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
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SCARROW & WALKER / K•K•6•N•A.<
Cormetrrn• In'wre., line S...w•.
000.11 11.040
0000
WY
000 00
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!Co
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279
� \ r-9 /
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(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..
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D i O
C * F E X
952
i•ls6 2125
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rs
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TWO p1a,, Laved A(
API* P•olt LIMO
71•141 LAWN (Other ) Ac
TW, Laud in Trp, At
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(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
•
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WATER
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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.