2015-01-29_HYDROLOGY - M2002020 - Laserfiche WebLink

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THIS FCMM MUST BE 'i`"" THF-f PIR PRIOR F CO ORADO DIVISION OF WATER RESOURCES THEt%PIRA'f107e OF THE. t/ PEA�TT, !A fjR Colambine Bldg., 1$45 Shareaan Ss,• 1 Pll�li 1K i1LA ' 1Nltrt 1 COPY OF ACCEPTED 1 Denver, Colorado 80203 ST4TEXErNT REQUEST. STATE OF COLORA Q " AFFIMIT . COUNTY OF Ord 10 A� - X _ STATEMENT OF BENEFICIAL USE Of GROUND WATER AMENDMENT OF EXISTING RECORD 1V� PERMIT NUMBER 3597-1P City Gr91r, 063.cira4c W637. IOYAT[r j!� ,4� rt� LOCATION OF WELL County WIa n 14 of the SE i4, Section 35 6 » 66 W 6 Twp• Non $ Rag t: o w 3' — - P.M. Ming duly sworn upon oath, deposes and says that he (they) is (are) the owners) of the well described hereon; the well is iced cs described above, at distonces'of Imo- fe-t fro fhe*W% �Tsecti,n—TGe and feet from the {NO(tt" oe sour«) garb section line, water from this well was first applied to a beneficiol use for the purpose(s) described herein on the 16 t[AeT aR wrgT) day of , 1975 ; the maximum sustained pumping rate of the well is gallons per minute, the pumping rate claimed hereby is � all¢ T 5 per minute; the totol depth of the well is 33 feet; . the average mount t of water to be diverted is 15 acre -feet; for which claim is hereby made for "tl* r'o and & and a Bring purpose(s); the legol description of the land an which the water from this well is used is Part Of the ll* *9 06 S*� Sect 35, Typ 6 Ns R,$. 66 W at the 6 P.M. which totals 5 acres and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with low; he (they) has (have) read the statemjqnts made fereon; knows the content thereof; and that the some are true of his (their) knowledge, � r,sr113i&vRd4.om (`J/ ��r► '�.'Sefprevme fdy C" n'maibiK.sxgtrea: ~ -. rART rueLu ACCE- 6—FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: FOR OFFICE USE ONLY Court Case Ne, W- 97.0te' -_ Prior. Me. Day Yr. Cty, AILL Yip Well Us. Dist. 03 Basin Man. Dis. , I • DEC 04 WS _ _ DATE STATE EN E by Q THE AFFIANT(S) whose mailing address is Rt. "'Box 3.81-A City Gr91r, 063.cira4c W637. IOYAT[r j!� ,4� rt� LOCATION OF WELL County WIa n 14 of the SE i4, Section 35 6 » 66 W 6 Twp• Non $ Rag t: o w 3' — - P.M. Ming duly sworn upon oath, deposes and says that he (they) is (are) the owners) of the well described hereon; the well is iced cs described above, at distonces'of Imo- fe-t fro fhe*W% �Tsecti,n—TGe and feet from the {NO(tt" oe sour«) garb section line, water from this well was first applied to a beneficiol use for the purpose(s) described herein on the 16 t[AeT aR wrgT) day of , 1975 ; the maximum sustained pumping rate of the well is gallons per minute, the pumping rate claimed hereby is � all¢ T 5 per minute; the totol depth of the well is 33 feet; . the average mount t of water to be diverted is 15 acre -feet; for which claim is hereby made for "tl* r'o and & and a Bring purpose(s); the legol description of the land an which the water from this well is used is Part Of the ll* *9 06 S*� Sect 35, Typ 6 Ns R,$. 66 W at the 6 P.M. which totals 5 acres and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with low; he (they) has (have) read the statemjqnts made fereon; knows the content thereof; and that the some are true of his (their) knowledge, � r,sr113i&vRd4.om (`J/ ��r► '�.'Sefprevme fdy C" n'maibiK.sxgtrea: ~ -. rART rueLu ACCE- 6—FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: FOR OFFICE USE ONLY Court Case Ne, W- 97.0te' -_ Prior. Me. Day Yr. Cty, AILL Yip Well Us. Dist. 03 Basin Man. Dis. , I • DEC 04 WS _ _ DATE STATE EN E by