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<br />Form No. OFFICE OF THE STATE ENGINEER <br />GWS-25 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St„ Denver, Colorado 80203 <br />(303)866-3581 <br /> <br />APPLICANT <br />EXST <br />WELL PERMIT NUMBER 257755 _ <br />DIV. 6 WD57 DES. BASIN MD <br />HAYDEN GULCH TERMINAL INC <br />701 MARKET ST <br />STE 700 <br />ST LOUIS, MO 631 01-1 826 <br />(314) 342-3400 <br />APPROVED WELL LOCATION <br />ROUTTCOUNTY <br />NE 114 NW 1/4 Section 23 <br />Township 6 N Range 88 W Sixth P.M. <br />DISTANCES FROM SECTION LINES <br />375 Ft, from North Section Line <br />3615 Ft. from East Section Line <br />UTM COORDINATES (Meters,Zone:13,NAD83) <br />Fasting: Northing: <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />CONDITIONS OF APPROVAL <br /> <br />1) This well shall be used in such a way as fo cause no material injury to ex3sfing wafer dghis. The issuance of this permit <br />does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water dght from <br />seeking relief in a civil court action. <br />2} The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval <br />of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation <br />Contractors fn accordance with Rule 18. <br />3) Approved pursuant to CRS 37-02.602(3)(b)(I) for uses as described in CRS 37-92-602(1)(f). Use of this well is limited to <br />monitoring water levels and/or water quality sampling. <br />4} Approved for the use of an exfsfing well acknowledged for construction under monitoring hole notice MH-45768, and <br />known as HGDAL4. <br />5) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open well. <br />The well must be kept capped and locked at all times except during sampling or measudng. <br />6) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to <br />the Division of Water Resources upon request. <br />7) Upon conclusion of the monitoring program the well owner shall plug this well In accordance with Rule i 6 of the Water <br />Weil ConsWction Rules. A Well Abantlohment Report must be completed and submitted to the Division of Water <br />Resources wtthin 80 days of plugging. <br />B) The owner shall mark the well in a conspicuous place with the well permit number(s) and name of aquifer as appropriate, <br />and sbaA fake necessary means and precautbns to preserve these markings. <br />9) This well must have been constructed by or under the supervision of a Ilcensed well driller or other authodzed individual <br />according to the Water Well Construction Rules. <br />10) This well must be located not more than 200 feet from the location specified on this permit, ~/nom/3 j~ljfj <br />APPROVED <br />JSG <br />9v <br />State Engineer <br />