2010-03-10_PERMIT FILE - M2008012 ‎(2)‎

• Permit No: M2008012
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/10/2010
• Doc Name: Storm water management plan ‎(part 2)‎ Appendix E-groundwater monitoring
• From: Nuvemco, LLC
• To: DRMS
• Email Name: GRM
• Email Name: ACS
• Email Name: DB2
• Media Type: D
• Archive: No

09-19-08 09:56AIA FROM{-Colo Div of Water Resources [phone] T-535 P.001/001 F-604
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aws-51 NOTICE OF INTENT TO CONSTRUCT MONITORING HOLE(S) A 0V 1 4 l(017i
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Please type or print legibly In bleak blue ink S TAIL FRGIMLrf.
C!A It
Colorado Division of Water Resources 1313 Sherman St Room 821 Denver CO 80203
Phone =-888-3581 Fax [phone]
AUTHORIZED INOM13UAL OR DRILLER
Contact Torn Cavanaugh
cornpary OSG Environmental
Address, 11 Inverness way S.
City, State. Zip Englewood, CO 80112
phone [phone] Faz No. [phone]
Driller Lie No. (ii applicable)
Wen Owner (Client) Information
Name Linda Carter, Nuvemco, LLC.
Address 10771 3200 Road
Hotchkiss. CO 81419
Well Owner's phone [phone]
Landowner's (Name : Linde Carter
Locatloa Nw/., S_Y.. Secdon 18
Township 413N N 1 S. Range 17W E I W. PM NN
County Montrose
Subdivision
Lot .81k. Fig.
Ske/Property Address N/A
Hotels) to be Constructed: Number 1
Estimated depth az_ _i'L Aquifer Possibly orrison
Purpose of Monitoring Hote(s) GrOundWBter?-
Investigation
Appfwdynate Date of Construction 08-25-08
MM be et /least 3 dew pikrm em0mcd-)
ATMorized Signature
ACKNOWLEDGEMENT FROM STATE ENGINEER'S OFFICE
0 FOR OFFICE USE ONLY
MH PROCESSED BY Rv C p1
Div. WD ( _8AS MD DATE ACKNOWLEDGED
CONDITIONS OF MONITORING HOLE ACKNOWLEDGEMENT
A COPY OF THEiNRIT EN NOTICE OR ACKNOWLEDGEMENT SHALL BE AVAILABLE AT THE DRILLING SITE.
Notice was provided to the State Engineer at least 3 days prior to construction of monitoring a observation hole(s). Construction
of the hole(s) must be completed within 80 dW of the date notice was given to the State Engineer. Testing and/or pumping shall not
exceed a total of 200 hours unless prior written approval is obtained from the State Engineer. Water diverted during testing be
used for beneficial purposes. The owner of the hole(s) is responsible for obtaining permit(s) and complying with all rules and regulations
pertaining to the discharge of fluids produced during testing.
All work must comply with the Water Well Constmellon Rules, 2 CCR 402-2. Minimum construction standanis must be met or a
variance obtained. Standard pemit application and work report forms are found on the DWR website at htW:(hNm water atate.cc.us.
Well Conaftellon and Test Reporto (3W8-S1) must to completed for each hole drilled. The licensed contraaorcreuthadzed Individual
must submit the completed forms to this office within 60 days of drilling.
Unless a wall permit Is obtained, the hole(s) must be plugged and seated within one (1) year etEar construction.
An Abandonment Report (form GWS-B) must be submitted for each hole plugged within 80 days of plugging & staling. The
monitoring hole acknawledgernent number, owner's structure name, and hole owner's name and address must be provided on all well
permit application(s), well construction and abandonment reports.
The owner of the hole(s) should maintain records of water quality testing and submit this data to the starts Engineer upon request.
A monitoring hole cannot be converted to a production water wail, exceptfor purposes of remedistbn (recovery) or as a permanent
dewatering system. If consbucted in accordance with the Water Well Construction Rules end policies of the State Englneer.
THIS ACKNOWLEDGEMENT OF NOTICE DOES NOT INDICATE THAT WELL PERMIT(S) CAN BE APPROVED.
IF HOLES WILL NOT BE CONSTRUCTED CINDER THIS NOTICE WITHIN so DAYS, PLEASE VMffE. "NO HALES CONSTRUCTED" ON A
COPY OF THE ACKNOWLEDGED NOTICE WITH THE FILE NUMB Eit AND FAX THE COPY TO THE DIVISION OF WATER RESOURCES.
Addldonal Cond flOns