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Form No. OFFICE OF THE STATE ENGINEER <br />Gws-zs COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br />(3031866-3581 <br />• <br />APPLICANT <br />LIC <br />WELL PERMIT NUMBER 260656 - <br />DIV. 7 WD33 DES. BASIN MD <br />NATIONAL KING COAL INC <br />4424 CR 120 <br />HESPERUS, CO 81326- <br />(970) 385-4528 <br />APPROVED WELL LOCATION <br />LA PLATA COUNTY <br />SW 1/4 SW 1/4 Section 36 <br />Township 35 N Range 12 W New Mex P.M. <br />DISTANCES FROM SECTION LINES <br />50 Ft. from South Section Line <br />700 Ft. from West Section Line <br />UTM COORDINATES (NAD83) <br />Fasting: Northing: <br />ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT <br />CONDITIONS OF APPROVAL <br />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 <br />does not ensure that no injury will occur to another vested water dght or preclude another owner of a vested water right from <br />seeking relief in a civil court action. <br />2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval <br />of a variance has been granted by the State Board of Examiners of Water WeII Construction and Pump Installation <br />Contractors in accordance with Rule 18. <br />3) Approvetl pursuant to CRS 37.92-602(3)(b)(I) for uses as described in CRS 37-92-602(1)(f). Use of this well is limited to <br />I monitoring water levels and/or water quality sampling. <br />4) This well must be equipped with a locking cap or seal to prevent well contamination or possible hazards as an open well. <br />The well must be kept capped and locked at all times except during sampling or measuring. <br />5) Records of water level measurements and water quality analyses shall be maintained by the well owner and submitted to <br />the Division of W ater Resources upon request. <br />6) Upon conclusion of the monitoring program the well owner shall plug this well in accordance with Rule 16 of the Water <br />Well Construction Rules. A Well Abandonment Report must be completed and submitted to the Division of Water . <br />Resources within 60 days of plugging. <br />7) The owner shall mark the well in a conspicuous place with well permit number(s) and name of aquifer as appropriate, <br />and shall take necessary means and precautions to preserve these markings. <br />8) This well must be wnstructed by or under the supervision of a licensed well driller or other authorized individual according <br />to the Water WeII Construction Rules. If non-standard construction is anticipated, a variance request must be submitted in <br />accordance with Rule 18 and approved prior to well construction. <br />9) A WeII Construction and Test Report (Form GWS-31), including lithologic log must be submitted by the individual <br />authorized to construct the well. For non-standard consWction, the report must include an as-built drawing showing <br />details such as depth, casing, perforated zones, and a descdption of the grouting type and interval. <br />10) This well shall be constructed not more than 200 feet from the location specified on this permit. <br />NOTE: Thii well is knowr7 as Hay Gulch Alluvial 2. <br />/L . ( iV1~ 07TL <br />APPROVED _/J_/9 <br />DDW ~'VI~ <br />State Engineer <br />