HYDRO22508

• Permit No: C1992080
• IBM Index Class Name: Hydrology
• Doc Date: 5/27/1997
• Doc Name: CERTIFICATION COLO WASTEWATER DISCHARGE PERMIT SYSTEM PN COG-850027 OAKRIDGE ENERGY LA PLATA CNTY
• From: CODH
• To: NOEL PAUTSKY
• Permit Index Doc Type: NPDES
• Media Type: D
• Archive: No

N0.
GWS-7
06/94
INFORMATION FOR WELL PERMITS APPROVED PURSUANT TO CRS 37-92-602
(HOUSEHOLD, DOMESTIC, LIVESTOCK AND EXEMPT COMMERCIAL USES)
PLEASE NOTE CAREFULLY THE CONDRIONS OF APPROVAL ON THE ATTACHED COPY OF YOUR PERMIT.
THE CONDffIONS MUST BE COMPLIED WffH IN ORDER FOR THE PERMIT TO BE VALID.
THE ISSUANCE OF THIS PERMff DOES NOT CONFER A DECREED WATER RIGHT.
THE PERMff EXPIRATION DATE IS TWO YEARS FROM THE DATE ISSUED. The well must be constructed and
evidence of it's construction must be submitted to this office in the form of a Well Construction and Test Report
from the well construction contractor confirming that well construction was completed prior to expiration of the well
permit. The permit number is located in the upper right hand corner of the permit. The expiration date is located
in the lower right hand corner. The expiration date may be extended at the discretion of the State Engineer for
good cause shown. If you desire an extension, you must file a written request with this office prior to the expiration
date shown on the permit. The request must state why the well has not been constructed, must include an
estimate of time required to complete the well, and must spec'rfy the length of extension you desire, not to exceed
one (1) year.
ADDITIONAL INFORMATION REGARDING 1A(f=1A7~7'1CJf~AfiA#T~ilf REGULATIONS
IE WELL MUST BE CONSTRUCTED AND THE PUMP INSTALLED BY CONTRACTORS WIfH CURRENT
IJCENSE(S) ISSUED BYTHE STATE OF COLORADO unless exempted as described on the reverse side. The well
construction and pump installation reports must be submitted to the office of the State Engineer within sixty (60)
days of completion of the work or within seven days after expiration of the permit, whichever is earlier. Your
contractor must provide you with a copy of the work report(s) filed with the State Engineer. The Well Construction
and Test Report, Form Number GWS-31 and the Pump Installation and Test Report, Form Number GWS-32 are
available from the Division of Water Resources offices.
At least two copies of the well permit have been provided. The owner's copy is for your records. The second copy
is for the pump installation contractor. Make additional copies for the well construction contractor'rf you select one
different from the one indicated in your application. ff you did not indicate a proposed driller on the application,
four copies of the pennii are enclosed. DO NOT GIVE YOUR 'OWNER'S COPY' TO THE CONTRACTOR .
The original permit is on file in the Denver Office Records Section. Additional copies may be obtained for a fee
of 50 cents per page. Any change of mailing address or ownership should be reported to the State Engineer by
the new owner on a "Change in OwnershiplAddress", form number GWS-11.
STATE OF COLORADO
OFFICE OF THE STATE ENGINEER
821 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 8663581
ff you have questions, contact the Denver Office, or the Division Office where your well is located.
DMSION 1
800 8th Ave Rm 321
Greeley CO 80631
[phone]
DMSION 2 Box 5728
219 W 5th Rm 223
Pueblo CO 81003
(719) 5423368
DMSION 3 Box 269 DMSION 4 Box 456
422 4th St 1540 E Niagara
Alamosa CO 81101 Montrose CO 81402
(719) 5895683 [phone]
DMSION 7 Box 1880 DENVER•OFFICE
JMSION 5 Box 396
50633 US Hwy 6 & 24
Glnwd Spgs CO 81601
[phone]
DMSION 6 Box 773450
625 So. Lincoln Ave
Stmbt Spgs CO 80477
[phone]
1474 Main St
Durango CO 81302
[phone]
Rm 821
1313 Sherman St
Denver CO 80203
[phone]