Laserfiche WebLink
l RUG 0 95 7:21 No :001 P.02 <br />rh C~RADO DIVISION OF WATER RESO~CES af~~.v~s r ~~ <br />018 C^ntennld Bldp., 1313 Sherman St„ Denr^r, Colorado 00203 APR 1 51988 <br /> PERMIT APPLICATION FORM «Ata Illcollllcxs <br />plication must STA1X•t11GIlE1]t <br />complete where ( 1 A PERMIT TO USE GROUND WATER ~_ COL0. <br />04-1v 89 1x:45 P <br />applicable. Type or ( ) A PERMIT TO CONSTRUCT A WELL <br />pint in FILACK FOR; ( I A PERMIT 70 INSTALL A PUMP 3 9 6D.Db <br />INK Noov¢rstrikes ~?,~47~ 1x0.00 <br />or erasures unless ( I REPLACEMENT fOR NO. - F•OD13 <br />initialed. (XI OTHER Monitorinrt Well <br />FTt `~ 18D.D0 <br /> WATER COURT CASE NO. ----- CI;~CG'UF. 180.00 <br />111 <br />mauurn aooress <br />NAM( _11atC.1C MOU RCa_l tl" li0);d COmDanY <br />sTREET.700 Milam, r.D, Box 1383 <br />Houston, 7'nxaS 77251-1383 <br />CITY~......_._..... -------5._-_. <br />I.r.r.l txinl <br />TELEPHONE NU. !}14},_220-4JIL <br />12) ),QCAT <br />custi.lla <br />CUUmY------...... . __ <br />N.1 : of the.._,L~E __ Y., Section 30 <br />Twp._._32 S .Rn4. 71 W 6th p <br />1N,51 IE.M7 , <br />- - -- -- - <br />(3) WAl_ER USE..AND WELL DATq <br />proposed maximum pumping rate (9pm) NSA <br />Average annual amount of pround water 0 <br />to Lx~ anproprlated (ecredee[1:_.____-~..,_ <br />Number of aCr es to be irrigated: <br />0 <br />Proposed tnlal depth (feed; _--.__,., 1 n0 <br />Ayuifcr pround water is to t+a nl+talr+Ml from: <br />_, _ ___-Alluvium <br />Owner's well desiynatipn <br />SaQ~lN_D WATER TO 9E USED FOR: <br />i ) I IOUSEHOLU USE ONLY ~ no irrigation 101 <br />1 DOMESTIC I II ( )INDUSTRIAL l51 <br />1 I LIVESTOCK 121 ( )IRRIGATION 161 <br />( )COMMERCIAL 141 ( I MUNICIPAL S81 <br />x10THER (gl.__MotlitDring <br />I)fTAIL THE U5f, ON BACK IN 111) <br />(41 Q~ILLER <br />Namn <br />SD cat <br />Lo be selected (licensed) <br />City---~ - <br />Tel phone Nn. __~ Lie, ND. <br />FOR OFFICE USE ONLV;sDtl NO TTnNIYt! 3 THIS COLUMN <br />1 <br />i ~~(b812 <br />Receipt No,~~Z~ / ~__.._... _._,_-....._ <br />0^sin Dist ~-_--~----...-- <br />CONDITIONS OF APPRO AL <br />This well shall be used in stl h a way es to cause <br />no material injury to existin~( water rights. The <br />issuance of the permit dons not assure the applicant <br />that no Injury will occur to another vested water <br />rlght or preclude another ownCr of a vested water <br />right from seeking relict in a civil rntlrl action. <br />i APPROVHD PURSUANT TO C~A.S. 37-90-137(2) TO <br />BOUIi~PfiD WITIi A LOCRING <br />T WB L CDNTAMINATION OR <br />N OF N WELL. T1f8 WRLL <br />T AL TIMBS BXCBPT DUAINO <br />OF <br />i• <br />D1~g ~_~.~~'~ COPY <br />APPLICATION APPROVED <br />PERMIT <br />35:351 ~- <br />DATE ISSUED "'nrn~ ~'~v __,_ <br />ExrIRA ION DATE _ Aga 2.6~ ~ ~~... __,- <br />~.~tt~ . <br />(ST 'F. E~NJUIN,€~E1ni ~- <br />B Y .fE~- ---- - <br />I.D. ~ ~~ I- COUNIi __IirC_ <br />