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COLORADO DIVISION OF WATER RESOURCES GWS-46 M0NINST(01/2020) <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(aDstate.co.us <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 (GWS-46) 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 'Y< of the '/4 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 '/4 of the '/4 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 '/4 <br /> Section is 2,640 feet by 2,640 feet and comprises 160 acres. Each %section can be further divided into additional quarters. Each % <br /> of the '/4 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 /> 8280ft Section 3, being 2500 feet <br /> ----------------- ----- from the South Section Line <br /> NW1/4 NE1/4 and 1400 feet from the East <br /> SE1/4 SE1/4 Section Line. <br /> 2640ft r SW1/4 ------ - - <br /> 1320ft SW1/4 SE1/4 <br /> SE1/4 SE1/4 <br /> SM111 Sealm Lk s <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 boundary between Zone 12 and Zone 13 is the 108th Meridian <br /> (longitude). West of the 108th Meridian is UTM Zone 12 and east of the 108 h Meridian is UTM Zone 13. The 108th 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 consultant 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 applicant's 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.gov for general information. <br />