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w41 J-25-]s. <br />TYPE OR <br />PgINT IN BL>CK INK <br />COPr OF aCC EP 7ED <br />5T>TEwE NT MAILED <br />•E]U ES i. <br />_ '. <br />y.• <br />COLORADO DIVISION OF WATER RESOURCES <br />$~3 '~ Centennial Bldg., 1313 Sherman St. <br />Denver. Colorado 80203 <br />STATE OF COLORADO <br />Gunnison <br />COUNTY OF <br />} SS <br />AFFIDA`/IT <br />STATEMENT OF BENEFICIAL USE OF GROUND WATER <br />X AMENDMENT OF EXISTING RECORD <br />LATE REGISTRATION <br />PERMIT NUMBER 23700-F <br />THE AFFIANT(S <br />whose mall ing <br />address is <br />Kaiser Coal Corporation <br />102 South •Pejon, Suite 800 <br />LOCATION OF WELL <br />Gunnison <br />CP„~iy <br />SW y. el ,~.. _ SE _ z. s~r„on 8 <br />Colorado Springs, CO 80903 13 S 90 W 6th <br />City T.P. Rnq _ P M <br />f]~.~rl I~IPI v o0 5~ ~E ce ni <br />being duly sworn upon oorh, deposes and says that he (rheyl ~s (are) the owner(s) of the well described hereon; the well Is <br />located as de scrl6ed abo~+e, at distances of 550 feet from the South section I~ne and 3100 feet from the <br />~.o. •. ~. ,au ~ <br />West section Ilne, water from this well was first applied to a beneficial use for the purpose(s) described herein on the 1 <br />Ic.,. o. ,r... <br />day of January 19 60 ; the maximum sustained pumping rote of the well is 200 gallons per minute, the pum n <br />P~ 9 <br />rote claimed hereby is - 200 gallons per minute, the royal depth of the well ishorizonta],y,~j4.y~the overage annual amount <br />~ater ro be diverted is 37 ac re~feer; for which clam Is hereby made for Industrial <br />purpose(s); the legal description of the land on which the water from this well is used .s <br />Section 3,4,5,6,7,8,9,10 T 135, R90W Sec 1,2,3,11,12 T 135, R91W Sec 34,35,36 T 125, R91[+aFwhich <br />0 acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in <br />compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he <br />(they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his (their) knowledge. <br />( OMP TER VERSE SIDE OF THIS FORM) <br />Signature(s) " <br />Subscribed and Sworn FOR OFFICE USE ONLY <br />to before me on this ~~ day of ~ ~ 19 ~ ~o ' <br />Cover CP,e No. ~ <br />My Commission expire s: ~ Cs~sn ¢ 1 G, ~\~ ~ h 'l <br />`~ nor. Mo ~ Day _ Yr _ ; <br />,`,r.., Tic.-4~..4a~~ ~ ~'{4.~n~9~ R , <br />.o•....~,e uc D... Ciy. <br />gC~F~PTED FO.R FILING BY THE STATE ENGINEER OF COLORADO <br />P:JRStJAfJT.•TO THE.FOLLOwING CONDITIONS: Se <br />4 }' <br />well UEe ' <br />-'~" '~ 1 <br />•.,,' °1• DAP __ BP,in MPn. D~, <br />D>rE sra7E ENGINEER Br <br />