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WELL PERMIT NUMBER 85275-F RECEIPT NUMBER 10006890 <br /> NOTE: This well is withdrawing water from a non-renewable aquifer. While the withdrawals from this aquifer are administered <br /> based on a 100 year aquifer life, water level declines may prevent this well from diverting the permitted amounts for that 100 <br /> years. <br /> NOTE: This well is located within the Upper Black Squirrel Creek Ground Water Management District where local District Rules <br /> apply which may further limit the withdrawal and use of designated ground water as authorized under this permit. <br /> NOTE: A hydrogeologic aquifer evaluation has been completed for this permit and the details of the evaluation can be viewed in <br /> the hydrogeologic aquifer evaluation imaged document and the original permit file. <br /> NOTE: This well will be completed in a Type 1 aquifer penetrating only one confining layer and must be constructed in <br /> accordance with Well Construction Rule 10.4.5.1 (2 CCR 402-2). <br /> Date Issued: 3/2312O21 <br /> Issued By IOANA COMANICIU Expiration Date: 3/23/2022 <br /> Printed 03-23-2021 For questions about this permit call 303.866.3581 or go to www.water.state.co.us Page 2 of 2 <br />