2011-11-18_REVISION - M1997065 (4)

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Form" No. GWS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 (303) 886-3581 STONE WHOLESALE INC C/O JIM STRIGGOW 4717 W LAKEVIEW FT COLLINS, CO 80526- (970) 221 -1832 PERMIT TO CONSTRUCT A WELL WELL PERMIT NUMBER 286460 DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION LARIMER COUNTY 1/4 SE 1/4 Section 13 Township 8 N Range 70 W Sixth P.M. DISTANCES FROM SECTION LINES Ft. from Ft. from Section Line Section Line LIC, UTM COORDINATES (Meters,Zone:13,NAD83) 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- 92- 602(3)(b)(I) and the policy of the State Engineer for appropriation of ground water tributary to South Platte River system. 4) The use of ground water from this well is limited to drinking and sanitary facilities as described in CRS 37- 92- 602(1)(c), for a commercial business. Water from this well shall not be used for lawn or landscape irrigation or for any other purpose outside the business building structure. 5) The pumping rate of this well shall not exceed 15 GPM. 6) The annual amount of ground water to be diverted by this well shall not exceed 1/3 acre -foot (108,600 gallons). 7) Approved as the only well on a tract of land of 58.75 acre(s) described as a portion of the SE 1/4 and the SE 1/4 of the SW 1/4 of Section 13 and the N 1/2 of NE 1/4 Section 24, Township 8 North, Range 70 West of the 6th P.M., Larimer County, reference attached exhibit "A ". 8) The return flow from the use of this well must be through an individual waste water disposal system of the non - evaporative type where the water is returned to the same stream system in which the well is located. 9) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must -be-maintained by the well owner ( recorded -at leastannually) -and submitted to the Division Engineer -upon request. 10) Pursuant to Rule 6.2.3 of the Water Well Construction Rules, the well construction contractor shall submit the as -built well location on work reports required by Rule 17.3 within 60 days of completion of the well. The measured location must be accurate to 200 feet of the actual location. The location information must include a GPS location (UTM coordinates) pursuant to the Division of Water Resources' guidelines. /9. ' . - /C ".- : c' it APPROVED ADB ` Receipt No. 3650484 State Engineer / By DATE ISSUED 08 -15 -2011 EXPIRATION DATE 08 -15 -2013