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van >. r. ur ic: l,ap tarry aria l:atny <br />;R =.. -.3~AH-1U-D7 11:58AN FRDM-Colo Div of Water Resources <br />'/lyZ <br />+3838663589 <br />Form No. OFFICE OF THE STATE ENGINEER <br />Gws-25 COLORADO DIVISION OF WATER RESOURCES <br />816 Centennial Sldg., 5313 Sherman St.. Deriver, Coloratlo 80Y09 <br /> <br />APPLICANT <br />T-622 P. UBI/8U1 <br />p.~ <br />f-UU2 <br />- -- '-'.- .- -'EXST-_ <br />WELL PERMIT NUMBER 272069 - <br />DIV. 2 WD 12 DES. BASIN MD <br />Ll: 2 Bbtlc FilnO: SuhdN- TWIN PEAKS RANCH <br />LARSEN LAND & EQUIPMENT LLC <br />1124 EAGLES NEST CT <br />CANON CITY, CO 81212- <br />275-9525 <br />APPROVED WELL LOCATION <br />FREMONTCOUNTY <br />SW 114 SW 1/4 Section 6 <br />Ttrtrnship 18 S Range 70 W SbtOt P.M. <br />DISTgNCES FRDM SECTION LINES <br />586 Ft from South Section Line <br />143 Ft from West Section Line <br />UTM COORDINATES (Meters.Zone:13.NAD83) <br />Fasting: Northing: <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />~Q~ITiONS 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 this permit <br />_ does not ensure that no injury wiD occur to another vested water right or prelude another owner of a vested writer right from <br />scatting relief in a CWiI coup action. - - <br />2) The t:onsWCtkn of tNs well shall be in compliance with the Water Wall Constnrdion RWes 2 CCR 402-2, unlace approval <br />of a variance has been granted hythe State Baatd of Examiners of Water Well Constnx:0on and Pump Instelletlon <br />ConlreGOrs in ac,:ordance with RWa 1 n. <br />3) Apprrnred pursuant to CRS 37-g2.002{3)(b)(I~(A) as the only weR on a tract of land o/ 35.05 aces described as lot 2, Twin <br />Peaks Ranch division of land, Fremont County. <br />4) Approved for the use of rm existing well commuted under pennh number 2811782. The issuance oI this permll hereby <br />cmrcels permit number 201002. <br />5) The use d ground water fmm this well is limited to fife protection, ordinary household purposes inside not more than <br />throe (3) shtgte family dwellings, the watering of poultry, domestk animate and livestock on a farm or ranch and the <br />irrigation of not more than one (1) aaa of home gardens end lawns. <br />~ Tha pumping rate of this web sha0 not exceed 15 GPM. <br />7) The return flow horn the use Of this wall must be through art individual waste water dispasa! system of Ne <br />non-evaporetlve type where the water is returned to the same stream system in vrhich the well is located. <br />B) This well shell be not mars than 200 feet from Ote location spadfied on this permit <br />NOTICE: TNs permit has hewn approved subject to the foAowirg change: the dieYdrtces from selbn fines were sealed <br />from the plat map submkted with the appliwtlon because the U1IDt mordrtatas did not place Itte well in the nArcel <br />bcafian. You are hereby notified mat you have the right to appear Ore issuance d Nis permit, by filing a written request wiN <br />this office within srxfy (60) days otthe date of Issuance, pursuam to the State Adnrinistralive Procedures Ad. (See Section <br />24+1041hrough 108, C.R.S.) crdlC l/n1aF <br />CDK <br />Stle Engineer <br />5 <br />