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Form No. OFFICE OF THE STATE ENGINEER , Well MW-TPZ1 <br /> GWS-25 COLORADO DIVISION OF WATER RESOURCES <br /> 818 Centennial Bldg.,1313 Sherman St.,Denver,Colorado 80203 <br /> (303)8663581 AUTH <br /> WELL PERMIT NUMBER 287946 <br /> APPLICANT DIV. 7 WD 71 DES. BASIN MD <br /> APPROVED WELL LOCATION <br /> SAN MIGUEL COUNTY <br /> NE SE 114 NW SE 1/4 Section 10 <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 location(UTM coordinates) <br /> pursuant to the Division of Water Resources'guidelines. <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 t toring well,recovery well for remediation of the aquifer,or <br /> L <br /> APPROVED <br /> . ' <br /> JST <br /> State Engineer ay <br /> ,Receipt No.9703236 DATE ISSUED 04-11-2012 E)qfTION DATE 04-11-2014 <br /> NOTE:The approved well location was amended pursuant to the Application for Well Location Amendment received by <br /> this office on 8/28/2014(CRF 8128/2014) <br />