HomeMy WebLinkAboutWell PermitForm No.
GWS-25
APPLICANT
(303) 86&3581
OFFICE OF THE STATE ENGINEER
uc,,q!,p.mPPrP',t(!*lp##E'W.*IF'S'FESoURGES
Lot: 30 Block: Fllingl Subdlv:ANTLERS ORCHARD DEVELOPMENT CORP
CISUDIA CHAVEZ
237 RUSW SPUR TRAIL
RTFLE, CO 81650-
t970) 876-7291
APPROVED WELL LOCATION
GARFIELD COUNTYSW 114 NE 114 Section 33
Township 5 S Range 92 W Sixth P.M.
DISTANC.ES FROM SECTIOI.{ LINES
2160 Ft. from North Section Line
1520 Ft. from East Seclion Line
UTM GOORDIMTES tMeters,Zgne:1 3.NAD83)
Easting: Northing:
WELL PERMIT NUMBER
DIV, 5 WD 39 MDDES. BASIN
807
1)
2l
3)
ISSUANCE OF THIS PERMIT DOES NOT CONFERA WATER RIGHT
CONDITIONS OF, APPROVAI*
This well shall be used in such I way as to cause no material injury to existing water rights. The issuance of this permit
does not ensure that no injury will occur to another vested wat€r right or preclude another owner of a vested water right
from seeking relief ln a civil court action.
The construction of lhis well shall be in compliance with the Water Well Construction Rules 2 CCR 402'2, unless
approval of a variance has been granled by the State Board of Examiners of Water Well Construction and Pump
lnstallation Contractors in accordance with Rule 18.
Approved pursuant to CRS 37-gO-137(2) for the construction of a well, appropriating groundwater tributary to the
Colorado Rlver, on the condltlon that this well is operaled only when the Silt Mesa Substitute Water Supply Plan (based on
the liling of case no. 05CW290, Division 5 Water Court), is in effect, and when a waier allotment contracl betl /een the
well owner and the West Divide Water Consewancy District br the release of replacement water is in effect, or under an
approved plan for augmentation. This well is accounted for under \ATDWCD contract#S170224CC(a)'
Approved for the expansion of use of, an existing well. constructed on December 16, 2002, to a depth of 200 feet and
with pump installalion on an unknown date, all under parmit no. 243869 (canceled). lssuance of this permit hereby
cancels permit no. 243859.
The use of ground wabr from thls well is limited to ordinary household purpos€s inside one.(l) slngle.fqm$y",,4ry9tl!filk
iirer{t),gcqe:Ssqrydlrlelllng,qnl&And the inigation ol not more than 5,000 square feet of hbme gardens bht1'avirris'*
Thb pumping rate of this well shall not exceed '15 GPM'
The annual amount of ground water to be withdrawn shall not exceed 1.07 acre-foot (348,660 gallons).
The owner shell mark the well in a conspicuous place with the well permit number and name of aquibr as appropriate,
and shall take necessary means and precautions to preserve these markings.
9) This well shalt be located not more than 200 feet from lhe location specified on this permit.
10) A totallzing flow meter must be lnstallod on this well and maintained in good working order. Permanent records of all
diversions must be maintainsd by the well owner (recorded at least annually) and submitted to the Division Engineer
upon tequest.
NOTE: Parcel ldentification Number(PlN): 23-2127-331'00'371
NOTE: AssessorTax Schedule Numb€r; R009125
4t
5)
:.
6]
7\
8)
APPROVED
DMW
Receiot No.9504223
Slate Engineer
a3-28-2017DATE ISSUED
bbixk /-y'4" ^-t'r*r,*r,oN DATE N/A
# 9 5 0 4225
Lontra6t ttuzz4LLlat
MaP lD#S81
Date Actlvate d: aal zal L7
l.
WEST DTVIDE WATT.R, CONSERVANCT DISIRICT
APPLICANON TO LEASE WATER
Sl8 T{rghcdbawb Blvd #101, P. O. Bor l4?8, Rlflo, co 816t0
n0.6i2rs46l wauer@wdlcd.org
3. USBOFWATER
NE$DEDITIAL
f.r,urUcrotminrcsideoces: l . . No.ADU's-L-
Subdivicion: No. construod unils:- No. vrcant lots
-
Homegrr&n/laminigrtionof 2500- rotalq. ft.
Methodofirdgntion:flood_ cpdaklsrX otcr_
Non-cmgisl aninrl waieri* of
-
eninals
FtrcRotoaion!
Evaporadon: Muirtrm watgr surlhcc to bc orpored:
-
Doecripdon ofany use, oihcr ihao cvrporrdoa. md nclhod of
diversio4 ntc of divcrsion, md anurul wrount of diversion of any
watcrc,i&drawn tom tbc poad,
-
WA thafi6 Ag@ren$or nulltpla ovn* wclb lll,us be nbnlilad, If
tneutrtN, Mo ownn, apltficdon mtgtbe msilesrdcr a honcowt*x
assoclulatt
COMMERCTAL
Nunbor of uaig: Total rq. fr of conrncrchl uniu:
Dercriptlon ofusc:
INDUSTRIAL
Dcscrigtion ofuse:
4. SOTTRCEOFWATER
Structure -\t{ell- $tncurrc NgErc:
Squcs: surAcc- storage_ grouudwatcr-!
CurcntPcrmit# aoolled for,- (afrach copy)
5' LOqATTONOFSTRUqrUnE
Garfreld ,. _, SW1/4 NE1/4
Cgurty Ouaritrr/oucrcr Q*Cth33' ._ ,,,5S. 92W
Scction Township Rtgo P,M.
pagesfor Etrutureg
5.
'./\ND
ON VIEICH WATER WILL BE USED
(Legal daelption nay be prouldd as an aluchment)
Nrmbrofasres i! taccl-O
Iaduslon tnto thE DlsfflctratrAltplicwtt's uperca, mrybe rcqulnl
7.TYPE OFSEWAGESYSTEM
leacb ficld1_ CentalSy8t€Nn_Otlrcr_
t. VOLUME OF LEASEI' WATIR IIIEEI}D.D INACRE FEBT:
(mintnun of I acrc fut csccDl augncntatioa
tom Alstry Rescnoir whero a lcsseranouot is allowcd)
Pmvtde al4iaet hg dda to mppott volamc ofwa* raquesud.
&nn?,rlel nt'dctpal snd ladrc*lal usss mustprovldo dlvufun md
onvapthe dala on a monlhly beda
A,oulldttgflaw maervilh rcmotereadoat is rcqulndb bc lutalld
ead usagc nporud to Wst DMtb
Appficantqrasly achovledgatt hat had the qpoduily to reldclr,
aad sablea
Nanol
lvtallhg oddrnu:
Emsil:Dishncc ofvclt fromsection lincs:
?. COfrnT CASE fr: Decree Casc No.Elontioo:Augmcntador Plar Casc No,
-
Well addrc$:
deDl*ta'sformVaer AWsnqt
Evaporedoar Motimum wsler nrr&oc to bo opoee&_
Dcscription of aly us& o$cn &aa oraporation, rnd netbod of diversion,
nc of diversion" andauual amourtof divonion ofarywahrvitbdnwo
ftom t[o pond:
Applicairt Signanre
DTRECTPT'MPINC
Trihnary;
Location:Applicatio
ISTII'ED Ag AREA B COI{TRACT
, , _YEs
Prhtd pordoDt of Nr fom. cxcopt dificrcatintcd addidons or &laionr, havc bse6 "Ffrorrcd 6od adoptad by thr Wcct Dividc Watcc Conscrrracy Disricr
Foo r WDWCD2OI4 APPLICATION
Print Form
# 95 0 4223
WEST DIVIDE WATER CONSERVA].ICY DISTRICT
WATER ALLOTMENT CONTRACT
Claudia Chavez
Name of Applicant:
One (1)
Quantity of Water ia Acre Fcct:
Applicrnt. hercby applies to the Wcst Divide Wgtcr Consewancy Disrrict, a polirical subdivision of rhc Srarc of Colorado-
organizedpursuultroandexisringbyvinueofC.R.s. 1973. Sccrion374Sl0l,g.Eeg.(hereinafterrefeneitroasrhc.'Disrricr..)foranallormcnr
contrac'ttobcncficiallyandperpcturllyuservaterorwarcrrighLsowaed,leased,orbereafteracquiredbyrheDisuict. Bycxcculionof0risConuacr
and the atuched Applicarion. Applicant hmeby agrces o the following terns and condiriotrs:
l. $'arcrRigh6: Applicanshall ownwatcrrightsarrhepointofdivcrsionhereintawfirllyentirlingAppticantrodivcn
water' which will be supplcmentcd rnd augmenrcd by wator leased herEin tf Applicant inrends o divcn through a wel, ir musr be undernood by
Applicant Oat no right to divctt exists until a valid well pcrmit is obuined from rhe Colorado Division pf Water Resowres.
2. Ouanritv: water applicd for by rhe Applicant in rhc asrouDt scr for& abovc slrall be divcrtcd u Applicanr's poior of
diversioo Fom the District's dircct flor* waterrighrs. andwhcn notcr isulavailable fordiversion pursuurt toa&ninisoation byrhe Colorado Sure
Eogilccr dudng pe riods when said direct flow watcr right is not io priority, &e Disuict shall rclease for the rse of Applicanr up ro said quanriry in
scre fect pcr year of storagc rraler ou'ncd or controlled by rhe Disricr tt is undentood that aoy quantity alloned ftom dircct flos. storuge or
o0rerwise,torheApplicant by theDisuicr will be limitcdb-v rhe prioritv oftheDsrict'sdecrees mdby rhephysical andtegalavailabilir.v ofwarcr
from Disuicr's sources- Any- quandry alloncd uilt only bc providod so long as wuer is available and tbe Applicanr ftrlly cornplics u,irh all of rhc
tcnas and conditions of this Conract. Thc District and dre Applicant recognize that somc of the Districtb decrees may bc in the namc of rhe
Colorndo Rivcr Water Consenflion DisrricL and the ability of the Dinricr ro allor direcr flow rigbt ro rhe Applicant nay bc depcndent on rhe
consent of rhe Colorado River water Consenrrlion DisEicl. If at any time the Applicort dercrmincs it requircs lcss warer than the amounr hgrein
povided' Applicant may so nodfy the Disuict in writing and the amount of waer allotted tmder tlris Contracr shalt be rcduced permanenrly in
accordance with such notice. Rates shall bc adjustcd accordingly in followi.ng water years oaty.
3. BcneficialUsea$dlocationofBeneficialUsc: AayaadallwatcrallonedApplicantbyrheDisrieshallbe usedfor
the follou,ing beneficial use or uses: indushial, municipal, dormsdc urd related rrcs, Or comrrercial (exccpr for comrnercial usc from Alsbury
Reservoir urd exccpt ro oe cxrent rhat Rucdi Resen'oir rvarcr may nor bc availabte hr cornmercial as rhar tcrm is delined on pagc 5 of contrao
No'2-07-?0-WO54TbctwccnrhcUnitcdSutcsandthcWcstDividewaterConservancyDistict). Applicant,sbeneficial uscofanyandsll $arcr
alloned shall be r*ithin or tluough facilities or upoo lurd owncd, leased, openred, or undcrApplicant's connol.
' 4. Decrees gnd D-e!iver.v: Exchangc rclcascs made by the Disuictout ofsorage hom Ruedi Rcsen*oir, Green Mounuin
Reservoir. Alsbury Rcscrvoir. or otbcr rror&s or facilities of $e Disricq or from orhir sources aviritable to rhe Djstricl shall bc dclir.crcd ro rbc
Applicant atthc oullellfork ofsaidstoragc facilitics orat thc dccreedpoint ofdivasioo forsaid olhersources, and rclcosc ordclir.cr-r. ofuatcrat
such outlcl or points shall consrirutc petformance of rhc District's toral obligedon. Delivery ofwarer by the Disricr fiom Ruedi Rcscnoir or Grcen
1
# 950 4223
MounuinRcsen'oirshallbesubjccttotheDistricfslcasecontracurviththcUnitcdStatesBurcauofReclamarion. Releascsfromorhcrfaciliries
ararlablc to Distric shall bc subjccr lo tbc contsacts, laus, rules, and regulations governing releascs rhercfrom. t:unhermorc. rhc Disricr hercby
cxpressll' rescnes the right to sorc wrter and ro makc cxchangc rcleaser from strucures that ma1. be bui[ or controlled by the District io the
fuiurc, ro long *s the $gt$ ser{ice to Uc Applicanl pur$aff to this sttecment, is not impaired by said mfion. .4ny quondry of rhc Appticanr's
allocationnotdelirnredtoorusedbyApplicantbytbeendofeachwarerycar(Octobcrl).shcllrcventotheuarersupplicsofrhcDisuicr Such
rcrenion shall not endile Applicant to any nfund of paymcnt made for such walcr.
Watcr scrvice providcd by the Disrie shall be limited to &€ amouar of water available rn pnoriry at thc origimt poinr of
dtssnion of the Disuict's applicablewaterright" andneitherthe Disuict, northosc endtlsdto utilize the fristricl'.s decrccs, rnaycatlon anyg€arcr
amouDl at n€w or alternate poins of diversion. The District sball reguest the Colorado Division of Watcr Resourccs ro cctimirc 8ny colvelrance
losses heu'een the original point and any ohernrte point, and such cstimate shall bc deducted frorn rhrs amounr rn cach case,
\['ater scryice providcd by thc District for propcrties located witbin thc Bluesrone and Sih \Varcr Conscnnncy Disncts is
prolrded pursuant to AgrcemeDrs with said Disricrs. The lilergovernmcnlal Agreemenr betu'een rhc llisnict and rhe Silt Warcr Co6eryancy
District. dated January 25, 2001 . is recorded aa Reccption No. 575691, Garlield Couoty Clerk and Recordcrl O{Iicc. The lnrergovemmarral
MsmonndumofUndcrstrndingbctwccn theDisdhandrhc Blucsonc WaterConscrvancy District. dared April ?6.2fi)1, isrecordcd asReceprion
:r'0. 5848,10. Garfrcld Counqv Cler* aod Recordds Ofiice.
5. Altemate Poinrof Divenion and Plm of Autmilntion: Decrces foraltemarc poinrs of divenion of rhe Dbdcr!
watcr nghts or storagc wrtct msy bc rtquind il ordcr for Applicaat to usc lhc waler s€ririce conernplarcd hercunder. Obuining such decrce is the
crelustrc responsibility of Applicurr Thc Distict rcaentes the rigbt to rwiew and approve any condidons which may be acached to jtdicial
appmral of said alternatc point of diversioa as conteopllted or aecessary to scrve Applicant's faciliric or lands. Applicant acknowlcdgcs and
agrees that it shall be solely rcsponsible for tbe procedurcs and legal engineeriog clss necessar.v for any changcs in natcr rigbts contemplued
hcrcin. end fimhcr agrses to inderui$ the Discict from any costs or losses rclarcd thctcro. Applicanr is sotely responsible for pmviding worts
and facilitics nGccrsary to obrairVdivert the waten ar said altemslc poiot ofdivcrsion and delivcr rhem ro .lrpphcants intended beoeficial usc.
lncspcctivc of the amount of warer acnrally ralrsfen€d o the AppliEtntl point of diversion, 0re Applicant shall make annual paynenu to rhe
District based upon fis amornr of waw alloncd undcr this Conracr.
ln thc cvent the Applicutt inteods to apply for ur alteroarepoint ofdivcrcion and to devclop an augrnentaion ptan and instirure
legal procecdinp for rhc approval of such argncoratiotr plaa to rllow Oe Applicanr ro urilizc rbc warcr alloncd to Applicant herarndcri rhe
Applicant $atl gire the Disris wrinen nodce of srch inen. In the event the Applicant develops and adjudicarcs irs ourr augmcatation plan 1q
utilize the water alloned hereunder. Applicanshall not bc obligated to pay a$y amounr under Peregrrph 19 below, ln rny evcnt rhe Disricr shall
hare the riSht lo approve or disapprovc thc Applicant's augmentstion platr and tbe Applicanr shall provide rhe Disricr copies ofnrch plan and ofall
plcadings and othcr papers filcd wirlr the water coun in rhe adjudication thereof.
6. Conuact Pavmcnu Non-rcfirndable, one dme adrninisrative charpe. in rhc amounr drrsmincd by the Board of
Direetors of thc Disuict from time to tims. shail be submined with &e rpplicarion for considctation by uhc Districr.
2
# 950 422s
Annual paymcnt for theu'atctsen'ice described herein shall bc dctermincd bythe Boardof Directors ofthe Disrricu Thcrnitial
annual payment shall bc rnade in full, rvithin thirty (30) dsys afler the datc of notice to the .{pplicant rhat the inirial paymenr is due. Said aorice
will advbe thc Applicrnr, anong othc things, ofthc waar dclivcry year to n hich thc inrtral payment shall apply and thc price which is applcable
ro that yeer.
Annud paymems for each year thercafter shall be due and palable b;- thc Applicant on or bcfore each January L lfan annual
paymcnr is not made by rhc due date a llat S50 late fee will be asrsscd. Final nritten nottc'e prior ro cancclladon will be serlt ccrtifiGd mail, rcnrn
rcccipr rcqucsrod to thc Applicent at such addrcs.s as may be designatcd by the Applicant in writiog or sct fonh in this Conrracr or Applicadon.
rA'ater use for any pan of a waler )r€ar shall require payment for thc cntirc lvaler ycar. Nothing herein shall bc constled so as to prewtt the
Disuict from adjusting the aonrul rate in is sole discrerion for futrrre yean onll'.
lfpaymentis notmade within fiftcen (15) dsys affcrthe datc of said wrincn noticc. Applicant shall at Disruict'ssole oprioa havc
no funher right, tide or ints€st uadcr this Conuact without funhcr noticc. and dclivcry' ma1' bc rmmediatcly cunailed. The allotmot of wacr, as
herein rnade, may be tnrsferred leased" or otherwise disposed of al ftc disctction of thc ltoard of Dirccrors of the Distict
Upon cancelladon of this water allotment Contract with the Disrict. thc Distnct shall notiff the Division of Watcr Resources
offices in Dcnver and Glenwood Springs. Thc Divisioo of W8ter Rcsources may then ordcr ccssation of all waterusc.
7. Additio4al F,ees and Cosr: Applicant agrecs to dcfray an;- expenses incurrcd by the Disrict in connEction with the
allormcnr of water rights hcreuudcr, including but oot limitcd to, rcimburscment of lcgal aod cnginccring costs incuned in connection with aay
watcr riglrts and adjudicarion nccessary to allow Applicanr's use ofsuct alloncd rvater rights,
E. Assimmenr: This Couraa shall not inurc to the beocfit of the hcirs. successors or assigDs of Applicant, without tbe
priorwrinanconscotoftbeDistricfsBoardofDirecton. Anyassignmentof Applicant'srightsundertlrisContracrshaltbesubjectto,andmust
comply wirh. zuch rcquircmctts as Oe Disdcr may hereafter adopt regarding aseignrncnt of Conra$ righs and the assumption of Contacr
obligarions by assignces and $ccesson. Nodting herein shall prcvcnt successors to a ponion ofApplicurt's prcpeny from applying to tlr Distict
for individuat end scpuale dlotrnent CoDtracts. No assignmen shell be rccognized b1' the District except upon compledon and liling ofpropcr
forns for assignmcnl and drange ofownership
In tbe evcot the water allotred pursuanr ro this Conuact is to bc usrd for ths bcnefit ofland whicb is now or will subrcguently be
subdivided or hcld in seperare ownership, tbc Applicant may only assign the .4'pplicant's righs hereunder ro: l) No morc than rhree separate
owners all of whon sbdl bc party to a well sharing agreenent salisfac{ory to the Disuicu or 2) A homeowners associadol, warer disuicq water
8nd saniladoo disria or othcr special disaict prop€dy organized and exining undcr thc laws ofrhe State ofColorado, and thcn, only ifsucb
panies. association or spccial districr esublishes to $e sgtisfsction ofthe Dirtrict rhat ir has thc abiliry and aurhority to pcrform rhe Applicant's
obtigarions undcr this Conuacr. In no cvcnt shall tlrc ouncr ofa ponion. but lcss than all. ofthe Applicant's propeny to bo scrvcd undu rhis
Consact have any righr hereunder, except as such rights may exist pursuart to a u'cll shartng ogteement or through a homeou'rers associarion or
special district as provided above.
Uponfiesaleoftherealpropertr,rcwhichthisContnopenains.Applicant shallmakebuycawarcofthisContractandproper
forms for assignment and change of o*rership must be complctcd.
I
# 950 4223
9. Other Rulcs: Applicant shall hc bound b.v the prorisions ofihe Watcr Consewancy Acr of Colorado: by thc rulcs and
regularions of the tsoad of Directors of rhc Disuicu and all amcnrlnrnts thercof and supplemcnts ftcreto rnd by all othcr applicablc lau.
10. Ooerarion and M?inlcnance Aerccmcnt: Applicurt shall eoter into an 'Operation and Mainrenance Agrecmenf rrirh
the Dirnicl underletmf, and conditions dctctmined b1'thcborrdof l)inctorrofrhc Di*icq ifondwhcn. thcBoardofsoid Disrrictdcrqminc! in ilr
solc discraion that such an sFeenent is rcquircd. Said agrcement may contah but shall 401 bc liqdlcd !0, provhions for addirional annurl
monctary consideration forcxtcnsion ofDistrict detivc4, scnrccs and foraddirional adminisuarion,opentim, udmaintfiancecosgt; orforothrr
cosu ro the Disuict wbich may arise ihrough sen{ces made stailable ro Ote Applicanl
It. ChanecofUsc: ThcDistrictrcsm'csrhccxclusiterighttorrcvieqre-approvcordisapprovemyptrpo6cdchurgcin
we of lhe water alloncd hereunder. fury usc othcr than tbat sct fonh hcrcin or any lcase or srlc of &e watcr or water rilbu allottcd hqeunder
without the priorrrrinen approval ofthc Disrrict shallbe dccmcd ro be a rnarerial breach of this Contract
12. Usc and Plscc of tjsc: Applicant agrccs to use the water in tbe murner and on ttre propcrty dcscribed in rbc documents
submincd n tbe Disrid d the time this Contract is executed. or in any opcradon and maiDtcnarcc atrcrrnsnt provided by Applicant. A11y use
olher Uan as set forrh thereon or any lcasc oi salc ofrhe natcr or rralcr riths hercin, orber rhaa as perrrincd in paragraph 8 abovc. shall bc decrncd
to be a material breach of rhis agf,€emenl.
I3. tfig It is underslood and lgrccd that nolhing hcrein shall be interpreted to give rhe Applicanr any equirable or lcgal
fcc titl€ intccst in or b any watcr c water rights rcfcrrcd to hcrcin.
14. Consewarion: Applicant slrdl usc commonly acccpted conscruation practices with rcspcct to rhe ur6ter 11tdwsrgr
rights hereia. and hereby agrses lo bc bound by any conscnutron plan adoptcd heccaftcr by rhe Discicr for usc of Disuiq owncd or cortroucd
water or water riShlS.
15. Rcsuictions: Applicanr shsll rcstrict actual divcnions to trol orcccd thc conhacr anounr for ordiury borrschold
purposes, the watedng of domesdc livestoclq fire protection. and thc irrigation of lawn md gudcn as specified in rhe Application.
Applicaot shdl alsocomply uithrllresuictiotls and limiutionsset forrh b $re wcllpermitobnincd fromrheColoradoDivision
of Woter Resqurccs.
Weterin8 of livcstock shall bc rcsnicted to Applicant's domestic anirnals not to be used for commcrcial purposcs untess
ApPlicant obtains approval from the Colorado Divisioo of Weter Resowcc for conmercial use/livestock watering; provided rh31 in no u'rcil shalt
acntal diversiorts cxcecd the amount of *nter pmvided by this Conrrao.
Violadon ofrhis paragraph 15 shall bc dccmcd ro bc a marerial brcach ofrhis coorracr
t6' WeU P€rmilJ lf Applicanr tntcnrls to {ircn througb a wel!, then Applieanr mun provide ro Disriq a copy of
Applic-anfs valid wcll pcrmir bcfore District is obligard ro dctivcr any warcr hercunder.
17 ' Measiuring Ehviqe or Mcrcr: .Applicant agrces to provide, at its osn cxplnser a mcasuring device deemed acccptable
by the District's Enginccr aftcrconsulurion. or atotalizing flo\s mctcr r,r'ith rernorc readour ro continuously and accurately measur! at att rimes a1
4
# 9504223
woter diverr.d pursuant to the terms of Applicaot's sarcr right and the terms of this Contoct, Applicant agrecs to provide accurarc rcadingl from
such devicc or meter to District upon Districtl rcquc$. Applicail acknowlcdges that failuri to comply whh rhis paragraph could resulr in legal
aclion to rcrmiuate Applicart's divcnion of rvater by thc Statc of Colorado Division of Wacr Resources. By sigring rhis Contract Applicant
hereby spccifically allo*s District. thmugh is authorizcd agenl, lo enter upbn Applicantl propcry during ordinary busincss hours for rhe
purposes of detcrmining Applicantl actual use of \r"ter.
I 8. Reorcscntations: By execuing this Conraa, Applicanr agrccs rlrat it is not relying on any legal or cngineering dvice
tlrat Applicaru may bclicvc has bccn rcccivcd from thc Disuict. Applicaot firrthcr acknowtedges that it hae obtained dl necessary lcgd ar1d
engincering advice from Applicanfs orvn sources otbet than the Disuict. Applicant finther acknowledges 0rat the Disricl makcs no guannrees.
warantic1 or assunnces rvhauocver about the quandty or qualily of water available pwsuail to this Cootract. Should tbe Disrricl be wgbl€ ro
provide the water con[acted for hcrein. no damages may be ssscssed against the Disuict, nor may Applicanr obuin a rcfund from the Disrict
19. Costs o,[ Wgter Coun Filinr and Augncnution B!ap: Should thc District. in its own discrerion, chooae ro include
Applicant's Conrracr herein in a water court filing for alternalc point of diversioo or plan of augmcrrnrion than Ap'plicant hereby agrees ro pay lo
the Disuict wben rsscsse4 an addidonal fce representing the Disrictl acnut aod tcasonable costs and fces for Applicurr's sbarc of rhe
pros€cding$ Applicam shall bc assessed a pro*ata shart ofthe total cost insured by thc Disnicr in prcparing, filing and pursuing to decrce rhe
water coun casc Thc pro.rara sharc shall be calculated by dividing such totcl cost by thc numbcr qf coffiactecs includcd in rhe filing. To tbe
cxrcnr that the District is crused additional coss because ofobjecdon frled specifically due to the inclusion ofApplicanr's Contracr in rhe filing.
nrch additional cosrs nal, be cbargcd spccitically to Applicant and not sbnred on apro-rara basis by all contactecs.
20, EilCing4gScmenc This agrccrnent shall aor be complae nor binding upon thc District unlcss aaachcd herero is rhe
form cndtlcd "Application to lrasc Water From Wcst Divide Water Couservaocy Disda' fully comptetcd by Applican urd approvcd by rhe
Disnicr's engincer. Said anachmcos shall by this rcfcrcnce thseto be inco,rpomted ino the rerms of this agrecment. All corrcpondcncr from tbe
District to .tpplicant rcferring ro or relating to this agrermenr is by this rcfentrce incorporated into this agrecmcnt as firnher rerms and conditions
of tbis agrccnent.
2t . Wamine lT IS TIIE SOLE RESPONStsILITY OF THE APPLICANT TO OBTAll.i A VALID U'ELL PERMIT OR
OTHERWATERRIGHTNORDERTODTVERTWATER.NCLUDINGTHEWATERACQUIREDI'I{DERTHISCONTRACT. ITISTI{E
COMINUNG DUry OF T1IE APPLICAIiT TO MAINTAIN THE VAI,IDTTY OF THE WEIL PERMTT OR WATER RIGHT INCLUDING
FILNG FOR EXTEI{STONS OF PERI,'ITS. FILING WELL COMPLENON REPORTS, FILING STATEMENTS OF BENEFICIAL USE. OR
OTHERWISE LAWFULLY APPLYING THE WATER TO BENEFICIAL USE ON A REGULAR BASIS WITHOUT \[ASTE.
n. AREA B. CONTRACTS: tF APPLICAT|TS WELL OR OTI{ER WATER RTGHT THAT lS THE SUBJECT OF
T}ilSCONTMCT ISLOCATED OUTSIDE "AREAA"AS DESIGNA]DDBYTI{E DISTRICT,THETTI{ISPANAGMPhI APPLTES: THE
AUGMENTATION WATER PROVIDED BY THE DISTRICT T'NDSR TI{IS CONTRACT MAY ONLY PROTECT APPLICANT'S WATER
RIGHT FROM A CALL ON THE COLOR{DO RIVER AND MAY NOT PROTECT APPLICANT FROM A CALL FROM A:\ry OTHER
# 950 4223
SENIORRIGIIT. NOREPRESENTAI'IONOTITRWISEISMADEBYTTIEDISTRICT. IFTHISISA@N@RNTOAPPHCAI.IT,THIS
COMRACT I{AY BE RESCINDED (nON WRITTEN NOTICB DELIVERED TO TI{E DISTRICT BY THE APPLICATIT WmIIN TIIE
NEXT 30 DAYS FOLLOWING TTIE AFFTXING OF SI6.IATI,RES ON THIS CONTRACT IN WHICI{ EVE$T AI,L STJMS PAID BY
FORTIIIS STIALL bE IMMEDI.ATDTY REFUNDED TO APILICANT.
Appllcant
STATEOF COI N"fu )
.o**o, 6ur.t:ol/ - l"'
Ttc forcgoing insffinpnt was acknowlodged befpre me on this
ATTEST:
.8- a"y of .l6nt,'.,t,1 .. .zo-!-7 . rv
z-;/z-b/tZ
Wih€ss my hsod and ofiiplal seal. My cmnision olpires:
STATE OF
) ss.
corrNTroF_ )
The foregoing instruncnt nas acknowledgsd befure mc on this
-
day of 20-, bY
. Witnoss my hald and official soal. My coumislon cxpires:
-
Notary Publig
ORDER
Aftcr a hcaring by 6c Board of Directors of fre West Divide Wanr Conscwancy Distsict on the Application, it is hereby ORDERED thet said
Application be gnnted aqd bis Cotrast shall be ud is accepted by he Disicr
WESTDIVIDEWA1SR
Presidmt
By
Sccr€trry Tnveua Datc
This Cmtact includes aod ir rubject b tbe tems uad conditims of thc following documens which must accompary 6is Gontract
l. lvlap showios location ofgoint ofdivcrsion (usc nap providcd)
2- Applicatim and Datr Fonn firlly corpleted and signcd
fhr prlntcd pordou of tlllr form, ercept difrorollrtrd rdillllonr or ddedorr, tevo becn rpprwod rad dloptcd by &s We6s lrMde Wetcr GoucrvrucyDbfhi
Foror WDWCD 0l4l.llt CONTRACT.
6
pubtic N@ryPubllo
SffiofColorado
NohrylDst€401rttt00
a\)
Ioo
I
5
a I
I
a-.'I
b
lt
p a s?sfjz R:CEI VE
wA] GB RESCT$Qq{
STIE ENG] TR
AEl{l'CO
a9€g
9a
o
oq
a\)
-l{s 26'm
Boundart
Soundary
No
a-R-
?-Hc{3- F)
clr
:<
*
@
(Jl
o
IF\
l\t
t\,
gtl
it. '
: lri
I.rep
@
I
I
*
<oL]
{
..l)
{\l
€
tt
i
$-l
a-Hct8- F)
I
9-
voun
!'uFo
o
a)
II a
0o<:
t0
16J
o
+6
g
+"
N)a o
.T
l.
.o
{
..6+
z\iFD
No 259
o}
o{
lo (t
!\'(T
N
!
r
\*
.J
(J
t:q
=d-g
uolt I
No
\
^]tr
5
tI
r
IAlel\,
aril
:\y
" (las)
(: q;)
Boundarl
# 950 4225
U'ATER USE ESTNNATES
GOLORADO RIVER SERVICE AREA
WEST DMDE WATER CONSERVANCY DISTRICT
Gonlrect Anotmtrd 5'16lnanglt Loes =
DUYEIU!'lG
]RRIGATEAREA(SA
COMUERCIALAREA
l{o. oF
ETEVATION
ET'APORANONAREA
0.38 aotofod
TransltLosso 5.0%
JAN
FEB
MAR
APR
MAY
JUN
JUL
At,G
SEP
ocr
Nov
oEc
TOTAL
(8)
(0)
tt0)(to
112'
(13)
(1)
(21
(3)
(4)
(5)
(8)
14
80% trlgadon eftlctcy br sprhklersygl€mg
Bhnry GrilCU asse8smontrfl[h Poch9 adlustll€tlts
3jlt0 Sdhm Fr dsy Per reeHance
l$rb cofisumDffue ule 6t lsl}s sYsbmg
200 ealom Frdayper 1000 sq n d comm8lcbl 8Dac8
15Ei curarmp{fue uee brlSDS sYstsns
Column (f l'hhded a.€a h acres
Gdumn (2)'ffigabd almh acne
Lh,oslod( uso at 1l gdlons Psr hesd pst d8y
Ermpora[on Cahth0mt
conirnn (3t + cotumn {5) + Gotumn O} + Cdumn (0) + cbjutm (10) ptus 59i balE:l bes
cotrnrn iai + cotumn {8} + golunn 1g' + Cotumn (g) + colum0 (10)
@lurnn (12! dus tatrril 16s
e. Lv.€zei€'12 A' 76
o.L?
? ^r 8fa ( to>/
= ?46 64A /"r/o*t-
/..47 4r:-
lqE
Coofacl
Anonnt
(AD
Tdal
c'u.
GD
To0Bl
tIuarlon
(AFI
0.08i,
0.070
0.078
0.lle
0.13'f
0.t41
0.126
0.107
0.082
0.088
0.00s
0.010
0I)18
0.045
0.080
0.m4
0.058
o.{xo
o.ot9
0.0r0
o-010
o347
0.000
o.ol0
0.018
o.04?
0.(E3
0.(F7
o_tEs
o.u2
0.tEo
0.010
Pmd
EvsDorauon
(AD
]JYIEM
Diuorsbn &
c.u.
(AF)
c.u.
6n
lnigailon
on
m@&tn
Bhsr€bn
Commerclsl
c.u.
(AR
commglElal
tllversbn
ort
h Hcilsg
c.u.
(AR
0.tF
0.07
o-08
0.07
0Jl8
017
0l)7
0.08
o.07
0Jn
0.01
0.01
0.01
0.01
0.01
0.01
0.o10rl
0.01
0.01
0.00
0.00
o.00
o.00
0.00
0.00
0.(xt
0.00
0.00
0.00
!.90
0.00
0.u,
0.00
o.00
0.00
0.00
0.00
0.qr
0.00
0.00
0.(Xl
0.00
0.00
0.01
0.u
0.06
0.07
0.05
0.04
o.ot
0.@
o.00
0.00
0.01
0.04
0.05
o.05
0.04
o.03
o.01
0.00
o.00
023
0.00
0.00
0.00
0.00
0.00
0.0t1
0.00
0.00
0.00
0.0{t
0.(tr
0.00
0.00
0.00
o.00
0.00
0.00
0.tp
o.00
0.(m
0-q)
!nlbwe
DlvotEfo[t
OR
unlVel$:
0.086
0.384
0.550
O.5EE
0.t166
0330
0r108
0.{F9
0307
0.4{0
0.470
0373
0r64
o.oTf
lnEBnon
lrhr€18bn
Cob RlwrPofld EvaPU1309 t24no17
z$tn17 WDWCD
# 9 5 0 4223
G e o Lo cati o n : 1ee.szz7 ffis, -107 .7 a37200000002)
,"$,:1
,'l1t'.;t.,rf I
131q-r
!:ii;
I'
"r.'3'
uq,
.J o,1,,,?
;?i?i
.?r!l
nrrd,:t' r-'
''a
,.;.,:$"
l
;
tI
ai{i,
.,325r
&r:ls)d;$
d
-i!€G.
a
rii6i
r'
.>f-t'
RrlPond
EtJ.
f ..J
F ':,
tr..
1!-i '
,1
t,
.' !'
G
1 km r---r
i?r:i
- ''"-t:
,Map, Report a map eror
flIto,,\ro gre
€:f
=4
^t*'
vd ^f-,,{ ftn\
t
&
o
f
a_
r
:oo
E 161h Sr
Functions
Geo lookup: enter your
Geolocation and click Go.
39.572955, -1 07.72389S1 1468
rGot
Legend
t;::::= District Boundariest
Alsbury Reservoir
service area
f.J--iaTfrTEF.:,r,fi Fo u rm i l e s e rvi ce a rea
r-1'*--', --"'..-'rSilt Mesa service area
h'.lp:liwwrv.wdivd.org/proofnrn I 112
R009125
3t?8no17
Locrtlon
Account
Parul
Situr Addruc SFURTRI,
AcDoml
Owncr lnfomradon
O$ner Nsmc CHAVEZ , CLAUDIA
OwncrAddros PO BOX 782
DEMING,NM E8O3I
Sale Pltce
s7t.o00
$350-000
$362-0m
# 950 4223
tu:s$lll$I$lrtoq
Actual (2015)
Acecarcd
Tlx Arer:021
TIpe Aclgd
.
Improvernent S1E6,550
krd $E3,000 s6,6
Doc Dercrlptlon
D.eeds
WARRANTY pEEp-
ASSISNMENI
DED
WARRANTY DEED
WAB.RANryDEED
SPECIALWARRANIY DEED
SPECTALWARRANTY DEED,
WARRANTYDEED
}VARRANTY DEED
AEEIDAVXI
Notice Election and Demand Sah
Public TrustG Cert Puraltre
@
Public Tnrsceis Deed
Soeciol Werrantv Feed
$269,560
$21,460
J5l0
udc
0.000 r.000
0.000 0.000>f
ClURiflc
TexArcs021 -2HC-RF-021
Lcgal $ummrry Seotion: 33 Township:5
Ra4O 92NF/.TRACI 30, ANTLERS
ORCHARD
Tro.f.T . ... .
SaleDrte
olro!fl900
laBU1969
rulql9lr
ll/192001
Qsa42.002
trmn002
0tnrn003
03/0v2004
nnTnoaT
Mn2n009
0r4Eunl
06/1820t0
lr/lQ{?Ql0
03/092011
0340/A0l I
08n220ll
Thr llhtotl
*";; *'o
$r5s?1a
lmages
$!l
g0
s
20t6
2015
$u80.84
su9,E8
a
a
a
a
Mrs
Phoo
SIctsbgts
R009125
27-331-0&3?l
0.0{F
tlilp;teot,garfidGconty.oom/assess6ne(web'acoou{jsp?accoun$lum=R0(p125&gnFt=uts 1n
# 950 422s
AQUAMAP
10,676 ft
Water Resou
T
ga@
H Background
F"p c"b(Urit) ffl
O tow O Hlgtr
tF-
Transparency
Section
I Counties n
El pt-ss n
il Roads m
I xydrography U
EI County Farcels (No
f] Towns
LOCATION
PDF
13: 268600
1343839B6
41'38.5"
M',27.r
tn
WaterWell Appllca
DlltlR Parcels
EPAWell Notificati
Oillcas WBll Locati
Meridian
Otr,(\!
cO PLSS Locator
TiLle
Quick Zoom Spacinq
PRINTING
Scale Size User
no
Note: Tho rell lomuors displiyed m AquaMap arc based on lscation
infomEuon p.ovidod by rcll poifiil appliEtion fofm6 and ale only6 asarals Es lh€ idomt{on provided. The rctual physl€l bcalions
of dl rells have mt bsen fisld verifed and my %ry ,rm lhs lmlion
dlrplayod. Rofs to I cop.e of lhe oriltnal tryEil Fmril nc, eibble
on lfio OMsiffi ot Wat6r RHw€s wbsite, ltr wdl lGilm dolaib.
RES()URCES
a
Address location by Bing Maps
AquaMap Version 3.0.1 July 5, 2009
33 5 Sixlh
vNE SW
Copy From Map Zoom ln
266440.50
UTMX
4383829.00
UTMY
., i'l .i'
MeridianSection T
o 160 Q4{t
-.1I
i
::: --*-x, j a. .gI *ai :: ::l
More Data
33 5 92 Sirth
1E,000 8,5x11
Based on work developed ai htlp://vwwr-carto.net
Form No. GWS-02
07t2416
NON.EXEMPT
STATE OF COLORADO
DIVISION OF WATER RESOIJRCFS
OFFICE OF THE STATE ENGINEER
1313 Sherman St., Ste 821, Denver, Colorado 80203
(303) 866-3581
INFORMATION FOR WELL PERMITS APPROVED pURSUANT TO CRS 37-e0-137(2)
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 ISSUANCE OF THIS PERMIT DOES NOT CONFER AWATER RIGHT
The well permit number is located in the upper right corner of the permit, and the expiration date is
located in the lower right corner.
THE WELL PERMIT EXPIMTION DATE lS ONE YEAR FROM THE DATE ISSUED. Evidence of well
construction and pump installation must be received on appropriate forms PRIOR TO THE EXPIRATION
DATE OF THE PERMIT. The required forms are the Well Construction and Test Report (Form No. GWS-31),
and the Pump lnstallation and Test Report (Form No. GWS-32). There are penalties if evidence of well
construction and pump installation is not received prior to the expiration date. The licensed contractor or well
owner (under the private driller or pump installer statutes and rules) performing the work is responsible for
completing the appropriate form(s) and submitting them to the Division of Water Resources.
The expiration date of the permit may be extended one time only for a period not to exceed one year for
good cause shown, at the discretion of the State Engineer. lf an extension of time is necessarv to construct the
well and/or install pumpinq equipment. the owner must file a written request for the extension, alono with a $60
filinq fee. The request and fee must be received bv the State Enqineer prior to the expiration date. The request
must state why the well has not been constructed and/or pumping equipment installed, and must include an
estimate of time required to construct the well and/or install pumping equipment.
Water well construction and pump installation contractors are licensed in Colorado to perform these
specialized tasks. lt is illegal for individuals who do not hold these licenses to construct wells and
install pumping equipment in or on wells. The well must be constructed and pumping equipment
installed by contractors with current license(s) issued by the State of Golorado unless exempted as
described on the reverse side. Additional information regarding well construction, pump installation, required
testing and well plugging and sealing regulations are found on the reverse side of this sheet.
Keep a copy of this permit for your records. The official digital image of the permit is on file in the Denver office
Records Section. You may view or print the entire permit file using our online well permit search tool:
http://www.dwr.state.co.usMellPermitSearch/ Hard copies of permit documents may be obtained from our
Records Sectlon for a fee of 50 cenls per page. Statutes require that any change of mailing address or
ownership be reported to the $tate Engineer. Form number GWS-11 is used both by new owners to report
ownership changes and current owners to report address changes.
lf you have questions, contact the Ground Water lnformation Desk at (303) 866-3587, or the Division Office in the
area where your well is located.
Division 7
160 Rockpoint Dr Ste E
Durango, CO 81301
(97q 247-1845
Fax: (970) 259-0944
Denver Office
1313 Sherman St., Ste 821
Denver, CO 80203
(303) 866-3581
No Fax
Division 1
81o g'h st., ste. 2oo
Greeley, CO 80631
(970) 352-8712
Fax: (970) 332-1816
Division 2
310 E. Abriendo Ave Ste B
Pueblo, CO 81004
(719) 542-3368
Fax: (719) 544-0800
Division 3
301 Murphy Drive
Alamosa, CO 81 101
(719) 589-6683
Fax: (719) 589-6685
Division 4
?7?O Cnmmorcial \A/av /nhveinal'l
Montrose, CO 81401
P.O. Box 456Zip 81402 (mailing)
(970) 249-6622
Fax: (970) 249-8728
Division 5
202 Center Drive (physical)
Glenwood Spgs , CO 81601
P.O. Box 396 Zip 81602
(mailing)
(970) 945-5665
Fax: (970) 945-8741 Call First
Division 6
505 Anglers Dr. Suite 101 (physical)
Steamboat Spgs, CO 80487
P.O. Box 773450 Zip 80477
(mailing)
(970t 879-0272
Fax: (970) 879-1070
WELL CONSTRUCTION AND PUMP INSTALLATION BY THE WELL OWNER
You may construct the well and/or install pumping equipment 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. lt is vour responsibilitv to complete and submit the Well Construction and Test Report
(Form No. GWS-31) and/or the Pump lnstallation and Test Report (Form No. GWS-32). These forms areavailable from our website at the following link:
http://water.state.co.us/DWRDocs/Forms/PaoesMellPermittinoFormsBvNumber.aspx, or from any
Division of Water Resources office. The well must be constructed and the pumping equipment installed in
accordance with the well construction standards of the Board.
The WATER WELL CONSTRUCTION RULES and BOARD OF EXAMINERS RULES can be obtained
from our website at the following link: http:/lwater.state.co.us/qroundwater/BOE/Paqes/BOERules.aspx, or
purchased from any Division of Water Resources office for a small fee. These Rules cover the minimum
requirements for well construction, pump installation, disinfection, plugging and sealing and contractor
licensing regulations. lf you are constructing your own well or installing pumping equipment, it is
recommended that you obtain a copy of these Rules for reference.
The well construction and pump installation reports including testing of well yields and pumping systems
must be submitted to the office of the State Engineer by the respective contractors within sixty (60) days of
completion of the work or prior to the expiration date of the permit, whichever is earlier. Your contractor(s)
must provide you with a copy of the work report(s) filed with the State Engineer.
RULE 12 WELL TESTING
12.1 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 stabilized yield for the well; and
b. the production rate of the equipment installed when the well is placed into service,
12.2 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,
12.3 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. lf 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 12.2. 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 thirty (30) days of completion of construction of the well. lf
the pump installation contractor performs the well yield test, he/she shall submit the test information on the
Pump lnstallation and Test Report.
12.4 Production Equipment Test - The production equipment installed in wells shall be tested to
ensure it is functioning as designed. The test shall demonstrate the production capacity of the equipment
as actually installed in the well. lt is the responsibility of the person installing the pumping system to ensure
that the production from the well complies with the conditions of the permit.
12.5 Responsibility for Production Equipment Test - Pump installation contractors are responsible
for testing thb production equipment installed in a well upon completion of their work. lf the well
construction coritractor determined the well yield and submitted a report, the pump installer need not
perform another well yield test. lf the pump installer does not perform a well yield test with the permanent
iroduction equipmenf, he shall perform a production equipment test and report the data (results) to the
State Engineer on the Pump lnstallation and Test Report.
Wells to be plugged and sealed must be plugged in accordance with of the Water Well
Construction Rules. A Well Abandonment Report,Form No. GWS-9 must be submitted to confirm
ing and sealing of the well. This form is available from our website at the following link:or from any
Division of Water Resources rules are found on the
reverse side of the Well Abandonment Report form, or under
Rules.
16 of Well Construction