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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 /> 1425 <br /> WELL PERMIT NUMBER 283206 <br /> APPLICAN DIV. 1 WD 3 DES. BASIN MD <br /> APPROVED WELL LOCATION <br /> LARIMER COUNTY <br /> SW 1/4 SW 1/4 Section 30 <br /> ETHAN WALTERMIRE Township 8 N Range 70 W Sixth P.M. <br /> C/O INGRAM DRILLING INC DISTANCES FROM SECTION LINES <br /> PO BOX 342 779 Ft. from South Section Line <br /> ESTES PARK, CO 80517- 388 Ft. from West Section Line <br /> (800) 410 -4542 UTM COORDINATES (Meters Zone: 13. NAD83) <br /> PERMIT TO CONSTRUCT A WELL Easting: 476009 Northing: 4497507 <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 <br /> does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from <br /> 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 <br /> of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation <br /> Contractors in accordance with Rule 18. <br /> 3) Approved pursuant to CRS 37- 92- 602(3)(b)(11)(A) as the only well on a residential site of 20.00 acre(s) described as that <br /> portion of the SW 1/4 of the SW 1/4, Sec. 30, Twp. 8 N, Rng, 70 W, Sixth P.M., Larimer County, more particularly described <br /> on the attached exhibit A. <br /> 4) The use of ground water from this well is limited to ordinary household purposes inside one single family dwelling. The <br /> ground water shall not be used for irrigation or other purposes. <br /> 5) The pumping rate of this well shall not exceed 15 GPM. <br /> 6) The return flow from the use of this well must be through an individual waste water disposal system of the <br /> non - evaporative type where the water is returned to the same stream system in which the well is located. <br /> 7) This well shall be constructed not more than 200 feet from the location specified on this permit. <br /> NOTICE: This permit has been approved subject to the following changes: The distances from section lines, <br /> quarter /quarter, quarter, Section, Township, Range and P.M. were determined from UTM coordinate values provided with <br /> the permit application. You are hereby notified that you have the right to appeal the issuance of this permit, by filing a <br /> written request with this office within sixty (60) days of the date of issuance, pursuant to the State Administrative Procedures <br /> Act. (See Section 24 -4 -104 through 106, C.R.S.) <br /> NOTE: Expired permit no. 211426 was previously issued for this lot. /9 ,D .13. <br /> APPROVED <br /> ADB LJ2UZrYC <br /> State Engineer B <br /> Receipt No. 3645549 DATE ISSUED 05 -18 -2010 EXPIRATION DATE 05 -18 -2012 <br />