HYDRO23174

• Permit No: C1981019
• IBM Index Class Name: Hydrology
• Doc Date: 4/6/1992
• Doc Name: LICENSED WATER WELLS CHANGE IN OWNERSHIP ADDRESS OFFICE OF STATE ENGINEER
• From: CONCOL INC
• To: COLOWYO COAL CO
• Permit Index Doc Type: CORRESPONDENCE
• Media Type: D
• Archive: No

Gw5-t1 olr.rc yr VVLVI"1HUV For Olfice Ux only
to;e9 OFFICE OF THE STATE ENGINEER
819 Centennial Bldg., 17'17 Sharman SL, Denver. Colorado 80207
[phone]
PR4pR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE
CHANGE IN OWNERSHIP /ADDRESS
WELL PERMTf, LVESTOCK TANK OR EROSION CONTROL DAM
1. NEW OWNER
NAME(S) Colowyo Coal Company
Mailing Address 5731 State Highway 13
City, St. Zip Meeker, Colorado 81641
Phone (~n~ )x,24-4451
2. THIS CHANGE IS FOR ONE OF THE FOLLOWING:
WELL PERMIT NUMBER
^ LIVESTOC
NK
UMBER
W
K
ATER TA
N
^ EROSION CONTROL DAM NUMBER
3. WELL LOCATION: COUNTY Rio Blanca OWNER'S WELL DESIGNATION A-6
14 Inverness Drive East, Bldg. F Suite 228, Englewood, Colorado 80112
(Adarese) (Clry) (Swsl (Lal
28 Twp
NW 1J4 or Ne NE 114
6 P
Sec
3 ^ N
Range 93 ^ E
«^ S
M
« 0 W
,
.
.
.
.,
.
.
.
Distances from Section Lines 800 Ft
1500 Ft
from ®N
or ^ S
Line
from 0 E
r ^ W
Line
.
.
.
,
.
. o
.
.
Subdivision Lot Black Filing (Unit)
4. LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY
1/4, Sec. Twp. ^ N. «^ S., Range ^ E. «^ W. P.M.
5. The above listed owner(s) say(s) that he (they) own the structure described herein.
The existing record is being amended for the following reason(s):
0 Change in name of owner. ^ Change in mailing address.
6. I (we) have read the statements made herein, know the contents thereat, and state that they are true
to my (our) knowledge.
(Pursuant to Section 24.4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in
the second degree and is punishable as a class 1 misdemeanor.]
Name~tle (Please type or print) Signature Date
FOR OFFICE USE ONLY
State Engineer By Oels
Court Case No. Div. Co. WD Basin MD Use