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WRJ-5-69 __ DIVISION OF WATER RESOURCES, DEPAR MENT OF NATURAL RESOURCES <br /> 101 Columbine Bldg., 1845 Sherman rest, Denver, Colorado 80203 <br /> 0 A PERMIT Tb USE GROUND WATER <br /> f A PERMIT TO CONSTRUCT A WELL <br /> APPLICATION FOR: Q REPLACEMENT FOR NO. x'• ) <br /> Q A PERMIT TO INSTALL A PUMP <br /> O <br /> OTHER �'\', �.r:C �i No' <br /> PRINT OR TYPE LOCATION OF WELL <br /> APPLICANT � ft� �" COUNTY (J / <br /> Street Address y, of the 4r sec. f <br /> City & State 0,`� - OLOf1 T. R. �Lr P.M. <br /> '� J _- Street or <br /> Use of ground water 'JE1 Lot & Block <br /> Owner of land on which w 1 City or <br /> is located Subdiv. Filing <br /> Owner of irrigated <br /> land Ground Water Basin <br /> Number of acres Water Management <br /> to be irrigated District <br /> Legal description of <br /> irrigated land LOCATE WELL ON THE BACK OF THIS SHEET <br /> Driller _ No., �Y <br /> Other water rights on Driller' . <br /> this land Address �! % <br /> Aquifer (s) ground water is to be obtained <br /> f r ors <br /> Signature of licant <br /> Storage capacity AF COND I I-ON.S._OF APPROVAL- <br /> ANTICIPATED PUMPING RATE GPM <br /> AVERAGE ANNUAL AMOUNT OF GROUND (WATER TO <br /> BE APPROPRIATED �� . l Acre-feet <br /> ESTIMATED WELL DATA <br /> Anticipated start of drilling 19 r� <br /> Anticipated start of use � I9-LI <br /> Hole Diameter: r p <br /> -� - i n, from f t. to0 ft.. APPLICATION APPROVED <br /> in. from ft. to �-rft. VALID FOR ONE (1) YEAR AFTER DATE ISSUED <br /> UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO <br /> Casing: THE ISSUING AGENCY <br /> Plain 7 in, from ft, to-g _ft. PERMIT N0. 49203 CONDITIONAL Q <br /> in. from ft. to ft. OCT 5 1971 <br /> DATE ISSUED <br /> Perf. in. from ft, to f t. <br /> a <br /> in. from ft. to ft. <br /> STATE ENGINE R <br /> ESTIMATED PUMP DATA <br /> DD Outlet ( BY <br /> Type A . HP Size ';v <br /> APPLICATION MUST BE COMPLETED SATISFACTORILY BEFORE ACCEPTANCE (OVER) <br />