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State of Colorado Water Resources - View Well Details: Receipt 0346381 <br />Page 1 of 1 <br />Colorado Departnert of Natural Resources Colorado.9ov I Contact Lk <br />1r Yr ? rt r+?l (? r ? Q?,F ¦ (? <br />Colorado's Well Permit Search J <br />POTmit 7smuft SW= Unknown t J Last Refresh: 3/2WMU 12:01:2S AM <br />Receipt: 0346381 Dkidon: 6 <br />Permit #: 167648- - Water DisI 58 <br />wen Marne / s: Comnty: ROUrr <br />Designated Basim Management Dishicb <br />Case N m be: <br />WDID: <br />C-] APPOt/Owne s History <br />Date Range AppBcrlt/Owner Name Address city/state/Tip <br />Unknown-Resent ALffiaWISKE DONS PO(LWIM 39365 CO RD 33 STM6r WGS, CO W477 <br />C-] Location Information <br />Approved Weil Location: <br />Q40 Q1w section Township Range PM Footage from Section Lutes <br />SE NW 9 6.ON 85.OW Sbdh 1650 N 2400 W <br />Northing (UTM y): 4484473.8 Fasting (UTM x): 336557.5 <br />Location Accumclr: Spotted from section lines <br />Physical Address <br />City/Slate/zip <br />Filing Block Lot <br />Parcel ED: <br />• Apes In TrettA <br />(-) Permit Deta mis <br />Date Issued: 12/04/1992 Date E wrest <br />Use(s): DOMESTIC Aquifer AL <br /> <br />Special Use: L UNNAMED AQUIFERS <br />(s): <br />Area which may be ham: <br />Maximum annual volume of approprlatlon: <br />statute: <br />Permit RegaiTeMenbi: Totalb ft How Meter Geophysical Log Abandonment Report <br />No No No <br />Cross Refeence <br />Permit(s): <br />Permit !tamper Receipt DeS m"on <br />Comments: <br />C-) ConstivclllonAlsaga Details <br />Well Construction Date: Pump Instanation Dates <br />Well Plugged: 1st Beneficial Use: <br />Elevation Depth Perforated Casing (Tap) Perforated casing (Bottom) Stec Water Lewd Pump Rate <br />Lk * Name Address Phone Number <br />Driller 830 OZOM JERALD A. OM 43 HAVVF ,GO 8109 WO-276.3235 <br />(-) AppOcation/PermR Nistony <br />Pen, dt L59 1e0 12/04/1992 <br />Appkation Reeetved 11/18/1992 <br />C-] imaged Dowments <br />Doaenent Tame Cabe Imaged Amhotabed <br />Original File 17/06/7007 No <br />Original File 12/06/2007 No <br />• CaWrtlllltt D 2009 Colorado DWisim of Water Resources. A0 rights reserved. <br />Mane 1 Contact Us I Help i Water Links I Colaado.gov I DNR I Privacy Pocky I Transp3re"Cy Online Project (TOP) <br />http://www.dwr.state.co.us/WellPermitSearchNiew.aspx?receipt==0346381 3/20/2011