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:tHbSut ~a~ <br />5.~< COLipp ADO DIVISION OF WATER RESOURf~'S <br />101 Golf, ..ne Bldg., 1845 Sherman St., Denver, Coiora .203 <br />Application must <br />be complete where <br />. applicable. Type or <br />print in BLACK <br />INK. No overstrikes <br />or erasures unless <br />initialed. <br />PERMIT APPLICATION FORM <br />(X) A PERMIT TO USE GROUND WATER <br />(X I A PERMIT TO CONSTRUCT A WELL <br />FOR: (X i A PERMIT TO INSTALL A PUMP <br />( S REPLACEMENT FOR NO. <br />(OTHER <br />(1 <br />t~Lt.u I <br />OCT d9 <br />~IA1ER RESp <br />S1A7E ENGI <br />001.0. <br />~~ <br />FOR OFFICE USE ONLY: p0 NOT WRITE IN THIS COLU <br />NAME Adolph Coors Company <br />STREET Land & Water Resources #309 <br />CITY Golden, Colorado 80401 <br />(Stales (zlp) <br />TELEPHONE NO. 279'6565, Ext. 2844 <br />(Z) LOCATION OF PROPOSEp WELL <br />County Wel d <br />NE x of the SE Y., Section 25 <br />7wp. 3 ry, Rng. 64 W 6th P.M. <br />(3) WATER USE AND WELL DATA <br />• Proposed maximum pumping rate (gpm) <br />Average annual amount of ground water <br />to be appropriated lace-feed: <br />60 gpm <br />Number of acres to be irr"tgated: RO~Cre~~r,a r <br />Proposed total depth (feed: 400 <br />Aquifer ground water is to be obtained from: <br />Laramie Fox-Hills <br />Owner's welt designation Keenesburg #1 <br />GROUND WATER TO BE USED FOR: <br />( 1 HOUSEHOLD USE ONLY • no irrigation (Di <br />( X) DOMESTIC (11 (X) INDUSTRIAL (51 <br />( ,(i LIVESTOCK (21 (XIIRRIGATION (6) <br />( XI COMMERCIAL (4) ( 1 MUNICIPAL {81 <br />I 1 OTHER (9) <br />(4) DRILLER <br />Name <br />To he determined <br />weer <br />City <br />IStXS) tZlp) <br />Telephone No. Lic, No. <br />Receipt No. 107009A ~ _ <br />Basin Dist. <br />CONDITIONS OF APPROVAL <br />This well shall be used in such a way as to cause <br />I no material injury to existing water rights. The <br />issuance of the permit does not assure the applicant <br />I that no injury will occur to another vested water <br />right or preclude another owner of a vested water <br />right from seeking relief in a civil court action. <br />11. GROUND WATER PRODUCTIONS SHALL BE LIMITID <br />THE LARAMIE-FOR HILLS A@UZFER WHICH IS EQUIVA <br />LENT TO A DEPTH FROM 340 FEET TO 400 FEET ON <br />LOG OF WELL LOCATID IN THE SWµ OF NE4f SECTIO <br />TOWNSHIP 3 N, RANGE 64W~ PLAIN (NON-PERFORATE: <br />CASING MUST BE INSTALLED AND PROPERLY SEALED ' <br />PREVENT TFiE APPROPRIATION OF GROUND WATER FR01 <br />OTHER ZONES, <br />2, THE AVERAGE ANNUAL APPROPRIATION FROM THIS <br />WELL TOGETHER WITH WELL #zy(p,s/-F SHALL NOT <br />EXCEID 167 ACRE-FEET. <br />3. A TOTALIZING FLOW METER MUST BE INSTALLED <br />ON THE WELL DISCHARGE WHEN THE WELL IS PUT TO <br />BENEFICIAL USE. DIVERSION RECORDS MUST BE SUB <br />MITTID TO THE DIVISION OF WATER RESOURCES UPOi <br />REQUEST. <br />!•. THE ENTIRE LENGTH OF THE HOLE SHALL BE GE0 <br />PHYSICALLY LOGGID PRIOR TO INSTALLING CASING. <br />COPIES OF THE LOGS MUST BE SUBMITTED TC THE <br />DIVISION OF WATER RESOURCES. <br />5. THE WELL MUST BE EQUIPPID (PREFERABLY WITH <br />3/4" ID TUBE FROM TOP OF WELL TO TOP OF PUMP) <br />THAT THE WATER LEVEL IN THE WELL CAN BE MEASU: <br />AND MONITORED. <br />P~~1LiTC~;1P~/1~8(~.~El(TENDED 1 YEAR TO FEB. <br />. 1982.. /Crn >!~b•~•/. S I <br />PERMIT NUMBER 2465-F <br />DATE ISSUED F F B 211980 <br />EXPIRATION DATE F'E B 21 1981 <br />(STA E ENGINE <br />BV G(~ ~• <br />I.D. 1-Dl _ COUNTY 62 <br /> <br />