1999-07-21_PERMIT FILE - M1999069

• Permit No: M1999069
• IBM Index Class Name: Permit File
• Doc Date: 7/21/1999
• Doc Name: APPLICATION FOR SUBSTITUTE SUPPLY PLAN FOR THE WAGNER KAUFFMAN PIT 3
• From: TUTTLE APPLEGATE INC
• To: STATE ENGINEERS OFFICE
• Media Type: D
• Archive: No

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REVIEW INSTRUCTION ,R TO COMPLETING FORM
GRAVEL PIT WELL P MIT APPLICATION
1 TYPE OF PERMIT
® NEW PIT(S)
❑ PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980
2. APPLICANT INFORMATION
NAMEIS) .lake Kauffman and Son, Inc,
Mailing Address 808 S. County Road 9E
City, St. Zip Loveland, CO 80537
Phonel 970 l 667-1557
3. CONSULTANT/ATTORNEY/OPERATOR CONTACT (If different than A'21
NAME(S) Tuttle Applegate Too PIT NAME Wagner/Kauffman /13
Mailing Address 11990 Crant St, Suite 304
City, St, Zip Denver- CO 80233-1136 DMG NO. Pending
Phone 1 303 1 452-6611
4. GENERAL LOCA"ON OF PITISI- COUNTY Larimer
20
SE NW 1/4 ___M 1/4, Sec._ Twp. S El N. ❑S., Range 68 ❑E. ®W. 6th. P.M.
5. Estimated maximum water surface to be exposed: 2 Acres. Number of Pits 1
6. Estimated depth of pitls) t S Ft. Estimated depth to groundwater 3 Ft.
7. Estimated date to expose groundwater March, 2000 ; to complete mining March 2025
B. ATTACHMENTS: (Check which have been attached.)
la) Scaled map of pit area with range, township, & section clearly indentifed (REQUIRED).
(bl ❑ Copy of the reclamation permit, if applicable.
Icl ❑ Copy of pre 1/15/89 water conservancy disc. or water user assoc. augmentation agreement, if applicable
Id) © Copy of proposed substitute water plan or augmentation plan application, if applicable.
(el ❑ Copy of court approved augmentation plan, if applicable. Case No.
(f) ❑ Other
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of diversion of any water withdrawn from the pond.
Water use will include 5.89 acre-feet retained in material removed frnm th -Ir
10 1 (wel have read the statements made herein and know the contents thereof, and that they are true to my (our)
knowledge. (Pursuant to Section 24-4-104 113)la) C.R.S., the making of false statements herein constitutes perlur
in the second degree and is punishable as a class 1 misdemeanor.)
Nam fide (Please type or piinti Signature Date
Tj e.
For Otfice Use only
Court Case No. Div. Co WD Basin MD Use