2022-05-11_REVISION - M1979089 ‎(2)‎

• Permit No: M1979089
• IBM Index Class Name: Revision
• Doc Date: 5/11/2022
• Doc Name: Request for Technical Revision
• From: Bengineers LLC
• To: DRMS
• Type & Sequence: TR8
• Email Name: ACY
• Email Name: THM
• Email Name: AWA
• Media Type: D
• Archive: No

Form No. COLORADO DIVISION OF WATER RESOURCES For Office Use only
GWS-27 DEPARTMENT OF NATURAL RESOURCES
5/2012 1313 Sherman St.,Ste 821,Denver,Colorado 80203
Phone:[phone] Fax:[phone]
DWR Web:www.water.state._QQ.u_a Email:dwr U_
REVIEW INSTRUCTIONS PRIOR TO COMPLETING FORM
GRAVEL PIT WELL PERMIT APPLICATION RECENF-0
1 TYPE OF PERMIT
NEW PIT(S) JUL 21 MT
PIT(S)EXIST, CONSTRUCTED AFTER DEC. 31, 1980
Replaces Well Permit No.57389 F WITER ReSOWELCP
.......... S?Ah, EM
2, APPLICANT INFORMATION
NAME(S) Ronald E.Tipping&Marie E.Tipping
Mailing Address 1967 Broadway
City, St.Zip Grand Junction, CO 81507
Phone(wl area code) 970-243-2599 Email.
3. CONSULTANTIATTORNEY]OPERATOR CONTACT(If different than#2)
NAME(S) PIT NAME 23 Road Pit
Mailing Address DBMS NO.M-79-089
City,St.Zip
Phone(w\area code) Email:
4. GENERAL LOCATION OF PIT(S): COUNTY Mesa
NE&SE 1/4 SE 114,Sec. 6 Twp. 1 N. Pfl S.,Range 1 ME. W. Ute P.M.
5, Estimated maximum water surface to be exposed: 50 —Acres. Number olPits
6 Estimated depth of pit(s) 28 Ft. Estimated depth to groundwater 6 Ft,
7. Estimated date to expose groundwater 04/01/1988 date to complete mining 12131/2025
8, ATTACHMENTS.(Check which have been attached.)
(a) U Scaled map of pit area with range,township,&section clearly identified(REQUIRED). See Attachment A
(b) Copy of the reclamation permit, K applicable. See Attachment B
(c) Copy of pre 1/15/89 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) F!]Other 600-Foot Spacing Statements(Attachment C)
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of diversion of any water withdrawn from the pond. Dewatering: 1,200 gpm(max).Average total diversions:316.26 ac-ft/yr
Evaporation.202.5ac-ft/yr(Attachment D);Dust Control: 1.84 ac-ft/yr(10,000 gpd and avg 60 days/year); Product
Moisture: 5.89 ac-ftlyr(up to 200,000 tons/yr);Aggregate Washing., 106.03 ac-ft/yr(576,000 gpd and avg 60 daystyr)
10. Will dewatering occur within the DRMS permit boundary V Yes I 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 enter wmg(s)of sbmifter If signing print name&title Date(mmidd/yyyy)
tA 1,1e>17
91 -71,,-
For Office Use only.0'
Court Case No. Div. Co. WID 'Basin MID Os'e
4,0 4 CAC" Vlu.-i e, 4'_ 34PSOF39 4�7 AA 10111/i?