2020-12-23_PERMIT FILE - C1981044 ‎(5)‎

• Permit No: C1981044
• IBM Index Class Name: Permit File
• Doc Date: 12/23/2020
• Section_Exhibit Name: Exhibit 18B Permanent Pond Demonstrations
• Media Type: D
• Archive: No

C O L O R A D O Application for Livestock Water Tank
1 C4� oke Division of Water Resources and Erosion Control Dam
® Department of Natural Resources DRS-11 (01/2020)
Application Instructions
For Livestock Water Tank Applications: For Official Use Only
This application is required per Section 35-49-106, Receipt/Priority WDID:
C.R.S. and must be submitted electronically to the Number:
State Engineers Office Online Form Submission Email
account DWRPermitsOnline@_state.co.us a minimum Payment Reference Number: 2564
of 45 days prior to construction. A filing fee of$15.00
is required for Livestock Water Tanks unless the dam Date Received:08/05/2020 Date Approved:
vertical height does not exceed 5 feet and the Digitally signed by Erin C.H.Light
structure impounds less than 2 acre feet of water. Approver's Signature: Erin C. H. Light Date:2020.12.04 13:25:10-07'00'
After submitting this form to
[e-mail],you'll be provided Approver's Name:
with the payment options.
Livestock Water Tanks are regulated and subject to the authority of the State Engineer consistent with sections 35-49-101
through, 116, C.R.S.
For Erosion Control Dam Applications:
This application is required per Section 37-87-122, C.R.S. and must be submitted electronically to the State Engineer's
Office Online Form Submission Email account [e-mail] a minimum of 45 days prior to construction.
A filing fee of$15.00 is required for Erosion Control Dam and after submitting this form to [e-mail],
you'll be provided with the payment options.
Erosion Control Dams are regulated and subject to the authority of the State Engineer consistent with section 37-87-122,
C.R.S.
Additional Information:
Additional information,including beginners guides to Livestock Water Tanks and Erosion Control Dams,is available at
www.colorado.gov/water
1. Application Type
Livestock Water Tank
Will the structure be used for livestock watering use and no other use? Yes No
Erosion Control Dam
Will the structure be used to control erosion with no use of the water Yes No
stored or detained behind the dam?
2. Responsible Parties
First Name Middle Initial Last Name Suffix
Miranda I L iKawcak
Name of Company (if applicable)
P eabody
Phone Number Email Address
1970-870-2718 [e-mail]
Mailing Address City State Zip Code
129515 RCR 27 Oak Creek CO 180467
1313 Sherman Street,Room 821,Denver,CO 80203 P 303.866.3581 www.colorado.gov/water
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