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<br />gpplic~tion must <br />b complcro s•:herc <br />app Gcable. Type pr <br />~~ print in GL~C:C <br />,N!C.NoOSCr;tnxts <br />or erasure: unless <br />initialed, ' <br />300 Cahr"~_: ne 6idg., tE:S Shenn,an SL. Deaver, Coles •. s BCZ03 <br />PER".11T AFPL1Ca.TlO:'J FORP,1 <br />(X I A PERlaIT TO L6E GROU.:O ;7ATER <br />( )APEn.'.IIT TO CO'aST:+UCT :> 4:ELL <br />FOR: ( 1 A PER7.tIT TO INST,:LL A PL'~~1P <br />f <br />) REPLAC~:`•tEi•1T FOR NO. <br />)OTHER _ <br />1'lAT~n COU~',T CASE i~0. <br />1t~`31, <br />a~ <br />~~; ~ E` <br />CS+' <br />(1) AP'L1C'.;:T • mailir.y address <br />NAf.tE Utah ?nternational ?nc. <br />STREET F•o. ao:c 1B7 <br />CITY Craig Colorado 81525 <br />($tl: el 1=~D1 <br />7ELE?:;Or.!E;;O (303) 82~-5503 <br />(2) LOC:+TIC;~ OF PROPOSED 1';ELL <br />County P:SC f_ar -~ <br />.: of th_ %, Section <br />7r;P. S ~ 6 N Rng 90 6 91 t.V 6th P.re <br />rN S rES'+~ <br />(3) t\rar~R use .;rJD ~~'EI_~ DATA <br />Pro POSCd mar.imum pumping rate IgPn+l ~ r 000 G?~rr- <br />(all piu combiR <br />Averace annual art(ount cf crcund ~~.atcr ~ r X00 <br />to be approaria:ed lacre~fac;l: <br />Numbe: of :.ores to b= irrigated: 0 <br />Proposed to;.:l death (feed: 1~0 <br />Aquifer yruund +va:er is to be ob:air,cd from: <br />Upper V/elliams For: _°or.-tation <br />Q:mer's svcll designation last ~'~Nat2.^.RQ <br />GROUND !'.'ATFn TO 8E USED FGR: <br />• ( ) HOUSEFIOLD USE O~~1LY ~ no irrigation (01 <br />"' ( ) DO.'.tc TIC (1) (X 1 INDUSTRIAL 151 <br />' ( 1 LIVESTOC I?I ( ) IRRIG.:TIO^I IGI <br />( 1 CO!.1:.iERCIAL (41 _ ( 1 h1Ur•11CIPAL Isl <br />( IOTIfER(91Road ..e[tina=P,ust suoorescior. <br />OETAIL 71IE USE Cf•1 EAC.I' IN I1 tl <br />(4) QR(Lf.ER <br />Name <br />Street <br />CitY_ <br />N/A-See cover letter <br />Tdephono t:o. Lic. fJo <br />FOR OFFICE USE Oi~LY: DO NO7 1'iRITE IN THIS COLUf.;: <br />Receipt No <br />Basin <br /> <br />Dist. <br />CO~:OITIO~`JS OF A?~ROVAL <br />This +:rell shall be us=_d in such a t•:ay as to cause <br />no ma;eris! injur+; :o existing ~,~a[=; rights. The <br />issuanccof the permit does no: zssure the a_plicant <br />that no injury or.il occur to ano[hzr vase%; ~;larzr <br />riyh[ or preclude another or:ner of a vested v,rer <br />right frem seeing relief in a civil tour[ zc:ion. <br />I AF C.°~_T _L:. I'+.n A U._... '0 . .1S ._-:0_... <br />'~iJSi ~.. i~=.JT TO -- 7IJ:?rCT COJ i _r A_.~i c~_ <br />.?. ~? Dr!=SICi1 :.:..J6, S.Y^_.. 0? C.^,T_C' rJOI ~T' <br />_-;.. USE 0^ r':LS „~~. T S A ~~:OtrnL yJ .c.V.:..:_ <br />2) T:!IS _D'1'S^ .5 =SS'_) ?03 -r? rJl~r__:7 0^ <br />.. F.Oilia:~ F:r.TT=t ~.v:~r GP=: ?_TTS =0R __~ :J='r JS <br />w3^ S~??~'...S3IGi; Of i.iJL ~^-~~ C:;LY <br />3) ;?t:Li_aGL A_:a-.L r.F_.,.,'F_.---=oh ~;v_~t _.=5 ;:~. <br />S :{T.T, 3? r`~ (.r.'T] TO li0 ~.Cn - ~..._ . <br />4) T'1i~, AF?LICA:i Ii;i_.::75, AT A ^t_r'u:= D=.~ <br />r.~ T~~:T~ _ oit ~ ~?osas o~_~s T~^.tf >;~s^ ~~-_ <br />SIOif, AT FrrLCFi: il:~-~. A?: A.FFISC.}TT_OY "OS '_:r.'. <br />~DDIT=ct_=.L uses :.~ __:oa~~sa lrt ~1L:w.L tp_ C: <br />lIOT! Sii\LL FL Sii~:~T~ TO Yt~SS O.rICL, <br />5) P.LL F!ST'r:? FJI~~ ic,0:•i T:r~'S3 PT_TS A:,7 F.r' ` <br />BEI!~'_TCL\L liSD s:_:LL 3~ i•~T~~ SO `~ =~T T4, <br />\FFT~~CA,TP CAT; 'a:II~ 'tii_; AG'D S'lJ3?T TO T:.^-. DIi~ <br />GF ~L1TEi, r2?.SOL::_3S, IT'Oii ti,~L~ST~ ;t=Cv3L5 0? <br />:1R0'JT~ F!AT~{ mF_.T 1.45 Si3f FL'T TO F<.i,~iC?-",L <br />aPPLIC;-~TION:t?~ROVE'J <br />PERP,I1TNUf.18ER_?2_L~_O=J- <br />DATE IS:,UED h~AR_1.7_19Z7 <br />CXPIRAT10f•1 DATE ~t'iAR 17 1978 <br />~e,~ <br />Y <br />LD. _~__ ~/. ~~_ COUNTY / ~ _ <br />