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Form No. OFFICE OF THE STATE ENGINEER <br />GWS -25 COLORADO DIVISION OF WATER RESOURCES <br />818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 <br />(303) 8663581 <br />APPLICANT <br />CAM - COLORADO LLC <br />2352 N 7TH ST <br />UNIT C <br />GRAND JUNCTION, CO 81501- <br />(970) 245 -2987 <br />EXST <br />WELL PERMIT NUMBER 28§914 <br />DIV. 5 WD72 DES. BASIN MD <br />APPROVED WELL LOCATION <br />MESA COUNTY <br />SW 1/4 SW 114 Section 2 <br />Township 1 N Range 3 W Ute P.M. <br />DISTANCES FROM SECTION LINES <br />505 Ft. from South Section Line <br />1270 Ft. from West Section Line <br />UTM COORDINATES (Meters.Zone:13.NAD83) . <br />ZEGISTRATION OF EXISTING WELL tasting: Nonning: <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 right or preclude another owner of a vested water right from <br />seeking relief in a civil court action. <br />2) Construction details for this existing well have not been pro vided to this office; therefore, It is not known if the construction <br />of this well is in compliance with the Water Well Construction Rules, 2 CCR 402 -2. The Issuance of this permit does not <br />relieve the well owner of responsibility or liability in the event contamination of the groundwater source results from the <br />construction or use of this well, nor does the State Engineer assume any responsibility or liability should contamination <br />occur. <br />3) This well Is recorded and permit approved in accordance with CRS 37- 92- 602(5) for historical use as indicated herein <br />and described in CRS 37- 92- 602(1)(Q, being a well to be used exclusively for monitoring and observation purposes if said <br />well is capped and looked and used only to monitor water levels or for water quality sampling. This well is known as RW -1. <br />4) The date of first beneficial use, as claimed by the applicant, is December 31, 1981 <br />APPROVED <br />JSG <br />state <br />N <br />