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wRn.76.67 STATE OF COLORADO <br />(taM) County <br />DIVISION OF WATER RESOURCES <br />OFFICE OF STATE ENGINEER <br />APPLICATION FOH LIVESTOCK WATER TANK : .............................................................................. <br />Title and Number <br />This application and statement is made in conformity with the provisions of the Livestock <br />Water Tank Act of Colorado, CRS 1973, 35-49-101. <br />This application must be accompanied by a filing fee of one dollar, payable to the State <br />Engineer of Colorado, and filed in triplicate. <br />.-~ <br />Name of Owner P.O. Address <br />Tank located in the......... Quarter of Section ............. Township............, Range........................ ...P..>!1.. <br />Water course on which tank is Iocated ......................................................Tz.ib,...lo........................... ............ <br />Is water course normally dry? .............................: Subject to floods? .......................................... ...... <br />Approxtmate area of drainage basin above tank .............................................................................. Acres. <br />Vegetative cover above tank: Cultivated .............. Pasture.............., Forest............, Brush.. ........ <br />Topography of drainage basin: Steep ............... Medium.............., Flat.............. <br />Character of surface formation of drainage basin: Rock ............... Rocky Soil.............., Soil.. .......... . <br />Approximate elevation of drainage basin above sea ]evel .......................................................... ... feet. <br />Height of top of dam above bottom of water course ................................................................ ....[eet. <br />Height of bottom of spillway above bottom of water course ..................................................... ....feet. <br />Approximate capacit}• of tank ........................................acre feet, high water line area................. ...acres. <br />Location of spillway with respect to dam .......................................................................................... ............. <br />Bottom width of spillway at narrowest point ........................................feet. <br />Distance of lower end of spillway below dam .......................................feet. <br />Formations in ti~hich spillway is located: Rock ............... Shale.............., Clay.............., Earth.. ............ <br />or Mixture of Soi] and Rock ............... - <br />VJidth of top of dam ....................feet. Length of dam....................feet. <br />Slone of upstream face of dam ............. Slope of downstream face of dam............. <br />Kind and size of outlet pipe ........................................................................................................ <br />......... <br />............ <br />Nature of riprap or other protection to be placed over mater face of dam ............................. ............. <br />.................... ............... ................:................................................................................................................ . <br />Give location b~• section, township and range and size of every other stock tank now construct- <br />ed in drainage basin in which this tank will be located ........................................................... ............. <br />................................................................................................................. <br />.. s ~.. ;.i...r a. <br />C7!.. .. <br />..~. _. z `. oV~~. , ~. <br />u..a.c - - ~ _-- // - <br />r.. ._~ <br />-s ~.,.._ <br />MINIMUM DIMENSIONS OF <br />MAXIMUM CROSS•SECTION OF DAM <br />Owner <br />...................................................................... <br />Date o! receipt of application <br />VN WATEP. <br />LIr;E <br />PLAN <br />SPILLWAY <br />A%IS OP Du. <br />D.'3 <br />} ,v`O <br />io <br />Jy <br />r , 'ate <br />0 <br />~r b {RES'i <br />~4 <br />C, <br />VIEW ~`~ <br />.............. ... ....... ..................................... <br />CHIEF, Dan Section <br />.................................................................... <br />Date of approval <br />Number assigned tank <br />STATE ENGINEER <br />`r ~ <br />u <br />LJ <br /> <br />