DISTRICT COURT, WATER DIVISION NO. 1, STATE OF COLORADO

Case No.            CW

APPLICATION FOR UNDERGROUND WATER RIGHT

CONCERNING THE APPLICATION OF:                                                                                            FOR WATER RIGHTS IN DOUGLAS COUNTY, COLORADO

• Name, mailing address, telephone number(s) of applicants:





• Name of well and permit, registration or denial number.



• Legal description of well (include distance and bearing from established government section corner or quarter corner; or distances from section lines and include 1/41/4, section number, township, range and meridian, include map) ALSO in urban areas, include street address, lot, block and subdivision.

Well is located in the                                                                                                                          

of Section 7, Township 6S, Range 66W of the 6th P. M.,                       feet from the                          

section line and                         feet from the                           section line, a/k/a  Lot                           

Block                               Grandview Estates Subdivision.


• A. Source: Groundwater

B. Depth:

• A. Date of Appropriation:

B. How appropriation was initiated: Filing for a well permit.

C. Date water applied to beneficial use:

• Amount claimed: 15 gallons per minute
 
• If water is non-tributary: 

A: Name of Aquifer:

B. Amount claimed in acre feet annually: 1 acre foot.

• Proposed use:

A. If irrigation, complete the following:

1) Number of acres historically irrigated:

2) Total number of acres proposed to be irrigated:

3) The legal description of the land to be irrigated

4) Area of lawns and gardens irrigated: 1 acre

B. If non-irrigation, describe purpose fully:

Domestic lawns and garden, 4 large animals and small animals.

• Name and Address of owners of land on which the well is located:





• Remarks: Water right is exempt from administration under the seniority appropriation system.

 

 

 

                                                                                                                         

Signature of Applicant (or Attorney)





                                                                                                                         

Signature of Applicant (or Attorney)







                                                                                                                         

Address of Applicant (or Attorney)



                                                                                                                         

Telephone No.





                                                                                                                         

Attorney Registration No.







STATE OF COLORADO

COUNTY OF DOUGLAS }ss.





I, ,                                                                                                                          state under oath that I have read this application and verify its content.

 

                                                                                                                         

Signature of Applicant

 

                                                                                                                         

Signature of Applicant




Subscribed under oath to me on ,                                                                                                                         

date


My commission expires: ,                                                                                                                         

date

 

                                                                                                                         

Notary Public