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STATE OF COLORADO F«off"u,.«,y <br /> OFFICE OF THE STATE ENGINEER <br /> M C.nl.tukW Bldg., 1313 shwm.n SL.Denw.c4iorn& e0203 <br /> r E. ��� �i 1 <br /> SEE 'NSTRUCTIONS ON REVERSE SIDE <br /> APR 26 01 <br /> aRAVEL PIT WELL PERMIT APPLICATION <br /> TYPE OF PERMIT C',; R <br /> CCL3. <br /> ❑NEW PT(S)APPLICATION DENIED- FILE NO. AD�13O <br /> ❑PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 19M <br /> aREACTNATiON OF PRE .lAN. 1 1981 PITS ` <br /> 2. OWNER <br /> FEB 0 4,93 <br /> �• <br /> NAME(S) Builder ' s Aggregate Co. , Inc. y <br /> Mailing Address 915 W. Beaver Ave. <br /> City, St Zip Fort Morgan, Colo. 80701 c <br /> Phone C303 867-6334 <br /> r• <br /> i <br /> 3. ADDRESS OF OCAL CONTACT (ff different than #2) <br /> NAME(S) James S. Miner <br /> Mailing Address same as above <br /> City, St. Zip <br /> Phone <br /> 4. GENERAL LOCATION OF PIT(S)• COUNTY {1101�6'-14N . <br /> s� 21Y4 NW 1/4, Sec. 31 TwP• 4 0 N. ❑S., Range 5_ 8 ❑ E. O W. 6 t h P.M. <br /> Total number of water surface acres (to be) exposed 4 .57 . Total Number of Pits o n e <br /> 6. Estimated total depth of pit 3_Of t. . Estimated depth to groundwater n/a <br /> 7. (a) Estimated date to begin excavation Jun 68 ,to complete excavation On q0 i n <br /> 8. ATTACHMENTS: (Check which have been attached.) <br /> (a) R Scaled map of pit area tied to a Section or 1/4 Comer (Required). <br /> (b) 0 Copy of the reclamation permit if applicable. <br /> (c) O Copy of Pre 1/15189 Water Conser_ancy Dist, or Water User Assoc. Augmentation Agreement if applicable <br /> (d) M x I Copy of proposed Augmentation or Temporary Supply Plan if applicable. <br /> 0.) ❑ Copy of Court approved Augmentation Plan if applicable. <br /> (f) 0 Other additional maps <br /> 9. Detailed description of the use and method of diversion of any water withdrawn from the pond. <br /> see attached description of operation <br /> 0. 1 (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) <br /> knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perju <br /> in the second degree and is punishable as a class 1 misdemeanor.] <br /> Name/Title (Ph..."a w„a) =ignatureDate <br /> James K. Miner, President19 Apr 91 <br /> � <br /> Fa 0ff"uw a4 APPLICATION DENIED; FILE No. AD- 3 a$Z <br /> Court Case No. Div. —�_ Co. WD o / Basin MD Use <br />