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/ EXHIBIT A <br />PHASE 1 REVISION RECLAMATION PLAN <br />TRI COUNTY GRAVEL PERMIT #M 1977-205 <br />OFFICE OF THE BTATE ENGINEER <br />D1VI810N OF WATER RESOURCES <br />4„ 303~866J Sp1 <br />FOR OFFICE USE ONLY <br />oa,H raaMe " G ~ ~y ~ <br />WATER DIV: ~ DIST:_~ <br />NOTICE OF INTENT TO CONSTRUCT ANON-JURISDICTIONAL <br />WATeR IMPOUNDMENT STRUCTURE' <br />This notice is requtred par Scctlon 37.87-125, C.R.S. (iBge). <br />This notice must t>a submittod to the Division Engineer's Offlos a mlr1lmum 0110 days prior to constructlor.. <br />owHER INFOgMarioN <br />(PLEASE PRINT OR TYPE NOTICE) <br />Name: T /7 0 /)'Ic? 5 ~ 1, u i^ r y Telephone; 7~ ~7-~ ~ JS ~~S <br />Addres:: p0 ~o;~ 566 Ho~cl,l;,'SS Co/oraL~c._ ~'lYly <br />Respom~le Person: T{7 r~ !Y) c-S - ~' (_~~ u- Y r 7 --- - - Telephone: ( y 10 )j' 7.' ".3.5 `~5 <br />L <br />Address: ~ ~ _ ~30 ~_~S~ C~_ ~0 ~G h y r S S n ~ ~ / / Y <br />Contractor: T 11 o m a s ~ (~ Lc Y r y Telephone: c 9 7~ I :~ 7,.? --35~/"S" <br />S,~jUCTURE INFORMATION <br />Name of Dam: C u P r ~/ [~ Q YVI <br />Weter <br />Water <br />'// %. Sed: QU 3ect: SecL• ,Township; ,Range: P.M._ <br />~ O~ ~ Distance o(dam from Seotlorl liner R fran ON D 6, fl fran OE ~ W <br />OR lRdiz4t GPS: S t to U Datum. Measure on cre t yf dem t streamllne/outbt <br />Option 2 Northinggy2.2-m. Feeling 026 O~S` m. <br />Note: (3PS settings must be NAD27 CONUS <br />Dam Dimensions: Vertkal Haight ~ lO ft., Longth: _-_/ ~O ft., Sbpas: U/3: H:1 V, D/S Z H:1 V <br />Etgsetvolr. Surface Area: ~ . acres, Gapadty; l 00 aae last, Dreinaga Brea:T ~ / a krecres <br />Emeroenev SpNiwev. Widths ft., Side Slopes: ~ H:1 V, Freeboard: ~ h. <br />Outl~l Drain: Type: N _, Size:___,___Inchea, Locatlon <br />Strearl~ Name Ia W~l9r Saxoe;' la ~ <br />au~ Menz~ ,onf Sn u.s <br />Proposed Water l}ae. ~ re ~ o <br />j check~ed!/,proPASed d a tda h Sou <br />/f.n,/aFirL /~ 9 -7 - D ~f. <br />7"DNISION ENDINEER'3 REWIREMENTS; <br />F owner <br />r aclare <br />Water Court Case No. (H applicable) <br />'~ S nature of Owrtar -~ Date <br />Y:... <br />~`' ~S~_,"' Venical fieght k 10leet a bss at brgiWdinal contedlna of dam from lowest point o1 ground surface b flowUne orast of splAr~y, <br />sn4 reservoir k 20 surface apes or bss at high water Yrsa, and knpounds t00 ecro~teet or bss of wsta. <br />2.See Example on remorse side of loon <br />' VerUcol dcWnoo from bottom of spillway b asst of dem. <br />' K wnalrudidn in reserrotr Intercepts groundwator (note stream name Thal groundwater k VC~utary tn), a well pemJl is requtred. <br />OMVR (tvael Frank Kugel, Division Engheer Date <br />