Free Form 3.2 Notice of Power Consumption Coefficient Rating or Re-Rating - Colorado

Form 3.2
07/2009 Colorado Division of Water Resources
www.water.state.co.us

REPUBLICAN RIVER - DIVISION 1 1313 SHERMAN ST. RM. 818 DENVER CO 80203 303-866-3581 FAX 303-866-3589 ARKANSAS RIVER - DIVISION 2 310 E. ABRIENDO, SUITE B, PUEBLO, CO 81004 719-542-3368 FAX 719-544-0800 RIO GRANDE RIVER - DIVISION 3 P.O. BOX 269, 301 MURPHY DRIVE, ALAMOSA, CO 81101 719-589-6683 FAX 719-589-6685

For Office Use Only

PASSED

FAILED

NOTICE OF POWER CONSUMPTION COEFFICIENT RATING OR RE-RATING
Check appropriate box

Variance Approved Date of variance _________________

To be filed in Compliance with Rule 16.5 of the Rules Governing the Measurement of Tributary Ground Water Diversions in the Republican River Basin To be filed in Compliance with Rules 3.2 and 5 of the Amended Rules Governing the Measurement of Tributary Ground Water Diversions in the Arkansas River Basin To be filed in Compliance with Rule 3.2 of the Rules Governing the Measurement of Tributary Ground Water Diversions in the Rio Grande River Basin

CONTACT INFORMATION:
WELL OWNER NAME MAILING ADDRESS CITY PHONE EMAIL STATE ZIP USER (IF NOT SAME AS WELL OWNER) NAME MAILING ADDRESS CITY PHONE EMAIL STATE ZIP

W ELL INFORMATION (whether or not a structure ID has been assigned, well permit no. and\or case or decree must be provided)
STRUCTURE WDID(S) WELL PERMIT NO(S) CASE OR DECREE NO(S)

W ELL LOCATION:
COUNTY _______ ¼ OF THE______ ¼ SECTION SECTION TOWNSHIP N S ______ EASTING ________________ RANGE _____ NORTHING _______________ E W PM _____ ZONE 12 13

OPTIONAL: GPS WELL LOCATION INFORMATION IN UTM FORMAT. THE FOLLOWING GPS SETTINGS ARE REQUIRED: FORMAT MUST BE UTM. UNITS MUST BE IN METERS. DATUM MUST BE NAD83. UNIT MUST BE SET TO TRUE NORTH.

TYPE OF METER:
POWER COMPANY ELECTRIC METER ELECTRIC HOUR METER PRIVATELY OWNED ELECTRIC METER (SLAVE METER)

POWER SUPPLY AND USE
POWER COMPANY NAME POWER COMPANY CUSTOMER ACCOUNT NO.

ELECTRIC METER MANUFACTURER

MANUFACTURER'S SERIAL NO

POWER COMPANY METER READING ON DAY OF TEST Include all rotating digits and leading digits VOLTAGE/POTENTIAL TRANSFORMER FACTOR: CURRENT TRANSFORMER FACTOR: KH FACTOR: SHOWN ON METER NONE (1.0) NONE (1.0) 200:5 (40) 2.5:1(2.5)

MULTIPLIER

NUMBER OF ROTATING DIGITS

2.4:1 (2.4) 800:5 (160)

OTHER (SPECIFY) ____________ OTHER (SPECIFY) ______

400:5 (80)

IF NO KH FACTOR IS SHOWN, USE 1.0.

PKH = KH X PT X CT = ____________ (USE ON PAGE 3)

DOES THE SAME POWER COMPANY METER SERVE OTHER DEVICES, INCLUDING OTHER WELLS/PUMPS? YES NO IF YES, DESCRIBE: IF YES, WERE ALL DEVICES OPERATING DURING TEST? YES NO

Colorado Division of Water Resources

www.water.state.co.us

07/2009

Form 3.2
Notice of Power Consumption Coefficient Rating or Re-Rating
DISCHARGE METHODS (MARK ALL THAT APPLY) OPEN DISCHARGE/LOW PRESSURE PIPELINE SPRINKLER DRIP TAPE PRESSURIZED SYSTEM (INCLUDING HOUSEHOLD, STOCK AND/OR HUMIDIFICATION USES) OTHER (DESCRIBE) ________________________________________________ END GUN ON OFF IF USE OF END GUN IS PART OF NORMAL OPERATING CONDITIONS, TEST MUST BE CONDUCTED WITH THE END GUN ON IF OFF, EXPLAIN WHY: NO END GUN

Page 2 of 5

DESCRIBE ALL DISCHARGES AND PROVIDE DETAILED SKETCH ON PAGE 5 OR AS ATTACHMENT

SPRINKLER ON

OFF

PERCENT SPEED OF SPRINKLER RUNNING: SPRINKLER OPERATING AT NORMAL SPEED YES NO IF NO, EXPLAIN WHY:

%
POSITION OF SPRINKLER (WHERE 12:00 IS DUE NORTH)

DESCRIPTION OF IRRIGATED TERRAIN (I.E. FLAT, ROLLING HILLS, ETC...)

DOES THE SYSTEM HAVE WORKING PRESSURE REGULATORS INSTALLED? YES NO

PUMP INFORMATION PUMP TYPE TURBINE CENTRIFUGAL SUBMERSIBLE OTHER (SPECIFY) __________________

DISCHARGE PIPE AT TEST SITE MOTOR HORSEPOWER _________________ PIPE ID PIPE OD WALL THICKNESS INCHES INCHES INCHES

DETERMINATION OF STABILIZED OPERATING CONDITION

This test must be conducted only after the system has stabilized; both drawdown (pumping level minus static water level) and operating pressure must not have changed more than 10% in the hour previous to conducting the test. Measurements must be documented for at least four 15-minute intervals. For wells* that are running for at least 2 hours prior to the Tester's arrival, stabilization may be demonstrated by a determination that the change in pumping level does not exceed 1 foot per hour, by measurements made over at least two 15-minute intervals. *Note: for Arkansas River Wells, applies to alluvial and other shallow wells ONLY.
Example: Tester arrives at 11:00 am and obtains pumping level. At 11:15 and 11:30 a second and third pumping level is obtained. If the change in pumping level does not exceed 6 inches over that 30 minute period, the well is ready to test. Length of time pump has been DATE OF TEST: TIME OF TEST (BEGIN): running prior to Tester's arrival: (HH:MM)
STATIC WATER LEVEL BELOW CENTERLINE OF DISCHARGE (REQUIRED ONLY WHEN PUMP IS NOT RUNNING UPON ARRIVAL) FT

Pumping level below centerline of discharge (must show that drawdown has not changed more than 10% in last hour OR more than 1 foot per hour) OR Discharge Rate if pumping levels cannot be obtained OR if Owner won't allow access (must show that does not exceed 2.5% over a 15 minute interval measuring a minimum of five intervals) PUMPING LEVEL IN FT OR PUMPING LEVEL IN FT OR TIME (HH:MM:SS) TIME (HH:MM:SS) DISCHARGE RATE IN GPM DISCHARGE RATE IN GPM

1. 2. 3. 4.

5. 6. 7. 8.

DISCHARGE PRESSURE AT WELL HEAD (MUST SHOW THAT DRAWDOWN HAS NOT CHANGED MORE THAN 10% IN LAST HOUR)

TIME

PRESSURE IN P.S.I.

TIME

PRESSURE IN P.S.I.

1. 2. 3. 4.
Colorado Division of Water Resources www.water.state.co.us

5. 6. 7. 8.
07/2009

Form 3.2
Notice of Power Consumption Coefficient Rating or Re-Rating

Page 3 of 5

COMMENTS ON ABOVE PUMPING/PRESSURE TESTS: __________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ TEST METER INFORMATION TEST METER MANUFACTURER: TEST METER SERIAL NUMBER: DATE OF LAST CALIBRATION:

CERTIFICATION OF POWER CONSUMPTION COEFFICIENT CALCULATIONS, NOTES TIMES, ETC., USED TO DETERMINE DISCHARGE Q, IN GPM: ________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ SHOW Q TO NEAREST 0.00 GPM Q = ________________ . _____ ____

DETERMINATION OF POWER DEMAND (MINIMUM OF THREE TESTS)
NO OF DISK REVOLUTIONS
1.

SECOND S

RATE (REV/SEC)

POWER DEMAND (P) = AVERAGE RATE X 3.6 X PKH (PKH FOUND ON PAGE 1) P = _________________ . ____ ______ ______ TO NEAREST 0.0000 _____ KW

2. 3. 4. 5.

CALCULATION OF POWER CONSUMPTION COEFFICIENT (PCC) = 5433 X P Q PCC = ______________ . ____ ______ ______ KWH/AF TO NEAREST 0.000

6.

AVERAGE RATE

METHODS OF CALCULATING POWER CONSUMPTION COEFFICIENT ARE SPECIFIED IN U.S.G.S. WATER RESOURCES INVESTIGATION REPORT (89-4107)

TESTER VERIFICATION I, the undersigned, state that I am currently a person approved by the State Engineer to conduct well tests pursuant to the Rules Governing the Measurement of Ground Water Diversions as indicated on page 1 of this form. I have conducted a Power Consumption Coefficient Rating of the above-described well/pump. Based on the information contained on this form, I represent this test as being an accurate method of determining volume of water diverted from the well/pump and as being in compliance with the Rules. I understand that falsifying a Power Consumption Coefficient Rating can subject me to a fine of up to $500.00. Signature of Tester: ________________________________________________ TESTER NAME, COMPANY, PHONE, EMAIL NAME: PHONE: COMPANY NAME: EMAIL: Date _________________________

Colorado Division of Water Resources www.water.state.co.us

07/2009

Form 3.2
Notice of Power Consumption Coefficient Rating or Re-Rating

Page 4 of 5

Variance for an Alternative Method of Measurement (Power Conversion Coefficient) Republican River Basin
The Power Conversion Coefficient (PCC) as an alternative method of measurement may not be utilized if the well if is part of a Complex or Compound System OR if the pump is not powered by electricity OR if the well produces from a confined aquifer. Compound System means a system where the power meter records electrical usage from an electrical device other than the pumping systems from a single well and its attached sprinklers Complex System means any system where the total dynamic head at the pump will vary due to multiple discharge locations in a pipeline, or where the method of delivery will vary between open discharge, gated pipe or sprinkler system during a single irrigation season, or where multiple wells discharge into a common pipeline. Power Sources not eligible for PCC: Fossil Fuel (Gas, Propane, Diesel, etc...), Artesian, Solar, Windmill

Variance for an Alternative Method of Measurement (Power Conversion Coefficient) Rio Grande River Basin Wells
The Power Conversion Coefficient (PCC) as an alternative method of measurement requires a request for variance. Owners and/or users of Wells who use the PCC method and whose Well discharges into a pressurized pipeline system (gated pipe or similar system) with more than one point of discharge during a normal irrigation season must submit two PCC measurements as required under the scope of these rules. One measurement must be taken under maximum head (minimum yield) and one measurement must be conducted under minimum head (maximum yield) conditions. A registered professional engineer or a Certified Water Well Meter Tester must annually evaluate the range of pumping conditions and provide an analysis, which determines the representative condition and PCC for that condition. WELL OWNER/USER CONSENT TO RELEASE OF POWER DATA, PUMPING LEVEL TESTS, VARIANCE REQUEST AND CERTIFICATION: VARIANCE REQUESTS (INITIAL NEXT TO APPROPRIATE ITEMS ONLY):
__________

REQUIRED FOR REPUBLICAN RIVER BASIN WELLS ONLY ­ CHECK ONLY ONE: I GRANT REFUSE the well tester permission to test the pumping level. I understand that without pumping level information, this PCC test may not be accepted. REQUIRED FOR REPUBLICAN RIVER BASIN WELLS AND DIVISION 3 (RIO GRANDE RIVER BASIN) ONLY: I request a variance from the Rules Governing the Measurement of Ground Water Diversions as indicated on page 1 of this form to allow the use of this alternative means of measurement of ground water usage. I have read the above information on page 5 of this form regarding a PCC variance request and confirm that the well is powered by electricity, is not a part of a complex/or compound system and does not produce from a confined aquifer. I understand that if such a variance is issued, I must abide by the terms of that variance. REQUIRED for ALL Measurement Rules listed on page 1 of this form ­ ONLY if pumping levels were not obtained OR if static water level was not obtained: I request a variance from the Rules Governing the Measurement of Ground Water Diversions as indicated on page 1 of this form to allow Allowable Variance to Standard System Stabilization Methods.

__________

__________

The above information is true to the best of my knowledge. I understand that falsifying a Power Consumption Coefficient Rating can subject me to a fine of up to $500.00. I agree to the release of information pertaining to my Electric Service and Use, including Current Transformer Factor, Potential Transformer Factor and Electric Meter Readings, to the Colorado Division of Water Resources by my Electric Supplier for the purposes of determining or verifying water use from the Well/Pump. I am the Well Owner OR Well User
____________________________________ ________ Date ____________________________

Signature of Well Owner/User

Print Name of Well Owner/User

________________________________________________________________________________
07/2009

Colorado Division of Water Resources www.water.state.co.us

Form 3.2
Notice of Power Consumption Coefficient Rating or Re-Rating

Page 5 of 5

DETAILED SKETCH:
SHOW TOTAL SYSTEM FROM PUMP TO DISCHARGE, OTHER PUMPS IN THE SAME WELL, AND ELECTRICAL SYSTEM INCLUDING OTHER DEVICES ON THE SAME METER. SHOW WHERE TEST METER AND PRESSURE GAUGE WERE PLACED AND HOW SYSTEM WAS MODIFIED TO PERFORM TEST. SHOW MEASUREMENTS. IN ADDITION TO SKETCH, AN ATTACHED PHOTOGRAPH IS RECOMMENDED.

DETAILED DESCRIPTION OF SYSTEM UNDER NORMAL OPERATING CONDITIONS. (EXAMPLE: ONE WELL PUMPS TO TWO SPRINKLERS. EACH SPRINKLER HAS AN END GUN THAT OPERATES WHEN THE SPRINKLER IS OPERATING.) INCLUDE NUMBER OF IRRIGATED ACRES _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________

Colorado Division of Water Resources www.water.state.co.us

07/2009