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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.
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<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.
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