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COLORADO DIVISION OF WATER RESOURCES GWS-46 MONINST (11/2011)
<br />DEPARTMENT OF NATURAL RESOURCES
<br />MONITORING /OBSERVATION WELL PERMIT APPLICATION INSTRUCTIONS
<br />Applications must be computer generated on -line, typewritten or printed in BLACK or BLUE INK. ALL ITEMS in the application must
<br />be completed. Incomplete applications may be returned for more information. Applications are evaluated in chronological order.
<br />Please allow approximately six weeks for processing. This form may be reproduced by photocopying or computer generation.
<br />Reproductions must retain margins and print quality of the original form If filing online, see online filing instructions for further information.
<br />You may also save, print, scan and email the completed form to: dwrpermitsonlinestate co us
<br />FEES: This application must be submitted with a $100 filing fee. (The fee for an application to replace or deepen an existing permitted
<br />monitoring /observation well is $100 for locations outside Designated Ground Water Basins, and $60 inside Designated Ground Water Basins )
<br />Acceptable forms of payment are check or money order, payable to the "Colorado Division of Water Resources " Payments made by Visa,
<br />MasterCard or Discover card can be accepted by phone through the Records Section at 303 866.3581 Fees are nonrefundable.
<br />USES: This form (GWS -46) is to be used when applying for a permit where the only uses are monitoring of water levels and /or water
<br />quality sampling For well construction criteria refer to the Colorado Water Well Construction Rules, 2CCR 402 -2. A copy of the Rules may
<br />be obtained from any Division of Water Resources Office for a fee of $5, or you may access them online from the State Board of
<br />Examiners' (BOE) website at http //water state co us /dwripub /documents /constructionrules05 pdf
<br />ITEM INSTRUCTIONS: (numbers correspond with those on the front of this form/
<br />1 Provide the name of the well owner and the mailing address where all correspondence will be sent
<br />2. Check and complete all boxes that apply.
<br />3. Provide the MH number assigned by the Division of Water Resources in response to the notice of intent to construct a
<br />monitoring /observation well Complete the well name if the structure has a name or identifying number.
<br />4. If applying for a permit to construct a new well, you must provide the county, section #, township, range and principal meridian You
<br />do not need to provide the 1 /4 of the Y. section designation, distances from section lines or an optional GPS location (UTM
<br />coordinates) If a permit is issued and a well constructed, the authorized individual will be required to provide an accurate GPS
<br />location (UTM coordinates) of the "as- built" well location. If applying for a permit to use an existing well you must provide the well
<br />location information stated above, as well as either a GPS location (UTM coordinates) of the existing well site, or distances from
<br />section lines (including the 1/4 of the 1/4 section designation) as follows In a typical case, a township is comprised of 36 sections,
<br />with each section ideally one mile square, or 5,280 feet on each side. Sections are further divided into quarter sections Each 1 /4
<br />Section is 2,640 feet by 2,640 feet and comprises 160 acres. Each 1/4 section can be further divided into additional quarters. Each V4
<br />of the '1/4 Section is 1,320 feet by 1,320 feet and comprises 40 acres The distances are measured from the section lines. In the
<br />following example, the well is located 2,500 feet from the South Section line and 1,400 feet from the East Section line
<br />A
<br />1
<br />T
<br />2640 ft
<br />13206
<br />5280ft
<br />NW1 /4
<br />SW1 /4
<br />WM Swim the
<br />3
<br />NW1 /4
<br />SE1 /4
<br />SW1 /4
<br />SE1 /4
<br />NE1 /4
<br />NE1 /4
<br />SE1 /4
<br />SE1 /4
<br />SE1 /4
<br />Well Location Example:
<br />NW1 /4 of the SE1 /4 of
<br />Section 3, being 2500 feet
<br />from the South Section Line
<br />and 1400 feet from the East
<br />Section Line
<br />&nib Secllon the
<br />If providing a GPS location (UTM coordinates), the required GPS unit settings must be as indicated on this form. Colorado contains
<br />two UTM zones (12 & 13) Zone 13 covers most of Colorado The boundary between Zone 12 and Zone 13 is the 108 Meridian
<br />(longitude) West of the 108 Meridian is UTM Zone 12 and east of the 108 Meridian is UTM Zone 13. The 108 Meridian is
<br />approximately 57 miles east of the Colorado -Utah state line On most GPS units, the UTM zone is given as part of the Easting
<br />measurement, e.g 12T0123456 Check the appropriate box for the zone Provide the property address of the well location if one
<br />exists If it is the same as the mailing address, check the box next to the well location address
<br />5. Provide property owner information
<br />6 Use of this well is limited to monitoring water levels and /or water quality sampling only
<br />7 The actual or anticipated total depth must be provided Provide the name of the aquifer in which the well will be completed.
<br />8 Provide consultant information (if applicable) Note A consultant may siqn this application on behalf of their client.
<br />9 Monitoring /observation wells must be constructed by a Colorado licensed well construction contractor or authorized individual, as defined
<br />in the Well Construction Rules, 2CCR 402 -2. Only a licensed contractor may construct any monitoring /observation well that penetrates a
<br />confining layer, or, is to be converted into a future production well The well must be constructed in compliance with the Well Construction
<br />Rules, unless a variance has been approved allowing an alternative construction design.
<br />10. The individual signing the application or entenng their name (and title if applicable) must be the applicant or an officer of the corporation /company /agency
<br />identified as the applicant, their attomey or consultant. An authonzed agent may also sign the application, if a letter signed by the applicant or their attomey
<br />is submitted with the application authorizing that agent to sign or enter their name on the applicant's behalf. Payment must be received via phone, fax or
<br />mail pnor to processing the application If filing online please call the Records Section at 303 866 3581 to pay via credit card.
<br />IF YOU HAVE ANY QUESTIONS regarding any item on the application form, please call the Division of Water Resources Ground Water
<br />Information Desk (303- 866 - 3587), or the nearest Division of Water Resources Field Office located in Greeley (970- 352 - 8712), Pueblo
<br />(719- 542 - 3368), Alamosa (719- 589 - 6683), Montrose (970- 249 - 6622), Glenwood Springs (970- 945 - 5665), Steamboat Springs (970 -879-
<br />0272), or Durango (970- 247 - 1845), or refer to CDWR web site at http / /www water.state co us for general information
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