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Form No. OFFICE OF THE STATE ENGINEER <br />GW8-25 COLORADO DI ��������� <br />o1ucom*nn���.�1����a-- �^°—=^"~~—= <br />(303) 866-3581 <br />APPLICANT <br />WELL PERMIT NUMBER 296612 <br />DIV. 6 WD 44 DES. BASIN MD <br />Lasting: 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 m way woto cause no material injury to Th��avonunof�bpenn� does nmsmuumm� <br />nn|�u�wiU occur Noomhervew�dva�rh0huorp��udeanmhpr owner o�e - water right from seeking relief ina civil court action, <br />2) The construction of this well shall be|o compliance with the Water Well Construction Rules 2 CCR4V2'a unless appmva|ufovuhanoehas <br />been gmn|eduyNe State Board ufExuminemofVVoter Well Conmtm�ionand Pump |n�oUat�nCunba`orsin accordance with Rule 10 <br />3) Approved pursuant to CRS 37-9u-VO2(3)(b)(|) for uses ae described inCRS 37-B2-802(1)(0. Use pf this well |o limited (omonit^/ingwmt�/levels <br />and/ur*m*arqua|ityoamp|ing, ' <br />4) Approved for the use of an existing well acknowledged for construction under monitoring hole notice MH-45636, and known as C-05-33. <br />n> This well must haequipped with a|vokingoopo,uma|mpmventwe||contamina8onorpunaib|ehezurdvamaoopenweU The well must be <br />kept capped and locked at all times except during sampling nrmeasuring, <br />8) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to the Division of <br />Water Resources upon request, <br />7) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water Well Construction <br />Rules. x Well Abandonment Report must be completed and submitted to the Division of Water Resources within 60 days of plugging, <br />8) The owner shall mark the well ina conspicuous place with the well permit number and name nf aquifer os appropriate, and shall take <br />necessary means and precautions to preserve these markings. ' <br />9> This well must have been constructed by or under the supervision of a licensed well driller or other authorized individual according to the <br />Water Well Construction Rules. <br />10) This well must bolocated not more than 2VO feet from the location specified on this permit. <br />NOTE: Issuance of this permit does not guarantee that this well can be converted to a production well under a future permit. Add�in"wUy, <br />pursuant tu Rule 142of the Water WenCunutm�ionRules (2CCR4Uu-2). monitoring holes oonst,umedpw�uunttowmo'�ohng hole n' notice <br />ohannmbeoonva�edtnupmdv�ionvmU. (Upon obtaining oprnnkhnm the State Engineer, omonKohng hole may bo,^^wannUtvo " <br />moo�orinUweU.ruoovc�wmAfornamediotipnoftheoqvUe,.oradewat*hngayotom*nruewate,inBtheuqvino,.> —''' <br />IAPPROVED <br />AOT <br />State Engineer By <br />JReceipt No. 3667378L DATEISSUED 12-30-2014 EXPIRATION DATE <br />APPROVED WELL LOCATION <br />MOFFAT COUNTY <br />NW 1/4 8VV 1/4 Section 11 <br />COLOWYOC[NL COMPANY LP <br />Township 3N Range 04VV Sixth P.M. <br />5731 STATE HVVY13 <br />DISTANCES FROM SECTION LINES <br />MEEKER, CO 81641- <br />1400 Ft. from South Section Line <br />900 Ft. from West Section Line <br />(97O)824-120O <br />UTM COORDINATES (Meters, Zone: 13, NAD83) <br />Lasting: 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 m way woto cause no material injury to Th��avonunof�bpenn� does nmsmuumm� <br />nn|�u�wiU occur Noomhervew�dva�rh0huorp��udeanmhpr owner o�e - water right from seeking relief ina civil court action, <br />2) The construction of this well shall be|o compliance with the Water Well Construction Rules 2 CCR4V2'a unless appmva|ufovuhanoehas <br />been gmn|eduyNe State Board ufExuminemofVVoter Well Conmtm�ionand Pump |n�oUat�nCunba`orsin accordance with Rule 10 <br />3) Approved pursuant to CRS 37-9u-VO2(3)(b)(|) for uses ae described inCRS 37-B2-802(1)(0. Use pf this well |o limited (omonit^/ingwmt�/levels <br />and/ur*m*arqua|ityoamp|ing, ' <br />4) Approved for the use of an existing well acknowledged for construction under monitoring hole notice MH-45636, and known as C-05-33. <br />n> This well must haequipped with a|vokingoopo,uma|mpmventwe||contamina8onorpunaib|ehezurdvamaoopenweU The well must be <br />kept capped and locked at all times except during sampling nrmeasuring, <br />8) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to the Division of <br />Water Resources upon request, <br />7) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water Well Construction <br />Rules. x Well Abandonment Report must be completed and submitted to the Division of Water Resources within 60 days of plugging, <br />8) The owner shall mark the well ina conspicuous place with the well permit number and name nf aquifer os appropriate, and shall take <br />necessary means and precautions to preserve these markings. ' <br />9> This well must have been constructed by or under the supervision of a licensed well driller or other authorized individual according to the <br />Water Well Construction Rules. <br />10) This well must bolocated not more than 2VO feet from the location specified on this permit. <br />NOTE: Issuance of this permit does not guarantee that this well can be converted to a production well under a future permit. Add�in"wUy, <br />pursuant tu Rule 142of the Water WenCunutm�ionRules (2CCR4Uu-2). monitoring holes oonst,umedpw�uunttowmo'�ohng hole n' notice <br />ohannmbeoonva�edtnupmdv�ionvmU. (Upon obtaining oprnnkhnm the State Engineer, omonKohng hole may bo,^^wannUtvo " <br />moo�orinUweU.ruoovc�wmAfornamediotipnoftheoqvUe,.oradewat*hngayotom*nruewate,inBtheuqvino,.> —''' <br />IAPPROVED <br />AOT <br />State Engineer By <br />JReceipt No. 3667378L DATEISSUED 12-30-2014 EXPIRATION DATE <br />