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:.::,:s,: COLORADO DIVISION OF WATER RESOURCES - ` \~''_~ <br />TNI 'iPy;MUSr ^E • 101 Columbine Bld 1845 Shermar~ <br />sCEg PRIDR TO g•r <br />TII XPIRAiION OF THE Denver, Colorado 80203 <br />PCRMIT. IY PE OR <br />PRINT IN OLACK INK. <br />XX STATEMENT OF BENEFICIAL USE OF GROUND WATER <br />AMENDMENT OF EXISTING RECORD <br />PERMIT NUMBER_ 016676-F <br />STATE OF COLORADO <br />La Ylata SS. <br />COUNTY OF <br />THE AFFIANT(S) Animas Aggregates, Inc. <br />whose address is 11 mi. l;orth on Flwy 550 1Jf Duranl;o, Colorado <br />~.ai inl' p ad ress Bor. uranFo, C-olor~a o SI-301' <br />being duly sworn upon oath, deposes and says lhat;{;~ (lhey)XIkC (are) the owner(s) of the well described hereon; the Well is <br />located in the 'd~ ) of the NS 1 36 37 td <br />/4 /4 of Section ,Township <br />(N. or 5.) <br />Range 9 k) iiPt p M. at distances of 600 feet from the- Forth section line <br />(E or W.) (North or South) <br />and 2300 feet from the Fast section line; the total depth of the well is 45 _feet; wdier from this well <br />(East or West) ' <br />was first applied to a beneficial use for the purpose(s) described herein on the 25th day of Jzlnuar __ 1973 ; <br />the maximum sustained pumping rate of the well is 20 gallons per minute, the pumping rate claimed hereby is 20 <br />gallons per minute; the average annual amount of water to be diverted is )) - 5 acre feet; for which claim is hereby <br />made for :fanu~acture of P.eady Pfix Coneret~urpose(s); the legal description of the land on v+hich the water <br />an re a -e ac ivi ies <br />from this well is to be used is Same as well location. ]dot for irrigation. <br />which totals -acres and which is illustrated on the map on the reverse side of this form; that this well was completed <br />in compliance with the permit approved therefor; this statement of beneficial use of ground v+ater is filed in compliance with <br />law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his <br />(their) knowled g~g n <br />A.'I~IiAS ACj~R3~C/q~ 1'F.S, INC. <br />I .r ~1 t.` n <br />Signature(s) 1 ~ ``•_ ~~I \V ti«-. yr e <br />Srsc^~ta~V-TreAsure <br />Subscribed and sworn~o before me on this 10th day of <br />February 19 73 <br />My Cornmivipn expires Apr. 19, 1976 <br />My Commission expires: .. <br />(SeaO <br />2tie.._(~,r f ~ ~. w~ <br />Notary Public <br />ACCEPTED FOR FILING IN THE OFFICE OFFOR FILING IN THE OFFICE OF THEF STATE ENGINEER OF <br />COLORADO ON THIS DAY OF 19-. <br />FOR OFFICE USE ONLY <br />Prior. Date-, 19 <br />Well Use <br />-t~, t~. --~~i, Sec. -, <br />T. R. _ -. P. M. <br />Yi <br />-W. <br />STATE ENGINEER IndeX <br />WHITE CORY FOR Dl YlSION OF WATER RESOURCES <br />PINK COPY FOR WELL OWNER <br />