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State of Colorado Water Resources - View Well Details: Receipt 9600334 Page 1 of 2 <br />Colorado Department of Natural Resources <br />1.)1c�.(1) .01V1.316.x] 611 <br />1\J‘1' `'.,o1J' <br />Colorado's Well Permit Search <br />Well Constructed <br />Receipt: <br />Permit #: <br />Well Name / #: <br />Designated Basin: <br />Case Number: <br />WDID: <br />Date Range <br />Unknown - Present <br />City/State /Zip <br />Subdivision Name <br />Filing Block Lot <br />Parcel ID: <br />Acres in Tract: 585 <br />Date Issued: 02/14/2002 <br />Use(s): DOMESTIC <br />Special Use: <br />Cross Reference <br />Permit(s): <br />Comments: <br />Driller <br />9600334 <br />237603 -- <br />[ -] Applicant /Owners History <br />Northing (U174 y): <br />Location Accuracy: <br />Physical Address <br />Applicant /Owner Name <br />RONDELL BRIDGET <br />Approved Well Location: <br />Q40 Q160 Section <br />NE NW 1 <br />Area which may be irrigated: 1 ACRES <br />Maximum annual volume of appropriation: <br />Statute: <br />Permit Requirements: Totalizing Flow Meter <br />No <br />Permit Number Receipt Description <br />Division: 6 <br />Water District: 43 <br />County: RIO BLANCO <br />Management District: <br />[ -] Location Information <br />Township <br />1.0N <br />Address <br />41009 RBD #5 <br />4442650.8 Easting (UTM x): 224422.7 <br />Spotted from section lines <br />Help <br />Range PM Footage from Section Lines <br />97.0W Sixth 800 N 1050 W <br />Date Expires: 02/14/2004 <br />AquiferALL UNNAMED AQUIFERS <br />(s): <br />City/State /Zip <br />MEEKER, CO 81641- <br />I [ -] Permit Details <br />Geophysical Log Abandonment Report <br />No No <br />1 [ -] Construction /Usage Details <br />Well Construction Date: 03/07/2002 Pump Installation Date: <br />Well Plugged: 1st Beneficial Use: <br />Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate <br />200 90 <br />Lic # Name <br />1095 SHELTON, WAYNE <br />100 50 2.5 <br />Phone Number <br />970 - 927 -4182 <br />Address <br />BOX 1059 BASALT, CO 81621 <br />I [ -] Application /Permit History <br />Well Construction Report Received <br />Well Constructed <br />Permit Issued <br />Application Received <br />04/23/2002 <br />03/07/2002 <br />02/14/2002 <br />02/11/2002 <br />I [ -] Imaged Documents <br />Document Name <br />Date Imaged Annotated <br />Well Construction & Test 12/01/2007 No <br />Last Refresh: 1/11/2011 12:01:25 AM <br />Colorado.gov 1 Contact Us <br />http: / /www.dwr. state. co. us /WellPermitSearch/View.aspx ?receipt= 9600334 1/11/2011 <br />