PERMFILE62861

• Permit No: C1981012
• IBM Index Class Name: Permit File
• Doc Date: 7/28/1986
• Section_Exhibit Name: EXHIBIT 11 WATER WELL INFO PART 2
• Media Type: D
• Archive: No

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COLORADO DIVISION OF WATER RESOURCE~~G 1 8 1~_ _ ~QG ~ ~ X!l
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
1YRI,R RE$QIIR~ JUL 28 1986
PERMIT APPLICATION FORM ~ArE•ENGIHE~y A'ATER R
1 A PERMIT TO USE GROUND WATER 07-2B-Bb 1'51 f' ~t4
~~~~A PERMIT TO CONSTRUCT A WELL 032472 ^5.00
~-4_PERMIT TO INSTALL A PUMP `
~~_ /~~ ~ ~ FOR NO. TTl TES ~ ~CHE9UE 25.00
dp W~
~rJ~l 1 Z // ~C CASE NO. Ck6 -- 0.00
(1) APPLICANT • mailing adat~.._
NAME
STREET fA /2 /i ourf ~~~ ~iJ 04L 3
CITY ril~.cr~./ C 'nL. ~ ~'/D 9~
~ ISeae•1 Ziol
TELEPHONE NO. ..~~ ~ ~ ~ r~ d
(2) LOCATION OF PROPOSED WELL
County'" ~ L !,1 S L? w/rrM fa S
~% of the~~ %, Section ~ y~
TwP. {1.1- r1. Rng. ~~ ~, -(Q1~.P.M.
~N.Si IE. N'I
•(3) WATER USE AND WELL DATA
Proposed maximum pumping rate Igpml / ~ ~r ~ .M r
-Average annual amount of ground water
to be appropriated (acre-feed: Da< AFF ~'C lam'
• Number of acres to be irrigated: ~Al o N E
Proposed total depth (feed: ~ D O
Aquifer ground water is to ~be/obtained from:
r wI /4 A10 yil .l~
~.
Owner's well designation
GROUND WATER TO BE USED FOR:
~' HOUSEHOLD USE ONLY - no irrigation 101
1 DOMESTIC 111 ( 1 INDUSTRIAL (51
1 )LIVESTOCK f21 ( 1 IRRIGATION 161
I COMMERCIAL 141 ( I MUNICIPAL 161
l 1 OTHER 191
DETAIL THE USE ON BACK IN (11)
(41 DRILLER
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Telephone No p ~G -O Y~3 Lic. No. ~/
FOR OFFICE USE ON LYELn4
Receipt No. ~7aZ3 /
Basin Dist.
IN THIS COLUMN
CONDITIONS OF APPROVAL
This well shall be used in such a way as to cause
no material injury to existing water rights. The
issuance of the permit does not assure the applicant
that no injury will occur to another vested water -
right or preclude another owner of a vested water
right from seeking relief in a civil court action.
1) APPROVED PURSUANT TO CRS 37-90-602(3)(b)(lI)
AS THE ONLY WELL ON A RESIDENTIAL SITE OF 12.8Ei
ACRES, DESCRIBED AS THAT PORTION OF THE S 1/2
OF THE SE 1/4 OF SECTION 27, T33S, R67W OF THE
6TH P. M., LAS ANIMAS COUNTY, BEING MORfi
PARTICULARLY DESCRIBED ON THE ATTACRHD EXHIBIT
„Ai.
2) THE USE OF GROUND WATER FROM TRIS WELL IS
LIMITED TO ORDINARY HOUSEHOLD PURPOSfiS INSIDE A
SINGLE FAMILY DWELLING, AND SHALL. NOT BE USED
OUTSIDE THE HOUSE FOR ANY PURPOSE.
3) THE RETURN FLOW.FROM THE USE OF THIS WELL
MUST BE THRU AN INDIVIDUAL WASTE WATER DISPOSAL
SYSTEM OF THE NON-EVAPORATIVE TYPE WHERE THE
WATER IS-RETURNED TO THE SAME STREAM SYSTEM IN
WHICH THE WELL IS LOCATED. ~~~ 4'z3-8S
APPLICATION APPROVED
PERMIT NUMBER 'T`~~~n~_ ~~''if~' _t ~"
DATE ISSUED SEP 2 ~~~"~
EXPIRATION DATE SEP 2 9 1988
~~~ ~~
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