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riC~L~ v GD <br />~.rR~.s-rte.. >b COLORADO DIVISION OF WATER RESOURCES <br />i - 818 Centen nial Bldg., 1313 Sherman St., Denver, Colorado 80203 ~?q 1 9 (C~,'3 r _~ <br /> PERMIT APPLICATION FORM wp•vt atsouacs - """~~ - <br />Application must <br />l <br />h ~n <br />EIV V! <br />REC _ <br />A PERMIT TO <br />SE GROUND WATER ~p~'EN'IMEEp~~T~ <br />S <br />~ <br />comp <br />ete w <br />ere <br />e U <br />(td j ~ <br />__ __ <br />lq _ r <br /> <br />plicable. Type or <br />~ap <br />( ) A PERMIT TO CONSTRUCT A WELL . <br />"~~-u,;-"'=' 1~:~; 1/ <br />print in BLACK ~rfi () 3 ~~R: ( ) A PERMIT TO INSTALL A PUMP ~3 ~]u.:,•J <br /> <br />INK.No overstrikes c~ <br />tiJ'~ti~~~ i~l;. Ul("'~~ <br /> <br />or erasures unless <br />yfpTEg R~ <br />1 )REPLACEMENT FOR N0. ~ <br />_ <br />UCI. <br />initialed. SI'plf.Eelfdt~ ( )OTHER - <br />l~u.~U <br /> ~ WATER COURT CASE N0. i;hcUlit :30.:i% <br />(1) APPLICANT -mailing address FOR OFFICE USE ONLY: 'D NOT,~J11 .THIS COLUMN <br />NAME West Ranch <br />STREET Route 1, Box 93 <br />CITY Trinidad. Colorado 81082 <br />_ ._ (suwl t2~o1 <br />TELEPHONE NO. (303) 846-7981 <br />(2) LOCATION OF PROPOSED WELL <br />County Las Animas <br />` ~ '/. of the v ~ %, Section 11 <br />Twp. 33 S, Rng, 68 W 6th p.M <br />I N.51 IE.WI • <br />•(3) WATER USE AND WELL DATA <br />Proposed maximum pumping rate (gpm) <br />10 <br />Average annual amount of ground water <br />to be appropriated (acre-feet): 3~3'g/gg ~y! <br />19A /2 • ~ ~ <br />Number of acres to be irrigated: <br />Proposed total depth (feet): <br />Aquifer ground water is to be obtained from: <br />Owner's well designation West Ranch /f 1 <br />GROUND WATER TO BE USED FOR: <br />I 1 HOUSEHOLD USE ONLY <br />1 DOMESTIC 11) <br />1 xl LIVESTOCK 121 <br />1 COMMERCIAL (4) <br />no irrigation (01 <br />( )INDUSTRIAL 161 <br />( )IRRIGATION (61 <br />f )MUNICIPAL I81 <br />I 1 OTHER 191 <br />DETAIL THE USE ON BACK IN (11) <br />(4) DRILLER <br />Vame <br />~treet <br />Gty <br />(surd 1 col <br />Telephone No. Lic. No. <br />S 21 j ~:~-1 aas~~. <br />Receipt No. / <br />Basin <br />Dist. <br />CONDITIONS OF APPROVAL <br />This welt 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 s`"' = <br />right from seeking relief in a civil court action. <br />ISSUANCfi OF THIS PfiRMIT DOES NOT <br />CONFfiR A DfiCRfifiD WATER RIGHT <br />1) APPROVfiD PURSUANT TO CRS 37-92-602(3)(b)(II) <br />AS THR ONLY WBLL ON A TRACT OF LAND OF 40 ACRfiS <br />DHSCRIBfiD AS THH NW 1/4 OF THH NW 1/4 OF <br />SfiCTION 11, T33S, R68W OF TRH 6TR P. M., LAS <br />ANIMAS COUNTY. <br />'2) APPROVHD FOR THH WATfiRING OF LIVfiSTOCH ON A <br />FARM OR RANCH. G1ZG 519.88 <br />~~T ~ <br />.~ <br />EXPIRED <br />f <br />SEE ~,~.~.~,...r <br />APPLICATION APPROVED <br /> ~ ~~1J ~ <br />PERMIT NUMBER - ~ - <br /> <br />DATE ISSUED M AY O~ ~~ <br /> MAY 0 5 1990 <br />EXPIRATION TE <br /> .. /J <br />/ <br />( <br />~ - /U . <br />~ <br />I <br />J <br />~ <br /> (STA <br />T <br />E EN <br />G <br />I <br />O <br />) <br /> <br /> <br />1 <br />LD. -/ ~ c <br />~ ~ / <br />COUNTY' b'°~ - <br />