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Contract#: 090521 LW(b) <br /> Map I D#: 614 <br /> Date Activated: 5121/09 <br /> s. SOURCE OF WATER Date Amen ed: 9/21/23 <br /> WEST DIVIDE WATER CONSERVANCY DISTRICT Structure Type:Gravel Pit Structure Name:Sievers Pit <br /> APPLICATION TO AMEND WATER LEASE Source type:Surface_Groundwater X Storage <br /> 818 Taughenbaugh Blvd.#101,P.O.Box 1478,Rifle,CO 81650 Current Well Permit#(attach copy)77077-F <br /> 970-625-5461 waternwdwcd.ore <br /> 9. LOCATION OF STRUCTURE <br /> 1. APPLICANT INFORMATION Assessors Parcel Number 239318300366 <br /> Name: Oldcastle SW Group Inc. d/b/a United Companies <br /> Mailing Address: 2273 River Road, Grand Junction, CO 81505 County: Quarter/Quarter: Quarter: <br /> Garfield N/A N/A <br /> Telephone: 970-243-4900 <br /> Section: Township: Range: P.M. <br /> Email: tyra.bartuska@unitedco.com <br /> 18 7S 88W 6th <br /> Authorized Agent:Tyra Bartuska <br /> Distance of Well from Section Lines: <br /> 2. COURT CASE#: North: N/A East: N/A <br /> Decree/Aug Plan Case Nos:SWSP Plan ID No. 5134 Well location physical address: <br /> 3794 Co Rd 109, Carbondale, CO 81623 <br /> 3. DETAILED DESCRIPTION OF PROPOSED AMENDMENT <br /> Example:Subdivision of land,expansion of use,pond augmentation.etc. 10. LAND ON WHICH WATER WILL BE USED(or attach) <br /> Reduction in required augmentation water supplies for Sievers Gravel Pit <br /> depletions associated with Gravel Pit. <br /> Number of Acres in Tract: 120.1 ac <br /> Inclusion into the District,at Applicant expense,may be required. <br /> Please fill out the applicable sections in Nos. 4— 7 <br /> 11. SEWAGE SYSTEM <br /> 4. RESIDENTIAL USES Septic tank/absorption leach field: Central System: <br /> Number of homes: No ADU's If Central System,District name: <br /> Subdivision:YES NO No.Lots 12. VOLUME OF LEASED WATER(ACRE-FEET) <br /> Home garden/lawn irrigated area(sq It): <br /> Irrigation method:Flood_ Sprinkler Other Minimum of 1 acre-foot except in Alsbury service area. <br /> Non-Commercial animal watering(#). Amended from 29.1 amended to 6.0 <br /> Fire Protection: <br /> Pond Evaporation:Maximum Surface Area(acres) Provide engineering data to support volume of water requested. <br /> Any use of pond other than evaporation,please describe method, Commercial,Municipal,and Industrial Uses MUST provide <br /> rate and annual volume of diversion: diversion and consumption data on a monthly basis. <br /> A totalizing flow meter with remote readout is required to be <br /> installed and usage reported to WDWCD. <br /> 5. COMMERICIAL USES Applicant expressly acknowledges it has had the opportunity to <br /> No.Units Total commercial area(sq ft) review the District's Water Allotment Contract and agrees this <br /> Description of Use(#employees,etc): application is made pursuant and subject to the terms and <br /> condititms contain contaiinq therein. <br /> 6. INDUSTRIAL USES pplicant Signature <br /> Description of Use: <br /> Gravel pit operation including evaporation from exposed <br /> groundwater, aggregate production, and dust suppression Applicant Signature <br /> Pond: YES */ NO 9/6/2023 <br /> Pond Evaporation:Maximum Surface Area(acres) 6.0 <br /> Any use of pond other than evaporation,please describe method, Appliction Date <br /> rate and annual volume of diversion: Z Z � <br /> Dust Suppression-water is pumped from pit ponds with maximum DATE APPROVED: <br /> annual diversion of 15 AF <br /> Gravel washing-water is pumped from surface water pond with WEST DIVIDE WATER CONSERVANCY STRICT <br /> maximum annual version o <br /> 7. DIRECT PUMPING <br /> Water Source: By: <br /> Location: President <br /> Description of Use: <br /> 5eereta ry <br /> Printed portions of this form,except differentiated additions or deletions,have been approved and adopted by the West Divide Water Conservancy District.Form:WDWCD <br /> 2021 APPLICATION <br />