HomeMy WebLinkAbout1.0 Application• 1
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF
GARFIELD COUNTY, COLORADO
PETITION FOR EXEMPTION
Pursusant 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 _/6---//Z 4,!:=7
cieie(s -%i• respectfully petitions the Board
of County Commissioners of Garfield County, Colorado, to exempt by
Resolution the division of 38I. i7 acre tract of land into__ z_ --_ _tracts of
approximately27,4sJ353.1 acres each, more or less, from the definitions of
"subdivision" and subdivided land" as the terms are used and defined in
C.R.S. (1973) Section 30-28-101 (10) (a) - (d) and the Garfield County
Subdivision Regulations for the reasons stated below:
t om- s 47-77— , s
SUBMITTAL REQUIREMENTS:
An application which satisfies the review criteria must be submitted with
all the following information.
A. Sketch map at a minimum scale of 1"=200' showing the legal
description of the property, dimension and area of all lots or
separate interests to be created, access Lo a public
right-of-way, and any proposed easements for drainage,
irrigation, access or utilities;
B. Vicinity map at a minimum scale of 1"-2000' showing the general
topographic and geographic relation of the proposed exemption to
the surrounding area within two (2) miles, for which a copy of
U.S.G.S. quadrangle map may be used.
C. Copy of the deed showing ownership by. the applicant, or a Letter
from the property owner(s) if other than the applicant; and
D . Names and addresses of owners of record of land immediately
adjoining and within 200 feet of the proposed exemption, mineral
owners and lessees of mineral 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
.. Proof of legal and adequate source of domestic water for each lot
created, method of sewage disposal, and letter of approval of
fire protection plan from appropriate fire district; and
NiA G. If connection to a community or municipal water or sewer system
is proposed, a letter from the governing body stating a
willingness to serve; and
H . Narrative explaining why exemption is being requested; and
I. It shall be demonstrated that the parcel existed as described on
January 1, 1973 or the parcel as it exists presently is one of
not more than three parcels created from a larger parcel as it
existed on January 1, 1973.
J . A X3.00.00 fee must be submitted with the application.
.L&"-- / 7, 7/S fir'
Petitioner
ee e/( ,i-5—
Mailing Adress
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CityState
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Telephone Number
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EXEMPTION
APPLICABILITY
The Board of County Commissioners has the discretionary power to exempt a
division of land 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 noL
ensure exemption. The Board also may consider addi.tonal 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 joint 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; and
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
improvements; and
G. Fire protection has been approved by the appropriate fire district.
H. Any necessary drainage, irrigation or utility easements have been
obtained or are in the process of being obtained; and
I. School fees, taxes and special assessments have been paid.
(The School Impact Fee is $200.00 for each new lot created).
PROCEDURES
A. A request for exemption shall be submitted to the Board on forms
provided by the Garfield County Department of Development/Planning
Division. Two (2) copies of the application, maps and supplemental
information shall be submitted.
B. The Planning Division shall review the exemption request for
completeness within eight (8) days of submittal. If incomplete, the
application shall be withdrawn from consideration and the applicant:
notified of the additional information needed. If the application is
complete, the applicant shall be notified in writing of the Lime and
place of the Board of County Commissioners meeting at which the
request shall be considered. In either case, notification shall occur
within fifteen (15) days of submittal.
• •
C. Notice of the public meeting shall be mailed by certified mail, return
receipt requested, to owners of record of land immediately adjoining
and within 200 feet of the proposed exemption, to mineral owners and
lessees of mineral owners of record of the land proposed for
exemption, and to tenants of any structure proposed for conversion.
The exemption site shall be posted clearly and conspicuously visible
from a public right-of-way with notice signs provided by the Planning
Division. All notices shall be mailed at least fifteen (15) and not
more than thirty (30) days prior to the meeting. The applicant shall
be responsible for mailing the notices and shall present proof of
mailing at the meeting.
D. At or within fifteen (15) days of the meeting, the Board shall
approve, conditionally approve or deny the exemption request. The
reasons for denial or any conditions of approval shall be :;et forth in
the minutes of the meeting or in a written resolution. An applicant
denied exemption shall follow the subdivision procedure in these
Regulations.
• •
The exemption of this piece of property is requested in
order to comply with County regulations, and obtain a
building permit to construct a single family dwelling on the
property. We obtained deed to this property in Oct.1991, from
Marvelle and Kelly Couey. They purchased the property from
Mobil Oil in Oct, 1989. At that time, this parcel (2179-172-
00-479) of property was included in a piece of property that
was 381.17 acres, (parcel # 2179-174-00-153). Only that
portion situated between County road 346 and I-70 was sold.
This amounted to 27.45 acres, and was recognized by the
assessors office of Garfield County, taxes have been paid on
this property for the last two years.
Upon going thru the legal process, I discovered that
when Mobil Oil transferred title, they did not go thru the
exemption process. I have contacted Tom Allen of Mobil Oil
regarding this, and got only a disinterested give it to me in
writing type response. In order to expedite this, I as legal
owner at this time am making the exemption request.
If you will please review the attached documentation,
it will confirm what I have explained. Please give this your
utmost attention and allow this property to be legally
created parcel and exempted from the definition of a
subdivision by Garfield County pursuant to C.R.S. 30-28-101.
Respectfully,
Levy E. Burris Jr.
a
fee -
,n
o7ytc'
00 -See Exhibit "A" attached hereto and made a part hereof. .-� v',)
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Z1134;2-
COLORADO
113 t.. .2 -
COLORADO
L..
�tat� ; ' 1989
c'e3
3.41Fi>ri.i) 2:J1k._1, LC ADa el)
OSSF 1810-12
-13
(No.Un. Sweeny -Robinson Ranch)
MEPNA
MOC
Br_IK 76G ;.IPc31
SPECIAL WARRANTY DEED
Mobil Oil Corporation, a.New York corporation
of P.O.Box 26683, Richmond, Virginia 23261
xxx
and
of
xx
Grantor, for the consideration of ten dollars and other good and valuable consideration, in hand
paid, hereby sells, conveys, and quitclaims to
Marvel.le Couey and Kelly Couey__
of 6275 315 Rd. Silt, Colorado 81652
/as joint tenants/ Grantee, all of Grantor's right, title and interest in and to the following
real property in the
County of Garfield , State of Colorado, to wit:
Together with all of Grantor's right, title and interest in and to all irrigation
water, ditch and drainage rights used thereon or appurtenant thereto, buildings and
improvements located thereon and easements used thereon or appurtenant thereto, and all
other appurtenances thereto, if any;
EXCEPTING AND RESERVING unto Grantor, its successors and assigns, all oil shale,
kerogen, shale oil, coal, oil, gas, fissionable material and all other minerals of any
kind or nature, whether similar or dissimilar, which are presently owned by Grantor and
contained in, on or underlying said lands, together with the right to enter thereon for
the purpose of drilling for or mining (by underground or surface methods) and removing
any and all said minerals and materials, and the right to use so much of the surface
thereof as may be necessary for such purposes, provided the owner of the surface is
reasonably compensated for any damage thereto.
This conveyance is made without warranty or representation of title, express or implied except
Grantor warrants against the claims of persons or entities claiming by, through or under the
affirmative acts of Grantor.
This conveyance is made subject to any and all taxes, assessments, reservations, liens,
easements, burdens, royalties, and exceptions, rights-of-way, encumbrances, roads, ditches,
utility lines, and restrictions which may still be in full force and effect which are of record
or which an inspection of the above described real estate would reveal.
Dated this �'
% day of (,,c-,721=-5,17‹: - 19
ATTEST:
BY:
////':--!'118STI:
BY: i i
TITLE:
SSISTANT_SECRETARY
XXX
77
lappr. tart' r�
3X5
Comp. _
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Mobil Oil Corporation
BY:
TITLE: ATTOJINEY-IN-FACT
BY: l % %/lir✓
TITLE: ATTORNEY-IN-FACT
xxx
BY:
TITLE:
BY:
TITLE:
xxx
xxx
h
;L
• • B!'r r 766 PGE 3
19
Exhibit "A"
Specialarranty Deed
Of 27'4G Day of apse- 194'9
By and Between Mobil Oil Corporation,
and Marvelle Couey and Kelly Couey
T6S-R92W-6PM
Sec. 8: S/2 SW/4;
Sec. 17: NE/4 NW/4, NW/4 NW/4;
Less and excepting the following tracts of land previously conveyed and
recorded:
A tract of land located in the SW/4 SW/4 Sec. 8, and the NW/4 1*1/4
Sec. 17, conveyed to George Yule by Warranty Deed recorded in Bk 32
at Pg 425, and containing 56 3/4 Ac. M/L;
A tract of land lying in the SE cor. of the NE/4 NW/4 Sec. 17, as
granted to School District 27 of Garfield County by Warranty Deed
dated October 10, 1891, recorded October 12, 1891 in Bk 25 at Pg
188;
A tract of land lying in pt. SE/4 SW/4 Sec. 8, and N/2 NW/4 Sec. 17
comprising Interstate Highway 70 R.O.W., including:
That pt. N/2 NW/4 Sec. 17 conveyed to Bd. of County
Commissioners of the County of Garfield, State of Colorado, and
State Dept. of Highways, Div. of Highways, State of Colorado by
Court Order recorded February 24, 1977 as Doc. No. 276990 in Bk
493 at Pg 768;
Together with water and water rights, ditch and ditch rights on 3.76
cubic feet of water per second from the Colorado River, adjudicated to
the Rising Sun Ditch and having priority number 16 and 64, said ditch
being No. 13 in the Decrees at the District Court in and of Water
District No. 45;
Excepting those reservations and exceptions of record contained in U.S.
Patents, mineral reservations, oil and gas leases, easements and
rights-of-way, and other matters of record pertaining to the Lands
described herein;
Excepting minor boundary and fence location errors (if any) not
materially affecting Grantee's intended use of the Lands described
herein cumulatively not exceeding five (5) acres located along the
boundary thereof which are subject to a third -party claim or claims or
adverse possession, if any, and do not materially affect Grantee's
intended use of the Lands.
Initialled for Identification:
0003A.1
475
537
x
378.8
• •
• •
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5420 5.4A0
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Board
Ross Talbott -Chairman
William Montovcr
Sean Mello
Cary Schroeder
Gordon Witzke
•
Silt -New Castle Volunteer F.P.D.
Box 236
Silt, CO 81652
to:
Levy and Jacque Burris
5000 County Road 315
Silt CO, 81652
from: Stuart K. Cerise
Assistant District Chief
Silt - New Castle Fire
Protection District
date: 25 November, 1991
re: 5100 area of County Road 346
LESy AyoE
ris:
Don Zordel - Chief
Stu Cerise - Assist. Ch
In reference to your inquiry earlier on this date, the
Silt - New Castle Fire Protection District does collect
taxes and therefore does provide fire protection services to
the property described as the Northwest quarter of the
Northwest quartersection of Section 17, Range 92 West,
Township 6 South. This property is located near the Western
most boundary line of our District, yet is definitely in our
response area.
Any questions or comments can be directed to me either
at the above address or at my home address of: Box 126, Silt
Co 81652 or by phone at home (303) 876-5607. We look
forward to having you as a resident of the District and hope
that your employment schedule will allow you to take an
active part in our organization either as a firefighter,
District Board member or a concerned citizen.
Stuart K. Cerise
Assistant District Chief
Silt - New Castle Fire Dist.
APPLICANT
Or ICE Or. THE1111V,, I h
CO_ ORAD) DiVil-rj'4 OF
atAn:
3} 666-3b81
1313 St,. entfl $1 t -
LEVY E BURRIS ,TR
5000 CO RD 315
S ILT , CO 81652
-876-2128
PERM.,,JINISTRUCT A Mai
6)
40:FS!
LIC
NUMBEH
c..rfre. 23 wr: 45 ULS BASIN MD
Lot: B.xk jjjpSur.itvi
APPROVED WELL LOCATION
COUNTY. GARFIELD
NE 1/4 trW 1/4 Section _
Twp 6 .3 , Range _92 1-1, Etre.M.
DISTANCES HrOtv) SECTION LINES
4100 Ft, from ._.aouth Section Line
_ 213_00 Ft. from _ Section
ISSUANCE OF IHIS Ni)TNFtR A WATER RIGHT
cs;()ND7rION;$0/ AH0VAL
Mr": !IS!! tiWt tn such o
ti--•-surip,i the
'y to existing water rights.1
-,ii•-i-otner vested water right.cr
Well Construction aiici P
tne State Board of Ex..
Rule 17.
a.s i w c -in a residential sit.P_, of 25.92'3
of the , -";.'4 oftrki NW 1/4 of $ec. 17, Twp, 6 South, ft
br. ») described on the attechad Oxhibit
OM this Wtrt = household purpnses inside a single tat;
f;crrnrt s, The ground water shall not be use- .
.aximurn purriiiirtg rate shai2 ,tot if)
tij. flow tne use cr,‘ tr),5 weil must be thro,ygn an tridividual waz3te water disposal sistetii or the
tyo.e t- t.'otorciecto i ij e sucain qstern iti which the well ts located
be(10{1-4,4,urte,1 tc1 4•01-e than AK/ feel ITorn ate ovation qpecitied on this psrrnit,
l)
APPROVED, 4 *
•,
Statesblawaike
Ilect.vt N, • ° 3 3 ° 3 6 1 L••t1- JAN 2 8
6y
!X. DATE JAN 2 ,S14
R • 7 I.-,
SIA1
86:
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f
NG1NEER
• • - ' . ; , .
fr
,
•
ROY ROMER
Governor
•
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OFFICE OF THE STATE ENGINEER
DIVISION OF WATER RESOURCES
1313 Sherman Street -Room 818
Denver, Colorado 80203
(303) 866-3581
FAX [303] 866-3589
January 28, 1992
Andrew C. McGregor
Garfield County
Regulatory Offices and Personnel
109 8th Street, Suite 303
Glenwood Springs, CO 81601
RE: Application Receipt No. 330361, Levy E. Burris
Dear Mr. McGregor:
rt
JERIS A. DANIELSON
State Engineer
JAN 3 1 1992
UAF i&LLD cowry
j
The above referenced application for a "household use only " type well permit has been
issued, permit number 162812. The issuance of this permit was based on the documentation
provided by your office that showed a subdivision exemption for the subject parcel had been
conditionally approved by the Garfield County Board of County Commissioners. Please be advised
that after this permit is issued, we must adhere to the policy of not issuing permits pursuant to an
exemption by the county, until a final resolution of approval is signed by the Board of County
Commissioners. If you require comment from this office prior to final approval of an exemption,
then we respectfully request that proposals are submitted to John Schurer of this office for review
and comment.
We appreciate your assistance and cooperation with this matter. If you have any questions,
feel free to contact this office.
Sincerely,
Jeff Deatherage
Engineer
/jd
Enclosure(s)
Form No.
GWS -25
APPLICANT
OFFICE OF THE SATE ENGINEER
COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203
(303) 866-3581
LEVY E BURRIS JR
5000 CO RD 315
SILT, CO 81652
LIC
WELL PERMIT NUMBER 1G28-12 -
DIV. 5 CNTY. 2 3 WD 4 5 DES. BASIN _ MD
Lot: Block: Filing: Subdiv:
APPROVED WELL LOCATION
COUNTY GARFIELD
NE 1/4 NW 1/4 Section 17
Twp 6 S , Range 92 W 6thP.M.
DISTANCES FROM SECTION LINES
303-876-2128 4100 Ft. from South Section Line
300;1 Fi. from East Section Line
PERMIT TO CONSTRUCT A WELL
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDMONS 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)(b)(II)(A) as the only well on a residential site of 25.929 acres described as
that portion of the NW 1/4 of the NW 1/4 and the NE 1/4 of the NW 1/4 of Sec. 17, Twp. 6 South, Rng. 92 West of
the 6th P.M., Garfield County, being more particularly described on the attached exhibit W.
4) The use of ground water from this well is limited to ordinary household purposes inside a single family dwelling and
the watering of the user's noncommercial domestic animals. The ground water shall not be used for irrigation or
other purposes.
5) The maximum pumping rate shall not exceed 15 GPM.
6) The return flow from the use of this well must be through an individual waste water disposal system of the
non -evaporative type where the water is returned to the same stream system in which the well is located.
7) This weii sh aii be constructed not more than 200 feet from the location specified on this permit.
APPROVED:
JD2
state
Receipt No. 0330361
DATE ISSUED JAN 2 8 1992
By
EXPIRATION DATE JAN 2 8 1
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ception No. Rcco, r.
QUITCLAIM DEED
THIS DEED, Made this day of October , 1991 ,
between Jacque Couey Burris and Levy Elwood
Burris, Jr.
of the *County of Garfield and State of
Colorado, grantor(s), and Jacque Couey Burris and
Levy Elwood Burris, Jr., joint tenants with
right of survivorship,
whose legal address is
of the
5000 County Road 315
Silt, Colorado 81652
County of Garfield
and State of Colorado, grantee(s),
WITNESSETH, That the grantor(s), for and in consideration of the sum of Ten Dollars and other good
and valuable consideration
the receipt and sufficiency of which is hereby acknowledged, ha ve remised, released, sold and QUIT CLAIMED, and by
these presents do remise, release, sell and QUIT CLAIM unto the grantee(s), their heirs, successors and assigns,
forever, all the right, title, interest, claim and demand which the grantor(s) ha Vein and to the real property, together with
improvements, if any, situate, lying and being in the County of Ga r f i e 1 d and State of
Colorado, described as follows:
That portion of the NEaNW; and the NW1/4NW4, Section 17, Township
6 South, Range 92 West of the 6th P.M. situate southerly of the
Interstate Highway 70 right-of-way conveyed by Court order recorded
in Book 493 at Page 768 and excepting the tract of land conveyed
to George Yale by deed recorded in Book 32 at Page 425.
TOGETHER WITH 1.10 cubic feet of water per second from the Colorado
River, adjudicated to the Rising Sun Ditch under priorities 16 and
64, Water District No. 45.
also known by street and number as:
TO HAVE 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 grantor(s), either in law or equity, to
the only proper use, benefit and behoof of the grantee(s), their heirs and assigns forever.
IN WITNESS WHEREOF, The grantor(s) ha Ve executed this deed on the date set forth above.
er:Wci 2e,v2;r,,;W
is Lev Elwood Burris, Jr.
STATE OF COLORADO,
ss.
Countyof Garfield 11
The foregoing instrument was acknowledged before me this day of October
by Jacque Couey Burris and Levy Elwood Burris, Jr.
My commission expires A„-<- , 19 ( Witness my hand and official seal.
*If in Denver, insert "City and."
,19 91,
Notary Public
No. 933. Rev. 4-91. QUIT CLAIM DEED
Bradford Publishing. 1743 Wa,cc Si.. Denver. CO 80202 — (3031292-2500 — 4-91
ply
WR.1-5-R;o. 76
Application must
be complete where
applicable. Type or
print in BLACK
INK. No overstrikes
or erasures unless
initialed.
•
COLORADO DIVISION 0
818 Centennial Bldg., 1313 Sher
PERMIT APPLI
•
F WATER RESOURCES
an St., Denver, Colorado 80203
CATION FORM
(X) A PERMIT TO U
(A) A PERMIT TO C
FOR: ().C) A PERMIT TO IN
SE GROUND WATER
ONSTRUCT A WELL
STALL A PUMP
( )REPLACEMENT
( ) OTHER
WATER COURT C
FOR NO
ASE NO
RECEIVFD
SEP 18 '91
WATER 9ES(Y)RCES
gTATE.EN01NE0n
Pf4r r.
(1) APPLICANT�- mailing address
/
NAME /,-E✓% 7SVV<RI.S
STREET _IQ OO eo RD 3/s --
CITY
(State) (Zip)
TELEPHONE NO.
(2) LOCATION OF PROPOSED WELL
County 6 F}'kEt el -1D
Twp.
/4 of the N1t)
14, Section
S Rng. Z &), fP7lLP.M .
1N,S) (E,W)
(3) WATER USE AND WELL DATA
Proposed maximum pumping rate (gpm) AC7P.47)
Average annual amount of ground water
to be appropriated (acre-feet): f}Ge6 FT.
Number of acres to be irrigated:
Proposed total depth (feet): /DQ
Aquifer ground water is to be obtained from:
'I4V t//11/11
Owner's well designation v/e/e/-S
GROUND WATER TO BE USED FOR:
() HOUSEHOLD USE ONLY - no irrigation (0)
( ) DOMESTIC (1) ( ) INDUSTRIAL (5)
( I LIVESTOCK (2) ( ) IRRIGATION (6)
( ) COMMERCIAL (4) ( ) MUNICIPAL (8)
( ) OTHER (9)
DETAIL. TI IE USE ON BACK IN (11)
(4) DRILLER
Name ,4,-o/e,1Od h/C6t1$6 2R/LL cs7C
Street
City
(State) (Zip)
Telephone No. Lic. No.
ert
c;
W
c -j
w
FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN...i
ria
Receipt No. 330 3 l l /
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Basin Dist.
CONDITIONS OF APPROVAL
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.
�r .
APPLICATION APPROVED
PERMIT NUMBER
DATE ISSUED
EXPIRATION DATE
(STATE ENGINEER)
BY
I.D. COUNTY 3 `�
ROY ROMER
Governor
MEMORANDUM
TO: Levy E. Burris Jr.
5000 C.R. 315
Silt, CO 81652
•
OFFICE OF THE STATE ENGINEER
DIVISION OF WATER RESOURCES
1313 Sherman Street -Room 818
Denver, Colorado 80203
(303) 866-3581
FAX [303] 866-3589
JERIS A. DANIELSON
State Engineer
FROM: Jeff Deatherage
DATE: October 16, 1991
RECEIPT NO.: 330361
Your application for a permit to construct a well is being returned for the reason(s) listed below.
The requested information is required before your application may be evaluated further.
All corrections you make to the application must be typed or printed in BLACK INK. Please initial
and date all changes and additions you make to the application form.
Please return the original application form with all attached documentation to this office.
1) The proposed location of your well is in an overappropriated area (the Colorado River system).
A "household use only" well permit may be available if: A) your parcel was recorded as a legal tract
with Garfield County prior to June 1, 1972, B) the creation of your parcel was exempted from the
definition of a subdivision by Garfield County, or C) a water supply plan for your lot/subdivision
was recommended for approval by the State Engineer. If your parcel qualifies under one of the
above conditions, you must submit proof of this qualification. The types of acceptable proof are
listed on the enclosed information sheet.
2) When you return your application, please enclose an accurate legal description by metes and
bounds, or a surveyor's plat of this tract. The legal description or plat should contain a tie to a
section corner or a 1/4 corner so we may plot your property boundaries on our reference maps.
Feel free to contact this office if you have any questions.
/j d2
attachment(s)
ROY ROMER
Governor
MEMORANDUM
OFFICE OF THE STATE ENGINEER
DIVISION OF WATER RESOURCES
1313 Sherman Street -Room 818
Denver, Colorado 80203
(303) 866-3581
FAX (3031 866-3589
JERIS A. DAN ELSON
State Engineer
TO: Levy E. Burris Jr. FROM: Jeff Deatherage
RECEIPT NO.: 330361 DATE: October 16, 1991
Please provide the information pertinent to your application as requested in either A, B, or C (as
applicable).
A) If the particular parcel - as described by the acreage specified in item #7 of your application -
was subdivided/established prior to June 1, 1972, please provide a copy of a recorded deed,
(NOT just a reference to a book and page number, but a copy of such deed showing recording
information), a copy of a County approved plat map, a property tax receipt describing the
parcel, or other document with a legible date prior to June 1, 1972 to verify this fact.
B) If the division of land which created your parcel occurred on or after June 1, 1972, and was
exempted from the definition of a subdivision, pursuant to Colorado Revised Statutes, Section
30-28-101(10) (c) and (d), please provide the following (as applicable) :
1) A copy of the SIGNED AND DATED County Commissioners Resolution (or County
Commissioners Minutes) concerning the exempted tract(s).
2) A copy of the County approved survey plat with legible dates and signatures showing the
original tract and all exempted tracts.
3) A copy of any letter(s) the State Engineer's Office wrote to the county concerning the
proposed water supply plan and/or the land split(s)
4) Information about any wells and their uses (including well permit numbers, if applicable)
on the tract before it was subdivided and on the tracts created after it was subdivided
5) Copies of documents showing when the original tract was subdivided or created with legible
dates and signatures. THIS IS REQUIRED IF THE TRACT FROM WHICH YOUR PARCEL
WAS SPLIT FROM WAS LESS THAN 35 ACRES BEFORE IT WAS SPLIT, OR IF IT WAS
INVOLVED IN A PREVIOUS EXEMPTION.
6) Copies of any other agreements concerning this tract that were executed with the county.
C) If the subdivision or particular parcel was created after June 1, 1972 by an action other than
a Resolution of the County Commissioners (such as a court order, etc.), please provide copies
of documents to show how and when this occurred.
Please review the above carefully before returning the original application form with all requested
documentation to this office.
Feel free to call if you have any questions.
Y
•
ROY ROMER
Governor
•
OFFICE OF THE STATE ENGINEER
DIVISION OF WATER RESOURCES
MEMORANDUM
TO: Levy E. Burris Jr.
RECEIPT NO.: 330361
Please provide the information
applicable).
1313 Sherman Street -Room 818
Deriver, Colorado 80203
(303) 866-3581
FAX [303] 866-3589
JERIS A. DANIELSON
State Engineer
FROM: Jeff Deatherage
DATE: October 16, 1991
pertinent to your application as requested in either A, B, or C (as
A) If the particular parcel - as described by the acreage specified in item #7 of your application -
was subdivided/established prior to June 1, 1972, please provide a copy of a recorded deed,
(NOT just a reference to a book and page number, but a copy of such deed showing recording
information), a copy of a County approved plat map, a property tax receipt describing the
parcel, or other document with a legible date prior to June 1, 1972 to verify this fact.
B) If the division of land which created your parcel occurred on or after June 1, 1972, and as
exempted from the definition of a subdivision, pursuant to Colorado Revised Statutes, Section
30-28-101(10) (c) and (d), please provide the following (as applicable) :
1) A copy of the SIGNED AND DATED County Commissioners Resolution (or County
Commissioners Minutes) concerning the exempted tract(s).
2) A copy of the County approved survey plat with legible dates and signatures showing the
original tract and all exempted tracts.
3) A copy of any letter(s) the State Engineer's Office wrote to the county concerning the
proposed water supply plan and/or the land split(s)
4) Information about any wells and their uses (including well permit numbers, if applicable)
on the tract before it was subdivided and on the tracts created after it was subdivided.
5) Copies of documents showing when the original tract was subdivided or created with legible
dates and signatures. THIS IS REQUIRED IF THE TRACT FROM WHICH YOUR PARCEL
WAS SPLIT FROM WAS LESS THAN 35 ACRES BEFORE IT WAS SPLIT, OR IF IT WAS
INVOLVED IN A PREVIOUS EXEMPTION.
6) Copies of any other agreements concerning this tract that were executed with the county.
C) If the subdivision or particular parcel was created after June 1, 1972 by an action other than
a Resolution of the County Commissioners (such as a court order, etc.), please provide copies
of documents to show how and when this occurred.
Please review the above carefully before returning the original application form with all requested
documentation to this office.
Feel free to call if you have any questions.
ROY ROMER
Governor
MEMORANDUM
TO: Levy E. Burris Jr.
5000 C.R. 315
Silt, CO 81652
OFFICE OF THE STATE ENGINEER
DIVISION OF WATER RESOURCES
1313 Sherman Street -Room 818
Denver, Colorado 80203
(303) 866-3581
FAX [303] 866-3589
JERIS A. DAN ELSON
State Engi eer
FROM: Jeff Deatherage
DATE: October 16, 1991
RECEIPT NO.: 330361
Your application for a permit to construct a well is being returned for the reason(s) listed bel w.
The requested information is required before your application may be evaluated further.
All corrections you make to the application must be typed or printed in BLACK INK. Please ini . al
and date all changes and additions you make to the application form.
Please return the original application form with all attached documentation to this office.
********,*************************************************************************_*
1) The proposed location of your well is in an overappropriated area (the Colorado River syste
A "household use only" well permit may be available if: A) your parcel was recorded as a legal
with Garfield County prior to June 1, 1972, B) the creation of your parcel was exempted from
definition of a subdivision by Garfield County, or C) a water supply plan for your lot/subdivis
was recommended for approval by the State Engineer. If your parcel qualifies under one of
above conditions, you must submit proof of this qualification. The types of acceptable proof
listed on the enclosed information sheet.
2) When you return your application, please enclose an accurate legal description by metes
bounds, or a surveyor's plat of this tract. The legal description or plat should contain a tie t
section corner or a 1/4 corner so we may plot your property boundaries on our reference ma
Feel free to contact this office if you have any questions.
/j d2
attachments)
)•
ct
e
on
e
re
nd
a
s.
WRJ-5-Rey. 76
Application must
be complete where
applicable. Type or
print in BLACK
INK. No overstrikes
or erasures unless
initialed.
COL•DO DIVISION OF WATER RESOURC
IIP
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
PERMIT APPLICATION FORM
(7<) A PERMIT TO USE GROUND WATER
(4) A PERMIT TO CONSTRUCT A WELL
FOR: (10‹) A PERMIT TO INSTALL A PUMP
( ) REPLACEMENT FOR NO.
( ) OTHER
WATER COURT CASE NO
RECEIVED
SEP 18 '91
WATE8 FESkCES
TATE ENGIN
(1) APPLICANT - mailing address
NAME /,ivy 73 01 / S
STREET
CITY
TELEPHONE NO.
3D)
i
(State)
(Zip)
B7/-.2!2
(2) LOCATION OF PROPOSED WELL
County 61i'Oe.FiE1
/1/4- 1/4 of the /1/Lt% '/a Section / 7
Twp._(,47.____ $ , Rng.
IN,S)
lc—)
E,W)
62 7,1 P.M.
(3) WATER USE AND WELL DATA
Proposed maximum pumping rate (gpm)
Average annual amount of ground water
to be appropriated (acre-feet) • /Icier fT.
Number of acres to be irrigated:
0
Proposed total depth (feet): /iC
Aquifer ground water is to be obtained from:
/1440V/11M
Owner's well designation
uR'e/s/
GROUND WATER TO BE USED FOR:
(K) HOUSEHOLD USE ONLY - no irrigation (0)
( ) DOMESTIC (1) ( ) INDUSTRIAL (5)
( ) LIVESTOCK (2) ( ) IRRIGATION (6)
( ) COMMERCIAL (4) ( ) MUNICIPAL (8)
( ) OTHER (9)
DETAIL THE USE ON BACK IN (11)
(4) DRILLER
Name
Street
City
O�o/effBd X //e i$E �.e/GL t2
(State)
(Zip)
Telephone No Lic. No
FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN --i
rrF
J
Receipt No. - � C 3 (
Basin Dist.
CONDITIONS OF APPROVAL
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.
APPLICATION APPROVED
PERMIT NUMBER
DATE ISSUED
EXPIRATION DATE
(STATE ENGINEER)
BY
I.D.
COUNTY 3
(5) THE LOCATION OF THE REPOSED WELL and the area on
(6) THE WELL MUST BE LOCATED BELOW
which the water
Use the CENTER
+ — ± _ +
I
f T TI
I
will be used must be indicated on
SECTION (1 section, 640 acres) for
— + — —i— --_ —I—
d--- 1 MILE, 5280 FEET-------�
+ + +
1
NORTH SECTION LINE
the diagram below.
the well location.
_ + — 4-6//00S
T
by distances from section' lines.
ft. from 5r�(+ sec. line
(north or south)
3 S�� ft from ��ST sec. line
(east or west)
LOT BLOCK FILING #
SUBDIVISION
- i _
I
NORTH((
T z
o
+ H-
w
I y
co
4 �-L'j
A --
f
(
-II
T
+--I-
N + +
m
a I
r
m - +
I
_
(7) TRACT ON WHICH WELL WILL BE
LOCATED Owner: 73 v r< R 15
No. of acres 2 7• its -7) . Will this be
the only well on this tract? 9 :5
- +- - —
I�
— �f
l
(8) PROPOSED CASING PROGRAM
Plain Casing
I
�P tJ ft to 7� ft
in from
/
w in from 76 ft to g(D I(ft
Perforated casing
4' in from 80 ft to / d 0 ft
— + -
-I- 4- -I-
1
—
The
SOUTH SECTION
+ 4-
1
— + — -}
scale of the diagram
Each small square represents
LINE
+ -1-
I
—
is 2 inches = 1
40 acres.
1 _ i
4- +
}- - +
mile
in from ft to `t
(9) FOR REPLACEMENT WELLS give distance
and direction from old well and plans for plugging
it:
/1%9
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 Igpm)
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:
No. of acres: ....2 7. 9s-0
Owner(s): Xcr/Y 'ND ,>/4CQUE 3u/?/. /S
Legal description: ///0 Y4 -of '11W `9- L I --YwCP P S igA/4- 7/�Z' ( /'ry r - p /22
(11) DETAILED DESCRIPTION
of the use of ground water: Household use and domestic wells must indicate type of disposal
system to be used.
TUCK A//) �- /.,6e/6,97 ✓- 4c/ l /P4e'O .S" L-E"1CA' / zL
ice -/e D/Ss S4. - SSS %2� •
(12) OTHER WATER RIGHTS
used on this land, including wells. Give Registration and Water Court Case Numbers.
Used for (purpose) Description of land on which used
/.e/e/�.97-ie4/ �f?c , 5 z
Type or right
-7Z C Fs
_3,
$JA.k $Vj 7)[1 1� afoRrr( 'Pr//J2 -t 6If
(13) THE APPLICANT(S)
TRUE TO THE
STATE(S)
BEST OF
THAT THE
HIS KNOWLEDGE.
INFORMATION SET FORTH HEREON IS
NA TU
OF APPLICANTS)
Use additional sheets of paper if more space is required.