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Form.No. OFFICE OF THE STATE ENGINEER <br />GwS-2s COLORADO DIVISION OF WATER RESOURCES <br />018 Centennial Bltlg.. 1J7] Sherman St. Deneer. Cdorado E020J <br />(70J) 86GJSB7 <br /> <br />APPLICANT <br />JULIA SILVA <br />13800 CO RD 21.4 <br />WESTON, CO 81091 <br />719-868-3384 <br />1223 <br />WELL PERMIT NUMBER X61?~4Q _ _ <br />DIV. ? CNTY. 3 6 WD 19 DES. BASIN MD - <br />Lot: BI«k: Filing: Subdiv: <br />PERMfT TO CONSTRUCT A WELL <br />APPROVED WELL LOCATION <br />COUNTY LAS ANIMAS <br />NW 1/4 NE 1/4 Section 12 <br />Twp 33 S Range 68 W 6th P M <br />DISTANCES FROM SECTION_LINES <br />330 Ft. from North Section Une <br />1990 Ft. from East Section Line <br />OF THIS PERMR DOES NOT CONFER A WATER RIGHT <br />CONDfTTONS OF APPROVAL <br />1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the <br />permit does not assure the applicant that no injury will occur to another vested water right or preclude another <br />owner of a vested water right from seeking relief in a civil court action. <br />2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation Rules <br />2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well <br />\ Construction and Pump Installation Comraaors in accordance wfth Rule 17. <br />Sf Approved pursuant to CRS 37-92~02(3)(b)QI)(A) as the only well on a tract of land of 40 acres described as the <br />NW 1/4 of the NE 1/4 of Sec. 12, Twp. 33 S., Rng. 68 W. of the 6th P.M., l.as Animas County. <br />4) The use of ground water from this well is limited to fire protection, ordinary household purposes inside 1 single <br />family dwelling and the watering of domestic animals. <br />5) The maximum pumping rate shall not exceed 15 GPM. <br />6) The return flow from the use of the well must be through an individual waste water disposal system of the <br />non-evaporative type where the water is returned to the same stream system in which the well is located. <br />~ This well shall be constructed not more than 200 feet from the Location specked on this penniL <br />'~j. 771. 8- Z/-9/ <br />~_ ,{{/Qy~~ yp <br />ROVED: ' a - /V`Lltu.~.f1L,. <br />Receipt No. 0328627_--'~ DATE ISSUED AUG 2 1 1991 <br />.v. ~ <br />EXPIRATION DATE Q~G i 1993 <br />