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Listing Firms Well Checklist (Internal Use) - Colorado
| Listing Firms Well Checklist (Internal Use) Form. This is a Colorado form and can be used in Real Estate Statewide . |
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LISTING FIRM'S WELL CHECKLIST [THIS CHECKLIST IS FOR SELLER AND LISTING FIRM'S INTERNAL USE ONLY.] Date: Seller: Property: Copy of Well Permit attached I. Domestic (Exempt) Wells: A. Confirm with State or Division Engineer as to: 1) Permit or Registration No: 2) Statement of Beneficial Use filed 3) Location: 4) Permitted uses: 5) Restrictions: 6) Decreed: a. Water Court Docket No: 7) Other, copy of report, etc. 8) Augmentation Plan 9) Well placed on Inactive Status B. Pump Test GPM C. Potability test Results: D. Cistern E. Pump Type Age F. Shared use Shared with Yes No Household use only Yes No Yes Yes Yes Yes Date Yes Date Yes No No No No No No Yes No II. Other (Fee) Wells: A. Confirm with State or Division Engineer or Ground Water Commission as to: 1) Permit or Registration No: 2) Statement of Beneficial Use filed Yes No 3) Place of use/location: 4) Pumping rate, volumetic limit: 5) Metered Yes No a. Subject to Metering Order Yes No LISTING FIRM'S INTERNAL WELL CHECKLIST Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com 6) Permitted uses and restrictions: a. Irrigation: b. Industrial: c. Commercial: d. Municipal: 7) Decreed: Yes No a. Water Court Docket No: 8) Source: a. Tributary to: (1) Augmentation by: (a) Decree, Docket No: (b) Administrative approval Yes No (i) Cost of augmentation: $ (ii) Membership fee: $ (iii) Cost of water: $ b. Designated Ground Water (Ground Water Commission): (1) Designated Basin: (2) Management District: (a) Contact information: c. Non-Tributary/Not-Nontributary: Yes No (1) Name of formation (aquifer) (2) Permit conditions: (3) Decree provisions: Caution: Water rights can be very technical and complex. Counsel of appropriate experts, such as attorneys or brokers who specialize in water rights, water engineers and well drillers, should be sought. Valuable general and specific information can also be obtained from the Office of the State Engineer, Division of Water Resources, Colorado Department of Natural Resources, at 303-866-3581 (general), 303-866-3587 (groundwater information), and the Water Division Office for the county in which a property is located. The State Engineer's Office also has a useful Guide to Colorado Water Rights, Well Permits, and Administration available at www.water.state.co.us. LISTING FIRM'S INTERNAL WELL CHECKLIST Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com
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