HYDRO20262

• Permit No: C1981022
• IBM Index Class Name: Hydrology
• Doc Date: 4/9/1997
• Doc Name: MONITORING WELLS
• From: OXBOW CARBON & MINERALS INC
• To: DWR
• Permit Index Doc Type: CORRESPONDENCE
• Media Type: D
• Archive: No

JIAIE OF COLORADO DECEIVED AUG 1 9 ~
OFFICE OF THE STATE ENGINEER
821 Cemennial Bldg., 1313 Sherman SL, Denier, Colorado 80203
' (303) 8663581
INFORMATION FOR WELL PERMITS APPROVED PURSUANT TO CRS 37-92-602
(HOUSEHOLD, DOMESTIC, LIVESTOCK AND EXEMPT COMMERCIAL USES)
EASE NOTE CAREFULLY THE CONDff10NS OF APPROVAL ON THE ATTACHED COPY OF YOUR PERMIT.
E CONDfiIONS MUST BE COMPLIID WITH IN ORDER FOA THE PERMIT TO BE VALID.
THE ISSUANCE OF THIS PEAMfT DOES NOT CONFER A DECREID WATER RIGHT.
PERMIT EXPIRATION DATE IS TWO YEARS FROM THE DATE ISSUID. The well must be constructed and
ence of it's construction must be submitted to this office in the form of a Well Construction and Test Report
the well construction contractor confirming that well construction was completed prior to expiration of the well
lit. The permit number is located in the upper right hand corner of the permit. The expiration date is located
e lower right hand comer. The expiration date may be extended at the discretion of the State Engineer for
i cause shown. ff You desire an extension, you must file a written reauest with this office prior to the expiration
shown on the permR. The request must state why the well has not been constructed, must include an
late of time required to complete the well, and must specify the length of extension you desire, not to exceed
(1) Year.
I110NAL INFORMATION REGARDING ;r. , ,~. _: .:.:1~ , ;; ..> C~'CO~"JUa'Yil`"R~0.fiItN~t~+1 REGULATIONS
WELL MUST BE CONSTAUCTID AND THE PUMP INSTALLED BY CONTRACTORS WITH CURRENT
NSE(S) ISSUED BYTHE STATE OF COLORADO unless exempted as described on the reverse side. The well
traction and pump installation reports must be submitted to the office of the State Engineer within sixty (60}
of completion of the work or within seven days after expiration of the permit, whichever is earlier. Your
actor must provide you with a copy of the work report(s) filed with the State Engineer. The Well Construction
lest Report, Form Number GWS~1 and the Pump Installation and Test Report, Form Number GWS-32 are
role from the Division of Water Resources offices.
ist two copies of the well permit have been provided. The owner's copy is for your records. The second copy
the pump installation contractor. Make additional copies for the well construction contractor if you select one
ant from the one indicated in your application. It you did not indicate a proposed driller on the application,
:opies of the permit are enclosed. DO NOT GIVE YOUR 'OWNER'S COPY' TO THE CONTRACTOR .
lriginal permit is on file in the Denver Office Records Section. Additional copies may be obtained for a Tee
~ cents per page. Arty change of mailing address or ownership should be reported to the State Engineer by
~w owner on a "Change in Ownership/Address°, form number GWS-11.
have questions, contact the Denver Office, or the Division Office where your well is located.
910N 1 DMSION 2 Box 5728 DMSION 3 Box 269 DMSION 4 Box 456
Bth Ave Rm 321 219 W 5th Rm 223 422 4th St 1540 E Niagara
ley CO 80631 Pueblo CO 81003 Alamosa CO 81101 Mormose CO 81402
352-8712 (719) 5423368 [phone] [phone]
ilON 5 Box 396 DMSION 6 Box 773450 DMSION 7 Box 1880
3 US Hwy 6 & 24 625 So. Lincoln Ave 1474 Main St
d Spgs CO 81601 Stmbr Spgs CO 80477 Durango CO 81302
1945-5665 [phone] [phone]
DENVER OFFICE
Rm 821
1313 Sherman St
Denver CO 80203
(303) 8663581