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RRJ 5 ke.. 76 U. - OF tiNr•, _n I.LJVUnCES <br /> 818 Cen;ennia: L'Idy., 1213 Shoman St., Denver, Colurado 80203 ILU <br /> ' I•EMhilTAPPLICATit:r! 1`0".1 0116 <br /> ApplP�auon must 'S� <br /> b= complete where i 1 ,;PLI 1 .IT TO USE GF Y -i cF ;r;y <br /> applicable. Type or (X ) A PEi H.11T TO LONSTt L I[Jr=_L <br /> ' print in BLACK FOR: (X ! A PEHLMIT TO INSTAL! <br /> INK.NooverstrrY.esiplA� <br /> .,r: .ia_erc_ aell <br /> or erasures unless (X ) REPLACEMENT FOR :�J. <br /> u t' <br /> initialed. ( ) OTHER <br /> WATER COURT CASE NO. <br /> (1) APPLICANT • mailing addres, FOR OFF If--- ULE OWL'Y DO NOT WRITE IN THIS COLUMN', A <br /> ? �NAME— L. N. Propert i.:s <br /> STREET 10221 S. Hitaov 73 ba:n Dist. <br /> CITY Conifer, Colo. 80433 �j <br /> (State) tzIP) CONDITIONS OF APPROVAL Ss <br /> 1 F£tEPHONE NO. 838-5341 Thr shall in such a way as to cause"', <br /> m nwicrial ini.Jry ic• existing water rights.'The <br /> (2) LOCATION OF PROPOSED WELL I' r"""..t the LLrnLt does not assure the apprica .tx <br /> t niury '.vlll .n ,ur to another vested water <br /> ' > rn!h; u' uruc!ude anudwr owner of a vested water I I1 <br /> County CF����Trt/ I right from seeking relief in a civil court action. <br /> __"25 %. of the Ij:�W '/., Section 3: <br /> Twp. 6 So. , Rng. 71 W 6Lh P.P.4. ° ''IG ED PUP,SJ:_1T TO CRS 1973. 37,92-601& <br /> r,. <br /> ' d FOL DR_: S:TNG AND SANITARY '1 r= <br /> t L..12TES OhJ.'_ _11 All INDIVIDUAL'4, =1' <br /> t (3) WATER USE AND WELL DATA ' <br /> CC: S :1CIAL BUS .:ASS. <br /> Proposed maximum pumping rate (gpm) /�f AF?ROVED P.3 A REPLACEMENT OF WELL NO.�Z <br /> tAverage annual amount of ground wate• THE COSTING WELL' MUST BE PLUGGED AND ABANDONED <br /> to be appropriated )acre feet): ACCORDING TO THE REVISED AND AMENDED RULES�I.:) <br /> REGULRTIONS FOR WATER WELLAN:1 PUMP SIN41 IA�VOK <br /> ' Number of acres to be irrigated: _�/ CONTRACTORS. THE ENCLOSED AFFIDAVIT MUST 8E <br /> Proposed total depth (feet): 200 SU3%11TTLD WITHIN SIXTY (60) DAYS AFfERTHE : <br /> ;:01ISTRUCTION OF THE NEW WELL,AFFIRMING 7N^T <br /> Aquifer ground water is to be ubtained from I WELL NO. y7Y_ W"Jpt1.Jr=!:F^O,^�^.^D;t''=• "•' <br /> ' granite I TILE AVL'l GE AMOUNT OF WATER DIVERTED EY TM <br /> Owner's well designation 1-t1yLL NOT EXCEED 800 GALLONS PER DAY. <br /> ' GROUND WATER TO BE USED FOR: r 4 <br /> ( ) HOUSEHOLD USE ONLY no irnganon (0) <br /> ' ( 1 DOMESTIC (1) 1 1 INDUSTRIAL (5) • � 1 ` <br /> I 1 LIVESTOCK (2) I I IHRIGATION (6) ' "µ <br /> Y 1L r IJr1�r <br /> IXI COMMERCIAL (4) ( 1 '%. 7NICIPAL18) "'P litt#lb- <br /> OTHER 19) SWAJ/4�%J��✓.� z-/-� i APPLICA-i ION APPROVED <br /> DETAIL THE USE ON BACK IN 111) Q7� 2 <br /> PERMIT NUMBER <br /> (4) DRILLERAPR <br /> ✓ y3'a,. tjSSUED" ..i, il.. 4.. <br /> ' Name '•AFtpen-'DrilTing Co., lrnc. ir�A AP <br /> ATE <br /> _. , ATf . <br /> .. ' Street "a)W54 Highliay 285 <br /> tI <br /> �; •, t' Irrrisati Colo. B04 �Y d .s <br /> city r 1 r ENGI <br /> • rN. 1 ru• : <br /> TetephoneAlo. 3 :".: 7Lie.No. ".. ., <br />