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Listing Firms Well Checklist (Internal Use) Form. This is a Colorado form and can be use in Real Estate Statewide.
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Tags: Listing Firms Well Checklist (Internal Use), Colorado Statewide, Real Estate
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.
II.
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
No
Yes
Yes
Yes Date
No
No
No
Yes Date
No
Yes
No
Yes
No
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
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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
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