HomeMy WebLinkAboutCorrespondence Regarding Well Permitting?*r"p/Nq ÐAn"-t 6)ttq
Colleen W¡rth
From:
Sent:
To:
Cc:
Subject:
Attachments:
iohn Blatz <jblatz@ccmaspen.com >
Friday, June 25, 2021 9:09 AM
Colleen Wirth
Andy Schwaller
Lot 4 Big R commercial park
2_1 0008099 Application GWS-44 2A2ü209}935.pdf
ru on
HiColleen,
I spoke wíth Andy about our well situation and he suggested we send thís well permit application over to add to the
file. We hopeto have the situation resolved quickly.
Thanks for your help.
John
From: John Blatz [mailto:jblatz@ccmaspen.com]
Sent: Wednesday, December 9,2020 9:22 AM
To:'dwig ht.whitehead @state.co. us'
Subject: Well application and some backup
Good morning Dwight,
See attached application to put a well in on my commercíal lot in Garfield county.
Let me know if you have any questions. l've attached a previous application that Wayne Shelton found.
Best,
John
John F Blatz, President
970.379.3709
iblatz@ccmaspen.com
PO Box 6236
Snowmass Village, CO 81-615
@ ctrn5ffffrqsfH*
COLORADO DIVISION OF WATER RESOURCES
DEPARTMENT OF NATURAL RESOURCES
1313 SHERMAN ST., Ste 821, ÐENVER, CO 80203
Main : 1303) 866-3581 Fax: {303) 866-2223 dwçer¡0ils-en1¡re@slale,ç9,9!
RESIDENTIAL Noto: Also use thls fo¡m to apply lor llvestock \r¡alorins
Water Well Permit Application
Revlew form ¡nstruct¡ons pr¡or to completing
Hand compteted forms must be complotod in
form.
black or blue ínk or
DWR Division 5
Received
12t09t2020
# 1 0008099
Office Use Only Form GWS-44 {712A12)
Order # 4857
6, Use Of Well (check applicable boxes)
John Blatz
1 lnformation
81615Snowmass Vi Co
T€¡oFhorlø {ørrèr cÖdê)
97t-379-3709
E-rñåll
iblaE@ccmaspen.com
icable boxes)ication check
See instructions to determine use{ê) for which you may qualify
o o' o¿Ífå,yrrfåffila "" in one sinsle-fam¡lv dwellins
I B. Ordinary household use in 1 to 3 single-family dwellings:
Number of dwellings: 1
I Home garden/lawn irrigation, nol to exceed one acre:
area irrigated 8000 F sq" t. F acre
E Domestic animal water¡ng - (non-commercial)
E c. Livestock wâtering (on fâm/ranch/rânge/pãsture)
7. Wê¡l Data (proposed)
I Construct newwell
E Replace existing welln Use existing v¡ell
E chanoe or ¡ncrease use
E Change sourc€ (aqu¡fer)
I Reapplication (exp¡ted perrnil)
E Roonop prec¡p. collectionû other:Mäxlr¡um pumping rôlö
gpm25
Anôual âmount t0 b6 vrllhdnwn
acre-teet,963. Refer To Aqdl€t
TdbutarVfeet
lötaì dopth
100
W6tff Court cosÊ #Woll poffnit f
66791-F
8. Water SupplierD$fgnelod BsEin ootsttlimtlon #Wêll nomo or#
ls this parcel within boundãries of a water service area?l[ YesfEtr Ho
lf ves. orovide name of supplíer:4. Location Of Proposed Welt {¡mportant! See lnstructions)
9. Type Of Sewage SystemSW røorno NE lr¿
County
Garfield
Rmoo E orw93 trl¡¡l
PÍinclpãl Meridlon
6th11
$ællon
6
ToMshlp N or S
tn ÍE
Dlstsnc€ ofwåll from soctlon lhe$ (socl¡on lhos åte typlcdlly not propoÍy llños)
FLrromlEN l]S 15102062 FtlrÖMEE EW
n Septic tank i absorplion leach lield
fl Centrat syslem: District name:
[] Vault: Location sewage to be hauled to:
E other (explain)
10. Proposed WeltDriller License #(optional): 1095
vroll lo new
D¡recl¡onfeel
11. Sign or Entêr Name of Applicant{s) or Author¡zed Agsntwoll ¡ðôâtlon oddrses (lnc¡udo çllv, sl6t6, ãp) LlÇhðck if well addfoss 13 5am6 s3 ln llm 'l
160 Gemat Ct. Rifle, Co 81650
Optlonu¡: GFS woll lo€tlon lnformat¡on ln UTM fomat. GPS unlt sottlnçg ¡@ ãs follws:
The mak¡ng of false $tatements herein constitutes periury in the second
degree. which ¡s pun¡shable as a class 1 mlgdemeanor pursuant to C.R.S.
24-+104 (13Xa). I hâve reäd lhe stâtements herein, knowlhe contents
thereof ând stâte that they are true to rry Elolüedge.
-
Dåro (mr,tdd/YryY)
¡;||c.,,,1,s,,;,
namô(r) óf pslson(s)o¡FÕftnåt fnusl bô ulM
l:zônô12odl: zonê13
Unlts ñust bo MoloÉ
Dotum m6t bc NAo83
unit must b€ s6l to úu€ norlh
Wss GPS unlt checkod lor obwo? t YES
Rcmcmbs to ¡ct Dah|ñ to NÂ,DS3
Northing:
lf ;TÈ'ñrñı pr¡nt namè ind litl6
._)ç rr rù r:. . t t fii\ 2 i {il}.:ttl: tL.
Office Use
mâp namo
X-Refer File nos no.95M439B
mâp no,
5. Parcel On Which Well Will Be Located
lYou must attâch I curront deêd for ths subjêct Þarcelì
Rece¡pt area only
rmation
A. You must check and complete one of the following:
E County exemption iattach copy of county approval & survey)
E Parcel less than 35 âôres, not in a subdiv¡sioñ attäch a deed with mêtes
& bounds description recorded prlor to June 1 ' 1972' and currenl deed
El Mining rlaim (attach copy of deecl or survey) Name/#:
fl square 40 acrê parcel as descr¡bed in ltem 4
E Parcel of 35 or more acles {attoçh motgc & baund3 dcærlPt¡on ot 3urvey)
E Other; (attach metes & bounds description or survey)
Block
I Subdivision: Name Biq R Commercial Park
Lot 4
Name/#
Filing/unit
Lot #
lho ownerof thls parc6l?
NO
yo!nC. ¡rc
l8l YEs
B. # ol wos ln parcol
2.O
D. wil ttús ¡o lho on¡y wo¡l on lh¡3 påræl?Fl vesflf t¡o lt no - list othor wolls¡
E. state parcs! tDf (opnonal): 21 77-1 1 1 -03-004 39
AOUAMAP
5Dlv WD BA- MD
foot
& 63777-F
Additional I
Requested
wÊ
WR
CWCB
TOPO
MYLAR
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