2005-06-24_REVISION - M2000016 ‎(13)‎

• Permit No: M2000016
• IBM Index Class Name: REVISION
• Doc Date: 6/24/2005
• Doc Name: review response
• From: lafarge north america
• To: dmg
• Type & Sequence: AM1
• Media Type: D
• Archive: No

Form No. OFFICE OF THE STATE ENGINEER
GWS-25 COLORADO DIVISION OF WATER RESOURCES
878 Centennu/1 &dg.. 1313 Sherman St, Denver, Cdorstla 80203
(303) 86C>3581
WELL PERMIT NUMBER 250143 - _,
APPLICANT DIV. 1 WD 2 DES. BASIN MD

APPROVED WELL LOCATION
WELD COUNTY
NW 114 NE 114 Section 24
LAFARGE WEST INC Township 1 N Range 67 W Sixth P.M.
%TAXLEY QWATER 8 WASTE ENG DISTANCES FROM SECTION LINES
621 17TH ST STE 7020 550 Ft. from North Section Line
DENVER, CO 80293- 2075 FL from East Section Line
[phone]
UTM COORDINATES
PERMIT TO USE AN EXISTING WELL rvvnnmg: tasnng
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1) This well shall be used in such a way as to cause no material injury to exisOng water rights. The issuance of this permit
does not assure fhe applicant that no injury will occur W another vested water right or preUutle another owner of a vested
water right from seeking relief in a civil wurt 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 Board of Examiners of Water Well Construction and Pump Installation
Contractors in accordance with Rule 18.
3) Approved pursuant to CRS 37-92-602(3)(b)(I) for uses as described in CRS 37-92.602(1)(0. 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 constmction under rtwnitoring twle notice MH-41775, and
known as N003 MW03.
5) This well must be equipped with a locking cap or seal to prevent well wntamination 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 RepoA must be completed and submitted to the Division of Water
Resources within 60 days of plugging.
8) The owner shalt mark the well in a conspicuous place with wek partnit number(s) and name of aquifer as appropriate,
and shall take necessary means and precautbns to preserve these markings.
9) This well must have been constructed by or under the supervision of a licensed well driller or other authorized individual
according to me Water Well Construction Rules.
10) This well must be loratetl not more than 200 feet from the location specified on Nis permit. S//Z/O'S~
A~PBROVED / f r ~ ~\~
Recei t No. 0506647E state Ea I e DATE ISSUED 05-12-2003 B EXPIRATION DATE 05-12-2005