My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
PERMFILE100451
DRMS
>
Back File Migration
>
Permit File
>
100000
>
PERMFILE100451
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 9:55:10 PM
Creation date
11/24/2007 7:05:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982131
IBM Index Class Name
Permit File
Doc Date
7/27/1982
Doc Name
MEMO BUCKLEN EQUIPMENT CO APPLICATION FOR MINING RECLAMATION PN 81-131
From
DWR
To
MLR
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
8
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
WRJ'S-Rev. 76 CDL~ADD DIVISION OF WATER RESOU~ <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br /> PERMIT APPLICATION FORM <br /> <br />Application must _ <br />be complete where ( ) A PERMIT TO USE GROUND WATER <br />applicable. Type or ( I A PERMIT TO CONSTRUCT A WELL <br />print in BLACK FOR: ( ) A PERMIT TO INSTALL A PUMP <br />INK. No overstrikes <br />or erasures unless ( I REPLACEMENT FOR N0. <br />initialed. ( )OTHER <br /> WATER COURT CASE N0. <br />(11 APPLICANT -mailing address <br />NAME <br />~ STREET <br />CITY <br />' (State) (Zip) <br />TELEPHONE N0. <br />(2) LOCATION OF PROPOSED WELL <br />' County <br />'/, of the '/., Section <br />Twp _, Rng. P.M. <br />W.S IE 1VI <br />131 WATER USE AND WELL DATA <br />Proposed maximum pumping rate Igpm1 -_ <br />Average annual amount of ground water <br />to be appropriated (acre~feetl: <br />Number of acres to be urigated: _ <br />Proposed total depth (feet): <br />Aquifer ground water is to be obtained from: <br />'~ Owner's well designation <br />i GROUND WATER TO BE USED FOR: <br />I ( I HOUSEHOLD USE ONLY - no irrigation 101 <br />~ ( 1 DOMESTIC 111 ( 1 INDUSTRIAL 161 <br />1 1 LIVESTOCK 121 1 1 IRRIGATION 161 <br />1 COMMERCIAL (41 ( 1 MUNICIPAL IS) <br />1 I OTHER 191 <br />DETAIL THE USE ON BACK IN 1111 <br />141 DRILLER <br />Name <br />Streei <br />City <br />(Sla\e) (Zip) <br />Telephone No. Lic. Na. <br />~ FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />Receipt No. <br />Basin <br />Dist <br />CONDITIONS OF APPROVAL <br />This well shall be used in such a way as to cause <br />no material injury to existing water rights. The <br />issuance of the permit does not assure the applicant <br />that no injury will occur to another vested water <br />right or preclude another owner of a vested water <br />right from seeking relief in a civil court action. <br />APPLICATION APPROVED <br />PERMIT NUMBER _ <br />DATE ISSUED <br />EXPIRATION DATE <br />(STATE ENGINEER) <br />BY <br />I.D <br />COUNTY _„ <br />
The URL can be used to link to this page
Your browser does not support the video tag.