A05_PWS_BASIN_WELL_IMP.pdf

TRFO Basin Well Improvement Performance Statement of Work

PERFORMANCE STATEMENT OF WORK

Contents:

1. General Requirements

2. Project Specific Requirements

3. Drawings

4. Supplemental Site Pictures

5. Existing Well Information

6. Appendix A – TRFO Wildlife Protection Measures

General Requirements

Basin Well Improvement

1 GENERAL REQUIREMENTS

1.1 GENERAL

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform the work as defined in this Performance Work Statement.

1.2 PERIOD OF PERFORMANCE

The period of performance shall be 360 days. Contractor shall complete all work within 90 days of starting work. 360 days period of performance is provided to allow contractor to fit the work into their schedule. Work shall occur Monday thru Friday except Federal holidays.

1.3 QUALITY CONTROL

The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this performance statement of work. The contractor’s quality control program is the means by which the Contractor assures that the work complies with the requirements of the contract.

1.4 QUALITY ASSURANCE

The Government will assure quality of the contractor’s work.

1.5 POST AWARD CONFERENCE

The Contractor shall attend a post award, on site meeting, prior to starting work. The purpose of the meeting is to:

• Introductions.

• Site familiarization tour and verify existing conditions.

• Review and discussion of project requirements and schedule.

1.6 CONTRACTING OFFICER’S REPRESENTATIVE (COR)

The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

Project Specific Requirements

2 PROJECT SPECIFIC REQUIREMENTS

2.1 SUMMARY OF WORK

Contractor shall provide a turnkey solar powered, well water system that automatically provides and maintains water to a wildlife drinking tank with minimal human input except winterization and annual maintenance. System shall be designed to have a solar pumping system at an existing water well. Provide water to an elevated buried storage tank. The buried storage tank will gravity feed the drinking tank. An additional tee and valve shall be provided for a future upgrade for a stockwater tank. System shall be designed to be freeze proof and operational in the winter to the frost free hydrant at the drinking tank.

2.2 PROJECT LOCATION

Latitude: 38.06529167° N Longitude: -108.63154723° W From Naturita, CO. Travel south on CO-141 for approximately 12 miles. Turn right (west) on County Road U29. Travel approximately 5 miles. The project is on the left (south).

2.3 REFERENCE INFORMATION

See attached for existing well information.

See attached for existing condition pictures.

The BLM has not operated the well pump in at least 20 years.

2.4 EXISTING ITEMS TO DEMOLISH

Existing items to demolish:

Well house (including all components associated with well house; cistern, loadout, foundation, utilities, piping, etc)

Stock tank.

Storage tank.

Well pump, if applicable.

The existing well and well casing shall be protected in place during demolition.

All materials demolished, shall become the property of the Contractor and shall be removed from Government property and disposed of in a legal manner.

2.5 GENERAL WORK REQUIREMENTS

All well work shall be in accordance with Colorado Division of Water Resources requirements.

Well contractor shall be licensed in accordance with Colorado Board of Examiners of Water Well Construction and Pump Installation Contractors, as outlined in the Colorado Revised Statutes and the Board’s rules (2 CCR 402-14)

All work shall be in accordance with Code of Colorado Regulations: 2 CCR 402-2.

2.6 WATER WELL INVESTIGATION AND IMPROVEMENT

Investigate existing conditions of the well and well casing.

Pump test the well.

o Verify the well is capable of producing water as required in WATER SYSTEM

REQUIREMENTS.

Notify the COR of any issues discovered during investigation that won’t allow completion of the work per this SOW.

Provide surface casing, well cap, and grout/well seal as needed.

o Extend steel surface casing above grade.

o Seal surface and well casings if needed to comply with CO DWR requirements.

o Prepare well casings for a pitless adapter (see Section 2.7.3) o Provide and install suitable well cap

Disinfect the well with chlorine solution (shock the well) per the requirements of 2 CCR 402-2 Rule 15

2.7 WATER SYSTEM

2.7.1 WATER SYSTEM DESIGN

Design a water system that provides 500 gallons of water per day to wildlife, delivered at the drinking tank.

Provide details (manufacturer, model, etc.) of all components (pump, solar panels, switches, tanks, etc.) installed.

2.7.2 SOLAR POWER

Provide a complete solar power system, as necessary, to power the water system.

Provide livestock exclusion fence, with man gate, to protect solar power system and well head from livestock.

2.7.3 WELL AND PUMP

Provide pump, sized appropriately for the water system.

Provide pitless adaptor compatible with an artesian well.

2.7.4 STORAGE TANK

Provide a new 5,000 gallon storage tank with the following features.

o Inlet and outlet.

o Vent.

o Overflow.

o Access riser.

o Rated for full bury depth as required.

Bury the storage tank to protect from freezing, per manufacturers installation requirements.

Provide a float switch or similar means of water level control in the storage tank.

Provide new livestock exclusion fence around storage tank.

o Contractor may reuse or repair existing fencing around existing storage tank after installation of new storage tank.

2.7.5 DRINKING TANK

Provide a 1,000 gallon drinking tank, approximate size 9’ diameter x 28” depth, with drain valve and escape ramp for wildlife.

Provide frost proof hydrant to fill the drinking tank.

Provide a wildlife friendly, livestock exclusion fence around the wildlife drinking tank, with man gate.

2.7.6 MISCELLANEOUS WATER SYSTEM COMPONENTS

Contractor shall provide any piping, floats, valves, switches, and other componets, as required, for a complete and functioning solar powered livestock and wildlife water system, including winterization and maintenance.

o Contractor not responsible for winterization and maintenance.

Water system shall maintain water within the top 6 inches of the drinking tank.

Water distribution pipes (between well and tanks) shall be buried a minimium of 36 inches.

Provide tee and curb stop with capped riser pipe for future addition of livestock drinking tank.

o Livestock drinking tank not required in this statement of work.

All provided water system components shall be new.

Contractor shall demonstrate proper functioning of the water system.

o Contractor shall train BLM operator on winterization and maintenance procedures.

2.8 PRICE AND PAYMENT

Payment items for the work of this contract for which contract payments will be made are listed in the SCHEDULE and described below. All costs for items of work, which are not specifically mentioned to be included in a particular job are included in the listed job item most closely associated with the work involved. The price and payment made for each item listed constitutes full compensation for furnishing all labor, materials, and equipment, and performing any associated Contractor quality control, environmental protection, meeting safety requirements, tests and reports, and for performing all work required for which separate payment is not otherwise provided.

2.8.1 DEMOLITION

Payment will be made for all costs associated with paragraph 2.4 EXISTING ITEMS TO DEMOLISH. Including transportation and disposal.

2.8.2 WATER WELL INVESTIGATION AND IMPROVEMENT

Payment will be made for all costs associated with paragraph 2.6 WATER WELL INVESTIGATION AND IMPROVEMENT, including sub-paragraphs.

2.8.3 WATER SYSTEM

Payment will be made for all costs associated with paragraph 2.7 WATER SYSTEM, including sub-paragraphs.

3 ADDITIONAL WORK REQUIREMENTS

The Contractor shall adhere to all conditions identified in Appendix A – BLM TRFO Wildlife Environmental Protection Measures.

Drawings

RIDGEWAY CANON

CORTEZ

DURANGO

ROCKY FORD

NEW MEXICO

CITY

ALAMOSA

TRINIDAD

WALSENBURG

OKLAHOMA

GUNNISON

SPRINGS

GLENWOOD

EAGLE

WYOMING

CRAIG

MONTROSE

GRAND

U

TA

H

CARBONDALE

RIFLE

JCT.

COLORADO

MEEKER

SALIDA

LEADVILLE

PUEBLO

COLORADO

SPRINGS

FT. COLLINS

WOLCOTT

STEAMBOAT SPRINGS

DENVER

LIMON

KA

N

SA

S

STERLING

NEBRASKA

PROJECT LOCATION

PROJECT LOCATION

NATURITA

U-29

NORWOOD

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PROJECT LOCATION MAP

UNITED STATES DEPARTMENT OF INTERIOR

BUREAU OF LAND MANAGEMENT

TRES RIOS FIELD OFFICE

BASIN WELL AND WATER SYSTEM IMPROVEMENTS

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2 SCHEMATIC SITE PLAN

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PROJECT LOCATION REFERENCE MAP

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BASIN WELL AND WATER SYSTEM IMPROVEMENTS

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"STUART, IS THAT YOU IN THERE?"

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PAUL

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BUREAU OF LAND MANAGEMENT

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U.S. DEPARTMENT OF THE INTERIOR

COUNTY ROAD U-29 WEST

PRIVATE LAND - NORTH SIDE OF ROAD

PUBLIC LAND - SOUTH SIDE OF ROAD

EXISTING WELL HOUSE

PROPOSED SOLAR POWER SYSTEM

PROPOSED STORAGE TANK

(SAME LOCATION AS EXISTING STORAGE TANK)

PROPOSED STORAGE TANK

LOCATION IS APPROXIMATELY 50

FEET (CONTRACTOR TO VERIFY)

ELEVATION ABOVE THE WELL HOUSE

+/-500'

EXISTING FENCE

PROVIDE VALVE FOR FUTURE LIVESTOCK TANK ADDITION

PROPOSED WILDLIFE DRINKING TANK

PROPOSED WATER LINE

PROPOSED LIVESTOCK EXCLUSION FENCE

30'

SIZE FENCE AS REQUIRED FOR WELL AND SOLAR SYSTEM

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SCHEMATIC SITE PLAN

NOTE: DRAWING IS SCHEMATIC. EXACT LOCATIONS OF PROPOSED INFRASTRUCTURE SHALL BE COORDINATED ON SITE WITH THE CONTRACTING OFFICER'S REPRESENTATIVE

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1'-4"

2' 2'-6"

3'-6"

3'-6" (TYP)

4'-6" (TYP)

8' (TYP)

SMOOTH WIRE

SMOOTH WIRE

12" x 38" DIA. SPIKE (TYP) PILOT HOLE (TYP)

CORNER POSTEND POST

5" DIAMETER (TYP)COMPACT BACKFILL (TYP)

3'-6" (TYP)

4'-6" (TYP)

12" DIA. x 38" SPIKE (TYP)

PILOT HOLE (TYP)

5" DIAMETER (TYP)

COMPACT BACKFILL (TYP)

SMOOTH WIRE

NOTCH POSTS AT RAIL CONNECTION

16' 16'

8'

4'-6" (TYP)

2' (TYP)

END PANEL

METAL LINE POST

WIRE STAY

(INSTALLED BETWEEN ALL LINE POSTS)

END PANEL

16'

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Supplemental Site Pictures

Existing well house

Existing well house

Inside well house.

Well pit filled with ~4’-4” of water. Well pit is maintained full by the artesian well.

Existing storage tank

Existing Well Information wR1x5 -7s

T0' E OR

PRINT IN BLACK INK.

COPY OF ACCEPTED

STATEMENT MAILED

ON REQUEST.

RECEIVED

0 r"T 1 8 1989

Wa FVSP t- CP

COLORADO DIVISION OF WATER RESOURCES

818 Centennial Bldg., 1313 Sherman St.

Denver, Colorado 80203

STATE OF COLORADO l

COUNTY OF _ San Miguel _ — r SS.

X _ STATEMENT OF BENEFICIAL USE OF GROUND WATER

AMENDMENT OF EXISTING RECORD

AFFIDAVIT

NAM RESOURCd LATE REGISTRATION

47ATL • ENGMU

0" PERMIT NUMBER 150834; Basin Well LOCATION OF WELL

THE AFFIANT( S)_ Bureau of Land Management i cn t,. San MieueL_ __ whose mailing address is 2465 South Townsend Ave, _ NE—

City Montrose, _ Colorado 81401 Tw P. -- 4_ C f T. TrI Inv)

4_- Rn9.

being duly sworn upon oath, deposes and says that he ( they) is ( are) the owner( s) of the well described hereon; the well is located as described above, at distances of _ 25Q feet from the North — section line and Ff)() feet from the IunRTp oa III IT

East section line; water from this well was first applied to a beneficial use for the purpose( s) described herein on the r... . P wr" T day of April _ , 19 -88_; the maximum sustained pumping rate of the well is 1. 5 0 gallons per minute, the pumping rate claimed hereby is _ 15. 0 ._ gallons per minute; the total depth of the well is 607 feet; the average annual amount of water to be diverted is 2. 0 acre -feet; for which claim is hereby made for dnrvocttr• and Brest,,, watering.

purpose( s), the legal description of the land on which the water from this well is used is of which acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he they) has ( have) read the statements made hereon; knows the content thereof; and that the same are true of his ( their) knowledge.

COMPLETE REVERSE SIDE OF THIS FORM)

Suuswibed and sworn V19to b"e( ore Me s / 6o day of 92'_Z • 1901

My Commission a Aires: Z— .vZ

ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO

PURSUANT TO THE FOLLOWING CONDITIONS:

PHAT THOSE CONDITIONS OF APPROVAL AS STATED 0)1 T9L

PERMIT AIM COMPLIED WITH.

FOR OFFICE USE ONLY

C.., t C.,. N.

Prior. _ Mo. D., Y, D. CIY. 5?

seq. -_._— _ -— A' w U Us< -.

D,,, Basln Man. Des

OCT 3 0 1989 AM - AaAnU c/

TE ER Y

Donald D. Janangs

Well drilled by Atlaa Water Wall Drilling Company Permanent

Pump installed by Do = U D. Jennings

Lic. No. N/ A

Lic. No

Meter Serial No. _ Flow Meter Date Installed 5- 3- 72

Owner of land on which water is being used Bureau of Land Mlnagemnt

THE LOCATION OF THE WELL MUST BE SHOWN AND FOR LARGE CAPACITY IRRIGATION WELLS THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSSHATCHED ON THE DIAGRAM BELOW.

NORTH

This diagram represents nine ( 9) sections. Use the CENTER SQUARE one section) to indicate the location of the well, if possible.

WATER EQUIVALENTS TABLE ( Rounded Figures)

An acre - foot covers 1 acre of land 1 foot deep.

1 cubic foot per second ( cfs) ... 449 gallons per minute ( gpm).

1 acre - foot... 43, 560 cubic feet... 325, 900 gallons.

1, 000 gpm pumped continuously for one day produces 4. 42 acre - feet.

100 gpm pumped continuously for one year produces 160 acre - feet.

WHITE AND PINK COPY TO BE FILED WITH THE STATE ENGINEER

PINK COPY WILL BE RETURNED TO OWNER)

i c C

NORTH SE TION LI E

x w +

NMn J zo z m w

W

SOUTH SEC ION LI E

THE SCALE OFT E DIAGRAM IS TWO INCHES E UALS ONE -MI E

1 M i Ie

WATER EQUIVALENTS TABLE ( Rounded Figures)

An acre - foot covers 1 acre of land 1 foot deep.

1 cubic foot per second ( cfs) ... 449 gallons per minute ( gpm).

1 acre - foot... 43, 560 cubic feet... 325, 900 gallons.

1, 000 gpm pumped continuously for one day produces 4. 42 acre - feet.

100 gpm pumped continuously for one year produces 160 acre - feet.

WHITE AND PINK COPY TO BE FILED WITH THE STATE ENGINEER

PINK COPY WILL BE RETURNED TO OWNER)

i c C l wJR -2G -]] RECEIVED

COLORADO DIVISION OF WATER RESOURCES -

HIS FORM MUST BE SUBMITTED 1313 Sherman Street - Room 818 - r 1 f989 WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRI BED HERE- WATER RtSgUX4 ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT ZAM - Et

INK.

PERMIT NUMBER 150834; Basin Well R!

WELL OWNER gureau e€ Land MasLgemenr __- NE '% of the NE '/. of Sec. 21 , ADDRESS 246nTo;,Rse Ave, Montr. Qp_ CO 91401 T. 44_ N R. 16 W NM p. M, DATE COMPLETED , 19- 7-2- HOLE IQIAMETER

WELL LOG

in. from to ft.

From To Type and Color of Material

Water

Loc.

of 30' Clay, brown and gray

Steel from 0 to 440 ft.

30' 70' Mancos shale, gray

Steel from 544 _ to 607 ft.

70' 80' Gray shale grading to brown x clay grading to black coal

80' 100' Coal, black

100 280' Blue shale, probable mancos shale

280 450' Interbedded soft gray shale with hard brown sand and black coal

450 490' Hard brown sand, artesian x ground water

490 520' Hard brown or white sand; x increase in water yield

520 550' Hard brown sand; further x increase in water yield

550 607' Interbedded clay, shale, and sand

TOTAL DEPTH

Use additional F,(t117 , pages necessary to cohiplete log.

in, from to ft.

in, from to ft.

DRILLING METHOD

CASING RECORD: Plain Casing

Size 65/ 801& kind Steel from 0 to 440 ft.

Size / 9D& kind Steel from 418 to 607 ft.

Size 4V0 & kind Steel from 544 _ to 607 ft.

Perforated Casing

Size 1,_} "OD& kind Steel from 460 to 544 ft.

Size & kind _— from to ft.

Size & kind from to ft.

GROUTING RECORD

Material

Intervals

Placement Method

GRAVEL PACK: Size

Interval

TEST DATA

Date Tested

Static Water Level Prior to Test

Type of Test Pump

Length of Test

Sustained Yield ( Metered) —

Final Pumping Water Level ft.

PUMP INSTALLATION REPORT

Pump Make

Type

Powered by HP

Pump Serial No.

Motor Serial No.

Date Installeo

Pump Intake Depth

Remarks

WELL TEST DATA WITH PERMANENT PUMP

Date Tested — May 1, 1972

Static Water Level Prior to Test flowing artesian

Length of Test 1 Hours

Sustained yield ( Metered) 7U — GPM

Pumping Water Level 240 feet

Remarks

CONTRACTORSSTATEMENT

j{¢ lea+ annret_ Tnn ^ jy3$fl£ 1gi£ @H[f fl S3f1Y8i(ji7^ x.'3aStaiiII117] L - - - - -- 3hA'GhG 4?t'BE tP'•- r+^`'+ +' fl £f1d3[>i@_$ E.fflQtti 4Cii @£ @B ii

Signature License No.

State of Colorado, County of SS

Subscribed and sworn to betore me this Ao-'- day of 12/ 7 mien , 19 4i.

My Commission expires: 12— , 19 .

Notary Public I An*

FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed.

WHITE AND GREEN copies must be filed with the State Engineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller.

7/ 0 x wP.J- S; Rev.

76J

COLORADO DIVISION OF WATER RESOURCES

818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 60203 r

RE R ED

PERMIT APPLICATION FORM

r7Application must -- "'•( 19' be complete whe E i`, - ( ) A PERMIT TO USE GROUND WATER applicable, Type ( ) A PERMIT TO CONSTRUCT A WELL WATER RESOURCES print in BLACK t "' FOR: ( ) A PERMIT TO INSTALL A PUMP SIATI - ENGINEER

INK. Nooverstrikes rJEF ` Ctrio.

or erasures unless ER RLgyUrsCL`; ( )

REPLACEMENT FOR NO.

initialed. A>: , Encu+ect ( x) OTHER permit to use an existing well 3TNV 0Ut'J WATER COURT CASE NO.

1) APPLICANT - mailing address

NAME

Bureau of Land Management

STREET

2465 South Townsend Avenue

CITY

Montrose, Colorado 81401

TELEPHONE NO

303) 249 - 7791

2) LOCATION OF PROPOSED WELL

County San Miguel

NE

of the

NE %,

Section

Two, 44 N , Rng. 16 W N. M. P. M.

h, S, kE, M

3) WATER USE AND WELL DATA

Proposed maximum pumping rate ( gpm) 1510

Average annual amount of ground water 2, 0 aC. - ft to be appropriated lacre- feet):

Number of acres to be irrigated:

none

Proposed total depth ( feet) : 607 feet

Aquifer ground water is to be obtained from:

Dakota Sandstone Formation

Owner' s well designation Basin Well

GROUND WATER TO BE USED FOR:

HOUSEHOLD USE ONLY

X) DOMESTIC ( 1)

X) LIVESTOCK ( 2)

COMMERCIAL ( 4)

OTHER ( 9)

no irrigation ( 0)

INDUSTRIAL ( 5)

IRRIGATION ( 6)

MUNICIPAL ( B)

DETAIL THE USE ON BACK IN 01)

4) DRILLER

Atlas Water Well Drilling Company

Name Donald D. Jennings

6411 South Marion Street Street

City Littleton, Colorado 80121

Btatel ( Z', P) i ic. No

FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN

Receipt No. / 12049

Basin Dist.

CONDITIONS OF APPROVAL

This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action.

1 APPROVED FOR THE USE OF AN EXISTING WELL

STRUCTURE PURSUANT TO CRS 37- 92- 602( 3)( b)( II)

AS THE ONLY WELL ON A TRACT OF LAND OF 40 ACRES

DESCRIBED AS NE 1/ 4 OF THE NE 1/ 4 OF SECTION

21 T44N R16W OF THE N. M. P. M., SAN MIGUEL

COfJNTY. , 2 THE USE OF GROUND WATER FROM THIS WELL IS

LIMITED TO ORDINARY HOUSEHOLD PURPOSES INSIDE

ONE SINGLE FAMILY DWELLING FIRE PROTECTION

AND THE

AND LIVESATOCK ON

AFFPARIL

OR;' 6H

STIC ANIMAS,

3) THE RETURN FLOW FROM THE USE OF THE WELL

MUST BE THROUGH AN INDIVIDUAL WASTEWATER

DISPOSAL SYSTEM OF THE NON-- EVAPORATIVE TYPE

WHERE THE WATER IS RETURNED TO THE SAME STREAM

SYSTEM IN WHICH THE WELL IS LOCATED.

W.M. 3 --3/- W

APPLICATION APPROVED

PERMIT NUMBER 150834

DATE ISSUED APR 01 W

EXPIRATION DATE

APR 0 11990

5) THE LOCATION OF THE PROPOSED WELL and the area on which the water will be used must be indicated on the diagram below.

Use the CENTER SECTION ( 1 section, 640 acres) for the well location.

4- - +-- {- - + -- E, 4 1MILE, 5280 FEET —

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The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres.

WATER EQUIVALENTS TABLE ( Rounded Figures)

An acre - foot covers 1 acre of land 1 foot deep 1 cubic foot per second ( cts) ... 449 gallons per minute ( gpm) A family of 5 wilt require approximately 1 acre - foot of water per year.

1 acre - foot ... 43, 560 cubic feet ... 325, 900 gallons.

1, 000 gpm pumped continuously for one day produces 4. 42 acre - feet.

l'( 10) LAND 64 WHICH GROUND WATE' A Mu 8E USED:

6) THE WELL MUST BE LOCATED BEIQW

by distances from section lines.

ft. from

North sec. line north or south)

600 East

ft. from sec. line east or west)

LOT BLOCK FILING a

SUBDIVISION

7) TRACT ON WHICH WELL WILL BE

LOCATED4 wner

BLM

No. of acres - Will this be the only well on this tract?

Yes

8) PROPOSED CASING PROGRAM

Plain Casing ( 22' Casing Overlap

in. from 418 ft. to 461D.— ft.

in. from 544 ft. to 607 ft.

Perforated casing

4 ' 544

in. from ft, to ft.

in, from ft. to .` t.

9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it:

Owner( s):

Bureau of Land Management

No. of acres:

T 44 N R 16 W Section 21 NEt - NEB

Legal description: ° °

11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used.

livestock watering and domestic uses

12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.

Type or right Used for ( purpose) Description of land on which used

None

13) THE APPLICAN S) ' STATE( S) THAT THE INFORMATION SET FORTH HEREON IS

TRUE TO THE BEST'- QF HIS ', A` LEDGE. /

SIGNATURE OF APPLICANTIS) PauT W. rrasniitsh,' Uttrtc

1Burl' u o La , 14anagement

Use additional sheets of paper if more space is required.-rnHNmny — z zm T

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T + T t 4 i- +

I

4- --+— F- - +— —+

The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres.

WATER EQUIVALENTS TABLE ( Rounded Figures)

An acre - foot covers 1 acre of land 1 foot deep 1 cubic foot per second ( cts) ... 449 gallons per minute ( gpm) A family of 5 wilt require approximately 1 acre - foot of water per year.

1 acre - foot ... 43, 560 cubic feet ... 325, 900 gallons.

1, 000 gpm pumped continuously for one day produces 4. 42 acre - feet.

l'( 10) LAND 64 WHICH GROUND WATE' A Mu 8E USED:

6) THE WELL MUST BE LOCATED BEIQW

by distances from section lines.

ft. from

North sec. line north or south)

600 East

ft. from sec. line east or west)

LOT BLOCK FILING a

SUBDIVISION

7) TRACT ON WHICH WELL WILL BE

LOCATED4 wner

BLM

No. of acres - Will this be the only well on this tract?

Yes

8) PROPOSED CASING PROGRAM

Plain Casing ( 22' Casing Overlap

in. from 418 ft. to 461D.— ft.

in. from 544 ft. to 607 ft.

Perforated casing

4 ' 544

in. from ft, to ft.

in, from ft. to .` t.

9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it:

Owner( s):

Bureau of Land Management

No. of acres:

T 44 N R 16 W Section 21 NEt - NEB

Legal description: ° °

11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used.

livestock watering and domestic uses

12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.

Type or right Used for ( purpose) Description of land on which used

None

13) THE APPLICAN S) ' STATE( S) THAT THE INFORMATION SET FORTH HEREON IS

TRUE TO THE BEST'- QF HIS ', A` LEDGE. /

SIGNATURE OF APPLICANTIS) PauT W. rrasniitsh,' Uttrtc

1Burl' u o La , 14anagement

Use additional sheets of paper if more space is required.-

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i. Name of wel!: ..

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i. Name of site:

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3. Ageney or owner:

BL"01 Address Sox 1264, COGd.

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4. Driller: 1 / - ALp ic.t'f_!,tJIS i' "

AddressfT_/T i >i7ce.:

5. Type of drilling rig used:

6. Date well started: , tJ00 • Y S 19 ' 71 Completed LA `/ 1 19 L

7. Topographic setting: ( In valley, on hill, etc.) NI91_=eY r

8. Altitude of land surface: 63 3 ft. Det. by ? _

9. Total depth: - ft. below 71--Land surface r Top of casing

10. Aquifers) and depths: ', 25.5 "'' /D J0 0141- 1)2A , 4fe5 5AI,,eC -E . C1-Z2 e .

450 i 1 &0 el /l.,L 5-„ rl 299 - 5-,o cvA S - „d , 5zo 1 - 20

11. Static water level: 9e -ZE,51A - ft. below Land surface Top of casting

12. Shut -In pressure: ( Flowing well) lO Py psi Det. by lex)/-5E0 Lw ' one 17 f ;; rye_•? g

13. Yield: 70 gpm after hrs. ® Pumping L Bailing L:] Flowing

14. Drowdown: Z-4 ft. after discharging at 70 au ^/ / X, Z 9 t) ft. after / Mi ”. discharging at C ` r / Tr. o

15. Quality of water: Color ZPOA/ 57AUJ Taste JL! / L''i T ^. -- r-

Odor _ ! lo /7e Hardness 7'1V iJAO/

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BUREAU OF LAND MANAGEMENT

MONTROSE DISTRICT OFFICE

2465 SOUTH TOWNSEND

MONTROSE, COLORADO 81401

Mr. Mel A. Malley Colorado Division of Water Resources

Ground Water Wells

818 Centennial Building 1313 Sherman Street

Denver, Colorado 80203

Dear Mr. Malley:

PZ

IN REPLY REFER TO:

130)

P1? 18 1989

As per your conversation on April 14, 1988, with Nancy Lamm of our office, please find enclosed a statement of beneficial use of ground water completed for the Airstrip Well, permit number 150845, and for the Basin Well, permit number 150834. These statements of beneficial use are submitted to your office as the final step in the process of permitting these existing wells. If these statements are accepted by the State Engineer, we wish to request the return of the pink copy for our files.

We want to thank you for your time and assistance in the permitting of these wells. If you have any questions regarding the submitted forms, please feel free to contact Dennis Murphv or Nancy Lamm of this office at ( 303) 249 - 7791.

Sincerely, Alan L. Kesterke 7/ District Manager

Enclosures

ROrY RJMER

Governor

BOARD OF EXAMINERS OF WATER WELL CONSTRUCTION AND PUMP INSTALLATION CONTRACTORS

DIVISION OF WATER RESOURCES

1313 Sherman Street -Room 818

Denver, Colorado 80203

303) 866 -3581

March 30, 1988

Alan L. Kesterke, District Manager Bureau of Land Management Montrose District Office 2465 South Townsend Montrose, CO 81401

JERIS A DANIELSON

Secretary

RE: Exception to rules and regulations for well in the SW1 / 4 of the NW1 / 4 of

Section 25, Township 48 North, Range 17 West of the N. M. Principal Meridian, in Montrose County

Dear Mr. Kesterke:

Your March 28, 1988 request for an exception to Section 4( 3) of the rules and regulations for well construction for the above - referenced airstrip well, previously constructed and in use for livestock watering, has been reviewed.

The Board of Examiners of Water Well Construction and Pump Installation Contractors has granted your request to allow the well to be completed using

3. 5 - inch diameter casing which is compatable with your windmill pump connections pursuant to your March 28, 1988 request.

The Board is concerned with the fact that this well and several others in your District, former uranium exploration holes, were converted to water wells by unlicensed individuals. However, in light of the circumstances and the use of the wells being limited to livestock purposes, the Board waives the requirements of Section 3( 2) of their rules and regulations, requiring the work to be done by licensed contractors.

Sincerely, Bruce E. DeBrine, Acting Secretary Board of Examiners of Water Well

Construction and Pump Installation Contractors cc: Ground Water Section BED/ 11h

George Hier. Chairman, Castle Rock, Ken Rollin, Longmont, George Merncether_ Monte Vista, and Michael J. GuxYi, Denver

EW Of Mf United States Department of the Interior

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BUREAU OF LAND MANAGEMENT

b " 3 "

MONTROSE DISTRICT OFFICE

2465 SOUTH TOWNSEND

MONIROSE, COLORADO 81401

RECEIVED

Ms. Melissa Long

OCT 1 C 1 °S9

Colorado Division of Water Resources MATER RMURC'LS Ground Water Division SM .ENGINEER 1313 Sherman Street am&

Denver, Colorado 80203

Dear Ms. Long:

INNS

IN

IN REPLY REFER TO:

7200 ( 130)

OCT 1 6 1989

We are submitting the attached information in response to a " Request for Correction or Additional Information on Statement of Beneficial Use" submitted to our office on September 22, 1989 for the Basin Well, permit # 150834 and the Airstrip Well, permit # 150845. We have completed a signed and notarized Statement of Beneficial Use of Ground Water" and a signed " Well Completion and

Pump Installation Report" for each well. We are providing this letter as some background information.

Airstrip Well, permit # 150845: As your records probably show, the Airstrip Well is a converted uranium test bore that was completed as a water well for livestock use only. The well was completed with 3Y,' PVC casing for which a waiver was given by your office on March 30, 1988. We have provided all of the information we have on file regarding well completion and pump testing. We regret the catch up nature of these submittals and will continue our efforts to bring these wells into compliance with state regulations.

Basin Well. permit # 150834: Again, we have provided the information we have on file concerning the well completion and pump installation. Our records show that the Basin Well was drilled by Donald D. Jennings of the Atlas Water Well Drilling Company in May of 1972. We are trying to locate Mr. Jennings and will request a submittal of the proper forms to your office, if we can locate him and if he has still maintained these records. In the meantime, please accept the enclosed information as the information we have on file.

Please note that we are signing the well completion statement as the land owner and not as the licensed drilling contractor. If you have any questions please feel free to call Dennis Murphy, District Hydrologist, at our office, ( 303)

249 - 7791.

Sincerely, Alan L. Kesterke

District Manager

Appendix A – TRFO Wildlife Protection Measures

Appendix A – BLM TRFO Wildlife Environmental Protection Measures Noxious Weeds

• Vehicles and heavy equipment are one of the primary agents for the spread of noxious weed seed to public lands. In eƯorts to mitigate the spread of weed seed to BLM lands the following actions are required for contractors prior to transport to a BLM project area.

The Contractor will be responsible for power-washing or comparable cleaning, to ensure that noxious weed seeds are removed from all equipment and vehicles used on the project prior to entering the project area. BLM will require a pre-implementation inspection to ensure compliance which would be arranged to occur before the equipment enters BLM lands. The Contractor is responsible for any additional transport or expenses associated with non-compliance.

Support vehicles (pickups, fuel/service vehicles, transports, dump trucks, etc.)

Pressure wash radiator to flush seeds.

Pressure wash undercarriage to remove accumulations of mud and soil that may contain seeds.

Heavy Equipment (dozers, road graders, excavators, backhoes, loaders, etc.)

Pressure wash radiator(s) to flush seeds.

Pressure wash tracks to remove accumulations of soil.

Pressure wash all areas of soil/debris accumulations (i.e. steps) Pressure wash blades and buckets where soil/mud is accumulated.

Empty pre-cleaners (air intake) before transport.

Fire Extinguisher and Tools on Equipment

• While in use, each internal combustion engine including tractors, trucks, dozers, hydro-axes, welders, generators, stationary engines, or comparable powered equipment shall be provided with at least the following:

1. One fire extinguisher, at least 5#ABC with an Underwriters Laboratory (UL) rating of 3A - 40BC, or greater. Extinguisher shall be mounted so as to be readily available for use (not locked in a tool box or chained to a seat, for example)

2. One shovel, sharp, size “O” or larger, round-pointed with an overall length of at least 48 inches.

3. One axe, sharp, double bit 3½#, or one sharp pulaski.

• It is prohibited to operate or use any internal or external combustion engine, on any timber, brush, or grass covered land, including trails traversing such land, without a spark arrester maintained in eƯective working order and meeting guidelines set forth in National Wildfire Coordinating Group Publication NFES 1363 and 2363.

CAMPING AND WORKSITE CONDITIONS

The contractor or his employees, upon documented permission from the CO/COR, may establish temporary work camps on public lands administered by the Bureau of Land Management. Camps shall be kept tidy and free of refuse. These camps may consist of mobile trailers, pickup campers, tent trailers, or tents. The contractor will be required to rehabilitate the camping area to the satisfaction of the CO/COR. Camps are subject to all fire restrictions placed by state, county or federal authorities.

Hazardous Materials

Use of Hazardous Materials and/or petroleum products requires that all appropriate State and Federal Regulations be complied with including, but not limited to, Material Safety Data Sheets (MSDS) on hand and use of necessary Personal Protective Clothing (PPE).

On-site disposal of Hazardous Materials or Waste including hydrocarbons is not authorized. On-site disposal will subject the contractor to at least the cost of reclamation and the appropriate disposal of contaminated soil.

Incidental (de minimus) leaks from fittings, gaskets or ruptured hoses will not subject the contractor to remedial requirements. They will be considered to be normal and unavoidable losses. Continual leaks will be noted on inspection reports and correction through maintenance required.

Maintenance and repair operations that require the draining of engines or hydraulic systems may be conducted on site only if the fluids are captured, containerized, and removed from public lands for proper disposal.

3 ADDITIONAL WORK REQUIREMENTS