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COLORADO DIVISION OF WATER RESOURCES GWS46 MONINST (1112011)
<br />DEPARTMENT OF NATURAL RESOURCES
<br />MONITORING /OBSERVATION WELL PERMIT APPLICATION INSTRUCTIONS
<br />Applications must be computer generated on -line, typewritten or printed in BLACK or BLUE INK. ALL ITEMS in the application must
<br />be completed. Incomplete applications may be returned for more information. Applications are evaluated in chronological order.
<br />Please allow approximately six weeks for processing. This form may be reproduced by photocopying or computer generation.
<br />Reproductions must retain margins and print quality of the original form. If filing online, see online filing instructions for further information.
<br />You may also save, print, scan and email the completed form to. dwmermitsonlinet'a.state.co.us
<br />FEES: This application must be submitted with a $100 filing fee. (The fee for an application to replace or deepen an existing permitted
<br />monitoring /observation well is $100 for locations outside Designated Ground Water Basins, and $60 inside Designated Ground Water Basins.)
<br />Acceptable forms of payment are check or money order, payable to the "Colorado Division of Water Resources." Payments made by Visa.
<br />MasterCard or Discover card can be accepted by phone through the Records Section at 303.866.3581. Fees are nonrefundable.
<br />USES: This form (GWS -46) is to be used when applying for a permit where the only uses are monitoring of water levels and/or water
<br />quality sampling. For well construction criteria refer to the Colorado Water Well Construction Rules, 2CCR 402 -2. A copy of the Rules may
<br />be obtained from any Division of Water Resources Office for a fee of $5, or you may access them online from the State Board of
<br />Examiners' (BOE) website at htto: //water. state. co. us /dwril)ub/ documents /constructionrulesO5.pdf
<br />ITEM INSTRUCTIONS: (numbers correspond with those on the front of this forml
<br />1. Provide the name of the well owner and the mailing address where all correspondence will be sent.
<br />2. Check and complete all boxes that apply.
<br />3. Provide the MH number assigned by the Division of Water Resources in response to the notice of intent to construct a
<br />monitoring /observation well. Complete the well name if the structure has a name or identifying number.
<br />4. If applying for a permit to construct a new well, you must provide the county, section #, township, range and principal meridian. You
<br />do not need to provide the % of the Y, section designation, distances from section lines or an optional GPS location (UTM
<br />coordinates). If a permit is issued and a well constructed, the authorized individual will be required to provide an accurate GPS
<br />location (UTM coordinates) of the "as- built" well location If applying for a permit to use an existing well you must provide the well
<br />location information stated above, as well as either a GPS location (UTM coordinates) of the existing well site, or distances from
<br />section lines (including the '/4 of the 1/4 section designation) as follows: In a typical case, a township is comprised of 36 sections,
<br />with each section ideally one mile square, or 5,280 feet on each side. Sections are further divided into quarter sections. Each X
<br />Section is 2,640 feet by 2,640 feet and comprises 160 acres. Each %, section can be further divided into additional quarters. Each X
<br />of the % Section is 1,320 feet by 1,320 feet and comprises 40 acres. The distances are measured from the section lines. In the
<br />following example, the well is located 2,500 feet from the South Section line and 1,400 feet from the East Section line:
<br />5.
<br />6.
<br />7.
<br />B.
<br />9.
<br />10.
<br />5280 n
<br />JL
<br />NOM 5eoIan line
<br />NW1 /4 NE1 /4
<br />2640 I1
<br />1
<br />13210 h
<br />---------- - - - - -- 3 ------ ,---------
<br />i
<br />NOM 5eoIan line
<br />NW1 /4 NE1 /4
<br />---------- - - - - -- 3 ------ ,---------
<br />NW1/4
<br />NE 1/4
<br />SE1 /4
<br />SE1 /4
<br />SW114 :- --- -.- -'
<br />SWI14
<br />SE 114
<br />SE 114
<br />SE 114
<br />Sam secom tin
<br />Well Location Example:
<br />NW1 /4 of the SE1 /4 of
<br />Section 3, being 2500 feet
<br />from the South Section Line
<br />and 1400 feet from the East
<br />Section Line.
<br />If providing a GPS location (UTM coordinates), the required GPS unit settings must be as indicated on this form. Colorado contains
<br />two UTM zones (12 & 13). Zone 13 covers most of Colorado. The boundai between Zone 12 and Zone 13 is the 108'" Meridian
<br />(longitude). West of the 108`' Meridian is UTM Zone 12 and east of the 108 Meridian is UTM Zone 13. The 108'" Meridian is
<br />approximately 57 miles east of the Colorado -Utah state line. On most GPS units, the UTM zone is given as part of the Easting
<br />measurement, e.g. 12T0123456. Check the appropriate box for the zone. Provide the property address of the well location if one
<br />exists. If it is the same as the mailing address, check the box next to the well location address.
<br />Provide property owner information.
<br />Use of this well is limited to monitoring water levels and /or water quality sampling only.
<br />The actual or anticipated total depth must be provided. Provide the name of the aquifer in which the well will be completed.
<br />Provide consultant information (if applicable). Note: A consultant may sign this application on behalf of their client.
<br />Monitoring /observation wells must be constructed by a Colorado licensed well construction contractor or authorized individual, as defined
<br />in the Well Construction Rules, 2CCR 402 -2. Only a licensed contractor may construct any monitoring /observation well that penetrates a
<br />confining layer, or, is to be converted into a future production well. The well must be constructed in compliance with the Well Construction
<br />Rules, unless a variance has been approved allowing an alternative construction design.
<br />The individual signing the application or entering their name (and title if applicable) must be the applicant or an officer of the corporation/company /agency
<br />identified as the applicant, their attorney or consultant. An authorized agent may also sign the application, if a letter signed by the applicant or their attorney
<br />is submitted with the application authorizing that agent to sign or enter their name on the applicant's behalf. Payment must be received via phone, fax or
<br />mail prior to processing the application. If filing online please call the Records Section at 303.866.3581 to pay via credit card.
<br />IF YOU HAVE ANY QUESTIONS regarding any item on the application form, please call the Division of Water Resources Ground Water
<br />Information Desk (303 -866- 3587), or the nearest Division of Water Resources Field Office located in Greeley (970- 352- 8712), Pueblo
<br />(719 -542- 3368), Alamosa (719 -589- 6683), Montrose (970- 249 - 6622), Glenwood Springs (970- 945 - 5665), Steamboat Springs (970 -879-
<br />0272), or Durango (970- 247 - 1845), or refer to CDWR web site at http:/ /www.water.state,co.us for general information.
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