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WRJ-S~Re~. 76 COLORADO DIVISION OF WATER RESOURCES <br />818 Cenunnial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />Application muSi~~V® <br />be complete where i <br />ppl~cable Type or C + }O <br />~rint in BLACK SEp 7 ` FOR <br />INK. No overstrikes ~~ m~ <br />or erasures unless ~~ ~~ <br />initialed. (~ <br />PERMIT APPLICATION FORM <br />I A PERMIT TO USE GROUND WATER <br />1 A PERMIT TO CONSTRUCT A WELL <br />1 A PERMIT TO iNSTA LL A PUR1P <br />1 )REPLACEMENT FOR N0. <br />1 XI OTHER hbnitoring 4k11 <br />WATER COURT CASE N0. <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />NAME mrwth _ Wal pr ('/o rwmTech inr- <br />STREET 1901 Brt>adwaV. 4lite 700 <br />CITY Denver ~ ~ <br />Isutel fz~ol <br />TELEPHONE N0. ~~~ ~~~ <br />12) LOCATION OF PROPOSED WELL <br />County I ac Mirtac <br />4J % of the NF %, Section ~ <br />Twp. ~_ ~, Rng. ~_ X11_, Fi P.M <br />1N.51 IE,N'1 <br />13) WATER USE AND WELL DATA <br />~roposed maximum pumping rate Igpm) N/A <br />Average annual amount of ground water N~A <br />to be appropriated (acre-feetl~ <br />Number of acres to be irrigated: N/A <br />Proposed total depth Ifeetl: ~5 <br />Aquifer ground water is to be obtained from: <br />Owner's well designation Md-7 <br />GROUND WATER TO BE USED FOR: <br />1 HOUSEHOLD USE ONLY - no irrigation 101 <br />1 1 DOMESTIC 111 1 1 INDUSTRIAL (51 <br />( 1 LIVESTOCK 12) ( )IRRIGATION 161 <br />( )COMMERCIAL 141 ( 1 MUNICIPAL ISI <br />1 1 OTHER 191 <br />DETAIL 7HE USE ON BACK IN 1111 <br />14) DRILLER <br />Name ~ CUS~O. Aliaer <br />~reet 7525 Biticshire Court <br />city Castle I~dc rn 80104 <br />(SUrel (Z~ol <br />Telephone No. (303)5_'i4-499 Lic. No. N/A <br />Receipt No. ~~~0 y `-' l <br />Basin <br />CONDITIONS OF APPROVAL <br />Dist <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 />PURSUANT TO C.R.S. 37-90-137(2) TO <br />PfiRMIT RBOUIRID46NTS OF C.R.S. <br />USS OF THIS WBLL IS LIMITHD Ta <br />AT&R LSYBLS AND/OR WATER QUALITY <br />&GUIPPBD WITH A LOCEING <br />T WfiLL CONTAMINATION OR <br />N OPEN WBLL. THE WELL <br />T ALL TIMES EXCEPT DURING <br />MAINTAINHD BY <br />THB DIVISION OF <br />THIS WB~.L <br />eoolFSR. BB saALL <br />AND~PHPyCADTI0N5 TO <br />APPLICATION APPROVED <br />PERMIT NUMBER --,-_-O341S8_-M <br />DATE ISSUED SFP 2 31988 <br />EXPIRATI N DATE SEP 2 31989 <br />a. ,~.~. <br />_.dfrTA E ENGINEER) <br />B Y qLl~ <br />I.D. ~ ~ 1 ` COUNTY `) y <br />