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

Inda,t No. -/ oc ~
IDwD ~ -/9
Compler:ar, LAS ~ - L_
refs
decked By
DIVISION OF WATER RESOURCES
N T OFFICE OF THE STATE ENC,,INEER
C o ~ ~yNr/
MAP AND STATEMENT FO~F.I.fWATERpWEf,LL FILING
PERMIT NUMBER ~ / ~ O
STATE OF COLORADO ) SS (/,!~
CLAIMANT (s) VJ~N~~J ~I.ALLC.-7r V( A/V~f-F l/tlG
being duly sworn upon oath deposes and says that t# (they) 6 (are)
the owner I s) of the well described hereon; the total number of acres
of land irrigated from this well is ~~'tp'
work was commenced on this well by actual construction on the
R day of /ltitiv [9~; the sustained
yield from said well`is~~ D gpm, for which claim is hereby made
forte ~ ^'7,;_;~!•f r ^. purpose(s):
6T ~ f0~
SEP1911 1
RECEIVED
WATER RESOURCES
STATE ENGINEER
~,_ CALO. r;
WILL L(I(;ATI S2~r:i.Z'7f~' /
r (q
.Ct<9 /Q/yt~~y''itlr Cocrb.
1L~~~'/. of~r~5., sec.
T.~`-' R.~.~P..`.!.
INDICATE WELL LOCATION ON DIAGRAM
NORTH
the average annual amount to be diverted is w
acre-feet: this map and statement is filed in compliance with law; 3
he (they) has (have) read the statements n.ade hereon; knows the
content thereof; and that the same are true of his (their) own
knowledge.
nature Isl lIC
~~ ;
Address:
n
~Sub~tcribed and sworn to before me on thisl,~day
M 1 ~ ~~ /c~ , /9 7 ~--
y Commission expires:.
(Seal) ~ ~
Notary Public
WELL DATA
Daie Completed ~ _ ~ ~ ~/
Static Water Level
SOUTH
N 3
ti P
n
WELL SHALL BE LOCATED WITH REFERENCE TO
GOVERNMENT SURVEY CORNERS OR MONUMEN75.
OR SECTION LINES BY DISTANCE AND BEARING.
h. from section line.
(North or Southl
from section line.
(East or Westl
Ground Water Basin '~~" ~- ~ •- ^ •'
Water Management /1
District ~r~-'vvb '~.~/"c c • -,~~.
Domestic wells may be located by the f01 lOwinr,:
LOT ,BLOCK
~8 SUBDIVISION
Total Depth of Well
FILING fr
ACCEPTED FOR FILING IN THE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS DAY
• OF 19 _.
STATE ENGINEER
I~ I I
I
---i---+---r---
I I I
I
I I
---~---r---~--
I I I
I I I
---~- -- L ---L---
I I I
I I I
I I I
FORM TO BE MADE OUi IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed.
WHITE AND G'I F.FN cones must be tiled with the State En9i veer within 30 davs alter the wrll i5 eon•nleled or w~Uun 7 tlays
after crap ~rat~on tlale of the permit. whichever is sooner; PINK COPY is for the Owner and YELLOW COPY ~s 1a the Dr illei.