HomeMy WebLinkAbout02.2 Well PermitsFORM NO.
o
103/92
03/92
STATE OF COLORADO
OFFICE OF THE STATE ENGINEER
818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203
(303) 866-.3581
For Office Use only
�� i e E D
((- • :;
t
R1`rPl1,Pt`
FOR INSTRUCTIONS, SEE REVERSE SIDE
tN 0 8 111
NOV 1 S 200wATeR
0 STATEMENT OF BENEFICIAL USE
WELL PERMIT NUMBER Q) ' 36 f
RESOURCES
VYrtltfltit JUUr1(;tJ . STATE ENGmtEEfR
STATE ENGINEER etebiw000
1.
WELL OWNER
�, /
NAME(S) 6 C, / /'I A
Mailing Address 7 3C�C, 0
59 -. 0
City, Si. Zip Cj ,0 1`� Q + 85/6 2
Phone q --->O "
' 9760'-/9 q
2.
WELL LOCATION: COUNTY 6-4/Z--//621) OWNER'S WELL DESIGNATION! �h-/fJ,/c✓t2L}
5//"7- A/5 /` dC
(Address)
✓i% 1/4 of the[ 1/4, Sec. .4 Twp. 7
N. or
(City) tato)
S., Range ,27 LSE. or
(Zip)
W. --->-/-13.M.
Distances from Sect(01 Lines , ^_-= FL from
N. or S. Line, / 00 Ft. from E. or 1-1 W. Line.
3.
i��<,("nnr� /s f
The well is being used for the o awing purp se(s . P` ..) Lb0 t
di ,,M-- �e,-/« . i/• 41z-0 irinir 0 10 0I' A./ • _ / /
4.
Water from the well was first used beneficially
under this permit number, for the above described purposes on NOV, 7, !=,!3,'_n> I'; (�-0D
(Do not report a dale which is before the issued dp,. f .�pem
5.
The pumping rate claimed is .' gallons per minute.
k.
The average annual amount of water diverted is /. 5-6 acre feet.
7.
The land area irrigated (watered) by water from this well is: dOOO I
Acres or.Square feet,
Q� (Number)
described as:5)1 t //i /9- )l�
(Legal Description)
or as Subdivision Lot(s) Block Filing/Unit
8.
Well drilled by: �i���270-2/ ' Lic. No: Z .
Pump installed by: 5/' '%4' : Lic. No:/() 5-0 .
9.
Meter Mfg. by /.7A7 5-7-"Z( &Serial No.: Date Instal ed:
I (we) have read the statements made herein, know the contents thereof, and state that they; are true to my (our)
knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury
in the second degree and is punishable as a Class 1 misdemeanor.] ,
10.
Name/Title (Please type or print)
Signature
Date
FOR OFFICE USE ONLY •
State Engineer By Date
Court Case No. Div. Co. 2 3 WD 3 Basin MD Use
WILL OOMPLGTIIOM! AI4D TGQT Irk GF Or*T
STATE OF COLORADO, OFFICE OF THE STATE ENGINEER
F17FiOFFiCEUS�okLY
S ;
•
•.` L _!
EN S vv
YStemEti NF= =s
5tATCQLO1N(QVAl,tCW331-111-03
ill
WELL PERMIT NUMBER 4.6-2-e97- Sit F- 36 - F
OWNER'S NAME(S)Roger Esholnan
Mailing Address P. O. Box 473
City, St. Zip Snown,ass, Co. 81654
Pone (3932 927-3628
WELL LOCATION AS DRILLED : SI1 1/4 NE 114 Sec. 18 Tipp. 7S . Range 87V
DISTANCE FROM SEC. UNES :
Ft From Sec. Line. And Ft. From Sec. Una. Or
SUBDMSION: LOT BLOCK FUNGI (UNIT)
STREET ADDRESS AT WELL LOCATION :
-
4.
GROUND SURFACE ELEVATION ft. DRILLING METHOD : Air Rotary
DATE COMPLETED 10/29/91 .TOTALDEPTH 240 ft. COMPLETED DEPTH 240 ft.
5. GEOLOGIC LOG :
8. HOLE DIAM. (In) FROM (ft) 1 ll (ft)
Csep'n Typo of Malum f`,frce. Colo-. Tyr. era watoe w,^atoa)
9 . 0
0 . 0
3 0
000-240
Volcanic Racks, Flows
6.S
30
240
7, PLAIN CASING
OD(in) Kind Wall Size From (tt) To (II)
7,0
StOPI
0.240
0.0
30
S . S
PVC
0.250
20
210
2 it a...1 kg ' • -+•
•1
5.5
PVC
0.250
210
240
WATER LOCATED : 210+
8. Fitter Pack
Material
Size
Interval
9. Packer Placement
Type
Depth
REMARKS :
10. GROUTING RECORD:
misme4 Amount Oars
tmwvai Ftaoanrent
cetent
3 tskts
b
gal/to
0-30
tenured
11 DISI, `+iFECTION : Type i Amt Used 2 oz
12. WELL, TEST DATA : (I Chock Boat if Test Data Is Submitted On Supplemental Form,
TESTING METHOD : Air coapre
Static Level: 200 ft. Dat>?JTImeMeasured 10/29/91 Production
Pumping Level : Total tt. Date/Time Measured 10/29/91 Test Length
Remarks :
Rate 15 gpm
(hrs) 2
1 row rid the, t temente road, hweia and know If oontonto thonoof. a4ltiot they ary true to rrry knowledge. {Pursuant to S.c on 24+104 ( t Oat
DonsinuteS penury it the ae 4 da9mie And is punisher* as 9 date 1 htisdourannos)
CONTRACTOR : Shealtoo. Drilling Co. Phone : 303-927-4182 LIS~. No.
Wailing Address : PO Box 1059 Basalts Co. 81621
CRS. It -4 nuking of taw 6tatonvonts therein
1095
Name iTV* (Ploax.MD. w ,t)
SI
Data
Wayne Shelton/ Owner
10/30/91
ORIGINAL
Fath. NQ.1,,''
ti/9e
PUMP INSTALLATION AND TEST REPORT
STATE OF COLORADO, OFFICE OF THE STATE ENGINEER
• Fol.Oft. ueo only- .; :311GUS•S2
REN071
l'""1
FEB 1 3'92
WATER T, , )u4GES
STATELrrtzr•-, ER
1.
WELL
PERMIT NUMBER 5 fK3 - F
a
OWNER
Mailing
City,
Phone
NAMES)ac .. 3. E 6M A J
Address >l x. 473
St. Zip 7.orm )r44j„ 2. IV &4
_ . /
( 303 ) , --362.
3.
WELL LOCATION AS DRILLED: Sul 1/4 4./ 1/4, Sec. /[ Twp. '7 5 , Range S,? &
-
DISTANCES FROM SEC. LINES:
2250 ft. from A/c/ETA? Sec. line. and :400 ft. from , Sec. line,
FILING(UNIT)
SUBDIVISION:
STREET
oath a youth) .� a w*a
LOT BLOCK
ADDRESS AT WELL LOCATION:
4-
PUIMP DATA: Type "5 -011,4 -1/ .6t -E-- Installation Completed /// //1 /
Pump
Design
Pump
ADDITIONAL
ManufaCturet r-r—OUL.I\�s Pump Model No. /Q K4l 2 --
GPM I Q at RPM 3450 , HP /%, IJf. , Volts
)-1()v , Full Load
Inches, Kind ick
Amps //- 5
Intake Depth z- ' Feet, Drop/Column Pipe Size j"
!'{c---
INFORMATION FOR PUMPS GREATER THAT 50 GPM;
TURBINE
Design
DRIVER TYPE: fl Electric N Engine ❑ Other
Head feet, Number of Stages Shaft size inches.
OTHER EQUIPMENT:
. Monitor Tube Installed
❑ Yes -No,
Depth ft.
Airline
Flow
Meter
Installed In Yes 13 No, Orifice Depth ft.
Meter Mfg.
Meter Serial No.
Readout ❑ Gallons, ❑ Thousand Gallons, n Acre feet, ■ Beginning Reading
6.
TEST
is submitte on Supplemental Form.
,r/ // /
DATA: r Check box It Test data
Total
Static
Date
Date
Well Depth 2409 Time
Level Rate (GPM) /3 r,,ju .
____/_,9y2-2:... _
Measured Pumping Lvl. fig'-- x u
7.
DISINFECTION: Type C'!_ok¢1.e Amt. Used /GQL
S.
Water Quality analysis available. El Yes No -
9.
Remarks
0. I have
(Pursuant
degree
CONTRACTOR
Mailing Address
read the statements made herein and know the contents thereof, and that they are true to my knowledge
to Section 24.4.104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second
and is punishable as a class I misdemeanor.)
SAAf t/4Jv A/44/0 a . .. Je- Phone ( 303) --C304? Lic, No./050 ,
'% C+{.Vuyr\ Spm .1 - X164 A.
Name itie (Please type or print)
, 41./A../ S-Alur v.o 40-6.--c.
Signatu
Date
3/./ 92-
DATE ISSUED U 9 2000 6 EXPIRATION DATE NOV 0 9 2001
Form No. OFFICE OF THE STATE ENGINEER
GW1-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver. Colorado 80203
(303) 866-3581
AFFI-ICANT
ROGER & AMELIA ESHELMAN
7378 CR 100
CARBONDALE, CO 81601-
EXST
WELL PERMIT NUMBER O54836, -
DIV. 5 WD 38 DES. BASIN MD
APPROVED WELL LOCATION
GARFIELD COUNTY
SW 1/4 NE 1/4 Section 16
Township 7 S Range 87 W Sixth P.M.
(970) 963-9800
CHANGE/EXPANSION OF USE OF AN EXISTING WELL
DISTANCES FROM SECTION LINES
2200 Ft. from North Section Line
1400 Ft. from East Section Line
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 assure the applicant that no Injury will occur to another vested water right or preclude another owner of a vested
water right from seeking relief in a civil court action.
2) The construction of this well shall be in compliance with the Water Well Construction 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 Roger and
Amelia Eshelman Augmentation Plan approved by the Division 5 Water Court In case no. 99CW198. 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.
4) Approved for the expansion of use of an existing well, permit no. 162097 The Issuance of this permit hereby cancels
permit no. 162097.
5) The use of ground water from this well is limited to ordinary household purposes inside three single family dwellings, the
irrigation of 4,500 square feet of lawn and landscape irrigation, and the watering of six head of stock.
6) The maximum pumping rate of this well shall not exceed 15 GPM.
7) The annual withdrawal of ground water from this well shall not exceed 1.56 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.
8) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case
number(s) es appropriate. The owner shall take necessary means and precautions to preserve these markings.
10) 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.
11) Thls well shall be located not more than 200 feet from the location specified on this permit and not less than 500 feet from
any existing well.
APPROVED
JD2
Receipt No. 0459390
State Engineer