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HomeMy WebLinkAbout1.0 ApplicationhE f ORE 11SEOARD OF COUN1 Y ('ARF I ELD COUNTY, COLORADO PETITION FOR EXEMPTION Pursuant to C.R.S. (1973) Section 30-28-101 (10) (a) - (d) as amended, and the Subdivision Regulations of Garfield County, Colorado, adopted January 2, 1979 Section 2.02.01 (d) and 3.02.01 the undersigned EDWARD E. AND JUANITA R. WI :u respectfully petitioners the Board of County Commissioners of Garfield County, Colorado, to exempt by resolu- tion esolu-tion the division of 10.10 acre tract of land into 2 tracts of approximately 5.05 acres each, more or less, from the definitions of "subdivision" and "subdivided land" as the terms are used and defined in C.R.S. (1973) Section 30-28-101 (10) (a) -(d) and the Garfield County Subdivision Regulations, for the reasons stated below: The .ro•ert has been under the same ownershifor a no more than three (3) new tracts under 35.0 acres in size. In support of this petition, the petitioner also submits the following: A. Map drawn to scale showing proposed lot subdivision and access. B. Copy of deed C. Vicinity map D. Statement on source of domestic water E. Statement on method of sewage disposal F. 100 year floodplain information where live stream crosses or adjoins said tract G. Evidence of the soil types H. Copy of Assessor's map showing the property I. Practical description of property location J. Fee in the amount of $ 60.00 K. $200.00 fee for each new lot created of November Submitted at Glenwood Springs, Colorado, this 18 Y 1983 Petitioner /3 Ad Mailing Address Telephone Number �Co '7 lap Unit No. 32D SOIL CHARACTERISTICS Depth to bedrock Texture Surface Subsoil Substratum Unified Classification Permeability Percent coarse fragments (greater thaj 3 inches) Salinity (ECx10 @ 25°C) pH (surface) Shrink -swell Potential Potential frost -action (surface) Flood Hazard Hydrologic Group Corrosivity Steel (uncoated) Concrete DEGREE & KIND OF LIMITATIONS (0 is Slight, M is Moderate, S is Severe) : More than 60 inches : Sandy loam : Fine sandy loam to very fine sandy loam : Stony sandy loam : SM, ML : Moderately rapid . 10-35 • : 6.6-7.8 : Low : Low : None B :High : Moderate Septic Tank Absorption Fields Sewage Lagoons r•y Landfill Trench Area Sh:rilow Excavations Dwellings w/basements w/0 basements Local Roads & Streets SUITABILITY AS A SOURCE OF... Daily Cover for Landfill Roadfill Sand Gravel Topsoil : M Slope : S Seepage, slope : S Seepage : S Seepage : M Slope M Slope : M Slope ; M Slope Fair Slope, large stones • Good Poor Excess fines Unsuited Fair Small stones, steep slope SUBJECT TO CHANCE. NOT TO BE USED IN PLACE OF ON-SITE INVESTIGATION lap Unit No. X86 SOIL CHARACTERISTICS Depth to bedrock Texture Surface Subsoil Substratum Unified Classification Permeability Percent coarse fragments (greater thaig 3 inches) Salinity (ECx10 @ 25°C) pH (surface) Shrink -swell Potential Potential frost -action (surface) Flood Hazard Hydrologic Group Corrosivity Steel (uncoated) Concrete DEGREE & KIND OF LIMITATIONS (0 is Slight, M is Moderate, S is Septic Tank Absorption Fields Sewage Lagoons Sanitary Landfill Trench Area Shallow Excavations Dwellings w/basements w/0 basements Local Roads & Streets SUITABILITY AS A SOURCE OF... Daily Cover for Landfill Roadfill Sand Gravel Topsoil ,?)1/ SUBJECT TO CHANGE. NOT TO BE USED IN PLACE OF ON-SITE INVESTIGATION : More than 60 inches . Loam : Gravelly clay loam, clay loam : Gravelly loam, cobbly clay : CL, CL -ML, GC, GM -GC : Slow . 0-30 6.6-7.3 High Moderate None C Moderate Low Severe) S Peres S Slope S Slope S Slope S Slope S Slope, S Slope, slowly, slope shrink -swell shrink -swell S Slope, shrink -swell, low strength Poor Slope Poor Slope, Unsuited . Unsuited Poor shrink -swell Slope RL-Torriorthents-Rock outcrop complex, steep. This broadly defined unit consists of sandstone and shale bedrock exposures and very shallow to moderately deep stony soils overlying sandstone and shale bedrock and stony basaltic alluvium. Relief is moderately steep to very steeply sloping on slope gradients ranging from 15 to 70 percent. This broadly defined unit occurs intermittently throughout the soil survey area. The Torriorthents make up about 60 percent of this unit. They are on the foothills and mountainsides. underlying sandstone and shale bedrock exposures consisting pri- marily of Mesa Verde sandstone and Wasatch shale. The soils are shallow to moderately deep, and generally are clayey to loamy in texture with a variable amount of gravel, cobble, and stone through- out. The surface is normally stone covered due to weathering of overlying bedrock exposures being carried down slope by gravity. Basalt stones and cobbles occur on the surface in the area south of the Colorado River in the soil survey area. Rock outcrop makes up 25 percent of this unit. The Rock outcrop consists mainly of Mesa Verde sandstone, Wasatch shale, and basaltic boulders and stones. There are small areas of lime- stone and gypsum Rock outcrops in the eastern part of the soil survey area. RL-Torriorthents-Rock outcrop complex, steep 3 For community development, the main limiting soil features are the percentage of Rock outcrop, steep slopes, and soil stoniness. These may be overcome by appropriate design and construction or alternative methods. Capability subclass VIIe, nonirrigated. • A • f,121. RCS ‚3 1-3 f,. e r t •f J int SCALE • (J/ / .)/? ' Y..�� ✓ / .J:'_/.. b'.•�"J .fY �,/- % r iL.C''CV C :Xi., j. _,va •.v ro•*.t /o /, 4cI 7$744 / SCARROW & WALKER / K•K•6•N•A.< Cormetrrn• In'wre., line S...w•. 000.11 11.040 0000 WY 000 00 1ti !Co 7zl 279 � \ r-9 / I rll (NEW CASTLE) 4463 /1 SE SCALE 1:24000 12 G9J0 R 91 W 32'30" 282 R `)U W 'NEW CASTLE 4.4 MI 0 1 MILL 1000 0 1000 2000 3000---4000 5000 6000 7000 FEE1 E.=T-3"-F-3 ------ J 1 5 0 1 KILOMETER CONTOUR INTERVAL 40 FEET NATIONAL GEODETIC VERTICAL DATUM OF 1929 THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS FOR SALE BY U. S. GEOLOGICAL SURVEY, DENVER, COLORADO 80225, OR RES1ON, VIRGINIA 22092 A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON ItLQUEST •COLORADO QUADRANGLE LOCATION M.II) Iihr/tnnu,pertr- :IJ 1912 Nn major cuihlm or 'Irainage chafReS Obse EXEMPTION110 • One of the following requirements must be met to qualify for an exemption from the Garfield County Subdivision regulations: 1. The newly created parcel will be for a spouse, son, daughter, or spouse of a deceased child. 2. The subdivided parcel is split by a public right-of-way (State or Federal Highway, County Road or Railroad) or natural feature preventing joint use of proposed tracts and the division occurs along that public right-of-way or natural feature. 3. The newly created tract will be owned by a public entity or will be used solely for the purpose of providing access to existing parcels, resulting in the creation of no additional tracts. 4. The conveyance is for the purpose of adjusting property lines, and the conveyed tracts become part of existing tracts, there being no new parcel created. 5. The proposed tracts were created and separately identified prior to the 1st day of September, 1973, or were created and separately identified through the exemption process prior to the effective date of this resolution. 6. The property being subdivided has been under the same ownership for at least five (5) years, and the division together with any earlier permitted under circumstances not defined above, will create no more than three (3) new tracts under 35.0 acres in size. A11 new parcels created must meet all requirements of the applicable zone district. Procedures: 1. Applicant will obtain a copy of the petition for exemption from the Planning Office. 2. The completed petition for exemption will be returned with the required information as outlined on the application. 3. Upon review and determination that the application is complete, a meeting with the Board of County Commissioners will be set by the Planning Office. 4. If approved by the Board, a legal description of each new tract created will be furnished to the Planning Department within 120 days. A resol- ution will be prepared and signed by the Chairman of the Board granting the exemption. The following information will be submitted along with the petition for exemption: A. Map drawn to scale showing proposed lot subdivision and access, existing homes, wells, etc. B. Copy of deed and letter from property owner, if other than petitioner. C. Vicinity map with the total property acreage outlined (copy of USGS quadrangle map showing property location or equivalent). D. Statement on source of domestic water to each tract (individual well, community well, spring, cistern, municipal system, etc.) If a community or municipal system will provide service, then a letter from the governing body stating the willingness to serve the parcels must be provided. Please indicate clearly whether you are referring to proposed or existing service. E. Statement on method of sewage disposal (individual system or community system). If a community or municipal system will provide service, then a letter from the governing body stating the willingness to serve the parcels must be provided. Please indicate clearly whether you are referring to proposed or existing service. F. 100 year floodplain information where a live stream crosses or adjoins the proposed subdivided land. G. Evidence of soil types and characteristics of each type (may be obtained from the Soil Conservation Service in Glenwood Springs). H. Copy of Assessor's map showing property and adjoining area. I. Location of property in relation to cities, towns, County Roads, etc. (example: 4 miles west of Glenwood Springs on Co. Rd. 134). J. Fee: $50.00 plus $1.00 per acre for each parcel created under 35 acres in size. Checks should be made payable to "Garfield County Treasurer". K. If approved, you will be required to submit a $200.00 school assessment fee for each new lot created, as per the Garfield County Commissioners Resolution of April 20, 1981. liscordestet.''' Reim • tion a . Tills ppm. 14,,,#this 09./ dai 01 Hi 78 , between EARL E. DAWSON and DONNA'AAWSOli of the -County Of Ga.rf$,eld, and Oats et.' C'oltwattio, of the first part, and - • EDWARD E. WILLIAMS and JUANITA R. WILLIAMS -... -i. ''.'1''',1,1.,'•)",., whose legal address is 162 Apple Tree Park, New , . s, .,„,,,,,s „.„, '.:. • .., , of the Countyof Garfield and State ofCeloras‘aoottkia W 11' N ESS ET)] , that the said part ies uf the tint part, for and in consideration rilkelabgista ei, ,,. , . .Ten Dollars and other valuable consideration `( • to the maxi part ies of the first part in hand paid by OW said Parties of the Wand hereby confessed and acknowledged, ha ve fililited, bargained, sold and oarivispeiLlind by' thoOli grunt. Li twain. sell, convey and confirm unto the said parties of the second part, their beim and naragf*a not in tvogne m common init. in )(Ant tenancy, all the following desoribed lot • uv WOW lying and being tri the County of Garfield endilpicecolforado,1***4' A parcel of land being .part of Homestead 'Entry SurireYlle,3 situated 14, Township 4 South, Range 91 West,of the Sixth Prin4pult•Welgaus, 'r:te• particularly described as fol.s-808Auaist 4 atelW marked as Corner No. 1, H.8.S N 54thence:alcruS,Vm, line of H.E.S. No. 53, N. 16°0441r E. 412.63 -feet o tbe tpoUt; beginning; thence continuing alonC-seigiboundary, N. '18.4,142 14.'404Z. feet; thence leaving said boundary, N. 77°48'02" E....669.04.feet tOttle, kk Easterly boundary of said H.E.S. No. 53; thence along the: Raiter).3rhowelianf of H.E.S. No. 53, S. 01°47'27" E., 737.12 feet; thence le', N. 80'41'27" E., 826.33 feet to the tree point -of beginottoUteisSUg', 10.10 acres, more or less. • -- 2 Together with a non•exclusive'essemenrendright,of way .for 1,,ngre'as and egress over and across a right of way the subjectof aspew4AI permit from the United States of Americs,,;,Bureeit of,Ligal*ai!*04itt- acceptance hereof grantees agree to pay their propertienitte. shorelef upieep: and maintenance of said roadway and further agree to -accept aut*hArle-by, , all of the terms and conditions of said'apecial,.use permit. There is also hereby ponveyed the following, to -wit: , (a) .0833 cubic feetwater per,SetoodoccIXonrth*,!.clinetok" Ditch, priority No. 2208; (b) Undivided one—Walt interest in eud,to doematle,woretv04, • located on the,parce1A4.146a0mWdiatelY nettherlrof the'ehOveAlen tract of land. .The rights eod'Aotioes*ttipertioUbereto Keith said well ohallim elkset .19X1,7134i 4r* '410,9sent" from this depd, • :„. by or #00vf I' ,tricti (1) Existing (2) Reservati (3) ,4081,01,a0Y-'= the parcel cont . 'The easements,eheIV .-maintenanoe and,: brx4,514 PA1,i f'4G1 *A iI,,*i b.TU ftOLD the said premiers ubure bargained and described. with the appurtenances, unto the sun/ tttwcApsrt,<heirheirs and nssigna hivecrr. Aud the said part les of the firet part, tor thea thpittair4. e7te¢utorn, aid adfninintratc,r,..lo t,.ten:atit, grunt, harx:.m surd agree to and with the Cies of the second pert. their heirs and assigns. that at tilt• time of the enre:iling and ',diver) of these presents. Apia ';7Mreillritsed of the premises above conveyed.*** of goats. sure. perfect. absolute and indefewsible est..te erittance in 14W. ii fee simple, anti ha ve 140.41 rnr;t,t. r, t( (.,w.•t stud lawful out tient y to gratat., bargain, sell and y this same in manner antrum} aforesaid, and that t lie .lore ,. e. 11,e and clear from all former and other grant::. bselg7iitss,sales, tirenc.t$xes,assessments and inklimbrancey.ii.,sato,.,rkin.t..rnature.xuett . except axes for the year 1978, due and payable in 1979, and the above ba minuted fire nnsets u, t he ilk tet ,aria p. ,i, ..ti, It In.,.o..,. 1111 ..i tt. .;ud puri:, ,.t ti;.• ,.•.,•n.1 Part. c hru hr: r> and assigns, against a ft and ec't•ry pet.; it .,r 1:41.,1- .l.w;:iL, . t:.:tnlrta; i t<, t:, nt he whole:or ;a.,, pas t tt,t•reof, tt„ -ui,t pariie8 ofthe tif••st•put tshall and wiliN,.\I a\I'r(•i'KF:1l:t: i I.I) .�l•. IN` WITMESS gsajtFtlf, he *ant parries the Ii1-1 !:.rt tis v6 I;er,unt."''t their gond s n,l sea! 8 the day anti yrwr ;slit a bot a written. Signa4.$.aled and Delivered in tit, Prrtwn.T of STAT .OFCOLtiKA1/0. 1 k Jj g t ,,,!.yiy, County of Garfield a'•c:� t was a►eknowledged helot, tyke this a,/ !� .Yr E. DAWSON and DONNA A. DAWSON. lgaWsl asideri esjades , a , / Z7C(.ob. 1.1 DONNA A. DAWSON m--'�+P-'c�^-�z•- ,tay..f August 1. Nitness my hand and official ,enl wry'etyt,•; Ai''.ei J 1 rz t :l.. • • If▪ k Y E ▪ 0 D i O C * F E X 952 i•ls6 2125 • rs 14 23 0 F� .,4 J HAD 4 E+ OMNI O. TWO p1a,, Laved A( API* P•olt LIMO 71•141 LAWN (Other ) Ac TW, Laud in Trp, At i.. 0 ,too t.00 Apt/ ro\( 24 JOE # 36 7 /2 K t ! 1 i� ; m Arno 22+4 S F) L --TT Tux�np Araaw no" (f��f) 1925 T.4 S.—R.91 W. November 18, 1983 Board of County Commissioners Garfield County 201 8th Street Glenwood Springs, Co. 81601 Dear Commissioners: We respectfully submit the following application for consideration of exemption from subdivision review. The Petition for Exemption requires certain information to be submitted at this time. Enclosed please find that information. Water is to be provided by well; copy of permit is enclosed. Sewage disposal is to be standard septic tank and leach field or as required by the County Sanitarian. No flood plain information is required. The subject property is located approximately eight (8) miles north of New Castle on the Main Elk Creek road. A z mile private road serves the property from County Road 243. Also enclosed is the required application fee of $60.00. Respectfully, Edward E. Williams ;//Juanita R. Williams • GARFIELD COUNTY • DEPARTMENT OF DEVELOPMENT PLANNING: 945-8212 / ENVIRONMENTAL HEALTH: 945-2339 / BUILDING: 945-8241 TO: Cindy Houben, Planner FROM: FH Feld, Environmental Health Officer DATE: December 12, 1983 SUBJECT: Letter of Feasibility for Sewage Disposal- Edward E. and Juanita R. Williams Request for Exemption From Subdivision Review Based on the information received by this office and past experience with sewage disposal facilities in the immediate area of the proposed exemption, this office has determined and believes on-site sewage dis- posal facilities to be both feasible and practical, commensurate with both County and State regulations, provided proper permits are obtained prior to construction. It should be further noted that due to the known conditions, only the following types of on-site sewage disposal systems would be acceptable, provided unforseen problems are not encountered: xx Approved septic tank and subsurface absorption area Approved septic tank and sealed dispersal system Approved septic tank and unsealed dispersal system xx System designed by a Colorado Registered Professional Engineer xx Other as specified: Rock outcrops, steep slopes may 2014 BLAKE AVENUE dictate an engjnPPrPd system and/or hriusP location GLENWOOD SPRINGS, COLORADO 81601 • United States Department of the Interior BUREAU OF LAND MANAGEMENT GRAND JUNCTION DISTRICT 764 HORIZON DRIVE GRAND JUNCTION, COLORADO 81501 CERTIFIED MAIL NO. P-489-554-754 RETURN RECEIPT REQUESTED DECISION Assignor: Earl Dawson 0950 Road 243 New Castle, CO 81647 Assignee: Ed & Juanita Williams 4403 Co. Rd. 243 New Castle, 00 81647 Assignment Approved IN REPLY REFER TO: 2800 C-26419 7-130 July 12, 1984 By decision dated June 21, 1979, Earl Dawson was granted right-of-way C-26417 for two access roads and a domestic water pipeline across the following described public lands: T. 45, R. 91 W., 6th P.M. sec. 35, SE+SW+NE+i SW+SE+NE+, E4NE*NEa, and W4NW+NE*. On June 15, 1984, Ed and Juanita Williams formally requested the assignment of right-of-way C-26417 from Earl Dawson. The documents submitted in connection with this request for assignment have been reviewed and found to be in order. The assignment of right-of-way C-26417 to Ed and Juanita Williams is hereby approved. The assignee shall be subject to all of the original terms and conditions of the grant issued June 21, 1979. District Manager Application must be complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. 818Sennial Bldg., 1313 Sherman St., Denver, Colt o 80203 PERMIT APPLICATION FORM (x ► A PERMIT TO USE GROUND WATER (-, ) A PERMIT TO CONSTRUCT A WELL FOR: (Y ) A PERMIT TO INSTALL A PUMP JUN I4"Is WATER RSOURCE$ (x ) REPLACEMENT FOR NO (.` I - SLATE ENG)NL ( )OTHER COL1L WATER COURT CASE NO. (1) APPLICANT - maiiing address NAME ?L 1,. 1)( STREET On 50 '_ai . CITY Lieu C. stl e, Colorr,do :-;1.647 TELEPHONE NO (State) (Lip) (2) LOCATION OF PROPOSED WELL Countycl r, fei el <1 Svi %4 of the I•l; 1/4 Section Twp. S Rng.' 1- iN.SI iEWI 3r PM (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) Average annual amount of ground water to be appropriated (acre-feet): Number of acres to be irrigated: Proposed total depth (feet): 50 Aquifer ground water is to be obtained from: (;ravel s 1.0 Owner's well designation )I l' GROUND WATER TO BE USED FOR: ( 1 HOUSEHOLD USE ONLY - no irrigation (0) (x) DOMESTIC (1) ( ) INDUSTRIAL (5) ( I LIVESTOCK (2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Name Mr. Bndie Collins Street City(` rt,ond 1 A , Color' do f']i'��, Telephone No r)63-2' 1 2 (State) (Zip) Lic. No. 63/I FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN �f i Receipt No Basin Dist. CONDITIONS OF APPROVAL This well shall be used in such a way as to cause no materiai 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 AS A REPLACEMENT OF WELL N0. 6 g5 O THE EXISTING WELL' MUST BE PLUGGED AND ABANDONED ACCORDING TO THE REVISED AND AMENDED RULES AND REGULATIONS FOR WATER WELL AND PUMP INSTALLATION CONTRACTORS. THE ENCLOSED AFFIDAVIT MUST BE SUBMITTED WITHIN SIXTY (60) DAYS AFTER THE CONSTRUCTION OE THE NEW WELL, AFFIRMING ''MAI] WELL NO. 6 g5';(5 WAS PLUGGED AND ABANDONED. APPLICATION APPROVED PERMIT NUMBER 4 8 5TO-A DATE ISSUED JUN 211978 EXPI RATIATE JUN 2119:0 uw; . ''+,P(JTZ(STATE ENGINEER) BY a�(/ I D - 39 C0UNTY2� • (51 1 HE LOCATION OF THE P OPOSED WELL and the area on which the water will be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres) for the well location. + — ( — 1 NORTH - 1 MILE, 5280 FEET + - + -1- w J Z O U w w NORTH SECTION LINE — +- r — 14_ 1 \ -e + UTH SECTION LINE + 4 -I- m to 1 0) 0 z z m The scale of the diagram is 2 inches == 1 mile Each small square represents 40 acres. -{- t - 4 (6) THE WELL MUST BE LOCATED BELQW by distances from section lines. ft. from (, sec. line (north or south) ft. from sec. line (east or west) 1`;1 LOT BLOCK FILING* SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATEDOwner: r: DCT'Ti� D:1 SCIS No. of acres 20 Will this be the only well on this tract? 'rC'S (8) PROPOSED CASING PROGRAM Plain Casing r _ in. from 0 ft. to ft in from ft to ft Perforated casing in. from in. from ft. to ft ft to ft WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfs) ... 449 gallons per minute (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 (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it: 1;11r 1.' trel 1 ncv r ()JO produce y-,t•r,r. lr;nc Ft. Sout;: ]; st 11ed n. (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s) : Legal description: No. of acres: (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. oii^ ti 1 �r nc' i r i'IF:{;f i, 11 Al"Cf• county st,mci<nrds. (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO T BEST OF HIS KNOWLEDGE. / SCVAIATURE OF APPLICANT(S) Ilcn orldtinniI rivet' of nn • .r ,i,n.r Crl rr' i5 nrniiinr{ THIS FORM ;.LUST BE SUBMITTED WITHIN 60 DAYS OF COMPLETION OF THE WORK DESCRIBED HERE- '.sN TY1✓F (sP R.T PI,' INK. WELL OWNER ADDRESS II/COLORADO DTVI' • SION • OF WATER RESOUR ES 101 Columbine Eildg., 1845 Sherman St. Denver, Colorado 80203 '�"Sly I.PJ y�dt: "-PAP fJti'�+�1 i iCN r EPGR 1 PERMIT NUMBER -- ecc2_th Ws . DATE COMPLETED 19 yi WELL LOG To Type and Color of Material r From TOTAL DEPTH if Use additional pages necessary to complete log. Water Loc. RECE/VLL DEC 2 81978 • 'h of the N '/. of P. f HOLE DIAMETER in. from � to in. from to in. front to f CASING RECORD: Size & kind 2Q CQ from to ft Size & kind from --_ to ft Size & kind ft. ft. Plain Casing Size '& kind Size & kind Size & kind GROUTING RECQRD Material IIIIli I Voll) from to ft. Perforated Casing 4 from ___EE to ft. from from to ft. ft. Placement Met o. rikAVFI. PIV. : Si/9 11047, /Hl TEST DATA Date Tested /0 - • td11G'//ii,:r 14"n' P i/J/ 1// TOilir', U%/4-2 Type of Test Pump Length of Test .11 ;I1 Sustained Yield (Metered) Final Pumping Water Level • Powered by'k P i rump Serial No. Aotor Serial No. )ate Installed 'ump Intake Depth remarks __/2220,A.) 'VELA_ TEST DATA WITH PERMANENT PUMP )ate Tested ;tatic Water Level Prior to Test _ength of Test sustained yield (Metered) 'umping Water Level Remarks 0/1443pt61.0 Hours GPM TOTAL DEPTH • • w WATER J111 J o > TABLE • ta I ltl J a J Ir v z 0 z 0 a ca i 0 1- z h a W 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 t e sante is truefhis vn knowledge. Signature _ i State of Colorado, County of Subscribed and sworn to befXre me this/day of My Commission expires: Notary Public License No. SS 717 RM TO DE MADE OUT IN QUADRUPLICATE: WHITE FORM must bo an original copy on both sides and signed. ND GREEN copies must be tiled with the State Enghteer. PINK CO4'y is for the Owner and YELLOW COPY is for the UMW,' M CONE OF DEPRESSION • WR.1.5.R, v. 76 COLORADO DIVISION OF; WATER•R S�OURC.E$ x 818 Centennial Bldg., 1313 Shermah St., Denvgir)lCyorlorddo 80203 i Application must be complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. PERMIT APPLICATION FORRM (X) 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 U CLIV LL) 2 6 12,83 **tali "jam^URCES vrr;F e }t)C;f)EU R t7.7„ (1) APPLICANT = mailing address NAME Ed and Juanita Williams STREET 4403 County Road 243 CITY New Castle, Co. 81647 (State) (Zip) TELEPHONE NO. 303=984-2770 (2) LOCATION OF PROPOSED WELL County Garfield NW 14 of the NE Twp. 4 S , R ng. 9t W Y4, Section 35 6 th P.M. �N,SI IF,W1 (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 15 gptn Average annual amount of ground water to be appropriated (acre-feet): 1 _0 Number of acres to he irrigated: —0— Proposed total depth (feet): 250 feet Aquifer ground water is to be obtained from: Main Elk Creek Owner's well designaton GROUND WATER TO BE USED FOR: (X ) 'HOUSEHOLD USE ONLY - no irrigation (0) ( ) DOMESTIC (1) ( ),INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( 1 OOMMERCIAL (4) ( ) MUNICIPAL (8) ( 1 OTHER (9) LETAIL THE USE ON BACK IN (11) (4) DRILLER Name Colorado Licensed Driller Street City (State) (Zip) Telephone No _-_ Lic No FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No. 3 c 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 perrnit 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 at civil court action. ) APPROVED PURSUANT TO CRS 1973, 37-92-6Q2 (3)(b)(II) AS THE ONLY WELL ON A RESIDENTIAL SITE OF JO.l ACRES DESCRIBED AS _f, RcEL IV o, y2 Uri l+J � ON r /+1 P T l c, 2) THE USE OF GROUNDWATER FROM THIS' WELL IS LIMITED 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. ?W. %n- ii- 3-83 cul r �'t W APPLICATION APPROVED PERMIT NUMBER oPY 1334 Q DATE ISSUED NOV 4 1983 EXPII R N DATE AS BY.. I f) (STA Cf ENG( M1R) ( ()I irJ 1 r' • c'h the ise.(7 Use the CENT En .,._._:. ' • • acated 140 am below. .. i Iryt•�t� •n +' — -f- — -t.- - ± --f (- -- —f- — -t- _ -rt- i 1MILE, 5280F,FT—.--5.1 -i- + -I- + + -t- r -+ 4,- + - -; NORTH NORTH SECTION LINE W z_ J z 0 1- 0 W 0) 0 N W SOUTH SECTION LINE The scale of the diagram . inti . s - 1 Each small square rr'.lsresents 40 acres —� - WATER EQUtVAL.ENT-. 1PLF An acre-foot covers 1 acre of land 1 taut (leer. 1 cubic foot per second Icfs) ... 44', .rail: is r•er r^-‘..te. (gpm) A family of 5 will require approximately • Arre-tool of water per year. 1 acre-foot ... 43,b60 cubic feet ... 3.2E 100 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND 1" ATER WILL BE USED: Owner(s): Ed and Juanita Williams No. of acres: 10.10 Legal description: Part of HES No. 53. Sec 35_, 4S. R91W, 6th PM. containing 10.10 acres m/1 p , fro- :fir: -1 Lies. r a.. _1.15-IEL� (mx!n.I south) w;'C'•line r 'r fns it � S i' sec. line ,east or LOT..._. --__.._BLOCK FIl_,vG SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner Williams No of acres 10.10 . Will this be the only well on this tract? Yea (S) PROPOSED CASING PROGRAM Plair Casing _ '� ._._ in. from 0 _ ft. to 250 in from ft to_ ft Perforated c-a,,ing as c'etermined by wpll driller in. from tt. to ft in. from ft. to `t (9) FOR REPLACEMENT WELLS givedistance anu directic_n from old well and plans for plugging it: NOT A REPLACEMENT WELL (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells :Must indicate type of disposal system to be used. Septic Tank and Leach Field (12) OTHER WATER RIGHTS 'sed on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which used (13) THE APPLICANT(S) .STATE(S` THAT THE INFORMATION SET FORTH HEREON IS TRUE ,O THE BEST OF H KNOWLEDGE. IGNATURE OF APPLICANT/Sl Use additional sheets r`¢ caper if more space is required.