , 1957. If Registered give Filing No. . If NOT 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 0TTC ANDERSON this 3 0 `-- day of , 19 y (/ %Jr/{/� //�- . My commission expires _ l Registrant • (SEAL) a , Notar Pu tic FOR / GINEER'S USE IRRIGATION Located in ,Zst S district, County for i�� f \, APR 3 0 1960 • 6.P7‘.Registration No. in �' -� on _ . 19= 1 citgt4 STATE OF COLORADO / .- --- -.. OFFICE OF THE STATE ENGINEER Vt} nswei ... •u G.+w+r,ir Mb. 1313 Mwror t1.. Dar, Olino 4 Woos Mien _ - MAR 15 '91 PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE .SIDE WATER RES0U , CHANGE IN OWNERSHIP I ADDRESS STATE O R WELL PERD ff. LNESTOCK TANK OR EROSION CONTROL DAM 1 . CURRENT OWNq NAMES) Noffsinger Manufacturin3 Co . 2 Inc . Mailing Address P .O . Box 488 City, St Zip Greelezt Colorado 80632 _ Phone ( 303 ) 352-0463 A _ _ . . . 2. THIS CHANGE. * FOIE ONE OF THE F9LLOWT iG El WELL PERMIT NUMBER 14544R L] LNESTOCK WATER TANK NUMBER O EROSION CONTROL DAM NUMBER _ 3. WELL LOCATION: COUNTY Weld OWNER'S WELL DESIGNATION No . 2 oaks.) CGho ' (D 1�1 ) NW 1/4 av,. SW 1/4, Sec. 36 Twp. 7 ® N. « ❑ S., Range-66 paw o• 11 W. 6th P.M DilitanCi ?rpm Section Lines _ Ft. from O N. De O S. Line, Ft. from Ill E. or Ill W. Line, Subdivision - - Lot Block _ - Filing (Unit) . 4. LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION; COUNTY 1/4, Sec. Twp. MI N. Or L.__1 S., Range D E. Of E W. P.M. r ' - - _ 1l - -. r� 5. The above hsted owner(s) say(s) that he (they) own the structure described herein. The existing record S being amended for the following reason(s): III Change in name of owner, D Change in mailing address, 6. I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24.4-104 (13)(a) C.RS., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] Name 'itle (Please type or print) rSignat Date Noffsinger Manufacturing Co . , Inc . ~,,_ BY : Robert W . Noffsinger , Jr . , Pre:: -Z The lir g 3-7 -91 FOP OFFICE USE ONLY ' - 3/4""mer nir 'or v•-,.. -Pi . &fat 'a sk tire 1.1 0 Court „ , _ ___ ______-- Div. / Co, 4,2 WD, 3 . Basin MD Use -: State of Colorado Water Resources - View Well Details: Receipt 9062008 Colorado Department of Natural Resources Colorado.gov I Contact Us Coloradk &S onof n catrrces r � :1",^.t<• ,. '1 _ n• Tr `� v/•P 1 l .. .n3.�`.p .J�'- .•-�".:- on r p . Focci�eda.� Colorado s f'eoftl2;:.trllate;r.af7d:;Stewardshi�,. Colorado's Well Permit Search Well Constructed ► ► Nj Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9062008 Division: 1 Permit #: 14544-R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: 0305962 - FARR WELL 2-14544 [-] Applicant/Owners History• _ Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present RENFROE JACK 6180 W 10Th ST GREELEY, CO 80634 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW SW 36 7.0N 66.0W Sixth Northing (UTM y): 4486607.7 Easting (UTM x): 522571.4 Location Accuracy: Spotted from quarters • Physical Address Subdivision Name City/State/Zip Filing Block Lot S Parcel ID: Acres in Tract: [ - 1 Permit Details Date Issued: Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: • Maximum annual volume of appropriation: ~. Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: [-] Construction/Usage Details -- a Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 60 28 900 z [ - ] Application/Permit History Ownership Change 04/22/2002 [-] Imaged Documents Document Name Date Imaged Annotated Original File 12/08/2007 No Change In Owner Name/Address 12/01/2007 No Copyright C2 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov j DNR I Privacy Policy J Transparency Online Project (TOP) http://waw.dwr.state.co.us/WellPennitScarchNiew aspx?receipt=9062008[6/12/2012 11 .16:18 AM) i • Form T'STATE OF COLORADO RECE1 _ffice Use Only No. OFFICE OF THE STATE ENGINEER GWS- 11 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 1/2009 Phone — Info: (303) 866-3587 Main: (303) 866-3581 SEP 2 7 nil I Fax: (303' 866-3589 http://www.water.state.co.us ATER CHANGE IN OWNER NAME/ADDRESS "'STA E ENGiNi RESOURCE; CORRECTION OF THE WELL LOCATION COLO Review instructions on the reverse side prior to completing the form. Name, address and phone of person claiming ownership of the well permit: NAME(S): WELD COUNTY SCHOOL DISTRICT NO. RE-2 Mailing Address: 200 PARK AVENUE City, St. Zip: EATON, CO 80615 Phone: (970) 454-3402 E-mail (optional): This form is filed by the named individual/entity claiming that they are the owner of the well permit as referenced below. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: Well Permit Number: 14543-R Receipt Number:9062007 Case Number: County WELD Well Name or # (optional) FARR WELL 1 (Address) (City ) (State) (Zip) NW1 /4 of theSW 1/4, Sec. 36, Twp. 7 ® N. or O S., Range 66 , E. or ® W., 6TH P.M. Distance from Section Lines: Ft. From ❑ N. or Li S., Ft. From E E. or Li W. Line. Subdivision Name Lot , Block _ , Filing/Unit The above listed owner(s) say(s) that he, she (they) own the well permit described herein. The existing record is being amended for the following reasons: ® Change in name of owner ❑ Change in mailing address Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location . I (we) claim and say that I (we) (are) the owner(s) of the well permit described above, know the contents of the statements made herein, and state that they are true to my :our) knowledge. Signa s f the new ow Please print the Signer's Name & Title Date . /2_ j. le .7 ( O tr'iy ft. tri He ( S . ste,..\A..clit ,: . .26 -1/ It is t e resp sibility of th new owner of this well permi to complete and sign this fof . Signatures of agents are acceptable m if an origins etter of agency signed by the owner is attached to the form upon its receipt. For Office Use Only ` 'I .D AS A CHANGE 1N 0WNERSHII 'Lt .4TUNG ADDRESS. 94elitireit A / 1 ple(i_rii.c.•4'4- 4 -",--- Jr- -4(-1.4--1 0-,---.., el? --,2e-- 1/ State Engineer By Date Form STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS- 1 l 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 9o(7 2- Qv7 06/00 (303) 866-3581 Fax (303) 866-3589 • CHANGE IN OWNERSHIP/ADDRESS. ` r.CEIVED • CORRECTION OF THE WELL LOCATION . ' . FEB .1 4. 2002 Insert the Well Permit Number. 1 - 14543- • w �it ENcKJ - aoto. Name, address and phone of the person claiming ownership of the well; NAME(S) Jack . Renfroe ^ 11 your well has an absolute water right, decreed Mailing Address 6180 W . 10th Street by the court and the well is not registered with the State Engineer, enter the Water Court Case City, St. Zip r;ree 1 ey � R 0 �4 Number / Civil Action Number and well number as decreed. Phone ( This form is filed by the named individual/entity claiming that they are the owner of the welt permitted as referenced above. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: County weld Owner's Well Designation _ (Address) (City ) (State) (Zip) NW _1/4 of the SW 1/4, Sec. 36 , Twp.. . _7 ... d N. or n S. , Range- .b6- - - E. or X W6?th P.M. Distance from Section Lines - Ft. From N: or-. -- S., • Ft. From LL E. or • W: Line. Subdivision Name Lot , Block , Ellin /Unit The above listed owner(s) say(s) that he, she (they) own the well described herein. The existing record is being amended for the following reasons: (XIth� Change in name of owner Change in mailing address Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted after May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are) the owner(s) of the well described above and that the commencement of extraction of ground water from this well, lawfully made under the well permit, occurred on the date indicated, and that the statements made herein are true to my (our) knowledge. Please print the Signer's Name & Title Sig ature(s) of the new w ter. Date Jack Renfroe 01 / 16/ 02 It is the responsibility of the new owner of this well to complete and sign the form. Signatures of agents are acceptable if an original letter of.agency signed by the owner is attached to the form upon its receipt. - 1 . For office Use Only ACCEPTED AS A CHANGE IN OWNERSHIP ' AND/OR MAILING ADDRESS. . - h 2,•O1TheAPR 2 2 2002 State Engineer By Date cradleReceipts and Notices std to Oliver Ple1.1t. Greel Cotorad9 fn F (Rev. ) .;,;,.) a, i I . 7 - 57/5M FEB 8 1958 STATE OF COLORADO 1J -.� oct 141880 DIVISION OF WATER RESOURCES .4 PR 3 01969 OFFICE OF THE STATE ENGINEER, GROUND WATER SECT 111) WATER SECT. IC •'�a' C' '! r.:: REGIS RATION NO. -_ WELL ED; RegistrantSTATE iNoifliFER tea- Date April 29 19 60 f 4 -P. O. Address err-' t- ed. e , - : WELL LOCATION / WELL DATA County Weld 2 Depth 119 ft. Diameter 145 in. . IS NW L, Sts 1 Section 36 Casing : 29 ft. Plain; 20 ft. Perfor . J Twp . 7 I�1 , Rge . 6 _, 6 PM Static Water Level 28 ft. from top Yield 500 (gpm) ( s) from 45 ft. N Used for Irrigation on/at I SW 10 Sec . 36, Twp . 7 N , 1Rge . 66 W Ir I I -- — (legal description of land or site) to. 'C _ j I Ditch ��' �-� I I E Water conveyed by , size tf` R PUMP DATA T Turbine 6 inch ip .,/ 1 Type Size �/�i O a Driven by 71 H . P . 71 e • at 1760 RP 3a * I to I Well was first used Jae , 19 34 cfs vO • 8 for Irr i gat on using 5D0, gpm W L TO BE LOCATED AS ACCUR - ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpra)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or-S 'Sdivision street address or Lot and Block The above well 03OG (has not) been registered in the Office of the State Engineer prior to May 1 , 1957. If Registered give Filing No . If NOT 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 CfT'T0 ANDERSON •S 04"1-"C day r . this IS of , 19 :-� 'r'f"` Y " k My commission expires __. //! (go/ Registrant (SEAL) LC a /' - Notary Pu lic ' FO T TE INEER 'S USE IRRIGATION f ? �1 Located in /r 2 district; ` County for 1 I1.,7 1 N V 70CcAPR30 1960 Registration No. in .3 , on , 19 . r , ORADO OFFICE OF THESTATE OF L ENGINEER RECEIVED eta oral +w Sion Dew Otani, CI IMIN. 5 '91 PRIOR TO COMPLETING FOAM, SEE INSTRUCTIONS ON REVERSE .SIDE= WATER RESOURCES CHANGE IN OWNERSHIP / ADDRESS STATE ENGtNEEP COLO WELL PERMIT, LNESTOCK TANK OR EROSION CONTROL DAM 1. CURRENT OWNER NAME(S) Noffsinger Manufacturing Co . , Inc . Mailing Addross P . O . _ Box 488 _ _ City, $t, Zip Greeley , Colorado 80632 _ P,'ione ( 303 ) 352-0463 2. THIS CHANGE IS FOR ONE OF THE FULLQW1NGi WELL PERMIT NUMBER 145438 1.1 UVESTOCK WATER TANK NUMBER 0 0 EROSION CONTROL DAM NUMBER _ 3• WELL LQcATt9f1: COUNTY Weld OWNER'S WELL DESIGNATION No . 1 Nis? (city, ' tom) RAP) NW 1/4 ors SW 1/4, Sec. 36 Twp, 7 El N. et Q S., Range 66 II E. a W. 6th P.M. Qi tgn¢u from SectiOnSine$ Ft. from LJ N. a N S. Line, Ft from Q E. of W. Line, Subdivision Lot Bioc k Filing (Unit) _ 4. LIVESTOCK TANK OR EAO$IOw CONTRQl SAM LOCATION ; COUNTY 1/41 Sec. Twp. - FIN. or LI S., Range E. a L_t W. P.M. 5. The above listed owner(s) say(s) that he (they) own the structure described herein. The existing record is being amended tor the following reason(s): El Change in name of owner. Li Change in mailing address. 6. I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. (Pursuant to Section 24-4104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in' the second degree and is punishable as a class 1 misdemeanor.) Name/Title (Please type or print) Signature Date Noffsinger Manufacturing Co . , Inc . 3 -7 -91 BY : Robert W . Noffsinger , Jr . , Pres " � vie ammaimml FOR OFFICE USE ONLY s � ` •�• y'{�/-jam' t •. � � � ems by Court Case No. Div., ,,, Co. 69, WI) 3 Basin MD Use _ State of Colorado Water Resources - View Well Details: Receipt 9062007 • Colorado Department of Natural Resources Colorado.gov 1 Contact Us Colorado Division of r ♦-.r.W._ .++.+�A.. ��. ♦ iG9s�`�m,,,1y��yww.Vi� Jw .. ,..,..a1 ..y. r�w•l w+ +� i\ '�., �1 Waiter Resources =. : 1M ., _ ,.. ,� -. - - roc! 's teweird -�-�`" " :�� • =�oc�rsed'on Cola c ��'t��ple,:lNa�er:and S � sc?,;) .- ,w . ,.cam: .�..r0. . . .7 1•b.. Colorado's Well Permit Search Well Constructed ;irk, • Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9062007 Division: 1 Permit #: 14543-R - Water District: 3 Weil Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: 0305545 - FARR WELL 1 -14543 [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown Present WELD COUNTY SCHOOL DISTRICT NO RE 2 200 PARK AVENUE EATON, CO 80615- r [ - ] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW SW 36 7.0N 66.0W Sixth Northing (UTM y): 4486607.7 Easting (UTM x): 522571.4 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [ -] Permit Details Date Issued: 04/30/1960 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: ft Maximum annual volume of appropriation: 3 Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: .1 IH ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 07/01/1934 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 49 28 500 [ -] Application/Permit History r, Ownership Change 09/28/2011 Permit Issued 04/30/1960 First Beneficial Use 07/01/1934 [-] Imaged Documents Document Name Date Imaged Annotated Change.irLQ.wneLName/Address 10/11/2011 No RegistratiarLota texistingwell 12/08/2007 No Chanel' OwneLName/Address 12/01/2007 No ti Copyright Q 20O9 Colorado Division of Water Resources. All rights reserved. i' Home I Contact Us I Help Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr_state.co.us/WcllPennitSearch/View.aspx?receipt=9062007[6/12/2012 11 .18:37 AM] .- � ., r r - 3 'Sbmt_t6 IRRIGATION *imam)G LESH DR ILLING ffi c. DoMESTIC STOCK WELLISb NSHIN Al1Ll', COLO. 8061O • RECEIVED ED JR. 834-2?14 19g4LDD JR.834-2?14 1924 �.� 113 South Hwy. 85 Qs p0. 0— .1! • 834-2 v77 - 9f38 Vain ittlOaCTS svat• EfiGhtia AIR PERCI,JSStON MOUNTAIN DRILLING pt*mbtr 10th, 1984 Colorado Dividicn of Water Resources 1313 Sherman Street Denver, Colorado 80203 Dear Sirs : An application was mailed on July 26th , 1984 requesting areplacement permit for the en- closed described well.. Your office has no record of receiving either the application form or our check for $10, 00. Because of plowing and work the customer wishes to accompolish this fall he feels a need to have our equipment out of the field as soon as possible. The field was planted to onions that are now being harvested. The Wilson ' swould greatly appreciate anything that you can do to expidate the issuance of their permit. Thanking you. Sincerely, ( 1/C." Fed AA aidAtitona-i f 4 /4r. 9f 1/99 , L,Jr. (5) THE LQCATFlR' OF THE PROPOSED WELL and the area on (6) THE WELL MUST8E L0CATED,JBELQW which`Mie 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. ` _i_ � ft, from North sec. line 4- -- -^f_ - [ - • -I — --t- — - �- — I — �-- — (north or south) I 4• 1 MILE, 5280 FEET -----}I _9 _. ft. from _ West set, line "' (east or west) + .+ 4 + #- --t- 1- + ± LOT BLOCK FILING I W --i — NORTH SECTION LINE _ _ t SUBDIVISION _� I I l (7) TRACT ON WHICH WELL WILL B NORTH LOCATED Owner Sim -�- --- _ m -!- — + No, of acres 160 . Will this be J cn c I l No o l , m the only well on this tract? . ! - {- -f- �. ( n - - - w o (8) PROPOSED CASING PROGRAM I i I I r I Plain Casing vi ^_}r - - 4- +m + i- 16 . in. from 0 _ ft. to 55 ft I in. from ft. to ft. _i-- -+-- l — __ — -1- Perforated casing SOUTH SECTION LINE I16 in. from 55 . ft. to 70 _ ft. -F -I- -4- Ji- -i- 4- in. from _ ft. to ft I 1 1 f I (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging _I-- -- - (- -- f -- + + — +- — I — -;-- --- + it: The scale of the diagram is 2 inches = 1 mile New well to be 50 ' West of the old Each small square represents 40 acres. _ well, plugged and abandoned in WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre at land 1 foot deep accordance with the book of rules 1 cubic foot per second Ids) . . . 449 gallons per minute (gpm) A family of 5 will requirg approximately 1 acre-foot of water per year. and regulations . 1 acre-foot . . . 43.560 cubic feet . . . 325.900 gallons. 1 ,000 pom pumped continuously for one day produces 4.42 acre-feet. - _. A _ ( 10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s) . T. K. Farms , Inc, _Oluane A. Wilson , President) No. of acres: 160 Legal description: 160 Acres in the Intii of NA of Section 36 , Pep, 7 N. Range 66 W. 6 PM ( 11 ) QUA LED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be vied. ( 12) OTHER VIALLELBIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which used Irr. Well #1-12316 Irrigation Irrigated farm Thnri ( 13) THE APPLICANT (S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS • TRUE TO THE BEST OF HIS KNOWLEDGE. 77< fifThs iv � If\ y� 7 (2-4-24-jarel SIGNATURE OF APPL (CANT(S) Use additional sheets of paper if more space is required. y' Wt4•S•Rsv: 76 COLORADO DIVISION OF WATER RESOURCES RECEIVED 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 SEP111984 PERMIT APPLICATION FORM wtitr >? fii.SOORCES Application must SIAM - EMQIN be complete where (X ) A PERMIT TO USE GROUND WATER E applicable. Type or bC ) A PERMIT TO CONSTRUCT A WELL COAL print in BLACK FOR : (x ) A PERMIT TO INSTALL A PUMP INK. No overstrikes or erasures unless (ix ) REPLACEMENT FOR NO. 2-12317 initialed. ( ) OTHER WATER COURT CASE NO ._ Ws-2645 ( 1 ) APPLICANT - mailing address FOR OFFICE US QNLY : DO NOT WRI E IN THIS COLUMN ,tf c/ �1° 44K . '7)&1441, 4 �}t.c 1ct.i . T. K. Farms Inc by Duane A. Wilson NAME • Receipt No. q3 a 4"o / ), al STREET 620 Cheyenne Avenue Basin Dist. Eaton, Colorado 80615 CITY (State) (zip) CONDITIONS OF APPRQUgL • TELEPHONE NO. 454--2269 This well shall 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 right or preclude another owner of a vested water County Weld right from seeking relief in a civil court action. NW '/ of the NW '4, Section 36 1) APPROVED AS A REPLACEMENT OF. AN EXISTING WELL PERMIT NO . 12317—R , DECREED BY THE DIV . 1 WATER Two, _l___ _ _ , Rog, . 66 . 6 P. M. COURT AS WELL NO . 2 IN CASE NO . 14-2645 . THE tir,.sI ir.'m EXISTING WELL MUST BE PLUGGED AND ABANDONED I (3) WATER USE AND WELL DATA ACCORDING TO THE RULES AND REGULATIONS FOR WATER WELL AND PUMP INSTALLATION CONTRACTORS . THE ENCLOSED AFFIDAVIT FORM MUST BE COMPLETED AND Proposed maximum pumping rate (gpm) 900 - SUBMITTED WITHIN SIXTY (60) DAYS AFTER THE CON— Average annual amount of group water STRUCTION OF THE NEW WELL , AFFIRMING THAT WELL to be appropriated (acre-feet) : 45O hared K41-12316 NO . W-2645 WAS PLUGGED AND ABANDONED. 160 Shared /1-12 16 2) A TOTALIZING FLOW METER MUST BE INSTALLED ON Number of acres to be irrigated: THE WELL . ANNUAL DIVERSION RECORDS SHALL BE Proposed total depth (feet) : 70 . MAINTAINED BY THE, WELL -OWNER AND SUBMITTED TO THE DIVISION OF WATER RESOURCES , UPON REQUEST . Aquifer ground water is to be obtained from : ' 3) THE PUMPING RATE OF THIS WELL SHALL NOT Alluvium EXCEED 900 GPM (2 . 00 CFS ) . 4) APPROVAL OF THIS REPLACEMENT PERMIT SHALL Owner's well designation Irrigation #2 NOT RESULT IN AN EXPANDED USE OF GROUND WATER . GROUND WATER TO BE USED FOR ; THE USE OF GROUND WATER FROM THIS WELL COMBINED WITH APPLICANT ' S WELL , PERMIT NO . 12316-R AND ( ) HOUSEHOLD USE ONLY - no irrigation (0) APPLICANT ' S SURFACE RIGHTS ARE RESTRICTED TO ( ) DOMESTIC ( 1 ) ( ) INDUSTRIAL (5) IRRIGATION OF 160 ACRES IN THE NW's OF SEC . 36 , ( ) LIVESTOCK (2) (x ) IRRIGATION (6) T . 7 NORTH , R . 66 WEST , 6TH P .M. { ) COMMERCIAL (4) ( ) MUNICIPAL (5) _ t(rn 2112-4-LM--- ( ) OTHER (9) _ _ APPLICATION APPROVED DETAIL THE USE ON BACK IN ( 11 ) PERMIT NUMBER -- 1 A l 1 r (4) DRILLER DATE ISSUED NOV 1 c7 9 1984 Name LESN DRILLING, INC. EXPIRATION DATE N O V 'j l 9 198Q 5. _ - Street Box 56 a . xl,.. ..4..„. City Ault, Colo, 8O61O (STAT ENGINEER) (Mate) (Zip) \---t Li c.L 21 B f , .*L - � - •- - ' Telephone No. c. No. I-D. /r 3 _._ COUNTY la • L.� zrist I 4. :: - , RECEIVED ?4 STATE G. COLORADO - OI'T SI oN or a1TER RESOURCES O C T 0 9 19-8 i FIELD TVCP'2C.TON REPORT WAIFS USOURCtS DAZE• ENGINEER ?;PS OU COh'r.C ED : . PURPOSE OF 1SPECtI O T : MIA :lame LAtic W : ISO„/ Late Registration Abandoned old Well Add.res3 LZa , E E , Replacement A , Construction City Ufa r i i_ Cp/o. $Qia ES a Complaint 5.,r„ Other 415. ".1 - 7.- 70/ 15 ?hone :To : Rome di la_— Z „� , _ 'Tatum of Complaint Office sta- nip? Owner eleiTenant Other tes;c1crF-� oI -tk_ �me • LOCATION: County. �._r 141. , AA V IA, can/ 1/4, Section %Sp, Township 7a _ Range , IAD , LIS feet from et and 9425 feet from 0 0 Sectiort Elite . Filing Current Use of Property LT.k� .,. SOURCE Or WATER rr NOT 3Y.. SUP. Cr WELL: Z R: 17, i rr Late %Cb c_ ,.. i n . ?snit *To. 1z 3 I ' , Use of Water 'nQ: G. :.. 4 6 cr4e of nlr,r d' s4 - 4— LID :tell Seal Grout �- Meter .310 . kiltarM iauts 0. P=p sire and type' - IS + a MOcA 'e;ss . Distance fromsource of pollution _ — feet, t•, "' O3SaVATIOU : e Lk - i., ac. 0 -- 91 ((0 — ' A a; S ,/'t t, t „4 , -% _ L- 611 S S I'i ' L� ,A ri o a C0 4` i .5 : R , - --s `-' LA 1( ` L. R qi n 1 r " ell-l— cs ..�... i. a AGES Z- s A Y Sees+ S ,►,/ 1 ,LI 4 G is z. s ��/�c '� e.e 7 I 4 c r e. la .$E11Sb11 I e CA k,ra u unlit-54 _ Majec is tic) _ C4 jt 64 the hype.. -- - By .....-2:3---443;•-. As.Arse"._ Lst1eS gate /.0-1--89 (Use bazk of this form for additional space for comments ) PUMP INSTALLATION REPORT .. �'••; `4 + Y t",7 o ' Pump Make Gould. . - ••e. - ,c, ' 1." Type Turbine i• : , 4 �� Powered by Elt trio HP U -- ( _�'''� A A A j 1/41 Pump Serial No. K-14� i '' ;1r ` = 4 WATER y Motor Serial No. Unknor�n '�' • mil' •�' . �► > TABLE ' .' �,.: :i Date Installed 11- 29-84 �- � w v a te} � Pump Intake Depth 48' 8" r •��' La ~ i , Remarks r 7 . e 1; t ',' N ' ;, -; -' .. • 1 ! f W •. / x .• r .q WELL TEST DATA WITH PERMANENT PUMP a I 7 • Date Tested 11-29•-8)4 CONE OF w a �, •`'` DEPRESSION : it Static Water Level Prior to Test _ ?.6 ._. 2b'?±". __ o g of i Le'--'th of Test 4 Hours . , ' i Sustained yield ( Metered) 900 GPM r . , �J Pumping Water Level 38 ' 8" _ _ ____ Remarks _ . _ - --.-- ' t r fir •r' r N r .. CONTRACTORS STATEMENT. 5 The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon ; th read the statement made hereon; knows the content thereof, and that the same is tr is o howl e. Signature - r— License No. 21 State of Calorado,_Cfi.i ty of _ ¶2'- taczf SS T-43 ' /�-� , 19 / 'L Subscri�e� a��`sw0 + to Mere rite this•.__ day of 1� yM Expires Jul L�`•. �� 'J�:.`I zA�1�1 Commission p' _y 30, 1988 C '- My Qornthission expres: -- • , 19- _ - • 615 1st- Averico Notary, public,.ce . Ault, CO 83 3I 1 FORM TO BE MADE OUT• IN QUADRUPLICATE: WHI-TE. FORM must be an original copy on both sides and signed, WHITE AND GREEN copies must be fited with the State Engineer. PINK COPY is for the Ownor and YELLOW COPY is for tha Driller. a ?MM.20 7t., COLORADO DIVISION OF WATER RESOURCE RECEIVED THIS FORM MUST BE SUBMITTED 1313 Sherman Street - Room 818 DEC 0 6 1984 .-WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRIBED HERE. Vail OUP ON, TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT alliiMillat INK. PERMIT NUMBER 1112317- . la WELL OWNER T.K. ?arms Inc . Duane Wilson ? % of the _...� 'A of Sec. . _... 36 , ADDRESS .,. 620 Cheyenne Ave . -Eaton. Colo. • 80615 T. .. 7. N , R. _ 66 W 6 P.M. DATE COMPLETED 11-9-81+ .._ _ . , 19 _... HOLE DIAMETER WELL LOG 28 in. from 0 to 59 ._ ft. Water From To Type and Color of Material Loc. --- gin. from _ to _ ft. 0 26 *Topsoil and Sandy Clay ' 26 56 Sm. to Bed. Loose Gravdl w/ — in. from —_ . _ to ft_ • 3ouldersand Concretion. DRILLING METHOD Reverse Rotary . . 56 59 'Weathered Shale CASING RECORD: Plain Casing Size . _1_6._ & kind Steed. from . 0 to _ 39 ft. Size _. & kind ____ from to ft. • Size & kind . _ from ._ to , ft. Perforated Casing Size i6 . & kind Screen _ from 39 . r. to 59 ft. • Size . & kind _ _. from .. _ to ft Size & kind . _. 1 from to _ ft. GROUTING RECORD Material _- _. Cement Intervals 0 - 10' . .. Placement Method - Poured GRAVEL PACK: SiZe .._ - .. _ 3/4" Interval . ... 10 - . D i _ TEST DATA Date Tested _ 1t-29-$4 , 19 . . . 26 ' 4" Static Water Level Prior-to Test:- ••r\.. M ft. Type of Test Pump: - Ttaebi riid2 Length of Test 4 floats' . Sustained Yield (Metered) - 900 GPM TOTAL DEPTH 59' _. Use additional pages necessary to complete log. Final Pumping Water Level v _ . 35' 8" J •. . . . •' r Well drilled by Lash Drilling Inc . Lic. No. 21 Permanent by Lesh Drilling Inc , 21 Pure)) installed Lic. No. Meter Serial No. 82196O _ ® Flow Meter Date Installed ._ - 11.29-84 Owner of land on which T, K, Farms Inc . - Duane Wilson water is being used �- THE LOCATION OF THE WELL MUST BE SHOWN AND FOR LARGE CAPACITY IRRIGATION WELLS THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well , if possible. I . 1 1 __, ._ + — + + - -r- + + + • , I 1- I - 1 - I I + -4- + + + + — + NORT H_____777TH SECTION LIt'IE -_- } { NORTH / - + — + ri..411 _ .., N J 1- - 1.. !l f (Zj 1 •SS ---- F--- - I o , l — - -T 1 z ' 2 u� r in + R^ Q I_ ♦s Ill I SOUTH SEC f ION LINE I _I-+ + --t••- + I + -- + - - + .w E THE SCALE OF THE DIAGRAM IS TWO INCHES E UALS ONE-MILE — — -F - + ± ---- + -J -.4--1 MuIe WATER EQUIVALENTS TABLE ( Rounded Figures) An acre• foot covers 1 acre of land 1 foot deep. H 1 cubic foot per second (cfs) . . 449 gallons per minute (gpm) . -- 1 acre- foot . . . 43, 560 cubic feet . . . 325,900 gallons . 1 , 000 gpm pumped continuously for one day produces 4. 42 acre- feet . . 100 gpm pumped continuously for one year produces 160 acre-feet. ( WHITE AND PINK COPY TO BE FILED WITH THE STATE ENGINEER PINK COPY WILL BE RETURNED TO OWNER) —• - •- - 1 e. w,.....5.75L. RECEIVED t COLORADO DIVISION OF WATER RESOURCES DEC 41984 TAPE OR 818 Centennial Bldg., 1313 Sherman St. WA'MR Ma PRINT• IN BLACK Iwk. As COPY OF ACCEPTED' Denver, Colorado 80203 NM STATEMENT MA-(LED *4 ON REQUEST ' STATE OF COLORADO AFFIDAVIT SS. COUNTY Of= Weld r • • X STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD ct LATE REGISTRATION PERMIT NUMBER R-12317-RF . LOCATION OF WELL THE AFFIANT(S) T . K. Farms , Inc. - Duane Wilson C,,,fo,Y Weld whose mailing address is 620 Cheyenne Avenue - . ._ — Nii 'A d The ' Nii ti. Section 36 •1 City ,- Twp. Eaton , Colorado 80615 _ ._ .___7___ N , Rn 66 W • ,L M P Isr•il) •. • int') 'N Op 91 9• IF 04 yr) being duly sworn upon oath, deposes and says that he (they) is (are) the owner( s) of the well described hereon; the well is located as described above, at distances of ._ _ . _ feet from the North section line and 930 feet from the (NCtals (mA nun' West section line; water from this well was first applied to a beneficial use for the purpose( s) described herein on the ..9, 4VeST 04 wrist) November 8 day of _ ,� . 19 ; the maximum sustained pumping rate of the well is 900 gallons per minute, the pumping 3/4 rate claimed hereby is _ 9OO gallons per minute; the total depth of the well is 59 feet; the average annual amount Shared with 1-12316 of water to be diverted is 480 acre-feet; for which claim is hereby mode for Irrigatinri purpose( s); the legal description of the land on which the water from this well is used is 160 acres in the NW4 of the NW4 of Section 36 , Pwp 7N, Rng 66W , 6 PM .� of which • 1/n acres ore irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his (their) knowledge. a ( MPLETE REVERSE IDE OF THIS FORM) Signatures) T/Lfnns 'l�le!.._..» Subscribed and sworn lit FOR OFFICE USE ONLY to before me on this a ~ day of !k �l-�!a-.•≥K -l-iAL , 19 LAA Court Case No. , My Commission expires . My Convnisslon Expires July, 30, 1988 In ♦l1 Prior. Mo. Doy Y. . . _. • ,Qtb.w96_,...... •.QTAAY ',motile Div. I . Cty. 4 a-• - . , ACCEPTED FOR FILINQ; BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOI ,OWING CONDITIONS: Sec — A- — A. Z. CLEue\ i«t URNHA?4 Well Use - 615 1st Avenue . ' Autt. CO 60610 Dist. QN_— Rosin Mon. Dit , • -- • V'T'R 1 it .. • GATE ST Air ENGINEER - - 13Y State of Colorado Water Resources - View Well Details: Receipt 0249383 Copyright © 2009 Colorado Division of Water Resources. All rights reserved. • Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitSearchfView.aspx"receipt=0249383[6/I2/2012 3:37:07 PM) State of Colorado Water Resources - View Well Details. Receipt 0249383 Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of * i _ 4` ' • -� !' ....:.,.. �] .y y �" ,q.� �1Lalczltpp of ♦ .< + f Water Res o u ryes , _ .i -> :-. e ,g.. .-allII aessi —r ' A.,,,;::t--- - - rte, O.Oussed on Colorado's People, Water:and�S ire- `sni - .r._.- ra Colorado's Well Permit Search WellConstruoted IIIIIIIETZ Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0249383 Division: 1 Permit #: 12317-R -R Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: 0305604 - WILSON WELL 2-12317 [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown Present. T.K. FARMS EATON, CO 80615 [ -] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NW 36 7.0N 66.0W Sixth Northing (UTM y): 44874127 Easting (UTM x): 522627.6 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [- ] Permit Details Date Issued: 11/19/1984 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: • Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description v, Permit(s): 123172_- 9061111 Comments: [ - ] Construction/Usage Details Well Construction Date: 11/09/1984 Pump Installation Date: 11/29/1984 'I Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 59 39 59 26 900 Lic # Name Address Phone Number k Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 r Pump Installer 21 LESH JR., ED 80X 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [- ] Application/Permit History `t Pump Installation Report Received 12/06/1984 ai Well Construction Report Received 12/06/1984 r Pump Installed 11/29/1984 Permit Issued 11/19/1984 I. Well Constructed 11/09/1984 Application Received 09/12/1984 [ ] Imaged Documents k` Document Name Date Imaged Annotated Original Replacementfile 01/13/2010 No Fittp://wwm dwr.state.co.us/WellPcnnitSearchNiew.aspx?receipt=0249383(6/I2r2012 3:37:07 PM] eri titi Rtd.91lver WAS. .Graeley 5/27 - ,. .# tForlt F (Rev. ) litEREP" r ' :-. '\ y"`''°7 -57/5M STATE OF COLORADO a•• , DIVISION OF WATER RESOURCES APR 25 1961) . OFFICE OF THE STATE ENGINEER, GROUND WATER SECTOMIND Wi• . REGISTRATION NO. 1 's6F WELL to o COLS .': STATE f :0r' . • Registrant _ Gordon Wilson Date April 14 19 60 P. O. Address Route 2 - Eaton _ , Colo. • WELL LOCATION WELL DATA County Weld jp �. Depth 60_ ✓ft, Diameter 148 in. ' NW 1 NW �i l Section 36 Casing ; 30 ft. Plain; 30 ft. Perfor. Twp. 7 N Ege. 66 W , 6 PM Static Water Level 211 r ft. from top Yield 900 {gpm)( ) from 50 ft. N I Used for Irrte!attrn on/at I I D114, Sec , 36, Twp . 7 N , lice , 66 w _- — — T — - -- -f — _un (legal description of land or site) I I w E Water conveyed by Pipe size 10 inch - ( PUMP DATA II Type Turbine Size 8 inch _ Driven by _ 15 H. P. kiaec . at 1760 RPM I I I I _ I Well was first used A;:r it , 19 45 S cfs for Irrigation . _ using 900 gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING : ` LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE - —Town or Subdivision Street address or Lot and Block The above well I) (has not) been registered in the Office of the State Engineer prior to May 1, 1957 , If Registered give Filing No . . If NOT 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 G0RD0N WILSON this Z2-14 day of . as )? , 19([1Z.. ,2 BY: „as.,4„--zetz.,„-- 07:2 ei/c76- ."--2,-2,,./ My commission expires it a II , Ida Registrant (SEAL) IOJ 9J 3 Notar59-4r4Z-41,140_4) s FOR ST GINEER'S USE Located in /-- a district, County for IRR1f ATION Registration No. ' lo in _ t'' - ,,J , on — APR sn , 19_. • ECE,N ED (4. '946 DIVMION OF WATrR RESOURCE'S 131.3 SI�RI�1AN Sfl T; RN. 813 DEC 2 4 !984 • Da, COLORADO 80203 wnER moms ':TATS - nliwaa WELL ABANDONMENT AFFIDAVIT* STATE OF COLORADO ) ) 53 . COUNTY OF Weld I (we) 'F. K. Faxms . Inc . - Duane Wilson , be i cog first duly sworn upon oath , despose and say : That an old well , located in the NW _1 /4 of the TN 1 /4, Section 36 p Township sw. N , Range 66 w , 6 P.M . , was replaced for the following reason (s ) : The old well was caving and no longer producing to capacity . That the old well , which was replaced by a new well drilled under permit number 11 12317 � , was plugged and abandoned according to the rules end regulations of the State Board of Examiners of Water Well and Pump Installation Contractors by Lesh Drilling Inc . (person (S) company on 1 t j 5-t . 19 . That the old well was plugged with the following materials placed at the indicated intervals : 4" Well Rock from 55 feet to i25 f≥c_ Drill Cut ngg went 0 from 10 feet to O feet/erSignature of aff iant (s) 14 45„,... 64, 2sssSc 't? Subscribed and sworn to before me this 11 day 4C My Comm sstort exp i res : My Commtsston EXAires Juty 30, 1988 CL TA BURNHAM 615 1st Avenue Ault, Co 80610 No ary Public �w.. ..,•. • Nit • 41 t:`T se the' owner' s responsibility pursuant to the conditions of approval to see that . the affidavit is returned . ( See reverse side far Abandonment Regulations ) • I State of Colorado Water Resources - View Well Details: Receipt 9061111 Colorado Department of Natural Resources Colorado.gov I Contact Us a Colorado Division of ,, , _ ' _`� :( `, ear , y Water Resources : - : i r -"4.7n. "1 R IS'e"rt '-- % : 'fi""c' ---- - . ijc °cased on Colorado's People: Watht:and Steiardsfrrn Colorado's Well Permit Search ucted I Ikly Last Refresh: 6/12/2012 12:01:21 AM F Receipt: 9061111 Division: 1 Permit #: 12317-R - Water District: 3 • • Well Name / #: County: WELD • . Designated Basin: Management District: Case Number: i.• WDID: 0305604 - WILSON WELL 2-12317 i' • I - ] Applicant/Owners History I. . Date Range Applicant/Owner Name Address City/State/Zip IUnknown - Present WILSON GORDON RT 2 EATON, CO 80641 1= • [ -] Location Information r: Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines ., NW NW 36 7.0N 66.0W Sixth • r. Northing (UTM 4487412.7 Easting (UTM x): 522627.6 ,�'s I: Location Accuracy: Spotted from quarters ) i. Physical Address Subdivision Name i r. ik City/State/Zip Filing Block Lot k Parcel ID: Acres in Tract: '• [ - ] Permit Details ' Date Issued: Date Expires: a Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS r Special Use: ;.1 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 r Permit(s): i Comments: I [-] Construction/Usage Details 1.: Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 1 i Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 60 21 900 5 t F,' [- ] Application/Permit History i; [- ] Imaged Documents Document Name Date Imaged Annotated Or:gloat _Ede 12/08/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) htlp:!iwww.dwr.state.co.us/WellPermitSearchfView.aspx?receipt=9061 1 11[6/12/2012 3:33:53 PM] S cc G tfabw,„.„,,,,E '' e ti'EZ D CO .7"p 'f -7 co - 1zoo 5,pan) # A / 2 3 ) (o - /no w i / ail 1til IQ A c _ , , r7 AG-2/17 .,____ - ________________ s... ..4.41 .20. *_t .sir _ri, _ _ _ I : _ _ ts_ _ _;. .. „ _ _ _ _ I _ _ _ _ _ _ _ _ _I_ _ _ __ 4 ' 8 I r 30_1___; Lb' n Alkd r//S ; Alta! Sec 36 . ISIS : .900 -noci m — rL r r c f t I F II , ow fl eI jay .r, p,�, Gi rr )cec 7 1.a bl 4ittst II I �� - n� t l 1 1 I I a iefd s cco^ 609)°,0" ' r r � :Pr/7 • xr r tr I S „a t , 1 ,,y r I T6 3 r Y !7`J I " • I Sec 2 a ,.. `. - .1 - - - - ` - I -, .. .. _ r .!'IGIw ..I , - I ' t /f7.'�` tt/ r I I I ' I r I I I r ( j;e/di ; boo .c 400ypm � `�'�;.-3 �> ; --S I t 1 9 I I I dC I ' �^ r I MO 1 I 1 I I I X �- - -Sea I ' ••-\ r L , I r -�R-t + ��r t t N -A-rt s3$ R tai Se 6 -1 I �--t t I I -�-+�3p I I I r 7-6 N I I 6 i V1A r- - - _I'_ - - -. - - - _ .. L . - --_ ... ..1 .. , I 11.. .. .. r .., .. .. ., I _ - y 1� JJ 44�.- I I I Sec26 I r I ; -4f f�5,! - I ti , r winftf�K I I 53� I I I 4 t�4� pp,1� I 1 I I - ,q f�3_ I I r I I 1 I t I Sec 3s sstcca & R 6W 1:' 6y ` I in-"— - .----R-t44562.--- .-Prty5SZ--- e5e — .t% ` ,fr_taksigis-- -Oren- ,44,--r- eit-tet44-31-- -81/17**-- C iti, ' --.Ries ---a ..-- „f`+ '- ----* I4 0-.11 ./).1 . rFeria CiRev. STATE OF COLORADO 9-162710N APPLICATION FOR: x A PERMIT TO CONSTRUCT A WELL NtAY.3 196wagt 6 Applicant Gordon Wilson LOCATIghl OF WELL COLORADO County Weld WI SIM P. O. Address R. 2 Box 156, Eaton, Colo. Quantity applied for 900 - gpm or� Nig u of Nig of Sect. _3{_ , Twp. JR , AF Storage a Rge. 6614 b P. M. OR Used for Irrigation Purposes a on/at NWS36-T7N-R66W w "we Street Address or Lot & Block No. (legal description of land site) '- 157 y o Town or Subdivision Total acreage irrigated and other rts. $ rd ESTIMATED DATA OF WELL "thato o N Hole size: 1O in, to 63 ft. b x , f ` o ► - - _ _ Casing Plain 21i in, from 0 to An:t. - - a - - - - - Locate in. from to ft. ► well in Open or Perf7rin, from tom ft. ffiect 40 acre in; from to 2ft. 9, ► ► E (small) PUMP Outlet 0 D'.1 ' ' square DATA ; Type Turbine . HP, 15_Size 8" w' ' as near r, as possible. I Use initiation date _ 19 24 . a Large square (Use Supplemental pages for additional data) ► is one section. To replace well Permit No .R123l6 $44.-4S _ $25. 00 fee required for uses other THIS APPLICATION APPROVED than Domestic or Livestock. PERMIT NO. RF - 17 E Applicant Gordon Wilson ISSUED: Agent or DATE 5- l 1 19 bi Driller Oliver Well Works, Inc . No. 6 teletsirolt eryc 5-€ 1 r Address 603 8th St. , Greeley, Colorado NOTE ,- SA ISFACTORY COMPLETION REQUIRED FOR APPROVAL OF APPLICATION • a r 1 WELL LOG Ground Elevation (if known) How Drilled Reverse Rotary _ - _ - ...« , - REMARKS v .8 y 1 c FROM TO TYPE OF MATERIAL (inch as Cemanting, ' S c° a FEET FEET Pocking, Shut off, etc-) _ m q 1 28 -_sail -_ - 284 gravel - - ,-•' LO - Jt2 c1 a7 ------ - - -- - 112 61 gravel -- --- - — 61 614 el Ay- -_._._.._ — 614 65 ig avel 65 shale - —.r... - _ _ _w - . A _ , A ._ ........_____...._ I (if mote space Is rsqubrd um sddlfonal shat) WELL DRILLER'S STATEMENT This well was drilled under my supervision and the above information Is true and correct to the best of my knowledge and belief. Signed (11 fiver _kkal Wnrks Inc . J\I . - By , �► • . . AID 1 ! ?�66 �ti • :. •t- ;r d .a'• - . wia . .1.... ,-• L /:. r,4: I . �.• �. , ,.,., y. i..n,-�. •, LL :• ,"." =g• • ik• •.♦ 'qtr .V: .. � , 7, .� �., K�•:}. ,'��.'• ^� ♦ ♦ '�i :•:.� >R�J\'_Y, .4s,,,, ..4‘..-.9.� .a1i6< M, 11 ��-c t <' `yy h�` . •7f;• .�r�1\ r;:.` ` i7^{ . I J. rl�. w .'•J• wp[y, . "A . .G �te7.28i. _ •t. a7i . �. r. •'(. . .,. .:y- .+Kc.•,.. • ' •— .rrs � •w. r • .. -.f '•M -/P:.l.•�•^7•:�I'•j-Y^ �t • :!t�.•fn * yI • ,�., ! • ���.���.yya� � y w , .• , ', . �': S•y_..��... . ,.N n• .• Y,i 1:�y:.!f'.Ol • :?� ) V� r -ce .- .. . . �:41t`<C,. -."— -11 • ?:511.1. •F n • RIMrm F011 jaa VrM ., ., t i • WitSTATE OF COLORADO DIVISION OF WATER RESOURCES AUG 1 5 1966 Index No. OFFICE OF THE STATE ENGINEER IROW; i :till ER SA IDWD GROUND WATER SECTION COLORADO Registered""' STATE ENGINE Reg LOG AND HISTORY OF WELL (For State Engineer's Use) PERMIT NO. RI "17S • WELL LOCATION :Drillgr. :Ct fiver Weil Works_ Inc , ,. Lic. No 6 Owner„ neck) jet, l Rol _,. .. Weld - County Street---Rt. 2 Box 156. City_ _ _Eaton, Cola,_ NW 'A of__.BW. 'A of Sect. % __..., Tenant r �W� _, __�, -- Twp 7 N Rge. —6--PM g . 66W ; Use of Water-. irrigation • • • No. On or By.Bitd�,�, 36-T?Id-nMATI ..... Acres 157 • (description of site or land) - X 3 I Date Started May 15 , _ , t 9 66 . i Date Completed Nay .91 , 19 66 - - - -fat I . - a -- - .. a NI VI- - - - i I Yield 900 GPM or CFS 1 WELL DESCRIPTION: w.>a ' East i Depth 'to Water 35 ft. Total Depth 64 ft. (measured from ground surface) - - - tW V. - • a - - -UMW - - - in. 10 .from___._Q___ ft. to 6�i ft. i Hole Diameter in from ' ft. to ft. from _ ft. to ft. in. South TEST DATA: How Tested.. i�`u"Pp`� Pump or Bailed ABOVE DIAGRAM REPRESENTS ONE FULL SEC- TION. LOCATE WELL ACCURATELY IN SMALL Date Tested Nay 21 , 1966 Length 3 hrs. SQUARE REPRESENTING 40 ACRES. Rate 900 GPM Drawn Down. 20 - ft. or PUMP DATA: • • If the above is not applicable fill in: Pump Type turbine Outlet Size 8 in. - . No. Strut Driven by. 1,5 HP.. City or Town CASING RECORD: Plain Casing or Size •?it i n , Kind i 3l. gaafrom U ft...to 35 ft. Lot. -- , Block _ • Size_L-__,- , Kind from.__ ft. to - ft. Subdivision (Include filing or number) Size , Kind _from ft. to ft. Perforated Cuing TO BE MADE OUT IN QUADRUPLICATE: • • Original Blue (both sides) and Duplicate Green Size ?b1 in , Kindlii - from 35 • ft. to 64 ft. • Copy must be filed with the State Engineer within 30 days after well is completed. White Size Kind from ft. to ft. copy is for the Owner and Yellow copy for the Size—..._...,.T; Kind--- - .....from. ft. .to.� Driller. SIGN BLUE COPY . . ff. ,•�¶7 ...b. •...•:. a.• r ,• • •a•'nY. :i.Y• .i�.h.t*_wn n,.�. . '�. GIi�'. �..' I �•{,• •• �;. .•..•, • . . .♦ .. . '.•J •," '1. -�.•• ... ..r • .�, .•, •4+JP+._i :skit•A. .:I• Atctz r '� _ fY- oi•. fvr. .4 . r . '�r..�. ,C I 1' . z. t _ . . _,.•..,,r ,,✓ 'I r -il ;r l'r'4^y.l-...- t . \ .y '• '»�.ite •4„ e.'Y .3.. ra •, ':�,• -: _q� <'.:!. 'CL•;�,,. �s'i. <r 't• "��r•.•��'>, .C+ .n• . tiv}.r•:.y. . d, :tC .TX•�•? a�,.,•S.; .. ;r�.' � R td. 011 ver W/V. Greeley 5/27 -wry.-- hob RE@Ellwr ,\ Form F (Rev. )_ �,y 57./5'M MAR 2 8 196>' STATE OF COLORADO i DIVISION OF WATER RESOURCES APR 25 1960 OFFICE OF THE STATE ENGINEER, GROUND WATER SEC'. ND Wr . , ColOt • REGISTRATION ELL It' STATE E Y t *. -14- Registrant Gordon Wilson Date Api'11 I_ 19 60 P. O. Address acute 2 -- Eton , Cob. WELL LOCATION tcj WELL DATA County Weld Lo 2, Depth 65 ft. Diameter118-410in. r .r U .. NWusing : Sft. Plain; _ ft. Perfor . C Twp. 7 N , Rge. 66 144 -M Static Water Level ft. from top Yield 900 (gpm)( s) from So ft. N . A 4 IUsed for Irrigation _ _ __. on/at I 484L NW j, Sec . 36, Twp . - 7 N , 'tie . 66 W_ - s T Ie �--' (legal description of land or ite) 1 I `i 71 I 1 W _ — - � E k( Water conveyed by Ditch , size S PUMP DATA I i n Type Turb Ins Size 8 inch 1 N Driven by 15 H .P . Elec . at 1760 RPM I I I 1 I ki Well was first used Ju3y r 19 24 Ni S cfs for Irri.pati on using 900 gpm WELL TO BE LOCATED AS ACCUR- eista 1 �,,n 19 36 to/, 6,6 ATELY AS POSSIBLE WITHIN A Well Ju SMALL SQUARE WHICH REPRESENTS litettMli 40 ACRES; OR IF IN A TOWN OR 900 (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well (*) (has not) been registered in the Office of the State Engineer prior to May 1, 1957. If Registered give Filing No. . If NOT 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 GORDON WrLsoN _this- 0227g 2 '' g day of , 19 /4j . ��' `�� �,•- My commission expires L'1 1 /, /9/s-1 Its gistrant (SEAL) kilielig..... Ariti.1 Notary Public FO T E G EER'S USE apertua Located in /re' 3 district, County for . Registration No. 1 c's in . A'""-, _ 1 on APR 251211 I 19• State of Colorado Water Resources - View Well Details: Receipt 9061109 Colorado Department of Natural Resources Colorado.gov I Contact Us ColoradMI&.1 ii4L • ._ :- ;-1.:t '-__1l,_- —Lee:— - . E 0 CIIE:edon C3 2:3d;'s People, G1aP&r anct.SUewardS.h►p Colorado's Well Permit Search ,. Well Constructed 1.•.S» *` Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9061109 Division: 1 v Permit #: 12316-R - Water District: 3 t. Well Name / #: County: WELD Designated Basin: Management District: C• Case Number: WDID: 0305605 - WILSON WELL 1 -12316 [- ] Applicant/Owners History ,, Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present WILSON GORDON RT 2 EATON, CO 80641 [ --] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NW 36 7.0N 66.0W Sixth Northing (UTM y): 4487412.7 Fasting (UTM x): 522627.6 Location Accuracy: Spotted from quarters 1. Physical Address Subdivision Name ,> City/State/Zip Filing Block Lot i Parcel ID: Acres in Tract: sl [ - ] Permit Details -; • Date Issued: Date Expires: i< Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS , Special Use: U. 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: [ -] Construction/Usage Details • Well Construction Date: Pump Installation Date: , it Well Plugged: 1st Beneficial Use: L Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate l 64 35 900 fi [ -] Application/Permit History [- ] Imaged Documents Document Name Date Imaged Annotated f-• Original File 12/08/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) htip://www.dwr.state.co.usfWel lPemiitSearchNiew.aspx?receipt=9061109[6/t 2/2012 3:38:32 PM] I FORM No. PUMP INSTALLATION AND TEST REPORT For Office Use Only GVVS-32 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER RECEIVED 02/Y005 1313 Sherman St., Room 818, Denver, CO 80203 ' Info (303) 866-3587 Main (303) 866-3581 i IJ1Y 2 2• 01 Fax (303) 866-3589 http://www.water.state.co.us • 1. WELL PERMIT NUMBER: 271415 —A Wet iEr► ►,ty.,,,rcES STATE ENGINEER 2. WELL OWNER INFORMATION MO. NAME OF OWNER Nof f s ngar. MFG company MAILING ADDRESS 500 6th Ave CITY STATE ZIP CODE Greeley _ Co I 80631 ' • TELEPHONE # i . ( 970) 38 1996 • 3. WELL LOCATION AS DRILLED: NE 1/4, NE 1/4 Sec. 35 . Twp. 7 03N or ❑ S, Range 66 Ei E orb] W DISTANCES FROM SEC. LINES: 575 ft. from ® Nor ❑ S section tine and 1 3 5 ft from )D E or ❑ W section tine. SUBDIVISION: LOT , BLOCK , FILING (UNIT) Optional GPS Location: GPS Unit must use the following settings: Format must be UTM, Units Fasting: - must be meters, Datum must be NAD83, Unit must be set to true N, El Zone 12 or ❑ Zone 13 Northing: STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA: Type: Submersible Date Installed: 5 - 1 4 - 07 Pump Manufacturer. Goulds Pump Model No. 1 0G5054 2 2 Design GPM: 10 at RPM 3450 HP a Votts 2 3 0 Full Load Amps • 4 . 9 Pump Intake Depth: 54 Feet Drop/Column Pipe Size 1 1 Inches, Kind of Drop Pipe PVC S Ch 80 ADDITIONAL INFORMATION FOR PUMPS GREATER THAN 50 GPM: Turbine Driver Type: O Electric ❑ Engine ❑ Other Desi_gn Head feet Number of Stages _ Shaft size inches 5. OTHER EQUIPMENT: Airline Installed ❑ Yes [t No. Orifice Depth ft. Monitor Tube lirstalled O Yes [l No, Depth ft Flow Meter Mfg. Meter Serial No. _ Meter Readout: O Gallons, El Thousand Gallons, 0] Acre feet Beginning Readies • _ S. TEST DATA ❑ check box if Test Data is submitted on Supplemental Form. Date: 5 - 14 - 07 Total Well Depth: 55 ft. Time: 4 pm - 5 . 3 0 pm • Static Level: 41 ft. Rate (gpm): 1 5 Date Measured: 5- 14 - 0 7 Pumping Level (ft): 42 7. DISINFECTION: Type hth Arnt Used 1 cup .8. Water Quality analysis available: ❑ Yes [ No If yes, please submit with this report. '9. Remarks: ' • 10. I have read the statements made herein and know the contents thereof, and they are true to my knowledge. This document is signed and certified in accordance with Rule 17.4 of the Water Well Construction Rules, 2 CCR 402-2. [The filing of a document that contains false statements is a ,violation of section 37-91-108(1 )(e), C.R.S., and is punishable by fines up to $5000 and/or revocation of the contracting license] i ` Company Name: i Phone: License Number: rural i ty No1 1_ A Pump 70 3-53 - 1118 L 1 397 Mailing Address: 145 16th St , Greeley ,. Co , 80631 Signature: Print Name and Title Date 4 . llLQ� Robert A Jackson / Supervisor 5 - 16 - 07 FORM NO_ WELL CONSTRUCTION AND TEST REPORT For Office Use Only GWS-31 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER RECEIVED 04/2005 1313 Sherman St., Room 818, Denver, CO 80203 , ' Phone — Info (303) 866-3587 Main (303) 886-3581 i, Fax (303) 866-3589 http://vfnvw.water.itate.co.us 1. WELL PERMIT NUMBER: 271415 -A - MAY 1 . 8 2007 2. WELL OWNER INFORMATION WATER RESOURCES NAME OF WELL OWNER: Naf f s finger MFG Company STATE ENGINEER COLO. MAILING ADDRESS: 500 6th Ave , CITY: Greeley STATE: Co ZIP CODE: 80 631 TELEPHONE NUMBER: ( 970 ) 381 - 1996 3. WELL LOCATION AS DRILLED: NE 114, NE 1/4, Sec. 35 Twp. 7 [I Nor ❑ S. Range 66 ❑ E or (l W DISTANCES FROM SEC. LINES: 575 R from t] N or ❑ S section line and 1 3 5 ft from CI E or ❑ W section line. SUBDIVISION: , LOT , BLOCK , FILING (UNIT) Optional GPS Location: GPS Unit must use the following settings: Format must be UTM, Units Owner's Well Designation: must bo meters, Datum must be NAD83, Unit must be set to true N, [11 Zone 12 or ❑ Zone 13 Easting. STREET ADDRESS AT WELL LOCATION: Northing: 4. GROUND SURFACE ELEVATION feet DRILLING METHOD ' Mu(. —Rotary DATE COMPLETED 5 - 7 - 07 TOTAL DEPTH 55 , feet DEPTH COMPLETED 55 feet 5. GEOLOGIC LOG: i 6. HOLE DIAM (in.) From (ft) Toift) Depth Type Grain Size Color Water.Loc. 9 0 55 0 - 2 _ topsoil I 2 - 19 sand / clay brown 19 - 42 sand / gravel fine `o 1 * 1 7. PLAIN CASING: 42 - 44 clay brown OD (m) Kind Wall Size (in) From (ft) To (ft) 44 - 55 sand / gravel fine to * * 1 6 5 / 8 steel . 188 + 1 20 55 - 57 shale 4 ? pvc . 248 19 35 PERFORATED CASING: Screen Slot Size (in): . 032 4 _ pvc T_ 35 55 8. FILTER PACK 9. PACKER PLACEMENT: Material Gravel Type Size 3 / 8 Interval 20 - 55 Depth 10. GROUTING RECORD 4 _ , Material Amount Density Interval Placement Remarks: cement 3sks _ 1 . 86 0 - 20 pumped Type 1 - 1 1 11. DISINFECTION: Tya HTH _ Ant Used 1 Cup 12. WELLTEST DATA O Check box if Test Data is submitted on Form Number GWS 39 Supplemental Well Test. TESTING METHOD Bailed Static Level _ 39 ft. Date/Time measured: 5 - 7 - 0 7 , Production Rate 1 0 gpm. Pumping Level 42 it Date/me measured 5 - 7 - 07 I , Test Length (hrs) 2 Remarks: 13. I have road the statements made herein and know the contents thereof, and they are true to my knowledge. This document is signed and certified In accordance with Rule 17.4 of the Water Well Construction Rules, 2 CCR 402-2.' [The filing of a document that contains false statements is a violation of section 37-91-108(1)(e). C.R.S., and is punishable by fines up to $5000 and/or revocation of the contracting license.] Company Name: Phone: License Number Quality Well & Pump * A970 ) 353- 3118 1 397 Mailing Address:' 14 5 1 t t , Greel ey ,ley , Co , 80631 Signature: 4 ,itPrint Name and iTitle ( Date tr--- Su ervisor 5 - 14 - 07 i it COLORADO DIVISION OF WATER RESOURCES Office Use Only Form GWS-44 (06$2006) 1 DEPARTMENT OF NATURAL RESOURCES • • Q 1313 SHERMAN ST., RM 818, DENVER, CO 80203 .. RECEIVED- phone a - info: (303) 866-3587 main: (303) 866-3581 . . . . fax: (303) 866-3589 http:/lwww.water.state.co.us %A' RESIDENTIAL Note: Also use this form to apply for livestock watering SEP 2 6 2006IN Water Well Permit Application WATER RESOURCES STATE ENGINEER ,t, Review Instructions on reverse side prior to completing form. COLO. The form must be completed in black or blue Ink or typed. -.. 1 . Applicant Information j 6. Use Of Well (check applicable boxe Name of applicant • See instructions to determine use(s) for which you may qualify ''1(\ ❑ A. Ordinary household use in one single-family dwelling C4 NOFFSINGER MFG. COMPANY (no outside use) Mailing address 500 6TH AVE ® B. Ordinary household use in 1 to 3single-family dwellings: 1/47 Number of dwellings: 2 City rState Zip code GREELEY CO 80631 ® Home garden/lawn irrigation, not to exceed one acre. Telephone A I E-mail (optional) area irrigated 1 0 sq. ft. fats acre (970) 381- 1996O ®.Domestic animal watering - (noncommercial) 2. Type Of Application (check applicable boxes) .. t El Construct new well ❑ Use existing well C. Livestock watering (on farm/rancttlrangeJpasture) • --,_1 El Replace existing well 0 Change or increase use 7. Weil Data (proposed) o Change source (aquifer) ❑ Reapplication (expired permit) Mandmum pumping rate Annual amount to be withdrawn ❑ Other. 15 gm 1 : . acre-feet 3. Refer To (if applicable) Total depth Aquifer Well permit A water cart case i -. 60 . . feet j ALLUVIUM _ 8. Water Supplier oes;gnated Basin betorminalion 3 wall name or S IS this parcel within boundaries of a water service area? OYES 0 NO I If yes, provide name of supplierNWCW 4. Location Of Proposed Well _ 9. Type Of Sewage System County WELD NE 1/4 of the NE 1/4 El Septic tank / absorption leach field Section Township N or S Range E or W Principal Meridian 9 Central system: District name: • 35 7 0 0 66 ❑ 0 6TH Distance of wel from section linos (section lines y ere typica not property lines) El Vault: Location sewage to be hauled to: 575 a Worn ® N 0 S 13S Ft from ® E ❑ w ❑ Other (attach copy of engineering design and report) For replacement wells on y- distance and direction from old well to ne,WES 10. Proposed Well Driller License #(optional): 1397 10 feet WEST direction 11.. Signature Of Applicant(s) Or Authorized Agent WoB location address (trhdude City. State. Zip) ❑ Check if well address is same as in Item 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. 24-4-104 (13)(a). I have read the statements herein, know the contents thereof nd state.that they are true to my knowledge. _ LOptional: GPS well location information in [PM format. GPS unit settings we as follows: S' n h ust be original signal a) C t� Data Format must be UTM • triti7:5, &O Zone 12 or ❑ Zone 13 Easting_ ' Units most be Meters • P ' t 8 t ea-,1421- ‘75;t1k id- _.9* - z )- ao‘ Datum must be NAD83 Northing: /�J / Unit must be sot to true noun t f11 f''[ J< P CV �t A- WGPSuMthGddMthie? ❑ YES Remember to set Datum to NAD83 ?lice Use Only Aj 5. Parcel On Which Well Will Be Located uses Homo o Iola Surfoc© aev (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) to .. A. You must check and complete one of the following: eceipt area only ❑ Subdivision: Name Lot Block Filing/Unit ❑ County exemption (attach copy of county approval & survey): Trans Number; 36093.52 8 Name/# Lot # 9O6/2006 1:34:36 PM Pet Morrison (12) ❑ Parcel less than 35 acres, not in a subdivision, attach a deed with metes Total Train Aria: 1100.00 and bounds description recorded prior to June 1 , 1972, and a current CHECK deed Check Number 2428 i ❑ Mining claim (attach a copy of the deed or survey): Name/# _ Check-Amount: $100.00 -1 ® Square 40 acre parcel as described in Item 4 4 WE // ❑ Parcel of 35 or more acres (attach a metes and bounds desaipton or survey) wR vI ❑ Other (attach metes & bands description or survey and supporting doa.rnerm) (:WCB - B. a & acres in parcel I C. Are you the owner of this pa-cel? 40 EYES 0 NO (if rya — see instructions) TOPO I/ D. we this be the only wen on Oil parcel? OYES ONO (ti no - list other wets) MYLAR ' 1455I R-R & l 4553-R-R ___ SB5 f Div 8A MD Form- No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 8136-3581 1397 WELL PERMIT NUMBER 271415 - A APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY NE 1 /4 NE 1 /4 Section 35 NOFFSINGER MFG COMPANY Township 7 N Range 66 W Sixth P.M. 500 6TH AVE DISTANCES FROM SECTION LINES GREELEY, CO 80631 - 575 Ft. from North Section Line 135 Ft. from East Section Line (970) 381 -1996 UTM COORDINATES (Meters,Zone:131NAD83) PERMIT TO CONSTRUCT A WELL Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1 ) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(c) for the relocation of an existing well, permit no. 271415. 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 two single family dwelling(s), the irrigation of not more than one acre of home gardens and lawns, and the watering of domestic animals. 5) The pumping rate of this well shall not exceed 15 GPM. 6) This well shall be constructed not more than 200 feet from the location specified on this perm t. NOTICE: This permit has been approved for a change of the uses applied for to be consistent with the historical uses identified in the original permit no. 271415. You are hereby notified that you have the right to appeal the issuance of this permit, 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.) // O/n ^D� . A C APPROVED ' 1DC Q/u1 State Engineer By \Receipt No. 3609352B DATE ISSUED 11 -01 -2006 EXPIRATION DATE 11 -01 -2008 State of Colorado Water Resources - Vicw Well Details: Receipt 3609352B weLLCQnstrsa.Qtion & Test 11/27/2007 No P_arnp_Installation_,&Iest 11/27/2007 No ;1 Z'_ Copyright O 2009 Colorado Division of Water Resources. All rights reserved. • Home I Contact Us I Help I Water Links i Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) hilp://www.clwr.state.coms/WellPennitSearchNiew.aspx?receipt=3609352B[6/12/2012 3:42:39 PM] State of Colorado Water Resources - Vicw Well Details: Receipt 3609352B • Colorado Department of Natural Resources Colorado.gov l Contact Us Colorado Division of _ -- _ ..."--,-0,,,,,..1.: Water Resources - . _ _ �� �. •' . �� _ , r, -' ' - - - " r - , . • ti�ocused on Colorado's Peoph;..Water and Stewardship Colorado's Well Permit Search Well Constructed Hof 1 Last Refresh: 6/12/2012 12:01:21 AM i. Receipt: 36093528 Division: 1 • 6 Permit #: 271415- -A Water District: 3 ,' Well Name / #: County: WELD i. Designated Basin: Management District: ii Case Number: t• I; WDID: i [ - ] Applicant/Owners History 11 ;. Date Range Applicant/Owner Name Address City/State/Zip Jr Unknown - Present NOFFSINGER MFG COMPANY 500 6TH AVE GREELEY, CO 80631- [ -] Location Information f; Approved Well Location: Q4O Q16O Section Township Range PM Footage from Section Lines NE NE 35 7.ON 66.0W Sixth 575 N 135 E Northing (UTM y): 4487433.5 Easting (UTM x): 522382.1 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot • i. Parcel ID: Acres in Tract: 40 i., [ -] Permit Details Date Issued: 11/01/2006 Date Expires: 11/01/2008 . Use(s): DOMESTIC Aquifer(s):ALL UNNAMED AQUIFERS 1 ;' Special Use: • Area which may be irrigated: 1 ACRES Maximum annual volume of appropriation: Statute: • . Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No • i; Cross Reference Permit Number Receipt Description Permit(s): 27_1415_ 3602352A • C Comments: • . [ - ] Construction/Usage Details Well Construction Date: 05/07/2007 Pump Installation Date: 05/14/2007 Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate • f 55 35 55 41 15 t,- Lic # Name Address Phone Number it Driller 1397 JACKSON, ROBERT A. 7408 POUDRE RIVER ROAD GREELEY, CO 80634 Pump Installer 1397 JACKSON, ROBERT A. 7408 POUDRE RIVER ROAD GREELEY, CO 80634 • r: [- ] Application/Permit History t! Pump Installation Report Received 05/21/2007 Well Construction Report Received 05/18/2007 • • Pump Installed 05/14/2007 Well Constructed 05/07/2007 • f Permit Issued 11/01/2006 • Application Received 09/26/2006 • [-] Imaged Documents1. Document Name Date Imaged Annotated Permit to Construct a ll 11/28/2007 No Residential Application 11/28/2007 No http://www.dwr.state.co.usAVcllPermitSearch/View.aspx?receipt=36093526[6/12/2012 3:42:39 PM] Form No. STATE OF COLORADO, OFFICE OF THE STATE ENGINEER For Office Use Only GWS-09 821 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 6/2006 (303) 866-3581 Fax (303) 866-3589 http://www.water.state.co.us RecErVED WELL ABANDONMENT REPORT Use to report plugging and sealing of permitted wells, monitoring and other holes. Type or MAY 0 7 2008 print in black or blue ink. instructions and plugging standards are on reverse side of form. - AAAER RESOURCES STATE 1NEER Well Permit Number of the well being plugged c71 l4 IS or cow MH File Number MH- Hole ID #/Name Individual/Company a_ny responsible for plugging and sealing the well: {NAME(S) 1 k) CCSLtel R rn cs. Pompan t Mailing Address 5 oc rz. 4\O C_ City, St., Zip QCette Co &� 1 Phone (grip 3S a v'1t.123 Well (Hole) Ow ner: NO NAME(S) 5tricae.R mc . Corn co,n. Phone ( ) Laa - 04th � Mailing Address, City, St., Zip 600 -4h ACTUAL WELL LOCATION: County _ L Cau-n^C Property Address, City, St, Zip E 1/4 of theI4t- 1/4, Sec. 35 . Twp. -] CO N. or O S., Range LeL2 ❑ E. or® W., Ip P.M. Distance from Section Lines 515 Ft. From M] N. or ❑ s., 135 Ft Fromlin E. or W. Line. Subdivision Name Lot , Block , Filing/Unit Optional: GPS well location information in UTM format. You must check GPS unit for required settings as follows: Format must be UTM, zone 12 ❑ or zone 13 0 ; Units must be meters; Datum must be NAD83; Unit must be set to true north. Easting Northing I (we) report the existing well (hole) was plugged and sealed on the date of - a - for the following reason(s): in The well was plugged and sealed as required under Well Permit Number Di 1Li JS - A . ❑ The well was not in use and was plugged and sealed. Other (please explain) The well was plugged with the following materials placed at the indicated intervals: Amount and Type of Material Method of Placement Interval c3 b&qp �.Qm e-es-LA- _OU- - from O feet to _ feet C Noc\iu - SJ JkOVded from 5 feet to sa feet C4. Limed 3 k Pa_ Qra¼)c\ \14U a \E from 3P feet to '-+$ feet Intervals of casing removed/ripped in feet from feet to _ feet Report must be signed by person who performed the well plugging work or by the well owner if this person is unknown or not reachable. I (we) have read the statements made herein, know the contents thereof, and that they are true to my (our) knowledge. Signatur (s) Please print the Signer's Name & Title Date &c, er IA) , NCI F F51IJ G A j PUS. , 6 O a It is the responsibility of the well owner to have the well/hole properly plugged and sealed. The Well Construction Contractor is responsible for notifying the owner of this requirement. - r GIC-11417Z, RECEIVE COLORADO DIVISION OF WATER RESOURCES HELD INSPECTION REPORT 1 SEP 2 6 20 - ; Please oomph:se Otis roan in INK waTER RESOUP • STATE ENGINE,r DA L WV 3 aPPL feceiPt 110(4 _ Coto, DATE OF INSPECTION_ 91410 h APPLICANT: lY O r-f PCO.R d v ac-fr (U person coniicted d o arc 5P(‘ ADDRESS: tee • %OA \`° Mc name &pry 0_ ne-ac-- S, vv42,C _ Cia r`,a H 4 `0 c o c3 - °CIO .C(1-D r q S1) 2 - OOS11M .wYF31 LOCATION_ , t ! IVc tht, Mt r/4, Se c , Thep_ 7/•./ , Rog_ 66W to PM; l sr_ Si 5 troressecsne, I zs ` t . L± W ; County. W (( rept, give b Wr. ro new wen site - I okie ape et ea-sting well: far HAND txx, SPRING wal_.: cw.(•f}RY saj, GRAVEL Pfl; OTHER how many citherweas we located on this parcel? use? are they negistesecr? pea:it/case C(s)? Esc_ DATE waleCONSTRUCTED r Litt DATE OF USE 19 `1Y ES PUMPIIG RATE 15 err, TOTAL f OF ACRE'S IN THIS TRAC17PARlZ 1510 ACRES addtborial subdlpa►cef info_: USE OF WELL X hocacttoktase ' *Scam how clang 7- st le j S) X wa eckg d portly arx#or doc enrc aninsats 4danestic anal would includea few cows, ftorsts, cm) - wagering of Evestickan a rim or firth —*pox. bow heed? a Oi : ked 1012 ; bow nwq head? if- (Lis iapartarx a.l poly estimated Ma rlc gasinigiscien kr.) It / sgcae 1e� �vn and/or garden �--� Are pry, cosamesciaf--dddaing & sat until (write dads in %x n►nexs s taro) _ ogler dote degas in Itornasentse section) / no WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE 1F ANY CHANGE L 1 THE HlS'TCR1C USE OF THIS WELL. HAS OCCURRED SINCE MAY 8, 1972, please' indicate the (1aeajsj the use domed. aad coals this changejandJor a ,a lion of the anrent& pmposecl t in the torments" section of this Roan (1 completing for USES. use comments section below fn lode case #. # acres in. it applic{sble• etc-)) sr t 9TH - ---- --- dated: 06 additional comments andlor information. tST `T ors-) 'P Lr th.v..'i. -_ ... _ ... m Form • r STATE OF COLORADO • .: • • • * For Office Use Only I No. OFFICE OF THE STATE ENGINEER GWS-12, 818 Centennial Bldg., 1313. Sherman St, Denver, Co 80203 RECEIVED (303) 866-3581 Fax (303) 866-3589 • http:/iwater.state.co.us/defautt.htm SEP 2 6 2006 REGISTRATION OF EXISTING WELL WATER RESOURCES r NAME, ADDRESS AND PHONE OF THE WELL OWNER: STATE ENGINEER COLO. NAME(S) NOFFSENGER MFG. COMPANY MAILING ADDRESS 500 6TH AVE CITY: STATE: ZIP CODE: -$GREELEY - CO 80631 TELEPHONE NUMBER E-MAIL (OPTIONAL) (970) 381 - 1996 WELL LOCATION County WELD [ _ i Owner's Well Designation (optional) ___ ce%_, fit, .,?cam (Address) (City ) (State) (Zip) � NE 1 /4 of the NE 1/4, Sec. 35 , Twp. 7 ® N. or ❑ S., Range 66 ❑ E. or ® W., 6 P.M. C� 4 I Distance from Section Lines 575 Ft_ ® N. or O S. Line, 125 Ft. 0 E. or O W. Line. PLEASE ATTACH A COPY OF A CURRENT DEED FOR THE SUBJECT PARCEL C., Subdivision Name I • , Lot , Block , Filing/Unit LI ' Optional: GPS well location information in UTM format. The following GPS settings are required: Fasting Format must be UTM. Units must be in meters. Datum must be NAD83. Unit must be set to true north. ❑ Zone 12 or ❑ Zone 13 CS i Was GPS unit checked for above items? O YES ❑ NO Northing The well has historically been used for the following purpose(s): DOMESTIC NOSEHOLD FOR 2 DWELLINGS, LAWN AND A GARDEN WATERING, DOMESTIC ANIMAL WATERING, AND LIVESTOCK WATERING -__1 Water from the well was first used beneficially by the original owner for;the above described purposes on 1944 • The total depth of this well is 58 feet. ll The pumping rate of this well is 15 gallons per minute. • The average annual amount of water diverted is I acre-feet. , The lawn and garden irrigated (watered) by water from this well is t i • _ `; 0 Acre or ❑ Square feet. Number 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. 23-3-104(13)(a). I have read the statements herein, know the contents thereof, and state that they are true to my knowledge. S nature the ell Owner Print Name and Title of Well Owner • Date / $20 4- _ NOFFSINGER MANUFACTURING CO 9 .02.3 -a(0 I JIM PICKETT, AGENT 1 For Office Use Only 3 WE ,60 3s&4- wR / CWCB V TOPO ✓ o ea76 k MYt AR Nu / Wil a Rasin MR a /Q/s , y 7 Forrr No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman Si., Denver, Colorado 60203 (303) 866-3581 LR WELL PERMIT NUMBER 271415 _ - - APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION • WELD COUNTY NE 1/4 NE 1/4 Section 35 NOFFSINGER MFG. COMPANY Township 7 N Range 66 W Sixth P.M. 500 6TH AVE DISTANCES FROM SECTION LINES GREELEY, CO 80631 - 575 Ft. from North Section Line 125 Ft. from East Section Line (970) 381 -1996 UTM COORDINATES (Meters,Zone: 13`NAD831 REGISTRATION OF EXISTING WELL • Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) Construction details for this existing well have not been provided to this office; therefore, it is not known if the construction of this well is in compliance with the Water Well ConstructionlRules, 2 CCR 402-2. The issuance of this permit does not relieve the well owner of responsibility or liability in the event contamination of the groundwater source results from the construction or use of this well, nor does the State Engineer assume any responsibility or liability should contamination occur. 3) This well is recorded and permit approved in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1 )(b), being a well producing 15 GPM and used for ordinary household purposes inside two single family dwelling(s), the watering of domestic animals and poultry, and the irrigation of not more than one acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is 1944. NOTICE: This permit has been approved for a change of the uses applied for to be consistent with the historical uses identified in the field inspection. You are hereby notified that you have the right to appeal the issuance of this permit, 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.) • l/• O/, 0200 / . a c , • DC ROVED z • Daa(efi ? State Engineer By / /�V /� Receipt No. 3609352A DATE ISSUED 11 -01 -2006 EXPIRATION DATE /4 State of Colorado Water Resources - View Well Details: Receipt 3609352A Colorado Department of Natural Resources Colorado.gov I Contact Us Colorado Division of r:-- - i t. _ �' ---' A • r ` ' VVater Resources • :7ra w '7...n. ... Y t w A • a �• , C'e ra . ,r 1. /I4111 Mil ! R� ��, I ,mil, ..- -Ile :-- .o.t.- - . ..-:.„,. =';-w -t-',..". k.e_ Focused oritb o ac as: . eropr t?ba`fec an Stevya s !p% s7a. . _ ..� - ,.. ... s ... w. .. ..y..-_. rylN a.-...'emu::•._ }.g$:. '.-Da.. . YF:+'. Colorado's Well Permit Search Well.Ab.andoned :::. :;H . _: :', Last Refresh: 6/12/201? 12:01:21 AM Receipt: 3609352A Division: 1 Permit #: 271415- - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present NOFFSINGER MFG. COMPANY 500 6TH AVE GREELEY, CO 80631- [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE NE 35 7.0N 66.0W Sixth 575 N 125 E Northing (UTM y): 4487433.5 Easting (UTM x): 522385.1 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: 11/01/2006 Date Expires: Use(s): DOMESTIC Aquifer(s): Al_L UNNAMED AQUIFERS i Special Use: Area which may be irrigated: 1 ACRES • Maximum annual volume of appropriation: Statute: f. i. Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No i, Cross Reference Permit Number Receipt Description Permit(s): Comments: [ -] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 04/02/2008 1st Beneficial Use: 01/31/1944 is Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate i I. [-] Application/Permit History 1 Abandonment Report Received 05/07/2008 Well Plugged and Abandoned 04/02/2008 Permit Issued 11/01/2006 Application Received 09/26/2006 r First Beneficial Use 01/31/1944 it [ -] Imaged Documents • i; Document Name Date Imaged Annotated !1 WelLAbandonment 05/19/2008 No Permit to..Construct a_1Nell 11/28/2007 No Registration of an existingsell 11/28/2007 No Field Inspection 11/28/2007 No : Copyright © 2009 Colorado Division of Water Resources. All rights reserved. - l Home Contact Us I Help Water Links I Colorado.c av I DNR Privacy Policy I J I I Transparency Online Project (TOP) littp://www.dwrstate.co.us/WellPennitSearch/View aspx?receipt=3609352A[6/12/2012 3:40:09 PM) - Form STATE OF COLORADO For Office Use Only 'No. OFFICE OF THE STATE ENGINEER GINS- 10 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 6/00 (303) 866-3581 Fax (303) 866-3589 RECEIVED STATEMENT OF BENEFICIAL USE MAY; 1 4 2001 Insert the Well Permit Number 551 03 - F-R- F-R WATER RESOunt:c • STATE ENGINEER ' COLO Name, address and phone of the well owner NAME(S) Vic Leffler and Sons LLC Mailing Address 1 6 9 7 7 W . C . R . # 7 4 City, St. Zip Eaton, CO 806 5 P-Lt •Phone ( 470 ) 454 - 251 5 01/6 a/ -b79.‘ WELL LOCATION: County Weld Owner's Well Designation s.ume (Address) (City ) (State) ail)) NE 1/4 of the sr, 114, Sec. 3 S Twp. 7 X N. or ❑ S., Range 6 6 ❑ E. or x W., : 6 P.M. Distance from Section Lines 2 5 4 0 Ft. From 11 N. or X S., 7 0 5 Ft_ From X E. or ❑W. Line. Subdivision Name Lot , Block , Filing/Unit The well is being used for the following purpose(s): Combined with well # 5 51 0 2 - F irrigates 1 6 0 acres in the SE 4 of Section 35 —T7N —R66W- 6P . M . Water from the well was first used beneficially under this permit number, for the above described purposes on 4 -12 0 — 01 (Do not report a date of use before the issued date of this permit) The pumping rate claimed is 6 75 gallons per minute. (From the Pump Installation and Test Report) The average annual amount of water diverted is 48 0 acre feet. The land irrigated (watered) by water from this well is 1j 0 1d Acres II Square feet, described as: Number _ 160 acres located in the SE i of Section 35 - T7N-R66W or as Subdivision Lot(s) Block Filing/Unit Well constructed by: Lesh Drilling , Inc . License No. 21 -B Pump Installed by : Lesh Dri l l in9 , Inc . License No. 21 - B . Meter Mfg. By : McCrome to r Serial No. 98 - 8 - 2111W Date Installed 4-20-01 I (we) claim and say that I (we) are the owner(s) of the well described above, know the contents of the statements'made herein, and state that they are true to my (our) knowledge. Please print the Signer's Name & Title Signature(s) of the owner. Date John Leffler jeci-V.---2Ye/7/A S — 2/— d f President For Office Use Only State Engineer By Date FORM NO. / PUMP INSTALLATION AND TEST REPORT For Office Use only GWS,32 10194 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 0 c/c 7 7 -Z9 RECEIVED 1. WELL PERMIT NUMBER 551 03-F-R MAY 1 1 2001 2. OWNER NAME(S) Vic Leffler and Sons LIJ • WATER RESOURCES Mailing Address _ 16977 W_C_R_ #74 STATE cE aR City, St. Zip Eaton, CX) 80615 Phone ( 970 ) 454-2515 a WELL LOCATION AS DRILLED: NE 1/4 9E 1 /4, Sec. 35 _ Twp. 7 N , Range 66 W . DISTANCES FROM SEC. LINES: 2540 ft. from South Sec. line. and 705 ft. from East Sec. line. (norm or south) - (Oast or we!J SUBDIVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: . 4. PUMP DATA: Type Turbine Installation Completed 4- 19-01 Pump Manufacturer peerless Pump Model No. Old turbine Design GPM 680 at RPM 1760 , HP 10 , Volts 230 , Full Load Amps Pump Intake Depth 47 ' _ Feet, Drop/Column Pipe Size 8" Inches, Kind x • 12 x 1 • ADDITIONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: Electric ❑ Engine ❑ Other • Design Head feet, Number of Stages , Shaft size inches. 5. OTHER EQUIPMENT: Airline Installed ❑ Yes X No, Orifice Depth ft, Monitor Tube Installed ❑ Yes X No, Depth ft. _ Flow Meter Mfg. McCrometar _ Meter Serial No. 98-8-2111N Meter Readout x Gallons, ❑ Thousand Gallons, x Acre feet, ❑ Beginning Reading 000 . 6. TEST DATA: ❑ Check box if Test data is submitted on Supplemental Form. Date Total Well Depth _ 51 ' Time Static Level _ 25 ' Rate (GPM) 680 _ _ Date Measured 4- 1q-01 Pumping Lv1. 41 ' _ 7. DISINFECTION: Type T.H. __Amt. Used 6 ozs . 8. Water Quality analysis available. ❑ Yes X No 9. Remarks _ 10. I have read the statements made herein and know the: contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13) (a) C.R.S., the making' of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] CONTRACTOR Lesh Drilling , Inc . Phone ( 970 ) 834-2868 Lic. No. 21 -B . Mailing Address psO5 Box 56 Ault, OD 80610 Name/Title (Please type or print) Signat Date Edwin D. Lesh Pres . 6-77A7 FORM NO. WELL CONSTRUCTION AND TEST REPORT For Office use only GWS-31 10/94 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER d � Y' 72 ? 1313 Sherman St.. Em 818, Denver. CO 802_03 RECD 1. WELL PERMIT NUMBER 55103-F-g - MAY 2 OWNER NAME(S) Vic Leff and_ Sons LTC ��ur fle Mailing Address 16977 W. C.R. 1174 WATER RESO s STATE City, St. Zip Eaton CO 80615 cam am Phone ( 970 ) 454-2515 a WELL LOCATION AS DRILLED: NE 1 /4 SE 1/4, Sec. 35 Twp. 7 N -, Range 66 . W . DISTANCES FROM SEC. LINES: 2540 ft. from South Sec. line. and 705 ft. from Fast Sec. line. OR [north or scum) (east or west) SUBDIVISION: LOT BLOCK FIUNG(UNIT) STREET ADDRESS AT WELL LOCATION: 4. GROUND SURFACE ELEVATION ft. DRILLING METHOD Reverse rotary DATE COMPLETED 4-1=-01 . TOTAL DEPTH 51 ft DEPTH COMPLETED 51 ft. 5. GEOLOGIC LOG: 6. HOLE DIAM. (in.) From (ft) To (ft) Depth Description of Material (Type, Size, Color, Water Location) 32 _ 0 51 0-2 Top soil 2-25 Brown colored sandy clay _ 25-45 Small to medium sized gravel , very clean with water loss 7. PLAIN CASING 457.5- y1eathered shale _ OD (in) Kind Wall Size From(ft) To(ft) 16" steel . 250 1 "above 36 6" steel . 250 46 51 PERF. CASING: Screen Slot Size: • 10 16" Gals. screen . 250 36 46 8. FILTER PACK: 9. PACKER PLACEMENT: Material Gravel Type Size 1 " Interval 10 ' -51 ' - _ Depth 10. GROUTING RECORD: . Material Amount Density Interval Placement REMARKS: Cement 3 . 5yds . 6 gal . 6"above- poured -10 ' 1. DISINFECTION: Type H . T.FI . Amt. Used 6 ozs. 2 WELL TEST DATA: Q Check box if Test Data is submitted on Form No. GWS 39 Supplemental Well Test. TESTING METHOD Turbine pump Static Level 25 ' ft. Date/Time measured 4-21 -01 , Production Rate 700 gpm. Pumping level 41 ' ft. Date/Time measured , Test length (hrs.) Several Remarks 3. I have read the statements made heroin end know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13) (a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.) CONTRACTOR Lesh Drilling. Inc . Phone ( 970 ) 834- 68 Lic. No. 21 -B . Mailing Address P •O. Box 56 Ault, CO 80610 ' Name/Title (Please type or print) Date • Edwin D. Lesh Pres. COLORADO DIVISION OF WATER RESOURCES .' GWS-45 FMINST (12/95)• - DEPARTMENT OF NATURAL. RESOURCES GENERAL PURPOSE APPLICATION - GENERAL INSTRUCTIONS This form (GWS-45) should be used for the following well uses: commercial, industrial, agricultural irrigation, municipal, feed lots, central water supply systems, recreation, snowmaking, geothermal, recovery wells and any other uses not otherwise noted in the following list: RESIDENTIAL use wells - Use Application Forms GWS-44, GWS-49 or GWS-5O LIVESTOCK watering on a farm, ranch, range, or pasture (not feedlots) - Use Forms GWS-44 or GWS-5O MONITORING/OBSERVATION wells - Use Application Form GWS-46 GRAVEL PITS - Use Application Form GWS-27 REGISTRATION of an existing well - Use Form GWS-12 (must have been in use prior to May 8, i 972) FtES This application must be submitted with the required $60 non-refundable filing fee. Checks should be payable to COLORADO DIVISION OF WATER RESOURCES. Applications are evaluated in chronological order. Please allow approximately six weeks for processing. rwaaa� Applications must be completed dearly, and legibly, in BLACK INK or typed. ALL ITEMS in the application must be completed. Incomplete applications may be returned to the applicant for more information. Do not change or alter the application in any way. THE LOCATION of the well in item 4 must be correctly and accurately described. The county, quarter/quarter, section, township and range location of the well, principal meridian and location of the well in feet from section lines must be provided. NOTE: Distances are not necessarily the same distances as the distances from (your) property lines. For additional assistance In describing the location of your well, review the publication entitled "How to Determine Well Locations" which was provided with your packet, or can be requested from any Colorado Division of Water Resources office. Indicate in item 5 or provide as an attachment a complete LEGAL DESCRIPTION of the tract on which the well will be located. Indicate the total number of acres and the owner of that land. Check the applicable box(es) in item 6 indicating the GENERAL USE of the well AND provide a detailed description of use of the well as an attachment to the application. If the well is to withdraw water from the DAWSON, DENVER, ARAPAHOE, LARAMIE-FOX HILLS OR DAKOTA AQUIFERS, documentation of claimed landownership or Consent of the landowner may be required. Please contact The Division of Water Resources for further information. A copy of the Statewide Nontributary Ground Water Rules are available upon request for $3. indicate in item 8, or provide acaaattachment a complete LEGAL DESCRIPTION of the Land area on which water from the well will be used. Indicate the total number of acres described and the owner of that land. tf agricultural irrigation is a proposed use, provide an accurate map of the land area with proposed irrigated areas dratted or accurately drawn. Section numbers and section lines must be Indicated 4n the map. Completely describe ail OTHER WATER RIGHTS, including wells and surface water rights, used on the described land area. Describe the total land areas irrigated by other wells or water rights. Applicable well permit, well registration or water court case numbers must be indicated. This information may be provided in an attachment. An ORIGINAL signature must be on each application. The applicant's authorized agent may sign the application if a letter signed by the applicant is submitted with the application authorizing them to act as agent for the purpose of obtaining a well permit. IF YOU HAVE ANY QUESTIONS regarding any Item In the well permit application form, please call the Division of Water Resources Ground Water information Desk at (303) 866-3587, Ground Water Management District or the nearest Division of Water Resources Field Office located in Greeley (970-352-8712), Pueblo (719-542.3368), Alamosa (719-589-6683), Montrose (970-249-6622), Glenwood Springs (970-945.5665), Steamboat Springs (97O-879-O272) or Durango (97O-247-1845). DETAILED INSTRUCTIONS ARE AVAILABLE UPON REQUEST COLORADO DIVISION OF WATER RESOURCES, 1313 SHERMAN STREET, ROOM 821 , DENVER CO 80203 PHONE; (303) 868-3687 (Information), (303) 868-3581 (Main), (303) 866-3447 (Well and Water Rights Records); (303) 866-3589 (Fax) - COLORADO DIVISION OF WATER RESOURCES AECE(Vrn I r) DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., RM. 818, DENVER CO 80203 Opt 2 7 LUGS? phone - info: (303) 866-3587 main: (303)866-3581 GENERAL PURPOSE . Water Well Mir RcaticrAtsplication (Please note: other forms are available for specific uses including - residential, livestock, monitoring/observ., gravel pits, registration of old walls) Review Instructions prior to completing form Must be completed in black ink or typed 1 . APPLICANT INFORMATION 6. USE OF WELL (please attach detailed description} N'"" °t'°p"°"t O INDUSTRIAL 0 OTHER: ❑ COMMERCIAL Vie Leffler & ngnn c _ O MUNICIPAL Mailinc Address I-1 IRRIGATION U FEED LOT — number of heed : 16977 WCR # 74 7. WELL DATA City State Tip Code Mtatimum pimping rate Annul amount 675 gpm 4 80 A . F . Shargerl-feet Eaton , CO 80615 TctSldept» Aqufar with SW 131 Tslephorw number (t-,dude aids code) feet 50 ' 1lllviurti 970 - 454 - 2515 8. LAND ON WHICH GROUND WATER WILL BE USED 2. TYPE OF APPLICATION (check applicable box(es)) a_ LEGAL DESCRIPTION (may be pn tided as an attachment): In Construct new well O Use existing well Replace existing well O Change or Increase Use ❑ Change (source) Aquifer 0 Reapplication (expired permit) ❑ Other: (tf used for crop irrigation, attach totted map that shows irrigated area.) 3. REFER TO Of applicable): 6. S scree C. Owner - Water court case # Permit # 160 Same ......... subterranean water Well # 2 D. List any other walla or water Tierra used an this land: one l $ Monitoring hole acknowledgment t -VE- MI-I- Well # S . W . 131 Well name or ;f 9. PROPOSED WELL DRILLER (optional) W e 1 1,,. .# 2 Name ' Lone (watt 4. LOCATION OF WELL r.Pch Lori 1 .1 itnrii _Zf;__ . 21 _ tz County Quarter/quarter Quarter 10. SIGNATURE of applicant(s) or authorized agent Weld N. % • SE '/a The making of false statements herein constitutes perjury Section Towns 4 N or $ Range E or W Principal Meridian in the second degree, which is punishable as a class 1 mis- lc 7 Ci O _.6 O filit- h demeanor pursuant to C.R.S. 24.4-104113)(a). I have read Distanca of well from section Ilnee the statements herein, know the contents thereof, and state 7 s4 A ft from ❑ N Ej S _66s tt trorn ❑ Eq.) w that they are true to my knowledge. , Wow location ad&Ma, it different from •pplioant .ddrs (if eppllCSEial Mat be a,d,L9SZ H Title Bate F0r rsolsoament weep coy - dl*tane. end draotien hen Old well to now wa Owner ! 6 4 0 feet due IsrP qt direction OPTIONAL INFORMATION 5. TRACT ON WHICH WELL WILL BE LOCATED u8t3$ mg) name DWR :Asp ro. Surface elev. A. LEGAL DESCRIPTION (May be provided es an att■cbmtnt): ,,-.—+ See copy on Non-decree ✓Office�e Only p��4., . e_y_iir- DIv 0.x—ft _-__ WE - / G.0.2c.„,c, (o c..�-,.cp B. STATE PARCEL 70 S 4- ca,y.., 'Z.-d ( N1 r� A a',dnvoire # 468729 1Df# loptlowap: ( 4° k' �► op fobr 4r0o SE+ of Sec 35 T7N R66W Invoice 0 44,1729 WD c3 c. • ,Oita In bract D. *trl 18/27/08 -- 1:40;44 PM Cashier ID: 01 tin i� r of T- f a . J.C \ I}ch; $ 69. : : BA E. Will this be the only wall on this tact? t�YES a NO (if other wells are on this tract, see deae � r.. 't, NI MD dlecf�>te Chment Che t`E El Form OWS-45 (12/95) Permit Application Change Form To be used when issuing well permits bared upon information other than as received. Please file with final Permit Receipt No. LI fo 8 71 , _ Name of Applicant v 1c, L E F Ft g So n1 S _ Summary y of change(s): L..- o c r'T la n1 6C jack. 7 °C -2 + facet“-Nn Fos4- stc4cn G(O _ 14- r ,e-,.t - Jej4- SQC,3 lam.Q , O vi cLc'w c \c CSC .. N o y--) Enos S 1� �Le_ also is�S�-s -�- ) tS '/1 a cc +L.A. S ' 14- C`S`I-e - cc2 \,6 Q u0 GL S t� ��. r� cQ_ rte ,l r f0 V . 6 -(2_ ui e_� )r g s d r % d1A W e,1 c ec ec-Neyv-, rEs2,-, 4- e-e.5.51:13 Date_ 2-.a 'Dec, 00 Signed _,S Print Name C EMGzLMfit. Form No. STATE OF COLORADO GWS-12N OFFICE OF THE STATE ENGINEER For Office Use Only 4rs� 818 Centennial Bldg., 1313 Sherman Si, Denver, CO 80203 0551031 (303) 855-3581 Fax (303) 866-3589 PERMIT NUMBER REGISTRATION OF DECREED EXISTING WELL Pursuant to C.R.S. 37-92-304(8) 1 . WELL OWNER 00 39162 Name(s) : Vic Leffler & Sons Mailing Address : 16977 WCR #74 City, St. Zip : Eaton, CO 80615 Phone : (970) 454-2515 2. WELL LOCATION: COUNTY: Weld OWNER'S WELL NUMBER: 2 Address: unknown NE V. of the SE 1/4, Section 35, Township 7 N, Range 66 W, Sixth P.M. Located at 2540 feet from the S Section Line, 665 feet from the E Section line. 3. The well has historically been used for the following purpose(s): irrigation 4 Water from the well was first used beneficially by the original owner for the above described purpose(s) on May 31 , 1949. 5. The total depth of this well is 47 feet. 6. The pumping rate is 1 . 5 cubic feet per second. 7. The average annual amount of water diverted is unknown. 8. The land area irrigated from this well and permit number SS- 70 2 - R is described as: 160 acres known as the SE 1/4, Sect 35, T 7 N, R 66 W, 6th PM In accordance with the provisions of Section 37-92-304 (8), C.R. S. the State Engineer has entered into his records, under the above assigned well permit number, the determinations made by the Division 1 Water Court in Case Number 11217 for Well Number 2 of the Collins Pumping System. The registration for this has been amended to reflect current owner, address and location information. L" gt1Cidit- tit(elieb,C op State Engineer By Date Court Case No. 11217 Division 1 County Weld Water District 3 Basin MD Use Form No. OFFICE OF THE STATE ENGINEER GWs$5 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 21 WELL. PERMIT NUMBER 5- s- 105 - F - ePPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY NE 1/4 SE 1/4 Section 35 VIC LEFFLER & SONS Township 7 N Range 66 W Sixth P.M. 16977 WCR #74 DISTANCES FROM SECTION LIME EATON, CO 80615- 2540 Ft. from South Section Line 705 Ft. from East Section Line (970) 454-2515 UTM COORDINATES PERMIT TO CONSTRUCT A WELL Northing: Easting: r 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 37-90-137(2) for the replacement of an existing well, permit no. 55103-F (decreed by the Division 1 Water Court aS Weil no. 2 of the Collins Pumping System in case no. 11217). 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 after construction of the new well. affirming that the old well was plugged and abandoned. 4) Approval of this replacement permit shah not result in an expanded use of ground water. The use of ground water from this well combined with well no. 55102-F is restricted to the Irrigation of 150 acres in the SE '/., Sec. 35, Twp. 7 N. Rng. 66 W, Sixth P.M. 5) The maximum pumping rate of this well shall not exceed 675 GPM. 6) The allowed average annual amount of ground water to be withdrawn by this well In combination with permit no. 55102-F shall not exceec 480 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 number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 8) This well shall not be pumped unless included in a court approved plan for augmentation or a substitute water supply plan approved by the State Engineer. 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 ;east annually) and submitted to the Division Engineer upon request. 10) This well shall be constructed at least 600 feet from any existing well completed in the same aquifer that Is not owned by the applicant. 11 ) This well shall be constructed not more than 200 feet from the location decreed for Well no. 2 of the Collins Pumping System in case no. 11217. NOTE: This permit has been approved for a change in location from that applied for In Item 4 on the permit application form. You are hereby notified that you have the right to appeal the issuance of this permit, 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,) Gf: z O "02cj CCU • APPROVED CJE Z \Receipt No. 0468729 State Engineer DATE ISSUED DEC ` BEXPIRATION DATE DE 1 iQg 1 State of Colorado Water Resources - View Well Details: Receipt 0468729 Well Construction & Test 12/01/2007 No Qdginal.Eile 12/01/2007 No Statement of Beneficial lice 11/30/2007 No Copyright ® 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact us 1 Help 1 Water Links I Colorado.gov I DNR 1 Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitSearchNiew.aspx?receipt=0468729[6/I 2/2012 11:32:40 AM] State of Colorado Water Resources - View Well Details: Receipt 0468729 t Colorado Department of Natural Resources Colorado.gov I Contact Us -11:4 arlermlown Colorado Division of °_ ,� . . . . i _. � j ,�,,. . i.µ�;.• " _. Water Resources .. ..., _ P'NIFI•9.! ; "Oil Pike' '-- ' '�' sect on COL, do's People, Water arfatSt$wardshrp Colorado's Well Permit Search t Well Constructed rr�' Last Refresh: 6/12/2012 12:01:71 AM , Receipt: 0468729 Division: 1 is Permit #: 55103-F -R Water District: 3 "• Well Name / #: County: WELD Designated Basin: Management District: Case Number: 11217 WDID: 0306302 - COLLINS PUMP SYS 2 W 2 E• ''• [- ] Applicant/Owners History , Date Range Applicant/Owner Name Address City/State/Zip , Unknown - Present VIC LEFFLER & SONS 16977 WCR #74 EATON, CO 80615- i . [ -] Location Information It Approved Well Location: Q4O Q16O Section Township Range PM Footage from Section Lines t' NE SE 35 7.0N 66.0W Sixth 2540 S /05 E " Northing (UTM y): 4486764.2 Easting (UTM x): 522154.7 Location Accuracy: Spotted from section lines . : Physical Address Subdivision Name : City/State/Zip Filing Block Lot : Parcel ID: Acres in Tract: 160 [ -] Permit Details Date Issued: 12/21/2000 Date Expires: 12/21/2001 Use(s); IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: t Area which may be irrigated: Maximum annual volume of appropriation: Jr Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report • Yes No Yes Cross Reference Permit Number Receipt Description Permit(s): 55103_1-- 00391.62_ f Comments: • [-] Construction/Usage Details Well Construction Date: 04/19/2001 Pump Installation Date: 04/19/2001 E Well Plugged: 1st Beneficial Use: • Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 51 36 46 25 680 idi. Lk # Name Address Phone Number Driller 21 LESH JR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 Pump Installer 21 LESH JR., ED BOX 55-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [ -] Application/Permit History j 1' Statement of Beneficial Use Received 05/14/2001 ): Pump Installation Report Received 05/11/2001 • Well Construction Report Received 05/11/2001 `4 Pump Installed 04/19/2001 Well Constructed 04/19/2001 ? Permit Issued 12/21/2000 i Application Received 10/27/2000 r i• t', [-] Imaged Documents Document Name Date Imaged Annotated i Pumpinstallation & Test 12/01/2007 No http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt:0468729[6112/2012 11:32:40 AM) Form 'STATE OF COLORADO For Office Use Only • No. ' OFFICE OF THE STATE ENGINEER GWS-09 821 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 OO Q /6 -2- 06/00 (303) 866-3581 Fax (303) 866-3589 WELL ABANDONMENT REPORT Type or print in black ink. RECEIVED Well Permit Number of the well being plugged 55103-F MAY 112001 HESthInb Individual/Company responsible for plugging and sealing the well: vi6sp can NAME(S) Vic Leffler and Sons LLC Mailing Address 16977 W.C. R. #74 City, St. Zip Eaton, CO 80615 Phone ( 970 ) 454-2515 • ACTUAL WELL LOCATION: County Weld Property Address same • (Address) I_ (City ) (State) (Zip) NE 1/4 of the SE 1/4. Sec. 35 , Twp. 7 X N. or• Lj S., Range 66 I E. or x W., 6 P.M. Distance from Section Lines 2540 Ft. From . N. or X S., ' 705 Ft. From X E. or W. Line. Subdivision Name Lot - , Block , Filing/Unit - I (we) report that an existing well was plugged and sealed for the following reason(s): X The well was plugged and sealed as required under Well Permit Number 55103-F-R The well was not in use and was plugged and sealed. _ Other (please explain) The date the well was plugged according to the Water Well Construction Rules was 4-26-01 The well was plugged with the following materials placed at the indicated intervals: Amount and Type of Material Method of Placement Interval Top soil Dumped -_ from 0 feet to 5 ' _ feet Cement Poured from 5 ' feet to 8 ' feet Gravel Poured from 8 ' feet to 451 feet from feet to feet Intervals of casing removed/ripped in feet from feet to feet I (we) have read the statements made herein, know the contents thereof, and that they are true to my (our) knowledge. Please print the Signer's Name & Title Signatur Date Eciwi n n.. Lesh Pres . 7 Lesh Drilling, Inc . , It is the responsibility of the well owner to have the well properly plugged and sealed. The Well Construction Contractor is responsible for notifying the owner of this requirement. State of Colorado Water Resources - View Well Details: Receipt 0039162 Colorado Department of Natural Resources /�i� Colorado.gov I Contact Us Colorado Division of -. , N - .. ,=-1,-.: -T� Y_,t}. y � : , J � Water Resources • ' • t-1: z ,x .a.n� ',�. , LT T. — _ �� � � �l • +v �� _ .� � wa.y♦ .4‘,..-!' �,� - :L. -_.r'• 4 , tid_ _.___ ta O n" . ` `3 '''k ' - =- ; ocused orr olor.ado's People, Watet)sfrd≤tewards np:, Colorado's Well Permit Search Well Abandoned :i j Last Refresh: 6/12/2012 12:01:21 AM 2 Receipt: 0039162 Division: I } Permit #: 55103-F - Water District: 3 .'• Well Name / #: County: WELD Designated Basin: Management District: Case Number: CA-11217 is WDID: 0306302 - COLLINS PUMP SYS 2 W 2 E [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip '' Unknown - Present VIC LEFFLER & SONS 1697/ WCR #74 EATON, CO 80615- i;$ [-] Location Information t • Approved Well Location: t, Q40 Q160 Section Township Range PM Footage from Section Lines NE SE 35 7.0N 66.0W Sixth 2540 S 665 E Northing (UTM y): 44867643 Easting (UTM x): 522166.9 ,, Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: 160 [-] Permit Details • Date Issued: 12/20/2000 Date Expires: , Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: I. Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No r `. Cross Reference Permit Number Receipt Description Permit l: (s)• 55103:F.:R 0468/29 i Comments: :f [ - ] Construction/Usage Details ;t Well Construction Date: Pump Installation Date: Well Plugged: 04/26/2001 1st Beneficial Use: 05/31/1949 d' Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate [ -] Application/Permit History Abandonment Report Received 05/11/2001 Well Plugged and Abandoned 04/26/2001 Application Received 12/20/2000 Permit Issued 12/20/2000 is First Beneficial Use 05/31/1949 [ -] Imaged Documents i Document Name Date Imaged Annotated Well Abandonment 12/01/2007 No r! Copyright © 2009 Colorado Division of Water Resources. All rights reserved. 't Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) hap:Nwww.dwr.state.co.usAVellPenmtSearch/View.aspx?rcccipt=0039I62(6/12/2012 11:30:56 AM) Form No. STATE OF COLORADO ows12N 4199 OFFICE OF THE STATE ENGINEER For Office Use Only 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 055102C _ (303) 855-3581 Fax (303) 866-3589 PERMIT NUMBER r REGISTRATION OF DECREED EXISTING WELL Pursuant to C.R.S. 37-92-304(8) 1 . WELL OWNER 0039161 Name(s) : Vic Leffler & Sons Mailing Address : 16977 WCR #74 City, St. Zip : Eaton, CO 80615 Phone : (970) 454-2515 2. WELL LOCATION: COUNTY: Weld OWNER'S WELL NUMBER: 1 Address: unknown NE ' of the SE 1/4, Section 35, Township 7 N , Range 66 W, Sixth P. M. Located at 2550 feet from the S Section Line, 375 feet from the E Section line. 3. The well has historically been used for the following purpose(s): irrigation 4 Water from the well was first used beneficially by the original owner for the above described purpose(s) on April 30, 1937. 5. The total depth of this well is 48 feet. 6. The pumping rate is 1 .0 cubic feet per second. 7. The average annual amount of water diverted is unknown . 8. The land area irrigated from this well and permit number SC- 10 3 - F is described as: 160 acres known as the SE 1/4, Sect. 35, T 7 N, R 66 W, 6th PM In accordance with the provisions of Section 37-92-304 (8), C. R. S. the State Engineer has entered into his records, under the above assigned well permit number, the determinations made by the Division 1 Water Court in Case Number 11217 for Well Number 1 of the Collins Pumping System. The registration for this has been amended to reflect current owner, address and location information.z . w 4 13 State Engineer By Date Court Case No. 11217 Division 1 County Weld Water District 3 Basin MD Use State of Colorado Water Resources - View Well Details: Receipt 0039161 Colorado Department of Natural Resources Colorarlo.gov I Contact Us Coloradkëh IN - c. ocused on Colorado a peole,.;W3ter.arld Str~war sfirp j Colorado's Well Permit Search • Well Constructed iid, . Last Refresh: 6/12/2012 12:01:21 AM a $ Receipt: 0039161 Division: 1 f Permit #: 55102-F - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: . Case Number: CA-11217 WDID: 0305729 - COLLINS PUMP SYS 2 W 1 [- ] Applicant/Owners History • l L, Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present VIC LEFFLER & SONS 16977 WCR #74 EATON, CO 80615- [ - ] Location Information I Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines 1. NE SE 35 7.0N 66.0W Sixth 2550 S 375 E cr E;° Northing (UTM y): 4486769.7 Easting (UTM x): 522255.6 Location Accuracy: Spotted from section lines • :, • Physical Address Subdivision Name City/State/Zip Filing Block Lot 1,:: .1 Parcel ID: Acres in Tract: 160 [ - ] Permit Details Date Issued: 12/20/2000 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: 1I. Area which may be irrigated: , r; . Maximum annual volume of appropriation: i. r Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No L.: Cross Reference Permit Number Receipt Description Permit(s): 55103-1 0034162 a :k Comments: [ - ] Construction/Usage Details w - Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 04/30/1937 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate r [- ] Application/Permit History Permit Issued 12/20/2000 Application Received 10/27/2000 ii First Beneficial Use 04/30/1937 [ -] Imaged Documents , Document Name Date Imaged Annotated • !" Original_Eile 12/01/2007 No Copyright O 2009 Colorado Division of Water Resources. Ail rights reserved. • Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy i Transparency Online Project (TOP) , http://www.dwr.state.co.us/Wel I PermitSearch/View.aspx?receipt=0039161[6/12/2012 11:27:25 AM] . . • Case No . W 3662 - •'•` ' • ``' Best Copy Available Page 2 • •" ' `ci, • .,ei • • :: '�.i &• i3 ' �r ..;'• � :to(�i . 4 . The source of water : rtf•oundwatcf• • •� :. - ;.5 ea 1 L. . . • ..; r'06 2.% •11 is 0 • •,s. .♦� .. om, , • • , , • ,.V, • ; ••(,.p• .• -. ,' 5 . The date o = appropriatiun . ' ' •'` III:l "TMh•• \ :• •1 C • i t /; '�c1 1 - 1 - 1tr5 � 1 D. . enber 31 . 1 '1 4 •- •:.'140..14 ' .1. •*�''•`'�'_ � . •.t. . ,ro , fsinne:• Ilanufactt� t- 1II �:•► ' 1 vr, • .. i 1.1ofCsirner tea ur1 � : 1, ri :t^. e 1 � 2 I4552 •. =July •• 31 . 1 ? ' . 1 3 `' fk4,j'�s ? • . �' ;;. .1� lloffsincjer el. C • ;!n ( 1 • 3 - 14553 Decenber • 144:1:" 31 . • . ' • ..e•.241141 s••• , ' . �•'�;ter;: •' i Vitt .4,L•. , s: tit `�I gd-scv j;;4 t 6 . The amount o f water : ;?' : :•rr.: rip- !• ?is 1 %Ir `;:;'wti !loffsinger f�anufactur : nq Well l � ] 14 5 1 3 .5 cubic et a second , �ti.� X15 1 • o r • '��'''��� ' �loffsinger ,•lanufacturinc Wel 2 - = 552 b c feet per second j ,ti,. �,•; .AI vent? „` Sloffsinger Manufacturing Well 23 - 14553 : 1 . 01 cubic feet ler second ::f•t,,•- ,,,s . .•: t7. ..•:; 7 . the use of the water :% lk ►1,140flati - •1'.1.x; . • .• C e•••,)"e°� ,1 �� I ; 1 _ a 5l , •loffsin ;er f ►anufaciurin • ; •" "•' � ; rl � !" I'anUfdf_ tUr + r4 •;ietl 1 5 :, e•vc NF t; :r: •toff ., n •lt . r 1• facturing • Well :I3 - i 553 : :+et,c •: ,••'=: , Poll 1 2 - 1 X52 and to " singer . i4nu �;�, : ... :t;, r the NE,. of Section 35 . To4nshio 7 crth . =ti • •4:.::; irrig .► . io ;► of 13 • a •� e5 / 1 .. ., •� : ',�, . • • .:�.. Ranfjo C.6 ('1e t o th 5 ..h " . it . eld Count . CO = orado . ..-04,4-..r.•.•% 71:::::: ,,•• •: :. •. • ts:a :'.fw q • •,L :�• ` . •.••."Y• `Ltd '�,�.,•,� 41411 • • :.t'c Z •f t A�.•�• . M1C. •.i ••'••+••Ail,0. ��•• •..s•.% S i•1 r ._ ' .•Vii � DA .. this :: /�r,� J • ._.-1../L•- "'scut - • I Jtr,i:.i .. ,�• .4..,,14•• ;,.Jit •• ,...,.....,t ....S)6124" tj FAI :t� •i•r.• F� • . - 1 r -1ivisict 1 1D'•'-' `' - : .• et,' 4% Wathr Re ` e ee . r,t:•�•4%i .r'' tr• , ..t. '• •";' '•. i ;;(; r•1r " C •• i : 'A i iii, I. iI ] il TH : S MATi :R . =?"`; ` ,;�•,:: . : -4 T ur COURT DOTE FIND : I f , �. W , . •,. tY;•�•t omta • �. - :� " r (; A �ilr !� l' i' el II D AND IS HEREBY MADE '�' • ftTIIE FORCGO I �If. �'.U :. ?,:, Is Cv:': 1- 1 , . • • •.•fl_ lat ••. »�;•••• TI] E JUD AND DCC � Ei D , ? ;� i p COUR : . .'•• •ri•. . i Date =�, i � •••�1_ . �_1 ;�. ''•t_. • 1•. ....r% •• • r.` *nk ' .1441.41,-- est. 4 .. •"•4••• F"r•Ly-‘,.:;.! Water Judge , Di : .. ter. 1 � � •s.. el •+`I'••� • •,• A !st .; • . .. 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In WELD C0U 1 " ti ,�. . •.: 'rte ' •• t :.•41-c ...i it - :_:.•O' • •• :.e 442,4 ‘1;.••• .. •. • N.:'• .! 1/ • 'I''.$• ."•c''•• • •.. zIlir'•J THIS CL :. u4 . havinn been filed with the Water Clerk , Water Division I , • ; •`'•;:;'.•'`• ice •• ; ;i:"'' "•. ,, I.1. ..•, .0•3•:r:661,t on June 15 . ; 972 and the Referee being fully advised in the premises . • ", � ��:p ", filr- does _ by 1 % :• :• : 1• -Y , All notices required by lat4 of the filing of this ccpplicat: iuni have •►t •'• 1-,• `• • :•! -. :,?:: 'Jeers ftrif •MleJ , ant; the i'c crv::1 has jurisdiction of this application . v I No statement of opp itir to said application Ills heed filed , and !]c• • the time for filing such sta c•:acn : has expired . '• •.:., • : •t .': • •< All ,ratters contanic ,1 ii' tie ai; t' liceLion having been reviewed , �,°; • r N ' Z• •r , • testimony hav i n • been t •, • on "he ! • s ;, r testimony •' . • . an,I tcstir, . f r: . • and c i •► necessary , •,‘••••••• ...,, y `. suc 1 cor correctionsmade as ? r' ' rd a - :'d E) • the evidence a presented herein , ',a • r r or. t t r � ! � .t . C c C Sensed ii♦. rer }l: IT 1S U r, uve THE RULING 0 I: _ r;�; 'i _ '; REFEREE : :.. • '• s. .1=' •.. ,• ' ;1 I I . The name and addst. 1 - : , 1 r . • ^. r;,'' '^' • ��'.. .. 1 add r ? -.. : the V I t . .�� 1 L •"•• •••,., • ,� •I• i •L•.�;L iii.. ;IorfSinner 14anr, ig (, S •, , inn : 4 t . r { ay: :• • •I • c.•• A .• • i• ••• • •%4.a,• hex •• 3•' Co :. • •• ti:• .•\. 4r�,•,. mb Greeley . C l c rado• . !. , 1 ;(•�•: . : • ,� • , •r. • • ! 2 . The name of the s true L 'jr• es • - -` '• • • Uoffsit: ger Manufacturing well = 1 - 14551 i•: • c :lof fsintier Manufucturinn ':;_ i 1 :-' 2 - 14552 • r' Y. n S • :toffsinner ManuFactur• inn : ': 3 - 14551 , _ • w . 3 . The legal descrio _ ion of the structures : • •• ' . • . Uoffsinger• Manufacturing ;:e ' 1 '11 - 14551 is located in the NEa •` -' - ` c o f the NE ', . Section 35 . Tot�richi ', 7 North . Range 65 West of the '• . • 6th a • . . ol1 • !iel (.� Co� nt�• , Colorado . at a ooint approximately 232 • . : . - feet West and 45 feet South o the NE Cnrner of said Section 35 . . • _ - •.4;•_. :toffs in . - • ;Qr ;1a . u .13c te.' •' rrc: Well - 21 1552 i s located i rr the a;;� • • • • o f the Nf :4 Sectintt : 5 , ''•• wnc ?tin 7 North , Range 66 West of the •_ • . 6th P . ;i . , Weld Count " . Ce ' .j1"r' d:! . at a point anproxir;tately 45 '�"''. : .6 .• .•• •. ..,, . feet South and l3 ` �= �_ t '•lt' c : It ' the NE Corner of the '1W' of • .a: . '. • .1 fE o f said Section • •• ' :loffsinger F!anufa : curinn '.:c ! 1• 14553 is located in the 'tE; of • • . • the :! E '., . Sectie'n 35 . 7ot': •trsh : "' r 'forth . fa ':ne 66 West of the • .0:' ith 2 . ' . . 1,: ` Ir' Cc , ,j4 .. . r ., ; ,t • ., •` '' . at a ;roi ;, t .1 :Inrnrinate 'iy 180 .. r• 35 feet ` mot ,, to nti r . a ' -, •• • r. 4 the ;:: `• ' nice o .1aH Section .�.'. '. ... .• . • '! v• ! r, 1 • . . . 4244.. r_•' •., ;. ♦� -►. . . a - - . ... .• .- a..a.••••••a • • .... am. 2re2.0a a -.. - .1.4.1rerlite . .• . . a.. . •t al., •• .... • ir Air ....-... . seiciS._a414,646.47. . . _ ...._ ..____. ... ..4. vesitaqght.......)... . ....4.. .-. ... - WA, # 7445" # 401....02/4•00.4"/. -, ....... .. . . . . . ... c .•a. a ..... .m a ....“. • ... a e.4 a e. . a a.m. T • . A i a •. .a.• .. - • .• 1 eafrit7e;. .. . a. a • . ... .� _ -_ - - _ /-jor-e __ __ _ - - - - - - ________ - - - •-- - __ a.. . - - •- . - - - - - - - - - - name - FEB 0 4 200-4-- _ _ -- - -_ _ _ --__ -. _•-- --- • -- -- --- . .. .. - - --RECD - --- - _ _ _ - WATER RESOURCES JSTATE ENGINEER _ _no - — - — — - - - - -- — - - - — AN-�-� - - - _ COLO.- • - wq,a 2004 ..C; .. - - _ . _ _ . ._ .. _. ... ,. -- -- - - - - -- - • - - . - - - . _ --_-__ — - - - - - - -- - - - - - - - am.. - - a .-- • -y -_ . .. .. - - -_ •�-'__ -_-_._- - .. - _ _ _ -- . : - -- • - - - . - •- - -- - . - ...... _- .. ... 4-f . -..a ea-- - • -•- -- _ -..... _ - ... _ _ .... .... -.._ - _ _ _ - .. - - _ . -- _ . . a . -'- • - - - rw ---- _. - - .a - .. •--._ -. _ - - . r. _ -_rte- .r _ . --_- ......_-- - -- _ - - _ -r _-.•.- _ _ - - -_ -.. - �- �_ _ - - --_ _._. -- - _ _ -- . _ _ . - _ ._-. - - --. - _ _ - -_ .M.-. _ - - - .. .a--- r•- -- • - - -. - -. .-.r . - . - - - ... _— ---•- - - - • -• _ - - -..... ...._ - ••----- - --- _. _-- . . —r..... -_- ...mi....a ---. --... ._ - - - - - __--a. - _.• .- ....... -. ........_ . - - ---_.-- _ - . --- -- -_ - - . - _ - -- _ -- ._ aa...h- - -- . - -••- - _�--�._-_ _ a-. - ...... ...--_ -- -. . --- -- a.... . . . - -- • - ..- -..... - -- r - - ----_-. . -- _..-4- - ---- •- .- - - _ - _ -- -.. _ . . _• _- _-- --- -- a—...--- - _ - _ . • _- - - •-_..ap• a-.-.- -- -- - --. _ _ ... _ r.- -- r_ - - -- ... -- --- _ ---_- -. - - _ •- r _. - - - - - -- - - -- -_ . an.L. -- - _ a ........ - . .....-r. _ - __ - - ---- -- --. _- - -- - .. __ . - .......... . • r11 - - - - �—_ y ,r Form STATE OF COLORADO ' ECE;ifs For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-7t 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 Div WD FEB 0 4 2004 9/03 (303) 866-3581 Fax (303) 866-3589 asin _ MD http://water state.co.us/default.htm WATER RESOURCES STATE ENGINEER COLO. NON-EXEMPT WELL SUPPLEMENTAL INFORMATION (To be submitted with Form GWS-45) PecEivto Name, address an one of the well ner: rot NAME(S) .��/ fa elm q,y2,��0� Q E(Fr "LW r'tts Mailing Addres ji, ,Us �i City, St. Z. e 3, Phone ( 9-70 ) --© /6.- WELL INFORMATION AUGMENTATION OR SUBSTITUTE SUPPLY PLAN INFORMATION Name of Plan: g‘eidn Water Court Case No: JJ 3j Water Court Case No: 11/ 77y1 Contract No: J` / A 4, Date Constructed: 1 9V/0 Number of Units: /`p1 l Attach additional information WELL LOCATION(S) Decreed Well Location 1\1 , _1/4 of the Nit1/4, Sec. 3,4, Twp. 7 (0 N. or D S., Range Q ,[111E*. or W., 42 P.M. Ft from the N or ❑ S Section Line; Ft from the ❑ E or OW Section Line. E ting Well Location Sarre as decreed 1/4 of the 1/4, Sec. , Twp. N. or ❑ S., Range ❑ E. or W. , P.M. Ft from the ❑ N or ❑ S Section Line; Ft from the ❑ E or LI W Section Line. Pro osed Well Location Same as decreed ❑ Same axisting 1 /4 of the#k 1/4, Sec. 5,/ Twp. N. or ❑ s., Range e ❑ E. or NI] W. , 4 P.M. 2491 Ft from the N or ❑ S Section Line; .3re Ft from the [Iyif E or ❑ W Section Line. 600 Foot Spacing Are there wells, not owned by the applicant, that are within 600 feet of the proposed well location? e No If yes, please attach additional information including owner contact information, well permit nos. and a• : •ximate location. _Use Of Well (check applicable boxes, Land On Which Well Will Be Used (If For Irrigation; Attach a detailed description of uses applied for. Number of Acres /J!" O Industrial ❑ Other (describe): ❑ Municipal Legal Description: (may be provided as attachment) 521 Irrigation ❑ Commercial . N1 if 1 „ 14 *,r I (we) claim and say that t (we) are the owner(s) of the well described above, know the contents of the atements made herein, and state that they are true to my (our) knowledge. Please mint the Signer's Name & Title Signature( ) tl- owner. Date Noff5 l N e 1-- friNI 5 \11 tar/ -3D -el 22bt41 es ,P1 cfre-ti STATE OF COLORADO OFFICE OF Till STATE ENGINEER ioc•co� Division of Water Resources Department of Natural Resources t; 6 N 1313 Sherman Street, Room 818 RFC • :r Denver, Colorado 80203 6 Phone (303) 866-3581 January 26, 2004 /�N 3 - FAX (303) 866-3589I�aEgVE� w Z Bi11.O:7e ns www.water.state.co.us DO7 Governor MR. JIM PICKETT FEBa 20Q orit ai-1�:�'t' g Greg Waicher NOFFSINGER FARMS �, Executive Director P.O. BOX 1150 Hal D. Simpson, P.E. GREELEY, CO 80632 WATER RESOURCES State Engineer STATE E1tiGINEEF1 COLO. Re: Water Well Permit Application to relocate an existing well permit no. 14553-R, Receipt No. 519437 Dear Mr. Pickett: The enclosed well permit application is being returned for additional information and/or documentation indicated below. This additional information is required before we can proceed with the evaluation of the application. The application is to relocate an existing well with permit no. 14553-R, located in the NE1 /4 of the NE1/4 of Section 35, Township 7 North, Range 66 West of the 6th P.M. This well was decreed by the Division 1 Water Court in case no. W-3662 as Noffsinger Manufacturing Well # 3-14553. Please be advised that, all applications for replacement permits should include a Non-Exempt Well Supplemental Information (Form GWS-71 -included for you to use). The usual purpose of this form is to verify the historic use of the well, identify relevant court decrees, confirm the location of the well, and verify if the well is included in a court approved plan for augmentation of State Engineer approved substitute water supply plan. Permits for replacement wells (decreed or not) will not be issued unless the well is included in a plan for augmentation or a substitute water supply plan approved by the State Engineer pursuant to CRS 37-92-308. In Item No. 7 of the application please indicate if the acre-foot amount applied for is in combination with well permit nos. 14551 -R (Noffsinger Manufacturing Well # 1 ) and 14552-R (Noffsinger Manufacturing Well # 2). CA- eem real According to the State Engineer's new guideline 2003-3 for well permit applications please be advised that the aforementioned criteria must be addresses and received by this office by March 26, 2004 to retain active status of the new application. Information submitted after that date will require a new ground water well permit application and will be assessed the appropriate fee. Please provide all of the above requested information and amend the application as appropriate before you send the application back to this office. If you have any questions please call me at this office. Sincerely, �A I loana Comaniciu Water Resource Engineer • • Enclosures: s r • ....Attudhment to General Purpose Water Well Permit Application �� J• Applicant: Noffsinger Farms JAN 2 3 2004 Reference Irrigation Well Permit Application for redrilI of Permit is1k�e t o. -a # 14553 NE 1/4 - 1/4 Section 35 , T7 L__, R Coto. 8 : scaled map for crops irrigation to show irrigated area REct, vE Well # 14553 with wells 14551 & 14552 Irrigate 154 Acres in the NE$ of Sec 35 , T7N , R66W MN 3 0 wArEA 2004 a s NORTH SECTION LINE co,„„„00 RECEIVED NORTH E A FEB 0 4 2004 S S WATER RESOURCES t * STATE ENGINEER COLO. E E C C T -I- I � I O p N N L L I . I N • N E E SOUTH SECTION LINE • • The ;scale of the diagram is 4 inches = 1 mile Each small square represents 40 acres Other Wells & Water Rights used on this Land . Wells - 14551 , 14552 & Unregistered Domestic Well . 2 Shares of Larimer & Weld Irrigation Co 2 Shares of Larimer & Weld Reservoir 1 Share of Town Boyd Lateral KIRA 1i°` WELL CONSTRUCTION AND TEST REPORT For Office Use only GWS-31 IQ/94 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER r--r 1313 Sherman St. Rm 818. Denver. CO 802(X3 1. WELL PERMIT NUMBER 1453-R-8 2 OWNER NAME(S) Noffinger inger Farms / Jim Pickett Mailing Address P 0 Box 1150 - City, St ZIP , Greeley C,Q 80651 P ( 970 ) 352-0463 3, WELL LOCATION AS DRILLED: NE 1/4 NE 1/4, Sec. 15 Twp. 7 _ N , Range 66 DISTANCES FROM SEC. UNES: 36 ft. from NNltrbt B�� t{�h Sec. line. and f . from Sec. Tine. OR tr)bDut ; 55 or weuq SUBDMSION: LOT BLOCK FIUNG(UNIT) , STREET ADDRESS AT WELL LOCATION: 4. GROUND SURFACE ELEVATION ft. DRILLING METHOD Reverse Rotary DATE COMPLETED 4/06/04 . TOTAL DEPTH b2 ft. DEPTH COMPLETED 62 ft. 5. GEOLOGIC LOG: 6. HOLE DAM. (in.) From (It) To (ft) Depth Description of Material (Type, Size, Color, Water Location) 28 0 62 0 - 2 Loam ? - 16-72 Cay clay Trace of Gravel 7. PLAIN CASING • 19 - al Graval & Clay OD (in) Kind Wall Size From(ft) To(ft) 21 - 40 Coarse Clean Gravel 14- Steel . 219 +1 38 40 - AR C'narce Gravel Same Jkii1ders 48 - 48-1/7 Rork 4nnf very hard ) 4R-1 /?- 57 C'nnrse Crave- Boulders 57 -- 62 Flay PERF. CASING: Screen Slot Size: . ' in 4 ,Screen 2 51) 38 S$ _1LL nnprr 1S2 58 63 & FILTER PACK: 9 PACKER PLACEMENT: Material Gravel Type Size 3/4 & Buckshot Mix Interval 20 ' to 62 Depth 10. GROUTING RECORD: Material Amount Density Interval Placement REMARKS: Cement 2 Yards 6 1#/gal 10 to 20 ' Pumped 11. DISINFECTION: Type HiN Dry Powder Amt. Used 6 Cz 12 WELL TEST DATA: I Check box if Test Data Is submitted on Form No. GWS 39 Supplemental Well Test. TESTING METHOD Turbine Static Level 38 ft. Date/Time measured 4/06J04 , Production Rate 450 gpm. Pumping level 45 ft Date/Time measured 4/06/04 , Test length (hrs.) Remarks 13. i have read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 244-104 (13)(a) C.R3., the making of false statemontta herein constitutes perjury in the second degree and is punishable n a class 1 misdemeanor.] CONTRACTOR T A P�8f end i51,ti g co C0 $07 1 P 1e ( 970) 867-2943 tic. No. 765 Ma Address Name/Tide (Please type or print) Signature Date L . George Canfield/DrillerLA°71 (d'ill) Form STATE OF COLORADO lkor Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-10 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 6/2003 (303) 866-3581 Fax (303) 866-3589 - • STATEMENT OF BENEFICIAL USE • Insert the Welt Permit Number Name, address and h ne of the well owner: NAME(S) ....) 1/41170 , 6' I Mailing Address City, St. Zip O r ge 1p 32. Phone ( g_2& ) WELL LOCATION: County Owner's Well Designation (Address) (� (City ) Pate) (zip) NE 1/4 of the NE 1/4, Sec. 35, Twp. 7 l x 1 N. or ❑ S., Range 66 ❑ E. or X1 W., 6 P.M. Distance from Section Lines 361 Ft. From L x N. or S., 55 Ft From X E. or l_f W. Line. Subdivision Name Lot , Block Finn (Unit The well is being used for the following purpose(s): Irrigation of . Farm Crops • Water from the well was first used beneficially under this permit number, for the above described purposes on 4 / 14/04 (Do not report a date of use before the issued date of this peririt.) • The pumping rate claimed is 450 gallons per minute. (From the Pump Installation and Test Report_) The average annual amount of water diverted is 462 acre feet. J The land irrigated (watered) by water from this well is 154 X Acres S Square feet, described as: Number or as Subdivision Lot(s) Block Filing/Unit well constructed by. Canfield Dri l 1 i ng Co License No. 765 . L Pumpinstalled by : Canfield Drilling Co License No. _ 7 Meter Mfg. By : Serial No. Date Installed 1 (we) claim and say that I (we) are the owner(s) of the well described above, know the contents of the statements made herein, and state that they are true to my (our) knowledge. Please print the Signer's Name & Title Signature( ) o the owner. Date jig s D ,Vt Kt'Lt r_2 cm -110-riln 1144A S P r For Office Use Only State Engineer By Date Fes" fitit i • PUMP INSTALLATION AND TEST REPORT For Office Use only GW&32 5/20O3 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER i. WELL PERMIT NUMBER 14553-R-R 2. OWNER NAME(S) Nof fsinger Farms °Jim Pickett - Mailing Address P 0 Box 1150 ` City, St. Zip Greeley , CO 80632 Phone ( 970 ) 352-0463 3. WELL LOCATION AS DRILLED: NE 1/4 NF. 1/4, Sec._ is Twp. 7 _ N , Range 6h 1,1 - DISTANCES FROM SEC. LINES: 361 n. tram North sec. line. and 55 ft from East Sec. line. (norm or soum) (mot or wen SUBDIVISION: LOT BLOCK FIUNG(UNIT) . STREET ADDRESS AT WELL LOCATION: . 4. PUMP DATA: Type Turbine installation Completed 4/ 14 /04 Pump Manufacturer Flowserve Pump Model No. 12SKL 25 . Design GPM 450 at RPM 18OO , HP 10 , Votts 23O , Full Load Amps . Pump Intake Depth 50 Feet, Drop/Column Pipe Size 8" Inches, Kind Steel . ADDITIONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: ` Electric NI Engine ❑ Other . Design Head 44 feet, Number of Stages 1 6tp , Shaft size 1 ' • inches. 5. OTHER EQUIPMENT: Airline Installed 0 Yes MI No, Orifice Depth ft. . Monitor Tube Installed El Yes ❑ No, Depth ft. . Flow Meter Mfg. Meter Serial No. . Meter Readout MI Gallons, ❑ Thousand Gallons, 1i Acre feet, ❑ Beginning Reading . 6. TEST DATA: - Check box it Test data is submitted on Supplemental Form. Date 4/ 14/04 Total Well Depth 62 Time Static Level 3$ Rate (GPM) 450 Date Measured 4/ 14 /04 Pumping Lvl. 7. DISINFECTION: Type PITH Dry Powder Amt Used _ g oz B., Water Quality analysis available. ❑ Yes ® No a Remarks - - 10. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the secon• degree and is punishable as a class 1 misdemeanor] CONTRACTOR Canfield Drilling Co Phone ( 47n) R67191s3 Lic. No. 7 . Mailing Address P o Bow Fag go,rt lit -s Ct4 170- -- Name/Title (Please type or print) Sig e Date JeffreyK . Canfield Pump Installer 44,3 ,/ 5/21/04 Form No. OFFICE OF THE STATE ENGINEER CMS-2S COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 765 WELL PERMIT NUMBER 14553 - R R APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION LARIMER COUNTY NE 1 /4 NE 1/4 Section 35 NOFFSINGER FARMS Township 7 N Range 66 W Sixth P.M. C/O JIM PICKETT DISTANCES FROM SECTION LINES P O BOX 1150 361 Ft. from North Section Line GREELEY, CO 80632- 55 Ft. from East Section Line (970) 352-0463 UTM COORDINATES PERMIT TO CONSTRUCT A WELL Northing: 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 37-90-137(2) for the replacement of an existing well, permit no. 14553-R (decreed by the Division 1 Water Court as Noffsinger Manufacturing Well no. 3-14553, case no. W-3662). 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 permit shall not result in an expanded use of ground water. The use of ground water from this well combined with well permit nos. 14551-RR (Noffsinger Manufacturing Well no. 1-14551 ), 14552-RR (Noffiisinger Manufacturing Well no. 2-14552) and the applicant's surface water rights (two shares of Larimer & Weld Irrigation Co., two shares of Larimer & Weld Reservoir and one share of Town Boyd Lateral) is restricted to the irrigation of 154 acres in the NE 1/4, Sec. 35, Twp. 7 N, Rng. 66 W, Sixth P.M. 5) The use of ground water from this well is restricted to the irrigated acreage covered by a court approved plan for augmentation or substitute supply plan approved by the State Engineer. 6) The maximum pumping rate of this well shall not exceed 450 GPM (1 .01 cfs as decreed). 7) The average annual amount of ground water to be appropriated by this well combined with well permit no. 14551-RR and 14552-RR shall not exceed 462 acre-feet or the quantity covered under a court approved plan for augmetation or substitute supply plan approved by the State Engineer, whichever is less. 8) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 9) This well shall not be pumped unless included in a court approved plan for augmentation or a substitute water supply plan approved by the State Engineer. At the issuance date of this permit, the well was included in the Cache La Poudre Augmentation Plan (W-7921 ). 10) 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. 11) This replacement well shall not be constructed any closer to any other existing well than the well it is replacing, if such other well is within 600 feet of the replacement, is completed in the same aquifer, and is not owned by the applicant. 12) This well shall be constructed not more than 200 feet from the location specified on this permit and not more than 200 feet from the location decreed for Noffsinger Manufacturing Well no. 3-14553 in case no. W-3662 (decreed location is at a point approximately 180 feet South and 40 feet West of the NE corner of said Section 35). 13) This well Is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. 02 , 05, 49q �. C , APPROVED o 1DC041100 . State Engineer By fiat Receipt No. 0519437 DATE ISSUED 02-05-2004 EXPIRATION DATE 02-05-2005 . .8I I (� r SI ' COLORADO DIVISIOM OF WATER RESOURCES Office Use Only IlKEGLlil 'TIaGws45• (3/2003) DEPARTMENT OF N L RESOURCES 1 1313 SHERMAN ST., , 818, DENVER, CO 80203 phone — info: (303) 866-358 main: (303) 866-3581 RECEIVED LCD t) e. tski:I. :A. ; • :, e.I✓t;re t fax: (303) 866-3589 http:/lwww.water.state.co.us tZ GENERAL PURPOSE JAN 0 7 2004 WATER HE ; • - . -, S4l:iiC�� *1.4%,SSAT Water Well Permit Application W �o DIVISION 1 C0L0.i���r Cg Review Instructions on reverse side prior to completing form. OPESECOOLOPAra c41 CI The form must be completed in black ink. 1. Applicant Information _ 6. Use Of Well (check applicable boxes) to r, 'i. Name of applicant Attach a detailed description of uses applied for. y D n er i Noffs Farms -� I 0 Industrial 0 Other (describe):circia /� _ PElMunicipal K41 20Q4 -' 0 BOX 1150 Et Irrigation k City��— — State Zip code a • ., ❑ Commercial t Greeley CO 80632 _ fir, _ Tate »orte N 7. Well Data (proposed) �gh,� ` 7 0 352-0463 Maximum pumping rale I Annual amount to be withdrawn 2. Type Of Application (check applicable boxes) 450 gpm 462 — acre-feet Pn Construct new well 0 Use existing well Total depth Aquifer al Replace existing well 0 Change or increase use 61 feet ; Al 1 u v 1 11111 ❑ Chance source (aquifer) 0 Re_pplic;.tion (expired permit) r 8. Land On Which Ground Water Will Be Used ❑ Other. A. Legal Description (maybe provided as an attad,ment): 3. Refer To (if applicable) 154 Acres in the N EI-Sec . 35 , T7 N , R66W well permit N Water Court case N Reit. 14553 W-3662 Designated Basin Daterminabon M Well name or N Well #3 4. Location Of Proposed Well (It used for crop irrigation, attach a scaled map that shows irrigated area.) County ^8. if A«es i C. Omer -- Weld _ NElwofthe ne 114 154 Noffsinger Farms Section Township N or S Refills E orW Principal Meridian D. List any other weds or water rights used on this land: 35 1 7 RID 66 D RI 6 Distance of;self from section lines(section flea are typically not property inns) See Attachment 1 361 FL rront EI N O s 55 Fl.from ® E ❑ W 9. Proposed Well Driller License #(optional): /65 ( For reptacementtwels only—distance and direction front old wall to new well 10. Signature Of Applicant(s) Or Authorized Agent 0 `- 121 r feel South direction The making of false statements herein constitutes 2.4_ _ West perjury in the second ' Wei location address(if applicable) degree, which is punishable as a Bass 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents fl ( Optional: cpS well location information in UTM format tfyereof and state that they are true to my knowledge. rTh `` Required settings for GPS units are as follows: slur,here(Must be ar lure) o Date r n�r'hcdtLi �� IN "I•, A Format must be UTM / .7)%41 f / //� rn0 •1., Zone mustbel3 I Northing________________ ee, --�-__ Units must be Meters • , '( Datum must be NADTT(CONUS) Easting _ _______ $17+M e v 1) ,7)l a./Veit ezi.,pn ',Ian O Unil must be set to true north Office Use Only `'. Were points averaged? OYES 0 NO USGS map name `— j �� map no. i Surface elcw. h 5. Parcel On Which Well Will Be Located s' A. Legal Description (may be provided as an attachment): Receipt area only % NE-NE , SEC . 35 , T7N , R66W , . z Invoice 1 519437 • 1/28/2884 -- 88:54:39 Cashier ID: 81 O do _ __ __. . . ._ �.._ .__- WE /p? 6 - ?Alf (coo "Id u art:/-*- .., B. N of aces in parcel 1�Owrier ry G ' - rke trfie yr? fir#6338-6 40 _ _ Noffsinger Farms ova r- / C,^c �,�� D. Nu this be the only well on this Parcai? YES ❑NO(if no—list other wells) cwca 1d y / �o p6- 'J /� 9 �, /+ E) 6/14551 & Unregistered Domestic Well TOP / , /1-2.4' E. State Parcel ION(optional): V MAAR SB5 DIV in WD 8A_____ MD I State of Colorado Water Resources -View Well Details: Receipt 0519437 Permit to Construct a Well 11/29/2007 No Pump ID alla ions 11/29/2007 No Statement of Beneficial Use 11/29/2007 No Well Constrttrtinn Pi Tpst 11/29/2007 No Maps, Depth & Legal Decrriptions 11/29/2007 No rnrrespondence, Memos, Findings & Hearings 11/29/2007 No Copyright CO 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) hup://www.dwr.state.co.us/WellPermitSearchNiew.aspx?receipt-05 194316/12/2012 3:46:28 PM1 State of Colorado Water Resources - View Well Details: Receipt 0519437 Colorado Department of Natural Resources Colorado.gov l Contact Us `1.w, 111 Wa°t ado Division of - - '-t , ` ° , �} - er Resources _ ,, - --- -,,,, 5 4r9,H.F% lizt ste:re'3 "':fis'.'''.1 - -- -‘.;.;:"LiCirgb-wafr'sj=-":::. --— - ' -J. ' ..„ ; ._. Focused.on'Cdloraao's People W3 et and Stewards r;i Colorado's Well Permit Search • Well Constructed i Titiap-' I Last Refresh: 6/12/2012 12:01:21 AM Receipt: 0519437 Division: 1 Permit #: 14553-R -R Water District: 3 Well Name / #: County: LARIMER Designated Basin: Management District: • Case Number: W3662 WDID: 0306071 - NOFFSINGER WELL 3-14553 [- ] Applicant/Owners History :: Date Range Applicant/Owner Name Address City/State/Zip ,. Unknown - Present NOFFSINGER FARMS C/O JIM PICKETT P O BOX 1150 GREELEY, CO 80632- r [- ] Location Information y Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE NE 35 7.0N 66.0W Sixth 361 N 55 E s Northing (UTM y): 4487498.5 Easting (UTM x): 522411.6 , Location Accuracy: Spotted from section lines Physical Address Subdivision Name 4 City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: 40 1 J [-] Permit Details Date Issued: 02/05/2004 Date Expires: 02/05/2005 Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS .' Special Use: Area which may be irrigated: • Maximum annual volume of appropriation: i a Statute: Iti r. Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report t; Yes No No t; Cross Reference Permit Number Receipt Description Permit(s): 14553-R - 906201E ' rComments: . I. % [[- ] Construction/Usage Details Well Construction Date: 04/06/2004 Pump Installation Date: 04/14/2004 ;: Well Plugged: 1st Beneficial Use: l: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate :; if 62 38 62 38 450 Y Lic # Name Address Phone Number t' t= Driller 765 CANFIELD, LESLIE GEORGE BOX 519 FT MORGAN, CO 80701 970-867-2943 l Pump Installer 7 CANFIELD, JEFFREY K. PO BOX 519 FT MORGAN, CO 80701 970-867-2943 t. Pump Installer 7 CANFIELD, HAROLD E BOX 519 FT MORGAN, CO 80701 970-867-2943 [ - ] Application/Permit History ``` i e . Y41 Pump Installation Report Received 11/29/2004 1 Well Construction Report Received 11/29/2004 Pump Installed 04/14/2004 Well Constructed 04/06/2004 Permit Issued 02/05/2004 Application Received 01/20/2004 [ -] Imaged Documents :, 4. Document Name Date Imaged Annotated trirneral Purp.as_e_Applicatian 02/14/2008 No http://www.dwr.state.co.us/WellPennaSearch/View.aspx?receipt=0519437[6/12/2012 3:46:28 PM) Form STATE OF COLORADO For Office Use Only. - No. OFFICE OF THE STATE ENGINEER . GWS-09. 821 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 - ; n 6/2003 (303) 866-3581 Fax (303) 866-3589. WELL ABANDONMENT REPORT . Type or print in black ink. Weil Permit Number of the well being plugged 14553 - (k . Individual/Company sponsible for plugging and sealing the well: NAME(S) W �f J 6 d? Mailing Addres / &'I \140X. ilt d City, St_ Zi •�4,_ I j. . V) '492- . Phone :( �v . 1 . a �Z --JO ,v 3 ACTUAL WELL:LOCATION:-. ....7 .63-Linty Isar i mer T Property. Address • (Address) . . . . . . . . .. . ... . (City. ). . . . _.. . .. . ... . .. . (State) . . . . (Zip) NE 1/4 of the N E1/4. Sec. 35 , Twp. 7 X N. or S., Range 66 L_1 E. or Q W., 6 P.M. - Distance from Section Lines 361 Ft. From . x N. or S., 55 Ft. From X . E. or . ❑ W. Line. Subdivision Name . Lot , Block , Filing/Unit I (we) report that an existing welt was plugged and sealed for the following reason(s): X The well was plugged and sealed as required under. Well Permit Number 14553 - R R The well was not in use and was plugged and sealed. • Other (please explain) The date the well was plugged according to the Water Well Construction Rules was . The welt was plugged with the following materials placed at the indicated Intervals: Amount and Type of. Material . . . Method of Placement . . . Interval • Sand Shovel from 60 feetto 30 feet Inert Materials . ... 5hpve . from 30 feetto 5 feet Cement . . Shovel from 5 . feetto 4 feet Surface 'uteri a' . Rarichoe from 4 feet to p feet Intervals of casing removed/ripped in feet from 5 feet to 0 feet I (we) have read the statements made herein, know the contents thereof, and that they.are true to my (our) knowledge. Please print the Signer's Name & Title Sig ure(s Date 12 JP"), c e S 0: 7 7 G4'e e id c.44./yrdS 6, -Sibvi) /yJAN4 P It is the responsibility of the well owner to have the well properly plugged and sealed. The Well Construction Contractor is I responsible for notifying the owner of this requirement. Vfr - . • I. •~kr - I • • • I • • • •• • • • I • • • • • C • I •• • ' • • • • I ♦ ♦ ♦ • • • I • _ • • • • • a • • • ♦ • • I ' 1 7 7 Uni1M 0 CT 311196'1 LAw OFFICES imu HOUTCHENS, HOUTCHENS AND DOOLEY 4LQBO 1007 NINTH AVCNUC QREELEY, COLORADO $0631 STALE , Elle GARNARO rOJTGHCn] TELEPHONE 352.4050 S. ROBERT HOUTCHENS AREA COOL 303 RODGER t. HOUTCHENS JOHN J. DOOLCY October 30 , 1967 Division of Water Resources Office of State Engineer Denver , Cojorldo • Gentlemen : Will you kindly transfer the registration of the following described irrigation wells from Otto Anderson , Eaton , Colorado , to t4argarethe A . Farr and James R. Farr , 998 Glen Drive , San Leandro , California : Irrigation Well No. 1 , situated in the NW 1/4 , SW 1/4 , Sec . 36 , Twp. 7N , Rge . 66W , 6 PM , Weld County , Colorado , assigned No . 14543 July 18 , 1960 . Irrigation Well No. 2 , situated in the NW 1/4 , SW 1/4 , Sec. 36 , Twp . 7N , Rge . 66W , 6PM, Weld County , Colorado , assigned No . 14544 July 18 , 1960 . Will you kindly transfer the registration of the following described irrigation wells from Otto Anderson , Eaton , Colorado , to Anders W . Anderson , Wibaux , Montana : ,iIrrigation Well No. 1, situated in the NE 1/4 , NE 1/4 , 27-Sec . 35 , Twp . 7N , Rge . 66W , 6PM , Weld County , Colorado � y y assigned No. 14551 July 18 , 1960 . J ' Irrigsan Well No . 2 , situated in the NE 1/4 , NE 1/4 , Sec . 35 , Twp , 7N , Rge . 66W , 6PM , Weld County , Colorado assigned No. 14552 July 18 , 1960 . Irrigation Well No . 3 , situated in the NE 1/4 , NE 1/4 Sec , 35 , Twp. 7N , Rge . 66W , 6PM , Weld County , Colorado assigned No. 14553 July 18 , 1960 . Enclosed is our check in the amount of $5 .00 to cover your fees . Very truly yours , ‘t44/44 - BK/w and tc ens Enclosure SEP1,0196°;nsipt7 •n4 Notless ratd to Olivar Wall Worsts, (Wesle)'* Colorae0 Q' L jij„ i ; '1 1 �► +� ,� ;.� -411)15m B 8 1 STATE OF COLORADO k°r� O 160 OCT 14 DIVISION OF WATER RESOURCES ��,,pp�� 01 OFFICE OF THE STATE ENGINEER, GROUND WATER SECTI{R�UNb d R $�(''j, . �. Ji)i3 1 -. 1,•I:• .., REGISTRATION NO. OF WELL \/J\ STATE t1 '�?� Registrant -•Qbto Anderson Date April 29 19 b0 P. O. Address Ethan 4 _� � Sloe WELL LOCATION / WELL DATA County Weld L , Depth 52 / ft. Diameter 48 in. NE ►, N_E * Section 35 Casing : 32 ft. Plain; 20 _ ft. Perfor. Twp, 7 N Rge, 66 w... ...., 6 PM Static Water Level 28 1 ft. from top Yield 509 (gpm)( ) from 50 ft. N . Used for Irrigation on/at .p. '7� I NE1 Sec . T li) , 7 N re . 66 W 4 0 ... _ �. - - - ,^� _ .. (legal description of land or site) 4 IA �, * I I 4 p 1 ve W E Water conveyed by Pipe , size 12 inch itiCA I PUMP DA'T'A Sy o . I i Type Turbine Size _ 7 inch s Driven by 10 El . P . flee. . at 1760 RPM tits ` ti I I Well was first used December , 19 �', cfs s for Lrr i r!ati.on using _ 500 gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged - , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR - - �(gpna)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well *4 (has not) been registered in the Office of the State Engineer prior to May 1 , 1957. If Registered give Filing No . . If NOT 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 OTTO ANDERSON this _JO�' day of 19,1 . ( tti:L2t.... J. . PY: (j.-4.-.•-- My commission expires 0,.. //, Ig4. / Registrant (SEAL) J10t1'wrn ''I Notar Pub is ailite a FOR TAT INEER'S USE Located in 7- .3 district,. , County for JRRIGATJQN APRao 19fi0 Registration No. ‘frora in /— 3 , on 19__. ...,, ., — State of Colorado Water Resources - View Well Details: Receipt 9062011 i; Colorado Department of Natural Resources Co!orado.gov I Contact Us;TAColorado Division of '; :u .ny ' ' 7 :;a,.:. VVater Resources • �. . q :sea . ,_• t _ cr. ", m' `re'e '`m'' ' ' tert ' � ' �-a - _ °oustu on Color duo's People, V.,ife)iB'`' 'Stewvards Colorado's Well Permit Search • Well Abandoned .t{4 Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9062011 Division: 1 r Permit #: 14553-R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: 3662 WDID: 0306071 - NOFFSINGER WELL 3-14553 I [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present ANDERSON ANDERS W WIBAUX, MT [ - ) Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE NE 35 7.0N 66.0W Sixth Northing (UTM y): 4487404.5 Easting (UTM x): 522220.3 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [- ] Permit Details Date Issued: 05/01/1960 Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No • Cross Reference Permit Number Receipt Description Permit(s): 14553- - Unknown Comments: ALSO SEE 14553-R-R a �[ ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: 12/31/1943 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 52 28 500 T [ -] Application/Permit History j Abandonment Report Received 11/29/2004 Permit Issued 05/01/1960 Application Received 04/30/1960 First Beneficial Use 12/31/1943 rt l" [-] Imaged Documents Document Name Date Imaged Annotated Original Fite 12/08/2007 No Well-AbandQnment 11/29/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact 11s l Help Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WcllPcnnitSearch/View.aspx'?receipt=9062011[6/12/2012 3:45:16 PM] of-140 9 Form F (Rev. ) c EMBED 7-57/5M s STATE OF COLORADO R flwr! . D 14 DIVISION OF WATER RESOURCES OFFICE OF THE STATE ENGINEER, GROUND WATER SEC I���` Ili? 211960 ; iiOUND WATER SECT. REGISTRATION NO. 2 OF WELL LuL( .. .:' STATE ENGINEER Registrant Alder Cold ins and Glady '�Noodrow Date March 7 19 6O P. O. Address Ea ton Colo. , WELL LOCATION WELL DATA County Weld (a Depth 47 ft. Diameter 4O in. ' EE a. IL-I ,e, Section 35 Casing : 27 ft. Plain; 2O ft. Perfor. Nip. 7N , Rge. 66W , 6 PM Static Water Level 22 ft. from top Yield 675 (gpm)(c ) from 4O ft. • N i i Used for Irk lga t i on_ on/at I fora_.. I — — T _ . _ . .�L .... ... SE1, Sec . 35 , Twp . IN , Rge . 66 I I (legal description of land or site) $ I . . W . I I E Water conveyed by Ditch 1 t c h , size 1 I X PUMP D TA I I •Type Turbine Size a inch I Driven by 1O H . P H . P . El e c at 1760 RPM 1 I I 1 Well was first used May , 1949 S cfs for it r ig _a tion using 675 gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING: LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above wells )( (has not) been registered in the Office of the State Engineer prior to May 1, 1957. If Registered give Filing No. If NOT 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 ALT) COLLINS & GLADYS WOODROW this 1 r —� day of nte4.4 alt, , 19 /tea . LP ,7 pcile‘ . . My commission expires/ale. . If) P7(0/ Registrant (SEAL) tO,(..4)4a. 5 - Notary Public FOR STAT NGINEER'S USE Located in / --O district, County for 4 v Registration No. ,P..-57 in J--,,, _, on ______ , 1914o State of Colorado Water Resources - View Well Details: Receipt 9060303 • Colorado Department of Natural Resources Colorado.gov I Contact Us . ' 1 +per s r Colorado Division of �� ' , ,. „ :,,_.,�� t n VVater Resources � �{ ' : _: . _ _ .._ - - .. � Y It •R a /� gyp, r. ,�~ .ern _ ( yam, Ol e- fre" ¶ f`! t ft �� n >p'�1 - �""`. ;..^�R�R1w��..��:.- - -�i+.'�:'� - '3I1 iwirZ- • :F 0 G? _ C ` ~^ ,� f•+ O fi Isc�d or b r� 't- Stixlivar ..,, -�:ti .a. _... .;.oK•. .. _��YFd7ad1- - {...df:.�i-.a`;i Jb.?�L ah4.2'vT h1 j Colorado's Well Permit Search • Well Constructed ;y ` :2. ; Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9060303 Division: 1 • Permit #: 10243-R - Water District: 3 • Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: Er • -- [--] Applicant/Owners History • Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present WOODROW GLADYS & COLLINS ALDA EATON, CO 80641 • [ -] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE SE 35 7.0N 66.0W Sixth } Northing (UTM y): 4486597.7 Easting (UTM x): 522155.3 Location Accuracy: Spotted from quarters • Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: • [ -] Permit Details Date Issued: Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS • Special Use: • Area which may be irrigated: Maximum annual volume of appropriation: e. Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: Lc] Construction/Usage Details _ _T Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 47 22 675 [ -] Application/Permit History [ -] Imaged Documents Document Name Date Imaged Annotated Original File 12/08/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPermitScarch/Vicw.aspx?reccipt-9060303[6112/2012 11:23:15 AM] • ... :G .1011 " NOVf• • • J I • J • • -- -J • • :1 • r; •,}: _ +"..T rfcr --•...urrarrne- - 'c--.• ..-.• • ` a N1" 4 49 lel' 1 # Sir Eaton, Colorado August 21 , 1974 "s Mr . R.G. Haubold Division of Water Resources 0round Water Section 15L5 Sherman Street Denver, Colorado 80203 Dear Mr. Hau►bold : Please check to see that all forms have been accepted by the Colorado Division of Water Resources, pertaining to permit No. t02?i.2, along with my statement of beneficial use . 1 would appreciate very much, your deleteing section 3 (three )of condition of approval-on the permit- pertaining to water meters . The well is now being used as it was originally adjudicated. Please send ma written notification of the above for nay files , so there will be no question of its operation under original adjudication. Thank you for your time and effort on this matter. sincerely yo rs , .7 klef f.th t-6al-711.-47 Miss2 da L. Collins R. R. , Box 3!t Eaton, Colorado 80615 1 _t. TN. p 141 � C i -_ - . / • I '• . • . • • • I II f i r - r 4 c. p (11 ) DETAILED DESCRIPTION of the use of ground water : o n to �`% >� Ground water will be used for domestic and municiple ci pl a use in con ti Apt `efr .. a fully developed mobile home park which is planned ,ct # eage . The development plan incorporates a club house , swimming pool , and landsca recreat- ional area with a lake . Fire Hydrants will be Installed in accordance wit county specifications and irrigation will be required for the above mentioned amenities . The lake to be formed in the SW 1/4 of the SW 1/4 of Sec . 34 will utilize local surface drainage supplemented by directing the normal drainage from the acreage to the North and the treated water from the water treatment plant not used for irrigation . The lake area will be treated to limit water loss . • tf f• a f • • • • L 444 4 y • • • • • • • •� .4 • • • • • • • • • • • ••• •- •-- . •• -. - . ._ . .. -. • -• - -- - - • ..- . • _ . •• •• -•.-a-- . . . . • • • • • • • • • Laisir• r + RECEIVED J DEC 0 4 '73 • WAtw STAY? FTICUMER Eaton , Colorado December 3 , 1973 • • Division of Water Resources 300 Columbine Building 1845 Sherman Street Denver , Colorado 80203 Dear Mr . Bossen : I was amazed and sorry to receive your letter. I understood we had complied with all regulations , when I received , from Mr . Lash , the form , WR-J 26- 72 . I am very sorry that I misunderstood . This is my first experience with such extensive work on the well and I hope that I may be allowed to correct my inadvertant neglect . I assure you the well is very necessary to a crop on that place . I trust that you will accept this notification at this time with my apology . I would appreciate notification of and a copy of the accepted statement . Very truly yours , (Miss ) Aida Collins Route 2 Eaton , Colorado AC :mg • En c1 . John D. Ilan rhoof ,,•- ,. C. I. =JIM •� Mato pat It1/4 0 114PIP , 11 + .LT • DIVISION OF WATER RESOURCES Deportment of Natural Resources 300 Columbine Building 1845 Sherman Street Denver, Colorado 80203 November 21 , 1973 CERTIFIED MAIL KO. 697718 RE : Permit Number RF-1205 RETURN RECEIPT REQUESTED Date of Issue July 14 , 1972 Aldo Collins & Gladys Woodrow Route 2 . Box 34 Expiration Date Jul IQ, 1973 Eaton , Colorado 80615 ( Including any time extensions ) Dear Ms . Collins & Ms . Woodrow: According to our records a well permit was issued and has expired on the dates shown above due to non-compliance with Colorado Revised Statutes , 1963. Please be notified that subsection 148 .18-35 (4) , ( a ) , Colorado Revised Statutes 1963 , as amended , states as follows : 'ANY PERMIT TO CONSTRUCT A WELL ISSUED ON OR AFTER APRIL 12 , 1967 , SHALL EXPIRE ONE YEAR AFTER THE ISSUANCE THEREOF , UNLESS THE APPLICANT TO WHOM SUCH PERMIT WAS ISSUED SHALL FURNISH TO THE STATE ENGINEER , PRIOR TO SUCH EXPIRATION, EVIDENCE THAT THE WATER FROM SUCH WELL HAS BEEN PUT TO BENEFICIAL USE , OR UNLESS PRIOR TO SUCH EXPIRATION THE STATE ENGINEER, UPON GOOD CAUSE SHOWN , SHALL HAVE EXTENDED SUCH PERMIT FOR AN ADDITIONAL PERIOD CERTAIN NOT TO EXCEED ORE YEAR. " Our records do not show compliance with. the statute as we have not received a Statement of Beneficial Use of Ground Water, form WRJ-25-73 , prior to the expiration date of the permit . Therefore , you are hereby notified of the expiration of said well permit and , if the well has been used , you are ordered to cease and desist any further appropriation of water. Also, you must show cause why the well should not be plugged and abandoned within thirty (30) days of the date of this letter in accordance with the referenced statute and rules and regulations of the Colorado Board of Examiners of water Well and Pump Installation Contractors . It is strongly suggested that you contact this office immediately in order to clarify this ratter . Pleas, contact Mr. Bossen at 892-3587 . Very truly yours , Harlan W. Erker Supervising Engineer Ground Water Section HIE/RWB : l ks SOIM A. LOFT : 1�^ � C. I. tUIPlk Governor p4 ' o Stab Incision tatNai IkW* DIVISION OF WATER RESOURCES Deportment of Natural Resources 300 Columbine Building 1845 Sherman Street Denver, Colorado 80203 May 31 , 1974 Ms . Aida Collins and Ms . Gladys Woadraw Route 2 , BOX 34 Satan, Colorado 8O615 RR : Well Permit Registration go . ars1205 Dear Ms . Collins and Ms . Woodrow : Enclosed is the Statement of Beneficial Use which you sub- mitted to this office as evidence that the well drilled under the subject Permit Number has been put to beneficial use . Since the permit had expired prior to our receipt of this form we are unable to accept it for filing and are returning it to you . In order for you to use the well as drilled, we suggest that you submit a new application for the same well with the appropriate fee . In all probability we should be able to issue a permit simi- lar to the subject expired permit . Once a new permit has been issued the dril, ler ' s loci, which already has been submitted, may be applied to the new permit . . The Statement of Beneficial Use may then be returned to us as evidencefitbat the new permit has been coerpfeted . This procedure should clear up the records in this office and allow you the use Of your new well . Please contact this office if you have any further question* couwlrsing the subject wa l l permit . 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'M.;• a • • : • '4''•• • •,• ♦�� '•i� Z" _ •r 1,,, • • %. . • . .I ♦ f / ti. . . • ,ti• :,•r• • » I. tti: Air:" . }•:' i. - .•• • ••.t • \-. GL4. .�.. L - . • , . •:n : •et •t al,•...-a- ,. `. ,f ''1'f� 11 ,• v• • . 'v•�.• .LT! S: .}• .g .t'.1-Yr?`• • L • II - i • •. _ - 'Y •Y •`�;; - •t.. •r Y t�„ !.. r•y • 4,•- ••'7..•.•..•Vti,'• •, , • ,v�•�• '�- •- -•� ;` .� •J;••♦"•••}- ''• vL� Y: I. ♦. . • . • • • `: • ' 4400.. .a: F:. .: • • : . •% " C. J. tOIPER ▪ . r • uvercnor ' • ' • .; • • ., _ • +r` .• Stet* Eneinnn '4,‘"• •7 . • . . , '••�r •••• �•� ,t• • , • •r • :: • • • • DIVISION. OF ., WATER RESOURCES . • - - • • :` ':•., : .•• • • . •Department -of Natural Resources • •" - ,•'':,` ' ;,: 300 Columbine Building _ - '.`'•_: ' • :. ' • 1845• Sherman Street • Denver, .Colorodo $0203 . ; :,• • I • .. May 31 , _1974 • - . i .. '� • •• • . ): a .. •• • • ••;•_' { • r • t• ma. AAda.' Collin' and . - • . . • •• . Ms . Gladys '�drori . ;• •• •• - Mtouts 2,• Box 34 . •. % 'Y . . Eaton, Colorado 80i15 . . ' • • • ' s Well Permit Registration • • . so . RF--12os •• ' Deeas Ms . Collins and Ms . Woodrow : • - ' • • - • Enclosed is the. Statement of Beneficial Use which you sub- • ritted . to this ' office as *evidence that the 'well drilled under • • ' the subject Permit Number has been put to beneficial use . Since • Rv. • ' • the: permit. had expired prior to our receipt of this form we are . unable to accept it for filing and are returning it to .you . • . • In order for you to use the well as drilled, we Suggest . that • you . submit a new application for the . same well with the appropriate • . : ; . ••• fees In all probability we should be able to iasue a permit Simi- . l:ar to the. Subject expired permit . Once a new permit has been . , . ' ' issued the driller ' s log, which already has been submitted, may • . '' -- • • oe applied to the _ new permit . . The Statement of . Beneficial use •may then be returned to us as. evidence;.that • the new permit has - ' • : been. completed . • • • . • • •'• ' 'i• bis. proce2. dure should clear up the records in this office • . ' . • • •• and '' all.osr you the use of your new well , Please contact this office • • • ` • if - You have any further questions coimsraing the subject well -• •, . • . • - Very truly .hours, � . . - • . 4:'. . • _,• - • • Reiner G . Haubold - ' Water Reroutes Engineer • ground Water. Section • inrh . . Enclosure • • .6.1. •015.1 .• .-.V Oct ' Wee . Wilkinson, Div.. X. ; . • �` • • •• • • • • •, . • ,•• • -1:1447:;• , 1q• :::•;: ::''::::.11.1:.:4)::•••;;;.*.•m•I: s•ti.'''' �'• 1. _L• •lr�•. . •,..• • r ♦ 1:,: . :1: 4:71 y:-• ,�' t ';):• _ 't�,• i:, r1. t'•f 71.•t ' ��I•• b: . . •Y� i.' t,::w� ti ,7 y . %.;.Tti ..w,t:". • X•'�.• :=,' , - •• Y . Y -•ic: iLfLt7' ^ 4-1460 Ve Form F (Rev. ) s} NIW E NWR 0 7 -5715M $4 STATE OF COLORADO DIVISION OF WATER RESOURCES 1 K 211960 OFFICE OF THE STATE ENGINEER, GROUND WATER SECT 6411/2 ND WATER SECT. REGISTRATION NO. 102i* WELL-1 CO, URAuO STATE t.NGINEER Registrant Aida Collins and Gladys Woodrow Date March 7 19 60 P. O. Address Eaton _ , Colo . WELL LOCATION WELL DATA County We 1 d� Depth 48 ft. Diameter 48 in. ' NE & SE Section 35 Casing : 30 ft. Plain; 18 ft. Perfor , - Twp. 7N lige, 66 A 6 PM Static Water Level 22 ft. from top Yield 450 (gpxn)*) from 40 ft. N t i - -- Used for Irr iga t ion on/at I I I SEj , Sec . 35 , ELL,N , Rge . 66'N F- — — r (le description of land or site) W E Water conveyed by Ditch , size ; X PUITPMATA I Type Tr ub ing, Size 6 inch I ..�-. Driven by 74 H . 1) . Bleat 1760 RPM I I Well was first used April J 1937 S - cfs for jraitinuut using 450 _ gpm WELL TO BE LOCATED AS ACCUR - ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs) (ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or u&division - treet address or Lot and Block The above well MAO (has not) been registered in the Office of the State Engineer prior to May 1, 1957. If Registered give Filing No. If NOT Registered prior to May 1 , 1967 , a $5 . 00 filing fee accompanies this form . The above statements are true and correct to the best of my knowledge and belief, _., Subscribed and Sworn before me ALBA COLLINS & GLADYS WOODROW 'E' this / r— day of (---ynu4 4, , 194a. BY s _eg,._-s-� _ _ My commission expires IL Q^- // , J�'ma Registrant id 1J , (SEAL) "Z! g.. Notary Pu 1ic pillpR STATE ENGINEER 'S USE �" County for Located in � � distric�j�7 �,��_ _ � w ° r, _ ‘1 / Registration No. , -$O in /""3 , on 5f7j1vL' XI , 1940 • 4.'1.6 o },4 Form F Rev, �� flr 7-$W5M t X�� STATE OF COLORADO !MEOW UL' ! .. r DIVISION OF WATER RESOURCES ' hi; 211960 s • OFFICE OF THE STATE ENGINEER, GROUND WATER SECT ND WATER SECT. REGISTRATION NO. 1•132414 WELL O )) t...►,.V,IP !c i STATE ENGINEER Registrant Alds • Collins and Gladys Wcoodrow Date Msrcti 7 19 6U P. O. Address _ Es ton Colo. WELL LOCATION WELL DATA County Weld _(p ) Depth 48 ft. Diameter 48 _ _ in. ' NE I+, SE i Section 35 Casing 30 ft. Plain; 18 ft. Perfor . �4� ' Twp. 7N Rge. 66 A 6 FM Static Water Level 22 ft. from top Yield 450 (gpm)( ) from 40 ft. N Used for ____ Ir r iga t i.c� on/at 1 I I SET , Sec . 35 , Twp . 7 N , Rge . 66W - - - T - - - - -- - i— _ (legal description of land or site) I I 1 Water conveyed by_ Ditch , size W X E PUMP DATA I 1 Type Tr ub toe Size 6 inch , I Driven by 7ilc H . P . Elea 1760 RPM I I I I 1 I Well was first used April , 1937 S cfs for Irrigation using 450 gpm WELL TO BE LOCATED AS ACCUR- ATELY AS POSSIBLE WITHIN A Well enlarged , 19 to SMALL SQUARE WHICH REPRESENTS deepened 40 ACRES; OR IF IN A TOWN OR (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- ING : LOG SHOULD BE GIVEN ON REVERSE SIDE IF AVAILABLE Town or Subdivision Street address or Lot and Block The above well (ZXf, (has not) been registered in the Office of the State Engineer prior to May 1, 1957 . If Registered give Filing No. . If NOT 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 .: ALDA C0LLINS & GLADY�.c W ODROW this 1 M -tALday of Ly}?u� , 19 / e f BY: r+' -cam My commission expires ,11Le L -J/ l fl, i Registrant (SEAL) LOLF;in pt. 7'11 - dddie/Gec -Notary_ Public TOR STATF ENGINEER'S USE Located in /5 district; at t.44„.... County for t.o .. a it 7-04rt,., -- Registration No. MO in /7.,,. _ , on ,2� 19 ‘ 4 r �r. w..- THE LOCATION OF THE PROPOSED WELL MAT RE SHOWN AND THE AREA TO BE .,i-.' N IRRIGATED MUST BE SHADED OR CROSS -HATCHED ON TxE DIAGRAM BELOW ,, • , 4:- ; . This diagram represents nine ( 9) sections . Use the CENTER SQUARE ( one section) to indicate the location of the well , if' possible . se---1 mile I~ l - - + f. a .+. + -' + - + . '"' . + + + — + .— +. — + _ , NORTH SECTION LINE 1 - 4 L l i i A w . + ..- + Mn + _ + - - y N� H •4/77/ //se/ M / H }- + - i , ' i / + - r-- i , 1 - r ��'- A 1 I S SOUTH SECTION LITE + T' + + T ± + — + y _ 1 i I f I f , • - - - - .. S + 1 + — - -•- + - + -4- +. — I 1 4 i_ I i - THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS UNE•MI-LE New location is, approz. JO ' due east of asisting well. Owner of Number of acres irrigated land Aida Collins and Olac rs: Woodrow to be irrigated 160 Legal description of . irrigated lank ; : ' '' s a of Section 35,, rilit R6614 6 IV ` _ V . •1 -ti WATER EQUXVALE'di TS TABLE (Rounded Figures ) _ . . . - . . , An acre-foot covers 1 acre of land 1 foot deep. . 1 cubic foot per second (cfs ) . . . . Y19 gallons per minute 1 acre-foot . . . . 43 , 560 cubic feet . . . . 325 , 900 gallons . 1 , OOO gam pumped continuously for one day produces 4 . 42 acre-feet . 1OO gpm pumped continuously for one year produces 16O acre-feet . . 1 4l COLORADO DIVISION OF WA`l'El{ RESOURCES ; �IrL� • '� 1 101 Columbine Bldg., 18*3 Shein n Stmt, Denver, Colorado 80203 6 .... ° TY OR •PRINT INJIACK INK. AP_ PLICATION MUST BE COMPLETED 13EFOK ACCEPTANCE,{ )�l JUN la 72 APPLICATION FOR : wn7ER RESOURCES. GROUND WATER TO BE USED FOR : A %PERMIT TO USE GROUND WATF�R DOMESTIC (1) COMMt� + ) �t A PERMIT TO CONSTRUCT A WELL LIVESTOCK (2 ) INDUSTRIAL (5) sirREPLACE FOR NO . R.i MUNICIPAL ( 8) g IRRIGATION (6) is A PERMIT TO INSTALL A PUMP OTHER OTHER WELL LOCATION APPLICANT A7lda Collins:,, Gladys Woodrow COUNTY *old Street Address Rt . 2 Nor 34 NE _ e of the SE , of Section b City & State Baton, Colo . T. 7 North, R . 68 Meet , 6 P.M. IN ADDITION TO THE ABOVE, THE WELL MUST BE - Telephone No . 454-2877 LOCATED..WITH REFERENCE TO GOfl$I MENT SURVEY NAME- OF AQUIFER GROUND WATER IS TO BE OBTAINED CORNERS , MONUMENTS OR SECTION LINES BY DISTANCE AND BEARING (DONlEZTIC WELL, MAY BE LOCATED BY FROM: _ - - A luvial . LOT , BLOCK, & SUBDIVISION . ) . PROPOSED TOTAL DEPTH OF WF L 5a- Ft . ' 2605 ft . from South section line .. (North or South) ESTIMATE MAXIMUM PUMPING RATE _ 450 _ GPM . 342 ft . from � or West gist section line tirNSo ore)TS IvE.�,st AVERAGE ANNUM, AMOUNT OF GROUND WAT'li TO BE . APPROPRIATED 4.46 Acre-feet SUBDIVISION _ ANTICIPATED GROUT PROGRAM Ground Water Basin Material None Water Mgmnt . Dist . Intervals Anticipated drilling date June 19 72. Placement Method Owner of land on which well is located : PROPOSED CASING : Anne Plain 16 in , from 0 ft . to 40 ft . Other water rights on this land in . from ft . to ft . " Pert , r. ±n - "Prom - ft . to —71gr ft . --One-ad 1-•wsll- Re .- ' .102 - ' in. from ft . to ft, . ic. ,� .24,1777. ..watines-oriti„,„ Czr.nAer •w#.4.,-- Driller lash Drilling Co . No . 21 Signature of Applicant Address Ault, Colo. IF WELL IS USED FOR IRRIGATION BACK SIDE OF THIS APPLICATION MUST BE COMPLETED . 3 v i!a FOR OFFICE USE ONLY CONDITIONS OF APPROVAL - APPLICATION APPROVED.: . VALID_ FOR ONE () YEAR • AF'TERR DATE ISSUED UNLESS EXTENDED FOR GOOD Approved as a replacement for well regis-, CAUSE SHOWN TO THE ISSUING AGENCY . • tration No . R-102 +2 . The average annum] ' appropriation of this well combined with PERMIT N0. . ., well registration No . 102 +3 is limited to JUi. 1 0 ' 972 4+8 acre-feet for the irrigation of 160 acres DATE ISSUED in the SE',--� of Section 55 , T7N, R66W, 6th Prince • : tip STA ENS NEF DATE ?ADO 4-- BY - - - - - • (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 line6. Use the CENTER SECTION ( 1 section, 640 acres) for the well location. - . 2605 ft. from — South ' sec. tine 4- -- --1— - --4-- — -}- --- —4— — --I - - • -f -- --I- -4-- - - - (north or south) 1 1 342 ft. from Haul sec. line f -- MILE, 5280 FEET-*-1 (east or west) 1- + --r . - . + t 1 - `-- f • LOT. BLOCK FILING - - ) NORTH SECTION LINE__ + SUBDIVISION - —. I (7) TRACT ON WHICH WELL WILL BL LO CATE_D NORTH E.. w -` - - - -F- - - t; - 160 _ y 1 J No. of acres Will this be -i I 0 I E mM the only well on this tract? N. ._ / l . ~ I 1 \-4 (8) PROPOSED CASING PROGRAM \ � I Plain Casing 4- 4.- l _ I .._ ._... ``.; z + - f , 16 in. from _t ft. to 4 ft I I i \ •�\ in. from ft. to _ ft. SOUTH SEC�N LIN —k — Perforated casing I 1 16 m , . from _ ` •• ft to 53 ft. + + ± + 4 -t -+ in. from ft. to ft. f f • • (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging + — _1._ — -}-- — +- -- ± - -}- - +- _ + _ + i t : A. The scale of the diagram is 2 inches = 1 mile New wall tO b© located approx. Each small square represents 40 acres. 401 east or old existing we.Ll . • • _ - li— WATER EQUIVALENTS TABLE (Rounded Figures)• Old well to be plugged as required An acre-foot covers 1 acre of land 1 foot deep • • 1 cubic foot persecond (cfs) . . . 440 gallons par minute (ggmy in the. BO0k of Rules and Kegs.. 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 gpm pumped continuously for one day produces 4.42 acre-feet. - ( 10) LAND QN WHICH GROUND - WATER WILL RE USED; . • Owners) : Aida Collins„. Gladys woo Brow No, of acres; 160 Legal description: Side of Section 35, 7731,, R66W (11 rii-ETAILED PEJCRiPYIQtu.f the use of ground water: Household use and domestic wells must indicate type of disposal system - to be used I Water to be used for orop Irrigation _ _ i (12) OTHER WATER RIGHTS used on this land, including wells. Type of right Used for (purpose) Legal Description of land on which used One additional Irrig Well. . (13) THE APPLICANT (S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TR E TO THE BEST OF HIS K OWLEDGE. t(d. - ica_le-. % .,. . .et, , A- -e . , Sic ATURF Of APPLICANTS) Use additional sheets of paper if more space is required. ' ,:� - _ dg.,WRY: -73 COLORADO DIVISION OF WATER RESOURCES � ���,��-z 300 Columbine Bl 1845 Sherman St., Denver, Colorado 80209v PERMIT APPLICATION FORM Sr 4 H Applicotion must tP4eA' be complete where ( ) A PERMIT TO USE GROUND WATER OSge Vet' 0 applicable. Type or PERMIT TO CONSTRUCT A WELL print in BLACK FOR : Ir-A 0 PERMIT TO INSTALL A PUMP �� INK. No overstrikes __ or erasures unless R0 TAefiMent for R-10242 x initioled. Proper lee ( REPLACEMENT FOR NO. must be submitted with the application. ( ) OTHER .. (1 ) APPLICANT - mailing address FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUMN NAME -_Alda Collins,: ' Gladys Woodrow Receipt No. _�a- t7-4 / STREET _ _— Rt• 2 Box 34 _— Basin Dist. CITY Baton, Col . 80631,5 _ (state) (zip) CONDITIONS OF APPROVAL TELEPHONE NO. _ 454-2677 _ This well shall 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 right or preclude another owner of a vested water County Weld . right from seeking relief in a civil court action. NE _% of the _ SF % Section .35 1 ) APPROVED AS A REPLACEMENT OF THE EXISTING WELL NO . R- 1021.2 . WELL NO . R- 10242 MUST BE PLUGGED Twp. 7 N , ling. 66 W , a PM . AND ABANDONED ACCORDING TO RULES & REGULATIONS OF -IHE STATE BOARD OF EXAMINERS OF WATER WELL & PUMP (.S) WATER USE AND WELL DATA INSTALLATION CONTRACTORS . 2 ) THE AVERAGE ANNUAL APPROPRIATION OF THIS WELL Proposed maximum pumping rate (gpm) 450 COMBINED WITH WELL REGISTRATION NO 10243 IS LIMITED TO 448 ACRE- FEET FOR THE IRRIGATION OF Average annual amount of ground water 160 ACRES IN THE SE4 OF SEC . 35 , 7 . 7N , R . 66W . to be appropriated (acre-feet) : 448 _ 3 ) TOTALIZING FLOW METERS MUST BE INSTALLED ON THIS 160 WELL AND WELL REGISTRATION NO L 10243 TO RECORD Number of acres to be irrigated: THE ANNUAL AMOUNT OF GROUND WATER EXTRACTED AND Proposed total depth (feet) : _, 63i _ THIS RECORD MUST BE MADE AVAILABLE TO THE DIV . OF WATER RESOURCES UPON REQUEST , g1/27,5.Aquifer ground water is to be obtained from : .. _ A11uvi1m THE CANCELLATION OF SEC . 3 UNDER CONDITIONS OF . .. APPROVAL IS HEREBY APPROVED .$q, e41/04 Owner's well designation GROUND WATER TO RE USED FOR : . ( ) HOUSEHOLD USE ONLY - no irrigation (0) ( I DOMESTIC ( 1 ) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( Z) IRRIGATION (6) ( 1 COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (g) __ - APPLICATION APPROVED I . D. i W.D. 0 . -. COUNTY Loa__ (4) DRILLER �./ � PERMIT NUMBER _ * A 1O2 .---�� •' fr _ Name ..-` 1a13.n. Colpzi qv DATE ISSUED JUN 2 8 1914 Street 04.E c46 EXPIRATION DATE JUN .2 8 1975 . City wi'`''•i.� (state) (Zip). Clip 4�rta�. t��� f', T E ER) Telephone No. _ Lic. No. BY. - (• PUMP INSTALLATION REPORT -r,; .' 14, • J Y ZY• •` -•t.� - t KS, Qr . f_ � f ,xt y 'Limp Make Peerless t (In • ``1.ii Type Turbine - "---- :CS � ~ . 'y 'owered•by __electric HP 7-} h• . ;� 'r, mp Serial No. �irnlrn�lan �� d WAlER Jl Serial No. \otor T.: ABLE w ill )ate Installed July _26.,__.197...2-._ _ ei ta— cr v► 'Limp Intake Depth 2' _ _ _ _ _ _ 1F-- , _ N t ; 4• remarks - r - ;;L t .. a ___�_ _... ,. ,. ;i.. , r a Iie. ti ,:. . ' i I - ~. 1 ___ 'DELL TEST DATA WITH PERMANENT PUMP q~, I let 0 -1 :w • )ate Tested 1Tnly 2G, 1972 -, 2 :; gs CONE OF N a' a, . ? ' DEPRESSION ;tatic Water Level Prior to Test __ 29 ' _ .. Lsi 2 ,• , I _ength of Test __ three _ Hours • . ➢. sustained yield ( Metered)__460 GPM ..''' ,,A 'umping Water Level 50 ' . ,-el ; Remarks _ ._ - vs N. V . _ — rl CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says th e is the contractor of the well or pump installation described hereon:. that he has read stat t made hereon; knows the content thereof, and that the same is true of his own er7 f27 Signature . ' C D License No. 21 Lech rzl�jn State of Colorado,.• Oo"Untv.crf,r�,:= SS mL T.T. Subscribed and_sWor&--tote ore the this day of i . _ , 19 2_ y Cl rlmisslon expires !Lily 1976 My Commission exp Fes: Notary Public a:=, _. — FORM TO BE MADE OUT IN QUADRUPLICATE . WHITE FORM must he an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller. • 1CW OJ-21)-.72 i• COLORADO DIVISION OF WATER RESOURCES RrCE Q -MS FORM MUST BE SUBMITTED101 Columbine Bldg., 1845 Sherman St (i-i) WI+HIN 60 DA'B'S OF CbMPLETION Denver, Colorado 802O3 143 �' ' f`2 OP THE V 0RK•DESCRIBED HERE. a 4N. 11P OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION RE RT INK. PERMIT NUMBER _ -unites, W : . R ouET a 102 '12 ' - );.0, �f> WELL OWNER Aida Collins , Gladys Woodrow I '/l of the R 1/ of Sec. ___ , ADDRESS _ Rts 2 BOA 34, Eaton, CO _ T. 7 _ North , R. . M WP4"l: 6, P.M. DATE COMPLETED JELLY 12 _, , 19 fl. HOLE DIAMETER WELL LOG - - in. from _ 0 to _ 53 ft. Water From To Type and Color of Material Loc. - in. from to ft, in. from _ to . ft. 0 2 Topsoil 2 25 Buff Sandy Clay CASING RECORD: Plain Casing 25 51 Medium to large gravel Size 16 & kind steel from to 43 ft. 51 53 Weathered shale Size _. & kind from _ to ft. Size & kind _ from to ft. Perforated Casing Size 16 & kind sermon from 1U to _ ft. Size _ & kind __ from _ to ft. Size _ & kind _ from to ft. GROUTING RECORD Material _nolo - 1 ntervals Placement Method GRAVEL PACK: Size 1/2 .x....5/A" Interval 4•-5'3 ' TEST DATA Date Tested July 26 , 1972_ • Static Water Level Prior to Test 29 _ . _ ft. ,......,..., Type of Test Pcft4p Tu rk? .nn. . -. Length of lee - a Stti3tr,4 Sustained Yield (fllgteredl- 450 GPM TOTAL DEPTH 53 ! Use additional pages necessary to complete log- Final Pumping-Water Level 50 t • ' 1. • • • . • Well drilled by Loeb Drilling CO. Lic. No. 21 .r _ Pump installed by • Sams Lic. No. 21 ; mi.,-so .3-777 7 Meter Serial No. hew .— &'gyn zr Flow Meter O Electric Meter ❑ Fuel Meter Owner of land on which Aldo Collins re esaitin Alda Collins and Its s 1►lhodraw water is being used $'�' g �y► THE LOCATION OF THE WELL MUST BE SHOWN AND THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. • This diagram represents nine (9) sections. Use the CENTER SQUARE • (one section) .to indicate the location of the well , if possible. • • v 1 . • t / •r . . NOR H SECTION LI E I • NORTH - • trn }I �- , �'. 1 CA 5 lit- _ r M Z .. .. (5 O •r O . N A \ — , z , • �• ua 2 f \ 1 N rn 1 :. .•. .� • - • •...�1• ,,, SOU SEC ION LIE • . •.,, LL ; 1`.��t -_S� rte •:.-., +_____ —_. .t- ..-- M/-. ...... .+ w. • t ...e>., , I.. ...,,+'. ri . . -. . i��,. T w ./�.. r/ j `. .e • r ii •THE SCALE OF T E DIAGRAM IS TWO INCHES E DUALS ONE'M11 • . •• '� wL. • aitaILMile • I 1 . 1 1 WATER EQUIVALENTS TABLE ( Rounded Figures) • An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) . . . 449 gallons per minute (gpm). 1 acre-foot . . . 43,560 cubic feet . . . 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. • 61 - wR)-ss-7A • . THIS TO F07E041AUST BE RECEIVED �pMITPRATI 1, COLORADO DIVISION OF WATER RESOURCES 0 E EXP�1g�ATIdN OF VI PERMIT. 'MP' AR Columbine Bldg., 1845 Sherman St. L' r73 PR IWT IN&LAO(INK.-OEC O COPY OF ACCEPTED it:///77300 ��� Denver, Colorado 80203 ~ b" STAYEMENT MAILED - ON REQUEST; a 1k car WAIN 5-IAA z STATEMENT OF BENEFICIAL USE OF GROUND WATER COLO. FOR OF ICE USE ONLY AMENDMENT OF EXISTING RECORD C Div. / cry., 4,7,... - • PERMIT NUMBER almillelfr R 1O242 .. Sir V , i 0°1 STATE OF COLORADO ft • rie51 COUNTY OF old SS' etsrm on LOCATION OF WELL 101cP�FSis THE AFFIANT(S) Weld County .kldia, Calling.= County Weld' whose mailing . address is - Pt . Z Box 34 BR of the SS, . . M. Section 35 City Eaton. Colo . 80615 — Twp. ,„ T N , Rng_ 66 W 6 P.M. (WTATS) (ZIP) as IN on b) It OR IV) being duly sworn upon oath, deposes and says that he (they) is (are) the owner( s) of the welt described hereon; the well is — located as described above, at distances of s 2606, feet from the Soutkt section line and 34a feet from the (NORTH OA souTH) _Bad& section line; water from this well was first applied to a beneficial use for the purpose( s) described herein on the 12 (east OR *Cet) day of g , 19 72 ; the maximum sustained pumping rate of the well is 46° gallons per minute, the pumping rate claimed hereby is CO) gallons per minute; the total depth of the well is 531 feet; the average annual amount of water to be diverted is 448 - acre-feet; for which claim is hereby made for Irrigation purpose(s); the legal description of the land on which the water from this well is used is restlegtioit 35, tIN. R66W of the 6th II . which totals 160) acres and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has �•AY�w ,(hove) read tI t'%Iat;t-Q?e s,,made hereon; knows the content thereof; and that the same ore true of his (their) knowledge. ;..'SiEnatvr 3 - r eke:! t C i�/ —_ . . ti -� "� r Subscrib�atbi d sworn . 'te r. -: ` FOR OFFICE USE ONLY to befora ma:on this.., `�. _ ^• V• of - �.c%•c, ra-t-r: ... , 19 :: Court Can No. - My Comm};sio - expires: 'Yr r / s" (6EAt) .. . . ^ • Sec. .`..— y, _ )/, y. NOTARY fusltc .""17 well Use 6 ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: Dist. il.121 Basin , Mart, Dis. , Prior. Mo. _,_,_ Day Yr. AUG 9 1974 : ! - ' .3.15.741°. .. ��. DATE STATE ENGIN R • ' w~''." - r State of Colorado Water Resources - View Well Details: Receipt 9060302 Colorado Department of Natural Resources Colorado.gov i Conbct Us , , Colorado Division of 16-- i • v,, � }7 �° Water Resources _ .� • . ,gt, fit - , - - ri stflhlz(`941 m re!, _ --,.�..4 - �. OCt1Sed OR COIOr�aO S peO fatt!t/aYer anti Stewardship Colorado's Well Permit Search • Well Constructed WIIMI Last Refresh: 6/12/2012 12:01:21 AM Receipt: 9060302 Division: 1 :t Permit #: 10242-R - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: ` [- I Applicant/Owners History i; Date Range Applicant/Owner Name Address City/State/Zip pi Unknown - Present COLLINS ALDA & WOODROW GLADYS EATON, CO 80641 i- . r [ -] Location Information >' Approved Well Location: °. Q40 Q160 Section Township Range PM Footage from Section Lines NE SE 35 7.0N 66.0W Sixth 2605 S 342 E I. Northing (UTM y): 4486786.7 Easting (UTM x): 522267.0 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: • `l [-] Permit Details Date Issued: Date Expires: Use(s): IRRIGATION Aquifer(s): ALL UNNAMED AQUIFERS t. Special Use: Area which may be irrigated: 160 acres • 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: .4 s [-] Construction/Usage Details J Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 53 29 450 [-] Application/Permit History [-I Imaged Documents "° Document Name Date Imaged Annotated OriginaLFlle 12/08/2007 No is Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) hitp://www.dwr.statc.co.us/Wc11PcnnitScarchNicw.aspx?receipt=9060302[6/12/2012 11 .29:00 AM) - • • , . L 0 0 0 ? WELL ./ Frog fib. �o..�.,..,�1...�'t• 3PA3 AS.,.�...Q.�. topsoil • • • tesniefte ;• ;r S.w.l.ft. ...�. ft. ••:Int•'M. i h!? 'bete et a 66°• • �r i 1. • _• :•••• • • • • • • • r• • .. • • I. I. • • IA• - • .♦ • • go . . •• • ..• -r is I . . I. 9 .. j or' • i.• • ::• • / I . • • • ••• • .i' ,. ti I • • • • • .i •.• • • • i • • • •,• • 1. .. . • . .t • • • 1 • . • •• • . • • • r 1• : •• • .O • •.r •.x •♦ :. "' • • •►1• •/'•l' 11/. .1 i.�v.. 1 •••••• •p...n.I • .. ••.• .1 . r ;• • 1�. .. • .. % c 1 ••,►Xs: • ••'I• •. •1 -, '�/ 1.• �••..• •I•: g :' .• •-. •. • i•.• .•.1' . ` ,�. �� A. .L. Vii'•• • '.• �• . I •/, •/1 b• •• f + T •�- ? 2.5tt s st als T a O P COLORADO NPFICB OF STATE INOTN� ( y •' ` ' q 1 ,,, , ;` v • LOC AND iaz OF WELL, •`-_ • r • , •r FaMITN0•I . • trillad kr altiagallitirshaaPiaira,agna WEPC411, :WTI( . ........^-q-rti . sSp. Ihtleesa ,,.x.....1.1.....,, •.-...7 ..«i Bt0 _ .MIL.E PN • :•. Tenant =An laELL ACCURATELI IN THE SMAL.: SWAMI REPRFSEN'TTNG .. . .. ' : •. • lto deed for Dim ACRES . . • on or by -.....r. s _:`: 9C4.. 0 b OT 1 1 • r S • Date C��tz Azt 2:� .E . a , t �w•..w�J .I.�.�..+w a .. • :,. Date t • ��� tad -��� . • . . I Yield• 4n -�, t ;: ................._.I._. .,yg,..,i �• ��1 t _ a _ 4 _ _. • • 1 'gyp type Sin I s •: w.. w.Iv.as+rr '1• •y • Dirk, bar RPM •`� • .• i''y • Dapth to Inlet Dm, down ft Ground el*Yat1on ..�wo.r.. —.I.......... T • Size and Kind or Cassini: Rev Drilled:ed: • Xs' Froolt 0 Co,.. S. t......1...r`._-a._ '3�`dM I.'. ..e « r 'r Fro. to TYPII Wt. REMARKS • • Ent to ape wt. Shutaoff,fepth to Sbut-off,etc v ,.. • PUT LOG OF WELL ON MAIM SIDE . Fertorst :Siate • •1 - F21311 to Tripe Site n rL j', 1 1 f 1• Fiat to TIT, sin �`' r•. well d� NOV 1351 aript GROUND '"ATER SECT . .k:-. �;�.• ; 1;:� Dri1� fro � to E�' �o • _ . se..1STAGE E +16MEP el ' • •,tl• iron tQ fir au to , in. v• > • , r• .. ': • TO BE '.ADD OUT IN QUADRUPLICATE: D n 1 Blue and Du ate Omen to State . ' Engineer's Office, ate copy to �, and IaUlos copy .1/er • .• . -IA. . . . .......1... •r.,•w.r• •ic; � i` .. :••t�.t` . ' •••'-•1•~I<Ste ,, • ',,• • • ►I • • • • . 4. 'I • • •• , •• ••• • . \ ! I • • 7 • r••• .• 1 4 + •. .. ...;.7.1; o.,•• I• •. ,• •. • '1 ••• \ ' - •1 ••.••• •/•. t _ ••• ', .•• + • •I . +, , 1 . ■ t:• •!1•- -• ••• .,• •• •.•• • • • %- •. • • O. • • •• L•• State of Colorado Water Resources - View Well Details: Receipt C62094I Colorado Department of Natural Resources Colorado.gov 1 Contact Us •Colorado Division of _- � : �* r v � � r-�, - � � -v�(,,�� •- •� - ', to �({w) .n - _ - ^, -` •' . Resources Water a , • i • ..i fYi .Tq %�1, ...).L1 �f -8 t7\''l+�'-.% - _"-tG? ;•; 1Y?�.r �•i,,,• - ", l .. -` 1 - - ocfased on Colorado's 1=c0/�,e, b✓oi rafi -rtc�wardshrj� Sea- . Colorado's Well Permit Search Well Constructed Ficip Last Refresh: 6/12/2012 12:01:21 AM Receipt: C620941 Division: 1 Permit #: 941-WCB- Water District: 3 Well Name / #: County: WELD R Designated Basin: Management District Case Number: f . WDID: [- ] Applicant/Owners History • Date Range Applicant/Owner Name Address City/State/Zip s• Unknown - Present BROHEN ARTHUR [-] Location Information Approved Well Location: • Q40 Q160 Section Township Range PM Footage from Section Lines 34 TON 66.0W Sixth Northing (UTM y): 4486743.5 Easting (UTM x): 519936.2 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details • Date Issued: 05/01/1957 Date Expires: Use(s): Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: • • Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No _ Cross Reference Permit Number Receipt Description Permit(s): Comments: [ -1 Construction/Usage Details • Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 25 Lic # Name Address Phone Number Driller 21 LESH IR., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [ -] Application/Permit History Permit Issued 05/01/1957 [-] Imaged Documents Document Name Date Imaged Annotated Original File 07/12/2006 No ti Copyright CO 2009 Colorado Division of Water Resources. All rights reserved. Home [ Contact US I Help I Water Links I Colorado.gov I DNR I Privacy Po!icy I Transparency Online Project (TOP) http://www.dwr.state.co.us'Wel lPer:nitSearch/View.aspx?rcccipt--C620941[6/12/2012 10:50:07 AM] • Form No. 3 j R7evitoed 6/581 .A • COLORADO WATER CONSERVATION BOARD III NOTIFICATION OF INTENTION TO DRILL fl, REDRILL O. RECASE O. OR DEEPEN O A WATER WELL ' ( 1 ) District No... . .. .. . (2) Name or Number of Well. . .. be .1 . . . . . . . _ . . . Ed Leah ooll. .Prt11tog C.P. .. . . (4 ) Phone No.. Au1ti.44W (3 ) Name of Driller.. . . • (5) Address. . . . . Ault , . CoY*. . . . . . . .. . .. . . . . (6) Well Driller's License No.... . 21. . . .. .. (7) Approximate Date Start of Work. by U . 56 ' (8) Laud Owner's Name. ... . .A0,111!Th (9) Address.... . Baton. Colo, .. . .... . (10) Estimated Depth of Well 40' . ..F't. (21) Location of Well . ( 12) Diameter of Well . 42' In. Section No.)4 County.. A•1d ' . (13) Diameter of Casing . .. ..3 . . In. . Twp.. TX. .Range. .60W. ..P.M.. . I . .. . ( 14) Weight of Casing 420P . . Lbs./Ft. (15) Please mark well location to nearest 40 . • - . acres (small square) below. • N ... . (16) Type of Well : Domestic al ( I • • . Irrigation O I Municipal O a Stock — - -- W • Other. .. . . .. . . . - _ I ' ,' - ' ! ' . I.._. S . ( 17) Method to be used in drilling :_ '11fle ...... (18) If above location is unknown, com14eu the following: Rotary t ( 19) Estimated Depth of Bottom and Top County.. . . .. . of Shutoff IleneCity, Town or Subdivision.. . . ... ...... .... . . .. .... . . . r• ! (20) Type of Shutoff.. .. .. ... .. . Street Address of Well Location. . ..".;;.• .i. i. • • /i • fir le, C�1* it , ,r r i TO BE MADE IN DUPLICATE : Original White Copy to Colorado Water Conservation •11, 6s4 . Pink Duplicate to Driller. Y„. - .. • " • V.I. • ' • . • • • • • • DESCRIPTION OF MATERIAL DROJ•FD METHOD OF DRILLING (A00 OY,41CA LINES AS NASD[,) Feet 0 . . 00 to•..•....4•..._.. topsoil • • .....••r•$.• .. tW« .. « -- burr weedy A , a• 30...• ..to 48I dark butt ready play • • .M•H•.txx.•.•...Io••••••••••••••• .1/4. • I •- •..n.• •••M••...••to....•.••.••.•.M•••••••••• • • • .- •.•wu••.....es.•••••••10•0.••••44~0.•••••••••••••••••• . • es • • . i • • 1 I. • •• •'•.. • . . 1 . • .1 ,r ' . •� •. . r t• : /• • . • • ••• . . • 1''ra ,j ' 1 • ' ' ' • __ •• • ` • • ., • limn •. . - .: • lr a sr 're, •ND.' y 1i.. -' •• Ttyti',• . - • �C'' lf;•. •. . S V • :' li • . .• v= iri'• . • . - . . .. . • ..�• '. '; • • • •• •..• • \• �.1 ••••. • • •••••• .-,: • • •• \ .. • • :•` • .. •• 1• • `,• • . 1 ; • •_ 0 ' •: '• • • • •• • •�' 5 • `\ •• - '• • •' t • • .. •. . • • •..n •• '••• • • • • .• • • ' •. • • - •'. •\.• .r r• .. —. : •-• . t•'',......••• .. •• • ' r � ,L'ON •• •e, .• •. ! ' . f.6 l COLORADO WATER CONSERVATION BOARD • • , V LOG AND HISTORY '',:.. 46 ....,. •:• ( 1) Loratlon : Sec.....• A T._111 R..elf._.P.M...?. .......Vs, Sec..fl (2) County..eL4 • . (3) or Street Addrraa City . . (4) Owned by._.DAza. .Md' lava Address....&tm,. .(%R •t , • r (5) Tenant Address.. ••A r, • • .. : •r (6) Drilled by...r.4 .Iash.:tk�1.?_ ilLi•::..ce Address �1it...4m1o•. ....._.... ..,�� • (71 Water Well Driller's License No U.L. (8) Name or No. of Well.. .ID-a. .1 •••• • .'Y• (9) Type of Well : Domestic tj, Municipal ❑, Stock Q, Irrigation fl, :•:: Industrial a Drainage ❑, Other "r - '• (10) Cased : Q'.0 ft. to SJt. Type•rink.- .Size__.,3;11' Wt. of Caging : Lbs•/I' t- 32 Cased : ft. to ft. Type Size_ Wt. of Casing : Lbs./Ft ' • • i • Cased : It. to ft. Type Size _•Wt. of Casing : Lbs./Ft. • •1• .•( 11) Perforated or Screened : Ft. _to Ft ; Ft • • •. to Ft ( 12) Type of Screen or Perforation..._ta„-sit .,•. • ( 13 ) Date Started . 2z,.. (14 ) Date Completed 8�t . .. . .. .. . . ....... • (jet a Static Water Level.,.W Ft. •' " ' ' `�. Shut in Pressure its./sq. in. ( 16) Date ( 17 ) Pumping Water Level Ft. at (13) G P M yield. • • ••• (19) How Tested : M_. ..•• • (20) Length of Test_ - Hours, • .}:j,,,:. Put Formation Log on Reverse Side • . ./..,`..'? 1::: (21 ) REMARKS : (Gravel Packing, Cementing, Packers, Type of Shut-off, Depth of Shut-off, Method . .. • :'• Drilling, etc.) raked p • 'date • r tt terse Drilled by reverse rertery . , •'•ti .' ,.r fay , " �� • C Imo . Piro A 1 • • ..• • I' I• . JO A r . eva tile ' . • 41) i.e.,' :• . . TO BE MADE IN QUADRUPLICATE : Original Blau and Green Duplicate to Colorado WaterL c' e •• ... '� Conservation Board. White Copy to Owner and Yellow Copy to Driller. .• .. ► )...4 .I.-• • . . ►" , . • • .A • •. •.�1.• _ .C: • ;• • • , -, •,'• •• •, ••ft • ••• t.• • '. • • .• • •1-• • • • ' • •Z • • • • • • • • E. •• • • • •1 • 1 • • •,• State of Colorado Water Resources - View Well Details: Receipt C62076I Colorado Department of Natural Resources Cc'orado.gov E Contact Us .•: �,�gym«•- �-�r v..^err-•- -- t++ee�r Colorado Division of Water Resources - =.7!1,1.r. . �.a �. Y v.. `' �:" 'p 1 »'--••+w 'real; OCt1St d on COIo;aaG's People. Witte andiSttW I ds ripi _ .. ....c+—.-.rCrs*+'. -a ..'- ,.•.:t ._ - - . . Colorado's Well Permit Search Well Constructed v Last Refresh: 6/12/2012 12:01:21 AM Receipt: C620761 Division: 1 Permit #: 761 -WCB- Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: a W DID: f [ - ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present ANDERSON DON [ --] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines 34 7.0N 66.0W Sixth Northing (UTM y): 4486743.5 Easting (UTM x): 519936.2 Location Accuracy: Spotted from quarters Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [ - ] Permit Details J Date Issued: 06/04/1956 Date Expires: Use(s): Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: H ] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate t. 40 Lic # Name Address Phone Number Driller 21 LESH 3R., ED BOX 56-113 S HWY 85 AULT, CO 80610-0056 970-834-2868 [-] Application/Permit History Permit Issued 06/04/1956 [ -] Imaged Documents Document Name Date Imaged Annotated Original Elle 07/12/2006 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/WellPennitSearch/View.aspx?receipt=C620761[6/12/20 12 10:33:46 AM] I • ' Form No. 3 . (Nrwed S/Sm) . COLORADO WATER CONSERVATION BOARD NOTIFICATION FICATION OF INTENTION TO lets I t.l. , ltEuRll_li O, e RECASE 0, OR DEEPEN ` A WA'T'ER WELL t- ' • District No.. ... .......Nam or Nmuher of Well.... . .. . .. 2 .... . .... . Sante of .Drillex is ' •.;� .. :. /4,4a4 :-: ci . Phone No. . . .e. LV.y1 - / a-/ -2-0/ •!d '1 rep - �rr-�r--- ��, r"''•T r ! - r ' ,, 4/' e r ....a' .... ... .. 7Yc�• - .—iffi.T.Y _... ' 99 e- G . c^ • L �.- 1..e..� t ,,,«<.•r r . .� ' • . Well. llrille•r's License NCB... . .��.. 97 . l t::,.. Mart of We irk . 4:;.e,/,':744:‘ ...,i. ./. .. /..)....) I4:11ud.•Vtwu,•r's .111tH• ..J 'a-..'. .L. 4. .4<:.2' '/ •. . .. . . . . . . ..lc A41cit•e'.•......A '1•..Q C....; ; eCet_z.{....V.7_70:7:. ... ... ... . . .. . . .. .. • c? /1-4‘14..A..) t-t-�' / y e `Id- _ • li.&tiniatted Depth of 1!'1•ll .L.�. C _,I 't. Limn-nos i'c rioos „p R' ii.:. • . _ 1 Diameter of Well ..cL......dein Section No County... ... .... .. . . ... . . .. . y?,Mu. t 0-.. .. ..- . . - ' Itianceter of t. asitic sit . ...Z, 1 ii•rl". .. ... ... . .. Itaiit r•. .... .. . . .... P.M ... ... . ... . . Weight of Casing - ..... .......... IJks.:' l•'t. 1'!rat,e mark well location to msar.'st 40 Beres Ismail toinnr ►):. helo •. '. GI Type of lcll Ttianinstic. 0 I ' • 1�- ., I • Irri ntiot► D • '. .• Municipal 0 . ! I i I ' • ` t • ii 1 ii I • • ' Other. . . - _ t . 1. • . • S . • Method to be used hrdrilliing:.. .. 1f above: location is unknown, complete tht:=-;u:;;. lowing :kette,c. -I ('onmy . . . (. J{:t..-? s .. .. . . ... . ....... .. ... .. Estimated Depth of !lotion) and Tole C•/ . tr, of Shutoff Pity. Town or Sulniivi�itTI . a\e t, :iG `r�~r- z I 0 7'.•l,•► of Sltitfcaff ... Street Address (if Wt•1! I.oe•ntintt .;!. ... ... .... ... t: • : !. C... ••:� ��.-n. 44.17 -I. '.. •.... ... ......•' Rc r 3j/ :: i . APR 2I1955 • Oita mu •L• •.. f-. •• ... '1 • • .• , , • •: ' • • ,• I •- • • �! . • • {. • P. LOG OF WELL. . • DESCRIPTION OF M_LTERTAL DRILLED METHOD OF I)ltILLtNO . .. Feet •_.1 ;Vi • fr. •• . . * /-00 ' 4% i :. If • .11 ' "•• L� .... .� , ...ewer I A, I • • rJ�.t {/ �.� .• U`rr • • s )tit' • If: t L�i %fir �� ; ! • . .. ` (f _•- ••.•••••••�•••.•• ••••••...M• •.•••••••••••1 ,� •y Lt • ' ..- err•f • ems- / t F ' L__ ,.. f - •' „ ....� r r"n�I rffj. • ..:Pr el e7.1.11 •c•. • • ;�I'�/. . 'I' i• l'" • t • -.'_.r- • (� ••�``ti: , . • _ • I i % • 4%. I • • • I • • • . . , ~\ ♦ • ••I . • . • • Y ♦ • • • • : • : , �.1 . • 7 .•• •••••• ••• • • • • • • • • •• ' .I•. ..'t • • , ' ' • • • . I, 1 • . • • : 1 • - I. I' ' ` I I i e. 44154.1.ell3/41•Igi. . . ‘. . I. i. ; • Z . •. . , .. • • . • . ; �, • • . • • • . , • •, ./• 1 gin • I. :1 • :, • 1 • • I I .. Form No. 4 • . . . _.titerised 5/54) . . .;;\` --... _ • COLORADO WATE' CONSERVATION BOARD ./ i • LOG AND HISTORY ;• • ) .• ` . • 0 • - . . - .- . of .."-- - • lactation : Sec... .. . • T .R... - P.M. • / Sec . Counts' ' ' • '• • . . 'If • iv or Street Address $i2. w_w_. ,.mo w.L.........._. ..L.N•........ City...._. ......N..�•....L... .: ti.. ........... I 'l - Owned by..../ ..C�.....=_...M.�.: w2.:..a1......M.._»_...�.ddress ' ..A..r..: :.w.......,1 ::::..:.r-...i:.:::_.:;......._.._._- 1 f •• �..enant_w.............. •...w • �rw_4•...•.r_M..._O••••••••••••••M...w.....•!._Address .. ......,......r _..M.......................... • l , • 4. • Drilled by..W.r►r.....ti.r�... t��Lt_t __ZZ•• __ ,.4.:address...._.T•:.•, M. __. .. C:..•..ii:.".._jc..t..,L.•....w.•....... / • . • �/ . \Vacu;r Well Driller's License Igo. • / /__ Name or No. of Well €: ' ..-.M.....,..........M..w.. Type•. • of Well : Domestic 0, Municipal 0, Stock 0, Irrigation. fir----- Industrial 0, Drainage 0. Others • .. • Cased : . - I o ! f• Size ._ . Wt of Casing : Lbs /Ft. • • Cased: ..._..___......ft. to ....♦...fI Type..........Some......Size Wt. of Casing : Lbs./Ft _._ Cased : ............. ..ft. to_•___..._._ft. Type_........_........Size Wt. of Casing: Lbs./Ft • . ' Perforated or Screened : FL.-S.--J......-....to FL.................... ; Ft to FL..._ T -pe of Screen or Perforation ••Date Started � :.t.. / 4• `, Date Completed > t.tJtL27 . t15N..Y....w...q .w1V..N Mr. .. M.. ....r . ......... Static Water Level Ft. or . . r ■T■A M..•- r Shut in Pressure....... • lbs./sq. in. Date..._ ...oM•...M...••N•.Y•••••.. ' Pumping Water Level .....Ft• at : • >;.._...-• G I' M yield. • How Tested : . .__...___ •.-w ._._Length of Test .. . Hours. '. �; Put Formation Log on Reverse Side , .,;. REMARKS : (Gravel Packing, Cementing, Packers, Type of Shut-off, Depth of Shut-off. Method 'f Drilling, etc.) ..... a . .. .. .. . . c f .,: :.. . . • APR ilterntr. . 1 �1 tite lea' t ' • r •1, TO BE MADE IN TRIPLICATE : White copy to owner, Blue copy to Colors l"lAAj • Conservation Board, and other copy to driller. • .. _• MI I State of Colorado Water Resources - View Well Details: Receipt C300878 Colorado Department of Natural Resources Colorado.gov I Contact Us o «j tk * I Resources �_ Lc. OY`-� "A f = " aused orr.`Color�d " rda • t� rds fF Colorado's Well Permit Search Well Constructed t' `` Last Refresh: 6/12/2012 12:01:21 AM ! Receipt: C300878 Division: f Permit #: 878-WCB- Water District: Well Name / #: County: JEFFERSON Designated Basin: Management District: Case Number: r WDID: [- ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present TUCKER W J 2300 BRENTWOOD [ - } Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines • Northing (UTM y): Fasting (UTM x): Location Accuracy: • Physical Address Subdivision Name • City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [- ] Permit Details Date Issued: 04/21/1955 Date Expires: ,2 Use(s): Aquifer(s): ALL UNNAMED AQUIFERS Special Use: Area which may be irrigated: Maximum annual volume of appropriation: Statute: 4 Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: DRY [-] Construction/Usage Details J Well Construction Date: Pump Installation Date: l Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 100 f' Lic # Name Address Phone Number Driller 197 CRAWFORD, RALPH A Unknown AURORA, CO [ - ] Application/Permit History Permit Issued 04/21/1955 [ - ] Imaged Documents Document Name Date Imaged Annotated Original File 01/26/2006 No C Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) httpa/www.dwr.state.co.us/WellPennitSearchNiew.aspx?receipt=C300878[6/12/2012 4:23:49 PM] • •• , . •\.... i • ,• . ... . '.• ,• • • . !; • . •• • . �•� •. t;, '; _ ,. •.. . . . • • • Form No. s (Revised 6/55) •• ID is COLORADO WATER CONSERVATION BOARD ; . ... NOTIFICATION OF INTENTION TO DRILL E, REDRILL p, - . .,. RECASE ❑, OR DEEPEN ❑ A WATER WELL .c. ..;...: . ( 1 ) District No. .. . . . . . . . . (2) Name or Number of Well Frank ldrt.zauaon . No . 1 . . (3 ) Name of Driller. . Ed Leah Well Drilling Co . (4 ) Phone No. 4471 (5) Add: ‘ss kilt, Colo . (6) Well Driller's License Nu. . 21 . (7 , Approximate Date Start of Work • (8) Land Owner's Name. . . Frank Rapist= . . t. (9) Address. . .. .. Eaton, .Colo . .. .. ( 10) Estimated Depth of Well . . 360' . . . ..Ft. ( 11 ) Location of W. ( 12) Diameter of Well . . 6.i" • . In. Section No. 27 cot. .. - 1d ( 13 ) Diameter of Casing . . . 5--". . . . ..In. Twp. 7I1 Range 66W.P.M.. . .6 .. .4 • • ( 14) Weight of Caning . . . .104 .Lbs. Ft. ( 15 ) Please mark v:ell location to nearest -10 acres (small square) below. N • ( 16) Type of Well : Domestic E - e,• • ` Irrigation O i Municipal ❑ Stock 0 — . - -- — -- — W . � Other. . .. . , I •: x S ( 17) Method to be used in drilling : . .. .. .. . . . . u 18) If above location is unknown, complete the " ::.• ' following : .Cablo ..tQQ1s. . • County •�- •1 ( 1 J) Estimated Depth of Bottom and Top . . . . . '. • of Shutoff. . .. .. City, Town or Subdivision • • . 751 ^ • • rs • r�� ,• : st. 1 . (20) Type of Shutoff. . . . . .. . . ...... . .. Street Address of Well t,k ... .stl. :• I .. . . .. .. .a::rfr:ce pipe oerwatAd . '�!' '? .,f.';i;.s; ,: • COP: 't: ''J;RJ TO BE MADE IN DUPLICATE : Original White. Copy to Colorado Water Conservation Board . . Pink Dztplicote to Driller. S ' : . ; ' ' , . . • • . • •- LOG OF WELL --y • , DESCRIP'T'ION OF MATERIAL DRILLED METHOD OF DRILLING •• iAOQ O7MG11 LINER AS N(Wtt7l I alpi Feet j- • 00 to._.•.•..•V....•. .. • • jP f.o.._... ... ' t ad slay . • •• . :411: � •' . .....�..rW •N• .M•MU, an • • •..sonar el \~• •K _ as. us WS en ue 226 tat dasteatina lab • • _ . . iMan a eni ' geode-.• ' In ode t■a et *IA lad tails) • VS ter light Day daft sad . lit NM 134)* on Malt as slam as dna) • • in1140111 gar dole •.� • _ • .•• I. �+.` as rl* c 131 f! Man wad 110$ ► w! i�11 brio �!' pay Oak) r� in may dais. . . Wafted ye . • 1 • • • . __ .• (•• • 41k. . • • .1w;.• ' • . • •. _• I4t. •• r t1 • • / • . y4J'•%tom.• . •• 6l �' •. A• 1 • a. .•,'. • ! . • .•' ; •• •: • • • •. '5.1; •: :el/. :•,•:.°." • • . • - : • • •: •r Fosrrn No. 4 r--• ! ' • � (Revised 6/bbd . " ' COLORADO WATER CONSERVATION BOARD /� _� • • �' . • . 7 1 V . LOG AND HISTORY 1t . ...i' •__..--.' . . • ( 1) Location : Sec_ _.......�f, T T it ....R..1O.12..P.M...... ....IA, Sec._.SE (2 ) County.....7r1u.•r• •.___... •.•. .• . ;: • (3) 14? Street Address . ........ City . (4) Owned by.1117eak sigesiensan Address...........tea,..tele. . . - (5) Tenant Seas— Address. (6) Drilled by. 3 •Ltsk-..it1l••D 1t2•ias••Ca.• •. .. Address L,t,,.-Calo. (7) Water Well Driller's License No. 21 (8) Name or No. of Well_.Itresk••lia' s8oct•Zo.•• 2 • a. • (9) Type of Well : Domestic ®, Municipal ❑, Stock ❑, Irrigation 0, Industrial O, Drainage 13 Other. .._ •:. ( 10) Cased •.. .._. ....IL to,_._ t..ft. T Size_... Wt. of Casing : Lbs./Ft. ---__.. • Cased : _ ._A._.....ft. to t0!..•ft. Tyue...flatit•Size. ..E . "....-Wt. of Casing : Lbs./Ft. 11 •:• Cased : ft. to_....._..._ft. Type..... Size Wt. of Casing : Lbs./Ft..._. . r • ( 11 ) Perforated or Screened ; Ft.....l�Q' to Ft...�„Z�•` Ft. to Ft • .• . . 41) ( 12) Type of Screen or Perforation• .tor:: • / . 13 Date Started Cnrtt...} 13,...bd (14) Date Completed..- .511 Static Water Level •fir ........Ft = • • ' -• (15) or Shut in Pressure lbs./aq. in. (16) Date • .• : .• . (17) Pumping Water Leve1.....30Ot Ft. at (18) .. ...•t GPM yield, ( 19) How Tested : �alLer . (20) Length of Test. 3 Hours, ,• . t. Put Formation Log on Reverse Side •,, (21 ) REMARKS : (Gravel Packing, Cementing, Packer, Type of Shutoff, Depth of Shut-off, Method Drilling, etc.) •„ • . e. •• _. . • Drilled e' bore aged . apt TO' of a • ttr.,-I. Drilled 8e" hire 340* and et 333e of tcI" "} eazlr•'.,. .4•. • i f . i Ell. • H • •. .:• : L t JAN 15 1 5* • • • r ' ' • - 1 -•:' imItei .. •:• •`,, TO BE MADE IN QUADRUPLICATE : Original Blue and Green Duplicate •: • •lit .`i. I, Conservation Board. White Copy to Owner and Yellow C[op�y, to •• :1 : • ••••,•• ii• *z V,ts - ••+t ..• • r. L.. •.. • •• . .• .' •" •• • •• � S• •/R~•��•� •♦'r _ '• .1 •. •,, .,•• . •:. .. •'. :' •• ..• j`• ,.• .-• - • 1 ••. , ,;• • • . .%.... • • •••. ' .. • •�• .• -••. • •• •'. . I�r •• • • - • .•. ••.• • • •'• • • • . .• .. •_�1•. . •••%;..4 ..'• . '•.• • 4' . • ••• .'•••••• • •. �: ♦ ....3• • •••• •• •w .• ...•. .., State of Colorado Water Resources - View Well Details: Receipt C620878 F Colorado Depnrtn,_nt of Natural Resources Co!orado.gov I Contact Us Colorado Division of rr ' ,+roma-.:- , �,t : r • . _r ; f•-- - , , M v . i ^�1<•�TS'.� _,..7 J�i� � ^ �. q+Je\ri'LR47`�1.,�. •K �i Water Resources - l AC il 4P•r "'. " 41/44'43/4`.na ; 'J- . -r.sc'"": ,, `9-r-z ` At ocused on Colorado's P.eoplejWate'. ar7d',:terlrirdshrp it;D Colorado's Well Permit Search 4. We1LConstructed i+4- Last Refresh: 6/12/2012 12:01:21 AM V= Receipt: C620878 Division: 1 Permit #: 878-WCB- Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: .c WDID: a f,; [-] Applicant/Owners History R.. Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present HAGNUSEN FRANK 'ji [ -] Location Information Approved Well Location: .l Q40 Q160 Section Township Range PM Footage from Section Lines 27 7.0N 66.0W Sixth Northing (UTM y): 4488403.5 Fasting (UTM x): 519994.8 Location Accuracy: Spotted from quarters Physical Address Subdivision Name ii City/State/Zip Filing Block Lot gt Parcel ID: Acres in Tract: [ - ] Permit Details Date Issued: 01/15/1957 Date Expires: Use(s): Aquifer(s): ALL UNNAMED AQUIFERS :w Special Use: tr Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report t. No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: [ -] Construction/Usage Details Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 360 Lic # Name Address Phone Number Driller 21 LESH JR., ED BOX 56- 113 S HWY 85 AULT, CO 80610-0056 970-834 -2868 [-] Application/ Permit History Permit Issued 01/15/1957 [ -] Imaged Documents Document Name Date Imaged Annotated Original File 07/12/2006 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) hup://www.dwr.state.co.usAVellpennitSearch/View.aspx'?receipt--C620878[6/I 2120I2 4:23: 15 PM) Page 1 of l Hoisington, Brenda From : Hoffman, Rick M. Sent: Thursday, October 30, 2008 2:02 PM To: Hoisington, Brenda Subject: RE: Leffler LR's Brenda, Good afternoon, I should have marked that there was 1 dwelling @ each address and there weren't any live stock at the moment but the properties was set up with corrals for livestock. I am so sorry I try to be very precise on my inspections, I am not sure why I missed those items. Thanks for picking up my slack Rick H . From: Hoisington, Brenda Sent: Thursday, October 30, 2008 1 :30 PM To: Hoffman, Rick M . Subject: Leffler LR's Rick, I am evaluating two applications for Russell & John Leffler and have attached a scan file of the applications and field inspection reports. On the applications, they are claiming domestic, yard and livestock uses however on the field inspection 0 dwellings are marked as well as the domestic animal and livestock. Could you please clarify for me what this means? I am interpreting it to mean that they only have livestock watering and the irrigation of not more than one acre of home garden and lawn irrigation for both wells. Is this correct? Thanks, fttenda (ffoatngton %Water egboutca Specialist Colotado pvlslon of Watet 0gsoutces 1313 5hetman etteet, citgom. 818 ?ulna, 05 80203 ethane: 303-866-3581 ext. 8211 °Fax: 303-866-3589 APlease consider the environment before printing this e-mail. 11 / 13/2008 S • G WS- 13 A<01/2007) COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT Please complete this form in ink Application Receipt No(s):_ ECE1VED DIV t WD I WELL STRUCTURE NO. (IF APPLICABLE): DATE OF INSPECTION: /O - ) e47 PURPOSE OF INSPECTION: LATE REG , OTHER CT 0 6 2008 WATER COMMISSIONER NAME: WATER RESOURCES PHONE NUMBER: ( '170 ) 3s) - la or ( 410 )2,),? -4033 aT ►'r rmaiNEER rc'L3 efP /er APPLICANT: Person contacted if not applicant: ADDRESS: i (oQ (Pq alcia 142 F Ce_ .146 ►S rrl al/,, arg rnss 492, jod PHONE: ( y''j0 ) L1 Sy - )SIS ext. EXISTING WELL LOCATION: _14_1/4, of the 5E 'A, of Section a(' , Township 7 Ix IN or ❑S, Range C G ❑E or UnW, to ga, P.M. Distance from section line 1S`/ ON or VS, 111 is E or ❑W, County W e tc OPTIONAL INFORMATION (GPS unit must be set for NAD83, meters, and true north) Zone 12 ❑ or 13 O Fasting Sou 5M, Northing c�y $ 74.5 • Mark type of existing well: drilled, O hand dug, ❑ spring well, ❑ gallery well, ❑ gravel pit, pother Estimated date well constructed: 1ISO Date of first use: l 9 Sv Estimate pumping rate: I S GPM Total number of acres in this tract/parcel: 2 acres Address of property (if different from than the applicant address): Additional subdivision /parcel information: Number of non-exempt acres irrigated: Name of Aug. Plan? Any other wells located on this property? (yes) how many , (no); permit #, case #, use? Use of Well: 121 Household use in (indicate how many) t) single family dwelling(s) 171 Watering of poultry, domestic animals, and livestock — approximately how many head? Watering of livestock only — approximately how many head? Is this a feed lot? ❑ yes ❑ no Ai Estimated area of historical lawn and garden: I ❑Square feet f1 acre of lawn and garden El Fire protection • ❑ Commercial — drinking & sanitary only? (write details in "comments" section) ❑ Other write details in "comments" section) YES (INO WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? • NOTE: If ANY CHANGE IN HISTORIC USE OF THE WELL HAS OCCURRED SINCE MAY 8, 1972, please indicate the date(s) the use changed, and discuss this change/expansion of the current or proposed use in the • comments section of this form. Signature of Water Commissioner: Dated: /O 'A -03 (NOTE: If filing electronically without a signature, please check the box. O) Additional comments and/or information: More room for comments on the back Page 2, FIELD INSPECTION REPORT Form STATE OF COLORADO For Office Use Only No. , OFFICE OF THE STATE ENGINEER GWS-12 848 Centennial Bldg., 1313 Sherman St, Denver, CO 80203 6/2606 (303) 866-3581 Fax (303) 866-3589 http://water.state.co.us/default htrn REGISTRATION OF EXISTING WELL RECE;VE© NAME. ADDRESS AND PHONE OF THE WELL OWNER: O C T 0 6 2008 NAME(S) 4141 / V, 4e 744y II fj rJ MAILING ADDRESS/6 Q� ��/r,.. /�Jj l WATER RESOURCES V ' I � (/� rl: cfTY:��.'' Ltd STATE: vAla d"Dim- / G AS TELEPHONE NUMBER E-MAIL (OPTIONAL) (774) - 2fir/ WELL LOCATION County H� Tai _ Owner's Well Designation (optional) - G4-irp 4 nil 1-1‘ ( ess) (City ) (State) (LP) X I - 1/4 of the 1/4, Sec. � � , Twp. 7 �'N. or ❑ S., Range G � ❑ E. or �'W_, P.M. Distance from Section Lines FL ❑ N. or ❑ S. Line, Ft. ❑ E. or ❑ W. Line. PLEASE ATTACH A COPY OF A CURRENT DEED FOR THE SUBJECT PARCEL Subdivision Name , Lot . Block , Fiing/Unit Optional: GPS well location information in UTM format. The following GPS settings are required: Eas .ng Format must be UTM. Units must be in meters. Datum must be NAD83. Unit must be set to true north. ❑ Zone 12 or ❑ Zone 13 Was GPS unit checked for above items? EDYES ❑ NO Northing The well has historically been used for the following purpose(s): Or 1e c. 43rd Pooh Water from the well was first used beneficially by the original owner for the above described purposes on , 9Jv The total depth of this well is / feet The pumping rate of this well is 1 s gallons per minute. The average annual amount of water diverted is acre-feet The lawn and garden irrigated (watered) by water from this well is ) VI Acre or ❑ Square feet. Number 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. 23-3-104(13)(a). I have read the statements herein, know the contents thereof, and state that they are true to my knowledge. Signa re of Owner Print Name and Title of Well Owner Date "-sr/ �,%�)1 V hi LeFea. 19 - z -0;-- _ / L f S For Office Use Only WE WR l (97 /— CWCB V Trans Number: 3633967 '-V 10/712008 12:52;08 PM TOPO � James Martin (19) Total Trans Amt: $200.00 MYLAR Div CHECIND 3 Basin MD Check Number 1(102 Check Amount: $200.00 A 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 LR WELL PERMIT NUMBER 279236 - - APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SE 1/4 SE 1/4 Section 26 RUSSELL D & JOHN A LEFFLER Township 7 N Range 66 W Sixth P.M. 16977 WCR 74 DISTANCES FROM SECTION LINES EATON, CO 80615- 154 Ft. from South Section Line 167 Ft. from East Section Line (970) 454-2515 UTM COORDINATES (Meters,Zone: 13,NAD83) REGISTRATION OF EXISTING WELL Easting: 522386 Northing: 4487655 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) Construction details for this existing well have not been provided to this office; therefore, it is not known if the construction of this well is in compliance with the Water Well Construction Rules, 2 CCR 402-2. The issuance of this permit does not relieve the well owner of responsibility or liability in the event contamination of the groundwater source results from the construction or use of this well, nor does the State Engineer assume any responsibility or liability should contamination occur. 3) This well is recorded and permit approved in accordance with CRS 37-92-602(5) for historical use as indicated herein and described in CRS 37-92-602(1 )(b), being a well producing 15 GPM and used for ordinary household purposes inside one single family dwelling, fire protection, the watering of domestic animals, poultry, and livestock, and the irrigation of not more than 1 acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is December 31 , 1950. NOTICE : This permit has been approved subject to the following changes: The distances from section lines were calculated from UTM coordinate values provided with the Field Inspection. You are hereby notified that you have the right to appeal the issuance of this permit, 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.) %.b. 14 . tl,l ►3106" APPROVED BDH ,_.9 State Engineer • \Receipt No. 3633967B DATE ISSUED 11 -13-2008 EXPIRATIO DATE State of Colorado Water Resources - View Well Details: Receipt 3633967B Colorado Department of Natural Resources Ccaorado.gov I Contact Us --"Fa Mc..3r app ti , ,n I ?"7 :- C © Iorado Division of ti'zf. ., . .�. ..,..4.„ . rte..}., ,yi. � .r ,� � Water Resources .� . . _. >.. a ' �•. • : • - .,^. +rrr \ )::".air %ice. t. y- s "%An ^, st dirk • f--` _ • _ 1, ocus.a_o oratic's Feop1 , W3ter eit Sr war ship Colorado's Well Permit Search Well Constructed -i :I Last Refresh: 6/12/2012 12:01:21 AM , Receipt: 3633967B Division: 1 Permit #: 279236- - Water District: 3 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: [- ] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present LEFFLER RUSSELL D & JOHN A 16977 WCR 74 EATON, CO 80615- [-] Location Information Approved Well Location: • Q40 Q160 Section Township Range PM Footage from Section Lines SE SE 26 7.0N 66.0W Sixth 154 S 167 E Northing (UTM y): 4487655.0 Easting (UTM x): 522386.0 Location Accuracy: User supplied Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: 200 [-] Permit Details • Date Issued: 11/13/2008 Date Expires: Use(s): DOMESTIC Aquifer(s): ALL UNNAMED AQUIFERS ' STOCK Special Use: , Area which may be irrigated: 1 ACRES 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: [ - ] Construction/Usage Details Well Construction Date: Pump Installation Date: , i' Well Plugged: 1st Beneficial Use: 12/31/1950 • :i Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 100 15 7 ib [ ] Application/Permit History ^� ^ Permit Issued 11/13/2008 Application Received 10/06/2008 : First Beneficial Use 12/31/1950 r [-] Imaged Documents Document Name Date Imaged Annotated Original He 11/26/2008 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov ( DNR I Privacy Policy I Transparency Online Project (TOP) r http://www.dwr.state.co.uslWcllPennitSearch/View.aspx?receipt=3633967B[61I2120)2 4:06:02 PM] APPENDIX G SOILS LABORATORY ANALYSES CDS Engineering Corporation ATTERBERG LIMITS } .1iE • I01:14114+1143, yN fpiy r . `:v .,..„. • .li•r,-r +4+. i�• Client: KRW Constructiont •�S . i. ,. 4iiii, . Job No. 1,1 6541 : ;: _, . IV :` ` ,r Project: A-1 Orq hics :, Tech: . JDE Date: 6I6 01`'1 . Boring No. TP 1 Depth: �`•rh.� lk�, < . Sample No: Soil Description: ` . " (CL) sandy�� lOilittra .:ekc :.brown Liquid Limit One Pt. Plastic Limit Moisture • C 2 r t . Container No. Al2 A A6 1� .12a ,,-i, f tK 1 : r, Wet Weight + Tare 30 73 3d; 67 9'17 t 9 . . I . Dry weight + Tare $.59 X4.28 58 87.48 .. j.-1i ' 16.1, ,, r ) i2 .?,F _ �.. f`4):•;. � 77r �1. � Ls ' - .•r' rt �� ,J" c �'. �,.4 - — ' 1 4r k '' Tare 2't92 2' : yr ," ¢� < 'Fti2 .:., . +n�yI. ���� L+ :_, � • �'•'�i '.,�,�a.F� ,,• 4� . 'r4-7-1-ti: ai ,, .. Water Weight 2.14 2.11 1 .69 0.941, Dry Weight 6.67 6.72 5.58 ` 4.80 Water Content (%) 32.1 31 .4 30.3 19.6 Blows 16 22 7 . Z //71-7a' /C(71.77-d2 Flow Curve 35 Results Liquid Limit 31 , Plastic Limit 20 Plastic. Index 11 0 4a IC cu 1 4 1 � I ° v One Pt. Results 3 Liquid Limit Plastic Limit s Plastic. Index 30 10 100 ( No. of blows 6/8/2011 Atterberg TP-1 2'.xls CDS Engineering Corporation ATTERBERG LIMITS Client: KRUIf o tfc ct1gn s� "a ' " .lob No. 11 . 5541 *-- .5 •I apace .• :3: P•4 ,fy .. Project: A-1 O�rgartic . . Tech: JDE • Date: _ �b2t t .err _ Z•.: r • ~I7 ' 7Ar r1 ti t: Boring No. ' TP-1 .≥ Depth: - 4' Sample No: I y,: , r a� C. t ry' �., s#Jg"����{ii�i � I Il L .� 7' . Soil Description: "4,:zr °• . &.s .>= i. .°}`„11; , •, CL1 .lean clay dkc. bro ° zt.� w' p -..:��.;i?a• i __al�-'rt: vt1r -. -t':N- ..:-. �� 7.._- .>... ;_ J. 1 - ��'. .�r• ... Jr .�V.f''.if_ _-. ..._, Liquid Limit One Pt. Plastic Limit Moisture Container No. AS • A2 A101131 w� . :;,22 . 4.4".4451,, r ;I . ,, „ Wet Weight + Tare . �. .� % • rl :� 31 77 130 2� :22:86 .. .`. - t1.5 27 ..•: :s ��t � . • , „-� k �' 1� w. �_ -' s r_b u -; I • .-. • "1i w ( JT -J �}=,� -S Via. l� t744� r — 7 Dry weight + Tare `41'4'04 28 06 20.83 11, 1,xr ? -1464 r ',' - g,e•;(- r' ��2•bTy!'a i ;I ., .�t•• �• = ' -14-64 r-7, •11-4"":-.11‘S r ' •'k:.�A..�1 , i ��'F •x�gl'f•v, ) 'Q.' :r rft :j?: t ' o • `'ta •S..; 1 1 Tare 2i1 56 21;.69 ,`;148 j5 q] ,:: Water Weight 2.73 2.23 2.03 0.63 - Dry Weight 7.48 6.37 5.96 3.48 Water Content (%) 36.5 35.0 34.1 18.1 Blows 21 26 34 ,//77/7/77/17777./ l�'/ Flow Curve 40 1 Results Liquid Limit 36 Plastic Limit 18 Plastic. Index 17 0N.N. c 2 35 0 L., ai One Pt. Results 3 Liquid Limit Plastic Limit Plastic. Index 30 -- _ ___ — ••- — — — —. 10 100 No. of blows 6/8/2011 Atterberg TP-1 4'.xls CDS Engineering Corporation - ATTERBERG LIMITS ;::,?;: • • - , :--. ".(�- :' "' . s `.. 1_.:. s, s.sr. - � !;-�; � -- � \ 1 i ieti r s S Client: ;KRW Corr#tv±tion - Job No. �>=f;1 ≥� 1, ' ` �` r �%', • YAK • --- ti'h` '�f ` •,-. • cry -`Il i 'A4. . ..�Y•��. Project: F ` !r ; r anics 'k li Tech: 1 •r,~ 4�» 6/ 2Q ' . f. '.1 1Jz f f. . .. Date: ISMS .n.. 1:14.t.Boring No. . TP-3 . . arm Depth: � •c ; • 2' �� •` Sample No: ri�7;/{�g�j,t�.;`,jA•..,� 's,;47. f w•1{1 i33i'►tiri^ � (rir r r •}, ff 1?•+ I i, , ..i Soil Description: 'y ;iy°yq� `r ` E�'`!, K)� (CL) lean claywith sari,,;:ii; ` • � �!!^� ° � '• � '-r�5i� Liquid Limit One Pt. Plastic Limit Moisture y:, Container No. A Al A10` ° - :%.-Pr$-a-5 125 .r """��y^, r : r w —, �.- Wet Weight + Tare 0 'f 30 03 .' $5 `,��; ', : . �' =S, .`�' ' ` y'It 1 � Ay:: {NY�M L . / ,xjjf: A•tY T{ l y •1 Dry weight + Tare 27} T,t: S 1r—y{ 11 T. », .l Y -,t rL.� h�: t.jl.• ,Q ).-if i..::--1-1 7�r,1Aj ^j� L :I.: `t;.•j v.. 3 ' A t(; N.r r ii o .. oa Fj f: .40.74 9 - 2 •N. .%:'"l'a6 r ` ``V! C• ..!:i.! �11 O ' Y�r �r'; b` C ,�. R '}�c� i � H •tJ TTi LA •!f•N kr-1 •l:R'w! Z h ;T:17. 'la 4 �I 1 '`••:thaw.♦ _ .s r �..7rn �_1. 0 , �`+ii Sir' I,, Tare -21 :g8�.7. 43. 4T i 80 4z` '5 , - .. , :-;., :. . . -� ,_ t r!.. 1 fi = , :lE .:hti.. .,... S- ..� nr '���..5._c_ .4';.{1&•eiCT\_.t •:-.,..::::::::: 2--,.....: w i«r -...?....:•: .. _• .. _ A .,. ..-a'.�.r•.. Water Weight 2.05 2.12 2.16 0.64 Dry Weight 5.98 6.02 5.89 3.53 Water Content (%) 34.3 35.2 36.7 lf18.11 j! ,�/ am Blows „`! 'ti 30 22 ' 19 � �! 7.0. `/ Flow Curve 40 - , Results Liquid Limit 35 Plastic Limit 18 • Plastic. Index 17 0 41.1 CU 35 -- • - c O U 4, One Pt. Results 3 Liquid Limit Plastic Limit Plastic. Index 30 10 100 No. of blows 6/8/2011 Atterberg TP-3 2'.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A-1 Organics Tech: JDE Date: 06/06/11 Boring No. TP-1 Depth : 2' Sample No: Soil Description: (CL) sandy lean clay, dk. brown Location: Sample Weights I Specimen Information Moisture Content Tare No. 47 Test: ASTM 6913 Method: A Tare Weight 226.6 Procedure: Oven dried Wet Soil+Tare 418.9 Test: ASTM D1140 Method: A Dry Soil+Tare 394.2 Sieve Set: Single Dry Soil 167.6 Sample Type: Bag By: JDE Weight Water 24.7 Moisture 4.7 _ Sieve Cumulative Weight Percent Percent No. Mass (g) Retained Retained Passing Mass of Test Specimen on Sieve Tare No. 47 ,, ; 'UO: Tare Weight 226.6 0.0 Dry Soil + Tare 394.2 3/ 8 0.0 100.0 Dry Soil 167.6 . 4 9.9 9.9 5.9 94.1 Soil+Tare After Wash 297.8 10 22.7 12.8 13.5 86;5 • :. rte. . Soil After 200 Wash 71.2 20 31.5 8.8 18.8 $fi;2 % Passing 200 Wash 58 40 35.9 4.4 21.4 78:6: 60 39.0 3.1 233 • 76:7 100 44.3 5.3 26.4 t::,'; 73.6 200 70.6 26.3 42. 1 ::•57.9 . Pan 71.4 0.8 42.6 s57.4 CDS Engineering Corporation • 165 2nd St SW • Loveland, Colorado 80537 • (970) 667-8010 • (800) 933-8011 • Fax: (970) 667-8024 www.cds-eng.net 6/8/2011 Grad TP-1 2'.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A-1 Organics Tech: JDE Date: 06/06/11 Boring No. TP- 1 Depth: 4' Sample No: Soil Description: (CL) lean clay, dk. brown Location: Sample Weights I Specimen Information Moisture Content Tare No. 481 Test: ASTM 6913 Method: A Tare Weight 234.3 Procedure: Oven dried Wet Soil+Tare 536.3 Test: ASTM D1140 Method: A Dry Soil+Tare 477.0 Sieve Set: Single Dry Soil 242.7 Sample Type: Bag By: JDE Weight Water 59.3 Moisture ; -a4.�4 Sieve Cumulative Weight Percent Percent No. Mass (g) Retained Retained Passing Mass of Test Specimen _ on Sieve Tare No. 481 0.0 Tare Weight 234.3 0.0 ;: Dry Soil + Tare 477.0 0.0 >i Dry Soil 242.7 4 0.0 100:0:'.; '.' Soil+Tare After Wash 270.9 10 0.2 0.2 0. 1 99.9' `•• Soil After 200 Wash 36.6 20 1.0 0.8 0.4 99.6 % Passing 200 Wash ' 85 40 1.7 0.7 0.7 99.3 60 2.8 1.1 1.2 `' s8 100 5. 1 2.3 2.1 97:9 200 32.2 27. 1 13.3 86.7 Pan 36.6 • CDS Engineering Corporation • 165 2nd SI SW • Loveland, Colorado 80537 • (970) 667-8010 • (800) 933-8011 • Fax: (970) 667-8024 www.cds-eng.net 6/8/2011 Grad TP-1 4'.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A- 1 Organics Tech: JDE Date: 06/06/11 Boring No. TP-2 Depth: 10' Sample No: Soil Description: (SW) well graded sand with gravel, brown Location: Sample Weights I Specimen Information Moisture Content Tare No. 411 Test: ASTM 6913 Method: A Tare Weight 229.4 Procedure: Oven dried Wet Soil+Tare 617.9 Test: ASTM D1140 Method: A Dry Soil+Tare 612.7 Sieve Set: Single Dry Soil 383.3 Sample Type: Bag By: JDE Weight Water 5.2 Moisture 1.4' Sieve Cumulative Weight Percent Percent No. Mass (g)No. Retained Passing Mass of Test Specimen on_ZiPVP = K .S0:=:' Tare No. 411 1" 0.0 : ..T1dQ,,0 Tare Weight 229.4 1/2" 45.1 45.1 11.8 88.2. Dry Soil + Tare 612.7 3/8" 58.4 13.3 15.2 84.8 . . Dry Soil 383:3 4 143.8 85.4 37.5 62.5 Soil+Tare After Wash 598.9 10 215.9 72. 1 56.3 43:7 Soil After 200 Wash 369.5 20 290. 1 74.3 75.7 24.3 % Passing 200 Wash . 4. 40 333.8 43.7 87. 1 12.9 60 349.8 16.0 91.3 8.7 100 359.1 9.3 93.7 6.3 200 370.4 11.3 96.6 3:4 Pan 370.9 CDS Engineering Corporation • 165 2nd St SW • Loveland, Colorado 80537 • (970) 667-8010 • (800) 933-8011 • Fax: (970) 667-8024 www.cds-eng.net 6/8/2011 Grad TP-2 101.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A-1 Organics Tech: JDE Date: 06/06/11 Boring No. TP-3 Depth: 2' Sample No: Soil Description : (CL) lean clay with sand, brown Location: Sample Weights I Specimen Information Moisture Content Tare No. 4 Test: ASTM 6913 Method: A Tare Weight 198.8 Procedure: Oven dried Wet Soil+Tare 448.0 Test: ASTM D1140 Method: A Dry Soil+Tare 404.4 Sieve Set: Single Dry Soil 205.6 a Sample Type: Bag By: JDE Weight Water 43.6 Moisture 21.2 Sieve Cumulative Weight Percent Percent No. Mass (g) Retained Retained Passing Mass of Test Specimen on Sieve Tare No. - 4 00 Tare Weight 198.8 0:0 Dry Soil + Tare 404.4 3/8" 0.0 100.0 Dry Soil ' 205.6 4 L6 1.6 0.8 99.2 Soil+Tare After Wash 251.3 10 2.0 0.4 1.0 99.0 Soil After 200 Wash 52.5 20 4.4 2.4 2.1 97.9 Passing 200 Wash 74 40 8.8 4.4 4.3 95.7 60 13.8 5.0 6.7 93.3 100 27.5 13.7 13.4 86.6 200 50. 1 22.6 24.4 75.6. • Pan 52.9 r . CDS Engineering Corporation • 165 2nd St SW • Loveland, Colorado 80537 • (970) 667-8010 • (800) 933-8011 • Fax: (970) 667-8024 www.cds-enq.net 6/8/2011 Grad TP-3 2'.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A-1 Organics Tech: JDE Date: 06/06/11 Boring No. TP-3 Depth: 4' Sample No: Soil Description: (SC) clayey sand, brown Location: Sample Weights I Specimen Information Moisture Content Tare No. 501 Test: ASTM 6913 Method: A Tare Weight 226.0 Procedure: Oven dried Wet Soil+Tare 621.8 Test: ASTM D1140 Method: A Dry Soil+Tare 567.4 Sieve Set: Single Dry Soil 341.4 Sample Type: Bag By: JDE Weight Water 54.4 Moisture 15.9 Sieve Cumulative Weight Percent Percent No. Mass (g) Retained Retained Passing Mass of Test Specimen Qn Sieve .y - . Tare No. 501 = 0.0 7.1, Tare Weight 226.0 0.0 Dry Soil + Tare 567.4 3/ 8 0.0 100.0 Dry Soil 34L4 4 0.9 0.9 0.3 . 99:7 SoiltTare After Wash 437.9 10 2.6 1.7 0.8 . .. 99.2 Soil After 200 Wash 211.9 20 14.4 11.8 4.2 95_:8_ % Passing 200 Wash 38 40 34.3 19.9 10.0 90.0 60 55.2 20.9 16.2_ .-, ,83.8 100 103.6 48.4 30.3 69.7 ' 200 208.6 105.0 61. 1 38.9: : Pan 213.2 CDS Engineering Corporation • 165 2nd St SW • Loveland, Colorado 80537 • (970) 667-8010 • (800) 933-8011 • Fax: (970) 667-8024 www.cds-eng.net 6/8/2011 Grad TP-3 4'.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A- 1 Organics Tech: JDE Date: 06/06/11 Boring No. TP-3 Depth: 4' Sample No: Soil Description: (SC) clayey sand, brown Location: Sample Weights I Specimen Information Moisture Content Tare No. 501 Test: ASTM 6913 Method: A Tare Weight 226.0 Procedure: Oven dried Wet Soil+Tare 621.8 Test: ASTM D1140 Method: A Dry Soil+Tare 567.4 Sieve Set: Single Dry Soil 341.4 Sample Type: Bag By: IDE Weight Water 54.4 Moisture 15.9 Sieve Cumulative Weight Percent Percent No. Mass (g) Retained Retained Passing Mass of Test Specimen on Sieve Tare No. 501 0.0 Tare Weight 226.0 0.0 Dry Soil + Tare 567.4 3/ 8 0.0 100.0 Dry Soil 341.4 4 0.9 0.9 0.3 99.7 Soil+Tare After Wash 437.9 10 2.6 1.7 0.8 99.2 Soil After 200 Wash 211.9 20 14.4 11.8 4.2 95.8 • % Passing 200 Wash 38 40 34.3 19.9 10.0 90.0 60 55.2 20.9 16.2 83.8 100 103.6 48.4 30.3 69.7 200 208.6 105.0 61. 1 -• 38.9 Pan 213.2 CDS Engineering Corporation • 165 2nd St SW - Loveland, Colorado 80537 - (970) 667-8010 • (800) 933-8011 - Fax: (970) 667-8024 www.cds-eng.net 6/8/2011 Grad TP-3 4'.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A-1 Organics Tech: JDE Date: 06/06/11 Boring No. TP-4 Depth: 4' Sample No: Soil Description: (SC) clayey sand, brown Location: Sample Weights I Specimen Information Moisture Content Tare No. 42 Test: ASTM 6913 Method: A Tare Weight 232.2 Procedure: Oven dried Wet Soil+Tare 672.3 Test: ASTM D1140 Method : A Dry Soil+Tare 623.4 Sieve Set: Single Dry Soil 391.2 Sample Type: Bag By: JDE Weight Water 48.9 Moisture 12.5 . Sieve Cumulative Weight Percent Percent No. Mass (g) Retained Retained Passing Mass of Test Specimen _ on Sieve Tare No. 42 0.0 Tare Weight 232.2 0.0 Dry Soil + Tare 623.4 0,.0.. • Dry Soil 391.2 4 0.0 10.0;0 Soil-flare After Wash 483.4 10 2.4 2.4 0.6 99.4 Soil After 200 Wash 251.2 20 19.7 17.3 5.0 95.0` Passing 200 Wash 36 40 56.8 37.1 14.5 : 85.5 60 104.9 48.1 26.8 73:2 100 153.5 48.6 39.2 .. .60.8 200 246.3 92.8 63.0 37.0 Pan 251.1 i �� CDS Engineering Corporation • 165 2nd St SW • Loveland. Colorado 80537 • (970) 667-8010 • (800) 933-8011 • Fax: (970) 667-8024 www.cds-eng.net 6/8/2011 Grad TP-4 4'.xls CDS Engineering Corporation GRAIN SIZE ANALYSIS Client: KRW Consultants Job No.: 11-5541 Project: A- 1 Organics Tech: JDE Date: 06/06/11 Boring No. TP-5 Depth: 8' Sample No: Soil Description: (SW-SC) well graded sand, with clay and gravel, brown Location: Sample Weights I Specimen information Moisture Content Tare No. 51 Test: ASTM 6913 Method : A Tare Weight 232.2 Procedure: Oven dried Wet Soil+Tare 770.7 Test: ASTM D1140 Method: A Dry SoiltTare 749.9 Sieve Set: Single Dry Soil 517.7 Sample Type: Bag By: JDE Weight Water 20.8 Moisture .. 4:0 - Sieve Cumulative Weight Percent Percent No. Mass (g) Retained Retained Passing Mass of Test Specimen on Sieve It. Tare No. 51 2" 0.0 406:0 Tare Weight 232.2 1" 62.3 62.3 12.0 .88.0 Dry Soil + Tare 749.9 1/2" 100. 1 37.8 19.3 80.7 Dry Soil 517.7 3/8" 117.7 17.6 22.7 77.3 Soil+Tare After Wash 706.6 4 205.2 87.5 39.6 60.4. . Soil After 200 Wash 474.4 10 274.0 68.8 52.9 47.1 Passing 200 Wash 8 20 335.1 i 61.1 64.7 35:3 40 384.5 49.4 74.3 257 . 60 414.1 29.6 80.0 20.0 :, iz 100 432.5 18.4 83.5 • 16:5:: . 200 471. 1 38.6 91.0 9.0 Pan 473.6 . COS Engineering Corporation • 165 2nd St SW • Loveland, Colorado 80537 • (970) 667-8010 • (800) 933-8011 • Fax: (970) 667-8024 www.cds-eng.net 6/8/2011 Grad TP-5 8'.xls Particle Size Distribution Report 0 0 0 C C e C ≤ .C m 0 0 0 0 O V day t0 a •- r n CO � xt 1* it it it it Y! 100 1 I • •�•� • • • I I I I I III ) 1 90 I 1 ! I I I I I I I I ( I I I ih i I I 801-- I I I 70 I I I I I I I I II ' E I I I I I I I ICC 1 Z 60 - -- I I I I I I I I ! t'- I I 1 I I I I 1 11 w 50 I f I I I i I I I_CC I ! I : h,iiii_f w 40 • -1-- - - 0- I ! I I 1 I I l i l 30 I - I l I I 1 I I I I I -- I I I I I I I 1 1 20 -- -- I I I I I I I I I I I I I I I I I I I I I I I I IIIlI1 10 - _. ...� _ I I 1 I I 1 1 ! I I ! I 0 I I 1 I I 11 I 1 I I I 1 1 f 100 10 1 0.1 0.01 0.001 GRAIN SIZE - mm. To Gravel _ % Sand _ _ _ % Fines % +3" Coarse i Fine T Coarse Medium Fine Silt [—Clay • 0 1 2 2 9 I 39 47 SIEVE PERCENT SPEC.* PASS? Material Description SIZE FINER PERCENT (X=NO) clayey sand 2 100 1 .5 99 1 99 .75 99 Atterberg Limits 5 99 PL= 14 LL= 27 P1= 13 .375 98 Coefficients #4 97 D90= 0.6625 D85= 0.3656 D60= 0. 1077 # 10 95 D80= 0.0808 D30= D15= #20 92 D10= Cu= Cc= #40 86 Classification #60 80 USCS= SC AASHTO= A-6(3) #100 70 #200 47 Remarks * (no specification provided) Sample Number: ST- 12 Date: 10/26/ 10 Cfient: KRW Consulting Inc. hniaht Piesol d Project: Al Organics CONSULTING Eaton Facility I Project No: DV 108-229.03 Fig. , Tested By: jhk _ Checked By: jdb COMPACTION TEST REPORT Project No.: DV 108-229.03 Date: 10/26/10 Project: Al Organics Eaton Facility Location : Elev./Depth: Sample No. ST-I0 Remarks: MATERIAL DESCRIPTION Description: sandy lean clay Classifications - USCS: CL AASHTO: A-6(8) Nat. Moist. = Sp.G. = 2.7 Liquid Limit = 35 Plasticity Index = 21 % cNo.200 = 570 ROCK CORRECTED TEST RESULTS UNCORRECTED Maximum dry density = 119. 1 pcf 117.8 pcf Optimum moisture = 12.2 To 12.7 To _ 140 i Test specification : - ASTM D 1557-07 Method A Modified -_ � _ ASTM D 4718-87 Oversize Corr. Applied to Each Test Point 130 I � _ -- - - --■ -- ,�` � 120 1 ' I { _ _ _I . 100°/0 SATURATION CURVES FOR SPEC. GRAY. EQUAL TO: _ _ _ ■■ _ • 3 _.�_ . 2.8 '0" 11 I — . . __ __ _ _ � 2.7 a) 100 - '- -- - - - - ` ■ _ ■90 ‘►. - . --- -- ■ _ ■ ■- -� C.■ _ _ _ __ __ . .- - .. -_--_ . . -.--_ ..___ .- __ ._ --_ . ____._ _ �- -._..- . --- - _ 80 70 0 5 10 15 20 25 30 35 40 Water content, % --ii-- - Rock Corrected —O - Uncorrected Fig. Knight Piesold Geotechnical Lab. COMPACTION TEST REPORT Project No.: DV108-229.03 Date: 10/26/10 Project: Al Organics Eaton Facility Location: Elev./Depth: Sample No. ST- 11 Remarks: MATERIAL DESCRIPTION Description: sandy lean clay Classifications - USCS: CL AASHTO: A-6(8) Nat. Moist. = Sp.G. = 2.7 Liquid Limit = 35 Plasticity Index = 19 % < No.200 = 58 %U ROCK CORRECTED TEST RESULTS UNCORRECTED Maximum dry density = 116.0 pcf 114.3 pcf Optimum moisture = 12.3 % 12.9 % 140 _ Test specification: ■■■ _ �� ASTM D 1557-07 Method A Modified _ _ ■ I f� ASTM D 4718-87 Oversize Con. Applied to Each Test Point - 130 120 — + ' 100% SATURATION CURVES - _ _ FOR SPEC. GRAY. EQUAL TO: 2.8 a 110 Y `!"�•� 2.6 c ■■■ ■ ,� p 100 tjii "EuiI 90 ■ ■ _ ■■ -_ - - ■■ - -t - .. - ■■■ - ■ - " 80 70 I 1 0 5 10 15 20 25 30 35 40 Water content, % - �- - Rock Corrected -o-- - Uncorrected Fig. Knight Piesold Geotechnical Lab. COMPACTION TEST REPORT Project No.: DV 108-229.03 Date: 10/27/10 Project: Al Organics Eaton Facility Location: Elev./Depth: Sample No. ST- 12 Remarks: MATERIAL DESCRIPTION Description: clayey sand Classifications - USCS: SC AASHTO: A-6(3) Nat. Moist. = Sp.G. = 2.7 Liquid Limit = 27 Plasticity Index = 13 % < No.200 = 47 % ROCK CORRECTED TEST RESULTS UNCORRECTED Maximum dry density = 122.6 pcf 121 .7 pcf Optimum moisture = 9.8 % 10. 1 % 140 Test specification: __ I �__ ► ASTM D 1557-07 Method A Modified _ _ .._- __ _ _ -__ _ ASTM D 4718-87 Oversize Con. Applied to Each Test Point 130 120 100% SATURATION CURVES -- J FOR SPEC. GRAV. EQUAL TO : -- - --_ - - - - -- - -- --- 2.8 - • _ 27 a 110 2.6 c a) - - - - — ca 100 i 90 80 ....♦`__ 70 0 5 10 15 20 25 30 35 40 Water content, % —�— - Rock Corrected —0— - Uncorrected Fig. Knight Piesold Geotechnical Lab. Particle Size Distribution Report . . . C d " c i it s_ o O O O O 0 ? N O t0 t,7 -C .e 8 c da a 3c Zt 100 I I • • • � • I I i 1 1 so I ! ! 1 1 1 I ' ! I I i l I I I I I I I I I I I I I 80 I I 1 11 1 1 I I I !� 1 1 1 I I I ► I 1 1 I I I I • I I Ill__I 70 I ! I 1 1 LUll 1 I I I 1 I CC W 60 I I 1 1 1 I I I I 11 Z_ ! I I I 1 liii , I I I I 1H I ! I I I I ! w 50 I I I I I II I I I 1 I ! ! O 40 I I I II II I I I I_EL 1 1 1 I I I I I I III I I I { { I I 30 - I I I I I 1 1 1 I I I I I I I I I I I I I I I I I I I 20 1111! I 1 1 1 1 I I I I 1 1 1 1 I I I I I I I I I I I 10 - •I I 1 1 1 1 1 I I I I I I 0 I I ! 1 1 11 I I I , I 1 _ 1 I 100 10 1 0.1 0.01 0.001 GRAIN SIZE - mm. _ ___ _+3" % Gravel __ % Sand __ % Fines Coarse 1 Fine Coarse Medium Fine Silt Clay_ 0 1 I 3 3 J 9 I 27 L 57 SIEVE PERCENT SPEC.' PASS? Material Description SIZE FINER PERCENT (X-NO) sandy lean clay 1 .5 100 1 99 .75 99 .5 98 Atterberg Limits .375 98 PL= 14 LL= 35 P1= 21 #4 96 4 Coefficients #10 93 D90= 0.9582 D85= 0.4763 D60= 0.0843 #40 84 010= Cu-` 5 Cc #60 79 #100 72 Classification #200 57 USCS= CL AASHTO= A-6(8) Remarks o * (no specification provided) Sample Number: ST-10 Date: 10/25/ 10 Client: ICRW Consulting Inc. hfniRht JlØid Project: Al Organics CONSULTING Eaton Facility _LProject No: DV108-229.03 Fig, Tested By: :hk Checked By: :db Particle Size Distribution Report ;� _ CCU t0D 't o c C \ =s it it a It 3t 100 i � 1 ' 7 I I I I I ' ' I I I I I 90 -"- . I I I I • 1 1 I I I I I 80 - I Ik ` I I I I ' - ! I I I I I I I I I I I I 70 - -- `.n I 1 I _"1 - - I I I I I I ccW I 60 I I _ I I I 1 Z I I 1 ! I I `I I 1 I I I E- 50 --- I I I.- I - -4---4---1- - Z..►► I I I 1 I U I I I I I CC w I 40 - -1 -1---1--.-r-.- ,-- 0_ I I I I I 30 I I _ I I I - I i I I I 1 I I I I I I 20 - J -4-4- _ (-------1- I I 1- - __- I I I I I I I I I I I I I I I - 10 i I-I- -- --1 I • , t I -p---t-- --__ I I I I I I 1 I I I 0 I I I I ( I I I i _ I I li . i ` 100 10 1 0.1 0.01 0.001 GRAIN SIZE - mm. % Gravel % Sand _ % Fines t3" Coarse Fine Coarse_) _Medium I Fine Silt [ Clay 0 2 3 1 7 i 29 58 SIEVE PERCENT SPEC.` PASS? Material Description SIZE FINER PERCENT (X=NO) sandy lean clay 2 100 1.5 99 1 98 .75 98 Atterberg Limits 5 97 PL= 16 LL= 35 P1= 19 .375 96 Coefficients #4 95 D90= 0.6929 D85= 0.3383 D60= 0.0801# 10 94 5= #20 91 010= Cu= C� #40 87 #60 82 Classification # 100 74 USCS= CL AASHTO= A-6(8) #200 58 Remarks * (no specification provided) Sample Number: ST-11 Date: 10/25/10 Client: KRW Consulting Inc. I(niaht Piesold Project: Al Organics CONSULTING Eaton Facility 1 Project No: DV 108-229.03 Fig, Tested By: ihk __ Checked By: 'db U '~ CD = .. O in J -O �' O O ' >. r r : 2 , + X X t•• CD "> N- N ' 2 t7 tri N a) = > 'D o c o a) l ij /\ in c E Q. O c, Q) 0 O I U U "` z a. w .r t— „ „: f r.+ i) r Is m a. y a d I— d U ° ✓>, v v o E o co z ycri N_ N rO .� © LU U 0 U ., CO o O F- O m 13. co o do C]ti.._ -a O _c m E.1.3 >- o °3 co 0 O m I 0 E CO CO c it, In L.L. - — O v? o co 0 F- • 0}C w .0 - C - C c < iiiaQ c Q. 3 C o m L N- c co 3 5 L7 �u 0 c] w co m U O _ t c co ro i D CC O >, -0 7- v 4t r— T _ U � (C-3 la `c° o CO CC CC 3 3U) � o c LEvia m m •cv c o Q. CD o o 2 t i coN N •,— M O V) LTE5 -a E < r N O D m a m E c • �a I- R a H Z , I-. at o m Of l' CD HD ?" }._ LU 1J m 72 ev ≥ w Q m E a) ` ,0 (..) 2 = -,— N E O in QOM Z I= - car. a' a o Z .J Z a) u) u) a v 6 -I 4- F- F- a n -m° E 32 0 0 0 E a - 5 J W W W co y n E CO 0 0 0 m*Lsi '' a. a. a. . - Z r' r4 cn v FLEXIBLE WALL PERMEABILITY TEST ASTM D 5084-03 Falling Head / Increasing Tailwater Pressure Ca :FENT: KRW Consulting PROJECT: A-1 Organics PROJECT NO. : 108-229.3 BORING NO. LAB NO. : L2010-30 DEPTH SAMPLE ID: 2010-30-1 SAMPLE NO. ST-3 TEST STARTED : 02/23/10 SAMPLE TYPE Undisturbed TEST FINISHED : 02/28/10 CONK PRESSURE. (psi) 5 SATURATED TEST: YES MOISTURE/DENSITY BEFORE AFTER DATA TEST TEST Wt. Soil + Moisture (g) 621 .00 670.60 Wt. Wet Soil & Pan (g) 336. 10 787.00 Wt. Dry Soil & Pan (g) 308.53 673.60 Wt. Moisture Lost (g) 27.57 113.40 Wt. of Pan Only (g) 129.80 116.40 Wt. of Dry Soil (g) 178.73 557.20 Moisture Content % 15.4 20.4 Wet Density (pd) 120.0 132.1 Dry Density (pcf) 104.0 109.8 Init. Diameter (in) 2.883 (cm) 7.323 Ink. Area (sq in) 6.528 (sq cm) 42. 116 Init. Height (in) 3.020 (cm) 7.671 Height Change (in) 0.020 (cm) 0.051 Consol. Height (in) 3.000 (cm) 7.620 Area After Consol. (sq in) 6.445 (sq cm) 41 .583 Vol. Before Consol. (cu ft) 0.01141 Specific Gravity 2.72 Vol. Before Consol. (cc) 323.1 Assumed? Yes Change in Vol. (cc) 6.2 Cell Exp. (cc) 0.0 Ink. Saturation 54.0 Vol. After Consol. (cc) 316.9 Ink. Void Ratio 0.577 Vol. After Consol. (cu ft) 0.01119 Final Saturation 100.0 Effective Porosity % 38.77 Final Void Ratio 0.547 Pressure Difference (psi): 0.00 - C = 0.06707 Buret Constant, a 0.318 k, cm/s = C/t*log(hl/h2) Permeability Test Trials Time Cap Pedestal Elevation Total Permeability Elevation Elevation Head Head k min. cm cm cm cm cm/sec 0.0 41 .5 0.9 40.6 40.6 5.0 37.3 5. 1 32.2 32.2 2.3E-05 11 .0 30.3 12.2 18.1 18. 1 2.5E-05 5.0 28.3 14.2 14. 1 14. 1 2.4E-05 5.0 26.9 15.6 11 .3 11 .3 2. 1E-05 9.0 25.1 17.6 7.5 7.5 2.2E-05 Avg.of Last 4 Rdgs. 2.3E-05 Max.Hyd.Gradient: 4.8 General Test Notes: 1 ) Tap water was used as the permeant. 2) Back pressure saturation continued until 'B' parameter a minimum of 0.95. A-I Organics FW Perms.xls Knight Piesold 11/11/2010 FLEXIBLE WALL PERMEABILITY TEST ASTM D 5084-03 Falling Head / Increasing Tailwater Pressure CLIENT: KRW Consulting PROJECT: A-1 Organics PROJECT NO. : 108-229.3 BORING NO. LAB NO. : L2010-30 DEPTH SAMPLE ID: 2010-30-2 SAMPLE NO. ST-4 TEST STARTED : 02/24/10 SAMPLE TYPE Undisturbed TEST FINISHED : 03/01/10 CONF. PRESSURE. (psi) 5 SATURATED TEST: YES MOISTURE/DENSITY BEFORE AFTER DATA TEST TEST Wt. Soil + Moisture (g) 622.80 650.40 Wt. Wet Soil & Pan (g) 323.10 760.40 Wt. Dry Soil & Pan (g) 292.02 639.50 Wt. Moisture Lost (g) 31 .08 120.90 Wt. of Pan Only (g) 129.80 110.00 Wt. of Dry Soil (g) 162.22 529.50 Moisture Content % 19.2 22.8 Wet Density (pcf) 121 .0 128.8 Dry Density (pcf) 101 .5 104.8 Init. Diameter (in) 2.880 (cm) 7.315 Init. Area (sq in) 6.514 (sq cm) 42.028 Init. Height (in) 3.010 (cm) 7.645 Height Change (in) 0.000 (cm) 0.000 Consol. Height (in) 3.010 (cm) 7.645 Area After Consol. (sq in) 6.392 (sq cm) 41.244 Vol. Before Consol. (cu ft) 0.01135 Specific Gravity 2.72 Vol. Before Consol. (cc) 321 .3 Assumed? Yes Change in Vol. (cc) 6.0 Cell Exp. (cc) 0.0 Init. Saturation 73.7 Vol. After Consol. (cc) 315.3 Ink. Void Ratio 0.651 Vol. After Consol. (cu ft) 0.01114 Final Saturation 100.0 Effective Porosity % 40.20 Final Void Ratio 0.620 Pressure Difference (psi): 0.00 . C = 0.06742 Buret Constant, a 0.316 k, cm/s = C/t*log(h I/h2) Permeability Test Trials Time Cap Pedestal Elevation Total Permeability Elevation Elevation Head Head k min. cm cm cm cm cm/sec 0.0 34.6 2.9 31.7 31.7 2.0 31.5 5.6 25.9 25.9 4.9E-05 1.0 30.3 6.8 23.5 23.5 4.7E-05 1.0 29.2 7.8 21 .4 21.4 4.6E-05 2.0 27.3 9.5 17.8 17.8 4.5E- cast 4 dgs. .7E-05 ' Max.Hyd.Gradient: 3.8 General Test Notes: 1 ) Tap water was used as the permeant. 2) Back pressure saturation continued until 'B' parameter a minimum of 0.95. A-1 Organics FW Perms.xls Knight Pitsold 11/11/2010 FLEXIBLE WALL PERMEABILITY TEST _ ASTM D 5084-03 Falling Head / Increasing Tailwater Pressure CLIENT: KRW Consulting; PROJECT: A-1 Organics PROJECT NO. : 108-229.3 BORING NO. LAB NO. : L2010-30 DEPTH SAMPLE ID: 2010-30-3 SAMPLE NO. ST-5 TEST STARTED : 02/25/10 SAMPLE TYPE Undisturbed TEST FINISHED : 03/02/10 CONE PRESSURE. (psi) 5 SATURATED TEST: YES MOISTURE/DENSITY BEFORE AFTER DATA TEST TEST Wt. Soil + Moisture (g) 640.10 669.70 Wt. Wet Soil & Pan (g) 640. 10 865.50 Wt. Dry Soil & Pan (g) 548.60 744.40 Wt. Moisture Lost (g) 91 .50 121 .10 Wt. of Pan Only (g) 0.00 195.80 Wt. of Dry Soil (g) 548.60 548.60 Moisture Content % 16.7 22.1 Wet Density (pcf) 123.3 130.0 Dry Density (pcf) 105.7 106.5 Init. Diameter (in) 2.887 (cm) 7.333 _ Init. Area (sq in) 6.546 (sq cm) 42.233 - Init. Height (in) 3.020 (cm) 7.671 Height Change (in) -0.050 (cm) -0.127 Consol. Height (in) 3.070 (cm) 7.798 _ Area After Consol. (sq in) 6.391 (sq cm) 41 .237 Vol. Before Consol. (cu ft) 0.01144 Specific Gravity 2.72 Vol. Before Consol. (cc) 324.0 Assumed? Yes Change in Vol. (cc) 2.4 Cell Exp. (cc) 0.0 Init. Saturation 74.8 Vol. After Consol. (cc) 321 .6 Init. Void Ratio 0.606 Vol. After Consol_ (cu ft) 0.01136 Final Saturation 100.0 Effective Porosity % 37.74 Final Void Ratio 0.594 Pressure Difference (psi): 0.00 C = 0.06878 Buret Constant, a 0.316 k, cm/s = C/t*log(h 1/h2) • Permeability Test Trials Time Cap Pedestal Elevation Total Permeability Elevation Elevation Head Head k min. cm cm cm cm cm/sec 0.0 39.0 2.5 36.5 36.5 2.0 38.3 3.3 35.0 35.0 1 .0E-05 2.0 37.7 3.8 33.9 33.9 7.9E-06 2.0 37.1 4.4 32.7 32.7 9.0E-06 3.0 36.3 5.3 31 .0 31 .0 8.9E-06 15.0 32.7 8.8 23.9 23.9 8.6E-06 Avg.of Last 4 Rdgs. 8.6E-06 Max.Hyd.Gradient: 4.6 General Test Notes: 1 ) Tap water was used as the permeant. 2) Back pressure saturation continued until 'B' parameter a minimum of 0.95. A-I Organics FW Perms.xls Knight Pitsold II/II/2010 FLEXIBLE WALL PERMEABILITY TEST ASTM D 5084-03 Falling Head / Increasing Tailwater Pressure CLIENT: KRW Consulting PROJECT: A-1 Organics PROJECT NO. : 108-229.3 BORING NO. LAB NO. : L2010-30 DEPTH SAMPLE ID: 2010-30-4 SAMPLE NO. ST-6 TEST STARTED : 03/02/10 SAMPLE TYPE Undisturbed TEST FINISHED : 03/09/10 CONE PRESSURE. (psi) 5 SATURATED TEST: YES MOISTURE/DENSITY BEFORE AFTER DATA TEST TEST Wt. Soil + Moisture (g) 673.50 682.40 Wt. Wet Soil & Pan (g) 389.80 682.40 Wt. Dry Soil & Pan (g) 356.15 572.50 Wt. Moisture Lost (g) 33.65 109.90 Wt. of Pan Only (g) 129.70 0.00 Wt. of Dry Soil (g) 226.45 572.50 Moisture Content % 14.9 19.2 Wet Density (pcf) 130.4 133.0 Dry Density (pcf) 113.5 111.6 Init. Diameter (in) 2.880 (cm) 7.315 Init. Area (sq in) 6.514 (sq cm) 42.028 Init. Height (in) 3.020 (cm) 7.671 Height Change (in) 0.000 (cm) 0.000 _ Consol. Height (in) 3.020 (cm) 7.671 Area After Consol. (sq in) 6.474 (sq cm) 41.768 Vol. Before Consol. (cu ft) 0.01139 Specific Gravity 2.72 Vol. Before Consol. (cc) 322.4 Assumed? Yes Change in Vol. (cc) 2.0 Cell Exp. (cc) 0.0 Init. Saturation 90.2 Vol. After Consol. (cc) 320.4 Init. Void Ratio 0.532 Vol. After Consol. (cu ft) 0.01131 Final Saturation 100.0 Effective Porosity % 33.13 Final Void Ratio 0.522 Pressure Difference (psi): 0.00 - C = 0.06680 Buret Constant, a 0.316 k, cm/s = C/t*log(h 1/h2) Permeability Test Trials Time Cap Pedestal Elevation Total Permeability Elevation Elevation Head Head k min. cm cm cm cm cm/sec 0.0 63.6 1 .2 62.4 62.4 40.0 62.9 2.0 60.9 60.9 2.9E-07 46.0 62. 1 2.8 59.3 59.3 2.8E-07 45.0 61 .4 3.5 57.9 57.9 2.6E-07 44.0 60.8 4. 1 56.7 56.7 2.3E-07 72.0 59.7 5.2 54.5 54.5 2.7E-07 Avg.of Last 4 Rdgs. 2.6E-07 Max.Hyd.Gradient: 8.0 General Test Notes: 1 ) Tap water was used as the permeant. 2) Back pressure saturation continued until 'B' parameter a minimum of 0.95. A-1 Organics FW Penms.xls Knight Pitsold 11/11/2010 FLEXIBLE WALL PERMEABILITY TEST ASTM D 5084-03 Falling Head / Increasing Tailwater Pressure CLIENT: KRW Consulting PROJECT: A-1 Organics PROJECT NO. : 108-229.3 BORING NO. LAB NO, : L2010-89 DEPTH SAMPLE ID: 2010-89-4 SAMPLE NO. ST-13 TEST STARTED : 11/02/10 SAMPLE TYPE Undisturbed, Shelby Tube TEST FINISHED : 11/09/10 CONF. PRESSURE. (psi) 5 SATURATED TEST: YES MOISTURE/DENSITY BEFORE AFTER DATA TEST TEST Wt. Soil + Moisture (g) 595.21 612.50 Wt. Wet Soil & Pan (g) 232.40 808.00 Wt. Dry Soil & Pan (g) 212.74 685.20 Wt. Moisture Lost (g) 19.66 122.80 Wt. of Pan Only (g) 115.30 195.50 Wt. of Dry Soil (g) 97.44 489.70 Moisture Content % 20.2 25. 1 Wet Density (pcf) 118.8 126.3 _ Dry Density (pcf) 98.8 101 .0 Init. Diameter (in) 2.885 (cm) 7.328 Init. Area (sq in) 6.537 (sq cm) 42. 174 Init. Height (in) 2.920 (cm) 7.417 Height Change (in) 0.017 (cm) 0.043 _ Consol. Height (in) 2.903 (cm) 7.374 Area After Consol. (sq in) 6.363 (sq cm) 41.052 - Vol. Before Consol. (cu ft) 0.01105 Specific Gravity 2.72 Vol. Before Consol. (cc) 312.8 Assumed? Yes Change in Vol. (cc) 10. 1 Cell Exp. (cc) 0.0 Init. Saturation 79.5 Vol. After Consol. (cc) 302.7 Init. Void Ratio 0.737 Vol. After Consol. (cu ft) 0.01069 Final Saturation 100.0 Effective Porosity % 41 .79 Final Void Ratio 0.681 Pressure Difference (psi): 0.00 C = 0.06574 Buret Constant, a 0.317 k, cm/s = C/t*iog(hl/h2) Permeability Test Trials Time Cap Pedestal Elevation Total Permeability Elevation Elevation Head Head k min. cm cm cm cm cm/sec 0.0 63.1 1.9 61.2 61.2 49.0 60.6 4.2 56.4 56.4 7.9E-07 43.0 58.7 5.9 52.8 52.8 7.3E-07 37.0 57.2 7.3 49.9 49.9 7.3E-07 63.0 54.8 9.5 45.3 45.3 7.3E-07 53.0 53.0 11.2 41.8 41.8 7.2E-07 . Avg.of Last 4 Rdgs. 7.3E-07 Max.Hyd.Gradient: 8.0 General Test Notes: 1) Tap water was used as the permeant. 2) Back pressure saturation continued until 'B' parameter a minimum of 0.95. A-1 Organics FW Perms.xls Knight Piesold I I/11/2010 FLEXIBLE WALL PERMEABILITY TEST - ASTM D 5084-03 Falling Head / Increasing Tailwater Pressure CLIENT: KRW Consulting _ PROJECT: Al Organics Eaton Facility PROJECT NO. : DV108-229.05 BORING NO. RPM LAB NO. : 2012-016 DEPTH Specimen cut from 3" above deep end SAMPLE ID: 2012-016-02 SAMPLE NO. 1 TEST STARTED : 01/19/12 SAMPLE TYPE ST TEST FINISHED : 01/28/12 CONF. PRESSURE. (psi) 5 SATURATED TEST: YES MOISTURE/DENSITY BEFORE AFTER DATA TEST TEST Wt. Soil + Moisture (g) 690.30 707.80 Wt. Wet Soil & Pan (g) 690.30 823.60 Wt. Dry Soil & Pan (g) 573.80 689.60 Wt. Moisture Lost (g) 116.50 134.00 Wt. of Pan Only (g) 0.00 115.80 Wt. of Dry Soil (g) 573.80 573.80 Moisture Content % 20.3 23.4 Wet Density (pcf) 128.4 127.5 Dry Density (pd) 106.7 103.4 Init. Diameter (in) 2.823 (cm) 7. 170 _ Init. Area (sq in) 6.259 (sq cm) 40.381 - Init. Height (in) 3.273 (cm) 8.313 Height Change (in) -0.044 (cm) -0. 112 - Consol. Height (in) 3.317 (cm) 8.425 Area After Consol. (sq in) 6.374 (sq cm) 41 . 127 Vol. Before Consol. (cu ft) 0.01186 Specific Gravity 2.7 Vol. Before Consol. (cc) 335.7 Assumed? Yes Change in Vol. (cc) 0.0 Cell Exp. (cc) 10.8 Init. Saturation 94.6 Vol. After Consol. (cc) 346.5 Init. Void Ratio 0.580 Vol. After Consol. (cu ft) 0.01224 Final Saturation 100.0 Effective Porosity % 36.69 Final Void Ratio 0.630 Pressure Difference (psi): 1 .79 - C = 0.07475 Buret Constant, a 0.317 k, cm/s = C/t*log(hl/h2) Buret Stand 13 Permeability Test Trials Time Cap Pedestal Elevation Total Permeability Elevation Elevation Head Head k min. cm cm cm cm cm/sec 0.0 47.6 4.6 43.0 168.9 1132.0 39. 1 13. 1 26.0 151 .9 5.1E-08 116.0 38. 1 14.3 23.8 149.7 6.8E-08 108.0 37.4 15.2 22.2 148.1 5.4E-08 129.0 36.6 16. 1 20.5 146.3 5.0E-08 988.0 30.4 22.3 8.1 134.0 4.8E-08 Avg.of Last 4 Rdgs. 5.5E-08 Max.Hyd.Gradient: 19.0 General Test Notes: - 1) Tap water was used as the permeant. 2) Back pressure saturation continued until 'B' parameter a minimum of 0.95. Al Organics Perms REV 0 Knight Piesold 1/31/2012 FLEXIBLE WALL PERMEABILITY TEST ASTM D 5084-03 Falling Head / Increasing Tailwater Pressure CLIENT: KRW Consulting _ PROJECT: Al Organics Eaton Facility PROJECT NO. : DV 108-229.05 BORING NO. RPE LAB NO. : 2012-016 DEPTH Specimen cut from 2" above deep end SAMPLE ID: 2012-016-01 SAMPLE NO. 1 TEST STARTED : 01/20/12 SAMPLE TYPE ST TEST FINISHED : 01/24/12 CONE PRESSURE. (psi) 5 SATURATED TEST: YES MOISTURE/DENSITY BEFORE AFTER DATA TEST TEST Wt. Soil + Moisture (g) 582.50 597.20 Wt. Wet Soil & Pan (g) 357.20 712.50 Wt. Dry Soil & Pan (g) 327.70 617.30 Wt. Moisture Lost (g) 29.50 95.20 Wt. of Pan Only (g) 144.60 115.30 Wt. of Dry Soil (g) 183.10 502.00 Moisture Content % 16. 1 19.0 Wet Density (pcf) 125.6 133.4 Dry Density (pcf) 108.2 112.2 Init. Diameter (in) 2.788 (cm) 7.082 _ Init. Area (sq in) 6.105 (sq cm) 39.386 - Init. Height (in) 2.893 (cm) 7.348 Height Change (in) 0.058 (cm) 0.147 - Consol. Height (in) 2.835 (cm) 7.201 Area After Consol. (sq in) 6.014 (sq cm) 38.803 Vol. Before Consol. (cu ft) 0.01022 Specific Gravity 2.7 Vol. Before Consol. (cc) 289.4 Assumed? Yes Change in Vol. (cc) 10.0 Cell Exp. (cc) 0.0 Init. Saturation 77.8 Vol. After Consol. (cc) 279.4 Init. Void Ratio 0.557 Vol. After Consol. (cu ft) 0.00987 Final Saturation 100.0 Effective Porosity % 35.80 Final Void Ratio 0.503 Pressure Difference (psi): 0.00 C = 0.06771 Buret Constant, a 0.317 k, cm/s = C/t*log(hl/h2) Buret Stand 15 Permeability Test Trials • Time Cap Pedestal Elevation Total Permeability Elevation Elevation Head Head k min. cm cm cm cal cm/sec 0.0 32.4 1.8 30.6 30.6 12.0 31.3 3.0 28.3 28.3 3.2E-06 6.0 30.8 3.6 27.2 27.2 3.2E-06 12.0 29.9 4.5 25.4 25.4 2.8E-06 13.0 28.9 5.5 23.4 23.4 3.1E-06 60.0 25.5 9.0 16.5 16.5 2.9E-06 Avg.of Last 4 Rdgs. 3.0E-06 Max.Hyd.Gradient: 4. 1 General Test Notes: - 1) Tap water was used as the permeant. 2) Back pressure saturation continued until 'B' parameter a minimum of 0.95. A 1 Organics Perms REV 0 Knight Piesold 1/31/2012 t LIMITED SITE ASSESSMENT Al ORGANICS 16350 WELD COUNTY ROAD 76 EATON, COLORADO 11 Terracon Project No. 21047003 May 27 2004 1 11 Prepared for: 1 Al Organics 16350 Weld County Road 76 Eaton , Colorado 11 Prepared by: TERRACON Fort Collins, Colorado I I I 1. ,r fI'BCOfl May 27, 2004 3 4 Ebe •Effi?. la ux 503 FDt :Sus T S21-0503 Al Organics gm} -� = �o� 484-0454s 16350 Weld County Road 76 Eaton, Colorado 80111 Attn: Mr. Bob Yost f Telephone: 970-454-3492 11 Fax: 970-454-3232 Re: Limited Site Assessment Al Organics 16350 Weld County Road 76 Terracon Project No. 21047003 • Dear Mr. Yost: 11 r Terracon is pleased to submit three copies ci to Limited Site Assess ) -port for the above referenced site. This assessment wasr_etbrmed in accordance Infra Te n's Proposal Number 2004150 dated April 22, 2004. We appreciate the opportunity to perform the services for Al Organics. ate, c- t either of the undersigned at (970) 484-0359 if you have testions regarding the irfacraicr p-ovicled in the report. Sincerely, l errecon Df_a„..... Jason C. mes Dean R. Rirt P_E. Environmental Scientist Assoc re 7r:rccal Arizona ■ Arkansas ■ Colorado ■ Idaho ■ giros ■ mrrat • Kansas • Minnesota Iii rr. • Wawa Nebraska ■ Nevada IN Now Mexko ■ North Dakota ■ Oda!mnra II Tennessee • Texas • Utah ■ 'fir t*#flng Quality Easisi'Sinca 1966 {1 _ ' 1 TABLE OF CONTENTS Terracon Page No. 1 .0 INTRODUCTION 1 2.0 FIELD ACTIVITIES 2 1 3.0 LABORATORY ANALYTICAL METHODS I 4 4.0 ANALYTICAL RESULTS 4 3 LIST OF APPENDICES b Appendix A: Figure 1—Site Location Map, Figure 2—Site Vicinity Map, Figure 3—Site Diagram Appendix B: Boring Logs Appendix C: Tables Appendix D: Laboratory Data Sheets t ii I I I I LIMITED SITE ASSESSMENT Al ORGANICS 16350 WELD COUNTY ROAD 76 EATON, COLORADO Terracon Project No. 21047003 May 27, 2004 1 .0 INTRODUCTION qk 1 .1 Site Description Site Name Al Organics Site Location/Address 16350 Weld County Road 76, Eaton, Colorado General Site Description The subject site consists of a composting facility. A site location map is included as Figure 1 , and a site vicinity map is included as —-:cure 2 of Appendix A. 1 .2 Scope of Work Terracon conducted a Limited Site Assessment (LSA) at the Al Organics facility low- at 16350 Weld County Road 76, Eaton, Weld County, Colorado. Al Organics recently submitted a Development and Operation (D&O) Plan to the Colorado Department of Pub5c "ziealth and Environment (CDPH&E) for this facility. A deficiency letter was recently issued for the D&3 Win. Per our discussions with Mr. Yost, the deficiency letter required Al Organics to submit additional information on the site soils and groundwater including hydraulic conductivity of near sim- soils and characterization of the existing groundwater. The objective of the LSA was to assess the hydraulic conductivity of subsurface sods and collect one groundwater sample for the analytical testing of the following client-defined testirc ,ncluding: arsenic, barium, cadmium, calcium, chromium, lead, magnesium, sodium, phosphors. c .ssium, 1 selenium, zinc, Total Dissolved Solids (TDS), nitrate, nitrite, sulfate and Chemical Oxycx Demand (COD). Terracon's LSA was conducted in accordance with Terracon's proposal c apct April 22, 2004, as authorized by Mr. Bob Yost, Al Organics on April 26, 2004. 1 t Al Organics Terracon Project Number: 21047003 April 12, 2004 1 .3 Standard of Care • Terracon's services were performed in a manner consistent with generally accepted practices of the profession undertaken in similar studies in the same geographical area during the same time period. Terracon makes no warranties, either express or implied, regarding the findings, conclusions or recommendations. Please note that Terracon does not warrant the work of laboratories, regulatory agencies or other third parties supplying information used in the preparation of the report. These ' LSA services were performed in accordance with the scope of work agreed with you, our client, as reflected in our proposal and were not restricted by ASTM E1903-97. 1 .4 Additional Scope Limitations dFindings, conclusions and recommendations resulting from these services are based upon information derived from the on-site activities and other services performed under this scope of work; such information is subject to change over time. Certain indicators of the presence of hazardous substances, petroleum products, or other constituents may have been latent, inaccessible, unobservable, nondetectable or not present during these services, and we cannot represent that the site contains no hazardous substances, toxic materials, petroleum products, or other latent conditions beyond those identified during this LSA. Subsurface conditions may vary from those encountered at specific borings or wells or during other surveys, tests, assessments, investigations or exploratory services; the data, interpretations, findings, and our recommendations are based solely upon data obtained at the time and within the scope of these services. 1 .5 Reliance This report has been prepared for the exclusive use of Al Organics, and any authorization for use or reliance by any other party (except a governmental entity having jurisdiction over the site) is prohibited without the express written authorization of Al Organics and Terracon. Any unauthorized distribution or reuse is at the client's sole risk. Notwithstanding the foregoing, reliance by authorized parties will be subject to the terms, conditions and limitations stated in the proposal, LSA report, and Terracon's Terms and Conditions. The limitation of liability defined in the terms and conditions is the aggregate limit of Terracon's liability to the client and all relying parties unless otherwise agreed in writing. 1 2.0 FIELD ACTIVITIES 2.1 Shelby Tube Sampling Terracon's field activities including soil sampling and groundwater monitoring well installation were conducted on May 3, 2004, by Mr. Jason Komes, a Terracon environmental professional. As part 2 • I Al Organics Terracon Project Number: 21047003 April 12, 2004 of the approved scope of work, two Shelby tube samplers (ST-1 and ST-2) were advanced from six inches to 18 inches below ground surface (bgs). The two Shelby tube samples were tested for ~- hydraulic conductivity in accordance with ASTM D 5084. 2.2 Monitoring Well Installation One 2-inch diameter groundwater monitoring well (MW-1 ) was completed to approximate 25.5 feet bgs. Drilling services were provided by Drilling Engineers, Inc. using a truck-mounted hollow stem auger drilling rig under the supervision of a Terracon environmental professional. The groundwater monitoring well was located on the souteast portion of th esite based on client direction. Groundwater was encountered at approximately 23 feet bgs. The groundwater flow direction and the depth to shallow groundwater, if present, would likely vary depending upon seasonal variations in rainfall and depth to the soil/bedrock interface. Without the benefit of additional on-site groundwater monitoring wells surveyed to a datum, groundwater flow direction beneath the site cannot be ascertained. Odors or other indications of a release of chemicals were not observed in the soil cuttings or groundwater samples collected. The soil boring log is included in Appendix B. 2.3 Groundwater Sampling 1 On May 11 , 2004, a Terracon environmental professional measured depth to groundwater and developed monitoring well MW-1 . The monitoring well was developed by removing approximately five well-casing volumes per well using a submersible pump. Well development water was disposed of on-site. Groundwater was observed in MW-1 at an approximate depth of 26 feet below top of PVC casing. Terracon's groundwater sampling program involved submitting one groundwater sample from the completed monitoring well, MW-1 , for laboratory analysis of the previously mentioned constituents. One groundwater sample was collected on May 11 , 2004, utilizing a new, disposable, polypropylene bailer. The groundwater sample was transferred to laboratory prepared glassware and placed on ice in a cooler. The sample cooler and completed chain-of-custody form were relinquished to Technology Laboratories, Inc. (TLI). • Figure 1 presents the general site location. Figure 2 is a site vicinity map. Figure 3 is a site diagram with approximate locations of the MW-1 and Shelby tube sample locations in relation to the pertinent structures and general site boundaries. Figures 1 , 2 and 3 are provided in Appendix A. 3 • Al Organics Terracon Project Number: 21047003 April 1212004 - , 3.0 LABORATORY METHODS 3.1 Hydraulic Conductivity Due to the sand content of the soil samples, the Shelby tube samples were hach"y distubed once extruded from the the Shelby tube. An additional soil sample was collected at cc oximately six to 18-inches bgs from the ST-1 sample location for laboratory testing of optimum rrcist ire and density in accordance with ASTM D698. In order to perform the hydraulic sistg, the recovered Shelby tube samples were remolded at or near optimum moisture content and compacted to approximately 95 percent of Standard Proctor Density (SPD) ASTM D 698. 3.2 Groundwater Analytical The groundwater sample collected was analyzed for dissolved metals—arser __cilium, cadmium, calcium, chromium, lead , magnesium, sodium, phosphorus, potassium, sr- um, zinc—Total Dissolved Solids (TDS), nitrate, nitrite, sulfate and Chemical Oxygen Demand MD). 4.0 ANALYTICAL RESULTS 4.1 Shelby Tube Samples The results indicate an average hydraulic conductivity ranging from 2.2 X centimeters per second (cm/sec) to 5.7x1O cm/sec in soils six to 18 inches bgs at the subject ate.. Generally, soils with hydraulic conductivities ranging from 102 to 10-4 are typical of good gage. Soils with hydraulic conductivities ranging from 10-5 to 10"9 are typical of poor drainage_ --.---.e laboratory test results are summarized in Table 1 in Appendix C of this report. The laboratory .marts and graphs are included in Appendix D. 4.2 Groundwater Samples Concentrations of constituents of concern in the groundwater sample colleg- were observed sal below laboratory detection limits and/or applicable regulatory limits with the Qa) tion dissolved selenium, nitrate and sulfate in the groundwater sample collected from MW The selenium concentration was observed at 0 .070 milligrams per liter (mg/L), in exceedenc of the Colorado Groundwater Standard (CGS) 0.02 mg/L for agricultural purposes. The nitratementration was observed at 26.9 mg/L and is not regulated under CGS for agricultural purposes. The CGS for human health for nitrate is 10 mg/L. The sulfate concentration was observe at 1 ,985 mg/L, in exceedence of the CGS 250 mg/L for purposes.agricultural Laboratory results re summarized in g Table 2 included in Appendix C. The laboratory data reports are provided in Accandix D.1 4 I APPENDIX A Figure 1 — Site Location Map Figure 2 - Site Vicinity Map Diagram Figure 3 — Site Dia g g I I I I I I I \ - ` :a� „ :----.):::::•t:,. s. ., I •lice ` ` __ _ i it I! I 85 i , f i t. % Ault 14• ;.; 1 �w • • �t, SUBJECT SITE I ti . Eaton 1 I i I l` .,fr-i I I I I I I I kt t { ti t �•..: .- I___1_,�_� , Severance • } P 'TK , ~ Rot '7.. *Wea 1 85 1 T • 1 •• • __- - Lucerne -- � .9� '""""' 392 • a a. N I FIGURE MAP I te�eowdt7e Al ORGANICS �►TCN Do rn Iir *`‘anisi in �iP ?wo�`SDI IL Hoe NM x14 . NOW OK . irerrocon e ham PP Patalla Cdadoll0M1 Da 110 MI a IS FOR AL LOCATION ONLY, OPP `moo a NOT .rte FOR CONSTRUCTION PURPOSE s \N..s 2$O s1 q...t� I J 11. I It tl • r` I _ " • I 1 X11 j tt : moslassiesse.,, 4 '} y' t ile 1 1 85 1 t . i 1 .r, 1 I I FS SUBJECT SITE 1 V ' ' • ...:+�varC.a zwa.:z=mss.. . �e.�ce.+.n.rnr r+...c�.>.�.'�t�+d.ica..ai's' I :a-s>>i=.�..s.s....c".�r:...x.s�:�.. i 1 ""✓ t 1 iffff_ s A A-4 Laaj 4 . I. I A-- SA I } i I f 4 1---F F i I + I 1 t I.� v..l�..,,..# -,.#._�� y ,1 1• 1 . T 1 1 rAt1.w •tv v ra' of s i j i ? # 3 z1+ ] S .aK �t..,� eJr�l •-xa . sr.,, . 1 I . t •i .''� : . • .F : . t . a.LY.eO.crai 111 it--.3...mr+f-.::}v....r...aseri.s...-ncek, 044.1;::. 1, . If Jr . j v.n+L za ! 3 i ,�, yr" "j ' ;SSss' �'"" ';t` il 1 t 'I y •' 1 1 ;4 AMI fib "Sr .• + ner a .- j i ;4.4" Nessearcer• • • I $5 �4 r I 'a. 1 is urn a �. a # i r - 1_ i 1 t 4 i 1 :t1 t . r..... i . ... 1 N r FIGURE t EIRE VICINITY IAAP - Ai mamas 1�MICR7! WON.=MO Mk Cie a irerracon 21447'043 .I Fetter CMOS Holm aft DOI SsK NTS SOON Pops Ds Fat Cieuri Cabot SAM as Ils CiA RAM IS FOR GOER& toCr1110N ONLY, CRP - ,CSC. NO NOT NTF110ED FOR C0NS111ltCTiOM Pt1RPC S, ells 21047O�,Z Pipes. 2 S . i ' • WELD COUNTY ROAD 76 . . PARKING AREA v ST-1 I O 1 COMPOST IMATERIAL T-2 STORAGE AREA k 1 I • Q e , , r_______e________-s I S BERMED AREA 1 MW-12 AGRICULTURAL i e LAND SHELBY TUBE SAMPLE . C FIGURE 3: SITE DIAGRAM I S IM Al ORGANICS GROUNDWATER MONITORING WELL tON WCR 76 EATON,, COLORADO DO I I Pain woe OSWS WA °RP irerracon Pied it omit Chided NTS DRP� 301 � 5123.04 Amos'Bric aP FARE Colorado 80621 Damn Br .lac otAGRIW IS FOR GENERAL "LOCATION ONLY, l ANo Is NOT INTENDED FOR CONSTRUCTION PURPOSES. Ila Pat 210470034 F 1 / J e' its,.•, I APPENDIX B Boring Logs 1., j I I I I • • I I 1 LOG OF BORING NO. MW-1 - Paje 1 of 1 CLIENT ENGINEER Al Organics Jason Komes SITE PROJECT Eaton, Colorado _ Al Organics SAMPLES TESTS WELL ci DESCRIPTION DETAIL o o • o _ mce C'±)- BOREHOLE DIA.: 41/4 in f w > Z C w a. WELL DIA.: 2 in f u) m w a I UM'. I, g TOP OF CASING: 104 ft w cUn a `cg 53 m trc O C L- , L ` `{c) GROUND SURFACE ELEV.: 100 ft o Z 0.5 6" TOPSOIL 09.5 - SILTY SAND -- Light Brown, dry • q 96 _. SILTY SAND WITH CLAY --- Light Brown, dry 5-- g 91 SILTY CLAY WITH GRAVEL -- Light Brown, moist 10— Interbedded clayey silt encountered .•• •=: • : ,— . � • — • —r . —•• . —• . _ " from 14' to 19' color change to very Light -. brown observed .,— :... 15- " 1 ,__,. 79 81 . .,. _; _.. 1 SILTY CLAY W1TH COBBLES -. Light Brown, moist :.,.._. . •: 20- _. - . : - SZ - , ..,.:_.. . -- so . m . • - ,-,: . 25--� e 25.5 74.5 • BOTTOM OF BORING c U¢ a W The stratification lines represent the approximate boundary lines between soil and rock types: in-situ, the transition may be gradual. S WATER LEVEL OBSERVATIONS, ft T BORING STARTED 5-3-04 a WL .. 23 WD Y BORING COMPLETED 5-3-04 erracon RIG CME-55 FOREMAN JCK I . zil NI4L Initial Water Level Reading APPROVED DAR JOB # 21047003 I 9 APPENDIX C Tables • I l f v u in aJ 'L3 v p T •••••1•1 O 4 �'— r.. _ � X X ' p Q •> h N , sv "j U) N o n > "O a c o 0 c -0 o 0 — "0 F U in [n E ° a E ' S o i O CD ,-,` Z he E �aa W E T VIt— CO i O vi G7 -� N O a a 0 a E i a >. v v' E TD Z E (Y) Co a r O N N U c3 U r O LU 0 --1 U 1. _ CO ^ C OC n 0 n ra m 1 a @ r r (i > o a 0 0 3 t. C to LL- - `a �-C.t-- - o 0 Co O R .;... r a _ 4 W _Q10- o o r m x • N- 3 2 L. cn C2� �n GO E U O a w to t c f'� Cip >. CO 0 (O y 4 CD re a c O U u U 3 raw U C MI cn b m m .-- U ? c7 0 o o E 0 a c a - m O f„ 03 0 E co N co O] o °- M O C1) -a E m .— co r Lc) �n o E Q r N o m E c y ZO CD a o . . i 111 m v we 3 , LIJ < 03 E -is ? U sio 2 0 2 = <-- N E ° N ,3 a o Z f--- E nc Z J Z a, to to 0 3 v 5 U 0 0 E. II�O .0 n 12 5 mil W W UJ to n — '° to N E o' ii t. O O O m U .0 .4 _ OYIxOY o „ OLa. 0. _ z .— cNIrnv 1 ID e cda Z • • • iv, 1 i le. 1 i wal O ' r —t •.'YWit y , •, O vCI 1 N ;".? *??. I. 'Viola kic yl . •i I-- 214— • tel. :;..- a C O N PE o E O. a c E 3 E M Z NO rr W a C N 4 ZO O • - Z I aE 4 I et z O E a I LU0v of c, z • < 0.2 .L, B E O 0 J Cr U.O m c as E N z ee N4 _ a2 13 .—I' c+1 2 S f a D -I E 0 E E5, o o E v o `c ...-, v I U o , I a E � � � -al A z 8 o � o 14. C L O E o _2 e cri; , 1 c!„ vE E o 0 0 ' 8 - 8 Tv E ^ co ia I a 01 NQ. „ 3 ig r j ;: j O E III $ Q `° Cr; 01 i 5 O0e I A � o a $ ab s W4 m n Z —J Z Z i i 1 i a 3 w wIQ E 0 ii t - S aaa 8 2 � 6I re Q e z r$ Mv6 APPENDIX H SLUG TEST RESULTS Al Organics Slug Test February 2014 SLUG TEST WRITEUP Falling head recovery tests ("slug" tests) were conducted at monitoring wells MW-2 and MW-3 on June 21 , 2011 . The tests were completed by dropping a solid PVC "slug" , suspended by a rope , into each well below the water table . The rapid introduction of a slug creates an instantaneous rise in the water table and the recovery of the water level at each well to static levels was recorded using a Hermit transducer and data logger. The recovery data was evaluated using methods adopted by Bouwer and Rice ( 1976) and Hvorslev ( 1951 ) to provide an estimate of the hydraulic conductivity of the uppermost water bearing zone in each well . Estimated hydraulic conductivity values in the alluvial sediments tested at the two wells range from 3. 0 x 10-4 cm/sec in well MW-2 to 3 .4 x 10-3 cm/sec in well MW-3; however, the slug-in and slug-out data for MW-3 indicated discrepancies greater than the maximum of 20% , therefore the data from MW- 3's slug test was considered erroneous and was not used . 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I- m c 3 CO o co o E E E E o CvDty E mm 0 o A 0 cu CO N N a u t ELL T 00 a 2 m •O p p m cry CI 0 — co c N 2 p -o E C r Off 0es! m a) i. o - U o c corn E 3 $ >c v) a c a) co cco a) a) ` ' `�) E a_ Q) U , 4) O 3 3 Ur CA m C C (° d Ep ccu m c a) a)a) ter. w m u o c E '@ > D 8 or m t C o w c m m t__ m �o c C 0 J W c C W 1 v c < it? 3 m - _0 � � ,m CO COO — m m y a o o C v CO m m Cr °) u) a) a) v v 13 a m rn o N CJ f° °) • oUJ (n � c�o1— Qu' `—`) t Ecm � a) c � n 9? � � rO) QtJO) Cr) v � a) ECO ≤oo o m - O '- Ecoc m � a) m m a m •c o o � = pcp o _ > .v ` V) U cEo 0 �. >. a) .-. w li)) C7 3 -. ' a a) E i5 m m m m m ; 13 - Q' E -E z m c m' NI CO t} O 7 m C m iJ a) — a) `E s.. — m > 3 a) a) -o co > L m " m aJ a) N .� .-. 2 o 3 0 0 0 0 J Z 0) E to o mo c3 O c ca0 ,Eca) - cn a) mcc coacnino23ccy0 O N O W V' N < 0 V) U 2 ti O in V) V) E U U D Y a: 15 iLL 2 in U Q co n. lL > $ CD D D , Cv m y to m r- CO Cn II II II II II II t .0 a) > 0 o .rn E = m : O � II ..c_ a a) a) c c : a C c0 C z co d t� ro a a O E. E v aci 0= O o a) CC a) a) m n acid 0 a m Um0 a. A >, E 3 LL Z 13 C C CC_ U) Co ciii M d N 7 V) I c m my a) Op a C o a) Q 002 LEO MW2 slug in WELL ID: Al Organics Eaton MW-2 (slug-in) Reduced Data Local ID: S-1292 Time, Water INPUT Date: 6/21/2011 Entry HrMin:Sec Level Construction: Time: 0:00 1 0:00:01 .4 11 .34 Casing dia (dc) 2 Inch 2 0:00:01 .6 11 .08 Annulus dia. (d„,) 8 Inch F — 3 0:00:01 .8 10.31 y d Screen Length (L) 15 Feet orn 4 0:00:02.0 9.79 T 5 0:00:02.4 9.96 Depths to: T°W 6 0:00:03.6 9.49 water level (DTW) 8. 1 Feet D70 t 7 0:00:06.0 9.34 top of screen (TOS) 7.43 Feet 4, 4, Base of Aquifer (DTB) 22.43 Feet Id, I Annular Fill: Base of Aquiferacross screen -- Coarse Sand above screen — Bentonite Adjust slope of line to estimate K Aquifer Material — Fine Sand 1.00 COMPUTED Leetted 14.33 Feet D = 14.33 Feet H = 14.33 Feet Ur„, = 42.99 Yan;sPuAcEMENT = 160.32 cm YasLUG = 190.36 cm From look-up table using Urw 010 Fully penetrate C = 2.543 In(Refrw) = 2844 Re = 5.73 cm Slope = 0.006147 Iog1D/sec tND% recovery = 163 sec Input is consistent. K = 0.0003 cm/Second 0 01 00:(A) 0126 02.53 04:19 05 46 'TIME, Minute:Second K= 0.0003 is less than likely minimum of 0.00106 for Fine Sand REMARKS: Bouwer and Rice analysis of slug test, WRR 1976 Slug test was conducted in surficial aquifer, central Florida, which is mostly medium and fine sand. 'Thanks to Hannu Etelamaki for identifying bugs in the unit conversion. MW2 slug in C 0) a) >N L ? a) 1 2 L I L C 1 3 3 I o � I cn I QT3 m T1 " 1 M 0 a v t 1 A a) - a) a) c w cN 1 vcva a3 1 R (A a o) I >.a u) I 1 1 M > I 4 ► I4 ► .9 a a) + • OToU C_ a) a C m - 2 Q) r a4 r t` N CO r N N N N N N N (N N N N N w r- o aO V M M o 0 0 o O o O O o 0 0 0 2 O M to C0 O M to tJ7 to U) t1� to t1) O O O M to ti O to t17 t() t0 to to In to 66m M "t w pmz O CO 1� I� CS7 CO 666666 a ) a) L ' L V- r 7 > a) Q t i > O r M CO CO I� O r r . . . . . r r r r r 0 L0 000•M N000000000000 11J O O a0 o o O O O O O O O O o OH co 4a C o O r000000000000000000 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 O ZO 3 U >, V v 'T CO U) O r N r CSJ CO CD 0 CD C>J CO CO 0 CO (O C0 MO O0 O O r r N to V V V V V V R 66 c o O O O O o 0 0 0 0 0 0 0 0 0 0 0 0 0 06666666666666666666 06666666666666 ° 66666 vo) o 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 4 II II or N N N N Nt CO 0 0 0 O 0 0 0 O 0 0 0 O t 0 0 0 o O o 0 0 0 0 0 0 0 0 0 o O O O O 0W6 666666666666666666 > i - 666666 ° 066666666o06 - ooao000000000000000 a) a = 3 N tt O M o M a - aD O O o ao 't M O M I� O V M C —► r r 0 0 0 0 O Ir. = • ' r r r a o 11. c a) V CO ap N [t cD CD rmit —OP r N M M N 1- z O Mt 0000000 m 3 TOZE a) 0 c > o Ix Q) ♦ CU CU (� M CO O CD C 0 a) 2 r N L U O t 1 a) c i L 3 i oa i V) n I Q '� I (v 73 L I a D i N i w N 1 am c I E 0 0 if ca I � cco i (Dam I w \ I \I to > 1 c ..J I 4 ► I4 \ -S 0 0 >' + ?' > Mmo C m — >+ o r r M O Q) tp w tf) w w 6 M M � M (fl (fl O) O cM U (O O O r N N N N N N N `) a to cf Q) tf) tf) NO O I� M 0 CO �f N O a7 O Q) O O O) wm a c r r M M O M M V tf) (O CO (fl CO (D (D (D O r NN r . . �f r • • ' - " • . r . N N N N N N N T4) -o r r r r r r r r r I • $ I S as o) Tii co 0 3 c 0 0 < • ? "- r = 7 a) C > w OMNOWN M 0 C O �t r a0 tf) Q) M M V tf) O O O O O O O W D O O r N N M M O O O O O O O > 6666666 0 to O O 3 o > v v uu)) > co do tf) 6 O M 1� r N M tf) r I� Q) r M t17 O 00 w OO O M no p p p �- r N N M 4 6 tf) (O 00 Q) M 6 a0 O O 6 o0 Q) (O c66666666666666666666 OOOOOOOOO O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O O O O O O O O O O O O O O O O O O O O O 066666666666666666666 066666666666666666666 4 II II O M V V d tf) ll) (D M O r O O O O O O O t O O O O O O O O O O O r r r O O O O O O O Q) o c0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O O O > , E66666666666666666666 a) .25 -f66666666666666666666 o L N N 4 N ti CD tf) t� w M M tf) M a M O M W N N M to (D '[t (0 m Q) r M M M Q1 M M c M M U3 c666666 O) O) 6 O) 66 u O V T LL C O t M (D O V (fl N O (D aD N 0 nn 446 R 1� M 6 O r N %- z m 7 a _ IP r 6666666666666 m - 1 .1 W 1 C o a mw 0 f 0 w O N N N N N N N N N N N N N -, CD (D (O (fl (O (O(O (O (D (0 (D (O (0 O : Cl) . APPENDIX C SOPs APPENDIX D CLOSURE AND POST CLOSURE PLAN CLOSURE AND POST CLOSURE PLAN EATON ORGANIC RECYCLING FACILITY EATON, COLORADO Prepared By: Al Organics Eaton Organic Recycling Facility 16350 WCR R 76 Eaton, CO 80615 /CzV 1 . Reviewed By: KRW Consulting, Inc. 8000 W. 14th Avenue, Suite 200 Lakewood, CO 80214 p`:��.�iL . A, •cps cgs/ ono it 's, 8 . � 3 '4 ' ; Michae . retti P. E. i� ad Principal Engineer Fdie 11 • •. • Project No. 0912-04 -/(1 Date: May 2014 Closure Plan Eaton Organic Recycling Facility i May 2014 TABLE OF CONTENTS Section Page TABLE OF CONTENTS ii 1 .0 INTRODUCTION 1 1 . 1 Purpose 1 1 .2 Facility Information 1 2 .0 CLOSURE PLAN 2 2. 1 Introduction 2 2 . 1 . 1 Description 2 2. 1 .2 Regulatory Requirements 2 2. 1 .3 Closure Plan Contents 2 2.2 Closure Activities 3 2.3 Maximum Extent of Operations 5 2.4 Closure Activities Report (CAR) 5 2.5 Closure Schedule 5 2.6 Deed Notation 6 2.7 Financial Assurance Plan 6 3.0 POST CLOSURE 7 3. 1 Groundwater Monitoring 7 3.2 Cover Material and Vegetation 7 Appendix Site Location and Closure Area Map Closure Plan Eaton Organic Recycling Facility ii May 2014 CLOSURE AND POST CLOSURE PLAN EATON ORGANIC RECYCLING FACILITY REVISION LOG DATE DESCRIPTION OF REVISION BY 7-26-12 Initial Plan Preparation BY 7-31 -12 2nd revision after EDOP Meeting w/CDPHE and WC BY 8-09-12 Comments from CDPHE RD/DI 8-30-12 3rd revision BY 2-20-14 4th revision MP 4-14-14 5th revision MP Closure Plan Eaton Organic Recycling Facility iii May 2014 1 .0 INTRODUCTION 1 . 1 Purpose This Closure and Post Closure Plan (Plan) for the Eaton Organic Recycling Facility at Eaton Colorado contains the facility's closure and post closure requirements for this solid waste site. This plan has been prepared to describe the steps necessary to close and to implement post closure care and monitoring at the site. Estimated types and quantities of materials that shall be removed from the site are based on the engineering design and operations plan coupled with a three year rolling average of the respective types and volumes of materials that are left on site. This plan has been prepared in accordance with the provisions of the Colorado "Regulations Pertaining to Solid Waste Sites and Facilities", 6 CCR 1007-2 (Regulations). Subsection 14.8 of the Regulations pertains to closure activities for composting facilities and the Closure Plan is presented in Section 2.2 of this document. Subsection 1 .8 of the Regulations contains the associated financial assurance requirements. 1 .2 Facility Information The Eaton Organic Recycling Facility is located in northern Weld County, Colorado, approximately one and one half miles west of the town of Eaton , Colorado on Weld County Road 76 (refer to Plate 1 , Site Location Map in Appendix A). The property is located in Section 35, Township 7 North , Range 66, west of the 6th Principle Meridian . The facility is owned and operated by Lambland Inc. , dba Al Organics (Al ). The total Eaton property consists of approximately 144.81 acres; the available area for the composting facility is approximately 14.82 acres. As a Class 1 Composting Facility, the compost facility processes Type 1 , 2 and 3 feedstocks and other materials as approved by Weld County and the Colorado Department of Public Health and Environment. The facility composting operations are described in the "Engineering Design and Operations Plan for Eaton Organic Recycling Facility" dated May 2014. Closure Plan Eaton Organic Recycling Facility 1 May 2014 2.0 CLOSURE PLAN 2.1 Introduction 2. 1 . 1 Description This closure plan describes the steps necessary to close the facility at any point during its active life. This plan will be reviewed annually and updated as needed for changing conditions. Volume estimates used are based on the largest area requiring closure and the highest volume calculated from a rolling average of the previous 3 years' activities. 2. 1 .2 Regulatory Requirements This closure plan is prepared in accordance with Subsection 14.8, "Closure Plans", of the Regulations. This plan will be maintained in the facility operating record. As required by Subsection 14.8.2 of the Regulations, if at any time a composting facility ceases operation , including the discontinued receipt, processing and sale of materials for more than 180 days, or otherwise approved by the Department and local governing body, the owner or operator must begin implementation of its Closure Plan. Closure activities shall not exceed 90 days in length . Extension of the closure period may be granted by the Department and local governing body if the owner or operator demonstrates that closure will of necessity, take longer than 90 days and all measures necessary to prevent threats to human health and the environment will be taken . 2.1 .3 Closure Plan Contents The closure requirements call for a closure plan describing the steps necessary to achieve closure of the composting facility. Per the Regulations the steps shall include but are not limited to: A complete and accurate description and schedule of all steps necessary to achieve closure of the composting facility. Such steps shall include the following criteria: 1 . The removal of all stored raw feedstock, bulking material, and liquid waste to a permitted solid waste facility or a facility where the wastes may be beneficially reused with approval from the Department and local governing authority; 2. The removal of all other wastes on-site, including those wastes generated by the closure activities, to a permitted solid waste facility; 3. The removal of all work-pad areas; 4. The removal of all storm water control and collection structures, unless specifically approved by the Department and local governing authority to remain on-site; 5. The removal of all tanks, structures and equipment; 6. Site restoration including regrading and re-vegetation ; and 7. The removal of partially composted feedstocks and bulking material to a permitted solid waste facility or another compost facility with approval from the department and local governing authority. Closure Plan Eaton Organic Recycling Facility 2 May 2014 Within fourteen ( 14) calendar days of commencing implementation of the Closure Plan , the facility shall provide written notification to the Department and the local governing body. Within thirty (30) calendar days of completing closure activities, the owner/operator of the facility shall provide written notification to the Department and local governing authority to document that all the requirements and conditions of the closure plan have been achieved. Following closure of the facility, a notation must be placed on the deed notifying any potential purchaser that the property has been used as a composting facility. 2.2 Closure Activities Closure activities shall be implemented per one of two closure scenarios. The first scenario would be in the event that the owner/operator closes the facility based on a Clean Closure Plan (CCP) approved by the local governing body and CDPHE. The second scenario would be in the event that clean closure cannot be achieved , in which case closure of the facility shall be conducted per the approved closure plan (i.e. , see Scope of Work for Closure Activities below). Nevertheless, the cost estimates for closure and post closure care and the value of the corresponding financial assurance instrument shall be based on the closure scenario that would make closure the most expensive. Scope of Work for Closure Activities In the event that clean closure is not achieved the following closure plan will be executed. The closure plan shall include the following steps and be based on the largest area requiring closure and the highest volume calculated from a rolling average of the previous three (3) years' activities. It is Al Organics' understanding that CDPHE will attempt to contract with another composter or entity that can utilize uncontaminated bulking material and finished product and that any monies remaining after the facility is closed and completion of post closure care and monitoring has been accomplished would be refunded to Al . E. Unprocessed feedstocks will be removed and taken to a permitted landfill for use or disposal . All bulking material shall be removed and taken to a permitted solid waste facility for disposal. All liquid wastes shall be removed and taken to a permitted solid waste facility. E. All other wastes, including those wastes generated by the closure activities, shall be removed and taken to a permitted solid waste facility. Soil sampling will be completed as summarized in Table 1 . The EPA Residential Soil Levels will be used to document that soils meet acceptable criteria at closure so as to determine whether the Facility may be returned to either agricultural and/or residential use. These EPA standards for residential areas are significantly more stringent and restrictive than those required to meet the agricultural standards. The site was originally used as an agricultural feedlot. Closure Plan Eaton Organic Recycling Facility 3 May 2014 Table 1 Soil Testing Parameters Parameter Test Sample Sampling Frequency Method Type Metals EPA 6010 grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location VOC (1) EPA 8260B grab 1 per 160,000 square feet, 1 in each retention area, 1 in each fuel storage area, & 1 at each background location SVOC EPA 8270C grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location TPH (DRO &GRO) SW846 grab 1 in fuel storage area only 8015B pH EPA 9045 grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location lgnitability EPA 1030 grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location Alkalinity as CaCO3 SM 2320B grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location Chloride EPA 300.0 grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location Sulfate EPA 300.0 grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location Nitrate EPA 300.0, grab 1 per 160,000 square feet, 1 in each retention area, SW846 & 1 at each background location 1311 Nitrite EPA 300.0, grab 1 per 160,000 square feet, 1 in each retention area, SW846 & 1 at each background location 1311 Salmonella EPA 1682 grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location Fecal Coliform SM 908 grab 1 per 160,000 square feet, 1 in each retention area, & 1 at each background location a The composting area restoration will include regrading and re- seeding with native plant species. Table 2 summarizes the seed mix and application rates. All storm water control and collection structures will be removed unless specifically approved by Weld County and CDPHE to remain on site based on the results of a soil sampling and analysis plan to be approved by Weld County and CDPHE. ',I-_ Unfinished in-process windrows/compost defined as compost that has not met the requirements for finished compost approved for unrestricted use per section 14.5.7 of the Regulations will be removed and taken to an approved landfill for disposal. Closure Plan Eaton Organic Recycling Facility 4 May 2014 Removal of all work pad areas unless specifically approved by Weld County and CDPHE to remain on site. E Removal of all tanks, structures, and equipment unless otherwise approved by Weld County and CDPHE to remain on site. Table 2 Seed Mixture for Reclamation of Disturbed Areas PBSI Native Prairie Mix % Of Mix Species Cool/Warm 10 Blue Grama Warm 10 Butfalograss Warm 34 Green Needlegrass Cool 10 Sideoats Grama Warm • • 34 Western Wheatgrass Cool 2 Sand Dropseed Warm Seeding rate: 10-15 pounds pure live seed (PLS)/acre drilled, 20-30 pounds PLS/acre broadcast seeded. 2.3 Maximum Extent of Operations An estimate of the largest area of the facility requiring closure is +/- 31 .38 acres in the current operating area. This consists of the composting area of approximately +/- 14.82 acres plus office, parking , yard areas and non-compost production and product storage area totaling +/- 16.56 acres. See Plate 2, Site Closure Area map, in the Appendix for details. As required by Section 1 .8.3(D) of the Regulations, the closure cost estimate will be recalculated every five years unless otherwise required by CDPHE. Regarding this closure plan, the estimated closure area is based on the facility's maximum footprint for operational activities up to the time of closure, adjusted annually. 2.4 Closure Activities Report (CAR) Closure activities will be conducted during closure to ensure that the activities occur in accordance with the closure plan . Within thirty (30) calendar days of completing closure activities, a report summarizing closure activities and confirming compliance with the approved closure plan will be prepared and submitted to the Department and local governing body. 2.5 Closure Schedule A 90-day timeframe is envisioned for completion of closure activities. However, if constrained by weather or other extenuating circumstances, a request for an extension will be submitted to the Department and local governing body to ensure that sufficient time is available to complete closure in accordance with the provisions of this closure plan . Closure Plan Eaton Organic Recycling Facility 5 May 2014 2.6 Deed Notation Following closure of the facility, a notation will be placed on the deed notifying any potential purchaser that the property had been used as a composting facility. 2.7 Financial Assurance Plan The financial assurance plan will be maintained as a separate document to the EDOP. Closure Plan Eaton Organic Recycling Facility 6 May 2014 3.0 POST CLOSURE Post Closure care and maintenance activities will be completed consistent with Subsection 14.9 of the Regulations. The following section provides the requirements for Post Closure care and maintenance. 3. 1 Groundwater Monitoring Post-closure groundwater monitoring will be conducted in accordance with the approved groundwater monitoring plan for a minimum of five (5) years. Groundwater monitoring will be completed consistent with the CDPHE approved groundwater monitoring plan in effect at the time of closure. In the event of a statistically significant increase (SSI ) over background of any groundwater monitoring parameter, a report will be prepared and submitted to Weld County and CDPHE after each monitoring event where an SSI occurs in accordance with the facility's approved groundwater monitoring plan. Otherwise, the relevant monitoring events may be submitted to the agencies in an annual report. 3.2 Cover Material and Vegetation Inspection and maintenance of cover material and vegetation shall be performed on a semi-annual basis. Areas of erosion and/or distressed vegetation shall be repaired. An annual report detailing the prior year's post closure care activities will be prepared and submitted to CDPHE and Weld County, in accordance with section 14.9. 1 (C) of the Regulations. Following completion of the post closure care period , a certification report, signed by a Colorado registered professional engineer, shall be submitted to the CDPHE and Weld County for approval. This report shall verify that post closure care has been completed in accordance with the approved post closure care plan in accordance with section 14.9.3 of the Regulations. Closure Plan Eaton Organic Recycling Facility 7 May 2014 APPENDIX E CONSTRUCTION QUALITY ASSURANCE/QUALITY CONTROL PLAN CONSTRUCTION QUALITY ASSURANCE/QUALITY CONTROL PLAN Al ORGANICS EATON ORGANIC RECYCLING FACILITY Stormwater/Leachate Containment Facility Surface Water Drainage Structures Prepared For: Al Organics Eaton Organic Recycling Facility 16350 WCR 76 Eaton, CO 80615 Prepared By: ?N. kW • KRW Consulting, Inc. 8000 W. 14th Avenue, Suite 200 Lakewood, CO 80214 jr-seDO %„,.•• `•''?IL J. ,o•.,+f,00 �1 r GO••°J dingo cif -+ O I Mich l J . Pretti, P. E. ' �I- j Principal Engineer de Project No. 0912-04 'k% ANAL __=�. � ; Date: October 10, 2012 Revised May 2014 TABLE OF CONTENTS 1 .0 INTRODUCTION 1 1 . 1 QUALITY ASSURANCE AND QUALITY CONTROL 1 1 .2 GENERAL TESTING REQUIREMENTS 2 1 .3 ORGANIZATION AND USE OF THE CQAQCP 2 1 .4 DEFINITIONS 2 1 .4. 1 Construction Quality Assurance Engineer 2 1 .4.2 Design Engineer 3 1 .4. 3 Design Plans and Documents 3 1 .4.4 Facility Owner/Operator 3 1 .4. 5 General Contractor 3 1 .4.6 Soils Testing Laboratory 3 1 .5 ORGANIZATION OF THE CQAQCP PARTIES 4 1 .6 MEETINGS 4 1 .7 DOCUMENTATION 4 1 .7. 1 Daily Construction Reports 5 1 .7.2 Problem/Deficiency Identification and Corrective Action Reports 5 1 .7. 3 Final Construction Documentation Reports 6 2.0 SURVEYING REQUIREMENTS 8 2 . 1 SURVEY CONTROL 8 2 .2 REQUIRED AS-BUILT SURVEYS 8 2 .3 SUBGRADE AND TOP OF STORMWATER/LEACHATE CONTAINMENT STRUCTURE (POND) SURVEYING 8 2 .5 SURFACE WATER CONTROL STRUCTURE SURVEYING 9 3.0 EARTHEN MATERIALS 10 3. 1 NON-GRANULAR, LOW HYDRAULIC CONDUCTIVITY SOILS (SC TO CL) 10 3. 1 . 1 Pre-construction for Low Hydraulic Conductivity Soils 10 3. 1 .2 Materials of Construction 10 3. 1 . 3 Field Testing Requirements 11 3. 1 .4 Laboratory Testing Requirements 12 3. 1 . 5 Non Granular Low Hydraulic Conductivity Soils Acceptance Criteria 13 3. 1 .6 Placement Criteria 14 3. 1 .7 Excavation Base Requirements 15 3. 1 . 8 Deficiencies and Resolution 15 4.0 WELL AND EXPLORATORY BORING DECOMMISSIONING PROCEDURES 16 List of Tables Table 1 Nuclear Moisture/Density Field Testing Methods 11 Table 2 Non Granular Soil Compaction/Moisture Specifications and Minimum Field Test Frequencies 12 Table 3 Laboratory Testing for Non Granular Soils 13 i 0912-04 CQAQC Plan Al Organics May 2014 1 . 0 INTRODUCTION This Construction Quality Assurance/Quality Control Plan (CQAQCP) has been prepared for the Al Organics — Eaton Organic Recycling Facility, Weld County, Colorado. This CQAQCP addresses the quality assurance of the construction and installation of environmental control systems at the upgrade of the site from its existing Class III composting facility to a Class I composting facility, including earthen materials (pad construction and materials for surface water control structures). Procedures are also provided for the decommissioning of existing wells. This CQAQCP is intended to be a "working" document that is updated to reflect changes in specific materials used , in installation practices, or in tests and test methods. The CQAQCP includes the construction information and procedures for the following systems: Stormwater/Leachate containment facility. Surface water drainage. The scope of this CQAQCP includes the quality assurance applicable to these systems for the following : Soil excavation and placement. 1 . 1 QUALITY ASSURANCE AND QUALITY CONTROL Construction quality assurance and quality control are defined as follows: Construction Quality Assurance (CQA) is a planned system of activities that provides the Owner/Operator and permitting agency assurance that the facility was constructed as specified in the design . CQA includes inspections, verifications, audits, and evaluations of materials and workmanship necessary to determine and document the quality of the constructed facility. CQA refers to measures taken by the CQA organization to assess if the installer or contractor is in compliance with the plans and specifications for a project [EPA, 1993a #55] . Construction Quality Control (CQC) is a planned system of inspections that is used to directly monitor and control the quality of a construction project. CQC is normally performed by the earthwork contractor, and is necessary to achieve quality in the constructed or installed system . CQC refers to measures taken by the installer or contractor to determine compliance with the requirements for materials and workmanship as stated in the plans and specifications for the project [EPA, 1993a #55] . 1 0912-04 CQAQC Plan Al Organics May 2014 1 .2 GENERAL TESTING REQUIREMENTS This CQAQCP includes references to test procedures of the American Society for Testing and Materials (ASTM ). Unless indicated otherwise, tests will be performed in strict accordance with the referenced test procedure and the description included in this plan . Any deviations to test procedures specified in this plan must be approved , in writing , by the Construction Quality Assurance Engineer. 1 .3 ORGANIZATION AND USE OF THE CQAQCP The CQAQCP is divided into four main sections as follows: Section 1 . 0 Introduction Section 2 . 0 Surveying Requirements Section 3. 0 Earthen Materials Section 4. 0 Well and Exploratory Boring Decommissioning Procedures This organization is based on general construction procedures and materials and does not follow the actual sequence of systems as they are constructed within the Landfill . 1 .4 DEFINITIONS 1 .4. 1 Construction Quality Assurance Engineer (CQAE) The Owner/Operator will retain an independent consulting firm to provide the CQAE . The CQAE shall be a Colorado registered professional engineer and shall provide oversight and supervision of CQAE activities. The CQAE shall observe and document activities related to construction of environmental containment systems at the site and shall provide overall coordination of documentation submitted in support of this plan . The CQAE will also be responsible for reviewing survey data to verify that the approved layer thickness and grades, (horizontal and vertical control) have been constructed per the approved design . A Colorado registered professional engineer employed by the CQAE will prepare and certify the CQAQCP Documentation Report, which will be submitted to the Colorado Department of Public Health and Environment (CDPHE) upon approval by the Owner/Operator. The term "CQAE" is used throughout this document when reference is made to the tasks performed by this person . 2 0912-04 CQAQC Plan Al Organics May 2014 1 .4.2 Design Engineer The Owner/Operator will retain an independent consulting firm to provide the Design Engineer. This Plan is prepared under the supervision of, and is sealed by the Design Engineer, who shall be a Colorado registered professional engineer. The term "Design Engineer" is used throughout this document to indicate the official representative of the Design Engineer (i .e. , acting under the direct charge of the Design Engineer), whether the Design Engineer is on site or not. 1 .4. 3 Design Plans and Documents The Design Plans and Documents referenced in this CQAQC Plan include the latest approved version and addendum of the following documents: This CQAQC Document The Al Organics — Eaton Organic Recycling Facility Engineering Design and Operations Plan and Drawings by KRW Consulting , Inc. , and certified by the Design Engineer. 1 .4.4 Facility Owner/Operator A- 1 Organics is the Owner/Operator of the organic recycling/composting facility. The term "Owner/Operator" is used throughout this document to indicate the official representative of the Owner/Operator. 1 .4.5 General Contractor The General Contractor will provide overall construction responsibility for the construction of environmental containment systems and surface water/leachate control structures at the site. The General Contractor will also be responsible for hiring all subcontractors such as the Geosynthetic Installer and the Earthwork Contractor. The term "Contractor" is used throughout this document when reference is made to the tasks and responsibilities for this role. 1 .4.6 Soils Testing Laboratory The Soils Testing Laboratory is an independent qualified laboratory hired by the independent consulting firm to perform field and laboratory QA/QC soils tests as indicated in the CQAQCP. The term "Soils Testing Laboratory" is used throughout this manual to denote the official representative of the company providing these services. The Soils Testing Laboratory will supply technicians as necessary for collection and laboratory analyses of samples and testing of in-place earthen materials. The QA/QC testing performed by the Soils Testing Laboratory shall be performed under the supervision of a Colorado registered professional engineer. 3 0912-04 CQAQC Plan Al Organics May 2014 1 .5 ORGANIZATION OF THE CQAQCP PARTIES Overall responsibility for carrying out the provisions of this CQAQCP is with the CQAE . The CQAE may consult the Design Engineer regarding design specifications and/or recommended changes in the Design Plans and Drawings. The Contractor (including any subcontractors that may be brought to the site) and the Installer will report to the Owner/Operator and the CQAE for matters relating to the CQAQCP. The Owner/Operator and CQAE shall consult the design engineer with questions about, or possible modifications to, the Design Plans and Drawings. 1 .6 MEETINGS There are two types of meetings that will be required for implementation of this Plan : Pre-Construction Meetings and Problem/Deficiency Meetings. A Pre-Construction Meeting will be conducted immediately prior to the commencement of the construction and will be attended by the Owner/Operator and the Contractor along with other appropriate parties such as the Soils Testing Laboratory, and the CQAE . The purpose of this meeting will be to review the project and the CQAQCP as it applies to environmental control system construction and familiarize all parties with their respective responsibilities and interactions. Problem/Deficiency Meetings will be conducted as requested by the Owner/Operator, or CQAE to work out problems that may arise with the construction or QA/QC testing . The meetings will be attended by appropriate parties. 1 . 7 DOCUMENTATION This section describes the types of documentation reports that must be completed by each party that has direct QA/QC responsibility for the landfill construction . The parties with these responsibilities are the CQAE and the Soils Testing Laboratory (under the direction of the CQAE). The documentation of construction quality assurance activities is the most effective method to make certain that the quality assurance requirements have been addressed and satisfied . The documentation process includes: 1 . Recognition of construction tasks that should be documented . 2 . Assignment of responsibilities for the observation , testing , and documentation of these tasks. 3 . Completion of the required forms, data sheets, and reports to provide an accurate record of the work performed during construction . 4 0912-04 CQAQC Plan Al Organics May 2014 1 .7. 1 Daily Construction Reports A construction report will be completed by the CQAE or the Soils Testing Laboratory (under the direction of the CQAE) each day that they perform work on the site. This summary report will provide a chronological record for identifying and recording other reports, data sheets, forms, and checklists. This report will contain , at a minimum , the following information to be filled out in pen and preferably pre-printed so that the required information is organized in an easily accessible manner: 1 . Date, project name, location , and report preparer's name. The number and name of people on site under the direction of the preparer related to QA/QC tasks. 2 . Data on pertinent weather conditions including temperature, humidity, wind direction and speed , cloud cover, and any precipitation events. 3 . Contractor's or Installer's work force, equipment in use and idle, and materials delivered to or removed from the job site. 4. Chronological description of work in progress including any notices to, or requests from , the Contractor and/or the Installer. 5. Results of, or a clear reference to, where the results can be found for testing performed on site by personnel under the direction of the preparer. 6. Laboratory samples collected , marked , and sent to the outside testing laboratories will be clearly indicated in the daily report by direct inclusion or by reference to the document containing such information . Likewise, reference should be included for any test data submitted by any of the outside testing laboratories. 7. An accurate record will be kept of communications with other CQAQCP parties, or any other outside companies, regulatory agencies, or consultants regarding the day's construction activities or any project meetings that are held . 8. An accurate record will also be kept of calibrations or standardizations performed on field-testing equipment, including actions taken as a result of recalibrations. 1 . 7. 2 Problem/Deficiency Identification and Corrective Action Reports Problem/Deficiency Identification and Corrective Action Reports will be completed by the Soils Testing Laboratory and/or the CQAE when any construction material or activity is observed or tested that does not meet the requirements set forth in this plan . These reports are not necessary for a failing field test if corrective action is taken and retesting confirms acceptable properties. These reports shall be cross-referenced to the forms, data sheets, checklists, and other reports that contain data or observations leading to the determination of a problem or deficiency. At a minimum , the Problem/Deficiency Identification and Corrective Action Reports will include the following information : 5 0912-04 CQAQC Plan Al Organics May 2014 1 . A detailed description of the problem or deficiency, including reference to any supplemental data or observations responsible for determining the problem or deficiency. 2 . Location of the problem or deficiency, including how and when the problem or deficiency was discovered . In addition , an estimate of how long the problem or deficiency has existed should be included as well as an opinion as to the probable cause of the problem or deficiency. 3. A recommended corrective action for resolving the problem or deficiency shall also be included in the report. If the corrective action has already been implemented , then the observations and documentation to show that the problem or deficiency has been resolved shall be included . If the problem or deficiency has not been resolved by the end of the day upon which it was discovered , then the report will clearly state that it is an unresolved problem or deficiency. A Problem/Deficiency Identification Report will be submitted to the CQAE by the end of the working day during which the problem or deficiency occurred . If a solution to the problem or deficiency has not been agreed to by the end of the day, then the CQAE will discuss the issue with the Owner/Operator, and the Owner/Operator will take the necessary corrective actions to resolve the problem or deficiency as soon as practical . The CQAE is responsible to make certain that all Problem/Deficiency Identification Reports have been adequately resolved . The CQAE will carefully review all Problem/Deficiency Identification Reports to determine if similar reports on the same problem or deficiency are an indication of a flawed construction technique, contractor error or possibly a need to make changes to the Design Plans and Drawings and/or the CQAQCP. If a change to the Design Plans, Drawings and/or CQAQCP is required , a meeting will be held to determine if revision should be made. Any revisions to the approved Design Plans, Drawings or the CQAQCP must be approved by the Owner/Operator, the Design Engineer, and the CDPHE . Any significant revisions to the Design Plans, Drawings, or this CQAQCP must also be approved by CDPHE . Note, that a section on "problem/deficiencies" completed on the CQAE daily report may suffice as a Problem/Deficiency Identification Report. 1 . 7.3 Final Construction Documentation Reports A Final Construction Documentation Report will be prepared by the CQAE for each distinct phase of the organic recycling facility construction and the final report will be submitted to the Department within eight weeks of completion of all phases of construction . Anticipated phases of construction include: 1 . Preconstruction Activities, 2 . Surface Water Drainage System . 6 0912-04 CQAQC Plan Al Organics May 2014 The Final Construction Documentation Report will include, but not be limited to, the following information : 1 . All correspondence with the CDPHE regarding this particular project. 2. Documentation of all required surveys (see list in Section 2 .2). 3. A summary of all Problem/Deficiency Identification and Corrective Action Reports and resolutions. 4. All daily reports, field and laboratory results of Soils Testing Laboratory for foundation soils and low hydraulic conductivity soils. 5. Correspondence, with Soils Testing Laboratory, regarding placement and testing of structural fill . 6. As-built construction drawings. 7. A certification by the CQAE documenting that the construction has been completed in accordance with the approved Plans, Drawings, specifications, and CQAQCP, as modified by any deviations. 8. Description of any changes made during construction to the plans, specifications, or drawings. 9. List and explanation of any non-conforming item with approval statement from Certifying Engineer of acceptable or not acceptable item . The as-built construction drawings shall include, but shall not be limited to: 1 . Contour map, (drawn to a common recognized engineering scale) illustrating as- built grades and elevations of pond subgrade with design survey grid system based on the site benchmark. 2 . Contour map, (drawn to a common recognized engineering scale) illustrating as- built grades and elevations of the top of pond surface with design survey grid system based on the site benchmark. 3 . Contour maps, (drawn to a common recognized engineering scale) , as necessary, illustrating constructed grades and elevations of all site wide grading and surface water control structures with design survey grid system based on the site benchmark. 4. Maps illustrating location of all monitoring wells and (drawn to a common recognized engineering scale) with design survey grid system based on the site benchmark. 5. Maps showing locations of all soil sampling and testing locations (drawn to a common recognized engineering scale) with design survey grid system based on the site benchmark. 7 0912-04 CQAQC Plan Al Organics May 2014 2.0 SURVEYING REQUIREMENTS 2. 1 SURVEY CONTROL The survey control for this project is based on the following : 1 . Unmodified Colorado North Zone State Plane NAD83 with Geoid03 adjustment to ground elevations. 2. Elevation Benchmark: Northeast property corner, being a 3.25" Aluminum cap in range box. Elevation = 4868. 33' . The vertical coordinate of this benchmark was determined by GPS , site-specific observation and was not tied into any geodetic network or local benchmark. This benchmark is for this site only. 3. Basis of Bearing is the North Line of the Northwest Quarter of Section 35, Township 7 North , Range 66 West being S 88t38'20" W between section corner monuments. The CQAE or his subcontractor shall independently verify the accuracy of previously used control for each construction phase. 2 .2 REQUIRED AS-BUILT SURVEYS All surveys are performed by or under direct supervision of a Colorado PLS for inclusion in the Construction Documentation Report and shall include, but not necessarily be limited to: 1 . As-built contours of pond subgrade and as-built contours of top of pond surface. 2 . As-built locations, contours and grades of all engineered surface control structures and site-wide grades. 3. Site benchmark, design survey grid system , and boundary location relative to construction . 2. 3 SUBGRADE AND TOP OF STORMWATER/LEACHATE CONTAINMENT STRUCTURE (POND) SURVEYING The CQAE will document final stormwater/leachate containment structure elevations. The surveyor, under the supervision of the CQAE, will establish vertical elevations of the structure to a tolerance of ± 0. 1 -foot as measured by appropriate surveying methods. The final slopes shall be as shown on the approved drawings. The CQAE will verify the proper thickness of the stormwater/leachate containment structure (pond) low hydraulic conductivity cohesive soil layer. Verification of the layer thickness by surveying shall be completed on a grid spacing of 50 feet or less, and at maximum 50-foot intervals along the tops and toes of sideslopes. Thickness shall be measured normal to the final slope configuration . The required minimum total thickness of this layer is 1 . 5 feet. 8 0912-04 CQAQC Plan Al Organics May 2014 2 .4 SURFACE WATER CONTROL STRUCTURE SURVEYING The as-built configuration of all constructed permanent surface water control structures shall be surveyed and mapped . These features include but are not necessarily limited to the following : 1 . Perimeter and interior run on and run off channels and berms. 2 . Drainage spreader structures. The flow line of each drainage channel shall be surveyed for horizontal and vertical location on a spacing of 50 feet or less. All turning points in the channels shall also be surveyed . Cross sections of the channels shall be surveyed every 100 feet or less of channel length to verify construction in accordance with the Design Plans and Drawings. Elevations shall be measured to the nearest 0.01 foot. Horizontal locations shall be measured to the nearest 0 . 1 foot. 9 0912-04 CQAQC Plan Al Organics May 2014 3.0 EARTHEN MATERIALS This part of the CQAQCP describes the earthen materials used in constructing the drainage structures for the facility. 3. 1 NON-GRANULAR, LOW HYDRAULIC CONDUCTIVITY SOILS (SC TO CL) This section includes the QA/QC requirements for placement, backfilling , and compaction of non-granular, low hydraulic conductivity soils used for constructing the surface water drainage berms and reshaping the stormwater/leachate containment structure. For purposes of this CQAQCP, non-granular, low hydraulic conductivity soils will generally be select sandy clay (CL) to clayey sand (SC) soils from the onsite sandy clay stockpile or from excavation within the pad and containment structure area . These soils will be used for the following : 1 . Backfilling any areas which are over-excavated . 2. Compost production and production storage area. 3. Constructing the surface water drainage berms. 4. Reshaping the stormwater/leachate retention pond and constructing a low hydraulic conductivity berm . Any field tests, soil sample locations, and survey measurements will be recorded in reports by the CQAE or his representative including locations (by site grid station ) and elevations of all field tests and laboratory sample points. In addition to on-site clayey materials that may be available, off-site materials may be imported if approved by the CQAE . Also, bentonite will be imported to the site for repair of test probe holes resulting from moisture/density testing . Perforations due to nuclear density testing shall be backfilled by using granulated bentonite compacted by hand and hydrated to achieve continuity of the compacted soil at these locations. 3. 1 . 1 Pre-construction Testing Requirements for Low Hydraulic Conductivity Soils Non-granular, low hydraulic conductivity soil placement will be performed in accordance with the Design Plans and Drawings. The Soils Testing Laboratory and/or CQAE shall document that backfilling and/or re-compacting operations are conducted in compliance with the project Design Plans and Drawings, and with this CQAQCP. 3. 1 .2 Materials of Construction Clayey soils used for construction will be taken from on-site sources. All clayey soils used in construction shall be compacted according to the Design and Construction Plans. Clayey soils used for construction of the required clayey material components will be taken from on-site stockpiles or directly from excavation area. All soils used shall 10 0912-04 CQAQC Plan Al Organics May 2014 also meet the required in-place compacted hydraulic conductivity specification presented in Table 1 . Table 1 Hydraulic Conductivity Specification In-place Hydraulic Fill Area Conductivity Compost production and product storage area 5x10-5 cm/sec Stormwater/leachate retention pond floor and berm [ -6 cm/sec Surface water drainage berms Not Applicable 3. 1 . 3 Field Testing Requirements The nuclear moisture/density field testing methods used by the Soils Testing Laboratory during construction are presented in Table 2. Table 2 Nuclear Moisture/Density Field Testing Methods Parameter Method Moisture Content ASTM D6938 Soil Density ASTM D6938 Test frequencies for performing field moisture/density tests on clayey fill soils are presented in Table 3. Field in-place moisture density tests shall be verified by laboratory testing and/or alternate field methods on a periodic basis. At least one verification test shall be performed per 30 field tests. Verification test will be ASTM2937 - Standard Test Method for Density of Soil in Place by the Drive-Cylinder Method . Alternatively, a different nuclear moisture/density device will be used to perform verification sampling . In addition , nuclear moisture/density devices shall be calibrated daily and the results of the calibration tests included in the daily field report. 11 0912-04 CQAQC Plan Al Organics May 2014 Table 3 Clayey Soil Compaction/Moisture Specifications and Minimum Field Test Frequencies Compaction/Moisture Fill Type Minimum Test Frequency Specification Surface water drainage 92% ASTM D1557 @ +2% of 1 /200 yds3 or 4 tests/acre/lift (6-inch berms optimum moisture compacted lifts) Compost production and 92% ASTM D1557 @ +2% of 1 /200 yds3 or 4 product storage area optimum moisture tests/acre/lift (6-inch compacted lifts) Stormwater/leachate 95% ASTM D1557 @ +2% of 1 /200 yds3 or 4 tests/acre/lift (6-inch containment structure optimum moisture compacted lifts) Notes: The compaction/moisture specifications may be modified as a result of further testing of the proposed materials, with CDPHE approval. 3. 1 .4 Laboratory Testing Requirements The qualified Soils Testing Laboratory will conduct periodic laboratory testing on samples from the soil borrow area and from the fill areas. The sample method used for collection of undisturbed samples from the compost production and production storage area and the stormwater/leachate containment structure shall be approved by the CQAE. Table 4 presents the minimum laboratory test types, methods, and frequencies for all non-granular soils used as fill at the site. Liner perforations due to nuclear density testing and sampling for hydraulic conductivity testing , shall be backfilled by using granular bentonite compacted by hand and hydrated to achieve continuity of the compacted soil at these locations. The CQAE shall be advised of methods of backfilling prior to conducting backfilling operations. 12 0912-04 CQAQC Plan Al Organics May 2014 Table 4 Laboratory Testing for Clayey Soils Test Method Minimum Frequency 1 /per 5,000 yds3 or change Modified Proctor ASTM D1557 in material type, whichever is more frequent 1 /per 500 yds3 or change in Atterberg Limits ASTM D4318 material type, whichever is more frequent 1 /per 500 yds3 or change in Grain Size Analyses ASTM D422 material type, whichever is more frequent 1 /per 500 yds3 or change in Unified Soil Class. ASTM D2487 material type, whichever is more frequent Hydraulic Conductivity (on remolded Proctor) 1 ASTM D5084 1 /Proctor value 1 /5, 000 cy or 2/lift, Hydraulic Conductivity ASTM D5084 whichever yields the largest (Shelby tube samples) 1 g number of tests Notes: 1 . Hydraulic Conductivity testing is required for the surface water drainage berms that contact the maximum pond footprint for the 25-yr, 24-hr storm event. 3. 1 . 5 Non Granular Low Hydraulic Conductivity Soils Acceptance Criteria The following acceptance criteria will apply: 1 . The soils will be compacted to the density specified on the Design and Construction Plans. Moisture content specifications will be met for all soils. Moisture will be maintained at least 2 percent above optimum moisture content. When moisture content is outside of the limit, measures will be taken to bring the moisture content within the specification . 2 . Any soils which do not classify as CL or SC by the Unified Soil Classification system shall be reported immediately to the CQAE . 3. A laboratory determination of hydraulic conductivity greater than 5x10.5 cm/sec for the compost production and product storage area and 1x10-6 cm/sec for the stormwater/leachate retention pond will be reported immediately to the CQAE . 13 0912-04 CQAQC Plan Al Organics May 2014 4. If a hydraulic conductivity test fails the specification , the area of the liner represented by the failing test shall be delineated by additional hydraulic conductivity testing . The delineated area represented by the failing test(s) shall be reworked or removed and replaced and retested until a representative hydraulic conductivity test of in 1x10-6 cm/sec is achieved . 3. 1 .6 Placement Criteria The non-granular, low hydraulic conductivity fill soils shall be placed with emphasis on the following : 1 . Segregation and removal of material that does not classify as (SC or CL under the Unified Soil Classification System ). 2. Removal of boulders, debris, stumps, and roots. 3. Removal of structurally weak material (i .e. , organic debris and soils that classify as silt (ML) under the Unified Soil Classification System ). Field densities and moisture contents will be measured in areas where non-granular, low hydraulic compacted clayey soil has been placed in order to document that the in-place soils are in conformance with the required specifications. Any backfilling and/or placement of non-granular, low hydraulic soils will be accomplished in accordance with the following requirements: 1 . Observed stones greater than four inches in any dimension will be removed from this material during soil homogenizing and moisture conditioning . 2. No frozen soils will be used for backfilling . Any frozen soils in the compaction work area will be removed . 3. The loose thickness of layers, (lifts) for soil compaction shall not exceed eight inches. The surface of the in-place lift shall be scarified before the next lift is placed and compacted . 4. Clayey soil compaction will be performed on properly homogenized and moisture conditioned soil so as to accomplish continuous and complete layer bonding and continuity of all soil construction joints on phase bottoms and side slopes. The maximum clod size shall be four inches in any dimension . 5. Clayey soils will be compacted to achieve the specified hydraulic conductivity. 6. Unacceptable compaction density or moisture content will be reported immediately to the COAE by the Soils Testing Laboratory. Corrective action will consist of moisture-conditioning of the soil and/or additional compactive effort as necessary. 7. Holes in the liner components resulting from testing or sample collection will be backfilled with hand compacted , hydrated bentonite. 14 0912-04 CQAQC Plan Al Organics May 2014 3. 1 .7 Excavation Base Requirements Excavations shall be observed by the CQAE prior to fill construction . The CQAE will document all excavation conditions, including , but not limited to, relative moisture content, material consistency, stability, slope configuration , and that the base area is graded according to the Design Plans and Drawings. The excavation base shall be free of loose, saturated , or frozen soils, pooled water, and unstable materials prior to acceptance by the CQAE . Proof-rolling with heavy equipment will be performed to identify any areas of undesirable material or soft soils and will be observed by the CQAE and/or the Soil Testing Laboratory. Where unacceptable excavation base surface conditions exist, the surface will be re- rolled or over-excavated to reduce the impact of such conditions. When over-excavated , the resulting depression will be backfilled with the same compacted clayey soils. Backfilling will be accomplished in accordance with the field and laboratory testing provisions of Sections 3 . 1 . 3 and 3. 1 .4. The completed and/or repaired excavation will be surveyed according to the provisions of Section 2. 0 to determine that the excavation base is in accordance with the Design Plans and Drawings. 3. 1 .8 Deficiencies and Resolution If a deficiency is discovered in the construction work, the CQAE along with the Soils Testing Laboratory will determine the extent and nature of the defect by additional testing , observation , review of data, or other appropriate means and will then inform the Owner/Operator. The Owner/Operator and the CQAE will direct the Contractor to perform the necessary corrective tasks. The Soils Testing Laboratory will retest the previously defective area as appropriate to document the success of corrective action . 15 0912-04 CQAQC Plan Al Organics May 2014 4.0 WELL AND EXPLORATORY BORING DECOMMISSIONING PROCEDURES This section of the CQAQCP deals with boreholes and completed groundwater monitoring wells drilled at the site, which are planned for decommissioning . The CQAE will be responsible for overseeing the boring and well decommissioning operations. Currently, no wells are planned for decommissioning and removal from the groundwater monitoring program . Wells completed into unconfined aquifers and unconsolidated aquifers shall be drilled out to remove the casing and shall be plugged and sealed by filling the boring to the static water level with drill cuttings, clean sand or clean gravel , then with high-yield thick bentonite grout to within five feet of the ground surface. The top five feet of the hole shall be filled with granular bentonite and hand compacted to prevent settling . Any wells or exploratory borings discovered during the excavation will be staked and decommissioned in the same manner described above. The CQAE will observe and document all well and exploratory boring decommissioning including the dates of decommissioning , methods used , volumes and types of backfill material used , drilling conditions, and any problems encountered . Appropriate decommissioning forms will be submitted , by the CQAE, to the Colorado Division of Water Resources in accordance with Colorado Department of Natural Resources, Rules and Regulations for Waterwell Construction, Pump Installation, and Monitoring and Observation Hole/Well Construction . Copies of all well decommissioning documentation will also be submitted to Weld County and CDPHE per Appendix B , Section B(2)(B)( 1 ) of the Regulations. 16 APPENDIX F RESERVED APPENDIX G DRAINAGE CALCULATIONS CALCULATION OF A PEAK RUNOFF USING RATIONAL METHOD Project Title: Al Organics - Eaton Catchment ID: Basin 1 I. Catchment Hydrologic Data Catchment ID = 1 Area = 1 .16 Acres Percent Imperviousness = 30.00 % NRCS Soil Type = B A, B, C, or D II. Rainfall Information I (inch/hr) = Cl * P1 /(C2 + Td)^C3 Design Storm Return Period, Tr = 25 years (input return period for design storm) C1 = 28.50 (input the value of C1 ) C2= 10.00 (input the value of C2) C3= 0.786 (input the value of C3) P1 = 2.00 inches (input one-hr precipitation--see Sheet "Design Info") III. Analysis of Flow Time (Time of Concentration) for a Catchment Runoff Coefficient, C = 0.39 Overide Runoff Coefficient, C = (enter an overide C value if desired, or leave blank to accept calculated C.) 5-yr. Runoff Coefficient, C-5 = 0.25 Overide 5-yr. Runoff Coefficient, C = (enter an overide C-5 value if desired, or leave blank to accept calculated C-5.) Illustration overland LEGEND Reach 1 flow Reach 2 O Beginning Flow Direction 4— Catchment Reach 3 Boundary NRCS Land Heavy Tillage/ Short Nearly Grassed Paved Areas & Type Meadow Field Pasture/ Bare Swales/ Shallow Paved Swales Lawns _ Ground Waterways (Sheet Flow) Conveyance 2.5 5 7 10 15 20 Calculations: Reach Slope Length 5-yr NRCS Flow Flow ID S L Runoff Convey- Velocity Time Coeff ance V Tf ft/ft ft C-5 fps minutes input input output input output output Overland 0.0740 . 42 0.25_ N/A 0.14 5.15 1 0.0070 600 10.00 0.84 11 .95 2 3 4 5 Sum 642 Computed Tc = 17.10 Regional Tc = 13.57 User-Entered Tc = 13.57 IV. Peak Runoff Prediction Rainfall Intensity at Computed Tc, I = 4.26 inch/hr Peak Flowrate, Qp = 1 .93 cfs Rainfall Intensity at Regional Tc, I = 4.76 inch/hr Peak Flowrate, Qp = 2.15 cfs Rainfall Intensity at User-Defined Tc, I = 4.76 inch/hr Peak Flowrate, Qp = 2.15 cfs Basin 1 UD-Rational, Tc and PeakQ 4/15/2014, 11 :03 AM CALCULATION OF A PEAK RUNOFF USING RATIONAL METHOD Project Title: Al Organics - Eaton Catchment ID: Basin 2 I. Catchment Hydrologic Data Catchment ID = 2 Area = 6.68 Acres Percent Imperviousness = 80.00 % NRCS Soil Type = B A, B, C, or D II. Rainfall Information I (inch/hr) = C1 ` P1 /(C2 + Td)AC3 Design Storm Return Period, Tr = 25 years (input return period for design storm) C1 = 28.50 (input the value of C1 ) C2= 10.00 (input the value of C2) C3= 0.786 (input the value of C3) P1 = 2.00 inches (input one-hr precipitation—see Sheet "Design Info") III. Analysis of Flow Time (Time of Concentration) for a Catchment Runoff Coefficient, C = 0.66 Overide Runoff Coefficient, C = (enter an overide C value if desired, or leave blank to accept calculated C.) 5-yr. Runoff Coefficient, C-5 = 0.59 Overide 5-yr. Runoff Coefficient, C = (enter an overide C-5 value if desired, or leave blank to accept calculated C-5.) Illustration averLand LEGEND Reach 1 . Reach 2 Q Beginning Flaw Dhrctiort i < Catrhment Reach 3 Boundary NRCS Land Heavy Tillage/ Shod Nearly Grassed Paved Areas & Type Meadow Field Pasture/ Bare Swales/ Shallow Paved Swales Lawns Ground Waterways (Sheet Flow) Conveyance 2.5 5 7 10 15 20 Calculations: Reach Slope Length 5-yr NRCS Flow Flow ID S L Runoff Convey- Velocity Time Coeff ance V Tf ft/ft ft C-5 fps minutes input input output input output output Overland 0.0190 300 0.59 N/A 0.39 12.80 1 0.0097 846 10.00 0.98 14.32 2 3 4 5 Sum 1 ,146 Computed Tc = 27.11 Regional Tc = 16.37 User-Entered Tc = 18.81 IV. Peak Runoff Prediction Rainfall Intensity at Computed Tc, I = 3.33 inch/hr Peak Flowrate, Qp = 14.75 cfs Rainfall Intensity at Regional Tc, I = 4.35 inch/hr Peak Flowrate, Qp = 19.29 cfs Rainfall Intensity at User-Defined Tc, I = 4.06 inch/hr Peak Flowrate, Qp = 18.00 cfs Basin 2 UD-Rational, Tc and PeakQ 10/9/2012, 9:41 AM CALCULATION OF A PEAK RUNOFF USING RATIONAL METHOD Project Title: Production Area - 25 yr. Catchment ID: Basin 3 I. Catchment Hydrologic Data Catchment ID = 1 Area = 14.82 Acres Percent Imperviousness = 80.00 % NRCS Soil Type = B A, B, C, or D II. Rainfall Information I (inch/hr) = Cl * P1 /(C2 + Td)AC3 Design Storm Return Period, Tr = 25 years (input return period for design storm) C1 = 28.50 (input the value of C1 ) C2= 10.00 (input the value of C2) C3= 0.786 (input the value of O3) P1 = 2.00 inches (input one-hr precipitation—see Sheet "Design Info") III. Analysis of Flow Time (Time of Concentration) for a Catchment Runoff Coefficient, C = 0.66 Overide Runoff Coefficient, C = (enter an overide C value if desired, or leave blank to accept calculated C.) 5-yr. Runoff Coefficient, C-5 = 0.59 Overide 5-yr. Runoff Coefficient, C = (enter an overide C-5 value if desired, or leave blank to accept calculated C-5.) Illustration overland LEGEND Reach 1 flow Reach 2 J O Beginning • Flow D irettio n Reach 3 Catchment Honadary NRCS Land Heavy Tillage/ Short Nearly Grassed Paved Areas & Type Meadow Field Pasture/ Bare Swales/ Shallow Paved Swales Lawns Ground Waterways (Sheet Flow) Conveyance 2.5 5 7 10 15 20 Calculations: Reach Slope Length 5-yr NRCS Flow Flow ID S L Runoff Convey- Velocity Time Coeff ance V Tf ft/ft ft C-5 fps minutes input input output input output output Overland 0.0123 300 0.59 N/A 0.34 14.77 1 0.0106 880 10.00 1 .03 14.25 2 4 5 Sum 1 ,180 - Computed Tc = 29.02 Regional Tc = 16.56 User-Entered Tc = 16.56 IV. Peak Runoff Prediction Rainfall Intensity at Computed Tc, I = 3.20 inch/hr Peak Flowrate, Qp = 31 .45 cfs Rainfall Intensity at Regional Tc, I = 4.33 inch/hr Peak Flowrate, Qp = 42.56 cfs Rainfall Intensity at User-Defined Tc, I = 4.33 inch/hr Peak Flowrate, Qp = 42.56 cfs Production Area UD-Rational, Tc and Peak° 10/9/2012, 9:42 AM CALCULATION OF A PEAK RUNOFF USING RATIONAL METHOD Project Title: Al Organics - Eaton Catchment ID: East Offsite Field I. Catchment Hydrologic Data Catchment ID = 1 Area = 13.00 Acres Percent Imperviousness = 45.00 % NRCS Soil Type = B A, B, C, or D II. Rainfall Information I (inch/hr) = Cl * P1 /(C2 + Td)^C3 Design Storm Return Period, Tr = 25 years (input return period for design storm) C1 = 28.50 (input the value of C1 ) C2= 10.00 (input the value of C2) C3= 0.786 (input the value of O3) P1= 2.00 inches (input one-hr precipitation—see Sheet "Design Info") III. Analysis of Flow Time (Time of Concentration) for a Catchment Runoff Coefficient, C = 0.44 Overide Runoff Coefficient, C = (enter an overide C value if desired, or leave blank to accept calculated C.) 5-yr. Runoff Coefficient, C-5 = 0.32 Overide 5-yr. Runoff Coefficient, C = (enter an overide C-5 value if desired, or leave blank to accept calculated C-5.) Illustration , overland LEGEND Reach 1 flay Beach 2 •' C dung Flow Direction • Catchment Reach 3 Botniary k=� NRCS Land Heavy Tillage/ Short Nearly Grassed Paved Areas & Type Meadow Field Pasture/ Bare Swales/ Shallow Paved Swales Lawns Ground Waterways (Sheet Flow) Conveyance 2.5 5 7 10 15 20 Calculations: Reach Slope Length 5-yr NRCS Flow How ID S L Runoff Convey- Velocity Time Coeff ance V Tf ft/ft ft C-5 fps minutes input input output input output output Overland 0.0100 300 0.32 N/A 0.21 24.32 1 0.0100 1 ,000 10.00 1 .00 16.67 2 3 4 5 Sum 1 ,300 Computed Tc = 40.98 Regional Tc = 17.22 User-Entered Tc = 17.22 IV. Peak Runoff Prediction Rainfall Intensity at Computed Tc, I = 2.59 inch/hr Peak Flowrate, Qp = 14.91 cfs Rainfall Intensity at Regional Tc, t = 4.25 inch/hr Peak Flowrate, Qp = 24.41 cfs Rainfall Intensity at User-Defined Tc, I = 4.25 inch/hr Peak Flowrate, Qp = 24.41 cfs East Offsite Field, Tc and PeakQ 10/9/2012, 9:41 AM Normal Flow Analysis - Trapezoidal Channel Project: Al Organics - Eaton Channel ID: P1 F E T > Yo 1 • Z1 < �2 Design Information (Input) Channel Invert Slope So = 0.0070 ft/ft Manning's n n = 0.030 Bottom Width B = 2.00 ft Left Side Slope Z1 = 4.00 ft/ft Right Side Slope Z2 = 4.00 ft/ft Freeboard Height F = 1 .00 ft Design Water Depth Y = 0.50 ft Normal Flow Condtion (Calculated) Discharge Q = 3.94 cfs Froude Number Fr = 0.60 Flow Velocity V = 1 .97 fps How Area A = 2.00 sq ft Top Width T = 6.00 ft Wetted Perimeter P = 6. 12 ft Hydraulic Radius R = 0.33 ft Hydraulic Depth D = 0.33 ft Specific Energy Es = 0.56 ft Centroid of Flow Area Yo = 0.21 ft Specific Force Fs = 0.04 kip Basin 1 Ditch UD-Channels, Basics 10/9/2012, 9:40 AM Normal Flow Analysis - Trapezoidal Channel Project: Al Organics - Eaton Channel ID: P2 F T 7 > r. I YO Y ; 1 • 1". Z1 E > 2 B Design Information (Input) Channel Invert Slope So = 0.0080 ft/ft Manning's n n = 0.030 Bottom Width B = 2.00 ft Left Side Slope Z1 = 10.00 ft/ft Right Side Slope Z2 = 10.00 ft/ft Freeboard Height F = 1 .00 ft Design Water Depth Y = 0.80 ft Normal Flow Condtion (Calculated) Discharge Q = 20.64 cfs Froude Number Fr = 0.68 Flow Velocity V = 2.58 fps Flow Area A = 8.00 sq ft Top Width T = 18.00 ft Wetted Perimeter P = 18.08 ft Hydraulic Radius R = 0.44 ft Hydraulic Depth D = 0.44 ft Specific Energy Es = 0.90 ft Centroid of Flow Area Yo = 0.29 ft Specific Force Fs = 0.25 kip Basin 2 Ditch (P2) UD-Channels, Basics 10/9/2012, 9:40 AM Normal Flow Analysis - Trapezoidal Channel Project: Al Organics - Eaton Channel ID: P3 F T Yo Y ; 1 • w 7/: ZI < > ZZ B Design Information (Input) Channel Invert Slope So = 0.0080 ft/ft Manning's n n = 0.030 Bottom Width B = 2.00 ft Left Side Slope Z1 = 4.00 ft/ft Right Side Slope Z2 = 4.00 ft/ft Freeboard Height F = 1 .00 ft Design Water Depth Y = 1 .05 ft Normal Flow Condtion (Calculated) Discharge Q = 20.82 cfs Froude Number Fr = 0.71 Flow Velocity V = 3.20 fps Flow Area A = 6.51 sq ft Top Width T = 10.40 ft Wetted Perimeter P = 10.66 ft Hydraulic Radius R = 0.61 ft Hydraulic Depth D = 0.63 ft Specific Energy Es = 1 .21 ft Centroid of Flow Area Yo = 0.40 ft Specific Force Fs = 0.29 kip Basin 2 Ditch (P3) UD-Channels, Basics 10/9/2012, 9:41 AM Normal Flow Analysis - Trapezoidal Channel Project: Al Organics - Eaton Channel ID: East Offsite Field T F 7/7>< I Yo Y ; 1 • 21 E > Z2 B Design information (Input) Channel Invert Slope So = 0.0100 ft/ft Manning's n n = 0.030 Bottom Width B = 0.00 ft Left Side Slope Z1 = 3.00 ft/ft Right Side Slope Z2 = 3.00 ft/ft Freeboard Height F = 0.00 ft Design Water Depth Y = 2.00 ft Normal Flow Condtion (Calculated) Discharge Q = 57.54 cfs Froude Number Fr = 0.85 Flow Velocity V = 4.80 fps Flow Area A = 12.00 sq ft Top Width T = 12.00 ft Wetted Perimeter P = 12.65 ft Hydraulic Radius R = 0.95 ft Hydraulic Depth D = 1 .00 ft Specific Energy Es = 2.36 ft Centroid of Flow Area Yo = 0.66 ft Specific Force Fs = 1 .03 kip East Offsite Field Ditch UD-Channels, Basics 10/9/2012, 9:41 AM Project: Al Organics Eaton Facility Phases' Pond Volume Calculations 25-year, 24-hour storm runoff coefficient CA= 0.707832 initial estimate equation RO-6 ' CA= 0.707832 final estimate equation RO-6 ' CCp= 0.764515 equation RO-7 ' i= 0.865 see narrative C B = 0.736174 equation RO-71 peak flow area (acres)= 14.82 see Plate Hi intensity (in/hr)= 3.9 see IDF curve and narrative Q (cfs)= 42.54937 equation RO-1 ' total runoff volume 25/24 rainfall (inches)= 3.2 Percipitation-Frequency Atlas of the Western United States runoff volume (cubic feet)= 126732 25-year 24-hour storm volume multiplied by runoff coefficient runoff volume (cubic yards)= 4693.765 runoff volume (acre-feet)= 2.91 100-year, 24-hour storm runoff coefficient CA= 0.707832 initial estimate equation RO-6 ' CA= 0.707832 final estimate equation RO-61 °CD= 0.764515 equation RO-71 i= 0.865 see narrative C B = 0.736174 equation RO-71 peak flow area (acres)= 14.82 see Plate H1 intensity (in/hr)= 3.9 see IDF curve and narrative Q (cfs)= 42.54937 equation RO-1 ' total runoff volume 100/24 rainfall (inches)= 3.8 Percipitation-Frequency Atlas of the Western United States runoff volume (cubic feet)= 150494 100-year 24-hour storm volume multiplied by runoff coefficient runoff volume (cubic yards)= 5573.846 runoff volume (acre-feet)= 3.45 Project: Al Organics Eaton Facility Phase 1 , Basin 3 Imperviousness Rational and Calculations Given Pad Area = 14.82 Acres Assumptions 1 ) Due to the highly compacted operations pad, very little infiltration can be anticipated. 2) Compost windrows and stockpiled feedstock will retain 100% all precipitation. 3) At all times, approximately 2 acres of the site will be covered by compost windrows and stockpiled feedstock materials (See conservative calculation of windrows below). Windrows Width = 18 Feet Length = 400 Feet Number = 12 Area = 86400 Feet 2.0 Acres i = 0.865 (estimated percent impervious) Urban Drainage Check (Figure RO-3 through RO-5) Light Industrial = 0.8 Heavy Industrial = 0.9 (86.5% impervious is within the range of light to heavy industrial, therefore the estimate is reasonable) O' N, 0 to < M e _ pi ( - _ — �►► — 'rte_' -- ;..'�--, — ►',- — ---. ► .r-+ ► �r.+. r -�O I -. C. . til -rte.• p._......_— __ I I _,1 .�.. 1_ cc x WO � ^ N t - - ^' 4.-. "`• i %� a%� r- I � • I --�: y`: I'+! 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Ml SRI 1'•1u' \ 0012-04 1 el 2 ,! • \, •4 •\ -1141, . 16350 WELD COUNTY ROAD 76 ,; , EATON. COLORADO 80615 (303) 454-3482 orgarnos d -- - KRW CONSULTING, INC. 8000 W. 14th AVENUE. stint 200 ` LAICEVF(303) 239 COLORADO 80214 APPENDIX H GROUNDWATER MONITORING PLAN GROUNDWATER MONITORING PLAN Al ORGANICS EATON ORGANIC RECYCLING FACILITY Prepared For: Al Organics Eaton Organic Recycling Facility 16350 WCR 76 Eaton, CO 80615 Prepared by: KRW Consulting, Inc. 8000 W. 14th Avenue, Suite 200 Lakewood, CO 80214 s ,,....9.o I, OW P4 �• A;�.ti�, �►, Michae J . retti, P. E. �'`�:�`� ►� Principal Engineer : • , Is ' Project No. 0912-04 4. �‘i‘‘F AL =� Date: October 10, 2012 S^- Revised May 2014 Table of Contents 1 . 0 Introduction 1 2 . 0 Analytical Parameters 2 3 . 0 Sample Collection and Handling 3 4 . 0 Monitoring Schedule and Frequency 4 5 . 0 Statistical Tests 6 6 . 0 Data Evaluation and Reporting 8 Bibliography 10 List of Plates Plate 1 : Existing Conditions Plate 2 : Phase 1 Site Plan List of Appendices Appendix A: Well Logs Appendix B : Accutest Quality Systems Manual , March 23 , 2012 Appendix C: Presampling Checklist and General Groundwater Sampling Protocol Appendix D : Monitoring Well Sampling Protocol Appendix E : Field Data Sheet, Chain of Custody Form , Guidelines and Examples 1 .0 INTRODUCTION This groundwater monitoring plan is intended to be a "working" document that is adapted as needed to reflect specific regulatory, technological , or operational changes . Plates 1 and 2 illustrate the monitoring well locations, (MW- 1 through MW-5A) on the existing conditions and the Phase 1 site plan . Well logs of all existing monitoring wells are included in Appendix A. Each version of this groundwater monitoring plan will be reviewed and signed by a qualified groundwater scientist. 1 2.0 ANALYTICAL PARAMETERS Water quality parameters as required by the Colorado Department of Public Health and Environment (CDPHE ), Hazardous Materials and Waste Management Division will be included in the minimum requirements for analyses at the composting facility. The parameters that will initially be monitored at the site (i .e. , background groundwater monitoring parameters) will consist of the detection monitoring parameters listed in Appendix 1A and 1B located in Appendix B of the Regulations Pertaining to Solid Waste Sites and Facilities, 6 CCR 1007-2 (Regulations) as augmented by the addition of all specific water quality parameters that are appropriate for the waste streams to be accepted by the facility. These parameters will be analyzed using appropriate methods described in the Test Methods for Evaluating Solid Waste, Physical/Chemical Methods, SW-846 , as amended . The quality assurance and quality control manual (Quality Systems Manual ) for Accutest, the laboratory that performs the required testing , is included in Appendix B . Each revised Quality Systems Manual shall be submitted to Weld County and CDPHE and subsequent manual revisions shall be subject to approval by Weld County and CDPHE . 2 3.0 SAMPLE COLLECTION AND HANDLING Sampling of the monitoring wells shall be conducted in a consistent manner in accordance with EPA accepted sampling procedures. The attached presampling checklist, guideline sampling procedure and sampling protocol (Appendices C and D) will be used to ensure the collection of representative groundwater samples . The Chain-of-Custody protocol provided in Appendix E shall be followed for all sample handling and shipping . Example forms have been included in Appendix E for reference . Samples shall be preserved as appropriate based on the parameters to be evaluated in accordance with EPA SW-846 , as amended . 3 4.0 MONITORING SCHEDULE AND FREQUENCY Monitoring wells to be initially included in the detection monitoring program are wells MW- 1 , MW-4 and MW-5A (well logs are presented in the Hydrogeological Report, Appendix B of the EDOP). MW-1 and MW-4 are down-gradient of the Phase 1 work pad and the low point of the Phase 1 retention pond , respectively. MW-5A is up-gradient of Phase 1 and will be monitored to establish baseline geochemistry. The background groundwater monitoring program will establish background concentrations per Appendix B4(B ) of the regulations . These wells will be monitored on a quarterly basis for a minimum of eight sampling events and will be analyzed for constituents listed in Appendices 1A and 1B of the regulations, including all specific water quality parameters that are appropriate for composting operations. After background groundwater quality has been established , the list of groundwater monitoring parameters may be modified upon approval by CDPHE and Weld County; however, the following cations and anions will not be removed from the parameter list: Cations — Calcium , Magnesium , Sodium , and Potassium 4, Anions — Bicarbonate/Carbonate , Sulfate , Chloride Background sampling for wells MW- 1 , MW-4 and MW-5A has been ongoing and will be completed (8 samples obtained for each well ) as follows: MW- 1 : 5 background samples have been obtained and 8 samples will have been collected by August 2014 MW-4: 4 background samples have been obtained and 8 samples will have been collected by November 2014 MW-5A: 2 background samples have been obtained and 8 samples will have been collected by May 2015 . Quarterly sampling at the facility will be completed in the months of February, May, August, and November of each year. Once 8 background samples for each well , MW-1 , MW-4, and MW-5A, have been obtained , baseline geochemistry will be established for each well . Additionally, on a biannual basis, monitoring wells MW-2 and MW-3 will be analyzed for the same parameters as wells MW- 1 , MW-4 and MW-5A. Following sampling and analysis , the groundwater results will be reviewed for detection of a constituent suspected of demonstrating a statistically significant increase (SSI ) above background concentration . Within 30 days of completion of sampling and analysis, the 4 facility will determine if a SSI exists , and if a SSI is determined , the facility will notify Weld County and CDPHE within 14 calendar days of this finding . Within 90 days, the facility will perform verification sampling to confirm a suspected SSI . These notification procedures will be followed for suspected SSIs and verified SSTs. Verification sampling will be conducted at a point of compliance well on the quarter following detection of a constituent suspected of demonstrating a SSI above background concentration . A constituent qualifies as a suspected SSI if the measured concentration exceeds a control limit provided by the chosen statistical analysis pursuant to Section B3 (G ) of Appendix B to the Regulations Pertaining to Solid Waste Sites and Facilities (HMWMD , 2008 ). However, verification sampling is not necessarily conducted when initial monitoring results are qualified by presence of the parameter in a trip or equipment blank sample , reported concentration below the practical quantification limit (PQL), or other laboratory qualifier. One such qualifier is a "J-flagged" result, which indicates the associated value is an estimated quantity because the concentration was detected at a value between the method detection limit (MDL) and PQL . A suspected SSI will be verified as an SSI when verification sampling confirms a concentration above control limits and no source other than the facility can be identified (pursuant to Section B4 (C) of Appendix B ; HMWMD , 2008). Alternatively, in accordance with Section B4 (C)(3), an Alternative Source Demonstration (ADC) will be demonstrated . Al Organics will attempt a clean closure at the end of the useful life of the facility. If the clean closure is successful , Al will request a waiver from post-closure groundwater monitoring . The monitoring plan will be evaluated periodically based on the groundwater data collected . Modifications to the plan will be made as appropriate and in compliance with CDPHE requirements based on these evaluations. The number, spacing , and depths of groundwater monitoring systems will be certified by a qualified groundwater scientist per Appendix B2(C)(2 ) of the Regulations. The monitoring wells will be cased in a manner that maintains the integrity of the monitoring well bore hole , in accordance with Appendix B2(B ) of the Regulations . A- 1 Organics will document the design , installation , development and decommissioning of all monitoring wells, piezometers and other measurements , sampling and analytical devises . 5 5.0 STATISTICAL TESTS All statistical tests should be performed using the appropriate statistical software . One such software is SanitasTM , which is based on the methods described by Gibbons (Gibbons , 1994) , Gilbert (Gilbert, 1987), Hollander ( Hollander and Wolfe , 1973) and Environmental Protection Agency (EPA, 1989; EPA, 1992 ). Prior to establishing background ranges for baseline conditions, all data should be visually screened for outliers that are far outside the normal range of the dataset. These high- magnitude outliers should be flagged and evaluated . Outliers identified by statistical methods will be appropriately addressed and determinations to remove outliers will be based on principles as outlined by the EPA March 2009 Statistical Analysis of Groundwater Monitoring Data at RCRA Facilities, Unified Guidance to avoid false-positive readings. Any other suspected outliers can be evaluated using either Dixon 's or Rosner's outlier test (Gibbons, 1994). The Dixon test provides a method of screening for outlier concentrations for data sets with 25 or fewer measurements . The method is iterative . For each iteration the highest or lowest outlier value is revealed . The next iteration is performed on the remaining values . Iterations continue until no data are shown to be outliers. In each iteration , the highest and lowest critical values are calculated using a formula selected based on the number of data not yet shown to be outliers (Gibbons, 1994). Rosner's test is a procedure for detecting up to 10 outliers in datasets with 25 or more measurements. The data (or transformed data) must follow a normal distribution . Rosner's test is two-tailed , meaning it will detect either suspiciously large or suspiciously small data . Some statistical methods used for comparing current groundwater conditions to background (such as parametric Shewhart-CUSUM control charts) require the background data follow a normal distribution , and the data may be transformed in order to achieve normal distribution . In such cases, data for each well can be evaluated for normality using the Shapiro-Wilk method (Gilbert, 1987) for sample sizes less than 50 and the Shapiro-Francia method ( EPA, 1992 ) for sample sizes greater than 50 . Statistical software can be configured to automatically transform the data following the Ladder of Powers (i .e . X1/2, X2, X113, x3, natural log , x4, x5, x6) until the transformed data fit a normal distribution . If the background data cannot be normalized , a parametric test is not valid and instead a non-parametric method might be used to determine whether the compliance data is different from the background . 6 An exceedance exhibited by a parameter during a statistical evaluation is labeled as a suspected SSI over background , and is only confirmed as an SSI if verification sampling during the next regularly scheduled sampling event confirms the exceedance. If the verification sample does not confirm the exceedance , the exceedance is labeled as an outlier and is no longer considered a suspected SSI . Nondetect values are normally assumed to equal one-half the Reporting Limit (RL) for use in statistical analyses, calculation of the historical mean and standard deviation (EPA, 1989) . Cohen's Adjustment can be used when the percentage of non-detects in background are between 15% and 50% . Seasonality should be evaluated when at least four samples have been collected from each season . Where seasonality is suspected , data can be tested using the Kruskal- Wallis Test as described by EPA ( EPA, 1992 ) . If seasonality is detected , the data should be deseasonalized prior to performing statistical tests , as described by EPA (EPA, 1989). Volatile organic compounds (VOCs) are traditionally not analyzed using statistical methods during detection monitoring . However, the wells should be screened for VOC detections , which can be performed in several ways. First, VOCs can be screened for detectable concentrations and second , VOCs can be screened using the ` Double Quantification Rule' , which identifies VOC constituents that have been detected on two consecutive sampling events. If all VOCs pass the ` Double Quantification Rule' (DQR), it is assumed that no VOCs are impacting groundwater. If VOCs are identified by the DQR, then those VOCs might qualify as confirmed SSIs if no source other than the facility can be identified (pursuant to Section B4 (C) of Appendix B ; HMWMD , 2008). 7 6. 0 DATA EVALUATION AND REPORTING Groundwater monitoring reports will be prepared for each monitoring event presenting an evaluation of the sampling and analytical data . The reports shall include , but not be limited to : 4 Statistical analysis of groundwater monitoring constituents, as applicable 4 An evaluation of the groundwater levels E A discussion on deviations from standard professional practice , if any E Significant events that may have impacted sampling results due to site conditions, sampling , or analytical efforts 4 Recommendations and the estimated schedule for the next sampling event schedule E Copies of the laboratory analytical reports submitted in their entirety 4 Site maps and appropriate figures including a plan view illustration of the potentiometric surface relative to the groundwater monitoring network Well tables that, at a minimum , include well depths, top and bottom of screen elevations , top of casing elevations , ground elevations, measured groundwater elevations, and the elevations at which each sampling pump was set during sampling (if used ) E Monitoring well inspection documentation 4 Sample chain of custody documentation Copies of field sheets. The reports shall be submitted to Weld County and CDPHE within sixty (60) days of Al Organics' receipt of the applicable laboratory analytical reports. A statistical analysis will be employed consistent with CDPHE regulations, as appropriate, for the ongoing analysis of the geochemical data . Samples will be analyzed in accordance with one or more of the methods identified in Part 1 , Appendix B , Section B3(G ) of the Regulations to determine if the changes are statistically significant. Reporting will include an assessment of whether a statistically significant increase over background has occurred . The points of compliance (down-gradient wells MW-1 and MW- 4) are shown on Plates 1 and 2 . The monitoring reports will be submitted to the Colorado Department of Public Health and Environment and to the Weld County Health Department. As required by Section 2 . 1 . 18 of the Regulations, Al Organics shall notify CDPHE and Weld County of releases or potential releases in writing within ten ( 10) days of observing or becoming aware of a substance containing a parameter identified in the detection monitoring program that is likely to cause a statistically significant increase over background . As required by Appendix B4(C)( 1 ) of the Regulations, Al Organics shall place documentation in the facility operating record indicating which constituents have 8 shown statistically significant changes from background levels and forward the documentation to CDPHE and Weld County within 14 days of determining that there is a statistically significant increase over background for one or more of the constituents listed in the detection monitoring program . 9 BIBLIOGRAPHY EPA, 1989 , Statistical Analysis of Ground-Water Monitoring Data at RCRA Facilities: Office of Solid Waste Management Division , U . S . Environmental Protection Agency EPA/530-SW-89-026 , April 1989 . EPA, 1992 , Statistical Analysis of Ground-Water Monitoring Data at RCRA Facilities, Addendum to Interim Final Guidance : U . S . Environmental Protection Agency, July 1992 . EPA, 2009 , Statistical Analysis of Groundwater Monitoring Data at RCRA Facilities, Unified Guidance , EPA 530/R-09-007, March 2009 Gibbons , R . D . , 1994, Statistical Methods for Groundwater Monitoring : Chicago , John Wiley & Sons, Inc. , 286 p . Gilbert, R. O . , 1987 , Statistical Methods for Environmental Pollution Monitoring , New York, Van Nostrand Reinhold , 320 p . HMWMD , 2008, Regulations Pertaining to Solid Waste Disposal Sites and Facilities, 6 CCR 1007-2 : Colorado Department of Health Hazardous Materials and Waste Management Division 6 CCR 1007-2 . 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MW-1 _ Page 1 of 1 CLIENT ENGINEER Al Organics Jason Komes SITE PROJECT Eaton, Colorado Al Organics SAMPLES TESTS WELL ii -J DESCRIPTION DETAIL m d 0 4 1!4 i n ci M w cn o_ w E BOREHOLE DIA.: w > z a. WELL DIA.: 2 in H U CD a }- p t Z Q TOP OF CASING: 104 n Q w 0 GROUND SURFACE ELEV.: 100 ft 0 D z ~ rt a. co 5- O Q c. ti.. `- 0.5 6" TOPSOIL 99.5 SILTY SAND — vi Light Brown, dry _ _ -. 1 — f . , 4 9S 1 tt SILTY SAND wall CLAY -- • i Light Brown, dry 5_ 1 ___, a 9 91 1 J SILTY CLAY WITH GRAVEL Light Brown, moist • 102 • 1 ' Interbedded clayey silt encountered ' from 14' to 19' color change to very light — brown observed 15_ a - 19 81_ . at SILTY CLAY WITH COBBLES — 1 Light Brown, moist 20 - 1 s , 1 25.5 74.5 25 BOTTOM OF BORING 1 e c: s . W The stratification lines represent the approximate boundary tines ,I between soil and rock types: in-situ, the transition may be gradual. ` WATER OBSERVATIONS, ft BORING STARTED 5-3-04 WL 4. 23 WD r BORING COMPLETED 5-3-04 i, WL_ 2 RIG CME-55 FOREMAN JCK erracon WL Initial Water Level Reading rels APPROVED `DAR JOB # 21047003, r Project Name/Number: A- 1 Organics 9412-04 Boring No.: MW- 2 Project Location: Eaton Logged By: D. Peak Date: June 3, 2011 Sheet: 1 of 1 U m 8 a o 2. 43' Riser with locking cap g and concrete cap at base 0-1 ' Topsoil - - , - 0-3' bentonite chips _ — 1 -5.5' Clay, sandy, soft, brown, very moist to — — L wet. (CL— SC). -_ 3-4' granular bentonite grout 5 - - — : U 5 -- 0-4' 2"0 thread joint, PVC ...1:::,.-q- Eo.: NJ _— 10 ".: � 10 —:''` . 5.5- 19' Sand and gravel, loose, red, brown, - :;�.a black, wet. (GM)(Fine sand with gravel 10-11 '). -'``" ''' 5- 20' 2"0 thread joint, PVC, .010 `- slot screen 15 E 15 ;:.:; — —..-'ku N . —;;: c .. __j?. r •-•' thread joint bottom cap 19- 21 ' Clay, slightly sandy, soft dark gray with ` 20 coal and iron lenses, moist. (CL) 20 N � .. 1 S t 4-25' 10/2O silica sand 21 - 25' Claystone bedrock, very hard, dark gray, _ .:;.:;.:. -..::� / brown, moist. 25 25 - T.D. 25' - T.D. 25' 30 30 35 35 40 40 45 45 50 50 55 55 60 60 - TOR = TOP OF RISER - / Hollow stem auger Well Elevations: ground: 4852. 52', TOR: 4854.95' Rig Type/Drilling Method: CME 75 8 Hole Diameter/Sampling Method: '/split spoon KRW CONSULTING, INC. Project Name/Number: A- 1 Organics 9412-04 Boring No.: MW- 3 Project Location: Eaton Logged By: D. Peak Date: June 3, 2011 Sheet: 1 of 1 a C 8 o, at' 2. 53' Riser with locking cap V) and concrete cap at base 0-4' Sand, clayey, loose, brown, moist. 0-15' bentonite chips ;..:� _ . J h - r :. 5 N :� 5 4-9' Sand, slightly silty, loose, light brown, - N ~ moist. (SW) ` ` V/ r _ V r N 0- 19' 2"0 thread joint, PVC 10 rn 10 y N / \ '1 - -, 4. 01 - 9-20' Sand, very clayey, loose, light brown , - 15 moist to wet. (SC) 15 - _- 15- 17' granular bentonite grout N ,_ T 20 sx, 20 J; 20-23' Sand, slightly silty, loose, light brown,wet. -.=: 17-34' 10/20 silica sand co — — N -.S. . .. _, 25 C.,.,_ 19- 34' 2"b thread joint, PVC, . 010 N 23-29.5' Sand and gravel, loose, red, brown, _.: r slot screen ' "x f;" ccr black, wet. (GM) r L _ — N - - 30 N - 30 — - CV V - 29.5-34' Clay, sandy, soft, light brown with - . . �� pockets of gray. (CL) J . thread joint bottom cap c,, r `N r 35 T.D. 34' 35 - T.D. 34' 40 40 45 45 50 50 55 55 TOR = TOP OF RISER - 60 60 Rig Type/Drilling Method: CME 75 / Hollow stem auger Well Elevations: ground: 4864. 87', TOR: 4867.37' Hole Diameter/Sampling Method: 8"/split spoon KRW CONSULTING, INC. Project Name/Number: A-1 Organics 9412-04 Boring No.: MW- 4 Project Location: Eaton Logged By: D. Peek, C. Hollister Date: August 10, 2012 Sheet: 1 of 1 a m p O.e 2. 52' Riser with locking cap, a -I J— plug and concrete base -- 0-10' bentonite crumbles. % • ' 0- 18' Sand, slightly clayey, loose, light brown, _ 5 moist, organics to 4'. (moist to very moist with 5 N ,i'::;:. — increased clay at 12') ;: 0- 10' 2"0 solid PVC 10 N 10 , :a. .— 12' Moist to very moist, more clay. •: 10- 18 silica coarse sand CO :.P .i. :.:.i'_ .- . : 15 15 ' �`<. CD .: 20 N 18- 22' Clay, slightly sandy, moist, soft, grey. 20 —;,`' * ��--`Y� 0 22'. ' 18-34' 10/20 silica sand co 25N 22-34' Sand, clayey to very clayey, loose, very 25 —`11 10-30' 2"0 thread joint, PVC, .010 — :_ ': slot screen co moist to wet, light brown. (Black organics at • _ .:. N r 30 30 —, ''.,: - 30-34' 2"0 solid PVC bottom cap 34' Organics (coal) at 34'. 35C - T.D. 34' 35 - T.D. 34' in 40 40 45 45 O WATER LEVEL AT TIME OF DRILLING. _ 50 50 _ 18/12 INDICATES THAT 18 BLOWS OF A 140 _ V POUND HAMMER FALLING 30 INCHES WERE A REQUIRED TO DRIVE A 2.5 INCH O.D. 55 SAMPLER 12 INCHES. 55 - TOR = TOP OF RISER - 60 60 / Hollow stem auger Well Elevations: ground: 4855.29', TOR: 4857.81 ' Rig Type/Drilling Method: CME 55 Hole Diameter/Sampling Method: 8 /split spoon KRW CONSULTING, INC Project Name/Number: A-1 Organics 9412-04 Boring No.: MW-5 Project Location: Eaton Logged By: D. Peek, C. Hollister Date: August 10, 2012 Sheet: 1 of 1 a c p L T €a 2. 75' riser with locking cap a 3 and concrete at base :,:. 0-2' Sandy, ravel) loose, moist, light brown L gravelly, g 0-10' bentonite crumbles. 5 N X--7 2-9' Clay, sandy, silty, soft, loose, very moist, 5 N light brown — -... - 9' 0- 10' 2"0 solid PVC 10 1.-.2.) 2 Y: 10 , 03 - 9-14' Sand, slightly silty with interbedded - -^'' =.'� gravelly material, wet, light brown _ 10-24' 10/20 silica sand 15 � X 15 S - 14-19' Claystone bedrock, sandy, dense, moist, �< _ :t 10-20' 2"� thread joint, PVC, .010 light brown _ slot screen 20 - H'-, _ 20 c\J - to 19-24' Sandstone bedrock, clayey, very hard, ` 20- 24' 2"o solid PVC _ = moist, light brown _ `' bottom cap � 25 N X _ T.D. 24' 25 _ T.D. 34' N M - - 30 30 35 35 - Y WATER LEVEL AT TIME OF DRILLING. 40 40 _ 18/12 INDICATES THAT 18 BLOWS OF A 140 _ V POUND HAMMER FALLING 30 INCHES WERE - A REQUIRED TO DRIVE A 2.5 INCH O.D. 45 _ SAMPLER 12 INCHES. 45 - - TOR = TOP OF RISER - 50 50 55 55 60 60 / Hollow stem auger Well Elevations: ground: 4859.81 ', TOR: 4862. 56' Rig Type/Drilling Method: CME 55 8 /s Hole Diameter/Sampling Method: plit spoon KRW CONSULTING, INC. Project Name/Number: A-1 ORGANICS 9412-04 Boring No.: MW-5A Project Location: EATON Logged By: D. PEEK, J. HESS Date: JUNE 20. 2013 Sheet: 1 of 1 m8 — _ I 1a a1 30„ 34" 4 J O C7 , - 0'- 3. 75' 10/20 silica sand 0-10' 2"0 solid PVC N _.r_° - 3. 75'-4.5' hydrated bentonite 5 z' ' : - - 0'-9' Sand, brown first 6', moist 5 —::.l chips 4.5'-24.5' 10/20 silica sand r 577, V_ .J , - z - 4.5'- 24.5' 2"0 thread joint, PVC, 15 _ ::- 9'-23" Sand, clayey to clay sand, more clayey 15 —�:• .020 slot screen - ._ ._ with depth, brown to dark brown, moist to wet. �. . ;_:= - Clean sand seams (SP) '9. 5 below ground - = - surface. (Isolated sand seams) - - 20 20 — _t - •z_ K,....: . _ 23'-24.5' (Stiffer bore) Claystone, weathered to _ bottom cap g gray _ _ hard, moist, brown, oran e and ra 25 T.D. 24. 5' 25 T.D. 24.5' 30 30 35 35 40 40 45 45 _ O WATER LEVEL AT TIME OF DRILLING. _ 50 50 _ 18/12 INDICATES THAT 18 BLOWS OF A 140 _ XPOUND HAMMER FALLING 30 INCHES WERE REQUIRED TO DRIVE A 2.5 INCH O.D. 55 SAMPLER 12 INCHES. 55 - Notes: 1 . Water level immediately after bore: 12.90' below top of casing. 60 60 2. This well replaces well mw-5 / Hollow stem auger Well Elevations: ground: 4860.42', TOC: 4862.87' Rig Type/Drilling Method: CME 75 Hole Diameter/Sampling Method: 854 SPLIT SPOON KRW CONSULTING, INC. APPENDIX B ACCUTEST QUALITY SYSTEMS MANUAL, APRIL 24, 2013 APPENDIX C PRESAMPLING CHECKLIST General Sampling Checklist o 2 or 3 Mason Jars o Fuel up Sample Truck ❑ 2 — 5 Gallon Buckets o Check Weather at Site o 1 — 2 Gallon Bucket a Sample Instruction Folder ❑ Nylon Rope a Basket for Rope o Bailers ❑ Cash o pH, Conductivity, Temp Meter o Decon Brush o Latex Gloves o Past Data Folder o Liqui-Nox Soap o Custody Seals o DI Water a Well Logs o Well Sounder ❑ Bolt Cutter o Calculator o Enough Trip Blanks? o Field Book a Portable Radio o Marking Pens o Packing Materials o Well Volume Calculations ❑ Strapping Tape o Sample Bottles and Labels o Clear Tape o Extra Batteries for Instruments o Parameters List o Calibration Solutions o Ice Containers and Ice o 1 Gallon Baggies for Crushed Ice o Chain of Custody Forms o Sample Forms o Updated Map o State Map o Shovel (in winter) o Crescent wrench for Nitrogen o Lock Lubricant o Ratchet Set (9/16") o Paper Towels o Keys to Wells o Keys to Site o Gas Meter with Fittings o Magnetic Locator o Trash Bags o Drums o Cones o Chargeable Supplies List o Laptop (Summit sump download) APPENDIX D MONITORING WELL SAMPLING PROTOCOL Page 1 Eaton Organic Recycling Facility Groundwater Monitoring Plan February 2014 EATON ORGANIC RECYCLING FACILITY MONITORING WELL SAMPLING PROTOCOL A. MEASUREMENT OF STATIC WATER LEVEL Static water level measurements will be obtained at each well with an electronic water level indicator, as part of routine monitoring activities. Groundwater elevations shall be measured in each well immediately prior to pumping or bailing , each time groundwater is sampled . Water level measurements will be determined from a surveyed measuring point at the top of the well casing and will be measured with an accuracy of 0.01 feet. Table 1 summarizes ground surface and top of casing elevations for each well . Table 1 Monitoring Well Elevations1 Ground Casing Stickup/ Well Surface Measuring Point Horizontal Coordinates Elevation Elevations2 40° 32' 08. 80" N MW- 1 4856.62 2 .75'/4859.35 104° 44' 42. 082" W 40° 32' 08.29" N MW-2 4852 .5 2 .43'/4854. 93 104° 44' 51 . 94" W 40° 32' 19.41 " N MW-3 4864.9 2 . 53'/4867.43 104° 44' 41 . 15" W 40° 32' 06.77" N MW-4 4855.29 2 . 52'/4857.81 104° 44' 42. 35" W 40° 32' 18.68" N MW-5 4859. 81 2 . 75'/4862.56 104° 44' 56. 39" W 40°32' 18. 52"N MW-5A 4860.42 2 .4574862. 87 104°44'52 .86"W Notes 1 ) Elevations in feet above mean sea level (Elevation Benchmark: Northeast property corner, being a 3.25" Aluminum cap in range box. Elevation = 4868.33'). The vertical coordinate of this benchmark was determined by GPS, site-specific observation and was not tied into any geodetic network or local benchmark. This benchmark is for this site only. 2) Measured at north side of casing Page 2 Eaton Organic Recycling Facility Groundwater Monitoring Plan February 2014 B. GROUNDWATER SAMPLE COLLECTION Groundwater sampling consists of groundwater sampling equipment decontamination , sample collection , and documentation of sample collection . Decontamination of Groundwater Sampling Equipment The water level indicator cable and probe will require decontamination before each use. Procedures to decontaminate the instrument will be as follows: a. Wear new and clean disposable gloves. b. Saturate a clean , paper towel in halves with a laboratory detergent (e.g . Alconox) potable water mix on one half and distilled water on the other half. c. Wipe the cable as the probe is rewound onto the spool with the paper towel allowing the Alconox saturated half to come in contact with the cable first. d . Rinse probe with Alconox-water mix, followed by a final rinse with distilled water. e. Properly dispose of all used gloves and paper towels. The method by which the water level data will be acquired is as follows: a. New and clean disposable gloves will be worn . b. Water levels will be measured from the measuring point at each well . The elevation , relative to mean sea level , of the measuring point has been determined by utilizing local bench marks and survey instruments. c. The sampler's name, the date, and the time of measurement will be recorded in a logbook or monitoring form . d . The depth to water to the nearest 0. 01 foot will be measured by lowering the water level probe into the well . Sample Collection Bottles, Holding Times, and Quantity of Sample Plastic bottles are to be made out of polyethylene. Both the plastic bottles and the glass bottles need to have screw caps. All bottles are to be thoroughly cleaned before the sample is placed in them (laboratory provided clean containers are generally used ). Those sample bottles used for parameters requiring acidification may already have the acid in them , provided by the laboratory. Do not throw the acid out of the bottles. Equipment and trip blanks, as provided by the laboratory, should be used during the sampling events for quality control purposes. Sample bottles are to be labeled . The label is to be affixed to each sample bottle with the following information : 4 Location or identification of the sample site, i .e. , MW- 1 or MW-2, etc. 4 Date and time of collection 4 Name of sampler Page 3 Eaton Organic Recycling Facility Groundwater Monitoring Plan February 2014 Type of analysis to be performed on the sample. A logbook or a log form will be maintained to record the sampling procedure. The logbook/form will allow space to log readings for the field parameters of temperature, pH , and conductivity. In addition , the field testing procedure will include the time the sample was collected and the volume of water removed during each phase of sample collection . Space will be available for a physical description of the sample; i .e. , whether the sample was clear/turbid , what color in the sample(s) (if any) was noted , any distinctive odor(s), etc. In addition to the above information , the logbook/form will allow space for the following information : a Location/Identification of sample site Date and time of sample collection Name of sampler Sample collection method and equipment Depth to static water level measured from the "measuring point" Total well depth Unusual characteristics of the sample or the purging process Well purging details. Collection of Groundwater Samples Prior to initiating groundwater sampling activities, the monitoring person or personnel shall calibrate all field test equipment and decontaminate all equipment used to obtain a groundwater sample. Samples will be collected with a bailer. If disposable bailers and associated rope are not used, dedicated equipment will be thoroughly cleaned with a laboratory detergent, like Alconox or equivalent, followed by several rinses with deionized water. If the sampling equipment has been badly contaminated , the equipment will be cleaned with a soft brush and water/detergent wash prior to the deionized water rinses. Purging of each well will be accomplished with a bailer. During the purging process, temperature, pH , and conductivity will be measured , as appropriate. The measured temperature, pH , and specific conductivity are to be entered onto a log or sampling form . After approximately three casing volumes are removed , a groundwater sample will be collected once there is stabilization (within 10% ) between the most recent sample and the previous reading . If the meter readings for temperature, pH , and conductivity do not stabilize, field personnel need only remove five casing volumes before collecting a groundwater sample. Pursuant to the Colorado Department of Public Health and Environment (CDPHE) detection monitoring requirements, groundwater collected from the monitoring wells will be analyzed for the Appendix 1A and Appendix 1B constituents listed in the CDPHE Regulations Pertaining to Solid Waste Sites and Facilities (6 CCR 1007-2, Part 1 ) as supplemented by all specific water quality parameters that are appropriate for the waste streams to be accepted by the facility. The field personnel will obtain the required sample bottles from the laboratory that is performing the Page 4 Eaton Organic Recycling Facility Groundwater Monitoring Plan February 2014 analyses. All samples are to be iced in a cooler until they are delivered to the analytical laboratory. Method A for Sample Collection This method is to be utilized for those wells that produce a sufficient volume of water and have a rapid recovery rate. 1 . Prior to purging/sampling , all test equipment used in the field will be calibrated according to manufacturer's specifications. All equipment calibration data will be entered into a field logbook or log form . Clean all field test equipment and groundwater sampling equipment. 2. Purge the well water into a collection container to be able to measure and record temperature, pH , and conductivity. Continue purging until the stagnant water in the casing has been replaced by formation water. This is best determined by logging the temperature, pH , and conductivity readings. After approximately three casing volumes have been removed from the well and once the most recent reading is within 10% of the previous reading for each individual field parameter, a groundwater sample will be collected . If the field parameters do not stabilize, a minimum of five casing volumes will be removed from the well prior to collecting a groundwater sample. 3. In using a bailer to purge the well and to collect the groundwater sample, the bailer is to be lowered into the well to the sample depth . The sample depth is typically approximately one-foot above the bottom of the well . Taking a sample at this depth should avoid undue amounts of sediments in the sample and prevent sediment interfering with closure of the bailer valve. The well should be purged by bailing from near the bottom of the well . At the start of bailing activities, collect a "throw-away" sample to determine temperature, pH , and conductivity (field parameters) . Record the values and the volume bailed . After approximately one casing volume of water has been bailed from the well , collect another "throw-away" sample for field parameter measurements and record values and volume bailed . Continue this procedure until approximately three casing volumes have been removed and the parameters are within 10% of the previous reading (stabilized ) for each parameter. At this time, the field person will collect a sample. If the field parameters do not stabilize, a minimum of five casing volumes will be removed from the well prior to collecting a groundwater sample. 4. Prevent sampling equipment from coming into contact with the ground or a potentially contaminated surface. Page 5 Eaton Organic Recycling Facility Groundwater Monitoring Plan February 2014 5. The bailer should be lowered slowly through water column until the bottom of the bailer reaches the sample depth . The bailer should be raised to the surface and the sample transferred to sample containers with minimal agitation and contact with the atmosphere. The sample should be allowed to flow down the side of the receiving container and not allowed to cascade onto the bottom of the container. 6. Samples are to be stored on ice in an ice chest pending delivery to the laboratory. Method B for Sample Collection This method describes procedures to be performed when the monitoring well(s) are low yielding . A low yielding well is one that is capable of recharging within three hours. This sampling procedure includes the following : 1 . Prior to purging/sampling , calibrate all test equipment used in the field according to manufacturer's specifications. Enter all equipment calibration data into a field logbook or log form . Clean all field test equipment and groundwater sampling equipment. 2 . Purge the contents of the well into a container to determine the temperature, pH , and conductivity of the water that has seeped into the well . 3. Purge the well until it is dry. 4. Collect another throw-away sample to determine temperature, pH , and conductivity after the well has recharged to a level sufficient for sample collection . Record these values. Once the well has fully recharged , collect samples for analysis. 5. After the last groundwater sample is collected , again take a throw-away sample to determine the temperature, pH , and conductivity. Record these values for comparison to the other two sets of values. Method C for Sample Collection This method describes procedures to be performed when the monitoring well(s) are very low yielding . A "very low yielding" well is one whose time of recharge for sampling is greater than three hours and less than 24 hours. This sampling procedure includes the following : 1 . Prior to purging/sampling , calibrate all test equipment used in the field according to manufacturer's specifications. Enter all equipment calibration data into a field Page 6 Eaton Organic Recycling Facility Groundwater Monitoring Plan February 2014 logbook or log form . Clean all field test equipment and groundwater sampling equipment. 2. Bail the water from the well and place directly into sample containers. From one of the sample containers, determine the temperature, pH , and conductivity. As the well recharges, collect samples for analysis. Field Sample Collection and Testing While obtaining a groundwater sample for analysis, the groundwater is to be tested for temperature , pH and specific conductivity. This will be accomplished using field testing equipment. The equipment manufacturer's instructions for use and calibration will be followed . Temperature Measurement of groundwater temperature is most accurate when the ambient temperature is within 20°C of the ground-water temperature. Therefore, samples will be collected as close to the wellhead as possible. If a container is used to hold the sample, the first sample should sit in the container for one to two minutes in order to allow the temperature of the container to equilibrate with the sample. This initial sample should be thrown out after one to two minutes and a second sample collected into the container, with the temperature being recorded immediately. pH Measurement of pH is temperature sensitive, so the standard buffers should be within +/- 1 °C of the sample solution for precise determinations. The equipment will be calibrated in strict accordance with the manufacturer's instructions. If the sampling continues from one day to the next, the pH field testing equipment will be calibrated each day of its use. The buffer solutions of 4. 0 and 7. 0 will typically be used to calibrate the pH equipment. The pH is to be recorded to the nearest tenth . Ensure that the buffer solutions are stored properly and approximately at the temperature of the groundwater. The probe in use will be stored wet, in de-ionized water or according to the manufacturer's instructions. Specific Conductance Specific conductance will be measured for each monitoring well during the purging process. The meter will be calibrated in strict adherence to the manufacturer's instructions on each day that sampling is to occur. The specific conductance meter used will be battery operated , equipped with temperature compensator, and read directly in micromhos/cm at 25°C. APPENDIX E FIELD DATA SHEET, CHAIN OF CUSTODY FORM , GUIDELINES AND EXAMPLES General Sampling Checklist o 2 or 3 Mason Jars ❑ Fuel up Sample Truck o 2 — 5 Gallon Buckets o Check Weather at Site o 1 — 2 Gallon Bucket - • o Sample Instruction Folder o Nylon Rope ❑ Basket for Rope o Bailers o Cash o pH, Conductivity, Temp Meter ❑ Decon Brush o Latex Gloves ❑ Past Data Folder o Liqui-Nox Soap o Custody Seals o DI Water ❑ Well Logs o Well Sounder ❑ Bolt Cutter o Calculator ❑ Enough Trip Blanks? o Field Book o Portable Radio o Marking Pens ❑ Packing Materials o Well Volume Calculations ❑ Strapping Tape o Sample Bottles and Labels ❑ Clear Tape o Extra Batteries for Instruments o Parameters List o Calibration Solutions o Ice Containers and Ice o 1 Gallon Baggies for Crushed Ice o Chain of Custody Forms o Sample Forms o Updated Map o State Map o Shovel (in winter) o Crescent wrench for Nitrogen o Lock Lubricant o Ratchet Set (9/ 16") o Paper Towels o Keys to Wells o Keys to Site o Gas Meter with Fittings o Magnetic Locator o Trash Bags o Drums o Cones o Chargeable Supplies List o Laptop (Summit sump download) KRW CONSULTING, INC. DATE GROUNDWATER SAMPLING FIELD DATA SHEET PROJECT NUMBER 0912-04 Please print legibly in indelible ink. Do not write in margins. PROJECT NAME Al Organics Eaton Well No. Sampling Equipment Description: Field Analytical Equipment Description and Calibration Data: Casing Diameter (in) Casing Stickup (ft) Total Well Depth (ft TOC) Purge Volume Calculations: Static Water Level (ft TOC) Water Column Length (ft) Casing Volume (gal) Purge Water Disposition Time Gallons Temp pH DO Conductivity Visual Description 24 hr Purged degrees C (mg/I) Start Time COMMENTS SAMPLER NAME SIGNATURE ti Y Z6 CD O -p -O C Y Y 0) 33 m3 moo C ` 53m -_CmWc z • a In • U C° C3 0Op o E ,..• t. 0 co m °Dm C Y2 Ip C 0 C J 'OOm X Sc- O • t (n Q m d C t I CIO CO In-1 O 45 O Q re r� 3 `o � ' co ill en CO CO L OC7 cn w o 0 O v I N C O 15 W "' T.0- b o Q^ 0 • S O it 2 !0 : (u m `o o O n m m c. 5 CO c oo m Q CO _ E '.�� a N tt! 0 E m o C co U _ 1 . m co a C m i•-: F ?N o ei m i a r a m m C 3 k - v u s a 1 , s m 03 - a ,;' Z o 523 e r C9 tt s•4 , • o go 7 e_ ❑ ❑ 32fO�N3 € € ie>. . E r o c o 0 o a o o m u o Haan LL LL ,r Y LL E . 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Decontaminate Electronic Water Level Indicator 0) Well sounder should be decontaminated prior to checking levels in each well to prevent cross contamination . Decontaminate well sounder as follows : i . Wear new and clean disposable gloves ii . Saturate a clean , paper towel in halves with a laboratory detergent (e .g . Alconox)-potable water mix on one half and distilled water on the other half. iii . Wipe the cable as the probe is rewound onto the spool with the paper towel allowing the Alconox saturated half to come in contact with the cable first. iv. Rinse probe with Alconox-water mix, followed by a final rinse with distilled water. v. Properly dispose of all used gloves and paper towels . 2. Collect Equipment Blank © Use 2 or 3 (depends on what the lab wants) glass 40m1 VOC bottles. Run DI water over probe and into bottles. © Always use the same brand of DI water from sample event to sample event. • Ensure that no gas or diesel engines are running in the vicinity while collecting this sample 3. Collection of Water Level Data in all Wells © Water level data should be collected at all wells prior to running any ground water pumps in the area . c<>> Water levels should be checked from up-gradient wells to down- gradient wells . The order to check wells is as follows: i . MW-5A, ii . MW-3, iii . MW-2 , iv. MW- 1 , v. MW-4, 4. Calibrate pH Meter and Conductivity Meter © Calibrate meters according to manufactures instructions © Ensure that you have fresh calibration solutions • Calibrate in field conditions (near wells, not inside buildings) GW Sampling Procedure February 2014 Page 2 of 3 5. Sampling of Water Wells © Sampling of wells should be done starting from up-gradient to down-gradient as follows: MW-5A, MW-4. (9) Fill in following data on Groundwater Sampling Field Data Sheet: i . Date ii . Casing Diameter (use previous Groundwater Field Data Sheet) iii . Total Well Depth (use previous Groundwater Field Data Sheet) iv. Static Water Level (use water levels collected from step #3) v. Water Column Length (Total Well Depth minus Static Water Level ) vi . Casing Volume (Water Column Length multiplied by 0 .653 for 4-inch diameter well ) vii . Purge Water Disposition (Casing Volume multiplied by 3) i .e . amount of water removed before sampling . This number can change if well goes dry. viii . Sampling Equipment Description (e .g . Dedicated Grundfos Pump) ix. Field Analytical Equipment Description and Calibration Data (include type of instruments used , date , time, and what solutions were used to calibrate) x. Name and Signature xi . Comments (note any relevant information especially wind direction and speed possible sources of contamination Begin purging well and record temperature , conductivity, and pH . For wells that produce sufficient water these readings shall be taken after each casing volume is evacuated . These readings should stabilize before collecting the sample. Stabilization is defined as two successive similar readings. For wells that produce sufficient water to sustain pumping at least three casing volumes will be evacuated before sampling . Wells that will not sustain pumping will be evacuated and allowed to recharge prior to sampling . After samples are collected they must be placed on ice in a cooler to facilitate preservation . Samples for total metals require 2 ml 50% nitric acid for preservation . Samples for Nitrogen (Total Ammonia , Nitrate/Nitrite , and total Phosphorus) require 1 ml 25% sulfuric acid . Per CDPHE guidelines no preservative is used for VOCs. Refer to Appendix B for laboratory QA/QC procedures. GW Sampling Procedure February 2014 Page 3 of 3 6. Fill out Chain of Custody © Refer to Appendix E for guidelines on filling out chain of custody. 7. Pack and ship samples <> Is the COC properly filled out and included in the cooler (put in gallon size zip-lock bag )? © Did you remove and retain your copy of COO? © Are all bottles labeled with sample times included? • Is there plenty of ice to last extreme temperatures of warehouses and shipping trucks? © Is the trip blank included? © Is the equipment blank included? © Don't forget to sign and date custody seal . Place on outside of cooler, and place clear tape over it. a Are samples packed tightly to prevent breakage? CHAIN OF CUSTODY GUIDELINES The following general guidelines shall be used: 1 . Keep the number of people involved in collecting and handling samples and data to a minimum. 2. Only allow people associated with the project to handle samples and data. 3. 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WH Oy a C ,514 C m co To U Ln In J N C105:3 C-) ---, ;11 ' '''' C trot iii ,:k 3 2 ---4.--:. < C ......< A\ v sc3 - '4-,..), C.) = .• , - ,_. szig" v .__, z i — >, )., I 0 E E C 0 2 2tu 'ooh 0 (...\\) \S ao IX D m 3 = H 0 m `m VI E alCO.-. . . \ V '` D IL o n o a 11E1 W W 4 o4i C 1 ~ ▪ b q Q ICI ■G a A .0 ? y• ( 1 ts m \ 1 z-S H• N O O O } • . 13 Q V _co S �J �' C Pf N tax:, t DX Mi 11.. a l5 u p0ain n; E - \ cr V o � it ol r: w z cc a 4' 1 _ ' "� U s------.1 a a r- eh tin APPENDIX I REGULATORY CROSS-REFERENCE Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location 1.8 financial assurance Section 8.3 1.8.1(A) current cost estimate for closure and post-closure care Section 8.3 third party cost estimates for closure and post-closure care Section 8.3 1.8.1(B) detailed written estimate Section 8.3 1.8.2(A)(1) proof of sufficiency of financial assurance Section 8.3 1.8.2(C) maintain FA documentation Section 8.3 1.8.3(B) Express the required cost estimates in current dollars Section 8.3 2.1 Site and Facility Standards Sites and facilities shall comply with the health laws, standards, rules, and 2.1.1 regulations of the Department, the Water Quality Control Commission, the Air Section 6.10, Appendix C Quality Control Commission, and all applicable local laws and ordinances. 2.1.2(A) Sites and facilities shall not knowingly receive any hazardous waste. Section 6.11 Appendix J, Appendix M program at the facility for detection and the prevention of the disposal of 2.1.2(B) Section 6.11 Appendix J, Appendix M polychlorinated biphenyl (PCB) wastes and hazardous wastes 2.1.2(6)(1) random inspections Sections 6.10, 7.1, 7.2, Appendix M 2.1.2(B)(2) records of inspections Section 7.2, Appendix M 2.1.2(8)(3) training of personnel to recognize banned wastes Appendix L, Appendix M waste characterization plan that outlines waste screening methodologies, 2.1.2(C) appropriate waste handling procedures, and waste exclusion procedures which Appendix M shall be implemented at each facility. the plan shall describe the responsibility of the waste generator in determining if 2.1.2(C)(1) the generator's waste is a hazardous waste pursuant to the Colorado Hazardous Appendix M Waste Regulations, 6 CCR 1007-3, Part 261 the plan shall include the site and facility's owner or operator's evaluations, 2.1.2(C)(2) screening methods, and documentation procedures regarding the generator's Appendix M waste characterization determination the plan shall include an identification of the waste streams requiring specific 2.1.2(C)(3) Appendix M waste handling and/or disposal methods the plan shall include a contingency plan developed for handling any hazardous 2.1.2(C)(4) Appendix M waste that is inadvertently discovered All waste characterization plans for new facilities shall incorporate the waste 2.1.2(E) characterization plan into the engineering design and operation report Appendix M 2.1.3 nuisance conditions _Appendix J 2.1.4 Water pollution shall not occur at or beyond the point of compliance Appendix B and H No significant aquifer recharge areas, as may be designated by the Colorado State 2.1.5 Engineer's office or the Department's Water Quality Control Commission, shall be Appendix B adversely impacted by solid waste disposal Sites and facilities shall, design, construct, and maintain: (a) A run-on control system to prevent flow onto the active facility during the peak discharge from a 25- 2.1.6 year, 24-hour storm, and (b) A run-off control system to: (1) collect the water Section 5 Appendix G volume resulting from a 25-year, 24-hour storm event and (2) control the water volume resulting from a 100-year, 24-hour storm event 2.1.7 site fence Section 6.4 2.1.8 Sites and facilities shall control public access Sections 6.4, 6.5 2.1.11 Sites and facilities shall have a minimum of windblown debris Section 6.11, Appendix J 2.1.15 Solid waste disposal sites and facilities shall comply with the ground water Appendix A and B protection standards at the relevant point of compliance 2.1.18(A) notification of release of contaminants to groundwater Appendix J 2.1.18(B) notifications shall be made part of the operating record Appendix J 2.2 Groundwater Monitoring 2.2.1 ground water monitoring program Appendix H A ground water monitoring system shall be installed in conformance with 2.2.1 (A) Appendix B, Section 62 Appendix H The ground water shall be sampled and analyzed in conformance with Appendix B, 2.2.1 (B) Section Appendix H B3 Al Organics, Inc. Eaton Facility 1 5/6/2014 Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location A detection monitoring system shall be implemented in conformance with 2.2.1(C) Appendix B, Section B4 Appendix H 2.4 Record keeping All operating records shall be part of the engineering design and operation report 2.4.1 Section 6.13 and shall be maintained at the facility 2.4.2(B) Inspection records, and training procedures; Section 6.13 Demonstrations, certifications, findings, data or documents required by 2.4.2(E) Section 6.13 Subsection 2.2; Closure and post-closure care plans and any monitoring, testing, or analytical data 2.4.2(F) Section 8 and Appendix D as required by Subsection 2.5 And 2.6; 2.4.2(H) Cost estimates and financial assurance documentation required by Subsection 1.8 Section 8.3 2.4.2(1) Information demonstrating compliance with waivers as required by Section 1.5. Section 6.13 All information contained in the operating record must be furnished upon request 2.4.3 or be made available at all reasonable times for inspection by the governing body Section 6.13 having jurisdiction or the Department 3.2 Design Requirements 3.2.1(A) Types and regional thickness of unconsolidated soils materials Appendix B 3.2.1(B) Types and regional thickness of consolidated bedrock materials Appendix B Regional and local geologic structure, including bedrock strike and dip, and 3.2.1(C) Appendix B fracture patterns Geologic hazards, including but not limited to slope stability, faulting, folding, 3.2.1(D) rockfall, landslides, subsidence or erosion potential, that may affect the design Appendix B and operation of the facility for solid wastes disposal. 3.2.2(B) Depth to and thickness of perched zones and uppermost aquifers Appendix B Ground water wells within one mile of the site boundary, including well depth, 3.2.2(C) depth to water, screened intervals, yields and the aquifers tapped Appendix B Hydrologic properties of the perched zones and uppermost aquifer, including flow 3.2.2(D) directions, flow rates, porosity, coefficient of storage, permeability, and Appendix B potentiometric surface 3.2.2(E) Site location in relation to the base floodplain of nearby drainages Appendix B An evaluation of the potential for impacts to existing surface water and ground 3.2.2(F) Appendix B water quality from the proposed facility for solid waste disposal 3.2.2(G) The existing quality of ground water beneath the proposed facility Appendix B 3.3 Operating Criteria Mailing address, county and legal description of the landfill for solid wastes 3.3.1(A) Sections 1.0-2.1 disposal, township, section, quarter section and range 3.3.1(B) Area of site, in acres Section 1.2 The qualifications, names, and addresses of the persons operating the landfill and 3.3.2(A) Section 6.2 having the authority to take corrective action in the event of noncompliance 3.3.2(B) The hours of the day and days of the week that the landfill will be operating Section 6.1 The types and daily volumes in yards per day and/or gallons per month of wastes to be received; expected life of site. If sludge is to be received, its quality should 3.3.2(C) Section 6.9 be determined in accordance with Department technical guidelines. A listing of the waste stream types to be approved for routine receipt 3.3.2(1) Provisions to minimize nuisance conditions on-site _Section 6.11, Appendices J Provisions for fire protection to eliminate open burning on-site, and to prevent the 3.3.2(J) Section 6.6 spread of open burning to adjoining property 3.3.2(K) Provisions for the retrieval of windblown solid wastes, on or off-site Section 6.10, Appendices J Conceptual plans to be implemented if the contamination of surface waters or 3.3.2(L) ground waters occur, or if nuisance conditions are confirmed beyond the site Appendix J boundary • The amounts and sources of water to be used on site for the control of nuisance 3.3.2(M) Appendix J conditions, fire protection, construction purposes and personnel use Al Organics, Inc. Eaton Facility 2 5/6/2014 Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location Quality assurance and quality control reports shall be developed and implemented 3.3.3 for all engineered structures at the landfill Appendix E Adequate amounts of water shall be available for construction purposes and to 3.3.6 Section 6.12 minimize nuisance conditions, as necessary 3.4 Record Keeping 3.4(A) Incoming waste volumes Section 6.13 3.4(B) Water quality monitoring results Section 6.13 3.4(D) Construction as-built details Section 6.13 3.4(E) Variations from approved operations procedures Section 6.13 3.4(F) Any demonstration and waiver documentation required in these regulations Section 6.13 3.5 Closure 3.5.1 The closure plan shall be prepared and submitted to the Department for approval Appendix D A schedule for completing all activities necessary to satisfy the closure criteria of 3.5.1(3) Appendix D this section 3.5.7 The owner or operator must complete closure activities of each landfill 3.5.7 phase, in accordance with the closure plan, within one hundred eighty (180) days Appendix D following the beginning of closure as specified in this section • Following closure of each landfill phase, the owner or operator must submit a report to the Department documenting that closure has been completed in 3.5.8 accordance with the approved closure plan. The report, which must be signed by a Section 8.1, Appendix D Colorado registered professional engineer, shall be approved by the Department and placed in the operating record. 3.6 Post Closure Care and Maintenance 3.6.1(1) Provisions to prevent nuisance conditions Section 8.2 Monitoring the ground water in accordance with the requirements of Subsection 3.6.1(3) 2.2 And maintaining the ground water monitoring system, if applicable Appendix D 3.6.1(7) A description of the planned uses of the property during the post-closure period Appendix D Following completion of the post-closure care period the owner or operator must notify the Department that a certification signed by an independent Colorado registered professional engineer or approved by the Department and the local 3.6.2 Appendix D governing body having jurisdiction, verifying that post-closure care has been completed in accordance with the post-closure plan, has been placed in the operating record 3.6.3 length of post-closure care period Appendix D 14.3 General Requirements All engineered features of the facility design shall be reviewed and sealed by a 14.3.1(A) Covers Colorado registered professional engineer To prevent flow onto the facility during peak discharge from a 25-year, 24-hour 14.3.1(6)(1) Section 5.0 Appendix G storm event To control and collect the on-site run-off water volume resulting from a 25-year, 14.3.1(6)(2) Section 5.0 Appendix G 24-hour storm event 14.3.1(6)(3) To contain and manage leachate Section 5.0 Appendix G Such that all storm water/leachate containment structures shall be constructed of a minimum of 18 inches of compacted soil or in-situ earthen material or other low 14.3.1(6)(4) permeability materials to achieve a hydraulic conductivity of less than or equal to Section 5.0 Appendix G 1 x 10-6 cm/sec Alternative liner designs that perform in an equivalent manner to the Section 14.3.1(B)(5) 14.3.1(6)(4) liner design may be approved by the Department and the local Section 5.0 Appendix E and G governing authority based on a demonstration of alternate liner design's equivalent performance, the waste type and site specific technical information Al Organics, Inc. Eaton Facility 3 5/6/2014 Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location All stormwater/leachate containment structures shall be dewatered within thirty 14.3.1(6)(6) (30) calendar days of a storm event so that full runoff storage capacity is Section 1.5.1 and 6.12 maintained Such that storm water/leachate containment structures shall be designed and 14.3.1(6)(7) maintained with a minimum 2 feet of freeboard measured from lowest elevation Section 1.5.1 at any given time 14.3.1(C)(1) workpad shall ensure ground water protection Section 5.0 Appendix E Be of sufficient slope to direct storm water/leachate to the appropriate collection 14.3.1(C)(2) Section 5.0 Appendix A and E and storage system Withstand various temperatures and allow for heavy equipment operation, 14.3.1(C)(3) without damage or failure Appendix A and E Composting facilities shall implement their approved quality assurance and 14.3.2(A) Appendix E quality control plan in constructing all engineered structures at the facility. A construction certification report shall be submitted to the Department for 14.3.2(6) review and approval, at a minimum, sixty (60) calendar days prior to acceptance of Appendix E feedstock, liquid waste or bulking material. The owner or operator of a composting facility shall provide copies of the construction record drawings for engineered features at the site and a report 14.3.2(C) documenting facility construction, including the results of observations and testing Appendix E carried out as part of the construction quality assurance plan, to the Department and local governing authority. Facilities shall not commence operation until the Department has determined that the construction was completed in accordance with the approved engineering 14.3.2(D) Appendix E report/plans and specifications and has approved the construction documentation in writing Prohibited Materials: No composting facility may accept asbestos or asbestos 14.3.3(A) containing materials, infectious waste, hazardous waste, PCB waste or lead-acid Sections 6.7, 6.11, Appendix J, Appendix M batteries. Financial Assurance: The owner or operator of a composting facility shall establish 14.3.3(B) financial assurance in accordance with Section 1.8 of these Solid Waste Section 8.3 Regulations. Surface Water Control: A composting facility shall control surface water flowing onto the site and prevent surface water from leaving the site. All 14.3.3(C) stormwater/leachate containment structures shall be dewatered within thirty (30) Sections 1.5.1 and 6.12 calendar days of a storm event so that full runoff storage capacity is maintained. Freeboard shall be maintained at a minimum of two (2) feet at all times. Nuisance Conditions: A composting facility shall control on-site and prevent off- 14.3.3(D) site nuisance conditions such as noise, dust, mud, odors, vectors and windblown Section 6.11, Appendix J debris. Access Control: A composting facility shall control access to prevent illegal dumping, prevent unauthorized access and provide for site security both during 14.3.3(E) Section 6.4 and after business hours. Effective artificial barriers or natural barriers may be used in lieu of fencing. Signage: A composting facility shall erect and maintain signage that identifies the 14.3.3(F) facility name, emergency contact information, and the materials that will and will Section 6.5 not be accepted, and that ensures adequate traffic control. Contingency Plan: A composting facility shall develop, maintain for current site 14.3.3(G) conditions, and keep available at all times, a contingency plan which outlines the Section 6.11, Appendix J corrective or remedial procedures to be taken in the event of: 14.3.3(G)(1) The delivery of unapproved feedstock, bulking material, liquid waste or other Section 6.11, Appendix J waste materials; 14.3.3(G)(2) Contamination of surface water or ground water Section 6.11, Appendix J 14.3.3(G)(3) The occurrence of nuisance conditions either on-site or off-site. Section 6.11, Appendix J Al Organics, Inc. Eaton Facility 4 5/6/2014 Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location Fire Protection: A composting facility shall properly implement its approved fire 14.3.3(H) protection plan as required by local fire codes, and such plan shall be kept current Section 6.6 with site conditions and compliant with local fire codes. Odor Control: A composting facility shall implement its Department-approved 14.3.3(1) odor management plan as necessary to control on-site and prevent off-site Section 6.11, Appendix J nuisance conditions, including the following: Develop operational procedures to minimize on-site odors and prevent off-site 14.3.3(1)(1) Section 6.11, Appendix J odors (e.g., incorporating feedstocks with bulking material as soon as practical). Develop operational procedures to mitigate odors when they occur either on-site 14.3.3(1)(2) Section 6.11, Appendix J or off-site (e.g., use of biofilters). Develop strategies for mitigating off-site odors (e.g., communication with 14.3.3(1)(3) Section 6.11, Appendix J neighbors, responding to complaints within 24 hours). Personnel Training: A composting facility shall operate under the control of properly trained individuals. Personnel shall be trained to recognize prohibited 14.3.3(1) Section 6.3, Appendix L materials, take action when nuisance conditions occur, and implement emergency procedures when necessary. Pathogen Reduction: The owner or operator of a composting facility shall ensure that the composting process reduces pathogens. The pathogen reduction 14.3.3(K) Sections 7.3 methodology shall be described in the facility's Design and Operations Plan per Section 14.4. Groundwater Monitoring: A composting facility which has not received a specific waiver from ground water monitoring from the Department and the local governing authority, shall submit a Ground Water Monitoring Plan to the 14.3.3(L) Department for review and approval in accordance with Section 2.2 of these Solid Appendix H Waste Regulations. Monitoring parameters will be established based on the hydrogeologic data related to the site, the type of waste stream(s) accepted at the facility and waste characterization analyses performed on incoming wastes. 14.4 Engineering Design and Operation Plan All portions of the facility design and site investigation shall be reviewed and 14.4.1 sealed by a Colorado registered professional engineer or reviewed and signed by a Covers professional geologist, as appropriate. Names, addresses, and telephone numbers of the owner and/or operator, and 14.4.2(A) one or more persons having the authority to take action in the event of an Section 6.2 emergency; Name of the composting facility, the physical address and legal description, 14.4.2(B) location with respect to the nearest town, and mailing address, if different from Section 1.4 physical address; Site maps and plans drawn to a common recognized engineering scale illustrating the facility's surveyed property boundaries, location of processing and storage 14.4.2(C) areas, adjoining properties, roads, fencing, existing and proposed structures, Appendix A surface water containment and control structures and all proposed monitoring points for surface water and groundwater quality; Maximum facility capacity and a description of the types of materials to be 14.4.2(D) Section 6.9 composted, including: 14.4.2(D)(1) Estimated quantities of feedstocks; Section 6.7 and 6.9 14.4.2(D)(2) Estimated quantities of liquid wastes; Section 6.7 and 6.9 14.4.2(D)(3) Estimated quantities of bulking materials; Section 6.7 and 6.9 14.4.2(D)(4) Estimated quantities of in-process material; and Section 6.7 and 6.9 14.4.2(D)(5) Estimated finished product on-site. Section 6.7 and 6.9 14.4.2(E) Mass balance evaluation for feedstocks, and bulking materials to determine an Section 6.10 and Appendix C acceptable mixture for efficient composting; A detailed description of the composting operation specifically defining all 14.4.2(F) procedures, activities, waste acceptance practice, pathogen reduction Appendix C methodology and periods of non-activity; Al Organics, Inc. Eaton Facility 5 5/6/2014 Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location Description of an adequate system of barriers, fencing, or other site controls to 14.4.2(G) Section 6.4 prevent unauthorized site access; 14.4.2(H) Description of site signage; Section 6.5 Description of site security measures taken to ensure the site is secured during 14.4.2(1) business hours to control public access, and prevent unauthorized vehicles and Section 6.4 illegal dumping of wastes; _ Description of employee training, including recognition of prohibited material, 14.4.2(J) actions taken to mitigate nuisance conditions and implementation of contingency Section 6.3, Appendix L plan; 14.4.2(K) Design of surface water control system; Section 5.1 14.4.2(L)(1) A description of site geological and hydrogeological conditions; Appendix B Floodplain information including evidence that the proposed site is not located 14.4.2(L)(2) Appendix B within a 100-year floodplain; Public water supply information including the location of all water supply wells, 14.4.2(L)(3) springs, and surface water intakes within one mile of the proposed facility Appendix B boundary; Identification of all lakes, rivers, streams, springs, or bogs, on-site or within one- 14.4.2(L)(4) half mile of the proposed facility boundary; Appendix B 14.4.2(L)(5) Depth to, and thickness of, the uppermost aquifer; Appendix B 14.4.2(L)(6) Hydrologic properties of the uppermost aquifer; Appendix B Information regarding the existing quality of ground water beneath the proposed 14.4.2(L)(7) Appendix B facility; 14.4.2(L)(8) The types and regional thickness of unconsolidated soils materials; Appendix B 14.4.2(L)(9) The types and regional thickness of consolidated bedrock materials Appendix B Geologic hazards such as slope stability, faulting, folding, rockfall, landslides, 14.4.2(L)(10) subsidence or erosion potential. Appendix B Plans for closure and post closure care of the composting facility as defined 14.4.2(M) further in Sections 14.8 and 14.9; Section 8, Appendix D The delivery of unapproved feedstock, bulking material, wetting agent or other 14.4.2(N)(1) waste materials; Appendix J 14.4.2(N)(2) Contamination of surface water or ground water; and Appendix J 14.4.2(N)(3) The occurrence of nuisance conditions either on-site or off-site. Appendix J 14.4.2(O) Fire protection plan; Appendix J 14.4.2(P) Odor management plan; Appendix J 14.4.2(Q) Provision that all engineered features in the facility design be reviewed and sealed Appendix E by a Colorado professional engineer; A quality assurance and quality control plan to be reviewed and approved by the 14.4.2(R) Department and the local governing authority for all engineered structures at the Appendix E facility; and 14.4.2(5) A detailed description of sampling procedures for testing of finished compost. Section 7, Appendix C 14.5 Sampling of Finished Compost The owner or operator of a compost facility (unless exempt under Section 14.1.2) 14.5.1(A) shall ensure that compost to be sold or distributed for off-site use meets the Section 7 standards set forth in Table 1 of this Section 14, and with Section 14.5.5 below. Sampling Frequency: Finished compost shall be sampled and tested once every 10,000 cubic yards of compost produced, or annually, whichever is more frequent. 14.5.2 The Department, in consultation with the local governing authority, may require Section 7.1 additional sampling and testing when a change in feedstocks, bulking material, liquid waste or operational practices warrant greater frequency. Reintroduction of Finished Product into Compost Process: Finished compost which has been sampled and tested, but to which raw or partially composted feedstock, 14.5.3 bulking material, or liquid waste is added prior to, or during distribution, shall be Appendix C reintroduced into the composting process, re-sampled and re-tested prior to commencing or continuing distribution. Al Organics, Inc. Eaton Facility 6 5/6/2014 Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location Sampling Methodology: Sample collection, preservation, and analysis shall assure 14.5.4 valid and representative analytical results. Sampling procedures shall be described Appendix C in the facility's design and operation plan. Additional Testing: The Department may require additional testing of finished 14.5.5 compost for constituents not found in Table 1 and at a frequency greater than Appendix C specified in Section 14.5.2 of this Section 14. Exceedances: Compost that exceeds the levels specified in Table 1 or as specified 14.5.6 in the approved design and operations plan must be: 14.5.6(A) Reintroduced into the composting process; or Appendix C 14.5.6(B) Disposed of at a permitted solid waste disposal facility; or Appendix C Otherwise used in a manner approved by the Department and local governing 14.5.6(C) authority. Appendix C 14.6 Class Specific Requirements Class I Composting Facility Requirements: Class I composting facilities have no 14.6.1 limitation as to feedstock type or material volume except as may be specified in Section 6.7 the certificate of designation or approved design and operations plan. No person shall operate a Class I composting facility without having obtained a 14.6.1(A) certificate of designation from the local governing authority, in accordance with Section 6.13 Section 1.6 of these Solid Waste Regulations. The owner or operator of a Class I composting facility shall develop and implement 14.6.1(B) the facility's approved waste characterization plan in accordance with Section 1.2 Appendix M of these Solid Waste Regulations. The owner or operator of a Class I composting facility shall only receive those feedstocks, bulking materials and liquid wastes specified in the approved design 14.6.1(C) and operation plans for the facility. Acceptance of composting materials, different Section 6.7 from those originally approved, shall be in accordance with the facility's waste characterization plan. 14.7 Recordkeeping and Reporting Each composting facility shall maintain, at a minimum, the following applicable 14.7.1 records: Type and amount of feedstock(s), liquid waste(s), and bulking material(s) received, 14.7.1(A) Section 6.13 processed and remaining on-site; 14.7.1(B) Amount of finished compost sold, used on-site or distributed off-site; Section 6.13 14.7.1(C) Water quality monitoring data; Section 6.13 14.7.1(D) Liquid waste analytical data; Section 6.13 14.7.1(E) Feedstock analytical data; Section 6.13 14.7.1(F) Compost analytical data; Section 6.13 14.7.1(G) Operational monitoring data including time and temperature readings; Section 6.13 14.7.1(H) Windrow/pile aeration data; Section 6.13 14.7.1(1) Financial assurance documentation; Section 6.13 14.7.1(J) Design and operations plan; Section 6.13 14.7.1(K) Certificate of designation; Section 6.13 14.7.1(L) Waiver demonstration documentation; and Section 6.13 14.7.1(M) Facility personnel training records. Section 6.13 These records shall be maintained at the facility, unless otherwise approved by the 14.7.2 Department and local governing authority, and shall be made available to the local Section 6.13 governing authority, and the Department, upon request during business hours. Each composting facility shall submit an annual report by May 1st of each year to the Department and local governing authority. The annual report shall provide the 14.7.3 Section 6.13 total volume of materials received at the facility during the previous calendar year, including by type: 14.7.3(A) The quantity of finished product used on-site, sold, or distributed off-site; and Section 6.13 The quantity and type of feedstock, liquid waste, and bulking material received, 14.7.3(B) Section 6.13 processed, and remaining on-site. Al Organics, Inc. Eaton Facility 7 5/6/2014 Al Organics Eaton Organic Recycling Facility Engineering Design and Operations Plan Regulatory cross-reference, May 2014 Regulation Item EDOP location 14.8 Closure Plan Each Design and Operations Plan shall include a provision for closure of a 14.8.1 Section 8, Appendix D composting facility. If at any time a composting facility ceases operation, including the discontinued receipt, processing and sale of materials for more than one hundred eighty (180) days, the owner or operator shall notify the Department and local governing authority and unless otherwise approved by the Department and the local 14.8.2 governing authority, the owner or operator must begin implementation of its Section 8, Appendix D Closure Plan. Closure activities shall not exceed ninety (90) days in length. Extension of the closure period may be granted by the Department and the local governing authority if the owner or operator demonstrates that closure will, of necessity, take longer than ninety (90) days and all measures necessary to prevent threats to human health and the environment will be taken. The removal of all stored raw feedstock, bulking material, and liquid waste to a 14.8.3(A)(1) permitted solid waste facility or a facility where the wastes may be beneficially Section 8.1, Appendix D reused with approval from the Department and local governing authority; The removal of all other wastes on-site, including those wastes generated by 14.8.3(A)(2) Appendix D closure activities, to a permitted solid waste facility; 14.8.3(A)(3) The removal of all workpad areas; Appendix D The removal of all storm water control and collection structures, unless specifically 14.8.3(A)(4) Appendix D approved by the Department and local governing authority to remain on-site; 14.8.3(A)(5) The removal of all tanks, structures and equipment; Appendix D 14.8.3(A)(6) Site restoration including regrading and revegetation; and Appendix D The removal of partially composted feedstocks and bulking material to a 14.8.3(A)(7) permitted solid waste facility or another compost facility with approval from the Appendix D Department and local governing authority. Within fourteen (14) calendar days of commencing implementation of the Closure 14.8.4 Plan, the facility shall provide written notification to the Department and the local Appendix D governing authority. Within thirty (30) calendar days of completing closure activities the owner/operator of the facility shall provide written notification to the Department 14.8.5 Appendix D and local governing authority to document that all the requirements and conditions of the closure plan have been achieved. Following closure of the facility, a notation must be placed on the deed notifying 14.8.6 Appendix D any potential purchaser that the property has been used as a composting facility. 14.9 Post-Closure Care and Maintenance Continued monitoring, sampling and testing of soil, groundwater or surface water 14.9.1(A) as defined in the post-closure plan; Appendix D 14.9.1(C) Inspection and maintenance of any cover material or vegetation; and Appendix D An annual report submitted to the Department and local governing authority 14.9.1(8) detailing post-closure care activities during the prior year. Appendix D The post-closure care and maintenance period shall be for a minimum of five (5) 14.9.2 Appendix D years. The length of the post-closure care period may be: Decreased by the Department after consultation with the local governing 14.9.2(A) authority if the owner or operator demonstrates that the reduced period is Appendix D sufficient to protect human health and the environment; or Increased by the Department after consultation with the local governing authority 14.9.2(B) if it is determined that the lengthened period is necessary to protect human Appendix D health and the environment. Following completion of the post-closure care period the owner or operator must submit a certification signed by an independent Colorado registered professional 14.9.3 engineer for approval by the Department and the local governing authority, Appendix D verifying that post-closure care has been completed in accordance with the post- closure plan and has been placed in the operating record. Al Organics, Inc. Eaton Facility 8 5/6/2014 APPENDIX J CONTINGENCY PLAN Al Organics Contingency Plan May 2014 Page 1 CONTINGENCY PLAN Al Organics Eaton Organic Recycling Facility Refer to Section 6. 11 of the EDOP Delivery of Unapproved Feedstock, Bulking Material , Liquid Waste, or Other Waste Materials All materials received at the site will first be documented by the gate attendant. The gate attendant will check the materials and the generator against the approved materials list. Unapproved materials received at the site will be rejected . Delivery vehicles and or generators of the rejected material will be provided with a list of disposal facilities. A log of rejected materials and generators will be kept on file for future reference. Should unapproved materials be off loaded on the site , they will be isolated and the generator notified to either return to pick them up, or in the event the generator cannot be identified or found , Al will manage the materials in accordance with all applicable laws, regulations, and ordinances. Surface Water or Groundwater Contamination The surface water retention pond collects all pad site stormwater run-off and is designed and constructed to contain the 100-year, 24-hour design storm , with a 1 . 5-foot freeboard . Pond water levels will be monitored daily. If the freeboard level is reached , measures will be implemented to reduce pond water levels. Pond water levels will typically be reduced by pumping water from the ponds through on site piping and windrow application distribution systems or into spray trucks for use in on-site dust control activities. Water from the surface water retention pond to be used for dust control will only be used for re-application to windrows or in processing compost. Alternatively, removed water will be characterized and transported from the facility for disposal at an approved , permitted liquid disposal/treatment facility. In the event of a release of fluid from the retention ponds that could potentially impact local surface water and/or groundwater quality, Al staff will respond immediately upon release discovery. The facility has sufficient earth moving equipment on site at all times to aid in the containment of a release. Therefore, immediately upon discovery, any potential release will be contained with earthen materials. Earthen materials can be used to absorb liquids or to construct temporary berms for containment. Verbal notification of a release will be provided to CDPHE and Weld 1 Al Organics Contingency Plan May 2014 Page 2 County within twenty-four (24) hours, and written notification will be provided to CDPHE and County within seven (7) calendar days outlining immediate actions taken to contain the release. An assessment of any potential environmental impact will be completed and corrective action implemented as soon as possible. Within forty-five days, Al will submit to CDPHE and Weld County a detailed written assessment of the event, including description of assessment and corrective actions implemented and recommendations for any additional corrective action . Any corrective actions involving repairs to the engineered features at the retention ponds, will be certified by a Colorado registered P. E . Background groundwater quality will be established in all monitoring wells in the site groundwater monitoring network by monitoring an up-gradient well(s) for eight consecutive quarters. Site monitoring wells included within the facility groundwater monitoring program will be sampled and analyzed for Appendix IA and IB parameters on a quarterly basis. Groundwater monitoring data will be evaluated consistent with Appendix B of CDPHE Regulations Pertaining to Solid Waste Sites and Facilities, 6 CCR 1007-2 (Regulations). If a statistically significant increase over background value for any parameter is indicated during routine quarterly monitoring : 1 . Documentation of the significant increase will be placed in the facility operating record and CDPHE and Weld County will receive copies of that documentation within 14 days. 2 . An assessment monitoring program will be established within 90 days, except as provided in the following paragraph (3) below. 3. A demonstration will be made, as appropriate, by a qualified groundwater scientist that a source other than the subject facility is responsible for the statistically significant increase in the concentration(s) of a parameter(s) or the statistically significant increase in concentration (s) of a parameter(s) is the result of an error in sampling , analysis, statistical evaluation , or natural variation in groundwater quality. A successful demonstration must be made to Weld County and CDPHE within 90 days (unless otherwise approved by Weld County and CDPHE) or Al Organics must initiate an assessment monitoring program . Within 90 days of triggering an assessment monitoring program , and annually thereafter, Al must sample and analyze the groundwater for the parameters determined by Al and CDPHE (i .e. , based on items 1 and 2 below). A minimum of one sample from the well(s) where the statistically significant increase is indicated and from each potentially affected well must be collected and analyzed during each sampling event. For any constituent detected in these affected and potentially affected wells as a result of the list of applicable parameters, a minimum of four independent quarterly sampling events (or an alternate sampling schedule approved by CDPHE) must be conducted at each well (background and down gradient) and the samples analyzed to establish background for the constituents. 1 . The types, quantities, and concentrations of constituents in wastes managed at the facility. 2 . The mobility, stability, and persistence of waste constituents or their reaction products in the unsaturated zone beneath the facility. Al Organics Contingency Plan May 2014 Page 3 After obtaining results from the initial and subsequent sampling events required above, Al shall conduct the assessment monitoring program in accordance with Appendix B , Section B5(E) and B5(F) of the Regulations. In the event that conditions of non-compliance with the Solid Waste Regulations or the facility's D&O plans are recognized , corrective actions will begin immediately. Any corrective actions involving repairs to engineered features at the facility will be certified by a Colorado registered P. E. Occurrence of On -Site and Off-Site Nuisance Conditions Litter Control Applicable litter control provisions will apply to the composting facility. Specific provisions commonly used for landfill operations are provided below, with some modified or added , as appropriate, for a composting operation . a Windblown material generated during operating activities will be collected and returned to the composting area or disposed of at a permitted landfill . Material delivered to the composting facility that is susceptible to the effects of high winds will be promptly covered or otherwise stabilized to prevent the material from becoming windblown . a Vehicles entering the facility are required to have loads covered . Wind screens will be used where necessary. In addition to the litter control provisions presented above, adjacent properties (provided permission has been granted by the property owner) will be policed periodically to retrieve any litter that escapes the site or vehicles utilizing the facility. Odor Control - On-Site Odors associated with the composting process will be controlled utilizing a combination of aeration and capping techniques. Capping materials, if required , will consist of finished unscreened compost, ground wood materials, or a combination of both materials. As required , at the end of each day, new material placed in windrows will be capped with a minimum of 6 inches of capping material . Any free liquids noted on the site will be absorbed with wood or other absorbent material and mixed back into the composting materials. If excessive or noxious odors are detected onsite , the source of the odor will be identified and appropriate steps will be implemented to eliminate them . 3 Al Organics Contingency Plan May 2014 Page 4 The site will be equipped with a wind flag , sock, or weather station that will indicate wind direction and approximate velocity to schedule production activities taking into account wind and temperature conditions. Odor Control - Off-Site If odors in excess of regulatory limits are documented off-site, or if odor complaints or notification of off-site odor is received , the source of the odor will be determined and remedial action will be taken . Remediation activities will consist of aeration , additional capping of materials, application of de-odorizing materials at the source, removal of materials from the site, or a combination of these items. Dust This section focuses on activities to control dust. Excessive dust that results from extreme acts of nature that are affecting both the site and surrounding areas may be uncontrollable either on or off the site. If conditions are favorable for producing excessive dust, water will be applied to the working pad and if necessary, the compost materials. If necessary, water will be applied during grinding or screening activities. The windrows and/or piles will be kept moist and will crust over within a short period after being formed . The crusting action is very effective in eliminating potential for dust or material movement via wind . In the event that dust is observed leaving the site, and efforts to control it are not successful , those activities causing the dust will be suspended until such time as conditions warrant their continuation . Noise The facility shall be managed in such a manner that noise will not constitute a hazard to human health . The facilities operations will comply with Weld County Code Ordinance 2008-4, Chapter 14, Article IX (Noise). Birds, Insects, Rodents, and Other Vectors Harborage Through regular cleanup, the facility shall insure that the attraction , breeding and emergence of birds, insects, rodents and other vectors do not constitute a health hazard . In the event that it becomes warranted, Al will contract with a licensed removal and or extermination company to remediate the situation , as well as reevaluate its current cleanup methods. 4 Al Organics Contingency Plan May 2014 Page 5 Flies on composting sites can generally be controlled through the use of proper aeration and movement of materials. Additionally, care will be taken to maintain good housekeeping practices to avoid creation of those environments where flies or mosquitoes can breed . In the event that excessive fly populations are observed , aeration activities will be increased , if possible. If required to control flies, chemical or organic methods, such as pesticide sprays, will be submitted to CDPHE for approval . Additionally, fly control wasps or traps may be utilized . Every effort will be made to control flies and mosquitoes from breeding and procreating on the site and by maintaining the site in a manner to control potential breeding areas. Nuisance Conditions Confirmed On-Site or Beyond Site Boundaries Immediate action will be taken to correct any unlawful nuisance conditions attributable to the operation upon receipt of a valid complaint from a private party, agency, or as observed by the facility operations manager. Water Supply for Control of On-Site Nuisance Conditions Water used for nuisance control purposes will be provided by the onsite stormwater retention pond , pending the results of annual sampling and analysis of the pond liquid . 5 APPENDIX K ANALYTICAL REQUIREMENTS OF FINISHED COMPOST Al Organics Appendix K of the EDOP May 2014 Table 1 Maximum Constituent Concentrations for Compost Sold or Distributed for Off-site Use 1 (mg/kg dry weight basis) CONSTITUENTS MAXIMUM LEVEL Inorganics (mg/kg) 2 Arsenic 41 Cadmium 39 Copper 1500 Lead 300 Mercury 17 Nickel 420 Selenium 100 Zinc 2800 • Biological Fecal Coliform < 1 ,000 MPN/g total solids3 Salmonella < 3 MPN /4 g total solids3 1 . From Section 14 of Regulations 2. Inorganic Methodology: Test Methods for Evaluating Solid Waste Physical/Chemical Methods (SW-846) Third Edition , December 1996: As, Cd , Cu , Pb, Ni, Se and Zn by Method 6010 or 7000. Hg by 7471 . These documents are available for review at the Colorado Department of Public Health and Environment (See § 1 . 1 .2 of these Regulations) and the State Publications Depository Libraries. 3. Most Probable Number (MPN ) total solids on a dry weight basis. APPENDIX L PERSONNEL TRAINING PROGRAM Al Organics Personnel Training Program May 2014 Page 1 Personnel Training Program Personnel Training (per Section 14. 3.3(J ) of the Regulations) May 2014 Al Organics Eaton Organic Recycling Facility Purpose The following Personnel Training Program is provided to insure that personnel are trained to recognize prohibited materials, take action when nuisance conditions are observed , and can implement emergency procedures when necessary. All employees and management personnel associated with the receipt of materials and production activities on the site are required to receive training upon initial hire and annually thereafter. A training log will be maintained to verify that training has been completed . Recognition of Prohibited Materials An approved materials list will be maintained and kept current. Only those materials identified on the approved list as updated for the facility can be accepted . The proposed feedstocks include, but are not limited to: Type 1 Agricultural crop residues o Vegetable, grain , and feed crop materials resulting from normal agricultural production and harvesting activities. ai Manure o Dairy, horse, cattle, and other animal manures, and related bedding materials normally associated with confined feeding operations. a Source-separated yard , paper, untreated wood wastes, and green wastes. Type 2 a, Animal material o Any material derived from animal products that are for consumption by humans or animals, including but not limited to agriculture, food manufacturing and processing industries, restaurants, hospitals, and food distributors. a Source separated food waste o Restaurant, grocery store, food production facilities, food distribution operations, food grease trap waste, cooking oils, etc. Type 3 Biosolids o The accumulated residual product resulting from a domestic wastewater treatment works. Biosolids does not include grit or screenings from a wastewater treatment works, commercial or industrial sludges (regardless of Al Organics Personnel Training Program May 2014 Page 2 whether the sludges are combined with domestic sewage), sludge generated during treatment of drinking water, or domestic or industrial septage. Solid waste, processed solid waste, and sludges as approved by the CDPHE and Weld County Non-hazardous liquids and other non-hazardous solid waste suitable for composting as approved by the CDPHE and Weld County. Any additions to the Type 3 materials accepted at the site will be subject to approval by CDPHE and Weld County, in accordance to Al Organic's Waste Characterization Plan . All incoming materials will be screened by the receiving desk or gate attendant prior to off- loading within the facility to insure that the material being received is approved for receipt. The generator or hauler will sign the appropriate receiving document identifying the material as acceptable for receipt at the facility. If applicable, a copy of the manifest for the material will be signed and kept for site records. On site production personnel will be trained to visually recognize the types of materials acceptable at the site. Production personnel will visually inspect material as they are offloaded . If trash or unacceptable materials are observed , they will be managed in accordance with all applicable laws, regulations, and ordinances. Procedures to Follow Should Prohibited Materials Be Identified Personnel will be trained on the process to follow should prohibited materials be identified . Should gate and or site production personnel identify prohibited materials entering the site, they will be trained to adhere to the following procedures: If identified at the gate, the load will be refused entrance and the hauler will be given a list of permitted disposal sites. The rejection event will be logged and the log kept on file for future review, if necessary. If identified on the site, the production employee will notify their immediate supervisor. The supervisor will record the event on a site log . The procedure identified in the Site Contingency Plan regarding Delivery of Unapproved Feedstock, Bulking Material , Liquid Waste, or Other Materials will be followed . Observation of Nuisance Conditions Personnel will be trained on the process to follow should they observe nuisance conditions (offensive odors off site, excessive litter on site, litter off site, excessive dust, excessive flies, and vectors). Understanding what excessive and offensive conditions are will be part of the training process. Any employee observing these conditions will notify their immediate supervisor of the observation . The supervisor will follow protocol listed in the Site Contingency Plan in dealing with the situation . Al Organics Personnel Training Program May 2014 Page 3 Emergency Conditions Employees will be trained on what actions to implement should they observe or encounter emergency conditions such as fire, accident, and injury. Details related procedures for these events are included in the Al Organics Employee Manual . APPENDIX M WASTE CHARACTERIZATION PLAN Al Organics Waste Characterization Plan May 2014 Page 1 WASTE CHARACTERIZATION PLAN Al Organics Eaton Organic Recycling Facility I . PURPOSE The purpose of this document is to provide requirements for operators of Al Organics Eaton Organic Recycling Facility regarding the suitability of proposed feedstocks, liquid wastes, or other materials for receipt and processing at the facility. Section 2 . 1 .2(C) of the Regulations Pertaining to Solid Waste Sites and Facilities, 6 CCR 1007-2 ( Regulations) states that: All sites and facilities, requiring a certificate of designation, shall have a waste characterization and disposal plan approved by the Department and in use for such site and facility. The plan shall outline screening methodologies, appropriate waste handling procedures, and waste exclusion procedures which shall be implemented at each facility. Section 14.6. 1 (C) of the Regulations states that: The owner or operator of a Class I composting facility shall only receive those feedstocks, bulking materials, and liquid wastes specified in the approved design and operation plans for the facility. Acceptance of composting materials, different from those originally approved, shall be in accordance with the facility's waste characterization plan. Al Organics' Class I facilities may accept Types 1 , 2 , and 3 wastes, as described in Section 14 of the Regulations, as well as those additional feedstock materials that are listed in Section 6.7 of the Engineering , Design , and Operations Plan ( EDOP). The Colorado Department of Public Health and Environment (CDPHE) will be notified and provided analytical and process information by the facility to make case by case determinations concerning selection of an appropriate category for a particular feedstock not approved by the EDOP or not approved by the Regulations (6 CCR 1007-2, Part 1 ). This plan contains provisions for identifying , screening , and handling Types 1 through 3 wastes and other wastes noted as acceptable within the approved EDOP for the facility. It also addresses the process and protocol for screening , handling , and exclusion procedures for potential "special wastes" as defined in 11 ( 1 ) below. Al Organics Waste Characterization Plan May 2014 Page 2 II . DEFINITIONS 1 . SPECIAL WASTE - For the purpose of this protocol , Special Waste is waste of value for its water, organic matter, and or nutrient content that may be beneficial to the production of compost or for which composting may provide a beneficial use option to disposal . Special Waste includes Type 3 feedstocks (as defined below) and " Industrial Wastes" as defined in Section 1 .2 of the Regulations or other potentially prohibited materials. 2 . COMPOST FEEDSTOCK — Any decomposable organic material used in the production of compost, or chipped and ground material including , but not limited to, green wastes, animal material , manure, biosolids, and solid waste as identified in Section 14 of the Regulations. Section 14 of the Regulations identify three types of feedstocks for composting : a Type 1 : Agricultural crop residues, manure, untreated wood wastes, yard , paper, and green wastes. Type 2 : Animal material , animal mortalities, and source separated food wastes. Type 3: Biosolids, solid waste, processed solid waste, and sludges. III . WASTE CHARACTERIZATION AND SCREENING Each potential material proposed to be received and processed at Al Organics' facility shall be adequately screened and characterized based on an appropriate combination of material description , generator knowledge, generator interviews and laboratory testing prior to being accepted for composting . It is the responsibility of the generator to determine if the generator's waste is a hazardous waste. Al 's evaluations, screening methods, and documentation procedures will be implemented in regard to the generator's determination of their waste characterization . Screening will initially consist of an initial evaluation by a qualified Al representative to determine if the material meets the requirements as a Type 1 , 2, or 3 compost feedstock, or is an already approved feedstock within the EDOP, and thus can be approved for receipt at the facility. During this initial screening process, should the material be identified as a Special Waste as opposed to an Approved Waste, then the Special Waste Screening process will be followed . Any feed stocks or other materials with a Generator Waste Profile accepted by Al shall be reviewed and renewed on an annual basis. Initial Screening The initial screening process will consist of: Al Organics Waste Characterization Plan May 2014 Page 3 1 . Generator identification . 2. Material description and review of general material definition/makeup. 2 . 1 . What does the material consist of, etc. ? 3. Verification and certification by the generator that the material does not classify as prohibited per Section 14. 3.3(a) of the Regulations. 4. Process description review. 4. 1 . How is the material created? 4.2. What is the consistency of supply (is this a one-time event or is it a continuous repeatable stream )? 5. Logistical evaluation . 5. 1 . How will the material be transported? What type of vehicle will be used , etc. ? 5.2. Is the delivering vehicle used to transport any type of non-approved waste in addition to this material? 5. 3. Will the material be co-mingled with any other material , etc. ? 6. Based on the initial screening evaluation , the material will be either classified as a Type 1 , 2, or 3 feedstock or if the screening process does not identify the material as an approved Type I , II , or III material per the EDOP, it will be categorized as a "Special Waste" material to be evaluated in accordance with the Special Waste Screening process. 6. 1 . Type 1 , 2, or 3 feedstock will be categorized ; i .e. all like materials falling in a specific category from various or multiple generators will be approved . Specific Generator Waste Profiles (GWP) for approved , general categorized materials will not be required . Specific generator identification and volume information received will be maintained per EDOP requirements. 7. Materials that are not classified as Type 1 , 2 , or 3 feedstocks under the initial screening process will be designated for Special Waste screening . Special Waste Screening Special Waste screening will consist of: 1 . Completion of a Generator Waste Profile (GWP) form with attachments by the Generator of the waste. The GWP form is included in the Attachments Section . The form will be signed by an authorized representative of the Generator. 1 . 1 . The Generator Waste Profile form will be reviewed by Al . If required , additional information , such as additional analytical information , expanded Al Organics Waste Characterization Plan May 2014 Page 4 process description information , MSDS sheets, etc. will be obtained . The specific analytical testing to be performed for profiling for a material categorized as a Special Waste will be defined on a case by case basis predicated on the information obtained during the profile submittal , interview, and review process. That acquired information will identify the potential constituents of concern that will thus define the analytical testing required for final evaluation . 1 .2. Upon receipt of the completed GWP, a qualified representative of Al will review the package for completeness and evaluation . 2. After receipt and initial review of all pertinent and relative information regarding the Special Waste GWP, an interview with the generator will be held to review the GWP in order to fully communicate and understand the nature of the Special Waste being considered , identify any constituents of concern and to fully understand the wastes process and logistical controls. The generator interview will be conducted by Al or a consultant contracted by Al . 3. Al Approval Option for Special Waste: 3. 1 . If, after review of the GWP, its attachments, and the interview, it is determined that no constituents of concern , or issues with the process and logistical items exist, and that the material meets the requirements for composting , the material will be approved for receipt with the understanding that wastes that are categorized as meeting the requirements for composting will not contain analytes at concentrations potentially exceeding the CDPHE Groundwater Protection Value Soil Cleanup table limits and will not contain analytes at concentrations potentially exceeding the EPA Residential Soil Levels or EPA protection of groundwater SSLs or RSLs. If constituents are identified above the EPA RSL's the material will require approval from the Division and the local governing agency prior to be accepted by the facility. Wastes that could potentially be categorized as waste pharmaceuticals or medical wastes, as defined in the Regulations, will not be categorized as meeting the requirements for composing . A Generator Profile Number will be assigned to correspond to site records and files which will be maintained for regulatory review per the site specific EDOP requirements. 3.2 . If approved by Al , an approval letter will be issued to the generator and copied to the local governing authority and CDPHE . The approval letter will also outline any special handling or documentation required , including the need for load manifests, if appropriate, based on the nature of the waste. Al Organics recognizes Section 1 . 3.9(A) of the Regulations prescribes that significant changes to the specific waste streams accepted by the facility are required to be approved by CDPHE . Al Organics Waste Characterization Plan May 2014 Page 5 4. Regulatory Agency Approval Option for Special Waste: 4 . 1 . If, after review of the GWP, its attachments, and the interview, it is determined that a constituent of concern , process description , or logistical issue DOES exist and that further review is necessary, Al will prepare and forward a request for review and approval or denial of the Special Waste to the local governing authority and CDPHE for review and response. 4.2. After response from the local governing authority and CDPHE is received by Al , the Generator will be notified as to the final disposition of the request, including (if approved) any special documentation or handling as required by the local governing authority and or CDPHE. 5. Hazardous Wastes and PCB Wastes Exclusion Program : 5. 1 . Al Organics will implement a program for the detection and prevention of the disposal of PCB wastes and hazardous wastes in accordance with Section 2. 1 . 2(A) and (B) of the Regulations and will include the following : 5. 1 . 1 . Random inspections of incoming loads. 5 . 1 .2. Records of inspections. 5. 1 .3. Training of facility personnel to recognize these wastes. 5. 1 .4. Notifications of CDPHE and Weld County if these wastes are discovered at the facility. 5.2 . Annually, Al Organics will randomly choose a waste stream from those streams that have been approved under the Special Waste Screening criteria, for sampling/testing for PCBs or hazardous waste constituents. IV. WASTE HANDLING, DOCUMENTATION , RECORD KEEPING, AND WASTE EXCLUSION A) All materials received at the Al site will be documented as required within the site specific EDOP. The written documentation will include, but not be limited to, all pertinent generator information , along with the types and volumes of materials being received . The documentation shall include a signed statement of quality confirmation . The standard receiving document is included in the Waste Characterization Attachments section of this plan . B) A visual inspection program will be implemented to verify that the incoming material corresponds to the description of the materials approved for receipt. Al Organics Waste Characterization Plan May 2014 Page 6 C) All materials received by Al will physically be handled as defined in the site specific EDOP. Materials requiring specific waste handling or disposal methods include: Biosolids, water treatment plant residuals, liquids, odiferous manures, unground food waste, and materials requiring disposal . The site specific EDOP and related Standard Operating Plans (SOP's) detail the processes and controls necessary to properly handle incoming wastes/feedstocks. D) Record keeping will be done in compliance with the site specific EDOP. E) Where appropriate, the laboratory analyses will be compared to the respective hazardous waste characteristics to evaluate whether the proposed waste is hazardous. In general , acceptance criteria will be based on the EPA Residential Soil Levels and the finished compost standards listed in Table 1 of Section 14. 5. 1 of the Solid Waste Regulations. If the EPA standard is used , the most stringent standards will be used , as appropriate. Additional acceptance criteria may be employed on a case by case basis. In all cases, there shall be a sound environmental basis for the selection of the evaluation criteria. F) Special Waste approval package records (GWP, laboratory analytical results, etc. ) will be maintained at Al Organics' offices for a minimum of three (3) years. G ) The public will be notified of the exclusion of hazardous and PCB wastes at the facility by the posting of signs and issue of mailings, as appropriate, stating that all facility users are subject to the random sampling program for hazardous and PCB wastes as described in Section III . H ) Adequate prescreening is provided by this Waste Characterization Plan and by the facility's EDOP. Additional safeguards are provided by the visual observation of materials during composting and screening , and by the testing of the finished compost. I ) The approval package records (GWP, laboratory analytical results, etc. ) for Special Wastes that are accepted by the facility as a continuous repeatable waste stream shall be updated at a minimum frequency of once every three (3) years. V. RECEIPT OF UNAPPROVED MATERIALS/FEEDSTOCK A) If an unapproved waste is received and discovered at the time of receipt, it will be reloaded onto the delivering vehicle and directed to a proper disposal facility. The rejection will be documented and kept on file for future reference if needed . B) If an unacceptable waste is accepted and discovered at a later time, the following corrective action requirements will be followed : Al Organics Waste Characterization Plan May 2014 Page 7 1 ) If practical and feasible, a given waste will be isolated as necessary. 2) If practical and feasible, a given waste will be removed as necessary. 3) The unacceptable waste will be returned to the generator. 4) If the generator cannot be contacted , Al Organics will arrange for ultimate appropriate disposal . 5) Should the facility discover any hazardous waste received or deposited at the site and the generator and transporter is not known , CDPHE shall be notified upon discovery. All hazardous waste discovered at the facility shall be removed and properly disposed of in accordance with all applicable laws, regulations, ordinances, and local requirements within seven (7) days of discovery. Waste Characterization Plan Attachments ft • g l N S II N ii efPUJ co °i5 7,_ i — ER tz r R1 CO CO e_ i I O1 PI N - , 0s c Y Co N r— -ic Ee g-- I ., 06 r M N co M in N 3 • -C6cf3 Lc CD CO c cn ig ! M > eg > LT, > in `'' _ & 0 r r f s r g `� Cl) oes Nic N N- 0) 0) rn ,...___ co In i ifi G r s i rt.' kil; 3, i - g I i I Tt) .4? H -69- • _K --__. 4- r , . co T F2 06 i k V Co (i N N g 0 � M 41 E cki T oMIMI 0)rtii re 8 a i [Li i di i :5- _ 1 2 +I -- v +1 -a +I + e M in Meco +lNcf? organics GENERATOR'S WASTE PROFILE SHEET Al Organics Use Only Expiration Date: Technical Approval By: Approval Date: Profile #: Safety/Health Review By: Limitations: In-House Product ID Accounting Code INSTRUCTIONS: Please answer each question as completely as possible by circling "YES" or "NO", checking the appropriate boxes, filling in the blanks, or attaching additional sheets as necessary. An ink pen, typewriter or computer must be used. The Generator or Authorized Representative must sign the form. If the waste changes or future analyses differ from what was submitted, Al Organics must be notified immediately. Signed Originals must follow fax or email copies. A. GENERATOR INFORMATION Generator Name: Generator (REQUIRED) Contact: (REQUIRED) Facility Address: Generator Title: (REQUIRED) Generator Email: (REQUIRED) Plume: Fax: BROKER INFORMATION (if applicable): P.O. #: Account #: Billing Address: Broker Name: (If different from Facility Address) Broker Contact: Phone: Same Fax: Broker Phone: Fax: Permit #: Alternative Facility ID Permit # B. PROCESS INFORMATION Describe the business at this facility, including primary products or services: Waste Name: Process - Give a brief description of the process by which this waste was generated: \% ki ° , 16350 WCR 76 c, Eaton, Colorado 80615 0 Tel 970-454-3492 0 800-776-1644 0 Fax: 970-454-3232 organics C. REGULATORY QUESTIONS (Based on 40 CFR Part 261 and 6 CCR 1007.3 Part 261) Profile # : Pg. 2 1 . Is the waste a hazardous waste as defined by 6CCR 1007-3 Part 261 Sections 261 .24 (D Code), YES NO Sections 261 .31 (F Code), 261.32 (K Code), 261 .33 (P or U Codes)? 2. Is the waste from an UST corrective action under 40 CFR Part 280? Of `YES', also check Y ES NO `YES ' on the following question) 3. Is the waste specifically excluded from hazardous waste regulations in 6CCR 1007-3 Section YES ❑ NO 261 .4? If `YES', attach an explanation including the portion of the regulation where the exclusion is mentioned. 4. Is the waste being legally treated for a single hazardous characteristic? If `YES', attach a copy YES ❑ NO of the Agency notification and a certification that no Underlying Hazardous Constituents (UHCs) are present. (AI can provide a blank notification/certification form, if needed.) 5. Is the waste from any of the following? •CERCLA project; • In response to a Compliance Y ES NO Order; • Hazardous waste in another State; • Subject to Land Disposal Restrictions 6. Does the waste contain regulated quantities of radioactives or PCBs? (Attach analyses) • YES • NO D. WASTE PROPERTIES Appearance: p H : Specific Gravity: Physical State: Liquid Flash Point: Color: ❑ < or equal to 2 < 0.8 ❑ oil (closed cup) Odor: ❑ 2. 1 — 7.0 1 .0- 1 .7 ❑ liquid (water) ❑ Non-Ignitable solid ❑ None • 7. 1 -12.4 > 1 .7 ❑ sludge ❑ <140° F ❑ Mild ❑ > or equal to 12.5 actual ❑ damp solid ❑ 140° - 20o° F ❑ Strong ❑ N/A-Solid N/A ❑ dry solid ❑ > 200 ° F ❑ powder ❑ actual Phases: Viscosity: Total Suspended Solids ❑ filter cake ❑ Single (Similar to) (% wt): ❑ soil ❑ Bi-layered • Solid <0.5 ❑ concrete ❑ Multi-layered • Tar 0.5-2.0 ❑ debris • Honey 2. 1 -5 .0 ❑ lab pack • Motor Oil 6.0-20.0 ❑ ash • Water >20. 1 • N/A actual Paint Filter Test: N/A ❑ Pass • Fail Attachments: ❑ Analytical Data — Required unless otherwise noted. ❑ Material Safety Data Sheet(s) ❑ Other (Agency correspondence, process knowledge, statement, etc.) qj ,I ° 16350 WCR 76 c Eaton, Colorado 80615 c Tel 970-454-3492 800-776-1644 0 Fax: 970-454-3232 organics E. SHIPPMENT VOLUMES & METHOD Profile # : Pg. 3 Mode of Shipment: Estimated Volume Per Shipment (please circle): 9 Bulk Liquid Gallons — Pounds — Yd3 - Tons Gallons — Pounds — Yd3 — Tons El Bulk Solid Gallons — Pounds — Yd3 — Tons ❑Drums Gallons — Pounds — Yd3 — Tons ❑ Totes Gallons — Pounds — Yd3 — Tons ❑ Other - Specify: Gallons — Pounds — Yd3 — Tons Frequency of Shipments: Day(s) Week(s) Month(s) Year ❑ One Time Project F. AUTHORIZED SIGNATORY: I hereby certify that: • I am the Generator (or authorized by the Generator identified herein to provide the information submitted in this form and any attached documents and to enter into this Agreement on the Generator's behalf). • I have made a complete and thorough investigation of all matters relevant to completion of this form and based on this investigation certify that no hazardous waste codes are associated with this waste stream. • If laboratory analysis was used to evaluate this waste stream, the analysis was performed on a representative sample of the waste stream in accordance with 6CCR 1007-3 Section 261 .20(c). • All applicable information concerning the waste stream has been provided in this and the attached documents. Such information is complete and accurate and all known or suspected hazardous constituents/characteristics or safety hazards associated with the waste stream have been disclosed herein. • I will inform Al Organics if the waste characteristics or process changes. Signature: Print: Title: Date: Company: ,� ° 16350 WCR 76 0 Eaton, Colorado 80615 o Tel 970-454-3492 a 800-776-1644 a Fax: 970-454-3232 organics Hello