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COLORADO DIVISION OF WATER RESOURCES GWS-46 MONINST(0112020)
<br /> DEPARTMENT OF NATURAL RESOURCES
<br /> MONITORING/OBSERVATION WELL PERMIT APPLICATION INSTRUCTIONS
<br /> Applications must be computer generated on-line,typewritten or printed in BLACK or BLUE INK. ALL ITEMS in the application must
<br /> be completed. Incomplete applications may be returned for more information.Applications are evaluated in chronological order.
<br /> Please allow approximately six weeks for processing. This form may be reproduced by photocopying or computer generation.
<br /> Reproductions must retain margins and print quality of the original form. If filing online,see online filing instructions for further information.
<br /> You may also save,print,scan and email the completed form to:dwrpermitsonline(cD-state.com
<br /> FEES:This application must be submitted with a$100 filing fee. (The fee for an application to replace or deepen an existing permitted
<br /> monitoring/observation well is $100 for locations outside Designated Ground Water Basins, and $60 inside Designated Ground Water
<br /> Basins.) Fees are nonrefundable. Please visit our website (dwr.colorado.gov) for acceptable payment information or contact DWR at
<br /> (303)866-3581.
<br /> USES: This form (GWS46) is to be used when applying for a permit where the only uses are monitoring of water levels and/or water
<br /> quality sampling. For well construction criteria refer to the Colorado Water Well Construction Rules,2CCR 402-2. A copy of the Rules may
<br /> be obtained from any Division of Water Resources Office for a fee of $5, or you may access them online on our website
<br /> (dwr.colorado.gov)
<br /> ITEM INSTRUCTIONS:(numbers correspond with those on the front of this form)
<br /> 1. Provide the name of the well owner and the mailing address where all correspondence will be sent.
<br /> 2. Check and complete all boxes that apply.
<br /> 3. Provide the MH number assigned by the Division of Water Resources in response to the notice of intent to construct a
<br /> monitoring/observation well. Complete the well name if the structure has a name or identifying number.
<br /> 4. If applying for a permit to construct a new well,you must provide the county,section#,township,range and principal meridian. You
<br /> do not need to provide the % of the % section designation, distances from section lines or an optional GPS location (UTM
<br /> coordinates), If a permit is issued and a well constructed, the authorized individual will be required to provide an accurate GPS
<br /> location (UTM coordinates)of the"as-built"well location. If applying for a permit to use an existing well you must provide the well
<br /> location information stated above, as well as either a GPS location (UTM coordinates)of the existing well site, or distances from
<br /> section lines(including the%of the%section designation)as follows: In a typical case, a township is comprised of 36 sections,
<br /> with each section ideally one mile square, or 5,280 feet on each side. Sections are further divided into quarter sections. Each 'Y,
<br /> Section is 2,640 feet by 2,640 feet and comprises 160 acres. Each%section can be further divided into additional quarters. Each''Y4
<br /> of the % Section is 1,320 feet by 1,320 feet and comprises 40 acres. The distances are measured from the section lines. In the
<br /> following example,the well Is located 2,500 feet from the South Section line and 1,400 feet from the East Section line:
<br /> NW1/4 NE1/4
<br /> Well Location Example•
<br /> NW1/4 of the SE1/4 of
<br /> 528D r. Section 3. being 2500 feet
<br /> - - 3 ------7---- from the South Section Line
<br /> rm114 NEv4 and 1400 feet from the East
<br /> SE114 SE114 Section Line.
<br /> 2640 n SW1/4 :......- .._
<br /> puce SW114 SE114
<br /> seiro sera
<br /> MINIMUM
<br /> If providing a GPS location(UTM coordinates),the required GPS unit settings must be as indicated on this form. Colorado contains
<br /> two UTM zones(12&13). Zone 13 covers most of Colorado. The boundai between Zone 12 and Zone 13 is the 10801 Meridian
<br /> (longitude). West of the I Oe Meridian is UTM Zone 12 and east of the 108 Meridian is UTM Zone 13. The 108"'Meridian is
<br /> approximately 57 miles east of the Colorado-Utah state line. On most GPS units,the UTM zone Is given as part of the Easting
<br /> measurement,e.g. 12T0123456. Check the appropriate box for the zone. Provide the property address of the well location if one
<br /> exists. If it is the same as the mailing address,check the box next to the well location address.
<br /> 5. Provide property owner information.
<br /> 6. Use of this well is limited to monitoring water levels and/or water quality sampling only.
<br /> 7. The actual or anticipated total depth must be provided. Provide the name of the aquifer in which the well will be completed.
<br /> 8. Provide oonsuftant information(if applicable). Note:A consultant may sign this application on behalf of their client.
<br /> 9. Monitoring/observation wells must be constructed by a Colorado licensed well construction contractor or authorized individual,as
<br /> defined in the Well Construction Rules,2CCR 402-2. Only a licensed contractor may construct any monitoring/observation well that
<br /> penetrates a confining layer,or,is to be converted into a future production well. The well must be constructed in compliance with the
<br /> Well Construction Rules,unless a variance has been approved allowing an alternative construction design.
<br /> 10. The individual signing the application or entering their name(and title if applicable)must be the applicant or an officer of the corporation/company/
<br /> agency identified as the applicant,their attorney or consultant. An authorized agent may also sign the application,if a letter signed by the applicant or
<br /> their attorney Is submitted with the application authorizing that agent to sign or enter their name on the applicants behalf. Payment must be received
<br /> Via phone,fax or mail prior to processing the application. If filing online please call the Records Section at 303.866.3581 to pay via credit card.
<br /> IF YOU HAVE ANY QUESTIONS regarding any item on the application form,please call the Division of Water Resources Ground Water
<br /> Information Desk(303-866-3587),or the nearest Division of Water Resources Field Office located in Greeley(970-352-8712),Pueblo
<br /> (719-542-3368),Alamosa(719-589-6683),Montrose(970-249-6622),Glenwood Springs(970-945-5665),Steamboat Springs
<br /> (970-879-0272),or Durango(970-247-1845),or refer to the CDWR web site at dwr.colorado aov for general Information.
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