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1 <br /> <br /> <br /> <br /> <br />1 <br />1 <br /> <br />1 <br /> <br />1 <br /> <br />t <br /> <br /> <br /> <br />1 <br />1 <br />1 <br />FoaM r+o. <br />27 STATE OF COLORADO F« arws u.. «.y <br /> OFFICE OF THE STATE ENGINEER <br /> ezi ~~~W euy.. u~a se~«men se, n.mw, cw«.ao eo2aa <br /> (,osl esaase~ <br />SEE INSTRUCTIONS ON REVERSE SIDE <br />GRAVEL PIT WELL PERMIT APPLICATION <br /> E OF PERMfT <br /> ^ NEW Pff(S) <br /> ^ Pff(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980 <br /> ® RFJ\CTNATION OF PRE JAN. 1, 1981 PR S <br />2 OWNER <br /> NAME(S) J~ttes Ho & Kathleen H, Ross <br /> Mailing Address 5529 Hwy 394 <br /> Ciry, St. Zp Cram. Colo. 81625 <br /> Phone 3( 03) 824-3481 off 824-5955 hone <br />3. ADDRESS OF LOCAL CONTACT (K different than #2) <br /> NAME(S) s~tte as above <br /> Mailing Address <br /> City, St Zip <br /> <br /> Phone ~~ <br />a. GENERAL LOCATION OF PITS : COUNTY Moffat <br /> S y (Y <br />SE 1/4 NW 1/4, Sec. 3 Twp: 6 • ^ N. ^ S., Range 90 ^ E. ^ W. 6th P.M. <br />5. Total number of water surface acres (to be) exposed 13 Total Number of Pits 1 <br />8. Estimated total depth of pit 24 Estimated depth to groundwater ttatch is surface already <br />7. (a) Estimated date to begin excavation 1975 as farm pit , to complete excavation an or before 199° <br />8. ATTACHMENTS: (Check which have been attached.) <br /> (a) ®Scaled map of pit area tied to a Section or 1/4 Corner (Required). <br /> (b) ^ Copy of the reclamation pertnk 'rf applicable. <br /> (c) ^ Copy of Pre 1/15/89 Water Conservancy Dist. or Water User Assoc. Augmentation Agreement if applicable <br /> (d) ^ Copy of proposed Augmentaz(on or Temporary Supply Plan if applicable. <br /> ^ <br /> (e~) <br />Copy of Court approved Augmemation Plan if applicable. <br /> (f) ^ Other <br />9. Detailed description of the use and method of diversion of any water withdrawn from the pond. <br /> s1-,P pit will be from deeoeninv and widening an existing dead water slew, This area <br /> covers auorox. 8 acres, Tfiere are atmroxe 2 acres of drv gravel bar that will be mined <br /> and left as a lake exnos' new eraund watero The final purpose of this mine is to <br /> enhance the slew into a recreational 10-13 acre lake, <br />0. I (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) <br />knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury <br />in the second degree and is punishable as a class 1 misdemeanor.) , <br />Name~tle Irb.,. ype or v~~q ignatur Date <br />Ross ~ <br />James H <br />'~ ~~ <br />~ 9-12-90 <br />. <br />;~ <br />~ <br />r« are. u~ o~y 35 _ <br />Court Case No. Div. Co. WD Basin MD Use <br />