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A7COLORADO WELL PERMIT NUMBER 307473- <br /> Division of Water Resources RECEIPT NUMBER 3683171B <br /> ORIGINAL PERMIT APPLICANT(S) APPROVED WELL LOCATION <br /> TRANSIT MIX CONCRETE[O Water Division: 3 Water District: 10 <br /> Designated Basin: N/A <br /> Management District: N/A <br /> County: ELPASO <br /> Parcel Name: N/A <br /> AUTHORIZED AGENT Physical Address: 2485 HITCH RACK RANCH RDC(]LORADO <br /> HYDRO-LOGIC SOLUTIONS, INC (DAY' MIKE) SPRINGS, CO80928 <br /> NE 1/4 SE 1/4 Section 16Township 18.0 S Range 67.OVVSixth P.M. <br /> EastinA: 509856.0 Northing: 4278527.0 <br /> PERMIT TO CONSTRUCT A NEW WELL <br /> CONDITIONS OF APPROVAL <br /> 1 This weR 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 civil court action. <br /> 2) The construction of this wet[shall be in compliance with the Water Welt Construction Rules 2 CCR 402-2, unless approval of a <br /> variance has been granted by the State Board of Examiners of Water WeU Construction and Pump Installation Contractors in <br /> accordance with Rule 18. <br /> 3) Approved pursuant to CIRS 37-92-602(3)(b)(1) for uses as described in CRS 37-92-602(l)(f). Use of this welt is limited to <br /> monitoring water tevets and/or water quality sampting. <br /> ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br /> 4) Approved for the use of an existing wetl,acknowtedged for construction under monitoring hole notice 56847-MH, and known as <br /> 5) This welt must be equipped with a locking cap or seat to prevent weLl.contamination or possible hazards as an open weU. The <br /> wetl,must be kept capped and locked at all times except during sampling or measuring. <br /> 6) Records of water level measurements and water quality analyses shatt be maintained by the wet( owner and submitted to the <br /> Division of Water Resources upon request. <br /> 7) Upon conclusion of the monitoring program the wett owner shall pLug this wett in accordance with Rule 16 of the Water Well <br /> Construction Rutes. A Welt Abandonment Report must be completed and submitted to the Division of Water Resources within 60 <br /> days of plugging. <br /> 8) The owner shatt mark the welt in a conspicuous location with the weLt permit number and name of aquifer as appropriate, and <br /> shalt take necessary means and precautions to preserve these markings. <br /> 9) This welt must have been constructed by or under the supervision of a ticensed well driller or other authorized individual <br /> according to the Water Welt 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 wet( can be converted to a production welt under a future permit. <br /> Additionally, pursuant to Rule 14.2 of the Water Well Construction Rutes (2 CCR 402-2), monitoring holes constructed pursuant <br /> to a monitoring hole notice shalt not be converted to a production wet(. (Upon obtaining a permit from the State Engineer, a <br /> monitoring hole may be converted to a monitoring well, recovery well for remediation of the aquifer, or a clewatering system <br /> for clewatering the aquifer.) <br /> NOTICE: This permit has been approved subject to the foltowing changes: The quarter/quarter and quarter were determined <br /> from UTM coordinate vatues provided with the permit application. You are hereby notified that you have the right to appeal <br /> the issuance of this permit, by filing a written request with this office within sixty (60)days of the date of issuance, pursuant to <br /> the State Administrative Procedures Act. (See Section 24-4-104 through 106, C.R.S.) I <br /> Printed 11-03-2017 For questions about this permit caU 303.866.3581 or go to www.water.state.co.us Page 1 of 2 <br />