APPROVED WELL LOCATION

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1 82742-F

2 WELL PERMIT NUMBER F RECEIPT NUMBER ORIGINAL PERMIT APPLICANT(S) APPROVED WELL LOCATION CLAIRE M SCAVELLO Water Division: 1 Water District: Designated Basin: N/A Management District: N/A County: WELD Parcel Name: JO ANN Lot: 12 Physical Address: 2 Block: 2 Filing: N/A SE 1/4 SE 1/4 Section 26 Township 1.0 N Range 66.0 W Sixth P.M. UTM COORDINATES ( Meters, Zone:13, NAD83) Well to be constructed on specified tract of land 5Easting: Northing: PERMIT TO USE AN EXISTING WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 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 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. 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 been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS (4) and the findings of the State Engineer dated November 27, 2018 for the use of an existing well constructed under permit no and expanded under permit no ) The issuance of this permit hereby cancels permit no ) The use of ground water from this well is limited to commercial. 6) The pumping rate of this well shall not exceed 25 GPM. 7) The average annual amount of ground water to be withdrawn shall not exceed 0.73 acre-feet. 8) Production is limited to the Lower Arapahoe aquifer. 9) Pursuant to CRS (9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the well owner shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. 10) The entire length of the hole shall be geophysically logged as required by Rule 9 of the Statewide Nontributary Ground Water Rules prior to installing casing. 11) The owner shall mark the well in a conspicuous location with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 12) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 13) This well shall be located more than 600 feet from any existing well, completed in the same aquifer, that is not owned by the applicant. 14) This well shall be located not more than 200 feet from the location specified on this permit. 15) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. NOTE: The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated, due to anticipated water level declines. 2Printed For questions about this permit call or go to Page 1 of

3 WELL PERMIT NUMBER F RECEIPT NUMBER Date Issued: 11/ 27/ 2018 Issued By AILIS THYNE Expiration Date: N/ A 2Printed For questions about this permit call or go to Page 2 of

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