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S A ,V// <br />COLORADO DIVISION OF WATER RESOURCES RECEIVED <br />T`PE DR 300 Columbine Bldg., 1d~5 Sherman St. <br />PSINT IN BL gCK INK <br />OF qCC EP TED Denver, Col oro do 80203 <br />EME NT MgILED ,p <br />~ouEST. STATE OF COLORADO f AFFIDAVIT L JUL29r~6 <br />COUNTY OF ~'S AN11tfA5 I SS WATER RESOURCES <br />STATE ENWNEER <br />COUL <br />STATEMENT OF BENEFICIAL USE OF GROUND WATER <br />% AMENDMENT OF EXISTING RECORD <br />LATE REGISTRATION <br />PERMIT NUMBER 8388 <br />"HE AFFIANT(S) <br />whose mulling <br />address is <br />John N. Bearden <br />224 Saddle Road <br />City Trinidad Colorado 81082 <br />c,,,,.1 Y <br />LOCATION OF WELL <br />Las Animas <br />NW y, of rl.< <br />T_P 33 S . Rny <br />~ r. s.<.•o~ 30 <br />68 W 6th P „ <br />Ia N[1 it 1~1 'M O. 5' 'E Y .Y' <br />being duly sworn upon oath, deposes and says that he (they) is (are) the owner(s) of the well described hereon, the well Is <br />located as described above, of distances of 330 Feet from the North section line and 2360 feet From the <br />EBSt section line; water From this we I was first a lied to a beneficial use for the <br />( pp purpose(s) described herein on the 1St:^. <br />day of June 19 76 . the maximum sustained pumping rate of the well is 10 gallons per minute, the pumping <br />claimed hereby is - 10 gallons per minute; the total depth of the well is 4$ feet, the average annual amount <br />of water ro be diverted is One acre-feet; for which claim is hereby mode for DOm25t1C <br />purpose(s); the legal description of the land on which the water from this well .s used .s <br />which <br />acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in <br />compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he <br />(they) has (have) read the statements mode hereon; knows the content thereof; and shot the same are true of his (their) knowledge. <br />~y~ (COMPLETE REVERSE SIDE OF THIS FORM) <br />a,....,,.~.t /T/x/ 07 ~. ~^' ._ a __ <br />Sub scribed~d slvol <br />ro before me on this <br />26th day of <br />Jul,}r <br />,1976 <br />h7y Commission expires: /~E'J2 i ~ ~ r ~~~Q <br />f~• <br />.o'~.' •~[llC <br />=CCE?TED FOR F;L!NG BY THE STATE ENGINEER OF CO ORADO <br />?URSU.oNT TO THE FOLLOWING CONDITIONS: <br />• <br />FOR OFFICE USE ONLY <br />eo~,i core Ne..'~- 3639 ~/ <br />P..a• Ma __ DaY _- Y _ <br />D... ~ Cry. -~ <br />wen a+e,+/ <br />D~a. ~_ Ba.~n Man D•+ _ . <br />ICT 0 6 1976 /~ce,GC ~~`7~ ~~ ~-, <_~~ <br />=~•'F T7!'PfTPV STar'_ Ev~iNEER ?~ ~ <br />