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

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COLORADO DIVISION OF WATER RESOURCE~U6 1 8 1986
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
JuL 28
1986
y/RI;R ResoBHC~
STA(E • ENGI A'AiER
PERMIT APPLICATION FORM
"~
e ~
~ ~~
Application must
•be complete where ~~
.y7ATE.
EHC1!(E~
1 A PERMIT TO USE GROUND WATER 07-2B-Bb 1:51 f' ~
applicable. Type or ~A PERMIT TO CONSTRUCT A WELL ~`(r7^ •,5.00
print in BLACK FOR: ( 1 A PERMIT TO INSTALL A PUMP WATRES ('0012
INK. No overstrikes
or erasures unless 1 1 REPLACEMENT FOR N0. TTI X5,00
initialed. ( 1OTHER CHEQUE cs.DD
WATER COURT CASE N0. ~ 0,~
(1) APPLICANT -mailing address FOR OFFICE USE ONLYELQq N~~R~TE IN THIS COLUMN
NAME
Receipt No. ~ / a23 /
STREET e~f(~~/I ~uyf ~~ ~o~L-
CITY rt~f g/o ,r/ C '~~• • t kf D 9/
~ (State( ~11D1
TELEPHONE NO. o ~ ~ `- ~ ~ /~ O
(21 LOCATION OF PROPOSED WELL
County ~ ~ S' p NrrM Fa S'
~% of the~~~'/., Section /~~
Twp„~~ cl. Rng.~~ ~ -~P~P.M
i N.51 IE. WI
•13) WATER USE AND WELL DATA
Proposed maximum pumping rate 19pm1 ~ ~ ~r)p.M r
Average annual amount of ground water
to be appropriated lacre-feetl: /ra</~~ rf
Number of acres to be irrigated: o N E
Proposed total depth Ifeetl: ~ ~ ~
Aquifer ground water is to Abe obtained from:
.~//tNO ZJ ~/
Owner's well designation
GROUND WATER TO BE USED FOR:
~'y~v/HOUSEHOLD USE ONLY - no irrigation (01
'I )DOMESTIC (11 1 1 INDUSTRIAL (51
1 1 LIVESTOCK 121 f 1 IRRIGATION (61
1 I COMMERCIAL lal 1 1 MUNICIPAL 181
OTHER 191
DETAIL THE USE ON BACK IN (11)
14) DRILLER
.Name ~~ f a.1( a e K R v
Street ~~~/(~ - /~
city ~ +' l ~ ~ifL~ l~ Lo ~f O1 ~L
(State) (2~p~
Basin Dist.
CONDITIONS OF APPROVAL
This well shall be used in such a way as to cause
no material injury to existing water rights. The
issuance of the permit does not assure the applicant
that no injury will occur to another vested water -
right or preclude another owner of a vested water ^.
right from seeking relief in a civil court action.
1) APPROVED PURSUANT TO CRS 37-90-602(3)(b)(lIj
AS THE ONLY WELL ON A RESIDENTIAL SITE OF 12.8(1
ACRES, DESCRIBED AS THAT PORTION OF THE S 1/2
OF THE SE 1/4 OF SECTION 27, T33S, R67W OF THE
6TH P. M., LAS ANIMAS COUNTY, BEING MORfi
PARTICULARLY DESCRIBED ON THE ATTACHED EXHIBIT
nan•
2) THE USE OF GROUND WATER FROM THIS WELL IS
LIMITED TO ORDINARY HOUSEHOLD PURPOSES INSIDE A
SINGLE FAMILY DWELLING, AND SHALL NOT. BE USED
OUTSIDE THE HOUSE FOR ANY PURPOSE.
3) THE RETURN FLOW FROM THE USE OF THIS WELL
MUST BE THRU AN INDIVIDUAL WASTfi WATER DISPOSAL
SYSTEM OF THE NON-EVAPORATIVE TYPE WHERE ;HE
WATER IS"RETURNED TO THE SAME STREAM SYSTEM IN
WHICH THE WELL IS LOCATED. ~~~ q_z3_gs
APPLICATION APPROVED
PERMIT NUMBER '~T~ ~~ V ~_ 1~~T ~~ ~t--' -
DATE Issueo SEP Z 91986
EXPIRATION DATE SEP 2 91988
~i ~/ G ~j I BY
Telephone No QT L -a ~~3 Lic. No.~/ l
In
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