C4_Attach 6__DWR_GWS_44_Copy of New Well Permit Application.pdf

This is a Colorado Division of Water Resources Well Permit for the replacement of an existing well. The permit (No. 22197-A, Receipt No. 10028833) is issued to USA Rio Grande National Forest for a residential well relocation in Rio Grande County, Colorado, with the physical address located at 1243 CR 20 South Fork, CO 81154. The authorized agent is Andrew Kehler, and the well coordinates are specified in UTM format (Easting: 353519.0, Northing: 4166906.0, Zone 13, NAD83).

The permit establishes specific operational and construction requirements: the well is limited to ordinary household purposes for two single-family dwellings and domestic animal watering, with a maximum pumping rate of 15 gallons per minute (GPM). Return flow from the well must discharge through a non-evaporative individual waste water disposal system back to the same stream system. The well construction must comply with Colorado Water Well Construction Rules 2 CCR 402-2 and must be constructed within 200 feet of the specified location. The old well must be properly plugged within ninety days of completion, with documentation required. The permit was issued on 9/15/2023 with an expiration date of 9/15/2025. The permit holder has sixty days from issuance to appeal the permit issuance pursuant to the State Administrative Procedures Act.