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Form No. OFFICE OF THE STATE ENGINEER <br />GWS -25 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg.. 1313 Sherman St.. Denver, Colorado 80203 <br />303)866-3581 <br />APPLICANT <br />WELL PERMIT NUMBER 297250 - - <br />DIV. 1 WD4 DES. BASIN MD <br />1367 <br />APPROVED WELL LOCATION <br />LARIMER COUNTY <br />NE 1/4 NE 1/4 Section 21 <br />LOVELAND READY MIX INC Township 5 N Range 69 W Sixth P.M <br />CIO LANDMARK ENGINEERING LTD DISTANCES FROM SECTION LINES <br />3521 W EISENHOWER BLVD 77 Ft. from North Section Line <br />LOVELAND, CO 80537- 183 Ft. from East Section Line <br />970) 667-6286 UTM COORDINATES (Meters Zone:13 NAD83) <br />tKMi I I U Ubt AN EXISTING WELL Edsuny. ivvrunng: <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />CONDITIONS OF APPROVAL <br />1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit <br />does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from <br />seeking relief in a civil court action. <br />2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval <br />of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation <br />Contractors in accordance with Rule 18 <br />3) Approved pursuant to CRS 37-92-602(3)(b)(1) for uses as described in CRS 37-92-602(1)(f). Use of this well is limited to <br />monitoring water levels and/or water quality sampling. <br />4) Approved for the use of an existing well acknowledged for construction under monitoring hole notice MH -53388, and <br />known as Well # 2 <br />5) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open well. <br />The well must be kept capped and locked at all times except during sampling or measuring <br />6) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to <br />the Division of 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 <br />Well Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water <br />Resources within 60 days of plugging. <br />8) The owner shall mark the well in a conspicuous place with the well permit number and name of aquifer as appropriate, <br />and shall take 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 <br />according to the Water Well Construction Rules. <br />10) This well must be located not more than 200 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 <br />permit. Additionally, pursuant to Rule 14.2 of the Water Well Construction Rules (2 CCR 402-2), monitoring holes <br />constructed pursuant to a monitoring hole notice shall not be converted to a production well. (Upon obtaining a permit from <br />the State Engineer, a monitoring hole may be converted to a monitoring well, recovery well for remediation of the aquifer, or <br />a dewatering system for dewatering the aquifer.) <br />AK <br />APPROVED <br />JB4 <br />State Engineer <br />ipt No. 36687358 DATE ISSUED TE N l/'F