2008-08-28_GENERAL DOCUMENTS - C1980001

• Permit No: C1980001
• IBM Index Class Name: General Documents
• Doc Date: 8/28/2008
• Doc Name: Registration of Existing Wells
• From: WWCEngineering
• To: State Engineer
• Permit Index Doc Type: Exploration
• Email Name: JDM
• Media Type: D
• Archive: No

Form STATE OF COLORADO For Office Use Only
No. OFFICE OF THE STATE ENGINEER
GWS-1 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203
6/2006 [phone] Fax [phone]
hftp://water.state.co.us/default.htm
REGISTRATION OF EXISTING WELL
NAME. ADDRESS AND PHONE OF THE WELL OWNER:
NAME(S)
John E. and Terry O. Redd
MAILING ADDRESS
7410 Sandy Lane
CITY: STATE: ZIP CODE:
Mechanicsville VA 23111
TELEPHONE NUMBER E-MAIL (OPTIONAL)
[phone]

WELL LOCATION County Routt Owner's Well Designation (optional) 05-03-0005
N/A N/A CO N/A
(Address) (City) (State) (Zip)
SW 1/4 of the SE 1/4, Sec. 36 , Twp. 5 ® N. or ? S., Range86 ? E. or ® W., 6th Principal P.M.
Distance from Section Lines 1166 Ft. ? N. or ® S. Line, 1664 Ft. ® E. or ? W. Line.
PLEASE ATTACH A COPY OF A CURRENT DEED FOR THE SUBJECT PARCEL
Subdivision Name N/A Lot , Block , Filing/Unit
Optional: GPS well location information in UTM format. The following GPS settings are required: Easting 331742.64
Format must be UTM. Units must be in meters. Datum must be NAD83. Unit must be set to true
north. ? Zone 12 or ® Zone 13
Northing 4467685.54
Was GPS unit checked for above items? ® YES ? NO

The well has historically been. used for the following purpose(s): Monitoring Well

Water from the well was first used beneficially by the original owner for the above described purposes on Unknown
The total depth of this well is 163 feet.
The pumping rate of this well is N/A gallons per minute.
The average annual amount of water diverted is N/A acre-feet.
The lawn and garden irrigated (watered) by water from this well is N/A ? Acre or ? Square feet.
Number
The making of false statements herein constitutes perjury in the second degree, which is punishable as a.class 1 misdemeanor pursuant to
C.R.S. 23-3-104(13)(a). I have read the statements herein, know the contents thereof, and state that they are true to my knowledge.
n ture(s) of the ell Own
?f Print Name and Title of Well Owner
•Jo` ni E. 12,- -L,. ZL. ? rxw?G/t Date
s-/} 08

For Office Use Only
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