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Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 81 B Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 866.3581 (303) APPLICANT LIC WELL PERMIT NUMBER ~ S'173'fi -~-_ DIV. 7 WD71 'DES. BASIN MD APPROVED WELL LOCATION MONTEZUMA COUNTY SVt/ 1/4 SE 1/4 Section 22 Township 38 N Range 14 W New Mex P.M. FOUR STATES AGGREGATES LLC P O BOX 1568 CORTEZ, CO 81321-1568 (970)565-3388 DISTANCES FROM SECTION LINES 333 Ft. from South Section Line 1510 Ft. from East Section Line UTM COORDINATES Northing: Fasting: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT Page 1 of 2 CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material Injury to existing water dghts. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude anoth_e_r_owner of a vested __ _ water right from seeking relief in a civil court action. 2) The construction of this well shall be in compitance 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) Approyed pursuant to CRS 37-90-137 (2) and (11) for the construction and operation of a well (gravel pit pond) in accordance with the temporary substitute water supply plan approved by the State Engineer on May 16, 2002, for the Line Camp Pit, Division of Minerals & Geology Permit Number M-2001-001. The well (pond) shall not be operated unless it is included in a substitute water supply plan approved by the State Engineer or a plan for augmentation approved by the Water Court. The water supply plan for this pit is currently valid through April 30, 2003, and 'rf it is not extended or'tf a court decree is not entered for a plan for augmentation, diversion of ground water from this well must cease immediately. 4) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. 5) The maximum annual amount of ground water to be appropriated and total surface area of exposed water shall not exceed those limits set forth in the substitute water supply plan. 6) The use of ground water is limited to evaporation, water lost in the mined product, sand and gravel washing, and dust control, as denoted in the substitute water supply plan. No other use of water is allowed unless the substitute water supply plan is amended and a new well permit is issued for the expanded use. 7) The owner shall mark the well (gravel pit pond) in a conspicuous place with well permit number(s) and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 8) Pursuant to Rule 10.1.6 of the W ater W ell Construction Rules, grave{ pit wells are exemptfrom the minimum well construction standards except for contamination considerations as stated in the Rule. The owner of the gravel pit shall take necessary means and precautions to prevent contaminants from entering the gravel pit well. 9). Pursuant to Rule 17.1.4 of the Water Well Construction Rules, the owner shall submit, after initiation of construction, site plan and cross section drawings on 8-i/2" x 11" paper showing the extent of intended excavation, the maxmum depth of the pit, and the initial static water level. 10) The boundaries of the gravel pit pond shall be more than 600 feetfrom any existing well. .~ APPROVED DDW State Engineer