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.~ <br /> <br />roaM "o'' STATE OF COLD O <br />~~ F« o1Ro. u,. my <br />OFFICE OF THE STATE ENGINEER <br />a~ <br />axe cann«vY.i awo. rasa Sh.rm.n !t, Der, cmtieo b201 <br />tom) eeease~ <br />SEE INS'iRl1CT10NS ON REVERSE SIDE <br />GRAVEL PIT WELL PERMIT APPLICATION <br /> E OF PERJ,iR <br /> ® NEW PR(S) <br /> ^ PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980 <br /> ^ REACTNATION OF PRE JAN. 1 1981 PR <br />2 OWNER <br /> NAME(S) Bestway Paving <br /> Mailing Address P.O. Box 3189 <br /> City, St. L'p Gree ey, CO 80633 <br /> Phone (303 1 353-1654 <br />3. ADDRESS OF LOCAL CONTACT (11 dirtererd Than f2) <br /> NAME(S) <br /> Mailing Address <br /> City, St. Zip <br />' Pltone ~~ ' <br />4. GENERAL LOCATION OF PR(Sl: COUNTY Weld <br /> NE 1/4 SW 1l4, Sec. 35 Twp. 6 ~ N. ^ S., Bangs 65 ^ E. X©yN. 6th P.M. <br />5. Total number of water surface acres po be) exposed 0.95 .Total Number of PiLS ~ 2 <br />6. Estimated total depth d pk,~R Estimated depth to groundwater 4 <br />7. (a) Estimated date to begin excavation a 1 , to corttptete excavation a <br />8. ATTAC <br />H <br />MENTS: (Check which have been attached.) <br /> ~~ <br />I-,, <br />(a) ~f`Scaled map d pit area tied to a Section or 1/4 Comer (Required). <br /> (b) ~ Copy d the reclamation permit 8 applicable. <br /> (c) ~ Copy d Pre 1/15/89 Water Conservancy Dist. a Water User Assoc. Augmentation Agreement 8 applicable <br /> (d) ~ Copy d proposed Augmentation or Temporary Supply Plan i applicable. <br /> (E•) ~ Copy d Court approved Augmentation Plan f applicable. <br /> (f) ^ Other <br />9. Detailed description d the use and method d diversion d any water wdhdrawn horn the po <br /> Water Will be diverted from the pit for dust control on the site and water will also <br /> diverted for was tng t e san an grave . <br /> <br /> <br />0 . 1 (we) have read the statements made herein and know the Oonterlts tf>ered, and lhat they are true to my (ou <br /> knowledge. [Pursuarri to Section 24~-104 (13)(a) C.RS., the making d false statemens herein cor~titutes perju <br /> in the second degree and k punishable as a class 1 misdemeanor.] <br />Name/1-rtle Tw..e qP. a ping ig a ate <br />1 Hil /Pr ident <br />/~ !B' 14g2 <br />r« o~. u.. orvr <br />Court Case No. Div. Co. _ WD Basin _ MD Use <br />