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wa1~s~Rrv. 76 COLORADO DIVISION OF WATER RESOURCES <br />816 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />Application musj,.y~~CI~/(T <br />be completecomplete wher ~L Y LV <br />pplicable. Type or c <br />~int in BLACK SLp Z 1 1988FOR <br />INK. No overstrikes <br />or erasures unless ~ l~~ <br />initialed. ~,1~ <br />- mailing <br />PERMIT APPLICATION FORM <br />1 A PERMIT TO USE GROUND WATER <br />1 A PERMIT TO CONSTRUCT A WELL <br />A PERMIT TO INSTALL A PUMP <br />( 1 REPLACEMENT FOR N0. <br />U( 1 OTHER Mvlitnrim Lkll <br />WATER COURT CASE N0. <br />NAME KPl>rleth L. Walter c/o FnecoTeCh Iflc. <br />STREET ~~~ BT'Oadv10Y, SUlte ~~ <br />CITY 1' <br />tstatel (zlol <br />TELEPHONE NO. L~R~~a-~R <br />(2) LOCATION OF PROPOSED WELL <br />County Las r$Il1IH5 <br />9,1 '/. of the NF %, Section 29 <br />Twp. ~ $ , Rng. _~ ~.. 6 P.M <br />i N.51 IE.WI <br />(3) WATER USE AND WELL DATA <br />~oposed maximum pumping rate 19Pm1 <br />Average annual amount of ground water <br />to be appropriated (acre-feed: <br />Number of acres to be irrigated: N/A <br />Proposed total depth (feed: ID <br />Apuifer ground water is to be obtained from: <br />N/A <br />Owner's well designation P~'7 <br />GROUND WATER TO BE USED FOR: <br />1 HOUSEHOLD USE ONLY <br />1 DOMESTIC 111 <br />1 LIVESTOCK 121 <br />1 I COMMERCIAL (41 <br />{ 1 OTHER {91 <br />no irrigation (01 <br />( 1 INDUSTRIAL 161 <br />( 1 IRRIGATION (61 <br />( 1 MUNICIPAL 181 <br />DETAIL THE USE ON BACK 1N (111 <br />141 DRILLER <br />Vame ~~~ <br />.treet 7525 Birkshire Court <br />city Castle fmdc CO X104 <br />tsutel tLOI <br />Telephone No. ~3'~'4~3 Lic. No. N/A <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />~ 5' Sze , <br />Receipt No. <br />Basin <br />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 />0-137(2) TO <br />C.R.S. <br />fiQUIPPfiD WITH A LOCHING <br />T WELL CONTAMINATION OR <br />N OPEN WBLL. THfi WELL <br />T ALL TII~S fiXCfiPT DURING <br />TO <br />trnt;n~~AxY P1LtiAN5 AND CAUTIONS TO PRHSfiRVfi <br />THESE MARHINGS. A' <br />APPLICATION APPROVED <br />PERMIT NUMBER - - 034156 ~ (`r <br />OATE ISSUED SEP 2 ~ 199 <br />EXPIRATI N DATE 4FP 2 31989 <br />~Gt. ~a_ <br />(STATE ENGINEERI <br />BY ~/11~ ~ ~ II O~w :5 <br />I.D. ~`- l 1 COUNTY ~`~ <br />OF <br />