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IkJ- 5•Ra7b' + COLORADO DIVISION OF WATER RESOURCES Z <br />870 Centennial Bldg., 1378 Sherman St, Denver, Colorado 60203 <br />WATER til�4l�i • <br />PERMIT APPLICATION FORM COW <br />Application must <br />be complete where irvi A PERMIT TO USE GROUND WATER <br />applicable, Type or i A PERMIT TO CONSTRUCT A WELL <br />print in BLACK FOR; fil A PERMIT TO INSTALL A PUMP <br />INK. No overstrikes <br />or erasures unless ( i REPLACEMENT FOR NO, <br />initialed. i IOTHER <br />WATER COURT CASE NO. iJZ1�4 <br />(1) APPLICANT - -mailing address I FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLL <br />NAME William A. Rodman Receipt No,t 4 /<397 f <br />STREET 3613 — "F" Street <br />CITY • Greeley, CO 8o634 <br />(statt) - t210) _ <br />TELEPHONE NO. (303) 353 -2311 <br />(2) LOCATION OP_PRQPOSED WELL <br />County Weld <br />Ni; x of the SE '/., Section 35 <br />Twp. , Rng. 66 W , 6 P.M <br />tht,st 1 E.W4 <br />(3) WATER USE AND WELL DATA <br />Proposed maximum pumping rate (gpm) 30 _. <br />Average annual amount of ground water 15 <br />to be appropriated iacri0eetl: <br />Number of acres to be irrigated: 5 <br />Proposed total depth (feet): 35 r <br />Aquifer ground water Is to be obtained from: <br />Alluvial <br />Owner's well designation <br />GROUNQ WMER TO BE USED FOR- <br />( ) HOUSEHOLD USE ONLY • no irrigation (0) <br />(__j DOMESTIC (3) ( ) INDUSTRIAL 16) <br />I LIVESTOCK (2) KX) IRRIGATION (6) <br />( ) COMMERCIAL (4) ( ) MUNICIPAL (B) <br />I ) OTHER (g) <br />DETAIL THE USE ON BACK IN 0 11 <br />(4) DRILLE <br />QT <br />Leah Drilling, Inc. <br />Street p- 0. Box 56 <br />ICrty Ault, CO 80610 <br />1 aa) tip} <br />Telephone No. 834 -2868 Lic.No. 21 <br />Basin pint. <br />(M OITIONS QF APPROV I F. <br />This well shall be used in such a vvffv"�s to cause <br />no material injury to existing water rights. The <br />Issuance of the permit does not assure the applicant <br />that no injury will cewr to another vested water <br />right or preclude another owner of a vested water <br />right from seeking relief in a civil court action. <br />APPLICATION APPROVED <br />PERMIT NUMBER <br />DATE ISSUED <br />EXPIRATION DATE <br />BY <br />In <br />(STATE ENGINEER) <br />