2005-06-24_REVISION - M2000016 (13)

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Form No. OFFICE OF THE STATE ENGINEER Gws=2s COLORADO DIVISION OF WATER RESOURCES 918 Centennial Bldg., f 313 Shemun SL, Denver, Colorado 80203 303 6663581 ( ) APPLICANT LAFARGE WEST INC 1279 WELL PERMR NUMBER 250156 l DlV. 1 WD2 DES. BASIN MD °~T AXLEY QWATER 8 WASTE ENG 621 17TH ST STE 1020 DENVER, CO 80293- (303)292-3503 APPROVED WELL LOCATION WELD COUNTY NW 1/4 NE 1/4 Section 24 Township 1 N Range 67 W SiMh P.M. DISTANCES FROM SECTION LINES 900 Ft. from North Section Line 2605 Fl. from East Section Line UTM COORDINATES ISSUANCE OF THIS PERMIT GOES NOT CONFER A WATER RIGHT ~QNDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material Injury to existing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Boarcl of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pur•uant to CRS 37-92-602(3)(6)(1) for uses as described in CRS 37-92-602(1 )(p. Use of this well is limited to monitoring water levels and/or water quality sampling. 4) Approved for the use of an existing well acknowledged for construction under monitoring hole notice MHd1775, and known as N003 MW01. 5) This well must be equipped with a locking cap or seal b prevent well contamination or possible hazards as an open well. The well must be kept capped and locked at all times except during sampling or measuring. 6) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to the Division of Water Resources upon request 7) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water well Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water Resources within 60 days of plugging. 8) The owner shall mark the well in a conspicuous place with well permit number(s) and name of aquifer as appropriate, and shall take necessary means and precautions to preserve these markings. 9) This well must have been constructed by or under the supervision of a licensed well driller or Omer authorized individual according to the Water Well Construc8on Rules. 10) This well must be bcated not more man 200 feet from the location specified an mis permd. 5~is_/a 3~~ APPROVED ~/p ,, ` - RAB ,J 1. y ~` 4 0?~ State Engi ar _ _ By