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"~NSi•s~Rar. 7a COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sharman St., Denver, Colorado 80203 <br />• - RECI~I~~ ~A~121i~c1982 <br />A anon must 620 liumilton Buildin7RE1R~MITAPPLICATION FORM ~• <br />l~nplata whar`yichjtp Falls, Te:cos ~j~TQ PERMIT 70 USE GROUND WATER <br />' cable. Type or (B17) 322-94511X 1 A PERMIT TO CONSTRUCT A WELL <br />print in BLACK FOR: IX I A PERMIT 701NSTALL A PUMP <br />1 N K, No overstrikes <br />or erasures unless ( 1 REPLACEMENT FOR NO. <br />initialed. 1 ) OTHER <br />WATER COURT CASE N0. ' <br />.w ~ ~, <br />G-u/-S/ <br /> <br />RECrIV~D <br />SAP 1 ~~ 1981 <br />STers cr.,,l,r.ta <br />ng address <br />NAME I'u0U10 COal 1riC, <br />STREET 420 Ilfunilton B1fI6, <br />CITY !litchit:t l~al.l^, '1':C 76';01 <br />(soul Iz~ol <br />TELEPHONE NO. ~lOCal) 3L13-%-11.7-97D4 <br />(21 LOCATION OF PROPOSED WELL <br />County T~ I'1t3.tR <br />_1JW ~ % of the_SR '/., Section 13 <br />Twp. 311. : 1`1 , Rng. ~_ ~I_. IIl'1 P.M <br />IN.51 IE,N1 <br />Proposed maximum pumping rate (gpm) r10 rmm <br />Average annual amount of ground water 100 <br />to be appropriated (acre~leetl: <br />Number of acres so ba irrigated: <br />Proposed total depth (leer): <br />22 <br />700 f'. , <br />Aquiler ground water is to be obtained from: <br />Pictttrocl Gli.ff ;'.Itnd::Lorto. <br />pwner'swalldesignation C:Ifrhnn t;:~.tl;/gn ,~1. <br />fiROUND WATER 70 BE USED FOR: <br />1 HOUSEHOLD USE ONLY <br />lX 1 DOMESTIC I11 <br />1 1 LIVESTOCK (21 <br />IX I COMMERCIAL 141 <br />no irrigation (01 <br />1 X) INDUSTRIAL 151 <br />IX) IRRIGATION I61 <br />( I MUNICIPAL 181 <br />1 I OTHER (91 <br />DETAIL THE USE ON BACK IN 111) <br />(4) D IR LLER <br />• 1'ueii.lo t;oit.l anc, <br />Street 020 Hfut.i.lton Bld;. <br />city •'li.tult].Ltt 1~'::.1].a, 'fiC 7G301 <br />t utq tool <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />Receipt No. ~ 5~`~ / •/ <br />Basin Dist. <br />CONDITIONS OF APPROVAL <br />This well shall be used in such a way as to cause <br />no material injury to existing water 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 />1) APPROVED PURSUANT 70 C.R.S. 1913, 37-90-131 <br />FOR THE CONSTRUCTION OF A I•IELL TO APPROPRIATE <br />TRIBUTARY GROUND WATER. TNIS APPROVAL DOES NOT <br />GRANT A 41ATER RIGHT. A 41ATER R[GHT FOR THIS 41CLL <br />MAY BE ESTABLISHED THROUGH ADJUDICATION (LEGAL) <br />PROCEDURES 111 THE DIViSIOi•l WATER COURT. <br />2) A TOTALIZING FLOIJ 11ETER P1UST BE INSTALLED ON <br />THIS WELL AND DIVERSION RECORDS SlIALL BE 11AINTAIN <br />ED BY THE OWNER AiID S19B11ITTED TO THE DIVISION OF <br />WATER RESOURCES UPOiJ REQUEST. <br />THIS WELL MUST BE CONSTRUCTED ACCORDING <br />TO THE REVISED AND AMENDED RULES AND <br />REGULATIONS APPROVED DY THE STATE BOARD <br />OF EXAMINERS FGR WATER WELL AND PUMP <br />INSTALLATION CONTRACTORS. <br /> <br />OWNER'S WPY <br />APPLICATION APPROVED <br />PERMIT NUMBER 25623- F <br />DATE ISSUED MAR 17 1983 <br />EXPIRATION DATE --.// <br />~.~,,,-,,, ~ , N`Q.~,14•w DEC 1 p 1992 <br />1ST T ENGINEERI <br />