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<br />wRa.26.67 STATE OP COLORADO <br />(toMl County <br />DIVISION OF WATER RESOURCES <br />OFFICE OF STATE ENGINEER <br />APPLICATION FOH LIVESTOCF{ WATER TANK : ....................... ............................................. <br />Title and Number <br />This application and statement is made in conformity with the provisions of the Livestock <br />\\'ater Tank Act of Colorado, CRS 1973, 35-49-101. <br />This application must be accompanied by a filing fee of one dollar, payable to the State <br />Engineer of Colorado, and filed rn triplicate. <br />~t <br />Name of Owner P.O. Address <br />Tank located in the ..... ..Quarter of Section........... Township ............. Range........ ............. P..pt. <br />\5ater course on a+•hich tank is located ...... ....................................Tr.ib...to........... .. .. .............. <br />Is avater course normaliv dra'? .... .............. Subject to floods? ......... <br />Appro,iimate Brea of drainage basin above tank .......... ......... ......... ... ... .. .......... ..... .... Acres. <br />Vegetative cover above tank: Cultivated .... ,Pasture....... .., Fores[. ........., Brush ........ <br />Topograph}' of drainage basin: Steep .......... Medium . ..... ,Flat .... ....... <br />Character of surlace formation of drainage basin: Rock.... ......, Rock}• Soil .......... .... Soil......... <br />Approximate elea'ation of drainage basin above sea level .... ........... . ................... ......... ......feet. <br />Height of top of dam above bot;om of avater course ............................................. ...... .. ....feet. <br />Height of bottom of spillway above bottom of water course ...................... ............... ................ fee[. <br />Approximate capactt}• of tank .......... ..... .............acre feet, high water Irne area.. ..................acres. <br />Location of spillavaa• «•t[h respect to dam ........... ............................................. ....... . .......................... <br />Bottom aaridth of spillway at narroaves[ point . ..... ..........................feet. <br />Distance of ]oaver end of spillaa•ay beloav dam .... ......................... feet. <br />Formations in aa•hich spillwa}' is located: Rock .........., Shale ............ . Clay.............., Earth............ <br />or Ia'Iixture of Soil and Rock. <br />\\ idth of top of dam ..... .............feet. Length of dam....................feet. <br />Siooe of upstream face of dam ............. Slope of downstream face of dam............. <br /> <br />.............. <br />Iitnd and size of outlet pipe .. ............................................ .......................... . <br />........... ............. <br />Nature of riprap or other protection to be placed over avater face of dam . ......... ..................... <br />Give location b~~ section. toaa•nship and range and size of every other stock tank noaa• construct- <br />ed in drainage basin to avhtch this tank aa•ill be located ..... ............. .. ..... .............. ........... <br /> <br />- e ~.. '- e d a. <br />rT.... <br />~.. ~ i.. _n _. ., <br />:.. n. : <br />- ..... <br />Owner <br />... <br />_ <br />Tel, . . <br />wi. .. 2 .a,. ~~ <br />_ - - <br />- <br />_ <br />^e4 G <br />_ <br />_ <br />' <br />_ __... ~ <br />a•~.o u.... <br />MINIMUM DIMENSIONS OF <br />MAXIMUM CROSS•SECTION OF DAM <br /> Date o! receipt of appLcauon <br />11 <br />SP4LwAv <br />A <br />Axls or ow.~ <br />._ -. ....... ........... ... <br />Date of approa'al <br />c`' <br />3 <br />~ <br />o <br />OUTLET ~,/~ <br />PIPE \ <br />O <br />r ~-~ <br />~ <br />ti <br />:/ \' <br />~ e <br />O I:umber asv Fned :ank <br />/.wln/ wtTEP <br />/' LJA$ <br />4~CRE5~ <br />•~~ ~ <br />\ <br />I PLAN \ VIEW •, ~' STATE E\GI:: EER <br />CHIEF. Gam Secuor. <br />