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<br /> <br />n')~,~".1'I <br />.. v..: v...... J <br /> <br />.PRoar NO. . <br /> <br />:HHlI1 <br /> <br />THE STATE OF WYOMING <br /> <br />NO'I'I. <br />.~ltalT~ <br />10-02-1992 - sd. <br /> <br />Proof of Construction of Reservoir <br /> <br />MICRO <br />FlLMlO JUN 2 I 1993 <br /> <br />PERlIIIT NO 6537 t. RlIlSERVOIR <br />NAME OF RESERVO BArD (Lake Own) Res. <br />SOURCE OF WATER SUPPLY ~so er...k <br />TRIBUTARY OF North Plotte .er <br /> <br />DAT!: OF PRlOR!TlI: <br />STORAGE CAPAcrn: <br /> <br />Mn A 1Glil!. <br />7'Ul AA ACRE FEET <br /> <br />1. Nnme of lIlelmont C1t:Y of Cl1evenne Board of l'UbJ.io Utilitieo <br />2. Postotflc. ~21M PfONilA1" AVRm1A. ~1\1'\A I1tatA WVanina Zip A')nn1 <br />S. Are 3'OU orhrlnftJ appUcant for this Permit? If not, what evidence shows your Interat in this reservofl'? <br /> <br />4. Was rl!!er,'~ir located and constructed according to tenns of the permit and maps on fUe in the Smte Engineers <br />Office" Jf not, state exceptions.. <br /> <br />5. Ha~ wuter been "tored in reservoir each year ~dnce its completion 1__ It not. state exceptions and reMan! <br />therefor. _ <br />6. Have an no~ice.~ required In connection with this permit been tUed in the State Engineers Office? <br />7. Are thel'e :1)1)' d~pendent secondary pennita? If 80,. give number. <br />8. State lnmeffclal use for which water 18 storerl Mnnil:iDlll] IndnAf"rilll T,.,.iIAf'inn <br />9. Reservoir is anI off channel and (also) receives water from <br /> <br />P81.1Ilit No <br /> <br />Give IoeaU.,b of reservoir, County Albany SubdivisloJ'l <br />tJri'!I.rlid.r.;~ and~. ~. SRlIA.C;l'Rl/A Be<" ,~ <br />10. THE STA-rk OF WYOMING r' District No. 4 <br />f Lar-~e Division No. -r_ <br />COllnt:.. 0 _CWLL <br /> <br />I, J~ome H. Hark , being first duly sworn, do depose and say tbat I have read <br />the above proof of construction of reaervoir; that I understand the eontentl thereof: and that the facts stated <br />herein are erue. <br /> <br />Sf!!a+.inn3fi:~. <br />T 11. ltf.,-R7A W. <br /> <br />Subscribed "nd sworn to before me this <br />1- do)' of f)8~A'U'l.& , 19..f.L. <br />.~ E-: ~ :. J' ... <br /> <br />do..-wft4Z t4. tUuL <br />--";,-",10.- ~ -'6211;, Cf!J/rfJ.Q.. <br /> <br />6J~Mr'.~: <br />. <br />11. Report of DI\:'islon Superintendent Field Inspection aT' <br /> <br />4th <br /> <br />day nf AURust <br /> <br />.19.ll... <br /> <br />Length of dam 275 <br />Width at _ on. top 20 <br />Ma:dmnm heiS{ht of dftJ1t . <br />see plans <br /> <br />feet <br />-feet <br />feet <br /> <br />Slope of face <br />Slope of back <br />Width of aplllwoy <br />~eboard <br /> <br />, <br />2 <br /> <br />to one <br />to on& <br />feet <br />-feet <br /> <br />Pit Messurements: <br />"Length _ feet. <br />Width .______ feet <br /> <br />Method of protection frf"lm wuves <br /> <br />Were 1111 conditions of pennit fulfilled? <br /> <br />If not, desc:ribe deflclencl- <br /> <br />Do yotl recommend this proo! be aI1owed? <br /> <br />Other Comn1enta <br /> <br />Note: Also ....... for allocbed, detoqed iMpoellon report. <br />Filed In ttM otftce at the State Bo,r4 at Control <br /> <br />~~ .....'~.-- ~_. .~ <br /> <br />~. ~~-'~. ~L::. ~ <br />Ex..omcloc s.cretal'J'. State ~; at Control <br />'eel Paid , \bOO Rlc.No'\\~~L <br /> <br />Feu Paid. 10.00 <br />3rd ""y 0' December <br />J~~.ro.;. ClJ 11...... <br />0= y.... - .-1,__.., <br /> <br />.0.2!.. <br /> <br />.. <br /> <br />WhUe. Baud or Control Cenn, . W.'.r eo",,,,llllon Pink. Superlnh:mdent. File <br /> <br /> <br />.' <br /> <br />~ <br /> <br />;"" ,,/u,' ~!j <br /> <br />,'..'. <br />