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COLORADO DIVISION OF WATER RESOURCES <br />DEPARTMENT OF NATURAL RESOURCES <br />GWS-45 GENINST (06/2006) <br />GENERAL PURPOSE WELL PERMIT APPLICATION INSTRUCTIONS <br />a <br />.Applications must be typewritten or printed in BLACK or BLUE INK. ALL ITEMS in the application must be completed. <br />Incomplete applications may be returned to the applicant for more information. Applications are evaluated in <br />chronological order. Please allow approximately six weeks for processing. This form may be reproduced by <br />photocopying or computer generation. Reproductions must retain margins and print quality of the original form. <br />FEES -This application must be submitted with a $100 filing fee. Acceptable forms of payment are check or money <br />order, payable to the Colorado Division of Water Resources, and Visa or MasterCard (card number and expiration date must <br />be provided on a separate attachment). Fees are nonrefundable. <br />USES: This form (GWS-45) is to be used to apply for commercial, industrial, municipal, irrigation, feed lot, <br />geothermal, recovery wells, and other uses not otherwise noted in the following list: <br />RESIDENTIAL use wells - Use of form GWS-44 is required <br />LIVESTOCK watering on a farm, ranch, range or pasture (not feedlots) - Use form GWS-44 <br />MONITORING/OBSERVATION wells - Use form GWS-46 <br />GRAVEL PITS - Use form GWS-27 <br />REGISTRATION of an existing well - Use form GWS-12 (must have been in use prior to May 8, 1972) <br />GEOEXCHANGE SYSTEM LOOP FIELDS - Use form GWS-72 <br />REPLACEMENTS OF WELLS FOR THE ABOVE USES <br />ITEM INSTRUCTIONS: (numbers correspond with those on the front of this form) <br />1. The applicant is the entity for whom the permit is to be issued. Provide the applicant name and the mailing address where all <br />correspondence will be sent. <br />2. Check all boxes that apply. <br />3. Complete all boxes that apply. If the permit is to be issued pursuant to a water court decree or a Designated Basin determination of <br />water right, the case number or determination number must be indicated. If applying to replace or change the use of an existing well, <br />the permit number of the existing well must be indicated. <br />4. The county, 1/4 of the '/4 section designation, section #, township, range, principal meridian, and distances from section lines for the <br />proposed well must be provided. (An option to providing distances from section lines and the 1/4 of the '/4 section designation is to <br />provide an accurate GPS location in UTM format. The required GPS unit settings must be as indicated on this form.) Colorado <br />contains two (2) UTM zones. Zone 13 covers most of Colorado. The boundary between Zone 12 and Zone 13 is the 108th Meridian <br />(longitude). West of the 108th Meridian is UTM Zone 12 and east of the 108th Meridian is UTM Zone 13. The 108th Meridian is <br />approximately 57 miles east of the Colorado-Utah state line. On most GPS units, the UTM zone is given as part of the Easting <br />measurement, e.g. 12T0123456. Check the appropriate box for the zone. Provide the property address of the well location if one <br />exists. If it is the same as the mailing address, check the box next to the well location address. <br />5. Please attach a current deed for the subject parcel. Complete all boxes and provide a complete legal description of the parcel of <br />land on which the well will be located. <br />6. Check all boxes that apply and attach a detailed description of the uses applied for. <br />7. Complete all boxes. <br />8. Complete all boxes and provide a legal description of the land areas on which ground water from the proposed well will be used. If <br />agricultural irrigation is a proposed use, provide a map of the land area with proposed irrigated areas accurately drawn, including <br />section numbers and section lines. A list of all other wells or water rights used on the described land must be provided. <br />9. The well must be constructed by a Colorado licensed well driller, an authorized individual in accordance with the Water Well <br />Construction Rules, 2 CCR 402-2, or under the "private driller" provision as defined in CRS 37-91-102(12). <br />10. An ORIGINAL signature must be on the application. The individual signing the application must be the applicant or an officer of the <br />corporation/company/agency identified as the applicant. An authorized agent may sign the application, if a letter signed by the applicant is <br />submitted with the application authorizing that agent to sign on the applicant's behalf. <br />!F YOU HAVE ANY QUESTIONS regarding any item on the application form, please call the Division of Water Resources Ground Water <br />Information Desk (303-866-3587), or the nearest Division of Water Resources Field Office located in Greeley (970-352-8712), Pueblo (719- <br />542-3368), Alamosa (719-589-6683), Montrose (970-249-6622), Glenwood Springs (970-945-5665), Steamboat Springs (970-879-0272), or <br />Durango (970-247-1845), or refer to our web site at http://www.water.state.co.us for general information, additional forms, and access to state <br />rules or statutes.