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<br />rage 1 0I .Z <br />Well Constructed Help Last Refresh: 2/21/201112 oaao AM <br />Receipt: 0332035 Division: 6 <br />Permit #: 162528-- Water District58 <br />Well Name County: ROUTT <br />Designated Basin: Management District: <br />Case Number. <br />WDID: <br /> <br />[-] Applicant/Owners History <br />Date Range Applitant/Owner Mama Address qty/ate/22p <br />unbxmn - Resent KL.M GARY 26210 W HM 40 SrM T SPGS, OD SOW <br />C-] Location Irrtormation <br />Approved Well notation: <br />Q40 Q160 Section Township Range PM Footage from Section Unes <br />NE SE 5 6.ON 85.OW Sbdh 3168 N E <br />Mor thing (UTM y): 4485617.3 Easting (UTM x): 335726.9 <br />Location Accuracy: Spotted from quarters <br />Physical Address <br />City/State/Zip <br />Subdivision Name <br />Filing Blodc Lot <br />Parcel ID: <br />Acres In Tract: <br />[-] Permit Details <br />Date Issued: 12/0511991 Date Expires- <br />Use(s): DOMESTIC <br />AqurcerALL UNNAMED AQUIFERS <br />Special Use: ISSUED UNDER PRESUMPTION 315-IIA (s): <br />Area which may be irrigated: <br />Maximum annual volume of appropriation: <br />Statute: <br />Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report <br />No NO No <br />Cross Reference <br />Permit(s): <br />Permit Number Receipt Description <br />92087_ 008335 <br />Comments: <br />C-] Construction/Usage Details <br />Well Construction Date: 12/23/1991 Pump Installation Date: <br />Well Plugged: 1st Beneficial Use: <br />Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Wat L <br /> <br />21 16 er <br />21 evel pump Rate <br /> 17 4 <br />Uc # Name <br />Driller 1132 DUCKELS, FRED A. Address <br />412M RC.R.129 SMAM00AT SPGS <br />00 60487 Phone Number <br /> , 970-679,{072 <br />[-] Application/Permit History <br />Well Construction Report Received 12130/1991 <br />Well Constructed 12/23/1991 <br />Permit Issued 12/05/1991 <br />Application Received 11/05/1991 <br />C-] Imaged Documents <br />http://www.dwr.state.co.us/WellPennitSearchNiew.aspx?receipt=0332035 2/21/2011