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OFFICE OF THE STATE ENGINEER <br />w o..r.wr swo, uu an.,,n.,, act. o.m«. eoter.eo aaooo <br />taov~ seeox~ <br />( SEE WSiRUC[IONS ON REYE1ti^.aE SIDE ( <br />1 GRAVEL PiT WELL PERMIT APPLICATIONI <br />OF PERMIT <br />NEW PR(S) <br />PfT(S) EXIST, CONSTRUCTED AFTER OEC. 91, 1980 <br />2 OWNER <br />NAME(S) Builder's Aggregate Co., Inc. <br />Mailing Adtlress 915 W. Beaver Ave. <br />City, tat. Zip Fort Morgan, Colo. 90701 <br />Phone ( 303) 867=6339 <br />3. ~OORESS OF LOCAL CONTACT (q dAlererri than ~2) <br />NAME(S) James S. Miner <br />Mailing Atldr65g same as above <br />City, St. Zip <br />Plttxle (,_~J <br />4. GENERAL IOCATiON OF PRISI: COUNTY ~~' <br />5h XAi NW 1/4. SaC. 31 Twp. 9 ~ N. ^ S.. Range 59 ^ E. fJ W. 6th P.M. <br />5. Total number of water suAace acres po be) exposed 4.57 .Total Number of Pits one <br />~ 6. Estimated total tlepih of pit. 30 f t . Estimated depth to groundwater nIa <br />7. (a) Estimated date to begin excavation Jun 6 8 , t0 complete excavation o n q o i n g <br />B. A'LTACHMENTS: (Check whit~t have been attached.) _ <br />(a} ~ Sealed map d pit area tied to a Section or iJ4 Comer (Required). <br />(b) ~ Copy of the reclamatku- permit 8 applicable. <br />(c) C Copy of Pre 1/15/89 Water Cortsenrartty Dist or Water User Assoc. /4rgrtterttation Agreement tl appTxable <br />(d) ~ Copy of proposed Augmentation tx Temporary Suppy Plan It applicable. <br />(t•) ^ Copy of Court approved Augmentation Plan y applcable. <br />(~ ~Othet additional maps <br />9. Detailed description of the use and method of diversion of any water withdrawn kom ltte ptxtd. <br />see attached description of operation <br />0. 1 (ova) have read the statements made herein and know the contents tftereW, and that they are uue to my (au) <br />krrowkjdge. (Pursuant to Section 24-4-104 (13)(a) C.A.S.. the making of lake stetetrteras herein constitutes perytrr; <br />• in the second tlegree and is punishable 85 a class i misdemeanor.) <br />Name/Title ra.... q,p. « p.wJ ignature ate <br />James K. Miner, Pzesident n , 19 Apr 91 <br />//721'x3 '/ <br />i« 01fr.~ Uw o,Jy <br />Court Case No. .Div. Co. WD waatn un ~Me <br />