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} <br /> WRJ-5-Rcv. 76 COLORADO DIVISION OF WATER RESOURCES <br /> 818 Centennial Bldg., 1313 Sherman St.,Denver,Colorado 80203 <br /> PERMIT APPLICATION FORM A`,! '9 <br /> Application must <br /> e complete where ( ) A PERMIT TO USE GROUNDWATER '4VATr-fZ,M4JR W <br /> .ppiicable. Type or ( x) A PERMIT TO CONSTRUCT A WELL STATE EhGtNttF <br /> print in BLACK FOR: ( X) A PERMIT TO INSTALL A PUMP COLO. <br /> INK.No overstrikes 99456 <br /> or erasures unless { X) REPLACEMENT FOR NO. <br /> initialed. ( }OTHER <br /> WATER COURT CASE NO. <br /> (1) APPLI.CANT- mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br /> NAME Clear Creek Distributing Co Receipt No. /0� / <br /> STREET P.O. Box 3160 Basin Dist, <br /> CITY Idaho Springs, Co 80452 <br /> (state) (Zip) CONDITIONS OF APPROVAL <br /> TELEPHONE NO. 303-674-1974 This well shall be used in such a way as to cause <br /> no material injury to existing water rights. The <br /> (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant <br /> that no injury will occur to another vested water <br /> right or preclude another owner of a vested water <br /> County Clear Creek right <br /> from seeking relief in a civil court action. <br /> ✓ SE %, of the NE Section 32 <br /> yop x j,4r X <br /> '�--Twp.� �bete5>_ yS , Rng. 72 W 6th P.M. (SJ n j {+ <br /> (N.S) (E.W) gnl�inyC 43V 4i t°✓� l/�7 °'�`' A.W. <br /> (3) WATER USE AND WELL DATA e�(J=s`sfey 6, <br /> Y,q r fir..:t4 <br /> ,1roposed maximum pumping rate (gpm) 15 <br /> 11AcGerage annual amount of ground water 1 / <br /> to be appropriated (acre-feet): !�'7 �• tl ' ):;c a <br /> "umber of acres to be irrigated: <br /> 0 <br /> ✓Proposed total depth (feet): 4.50 <br /> ,_Aquifer ground water is to be obtained from: granite <br /> Owner's well designation <br /> GROUND WATER TO BE USED FOR: <br /> { ) HOUSEHOLD USE ONLY -no irrigation (0) <br /> { } DOMESTIC (1) { } INDUSTRIAL (5) <br /> J �1 LIVESTOCK (2) { } IRRIGATION (6) <br /> ) COMMERCIAL (4)exempt { ) MUNICIPAL (8) <br /> { ) OTHER (9) APPLICATION APPROVED <br /> DETAIL THE USE ON BACK IN (11) <br /> (4) DRILLER PERMIT NUMBER <br /> DATE ISSUED <br /> Name ASPEN DRILLING CO. , INC. EXPIRATION DATE <br /> Teet 9054 S. HWY 285 <br /> City MORRISON, CO 80465 (STATE ENGINEER) <br /> (State) (Zip) <br /> 03-697-8335 949 BY <br /> Telephone N�. Lic.No. _ <br /> I.D. COUNTY <br /> I <br />