2010-06-01_HYDROLOGY - M1981243

• Permit No: M1981243
• IBM Index Class Name: HYDROLOGY
• Doc Date: 6/1/2010
• Doc Name: Exposed ground water compliance
• From: Grand Junction Concrete Pipe Company
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

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FORM NO. STATE OF COLORAd
GWS-10 OFFICE OF THE STATE ENGINEER
6/00 823 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
[phone] Fax [phone]
STATEMENT OF BENEFICIAL USE
Insert the Well Permit Number 057115-F
Name address and phone number of the well owner:
NAME(S) Grand Junction Concrete Pipe Co.
Mailing Address P O Box 1849
City, St. Zip Grand Junction. CO 81502
Phone (970 ) 243-4604
WELL LOCATION: County Mesa
ULU
Owner's Well Designation: South Fruita (Karp) Gravel Pit
N/A
(Address) (City) (State) (Zip)
NW 1/4 of the SE 1/4, Sec. 20 Twp. 1 m N. or ? S., Range 2 ? E. or m W. Ute P.M.
Distance from Section Lines 2.000 Ft. from ? N. or m S. Line, 2,000 Ft. from m E. or ? W. Line.
Subdivision Name N/A Lot , Block Filing/Unit
The well is being used for the following purpose(s): See Exhibit A
Water from the well was first used beneficially under this permit number, for the above described purposes on July 10.2002
(Do not report a date which is before the issued date of this permit)
The pumping rate claimed is 1,200 gallons per minute. (Maximum)
The average annual amount of water diverted is 184.28 acre feet. (See Exhibit A)
The land area irrigated (watered) by water from this well is: N/A ? Acres or ? Square Feet, described as: _
(Number)
N/A
or as Subdivision Lot(s) Block Filing/Unit
Well constructed by: Well Owner (Gravel Pit) License No:
Pump installed by: Well Owner License No:
Meter Mfg. by N/A Serial No: Date Installed:
I (we) claim and say that I (we) are the owner (s) of the well described above, know the contents of the statements maae
herein and state that they are true to my (our) knowledge
Please print the Signer's Name & Title I Signature(s) of the owner. I Date
Grand Junction Concrete Pipe Co.
Edward Settle
Proiect Manager
For Office Use Only
State Engineer
By: October'?- , 2002
By
Date
For L,nce Use only
REC VED
AN .4
WATER RESOUR
STATE ENWNEER
1
COLO \1
RECEIVED
OCT 0 9 2002
WATER RESOURCES