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DW R 1/91 STATE OF COLORADO ff —QL = <br />DMSION OF WATER RESOURCES County <br />OFFICE OF STATE ENGINEER W. Div. 4'r Dlst"57 <br />Stream No. <br />---------------------------------------------------------- ------------ <br />-------------------------------------- } - - - -7 ---- - - - - -- <br />APPLICATION FOR LIVESTOCK WATER TANK: <br />Name d TOM <br />This application and statement is made in conformity with the provisions of the Livestock Water Tank Act of Colorado, <br />CRS 35-49 -101. <br />This application must be accompanied by a filing fee of fifteen dollars payable to the State Engineer of Colorado, AND <br />FILED IN TRIPLICA Type or use ink. <br />g4-11637. G .� N ��c t-► CG i� 3 <br />Tank located in the '' `� �E Quarter of Section Z2- Township, Ran e ^,' LtJ P.M. <br />Water course on which tank is located Llr} - t74 Trib. to <br />Is water course normally dry? ✓ (Estimated to be dry 80 percent of time) <br />Approximate area of drainage basin above tank /G Acres. <br />Vegetative cover above tank: Cultivated Pasture , s--- Forest , Brush - <br />Topography of drainage basin: Steep , Medium J- - , Fiat <br />Character of surface formation of drainage basin: Rock Rocky Soil t/ Soil <br />Approximate elevation of drainage basin above sea level feet. <br />Height of top of dam above bottom of water course _ ?� feet. <br />Height of bottom of spit" above bottom of water course feet. <br />Approximate capacity of tank c:. CZ- acre feet, High water line area /. acres. <br />Location of spillway with respect to dam <br />Bottom width of spillway at narrowest point c') feet. <br />Distance of lower end of spillway below dam ZG feel (Must be at least 20 feet) <br />Formations in which spillway is located: Rock , Shale , Clay <br />Earth or Mixture of Soil and Rock yi <br />Width of top of dam e5 feet. Length of dam feel <br />Slope of upstream face of dam �W ,' 121 . Slope of downstream face of dam I.- <br />Kind and size of outlet pipe Pqr,- <br />Nature of riprap or other protection to be placed over water face of dam <br />Give location by sectign township and range of every other stock tank now constructed on drainage basin on which this tank <br />will be located /\/ C t Lc-- <br />five <br />'.j iM•; <br />MINIMUM DIMENSIONS OF <br />MAXIMUM CROSS - SECTION OF DAM <br />Owner <br />"..7 <br />. ` —p <br />N' -P�3 <br />