2009-10-16_PERMIT FILE - M2009082 (9)

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Form No.. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg_ 1313 Sherman St., Denver, Colorado 8D203 (303) 866-3581 APPLICANT MW-019 EXST WELL PERMIT NUMBER 280590 DIV. 1 WD 3 DES. BASIN MD LAFARGE NORTH AMERICA C/O ENVIROGROUP LIMITED 3561 STAGECOACH ROAD #205 LONGMONT, CO 80544- 1720) 494-2600 APPROVED WELL LOCATION WELD COUNTY' SW 1/4 NE 1/4 Section 36 Township 6 N Range 67 W Sixth P.M; DISTANCES FROM SECTION LINES 2293 Ft. from North Section Line 2002` Ft. from East Section Line UTM COORDINATES (Meters,,Zone: 13.NAD831._ PERMIT TO USE AN EXISTING' WELL ?asuny. r??? ?i ?y. ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT` CONDITIONS OF APPROVAL 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 " does, not ensure that no injury will occur to another vested water right or preclude another owner of avested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules2 CCR 402-2, unless approval of a variance has been granted by the State, Board, of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(i) for uses as described in CRS 37-92-602(1)(f). Use of this well is limited to monitoring water levels and/or water quality sampling. 4) Approved for the use of an existing well acknowledged for construction under monitoring hole notice MH-46988, and known as MW-09. 5) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open well The well must be kept capped and locked at all times except during sampling or measuring. 6) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to the Division of Water Resources upon request. 7) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water Well Construction Rules. -A Well Abandonment ?Report must be completed and submitted to the Division of Water Resources within 60 days of plugging. 8) The owner shall mark the well in a conspicuous place with the well permit number and name of aquifer as appropriate, and shall take necessary means andprecaufions to preserve these markings, 9) This well must have been constructed by or under the supervision of a licensed well driller or other authorized individual according to the Water Well Construction Rules. 10) This well must be located not more than 200 feet from the location specified on this permit. 11) Issuance of this permit does not guarantee that this well can be converted to a production well under a future permit The ability of this well to be converted to a production well is limited by all governing statutes, rules, regulations, orders, and/or decrees,T-L y.. Os-/07/07 1 APPROVED BDH Ira State Engineer 8 Recei tNo. 36396731:: DATE ISSUED 0 07-20Q:9 EXPIRATION DATE