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WELL PERMIT NUMBER 329663- RECEIPT NUMBER 10026576 1 <br /> NOTE: This permit will expire on the expiration date unless the well is constructed by that date. A Well Construction and Yield <br /> Estimate Report (GWS-31) must be submitted to the Division of Water Resources to verify the well has been constructed. An <br /> extension of the expiration date may be available. Contact the DWR for additional information or refer to the extension request <br /> form (GWS-64) available at: dwr.colorado.gov <br /> Date Issued: 2/2/2023 <br /> Issued By SHANNON PORTER Expiration Date: 2/2/2025 <br /> Printed 02-02-2023 For questions about this permit call 303.866.3581 or go to https://dwr.colorado.gov Page 2 of 2 <br />