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WR-1-5-Rev. 76 COLORADO DIVISION OF V'JATER RESOURCES <br /> 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 <br /> PERMIT APPLICATION FORM RECIVED <br /> "pplication must t <br /> complete where ( ) A PERMIT TO USE GROUND WATER &o3-� p <br /> applicable. Type or ( ) A PERMIT TO CONSTRUCT A WELL 1 4} iO <br /> print in BLACK FOR: ( ) A PERMIT TO INSTALL A PUMP <br /> INK.Nooverstrikes WATER RESOURCES <br /> or erasures unless ( ) REPLACEMENT FOR NO. STATE 0GUNEI`R <br /> initialed. (X ) OTHER ST3NDB i rW71.T. CA0. <br /> WATER COURT CASE NO. <br /> (1) APPLICANT - maiiing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN <br /> NAME MID-CONITINa,7 COAL AND COKE CaTPAN'Y Receipt No. / <br /> STREET B� 152 Basin Dist. <br /> CITY CARBONDALE, COLORADO 81623 <br /> (State) (ZOO) CONDITIONS OF APPROVAL <br /> TELEPHONE NO. (303) 963-2581 This well shall be used in such a way as to cause <br /> no material injury to existing water rights. The <br /> (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant <br /> that no injury will occur to another vested water <br /> GARFIELD right or preclude another owner of a vested water <br /> County right from seeking relief in a civil court action. <br /> Siv Y. of the SE '/a, Section .3S <br /> Twp._7 -., Rng._,Q$_ �(., Orb P.M. <br /> (N.S) (E.W) <br /> i) WATER USE AND WELL DATA <br /> Proposed maximum pumping rate (gpm) none <br /> Average annual amount of ground water none <br /> to be appropriated (acre-feet): <br /> Number of acres to be irrigated: none <br /> Proposed total depth (feet): 85 <br /> Aquifer ground water is to be obtained from: <br /> River gravels <br /> Owner's well designation No. 3 <br /> GROUND NVATER TO BE USED FOR: <br /> ( ) HOUSEHOLD USE ONLY - no irrigation (0) <br /> ( ) DOMESTIC (1) ( ) INDUSTRIAL (5) <br /> ( ) LIVESTOCK (2) ( } IRRIGALION (6) <br /> ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) <br /> (X) OTHER (9) STANDBY WELL APPLICATION APPROVED <br /> DETAIL THE USE ON BACK IN (11) <br /> PERMIT NUMBER <br /> (4) DRILLER <br /> DATE ISSUED <br /> Name COLLINS DRILLING CO . EXPIRATION DATE <br /> Street 0589 THOMAS RD <br /> City CARBONDALE, COLORADO 81623 (,,STATE ENGINEER) <br /> (state) (Zip) <br /> Telephone No. _(3�319h}-�41 '7�fii-�41 7 Lic. No. SBY ` <br />