2016-08-29_PERMIT FILE - C1981035A (3)

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Form No. OFFICE OF THE STATE ENGINEER GWS -25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866.3581 APPLICANT NATIONAL KING COAL INC 4424 CR 120 HESPERUS, CO 81326- (970) 385 -4528 LIC WELL PERMIT NUMBER 260656 DIV. 7 WD 33 DES. BASIN MD APPROVED WELL LOCATION LA PLATA COUNTY SW 1/4 SW 1/4 Section 36 Township 35 N Range 12 W New Mex P.M. DISTANCES FROM SECTION LINES 50 Ft. from South Section Line 700 Ft. from West Section Line UTM COORDINATES (NAD83) F'EKMII I V GVN5IKUGI A WELL rvor<nmg: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 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 does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402 -2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 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 monitoring water levels and/or water quality sampling. 4) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open well. The well must be kept capped and locked at all times except during sampling or measuring. 5) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to the Division of Water Resources upon request. 6) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water Well Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water . Resources within 60 days of plugging. 7) The owner shall mark the well in a conspicuous place with well permit number(s) and name of aquifer as appropriate, and shall take necessary means and precautions to preserve these markings. 8) This well must be constructed by or under the supervision of a licensed well driller or other authorized individual according to the Water Well Construction Rules. if non - standard construction is anticipated, a variance request must be submitted in accordance with Rule 18 and approved prior to well construction. 9) A Well Construction and Test Report (Form GWS -31), including lithologic log must be submitted by the individual authorized to construct the well. For non - standard construction, the report must include an as -built drawing showing details such as depth, casing, perforated zones, and a description of the grouting type and interval. 10) This well shall be constructed not more than 200 feet from the location specified on this permit. NOTE: This well is kno as Hay Gulch Alluvial 2. Off-0 wn APPROVED DDW State Engineer 6Z .