Free Form 11 Request For Variance From Ammended Rules Governing The Measurement Of Tributary Ground Water Diversions Located In The A - Colorado


File Size: 17.4 kB
Pages: 1
Date: April 17, 2008
File Format: PDF
State: Colorado
Category: Government
Author: pld
Word Count: 319 Words, 2,080 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.water.state.co.us/pubs/forms/arkform11_0.pdf

Download Form 11 Request For Variance From Ammended Rules Governing The Measurement Of Tributary Ground Water Diversions Located In The A ( 17.4 kB)


Preview Form 11 Request For Variance From Ammended Rules Governing The Measurement Of Tributary Ground Water Diversions Located In The A
FORM 11 ­ REQUEST FOR VARIANCE FROM AMENDED RULES GOVERNING THE MEASUREMENT OF TRIBUTARY GROUND WATER DIVERSIONS LOCATED IN THE ARKANSAS RIVER
To be filed concurrently with either: FORM 3.1 (NOTICE OF TOTALIZING FLOW METER RE-VERIFICATION, INSTALLATION OR REPLACEMENT) or FORM 3.2 (NOTICE OF POWER CONSUMPTION COEFFICIENT RATING OR RE-RATING) SUBMIT TO: DIVISION OF WATER RESOURCES, DIVISION 2 310 E. ABRIENDO, SUITE B PUEBLO, CO 81004 TESTER'S NAME: TELEPHONE: FAX: 719.542.3368 719.544.0800

TEST DATE: STRUCTURE ID NUMBER:

PROVIDE THE FOLLOWING ­ WHETHER OR NOT A STRUCTURE ID HAS BEEN ASSIGNED ­ USING INFORMATION SHOWN ON THE BRASS TAG FOR THE STRUCTURE. IF NO PERMIT OR DECREE IS SHOWN, PLEASE NOTE AS "NA"

Well Permit No.:

Case or Decree No.:

Please accept this REQUEST FOR VARIANCE APPROVAL as provided by RULE 11 of the AMENDED RULES GOVERNING THE MEASUREMENT OF TRIBUTARY GROUND WATER DIVERSIONS IN THE ARKANSAS RIVER BASIN. Approval of this Request would prevent unusual hardship to the WELL OWNER/USER. The VARIANCE(S) being requested is/are: (Check all that apply. All calculations must be shown on the TEST FORM(S) and all supporting documentation must accompany this VARIANCE REQUEST.) ALLOWABLE VARIANCES FOR TOTALIZING FLOW METERS CERTIFICATION MEASUREMENT RULE POLICY 2008 03.1B: To allow a CORRECTION FACTOR within ± 5.1% ­ 8.0% to be used when calculating use with the INSTALLED TFM. MEASUREMENT RULE POLICY 2008 03.1B: To allow a CORRECTION FACTOR within ± 8.1% ­ 10.0% to be used when calculating use with the INSTALLED TFM. ALLOWABLE VARIANCES FOR POWER CONSUMPTION COEFFICIENT RATINGS MEASUREMENT RULE POLICY 2008 03.2A: To allow CONFIRMATION OF SYSTEM STABILIZATION WHEN PUMP HAS BEEN OPERATING PRIOR TO WELL TESTER'S ARRIVAL. DISCHARGE RATE MEASUREMENTS comply with DWR POLICY. MEASUREMENT RULE POLICY 2008 03.2A: To allow CONFIRMATION OF SYSTEM STABILIZATION BY DISCHARGE RATE when PUMPING WATER LEVEL cannot be obtained. DISCHARGE RATE MEASUREMENTS comply with DWR POLICY.

SIGNATURE OF TESTER:
FORM11_VARIANCEREQUEST_041108

DATE
04/11/08