2011-06-24_PERMIT FILE - M2011029

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Form No. GWS APPLICANT (303) 617 -0813 UTM COORDINATES (Meters,Zone :13,NAD83) P ERMIT TO CONSTRUCT A WELL Easting: Northing: 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- 90- 137(2) for the construction of a well to divert ground water tributary to Timberlake Creek, a tributary to Fourmile Creek, which is a tributary of the Little Snake River, at a point where unappropriated water is available for withdrawal. 4) The pumping rate of this well shall not exceed 200 GPM. 5) The average annual amount of ground water to be withdrawn shall not exceed 132 acre -feet. 6) The use of ground water from this well is limited to the uses associated with a seasonal gold placer mining operation, including evaporation losses from a water storage pond, tailings pond, plant open surfaces, tailings moisture loss, and dust control, with annual depletions estimated to be 25 acre -feet. 7) The approval of this permit does not grant a water right. This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. 8) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 9) A metering method must be established for this well which is satisfactory to the Division Engineer. 10) This well shall be constructed not more than 200 feet from the location specified on this permit and at least 600 feet from any existing well, completed in the same aquifer, that is not owned by the applicant. NOTE: This well may be subject to administration in the water rights priority system in the future. It is recommended that a water court decree be obtained to affirm the priority of the well/�p 3/ r APPROVED JSG JUBILEE VENTURE LLC 19754 E EUCLID AVE CENTENNIAL, CO 80016- ,Receipt No. 3649842 . teh - uc3 F /LC OFFICE OF THE STATE ENGINEER 69ie/P? CO DIVISION OF WATER RESOURCES 6YM' TT' 818 Centennial Bld 1313 Sherman St., Denver, Colorado 80203 (303) 866 -3581 LIC WELL PERMIT NUMBER 75141 - F DIV. 6 WD 54 DES. BASIN MD State Engineer By EXPIRATION DATE 06 -03 -2012 DATE ISSUED 06 -03 -2011 APPROVED WELL LOCATION MOFFAT COUNTY SE - 1/4 NE 1/4 Section 2 Township 10 N Range 92 W Sixth P.M. DISTANCES FROM SECTION LINES 2000 Ft. from North Section Line 1000 Ft. from East Section Line