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Sep 21 09 04:56p DOROTHY POLEN 970-824-6211 <br />Form No. OFFICE OF THE STATE ENGINEER <br />GWS-25 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80263 <br />(303)866-3581 <br />APPLICANT <br />EVERETT WILLIAMS <br />P O BOX 1815 <br />HAYDEN, CO 81639- <br />p.3 <br />LIC <br />WELL PERMIT NUMBER 274598 - <br />DIV. 6 WD 57 DES. BASIN MD <br />APPROVED WELL LOCATION <br />ROUTT COUNTY <br />SW 1/4 SE 114 Section 20 <br />Township 6 N Range 87 W Sixth P.M. <br />DISTANCES FROM SECTION LINES <br />93 Ft. from South Section Line <br />2139 Ft. from East Section Line <br />(970) 276-3537 UTM COORDINATES {Meters. Zone' 13 N, AD83) <br />'ERMIT"TO C014STRt3CT A 1t11ELL E%asting: 315974 Ndith ng. ' 4486639 <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT x3'7 <br />CONDITIONS OF APPROVAL f, <br />„ <br />1) This well shall be used in such a way as to cause no material injury to existing water rights-.-the issuance of this permit <br />does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from <br />seeking relief 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 approval <br />of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation <br />Contractors in accordance with Rule 18. <br />3) Approved pursuant to CRS 37-92-602(3)(b)(1). <br />4) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not more than 1 <br />single family dwelling(s), the irrigation of not more than 1 acre of home gardens and lawns, and the watering of domestic <br />animals. This well is to be located on 40 acres, Routt County. <br />5) The pumping rate of this well shall not exceed 15 GPM. <br />6) This well shall be constructed not more than 200 feet from the location specified on this permit. <br />NOTICE: This permit has been approved subject to the following changes: The distances from section lines, <br />quarter/quarter, quarter, Section, Township, Range and P.M. were determined from UTM coordinate values provided with <br />the permit application. You are hereby notified that you have the right to appeal the issuance of this permit, by filing a <br />written request with this office within sixty (60) days of the date of issuance, pursuant to the State Administrative Procedures <br />Act. (See Section 24-4104 through 106, C.R.S.) <br />tc,;Z6'el - - <br />APPROVED % / J k <br />LCP Jii::e <br />Receipt No. 9601368 S ngineer By DATE ISSUED 07-27-2007 EXPIRATION DATE 07-27-2009 <br />0. -