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

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8. Emergency Spillway (See Table 1, Spillway Sizing Guidelines) Bottom Width (ft) Side Slopes: Freeboard (ft)' Location relative to embankment (facing (Horizontal : 1 Vertical) downstream) 0 2: �2.0 C)Left (�)Right C)No Spillway Freeboard means the vertical dimension between the crest (or invert)of the emergency spillway and the crest of the dam,the minimum is 3 feet. 9. Outlet Conduit Material Type Metal Pipe Diameter (inches) 611 For Livestock Water Tanks Can all water be drained through a gated or ungated outlet?0 Yes No For Erosion Control Dams Can water be drained through an ungated outlet leaving no more than 2 acre-feet in storage? Yes No 10. Dam Status Proposed Existing' If existing, when was construction completed? 1979 'These dams may be subject to modification, alteration, repair, or breach consistent with the authority of the State Engineer. 11 . Sign and Enter Name of Responsible Individual or Authorized Agent • Construction must reasonably comply with the attached standard plans and specifications and the claims made in this application. Dam designs completed by a Professional Engineer and submitted with the application may be accepted as an alternative to the standards. If the State Engineer finds that the construction fails to conform with the application and standards, it is the duty of the owner to make changes the State Engineer determines are necessary. • The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents thereof and state that they are true to my knowledge. Sign or Enter Name(s) of Responsible Individual(s) or Authorized Agent Date 08/05/2020 If Signing Enter Name and Title Miranda Kawcak, Environmental Manager DRS-11:Application for Livestock Water Tank and Erosion Control Dam- Page 3 of 3