2008-03-13_PERMIT FILE - C1992081 ‎(2)‎

• Permit No: C1992081
• IBM Index Class Name: Permit File
• Doc Date: 3/13/2008
• Doc Name: Shallow Well No. 1 Well Information
• Section_Exhibit Name: Tab 07 Attachment 7-5
• Media Type: D
• Archive: No

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,. _
_.~ ' `wWes•R~v_16 COLOFiADQ DIVISIQN OF WATER RESOURCES
' 818 Centennial Bldg., 1313 Sherman 3t., Denver, Colorado $0203 ~~~~~'~~~
~. - - _
PERMIT APPLICATION FORM S~~ ~ 4 ~~
Application must I~ ~
be complete where tX 1 A PERMIT TQ USE GROUND WATER I~
applicable. Type or FOR: IX) A PERMIT TO INSTAL A PUMPELL {~
print in BLACK
INK. Nooverstrikes 22772-P'
or erasures unless fX l REPLACEMENT FOR N0.
initialed. { )OTHER
WATER COURT CASE NO.
(11 APPLICANT-mailing address FQR OFFICEIUSE ONLY; DO NC1T WRITE IN THIS COLUMN
NAME H-G Coal Company RacaiptNo. ~f l ¢¢ ~ .
STREI=T 3333 Quebeo St. , Suite 8800 Basin - --- -Dist.
Denver, Colorado 80207
CITY CONDITIONS OF APPROVAL
(State) (21P)
TELEPHONE N0. 399-0779 This well shall be used in such a way as to cause
no material injury to existing water rights. The
t2) LOCATIQN OF PR~}PO$E!7 WELL issuance of the permit does net assure the applicant
that no injury will occur to another vested water
right or preclude another owner of a vested water
County Routt: right from seekin relief in a civil court action.
1) A DECREE FOR '~iIS APPROPRIATION MUST $E OBTAIN-
SW ~~. of the NE ~, section 10 ED FROM THE dI5TRICT COURT iN AND FOR WATER DIV-
G N , Rng. 8$ W 6th P.M_ SION NO. 6, STATE OF COLORAC7O. THIS APPROVAL IS
Twp. - SUBJECT TO THE ISSUANCE OF SAID >3ECREE.
`"'s` ~E.~ 2) THE PUMPING RATE OF THIS WELL SHALL BE LIMITED
(3- WATER USE AND WELL DATA TO 150 GPM OR THE ACTUAL YIELD OF THE AQUIFER,
WHICHEVER IS LESS.
Prgposed maximum pumping rate (gpm) lS0 pftIATED~FROMLTHYSUWELOLFSHAOLLNBEwLIMITED TO 70PACRE
Average annual amount of ground water ~~ FEET PER YEAR.
to 6e appropriated tetra-feet): 4) A DETAILED $KE.TCH PLAN OF THE PROPOSED TNFILTR-
Number of acres to be irrigated: zero ATION GALLERY MUST BE SUBMITTEA 70 THE DIVISION OF
19 WATER RESOURCES FOR~CONSTRUCTION APPROVAL BEFORE
Proposed total depth (feed: THIS WATER SUPPLY ~S PUT TO BENEFICIAL USE.
ARuifer ground water is to be obtained from: 5) ~fELL NO. 2~~72"~~ 5k#AIrL B~'I'~`~-Q RIBS kNDQ~'EI
IN ACCORDANCE WITH THE WATER WELL AND PUMP INSTALL
sand and rq, avel ATIf}N CONTRACTORS RULES AND REGULATIONS. THE
H-G shallow we].1 #1 ENCLOSED AFFIDAVIT SHALL SE RETURNED TO THE DIVI~
Owner's well designation SIGN OF WATER RESOURCES AS PROOF OF PLUG AND
~tan11ND WATER TQ BE USED FOR: ABANpONMI~NT PROCEDURES.
( )HOUSEHOLD USE ONLY • no irrigation (0) 6) A TOTALIZING FLOW METER MUST BE INSTALLED ON T}
( ) DOMESTIC tl) (x} INDUSTRIAL (51 WELL DISCHARGE WHEN THIS WATER IS PUT TO BENEFICI~
( )LIVESTOCK f7) ( }IRRIGATION (61 USE. DIVERSION RECORDS 5HALL BE SUBMITTED, UPON
( - COMMERCIAL (4} ( }MUNICIPAL t8) REQUEST, TOO~T}}HuuTTE~~DnnINVISIOACH~bwSHEET}E$OURCES.
( f OTHER {91 APPLICATI~NAFPFiO~
DETAIL THE USE ON BACK IN (11) ~ ~ ..,.
PERMIT NUMBER ~t^
(4j DRILLER DATE ISSUED ~ +`'~~~
Name Licensed - tQ be selected. ~ EXPIRATION DATE ~ ~ ~ ~ .3 `~~V
Street ~ , /(/~Q,~n.-t
City (STATGI E
(slate) f a) ~
BY '
Telephone No. Lic. No. /~ ~ ~ `-]
LD. CJ ` COUNTY
MR-16 7-5.4 Revised 11/07