Laserfiche WebLink
wRJ-5•R•.. 76 <br />• Application must <br />be complete where <br />applicable. Type or <br />print in BLACK <br />INK. No overstri kes <br />or eerasures unless <br />initialed. <br />COLORADO DIVISION OF WATER RESOURCES <br />818 Gntannial Bldg., 1313 Sharman St., Danrar, Colorado 80203 <br />PERMIT APPLICATION FORM <br />X) A PERMIT TO USE GROUND WATER <br />1 1 A PERMIT TO CONSTRUCT A WELL <br />FOR: ( 1 A PERMIT TO INSTALL A PUMP <br />1 REPLACEMENT FOR N0. <br />(OTHER <br />WATER COURT CASE N0. <br />FOR OFFICE USE ONLY: 00 NOT WRITE IN THIS COLUMN <br />NAME EMPIRE ENERGY CORPORATION <br />STREET P. 0. BOX 68 <br />CITY CRAIG, COLORADO 81626 <br />Isus•I Izlol <br />TELEPHONE N0. (303) 824-8246 <br />(21 LOCATION OF PROPOSED WELL <br />County MOFFAT <br />SE y. of the NW 'G, Section 31 <br />Twp. 6 N , Rng. ~_ ~iL, 6th P.M. <br />~N.51 iE.wl <br />• 131 WATER USE AND WELL DATA <br />Proposed maximum pumping rate Igpml 1 , S 0 0 <br />Average annual amount of ground water <br />to be appropriated lacre•feetl: 6.63 <br />Number of acres to be irrigated: None <br />Proposed total depth (feed: 240 <br />Aquifer ground water is to be obtained from: <br />Abandoned Wise Hill No. 4 mine <br />worxings <br />Owner's well designation W15e H111 No. 4 Mine <br />GROUND WATER TO BE USED FOR: <br />( 1 HOUSEHOLD USE ONLY - no irrigation 101 <br />I 1 DOMESTIC 111 1 xl INDUSTRIAL 151 <br />1 1 LIVESTOCK 12) 1 1 IRRIGATION 161 <br />I i COMMERCIAL 161 1 )MUNICIPAL ISI <br />1 1 OTHER f91 <br />DETAIL THE USE ON BACK IN 1111 <br />141 DRILLER <br />Receipt No. <br />Basin <br />Dist. <br />CONDITIONS OF APPROVAL <br />This well shall be used in wch a way as to cause <br />no material injury to existing water rights. The <br />issuance of the permit does not aswre 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 />Name ISSdml HdmZe EXPIRATION DATE <br />Street 585 Rannev Street <br />City Craig, Colorado 81625 (STATE ENGINEER( <br />TelepnoneNO. None LIC.No. 890 I BY <br />1 n rnl mlrv <br />