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EXHIBIT G <br />WATER INFORMATION <br />The operation is not expected to directly affect surface or groundwater systems. See attached <br />Water Well Permit <br />COLORADO DMSION OF WATER RESOURCES <br />DEPARTMENT OF NAT[7RAL RESOURCES <br />1313 SHERMAN ST., RM. 818, DENVER CO 80203 <br />phone • info: (303) 866.3587 maN: (303) 500-3597 <br />NEW 35+ ACRE RESIDENTIAL <br />Reviewarratructlons prior to completing form <br />or lvoa <br />1. APPLICANT INFORMATION B. USE OF WELL checks ro tee or emnes <br />Naroarµama <br />~ ~ A.OMinary household purposes in up to 3 <br />JAI ~ <br />r "t Tin h single-family dwellings, fhe watering of <br />~~•• dom¢sOc animals, and the irrlgagon of no! more <br />6 Q o 10201 than one (1) acro of home gardens and lawns <br /> ^ B: Livestock waterlog (an famhemNrengalpasNre) <br />Wellington Co. gpytg <br />r+rW°"N"'°.p'°'r•"•ma•> 7. WELL DATA <br /> MAXIMUM PRODUCTION RATE OF THE WELL <br />Z. TYPE OF APPLICATION SHALL NOT EXCEED 75 GPM <br /> <br />CONSTRUCT A NEW WELL ON A TRACT OF 8. TYPE OF RESIDENTIAL SEWAGE SYSTEM <br />LAND OF 35 ACRES OR MORE $J Septic tank I absorption leach field <br /> ^ Central system <br />3.REFER TO (9 appueaole): oNaae.••: <br />LlonsolnY N•Ie MVwLtlareaA ^ Vault <br />MH- Lasumseaae mee iwNa m <br /> O Other (abamga enamee,ne ars•) <br />4. LOCATION OF WELL <br />ca.ar ovwmvw. ou.ner <br />SE 9. PROPOSED WELL DRILLER a tbnal <br />Lorimer SW tw 1f4 ,,,,~, ~em„,~, <br />8erlbn TowuNp Nn 8 Rap• Eaw Peri{vlLMilean Ste hen E. Kolle 1299 <br />3 g ®D SS ^ ® 6 10. SIGNATURE of applicant(s) orauthoriaed agent <br />D:i.~a.•ummeeao„ mr Tire making of false statements herein wrcetaules pe7ury <br /> In Ne aecorb tlegree, whkh Is punlshaWe as a Uess 1 mis- <br />7Q~ a aom ^ N El a 1850 a m,n. ~1 E O W tlemeanor Wrauanl to C.RS. 24-0-700(13)(e). I have reatl <br />WeabuYOn tleeu,edllrrmltran•pptlaN•Ueew (tl•ppawbm) the Blatemen44 hefeln, knew 918 Cpntents lhereM eM Btate <br />THD that they ere eve m my kINANedge. <br />S.TRACT ON WHICH WELL WILL BE LOCATED mw •~• <br />A <br />ATTACH LEGAL DEECRNTON FOR ]a~ACRE TRACT TNe <br />Land Owner <br />r Dw <br />24 <br />2 <br /> <br />^ Development _ <br />6~E.V t <br />~: '('o /0_ <br />_ _ <br />3/ <br /> <br />Nafne 01(iC• Use Onb <br />C a~~ S~J DNR N•e Na <br />lal no. Unit ry E <br />A li/~~ <br />t4 Otlter Invoice N 493440 <br />~I ~^ 6/10/92 -- 9:00:49 AX <br />~ <br />~ <br /> Cashier [D: 91 DN <br />" <br />`'~ <br /> G S 60.99 <br />r <br />7 <br />B <br />BTATE PARCEL ~ ~ <br />J,~, <br />CO <br />L_ <br />. <br />iDylh chase-tl1695 <br />~~ <br />Cheek Po <br />r <br />O <br />n%lti <br />3 <br />C. eea•s In /reel / <br />- <br />o <br />/ <br />W~~ln (~~~ T°u n:/?°ri, WD <br />49 <br />o. eA <br />THIS WILL BE THE ONLY WELL ON THIS TRACT <br /> USE MD _ <br />Ii:P~ 1 L ..,. <br />Water Well Pertni4 A~3pticetion <br />Must be compie ed in black Ink <br />~: <br />_V <br />~., <br />(`. <br />Form GWS-SU (I2N3) <br />Page 7 <br />