2012-03-07_PERMIT FILE - C2010088 (21)

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Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866 -3581 I WELL PERMIT NUMBER 285997 - PPA LICANT DIV. 5 WD 72 DES. BASIN MD APPROVED WELL LOCATION MESA COUNTY SW 1/4 NW 1/4 Section 11 TAVISTOCK PARTNERS LLC Township 1 N Range 3 W Ute P.M. 1200 CHEROKEE ST DISTANCES FROM SECTION LINES UNIT 101 1785 Ft. from North Section Line DENVER, CO 80204- 515 Ft. from West Section Line (303) 825 -6489 UTM COORDINATES (Meters.Zone:13.NAD83) REGISTRATION OF EXISTING WELL 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 chill court action. 2) Construction details for this existing well have not been provided to this office; therefore, it is not known if the construction of this well is In compliance with the Water Well Constriction Rules, 2 CCR 402 -2. The Issuance of this permit does not relieve the well owner of responsibility or liability in the event contamination of the groundwater source results from the construction or use of this well, nor does the State Engineer assume any responsibility or liability should contamination occur. 3) This well is recorded and permit approved in accordance with CRS 37- 92- 602(5) for historical use as indicated herein and described in CRS 37- 92- 602(1)(f), being a well to be used exclusively for monitoring and observation purposes if said well is capped and locked and used only to monitor water levels or for water quality sampling. This well is known as RWA 4) The date of first beneficial use, as claimed by the applicant, is December 31, 1981 615/// APPROVED JSG State Engineer