2011-09-26_PERMIT FILE - C1981012A (4)

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UM -25 APPLICANT `ti k;ULUHAUU UIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 (303) 8664581 N , v l _2'D AUTH WELL PERMIT NUMBER =12 78 JL DIV. 2 CNN. 36 WD 19 DES. BASIN MD _ot: Block: Filing: Subdiv: APPROVED WELL LOCATION LAS ANIMAS COUNTY BASIN RESOURCES INC SW 1/4 SW 114 Section 7 14300 HWY 12 Twp '33 S RANGE 67 W 6th P.M. WESTON CO 81091- DISTANCES FROM SECTION LINES (719)868 -2761 700 Ft. from South Section Line PERMIT TO USE AN EXISTING WELL 700 Ft. from West Section Line 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 the permit does not assure the applicant 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)(0. Use of this well is limited to monitoring water levels and/or water quality sampling. This well Is known as NM- 14-94, 4) 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 locked at all times except during sampling or measuring. 5) 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. 6) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with 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. 7) . The owner shall mark the well in a conspicuous place with well permit number and name of aquifer as appropriate, and shall take necessary means and precautions to preserve these markings. 8) This well must be constructed by or under the supervision of a licensed well driller or other authorized individual according to the Water Well Construction Rules. 9) A Well Completion Report including lithologic log must be submitted by the individual authorized to construct the well. For non - standard construction the report must include an as -built drawing showing details such as depth, casing, perforated zones, and a description of the grouting type and interval. 10) This well shall be constructed not more than 200 feet from the location specified on this permit. APPROVED FML State Englneer By Receipt No. 0411999W DATE ISSUER,. M 2_ 199 EXPIRATION DATE MAR 2 5 1999