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Form No. OFFICE OF THE STATE ENGINEER <br />GWS45 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />(303) 866-3581 <br />D <br />APPLICANT <br />PAUL R WELCH <br />BOX 211 <br />CENTRAL CITY CO <br />328 <br />WELL PERMIT NUMBER 202581- - <br />DIV. 1 CNTY. 24 WD. 07 DES. BASIN MD <br />SUBDIV: IRON WEST LODE SURVEY 5141 <br />LOT: BLK FLG: <br />LOT SIZE; 5 ACRES <br />APPROVED WELL LOCATION <br />GILPIN COUNTY <br />80427 SE 1/4 NE 1/4 SECTION 22 <br />TWP 3S RANGE 73W 6th P.M <br />(303) 659-0294 <br />PERMIT TO CONSTRUCT A WELL <br />0300 Ft. from East Section Line <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 the <br />permit does not assure the applicant that no injury will occur to another vested water right or preclude another <br />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 and Pump Installation <br />Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water <br />Well Construction and Pump Installation Contractors in accordance with Rule 18. <br />3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A) as the only well on the residential site DESCRIBED ABOVE. <br />4) The use of ground water from this well is limited to ordinary household purposes inside a single family <br />dwelling. The ground water shall not be used for irrigation or other purposes. <br />5) The maximum pumping rate shall not exceed 15 GPM. <br />6) The return flow from the use of this well must be through a non-evaporative waste water disposal system <br />where the water is retumed to the same stream system in which the well is located. <br />7) This well shall be constructed not more than 200 feet from the location specified on this permit. <br />yJ7 <br />I/v <br />• (.? <br />T, Engineer By <br />Receipt No. 0415165 DATE ISSUED MAY 0 8 1997 EXPIRATION DATE MAY !O 8 i <br />DISTANCES FROM SECTION LINES <br />2000 Ft, from North Section Line