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iCOLORADO
<br />f Division of Water Resources
<br />i
<br />Www. water.state. cola
<br />LIVESTOCK WATER TANK'
<br />This notice is required per Sectlon 35-49-101, C.R.S. (1998) and must be submitted to the Division Engineer's Office a
<br />minimum of 45 days prior to construction with a filing fee of $15 payable to: Colorado Division of Water Resources,
<br />OWNER INFORMATION
<br />Name. wisd
<br />y,(!"A ��1`'l.)c2x-y e[
<br />Telephone/E-Mail: T�.0 r�iirl_ `'I�.r/i3 /I%Yln-iaal
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<br />d;.77[nr,ce,`/. ce�
<br />Address;
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<br />Street 1 P.O. Box/ Rural Route
<br />City State
<br />Zip Code
<br />Responsible Person: f(1c' Lnt,ciWelephonelE-Mail:
<br />(-LW Ci I'] 9A93/
<br />Address:
<br />P �r.5 (, 1't�.
<br />5 - y Gil
<br />Street / P.O. Boxt Rural Route
<br />City State
<br />Zip Code
<br />Contractor.
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<br />to C o,
<br />Telephone/E-Mail: 3[ 31q35- 3A7/11
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<br />STRUCTURE INFORMATION
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<br />Name of Tank: J U � 4� rx-)5 J 0
<br />Water Division: Water District:
<br />Location: (Provide Section, Township, Range, and GPS Point taken at crest of dam above sireamline%utlet)
<br />L .r
<br />-Section- Township. 6f) ,Range: (o T P -M,
<br />- Northing c� 31 r • 13 4 meters, Easting�L, i1. Da �2 _meters (Datum should be UTM, NAD 83)
<br />Tank Dimensions: (u, �,lc ,g 1C)c_0, e.A I �, C,IaY mN nQ, P AJ J�,c c - .5 "046-,
<br />-Vertical Heightz: 1� ft., Length: ft., Crest Width: ft., Slopes: UIS: (H:1V), D/S (HAV)
<br />sw, nit
<br />Reservoir:
<br />- Is Water Course Normally Dry? Ye.� (Estimated to be dry 80 percent of the time)
<br />» Surface Area, 0."1 9�, acres, Capacity': —5 , Q acre-feet, Drainage Area": acres
<br />'(If drainage area is unknown leave blank and a spillway size will be assigned):
<br />Emeraencv Spillway: (See Table 1, Spillway Sizing Guidelines)
<br />- Bottom Width, ft., Side Slopes: H:1V, Freeboards: ft
<br />Outlet Conduit:1
<br />1 0 C—A A �. y Sr,+ t - 5 f1 0
<br />� t•�ty � r � � � e` X' �.
<br />- Type: , Size: inches, Location:
<br />Stream Name or Water Source : D om, '(a.�.nt� �`� �,r� r�,r,� rJ c t.nk �fl k
<br />Signature of✓Owner Date
<br />DIVISION ENGINEER'S REQUIREMENTS,
<br />Signature of State Engineer Date�igMat of Division Engineer Dat±e�
<br />DWR (05116) ��ptN9 File No �'7 ?3
<br />1 A "Livestock water Tank' Is a reservoir created by a'dem Itacityof 10 acre-feet or less and a vertical het h foots ci Q ( ote 2) 15 feel or less Livestock Water Tanks
<br />are regulated and subject to the authority of the State Engineer consistent with sections 35-48-102, 35.49-108, and 35-49-107 C R 5
<br />2 Vertical Height- Is measured from the elevation of the lowest point of the natural surface of the ground or the Invert of the outlet conduit (whichever is lower) where that point
<br />occurs along the long.tudinal centerline of the dam up to the west of the emergency spillway of the dam
<br />,'Freeboard' Is the vertical distance from the bottom of spillway to the pest of the dam Knimum Freeboard Is 3 -ft.
<br />If construction in reservoir Intercepts groundwater, a well permit is required (Well permit applications can be found at www.water.state.co.us)
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