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COLORADO DIVISION OF WATER RESOURCES <br /> 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 �p <br /> PERMIT APPLICATION FORM_ (- <br /> Ap ation must UO° V Rom-' <br /> bt plete where ( ) A PERMIT TO USE GROUNDWATER <br /> ap_ __ble, Type or ( X) A PERMIT TO CONSTRUCT A WELL I,IAR 04'92 r'. <br /> print in BLACK FOR: ( } A PERMIT TO INSTALL A PUMP <br /> INK.Nooverstrikes WATERR ;ZURCES <br /> or erasures unless ( } REPLACEMENT FOR N0. STrl_ :,.,C_&!.ER �l <br /> initialed. ( } OTHER COLO. <br /> WATER COURT CASE NO. <br /> (1) APPLICANT . mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br /> c� <br /> NAME <br /> COTTER CORPORATION Receipt No,-�3� U__3 � I <br /> STREET 12596 West Bayaud Avenue, STE 350 Basin Dist. <br /> Lakewood CO 80228 1 <br /> CITY CONDITIONS OF APPROVAL <br /> (state) (Z10) r <br /> r, <br /> C <br /> TELEPHONE NO. (303) 980-1292 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 JEFFERSON right from seeking relief in a civil court action. <br /> NE y, of the SE Section 25 <br /> Twp. 2 S , Rng. 71 W 6th P M <br /> +N.S, tE.tiv <br /> (3 %TER USE AND WELL DATA <br /> Proposed maximum pumping rate (gpm) N/A <br /> Average annual amount of ground water N/A <br /> to be appropriated (acre-feet): <br /> Number of acres to be irrigated. N/A <br /> Proposed total depth (feet): 21.0' <br /> Aquifer ground water is to be obtained from: <br /> Surface Alluvium - Ralston Creek <br /> Owner's well designation MW-6 <br /> GROUND WATER TO BE USED FOR: <br /> ( ) HOUSEHOLD USE ONLY - no irrigation (0) <br /> ( ) DOMESTIC 11) ( .} INDUSTRIAL (5) <br /> ( ) LIVESTOCK (2) ( ) IRRIGATION (6) <br /> ( ) COMMERCIAL (4) ( 1 MUNICIPAL (8) <br /> ( X) OTHER (9) Monitoring Well APPLICATION APPROVED <br /> DETAIL THE USE ON BACK IN (11) <br /> PERMIT NUMBER <br /> (4) DRILLER <br /> DATE ISSUED <br /> COTTER CORPORATION EXPIRATION DATE <br /> Street 12596 West Bayaud Avenue, STE 350 <br /> City <br /> Lakewood CO 80228 (STATE ENGINEER) <br /> (State) (ZAP) <br /> Telephone No. <br /> (303) 980-1292L�c. No. <br /> N/A BY <br /> 1 n rn)INTV C3 0 D 7 <br />