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HomeMy WebLinkAbout1.13 Well permit applicationsP.O. Box 1900 1011 Grand Avenue Glenwood Springs, CO 81502 Z41KC IELLA 4m 4noc 4wy, imc. Etatiamme CovisuL?4mrs May 29, 2008 Colorado Division of Water Resources State Engineer's Office 1313 Sherman Street, Room 818 Denver, CO 80203 Re: RTZ Industrial — Well Permit Applications (970) 945 -5700 (970) 545 -1253 Fax C at V />V6 70 � 5�,7 �/ z Attached are two well permit applications for RTZ Industrial together with the property description, the lease agreement for the property, the decree, 07GW88, and our check for $200.00, If you have any questions, please contact our office at (974) 945 -5700. Very #rely yours, Zancanella & Associates, Inc. Thomas A. Zancanelia, P.E. Attachments z.-V6 00 D\2 6419 r!z gravel pR1200B1seo•walI permit apps.doc COLORADO DIVISION OF WATER'RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST, RM 818, DENVER, CO 80203 phone - -info: (303) 866.3587 main: (3D445645' .81 fax: (303) 866 -3589 htt ,'#www.walef.ratate.afztls PENERAL PURPOSE Water Weff Permit Application I Review Instructions on reverse side priorto completing form. The form must be completed In black or-blue ink or typed, 1. Applicant Information Name of applleent RTZ Industrial I�clo Zancanella & Associates, Inc, mailing address P.O. Box 1908 _ 1ty — Glato I Zip code Glenwood Springs CO 81602 Telephone 6 E-mWl (pp6onal) (970) 945 -5704 2, Type Of Application (check applicable boxes) ® Construct new well ❑ Use existing well © Replace existing well ❑ Change or increase use Q Change source (aquifer) ❑ Reapplication (expired permit) l❑ Other: 1 3. Refer To (if applicable) >Nell permh C water Cvurl c"e a 07CW88 Desigrated Basin Delermhnet lon 0 ylrel name or* RTZ Gravel Pit Well No. 1 4. location Of Proposed Well Garfield Sl2 114 Of the NE ire Betron Twmship n er 8 Range E dr W - rirrdpal er0 an _3 7 ❑ ® 96 0 ® 6th Aance of well hoar mien lkies tsaZrt fines ere lypkAty riot proporly"$1 1380 Fl. son ® N ❑ S 616 Pt from ® E El W Forreptaoemard Wells oNy– di;Gnc8and 2iro@w ItomaldweIItonewwell feet direction well loca8on address (tnctude Csy, Slala, ,tip} Check N well address Is same as in item 1. 0pttanat: GPS well location intwmaliion In UTM format You must check GPS unit for requI red settings as follows; Office Use Only Farm GWS45 (0812406) Cry° �• MAY 2 1i '03 &. Use Of Well (check ap licaUe boxes Attach a detailed description of uses applied for. ® Industrial ® other (describe): recreation, piscatorial and ❑ Municipal evaporation Q Irrigation 0 Commercial 7. Well Data (proposed) Maeimum pumping late nunl amount to to withdrawn 85 gpm 50.8 acre -fleet 25 feet I Colorado River Alluvium 8. Land On Which Ground Water Will Se Used Legal Description (may ba provldad as on attaahmenit See attached If used for crop irrtgatiion, altach a scaled map that shows irrigated area.} A. # Acres a. ovmer 130.558 Same as in item 5. C. Llst any o''dW WON orwatar Aphis used on Wa tand RTZ Gravel Pit Well No. 2 9. Proposed Well Driller License # a tfonal : 10. Signature Of Applicant(s) Or Authorized Agent The making of false statements herein oonst'ltutes perjury in the second degree, which Is punishable as a class 1 misdemeanor pursuant to C.R,S. 244-104 (13)(a). I have read the statements herein, know the contents 0 Zoaa 12 or ❑ zone 13 Easling ► f4P /4,f -c,:, It- .2MG,4AJF_GG Units musi be Meters Datum moat ba NRD81 Northing Office Use Only Von must be eel to Ina north UsG§ msp name W was CPS WitQ[ed d foreboye7 ❑ YE8 Ramembortoaet Datum to NAtl83 5. Parcel On Which Well Will Be Located itecelpt area only PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL A. Legal t?eSCriptipn (may be provided as an atlathmem)• See Attached & # of aces h parcel 130.558 D. 1NII this be the only well on this parcel? "Z Gravel Pit Well No. 2 I E. slaty Parcel lok (apiarral) G. owner Specialty Restaurants Corp. WE wR )YES ®NO(i(no-- listolherwells) CVXB soPo MYL R 6 K DIU VVD,,,, , 8A______ MD coLdRAf]6- D1vISIQN 0 WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN 5T, RM 818, DENVER, CO 80243 phone —Info: (303) 866 -3587 main: (303) 866 -3581 fax. (303) 866 -3589 _ htipllA=.watar.state.co.us GENERALPURPOSE (Mater Well Permit Application Review Instructions on reverse side prior to completing form. The form must be completed in black or blue Ink or typed. 1.A Applicant Information Name of apples RTZ industrial c/o Zancanella &_Associates, Inc. W ..r rg address P.O. Box 1908 code�� Glenwood Springs co 81602 Telephone # me:l pnanat) w� (970) 945 -S700 2. type Of Application (check applicable boxes) ® Construct now well ❑ Use existfng wall ❑ Replace existing well ❑ Change or increase use ❑ Change source (aquifer) ❑ Reapplication (expired permit) 0 Other: 3. Refer To (if appflcable Weal perms alt Water court oas! R 07CW88 Designated aayn aalwrninalron a Welt name arty RTZ Gravel Pit Welt No. 2 4. Location Of P aunty Garfield zim ra+msrdp N or 13 7 0 'IW 0 of We 11 From seal an MOs ($VWLvn riots -,47 Ft. Ron 19 N ❑ 5 For replamment -a as only -- distance and direC feet Well toc"Orr eddresa fmn'Jxa city. Sias, zip Use Only Form GWS -45 MAY 2 9 '08 6. Use Of Welf �hecic plicable boxes) _ Attach a detailed description of uses applied for. 0 Industrial ® Other (describe): recreation, piscatorial and El Municipal evaporation ❑ Irrigation ❑ Commercial 7. Well Data (proposed) MaAlmum Dunplrta rate a1 amount to be W_U; wn 85 gpm ( 12.9 25 feet I Colorado River Alluvium S. Land On Which Ground Water Will Be Used Legal Description (maybe provided as anawiawnarp- See attached acre -feet NE lraefto NE 114 fit used for crop hdgatlon, attach a sealed map that shows f(rig aled area. A. #Ams B. o"r 134.558 Same as in ltefn 5. Range Eorw 96 ❑ ® Prrnapn eridm 6th C. Ust wW other viers or walm r4hts used on aria fand: RTZ Gravel Pit Well No. 1 etypicauy not property lines) 676 Ft. fmrn ® E © W 9. Proposed Well Driller License # ct llonal :NIA rfrom old welIto new well direction 14. Signature Of Applicant (s) Or Authorized Agent The making of false statements herein constitutes perjury in the second degree, which Is punishable as a cl ass 1 misdemeanar pursuant to C.R.S. 24 -4-1IN (13) {a). 1 have read the statements herein, know the contends Check if woD addrNra Is eaenaas En Urn 1. 0 pt] ona1: OPS well locallan IMormation in UTIN format You must chock GPS unit for required settings as follows: Faanal mull be UTlA 0 Zane 12 or 0 2ens 13 Ea3ting Units must be Meters Datum must be HAD33 Northing L"t meal be ast to Irus north Was CPS u6t c mxked W above? ❑ YES Remembar to set Datum to NAD03 6. Parcel On Which Well Will Be Located PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL_ A. Legal Description (may tit provided as art ahadvnenl): See attached S. At of acres h parcel C. Owner 130.558 Specialty Restaurants Corp. D. VvW thi6 bo V* only wee on this parcel? I]YE3 ONO (if no -- Nil ❑oar walls) "mZ Gravel Pit Well No. 1 I �. State Parcel 100 fWlional) WE WR WJcs TOPO M1' LAR Ws ae Only ne UWR map no. Receipt area only 5' 3o -o' ��a3s5� 8 Div _____ WD - BA MD _`