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v.' 4 COLOR DIVISION OF WATER RESOURCE <br />/ 101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 802U3 RECEIVED <br />PERMIT APPLICATION FORM VG?1 <br />Application must OCT 097S <br />be complete where ( X) A PERMIT TO USE GROUND WATER <br />applicable. Type or ( x) A PERMIT TO CONSTRUCT A WELL <br />WATER RE90U" <br />print in BLACK FOR: ( X) A PERMIT TO INSTALL A PUMP STATE ENGIMEEP <br />INK. No overstrikes COtA <br />or erasures unless ( ) REPLACEMENT FOR NO. <br />initialed. <br />( ) OTHER <br />(1) APPLICANT - mailing address <br />NAME Adol poi_ Coors Company <br />STREET Land & Wa r RPRa tr _PS #309 <br />CITY Golden, Colorado 80401 <br />(State) (Zip) <br />TELEPHONE NO. - 279-6565, Ext. 2844 <br />(2) LOCATION OF PROPOSED WELL <br />County <br />Weld <br />NlAl '/. of the NW Section 25 <br />Twp. 3 , Rng.64- _W Pith P.M <br />(3) WATER USE AND WELL DATA <br />Proposed maximum pumping rate (gpm) . 60 gpm <br />Average annual amount of ground water 100 <br />to be appropriated (acre-feet): <br />Number of acres to be irrigated: 50 acre/year <br />Proposed total depth (feet): 400 <br />Aquifer ground water is to be obtained from: <br />Laramie Fox-Hills <br />Owner's well designation Keenesburg #2 <br />GROUND WATER TO BE USED FOR: ? <br />( ) HOUSEHOLD USE ONLY • no irrigation (0) <br />(X) DOMESTIC (1) (X ) INDUSTRIAL (5) <br />(x) LIVESTOCK (2) (x ) IRRIGATION (6) <br />(X) COMMERCIAL (4) ( ) MUNICIPAL (8) <br />) OTHER (9) <br />(4) DRILLER <br />Name To be determined <br />Street <br />City <br />(State) (Zip) <br />Telephone No <br />Lic. No. <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />Receipt No. 1070098 <br />Basin Dist. <br />CONDITIONS OF APPROVAL <br />This well shall be used in such a way as to cause <br />no material injury to existing water rights. The <br />issuance of the permit does not assure the applicant <br />that no injury will occur to another vested water <br />right or preclude another owner of a vested water <br />right from seeking relief in a civil court action. <br />1. GROUND WATER PRODUCTION SHALL BE LIMITED TO <br />THE LARAMIE-FOX HILLS AQUIFER WHICH IS EQUIVALEj <br />TO A DEPTH FROM 340 FEET TO 400 FEET ON THE LOG <br />OF WELL LOCATED IN THE SW? OF NE-4L SECTION 36, <br />TOWNSHIP 3N, Range 64 W. PLAIN (NON-PERFORATED) <br />CASING MUST BE INSTALLED AND PROPERLY SEALED TO <br />PREVENT THE APPROPRIATION OF GROUND WATER FROM <br />OTHER ZONES. <br />2. THE AVERAGE ANNUAL APPROPRIATION FROM THIS <br />WELL TOGETHER WITH WELL # Z y6,; o SHALL NOT <br />EXCEED 167 ACRE-FEET. <br />3. A TOTALIZING FLOW METER MUST BE INSTALLED ON <br />THE WELL DISCHARGE WHEN THE WELL IS PUT TO <br />BENEFICIAL USE. DIVERSION RECORDS MUST BE SUB- <br />MITTED TO THE DIVISION OF WATER RESOURCES UPON <br />REQUEST. <br />4. THE ENTIRE LENGTH OF THE HOLE SHALL BE GEO- <br />PHYSICALLY LOGGED PRIOR TO INSTALLING CASING. <br />COPIES OF THE LOGS MUST BE SUBMITTED TO THE <br />DIVISION OF WATER RESOURCES. <br />5. THE WELL MUST BE EQUIPPED (PREFERABLY WITH A <br />3/4" ID TUBE FROM TOP OF WELL TO TOP OF PUMP) Si <br />THAT THE WATER LEVEL IN THE WELL CAN BE MEASURE) <br />AND MONITORED. IV <br />PERMIT EXP APRROV ED EXTENDEDK 10 Y CDR 170 F?EB . <br />APPLICATION <br />PERMIT NUMBER 24651-)r <br />DATE ISSUED F ErBn 211980 <br />(Qy <br />EXPIRATION DATE 21 1 1701 <br />??jj.?( ?'? (STATE EN EER) <br />BY ) t?'? ?- ? <br />o 1-01 <br />cnlirv'rv .:. • ••• 62