HYDRO21237

• Permit No: M2005003
• IBM Index Class Name: Hydrology
• Doc Date: 8/6/2002
• Doc Name: Water Rights Application
• From: Operator
• To: DMG
• Permit Index Doc Type: Correspondence
• Media Type: D
• Archive: No

a ue Petersmann 970-7i2r,'t3-4761
Submit oripina! plus three copies ` '' ~~~ ~'~ 1 Z 24 r
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District Court...,.:>,... ......... :. .
Water Division ,Colorado' '
Court Address;
CONCERNING THE APPI:ICATION FOR WATER RIGHTS OF:
Applicant: - --
!:
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IN COUNTY.
If Represented by an Attorney, Attorney's Name and Address:
Phone Number. E-mail:
FAX Number: Atty. Reg. #: _
APPLICATION FOR WATER RIGHTS (E
1. Name, address. telephone number(s) (residence an tipsiness) of applicants
a. )~ ~ (: (AO~NI Cf71 Oi`Pti r~Q r D ~~D_~ '
2. Name of struMure: (dkch, spring) _,_,~r~n 1 NTT
- [..' '
3. ~ Legal.desoription cf each point""of diversion: (include distance and bearing from established government section corner or
' ' :quarter corner; or distances from SeCtlon kites, and indicate '/. %, section number, township, range and meridion; include
' map):'The location may include UTM coordinates based on Zone 13 and NAD27(CONUS) datum. In urban areas,
inGude street address lot, block, and subdivision; ~%-'-
Required ~ ~ Section Township Ran a Principal Meridian
Description: County 1~-~-i/4 ~v-~--1/1 (o
T of the a3 M or S ~- ~ '~- ~,
.1 AG(~S O+V .~ ~ E or W
^ ~
Distance from section lines (section lines are typically not property fines)
l ,______~_,_ Feet from ^ N CIS and Feet from ^ E ^ W
Strcct
' OpNonaf Atlditionat Description: GPS location information in UTM format
Required settings for GPS units are as follows: Format must be UTM; Zone must be 13; Units must be Meters Datum
must be NA027 CONUS and; Units must be set to title north.
Werepolntsaveragcd7- Northing ~lhu Fasting J~G,°
^ YES' ~NO ~ 'a-5( 77(r a-7 /~Y !~
., . 4.~ Sourr.¢: (tributary and river) S ~+tyyr
~s, A: Date of iniltatlon of appropriation: 1 ^ ~ ' ' ~w rt bPt t°_ W ~ r< ~ Zl 7,!_ ~ %J -1-!
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Permit #: M-Zavs-v03 Confidental?: ~
Class: i/YeRo~-oGY MV#
From: oe~+s~/1 To: pMU
Doc. Name: Gvrart,C RrGNr~ ,~`PucA7/an~
-Doc. Date (if no date stamp): 8 02 Section/Exh.
Inspection Date NA Specialist: /Lr,WrcrSA'+