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._,.. <br />f DR <br />r `r BL •CK INK <br />•CC EP tED <br />NT r~ILED <br />~1T. <br />Qvutison <br />SS <br />RECEIVED <br />NOV 3 01978 <br />b'ATIB flESWRCEI <br />[IAIE FlIgII1FF0 <br />AFFIDAVIT Cl~3i <br />~ STATEMENT OF BENEFICIAL USE OF GROUND WATER <br />AMENDMENT OF EXISTING RECORD <br />LATE REGISTRATION <br />PERMIT NUMBER ~?1H~- LOCATION OF WELL <br />Western Slone Carbon Inc. f;unnison <br />E AFFIANTIS) --- ----- - ~ - i~ ..~. - - - ------- - - ------- <br />~se mesa Lng <br />dress is _ -P_O. Box 1526 ----i NW y,clii,r SE __ i c,r~.r., 11 <br />Salt Lake City, Utah 135 P^ <br />y . -..- ____- _ __ _ ._ __.-.__ T«o - - _ __- 9 -~0.. - j'1 6th P ~, <br />r.ri :ui .. .._ .i .T... <br />nq duly sworn upon oath, deposes and says these he (they) is (are) the owner(s) of the well described hereon, the ..ell is <br />oted as described above, of distances of 2815 feet from the T1C?Z'th section line and 1560 iec+ fro^i the <br />i.o• i _ w w. ~ .. <br />aSt section Lne, water from this we)I was first applied to o benelicial use for the purposes s) described herein on the 1~_ <br />y of ~'r 19 -78, the mo,imum sustained pumping rate of the well is _9.66_ gallons pe. minute, the pump rng <br />r med hereby i:. 9.66 gallons per minute, the total depth of the well is _ 10 _-feer, the overage annual omounr <br />w~to be diverted is 4 ocre~leer, for which claim is Hereby mode for IlYjUStSla1 <br />purpose(s), the legal description of the land on which the water Iron this well .s used is <br />The Imo' F}5 of the NN1~, ~ NE; SE< Sec. 11, T 13 S R 90W, 6th P.M. b th D1~ of the NW:, & the <br />t•TFr'n of ~1~,e NWL, 6 the i~4~; 541; of Spec. 12 T 13 S, RgOW, 6th P.M. 6 the SE~ and the E'x of which <br />of e . of Sec. 2, T 13 S, R 90 W, 6th P.M. & the SW; of Sec. 1, T 13 S, R 90 W, 6th P.M. <br />0 acres ore irrigated and which is illustrated on the mop on the reverse side of this form, that this well was completed in <br />~mpliance with the permit approved therefor; this statement of beneficial use of ground water is ailed in compliance with low, he <br />ey) has (have) r od the statements mode hereon; knows the content thereof; and that the same ore true of his (their) knowledge. <br />COMPLETE REVERSE SIDE OF THIS FORM) <br />,nest yr el s) ~sst(y'~/_Qj~ <br />~.nscnbrd cn sworn r'~`` I L"~ " <br />beloro me on this ~[d~ oAy o~} __~~,L~G_ 19 <br />Commission !.pares 3d-~f~ e~ TT~Q 3~ <br />~CEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO <br />URSUANT TO THE FOLLOWING CONDITIONS: <br />THAT THOSE CONDITIONS OF APPROVAL AS STATED Oli THF: <br />'IT SHE COMPLIED IIITH. <br />OWNER'SEOPY <br />COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St. <br />Denver, Colorado 80203 <br />STATE OF COLORADO <br />COUNTY OF <br />FOR OFFICE USE ONLY <br />Cover (ore No . <br />P~io~ Me Day __ Y. <br />D... ci,. <br />ter __- __ A __-_- ~ ~•. <br />».u u.. <br />J G 0 9 1979 _ . _ ~?/U _~~ _ _. _ ~ u--~ ~7~ <br />