2011-04-29_PERMIT FILE - M2011001 ‎(22)‎

• Permit No: M2011001
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/29/2011
• Doc Name: Adequacy Review Response- Att. 9- Well Permits
• From: Tetra Tech
• To: DRMS
• Media Type: D
• Archive: No

-i
7 31 i
Form No.
GWS-25
APPLICANT
[phone]
OFFICE OF THE STATE ENGINEER
COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
EXST
WELL PERMIT NUMBER 279722
DIV. 1 WD6 DES. BASIN MD
APPROVED WELL LOCATION
WELD COUNTY
NE 1/4 NW 1/4 Section 34
LAFARGE NORTH AMERICA Township 6 N Range 66 W Sixth P.M.
C/O TETRA TECH INC DISTANCES FROM SECTION LINES
1900 SOUTH SUNSET STREET 1414 Ft. from North Section Line
LONGMONT, CO 80501- 1789 Ft. from West Section Line
[phone] UTM COORDINATES (Meters,Zone:13,NAD83)
r:__. cn??+o LL..aL.:....• AA'77C90
'tKMI I 1 U U5t AN t1U5 I INU MILL ` . Z' " - "'V'
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit
does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from
seeking relief in a civil court action.
2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval
of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation
Contractors in accordance with Rule 18.
3) Approved pursuant to CRS 37-92-602(3)(b)(1) for uses as described in CRS 37-92-602(1)(f). Use of this well is limited to
monitoring water levels and/or water quality sampling.
4) Approved for the use of an existing well acknowledged for construction under monitoring hole notice MH-48268, and
known as TT-MW-09.
5) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open well.
The well must be kept capped and locked at all times except during sampling or measuring.
6) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to
the Division of Water Resources upon request.
7) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water
Well Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water
Resources within 60 days of plugging.
8) The owner shall mark the well in a conspicuous place with the well permit number and name of aquifer as appropriate,
and shall take necessary means and precautions to preserve these markings.
9) This well must have been constructed by or under the supervision of a licensed well driller or other authorized individual
according to the Water Well Construction Rules.
10) This well must be located not more than 200 feet from the location specified on this permit.
11) Issuance of this permit does not guarantee that this well can be converted to a production well under a future permit. The
ability of this well to be converted to a production well is limited by all governing statutes, rules, regulations, orders, and/or
decrees.
NOTICE: This permit has been approved subject to the following changes: The distances from section lines were
calculated from UTM coordinate values provided with the permit application. You are hereby notified that you have the right
to appeal the issuance of this permit, by filing a written request with this office within sixty (60) days of the date of issuance,
pursuant to the State Administrative Procedures Act. (See Section 24-4-104 through 106, C.R.S.)
NOTE: This well was not constructed in the 1/4, 1/4 designated under MH- 48268. $.l7.O. OI/t8'10 4
(APPROVED
BDH
State Engineer
No. 36365781 DA
IRA'