PERMFILE126125

• Permit No: C1981025
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: 404 Permit Review
• Section_Exhibit Name: 4.0 Appendix 4-I
• Media Type: D
• Archive: No

~10. Dote acn vny is proposed to codxnerrce. L.'ltr A i~~ Wit. P~rlj• Sv%1_(embtrr. 19h~1
Date activity a expected to be completed Nnvombtar, 1911]
11. Is any portion of the acliv~ty for which authorization is sought now complete? ~ YES O NO
it answer is "Yes" give reasons in the remark section. Month and year the activity was completed
Indi tale the existing work on the drawn:gs.
12. List all app meals or certi 1,cations required a other federal, int er st ale, state or local agencies for any structures, construc-
lion, discharges, deposits or other ecti vi ties described in this application.
I ssuinq Agency Type Approval Idmti lication No. Date of Application Date of Approval
Colorado Alined Land -
Reclamation Permi[ October, 1982 Pending
(Colorado Division -
of Wildlife Authorization May, 1983 dune 8, 1983
~.
13. Has any agency denied approval for the acti viry described herein or for any activity directly related to the acti viry
described herein?
O Yes ~ No III "Yes" explain in remarks)
1d. Remarks or additional into rmation,
(IThe total. amount of concrete to be placed in the creek for each weir will be approximate
11.5 yd3,. The weirs will have fish ladders on the lower side in order to facilitate fis
mi ration in the creeks.
Supplimen[al Information for Section 404 Permit Application
~1. Since the weirs are small and designed only for average flow, there will be no im-
act on the 100 year floodplain and floodway. If a 100 year event occurs, the weirs
~i11 be inundated and will not affect [he course of the water.
2. Approximately .O1 acres of wetland wi71 be impacted or a total of .04 acres for all
four weirs.
~3. Approximately 46.0 cubic yards of concrete will be used for permanent fill and 120
yd3 of alluvial material will be used for temnorarv fill, for all four weirs.
~4. At the end of [lle mines useful life, all of the weirs will be removed in their
entirety.
15. Application is hereby made for a permit or permits to au thori:e the activities described herein, I Bertily that I am lamiliar
with the into rm an on contained in this application, and that to the best 01 my knowledge and ballet wch information is true,
complete, and accv rate. I lurther terrify that I po sse 55ihe thorny to ^de%ake the proposed activities.
I/ i / //
.'Signature al Applicant ~r'Authori:ed Agent
The application must be signed by the applicant; however, it may be signed by a duly authorised agent loaned in Item 51
it this loan is actbmparied by a statement by the applicant designating the agent and agreeing to lumish upon request,
supplemental information in support of the application.
1R U. S. C. Section 1001 provides that: Whoever, in any manner within the jurisdiction el any department or agency
of The United States knowingly and willfully lal si lies, conceals, or covers up Iry any trill, scheme, or device a material last
r makes airy lalse, li ct~tious or Iraudulent statements or representations or makes or uses ary lal se writing or document
mowing sane to contain any lalse 11 (.•t It10U5 or Ir audul ant Statement or entry, shall b! lined rrpl more than 510.000 or
tmpri sioned rroi more tlran live years, or both, Do not send a permit processing lee with this application. Tha appropriate
fee will be asst sscd when a permit is issued,
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