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WELL PERMIT NUMBER 307364- <br /> Division of Water Resources RECEIPT NUMBER 3683171G <br /> Departryient of Natural Resource!� <br /> ORIGINAL PERMIT APPLICANT(S) APPROVED WELL LOCATION <br /> TRANSIT MIX CONCRETE[O Water Division: 2 Water District: 10 <br /> Designated Basin: N/A <br /> Management District: N/A <br /> County: ELPA8O <br /> Parcel Name: N/A <br /> AUTHORIZED AGENT Physical Address: 2485 HITCH RANCH RDCOLORADC) <br /> HYDRO'LOG|[5OLUT|ON5. INC (DAY' MIKE) SPRINGS, C{J80Q28 <br /> NE 1/4SE 1/4 Section 18Townahip 10.0 G Range 87.0VVSixth P.M. <br /> EasbnQ: 509993.0 Northing: 4278621.0 <br /> PERMIT TQ CONSTRUCT A NEW WELL <br /> CONDITIONS OF APPROVAL <br /> 1 This welt shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does <br /> 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 civit 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 of a <br /> variance has been granted by the State Board of Examiners of Water Wetl.Construction and Pump Installation Contractors in <br /> 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(l)(f). Use of this wetl. is limited to <br /> monitoring water levels and/or water quality sampling. <br /> ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br /> 4) Approved for the use of an existing wet[acknowledged for construction under monitoring hole notice 56977-MH, and known as <br /> 5) This well must be equipped with a locking cap or seat to prevent well contamination or possible hazards as an open well. The <br /> welt must be kept capped and locked at all times except during sampting or measuring. <br /> 6) Records of water level measurements and water quatity analyses shaU be maintained by the wett owner and submitted to the <br /> Division of Water Resources upon request. <br /> 7) Upon conclusion of the monitoring program the well owner shalt plug this weti. in accordance with Rule 16 of the Water Well <br /> Construction Rules. A Wel.l.Abandonment Report must be completed and submitted to the Division of Water Resources within 60 <br /> days of plugging. <br /> 8) The owner shall mark the welt in a conspicuous location with the well permit number and name of aquifer as appropriate, and <br /> shall take necessary means and precautions to preserve these markings. <br /> 9) This wet( must have been constructed by or under the supervision of a licensed welt driller or other authorized individual <br /> according to the Water Well Construction Rules. <br /> 10) This welt must be located not more than 200 feet from the location specified on this permit. <br /> NOTE: Issuance of this permit does not guarantee that this welt can be converted to a production well under a future permit. <br /> Additionally, pursuant to Rule 14.2 of the Water WeR Construction Rules (2 CCR 402-2), monitoring hotes constructed pursuant to <br /> a monitoring hole notice shall not be converted to a production well. (Upon obtaining a permit from the State Engineer, a <br /> monitoring hole may be converted to a monitoring well, recovery wet(for remediation of the aquifer, or a clewatering system for <br /> dewatering the aquifer.) <br /> NOTICE: This permit has been approved subject to the following changes: The quarter/quarter and quarter were determined <br /> from UTM coordinate values provided with the permit application. You are hereby notified that you have the right to appeal the <br /> issuance of this permit, by filing a written request with this office within sixty (60) days of the date of issuance, pursuant to the <br /> State Administrative Procedures Act. (See Section 24-4-104 through 106, C.R.S.) <br />� Printed 1O-2o-2O 7 For questions about this permit oaV300.868.]581 nrguu`v*v*mmte,state.co.us Page of <br />