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Form No. OFFICE OF THE STATE ENGINEER <br />GWS-25 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />• <br />APPLICANT <br />(303) 866-3581 <br />VENTURE RESOURCES INC <br />PO BOX 1974 <br />IDAHO SPRINGS, CO 80452- <br />(303) 619-6323 <br />AUTH <br />WELL PERMIT NUMBER 282790 <br />DIV. 1 WD 7 DES. BASIN MD <br />APPROVED WELL LOCATION <br />CLEAR CREEK COUNTY <br />NW 1/4 NW 1/4 Section 35 <br />Township 3 S Range 73 W Sixth P.M. <br />DISTANCES FROM SECTION LINES <br />39 Ft. from North Section Line <br />825 Ft. from West Section Line <br />UTM COORDINATES (Meters.Zone:13,NAD83) <br />c....a:..... eeA??n dlw.iL.Gww• AAnnina <br />IERMIT TO GUMTRtJGT A WELL •- • •• • •? _____ <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />CONDITIONS OF APPROVAL <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 does not ensure that <br />no injury will occur to another vested water right or preclude another owner of a vested water right from 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 of a variance has <br />been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. <br />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 <br />and/or water quality sampling. This well is known as MH-2. <br />4) 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 <br />kept capped and locked at all times except during sampling or measuring. <br />@) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to the Division of <br />[¦ Water Resources upon request. <br />6) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water Well Construction <br />Rules. A Well Abandonment Report must be completed and submitted to the Division of Water Resources within 60 days of plugging. <br />7) The owner shall mark the well in a conspicuous place with the well permit number and name of aquifer as appropriate, and shall take <br />necessary means and precautions to preserve these markings. <br />8) This well must be constructed by or under the supervision of a licensed well driller or other authorized individual according to the Water Well <br />Construction Rules. If non-standard construction is anticipated, a variance request must be submitted in accordance with Rule 18 and approved <br />prior to well construction. <br />9) A Well Construction and Test Report (Form GWS-31), including lithologic log must be submitted by the individual authorized to construct the <br />well. For non-standard construction, the report must include an as-built drawing showing details such as depth, casing, perforated zones, and a <br />description of the grouting type and interval. <br />10) This well shall be constructed not more than 200 feet from the location specked on this permit. <br />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 <br />to be converted to a production well is limited by all governing statutes, rules, regulations, orders, and/or decrees. <br />NOTICE: This permit has been approved subject to the following changes: The distances from section lines were calculated from UTM <br />coordinate values provided with the permit application. You are hereby notified that you have the right to appeal the issuance of this permit, <br />by filing a written request with this office within sixty (60) days of the date of issuance, pursuant to the State Administrative Procedures Act. <br />(See Section 24-4-104 through 106, C.R.S.) 13-1 R. 63AV/0 <br />a r <br />State Engineer <br />10 <br />2