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COLORADO DIVISION OF WATER RESOURCES GWS-45 GENINST(07/2013)
<br /> DEPARTMENT OF NATURAL RESOURCES
<br /> GENERAL PURPOSE WELL PERMIT APPLICATION INSTRUCTIONS
<br /> Applications must be computer generated on-line, typewritten or printed in BLACK or BLUE INK. ALL ITEMS in the
<br /> application must be completed. Incomplete applications may be returned to the applicant for more information.
<br /> Applications are evaluated in chronological order. Please allow approximately six weeks for processing. This form
<br /> may be reproduced by photocopying or computer generation. Reproductions must retain margins and print quality of the
<br /> original form. If filing online see online filing instructions! You may also save, print, scan and email the completed form to:
<br /> dwrr)ermitsonline(d)state.co.us For further information please visit www.water,state.co.us
<br /> FEES: This application must be submitted with a $100 filing fee. Acceptable forms of payment are check or money
<br /> order, payable to the Colorado Division of Water Resources. Visa, MasterCard or Discover are accepted by phone through
<br /> our Records Section at 303.866.3581, Fees are nonrefundable.
<br /> USES: This form (GWS-45) is to be used to apply for commercial, industrial, municipal, irrigation, feed lot,
<br /> geothermal (see Geothermal Rules for fee requirements), recovery wells, and other uses not otherwise noted in the
<br /> following list:
<br /> RESIDENTIAL use wells—Use of form GWS-44 is required
<br /> LIVESTOCK watering on a farm, ranch, range or pasture(not feedlots)—Use form GWS-44
<br /> MONITORING/OBSERVATION wells—Use form GWS-46
<br /> GRAVEL PITS—Use form GWS-27
<br /> REGISTRATION of an existing well—Use form GWS-12(must have been in use prior to May 8, 1972)
<br /> GEOEXCHANGE SYSTEM LOOP FIELDS—Use form GWS-72
<br /> REPLACEMENTS OF WELLS FOR THE ABOVE USES
<br /> ITEM INSTRUCTIONS: (numbers correspond with those on the front of this form)
<br /> 1. The applicant is the entity for whom the permit is to be issued. Provide the applicant name and the mailing address where all correspondence will be
<br /> sent.
<br /> 2. Check all boxes that apply.
<br /> 3. Complete all boxes that apply. If the permit is to be issued pursuant to a water court decree or a Designated Basin determination of water right, the
<br /> case number or determination number must be indicated.If applying to replace or change the use of an existing well,the permit number of the existing
<br /> well must be indicated.
<br /> 4. The county,'/4 of the%section designation,section#,township,range,principal meridian,and distances from section lines for the proposed well must
<br /> be provided. (An option to providing distances from section lines and the''/,of the''/.section designation is to provide an accurate GPS location in UTM
<br /> format. The required GPS unit settings must be as indicated on this form.) Colorado contains two(2)UTM zones Zone 13 covers most of Colorado.
<br /> The boundary between Zone 12 and Zone 13 is the 108'" Meridian (longitude). West of the 108'" Meridian is UTM Zone 12 and east of the 10e
<br /> Meridian is UTM Zone 13. The 108''Meridian is approximately 57 miles east of the Colorado-Utah state line. On most GPS units,the UTM zone is
<br /> given as part of the Easting measurement,e.g. 12T0123456. Check the appropriate box for the zone. Provide the property address of the well location
<br /> if one exists. If it is the same as the mailing address,check the box next to the well location address.
<br /> 5. Please attach a current deed for the subject parcel. Complete all boxes and provide a complete legal description of the parcel of land on which the
<br /> well will be located. If filing online please see online filing instructions for how to submit deed and or legal description attachments
<br /> 6. Check all boxes that apply and attach a detailed description of the uses applied for.
<br /> 7. Complete all boxes.
<br /> 8. Complete all boxes and provide a legal description of the land areas on which ground water from the proposed well will be used. If agricultural irrigation
<br /> is a proposed use,provide a map of the land area with proposed irrigated areas accurately drawn,including section numbers and section lines.A list of
<br /> all other wells or water rights used on the described land must be provided.
<br /> 9. The well must be constructed by a Colorado licensed well driller,an authorized individual in accordance with the Water Well Construction Rules,2 CCR
<br /> 402-2, or under the "private driller" provision as defined in CRS 37-91-102(12). A listing of licensed well drillers/pump installers is available at:
<br /> httpJ/water.state.co.us/groundwater/BOE/Pages/LicensedContractors.aspx
<br /> 10. The individual signing the application or entering their name and title must be the applicant or an officer of the corporation/company/agency identified as the
<br /> applicant or their attorney. An authorized agent may also sign the application, if a letter signed by the applicant or their attorney is submitted with the
<br /> application authorizing that agent to sign or enter their name on the applicant's behalf. If you filled the form out on-line you may save or print,sign,scan and
<br /> email the form to the Division of Water Resources. Payment must be received via phone,fax or mail prior to processing the application.
<br /> IF YOU HAVE ANY QUESTIONS regarding any item on the application form,please call the Division of Water Resources Ground Water Information Desk(303-
<br /> 866-3587), or the nearest Division of Water Resources Field Office located in Greeley (970-352-8712), Pueblo (719-542-3368), Aiamosa (719-589-6683),
<br /> Montrose (970-249-6622), Glenwood Springs (970-945-5665). Steamboat Springs (970-879-0272), or Durango (970-247-1845), or refer to our web site at
<br /> httoJ/www.water.state.co.us for general information,additional forms,and access to state rules or statutes.
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