HomeMy WebLinkAbout1.0 ApplicationWe are applying for a special use application to put an additional home on our acreage.
This will be a residence. No business use. The reason we wish to put another home here
is because we are all family here and my son and his wife wish to take care of me should
anything happen to my husband. I am diabetic and my husband works out of state most
of the year. No adverse impact on the land will happen. We are going to keep most of
the landscape as is but will certainly add to it's beauty. The modular home is 1264
square feet, and is 28 x 52 feet in size. It will be placed on a permanent concrete stem
wall with all county requirements met. A driveway has already been in place for years.
We will only be adding another 25 ft from the top of the driveway to the new home. This
home is on 35 acres and will not be part of a subdivision. We must put this home on the
hill because the flat part of the acreage is too close to the stream for a septic system and
to build on the opposite hillside would be extremely costly. There is no power or water
or bridge on that side.
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Application for Driveway Permit
Application Date: 3/15/01 Permit Number:27 Permitee: Deborah Snook
Termination Date05/7/01 County Road Number: 204 Inspector: Kraig Kuberry
District: 2 Sub -Contractor:
Deborah Snook hereby requests permission and authority from the Board of County Commissioners to construct a
driveway approach (es) on the right-of-way off of County Road 204, adjacent to Applicant's property located on the East
side of road for the purpose of obtaining access to property.
Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the
proposed installation showing all the necessary specification detail including:
1. Frontage of lot along road.
2. Distance from centerline of road to property line.
3. Number of driveways requested
4. Width of proposed driveways and angle of approach.
5. Distance from driveway to road intersection, if any.
6. Size and shape of area separating driveways if more than one approach.
7. Setback distance of building(s) and other structure improvements.
8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision
expense.
9. Responsible for two years from the date of completion.
General Provisions
1) The applicant represents all parties in interest, and affirms that the driveway approach(es) is to be constructed by
him for the bona fide purpose of securing access to his property and not for the purpose of doing business or
servicing vehicles on the road right of way.
2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the
construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date.
3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their
representive, and all materials used shall be of satisfactory quality and subject to inspection and approval of the
Board of County Commissioners or their representive.
4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board
of County Commissioners and their duly appointed agents and employee shall be held harmless against any action
for personal injury or property damage sustained by any reason of the exercise of the Permit.
5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of
the driveway approach(es) even though deposited on the driveway(s) in the course of the County snow removal
operations.
6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall
be surely braced before the fence is cut to prevent any slacking of the remaining fence, and all posts and wire
removed shall be turned over to the District Road Supervisor of the Board of County Commissioners.
7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written
permission of the Board of County Commissioners.
8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County
Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and
incorporated herein as conditions hereof.
Special Conditions:
2. minimum gravel back 50ft of roadway
3. 40 ft of 15" culvert
4. responsible for locals & repairs if damage
In signing this application and upon receiving authorization and permission to install the driveway approach (es)
described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions
and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved
by the Board of County Commissioners.
Signed:
Beborah Wool(
Address: a700 A t �q9' J ' ,
Telephone Number: 970 , , S 3-6-7-5).5-3
Permit granted 3/15/01 subject to the provisions, specifications and conditions stipulated herein.
For Board of County Comnt�ssioners' of Garfield County, Colorado:
Representative of Garfield County Road and Bridge Signature
Special Provisions for Excavation of Road Surface and Installation
1) Any oversized material, (larger than 10 inches in diameter), that is not utilized in backfill will be hauled off by
permitee. Further, any frozen material will be removed from site by permittee.
2) When a paved or chipped surface is cut, it is to be replaced with a minimum three-inch (3") hot mix asphalt patch.
Temporary patch with cold mix asphalt would be allowed, which would be replaced with hot mix asphalt when
the weather or availability of materials allow the work to be completed. An asphalt or chipped surface cut would
require the road to be straight cut and squared by means of a pavement cutter or saw. A chipped surface cut will
require a seal coat of the patch, which will be full width or half width of roadway when trenches run with the
road. For trenches across the road, the edges of the seal coat will overlap the existing edge. All seal coats will
overlap edges by a two of the roadway in the vicinity of the excavation. Asphalt hot mix or cold patches will be
completed in a maximum of five (5) working Days. Weather permitting.
3) When possible all installations should avoid the top edge of a fill slope.
4) Installations in drainages subject to flash flooding will have a minimum bury of 4 feet deeper than normal flow
line at nearest abutment, wing wall, or culvert.
5) Installations at culvert crossings will be buried beneath the culvert with a minimum separation of 18 inches
between installation and the bottom of the culvert.
6) Open trenches adjacent to the traveled roadway shall be backfilled daily to within 100 feet of the working area of
the trench, and shall be barricaded with warning devices after dark. A 3 foot high orange plastic fence will be
installed daily to keep livestock out of the open trench after hours.
7) In areas being disturbed where vegetation is established, reseeding with a mixture either by broadcasting, drilling
and mulching with seed mixtures suitable to the climatic conditions or existing vegetation will be performed. Use
only certified weed -free seed. Noxious weed control will be ongoing along with revegetation.
8) The permittee should check the R -O -W of surrounding landowners to see if other permits are required, i.e., BLM,
Forest Service.
A /
Rep -sentative for Garfield County Road and Bridge
Deborah Snook
Specifications
1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge
and the property line that is designed and used for the interchange of traffic between the roadway and abutting
property.
2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the
normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum
intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be
provided.)
3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to
obtain adequate sight distance in both directions along the county road in order to maneuver safely and without
interfering with county road traffic.
4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or
extending over any portion of the county road right-of-way.
5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is Tess than
one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100)
feet shall be permitted only after showing of actual convenience and necessity.
6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon
adjoining property.
7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline
of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater
than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased by
permissible radii.
8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle
between ninety (90) degrees and sixty (60) degrees but shall not be Tess than sixty (60) degrees. Adjustment will
be made according to the type of traffic to be served and other physical conditions.
9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited.
Commercial establishments for customer vehicles should provide off -the -road parking facilities.
10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the
normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20)
feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%).
1 1. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the
street or county road. The Applicant will be required to provide, at his own expense, drainage structures at
entrances and exits, which will become an integral part of the existing drainage system. The Board of County
Commissioners or their representative, prior to installation, must approve the dimensions of all drainage
structures.
Note: This permit shall be made available at the site where and when work is being done. A work sketch or
drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing,
blueprint, or sketch.
Road and Bridge Department
902 Taughenbaugh Blvd., Ste 305
Rifle, CO 81650
Phone -(970)625-8601 Fax- (970)625-8627
Invoice
Invoice Date: 3/15/O1 Invoice Number: 27
13 11 To: Deborah Snook
11700 CR 204
Debeque , CO 81630
Driveway Permit Number. 27
$15.00 per Driveway Permit.
Driveway Permit Fee: $15.00
Total Due: $15.00
Thank You!
May -09-01 1O:O8A town#ofJ''tebeque
To Whom 1t May Concern:
970t21 205 P.O6
1 am enclosing the map of where all will be. After we get our modular put down, on site
1, we would like to begin work on site 2. Hence the reason for the special use permit. It
is imperative that we finish work on that permit as soon as possible. After I move in to
my modular, Jon and Vickie will need to get a temporary permit for the temporary trailer
we are all staying in. Then we will begin construction on the foundation for their
modular, to be delivered sometime in the following six months. They will need to live in
the single wide until that is completed. After the completion, or rather just before the
new modular is delivered, we are moving the single wide down below the homes where it
will be out of sight and we are going to gut it and use it for storage and a shop. The well
will service both homes and will be completed before the first modular is put down,
We are applying for a special use application to put an additional home on our acreage.
This will be a residence. No business use. The reason we wish to put another home here
is because we are all family here and my son and his wife wish to take care of me should
anything happen to my husband. I am diabetic and my husband works out of state most
of the year. No adverse impact on the land will happen. We are going to keep most of
the landscape as is but will certainly add to it's beauty. The modular home is 1264
square feet, and is 28 x 52 feet in size. It will be placed on a permanent concrete stem
wall with all county requirements met. A driveway has already been in place for years.
We will only be adding another 25 ft from the top of the driveway to the new home. This
home is on 35 acres and will not be part of a subdivision. We must put this home on the
hill because the flat part of the acreage is too close to the stream for a septic system and
to build on the opposite hillside would be extremely costly. There is no power or water
or bridge on that side.
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09:O8A town#of ,ebebeque 970128'-15205
i' LUUI P.02
COLORADO DIVISION OF WATER RESOUPr-ES
DEPARTMENT OF NATURAL RESOURCE:
1313 SHERMAN ST., RM 818, DENVER, CO 011203
phone - info: (303) 866.3587 main: (303) 866-3581
fax: 13031 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 Form GWS -44 (1/2001)
RECEIVED
FEB 01 e01
W AI ER RESOURCES
STATE ENGINEER
ry ca ulVfl
1. Applicant Information
Name of applicant
MArvla W0Q.D2Aak Snook
Mailing address
i'loo a Pc( ao{
Tel phone #
e4_LL_e,
( ern) ) ag3-S8S3
State - Zip code
CO 81t,30
2. Type Of Application (check applicable boxes)
Construct new well ['Use existing well
❑ Replace existing well ❑ Change or increase use
❑ Change source (aquifer) 0 Reapplication (expired permit)
❑other:
6. Use Of Well (check applicable boxes)
See instructions to determine use's) for which you may qualify
❑ A. Ordinary household use in one single-family dwelling
,./ Ino outside use)
lb B. Ordinary household use in 1 to 3 single-family dwellings:
Number of dwellings: 3
Ef Home garden/lawn irrigation, not to exceed one acree: /
area irrigated 1 ❑ sq. ft. L -t1 acre
Q Domestic animal watering - Inon-commercial)
❑ C. Livestock watering Ion farm/ranch/range/pasture)
3. Refer To (if applicable)
We.___.____.-_-__.....___._....._........__
Well permit
ager Court case R
7. Well Data (proposed)
Maximum pumping rate Annual amount to be withdrawn
/S
qpm acre-feet
Total depth Aquifer
feet
Oesignated Basin Determination a Well name or X
8 Water Supplier
4. Location Of Proposed Well
coy /._.._ .._ __ ------
R12.t'r. _/ / 3jFJ lla of me k) t.fJ lra
•
SectionTownship Nor $ Range E or W Principal Meridian
3a ! __6 _❑0;_.98 ❑._
Distance of well from section lines (section lines are typically not property lines)
_3'7 co..... Ft from ❑ N S 4a53 Ft. from EE ❑ W
For replacement wells only - distance aria direction from aid well to new welt
feet direction
Well Location address lif applicable)
Optional: GPS well location information in UTM format
Required settings for GPS units are as follows:
Format must be UTM
Zone must bel3 Northing
Units must be Meters
Datum must be NAD2Y (CONUSI
Unit must be set to true north
were points averaged? ❑ YES 0 NO
East:no
Is this parcel within boundaries of a water service area? ❑ YES 0 NO
If yes, provide name of supplier:
9. Type Of Sewage System
Septic tank / absorption leach field
O Central system: District name:
O Vault: Location sewage to be hauled to:
O Other (attach copy of engineering design and report)
10. Proposed Well Driller License #(optional): L.Ic.
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), I have read the statements herein, know the
contents thereof and state that they are true to my knowledge.
Sign here (Must be original signature' Date
- /-
Print-
Print name b tide
�vvE.e,
5. Parcel On Which Well Will Be Located
A.You must check and complete one of the following:
O Subdivision: Name
Lot Block Filing/Unit
❑ County exemption (attach copy of county approval & survey':
Name/N Lot #
❑ 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 me deed Or survey':
Name/N
0 Square 40 acre parcel as described in Item 4
.,(
67 Parcel of 35 Or mare acres (attach a metes and bounds description or survey'
❑ Other (attach metes & bounds aescription or survey and supporting documents)
8. R of acres in parcelrC--./Are you the owner of this parcel?
t
36 tA YES ❑ NO (if no - see instructional
D. Will this be the only well on this parcel? VIES 0 NO (if no - list other wens)
E. State Parcel 10, (optional):
Office Use Only
USGS map name
O.._ -WR map no. Surface elev. --
Receipt area only
WE
WR
CWCB
TOPo
MYLAR
595 DIV WD BA MO
May -09-01 10:O8A town#of tbebeque 97012 —?05
Formivo, JFFICE OF THE t E ENGINEER •.
GWS -25 COLORADO DIVISION OF WATER RESOURCEUla
818 Centennial Bldg., 1313 Sherman 61„ Denver, Colorado 80203
(303) 886-3561
APPLICANT
P-03
iC vY
LIC
WELL PERMIT NUMBER 231234
DIV, 5 WD70 DES. BASIN MD
MARVIN W. & DEBORAH SNOOK
11700 CO RD 204
DEBEQUE, CO 81630-
(970) 283-5853
PERMIT TO CONSTRUCT A WELL
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 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 35 acres described as that portion of
the SW 1/4, NW 1/4, Sec. 32, Twp, 6 South, Rng, 08 West, 6th P.M., Garfield County, more particularly described on the
attached exhibit A.
4) 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 irrigation of not more than one (1) acre of home gardens and lawns, and the watering
of domestic animals.
5) The maximum pumping rate of this well shall not exceed 15 GPM,
6) 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
7) This weK shall be constructed not more than 200 feet from the location specified on this permit.
NOTE: Parcel Identification Number (PIN): 23.2167-322-00.027 ��
NOTE: Assessor Tax Schedule Number: 290715 0-Z .90.
APPROVED WELL LOCATION
GARFIELD COUNTY
SW 1/4 NW 1/4 Section 32
Township 6 S Range 98 W Sixth P.M.
DISTANCES FROM SECTION LINES
3700 Ft. from South Section Line
4250 Ft. from East Section Line
UTM COORDINATES
Northing: Easting:
APPROVED
DMW
Receipt No.9500398
State Engineer
.
e EXPIRATION OATEEB 2 4 2003
REPORT DATE
Fri Mar 02 16:29:33 MST 2001
C ;ORADO WELL APPLICATIONS D PERMITS Lc -0)
COLORADO DIVISION OF WATER RESOURCES
Receipt 9113654
Permit 16374 R
Div 5 Wd 70
Basin Md
Engineer User
Full Name
Uses
ALTENBERN HELEN & ORVILLE
Address
IRRIGATION
City
State
Zip
DE BEQUE
CO
81630
Pump Rate Ann Amt Depth
Telephone
Proposed 0.00 0.00 0
( ) -
Actual 23.00 0.00 60
Case
Irrigated Area 0.00 acres
Permit XRef
Elevation 0
Well Name
Perf Casing Top 0
County GARFIELD
Perf Casing Bottom0
Q10
Water Level 18
Q40 SW
Aquiferl ALL UNNAMED AQUIFERS
Q160 NW
Aquifer2
Sec 32
Driller
Ts 6 South
Pump Installer
Rng 98 West
Statute Meter Log Qual AbReq
Pm Sixth
No No No No
Comment
Subdivision
Filing
Block Lot
Parcel Size PIN
0.00
Main Activity
Interim Status
Last Action
Permit Issued
Permit Expires
Expire Notice Sent
Well Const Report
Well Const Complete
Well Report (Non-trib)
Pump Install Report
Pump Install Complete
1st Beneficial Use
Statement Benef. Use
Benef Use (Non-trib)
Abandonment Report
Well Plugged
Form No. OFFICE OF THE , ITE ENGINTER RESOURCE R rNNE�'S COPY
GWS -25 COLORADO DIVISION OF WAR 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 866-3581
APPLICANT
LIC
WELL PERMIT NUMBER 231234
DIV. 5 WD70 DES. BASIN MD
MARVIN W. & DEBORAH SNOOK
11700 CO RD 204
DEBEQUE, CO 81630-
(970) 283-5853
PERMIT TO CONSTRUCT A WELL
APPROVED WELL LOCATION
GARFIELD COUNTY
SW 1/4 NW 1/4 Section 32
Township 6 S Range 98 W Sixth P.M.
DISTANCES FROM SECTION LINES
3700 Ft. from South Section Line
4250 Ft. from East Section Line
UTM COORDINATES
Northing: Easting:
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 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 35 acres described as that portion of
the SW 1/4, NW 1/4, Sec. 32, Twp. 6 South, Rng. 98 West, 6th P.M., Garfield County, more particularly described on the
attached exhibit A.
4) 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 irrigation of not more than one (1) acre of home gardens and lawns, and the watering
of domestic animals.
5) The maximum pumping rate of this well shall not exceed 15 GPM.
6) 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.
7) This well shall be constructed not more than 200 feet from the location specified on this permit.
NOTE: Parcel Identification Number (PIN): 23-2167-322-00-027
NOTE: Assessor Tax Schedule Number: 290715 0 2. 0 v
APPROVED
DMW
,Receipt No.9500398
:D
State Engineer
DATE ED' E B BEXPIRATION DATE. Eg
. Form No. OFFICE OF THE F -\TE ENGINEER
GWS -25 COLORADO DIVIS.JN OF WATER RES lP
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 ((�� tt
(303) 866-3581
APPLICANT
R'S COPYLIC
WELL PERMIT NUMBER 231234
DIV. 5 WD70 DES. BASIN MD
MARVIN W. & DEBORAH SNOOK
11700 CO RD 204
DEBEQUE, CO 81630-
(970) 283-5853
PERMIT TO CONSTRUCT A WELL
APPROVED WELL LOCATION
GARFIELD COUNTY
SW 1/4 NW 1/4 Section 32
Township 6 S Range 98 W Sixth P.M.
DISTANCES FROM SECTION LINES
3700 Ft. from South
4250 Ft. from East
UTM COORDINATES
Northing:
Section Line
Section Line
Easting:
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 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 35 acres described as that portion of
the SW 1/4, NW 1/4, Sec. 32, Twp. 6 South, Rng. 98 West, 6th P.M., Garfield County, more particularly described on the
attached exhibit A.
4) 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 irrigation of not more than one (1) acre of home gardens and lawns, and the watering
of domestic animals.
5) The maximum pumping rate of this well shall not exceed 15 GPM.
6) 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.
7) This well shall be constructed not more than 200 feet from the location specified on this permit. JL.,. ` 'y
NOTE: Parcel Identification Number (PIN): 23-2167-322-00-027
/
NOTE: Assessor Tax Schedule Number: 290715 0-Z �f�0 v
APPROVED
DMW
State Engineer
%Receipt No.9500398 DATE ISSUEDFEB 2
BEXPIRATION DATEEB 2 4 2003
GWS -25 COLORADO DIVISION OF WATER RESOURCForm No. OFFICE OF THE 5. ATE ENGINEER
I��ER'S RIG
6
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 866-3581
APPLICANT
LIC
WELL PERMIT NUMBER 231234
DIV. 5 WD70 DES. BASIN MD
MARVIN W. & DEBORAH SNOOK
11700 CO RD 204
DEBEQUE, CO 81630-
(970) 283-5853
PERMIT TO CONSTRUCT A WELL
APPROVED WELL LOCATION
GARFIELD COUNTY
SW 1/4 NW 1/4 Section 32
Township 6 S Range 98 W Sixth P.M.
DISTANCES FROM SECTION LINES
3700 Ft. from South
4250 Ft. from East
UTM COORDINATES
Northing:
Section Line
Section Line
Easting:
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 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 35 acres described as that portion of
the SW 1/4, NW 1/4, Sec. 32, Twp. 6 South, Rng. 98 West, 6th P.M., Garfield County, more particularly described on the
attached exhibit A.
4) 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 irrigation of not more than one (1) acre of home gardens and lawns, and the watering
of domestic animals.
5) The maximum pumping rate of this well shall not exceed 15 GPM.
6) 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.
7) This well shall be constructed not more than 200 feet from the location specified on this permit.
NOTE: Parcel Identification Number (PIN): 23-2167-322-00-027
NOTE: Assessor Tax Schedule Number: 290715 02 c[e..--<z c /
APPROVED
DMW
,Receipt No. 9500398
if a
State Engineer
t?c fB 2 4 ,001
DATE ISSUED
BEXPIRATION DATE EB 2 4 2003
Form No. OFFICE OF THE F ATE ENGINEER INSTALLER'S
GWS -25 COLORADO DIVISION OF WATER RESOU
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 866-3581
APPLICANT
WELL PERMIT NUMBER 231234
COPY
DIV. 5 WD70 DES. BASIN MD
LIC
MARVIN W. & DEBORAH SNOOK
11700 CO RD 204
DEBEQUE, CO 81630-
(970) 283-5853
PERMIT TO CONSTRUCT A WELL
APPROVED WELL LOCATION
GARFIELD COUNTY
SW 1/4 NW 1/4 Section 32
Township 6 S Range 98 W Sixth P.M.
DISTANCES FROM SECTION LINES
3700 Ft. from South Section Line
4250 Ft. from East Section Line
UTM COORDINATES
Northing: Easting:
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 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 35 acres described as that portion of
the SW 1/4, NW 1/4, Sec. 32, Twp. 6 South, Rng. 98 West, 6th P.M., Garfield County, more particularly described on the
attached exhibit A.
4) 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 irrigation of not more than one (1) acre of home gardens and lawns, and the watering
of domestic animals.
5) The maximum pumping rate of this well shall not exceed 15 GPM.
6) 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.
7) This well shall be constructed not more than 200 feet from the location specified on this permit. 21/4` ?�
NOTE: Parcel Identification Number (PIN): 23-2167-322-00-027
NOTE: Assessor Tax Schedule Number: 290715 Z �f�0 0
APPROVED
DMW
Receipt No.9500398
el a
State Engineer
FEB 2 4�OUf-�t �,
DATE ISSUED EXPIRATION DATE EB 2 4 2003
Send to: Division of Water Resources Fax: 303-866-3589
1313 Sherman Street, Room 818 Phone: 303-866-3581
Denver, Colorado 80203
OWNER'S NOTICE OF CONSTRUCTED WELL
was
Construction of my well under Permit No. ,,.
completed on '`
.
(month) (day) (year)
The well was constructed by:
(drilling contractor)
If the pumping equipment has been installed
The pump was installed in my well by:
(pump contractor)
on
(month) (day) (year)
Signed:
Date: : <Plione:..
_
rt•:. m
Comments:
Form
Nb. GWS -7 EXEMPT I -..s MIT INFORMATION SHEET
12/99. STATE OF COLORADO
t OFFICE OF THE STATE ENGINEER
821 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 866-3581 Fax (303) 866-3589
INFORMATION FOR WELL PERMITS APPROVED PURSUANT TO CRS 37-92-602
(HOUSEHOLD, DOMESTIC, LIVESTOCK AND EXEMPT COMMERCIAL USES)
Carefully read the conditions of approval on your well permit. The conditions and the information on this
information sheet must be complied with in order for the permit to remain valid.
THE PERMIT EXPIRATION DATE IS TWO YEARS FROM THE DATE ISSUED. The well must be constructed and
evidence of ifs construction must be received by this office in the form of a Well Construction and Test report from
the well construction contractor confirming that the well was constructed prior to expiration of the well permit. The
well permit number is located in the upper right hand comer of the permit, and the expiration date is located in the
lower right hand corner. The expiration date of the permit may be extended one year at a time at the discretion of
the State Engineer for good cause shown. If an extension of time is necessary to construct the well, a written
request for the extension of time must be received by this office prior to the expiration date of the well
permit In the request, you must provide the well permit number, your name and mailing address and the
reasons why the well has not been constructed and when it will be constructed. No fee is required for this
type of permit extension.
✓Vater well construction and pump installation contractors are specifically licensed in Colorado to perform these
specialized tasks. It is illegal for contractors who do not hold these licenses to construct wells and/or instal; pumping
equipment in or on wells. The well must be constructed and the pump installed by contractors with current
license(s) issued by the State of Colorado unless exempted as described on the reverse side. Please ask to see
their license(s). Backhoe Operators and Licensed Plumbers may or may not hold the respective Well Construction
and/or Pump Installation licenses. Please be aware of this when you contract to construct the well and install
pumping equipment. The well construction report including a test of the well yield must be submitted to the office of
the State Engineer within sixty (60) days of completion of the work or within seven days after expiration of the
permit, whichever is earlier. The pump installation report including a pumping system test must be submitted within
sixty (60) days of completion of the work. The contractor(s) must provide you with a copy of the work report(s) filed
with the State Engineer. The Well Construction and Test Report, Form Number GWS -31 and the Pump Installation
and Test Report, Form Number GWS -32 are available from the Division of Water Resources offices. Additional
information regarding well construction, pump installation, required testing and well plugging and sealing regulations
are found on the reverse side of this sheet.
You have been provided with at least two copies of the well permit. Keep a copy for your records. There is
also a copy for the pump installation contractor. Copies have been sent to the driller if you indicated a driller
license number on the application, or two additional copies have been enclosed. You may make additional
copies for the well construction contractor if you select one different from the one indicated in your application.
The original permit is on file in the Denver office Records Section. Copies may be obtained for a fee of 50 cents per
page. Statutes require that any change of mailing address or ownership be reported to the State Engineer. Form
number GWS -11 is used both by new owners to report ownership changes and current owners to report address
changes.
If you have questions, contact the Denver Office, or the Division Office in the area where your well is located.
DIVISION 1
800 8th Ave Rm 321
Greeley CO 80631
(303) 352-8712
DIVISION 5
50633 US Hwy 6 & 24
Glenwood Springs CO 81601
(970) 945-5665
DIVISION 2
310 E Abriendo Suite B
Pueblo CO 81004
(719) 542-3368
DIVISION 6
625 So. Lincoln Ave.
Steamboat Springs CO 80477
(970) 879-0272
DIVISION 3
422 4th St
Alamosa CO 81101
(719) 589-6683
DIVISION 7
Suite 205
701 Camino Del Rio
Durango CO 81302
(970) 247-1845
DIVISION 4
1540 E Niagara
Montrose CO 81402
(970) 249-6622
DENVER OFFICE
1313 Sherman St
Denver CO 80203
(303 866-3581
WELL CONSTRUCTION AND PUMP .TALLATION BY THE WELL OWNE
You may construct the well and/or install the pump yourself if the well is for your own use, is on property`
you own, and is constructed or pumping equipment is installed with equipment owned and operated by you. It is
Your responsibility to complete and submit the Well Construction and Test Report, Form Number GWS -31 and/or
the Pump Installation and Test Report, Form Number GWS -32. These forms are available from our offices. The
well must be constructed and the pump installed in accordance with the well construction standards of the State
Board of Examiners of Water Well Construction and Pump Installation Contractors.
The Water Well Construction Rules are available from Division of Water Resources offices for a fee of $3.00.
The Rules cover the minimum requirements for well construction, pump installation, disinfection, plugging and
sealing and include contractor licensing regulations. If you are constructing your own well or installing pumping
equipment, it is recommended that you obtain a copy of these Rules for reference.
RULE 14 WELL TESTING
14.1 General - The provisions of this rule establish minimum standards for the testing of water wells. Every
well constructed for the purpose of producing ground water shall be tested to determine:
a. a yield test for the well; and
b. the production rate of the equipment installed when the well is placed into service.
14.2 Well Yield Test - The yield of a well shall be determined as a stabilized production rate where the
withdrawal rate and the drawdown do not change by more than 10 % during the last hour of the test. The test
shall demonstrate that either:
a. the well is capable of producing the permitted pumping rate for the well; or
b. that the maximum yield of the well is less than the permitted production rate.
14.3 Responsibility for Well Yield Test - Well construction contractors are responsible for performing the
well yield test and submitting the test data to the State Engineer. If the construction contractor also installs the
production equipment, the well yield test may be combined with the production equipment test, provided that the
test meets the requirements of Rule 14.2. The construction contractor may forgo the well yield test if he can
show that a licensed pump installer will perform the well yield test with the permanent production equipment
within 60 days of his drilling of the well.
14.4 Production Equipment Test - The production equipment installed in wells shall be tested to make
sure it is functioning as designed. The test shall demonstrate the production capacity of the equipment as
actually installed in the well or that the production from the well complies with the conditions of the permit,
whichever is less.
14.5 Responsibility for Production Equipment Test - Pump installation contractors are responsible for
testing the production equipment installed in a well upon completion of their work. If the well construction
contractor determined the well yield and submitted a report, the pump installer need not perform another well
yield test. If the pump installer does not perform a well yield test with the permanent production equipment, he
shall perform a production equipment test and report the data (results) to the State Engineer.
Wells to be plugged and sealed must be plugged in accordance with of the Water Well Construction
Rules. A Well Abandonment Report, form number GWS -9 must be submitted to confirm plugging and sealing of
the well. This form is available from our offices. The general Rule for plugging and sealing wells is printed below.
The specific rules are found on the reverse side of the Well Abandonment Report form.
RULE 15 STANDARDS FOR PLUGGING AND SEALING WELLS AND WELL EXCAVATIONS
15.1 General - The plugging and sealing of all wells, monitoring and observation wells, monitoring and
observation holes, and test holes, which are no longer intended to be used, is necessary to prevent '
contamination of ground water and the migration of water through the unused borehole. It is the ultimate
responsibility of the well owner to have a well properly plugged and sealed. The well construction contractor or
authorized individual is responsible for notifying the well owner of these plugging requirements. Persons
authorized to install pumping equipment may plug and seal wells which do not require the removal of casing from
more than one aquifer or the ripping or perforating of casing opposite confining layers. All materials used for
backfilling shall be clean and free from contaminants. The well casing may be cut off below land surface so that
it will not interfere with the anticipated use of the land. If the casing is cut off below land surface, a watertight
cover shall be permanently attached to the remaining casing and the excavation shall be filled with materials
which are not more permeable than the surrounding soils.
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EXHIBIT "A"
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IBIT "A" IS EXECUTED ON OCTOBER 29, 1999.
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