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Send to: Division of Water Resources Fax: 303 - 866 -3589 <br />1313 Sherman Street, Room 818 Phone: 303 - 866 -3581 <br />Denver, Colorado 80203 <br />OWNER'S NOTICE OF CONSTRUCTED WELL <br />Construction of my well under Permit No. 2-60656 was <br />completed on Oee EM 6r/t 2 0 -200q <br />(month) (day) (year) <br />The well was constructed by: L A M agog T AM 0 .4.j 5D G I A T_ ES . <br />(drilling contractor) <br />If the pumping equipment has been installed......... <br />The pump was installed in my well by: <br />(pump contractor) <br />on , <br />(month) (day) (year) <br />Signed: <br />Date: la 13 Zo s-- Phone: (97o) 3g5- 41528 x Iy <br />The well must be constructed and pump installed by licensed <br />water well construction and pump installation contractors, OR <br />PLEASE BE ADVISED that, pursuant to section 37 -91- 106(3), C.R.S. <br />(2003), any person who intends to construct his/her own well or to install <br />pumping equipment in a well as a "private driller" of `private pump <br />installer" must first successfully complete an examination prescribed by <br />the Board of Examiners of Water Well Construction and Pump Installation <br />Contractors. (Contact the Division of Water Resources for details.) <br />