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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) 866-3581 <br />APPLICANT <br />w-#"J Q Ptr <br />A_X0 /0 - 00'7 <br />6elll <br />LIC <br />WELL PERMIT NUMBER 69102 -F <br />DIV. 6 WD 44 DES. BASIN MD <br />APPROVED WELL LOCATION <br />MOFFAT COUNTY <br />NW 1/4 SW 1/4 Section 4 <br />Township 6 N Range 90 W Sixth P.M. <br />F%)^ _1NORTHWEST AGGREGATES INC <br />2930 E HWY 40 <br />STE 4 <br />CRAIG, CO 81625- <br />(970) 824-5252 <br />APR 2 6 2010 DISTANCES FROM SECTION LINES <br />Ft. from Section Line <br />Division ct kmcl2m.Won, Ft. from Section Line <br />Mislin and S24oty <br />UTM COORDINATES (Meters, Zone: 13,NAD83) <br />'EKMIT TV EXP05E WATER IN A PIT ?aau"y• 'IAV'uIII y• <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 does not ensure that <br />no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. <br />2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has <br />been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. <br />3) Approved pursuant to CRS 37-90-137 (2) and (11) for the construction and operation of a well (gravel pit pond) exposing and diverting ground <br />water tributary to the Yampa River at a point where water is available for appropriation. This well is known as the Wand Pit, Division of <br />Reclamation, Mining & Safety Permit Number M-2010-007. <br />4) The approval of this permit does not grant a water right. This well (gravel pit pond) is subject to administration by the Division Engineer in <br />accordance with applicable decrees, statutes, rules and regulations. <br />5) The average annual amount of ground water to be appropriated shall not exceed 754.34 acre-feet with the total surface area of the proposed <br />ground water pond limited to 10 acres. <br />6) The use of ground water, in addition to evaporation, is limited to mine dewatering. No other use of water is allowed unless a permit therefor <br />is approved. <br />7) The owner shall mark the well (gravel pit pond) in a conspicuous place with well permit number(s) and court case number(s) as appropriate. <br />The owner shall take necessary means and precautions to preserve these markings. <br />8) A totalizing flow meter must be installed so as to measure any pumping from this gravel pit pond and maintained in good working order. i <br />Permanent records of all diversions from the gravel pit pond, tonage of mined product, and the surface area of ground water exposure shall be <br />maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. <br />9) Pursuant to Rule 10.1.6 of the Water Well Construction Rules, gravel pit wells are exempt from the minimum well construction standards <br />except for contamination considerations as stated in the Rule. The owner of the gravel pit shall take necessary means and precautions to <br />prevent contaminants from entering the gravel pit well. <br />10) Pursuant to Rule 17.1.4 of the Water Well Construction Rules, the owner shall submit, after initiation of construction, site plan and cross <br />section drawings on 8-1/2" x 11" paper showing the extent of intended excavation, the maximum depth of the pit, and the initial static water <br />level. The owner shall also provide the initial date of ground water exposure in the pit. <br />11) The boundaries of the gravel pit pond shall be more than 600 feet from any existing well, completed in the same aquifer, that is not owned <br />by the applicant. <br />12) Pursuant to Policy 2000-4 of the State Board of Examiners of Water Well Construction and Pump Installation Contractors (Board), no pumping <br />equipment shall be installed in the gravel pit well to withdraw water for any beneficial use, unless a separate written request for a variance has <br />been approved by the Board. <br />NOTE: This well may be subject to administration in the water rights priority system in the future. It is recommended that a water court decree <br />be obtained to affirm the priority of the well,,,::;;tV 00/0 <br />APPROVED <br />JSG <br />State Eng <br />cJ <br />DATE ISSUED 04-08-201 <br />DATE 04-08-2011