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III IIIIIIIIIIIII III ~ ~ Doc Date:12/11/2001 <br />999 <br />OWNER SLOP - .,~Eo <br />~~ COLORADO DIVISION OF WATER RESOURCES NOV3 01978 <br />.PE OP c~ <br />n~N SIN OL~Cx iNY X-q 818 Centennial Bldg., 1313 Sherman St. ~ffi BESOUfICQ <br />DPt aCC EP 7ED Denver, Colorado fS0203 Q~1: ~(~~ <br />f<T~T M~iLED <br />v R STATE OF COLORADO / AFFIDAVIT C~ <br />} SS <br />COUNTY OF _ G~7TliZ1S071 1 <br />~_ STATEMENT OF BENEFICIAL USE OF GROUND WATER <br />AMENDMENT OF EXISTING RECORD <br />LATE REGISTRATION <br />PERMIT NUMBER 23918-F LOCATION OF WELL <br />HE AFFIANT(S) S•IeStern Slone Carbon, It1C. ~,~,,,• C,1]ATiiSpI1 <br />hose mailing <br />dd.ess .s _ P• O. Box 1526 III^I ,, o~ ,,,, SE ~i. c.~..o„ 11 <br />,,y Salt Lake City, Utah _ T,,, 13S_ R~9 90 W 6th P ,. <br />„~, r. ~rn.i --- ,.:. ~~ - ,L-,., <br />e~ng duly sworn upon ooth, deposes and says that he (they) is (are) the owner(s) of the well described hereon, the well .s <br />orated os described above, of distances of 2815 feet from the ~?rth section line and 1560 feet (ror'+ the <br />EdSt section I~ne; water from this well was first opplied to a beneficial use for the purpose(s) described herein on the 17 <br />lay of No`~~~r 19. ~8; +he maximum sustained pumping rate of the well is 9.66 gollons per minute, the pumping <br />at~ed hereby .s . 9.66 gollons per minute, the total depth of the well is 10 -feet, the average onnual amount <br />,f water to be diverted .s 4 ac re~feet, for which clam .s hereby made for IndllStllal <br />purpose(s), the legal description of the loud on which the water from this well .s used .s <br />The 2.'F%, F}5 of the NWy, & NFY, SF}< Sec. 11, T 13 S R 90W, 6th P.M. & ~h~ 4?~ of the NW;, b the <br />D1F}; of the NPA:, & the NFA4 SW; of Spec. 12 T 13 S, RgOW, 6th P.M. b the SE4 and the Ef5 of which <br />of the of Sec. 2, T 13 S, R 90 W, 6th P.M. & the SW; of Sec. 1, T 13 S, R 90 W, 6th P.t1. <br />~ acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well wos completed in <br />:ompliance with the permit approved therefor, this statement of beneficial use of ground water is filed in compliance with law; he <br />they) has (have) r ad the statements made hereon; knows the content thereof; and that the same are true of his (their) knowledge. <br />MPLETE REVERSE SIDE OF THIS FORM) <br />i~gn or ur ens) <br />iub scribed en sworn <br />'o belore m_ on this ~ ooyyo/fQQI v r~ p 19 <br />Ny Comm~ss~on expires: -~0~1~/ •//Jo~2s 783 <br />,.. .. ~lKfUi~[J Ofd ./~~ <br />~c• .e ~¢ <br />4CCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO <br />PURSUANT TO THE FOLLOWING CONDITIONS: <br />THAT THOSE CONDITIONS OF APPROVAL dS STATED ON THE <br />PERMIT A8E COMPLIED WITH. <br />~~ <br />FOR OFFICE UsE ONLY <br />Ca~.r Cave Na <br />Pr iOr MO Day _ Y __ <br />D... Cry. <br />g, r . _ 'r.. v. '. <br />w. a u.. <br />D~+r __ Ba •.n Maw D~+ - <br />aUG 091979 _ --2UU-~~--- U--~: ~ <br />!rciE ACF,N//srat•: FnG~Nf[R H. <br />