Laserfiche WebLink
vRJ:;.a,., ;_ COL~DO DIVISION OF WATER RESOUE~ <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 0203 <br />PERMIT APPLICATION FORP+1 <br />ApplicaPOn must <br />be complete :where 1 I A PER111T TO USE GROUND !'DATER <br />applicable. Type or IX~ A PERD:IIT TO CONSTRUCT A :'IEEE <br />pnr,t in aLACK FOR: ( 1 A PER!dIT TO INSTALL A PU'~iP <br />INK. No overs;nkes <br />or erasures unless 1 1 REPLACEMENT FOR ^I O. <br />imualed. (XMOTHER H`d~ rnlogic ttonitorina <br />',9ATER COURT CASE N0. <br />(1) APPLICANT - matting address <br />NAttdE I Ile f 7 tLSDUr(] & PIl ~':!d`/ l.Od I ~•n m nu ~t <br />STREET 1720 S. Bellaire Street <br />clrY Denver, Colorado 50222 <br />IS[aml IZiol <br />TE LEPHONE NO. 7S9-6ROD <br />(2) LOCATION OF PROPOSED WELL <br />County Routt <br />SW '.: of the SI'1 %, Section 3 <br />Twp. ~r.L~ _, Rng. 561:1 6th P.M. <br />rl.si ~E.rn <br />(3) WATER USE AND WELL DATA <br />Proposed maximum pumping rate (gpml <br />Average annual amount of ground v+ater <br />to be appropria[ed lacre-feed: <br />Number of acres to be irrigated: D <br />Proposed total depth (feed: 125D; 65D <br />Aquifer ground wa[er is to be obtained from: <br />Wadge coal zone; Twentymile S.S. <br />Owner's welldeslgnavon FBR:15 (A.B) <br />GROUND WATER TO BE USED FOR: <br />I 1 HOUSEHOLD USE ONLY - no irrigation (01 <br />( )DOMESTIC (11 I 1 INDUSTRIAL 151 <br />I I LIVESTOCK 12) ( 1 IRRIGATION I6) <br />( )COMMERCIAL 141 ( )MUNICIPAL 181 <br />IXkOTHER191 Hvdroloaic Plonitorinn <br />DETAIL THE USE ON BACK IN (11) <br />14) DRILLER <br />Name Applied HYdroloay Associates <br />Stree[ 1225 Forest Street <br />city Denver, Colorado 50220 <br />IStat el I~~D) <br />Telephone No. 3.3-45()4 L,c. No <br />0 <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />Receipt No <br />aasin <br />Dist. <br />CONDITIONS OF APPROVAL <br />This well shall be used in such a way as to cause <br />no material injury to existing `r+ater rights. The <br />issuance of the permit does not assure the applicant <br />that no injury will occur to another vested water <br />right or preclude another owner of a vested water <br />right from seeking relief in a civil court action. <br />APPLICATION APPROVED <br />PERMIT NUMBER <br />DATE ISSUED <br />EXPIRATION DATE <br />(STATE ENGINEER( <br />BY <br />LD. COUNTY <br />