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

WRJ-5-67 STATE
APPLICATION FOR:

PRINT OR TYPE
~~~~~~I UUUUUU O CT 3 01969
9ROdM8 INII~ ~'-
~~~
STATE ENe1NEE1<
LOCATION OF WELL
APPLICANT ~, TSTbR Z'G.FiI .L~SS~C COUNTY ,(,,,{,5 /}niM A 5
Street Address Bo ~ 47 S C z, s Zy ,'-„ sec. ~ ~.
City & State Wc`sTo4!/anLa;P.~do $/09/ T. 3.j,~ R. l~UW ~oA~ P.M.
Use of ground water ~~mo~+;„
Owner of land on which well
is located C. F. & I Corn_oration
Number of acres
to be irrigated .v one
Legal description of
irrigated land
Other water rights on
this land
Owner of irrigated
land
Aquifer(s) ground water is to be obtained
from TTnknmm~
ESTIMATED WELL DATA
• t. quantity of ground water to be claimed:
Est. Max. Yield 1(7 GPM or~#fi7t
Est. average annual amount to be
used in acre-feet
Storage capacity AF
Anticipated start of drilling Nov. 4 19 69
Hole Diameter:
g in. from ton ft. to 20 ft.
frt in. from 20 ft. to 125 ft.
Casing:
Plain 7 in, from top ft. to 20 ft.
in. from ft. to ft.
Perf, in. from ft. to ft.
in. from ft. to ft.
PUMP DATA; Ou tlet
Type Submersible HP -~ Size 1 inch
FOR STATE ENGINEER OR COMMISSION USE
Street or
Lot +; Block_
City or
Subdivision
Ground Water Basin unknown
Water Management
District Unknown
LOCATE WELL ON THE BACK OF THIS SHEET
Driller S1. 9ivde# No. 47
Dri I ler's p, U. Box 53
Address Trinidad. Colorado 81082
~/y i~
C/~ ~ ~Cl~ / ll
Signatur f Applicant
CONDITIONS OF APPROVAL
APPLICATION APPROVED:
VALID FOR ONE (1) YEAR AFTER DATE ISSUED
UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO
THE ISSUING AGENCY Q
PERMIT N0. 3 9 6 8 5 CONDITIONAL //
DATE ISSUED OCT 3 01969
.~
STATE ENGIN R or HAIRMAN GROUND
/pJ WATER COMMISSION
BY ~.i„~i~ ~~'~F,eti
APPLICATION MUST BE COMPLETED SATISFACTORILY BEFORE ACCEPTANCE
OF COLORADO DIVISION OF WATER RESOURCES
~ A PERMIT TO USE GROUND WATER
LI A PERMIT TO CONSTRUCT A WELL
LI REPLACEMENT FOR N0.
(Reason)
~ OTHER
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