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Form No. OFFICE OF THE STATE ENGINEER well lv>w-Sun2 <br /> GWS-25 COLORADO DIVISION OF WATER RESOURCES <br /> 818 Centennial Bldg.,1313 Sherman St., Denver,Colorado 80203 <br /> (303)866-3581 <br /> AUTH <br /> WELL PERMIT NUMBER 287949 - <br /> APPLICANT DlV.7 WD 71 - DES. BASIN MD <br /> APPROVED WELL LOCATION <br /> SAN MIGUEL COUNTY <br /> NE 1/4 NW 1/4 Section 23 <br /> DENISON MINES(USA)CORP Township 44 N Range 18 W New Mex P.M. <br /> 1050 17TH ST, SUITE 950 DISTANCES FROM SECTION LINES <br /> DENVER, CO 80265- Ft.from Section Line <br /> Ft. from Section Line <br /> (303)628-7798 UTM COORDINATES (Meters,Zone:13,NAD83) <br /> PERMIT TO CONSTRUCT A WELL Easting: Northing <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) 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 /> 5) 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 /> 6) 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 /> 7) 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 /> 8) This well must be constructed by or under the supervision of a licensed well driller or other authorized individual according <br /> to the Water Well Construction Rules. If non-standard construction is anticipated,a variance request must be submitted in <br /> accordance with Rule 18 and approved prior to well construction. <br /> 9) A Well Construction and Test Report(Form GWS-31),including lithologic log must be submitted by the individual <br /> authorized to construct the well. For non-standard construction,the report must include an as-built drawing showing <br /> details such as depth,casing, perforated zones,and a description of the grouting type and interval. <br /> 10) Pursuant to Rule 6.2.3 of the Water Well Construction Rules,the well construction contractor shall submit the as-built well <br /> location on work reports required by Rule 17.3 within 60 days of completion of the well. The measured location must be <br /> accurate to 200 feet of the actual location. The location information must include a GPS iocation.(UTM coordinates) <br /> pursuant tothe Division-of Water:Resources'guidelines. <br /> NOTE: Issuance of this permit does not-guarantee that this well can,be''converted to a'productiomwell under a future <br /> permit. Additionally, pursuant to Rule'14.2'of the'Wate�Well Construction RUles(2 CCR 402-2);monitoring holes <br /> constructed pursuant o:a nionitonng hole notice'stiall.nat be.;honverte'd:to:a production:well:`(Upon obtaining a:"permit ftom <br /> the State Engineer a'rrionitoring hole may be con erxed`to a 'onitonng well, recove"ry-welf:forremediation of the aquifer or": <br /> APPROVED f <br /> J ST t-tJ <br /> State Engineer '° By <br /> ,Receipt No.9703234 DATE ISSUED 04-11-2012 EX I ATION DATE 04-11-2014 <br />