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Form No. OFFICE OF THE STATE ENGINEER <br />GWS -25 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />(303) 866 -3581 <br />APPLICANT <br />JACK R ALLEN <br />PO BOX 398 <br />FAIRPLAY, CO 80440 -0398 <br />(719) 836 -2672 <br />Batch Plant <br />WELL PERMIT NUMBER 65294 -F - <br />DIV. 1 WD 23 DES. BASIN MD <br />I Ir <br />APPROVED WELL LOCATION <br />PARK COUNTY <br />SE 1/4 SW 1/4 Section 11 <br />Township 10 S Range 77 W Sixth P.M. <br />DISTANCES FROM SECTION LINES <br />400 Ft. from South Section Line <br />1670 Ft. from West Section Line <br />UTM COORDINATES (Meters.Zone:13 NAD83) <br />PERMIT TO CONSTRUCT A WELL tasting: Northing: <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 this permit <br />does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from <br />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 approval <br />of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation <br />Contractors in accordance with Rule 18. <br />3) Approved pursuant to CRS 37 -90- 137(2) on the condition that this well is operated in accordance with the Upper South <br />Platte Water Conservancy District substitute water supply plan (2002CW389, pending) approved by the State Engineer on <br />November 8, 2006. This well shall not be operated unless it is included in a substitute water supply plan approved by the <br />State Engineer or a plan for augmentation approved by the water court. The subject water supply plan is currently valid <br />through September 10, 2007, and if not extended or if a court approved plan for augmentation is not in operation, diversion <br />of ground water from this well must cease immediately. <br />4) The use of ground water from this well is limited to concrete batching purposes, incidential domestic purposes, and <br />gravel washing. <br />5) The pumping rate of this well shall not exceed 50 GPM. <br />6) The average annual amount of ground water to be appropriated shall not exceed 3 acre -feet with a maximum annual <br />consumptive use limited to 1.65 acre -feet, as described in the substitute water supply plan. As described in that plan, the <br />maximum annual consumptive use associated with concrete batching purposes is limited to 1.5 acre -feet, the maximum <br />consumptive use associated with the incidential domestic purposes is limited to 0.033 acre -feet, and the maximum <br />consumptive use associated with the gravel washing is 0.117 acre -feet, which equates to 4000 tons of material washed <br />per year. <br />7) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all <br />diversions must be maintained by the well owner (recorded at least monthly) and submitted to the Division Engineer upon <br />request. <br />8) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case <br />number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. <br />9) This well shall be constructed at least 600 feet from any existing well, completed in the same aquifer, that is not owned by <br />the applicant. <br />10) This well shall be constructed not more than 200 feet from the location specified on this permit. <br />o� <br />APPROVED � z o <br />MAS <br />,Receipt No. 3610551 State Engineer nATF <br />NlZICIIIIIIII ITie <br />DATE <br />