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<br />' °"" "°' STATt OF COLOF~O ' <br />~ 27 -OFFICE OF THE ~ ENGINEER <br />• ~ ~~ u~ ~ <br /> ,..~ t ,. <br />.ra ~.•+.w.r twe., ,e,~ sA«~.n a. o«,.. eoa..do .cane-- /~ 7~/G9~-- <br />ooct rriv,~ n. <br />~ <br />A <br />i <br /> .: <br />i~.~ <br />•r. <br />SEE INSTRUCTIONS ON REVERSE SIDE ta'IMF irlrJ~ <br /> w~ <br />GRAVEL P!T WELL PERMlT APPLICATION 07-10-90 11:24 A <br />0324'2 <br /> aa.ea , <br /> E OF PEFIMfT NNi(~Gfi P0013 <br />G1,LAUG ,0 <br />80 <br /> ^ NEW PR(S) . <br />PITU10 F'0060 <br /> 0 PIT(S) EX75T, CONSTRUCTED AFTER DEC. 3t, 1980 TTL <br /> <br />^ REACTIVATION OF PRE JAN <br />81 PITS <br />1 <br />1 130.00 <br /> . <br />, <br />9 CHEC~UE 130.1; <br />2 OWNER CYG 0.00 <br /> <br />NAME(S) Dorn Ready-Mix CorDeration ITI! r _ ~. .., ,,. <br />%L-i 1A52b7 i i ~ •..:; V L® <br /> MailingAtltlress tQFi71 rn,,,,rg RneA A stn <br /> <br />City, SL Zip Fnrt Mnroan Cnlnrwdn amm , <br />~ 12 9 <br /> Phone (303 1 A67-79fiR <br />i'~.2isR~~'`'tRCfS <br />3. ADDRESS OF LOCAL CONTACT (II diflerent than M2) SiATE:4u„'~hEER <br />CO.Q, <br /> NAME(S) Same as Above <br /> Malting Address <br /> Ciry, SL 7~p <br /> <br /> Phone (-,~ <br />., <br />~ ., <br /> <br />4, GENERAL LOCATION OF PfT(S): COUNTY Morean <br /> SE 1/4 SW 1/a, Sec.~3 _ Twp,~_ 7C^ N. ^ S., Range 57 ^ E. ©W. 6th P,M. <br />5. Total number of water surface acres (to be) exposed 5 Total Number of Pas t <br />6. Estimated total depth of pa 15 Estimated depth to groundwater <br />~. (a) Estimatetl date to begin excavation 3-30-1979 , to complete excavation NO TIME LIMIT <br />8. ATTACHMENTS: (Check which have been attachetl.) <br />(a) ®Scalod map oT pit area fled to a Section or 1/a Comer (Required). <br />(b) 0 Copy of the reclamation permit H applicable.- <br />(cj ^ Copy of Pre 1/75/89 Water Conservancy Dist or water User Assoc. Augmentation Agreement H applicat <br />_ (d)_ ©Copy of proposed Augmentation or Temporary Supply Flan K applicable. <br />(t~) ^ Copy of CouR approved Augmentation Plan Happlicable. - <br />(f) ^ Other ' <br />9.IDetailed description of the use and method of diveryon of any water wahtlrawn from the pond. <br />NONE <br />0. I (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) <br />knowledge. [Pursuant to Section 2a~-104 (13)(a) C.R.S., the making of lalse statements herein constitutes perji <br />in the second degree and is punishable as a class 7 misdemeanor.) <br />Namell"Ne ta.... yo. a aNO - yaaw{e ~~ Date <br />ROY PARACHINI ~~~~~ I (~ ~?- y'~ <br />far otRs U~. p,y.:.: - U. <br />CourtCase No.~ Div. - Co. WO .Basin _ MD Use <br />