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3. Contractor Information <br />First Name <br />Middle Initial Last Name <br />Unknown <br />Name of Company <br />Email Address <br />Phone Number <br />F-- <br />State <br />Mailing Address <br />City <br />I <br />� I <br />� F <br />4. Name of Dam <br />9A-P3 <br />5. Dam Location <br />To determine the location information, please use the Location Spotter at: <br />https•//dwr state.co.us/Tools/LocationConverter <br />Water Division Water District <br />Division 6 (Steamboat/ Yampa/White Drainage �44 - Lower Yampa River <br />Suffix <br />Zip Code <br />F --1 <br />PLSS <br />Q40 Q160 Section Township Range PM County <br />NW SE 30 6.0 QN OS 91.0 OE (�)W Moffat <br />GIPS Location <br />• Point taken should be at the crest of the dam above the streamline/outlet <br />• Datum should be UTM, NAD 83 <br />Zone Easting (UTMx) Northing (UTMy) <br />Zone 13 �275891,2 �4480514.91 <br />b. Tank Dimensions <br />Vertical Length (ft) Width (ft) Upstream Downstream <br />Height (ft) (Horizontal : 1 Vertical) (Horizontal : 1 Vertical) <br />Dam: 11 30 Crest: 8,75 Slopes:2:1 PA <br />' Vertical Height is measured from the elevation of the lowest point of the natural surface of the ground or the invert of the outlet <br />conduit (whichever is lower) where that point occurs along the longitudinal centerline of the dam up to the crest of the emergency <br />spillway of the dam. <br />7. Reservoir <br />Stream Name or Water Source Unknown <br />The Water Course must be dry 80% of the time to qualify. <br />Surface Area (acres) Capacity (acre-feet) Drainage Area (acres)' <br />�0.13 0.46 <br />' If the drainage area is unknown, leave blank and a spillway size will be assigned <br />DRS-11: Application for Livestock Water Tank and Erosion Control Dam - Page 2 of 3 <br />