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

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STATE CF COLORADO l SS
MATE ~ C~~i.~nr0
} DI~'IS±Glf Of RATER f.ESDU"CEs
C/+t" C. itCE CF Tit: STATE ETiGIT:EEI ; '
C / /moo t-,~~..~
MAO AND STATEt: ENT iDR YfATER YELL ilLlf:G ~ E
FEft411TNU14 R ~ r__ j' Ri!'1^T1
9E ~~ ~Q
CLAIl.1ANT IsI //Ir/. {~p. ~•i*+r.,~,,fl ~., ..r~
L~
being duly sworn rq,on ndth drpneas and says Ihal hr Ilhryl is larcl
Ne owner I51 0! the well des[nbcd hereon; the Wtal numhcr of anus
of land ,rrigaled from this well ,s ~'t I1~1 tI. .
yArk was Commoncrtl on th,s woll by aot gal Construction on the
n
1
O day OI ~'~/f' ~ 19,,1„ the SuSlalnrd
yield I(Onl Said will rs~g.`m, for wh,ch Clmm i5 hereoy madr
r
!or r`^;;,C, fir'- ,_CUrCnsplS):
the avrrpgC annual amount to b^_ drvCrf•:d is
i
acr.~!eet: Ihrs map and elafem_nf is trlCd m Compl alnC^ wnh la•.v;
hr. Ilh7yr Has Ihavcl read the stalemen:5 made hereon; knows the
! c...nenl thereof: and that the same arc true of his (their) own
knowledge,
~ /\ Signature (s1 ~ ~- ' '~' ~~~
~ c~
Address: d-"..' / V ~ •~~L r.: • .~".. 1.
Sultscribe•l anA sworn io bclae ma on this ___L._'.t cloy
.v.,
of _- - ^' .'. 19iC-_
r,1y :Onlrnr55,Jn eaV,reS: -. ~r
IScal1 iL- ,: ~ ~'
- Notary ?ublrp
YELL DATA
/ `i
Date Complrted ~ J ~ ~ /
~, ~ • r
Stauc Plater Level -~ C /"
Total Crplh of IYcll
I.; RECEtY~rJ
iL£LL LC'CAi10:.~' WAifi QfS}:"'i , J%
„ /"rte fTAII Pr: r,

F
~_.,-
f'L ' . of .~/ ,
SnC
~ ~ i
.
.
iV - R. [, " ~ ..
Ir:DICATE YELL LOCATIO^1 ON OIAGRAl.r
f:ORTH
! X i I
I 1 I
I r r
_. _I_ __+___T,__
I ~ I
I r
r
~ 1 I I ]
-------r---r--- ~, _
I
I 1 1 -,
--~---L---L---
1 1 1
I I I
I I I
SOUTH
YlELL SHALL BE LOCATED WITH REFERe'r(CE Tn
GOVEFv^l1.tENT SURVEY CCf:NERS CR htONU.'.'E:'lTS.
CR SECTION LINES EY DISTAi.ICE ~••":D FFAt:!':G.
Irom_ secuon Imn.
INath or Souln)
f t.
,.ten Ir•• ,
IEas(t or Wcsq
Ground 1Yatcr Basin ~ • ~ ~ ~ '• "~" -
LYater ifanagement
DrmrsnC Hells may b0 lo[aU•o by InC fMI^~•a r. ;;
LOT ~ r ,FLOCK~" _
SUGDI"IStON r - r".•.' `~ i~_'.•
;i ~
FaIrIG p - -
~ ACCEPTED FOR FILING IN THE O. FILE OF THE 57',TE Eh1GIr:EER OF COLORADO ON THIS D.1Y '
STATE E';GR:EER
~ f0:!31 TO [E I.IACE OUT I:1 CU",C.CL'ttICATE: T:fi1TE i~•^.'1 rrr:t h] rn ori~ir+1 ctpy c] M•1 -i'^] +~•7 si~••M.
-~- - e!IITE AriD G'£CI cnp•o nsr r•~ IrIN nith IM ^no-• F~~~~.-~ "fthln '_1 ~•r] e'•-r t'y w]It i~ ee-o{:-Y~1 n •sn'~'n 7.'•v]