HomeMy WebLinkAbout1.0 Application....
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BEFORE THE BOARD OF C O UNTY COMMISSIONERS OF
GARI'lELD CO U NTY, COLORADO
£ETITION FOR EXEMPTION
Pursuant to C.R.S. (1973) Section 30-28-101 (10) (a) -(d) as amended, and the
Subdivision Regulations of Garfield County, Colorado, adopted April 23, 1984 Section 2:20.49,
the undersigned (?A Ill N , }'{ o 8 1-l R u 1 H f3E,8 N k L.A u respectfully petitions
the Board of County Conimissioners of Garfield Count y, Colorado, to exempt by Resolution
the division of Z tj.'() acre tract of la n d into l5 tracts of approximately _
a r 9, 7 I t"Z-i '~acres each, more or le ss, from the definitions of "subdivision" and
/ I
"subdivided land" as the terms are used and def med in C.R.S. (1973) Section 30-28-101 (lO)(a)
-(d) and the Garfield County Subdivision Regulations for the reasons stated below:
_:l;a-i ~
SUBMITTAL REQUIREMENTS:
An application which satisfies the review criteria must be submitted wilh all the following
information:
A. Sketch map at a minimum scale o f 1 "=200' showing the legal description of the
property, dimension and area of a ll lots or separate interests to be created, access
to a public right-of-way, and any proposed easements for drainage, irrigation,
access or utilities; .
B. Vicinity map at a mini.mum scale of l "=2000' showing the generai ' topographic
and geographic relation of the proposed exemption to the surrounding area
wilhin t wo (2)miles, for which a copy ofU.S.G .S. quadrangle map maybe used.
(;. Copy of the deed showing ownership by the applicant, or a letter from the
property owner(s) if other than t he appli cant; and
D. Names and addresses of owners of record of land i.tnmediately adjoining and
within 200 feet ofthe proposed exemption, mineral owners and lessees of nlineral
owners of record of the property to be exempted, and tenants of any structure
proposed for conversion; and
E. Evidence of the soil types and characteristics of each type; and
F. Proof of legal and adequate source of domestic water for eac4 lot created,
inethod of sewage disposal, and letter of approval of fire protection plar ~ from
appropriate fire distdct; and
G. If connection to a community of municipal water or sewer system is proposed,
a letter from the governi.t1g body stating a willingness to serve; apd
H. Narrative explaining why exemption is being requested; and
T T4 't f f 't
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EXEMPIION
APPLICABILITY
The Board of County Commissioners has the discretionary power to exempt a division ofland
from the definition of subdivision and thereby from the procedure in these Regulations,
provided the Board determines that such exemption will not impair or defeat the stated purpose
of the Subdivision Regulations nor be detrimental to the general public welfare. The Board
shall make exemption decisions in accordance with the requirements of these regulations.
Following a review of the individual facts of each application in light of the requirements of
these Regulations, the Board may approve, conditionally approve or deny an exemption. An
application for exemption must satisfy, at a minimum, all of the review criteria listed below.
Compliance with the review criteria, however, does not ensure exemption. The Board also may
consider additional factors listed in Section 8:60 of the Subdivision Regulations.
A. No more than a total of four (4) lots, parcels, interests or dwelling units will be created
from any parcel, as that parcel was described in the records of the Garfield County
Clerk and Recorder's Office on January 1, 1973, and is not a part of a recorded
subdivision; however, any parcel to be divided by exemption that is split by a public
right-of-way. (State or Federal highway, County road or railroad) or natural feature,
preventing jpint use of the proposed tracts, and the division occurs along the public
right-of-way or natural feature, such parcels thereby created may, at the discretion of
the Board, not be considered to have been created by exemption with regard to the four
( 4) lot, parcel, interest or dwelling unit limitation otherwise applicable;
B. All Garfield County zoning requirements will be met; and
C. All lots created will have legal access to a public right-of-way and any necessary access
easements have been obtained or are in the process of being obtained; aD;d
D. Provision has been made for an adequate source of water in terms of both the legal and
physical quality, quantity and dependability, and a suitable type of sewage disposal to
serve each proposed lot; and
E. All state and local environmental health and safety requirements have been met or are
in the process of being met; and
F. Provision has been made for any required road or storm drainage improverµents; and
3. Fire protection has been approved by the appropriate fire district; and
I. Any necessary dr'ainage, irrigation or utility easements have been obtained or are in the
process of being obtained; and
QUIT CLAIM DEED
THIS DEED, Made this/C'~ day of October, 1993, between
ARNOLD L. MACKLEY and
ELSIE D. MACKLEY,
of the County of Garfield and Sta te of Colorado, grantors, and
CARL H. BERNKLAU and
NORA RUTH ALEXANDER BE RNKLAU, T e nants in Common,
whose legal address is 7880 309 Road, Rifle, of the Cou nty of Garfield and State of
Colorado, grantees,
WITNESSETH, That the grantors, for and in consid e ration of the sum of
Ten Dollars and other good and valuable consideration, the r eceipt and sufficiency of which
is hereby acknowledged, have remised , released, sold and QUIT CLAIMED, and by these
presents do remise, release, sell and QUITCLAIM unto the G r a ntees, their heirs, successors
and assigns, forever, all the right, title, interest, claim and demand which the grantors have
in and to the real property, togethe r with improvements, if a ny, situate, lying and being in
the County of Garfield and State of Colorado, described as follows;
All that part of the SWV.NEV. and of the Lot 1 of Sec. 4, Tp. 7 S., R. 94 W.
of the 6th P.M., lying northwesterly of County Road 329 without water or
water rights of any kind, and reserving to the gran tors all oil, gas, and,
without limitation, other min erals therein or thereon with the right to mine
for and remove the same.
also known by street and number as: undeveloped land
TO HA VE AND TO HOLD the same, together with all and singular the appurtenances
and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate,
right, title, interest and claim whatsoever, of the grantors, eithe r in law or equity, to the only
proper use, benefit and behoof of the grantees, their heirs and assigns forever.
IN WTINESS WHEREOF, The gra ntors have executed this deed on the date set forth
above.
~~~L-~
ARNOLD L. MACKLEY
o1ik &YU&1~ ELSIE D . MACKL~
STATE OF COLORADO )
) SS
COUNTY OF GA Rl<'TPT n '
; Recorded at ..... }.;.l~ ..... '..o'clock. .... P.: ..•• M., ........ M.~Y. ...... J:.Q ....... J.:2.5..7. ................... .
197713 Chas. S. Keegan Reception No........................... . ........................................................................... Recorder.
US DEED, Made this 6th day of Mq
:e year of our Lord one thousand nine hundred and fifty·s~ven
een
RALPH A. RIDENOUR
County·of Qar.t'ield
:ate of Colorado, of the first part, and
CARL H, BERNKLAU and NORA RUTH BERNKLAU
County of Garfield
1te of Colorado, of the second part:
:TNESSETH, That the said partgr' of the first part, for and in consideration of the sum of
lLLARS AND aI'HER VALUABIE CONSIDERATION-- - - - - - - - - - - - --Imrm,
aid part y of the first part in hand paid by the said parties of the second part, the receipt whereof is
onfessed and acknowledged, ha s granted, bargained, sold and conveyed, and by these presents does
Lrgain, sell, convey and confirm unto the said parties of the second part, their heirs and assigns forever, not
?Yin common but in joint tenancy, all the following described lot s or parcels of land, situate, lying
g in the County of Garfield and State of
to-wit:
e ~SEi of Section 33, T. 6 South 1 Range 94 West of the 6th P.Mo, Lots 2,
md 4, and the swl.NWt of Section 4, Township 7 South, Range 94 West of the
l P.M., the NEiSE! of Section 5, Township 7 South, Range 94 West of the 6th r. .
ject to rights of way for ditches and public roads, containing 279.68 acres
e or less, according to the·u. s. Government Survey thereof.
'ther with an undivided 1/2 interest in the R. and A. G. Anderson Ditch
in and to the 4 cubic feet of water per second of tirne (240 cubic feet
minute) allowed to l'low therein under Priority No. 84 and all right,
e and interest of Granter in and to the lateral ditch from the said R.
A. G. Anderson Ditch to the above described land.
;her with al:l. privileges, hereditaments and appurtenances thereunto be-
.ng, or in any wise appertaining, including all water, irrigation and
1,age rights of every kind and description, hcwever, evidenced or mani-
d.
ving, however, to the party of the fir st part an undivided one-half
l oil, gas and other minerals in, upon or under said lands herein
~reby conveyed with the right to prospect for and remove the same
.1 rights of ingress and egress necessary for such removal.
... -.-· ,.... .. -·.,. -..
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-RN Cl-ADU PROJECTS OHICE
-.0. BOX 449
LOVELAND, COLORADO 80539-0449
CONTRACTED SERVICE
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3. a. The Contractor hereby contracts for 40 acre-feet of water
service annually from Green Mountain Reservoir as follows:
(1) 37 acre-feet of water for irrigation use.
(2) _], acre-feet of water for municipal and domestic use.
(3) _Q acre-feet of water for Category A industrial use.
(4) _Q acre-feet of water for Category B industrial use.
The United States agrees to provide such water service subject to the terms
and conditions of this contract. The United States shall not enter into
any contract that will result in the total amount of water marketed from
the Reservoir exceeding the marketable yield in effect at that time;
Provided, That the United States reserves the right to make short-term
sales of water from the Reservoir as long as such sales do not impinge upon
the Contractor's entitlement to take delivery of the water contracted for
herein. There shall be no right to carryover storage of undelivered water
contracted for herein from year to year.
b. The 20,000 acre-foot marketable yield of the Reservoir is based
on the assumptions and conditions incorporated in the supporting hydrology
studies documented in the report entitled, "Green Mountain Water Sales
Hydrology, 11 dated September 15, 1988. The marketable yield may vary
depending on changes in future operating conditions. In the event any of
the assumptions and conditions incorporated in the supporting hydrology
8
IN Wl1NESS WHER£0f, the parties have executed this contract the
daY and year first above written.
/ 1HE UN11EO S1A1ES OF AMERICA
BY -=-.,4-..1....Jfb#-"=.~~~~::::::;;...---
"'"\\l\9 Re i o a rector Bureau of Reclamation
Great Plains Region
CARL tt. AND NOAA RU1H BERNKLAU
28
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CR.ifle CFi.Te 'Protection COi.strict
Box.1133 · Rifle, Colorado · 81650
Garfield County Planning Department
109 8 Street Suite 303
Glenwood Springs, CO 81601
May 19, 1994
Dear sirs,
The Rifle Fire Protection District has spoke with Mr.
Carl Bernklau about the proposed subdivision of his
property on County Road 329. The Fire District approves of this sub-division at
this time, but would like to continue to be involved in
the development of this sub-division so as to insure it is
accessible by emergency equipment and to address any
additional wild fire concerns. If you have any questions feel free to contact me at
625-1243 or by mail at: R.F.P.D. Post Office Box 1133,
Rifle, CO 81650.
Sincerely,
~~·
Fire Marshal
Rifle Fire Protection District
Hr. and Hrs. Carl Bernklau
HILL TOP FARM
· 5'irle4 Chavez
Mineral Land Services
802 Palmer Avenue
Glenwood Springs, Colorado 81601
(303) 945-5804
March 5, 1994
7880 County Road 309
Rifle, CO 81650 Res Tp.7 S., Rg.94 W., 6th P.H.
Section 3: Let 4
Section 4: Lot 1, S/2NE/4
Dear Carl and Nora Ruth:
In you exemption process, you should notify the following enties
which have a leasehold interest in the above described lands:
Gyrodyne Petroleum, Inc.
Hill Pond Rd.
St. James, N.Y. 11780
Stephen M. Peck
SMP Associates, L. P.
1775 Broadway
26th Floor
NY, NY 10019
Mobil Exploration & Producing North America Inc.
P.O. Box 5444
Denver, Co 80217
The Osgood Stevens Lovekin Trust
260 Maynard Bldg.
119 First Ave South
Seattle, WA 98104
Meridian Oil Inc.
5613 DTC Parkway
Englewood, CO 80111
Barrett Resources Corporation
Suite 2400
1125 17th Street
Denver, CO 80202
You should also notify the following min e ral owners:
Arnold L. Mackley
and E. Darlene Mackley
4031 County Road 320
Rifle, CO 81650
Richard M. Tuttle
960 Pennsylvania, Unit 15
Denver, CO 80203
Elizabeth Susie Power
3814 Hummingbird Drive
Murry, Utah 84107
The above information was obtained by usi n g the tract indeces of
Stewart Title of Glenwood Springs, CO
Please do not hesitate to call me if you n eed additional help on
this .
~~~cerel ~ ;J ~~~'
shir1 4 C ha~
SC
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IN THE DISTlnCT r:o~::rr I:\ .-'.8D FOR
h'ATEI\ DlVLSIO>~ i~O. 5
STATE OF COLO:~i\DO
APPLICATION NO. \·!-1879
F I L. :.~ . :,
li'~ \VA'fL, ~: · .. :i'
Div i:;iun i'-4 u. . ,
IN TllE h\TTER Of TIE APPLICATION )
flY O l:f-'U l y
FOR WATER RIGHTS O? )
)
)
)
)
)
)
)
BETi:~KL,\U & NO J.V.\ RUTll I3 S IUKL \U RULING OF THE REF~~EE
IN TEE COLC'u'\J O RI VER
OR ITS TRIBUTARIES.
.TRIBUTARY INVOLVED -
ADSOLUTE ~h\TER RIGHT
UNi'J:\M2D
IN G.\.R?IELD COUNTY
And the Referee having made the investigations required
by Article 21 of Chapter 148, C.R.S. 1963, as amended docs
hereby make the following ruling, to wit:
This application was referred to the Water Referee of
Water Division No. 5 on the 31 st day of i b y 197 l_.
1. Name of Applicant
Address
Carl H. Bern~dci.u a nd Hor a R.utb Bernkl a u
Rout 2 1, Box 170; Rifle, Colorado
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2. The name of the structure is Gardner Spring.
3. The legal description of the structure is: The spring is
located in the S ~~SE~ of Se ction 3 3 , T. 6 S., R. 94 W. of
the 6th P. r--:. at a point 1·:1hence the South1-7 es t Corner of
Section 4, T. ,7 s., rr. 9l~ W. of the 6th P~i-1 . be a rs:
4.
s.
6.
7.
8.
s. 29°01 1 47" W. 63 8 6.25 feet.
Means of diversion: The wa ter is collected a t the spring
and piped to the pl 2 ce of use~
The date of initiation of appropriation is
June 1 , 1 9 2 5 •
The amount of water claimed is 0.044 cubic foot per
second 0£ time.
The use of the water is dom es tic and livestock wa ter.
The Priority date is June 1, 1925.
9.. The date of the applic<ition was Mny S, 1973.
It is the ruling of the Refere e that the statements in
1the application are true and that the above described water
right is approved and granted the indic~tcd priority; subject,
however, to all c2rlicr priori~ics of othe rs .
It is accordingl~ ordered that this ruling shall bcco~e
· ·-'-~L-11~ .. ~~ r1,.,,..,.1 ,. ~11hi0c-t to Judici.:.l
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Shelton Drilling Corp.
P.O. Box 1059
Basalt, Colo. 81621
(970) 927-4182
Lie.# 1095 Invoice . # C-1028
Name:
c/o :
Address
City , St, Zip
Phone# :
Hole Size
9 .0
6.5
5.0
Depth
25
160
170
Carl Bernklau
7880 County Road 309
Rifle, Co. 81650
(97Q) 625-1235
Type Casing ID
Steel 6.5
Steel 5.0
'< I
Date : 02/28/97 ,
Permit# : MH-30044
Location Taughenbaug
Casing OD From -To Perforated Ft :
7.0 0-25 Estimated :
5.0 18-160 Static Level :
Total Drilled :
Recommended Pump Set Depth 155 Ft. Pumping _jQ_ GPM.
For Pump Installation We Recommend : Aqua Tee Pump 984-0311 (Tom Platzer)
Samuelso n Pump 945-6309 (Raun Samuelson)
J & M Pump Co 945-6159 (Rick Holub)
Special Instructions :
Price Per Foot 150 Feet @ $ 23 .00 Per Foot = $ 3,450.00
Feet @ $ ____ Per Foot = $
Total Invoice. . . . . . . . $ 3,450.00
30 ft *
5-10 gpm
90 ft
170 ft
Conditions Of Payment : _______________________ _._a...__.....;$ ___ _
PLEASE READ THE FOLLOWING RECOMMENDATIONS
1. * WE STRONGLY RECOMMEND A VALID PUMP TEST BE CONDUCTED BY A LICENSED PUMP
INSTALLER TO DETERMINE THE ACTUAL WELL PRODUCTION AND WATER QUALITY. THIS SHOULD
ESTABLISH THE ACTUAL WELL PRODUCTION PARAMETERS WHICH WE CANNOT DETERMINE WHILE
DRILLING.
2. On Monitoring/Observation Holes (test holes) it is the customer's responsibility to obtain t~e proper
permit before the well is put to beneficial use (within one year) or the State may require the hole be plugged
and abandoned. We will be happy to assist you whenever possible in filling out the appropriate well
application.
3. The landowner is ultimately responsible for the pluggi ng and abandoning of dry holes or replaced wells,
according to State Rules and Regulations. Please contact us for details and/or prices.
4. ALL INVOICES DUE AND PAYABLE WITHIN 10 DAYS OF INVOICE DATE. UNLESS PRIOR '.ARRANGE-
MENTS ARE MADE. A 1.5% HANDLING CHARGE PER MONTH MAY BE ADDED 15 DAYS FROM FIRST
BILLING.
Please call us if you have any questions .
THANK YOU
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COLORADO DIVISION OF WATER RESOl&S
818 Centennial Bldg., 1313 Sherman St ., Denver, Colorado 80203
_..;...-,rnJ.5-R ev. 76
RECElVED PERMIT APPLICAT I ON FORM
Application must
be complete where FEB t 7 1987 (/()A PERMIT TO USE GROUND WATER
applicable . Type or (l()APERMITTOCONSTRUCTAWELL µ.2-l i -c;:' l.i.:U" ,;
print in BLACK .WK!m a•Mil>S FOR : (X:) A PERMIT TO INSTALL A PUMP .. f C,.i'..:~-'i.2 :.·:;,:_._,
~~K;,~~"~;:"~~1~:: _.a: • ( I REPLACEMENT FOR NO . @W~~1(1: tin oy.
initialed. (X) OTHER --to awf/.dd .-fire ____ _.\ __ -1\.fz~
WATER COURT CASE NO. ; ··· · · , .·. :
(1) APPLICANT· mailing address
NAME Cu,-/ ff. ¢ Nd19 fluHt &1r,a!datt
STA E ET _-'-7_8_J'_Q--'-'/CC!o<..(;/i._;.•--""3~0"-L.·9 ____ _
c1Tv_+-J£ ....... l"--"li......,,e....__ _ __;C::;..,;;o;....._ _ ___::;&-=-1-=-~-=s_o_
(S t ate) (Z I P)
TELEPHONENO . ___ _,_.(:z""-=;2~5""---J./~c2~-~:S=-=$~---
(2) LOCATION OF PROPOSED WELL
County Uar/;~fc/
.S.E-Y. of the AJw Y., Section c;
Twp. 7 s _, Rng . C>'f __h)_' b-lt1 PM .
•N .SI t E,WI
(3) ~ATER USE AND WELL DATA
Proposed maximum pumping rate (gpm) ___ 1_5 ___ _
Average annual amount of ground water ~ S
to be appropriated (acre-feet): ---~---=c:=--' ___ _
Number of acres to be irrigated: _____ / ____ _
2/Z-Proposed total depth (feet):-----------
Aquifer ground water is to be obtained from:
c~ ( 0 t l< ~ev [)n:u~cge-
Owner's well designation _ . ~f~ .z · • Ck
GROUND WATER TO BE USED FOR:
( ) HOUSEHOLD USE ONLY · no irrigation (0)
(~DOMESTIC (1) ( ) INDUSTRIAL (5)
• •rJ'-1 l .•• I .; • I
FOR OFFICE USE ONLY :. ,DO NOT; WAI.TE ·1N THIS COLUMN
L L -.L ,', :.·. _ .
::..0 ' 7 -i,~7 ~q Recei pt No.
'
Basin ___ ..___....__ Dist .
CONDiTIONS OF APPROVAL
This well shall be used in such a way as to cause
no mater ial inju _ry to existing water rights . The
issuance of the p~rniit does not assure the applicant
that no injury will roccur to another vested wa t er
right or preclude another' owner of .a vested wa .ter
right from seeking relief i n a c ivil court action .·
1) APPROVED FOR CORRECTION OF THE LOCATION OF
THE WELL CONSTRUCTED UN DER PERMIT 12343 6 .
ISSUANCE OF THIS PERMIT CA NCE LS PERMIT 123 436 .
J.) APPROVED PURSUANT TO . CRS 37-92-602
(3)(b)(II) AS THE ONLY WELL ON A TRACT OF
LAND OF 4o ACRES DESCRIBED AS 5t::.<r 1Vu::/..
5"€C L./. T . 7 $. R,. '/4-1..L ·i ~ p, t'vl ·
.i) THE USE OF GR~UNDWATER 'rnoM THIS WELL IS LIM -
ITED TO ORDINARY HOUSEHOLD PURPOSES INSIDE ONE
SINGLE FAMILY DWELLING, FIRE PROTECTION. THE
WATERING OF POULTRY, DOMESTIC ANIMALS, AND
LIVESTOCK ON FARMS AND RANCHES, AND THE IRRIGA·
TION OF NOT OVER ONE ACRE OF HOME GARDENS AND
~~fWE RETURN FLOW FROM THE USE OF THE WELL :
MUST BE THRU AN INDIVIDUAL W~STE WATER DISPOSAL
SYSTEM OF THE NON • EVAPORATIVE TYPE WHERE THE !
WATER IS RETURNED TO THE SAME STREAM SYSTEM IN ·
WHICH THE WELL IS LOCATED. . ?:n. :>n . ..z-1 7 -~ 7
( -'(j LIVESTOCK (2) ( ) IRRIGATION (6) ·r~ ;~
( ) COMMERCIAL (4) ( ) MUNIC I PAL (8)
l OTHER (9l APPLICATION APPROVED
DETAIL THE USE ON BACK IN (11)
(4) DRILLER . e..~r ·st-i~ weU,
Name Jfr-Mucty Llt<c:l ii ·
·-..
Street ---------------
.....
City _______ __:_...:-,.~--------
<Statel (Zip)
Telephone No . __ __. ___ Lie . No . _ _,/_/-'-/_...? __ _
PERM IT NUMBER ___ 1_4_7_0___,2~· -:-:0=-="c------
DA TE ISSUED ___ M_A_R_O_J _2 __ 1_9_87 _____ _
EXPI RAT ION DATE _t1).R_Q_2 1999
r:;fjJ ~ "'-C.:rf-1~-~ .!.. --. 1; ~J/,u_'2 1'~,N l~---
BY ~ r
_:;'---<t .J 1.D . -·"-=>'-------·--COUN T Y _)_ -..._; __ -"_, ----
··-~·.·,;~1 ·,':I·•·"'"····--,-~~.
;U~P INSTALLATION REPOl
Pum 'p Make Berkley
Type Submersible electric
Powered by electricity _ HP _J__
Pd mp Serial No. __ --..L..-"""------------UllKftow1..
Motor Serial No.
Date I nstal leo __ c.,_,1=.2 .... 0....,,.,..8 .... 6.J-----------
"" ...... ..
: .... ..
-----·
Latham
UJ ..
. . ~ WATER .. ..J ~ ..J ·.\ w w ... > l>> w -w
..;J I-..J ~ <r If) w
Pump Intake Depth --~I.....,9...,5,_• ______ _
\BLE
!;{
-~ ----.1 61! - -----
Remarks (!) --z 0: 3;
~, 0 .. O"
' /~
' /
w ' ,,
'
WELL TEST DATA WITH PERMANENT PUMP ~I ' I
:r
I-a.. w 0 180' 0 I-
Date Tested _ ___,9.,_.,=,.,..2""'0""-~8 .... 6--------..J :c
4 I-... a..
Static Water Lev e l Prior to Test -~l,.,..6.,.,5,,.,__' ___ _ 0 w
I-0
Length of Test ----~a-------Hours
Sustained yield (Metered)--13-·---GPM
Pumping Water Level ----+.18~5,,,....,...' ------
Remarks
CONTRACTORS STATEMENT
The undersigned, be i ng duly sworn upon oath , deposes and says that he is the contractor of the we l l or
pump installation described h er eon ; that he has read the st atement made hereon ; knows t he conten t
thereof , and that the sam e is tru e of his own know l edg e.
Signature Licens e No .
State of Colorado, County of SS
Subscribed and sworn to betore me this __ day of , 19 __ .
My Commission expires : , 19 __ .
Notary Public ___________________ _
FORM TO BE MADE OUT IN QUADRUPLICATE : WHITE FORM must be an original copy on both sides and signed .
WHITE ANO GREEN copies must be f ile d with the State Enginee r . PINK C O PY is fo r the Owner and YELLOW COPY is for the Dri lle r .
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CONE Of
DEPRESSION
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WRJ-5-Rev . 76
/
COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 ,,. ___ ..
. . PERMIT APPLICATION FOR~EpE .. t,VEr:>:
Appllcatron must . . . -Jl v I 'tf ~
be complete where itl :..C£JVED ( X) A PERMIT TO USE GROUND WATER
applicable. Type or · ( X) A PERMIT TO CONSTRUCT A WE4(.U L Q 7 19 89
print in BL~CK JUNQg fgggFOR:(x)APERMITTOINSTALLAPUMP
INK. Nooverstrrkes SAJEa RESOURCP3
or erasures unless ~ltt l£SOO ( ) REPLACEMENT FOR NO. Pmli•EHSl!tff:I
initialed . '11A7Ji,~ ( ) OTHER __________ __...,...,_ __ _
.. WATER COURT CASE NQ, _______ _
(1) APPLICANT· mailing address
NAME Carl H. & Nora Ruth Bernklau
STREETHilltop Fann. 78ffi 3C9 Road
CITY __ _..R ..... i fl .......... e .... , .... C .... al..,.a...,n:i ... d.....,a.._ _____ .... 81 ... 6 .... Cfl......_ __
(State) (Zip)
TELEPHONEN0 .303-6~~25~1=23=5~---------
------------·~-----1 (2) LOCATION OF PROPOSED WELL
PJunty ____ Gar __ ti_·e_ld ___________ _
~/./.(1. )K NW % of the_NE ____ %, Section 4 Lot 2
'F'~?.1 7 94 Twp. ___ !...§..Ang. __ _
IN.SI (E ,Wl
(3) WATER USE AND WELL DATA
j
_ ___ P.M.
....; Proposed maximum pumping rate (gpm) _15 _____ _
Average annual amount of ground water / ~to be appropriated (acre-feet): ____ 5_a_f ____ _
I
" Number of acres to be irrigated: ----'l'--------
"i Proposed total depth (feet): ____ l_Xl ______ _
Aquifer ground water is to be obtained from :
·Colorado River Drainage
.... Owner's well designation _Ral~p_h_Fas __ t _______ _
GROUND WATER TO BE USED FOR:
I
( ) HOUSEHOLD USE ONLY· no irrigation (0)
'-' ( X) DOMESTIC (1) ( ) INDUSTRIAL (5)
....., (1X) LIVESTOCK (2) ( X) IRRIGATION (6)
( . ) COMMERCIAL (4) ( ) MUNICIPAL (8)
)0THER(9) ______________ _
DETAIL THE USE ON BACK IN (11)
(4) DRILLER
Name __ Sh_el_t_o_n_Dr_il_lin_·~g..__Conpan____._____.Y _______ _
Street __ P_._O_._fu_x_l_0_5_9 __________ _
I
City ----'Ee~sa.:....l.....:t __ Co.;...._l_or__.ad--'-o=""".,.....,..---'-81_6_2_1....,.,..;-:-:----
<State> (Zip)
Telephon~. 927 4182 1005 Lie. No.------
FOR OFFICE USE ONLY : DO NOT WRITE IN THIS COLUMN
Receipt No. 39!'3 V!J t/ 1 _____ _
Basin ------Dist .
CONDITIONS OF APPROVAL
Th i s well shall be used in such a w ~y as to cause
no material injury to existing water rights. The
issuance of the permit does not assure the applicant -;::·-
t ha t no injury will occur to another vested water r.J;\'-1
r ight or preclude another owner of a vested water °8,<;::
r ight from seeking relief in a civil court action.
ISSUANCR OF THIS PirnMIT DOES NOT CONFRR A DECREED WATRR RIGHT
1) APPROVED PURSUANT TO CHS 37-92-602(3)(b)(II)-(A) AS THE ONLY WELL ON A TRACT OF LAN"D OF 40
ACRES DESCRIBED AS NW 1/4 OF THE NE 1/4 OF
SECTION 4, T7S, R94W OF THE 6TH P.M., GARFIELD COUNTY •
2) THE USE OF GROUND WATER FROM THIS WELL IS
LlMITED TO FIRE PROTECTION, ORDINARY HOUSEHOLD
PURPOSES INSIDE ONE (1) SINGLE .FAMILY DWELLING,
THE WATERING OF POULTRYi;QOMESTIC ANIMALS, AND
LIVESTOCK ON A FARM OR ~CH AND THE IRRIGATION OF NOT OVER ONE ACRE OF HOME LAWNS AND GARDENS.
3 ) THE RETURN FLOW FROM THE USE OF THE WELL
MUST BE THROUGH AN INDIVIDUAL WASTEWATER DISPOSAL SYSTEM OF THE NON-EVAPORATIVE TYPE
WHERE THE WATER IS RETURNED TO THE SAME STREAM SYSTEM IN WHICH THE WELL IS LOCATED. G "R,G
"1-}JJ} 29
·I
APPLICATION APPROVED
PERMIT NUMBER 154862
DATE ISSUED JU=-l--=3___,i,_19-S9,---~; I ----
ATE JUL 3 11991
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