2020-12-21_PERMIT FILE - C1981010 ‎(17)‎

• Permit No: C1981010
• IBM Index Class Name: Permit File
• Doc Date: 12/21/2020
• Doc Name: Design & Construction for GW Monitoring Wells
• Section_Exhibit Name: APPENDIX V PART C
• Media Type: D
• Archive: No

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CDLORADOWELL PERMIT NUMBER 319192-
Division of Water Resources Department of Natural Resources RECEIPT NUMBER 10006471
ORIGINAL PERMIT APPLICANT(S1 APPRO ED WELL LOCATION
TRAPPER MINING INC (ROBERTS, GRAHAM) Water Division: 6 Water District; 44
Designated Basin: NIA
Management District: NIA
County: MOFFAT
Parcel Name: NIA
Physical Address: NIA
SW 1/4 NW 1/4 Section 28 Township 6.0 N Range 91.0 W Sixth P.M.
UTM COORDINATES (Meters, Zone•13 NAD83)
Easting: 278124.0 Northing: 4480852.0
PERMIT TO USE AN EXISTING WELL
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
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 not
ensure that no injury witl occur to another vested water right or prectude another owner of a vested water right from seeking
relief in a civil court action.
2) The construction of this well sha€l be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a
variance has been granted by the State Board of Examiners of Water Well Construction and Pump installation Contractors in
accordance with Rule 18.
3) Approved pursuant to CRS 37-92-602(3)(b)(1) for uses as described in CRS 37-92-602(1)(f). Use of this well is limited to
monitoring water levels and/or water quality sampling.
4) Approved for the use of an existing well acknowledged for construction under monitoring hole notice 60895-MH, and known as
CY-1.
5) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open wet(. The
well must be kept capped and locked at all times except during sampling or measuring.
6) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to the
Division of Water Resources upon request.
7) Upon conclusion of the monitoring program the well owner shalt plug this well in accordance with Rule 16 of the Water Well
Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water Resources within 60
days of plugging.
8) The owner shall mark the welt in a conspicuous location with the well permit number and name of aquifer as appropriate, and
shall take necessary means and precautions to preserve these markings.
9) This well must have been constructed by or under the supervision of a licensed well driller or other authorized individual
according to the Water Well Construction Rules.
10) This well must be located not more than 200 feet from the location specified on this permit.
NOTE: Issuance of this permit does not guarantee that this welt can be converted to a production well under a future permit.
Additionally, pursuant to Rule 14.2 of the Water Well Construction Rules (2 CCR 402-2), monitoring holes constructed pursuant
to a monitoring hole notice shall not be converted to a production well. (Upon obtaining a permit from the State Engineer, a
monitoring hole may be converted to a monitoring well, recovery well for remediation of the aquifer, or a dewatering system
for dewatering the aquifer.)
;? Date issued: 10/22/2020
.J Issued By GEOFFREY DAVIS Expiration Date: N/A
Printed 10.22-2020 For questions about this permit call 303.866.3581 or go to www.water.state.co.us Page 1 of 1