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GWS 13 <br /> TIED <br /> COLORADO DIVISION OF WATER RESOURCES AUG 2 3 1989 <br /> FIELD INSPECTION REPORT <br /> OW <br /> APPLICANT: ��7a��7g S � „ PURPOSE OF INSPWrION; WM <br /> T' Late Registration 11 Replacement <br /> Address: �! C _ 13 y Abandoned Old Well Complaint <br /> Other <br /> City: Fe� �,�� , 8/38 NatureC54MIRFE <br /> Phone No. Home <br /> 0££ice <br /> Person Contacted, if not applicant: <br /> LOCATION OF WELL: <br /> County <br /> Type of Disposal System ,� Range 1�.UV Townshi S L <br /> 2�'Q a feet from ( and „� c3_c <br /> Total number of acres in tract on feet from (Ed* Section line. <br /> well is located ZJ Lot Elk Filing_ Subdivision: <br /> Are there any other weals ? If yes, how many Used for: <br /> PLEASE VERIFY THE HISPORIC USE AND THE CURRENT OR PROPOSED USE FOR LATE RDGIS- <br /> TRATIONS (SEE BELOW) <br /> A. The use of the well described herein, prior to May 8, 1972, was: <br /> ( ) ORDINARY HOUSEHOLD PURPOSES IN SINGLE-FAMILY DgELLING(S) . <br /> ( ) WATERING OF POULTRY AND/OR DcmwrIC ANIMALS. <br /> j?Q WATERING OF LIVESTOCK ON FARMS AND RANGES. HOW MANY HEAD Zp G) <br /> FEED LOT YES NO _ - <br /> ( ) IRRIGATION OF NO MORE THAN ONE ACRE OF HCME GARDENS AND LAWNS <br /> SQUARE-FEET. <br /> C ? FIRE PROTEC'i'ICN. <br /> *( ) FOR COMMERCIAL WELL, SEE BACK OF THIS FORM. <br /> ( .) TYPE OF WELL (DRILLED, HAND DUG, SPRING WELL) <br /> If spring well, give details on how and when level. ped <br /> 8. The current or proposed use of the well (If different than stated above) : <br /> (over) <br />