PERMFILE105386

• Permit No: C1981013
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Section_Exhibit Name: EXHIBIT 08 WATER WELL INFO
• Media Type: D
• Archive: No

DIVISION OF WATER RE OURCES
r\, ~ OFFICE OF THE STATE NGINEER
MAP AND STATEMENT FOR WrATpER WELL FILING
PERMIT NUMBER ~ ~J o 3
CLAIMANT (s)~'L~eJ__~6LGE •/ UrANCH~ ~i[J c
being duly sworn upon oath deposes and says thatdle (they) iy(are)
the owner (51 of the well described hereon; the total number of acres
of land ircigated from this well is ~~~ ,
work9was commenced on this well by actual constr~uyct~ion on the
Q'" ~ day of 1911.; the sustained
yield from said well is~gpm, for which claim is hereby made
n r
for ~'tR-¢~~~ purpose (s);
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SOUTH
Q~O~~/ /,(/r~7~t,~ C~-~v; Rio 9~
scribed and sworn to oefore me on this~day
~/
My Commission expires:. - ''
(Seal) ~-• l
WELL DATA
/ c i ~y 7
Notary
from section line.
(North or Southl
7~ ft. from section line.
ti2dt1~ _ (East or West)
is
Ground Water Basin ~""~''%^~' " ~"-
Date Completed s - 3 /~ ~/
Static Water Level__?'~•
Total Depth of Well ~ ~ ~ ~~
S ~~l d 9 IG;%~1
cr~}9i1 ~i,'
RECEIYf9 c
w~Tlx cL•.ouR~ ';
> sT~TCaoH~~~
~1~ r `~::ZEL~"' G
~_ v. of N~7 f_~/'/., sec.
T. .aJ 3 S R. ~ / ~'Y
P.A7.
INDICATE WELL LOCATION ON DIAGRAh1
NORTH
WELL SHALL BE LOCATED WITH REFERENCE TO
GOVERNMENT SURVEY CORNERS OR MONUMENTS.
OR SECTION LINES BY DISTANCE AND BEARING.
Water Management
District -'^'[
Domestic wells may be located by the following:
LOT ,BLOCK
SUBDIVISION
FILING q
ACCEPTED FOR FILING IN THE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS DAY
• OF 19-• STATE ENGINEER
FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must ba an original copy on both sides and signed.
WHITE AND GREEN copies must Ue tiled with the State Engineer within 30 daYS alter the well is completed or within 7 days
alter expiration date or the permit, whichever is sooner: PINK COPY ie for the Owner and YELLOW COPY is tar the Driller.
STATE OF COLORADO ) SS
the average annual amount to be diverted is
acre-feet; this map and statement is filed in compliance with law;
he (they) has (have) read the statements made hereon; knows the
content thereof; and that the same are true of his (their) own
knowledge.