2011-11-09_PERMIT FILE - C1981012A ‎(3)‎

• Permit No: C1981012A
• IBM Index Class Name: Permit File
• Doc Date: 11/9/2011
• Section_Exhibit Name: EXHIBIT 11 WATER WELL INFO PART 3
• Media Type: D
• Archive: Yes

. WRJ-5.~2 COLORADO DIVISION OF WATER RESOURCES ~ RECEIVED .~
' ~ 107 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203,/ /
Application must
be complete where
applicable. Type or
~int in BLACK
NK. No overstrikes
or erasures unless
initialed.
PERMIT APPLICATION FORM
1 A PERMIT TO USE GROUND WATER
(~1 A PERMIT TO CONSTRUCT A WELL
FOR: ( 1 A PERMIT TO INSTALL A PUMP
MAY 2 4'T3
wATflt ^fMe~
STATE EM11V6R
coo.
( 1 REPLACEMENT FOR NO.
1 I OTHER
(1)
FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN
NAME ~ len L / ~'1 /~PI-
STREET ~O1X ~ Z
CITY GlJB S 4 O A. CEO ~Ot d ~O
(State) (210)
TELEPHONE NO. ~ ~~ ~ ~~ 7 ~
(2) LOCATION OF PROPOSED WELL
County ~ t /~/wln i 1 ~1 ,.,
%Cof the / r ~ %, Section ~~!
TwP.~ ,~..Rng.~i' _ ~. ~P.M
13) WATER USE AND WELL DATA
~oposed maximum pumping rate (gpm) ~.7
Average annual amount of ground water ~~ff
to be appropriated (acre-feet): /ti ~3
Number of acres to be irrigated: ~ Css 1F~L K
Proposed total depth (feed:
Aquifer ground water is to be ohtained from:
Owner's well designation
GROUND WATER TO BE USED FOR:
( 1 HOUSEHOLD USE ONLY
1 DOMESTIC 111
1 LIVESTOCK (21
1 1 COMMERCIAL 141
1 1 OTHER (91
no irrigation (01
1 1 INDUSTRIAL (51
I IRRIGATION 161
( 1 MUNICIPAL 181
14) DRILLER
Name ' • !~~ _• .Y I'/~ll l1 C C O
~ree''t,,'' aox I-8"~3 n
CityW~~slrA oil r O C~ O~I /O ~i
~77 Istaeel ./ (zeal
Telephone No. Lic. No. ~ r
Receipt No. '43~03~"'
Basin
Dist.
CONDITIONS OF APPROVAL
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.
d per r ~:: iJ _. -2:-:..: t ::: I
to be the o~ y ~ .~ _ _r r. an 35 acres
designa,edas that y .....................^ s in_
Approved per (3) (b) (ii). CRS148.21-45: this welF
to be the only well on a tract of more than 35 acres
designated as that S~ acres in sa~~4 .,r
d~'~ ~ Sce. sp,_____T.,T..:S..._.,L~..,~.lw.,.LR.rI
APPLICATION APPROVED
PERMIT NUMBER 69114
DATE ISSUED MAY 2 41973
EXPIRATION DATE MAY 241975
~!•
e ( A NGI R)
BY ~t
I.D. ey ~ ~ y COUNTY ~ G