2021-04-02_REVISION - M1980131

• Permit No: M1980131
• IBM Index Class Name: Revision
• Doc Date: 4/2/2021
• Doc Name: Documentation of Well Application Submittal
• From: Ben Langenfeld
• To: DRMS
• Type & Sequence: TR4
• Email Name: RAR
• Email Name: JLE
• Media Type: D
• Archive: No

Form No.
COLORADO DIVISION OF WATER RESOURCES
For Office Use only
GWS-27
DEPARTMENT OF NATURAL RESOURCES
01/2020
1313 Sherman St., Ste 821, Denver, Colorado 80203
Phone: (303) 86( .2223
DWR Web: dwr.colorado. ov Email: dwr ermitsonline state.co.us
REVIEW INSTRUCTIONS PRIOR TO COMPLETING FORM
GRAVEL PIT WELL PERMIT APPLICATION
1.
TYPE OF PERMIT
❑ NEW PIT(S)
❑
PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980
2.
APPLICANT INFORMATION
NAME(S) ELAM CONSTRUCTION
Mailing Address 556 STRUTHERS AVE
City, St. Zip GRAND JUNCTION, CO 81501
Phone (wl area code) (970} 242-5370 Email: I'[e-mail]
3.
CONS ULTANTIATTORNEYIOPERATOR CONTACT (If different than 92)
NAME(S)
PIT NAME Bunn Pit
Mailing Address
City, St. Zip
DRMS NO. M-1980-131
Phone (wl area code) Email:
4.
GENERAL LOCATION OF PIT(S): COUNTY MOFFAT
114 114, Sec. 5 & 6 Twp. 6 21 N. rram; ' S., Range 90 ❑ E. I^ W. Sixth P.M.
5.
Estimated maximum water surface to be exposed: 105 Acres. Number of Pits 11
6.
Estimated depth of pit(s) 20-40 Ft. Estimated depth to groundwater 0-10 Ft.
7.
Estimated date to expose groundwater 08/27/1990 ; date to complete mining 01/01/2030
8.
ATTACHMENTS: (Check which have been attached.)
(a) Scaled map of pit area with range, township, & section clearly identified (REQUIRED). See Attachment A
(b) ❑ Copy of the reclamation permit, if applicable.
(c) ❑ Copy of pre 1115/89 water conservancy dist. or water user assoc. augmentation agreement, if applicable.
(d) ❑ Copy of proposed substitute water plan or augmentation plan application, if applicable.
(e) ❑ Copy of court approved augmentation plan, if applicable. Case No.
(f) Other Legal Description (Attachment B); Uses (Attachment C); 600-Ft Spacing Statement (Attachment D)
9.
Detailed description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amount of
diversion of any water withdrawn from the pond.
Water will be pumped from the pits for industrial uses associated with sand and gravel production.
Please see Attachment C.
10.
Will dewatering occur within the DRMS permit boundary fx' Yes f— No
11.
1 (we) have read the statements made herein and know the contents thereof, and that they are true to my (our)
knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury
in the second degree and is punishable as a class 1 misdemeanor.]
Sign or ent n of submitter
If signing print name & title
Date (mmldd/yyyy)
Jim Doody Environmental Manager
03/17/2021
For dffice Use only
Court Case No. Div, Co. WD Basin MD Use