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PERMFILE139198
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PERMFILE139198
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Entry Properties
Last modified
8/24/2016 10:39:59 PM
Creation date
11/26/2007 8:25:34 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981028
IBM Index Class Name
Permit File
Doc Date
8/27/2004
Doc Name
Well Completion & Abandonment Documentation
Section_Exhibit Name
Appendix I-3
Media Type
D
Archive
No
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Ft uJ~!$33~1f <br />~rt,~ ~ <br />- , wlt.l c.-tn COLORr) DIVIS{ON OF WATER RESOURCE <br />~ ~ 101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203 <br />J , <br />~~~~~~~~ PERMIT APPLICATION FORM <br />ApplicaLlon must <br />be complete where (X 1 A PERMIT TO USE GROUND WATER <br />• applicable. Type ot~EB 9 19$~ ( ) A PERMIT TO CONSTRUCT A WELL <br />print in BLACK a I) FOR: (X { q PERMIT TO INSTALL A PUMP <br />INK. Noovarstrikes <br />of erasures unless !~G ~ ( I REPLACEMENT FOR NO. <br />initialed. ~~~ ~ ~~~.~~ <br />(.)OTHER <br />address <br />NAME Adolph Coors Compan <br />STREET Corporate Real Estate <br />CITY Golden CO 80401 <br />(Slag) (ZIP) <br />TELEPHONE NO. 277-5595 <br />12) LOCATION OF PROPOSED WELL <br />county we la <br />NE Y. of the SE ~ti, Section 25 <br />Twp. 3 N , Rng. 64 W 6th p <br />13) WATER USE AND WELL DATA <br />.Proposed maximum pumping rate Igpm) N •A <br />Average annual amount of ground water <br />to be appropriated (acre•feetl: N.A. <br />Number of saes to be irrigated: N .A <br />Proposed total depth (feetl: 6D feet <br />Aquifer ground water is to 6e obtained from: <br />Ennis Draw <br />Owner's well designation Fire Protection Well-Keenes <br />bur Coal 1ne <br />GROUND WATER TO BE USED~OR: <br />( )HOUSEHOLD USE ONLY - no irrigation (D) <br />( )DOMESTIC (t) ( )INDUSTRIAL (51 <br />( 1 LIVESTOCK 12) I 1 IRRIGATION (61 <br />( )COMMERCIAL (41 ( )MUNICIPAL (81 <br />~... <br />[1KiL ~:iA'ii~ <br />ll.--iv <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />Receipt No. l/ / ~~ / <br />Basin <br />Dist. <br />rONDITIONS OF APPROVAL <br />This well shall be used in such a way as to cause <br />no material injury to existing water rights. The <br />issuance of the permit does not assure the applicant <br />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 />APPROVED PURSUANT TO 37-92-602, <br />(1) (d), C.R.S, 1973, FGR USE <br />EXCLUSIVELY FOR FIRE FIGHTING <br />PURPOSES. WELL IS TO BE CAP- <br />PED, LOCKED AND AVAILABLE FOR <br />USE ONLY TH FIGHTING FIRES, <br />a~~~~'S COPY <br />( X1 OTHER (81 Fire Drotection <br />14) DRILLER <br />~ame Norman Hill Drilling Company <br />reef <br />City Lamar CO <br />( Llsl QC~/Ziol <br />Telephone No. Lic. Na. C~ ~% <br />APPLICATION APPROVED <br />:128331 <br />PERMIT~NUMBER <br />DATE ISSUED FEB 17 981 <br />EXPI RATj,~ DATE/~~ <br />A si tant Is~ <br />BY ~a <br />~_~~ <br />LD. COUNTV <br />
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