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G-18 <br /> ® Regulatory Program <br /> APPROVED JURISDICTIONAL DETERMINATION FORM <br /> U.S. Army Corps of Engineers <br /> This form should be completed by following the instructions provided in the Approved Jurisdictional Determination <br /> Form User Manual. <br /> SECTION 1: BACKGROUND INFORMATION <br /> A. COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): August 27, 2019 <br /> B. ORM NUMBER IN APPROPRIATE FORMAT(e.g., HQ-2015-00001-SMJ): NWO-2019-01210-DEN <br /> C. PROJECT LOCATION AND BACKGROUND INFORMATION: <br /> State: Colorado County/parish/borough: Weld City: Unincorporated <br /> Center coordinates of site(lat/long in degree decimal format): Lat. 40.147026°N, Long, -104.490657°W. <br /> Map(s)/diagram(s) of review area (including map identifying single point of entry(SPOE)watershed and/or potential <br /> jurisdictional areas where applicable) is/are: ®attached ❑ in report/map titled <br /> ❑ Other sites (e.g., offsite mitigation sites, disposal sites, etc.)are associated with this action and are recorded on a <br /> different JD form. List JD form ID numbers (e.g., HQ-2015-00001-SMJ-1): <br /> D. REVIEW PERFORMED FOR SITE EVALUATION: <br /> ❑ Office(Desk) Determination Only. Date: <br /> ® Office(Desk)and Field Determination, Office/Desk Date(s): August 27, 2019. Field Date(s): July 29, 2019. <br /> SECTION II: DATA SOURCES <br /> Check all that were used to aid in the determination and attach data/maps to this JD form and/or references/citations <br /> in the administrative record, as appropriate. <br /> ® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant. Title/Date: Fig, 1, Topographic <br /> Basemap; and Fig. 2, Aerial Basemap, Rettew&Associates, April 18, 2019 <br /> ® Data sheets prepared/submitted by or on behalf of the applicant/consultant. <br /> ® Office concurs with data sheets/delineation report.. Title/Date: Rettew&Associates, December 20, 2018. <br /> ❑ Office does not concur with data sheets/delineation report. Summarize rationale and include information <br /> on revised data sheets/delineation report that this JD form has relied upon: Revised Title/Date: <br /> ❑ Data sheets prepared by the Corps. Title/Date: <br /> ❑ Corps navigable waters study. Title/Date: <br /> ❑ CorpsMap ORM map layers. Title/Date: <br /> ❑ USGS Hydrologic Atlas. Title/Date: <br /> ❑ USGS, NHD, or WBD data/maps. Title/Date: <br /> ® USGS 8, 10 and/or 12 digit HUC maps. HUC number: HUC8: 10190003; HUC12: 101900030805. <br /> ® USGS maps. Scale&quad name and date: 1:24,000—Tampa; 2016. <br /> ❑ USDA NRCS Soil Survey. Citation: <br /> ❑ USFWS National Wetlands Inventory maps. Citation: <br /> ❑ State/Local wetland inventory maps. Citation: <br /> ❑ FEMA/FIRM maps. Citation: <br /> ® Photographs: ®Aerial. Citation: Google Earth, 1993-2018. or® Other. Citation: Site photographs by consultant. <br /> ❑ LiDAR data/maps, Citation: <br /> ❑ Previous determinations. File no. and date of jurisdictional determination letter: <br /> ❑ Applicable/supporting case law: <br /> ❑ Applicable/supporting scientific literature: <br /> ® Other information (please specify): This AJD prepared in accordance with the 2015 Clean Water Rule. <br /> Keenesburg No. 2 Mine_112 Reclamation Operation—November 22, 2019 <br />