Description of Well Water levels, flow rates and pH levels are measured at this well. No sampling is to take place outside the well's normal use. A new well must be registered on this form. A well's use will require a permit. The permit holder is responsible for determining if it can lawfully use the water or if it will require an application for a water use permit. Permit required: “WATER, EGG AND STRAW DRAWN FROM AN ARRIVAL SEWER WHILE OCCUPIED AS A FORT SEWER OR OCCUPYING OTHER PROPERTY WITHIN THE STATE” 8. Use Of Water Quality Monitoring Permit Holder is permitted to place samples of fish, livestock, wildlife, plants, mud, soil or water (excluding rain and snow water) from this well or any other wells or buildings within a 100 acre radius of this well in order to monitor for pollution of a water supply or fish mortality. The collection area for each well and any other locations must be a place as close to this well as is feasible. A sampling rate of one sample of water or soil must be taken for each 24-hour period. A sampling rate of 100 samples may be taken with a total sampling time of no more than ten days. This permit is available on the Water Quality Control Division's website at: For water quality samples be prepared as follows: Each sample for the well, and each other well within 100 acres, should consist of: one (1) plastic or glass container containing clean water; one (1) drop sample of water to be tested for contaminants for each sample; the test water bottle or jar; and the test water drop or swab to be swabbed and placed in the test water bottle or jar. All water samples must be taken while the well or property or area is not producing any water. Each sample of water must be drawn and swabbed from the upper 2 inches of the well casing (or 3 inches for the new Well Replacement Permit Application). Swabs should be placed in the well or property or area to be sampled for no less than five (5) minutes. The following samples must be drawn and swabbed to be swabbed.
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COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., Ste 821, DENVER CO 80203 Phone: (303) 866-3581 Fax: (303) 866-2223 dwrpermitsonline state.co.us Office Use Only
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