Division of Water Resources - Forms

Colorado Division of Water Resources...

A Division of the Department of Natural Resources

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Board of Examiners For Water Well Contractors

Colorado Ground Water Commission

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Ground Water Information & Well Permitting

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Rules and Regulations

Publication Guide

Forms

The following forms are available to download. Most forms are in PDF format and require a PDF reader. Acrobat Reader is available as a free download from: Adobe Systems Incorporated. To download these files, right-click on the desired form and select "Save Target As". Fees associated with certain forms may be found under the current fee schedule.

For further information, or to have a specific form mailed to you, please contact the Ground Water Information Desk at (303) 866-3587. PLEASE PRINT THESE FORMS IN BLACK AND WHITE. You may also find helpful information in the Guide to Well Permits, Water Rights, and Water Administration.

Water Court - Forms for the Colorado Judicial Water Court may be found on the forms page of their website.

Index to Forms

Dam Safety
Subscriptions
Well Permitting - Applications
Well Permitting - Instructions
Well Permitting - General
Subdivision Water Supply Plan

Denver Basin Well Permitting
Designated Basins Well Permitting

Water Divisions

Division 1 - Republican River Basin
Division 2 - Arkansas River Basin
Division 3 - Rio Grande River Basin

State-Wide

1. Dam Safety Top

Application For Review of Plans and Specifications For the Construction or Enlargement of a Dam and Reservoir
Adobe Acrobat (pdf) Format | Word Document (.doc) Format
Application For Review for Removal or Breach of a Dam
Adobe Acrobat (pdf) Format | Word Document (.doc) Format
Application For Review of Plans and Specifications For the Alteration, Modification, or Repair of a Dam and Reservoir
Adobe Acrobat (pdf) Format | Word Document (.doc) Format
Application For Livestock Water Tank (Adobe Acrobat® (PDF) format)
Application For Erosion Control Dam (Adobe Acrobat® (PDF) format)
Engineer's Inspection Report (Adobe Acrobat® (PDF) format)
Notice of Intent to Construct a Non-Jurisdictional Water Impoundment Structure
Adobe Acrobat (pdf) Format | Word Document (.doc) Format

2. Subscriptions Top

Substitute Water Supply Plan Notification List - Subscribers receive proposed SWSPs, instream flow loans, and interruptible supply agreements from the applicants for the plans. (Adobe Acrobat (pdf) Format)
Produced Nontributary Ground Water Notification List - Subscribers receive notice for their selected water division(s) of all Petitions for a Determination of Nontributary Ground Water to allow them 30 days to respond to the petition.
Adobe Acrobat (pdf) Format | Word Template (.dot) Format

3. Well Permitting - Applications Top

GWS-12, REGISTRATION OF EXISTING WELL (Revised 7/2009)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-12A, STATEMENT OF HISTORICAL USE (Revised 7/2009; PDF Format)
GWS-27, GRAVEL PIT WELL PERMIT APPLICATION (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-42, APPLICATION FOR WELL LOCATION AMENDMENT (Revised 8/2008)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-44, RESIDENTIAL WATER WELL PERMIT APPLICATION (Revised 7/2009)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-45, GENERAL PURPOSE Water Well Permit Application (Revised 7/2009)
Form to be used to apply for commercial, industrial, municipal, irrigation, feed lot, geothermal, recovery wells, and other uses....
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-46, MONITORING/OBSERVATION Water Well Permit Application (Revised 7/2009)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-51, NOTICE OF INTENT TO CONSTRUCT MONITORING HOLE(S) (Revised 08/2008 Adobe Acrobat (pdf) Format)
GWS-62, NOTICE OF INTENT TO CONSTRUCT DEWATERING WELL(S) (Revised 2/2005)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-72, GEOEXCHANGE SYSTEM LOOP FIELDS PERMIT APPLICATION
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-78, ROOFTOP PRECIPITATION COLLECTION SYSTEM (Revised 7/2009; PDF Format)

4. Well Permitting - Instructions Top

GWS-02, WELL PERMIT INFORMATION, PERMITS APPROVED PURSUANT TO CRS 37-90-137(2) (Revised 6/2009 Adobe Acrobat (pdf) Format)
GWS-05, INFORMATION FOR WELL PERMITS APPROVED PURSUANT TO CRS 37-90-105 DOMESTIC, LIVESTOCK AND EXEMPT COMMERCIAL USES (Revised 6/2009 Adobe Acrobat (pdf) Format)
GWS-07, INFORMATION FOR WELL PERMITS APPROVED PURSUANT TO CRS 37-92-602 HOUSEHOLD, DOMESTIC, LIVESTOCK AND EXEMPT COMMERCIAL USES (Revised 6/2009 Adobe Acrobat (pdf) Format)
GWS-11, CHANGE IN OWNERSHIP/ADDRESS. CORRECTION OF THE WELL LOCATION. (In Spanish, Revised 11/2008 Adobe Acrobat (pdf) Format)
GWS-12, REGISTRATION OF EXISTING WELL (In Spanish, Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-23, Information For Non-Exempt CRS 37-90-137(4)Permits (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-41, WELL PERMIT INFORMATION, PERMITS APPROVED PURSUANT TO CRS 37-90-107 (Revised 9/2008 Adobe Acrobat (pdf) Format)
GWS-55, WELL PERMIT INFORMATION, PERMITS APPROVED PURSUANT TO CRS 37-90-111(1)(c) C.R.S. (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-60, Information to Determine the Location of a Well (Adobe Acrobat (pdf) Format)

5. Well Permitting - General Top

GWS-09, WELL ABANDONMENT REPORT (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-10, STATEMENT OF BENEFICIAL USE (Revised 2/2005)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-11, CHANGE IN OWNER NAME/ADDRESS/CORRECTION OF THE WELL LOCATION (Revised 1/2009)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-13a, FIELD INSPECTION REPORT
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-31, WELL CONSTRUCTION AND TEST REPORT (Revised 04/2005)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-32, PUMP INSTALLATION AND TEST REPORT (Revised 08/2008)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GWS-38, 600 FOOT WELL SPACING STATEMENT
GWS-38a, 600 FOOT WELL SPACING STATEMENT (Multiple Wells) (Adobe Acrobat (pdf) Format)
GWS-39, SUPPLEMENTAL TEST REPORT
GWS-57, COMMERCIAL DRINKING AND SANITARY WELL WORKSHEET (Adobe Acrobat (pdf) Format)
GWS-64, GENERAL REQUEST FOR EXTENSION OF WELL PERMIT EXPIRATION DATE (Revised 6/2009 Adobe Acrobat (pdf) Format)
GWS-68, EXISTING WELL INFORMATION AND INSPECTION FORM (Revised 02/2005 Adobe Acrobat (pdf) Format)
GWS-70, Refund Request Form (Revised 11/2005 Adobe Acrobat (pdf) Format)
GWS-71, NON-EXEMPT REPLACEMENT SUPPLEMENTAL INFORMATION FORM (Adobe Acrobat (pdf) Format)
GWS-77, Water Dist. Non-Opp. Consent Form (Revised 9/2008 Adobe Acrobat (pdf) Format)
GX-01, GEOEXCHANGE LOOP FIELD CONSTRUCTION AND TEST REPORT (Revised 01/2006)
Adobe Acrobat (pdf) Format | Word Template (.dot) Format
GX-02, Application For Certification (Revised 09/2008 Adobe Acrobat (pdf) Format)
RECOVERY WELL CALCULATION SHEET AND INSTRUCTIONS (Adobe Acrobat (pdf) Format)
Well Search Information Requirements (Records Request) (Adobe Acrobat (pdf) Format)

6. Subdivision Water Supply Plan Top

GWS-76, Water Supply Information Summary (Revised 2/2005 Adobe Acrobat (pdf) Format)

Water Basins

1. Denver Basin Top

GWS-01, NONTRIBUTARY GROUND WATER LANDOWNERSHIP STATEMENT (Revised 3/2005 Adobe Acrobat (pdf) Format)
GWS-3a, NONTRIBUTARY GROUND WATER CONSENT CLAIM (Revised 10/2006 Adobe Acrobat (pdf) Format)
GWS-3b, NONTRIBUTARY GROUND WATER CONSENT LANDOWNERSHIP STATEMENT (Adobe Acrobat (pdf) Format)
GWS-21, NOTIFICATION OF DRILLING CONTRACTOR (Adobe Acrobat (pdf) Format)
GWS-22, REQUEST FOR EXTENSION OF EXPIRATION DATE For Well Permits Issued Pursuant to CRS 37-90-137(4)Only (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-43, NONTRIBUTARY LANDOWNERSHIP OR CONSENT VERIFICATION OF NOTICE (Adobe Acrobat (pdf) Format)
GWS-47, WELL PERMIT INFORMATION, PERMITS APPROVED PURSUANT TO CRS 37-90-107(7) (DENVER BASIN AQUIFER WELLS LOCATED IN DES. BASINS) (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-47-A, WELL PERMIT INFORMATION, PERMITS APPROVED PURSUANT TO CRS 37-90-107 AND 37-90-111(5) (DENVER BASIN AQUIFER WELLS LOCATED IN DES. BASINS) (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-56, NOTICE OF COMMENCEMENT OF EXTRACTION OF RECHARGEd GROUND WATER (Adobe Acrobat (pdf) Format)

2. Designated BasinsTop

DBB-003, Administrative Reporting - Meter Information (Revised 3/2004 Adobe Acrobat (pdf) Format)
DBB-004, Administrative Reporting - Meter Readings (Revised 3/2004 Adobe Acrobat (pdf) Format)
DBB-005, Application for Expanded Acres/ Change of Use/Relocation/ Additional Commingling Info. (Revised 6/2006 Adobe Acrobat (pdf) Format)
DBB-006, Application for Commingling of Wells (Revised 8/2008 Adobe Acrobat (pdf) Format)
DBB-007, Application for Change of Description of Acres (Revised 6/2006 Adobe Acrobat (pdf) Format)
DBB-010, Application for Alternate Points of Diversion (Revised 8/2008 Adobe Acrobat (pdf) Format)
DBB-011, Waiver of Claim to Injury (Revised 3/2004 Adobe Acrobat (pdf) Format)
DBB-012b, Application for Change of Permit Location of a Well (Revised 6/2006 Adobe Acrobat (pdf) Format)
DBB-013, Administrative Reporting Three-Year Modified Banking (Adobe Acrobat (pdf) Format)
DBB-014, Three-Year Modified Banking Worksheet (Adobe Acrobat (pdf) Format)
DBB-015, Request to Register in Water Conservation Program (Adobe Acrobat (pdf) Format)
DBB-016, Application to Reduce Permitted Acres and Authorized Annual Appropriation (Revised 6/2006 Adobe Acrobat (pdf) Format)
DBB-017, Petition for Reinstatement of a Well Permit Issued By The Colorado Ground Water Commission (Adobe Acrobat(pdf) Format
DBB-018, Well Owner's Statement and Request to Cancel a Well Permit (Revised 3/2003 Adobe Acrobat (pdf) Format)
DBB-019a, Power Consumption Coefficient Rating for Electric Pumps (Revised 3/2003 Adobe Acrobat (pdf) Format)
DBB-019b, Pump and Motor Efficiency Test Form (Adobe Acrobat (pdf) Format)
DBB-20, Well Owner’s Statement and Request to Cancel a Well Permit (EQIP Funding) (Adobe Acrobat (pdf) Format)
DBB-21, Well Owner’s Statement and Request to Cancel a Well Permit (CREP Funding) (Adobe Acrobat (pdf) Format)
DBB-22, Well Owner’s Statement and Request to Cancel a Well Permit (AWEP Funding) (Adobe Acrobat (pdf) Format)
GWS-19, NOTICE OF COMMENCEMENT OF BENEFICIAL USE For well permits issued pursuant to CRS 37-90-107(7) or 37-90-111(5) (Revised 1/2005 Adobe Acrobat (pdf) Format)
GWS-48, NONTRIBUTARY GROUND WATER CONSENT CLAIM FOR AREAS IN A DESIGNATED GROUND WATER BASIN (Adobe Acrobat (pdf) Format)
GWS-52, NONTRIBUTARY GROUND WATER DEEMED CONSENT CLAIM (Revised 3/2003 Adobe Acrobat (pdf) Format)
GWS-53, APPLICATION FOR DETERMINATION OF WATER RIGHT WITHIN A DESIGNATED GROUND WATER BASIN PURSUANT TO SECTION 37-90-107(7) C.R.S. (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-58, SUPPLEMENTAL INFORMATION FOR SMALL CAPACITY COMMERCIAL WELL PERMIT APPLICATIONS For Wells Located Within Designated Ground Water Basins (Adobe Acrobat (pdf) Format)
GWS-61, COMMERCIAL SMALL CAPACITY WELL WATER USE BREAKDOWN WORKSHEET For Wells Located Within Designated Ground Water Basins (Revised 3/2003 Adobe Acrobat (pdf) Format)
GWS-67, APPLICATION TO CHANGE A DETERMINATION OF WATER RIGHT PURSUANT TO SECTION 37-90-111(1)(g), C.R.S. (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-69, APPLICATON FOR APPROVAL OF A REPLACEMENT PLAN WITHIN A WITHIN A DESIGNATED GROUND WATER BASIN PURSUANT TO SECTION 37-90-107.5, C.R.S. (Revised 6/2006 Adobe Acrobat (pdf) Format)
GWS-75, STATEMENT AND REQUEST TO CANCEL A DETERMINATION OF WATER RIGHT (Adobe Acrobat (pdf) Format)

Water Divisions

Divisions 1 - Republican River Basin Top

Form 3.1 - Notice of Totalizing Flow Meter, Re-Verification, Installation or Replacement (Adobe Acrobat (pdf) Format)
Form 3.2 - Notice of Power Consumption Coefficient Rating and Re-Rating (Adobe Acrobat (pdf) Format)
Form 7 - Notice of Inactivation (Adobe Acrobat (pdf) Format)
Form 7.1 - Notice of Reactivation (Adobe Acrobat (pdf) Format)
Form 11 - Standard Variance Request From Rules Governing the Measurement of Ground Water Diversions Located in the Republican River Basin (Adobe Acrobat (pdf) Format)
Form 11A - Variance Request for Alternative Method of Measurement Using Power Meters and Associated Power Conversion Coefficient (Adobe Acrobat (pdf) Format)
Form 6.1 - Annual Water Use Reporting (Adobe Acrobat (pdf) Format)

Division 2 - Arkansas River Basin Top

Form 3.1 Notice of Totalizing Flow Meter Re-Verification, Installation or Replacement (Adobe Acrobat (pdf) Format)
Form 3.2 Notice of Power Consumption Coefficient Rating or Re-Rating (Adobe Acrobat (pdf) Format)
Form 3.2 Supplemental Electric Hour Meters (Hour Meters) (Adobe Acrobat (pdf) Format)
Form 7 Notice of Inactivation (Adobe Acrobat (pdf) Format)
Form 7.1 Notice of Reactivation (Adobe Acrobat (pdf) Format)
Form 11 Request For Variance From Ammended Rules Governing The Measurement Of Tributary Ground Water Diversions Located In The Arkansas River (Adobe Acrobat (pdf) Format)

Division 3 - Rio Grande River BasinTop

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