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C O L O R A D O WELL PERMIT NUMBER 81419-F Division of Water Resources RECEIPT NUMBER 3679525A Department of Natural Resources ORIGINAL PERMIT APPLICANT(S) APPROVED WELL LOCATION KEYAH GRANDE LLC Water Division: 7 Water District: 78 Designated Basin: N/A Management District: N/A County: ARCHULETA Parcel Name: N/A Physical Address: N/A SE 1/4 NE 1/4 Section 7 Township 34.0 N Range 3.0 W New Mexico P.M. UTM COORDINATES (Meters. Zone:13. NAD83) Easting: 301373.0 Northing: 4122977.0 PERMIT TO EXPOSE WATER IN A EXISTING PIT 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 37-90-137(2) and (11), on the condition that this well (gravel pit pond)is operated in accordance with the Alan and Barbara Sackman Augmentation Plan approved by the Division 7 Water Court in case no. 04CW0064. If this well (grave[ pit pond)is not operated in accordance with the terms of said decree, it will be subject to administration including orders to cease diverting water. This well (gravel pit pond) is known as Alan's Lake/Well in 04CW0064, also known as the Keyah Grande/Alan's Lake. Division of Reclamation, Mining it Safety Permit Number M-2011-026. 4) The use of ground water for this well (gravel pit pond) is limited to commercial, including the mining of gravel, with post mining uses including evaporation, piscatorial, stock water and recreation. No other use of water is allowed unless a permit therefor is approved. 5) The maximum pumping rate of this well (gravel pit pond) shall not exceed 0.11 cfs (50 gpm). 6) The annual amount of ground water to be appropriated during mining shall not exceed 10.877 acre-feet, with post mining not to exceed 11.6 acre-feet, per decree. The total surface area of the gravel pit pond is limited to 6.0 acres. 7) The owner shall mark the well (gravel pit pond)in a conspicuous place with well permit number(s)and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 8) A totalizing flow meter must be installed so as to measure any pumping from this gravel pit pond and maintained in good working order. 9) Pursuant to Policy 2014-1 of the State Board of Examiners of Water Well Construction and Pump Installation Contractors (Board), the minimum construction standards in Rule 10 of the Water Well Construction Rules shall be waived for gravel pit ponds, except, compliance with Rule 10.1 and its subsections 10.1.2, 10.1.4, 10.1.6 and Rule 10.2 and its subsection 10.2.1 is required.The owner of the gravel pit pond shall take necessary means and precautions to prevent contaminants from entering the gravel pit pond. 10) The boundaries of the gravel pit pond shall be more than 600 feet from any existing well, completed in the same aquifer, that is not owned by the applicant, and not more than 200 feet from the location specified in 04CW0064. NOTE: The well structure I.D.#is 7803818. 5 _ Date Issued: 10/11/2017 Issued By JOHN GABERT Expiration Date: N/A Printed 01-07-2019 For questions about this permit call 303.866.3581 or go to www.water.state.co.us Page 1 of 1