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• <br /> <br />Send to: Division of Water Resources Fax: 303-866-3589 <br />1313 Sherman Street, Room 818 Phone: 303-866-3581 <br />Denver, Colorado 80203 <br />OWNER'S NOTICE OF CONSTRUCTED WELL <br />Construction of my well under~Permit~No:~~-~2~6 0656 was <br />Xu _ <br />py.:' h"z <br />completed on oEcFr+~R~ 20 2ooy°:.:.. <br />(month) (~Y) (Yeaz') ` .... <br />The well was constructed by: ~ Ari QERT nN O as So c: i1 ~r-'~ S <br />a ~ ~~ :. ~ (drilling contractor),.,,:: <br />If the pumping equipment has been installed......... <br />wr_ _ <br />... _ ,. ; <br />The pump was installed in my well by: <br />',h _ ~ :` (pump contractor) <br />.(month) (daY) (Yew')'` <br />.. ~ J. i e . ^nv. <br />Signed: - ~ .~ ~~~ <br />~.{ ~. <br />Date: io ~3~~0 ~°`. ,~;P~iont': ~g~o) 385- 4525 x <</ <br />. ~~~_.~~ <br />The well must be constructed and pump installed by licensed <br />water well construction and pump installation contractors, OR <br />PLEASE BE ADVISED that, pursuant to section 37-91-106(3), C.R.S. <br />(2003), any person who intends to construct his/her own well or to install <br />pumping equipment in a well as a "private driller" of "private pump <br />installer" must first successfully complete an examination prescribed by <br />the Board of Examiners of Water Well Construction and Pump Installation <br />Contractors. (Contact the Division of Water Resources for details.) <br />