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wRJ45-75 <br />-+PE OR <br />P' 'T IN BLACK INK <br />a OF ACC EP TED <br />~ ME NT MAILED <br />OUEST <br />ACCEPTED FOR FILING <br />BY TBJ•', OFFICE OF <br />' T4~• STATE ENGINEER <br />COLORADO DIVISION OF•WATER RESOURCES '.~-•~'~iNC TO THE <br />300 Columbine Bldg., 18a$ Sherman St. 7 CP.E GRANTED UNDER <br />Denver, Colorado 80203 ~'-~ % ~i~. W-3639 _ <br />STATE OF COLORADO <br />COUNTY OF <br />CATER DIVISION 2 <br />ss AF~J&~rAAT To sxcTlox <br />a s <br />DaTE MAY 2 41976 <br />STATEMENT OF BENEFICIAL USE OF GROUND WATER ' <br />AMENDMENT OF EXISTING RECORD <br />LATE REGISTRATION <br />PERMIT NUMBER C~a,O'~4- LOCATION OF WELL <br />THE AFFIANT(S) John W. Bearden cava,Y I,as Animas <br />whose moll ing ' <br />address Is 221+ Saddle Road N4I ~ at.l,e NE r, s•ar~an ~_ <br />Clty ii lnidad Ci0 SlOH2 T_P. 33_ ~ . Rn9 ~_ ~y_ . 6th P M <br />Ia r.r[1 12t•1 ~[+ a• 5~ ~E ~• w~ <br />oe~ng duly sworn upon oath, deposes and says that he (they) is (are) the owner(s) of the well described hereon, the well .s <br />ocated as described above, at distances of feet from the section line and leer from the <br />I.o••_ o• so~••r <br />section line, water From this we)I was First applied to a beneficial use for the purpose(s) described herein on the ].2th <br />day of rTllIIe 19 ~ ;the maximum sustained pumping rate of the well is gallons per minute, the pumping <br />~laimed hereby is _ 6 gallons per minute; the total depth of the well is 32 feet; the average annual amount <br />of water to be diverted is acre-feet; for which claim Is hereby made for D~lestie <br />purpose(s); the legal description of the land on which the water from this well is used is <br />of 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 made hereon; knows the content thereof; and that the same are true of his (their) knowledge. <br />(COMPLETE REVERSE SIDE OF THIS FORM) <br />Signature(s) <br />Subscribed and sworn <br />'o belore me on this day of 19 <br />My Commission expires: <br />.~•... •..~ia <br />ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLGRADO <br />PURSUANT TO THE FOLLOWING CONDITIONS: <br />• <br />AY_2.41976 "f``~`-~ ' ' ~~ ~ y <br />~LL~ [ia~C c~.iuCCD <br />FOR OF ICE USE ONLY <br />W-3 39 <br />caora ease Na John N. Bearden Well #1 <br />Prior Mo Oar -_ Y. <br />o... 2 cry. 36 <br />sea. %. 7. ~. <br />w.n u,. ~- <br />Dear ~_ Bear.. Man Ora <br /> <br />