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WRJ•S~Rev-'6 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />PERMIT APPLICATION FORM_ <br />~plitation must ~ ~ ~ / <br />complete where ( 1 A PERMIT TO USE GROUND WATER ~ II/J• <br />licable. Type or (XI q pERM1T TO CONSTRUCT A WELL <br />print in BLACK FOR: I X) A PERMIT TO INSTALL A PUMP <br />INK. No overstrikes <br />or erasures unless ( 1 REPLACEMENT FOR NO. <br />initialed. ( )OTHER <br />WATER COURT CASE NO. <br />111 <br />NAME Julia Silva <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMNt., <br />CJ <br />~O <br />m <br />Receipt No. ~~~~ ~ ~/ r <br />STREET 13800 County Rd 21 .4 ~ Basin <br />CITY Weston Co. 81091 <br />Ist,~.t Iz~o) <br />TELEPHONE NO. (719) 868-3384 <br />(2) LOCATION OF PROPOSED WELL <br />County Las Amimas <br />DIW~_Y. of the NE; y., Section 1 2 <br />T,,,,p.33 S Rng. 68 W 6th F <br />+N.S1 iE.w+ <br />WATER USE AND WELL DATA <br />Proposed maximum pumping rate (gpm) _ <br />Average annual amount of ground water <br />to be appropriated lacre-feed: 1 <br />Number of acres to be irrigated: -0- <br />Proposed total depth (feet) <br />15 <br />200 <br />Aquifer ground water is to be obtained from: <br />Trinidad sandstone <br />Owner's well designation <br />GROUND WATER TO BE USED FOR: <br />( 1 HOUSEHOLD USE ONLY <br />1 XI DOMESTIC 111 <br />1 1 LIVESTOCK (21 <br />1 1 COMMERCIAL 141 <br />1 OTHER (91 <br /> <br />RECfIi'ED <br /> /o t <br />AUS 01'91 <br /> <br />:•,r. .R Rc50URCES <br />=-4T' EN•3tl:c~R m <br />m <br />m <br />.,, n ,o <br />/~ <br />KaC d 8-i9.9/ <br /> <br />~~ w <br /> ~L <br /> U <br />no irrigation 101 <br />( 1 INDUSTRIAL (51 <br />( 1 IRRIGATION I61 <br />( )MUNICIPAL 18) <br />DETAIL THE USE ON BACK IN 1111 <br />(4) DRILLER <br /> <br />Dist. "'~ <br />a <br />..I <br />CONDITIONS OF APPROVAL m'm <br />m <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 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 /> <br />G <br />D (ItIL <br />APPLICATION APPROVED <br />PERMIT NUMBER <br />DATE ISSUED <br />~Te Russell Sharpe I EXPIRATION DATE <br />rest n n ar„r ~ t n <br />City Trinidad Co. 81082 <br />Telephone No17191A4625A4 Lic. No 1JJ7 <br />I <br />(STATE ENGINEER( <br />BY <br /> <br />