PROJ00018

• Contract/PO #: C150010
• Contractor Name: Columbine Ranches POA
• Contract Type: Loan
• County: Adams
• Bill Number: SB 99-173
• Loan Projects - Doc Type: Feasibility Study

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STATE OF COLORADO rCi~f~[;}'[E'YJ~a
[!l A PERMIT TO USE GROUND WATER ,~
APPLICATION FOR: QJ A PERMIT TO CONSTRUCT A WELL i'\ ~-~~ ;-O~1962 "
'!!lUND WATER SEe"
Applicant 1<',..n'i"'': :11:11.1 F'rg'ill.ia l(',,'"r"""n LOCATION OF WELL' GQLORADO
Brighton County 'rh-~\J~IE Eli(jINEEl
P.O. Address HT f ~'W ~9~ (,"''''''ado '
Quantity applied for eJU gpm or ..sld-t of .JlE.J of Sect.~, Twp. ? ,
AF Storage

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Used for Trr; E"t.i nn Purposes S
Almost center of 160 acres ~ .
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on at SWl NRl s"" 5 'l'? R f.,f., r.."
(legal description of land site) ~~
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Use initiation date Spring 19..QL. ;"
(Use Supplemental pages for additional data) a:s
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Total acreage irrigated and other rts.
ESTIMATED DATA OF WELL
Hole size: I, n in. to 5n ft.
in. to ft.

Rge.

66

OR

Casing Plain...J.1Lin.
in.
Open or Perf. , R in.
in,

frollL.iLto
from to
from J? to
from to

PUMP
DATA: Type Unknown

.HP

J? ft.
ft.
5n ft.
ft.
Outlet
'size

6

P.M.

Street Address or Lot & Block No.

Town or Subdivision

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Locate
well in
40 acre
(small)
square
as near
as possible.
Large square
is one section.

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THIS APPLICATION APPROVED

03873-F
QEC 20 &

PERMIT -NO.
ISSUED:
DATE

19

S
$25.00 fee required for uses
than Domestic or Livestock.

other

Applicant Erne st
Agent or
Driller Cummin s

and Fredda Kallesen

\~lell ~Ivorks

No.

7'3

Address 121- nth 5t. Greelev,
NOTE - SATISFACTORY COMPLETION REQUffiED FOR APPROVAL OF APPLICATION

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