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Home My WebLink About10.0 Amended Water Supply PlanCOLOR DO RIVER ENGINEERING INC 0RPORATICO November 9, 2017 Bill Wilde 363 County Road 251 Rifle, CO 81650-9030 bill.wilde.363@gmail.com RE: CRE Job #1125 - Wilde Subdivision - Water Supply Mr. Wilde: Colorado River Engineering, Inc has prepared this letter to address Garfield County's water supply and distribution requirements for your minor subdivision. The criteria for this requirement are generally to show evidence of a legal, physical, adequate and dependable water supply for each lot. The minor subdivision of Parcel C of the Mangurian Exemption (Parcel ID: 2127-193-00-264), into two lots, forming Parcel D is illustrated in Figure 1. In order to address the requirements outlined in Section 5-301 (C) of the Land Use Code, four-hour pump and water quality tests were performed on the existing well and a newly drilled well on Parcel B (Parcel ID: 2127-193- 00-263). Legal Supply The historically shared well is located on Parcel C and has permit number of 200938-A. This exempt well is permitted for three single family dwellings, one acre of lawn and garden irrigation and stock/poultry watering on a farm/ranch. As part of the subdivision process, this well will no longer retain the exempt status and will require augmentation of all uses under the well. Historically, Parcels B and C have shared well 200938-A which is physically located on Parcel C. Because this minor subdivision will require augmentation for all uses under the well, a new exempt well was drilled for Parcel B which is greater than 35 acres. Well 200938-A will be re - permitted and continue to be shared between Parcel C and the newly formed Parcel D. This well will be augmented with a West Divide Water Conservancy District (WDWCD) contract #R170420WW(a) for out -of -priority depletions associated with administrative calls on both Rifle Creek and the Colorado River mainstem (Appendix A). The West Divide contract estimates 1 COLOR DO RIVER ENGINEERING INC 0RPORATICO total diversions from well 200938-A to be 2.6 acre-feet for the following uses: two dwellings, 25,000 square feet of irrigation and twenty head of livestock. Annual depletions associated with this contract are estimated to be 1.59 acre-feet. This well has been re -permitted by the Colorado Division of Water Resources as a non-exempt well augmented with the WDWCD contract listed above. The new well permit number is 80938- F and is included in Appendix B. Well Construction The existing well on Parcel C was drilled in 2009 using a replacement permit. The well is 70 feet deep with plain casing down to 60 feet and perforated casing from 60-70 feet. The well was drilled into the Rifle Creek alluvial aquifer. The pump was installed at a water intake depth of 66 feet. Well Yield Tests The Garfield County Land Use and Development Code requirements for well water quantity testing are outlined in Section 4-203 (M)(1)(b)(5)(a). A four hour pump test was performed by Aqua Tec Systems, Inc for both wells (State License: #1106). Results are summarized below. Reports from Aqua Tec Systems are included in Appendix B. 200938 -A/80938 -F On 27 March 2017, the well was pumped continuously for four hours and averaged twelve gallons per minute. The static water level was 22.6 feet and the well depth was reported to be 71.2 feet. The well is equipped with a 3/ horsepower pump set at approximately 66 feet. The total draw down over the four hour test was one foot. The well recovered to within a half inch of the static level one hour after pumping ceased. Over four hours, twelve gallons per minute yields 2,880 gallons, which is substantially more water than would be required for the residential uses of the two dwellings. During peak irrigation season (July), irrigation demands for 25,000 ft2 would average 2.6 gpm, residential uses for 2 homes would average 0.48 gpm and watering 20 head of livestock would average 0.2 gpm for a total of 3.3 gpm. Because this well has historically been shared for similar uses, it is not anticipated that the subdivision will impact groundwater resources beyond what has occurred historically. This well is subject to Colorado Revised Statute 37-90-137(2) which requires six hundred foot spacing between non-exempt wells. No existing wells were identified within six hundred feet of this well. 2 COLOR DO RIVER ENGINEERING INC 0RPORATICO Six gallons per minute is more than sufficient to meet the daily demands of each residence, however due to specific irrigation practices or water fixtures, instantaneous demands may require additional capacity. The original plat note required the shared well system to include "either an individual water storage tank, minimum capacity of 1,000 gallons, be installed on each lot or a central storage tank, sizing to be a minimum of 1,000 gallons per lot created and served by the central water system be installed." The existing storage tank on Parcel C was determined to be undersized at 550 gallons. Due to the location of the tank in the crawl space of the residence on Parcel C, the tank could not be expanded and was abandoned in place. In order to meet the plat requirement for on-site storage, an underground Norwesco 2,500 gallon tank was installed in close proximity to the shared well. The new storage tank utilizes a Grundfos 22 gpm constant pressure, submersible pump with an external, weather-proof control panel. Parcel C is served by existing one inch HDPE water line; Parcel D is served by newly installed two inch HDPE water line which was extended to the northeast corner of Amended Parcel D. The fully developed water system was completed and operational on November 7, 2017. Water Quality The Garfield County Land Use and Development Code requirements for well water quality testing are outlined in Section 4-203 (M)(1)(b)(5)(c) and include: Alkalinity, arsenic, cadmium, calcium, coliform bacteria, chloride, conductivity, copper, corrosivity, fluoride, hardness, iron, lead, magnesium, manganese, nitrate/nitrite, pH, sodium, sodium adsorption ratio, sulfate, total dissolved solids, uranium, zinc and alpha/beta radioactivity. Although the Colorado Department of Public Health and Environment's (CDPHE) Colorado Primary Drinking Water Regulations (CPDWR) generally apply only to public water systems and not to private water systems, the maximum contaminant levels contained in the CPDWR were used for reference. Water quality samples were obtained by Aqua Tec Systems, Inc. Laboratory results are provided in Appendix C. All primary contaminants and water quality parameters are within the State's established maximum contaminant levels as outlined in the CPDWR. Certain secondary contaminants had levels higher than recommended levels for aesthetics outlined by CDPHE. These parameters include: Total Dissolved Solids and Sulfate. These secondary contaminants may result in: water hardness, scaly deposits, sediment, discoloration, and a salty or bitter taste. Both wells were found to be satisfactory for human consumption. The water quality testing completed satisfies Section 4-203 (M)(1)(b)(5)(c) of the Garfield County Land Use and Development Code. 3 COL\ORfi. DO RIVER £N61N££RING INCORPORATED It is our opinion that the water supply for the proposed minor subdivision has adequate quality, quantity, and dependability for the proposed uses. If you have any questions, please do not hesitate to call our office at 970-625-4933. Best Regards, Christopher Manera, P.E. Wendy Ryan 4 Figure 1 Vicinity Map Scale: 1 "=2000' CERTIFICATE OF DEDICATION AND OWNERSHIP 01T DIR SOUTH 1/2 C000R OF 0LID SECDOR 19 TWEACE .01.37.1,11, 60 00 FEE, THENCE IV 06,6 FEET TO THS TRUE. POD, TOP POINT OM 17.16 NORTH 12.17-0,1401' IINS OF IVO 2.51 THENCE N89.55,91V 941 FEET ALONG SAID NORM RIGHT -0,11011' .610 WS 289,52 OK'D 0,57 FED, THERCE SOO, DODD 59. F.71 FEET ALONG A FRDCP OF RE. A.K.A. PARCEL ALANDURrAM EXEMPTION PLAT. ACCORDING 1.0 TAP PLAT RECORDED AMU, LADD MARCH 22 0R7 AT RECEPTION NO 506021. 10EDICAT SAND SET APART ALL OF THE STREETS AND ROADS AS SHOWN ON SHE ACCOMPNVIIVO KAT TO TH▪ E FOR STREET PAVING OR 00ROVELLERS2 0DILL A THE COW, OR CARFIRLD OLEVITED TIES DAY OF tTOTAIT ROAD 2.51 OW Ail 20 I, IVILISSIII NOTARY PIJBLIC COUNTY COMMISSIONERS' CERTIFICATE 00 COW, OF 00 PUITLIC 06.001TIOAR 0010 I HERE, RDA RC PTO ME PROVISION THAT APPROR0 00 war 0 DOM A 2 L0R RIR E FINANCING OR CONSTRUCT0N OF IMPROVEL0NIR 01 LANDS, PUBLIC ROADS, HI OR RASP -NEM °MICAS. SO ME PURLID 0CLE.0 AS DP AGREED MILL 170 ROAR. OF COUNTY CO ARA 2 RV 002022007RESOLLTION. TILL S APPROVAL SX OR TITLE CERTIFICATE xEU FROFERrrmmrs w�.ai/; aRc"r ns rt' REEµCOLID0Crs AND ACRSEerems OF rettnRO aere▪ cnnclaE DALSO TILL5 .2 OP AD 20 Final Plat Wilde Minor Subdivision Parcel C, Mangurian Exemption, Situate in the Southwest 1/4 Section 19, Township 5 South, Range 92 West, 6th P.M. County of Garfield, State of Colorado so Proposer I Parcel D 1—ra.a evsurq weRM 13 L_ L J E Amended Parcel 1,188,1928" Na955o9W County Road No. 251 SURVEYOR NOTES 1) DAIS OF SURVEY WAS NOVEMBER 9, 2016, A I ENS'S OF BEARINGS FOR MIS SURVEY 1 S A BEARING OF SR9.5,(0E ALONG SHE SO= OF SUBJECT PARCEL DETWE:p4SDAR AZDAs01R=A122 210122020 THE SOUNDVEST CORDER AND A DEBAR AND CAP 2 SILO. 10821 340,-,10,=1: BASE ON 0,0 TITILVORDIRTI0LA E NO. 1200,050 DATED JUNE SO, DOM PREPARED Br TM. a)rxRECORD uxsa rtU ixe vaeefaa'nory oa xs 'r'S:d v.s. soave'F 072:0"7 eo e'rxe"rr' UFON ALA DEFECT X I MIS SURVEY BE COADI0L0P MORS THAN TEN YEARS FROM THADATE OF CLAIR AAAAA SURVEYORS CERTIFICATE of rxseors, sasevenrsarvnsrreeers of wllpeyrn�5f800,1510 rxe unreareesraNeO UPON THE GROUND 121 DAV OF A 0 20 CERTIFICATE OF TAXES PAID WIDE. oGr„. :MT THAT TN E. ENTRE MfOURS IMF. S AND won Tau PARCELS OF R.I. %MTH 0rHSCRIB. TN. PLAT AR 6 'AMIN Fflf0 DATED THIS_ DAV OF _AD 20 MEASURER OF .1.1EFISIDCOI0M' 60 120 160 4os Reba, and 01, Plas. Cap 0 assns rtwe ism COUNTY SURVEYOR'S CERTIFICATE APPROVED FOR CONTENT NT AMP uro1m, AHD IL c ACCURACr of SURVEYS. LCIAATIONS OR 00000DATED THIS DAV OF AD 20 02, CLERK AND RECORDER'S CERTIFICATE RIM PLAT WAS FILED FOR RECORD Br SI 1 6 ORRICE OF RIR CLERK AND RSCORDER 0LRPIRED COM, COLORADO, ON 0ES DAR OA _AD rzo D IS DULY RECORD". 0 AS ILD D WILDE MINOR SUBDIVISION FILE: MINOR MJL OnN. tt/18/16 PROJECT NO. 16064.01 SHEET 1 OF 1 Appendix A West Divide Water Conservancy District Contract: R170420ww(a) WEST DIVIDE WATER CONSERVANCY DISTRICT April 20, 2017 William Wilde 363 County Road 251 Rifle, CO 81650 Re: Application to Lease Water Dear Mr. Wilde: 818 Taughenbaugh Blvd., Suite 101 P.O. Box 1478 Rifle, Colorado 81650-1478 Tel: (970) 625-5461 Web: www.wdwcd.org Email: water@wdwcd.org Enclosed is approved Water Allotment Contract # S 170420W W(a) and your water usage invoice for 2017. Please call with any questions. Sincerely yours, WEST DIVIDE WATER CONSERVANCY DISTRICT Tammy Keenan Enclosures cc Division No. 5 Water Resources w/contract Colorado River Engineering, Inc. w/contract Directors: Samuel B. Potter Kelly Couey Robert J. Zanella Bruce E. Wampler Dan R. Harrison WEST DIVIDE WATER CONSERVANCY DISTRICT APPLICATION TO LEASE WATER 818 Taughenbaugh Blvd. #101, P. O. Box 1478, Rifle, CO 81650 970-625-5461 water@wdwcd.org wdwcd.org 1. APPLICANT INFORMATION Name: William Wilde Mailing address: 363 County Road 251 Rifle, CO 81650-9030 Telephone: 970-625-2385 Email: bill.wilde.363@gmail.com Authorized agent: 2. COURT CASE #s: Decree Case No. Augmentation Plan Case No. 3. USE OF WATER RESIDENTIAL Number of main residences: 2 No. ADU's Subdivision: No. constructed units: No. vacant lots Home garden/lawn irrigation of 25000 total sq. ft. Method of irrigation: flood sprinkler X other_ Non-commercial animal watering of 20 animals Fire Protection Evaporation: Maximum water surface to be exposed: Description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amount of diversion of any water withdrawn from the pond: Well Sharing Agreement for multiple owner wells must be submitted. If greater than two owners, application must be made under a homeowners association. COMMERCIAL Number of units: Total sq. ft. of commercial units: Description of use: INDUSTRIAL Description of use: Evaporation: Maximum water surface to be exposed: Description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amount of diversion of any water withdrawn from the pond: DIRECT PUMPING Tributary: Location: 4. SOURCE OF WATER Structure: Well Structure Name: Wilde Well Source: surface storage ground water X Current Permit # 200938-A See Exhibit A (attach copy) 5. LOCA'T'ION OF STRUCTURE Garfield CONTRACT #S170420WW(a) MAP ID # S85 DATE ACTIVATED 4/20/17 SE SW County 19 Section Quarter/quarter 5 Township 92W Range Quarter6th Distance of well from section lines: 2391 from West Line and 593' from South Line of Section 19. See Exhibit B Elevation: 5646' Well location address: 363 County Road 251 P. M. Rifle, CO 81650-9030 (Attach additional pages for multiple structures) 6. LAND ON WHICH WATER WILL BE USED (Legal description may be provided as an attachment) Exhibit C&D: Existing Well to be shared Parcels C&D - Existing Well Location Number of acres in tract: 11.673 Inclusion into the District, at Applicant's expense, may be required. 7. TYPE OF SEWAGE SYSTEM Septic tank/absorption leach field X Central System Other District name: 8. VOLUME OF LEASED WATER NEEDED IN ACRE FEET: 1.59 AF (minimum of 1 acre foot except augmentation from Alsbury Reservoir where a lesser amount is allowed) Provide engineering data to support volume of water requested. Commercial, municipal, and industrial users must provide diversion and consumptive data on a monthly basis. A totalizing flow meter with remote readout is required to be installed and usage reported to West Divide. Applicant expressly acknowledges it has had the opportunity to review the District's form Water Allotment Contract and agrees this application is made pursuant and subject to the terms and conditions contained therein. Applicant Signature Applicant Signature Application Date: ISSUED AS AREA B CONTRACT YES ?C. NO Printed portions of this form, except differentiated additions or deletions, have been approved and adopted by the West Divide Water Conservancy District. Form : WDWCD 2014 APPLICATION JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC TOTAL WEST DIVIDE WATER CONSERVANCY DISTRICT WATER USE ESTIMATES APPLICANT: William Wilde DWELLING UNITS: 2 IRRIGATED AREA (SQ FT): 25000 COMMERCIAL AREA (SQ FT): 0 NO. OF LIVESTOCK: 20 ELEVATION (MSL): 5646 1 2 3 4 5 Contract Amount w/ 5% transit Loss = 1.59 acre feet 6 7 8 Transit Lass= 5.0% 9 10 11 12 Unit Value: Irrigation Diversion (AF) Unit Value: Irrigation C.U. (AF) In House Diversion (AF) In House C.U. (AF) Commercial Diversion (AF) Commercial C.U. (AF) Irrigation Diversion (AF) Irrigation C.U. (AF) Livestock Diversion & C.U. (AF) Total Diversion (AF) _C.U. Total (AF) Total Contract Amount (AF) 0.07 0.01 0.00 0.00 0.00 0.00 0.02 0.092 0.031 0.032 0.06 0.01 0.00 0.00 0.00 0.00 0.02 0.083 0.028 0.029 0.07 0.01 0.00 0.00 0.00 0.00 0.02 0.092 0.031 0.032 0.086 0.069 0.06 0.01 0.00 0.00 0.05 0.04 0.02 0.141 0.070 0.073 0.384 0.307 0.07 0.01 0.00 0.00 0.22 0.18 0.02 0.323 0.207 0.217 0.550 0.440 0.06 0.01 0.00 0.00 0.32 0.25 0.02 0.420 0.282 0.297 0.588 0.470 0.07 0.01 0.00 0.00 0.34 0.27 0.02 0.446 0.301 0.316 0.466 0.373 0.07 0.01 0.00 0.00 0.27 0.21 0.02 0.373 0.245 0.257 0.330 0,264 0.06 0.01 0.00 0.00 0.19 0.15 0.02 0.288 0.181 0.191 0.096 0.077 0.07 0.01 0.00 0.00 0.06 0.04 0.02 0.150 0.075 0.079 0.06 0.01 0.00 0.00 0.00 0.00 0.02 0.089 0.030 0,031 0.07 0.01 0.00 0.00 0.00 0.00 0.02 0.092 0.031 0.032 2.500 2.000 0.78 0.12 0.00 0.00 1.43 1.15 0.25 2.589 1.512 1.588 (1) (2) (3) (4) (5) (6) 80% irrigation efficiency for sprinkler irrigation Blaney Criddle assessment with Pochop adjustments 350 gallons per day per residence 15% consumptive use for ISDS systems 200 gallons per day per 1000 sq ft of commercial space 15% consumptive use for ISDS systems Column (1)' irrigated area in acres Column (2)irrigated area in acres Livestock use at 11 gallons per head per day (99CW320) Column (3) + Column (5) + Column (7) + Column (9) plus 5% transit loss Column (4) + Column (6) + Column (8) + Column (9) Column (11) plus transit loss Wilde_WaterUse_Estimate 3/14/2017 C1sR77FICA7E OF DEDICATION AND OWNERSHIP tri Name of Applicant: CONTRACT #S170420WW(a) MAP ID # S85 DATE ACTIVATED 4/20/17 WEST DIVIDE WATER CONSERVANCY DISTRICT WATER ALLOTMENT CONTRACT LU L -L t,) t Quantity of Water in Acre Feet: 159 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, Section 37-45-101, et seq., (hereinafter referred to as the "District") for an allotment contract to beneficially and perpetually use water or water rights owned, leased, or hereafter acquired by the District. By execution ofthis Contract 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. 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 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: industrial, municipal, domestic and related uses, or commercial (except for commercial use from Alsbury Reservoir and 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, Green Mountain Reservoir, Alsbury 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 1 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. Water service provided by the District for properties located within the Bluestone and Silt Water Conservancy Districts is provided pursuant to Agreements with said Districts. The Intergovernmental Agreement between the District and the Silt Water Conservancy District, dated January 25, 2001, is recorded as Reception No. 575691, Garfield County Clerk and Recorder's Office. The Intergovernmental Memorandum of Understanding between the District and the Bluestone Water Conservancy District, dated April 26, 2001, is recorded as Reception No. 584840, Garfield County Clerk and Recorder's Office. 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. 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 19 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 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. 2 Annual payment for the water service described herein shall be determined by the Board of Directors ofthe 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 or Application. Water use for any part of a water year shall 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 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 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 shall not inure to the benefit of the heirs, successors or assigns of Applicant, without the prior written consent of the District's Board of Directors. Any assignment of Applicant's rights under this Contract shall be subject to, and must comply with, such requirements as the District may hereafter adopt regarding assignment of Contract rights and the assumption of Contract 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. No assignment shall be recognized by the District except upon completion and filing of proper forms for assignment and change of ownership. In the event the water allotted pursuant to this Contract is to be used for the benefit of land which is now or will subsequently be subdivided or held in separate ownership, the Applicant may only assign the Applicant's rights hereunder to: I) No more than three separate owners all of whom shall be party to a well sharing agreement satisfactory to the District; or 2) A homeowners association, water district, water and sanitation district or other special district properly organized and existing under the laws of the State of Colorado, and then, only if such parties, association or special district establishes to the satisfaction of the District that it has the ability and authority to perform the Applicant's obligations under this Contract. In no event shall the owner of a portion, but less than all, of the Applicant's property to be served under this Contract have any rights hereunder, except as such rights may exist pursuant to a well sharing agreement or through a homeowners association or special district as provided above. Upon the sale of the real property to which this Contract pertains, Applicant shall make buyer aware of this Contract and proper forms for assignment and change of ownership must be completed. 3 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, re -approve 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. 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 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 amount for ordinary household purposes, the watering of domestic livestock, fire protection, and the irrigation of lawn and garden as specified in the Application. 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, provided that in no event shall actual diversions exceed the amount of water provided by this Contract. Violation of this paragraph 15 shall be deemed to be a material breach of this Contract. 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, a measuring device deemed acceptable by the District's Engineer after consultation, or a totalizing flow meter with remote readout to continuously and accurately measure at all times all 4 water diverted pursuant to the terms of Applicant's water right and the terms of this Contract. 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. By signing this Contract, Applicant hereby specifically allows District, through its authorized agent, to enter upon Applicant's property during ordinary business hours for the purposes of determining Applicant's actual use of water. 18. Representations: By executing this Contract, 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. 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 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. Applicant shall be assessed a pro -rata share of the total cost incurred by the District in preparing, filing and pursuing to decree the water court case. The pro -rata share shall be calculated by dividing such total cost by the number of contractees included in the filing. To the extent that the District is caused additional costs because of objection filed specifically due to the inclusion of Applicant's Contract in the filing, such additional costs may be charged specifically to Applicant and not shared on a pro -rata basis by all contractees. 20. Binding Agreement: This agreement shall not be complete nor binding upon the District unless attached hereto is the form entitled "Application 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. All correspondence from the District to Applicant referring to or relating to this agreement is by this reference incorporated into this agreement as further terms and conditions 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. ITIS 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. 22. AREA B. CONTRACTS: IF APPLICANT'S WELL OR OTHER WATER RIGHT THAT IS THE SUBJECT OF THIS CONTRACT IS LOCATED OUTSIDE "AREA A" AS DESIGNATED BY THE DISTRICT, THEN THIS PARAGRAPH APPLIES: THE AUGMENTATION WATER PROVIDED BY THE DISTRICT UNDER THIS CONTRACT MAY ONLY PROTECT APPLICANT'S WATER RIGHT FROM A CALL ON THE COLORADO RIVER AND MAY NOT PROTECT APPLICANT FROM A CALL FROM ANY OTHER 5 SENIOR RIGHT. NO REPRESENTATION OTHERWISE IS MADE BY THE DISTRICT. IF THIS ISA CONCERN TO APPLICANT, THIS CONTRACT MAY BE RESCINDED UPON WRITTEN NOTICE DELIVERED TO THE DISTRICT BY THE APPLICANT WITHIN THE NEXT 30 DAYS FOLLOWING THE AFFIXING OF SIGNATURES ON THIS CONTRACT IN WHICH EVENT ALL SUMS PAID BY APPLICANT FOR THIS CONTRACT SHALL BE IMMEDIATELY REFUNDED TO APPLICANT. Applicant Applicant STATE OF C O ISl4,0 ss. COUNTY OF al..44te,t ) The foregoing instrument was acknowledged before me on this Pt day of it Oirv, L i tri -t. STATE OF L 1 , 20 by . Witness my hand and official seal. My commission expires: [nal 5 t 2-0 Public COUNTY OF Tamara Sue Keenan Notary Public State of Colorado NotIryID 20164014306 My Commission Expires May 5, 2020 mMa Nota The foregoing instrument was acknowledged before me on this day of , 20 , by . Witness my hand and official seal. My commission expires: Notary Public ORDER 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 shall be and is accepted by the District. WEST DIVIDE WATER SERVA By Y DISTRICT President aG G/7 Date This Contract includes and is subject to the terms and conditions of the following documents which must accompany this Contract: 1. Map showing location of point of diversion (use map provided) 2. Application and Data Form fully completed and signed The printed portions of this form, except differentiated additions or deletions, have been approved and adopted by the West Divide Water Conservancy District. Form: WDWCD 01-01-08 CONTRACT. 6 wiirjO0Jd/6J0"Pompiwmmn4rdtl4 ewe apinaas esaW;Hs! 'a!lRl 69Z Peoa Alunoo £9£ G) (D CD 0 0 0 0 0 0 o r c o -00 7 •• d fD 7 7 C. rt fD n_ -1 � n"o - o c G) 0 o m D 2 a � � c fD d N fD (DD O d ri fD N +sapepuno8 ;a(a;sia ! suogaunA r to �D 0 o. (666666668017Z9L'LOV `Z6L£69'60 :U0!;e0010@D n 0 Appendix B Well Construction, Pump Installation and Yield Test Results Form No. GWS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 WILLIAM WILDE & JOHN W BERSHENYI 0363 COUNTY ROAD 251 RIFLE, CO 81650- (970) 625-2385 PERMIT TO CONSTRUCT A WELL 1095 WELL PERMIT NUMBER 200938 A DIV. 5 WD39 DES. BASIN MD APPROVED WELL LOCATION GARFIELD COUNTY SE 1/4 SW 1/4 Section 19 Township 5 S Range 92 W Sixth P.M. DISTANCES FROM SECTION LINES 600 Ft. from South Section Line 2400 Ft. from West Section Line UTM COORDINATES (Meters,Zone:13,NAD83) Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(c) for the relocation of an existing well, permit no. 200938. The old well must be plugged in accordance with Rule 16 of the Water Well Construction Rules within ninety (90) days of completion of the new well. The enclosed Well Abandonment Report form must be completed and submitted to affirm that the old well was plugged. 4) Approved as the only well on a tract of land of 46.739 acres described as that portion of the SE 1/4 of the SW 1/4, Sec. 19, Twp. 5 South, Rng. 92 West, 6th P.M., Garfield County, more particularly described on the attached exhibit A. Further identified as 0363 County Road 251, Rifle, CO 81650. 5) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not more than three (3) single family dwellings, the watering of poultry, domestic animals and livestock on a farm or ranch and the irrigation of not more than one (1) acre of home gardens and lawns. 6) The pumping rate of this well shall not exceed 15 GPM. 7) 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. 8) This well shall be constructed not more than 200 feet from the location specified on this permit. NOTE: Parcel Identification Number (PIN): 23-2127-193-00-263 and 23-2127-193-00-264 NOTE: Assessor Tax Schedule Number: R210987 (totaling 35.01 acres) and R210988 (totaling 11.673 acres) APPROVED DMW Receipt No. 9503272 State Engi By EXPIRATION DATE 07-01-2011 DATE ISSUED 07-01-2009 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., RM 818, DENVER, CO 80203 phone - info: (303) 866-3587 main: (303) 866-3581 fax: (303) 866-3589 http://www.water.state.co.us �.,, 1 E Form GWS 4 (06/2006) �CCGWS4 JUN 3 0 '09 JUL 06 2009 mob,: �UtitC1wMIIVIlaMAW wST CE GONEERS �J t_ D RF cE'r�T ,7 ,-Q 3.2 7 .Z RESIDENTIAL Note: Also use this form to apply for livestock watering Water Well Permit Application Review instructions on reverse side prior to completing form. The form must be completed in black or blue ink or typed. 1. Applicant Information 6. Use Of Well (check applicable boxes) Name of applicant t L 4.1/!, iA t L�e �� ` W Ll J(no See instructions to determine use(s) for which you may qualify • A. Ordinary household use in one single -family dwelling outside use) X B. Ordinary household use in 1 to 3 single -family dwellings: Number of dwellings: 3 Mailmeng�ress C 2 5( .:� 27 City . 12— � I L C State CD Zip code 8t (Ea x Home garden/lawn irrigation, not to exceed one acre: area irrigated ( ❑ sq. ft. acre Telephone # rtio Cazs 2.3a5 E-mail (optional) iAlt_3:e,LL2.. eat_. w>v-\ Xr Domestic animal watering - (non-commercial) • C. Livestock watering (on farm/ranch/range/pasture) 2. Type Of Application (check applicable boxes) III onstruct new well ❑ Use existing well Replace existing well ■ Change or increase use ❑ Change source (aquifer) ❑ Reapplication (expired permit) IN Other: 7. Well Data (proposed) Maximum pumping rate `rj gpm Annual amount to be withdrawn .. S acre-feet 3. Refer To (if applicable) Total depth 10 O feet Aquifer MI t ezilA 4.13 Well permit #7 Z CDC, cl.38 Water Court case # 8. Water Supplier Designated Basin Determination # Well name or# Is this parcel within boundaries of a water service area? • YES • NO If yes, provide name of supplier: 4. Location Of Proposed Well 9. Type Of Sewage System Coon Aoft.. '-. 5t 1/4 of the 5 t3 1/4 'Septic tank / absorption leach field IN Central system: District name: ❑ Vault: Location sewage to be hauled to: • Other (attach copy of engineering design and report) Section 0Q1 Township N or S .S ❑ Range E or W 92.. ❑ Principal Meridian c.2114 Distance of well from section lines (section lines are typically of property I nes) (p OO Ft. from InN�S 2.400 Ft. from 0 EEW For replacement wells only - distance and direction from old well to new well uPwr Zo feet SotaTak direction 10. Proposed Well Driller License #(optional): tac15 11. Signature Of Applicant(s) Or Authorized Agent Well location address (Include City, State, Zip) Check if well address is same as in Item 1. \ , ` (6b 1 J The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents thefe0 and St that t y e tr my knowledge. Optional: GPS well location information in UTM format. GPS unit settings are as follows: Sign h us b gins/si a f� . 0 r.�-k/f/ ••a' mate 1401 1 Format must br UTM ❑ Zone 12 or ❑Zone 13 Easting: Units must be Meters Datum must be NAD83 Northing: P'_• name & title 14 1%-L r is./% l ,1 t `a LAI• Y2. �• • , ,�`r' Unit must be set to true north Was GPS unit checked for above? 0 YES Remember to set Datum to NAD83 •=12 Lie waX-..�I'-� 11 Office Use Only 5. Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) USGS map name DWR map no. Surface elev. A. You must check and complete one of the following: 0 Subdivision: Name - Receipt area only TfSrf41 679 Pat Morrison ('952Z�PM Total Trans Amt 1 a.oa CHECK 6C Nufnbei: 100 _ 8 Amount: $100.00 Lot Block Filing/Unit - scanty exemption (attach copy of county approval & survey): Name/# pNg.1.164.4.t�*t .E.� t, Lot # ■ ,Parcel less than 35 acres, not in a subdivision, attach a deed with metes and bounds description recorded prior to June 1, 1972, and a current deed ■ Mining claim (attach a copy of the deed or survey): Name/# l'eA .Z3-.2,/I,7-/93 -op —163 WR f Tar ,e RR r4 967(3s, ^ U CWCB t 4-9, F /�/ 3 . ,� /, 2 7 93 a ®a TOPO f 76-x# R 2./0 gee 6/0(.4.7 ./l. 673"A-►,,, MYLAR SB5 DIV WD 37 BA MD ■ Square 40 acre parcel as described in Item 4WE +.2,fzv; p2 Parcel of 35 or more acres (attach a metes and bounds description or survey) • Other (attach metes & bounds description or survey and supporting documents) B. # of acres in parcelw_ .((�� ai �'[l0, /j d.L C Are you the owner of this parcel? YES ❑ NO (if no instructions) D. Will this be the only well on this parcel?\YES 0 NO (if no - list other wells) E. State Parcel ID# (optional): WELL CONSTRUCTION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER FOR OFFICE USE ONLY RECEIVED JUL 3 0 2009 WATER RESOURCES STATE ENGINEER APPROVAL # GWS31-91-01DOLO. 1. WELL PERMIT NUMBER 200938-A 2 Owner Name(s): William Wilde & John Bershenyi Mailing Address: 0363 County Road 251 City, State, Zip : Rifle, Co 81650 Phone # WELL LOCATION AS DRILLED 3 SE 1/4 SW 1/4 Sec: 19 Twp: 5 S Range: 92 W 6th PM DISTANCES FROM SEC. LINES 560 ft. from South Sec. line and 2365 ft. from West Sec. line OR Easting: Northing: SUBDIVISION: LOT: BLOCK: FILING (UNIT): STREET ADDRESS AT LOCATION 4 GROUND SURFACE ELEVATION ft. DRILLING METHOD Air Rotary DATE COMPLETED: 7/11/2009 TOTAL DEPTH: 70 DEPTH COMPLETION: 70 5. GEOLOGIC LOG 6. HOLE DIAMETER (in) FROM (ft) TO (ft) Depth Type of Material (Size, Color, and Type) 9.0 0 40 000 - 056 Clays, Sands 6.5 40 70 056-066 Sand, Gravels 066-070 Wasatch Formation 7. PLAIN CASING OD (in) Kind Wall Size From (ft) To (ft) 7.0 Steel 0.240 -1 40 5.5 PVC 0.250 17 60 PERF. CASING : Screen Slot Size 5.5 PVC 0.250 60 70 Water Located: 56 - 60 Remarks : 8. Filter Pack Material : Size : Interval : 9. Packer Placement Type : Depth : 10. GROUTING RECORD Material Amount Density Interval Placement Cement 5 sks 6 gal/sk 10 - 25 poured 11. DISINFECTION : Type : HTH Amt. Used : 3 oz. 12. WELL TEST DATA : () Check Box If Test Data Is Submitted On Supplemental TESTING METHOD : Air Compressor Static Level : 9 ft. Date/Time Measured 7/11/2009 Production Rate 15 gpm Pumping Level : Total ft. Date/Time Measured 7/11/2009 Test Length : 2 hours Test Remarks : 13. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. (Pursuant to Section 24-4-1-4 (13)(a) CRS, the making of false statements constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.) CONTRACTOR : Shelton Drilling Corp. Phone : (970) 927-4182 Mailing Address : P.O. Box 1059 Basa , o.: 621 Lic. No. 1095 Name / Title (Please Type or Print) Wayne Shelton / President Signa r Date 7/17/2009 FORM No. GWS -32 02/2005 PUMP INSTALLATION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1313 Sherman St, Room 818, Denver, CO 80203 Info (303) 866-3587 Main (303) 866-3581 Fax (303) 866-3589 http://www.water.state.co.us For Office Use Only RECEIVED JUL 3 0 2019 WATER RESOURCES STATE ENGINEER COLO. 1. WELL PERMIT NUMBER: 200938 — A 2. WELL OWNER INFORMATION WILLIAM WILDE & NAME OF OWNER JOHN W BERSHENYI MAILING ADDRESS 0363 COUNTY ROAD 251 CITY RIFLE STATE CO ZIP CODE 81650 TELEPHONE # (970)625-2385 3. WELL LOCATION AS DRILLED: SE 1/4, SW 1/4 Sec. 19 , Twp. 5 Range 92 orlaVV section line. • N orCS, ■ E DISTANCES SUBDIVISION: Optional GPS must be meters, STREET ADDRESS FROM SEC. LINES: 600 section line and 2400 ft. from ft. from ■ N orS • E orW (UNIT) LOT BLOCK FILING Location: GPS Unit must use the following settings: Datum must be NAD83, Unit must be set to true AT WELL LOCATION: Format must Zone 12 be UTM, Units Easting: N, • or ■ Zone 13 Northing: 4. PUMP DATA: Type: SUBMERSIBLE Date Installed: JULY 20, 2009 Pump Manufacturer: Design GPM: Pump Intake ADDITIONAL GOULDS Pump Model 2 3 0 No. 1 3GS0742 2 1 5 at RPM 3 4 5 0 HP GREATER 3/ 4 Volts Full Load Amps 8.0 Depth: 66 Feet, Drop/Column Pipe Size 1 Inches, Kind of Drop Pipe Turbine Driver Type: SCH 80 PVC INFORMATION FOR PUMPS THAN 50 GPM: ■ Electric ■ Engine ■ Other Shaft size Design Head feet Number of Stages inches 5. OTHER EQUIPMENT: Depth ft. Monitor Tube Installed Serial Airline Installed Flow Meter Mfg. Meter Readout: ■ Yes ■ No, Orifice ■ Yes ■ No, Depth ft. No. Meter Gallons, Reading ■ Gallons, ■ Thousand ■ Acre feet Beginning 6. TEST DATA: ■ check box if Test Data Date: 71 ' 6 " ft. Time: is submitted (gpm): on Supplemental Form. 7/20/09 Total Well Depth: Static Level: 8 ' ft. Rate 15 Date Measured: 7/20/09 Pumping Level (ft): UNKNOWN 7. DISINFECTION: Type HTH PELLETS Amt. Used 2oz 8. Water Quality if yes, please submit with this report. analysis available: ■ Yesallo 9. Remarks: 10. I have read the statements made herein and know the contents thereof, and they are true to my knowledge. This document is signed and certified in accordance with Rule 17.4 of the Water Well Construction Rules, 2 CCR 402-2. [The filing of a document that contains false statements is a violation of section 37-91-108(1)(e), C.R.S., and is punishable by fines up to $5000 and/or revocation of the contracting license.] Company Name: AQUA TEC SYSTEMS, INC. Phone: (97)0 984-0311 License Number: 1106 Mailing Address: • • 0 • 'a- A%.8, GLENWOOD SPRINGS, CO 81602 Signature: �)� ' Print Name and Title TOM PLATZER/PRESIDENT Date 7/24/09 AQUA TEC SYSTEMS, INC P_O_ BOX 488 GLENWOOD SPRINGS, CO 81602 FH# (970) 964-0311 FX# (970) 984-0312 MARCH 29, 2017 BILL WILDE 0363 CO RD 251 RIFLE, CO 81650 biII.wilde.363@Qmaii.com CC: wienc y coIcradorivereng, corn TO WHOM 1T MAY CONCERN: WELL LOCATION; PERMIT# UO938-A WILDE MINOR SUBDIVISION OF PARCEL C MANGURIArI EXEMPTION GARFIELD CO THE WELL WAS PIMPED CONTINUOUSLY FOR 4 HOURS. IT AVERAGED APPROXIMATELY 12 GALLONS PER MINUTE_ THE TOTAL DRAW DOWN OVER THE 4 HOURS OF PUMPING WAS 1.0 FOOT. THE WELL RECOVERED TO WITHIN 1/2 INCH OF THE ORIGINAL STATIC LEVEL TN 1 HOUR AFTER PUMPING WAS STOPPED. DATE OF TEST: 03/27/2017 APPROXIMATE STATIC WATER LEVEL; 22.55' APPROXIMATE DEPTH OF WELL: 71.15' HORSE POWER OF PUMP: 3/4 HP APPROXIMATE PUMP SETTiNO'F. THE TEST DATA OBTAINED IS REPRESENTITIVE OF ONLY CONDITIONS OBSERVED ON THAT DATE .AND DOES NOT ACCOUNT FOR POSSIBLE SEASONAL VARIATIONS IN THE AQUIFER NOR LONGER PUMPING DLI RATIONS. PLA 2 STATE LIC; S #1106 Form No. GWS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 EXST WELL PERMIT NUMBER 80938 -F DIV. 5 WD 39 DES. BASIN MD Lot: WILLIAM WILDE 363 COUNTY ROAD 251 RIFLE, CO 81650- (970) 625-2385 CHANGE OF USE OF EXISTING WELL C Block: Filing: Subdiv: MANGURIAN EXEMPTION APPROVED WELL LOCATION GARFIELD COUNTY SE 1/4 SW 1/4 Section 19 Township 5 S Range 92 W Sixth P.M. DISTANCES FROM SECTION LINES 600 Ft. from South 2400 Ft. from West Section Line Section Line UTM COORDINATES (Meters,Zone:13,NAD83) Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(2), on the condition that this well is operated in accordance with the West Divide Water Conservancy District Augmentation Plan approved by the Division 5 Water Court in case no. 02CW0123. If this well is not operated in accordance with the terms of said decree, it will be subject to administration including orders to cease diverting water. This well is known as Wilde Well, WDWCD contract #R170420WW(a). 4) Approved for an expansion of use, of an existing well, constructed on July 11, 2009, to a depth of 70 feet, and with pump installation on July 20, 2009, all under permit no. 200938-A (canceled). 5) The use of ground water from this well is limited to ordinary household purposes inside two (2) single family dwellings, the irrigation of not more than 25,000 square feet of home gardens and lawns, and the watering of twenty (20) head large domestic animals. 6) The pumping rate of this well shall not exceed 15 GPM. 7) The annual withdrawal of ground water from this well shall not exceed 2.44 acre-foot. 8) 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. 9) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 10) This well shall be located not more than 200 feet from the location specified on this permit. Additionally this well shall be located more than 600 feet from any existing well, completed in the same aquifer, that is not owned by the applicant.. 11) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. NOTE: Monitoring hole notice MH -29929 (abandoned) and permit nos. 200938 (abandoned) and 200938-A (canceled) were previously issued for this tract of land. NOTE: This well is to be located on a residential site of 11.64 acre(s) described as lot C Mangurian Exemption (pending Wilde Minor Subdivision), Garfield County. Further identifed as 363 County Road 251 (aka North Hasse Lane), Rifle, CO 81650. NOTE: Parcel Identification Number (PIN): 23-2127-193-00-264 NOTE: Assessor Tax Schedule Number: R210988 APPROVED DMW State Engineer Receipt No. 9504241A 6t}&E DATE ISSUED 05-19-2017 B EXPIRATION DATE N/A J Appendix C Water Quality Results John W. Hickenlooper, Governor Larry Wolk, MD, MSPH Executive Director and Chief Medical Officer Dedicated to protecting and improving the health and environment of the people of Colorado Laboratory Services Division 8100 Lowry Boulevard Denver. CO 80230 PO Box 17123 Denver, CO 80217 303-692-3090 www.coloradostatelab.us STATE OF COLORADO /876 Laboratory Results For Sample Number: ENV -2017003265 - Site ID/PWSID Site BILL WILDE Address 0363 CO RD 251 RIFLE Site Description RIFLE WELL CollectionNum Customer ID 00002128 Customer Aqua Tec Systems P.O. Box 488 CO 81650 Glenwood Springs CO 81601 Test Name Colorado Department of Public Health and Environment Contact Phone Fax Email aquatecsystemsinc@rof.net Collected By KF Collected 03/27/2017 12:55:00 Received 03/28/2017 11:49:00 Reported 04/12/2017 16:00:00 Bottles 1-250M, 1-250NUT, 1-LNEUT, 1-BACT Matrix Ground Water Field Fluoride Residual Chlorine Temperature at Receipt 14.9 Result Units MCL MRL Deluxe Colorado Package* Arsenic, Total Cadmium, Total Calcium (Carbonate) Copper, Total Iron, Total Lead, Total Magnesium, Total Manganese, Total Sodium, Total Uranium, Total Zinc, Total Hardness Total <0.001 mg/L 0.01 <0.001 mg/L 0.005 Method Name Date Analyzed iiQualifier 0.001 EPA 200.8 03/29/2017 00:00:00 0.001 EPA 200.8 03/29/2017 00:00:00 EPA 200.7 04/06/2017 00:00:00 EPA 200.7 04/06/2017 00:00:00 0.003 EPA 200.7 04/06/2017 00:00:00 0.001 EPA 200.8 03/29/2017 00:00:00 EPA 200.7 04/06/2017 00:00:00 EPA 200.7 04/06/2017 00:00:00 EPA 200.7 04/06/2017 00:00:00 EPA 200.8 03/29/2017 00:00:00 0.01 EPA 200.7 04/06/2017 00:00:00 Calculation 04/06/2017 00:00:00 EPA 353.2 04/07/2017 00:00:00 SM 2320B 04/04/2017 00:00:00 SM 2320B 04/04/2017 00:00:00 SM 4500 -H+ -B 04/04/2017 H 00:00:00 EPA 160.1 04/03/2017 00:00:00 240 mg/L No Limit 0.02 Establish( <0.004 mg/L 1.3 0.004 0.081 mg/L [0.3] <0.001 mg/L 0.015 41 mg/L No limit 0.02 establish€ 0.0029 mg/L [0.05] 0.002 110 mg/L No Limit 0.1 Establish( 0.011 mg/L 0.03 0.001 0.012 mg/L [5] 400 mg/L No limit 1 establish€ mg/L 10 0.05 Nitrogen, Nitrate/Nitrite 0.12 Alkalinity, Total 390 mg/L NA 5 Alkalinity, Phenolphthalein < 5 pH Solids, Dissolved mg/L no limit 5 establish€ 7.9 [6.5-8.5] 780 * mg/L 500 1000 MRL - Minimum Reporting Limit. MCL - Maximum Contaminant Limit per EPA regulations. BDL - Below Detection Limit. H - Holding Time exceeded. Q - Quality Control limit exceeded. NT - No Test. Units: mg/L - milligrams per liter (ppm), ug/L - micrograms per liter (ppb), pCi - picoCuries LSD Internet Address: http://coloradostatelab.us John W. Hickenlooper, Governor Larry Wolk, MD, MSPH Executive Director and Chief Medical Officer Dedicated to protecting and improving the health and environment of the people of Colorado Laboratory Services Division 8100 Lowry Boulevard Denver. CO 80230 PO Box 17123 Denver, CO 80217 303-692-3090 www.coloradostatelab.us STATE OF COLORADO `1&76 Laboratory Results For Sample Number: ENV -2017003265 - Test Name Conductivity Chloride Fluoride Sulfate Corrosivity-Langlier Result Units IIMCL MRL 1200 uS/cm No Limit 0.5 Establish( 19 mg/L [250] 3 0.52 mg/L 4.0 0.02 280 mg/L [250] 20 0.71 Sodium Adsorption Ratio 2.29 mg/L Test Group -Total Coliform ug/L PA** Escherichia coli PA E. coli NOT ug/L DETECTED Total coliforms PA Coliform ug/L ABSENT or less than one (<1), indicates a microbiologically safe sample Comments: Water Package Interpretation Method Name SM 2510 B EPA 300.0 EPA 300.0 EPA 300.0 Calculation Calculation Colorado Department of Public Health and Environment Date Analyzed 04/05/2017 00:00:00 04/03/2017 00:00:00 03/30/2017 00:00:00 04/03/2017 00:00:00 04/10/2017 00:00:00 04/10/2017 00:00:00 03/28/2017 15:00:00 03/28/2017 15:00:00 HUMAN HEALTH Arsenic, Cadmium, Copper, Lead, Uranium, Fluoride, Nitrate/Nitrite concentrations are below EPA health -based standards. Iron, Manganese, Zinc, pH, Sulfate and Chloride levels meet EPA aesthetic - based standards. Solids -Dissolved >500 mg/L Hardness; scaly deposits; sediments; cloudy, discolored, odorous water; salty or bitter taste. Hardness >80 mg/L. The water is hard and may cause scaly residues and soap scum, and decrease the cleaning action of soaps and detergents. Based on these results, the water is safe for human consumption. CORROSIVITY >0.5 The Corrosivity Index is 0.71, which indicates that the water is scale -forming and may cause scale build-up. MRL - Minimum Reporting Limit. MCL - Maximum Contaminant Limit per EPA regulations. BDL - Below Detection Limit. H - Holding Time exceeded. Q - Quality Control limit exceeded. NT - No Test. Units: mg/L - milligrams per liter (ppm), ug/L - micrograms per liter (ppb), pCi - picoCuries LSD Internet Address: http://coloradostatelab.us Qualifier John W. Hickenlooper, Governor Larry Wolk, MD, MSPH Executive Director and Chief Medical Officer Dedicated to protecting and improving the health and environment of the people of Colorado Laboratory Services Division 8100 Lowry Boulevard Denver. CO 80230 PO Box 17123 Denver, CO 80217 303-692-3090 www.coloradostatelab.us STATE OF COLORADO ` 1876 Laboratory Results For Sample Number: ENV -2017003265 - Registry Comments: Colorado Department of Public Health and Environment MRL - Minimum Reporting Limit. MCL - Maximum Contaminant Limit per EPA regulations. BDL - Below Detection Limit. H - Holding Time exceeded. Q - Quality Control limit exceeded. NT - No Test. Units: mg/L - milligrams per liter (ppm), ug/L - micrograms per liter (ppb), pCi - picoCuries LSD Internet Address: http://coloradostatelab.us Cula®do D of Public zad EmAnmmene Laboratory Services Division 8100 Lowry Boulevard, Denver CO 80230-6928 Ph: (303) 692-3090 fax (303) 344-3008 https://www.colorado.gov/pacific/cdphe/lab Lab ID No. ENV -2017003265 SAMPLE SITE SAMPLE INFORMATION BILL WILDE 0363 CO RD 251 RIFLE WELL Collected 3/27/2017 12:55:OOPM Received 3/28/2017 11:49:OOAM Reported Collected By KF Matrix Ground Water CUSTOMER COMMENTS Aqua Tec Systems P.O. Box 488 Glenwood Springs CO 81601 Contact Name Contact Phone Purpose Routine Chlorine residual Receive Temperature 14.9 Payment Type Test Name Escherichia coli PA Result E. coli NOT DETECTED Total coliforms PA Coliform ABSENT or less than one (<1), indicates a microbiologically safe sample Method Name If you have questions about this report, please call the Environmental Microbiology Lab at 303-692-3490 If you have ordered Chemistry Tests: Results will be finalized in 2-3 weeks, For more information contact Water Lab at 303-692-3048. LSD Interent Address: http://www.cdphe.state.co.us/lr/lrhom.htm Modification Date:3/29/2017 #203 IAZEN Hazen Research, Inc. 4601 Indiana Street Golden, CO 80403 USA Tel: (303) 2.79-4501 Fax: (303) 278-1528 Customer ID: 03149Z Account ID: Z05148 Project #: 009-1161 Lisa Ragle Aquatec Systems PO Box 488 Glenwood Springs, CO 81602 ANALYTICAL REPORT Report may only be copied in its entirety. Results reported herin relate only to discrete samples submitted by the client. Hazen Research, Inc. does not warrant that the results are representative of anything other than the samples that were received in the laboratory File: C29017 R1. pdf By: Jewi a Axen An ical Laboratories Manager Lab Control ID: C29017 Received: Mar 28, 2017 Reported: Apr 24, 2017 Purchase Order No. Bill Wilde An Employee -Owned Company Page 1 of 2 -Hazen Research, Inc. 4601 Indiana Street SEN Golden, CO 80403 USA Tel: (303) 279-4501 Fax: (303) 278-1528 Customer ID: 03149Z Account ID: Z05148 Project #: 009-1161 ANALYTICAL REPORT Lisa Rag le Aquatec Systems Lab Control ID: C29017 Received: Mar 28, 2017 Reported: Apr 24, 2017 Purchase Order No. Bill Wilde Lab Customer Sample ID Sample ID C29017-001 P# 200938-A sampled on 03/27/17 by Kurt Fruetal Precision* Detection Analysis Parameter Units Code Result +1- Limit Method Date / Time Analyst Gross Alpha pCi/L T 9.7 1.5 0.9 SM 7110 B 4/18/17 @ 0926 LD Gross Beta pCi/L T 0.1 0.9 0.9 SM 7110 B 4/18/17 @ 0926 LD Certification ID's: CO/EPA C000008; CT PH -0152; KS E-10265; NJ C0008; NYSELAP (NELAC Certified) 11417; RI LA000284; WI 998376610, TX T104704256-15-6 *Variability of the radioactive decay process (counting error) at the 95% confidence level, 1.96 sigma. Codes: (T) = Total (D) = Dissolved (S) = Susspended (R) = Total Residual (PD) = Potentially Dissolved < = Less Than File: C29017 R1. pdf An Employee -Owned Company Page 2 of 2 HAZEN RESEARCH, INC. ��$ JZa�.� RADIOCHEMISTRY LABORATORY Date: J Batch QC Evacuation Form -Gross Alpha Analyte: Gross Alpha Control Standard/LFB: ID: C11 pCi/ml: 57.4 (use 1.0 ml diluted) Spike Solution: ID: C11 pCi/ml: 57.4 (use 1.0 ml) Spike Recovery Calculation: Sample: —Try? Calculation: (62.S)(/.0) - (p. 0)(0.2) X 100 = Batch QC Evaluation: Parameter Control Std./LFB Spike Recovery Blank Duplicate 1 Duplicate 2 * Criteria +/-- 30 % 70 - 130 % <or=2xMDL 95% confidence interval overlap 95% confidence interval overlap * Required for batch size greater than 10 samples. Conclusions: /Batch Passes _Batch Fails Batch Passes, with exceptions: Reruns Required: Narrative: Pass Fail N/A Batch Listing by Lab Control Number: n C2(c, . 11 cz1, 1 CZoo 11 14 b i -r CZ C2 r Evaluator: .5 fl �� C153 11 ! /'k C25 17 oR Date HAZEN RESEARCH, INC. RADIOCHEMISTRY LABORATORY Date: 014l8/20/7 Batch QC Evaluation Form -Gross Beta Analyte: Gross Beta Control Standard/LFB: ID: C11 pCi/ml: 44.0 (use 1.0 ml diluted) Spike Solution: ID: C11 pCi/ml: 44.0 (use 1.0 ml) Spike Recovery Calculation: Sample: I al) l Q Calculation: (37.3(/. 0) — (o.O 0.z) 8 X 100 = .5 0 Batch QC Evaluation: Parameter Criteria Pass Fail N/A Control Std./LFB +/-- 20 % Spike Recovery 80 - 120 % - Blank < or = 2 x MDL /--- Duplicate 1 Duplicate 95% confidence interval overlap Duplicate 2 * 95% confidence interval overlap * Required for batch size greater than 10 samples. Conclusions: / Batch Passes Batch Fails Batch Passes, with exceptions: Reruns Required: Narrative: Batch Listing by Lab Control Number: �lg'i 1"1 C2..5 CZ5 CZ70 11 CZCD ; 1 Evaluator: Date HAZEN HAZEN RESEARCH, INC. 4601 INDIANA STREET GOLDEN, CO 80403 Phone - (303) 279 4501 Fax - (303) 278 1528 CHAIN OF CUSTODY RECORD Customer Information HAZEN Billing Information (If different) i Client Name: AQUA TEC SYSTEMS INC Billing Name: AQUA TEC SYSTEMS INC Contact: LISA RAGLE Billing Contact: Billing Address: Address: P.O. BOX 488 GLENWOOD SPRINGS, CO 81603 IPhone: 970-984-0311 OCq-//(o/ PO# BILL WILDE Project#: # 24Sgrg e-mail: aquatecsystems;nci'Of.net Sampler's Name(s) (Signature (Print) KURT FRUETAL Sample Identification Sample Date and Time a Composite Samp Type(1) No. of Containers Cont. Type(2) Preservative(3) Analyses Required P# 200q 3 g- 1-i 3/27/2017 X GW 1 P U GROSS ALPHA BETA (1) DW=Drinking Water WW=Wastewater SW=Surface Water SO=Soil GW=Ground Water SL=Sludge HZ=Hazardous O=Other (2) P=Plastic G=Glass O=Other (3) N=Nitric Acid U=Unpreserved C=Cooled S=Sulfuric Acid B=Sodium Hydroxide T=Sodlum Thiosulfate Z=Zinc Acetate O=Other Relinquished byDate/ 4,-/-r., �j Time ,,,,.._.0/ i:/0 Pit Received by Date/ Time / Relinquished by Date/ Time / Received by Date/ Time / Relinquished by Date/ Time / Received by i Date/ Time / Shipped by Date/ Time / - : vALab by briZo/ r Date/ Time 4- //03('I 4.•-•41•1 03 Method of Shipment IRequested Turnaround Time UPS GROUND Standard Rush (Must be approved, additional charges apply) 'Lab use only shipped to PgFs. `ropi4LZ- 15 0 ) 1(.1 //c- HAZEN LABS.xls