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'NRl~S~Re.. %6 COLORADO DIVISION OF WATER RESOURCES <br />816 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />PERMIT APPLICATION FORM <br />Application must <br />be complete where R'ECElVED { 1 A PERMIT TO USE GROUND'.NATER <br />pplicable. Type or 1 1 A PERMIT TO CONSTRUCT A WELL <br />rent in BLACK ~,,,f R: 1 1 A PERMIT TO INSTALL A PUMP <br />INK. NO Overstrikes SEP 2 1 .: `~ <br />or erasures unless ( )REPLACEMENT FOR N0. <br />Initialed. IWFi (X )OTHER NbniTArlf1Q 4k11 <br />~'~~ WATER COURT CASE N0. <br />mailing address <br />NAME KeYleth L. Walter c/o EneoDTech Inc. <br />STREET 1801 Broadway 4ntp 700 <br />CITY Q31V2r ~ 80202 <br />isutel izlo) <br />TELEPHONE NO. ~ 293"203 <br />(2) LOCATION OF PROPOSED WELL <br />County Las Af11fI13.S <br />SW % of the NE %, Section 23 <br />Twp. ~_ ~, Rng. ~_ ~, B P.M1 <br />1N.51 1E. Vn <br />(3) WATER USE AND WELL DATA <br />~oposed maximum pumping rate (gpm) N/A <br />Average annual amount of ground water N/A <br />to be appropriated (acre-feet): <br />Number of acres to be irrigated: N/A <br />Proposed total depth (feed: 15 <br />Aquifer ground water is to be obtained from: <br />Owner's well designation ~'3 <br />GROUND WATER TO BE USED FOR: <br />( 1 HOUSEHOLD USE ONLY <br />( 1 DOMESTIC (11 <br />( 1 LIVESTOCK (2) <br />1 I COMMERCIAL 141 <br />1 1 OTHER (91 <br />no Irrigation (01 <br />( 1 INDUSTRIAL (51 <br />( )IRRIGATION (61 <br />( 1 MUNICIPAL 181 <br />DETAIL THE USE ON BACK IN (11) <br />14) DRILLER <br />Name ~~~ ~q2r <br />~reet 7525 Birfr_5hire Court <br />city r~crla RrJc CO 80104 <br />(state( (2.0) <br />Telephone No. 1303)$34-4893 Lic. No. N/A <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />Receipt No. D ~ ~ / <br />Basin Dist. <br />CONDITIONS OF APPROVAL <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 assure 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 />C.R.S. 37-90-137(2) TO <br />REM&NTS OF C.R.S. <br />[IS WELL IS LIMIT&D TO <br />AND/OR WATBR QUALITY <br />B DIVISION OF <br />NG PROGRAM <br />ON THIS W1i~L <br />CONSTRUCTION <br />CONSPICU- <br />APPLICATION APPROVED <br />PERMIT NUMBER ~ 034157.1 , <br />DATE ISSUED SEP 2 319$8 ~ ` ` <br />EXPIRAT NDATE-SFP -- 3//1~989 <br />jj!! (STATE E//NGINEER) <br />BY ~ ~r~-1'1~ ~G ~/yL~ <br />I.D. ~` _ 1 ` COUNTY ~~ <br />