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t�,1J••5-6a•. ,e LIVISICi #3* WATER Ott 1jwCCl, t21PFfT;?" TT Esa c!ATU2AL lEre l <br /> CE <br /> 101 Columbine Bldg., 1949 Shsrmsi�rpnt, Donref, <br /> Colefeen 81203 <br /> A PERMIT I O USE CRs UND VATER <br /> [ `7 A PERMIT TO CONSTRUCT A WELL ;r� � Pit <br /> APPLICATION FOR: /�_7 REPLACEMENT FOR NO. '� a�yyhri <br /> A PERMIT TO INSTALL A PUMP IF <br /> L; OTHER told =�* C-.�'•._ <br /> PRINT OR TYPE �LCC1 � ± <br /> APPLICANT V rl , Lan COU4TY Llu^ tir'+: Coto. <br /> Street Address �3f70 Street - = of the Sec. <br /> City 6 State J1e11 e3:iI l e. K:;:t �fr, T. R. f^ L Ff P.m. <br /> Street or <br /> Use of ground water doraV,rtic Lot 6 Block L -t 75 <br /> Owner of land on which well City or Stone- 11 1 <br /> is located b! -rle T.a Tr.chba t!7h Subdiv, plaza Fi 1 ing <br /> Owner of irrigated <br /> land ——— Ground Water Basin I'r'-aoan <br /> Number of acres Water Management <br /> tv be irrigated --- District un';nny <br /> Legal description of <br /> irrigated land --- LOCATE WELL ON THE BACK OF THIS SHEET <br /> Driller tt- No. ,17 I " <br /> Other water rights on Driller <br /> 9 s__ �.0. Box 53� Trini('�.d, Colo. '1^ <br /> this land — Addres _ <br /> Aquifer (s) ground water is to be obtained J <br /> from — _ <br /> Signature of , pplicant 1tt� <br /> Storage capaci ty --- AF L001710NS _OF APPROVAL. <br /> ANTICIPATED PUMPING RATE 15 GPM <br /> AVERAGE ANNUAL AMOUNT OF GROUND WATER TO <br /> BE APPROPRIATED -- Acre-feet <br /> ESTIMATED WELL DATA <br /> Anticipated start of drilling Sint. 151971 <br /> i t <br /> Anticipated start of use so')t. 20 1971 <br /> i <br /> Hole Diameter: <br /> 5� p9 <br /> 8 in. from 0 ft. to 50 ft. i APPLICATION APPROVED: <br /> in. from ft. to ft. VALID FOR ONE (1) YEAR AFTER DATE ISSUED } <br /> i <br /> UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO ! <br /> Casing: THE ISSUING AGENCY <br /> Plain 7 in, from 0 ft, to A0 ft. PERMIT NO. 4S885 COrIDIT1ONAL <br /> in, from ft. to ft. <br /> a <br /> DATE ISSUED SEP l7 1971 <br /> y. <br /> Perf, in. from `IO ft. to 5f) ft. • <br /> in. from ft. to f t. t <br /> i STATE EN' 1lE �7 f$y ESTIMATED PUMP DATA <br /> Outlet i BY � <br /> 1 Type _ HP 1��0 Size ---- <br /> APPLICATIO'I MUST BE COMPLETED SATISFArTPI- ILY I" .7_ <br />