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COLORADO DIVISION OF WATER RESOURCES GVVS-46 MONINST (12/2007) <br />DEPARTMENT OF NATURAL RESOURCES <br />MONITORING/OBSERVATION WELL PERMIT APPLICATION INSTRUCTIONS <br />Applications must be typewritten or printed in BLACK or BLUE INK. ALL ITEMS in the application must be <br />completed. Incomplete applications may be returned to the applicant for more information. Applications are <br />evaluated in chronological order. Please allow approximately six weeks for processing. <br />FEES: This application must be submitted with a $100 filing fee. (The fee for an application to replace or deepen an <br />existing permitted monitoring/observation well is $100 for locations outside Designated Ground Water Basins, and $60 inside <br />Designated Ground Water Basins.) Acceptable forms of payment are check or money order, payable to the "Colorado <br />Division of Water Resources", and Visa, or MasterCard (card number and expiration date must be provided on a separate <br />attachment). Fees are nonrefundable. <br />USES: This form (GWS-46) is to be used when applying for a permit where the only uses are monitoring of water levels <br />1 and/or water quality sampling. For well construction criteria refer to the Colorado Water Well Construction Rules, 2CCR <br />402-2. A copy of the Rules may be obtained from any Division of Water Resources Office for a fee: of $5, or you may refer <br />to our web site at htt0twater.state.co.us. <br />ITEM INSTRUCTIONS: (numbers correspond with those on the front of this form2 <br />1. Provide the name of the well owner and the mailing address where all correspondence will be sent. <br />2. Check and complete all boxes that apply. <br />3. Provide the MH number assigned by the Division of Water Resources in response to the notice! of intent to construct a <br />monitoring/observation well. Complete the well name if the structure has a name or identifying number. <br />4. The county, '/4 of the '/4 section designation, section #, township, range, principal meridian, and distances from section lines for the <br />proposed well must be provided. This information is critical in the evaluation, and error or omission may cause a delay. In a typical <br />case, a township is comprised of 36 square section miles, with each section ideally one mile square, or 5,280 feet on each side. <br />Sections are further divided into quarter sections. Each '/4 Section is 2,640 feet square and comprises 160 acres. Each V. section <br />can be further divided into additional quarters. Each '/4 of the '/4 Section is 1,320 feet square and comprises 40 acres. The <br />distances are measured from the section lines. In the following example, the well is located 2,500 feet from the South Section line <br />and 1,400 feet from the East Section line: <br />5280 R <br />T <br />2640 n <br />1320 fl <br />1=11, 17 =7 -7 <br /> NW1/4 NE1/4 <br /> <br /> ----- -----------'V ------'-,..----'-- <br /> NW1/4 NE1/4 <br />SE 114 SEV4 <br /> SW1/4 <br /> SW1/4 SEV4 <br /> SE1/4 SEU4 <br />Well Location Example: <br />NW1/4 of the SE1/4 of <br />Section 3, 2500 feet from the <br />South and 1400 feet from the <br />East Section (Lines <br />respectively. <br />SWA $eeUon LYre <br />(An option to providing distances from section lines and the'/. of the'/4 section designation is to provide an accurate GPS location <br />in UTM format. The required GPS unit settings must be as indicated on this form.) Colorado contains two (2) UTM zones. Zone <br />13 covers most of Colorado. The boundary between Zone 12 and Zone 13 is the 108`h Meridian (longitude). West of the 108th <br />Meridian is UTM Zone 12 and east of the 10801 Meridian is UTM Zone 13. The 1080' Meridian is approximately 57 miles east of the <br />Colorado-Utah state line. On most GPS units, the UTM zone is given as part of the Easting measurement, e.g. 12T0123456. <br />Check the appropriate box for the zone. Provide the property address of the well location if one exists. If it is the same as the <br />mailing address, check the box next to the well location address. <br />5. Provide property owner information. <br />6. Use of this well is limited to monitoring water levels and/or water quality sampling only. <br />7. The actual or anticipated total depth must be provided. Provide the name of the aquifer in which the well will be completed. <br />8. Provide consultant information (if applicable). <br />9. Monitoring/observation wells must be constructed by a Colorado licensed well construction contractor or authorized individual, as <br />defined in the Well Construction Rules, 2CCR 402-2. Only a licensed contractor may construct any monitoring/observation well that <br />penetrates a confining layer, or, is to be converted into a future production well. The well must be constructed in compliance with the <br />Well Construction Rules, unless a variance has been approved allowing an alternative construction design. <br />10. An ORIGINAL signature of either the well owner, consultant, or their authorized agent must be on the application. <br />IF YOU HAVE ANY QUESTIONS regarding any item on the application form, please call the Division of Water Resources Ground <br />Water Information Desk (303-866-3587), or the nearest Division of Water Resources Field Office located in Greeley (970-352-8712), <br />Pueblo (719-542-3368), Alamosa (719-589-6683), Montrose (970-249-6622), Glenwood Springs (970-945-5665), Steamboat Springs <br />(970-879-0272), or Durango (970-247-1845), or refer to our web site at http://water.state.co.us.