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Home My WebLink About20141211.tiff 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 l WELL PERMIT NUMBER 292997 APPLICANT DIV. 1 WD2 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY '7" SW 1/4 SE 1/4 Section 8 GERALD N CALVIN Township 2 N Range 66 W Sixth P.M. KAREN HERMAN-CALVIN DISTANCES FROM SECTION LINES PO BOX 429 66 Ft. from South Section Line FT LUPTON, CO 80621- 2070 Ft. from East Section Line (303)857-2028 UTM COORDINATES(Meters,Zone:13,NAD83) CHANGE/EXPANSION OF USE OF AN EXISTING WELL Easting: Northing__ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved for the change/expansion of use of an existing well constructed under permit no. 160720-A.The issuance of this permit hereby cancels permit no. 160720-A. 4) Approved pursuant to CRS 37-92-602(3)(b)(II)(A)as the only well on a tract of land of 40.00 acre(s)described as the SW1/4 of the SE 1/4, Sec.8,Twp. 2 N, Rng.66 W, Sixth P.M.,Weld County. 5) The use of ground water from this well is limited to fire protection,ordinary household purposes inside not more than three(3) single family dwellings,the watering of poultry,domestic animals and livestock on a farm or ranch and the irrigation of not more than one(1)acre of home gardens and lawns. 6) Production from this well is restricted to the Laramie Fox Hills aquifer. 7) The pumping rate of this well shall not exceed 15 GPM. 8) The return flow from the use of this well must be through an individual waste water disposal system of the 1, non-evaporative type where the water is returned to the same stream system in which the well is located. 9) This well shall be located no more than 200 feet from the location specified on this permit. NOTE:To ensure a maximum productive life of this well,perforated casing should be set through the entire pr:iuc ng o� interval of the approved zone or aquifer indicated above. �-1`'��I I u0.5 p APPROVED ! - • • , [ li I State Engineer • Rf-.;ce;pi NO.3661l,i1l DATE ISSUED 11-26-2013 ESPIRATIGINDATE_ ,__ I Hi' C,ZP I:I',.D:I:V:I::O1. OLSEWAGE DISPOSAL SP:'OSAL SYSTEM PERMIT NO., G-939131 WI:I..,1) COUNTY HEALTH 1 DEPARTMENT T l'lI:L'J PERMIT ENVIRONMENTAL HEALTH 8I::F:V:I:C1:::4:'i :1."5-17 16TH AVENUE COURT, G1P:I:::Iii:!_E::Y.: CO 20631 353-0635 I!::XT...<_.<..,:::ii OWNER CALVIN, GERALD N. ADDRESS I''L: BOX 3OY FR (J03) 665-9 442 LOUISVILLE CO (300/1? AI)ORIE:'i5S :31: PROPOSED SED `rS TEM :1.:3595 WEE 22 FT LUPTON CO BO621 LEGAL. DESCRIPTION (:1F 'E:I:Tlii::: W2 ':'E4 SEC `i3 T'UJI' ... RHO 66 SUBDIVISION LOT 0 :i•:i..t1Cl< :) FILING C, (islE: TYPE:. RESIDENTIAL S LDENT:I:AL HOUSE/REPAIR 9.._0287 (i311:1:3VICEi:`S2 PERSONS 6 BATHROOMS 4..00 1..O'I 5:1:71. (3(3 .'00 ACRES BEDROOMS 4 BASEMENT PLUMBING NICI WA,lEN SUPPLY P'WIS:L_L. APPLICATION FEE $0.00 I::l:.1:1'1) BY CINDY NDY SAL..AZAR SIGNED BY HERALD N. CALVIN DATE 0(3/20/93 DATE: 08/20/93 PERCOLATION RATE 0.0 11:1:11 PER INCH L..:1:ri:I:T :I:11(1 ZONE 0 FEET I:S(:J:11... TYP'T:: SUITABLE: F:Pc(l'T GROUND ?31.."I:)FEE Oa, DIRECTION REQUIRES ENGINEER Iii:l:i :DF:'?3:1:(:311 1I(i III 100 Y'I:i:Filk FLOOD PLAIN(il:l ZONE NO 1:72(:.1°. TLII:i: r11:'I::'L.:I:crf:'I:I:(:N :I:NF(:IRI°Iiii :r :1N (3LUPPl._:I:I:::O AND Tl..11E: ON—SITE £:5(T:I:1... PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS i Alii:: REQUIRED SEPTIC 'T'AI'"I!< :1000 GALLONS, ABSORPTION TRENCH <'JOO SQ.. FT OR ABSORPTION 1'1::1) SO. FT",: IN ADDITION, T1'l:1: :3 PTIE:P;:lvI:I:TT :I:£:i SUSS::JIii:(::r TO THE F(JI...l...(::•(d:I:NG ADS'):F'1'i:C)II(;l... TERMS AND CONDITIONS _.. ............. ...._............ .....__......... _. THIS PERMIT IS (3RAl'I ED TEMPORARILY MP'(:ORAP::I:LY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT I:T MAY BE: REVOKED OR SUSPENDED BY III 1,11 I D COUNTY HEALTH DEPARTMENT FOR I I fl lll)`:3 (.I::'T. FORTH 3 N 1Ii : WELD COUNTY INDIV:I:DUAI.,. SEWAGE DISPOSAL SAL. YS HM RIS:Cil..11..A T i: :i11S INCLUDING Fa LURE T(:1 MEET ANY (Ii;:I'2II (:i1';; CONDITION IMPOSED THEREON DURING TEMPORARY (::N2 I I NJAL. APPROVAL...,. ME ISSUANCE OF' THIS PERMIT 1)C113:9 HOT CO11SI I, YUlE ASSUMPTION BY T-IE DEPARTMENT NT (11, I.T £3 EMPLOYEES O{Ii:I.:J OF LIABILITY FOR THE FAILURE OR INADEQUACY (Ir_ THE SEWAGE DISPOSAL S'i E . ..::l''I.. PAM SMITH 00/20/93 I:!:11V11:2(:JNPII:::NTAI... SPECIALIST .)ATE THIS PERMIT :I:(3 NOT 'T....,.'il..lcI li::l.,( xi:Llii: riI'II) 'ifl-Ir11...1.. BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED WITHIN GI11Iii: YEAR (,1P: I:TO :I:;S≤:3LIFd1hE:1(:.. i:l::l-ORE ISSUING P':I:11Ad... APPROVAL OF TT'I:I:P3 PERMIT ..(.H..IE::: WELD COUNTY HEALTH Dlii F ART `EN I" RESERVES THE:: 11:1:01'11' T O IMPOSE ADDI— TIONAL TERMS r,I IL) CONDITIONS t'II' REQUIRED I 1 MEET OUR lilii:(:IC11...A:'T IONH ON A CONTINUING I:11G BA— SIS. FINAL. PERMIT APP'R(:1VAJ... IS CONTINGENT UPON TI-II::: I"':1:1`1AJ... :I:IdrE;I::lii:(:;T:I:(:)II OF _(Mfr.: COM— PLETED SYSTEM BY THE WJl::L.1) COUNTY HEALTH DEPARTMENT. SYSTEM :I:i'ISTAL..I.,,E::R L)l'.11<I'N1f:1(AJI'i I:: :I:1JA1... Il (r3iTICN DATE: O(3%R'O,';':.i≥ $;'"(E'S'IIE:l'I 1:::11(:3:I:I+1!:::II:f2 A!::•PR0:=.'VJf-il... PAM ETI''iI:TH TYPE OP SYSTEM I°I INSTALLED TANK ENVIRONMENTAL II::T•ITFA I I:i:(:::f.GL. A T _('1.1!:: :I::3'Sl.i(IlC:f:1 (:31 .T.1.1:1:`11 PERMIT D(::IE:13 NOT IMPLY COhII"'I...:I:ANIClii: WITH (:J'.LL.Iliia:;. STATE, COUNTY Cll:;: L...JCEi"J... REGULATORY 1:31.: BUILDING RIii: :1t.11:lI:::l`II::I•IT'E:S!: 11(iI: SHALL IT A...... TO CERTIFY THAT THE SUBJECT SYSTEM W'II .I... OPERATE IN COMPLIANCE W:I:Tll APPLICABLE I 1I til I.I STATE,, !J(:1(11'•1TY A111) L.,CiC;r,I... REF(il(.JI...r17:1:(EiI'IC; iT)C)I::TI:::I) 1::'I:::14(S(.1A11'T TO 1:il:2T:I:(: I...1:: :I.O., TI:TI...l:: ::::5„ (31115AMENDED,a.`> ':ii., AS i��il°IEi:I��IS.I S , EXCEPT FOR THE PURPOSE OF ESTABLISHING; FINAL AAPI'`I'2(O:!VAI... (:'I AN :I:h..l2:ITAI LED SYSTEM I°r. FOR • ISSUANCE OF A: LOCAL C iCC1.J1:'A1NCY PERMIT I::'L.1RSUAN.T. TO C1:2(:3 :1.973 25-10-111 (2) . O1R:f(31: '1A1,......Ap:'l;:i..:vi:)Fi1.17:; (:)(:)PY.._LJ!::;HS) WC-ID—ENS I°IAfY., 17e4.; • ? •wax L'OUNTY HEALTH DEPARTMENT •t n FEE $10.00: f X0-93 4,,-ENVIRONMENTAL PROTECTION SERVICES SOE I: 93?/,5,1 'I517 16th,Avenue Count LOAN a: Greeley, Colorado 80631 Weld Health LSDS a. (303)353-0635 �' - REPAIR *: 930fl7 STATEMENT OF EXISTING FOR SEPTIC SYSTEM �/ (PLEASE FILL OUT IN BLACK INK ONLY) OWNER OF RECORD: V412-6A/ HLra.n1AfrU- C4LVIN PHONE: (3J& 46 - 9Y`IZ AND GEa.ALO N. CALvIAl MAILING ADDRESS: p, O. I3o)( 3o'7 LOWS ✓Ic-uz CO 090Z7-O?O7 City State Zip SITE ADDRESS: 13S kit 22 Fr L Op9 Or' Po 80611 City State Zip LEGAL DESCRIPTION: PT: k ya PT: SEI4 SECTION: Y' TOWNSHIP: 2. N RANGE: 66 W SUBDIVISION: LOT:_ BLOCK:_ FILING: NUMBER OF PEOPLE: Co BEDROOMS: Ai BATHROOMS: AfOAe WATER SUPPLY: WALL (SIDENTIAL ) / COMMERCIAL BASEMENT PLUMBING: le LOT SIZE: -'-s3) acres SYSTEM SIZE: Tank is constructed of 06441-dr and has dtrtrV gallons capacity (material) FIELD: Bed or Trench hcD D square feet. DATE SYSTEM INSTALLED: /WO fNNEN NenkSE LuRS Guar You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location, length, width, and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identified by the above legal description and further states that the system is in good working order and to the best of his/her knowledge is not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by law. z`,J`L3 Date Owner ; 3 Subscribed and sworn to before me this f`-o V' day of 0��[J , 199,2' by ill Qltr.Z1 ai. CJ - Witness my hand and official seal. My commission expires: ,,e///0/4o 7/a a/H C ( Date / Notary Pu is STATEMENT OF EXISTING REVIEWED BY: P £i oI U Environmental Protection Specialist • HSP EO..P J:I'IX):I:'11 Dllr1l... SEWAGE: DISPOSAL O2SA1 SYSTEM La I PERMIT NO.. G-830207 0207 WELD COUNTY HEALTH DEPARTMENT REPAIR PERMIT :::N'VIRC1F•II''ll::NTAL.. HEALTH SERVICES :1. :7:1.:% :l.<:!'Tal AVENUE COURT. GRF::EL.EY„ CO 80631. 11Y.5-0615 EXT.2225 + ADDRESS ..1(.)'2 PH 303) 665-9,142 f,Ib:IDll::a:2 CFdI...'�. :I:h•t,, GERALD M. r��(,Dlf:::`:5!3 PO BOX � �'� L..O 1.1 a:i3'J:I:L..L..lii: CO ;i.'')')2 7 ADDRESS OF PROPOSED SYSTEM :L:(i'.5!5".'i u.l(::f? 22 PT I._UP'TON CO :::'.0 . ':I. LEGAL DE: :Si:,P;:cP'ralrrl OF ':57: i i::l: W2 Si::4 SEII:(.. Iii:• T tJJI 2 RLIG 66 ..>l.l:(3D:I:L+:f.S:f.C)Fa;; LOT 0 BLOCK U F:I:L..:Ia'1G) <) USE TYPE;: RI!::::;:1:7)f,_hi'. :I:AI... HOUSE/LOG SERVICES;: PERSONS 6 w:4ATHPdC.)OMS5 4.00 I..(:i'T 53:I:2lii: 50..00 ACRES BEDROOMS ''T BASEMENT PLUMBING YES LIr:;'ii:r: SUPPLY P'WE::!...!.. APPLICATION Flii:lii: .;:!.:?55,.00 RI::C 'A) BY CINDY SSALA:p".AP; SIGHED BY GERALD N. CALVIN DATE OS?/20/93 DATE 00/20/93 PERCOLATION RAl'I::: 'i',.G MIN P'I:::I:± INCH LIMITING L :A•ll::. .:, FEET SOIL.. TYPE: UNSUITABLE S1.1:1:TA131...E PERCENT GROUND SL..OF:'li:: 0:;; DIRECTION REQUIRES ENGINEER DESIGN YES :I:!'•! :I.O0) YEAR 1:'1._(:1(:5. PLAIN ZOI'll::: NO fri:OM THE APPLICATION INFORMATION fSl.11"RL..:I:I:::D AND 'T'I-Ili:: ON-SITE SOIL (:1:1:1... I:'L:::fi(:;C)L..i:§TICII'I DATA T'aii : FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE F;;:G)l.l:ri;;IE::O:I SEPTIC TANK 7.:350 GALLONS. ABSORPTION TRENCH SQ. FT.. OR ABSORPTION''7:f.f7!"•I X:?Ic::O 111.1 c !!.. FT. ,. IN ADDITION. THIS I:;ES PERMIT IS SUBJECT T(1 THE FOLLOWING L.CIW:I:NG ADDITIONAL TERMS AND COT•IXi:I: 1 :I:(7I'4SS:� iii:l:'' PERMIT If:? GRANTED TEMPORARILY 1X:i ALLOW CONSTRUCTION TO COMMENCE. THIS P'Iii:RP1:!:'1.. MAY BE REVOKED OR SUSPENDED BY THE WI:::!...A) COUNTY i i'Y HEALTH DEPARTMENT FOR REASONS NS !.3!r:.T. FORTH :iii TIii::: uji :1...D COUNTY :I:I'd)+:I:'.):I:Dlh'al... SEWAGE X):I:SSSI''CJSSSAAL.. SYSTEM REGULATIONS INCLUDING FAILURE TO IIT.:IE:r ANY TERM 1II:; CONDITION IMPOSED THEREON OI.AR:iLIT TEMPORARY OR T :I:lici,.. APPROVAL. THE ISSUANCE Tl.:l::: OF THIS PERMIT DOES S Nor CONSTITUTE: ASSUMPTION ON BY THE DEPARTMENT OR :1:7;:5 Iii:L9 P'l...O'r li:aii:S3 OF LIABILITY FOR 'I'Hf? FAILURE OR INADEQUACY OF THE S err'S:;T :::P'I..SEWAGE X?:I:_SI�'(:1fiSi'll... A/o� 0 ""�/'// l 93 e STOL.L., ;rI:::Ix!:. ra.: E:; ,.,;,. , / / /357- ' ENVIRONMENTAL SPECIALIST XMi l l!i THIS PERMIT I:i NOT .1: AI'!EIiP:ERAni..Tii: AIM) SHTr°d..l... I:{l :(IOI'IE: VOID IF SYSS...::l% CONSTRUCTION HAS NOT COMMENCED WITHIN CII\II::: YEAR OF ITS ISSUANCE. BEFORE ISSUING P' :I:NAI... APPROVAL OF THIS PERMIT' 1I-HE WELD COUNTY i u :Pd...T'ii DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- TIONAL TTI::P:I°ISS AND CONDITIONS REQUIRED TO NEC:'!' OUR REGULATIONS ON A CONl'T:I:I'•IU:!NG T3G>- s:I:s„ FINAL. PERMIT APPROVAL IS f-OWILU,I:.IT UPON Tall::: FINAL. INSPECTION OF THE COM- PLETED..!:Tl:!:D SYSTEM BY THE WELD COUNTY Il''i' HEALTH i DIii:P'FAAI:I:....ii:'::i... , r >TE:M III .:TAl l .l:.l g4,.. .„... .K ._.... ..,...... ._ FINAL lira I l _RA DATE (41q/Cf. .. SYSTEM Ill(:cllll '.! ,.Q�1L �/1Z i A Pl-.OVA':L - ._ ... _ TYPE OF SYSTEM INSTALLED [,4J.. t 5 l-NV:I:RONl'1ElIml SPECIALIST IS1 THE ISSUANCE CE 01' THIS PERMIT DOES NOT IMPLY c;oiil:!...:I:cmlc:E: WITH H OTHER STATE. COUNTY OR I tJCi'a Iilii:t II i'iT(:1RY OR BUILDING REQUIREMENTS, Hi)!t SHALL ii..L IT A(::T. TO CERTIFY THAT 14E: SUBJECT ':SY:STI::I'! L.I:!:I...I._ OPERATE IN COMPLIANCE I...:Iail'it:I WITH ii!i'I...It::A:ti+I. i STi=(T'li::, COUNTY AND LOCAL I:;Ii::1,111...r1TIC:tl i , ADOPTED I 'I:::IctS1.IAaTi TO ARTICLE:T:I:C)I...lii: 7.0., TITLE :<:".ii„ CRS 1973, AS AMENDED, „ EXCEPT T FOR THE F'1.11R1'II;;I:. OF ESTABLISHING SH:ING FINAL APPROVAL 1•CCI'•,, i III AM INSTALLED l:.D ii ', fl :iI f (ali ISSUANCE OF A LO(::AI., OCCUPANCY ANCY PERMIT PURSUANT TO CRS 1973 25-10-111 (2) . ORIGINAL-APPLICANT2 COPY__!.I(;E"1,f,) LJCa!:D-EMS MAY. :1.984 L.. II - I �V)ir, y U JOL5 Gad- - , bL i,'-.1 1L1 To ST�Cr_ s i_ ll /_.) .., . r a ill) ' ! 1' f ( T c 7r3 L—.I - �, [.f flclr w. 1) Yi 0 ;J o , V 9(� • 4 I I • e / / / '`CD3 Hello