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Form No. <br />GWS-25 <br />• <br />APi'LICANT <br />LIC <br />WELL PERMff NUMBER '~ 9~ Fi j1 - -_ <br />DIV. 4 CNN, 15 WD 40 DES. BASIN MD <br />Lot: Block: Filing: Subdiv: <br />BOWIE RESOURCES LTD <br />2768 COMPASS DR STE 101 <br />GRAND JUNCTION CO 8150G- <br />(970)245-4101 <br />PERMf( TO CONSTRUCT A WEL1 <br />APPROVED WELL LOCATION <br />DELTA COUNTY <br />NW 114 SE 1/4 Section 9 <br />Twp 13 S RANGE 91 W 6th P.M. <br />DISTANCES FROM SECTION LINES <br />1800 Ft. from South Section Line <br />2200 Ft. Irom East Section Line <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />CONDfIIONS OF APPROVAL <br />1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the <br />permit does not assure the applicant that no injury will occur to another vested water right or preclude another <br />owner of a vested water right Irom seeking reliel 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 <br />approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump <br />Installation Contractors in accordance with Rule 18. <br />3) Approved pursuant to CRS 37-92.602(3)(b)(1) for uses as described in CRS 37-92-G02(1)(f). Use of this well is <br />limited to monitoring water levels and/or water quality sampling. <br />4) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an <br />open well. The well must be kept locked at all times except during sampling or measuring. <br />5) Records of water Level measurements and water quality analyses shall be maintained by the well owner and <br />subritted to the Division of Water Resources upon request. <br />6) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with the Water Well <br />Construction Rules. A well plugging report must be' completed and submitted to the Division of Water Resources <br />within 60 days of plugging. <br />7) The owner shall mark the well in a conspicuous place with well permit number and name of aquifer as appropriate, <br />and shall take necessary means and precautions to preserve these markings. <br />8) This well must be constructed by or under the supervision of a licensed well driller or other authorized individual <br />according to the Water Well Construction Rules. <br />9) A well completion report including lithologic log must be submitted by the individual authorized to construct the <br />well, For non-standard construction the report must include an as-built drawing showing details such as depth, <br />casing, pedorated zones, and a description of the grouting type and interval. <br />10) This well shall be constructed not more than 200 feet from the location specified on this permit. <br />c~.~') <br />KBM <br />SWe Enplncer <br />No. 0392203D <br />DATE <br />vi.•t <br />EXPIRATION DATE NOV 3y0 1597 <br />OFFICE OF THE STA1 E ENGINEtH <br />COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg.. 1313 Sherman St., Denver, Colorndo 80203 <br />(303) 86G~3581 <br /> <br />