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5-74, COL IkDO DIVISION OF WATER RESOD <br /> 101 Colu .,ne Bldg., 1845 Sherman St. <br />Denver, Colora .203 <br /> , 09 097S <br /> PERMIT APPLICATION FORM <br />Application must WATER RESUURCI <br />be complete where (X) A PERMIT TO USE GROUND WATER Q= ENGINEEI <br />applicable. Type or (X) A PERMIT TO CONSTRUCT A WELL COLO. <br />print in BLACK FOR: (X) A PERMIT TO INSTALL A PUMP <br />INK. No overstrikes <br />or erasures unless ( ) REPLACEMENT FOR NO. <br />initialed. <br /> ( ( OTHER <br />(1) APPLICANT - mailing address <br />NAME Adolph. Coors Company <br />STREET Land & Water Resources #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 />NE Y. of the SE %, Section 25 <br />Twp. 3 N, Rng. 64 W , 6th P.M. <br />(3) WATER USE AND WELL DATA <br />Proposed maximum pumping rate (gpm) <br />Average annual amount of ground water <br />to be appropriated (acre-feet): <br />Number of acres to be irrigated: <br />60 gpm <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 #1 <br />GROUND WATER TO BE USED FOR: J <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. Lic. No. <br />FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br />Receipt No. 107009A / <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 PRODUCTIONS SHALL BE LIMITED '. <br />THE LARAMTE-FOX HILLS AQUIFER WHICH IS EQUIVA <br />LENT TO A DEPTH FROM 340 FEET TO 400 FEET ON <br />LOG OF WELL LOCATED IN THE SW4 OF NEB, SECTIO) <br />TOWNSHIP 3 N, RANGE 64W, PLAIN (NON-PERFORATE) <br />CASING MUST BE INSTALLED AND PROPERLY SEALED '. <br />PREVENT THE APPROPRIATION OF GROUND WATER FROI <br />OTHER ZONES, <br />2. THE AVERAGE ANNUAL APPROPRIATION FROM THIS <br />WELL TOGETHER WITH WELL #,Zy(,, /--F SHALL NOT <br />EXCEED 167 ACRE-FEET. <br />3. A TOTALIZING FLOW METER MUST BE INSTALLED <br />ON 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 UPOI <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 <br />3/4" ID TUBE FROM TOP OF WELL TO TOP OF PUMP) <br />THAT THE WATER LEVEL IN THE WELL CAN BE MEASU: <br />AND MONITORED. <br />F IILT,RJP,W?Jka TFDEXTENDED 1 YEAR TO FEB. <br />1982. Krn rto-o, s• I <br />PERMIT NUMBER 24650-F <br />DATE ISSUED F F B 211980 <br />EXPIRATION DATE FF B 2119 91 <br />iTA`TE ENGINE) ?-o <br />By - _A?zt e - <br />I.D. 1-01 - COUNTY 62