HomeMy WebLinkAbout2.0 Staff Report• •
BOCC 12/8/97
PROJECT INFORMATION AND STAFF COMMENTS
REQUEST: An exemption from the definition of
subdivision.
APPLICANT: James and Sandra Jewell
LOCATION: A tract of land located in a portions of Section
33, T5S R92W of the 6th PM; located
approximately three (3) miles northeast of
Rifle off of CR 259
SITE DATA: 37.0 acres
WATER: Individual well
SEWER: ISDS
ACCESS: CR 259
EXISTING/ADJACENT ZONING: A/R/RD
I. RELATIONSHIP TO THE COMPREHENSIVE PLAN
The site is located in District C - Rural Areas - Minor Environmental Constraints, as
designated on the Garfield County Comprehensive Plan Management Districts' Map.
II. DESCRIPTION OF THE PROPOSAL
A. Site Description: The site is located northeast of Rifle, in an area of rural residential
use, mixed in with an agricultural area. The applicants parents have their house on
the proposed parcels. A vicinity map is shown on page ' 6 .
• •
B. Project Description: The applicants are proposing split the 37.0 acre tract into two
(2) parcels of approximately 32.0 and 5.0 acres in size. A site plan submitted with
the application is enclosed. (see pgs.' % • ) The new parcel would utilize an
exempt well for the source of water and ISDS for sewage disposal. The remaining
parcel would use the Jewel Spring #1 as a source of water and an existing ISDS.
Access is directly off of CR 259 for both parcels.
III. MAJOR ISSUES AND CONCERNS
A. Subdivision Regulations. Section 8.52 of the Garfield County Subdivision
Regulations state that "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. In
order to qualify for exemption, the parcel as it existed on January 1, 1973 must have
been larger than 35 acres in size at that time and 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), and the division occurs along
the public right-of-way, such parcels thereby created may, in 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;
Documentation submitted with the application shows that the tract in question was
recorded in the records of the Clerk and Recorders Office in May of 1971 in Book
419, Page , as a 45+ acre tract of land. Since that time, the original tract has been
split into one smaller tract and the original tract. Since only two parcels have been
exempted from the tract since that time, there is an additional exemption parcel that
can be requested.
The applicant's have submitted a proposed plat for the exemption that only shows
the proposed 5.0 acre parcel. The final exemption plat will need to include the 32.0
acre parcel too.
B. Zoning. All of the exemption parcels are consistent with the required two (2) acres
minimum lot size for the A/R/RD zone district.
C. Legal Access All of the proposed parcels have access to C.R. 259.
D. Water and Sewer. The applicants are proposing to use an existing spring for the
existing house and a exempt well to be augmented by a water supply contract om
the West Divide Water Conservancy District. (See application pgs. 8•/ )
There is no proof of physical supply for the proposed well, which is necessary prior
to approval by the Board. The following information is typically required to show
proof of a physical supply of water:
1) A well be drilled and a 4 hour pump test shall be performed;
• •
2) The applicant supply, to the Planning Department, the well
completion report demonstrating the depth of the well, the
characteristics of the aquifer and the static water level;
3) The results of the 4 hour pump test indicating the pumping rate in
gallons per minute and information showing drawdown and recharge
shall be submitted to the Planning Department;
4) A written opinion of the person conducting the well test that this well
would be adequate to supply water to the number of proposed lots
and be submitted to the Planning Department;
5) An assumption of an average of no less than 3.5 people per dwelling
unit, using 100 gallons of water per person, per day;
6) The water quality be tested by an approved testing laboratory and
meet State guidelines concerning bacteria and nitrates..
Sewer is provided by ISDS to the existing systems. Soils on the site are considered
to have severe constraints for conventional septic tanks and leach fields due to slow
percolation.
E. Building Constraints: The soils information submitted with the application indicates
that buildings could be limited by soils, indicating severe constraints due to shrink -
swell potential.
G. Fire Protection. The applicant has had the Rifle Fire Protection District reviewed the
application and the Fire Chief has stated that the parcels in question are within the
District and has made certain recommendations . (See letter p!1"j
H. Easements. Any required easements (drainage, access, utilities, etc..) will be required
to be shown with legal descriptions on the exemption plat.
I. School Site Acquisition Fees The new parcel being created will need to pay $200.00
to the RE -2 School District for a school site acquisition fee.
J. Additional Plat Notes : In addition to other plat notes, the following plat notes need
to be included on the exemption plat:
"Control of noxious weeds is the responsibility of the property owner."
"One (1) dog will be allowed for each residential unit within a subdivision and the
dog shall be required to be confined within the owners property boundaries. The
requirement will be included in the protective covenants for the subdivision with
enforcement provisions allowing for the removal of a dog from the area as a fmal
remedy in worst cases."
"No open hearth solid -fuel fireplaces will be allowed anywhere within an exemption.
• •
One (1) new solid -fuel burning stove as defied by C.R.S. 25-7-401, et. seq., and the
regulations promulgated thereunder, will be allowed in any dwelling unit. All
dwelling units will be allowed an unrestricted number of natural gas burning stoves
and appliances."
"Each subdivision shall have covenants requiring that all exterior lighting be the
minimum amount necessary and that all exterior lighting be directed inward, towards
the interior of the subdivision, except that provisions may be made to allow for safety
lighting that goes beyond the property boundaries."
IV. SUGGESTED FINDINGS
1. That proper posting and public notice was provided as required for the meeting
before the Board of County Commissioners.
2. That the meeting before the Board of County Commissioners was extensive and
complete, that all pertinent facts, matters and issues were submitted and that all
interested parties were heard at that meeting.
3. That for the above stated and other reasons, the proposed exemption is in the best
interest of the health, safety, morals, convenience, order, prosperity and welfare of
the citizens of Garfield County.
V. RECOMMENDATION
Staff can recommend approval of the proposed split, subject to the following conditions of
approval :
1. All representations of the applicant shall be considered conditions of approval unless
otherwise stated by the applicant.
2. The applicant shall have 120 days to complete the required conditions of approval.
Extensions of 120 days may be granted by the Board for a period of up to one (1)
year.
3. The applicant shall submit $200 in School Site Acquisition Fee, prior to the signing
of an exemption plat.
4. A final exemption plat will be submitted, indicating the legal description of the
property, dimension and area of all proposed lots or separate interests to be created,
access to a public right-of-way, and any proposed easements for drainage, irrigation,
access and utilities and the following plat notes:
• •
"The minimum defensible space distance shall be 30 feet on level terrain, plus
appropriate modification to recognize the increased rate of fire spread at sloped sites.
The methodology described in "Determining Safety Zone Dimensions, Wildfire
Safety Guidelines for Rural Homeowners" ( Colorado State Forest Service) shall be
used to determine defensible space requirements for the required defensible space
within building envelopes in areas exceeding five (5) percent grade."
"The soils on this site indicate that there are severe limitations to the use of
individual sewage disposal systems due to slow percolation and it may be necessary
for an engineer to design the individual sewage disposal system."
"On site investigations by a geotechnical engineer or geologist is recommended to
establish the appropriate design and construction of residential structures."
"Control of noxious weeds is the responsibility of the property owner."
"One (1) dog will be allowed for each residential unit within a subdivision and the
dog shall be required to be confined within the owners property boundaries. The
requirement will be included in the protective covenants for the subdivision with
enforcement provisions allowing for the removal of a dog from the area as a final
remedy in worst cases."
"No open hearth solid -fuel fireplaces will be allowed anywhere within an exemption.
One (1) new solid -fuel burning stove as defied by C.R.S. 25-7-401, et. seq., and the
regulations promulgated thereunder, will be allowed in any dwelling unit. All
dwelling units will be allowed an unrestricted number of natural gas burning stoves
and appliances."
"The subdivision shall have covenants requiring that all exterior lighting be the
minimum amount necessary and that all exterior lighting be directed inward, towards
the interior of the subdivision, except that provisions may be made to allow for safety
lighting that goes beyond the property boundaries."
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Vicinity Map
Scale: 1" = 2000 feet
PLOT PLAN
Original parcel of land from which the Jewell Exemption is proposed.
Located in the NE 1/4 of Section 33, T 5 S, R 92 W of the 6th P.M.
N
1/4 corner S 33
NE corner S 33'.
Boundary of entire parcel of land
37 acres. approx.
•
First exemption for John
and Georg Ann Jewell
5.69 acres
This Exemption for Darrin
and Sandra Jewell. 5.00 acres
•
C 1/4 corner S 33
Legal description of the entire parcel from which this
recorded in Garfield County Records at Book 468 Page
and contains approx. 48 acres. A 5.69 acre exemption
John and Georg Ann Jewell was done in June of 1994.
after this 5 acre exemption is approx. 37 acres.
Prepared by
JERRY H,4UER
P.L.S. :9009
1854 CO, R0,4D 293
RIFLE, CO 81650
303-625-18'12
Scale
1" = 500"
E 1/4 corner S 33
exemption is made is
369, Doc. # 266097
from this property for
Remaining property
Prepared for
Darrin 4 Sandra Jewell
2'1653 Hwy 6
Rifle, CO 81650
970-816-2894
September 23,
1997 File: Jewell/dwg
Rev. 8/26/97
v
s •
Contract. No.
Map ID No.
Date Activated
APPLICATION AND DATA FORM TO LEASE WATER FROM
WEST DIVIDE WATER CONSERVANCY DISTRICT
A. APPLICANT
Name T,iet r s g cs,cmoRF
Address 27(,53 ,c )/ q (i k'+s-
Telephone Number 97 p /6„1.5 - 39//
Authorized Agent or Representative
B. WATER RIGHT OWNED BY APPLICANT OR BEING APPLIED FOR
Name of Right itiF 1\
Type of Structure or Right
Location of Point of Diversion (desc iption from decree or pe it)
$ 8 Gi eF,EiD (aint-—C)uoerEE uatete2 SE CXU rre i
rCTio1i 3 ro umist iP sou rH u r
3 5 /2�}- �� y7 t , {�,Qi��.ipaL/'✓1�'1)r4N6T4
DrR-NCe�F &iifi/ Fki/y( %c770/1/ LiA!FS' 3590 Fr gfeCvvr Sulk 3 v CT +-P&<<z7 rig ST
Water Court Case No.
Well Permit No.
C. INTENDED USE OF LEASED WATER
Location of Area of Use (Include complete and accurate legal
description of property on which water right is to be used.
May be attached as Exhibit A),i
(5-1-c zxi-(6if 4
Total Acreage 5
Descriptioi of Use 4-4-(717t4c)L� NON- rNnfeC.iN-C Sflc,
C\\
Total Number of Dwelling Units 1
Number of Constructed Units
Number of Vacant Lots
Potable Water System (,ti F_j I
Waste -Water Treatment System .5 iIO>
Type of Meter or Measuring Device I i tOtc7 i &ij plL7,�" {�-tF i
Projected Monthly Volum of Leased Water Neededlin Gallons:
THESE FIGURES ARE ACTUAL DIVERSIONS OR CONSUMPTIVE USE ONLY
(Actual diversions must be used unless contractee has an augmentation plan)
Jan. Feb. Mar. Apr. May
June. July Aug. Sept Oct.
Nov. Dec.
Annual Total Gallons .Acre Feet
Maximum Instantaneous Demand gpm
D. OTHER REMARKS
Date
lip?
plican
iro
Name of Applicant:
Contract. #
Map ID #
Date Activated
WEST DIVIDE WATER CONSERVANCY DISTRICT
WATER ALLOTMENT CONTRACT/LEASE
Quantity of Water in Acre Feet:
6;9 4004 K TFw ((
1
Applicant, hereby applies to the West Divide Water Conservancy District. a political subdivision of the State
of Colorado, organized pursuant to and existing by virtue of C.R.S. 1973, §37-45-101 et sea., (hereinafter referred to as
the "District") for an allotment contract/lease to beneficially and perpetually use water or water rights owned, leased, or
hereafter acquired by the District. By execution of this contract/lease and the attached application, Applicant hereby agrees
to the following terms and conditions:
1. Water Rights: Applicant shall own water rights at the point of diversion herein lawfully entitling
Applicant to divert water. which will be supplemented and augmented by water leased herein. If Applicant intends to divert
through a well, it must be understood by Applicant that no right to divert exists until a valid well permit is obtained from
the Colorado Division of Water Resources.
2. Quantity; Water applied for by the Applicant in the amount set forth above shall be diverted at
Applicant's point of diversion from the District's direct flow water rights. and when water is unavailable for diversion
pursuant to administration by the Colorado State Engineer during periods when said direct flow water right is not in priority,
the District shall release for the use of Applicant up to said quantity in acre feet per year of storage water owned or
controlled by the District. It is understood that any quantity allotted from direct flow, storage or otherwise. to the
Applicant by the District will be limited by the priority of the District's decrees and by the physical and legal availability
of water from District's sources. Any quantity allotted will only be provided so long as water is available and the Applicant
fully complies with all of the terms and conditions of this contract/lease. The District and the Applicant recognize that
some of the District's decrees may be in the name of the Colorado River Water Conservation District, and the ability of the
District to allot direct flow right to the Applicant may be dependent on the consent of the Colorado River Water Conservation
District. If at any time the Applicant determines it requires less water than the amount herein provided. Applicant may so
notify the District in writing, and the amount of water allotted under this contract/lease shall be reduced permanently in
accordance with such notice. Rates shall be adjusted accordingly in following water years only.
3. Beneficial Use and Location of Beneficial Use: Any and all water allotted Applicant by the District
shall be used for the following beneficial use or uses: municipal, domestic and,related uses, or commercial (except to the
extent that Ruedi Reservoir water may not be available for commercial as that term is defined on Page 5 of Contract No. 2-07-
70-W0547 between the United States and the West Divide Water Conservancy District). Applicant's beneficial use of any and
all water allotted shall be within or through facilities or upon land owned, leased, operated. or under Applicant's control.
4. Decrees and Delivery: Exchange releases made by the District out of storage from Ruedi Reservoir
and Green Mountain Reservoir, or other works or facilities of the District, or from other sources available to the District,
shall be delivered to the Applicant at the outlet works of said storage facilities or at the decreed point of diversion for
said other sources, and release or delivery of water at such outlet or points shall constitute performance of the District's
total obligation. Delivery of water by the District from Ruedi Reservoir or Green Mountain Reservoir shall be subject to
the District's lease contracts with the United States Bureau of Reclamation. Releases from other facilities available to
District shall be subject to the contracts, laws. rules, and regulations governing releases therefrom. Furthermore. the
District hereby expressly reserves the right to store water and to make exchange releases from structures that may be built
or controlled by the District in the future, so long as the water service to the Applicant pursuant to this agreement, is
not impaired by said action. Any quantity of the Applicant's allocation not delivered to or used by Applicant by the end
of each water year (October 1), shall revert to the water supplies of the District. Such reversion shall not entitle
Applicant to any refund of payment made for such water.
Water service provided by the District shall be limited to the amount of water available in priority at the
original point of diversion of the District's applicable water right, and neither the District. nor those entitled to utilize
the District's decrees, may call on any greater amount at new or alternate points of diversion. The District shall request
the Colorado Division of Water Resources to estimate any conveyance losses between the original point and any alternate point,
and such estimate shall be deducted from this amount in each case.
5. Alternate Point of Diversion and Plan of Augmentation: Decrees for alternate points of diversion
of the District's water rights or storage water may be required in order for Applicant to use the water service contemplated
hereunder. Obtaining such decree is the exclusive responsibility of Applicant. The District reserves the right to review
and approve any conditions which may be attached to judicial approval of said alternate point of diversion as contemplated
or necessary to serve Applicant's facilities or lands. Applicant acknowledges and'agrees that it shall be solely responsible
for the procedures and legal engineering costs necessary for any changes in water rights contemplated herein, and further
agrees to indemnify the District from any costs or losses related thereto. Applicant is solely responsible for providing
works and facilities necessary to obtain/divert the waters at said alternate point of diversion and deliver them to
Applicant's intended beneficial use. Irrespective of the amount of water actually transferred to the Applicant's point of
diversion. the Applicant shall make annual payments to the District based upon the amount of water allotted under this
contract/lease.
In the event the Applicant intends to apply for an alternate point of diversion and to develop an
augmentation plan and institute legal proceedings for the approval of such augmentation plan to allow the Applicant to utilize
the water allotted to Applicant hereunder, the Applicant shall give the District written notice of such intent. In the event
the Applicant develops and adjudicates its own augmentation plan to utilize the water allotted hereunder. Applicant shall
not be obligated to pay any amount under Paragraph 18 below. In any event, the District shall have the right to approve or
disapprove the Applicant's augmentation plan and the Applicant shall provide the District copies of such plan and of all
pleadings and other papers filed with the water court in the adjudication thereof.
6. Contract/lease Payment: Non-refundable. one time administrative charge, in the amount determined
by the Board of Directors of the District from time to time, shall be submitted with the application for consideration by
the District.
Annual payment for the water service described herein shall be determined by the Board of Directors of the
District. The initial annual payment shall be made in full. within thirty (30) days after the date of notice to the Applicant
that the initial payment is due. Said notice will advise the Applicant, among other things, of the water delivery year to
which the initial payment shall apply and the price which is applicable to that year.
Annual payments for each year thereafter shall be due and payable by the Applicant on or before each
January 1. If an annual payment is not made by the due date a flat $50 late fee will be assessed. Final written notice prior
to cancellation will be sent certified mail, return receipt requested, to the Applicant at such address as may be designated
by the Applicant in writing or set forth in this contract/lease or application. Water use for any part of a water year shall
i •
require payment for the entire water year. Nothing herein shall be construed so as to prevent the district from adjusting
the annual rate in its sole discretion for future years only.
If payment is not made within fifteen (15) days after the date of said written notice, Applicant shall at
District's sole option have no further right, title or interest under this contract/lease without further notice. and delivery
may be immediately curtailed. The allotment of water, as herein made, may be transferred. leased, or otherwise disposed of
at the discretion of the Board of Directors of the District.
Upon cancellation of this water allotment contract/lease with the District, the District shall notify the
Division of Water Resources offices in Denver and Glenwood Springs. The Division of Water Resources may then order cessation
of all water use.
7. Additional Fees and Costs: Applicant agrees to defray any expenses incurred by the District in
connection with the allotment of water rights hereunder, including. but not limited to, reimbursement of legal and engineering
costs incurred in connection with any water rights and adjudication necessary to allow Applicant's use of such allotted water
rights.
8. Assignment: This contract/lease shall inure to the benefit of the heirs, successors or assigns of
the parties hereto. Any assignment of the Applicant's rights under this contract/lease shall be subject to, and must comply
with. such requirements as the District may hereafter adopt regarding assignment of contract/lease rights and the assumption
of contract/lease obligations by assignees and successors. Nothing herein shall prevent successors to a portion of
Applicant's property from applying to the District for individual and separate allotment contracts/leases. No assignment
shall be recognized by the District except upon completion and filing of proper forms for change of ownership.
Upon the sale of the real property to which this contract/lease pertains, Applicant has a duty to make buyer
aware of this contract/lease and proper forms for change of ownership must be completed.
9. Other Rules: Applicant shall be bound by the provisions of the Water Conservancy Act of Colorado;
by the rules and regulations of the Board of Directors of the District; and all amendments thereof and supplements thereto
and by all other applicable law.
10. Operation and Maintenance Agreement: Applicant shall enter into an "Operation and Maintenance
Agreement" with the District under terms and conditions determined by the board of Directors of the District, if and when.
the Board of said District determines in its sole discretion that such an agreement is required. Said agreement may contain,
but shall not be limited to, provisions for additional annual monetary consideration for extension of District delivery
services and for additional administration, operation, and maintenance costs; or for other costs to the District which may
arise through services made available to the Applicant.
11. Change of Use: The District reserves the exclusive right to review. reapprove or disapprove any
proposed change in use of the water allotted hereunder. Any use other than that set forth herein or any lease or sale of
the water or water rights allotted hereunder without the prior written approval of the District shall be deemed to be a
material breach of this contract/lease.
12. Use and Place of Use: Applicant agrees to use the water in the manner and on the property described
in the documents submitted to the District at the time this contract/lease is executed, or in any operation and maintenance
agreement provided by Applicant. Any use other than as set forth thereon or any lease or sale of the water or water rights
herein, other than as permitted in paragraph 8 above, shall be deemed to be a material breach of this agreement.
• •
13. Title: It is understood and agreed that nothing herein shall be interpreted to give the Applicant
any equitable or legal fee title interest in or to any water or water rights referred to herein.
14. Conservation: Applicant shall use commonly accepted conservation practices with respect to the water
and water rights herein, and hereby agrees to be bound by any conservation plan adopted hereafter by the District for use
of District owned or controlled water or water rights.
15. Restrictions: Applicant shall restrict actual diversions to not exceed the Contract/Lease amount,
which provides water (on the formula of one acre foot per dwelling) for ordinary household purposes inside one single family
dwelling, the watering of domestic livestock. fire protection, and the irrigation of up to 6,000 square feet of lawn and
garden.
Applicant shall also comply with all restrictions and limitations set forth in the well permit obtained from
the Colorado Division of Water Resources.
Watering of livestock shall be restricted to Applicant's domestic animals not to be used for commercial
purposes unless Applicant obtains approval from the Colorado Division of Water Resources for commercial use/livestock watering
at a horse boarding facility, provided that in no event shall actual diversions exceed the amount of water provided by this
Contract/Lease.
Violation of this paragraph 15 shall be deemed to be a material • breach of this Contract/Lease.
16. Well Permit: If Applicant intends to divert through a well, then Applicant must provide to District
a copy of Applicant's valid well permit before District is obligated to deliver any water hereunder.
17. Measuring Device or Meter: Applicant agrees to provide at its own expense an adequate measuring
device or meter to continuously and accurately measure at all times all water diverted pursuant to the terms of Applicant's
water right and the terms of this contract/lease. Applicant agrees to provide accurate readings from such device or meter
to District upon District's request. Applicant acknowledges that failure to comply with this paragraph could result in legal
action to terminate Applicant's diversion of water by the State of Colorado Division of Water Resources.
18. Representations: By executing this contract/lease. Applicant agrees that it is not relying on any
legal or engineering advice that Applicant may believe has been received from the District. Applicant further acknowledges
that it has obtained all necessary legal and engineering advice from Applicant's own sources other than the District.
Applicant further acknowledges that the District makes no guarantees, warranties, or assurances whatsoever about the quantity
or quality of water available pursuant to this contract/lease. Should the District be unable to provide the water contracted
for herein, no damages may be assessed against the District, nor may Applicant obtain a refund from the District.
19. Costs of Water Court Filing and Augmentation Plan: Should the District, in its own discretion,
choose to include Applicant's contract/lease herein in a water court filing for alternate point of diversion or plan of
augmentation, then Applicant hereby agrees to pay to the District. when assessed, an additional fee representing the
District's actual and reasonable costs and fees for Applicant's share of the proceedings.
20. Binding Agreement: This agreement shall not be complete nor binding upon the District unless
attached hereto is the form entitled "Application and Data Form to Lease Water From West Divide Water Conservancy District"
fully completed by Applicant and approved by the District's engineer. Said attachments shall by this reference thereto be
incorporated into the terms of this agreement.
•
21. Warning: IT IS THE SOLE RESPONSIBILITY OF THE APPLICANT TO OBTAIN A VALID WELL PERMIT OR OTHER WATER
RIGHT IN ORDER TO DIVERT WATER, INCLUDING THE WATER ACQUIRED UNDER THIS CONTRACT/LEASE. IT IS THE CONTINUING DUTY OF THE
APPLICANT TO MAINTAIN THE VALIDITY OF THE WELL PERMIT OR WATER RIGHT INCLUDING FILING FOR EXTENSIONS OF PERMITS, FILING WELL
COMPLETION REPORTS. FILING STATEMENTS OF BENEFICIAL USE, OR OTHERWISE LAWFULLY APPLYING THE WATER TO BENEFICIAL USE ON A
REGULAR BASIS WITHOUT WASTE.
Applicant:
Wn5 7) J w e0
Applicant address:
STATE OF COLORADO
COUNTY OF GARFIELD
Applicant:
SJDk R- K �FuOO1
p
) 52A- a cos d
The foregoing instrument was acknowledged before me on this day of . 19 . by
Witness my hand and official seal.
My commission expires:
ORDER
Notary Public
After a hearing by the Board of Directors of the West Divide Water Conservancy District on the application,
it is hereby ORDERED that said application be granted and this contract/lease shall be and is accepted by the District.
ATTEST:
WEST DIVIDE WATER CONSERVANCY DISTRICT
By
President
Secretary Date
This contract/lease includes and is subject to the terms and conditions of the following documents which must
accompany this contract/lease:
1. Map showing location of point of diversion (use map provided)
2. Application and Data Form fully completed and signed
0 3.
/3-
COLORADO DIVISION OF WAd RESOURCES
DEPARTMENT OF NATURAL RESOURCES
1313 SHERMAN ST., RM. 818, DENVER CO 80203
phone - info: (303) 866-3587 main: (303) 866-3581
NEW HOUSEHOLD USE ONLY
Review instructions arior to comaletino form
•
Water Well Permit Application
Must be completed in black ink or typed
1. APPLICANT INFORMATION
6. USE OF WELL
Name of applicant
Sa Y1 di J i-mE , I)',,Ei l_.t
I
ORDINARY HOUSEHOLD PURPOSES INSIDE ONE
SINGLE FAMILY DWELLING
(NO OUTSIDE USE)
Mailing Address #
270"53 *4 >� c2� I`9'<6'3
City 3 State Zip code
RIF( e ) ?' L')
7. WELL DATA
Telephone Number (include area code)
e1-70) to gg'-7-3 11
MAXIMUM PRODUCTION RATE OF THE WELL
WILL NOT EXCEED 15 GPM
2. TYPE OF APPLICATION
CONSTRUCT A NEW HOUSEHOLD USE ONLY
WELL ON LESS THAN 35 ACRES
8. TYPE OF RESIDEi TiAL SEWAGE SYSTEM
E'Septic tank / absorption leach field
■ Central system
District name:
• Vault
Location sewage to be hauled to:
3. REFER TO (if applicable):
Monitoring hole acknowledgment #
MH-
■ Other (attach'copy of engineering design)
4. LOCATION OF WELL
9. PROPOSED WELL DRILLER (optional)
County
r iErl
c,a/4E
Quarter/quarter
se_ 1/4
Quarter
SE 1/4
Name
D/ II I INci l % �NP
f License number
Section
�"J
Township N or S
? ■ i] _
Range E or W
7r) ci
Principal Meridian
`Nl
10. SIGNATURE of applicWnt(s) or authorized agent
The making of false statements herein constitutes perjury
in the second degree, which is punishable as a class 1 mis-
demeanor pursuant to C.R.S. 24-4-104(13)(a). I have read
the statements herein, know the contents thereof and state
that they are true to my knowledge.
Distance of well from section lines
"7 5 ()t /�t. from ■ N s ??Ore. ft. from E ■ w
Well location address, if different from applicant address (if applicable)
Me original signature
4 ,Ce
5. TRACT ON WHICH WELL WILL BE LOCATED'tfid,G
A. You must check one of the following - see instructions ,
n Subdivision: Name
Title
Date
/tj97
Lot # Block # Fling/Unit#
Office Use Only
DWR Map No.
pCounty Exemption (copy of county approval & survey mart be attached)
Exempt. name/# Tract #
DIV
• Mining claim (attach copy of deed or survey)
Claim name/#
■ Other (attach legal description to application)
CO ,
B. STATE PARCEL
ID# (optional):
WD
C. # of acres in tract
5 Dc ES
BA
D.
THIS WILL BE THE ONLY WELL ON THIS TRACT
USE MD
Form GWS -49 (12/95)
•
RIFLE FIRE PROTECTION DISTRICT
August 8, 1997
Sandy Jewell
27653 Highway 6 & 24, #2205
Rifle, Colorado 81650
Reference: Subdivision exemption
Mrs. Jewell,
The Rifle Fire Protection District has reviewed the
proposed subdivision exemption of the property located at
0284 County Road 259 A. It is the District's understanding
that this division will create one additional portion of
property to be used for the construction of a single
family dwelling.
The stated property is within the boundaries of the
Rifle Fire Protection District and Fire and Emergency
Medical Services will be provided to the property. In
order to assist the District in it's capabilities of
providing these services, we would make the following
recommendations;
1. Defensible space: Vegetation should be removed from any
future structures on the property in order to provide a
safety zone in the event of a wildfire.
2. Construction materials: The District recommends the use
of a classified roof covering and non-combustible siding
materials to minimize threats from a wildland fire.
3. Road construction: When constructing the access roadway
into the property, consideration should be given to the
weights of fire apparatus and accessibility during adverse
weather conditions.
4. Posting of address: The address of the property is to
be posted where the driveway accesses the County Road.
Letters are to be a minimum of 4 inches in height, 1/2
inch in width and contrast with background colors.
5. Water supply: The District would recommend that you
work with neighbors in establishing a water supply.
As the time draws closer for construction, the
District would be happy to set down and discuss these
recommendations in greater detail. Thank you for your
cooperation and feel free to contact me if I can be of
further assistance.
Sincerely,
Mike Morgan
District Chief
Telephone (970) 625-1243 • Fax (970) 625-2963
1850 Railroad Avenue • P.O. Box 1133 • Rifle, Colorado 81650
-•