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Form No. OFFICE OF THE STATE ENGINEER RECEIVEQ SEP 0 8 19~ <br />Gws-25 COLORADO DNISION OF WATER RESOURCES <br />B,1~Geyapnial Bldg., 1313 Sherman St.. Deriver, Colorado 8020.3 <br />(303) 866-3581 <br />uc <br />WELL PEAMR NUMBER 27'2`~BS - <br />APPLICANT DIV. 4 CNTY. 26 WD 40 DES. BASIN MD <br />Lot: elook: Filing: Subdiv: <br />APPROVED WELL LOCATION <br />GUNNISON COUNTY <br />OXBOW MINING INC SE 114 NW 114 Section 18 <br />P 0 BOX 535 Twp 13 S RANGE 90 W 6th P.M. <br />SOMERSET CO 81434- <br />DISTANCES FROM SECTION LINES <br />(970)929-5261 2000 Ft. from North Section Line <br />1900 Ft. from West Section Line <br />PERMR TO CONSTRUCT A WELL <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />CONDfrtONS OF APPROVAL <br />1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the <br />permit does not assure the applicant that no injury will occur to another vested water right or preclude another <br />owner of a vested water right from seeking relief in a civil court action. <br />2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402.2, unless <br />approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump <br />Installation Contractors in accordance with Rule 18. <br />3) Approved pursuant to CRS 37-92-602(3)(b)(1) for uses as described in CRS 37-92-602(1)(f). Use of this well is <br />limited to monitoring water levels and/or water quality sampling. This well is known as BG1. <br />4) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an <br />open well. The well must be kept locked at all times except during sampling or measuring. <br />5) Records of water level measurements and water quality analyses shall be maintained by the well owner and <br />submitted to the Division of Water Resources upon request. <br />6) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with the Water Well <br />Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water <br />Resources within 60 days of plugging. <br />7) The owner shall mark the well in a conspicuous place with well permit number and name of aquifer a5 appropriate, <br />and shall take necessary means and precautions to preserve these markings. <br />8) This well must be constructed by or under the supervision of a licensed well driller or other authorized individual <br />according to the Water Well Construction Rules. <br />9) A Well Completion Report including lithologic log must be submitted by the individual authorized to construct the <br />well. For non-standard construction the report must include an as-built drawing showing details such as depth, <br />casing, pertorated zones, and a description of the grouting type and interval. //,, <br />10) This well shall be constructed not more than 200 feet from the location specked on this permit. (V~~ q~~(~ <br />APPROVED ~~f1 /- 1.~ <br />Receipt No. 0433041A E~^~ DATE ISSUED $~P O 3 1998 eY ~ SEP 0 3 2QU~ <br />EXPIRATION DATE <br />