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Form No. <br />GWS -25 <br />• <br />APPLICANT <br />OFFICE OF THE STATE ENGINEER <br />COLORADO DIVISION OF WATER RESOURCES <br />BIB Conlennial Bldg., 1313 Sherman St., Denvot, Colotado 80203 <br />(303) 8663581 <br />LIC <br />WELL PERMIT NUMBER 191f>111 B <br />DIV. 4 CNTY. 15 WD 40 DES. BASIN MD <br />Lol: Block: Filing: Subdrv: <br />BOWIE RESOURCES LTD <br />2768 COMPASS DR STE 101 <br />GRAND JUNCTION CO 81506- <br />(970)245 -4101 <br />PERMIT TO CONSTRUCT A WELL <br />APPROVED WELL LOCATION <br />DELTA COUNTY <br />NW 1/4 SE 1/4 Section 15 <br />Twp 13 S RANGE 91 W 6th P.M. <br />DISTANCES FROM SECTION LINES <br />2520 Ft. from South Section Line <br />1890 Ft. from East Section Line <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />CONDITIONS OF APPROVAL <br />1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the <br />permit does not assure the applicant that no injury will occur to another vested water right or preclude another <br />owner of a vested water right from seeking relief in a civil court action. <br />2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402 -2, unless <br />approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump <br />Installation Contractors in accordance with Rule 18. <br />3) Approved pursuant to CRS 37- 92- 602(3)(b)(1) for uses as described in CRS 37- 92- 602(1)((). Use of this well is <br />limited to monitoring water levels and /or water quality sampling. <br />4) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an <br />open well. The well must be kept locked at all times except during sampling or measuring. <br />5) Records of water level measurements and water quality analyses shall be maintained by the well owner and <br />submitted to the Division of Water Resources upon request. <br />6) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with the Water Well <br />Construction Rules. A well plugging report must bo completed and submitted to the Division of Water Resources <br />within 60 days of plugging. <br />7) The owner shall mark the well in a conspicuous place with well permit number and name of aquifer as appropriate, <br />and shall take necessary means and precautions to preserve these markings. <br />8) This well must be constructed by or under the supervision of a licensed well driller or other authorized individual <br />according to the Water Well Construction Rules. <br />9) A well completion report including tithologic log must be submitted by the individual authorized to construct the <br />well. For non - standard construction the report must include an as -built drawing showing details such as depth, <br />casing, perforated zones, and a description of the grouting type and interval. <br />10) This well shall be constructed not more than 200 feet from the location specified on this permit. <br />OvV°itER a GUS'' <br />1111. <br />APPROVED <br />KBM W41 - <br />Slob Englne f By <br />Receipt No. 0392203A DATE ISSUED N0V. 3 0 1995 : EXPIRATION DATE NOV 3 0 1997 <br />