2008-03-03_PERMIT FILE - C2006085 ‎(36)‎

• Permit No: C2006085
• IBM Index Class Name: Permit File
• Doc Date: 3/3/2008
• Doc Name: Monitoring Well Permits and Completion Diagrams
• Section_Exhibit Name: Exhibit AJ
• Media Type: D
• Archive: No

Form No. OFFICE OF THE STATE ENGINEER
GWS-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
3 866 3581
i
(30) -
APPLICANT
NORTHFIELD PARTNERS LLC
PO BOX 630678
LITTELTON, CO 80163-0678
[phone]
~~~VED.
1305
WELL PERMIT NUMBER 273358
DIV. 2 WD 12 DES. BASIN MD
APPROVED WELL LOCATION
FREMONT COUNTY
SE 1/4 SE 1/4 Section 14
Township 19 S Range 70 W Sixth P.M.
DISTANCES FROM SECTION LINES
100 Ft. from South Section Line
800 Ft. from East Section Line
UTM COORDINATES (Meters,Zone:13,NAD83)

, ..,, ., .,, ,a.
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
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
does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from
seeking relief in a civil court action.
2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval
of a variance has been granted"by the Stye Board of Examiners ofll~/ate~ 1NelfConstruction and Pump Installation
Contractors in accordance with Rule 18.
~) Approved pursuant to CRS 37-92-602(3)(b)(I) for uses as described in CRS 37-92-602(1)(f). Use of this well is limited to
monitoring water levels and/or water quality sampling.
4) Approved for the use of an existing well as NF-01A.
5) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open well.
The well must be kept capped and locked at all times except during sampling or measuring.
6) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to
the Division of Water Resources upon request.
7) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water
Well Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water
Resources within 60 days of plugging.
8) The owner shall mark the well in a conspicuous place with the well permit number and name of aquifer as appropriate,
and shall take necessary means and precautions to preserve these markings.
9) This well must have been constructed by or under the supervision of a licensed well driller or other authorized individual
according to the Water Well Construction Rules.
10) This well must be located not more than 200 feet from the location specified on this permit. eMC y/tyW~
APPROVED ~ `~ ~ ~ ~~~
CDK "_ S"
State Engineer
Receipt No. 3613627C DATE ISSUED 04-19-2007
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