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<br />o <br /> <br />SOUTHERN UTE INDIAN TRIBE <br />P.O. BOX 737, IGNACIO, CO 81137 <br /> <br />C') <br />(',) <br />( ':"1. <br />0.4 <br />1-' <br /> <br />Application must <br />be complete where <br />applicable. Type or <br />print in BLACK <br />INK. No overstrikes <br />or erasures unless <br />initialed. <br /> <br />PERMIT APPLICATION FOR~ <br /> <br />( Xl A PERMIT TO USE GROUND WATER <br />( Xl A PERMIT TO CONSTRUCT A WELL <br />FOR: I X) A PERMIT TO INSTALL APUMP <br /> <br />I REPLACEMENT FOR NO. <br />) OTHER <br />WATER COURT CASE NO. <br /> <br />(1) APPLICANT. mailing address <br /> <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br /> <br />NAME Latitia Taylor <br />STREET 3330 C.R. 516 <br />CITY Ignacio Colorado <br /> <br />Receipt No. <br /> <br />I <br /> <br />Basil1 <br /> <br />DiU. <br /> <br />IS,..le) <br /> <br />8!l37 <br />(Zip) <br /> <br />CONDITIONS OF APPROVAL <br /> <br />TELEPHONE NO. <br /> <br />(970) 563-0125 <br /> <br />This well shall be used in such a way as to cause <br />nO material injury to existing water rights. The <br />issuance of the permit does not aSsure the applicant <br />that no injury will occur to another vested water <br />right or preclude another owner of a vested water <br />right from seeking relief in a civil court action. <br /> <br />(2) LOCATION OF PROPOSED WELL <br /> <br />County La Plata <br /> rol % 01 the mI <br />Twp. T i4 Ji.. Rng. R " <br /> IN.SI <br /> <br />%, Section <br /> <br />?? <br /> <br />~. N.M.P.M.P.M. <br />fE.WI <br /> <br />(3) WATER USE AND WELL DATA <br /> <br />Proposed maximum pumping rate Igprn) 11:) <br /> <br />Number of acres to be irrigated: 1 <br />Proposed toral depth Ifee.l: 200 <br /> <br /> <br />~ <br />0\\1 .1 <br />C'2.\>l1C:.O '., 'i {' <br />?-t: ~ <br /> <br />\P <br /> <br /> <br />Average annual amount of ground water 1 <br />to be appropriated (acre-feet): <br /> <br />Aquifer ground water is to be Obtained trom: <br />UNKNOWN <br /> <br />Owners well desigll3tion <br /> <br />GROUND WATER TO BE USED FOR: <br /> <br />( 1 HOUSEHOLD USE ONLY <br />( XI DOMESTIC (II <br />I ) LIVESTOCK (2/ <br />( I COMMERCII'>.L (4) <br /> <br />. no irrigation 10) <br />( I INDUSTRIAL (5) <br />( I IRRIGATION (61 <br />( I MUNICIPAL (81 <br /> <br />) OTHER 191 <br />OET lI.\l THE USE ON Bll.CK IN 1111 <br /> <br />APPLICATION APPROVED <br /> <br />PERMIT NUMBER <br /> <br />(4) DRILLER <br /> <br />DATE ISSUED <br /> <br />Name <br /> <br />D.A. K. Dri 11 in!) <br />2000 C.P. 308 <br /> <br />(nollg Rilthjp~) <br /> <br />EXPIRATION DATE <br /> <br />/O/2.0/<1"S <br />, I <br /> <br />Citv <br /> <br />Durango <br /> <br />Lolorilrlo <br />(State) <br /> <br />I'll in! <br />(Zip) <br /> <br />~::,,/-) /.1. Yl.,1.1!. t- xC/, /!./4/,:r__~ ' <br />(Tribal hainnan) <br />BY <br /> <br />Street <br /> <br />Teleohono No _ 2~l.::9~85" Lie, No, _-----.i"s- [j <br /> <br />.......; ~:, <br />