HomeMy WebLinkAbout1.0 ApplicationAUG -12-2002 03:12P FPOM:9LGGPLANGARCO 9'00843470
1110
Submittal Date:
APPLICATION
Special Use Permit
TO : 9%259044
GARFIELD COUNTY PLANNING DEPARTMENT
101rEighth Street, Suite•344, �o
Glenwood Springs, CO 81601
Telephone: 970-945-8212 Facsimile: 970-384-3470
la
loa
Applicant: t
Address of Applicant:
Conditional Use Being Requested:
P:1/5
RECEIVED
SEP 2 5 2002
GARFIELD COUNTY
BUILDING & PLANNING
Base Fez: $400.00
Uk t tro.rd L0 (
Telephone:
Zone District:
Size of Property: ` • RS -
Application Requirements: These items must be submitted with tltc applitanue
1.) Plans and specifications for the proposed use including the hours of operation, the amount of
vehicles accessing the site on a daily, weekly and/or monthly basis, and the sizc of any existing or
proposed structures that will be utilized in conjunction with the proposed use. Please submit this
information in narrative form and be specific.
2.) If you will be using water or will be treating wastewater in conjunction with the proposed use,
please detail the amount of water that would be used and the type of wastewater treatment. If you
will be utilizing well water, please attach a copy of the appropriate well permit and any other
legal water supply information, including a water allotment contract or an approved water
augmentation plan.
3.) A map drawn to scale portraying your property, all structures on the property, and the County or
State roadways within one (1) mile of your property. if you are proposing a new or expanded
access onto a County or State roadway, submit a driveway or highway access permit.
4.) A vicinity trap, showing slope of your property, for which a U.S.G.S. 1:24,000 scale quadrangle
map will suffice.
5.) A copy of the appropriate portion of a Garfield County Assessor's Map showing all public and
private landowners adjacent to your property. Include a list of all property owners and their
addresses.
6.) Attach a copy of the deed and a legal description of the property. If you are acting as an agent for
the property owner, you must attach an acknowledgement from the property owner that you may
act in his/her behalf.
7.) You must submit an impact statement consistent with the requirements of:Se fion's5:03,
=paragraphsl`ihri3. (on industrial type use applications sections 5.03.07 and 5.03.08 will be
necessary to address).
The consideration of this proposed Special Use will require at least one (1) public hearing for which
public notice must be provided. The Planning Department will mail you information concerning this
hearing(s), approximately 45 days prior to the scheduled hearing. You will then he required to notify, by
certified return receipt trail, to all owners of record as shown in the Assessor's Office of Tots within 200'
of the subject lot and to all owners of mineral interest in the subject property and publish the notice
provided by the Planning Department, in a newspaper of general circulation. Both these notices must be
mailed/published at Least 30 but not more than 60 days prior to the public hearing. The applicant shall
bear the cost of mailing and publication and proof of mailing and publication must be submitted at the
time of public hearing.
The information contained within this application is complete and correct, to the best of m) knowledge:
Applicant:
***Please
•UDS
e seta of applica
Date: 1 (:)�.
when sub ug for review.
• •
Narrative of Plans for Home
We were gifted approx. 28 acres of land that already has one single family
modular home on it. We plan to place a second modular home on the property with its
own separate well, septic system, and utilities. This home will be placed on a foundation.
The home will have 3 bedrooms and 2 bathrooms. It is 1,869 sq. ft. We plan to designate
this the primary home on the property. The other home, which is less than 1500 sq. ft.
will be designated as the secondary home and is already occupied. Since the home we
are planning to set up will be our primary residence, the hours of operation cannot be
accurately stated. The amount of vehicle access will be limited to no more than 3
vehicles daily. We do plan to use and set up the plan provided to us by the county
building office for our septic system, which will consist of a 1,250 -gallon septic tank with
an adequate leech field. As for our well we plan to drill at least 76 ft. if not further. The
well will be hooked up to a filtration and water conditioning system We have provided a
copy of our well permit application. The home will have its own electrical meter that
will be set up by the electrical company in our area. We have provided a copy of our
electrical permit as well. We also plan to set up an appropriate propane tank on the
property to provide gas to the home for energy purposes.
Explanation of Plans for Section 5.03
1. As we explained above we plan to drill our own well to provide water to the
home, set up the septic system suggested by the county building office, and set up
utilities appropriate for our homes energy needs.
2. We are not aware of any improvements needed to access the property but we do
plan to pave the driveways on the property.
3. We do plan to install a fence along the adjacent property line. We do intend to
include some sort of landscaping to provide privacy to both sides of the property
line. We do plan to set up a streetlight outside along the driveway as well for
safety purposes.
80'd 7641.01
r-
:7; <
▪ •-C-1
n
c.
rn
c.;
•
•• 1
i•-"")
-•=1-
oI?, KU;
on* an.
446:- car
L
7cCV 7cc
oodanlm Nn]dWbH: ZP:B0 ZOOZ-60-dU
Loma AOLDNA L26L L2 OL6 1 Ot:6T aai zo/evto
SEP -10-02 09:67 FRW-
425832
•
T-287 P.001/001 F-443
COLORADO STATE ELECTRICAL BOARD
ELECTRICAL PERMIT NUMBER: 425832
425832
ORIGINAL PERMIT
DATE ISSUED: 9! 51/2002 ERMIT EXPIRES ON: 9/ 912003
JOSEPH WILLEY
P.O. BOX 1084
RIFLE, CO 81650
Daytime Phone: 070-625-4131
Power Supplier: PUBLIC SERVICE - RIFLE
Owner Name: JOSEPH WILLEY & BRANDY
Job Address: 30414 HWY 6 & 24
RIFLE
GARFIELD
DIRECTIONS TO JOB SITE
INSTALLATION DESCRIPTION
Modular Service
MODULAR HOME
Fax: 970-625-9044
INSPECTOR: Owens- For Inspection Call: 970/625-5085
Square Footage: 0 Cost of Eleot. Work: $ 1,950 Fee S 45.00
425832
Paid by: Check # 1789
COLORADO STATE ELECTRICAL BOARD
DEPARTMENT OF REGULATORY AGENCIES
1580 ..ogan Street, Sulte 550, Denver, Colorado 80203-1941
Phone: (303) 894-2300
425832
•COLOFADO DIVISION OF WATER REeRCES
DEPARTMENT OF NATURAL RESOUR S
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
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 ink.
Office Use Only •
1 5 2002
,�LNart�,,.t
S/mE LNGNFER
COLO,
1 Form GWS -44 (1/2001)
1. Applicant Information
Nems of applicant
Joseph & Brandy Willey
Meiling address
525 E. 12th St.
fle j tab gp1de5-0
7:11770" ) 625-4131
2. Type Of Application (check applicable boxes)
Construct new well ❑Use existing well
0 Replace existing we!! ❑ Change or Increase use
❑ Change source (aquifer) 0 Reapplication (expired permit)
❑Other:
3. Refer To (if applicable)
6. Use Of Well (check applicable boxes)
See Instructions to determine use(s) for which you may qualify
El A. Ordinary household use in one single-family dwelling
(no outside use)
❑ B. Ordinary household use in 1 to 3 single-family dwellings:
Number of dwellings:
❑ Home garden/lawn irrigation, not to exceed one acre:
area irrigated 0 sq. ft. ❑ acre
❑ Domestic animal watering - (non-commercial)
❑ C. Livestock watering (on farm/ranch/range/pasture)
7. Well Data (proposed)
Well permit I I Water Court case "
Maximum pumping rate 1 Annual amount to be withdrawn
15 gpm l acre-feet
Total depth
Aquifer
feet
Designated Basin Detetmrnetwn e
Welt name or I
4. Location Of Proposed Well
Count
Section I Township N or S 1
6 ; 92 ❑[n 6th P.M.
arfield
1/4 0t the 1/4
•
Renae..........E or W I Principal Meridian
Distance of well from section Innes (section lines are tyPiCafly not property lineal
Ft. from IS NI ❑ S lab Ft. trcm ❑ E ® W
8 Water Supplier
Is this parcel within boundaries of a water service area/ 0 YES 10 NO
If yes, provide name of supplier:
9. Type Of Sewage System
For replacement wells only - distance end direction from old well to new well
feet
Welt location address lit appiicablei
Options(: GPS well location information in UTM format
Required settings for GPS units are as follows:
format must be UTM
Zone must bel 3
Units must be Meters
Datum must be NAD27 (CONUSI
Unit must be set to true north
Were points averaged? 0 YES ❑ NO
Northing
Easting
direction
® Septic tank / absorptior, (each field
0 Central system: District name:
❑ Vault: Location sewage to be hauled to:
O Other (attach copy of engineering design and report)
10. Proposed Well Driller License #(I ptional): LIG
11. Signature Of Applicant(s) Or Authorized Agent
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). 1 have read the statements herein, know the
contents thereof and state that they are true to my knowledge.
5. Parcel On Which Well Will Be Located
A.You must check and complete one of the following:
0
Subdivision: Name
Lot Block Filing/Unit
County exemption (attach copy of county approval & survey):
Name/4 Lot 4
Parcel less than 35 acres, not in a subdivision, attach a deed with
metes and bounds description recorded prior to June 1, 1972
Mining claim (attach a copy of the deed or survey):
Name/#
Square 40 acre parcel as described in Item 4
Parcel of 36 or more acres (attach a metes and bounds description or survey)
Other (attach metes & bounds description or survey and supporting documents)
Sign here (Must be original signature
Print name E. title
-sem-��.
Office Us Only
of 4 y r parcel Are you the owner of thus parcel?
V U I YES ❑ NO lit no - see instructional
D. Will this be the only well un this pereelr CO YES 0 NO lif no - list other wellol
•
E. sista Percel IDI 10000n8ll:
USGS mop name
Dmap no. I Surface elev.
Receipt area only
NJ\A/E...
Invoice # 495285
7/15/02 -- 1:58:11 PM
Cashier ID: 01
$ 60.00
Check. Purchase- #1742
WC —
WR
CWCs
TOPO— 140 Id" rt
MYLAR
SBb DIV
MD
\,,
0
= Y
tse
M,
1
A
- +
�yi
a 7 1 _
>— 1
y r-� �:,� -I�., -, �,� 1,
"7'
a
.v
1 ;, �JJ 111\'1
,p
91
e
HI
II \\
H
I 11.
1'
C/
;
•
7. .I
4 N.1 r . :
6
u•
v., a .�
01�
—
99 9
,
IIS ` _\14, Ile
- `
^
aSs=Y�? �r . )• I
ti II'1 1
- \ .. o+rCH-
and `_ —✓ �
i
0
a -v
560 n
E.
O v
.� 1,1
r
>
otio� • \a
j T/.
7
•
\ •
•t
n , I
90
!n
•
n
to .•
C\]
0)
co
x
.'h
ns
N
a
W
cn
N
n
0
-r
r)
cd
O
Cd
0
—
I
c
5
m
lII
O
l0
izr
6n )PE0''
on
•
O_
b
O
LLB
(6S£
0
U
In
O
0 0
nii%
off
141941
Fre1
Ire4_,Notx,
tv
o tow%
0 %affairw k
14
0
0 O
M I r7
t0
N
Io
J
/,-"7„)co
p p,o2{
•D
N
1103
-a
eoe
• •
Addresses of Adjacent Landowners
1. Robert & Elaine Coloroso
P.O. Box 33574
Northglenn, CO 80233-0574
2. Verna Mullet
14459 County Rd. 18 1/2
Ft. Lupton, CO 80621
3. Donald & Angela Parkison
P.O. Box 790
Glenwood Springs, CO 81602
11111111111111111111111111 1111111 II III 111111111 111 r
608315 08/05/2002 04 29P B1375 P497 M ALSDORF
1 of 2 R 10.00 D 0.00 GARFIELD COUNTY CO
QUITCLAIM DEED
TIIIS DEED, made this / 7 day of
between Verna L. Mullett
of the County of Weld
of Colorado , grantor, and
Joseph O. Willey and Brandy Willey
Recorder
July, 2002
whose legal address is 349 South 9th Street #6, Rifle, CO 81650
and State
of the County of Garfield and State of Colorado , grantee:
WITNESS, that the grantor, for and in consideration of the sum of ten dollars and other good and valuable consideration
DOLLARS, the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUITCLAIMED, and by these presents
does remise, release, sell and QUITCLAIM unto the grantees, their heirs, successors and assigns forever, not in tenancy in common but in joint
tenancy, all the right, title, interest, claim and demand which the grantor has in and to the real property, together with improvements, if any,
situate, lying and being in the County of Garfield and State of Colorado,
described as follows:
See Exhibit "A" Attached hereto and Made a Part Hereof
also known by street and number as:
assessor's schedule or parcel number:
TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise
thereunto appertaining, and all the estate, right, title, interest and claim whatsoever of the grantor, either in law or equity, to the only proper use,
benefit and behoof of the grantees, their heirs and assigns forever.
The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders.
IN WITNESS WHEREOF, the grantor has executed this deed on the date set forth above.
Verna L. Mullet
STATE OF COLORADO
County of Weld
The foregoing instrument was acknowledged before me this
by Verna L. Mul
7\s„.1..ti
1.0
OF GO,
49_S_9th SL.JI6,Rifle,_.CQ__81650
ss.
�qtb
day of July, 2002
Witness my hand and official seal.
My commission expires: / 1—/ — C) 1)
i.)j.11.12-44-1
ti,
Notary Public
Name and Add,css of Pusun Cleating Newly aeateJ Legal Desanptwn (§5s.35-106 5, C k S )
No. 962. Rev. 4-94. QUITCLAIM DEED (to Joint Tenants)
a
aq
608313 08/05/2002 0429P 61375 P498 M ALSDORF •
2 of 2 R 10.00 D 0.00 GARFIELD COUNTY CO
Exhibit "A"
Township 6 South, Range 92 West of the 6`1' P.M.
Section 7: A tract in Lots 1 and 2, South of the South right-of-way of the Denver and Rio
Grande Western Railroad and North of the following described line:
Beginning at a point on the East line of Section 7 whence the Section Corner common to
Sections 7, 8, 17 and 18 bears South 00°36'00" East 4,555.27 feet; thence South
69°36'00" West 265.53 feet; thence South 72°22'00" West 792.00 feet; thence North
78°16'00" West 595.00 feet; thence North 84°49'00" West 462.00 feet; thence South
64°08'00" West 363.00 feet; thence South 49°08'06" West 325.00 feet to the West line
of Lot 2, Except the West 300.00 feet of even width of Lot 2.
•
•
No. 5007
GARFIELD COUNTY
BUILDING, SANITA7I0NaodPIr4NNINGDEPARTMENI'
109 lith Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
Job Address 30414 Highway 6, Rifle
Nature of Work Building Permit
Use of Building Storage
owner Olen F. Willey
Contractor Owner
Amount of Permit $
144.00
Permit: 72.00
Investigation Fee: 72.00
Date
January 18, 1994
S. Archuleta
Clerk
Assessor's Parcel 11
W
O
N
w
0
O
V
0
0
v
TO IIE F LED OUT BY
Ark,
ADDRESS
SUBDIVISION
FILING Y
TAX SCHEDULE /I
LEGAL (SEC/1'faV/I'CNG)N�' ��� Scc)K fsp�!
NAME 0%' !fir [ r !� l
CITY
A71417�, r,t �[ , 6
PHONE
GARFIELD) COUNTY
APPLICATION FOR BUILDING PE1UI1:r:
please print or type
PERMIT NUMBER 6.- 90 7
DA'L'E
APPLICANT PLOT PLAN
Ailf/4///,/,j74 NOTE: Show easements, property line
all other structures, specify north,
name. For odd shaped lots, or if space is
too small, provide separate plot plan,
/1 C)F BUILDINGS NOW ON PARCEL
USE OFF' IIt1ILDINGS NOW ON PARCEL
/
/ `[./ ey,-1 sir np f S
LOT /1
BLOCK 1f
NAME
ADDRESS
NAME
CITY
ADDRESS
:;i TV
°HONE
LICENSE //
CLASS OF WORK
'JEW ALTERATION ADDIT'10N(--"�"'`�
DEMOLISH MOVE
MOBILE HOME, (make/model)
S.F. OF BUILDING
p2 V-0 S . F . OF LOT
it of FLOORS I( HEIGHT
N,• OF FAMILY UNITS N.. OF BEDROOMS
i.NTENDED USE OF BUILDING'' .. 51`5r
GARAGE: SINGLE DBL CARPORT': SI LE' �'
GARAGE:ccc
DBE
FIREPLACE
DOCUMENTS ATTACI1E1)
WATER SUPPLY N 0�,c_
DRIVEWAY PERMIT
SITE PIAN
BUILDING PLANS
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT
OTHER DOC M ,NTS (sped y)
r2 //r' °i f 7 !r'g R
5/ TA: /N.s'fi-2GTidr sr- //a 7 3 l i9.7. =1
VALUATION 11-W.1.53(Ogf°'of'
PERMIT FEE ,$ 72,00 PhAti -eff FEE $ 7Z o O
TOTAL FEE $ l f y! e ° SCHOOL IMPACT FEE $ l --
DATE PERMIT ISSUED
ZONING DISTRICT
FOR OFFICE
dimension;
and street
Ytt Y
STltl*1'T NAi1G/ROAD , NUMDER
CNECK IF CORNER LOT'
DESCRIP:I'.ION OF WORK PLANNED
•' +
oeux 4,4.1
Car
FRONT PROPERTY LINE
c i / f4 43y
sCr a p Ce•ypt
•
h°4
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state laws regu tang uilding constructi-
Sl ,NATURE
USE ONLY
TYPE OF OCCUPANCY
TYPE OF CONSTRUCTION =P7 -ti
S.F., OF BUILDING 2 y0 S.F. OF LOT
MAX. HEIGHT /2 1- ROAD CLASS.
SETBACKS FROM PROPERTY LINE: FRONT'
REAR,S�Da 14 RIGHT' IV 200 1-- LEFT'
OFF STREET PARKING SPACES REQUIRE
"
^
:10;A -
APPROVED:
IJ( I,D1 N
EPARMNT
FLOOD !HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS f4# ekt
QN
4e s a T. m A ,eES1o5
PROBLEMS W :TU PERMIT ater/4 /44`
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOi
OR ENGINEER
/7-1.1) APPROVED:
DATE PLANNING .7I.'t' RTMENT
1177:
• •
November 10, 1993
Don:
I tentatively set up an inspection /investigation of this property for you on
Monday the 1 Sth.
It is a shed used for storage that was built without a permit. Michael sent
them a letter and they came in and filled out the permit.
Mr. Bernie Willey is going to contact his father in California to discuss this
with him. They may be interested in calling this an agricultural building.
However, Mark said that he did not think that this property was being used
for an agricultural use.
When you look at the building, would you please look at the use of the
property and give me an opinion on whether or not it is agricultural.
I asked Mr. Willey to make out a check for the $144.00 fees on the permit.
He may or may not have this depending on what his father has to say about
it.
Thanks,
-(-41?>bet 79'/A-• /fr,t)//-V,
t4- // -/S -- 9 - 3 D /Jij H 4
P , 1g X 2 a
— x (oc.,
A.t6ev-cof er-vec
)l hr ��-1-&.-2#" er► �j -- .�i�:►r'�e �dy,
.J1Le Ire/Cd FrtgLAr
Ifof A-escA
•
Narrative in Regards to the Existing Residence
This house is a modular home with the axles and wheels still
in place underneath and skirting around the bottom. The house was
actually remove from a site near Rifle Falls and transported to the
site where is now. Olen and Opal Willey purchased the property in
1967. The home and septic systems have been in original form
since the initial installation in 1967. Since building and septic
permits were not issued until 1973, there is no documentation
regarding the home or septic installation. To my knowledge there
have never been any major improvements, additions, or
maintenance to the home or septic system. Further more, there are
no plans to make any changes to the home. In regards to the water
that supplies the home, the original water source was an open well
that was dug by hand and water was also hauled to the home from
an outside source. Some years later a well was drilled and I have
provided a copy of that well permit. I have also provided a copy of
the floor plan for this home. In regards to the vehicle traffic on the
property, there will be an average of 6 trips on and off the premises
a day.
Joseph Willey / Brandy Willey
UZ-5'
Property Owners
RECEIVED
GARFIELD COUNTY
SING & PLANNING
b!l fit, (cies-�1�/.
WRJ•5•Rev. 76 •LORADO DIVISION OF WATER RE•RCES
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
Application must
be complete where
applicable. Type or
print in BLACK
INK. No overstrikes
or erasures unless
initialed.
FOR
(1) APPLICANT • mailing address
PERMIT APPLICATION FORM
,A PERMIT TO USE GROUND WATER
( ) ERMIT TO CONSTRUCT A WELL
( A PERMIT TO INSTALL A PUMP
•
rt
J
123
( 1 REPLACEMENT FOR NO.
) OTHER
WATER COURT CASE NO.
NAME cSLY `(\(�
STREET - Y -k it ,. , ,7/ Lz -
CITY \ .._c' 5's (, `:.,, ,
q (state) (Z,P)
TELEPHONE NO. (7C, '(a 2 • 3 17 j
(2) LOCATION OF PROPOSED WELL
County Ce)o.
EY. of the /V; Y, Section
51:4/1-7711/p. _- R ng. 9 a
(N.S) IE,W)
i7
P M.
(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: ('
i
Proposed total depth (feet): ) /On
Aquifer ground water is to be obtained from:
47/((.41-", Co /o -a a/ ,4.
Owner's well designation
GROUND WATER TO BE USED FOR:
(--,L) HOUSEHOLD USE ONLY • no irrigation (0)
77P ) ( ) INDUSTRIAL (5)
( 1 LIVESTOCK (2) ( ) IRRIGATION (6)
( 1 COMMERCIAL (4) ( ) MUNICIPAL (8)
1 1 OTHER (91
DETAIL THE USE ON BACK IN (1 1)
(4) DRILLER
Name (7-71//2 ./' /U/7 C-11/1 -.11
Street
City
C co
1 (at.) ( PI
Telephone No. (rr - S"7 2-/ Lic, No 7 if
FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN
Receipt No /
Basin Dist.
CONDITIONS OF APPROVAL
This well shall be used in such a way as to cause
no material injury to existing water rights. The
issuance of the permit does not assure the applicant
that no injury will occur to another vested water
right or preclude another owner of a vested water
right from seeking relief in a civil court action.
, l0? 14"7
/00,ee 2(7q 07( Ca 27/
77- yjr
i;'7 5Q,e /4,2/4
/300 0r Eos/ Seg'/•. /.•,
/3O7
z ,c)
l
9;) 2 y _
6 eo
/307
"-e-7 .
Soe.4
PRELImi pi
Subjsct to Revision
APPLICATION APPROVED
PERMIT NUMBER
DATE ISSUED
EXPIRATION DATE
(STATE ENGINEER)
BY
I D S COUNTY
c_
39
(5) THE LOCATION OF THE PROPOSED 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.
I_NORTH+.
(t
1 MILE, 5280 FEET —_yl
NORTH SECTION LINE
)
SOUTH SECTION LINE
The scale of the diagram is 2 inches = 1 mile
Each small square represents 40 acres.
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 Dumped continuously for one day produces 4.42 acre-feet.
(6) THE WELL MUST BE LOCATED BELOW
by distances from section lines.
`T 6 eOft. from
ft from
Pc
,'t /V
(north or souIt1)
.641s7_
(east or west)
LOT BLOCK FILING r
SUBDIVISION
sec. line
sec. line.
(7) TRACT ON WHICH V LL WILL BE
LOCATED
* Owne-r` Z �(', '� j5
Will this be
No. of acres
the only well on this tract? �•�S
(8) PROPOSED CASING
Plain Casing
PROGRAM
Fi in from 74 ft. to 7
ft
� in from 4/C ft. to g 0 ft.
Perforated casing
11/i g in. from ft to l ° ft.
in from
ft. to
`t
(9) FOR REPLACEMENT WELLS givedistance
and direction from old well and plans for plugging
it:
(10) LAND ON WHICH GROUND WATER WILL BE USED:
Owner(s):l✓ /< �. V77
Legal description: 4 r /�?411Qe '_- / ; . 6,'f /L
71 -No. of acres: 2 S• S
(11) OETAILED DESCRIPTION of the use of ground water: Household use and domestic wells
system to be used.
use s ,
.d - .rQOS a / Sy / r ^ ? S JL x- ,,Z.
must indicate type of disposal
/ k f e
(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.
Used for (purpose)
Type or rght
Description of land on which used
(13) THE APPLICANT (S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
2—Y(' — Z(/
SIGNA TURF OF APPL ICANT(SI
Use additional sheets of paper if more space is required.
i-.-T---f - t + Y._. . •--_--t-_. .. ._� ..-* -- + --'--f----r- ----i' -�
-Y -f i --r- ---f" ---4
1 I
7
I
r
--,
4 + t
•
T
{
Aft
ii
x1 W
�o
o 0
O~� N
a
0 O (D
f '-4
4="
El O
o =
n
y
o
F O
o -
Z
O
10-8EO 10 :31Id
.LNSDIIaLV.LS S,NOASAuns
NOLIZMOSHG 1[,L27TdO2id
N
N
m
alVDS DIHdV230
J
3.1b.fb.00S
$I
vl
0
t -f
CS'
y V
O
0
u
V
i.
O nom
[.) T 1V
tt 0
• N.
o t -1
(n o
o N
o
c7