GENERAL52157

• Permit No: M1977436
• IBM Index Class Name: General Documents
• Doc Date: 1/19/1999
• Doc Name: GRAVEL PIT WELL PERMIT APPLCIATION RIVERDALE TOWER PIT 1 ADAMS CNTY CO
• From: GREYSTONE
• To: DWR
• Media Type: D
• Archive: No

FORM
No COLORADO DIVISION OF WATER RESOURCES For Office Use only
.
G WS-27 DEPARTMENT OF~URALRESOURCES

1313 Sh
S
R
80203
D
12/95 erman
t.,
m
enver, Colorado
Phone: [phone]
REVIEW INSTRUCTIONS PRIOR TO COMPLETING FORM
GRAVEL PIT WELL PERMIT APPLICATION
. TYPE OF PERMIT
^ NEW PIT(S)
^X
PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980
2. APPLICANT INFORMATION
NAMEIS) D, H. Holding, Inc.
Mailing Address P , O. Box 7 35
City, St. Zip Silverthorne, CO 80498
Phone ( 970 1 468-2020

3. CONSULTANTIATTORNEY/OPEP,ATOR CONTACT (lf different than '~2)
Riverdale
NAME(S) Cathy Begej , Greystone PIT NAME Tower PIT #1
Mailing Address 5231 South Ouebec Street
City, St. Zip Englewood, CO 80111 DMG N0. M-77-436

Phone [phone]
4. GENERAL LOCATION OF PITISI: COUNTY Adams
NW 1 /4 SE 1 /4, Sec. 1 4 Twp. 1 ^ N. ®S., Range 67 ^ E, ®VN, 6 P.M.
5. Estimated maximum water surface to be exposed: Acres. Number of Pits
6. Estimated depth of pills) 30 Ft. Estimated depth to groundwater 5 Ft.
7. Estimated date to expose groundwater exposed ; to complete mining 1 0 years
8. ATTACHMENTS: (Check which have been attached.)
Fig 1 , Temp
with ran
townshi
& section clearl
indentifed (REQUIREDI
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Supply Plan
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Copy of the reclamation permit, if applicable.
Ibl
^
Copy of pre 1 /15/89 water conservancy dist. or water user assoc. augmentation agreement, if applicable
ic)
Idl ^Copy of proposed substitute water plan or augmentation plan application, if applicable.
(e1 ^Copy of court approved augmentation plan, if applicable. Case No.
^
Other
(fl

9. Detailed description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amoun
of diversion of any water withdrawn from the pond.
Temporary pumas dfscharae a maximum of 10,000 gym 60~ of the day back
into the river. The wash cycle utilizes 800 gpm, 10 hours per day, 5 days
_per week and discharges 768 gpm,
0 I (wel have read the statements made herein and know the contents thereof, and that they are true to my lour)
knowledge. [Pursuant to Section 24-4-104 (1311a) C.R.S., the making of false statements herein constitutes perju
in the second degree and is punishable as a lass 1 misdemeanor.]
Name/Title (Please type or print) \
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~ - nature Dat
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Ac~o~l ~ 1'Q-ASS _
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For Office Use only
Court Case No. Div. _ Co. _ WD Basin _ MD _ Use