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Home My WebLink About1.0 ApplicationG. SUBDIVISION SUMMARY FORM County Date , r/ Subdivision Name: Laura Lee Subdivision Type of Subdivision---Sketc a P' an Request for Exemption Preliminary Plan Final Plat Filing Location of Subdivision TOWNSHIP 5S RANGE 91n7 SEC. 3F 1/4 NE/SE Owner(s) NAME Bill Smith ADDRESS 01.35 County Road No. 766 Rifle, Colorado Subdivider (s) NAME Same as above ADDRESS Designer NAME Shamrock Surveyinc Services ADDRESS P.O. Bose ?c Silt Coloracln Type of Subdivision Number of Area % of Dwelling Units (Acres) Total Area ( ) Single Family ( ) Apartments ( ) Condominiums ( ) Mobile Home ( ) Commercial ( ) Industrial N.A. N.A. Street Walkways Dedicated School Sites Reserved School Sites Dedicated Park Sites Reserved Park Sites Private Open Areas Easements Other (specify) ?7.1:0 inns, Total .60 ,00% Estimated Water Requirements "100 • Gallons/day. Proposed Water Source wc''s Estimated Sewage Disposal Requirement "`1 nn0 Gallons/day. Proposed Means of Sewage Disposal rtr,74 v' rb a' septic sp; st-e7s ACTION: Planning Commission Recommendation Approval ( ) Remarks Date Disapproval ( ) , 19 Board of County Commissioners Approval ( ) Disapproval ( ) Remarks Date , 19 WreAcir (9 6 R J — � I II I\u 0 i )\ • 0 ,ll• 587 •! 5657 P f 565 ° II II 1 14 5583, r== 11 II II II IJ 1)• 5392 5400 // / // Lam,. � 491 `F a �, .'.:0Y A 1 4.. II 1 11 1/ /1' ARE I\\,1 J, auL __ L - � • .5432 O —�L---j RIO GRANDE 8 �_ =moi —_—_,„,==,_•___--_..,..,\\ �, I4 / 53g0. ,:-• �` \ • q •II// ›-- NN. / 00 \/ .DITC j �-- ., � GNA� EThs . DITCH.. N ° ° / \N` \ °o. ii gU... µZG \� 5 5 7I 1/ . RIVER 544 II II II II 11 58( 1/ WEST • • Shamrock �wveying �evices P.O. Box 35 Tim Callahan Silt, Colorado 81652 Telephone (303) 876-5693 County Commissioners Garfield County, Colorado Sirs, January 9, 1983 I herewith submit all pertinent information necessary for the submittal of the Laura Lee Subdivision sketch plan. It is my request to subdivide a 32.60 acre tract of land into 6 parcels as shown. Proposed. means to provide house hold water is as follows: Well #1 is an existing well and is in use on the existing structures; Well #2 is proposed to serve Parcel 1 and Parcel 2 (see attached well permit #126790); Well #3 is an existing well to serve Parcel 3 and Parcel 4 (see attached well permit #1.22502); Well #4 is an existing well proposed to serve Parcel 5 and currently serving the parcel on which the parcel lies (see attached well permit #95032). Sincerely, Bill Smith 9.44 SOIL AND CAPABILITY MAP PREPARED BY U. S. DEPARTMENT OF AGRICULTURE, SOIL CONSERVATION SERVICE COOPERATING WITH rookcli_f.f' SOIL CONSERVATION DISTRICT AND PLAN NO )}i_; DATE 5/111/6`e OWNER/OPER. Lloyd FairInan AC. 110 PHOTu DX11-21'-56 APP. SCALED"/MI. COUNTY Garfield, Colorado N Fal rman Colorado Form No. CO -42 Revised March 1961 CONSERVATION PLAN MAP and ' SOIL AND CAPABILITY MAP LEGEND SHEET UNITED STATES DEPARTMENT OF AGRICULTURE Soil Conservation Service Colorado Different kinds of soil, range sites, or woodland sites are separated on the map by solid black lines. Within each area is an identifying symbol or name. The following symbols are shown on your map. Symbol or Site Name Class Generalized Descriptions (Detailed descriptions are available In your Soil Conservation Service office.) BB32H1 C-1 II1 Deep loam soil over cobbly loam BD3HE P-1 VII Shallow soils over rock or shale ZE33K1 D-1 IV Deep Loam over c,obbly loam. a2221 Til Deep clay loam C=L-" w.' ,.1 Rev 16 CC�RADO DIVISION OF WATER RESOCES 818 Wnnial Bldg., 1313 Sherman St., Denver, ColW Co)80203 VI.IL ;_, 3 ,... PERMIT APPLICATION FORM Application must lY',rtl; I,c complete where OO A PERMIT 1-0 USE GROUND WATER 61.-• l applicable. Type or (x) A PERMIT TO CONSTRUCT A WELL ( fat.i. Nnnt In BOCK FOR: (X) A PERMIT TO INSTALL A PUMP I'IrCCIU' , r No overstrikes or erasures unless ( ) REPLACEMENT FOR NO. initialed. • ( ) OTHER WATER COURT CASE NO. (1) APPLICANT - mailing addrers • NAME 3-0.0v(e. STREET 733/dt•- 671. CITY 604. S/G,Cj 0 (P X(State) t (Zip) TELEPHONE NO -) " �8')r/ !-) 9 1002 X0.1'11 YLL`••.fx _t+ (2) LOCATION OF PROPOSED WELL County 'eLr 7 l cid 4/6-k./ of /UC'% of the '/. Section 3-5- Twp. JTwp. . 3 , Rng. 9.2 6 Z% P.M IN,S) IE.WI (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) /3 Average annual amount of ground water •r to be appropriated (acre-feet): Number of acres to be irrigated:-A.4-►trgc^“L Proposed total depth (feet): / 75./ Aquifer ground water is to be obtained from: Owner's well designation QROUNQ HATER TO BE USED FOR; .f(,- ice EHOLD USE ONLY - no irrigation (0) --ti,kt-DOMESTIC (1) ( ) INDUSTRIAL (51 l l LIVESTOCK (2) ( ) IRRIGATION (6l l 1 COMMERCIAL (4) ( ) MUNICIPAL (8) ( 1 OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLEFj i. /;ce.r-3•c/c( {fir ��lu/ct_ (� I Nome. __f�!•IC•, ler Pr,//-ra Street City. (�lale) t�IP) ' e k:phone No V%O -- 5/3 6 1 ic. No. ---r,‘' CC -1 FOR OFFICE USE ONLY: DO NOT WRITE IN TftginCOLUrviti Receipt No a o 3 7 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. 1) APPROVED PURSUANT TO CRS 1973, 37-92-602(3) (b) (11) AS THE ONLY WELL ON A RESIDENTIAL SITE DESCRIBED AS /12 ACRES ME 4164' SFc, 31/5: .S' 4 R �� t✓. �'�1'. 2) THE USE OF GROUNDWATER FROM THIS WELL IS LIMI I TO ORDINARY HOUSEHOLD PURPOSES INSIDE A SINGLE FAMILY DWELLING, AND SHALL NOT BE USED OUTSIDE THE HOUSE FOR ANY PURPOSE. THE RETURN FLOW FROM THE USE OF THE WELL MUST BE THRU 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. APPLICATION APPROVED PERMIT NUMBER A -OG -1 7 1982 126790 DATE ISSUED EXPII- ION DA TE J LLG 1 7 1 BY I.U. ..t desi ASJ:t •t h�- E R) COUNTY _ (�1 THE LOCATION OF THE POSED WELL and the area on 0, which the water will be used m e indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres) for the well location. r -- -}- -- -}- — -}- -- — —}— — —}. -- — -}- ---" 1 MILE, 5280 FEET --- }I + _ ""1" 1- — -1- -1- See- , 1ft 3.5" NORTH SECTION LINE NORTH A -4- I i- — -}- - -I- + -F + -i- — — — --)- -}- — (6) T�W� ELL MUST BE LOCATEr by stances from section lines. 6 (1O ft. from urrl` sec lira (north •r sOuthl�— �� It from c-nst sec li (east or west) LOT BLOCK FILING u SUBDIVISION (7) TRACT ON WHICH WELL WILL E3E LOCATED Owner: b j Ttores J 4 Nu. of acres' /O the only well on this tract? rc.s Will this I -) -I-- 4- - — -1-- — The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATE R EQUIVALENTS TABLE (Hounded Figurss) An acre-foot covers 1 acre of lend 1 foot deers 1 cubic foot per second (clsl ... 449 gsilons per minute (gpm) A family of 5 will require approximately 1 acre•foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre feet. (8) PROPOSED CASING PROGRAM Plain Casing in. from ft. to /.+1� tt in from Perforated casing in. from in. from ft to tl l02 j ft to /7.r It ft to (9) FOR REPLACEMENT WELLSgtvedisti, and direction from old well and plans for plough,. it: (10) LAND ON WHICH GRO1UND WATER WILL BE USED; SA Owner(s): I Legal description: (11) DETAILED DESCRIPTIO4 of the use of .1 j .Lie (j,f tur1,t✓+ae/ . of acres: /O Ac; system to be used. A g •und water: Household use and domestic wells must indicate type of dlsllr.,.i. (12) eTHER WA tit t4:.1 / ER RIGHT used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right • 5,/f' r j e•7 (13 HE APPLICANT( STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST O HIS KNOWLEDGE. SrU AURE OF APPLICANT(SI J �,� f/C-�; Usu ad Tonal shouts of papa.-r+-rrrtfre ;pace is required Used for (purpose) Description of land n which used • t.5-zt. ICY e I IO I t:l1i u1yOUH SFCTI( J 1 IIUC NORTH A -4- I i- — -}- - -I- + -F + -i- — — — --)- -}- — (6) T�W� ELL MUST BE LOCATEr by stances from section lines. 6 (1O ft. from urrl` sec lira (north •r sOuthl�— �� It from c-nst sec li (east or west) LOT BLOCK FILING u SUBDIVISION (7) TRACT ON WHICH WELL WILL E3E LOCATED Owner: b j Ttores J 4 Nu. of acres' /O the only well on this tract? rc.s Will this I -) -I-- 4- - — -1-- — The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATE R EQUIVALENTS TABLE (Hounded Figurss) An acre-foot covers 1 acre of lend 1 foot deers 1 cubic foot per second (clsl ... 449 gsilons per minute (gpm) A family of 5 will require approximately 1 acre•foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre feet. (8) PROPOSED CASING PROGRAM Plain Casing in. from ft. to /.+1� tt in from Perforated casing in. from in. from ft to tl l02 j ft to /7.r It ft to (9) FOR REPLACEMENT WELLSgtvedisti, and direction from old well and plans for plough,. it: (10) LAND ON WHICH GRO1UND WATER WILL BE USED; SA Owner(s): I Legal description: (11) DETAILED DESCRIPTIO4 of the use of .1 j .Lie (j,f tur1,t✓+ae/ . of acres: /O Ac; system to be used. A g •und water: Household use and domestic wells must indicate type of dlsllr.,.i. (12) eTHER WA tit t4:.1 / ER RIGHT used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right • 5,/f' r j e•7 (13 HE APPLICANT( STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST O HIS KNOWLEDGE. SrU AURE OF APPLICANT(SI J �,� f/C-�; Usu ad Tonal shouts of papa.-r+-rrrtfre ;pace is required Used for (purpose) Description of land n which used • t.5-zt. ICY -,upihcation must tae complete where applicable. Type or print in BLACK INK. No overstrikes ur erasures unless initialed. ccigh RADO DIVISION OF WATER RESOIMES ,. 818 C nnial Bldg., 1313 Sherman St., Denver, Color 80203 PERMIT APPLICATION FORM (Se) A PERMIT TO USE GROUND WATER (X) A PERMIT TO CONSTRUCT A WELL FOR: (X) A PERMIT TO INSTALL A PUMP ( ) REPLACEMENT FOR NO ( ) OTHER WATER COURT CASE NO 71-3 RECEIVED $90 8'81 WATER REStJWccsy MIL ENCa;tf,I(i (1) APPLICANT - mailing address NAME JM)LFIAEL .SHIfti STREET 0t33 Co• 20. .266 CITY g,F1-6 COLo%AJO 8(6, 0 (state) (zip) TELEPHONE NO e7b_..B22. (2) LOCATION OF PROPOSED WELL County GARFIE1,0 M E• Y. of the S•6 '4 Section 3s W, Twp. .S Rng. 92 iN.S1 IE,WI P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 15 C.P. M' Average annual amount of ground water / f !� /F,T to be appropriated lacre-feet) • / Number of acres to be irrigated: Proposed total depth (feet): ESr. /25 Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR: 1 HOUSEHOLD USE ONLY OO DOMESTIC (1) 1 1 LIVESTOCK (2) I 1 COMMERCIAL (4) no irrigation (0) ( ) INDUSTRIAL (5) ( ) IRRIGATION (6) ( ) MUNICIPAL (8) I OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Name Street Ctty M (eleuhune No (State) (zip) Lic. No. _ FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No 192o6 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 issuanceuf lite perms. dues not assure the appiicant 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. APPROVED FOR DO1&ESTIC USE, INCLUDING THE IRRIGATION OF NOT OVER ONE ACRE OF HOME GARDENS AND LAWNS. THIS WELL MUST BE CONSTRUCTED ACCORDING TO THE REVISED AND AMENDED RULES AND REGULATIONS APPROVED BY THE STATE BOARD OF EXAMINERS FOR WATER WELL AND PUMP `INSTALLATION CONTRACTORS. OWNER'S COPY APPLICATION APPROVED n PERMIT NUMBER 1225(1v DATE ISSUED W—Q1L EXPDATE O�O T 071 1 3 As BY_ I.D. gIr (STA COUNTY __ �2 "S) THE LOCATION OF THE POSED WELL .rntl dnr,rren on which the water will Ire used ntusI lir: uuhcaled un the diagram brauw Use the CENTER SEC: f ION (1 section, 640 acres) for the well location. - ( I- - } - - I - I ▪ I MILL, b28( ILL - 1- }- i- -(- -1- NORTH 1 1- NORTH SECTION LINE 0 )-- - -t-- (.▪ 1- W I N x SOUTH SECTION LINE 3NI1 NOI1D3S 1SV3 The scale of the diagram is 2 inches - 1 mile Each small square represents 40 acres. -+- (6) TELL MUST BE LOCATED BELOW by distances Iron) section Imes. 34/COft. from /VUP.tH (north or south) 4 0 0 It. from -- L.Asr sec. line sec. line (east or west) LOT BLOCK FILING s SUBDI VISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner. j`1ICl4 -CH ik No. of acres 2.36 the only well on this tract? Yes . Will this he (8) PROPOSED CASING PROGRAM Plain Casing in. from 0ft to 8 0 ft in from f t tG 't Perforated casing 6 in from Bo ft. to h25 tt in. from ft to ft WATEH LUUlVALENI TABLE (Hounded Figure',) An acre-foot covers 1 acre of land 1 toot deep 1 cubic foot per second (cfs) 449 gallons per minute (gpnr) 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 gum pumped continuously for one day produces 4 42 acre-feet (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): DI/nNC \MI TN Legal description: 5E- N• E. SEC. 3y T. 5- S. - R. 92 tn/. — (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be user. i DoMESTit, use GAIc.'t' No. of acres: • 36 bopo SAi_ SNS/EM HEer Co0471 .STANDAR65 (12) OTHER WATER RIGHTS used on this land, including wens. Glue Registration and Water Court Casa Nulllbers. Type or right Used for (purpose) flcscrt(rlton of land nn which bell r A; SE,era 1tee' 4'Art A; bisiRicr sE, N. e, Sec. 3.5' %s -s- -g `12 r✓ (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. SIGNATURE OF APPLICANTISI S„:4„tex -.2e -6i X0)1; atldntunal shet•ls of paper it nwre- space r, rcr(uirtn1 wF.i :,../Rev . 76 Application must be complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. COcoLgelADO DIVISION OF WATER RESOUFjkS 818 Cenallgial Bldg., 1313 Sherman St., Denver, Colorsdigg0203 PERMIT APPLICATION FORM (56 A PERMIT TO USE GROUND WATER (X) A.PERMIT TO CONSTRUCT A WELL FOR: (X) A PERMIT TO INSTALL A PUMP ( ► REPLACEMENT FOR NO ( ) OTHER WATER COURT CASE NO. RECEIVED P 4 3 '81 WATER REsutmcig IMAIL ENGgI(all Got, (1) APPLICANT • mailing address NAME lt+Gr1AEL SA{IT�I STREET 0133 Co. %D. 166 CITY kr F1-6 COLoRAJO (State) TELEPHONE NO P7b•aB22- 816so (tip) (2) LOCATION OF PROPOSED WELL County GARFIELI> N e• %. of the 5•6 Y. Section 35 / 7N Twp. .i Rng. 7 p 2 ti✓ (�� _ IN,SI IE,WI P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) C.P M • Average annual amount of ground water to be appropriated (acre-feet): if AAT: Number of acres to be irrigated: Proposed total depth (feet): EST /25 Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR: ( 1 HOUSEHOLD USE ONLY ($.) DOMESTIC (1) I LIVESTOCK (2) 1 ) COMMERCIAL (4) no irrigation (0) ( ► INDUSTRIAL (5) ( ) IRRIGATION (6) ( ) MUNICIPAL (8) ( I OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Name Street City (State) (Zip) Telephone Nu Lic. No. FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No. /90?O 6 l 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. APPROVED FOR DOMMESTIC USE, INCLUDING THE IRRIGATION OF NOT OVER ONE ACRE OF HOME GARDENS AND LAWNS. THIS WELL MUST BE CONSTRUCTED ACCORDING TO THE REVISED AND AMENDED RULES AND REGULATIONS APPROVED BY THE STATE BOARD OF EXAMINERS FOR WATER WELL AND PUMP INSTALLATION CONTRACTORS. PUMP !NSTALLER'S COPY APPLICATION APPROVED PERMIT NUMBER 122502 DATE ISSUED _-Qai_Q_ J-1918 EXPI ON DATE z J " T 0 7 Asci BY I.D. COUNTY 13 ?HIS rURM MUST BE SUBMITTED W' it+IN 60 DAYS OF COMPLETION OF THE WORK DESCRIBED HERE ()N TYPE OR PRINT IN BLACK INK WELL OWNER ADDRESS 0/33 /F/'/e DATE COMPLETED APORADO DIVISION OF WATER RES.CES 1313 Sherman Street - Room 818 Denver, Colorado 80203 WELL COMPLETION AND PUMP INSTALLATION REPORT PERMIT NUMBER -Z_ 50-Z el Srnj fA CO, RA ,2,‘ G'oT , 8 /Iso -i1 WELL LOG _AIE. _- ''/ of the SE _— '/. of Sec S , 19 HOLE DIAMETER r From To Type and Color of Material Water Loc. e) /n /n 10 6;1/, e),/, ala r/ e7.ne 4s, Sa,,/ (1,7. -re f c ili 10 7S s¢.v) (,y /sic x'66//s / J 12,5 /GD I1)0 /? b .Sd .t4/ Ai e41- -44' , hpdc1,0toed S S R5 TOTAL DEPTH / / Use additional pages necessary to complete log. in. from __-0 _-- to .1�0- ft. in. from .Q__ to _I: _ ft. in. from DRILLING METHOD CASING RECORD: Size _ 6__ & kind Size _ _ & kind Size _ _____ & kind PM to -- ft. ±atey PlainCasing �f"ePl from ___. ___ to .g:' ft. Pc_____ from _-- e__ to tt. from _ ____.-- to _-- _ . ft. Perforated Casing Size _ v __& kind _.57lee from Vto Pi i ft. 4_, Size ____ & kind ___ _' _L_from to �.� �_ ft Size _______ & kind __.____—_ from GROUTING RECORD Material l � Intervals . r_ 3S Placement Method _ _ 1_P l GRAVEL PACK: Size _ Interval_ TEST DATA 7 Date Tested _ _ ___ __(L' 31 Static Water Level Prior to Test Type of Test Pump Length of Test Sustained Yield (Metered) Final Pumping Water Level • - �/ 1 _ to _ - ryr , 19 ft PUMP INSTALLATION RE RT Pump Make Type Powered by HP Pump Serial No. Motor Serial No.• Date I nstal leo Pump Intake Depth Remarks WELL TEST DATA WITH PERMANENT PUMP Date Tested Static Water Level Prior to Test Length of Test Hours Sustained yield (Metered)__ GPM Pumping Water Level Remarks F T ,•. yr� ..n TOTAL DEPTH • • • • DEPTH TO • W WATER w TABLE 0> hLI/ 4 1— tip z 0 CONE OF DEPRESSION CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the same is true of his own knowledge. -__21/.. Signature �.. _ .i 2 - License No. Pb f_ State of Colorado, County of ____.__ . _ __�_� r '/r SS Subscribed and sworn to betore me this .„.../f_1:`,!_k day of ,__ 7) ��__. , 19 _ My Commission expires. (/'� L Notary Public _ _, 7 .� t 'tet 1 I FORM TO BE MADE OUT IN OUADRUPLICATE. WHITE FORM must be an original copy on both sides and signed WHITE AND GREEN copies must be tiled with the Stele Engineer. PINK COPY is for the Owner end YELLOW COPY IS for the Driller *RJ 5 Rev 76 Application must be complete where applicable. Type or print to BLACK INK. No overstrikes or erasures unless initialed. • • COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 COS) ticti�� C ( FOR: PERMIT APPLICATION FORM IA PERMIT TO USE GROUND WATER `' X10 ,-(' t %ill 01 APERMIT TOCONSTRUCT AWELL e3 A Oio��`'�� W' ., 'i A PERMIT TO INSTALL A PUMP C Ott r 0.50'' QR`- v W,E(Elr �✓ ( ► REPLACEMENT FOR NO. y►t -- °s1 t>l SI� aD. ( ) OTHER tOC�26 ' WATER COURT CASE NO. cU��p DO NOT `\Slf14. THIS COLUMN (1) APPLICANT - mailing address NAME Victor L. SmithE& B. L. Smith FOR OFFICE USE ONLY Receipt No. 5 s S i STREET 11135 County Rnad 2.66. Basin Dist. CITY Rifle, Colorado 8.1650 (State) (Zip) TELEPHONE NO. 876-2851 This well shall be used in such a way as to cause .•%e. - � • no material injury to existing water rights. The '1°�'°" (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude :,nttther owner of a vested water County Garfield right from seeking relief in a civil court action. NE Twp 5 QONDITIONS OF APPROVAL '/. of the SE Y., Section 35 S Rng 92 __ W 6th t wt V (3) WATER USE AND WELL DATA Proposed maximum pumping rate 15 f VC (gprn) - G.P.M. 1Ac,1=i 5/ - gum PM r3.[.5 Average annual amount of ground water to be appropriated (acre feet): Number of acres to be irrigated: llouse & yard use only Proposed total depth (feet): 150 feet (Estimated) Aquifer ground water is to be obtained from: Owner's well designation None QRQUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY no irrigation (0) c DOMESTIC (1) ( ) INDUSTRIAL (5) 1 I LIVESTOCK (2) ( I IRRIGATION (6) ( 1 COMMERCIAL (4) ( ) MUNICIPAL (8) I ) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Name Street C.ty Self Telephone No Lic No (2,p) APPROVED FOR DOMESTIC USE, INCLUDING TNN, IRR1 kTION OF NOT OVER ONE; Arny nl, TUfl( fARTo05 AFF T..AWN4 APPLICATION APPROVEDr� ( PERMIT NUMBER " 5032 DATE ISSUED EXPI RAT BY N OV 161977 ATE_NOV 1E;1 Utcd:6u4g D I'Y )STATE ENGINEER) • • • t51 THE LOCATION OF THE PROPOSED WELL and )hr• area on which the water will be used must be indicated on the dia,. • below. Use the CENTER SECTION (1 section, 640 acres) for the v.. ' 'cation. 1NOH 1- W 2 J 2 0 w W w f- — +- — -1- -- -I- — + -}- I - 1 MILE, 5280 FEET - ► + + + f + + I NORTH SECTION LINE + + l t I 1'_ SOUTH SECTION LINE 2 rn - -+— rt Tlw scale of the diagram is 2 i:Rches 1 mile Each small square represents 40 acres. + 4- -+- • (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 1820 ft. from South sec.•line (north or south) 200 ft from East sec. line (east or wrist) LOT BLOCK FILING a SUBDIVISION ✓(7) TRACT ON WHICH WELL WILL BE LOCATED Owner: B. L. Smith Nu. of aces 40 Ac. Will this be C s• the only well on this tract? ..4 (8) PROPOSED CASING PROGRAM Plain Casing in. 'tom U it. to __I ti ___ ft. 7 in from 1 25 ft to_ 1Sd—ft Perforated casing in. from _ ft. to ft infrom ft. to ft WATER EQUIVALENTS TABLE (Rounded Figures) An acre foot covers 1 acre of land 1 foot deep 1 cubic foot per second tcfs) . . 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre fool 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 (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): B. L. Smith Noof acres: 40.OAC T.5S R.92W YEC.35 NE1 SEZ 6th P.M. Legal description: (11) QI.TALI Ep QESC.91PTIOA. of the use o.( ground water: Household use and domestic '.ells :;gust r.d ..te tyke of disirr,s.,I system to he used. House U$g Only Disposal System will meet Co. Std. (12) QLtLEB_WATER RI GHIS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which • sed 45 Ac. Ft Silt Project irrigation Same as above 3 2Q3 y DoMestic -- S1 r." AS A aov� (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRU TO THE BEST OF HIS NOWLEDGE. 14i -t -a; S/GNATURE OF APPLICANTIS) IIV \•I.Ir'nr'ral alrrptt nr r Ow, .f rlrrllP r.•rlru•r•r) WJR. : ;/ M - • • • HIS FORM MUST BE SUBMITTED WITHIN 60 DAYS OF COMPLETION OF THE WORK DESCRIBED HERE- ON. TYPE OR PRINT IN BLACK INK. COL•ADO DIVISION OF WATER RESOU*S 1313 Sherman Street - Room 818 Denver, Colorado 80203 WELL COMPLETION AND PUM NSTALI TION REPORT PERMIT NUMBER. WELL. OWNER V ?(12 L -.-.),f0;"7"/"/C__.„:41/1111�-�— ,4/47—'% of the Ci c— f,' ADDRESS �i3ireP d�-�l[" ` ! 1�L%_g/!c"�.L�f. , R. 92 VV DATE COMPLETED /-r c2q . 19 WHOLE DIAMETER gf�j //�� in. from (/� - to / G! tt % of Sec. WELL LOG From To Type and Color of Material Water Loc. 0 g 6 O 211 li i 6a «l/ 16 g [)/R 74 SP10) SI// L. b-4- 6kfiv1 L . pNv-gk/ t f 'g/MMI 1 ictr-C) Al s,,/÷. -em At c -- t----. TOTAL DEPTH Use additional pages necessary to complete 109. in from to _ ft. in fromto //!! DRILLING METHOD_�� w�L CASING RECORD: Plain Casing ft PM Size f l & kind from r_ to fit Size ST& kind P//?Qom iL2 to !C fft. Size & kind from to ft Perforated Casing 1 �j�j� Size & kind from ! 15 to „leg ft. Size & kind from to ft GROUTING RECORD Material� ,l�-0Qis2-€- Intervals ----/ Placement Method Q /.//gt) GRAVEL PACK: Size Interval TEST DATA Date Tested Static Water Level /--c2r Prior to Test Type of Test Pump Length of Test 13. LZ t - Lia /12 70/ Sustained Yield (Metered) Final Pumping Water Level 19 4/ ft.