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C,0l.0IiAI)01)IV151()N C)I WATER )i ESOUIICES <br />Wit I L-/4 <br />• lU1 Columbine BIJy., 11.14b Shenn:ul st., Denver, Colorado 110203 RECEIVED <br />RECEIVED F g" ` 60 <br />PERN4IT APPLICATION FORM FEB 2 6 1980 <br />Application must <br />RL60URCF6 <br />Ire wniplete where li;) A I'LIIMI I IO ll:il- t;liUl1N1) WA fL-R 1NATE11 <br />applicable. Type or (X 1 A PERMIT TO CONSTRUCT" A WELL WJIATETIR E ENGINEER RFSOURCE$ SIA11 IENeinElFg <br />print in BLACK FOR: (X 1 A PERNIIT TO INSTALL A PUMP V".0. Cora <br />INK. No overstrikes <br />ur, erasures unless ( ) REPLA(:L•MEN I F(Al NO. - <br />initialed. (x) OTHER Yard and Garden <br />,r+++c rni i innnt <br />(1) APPLICANT mailing adrlrt s <br />NAME James L. and Wanda L. Treat <br />';T BEET 305 "G" Street------------------------- <br />Salida Colorado 81201 <br />CITY Istate) (Zip) <br />-2-1-5----- <br />-1 L L EPIiONE NO. _ (-3- -- --03-) .539-2215-----, <br />(2) LOCATION OF PROPOSED WELL <br />_ ----.--_-- <br />Cuunly Chaffee <br />S z 751. of the NW Section $ <br />49 N. no.i. 9 L N.M. I,.M. <br />(3) WATER USE AND WELL DATA <br />Proposed maximum pumping rate (!]pin) 15 _ G_1'_M- _. <br />Average annual amount of ground water <br />to he appropriated (acre•fcet): --one -or - les s <br />- - <br />------------ --- ---- <br />IVunilier of acres to lie uii9ateil: -.------•-u-n (2 <br />Proposed total depth (feet): 100 <br />Ailtider ground water is to lie ohiamud train: <br />Sand or Gravel <br />Owner's well designation <br />GROUND WATER_Tf fl-13 11-1) SL' QT Q B: <br />( ) HOUSEHOLD USE ONLY - no iiiigati' n (0l1DUSTRIAL (5) <br />(X ) DOMESTIC (1) ( ) INDUSTRIAL <br />(G) <br />) LIVESTOCK (2) <br />( ( ) INDUSTIIRIG <br />( ) COMMLHCIAL (4) MI)HICIPiO 173) <br />(X) OTHER (g) Yard and Garden <br />(A) DRILLER <br />Name - McCoy Drilling------... <br />Street 7181 MCCoy Street. <br />Salida Colorado 81.201 <br />Y <br />53ci_ _3183 Lic. No. 812 <br />Telephone No.. -.- ---- <br />ri:m OFFICE USE UNLY: uu ivur VVi.I?.. ??- ?•-" <br />Receipt No. / '0 ! <br />lia...ut <br />Dist. <br />CONDITIONS OF APPROVAL <br />I"his well shall he used in such a way as to cause <br />Itu material injury to existing wijter rights. The <br />isouarca of the Nui-mil does not as:::ru the applicLmt <br />that no injury will occur to another vested-,eater <br />rii)hi or preclude another owner of a vested water <br />I ighi Irum wuking relief in a civil court action. <br />APPROVED PURSUANT TO CRS 1973, 37-92-605 <br />(3) (b) (I I) AS THE ONLY WELL ON A TRACT. <br />OF 35 ACRES OR MORE DESIGNATIM AB rfD <br />ACRES IN 5-ec T. Al <br />4 <br />APPROVED FOR DOMESTIC USE, INCLUDING THE <br />IRRIGATION OF NOT OVER ONE ACRE; OF HOW?i <br />GARDENS AND LAWNS. <br />'T'his WINIC1PAL OR COUNTY GOVERNRENT <br />.':JI ?LL DE CONSULTED WHEN LOCATING <br />Tli]S VELL, .LND THEIR REGULATIONS <br />11:,1.L bl' COJAPI Il D WITH. <br />APPLICATION APPROVED <br />t?301.E) <br />PL-RMIT NUMBER nn n <br />DATE ISSUED lit!'1``?qq" O 1982 <br />LxI'IliA-fJ.QN DATE <br />j <br />,.i <br />STATE ENGINLVR i <br />.i '1J'-1'Y i / <br />1 17. /? • / COUNTY l ' of