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NRJ-S-P.c`v�b COLORADO DIVISION OF WATER RESOURCES <br /> 818 Centennial Bldg., 1313 Sherman St., Denver,Colorado-80203 <br /> PERMIT APPLICATION FORM ���~TED <br /> Application must <br /> be complete where ( ) A PERMIT TO USE GROUND WATER <br /> applicable. Type or (X ) A PERMIT TO CONSTRUCT A WELL 04'92 <br /> print In BLACK FOR: ( 1 A PERMIT TO INSTALL A PUMP <br /> 1NK.Nooverstrike5 <br /> or erasures unless ( ) REPLACEMENT FOR NO. STATEITr S <br /> initialed. ( IOTHER <br /> Ctll�. <br /> WATER COURT CASE NO. '3 <br /> (1) APPLICANT - mailing address FOR OFFICE USE ONLY: 00 NOT WRITE IN THIS COLUMN <br /> tT <br /> NAME COTTER CORPORATION Receipt No. ap <br /> 12596 West Bayaud Avenue, STE 350 <br /> STREET Basin Dist. `g <br /> Lakewood CO 80228 M <br /> CITY (state) (zlo) CONDITIONS OF APPROVAL <br /> TELEPHONE NO. (303) 980-1292 This well shall be used in such a way as to cause U <br /> no material injury to existing water rights. The r� <br /> (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant 01-1 <br /> that no injury will occur to another vested water 1 <br /> right or preclude another owner of a vested water <br /> JEFFERSON <br /> County right from seeking relief in a civil court action. <br /> NW % of the SE 25 <br /> '/.,Section Q <br /> Twp. 2 S. Rng. 71 W 6th P.M <br /> iN,SI LE.Wt <br /> (3) WATER USE AND WELL DATA <br /> Proposed maximum pumping rate (gpm) N/A <br /> Average annual amount of ground water N/A <br /> to be appropriated (acre-feet): <br /> Number of acres to be irrigated: N/A <br /> Proposed total depth (feet): 22.5' <br /> Aquifer ground water is to be obtained from: <br /> Surface Alluvium - Ralston Creek <br /> Owner's well designation MW-2 <br /> GROUND WATER TO BE USED FOR: <br /> ( )HOUSEHOLD USE ONLY -no irrigation (0) <br /> { ) DOMESTIC (1) ( ) INDUSTRIAL (5) <br /> { ) LIVESTOCK (2) ( } IRRIGATION (6) <br /> ( )COMMERCIAL (4) ( ) MUNICIPAL(81 <br /> I X)OTHER (9) Monitoring Well APPLICATION APPROVED <br /> DETAIL THE USE ON BACK IN 01) <br /> PERMIT NUMBER <br /> (4) DRILLER <br /> DATE ISSUED <br /> Name COTTER CORPORATION EXPIRATION DATE <br /> Street 12596 West Bayaud Avenue, STE 350 <br /> City Lakewood CO 80228 (STATE ENGINEER) <br /> (state) (Zip) <br /> Telephone No. <br /> (303) 980-1292 Lic. No. <br /> N/A BY <br /> I.D. / COUNTY �� <br />