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NORM NQ SXATE OF COLORADO For ofm <br /> COVED 4" <br /> OFFICE OF THE STATE ENGINEER <br /> aW Centennial BMS,1313 Sherman Sz.,rNmvtr,Cokoft 8O203 <br /> (303)866-3581 DEC <br /> .31 ,90 <br /> SEE INSTRUCTIONS ON REVERSE SIDE WATER REM"= <br /> 't4sou'zi- STATE 4 ER&M <br /> GRAVEL PIT WELL PERMIT APPLICADON , MA <br /> 1. n?E OF PERMIT y L A(,C <br /> NEW PIT(S) <br /> 032472 <br /> LJ PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980 HKODS P0013 <br /> ❑REACTIVATION OF PRE JAN. 1, 1981 PIT(S) S/11, 410J.910 <br /> TTL 41-14.00) <br /> ­ <br /> NANM(S) A&G Partnership - Attn: Alan Parker!30n 11", <br /> Mailing Address ��24 E-1/4 Road CL-1 ` 2 <br /> �L�930 5 <br /> City, StZip Clifton, CO 81520 <br /> Phone LLO 3 242-8134 <br /> YV.,,T r.y-) <br /> 3. AQ=&gJ-LQCAL,2a= (If different than#2) <br /> NAME(S) Mark A. Hermundstad, Williams, Turner & PIT NAME <br /> Mailing Address P- 0- Box 338 Holmes, P.C. Orchard Grove Industrial <br /> City, St- Zip Grand Junction, CO 8150'2 Park Pit <br /> Phone (-103 242-6262 <br /> 4. GENERAL LOCATION OF PIT(M: COUNTY MESA <br /> SE1/4 SWI/4, Section 5 and <br /> — NE 1/4nW 1/4, Sec. 8 TwP-_ 1 El N. El S.,Range I_ El E. El W. Ute P.M. <br /> 5. Total number of water surface acres (to be) exposed 17 (max) . Total Number of Pits one <br /> 6. Estimated depth of pit 2 2 f e e t,-. Estimated depth to groundwater 4-8 feet <br /> 7. (a) Estimated date to begin excavation Ngypgbgr to complete excavation 2 0 0 5 <br /> & ATTACHMENTS: (Check which have been attached.) <br /> (a) Scaled map of pit area tied to a Section or 1/4 Comer (Required). <br /> (b) Copy of the reclamation permit if applicable. Application for permit has been filed, <br /> but no permit has been issued yet. <br /> (c) ❑Copy of Pre 1/15/89 Water Conservancy Dist. or Water User Assoc.Augmentation Agreement if applicable. <br /> (d) 0 Copy of proposed Augmentation or Temporary Supply Plan if applicable. <br /> (e) ❑Copy of Court approved Augmentation Plan if applicable. <br /> (f) ❑other *and dewatering of pit <br /> 9. Detailed description of the use and method of diversion of any water withdrawn from the pond. <br /> Evaporation from maximum lake area of 17 aqres* (78. 07 af/yr) ; dust— <br /> suppression (1, 84 af/yr) l and 4% product moisture from mined materials <br /> (2. 94 af/yr) . Total: 82. 85 of/yr. See Exhibit A for details, which <br /> Exhibit is incorporated herein by reference <br /> 10.11 (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-+I04 (13)(a) C.R.S., the'making of false statements herein constitutes perjury <br /> in the second degree and is punishable as a class 1 misdemeanor.] <br /> Name/Title (Please type or Prino Pignature ate <br /> Mark A. Hermundstad <br /> Attorney at Law Pq 0-� 10-29-90 <br /> For Office Use only <br /> Court Case No Div. 5- Co. WD Basin MD Use <br />