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o R M _ COLORADO DIVISION O TER RESOURCES <br />~ For of~ce only 'J <br />'' - DE?ARTMENT OF NATU <br />RESOURCES <br />27 <br />S <br />V95 <br />1313 Sherman S[., Rm 816, Denver, Colorado 80203 <br />Phone: (303) 866-3581 RECEIVED <br />REVIEW INSTRUCTIONS PRIOR TO COMPLETING FORM <br /> JUN 18 2001 <br />GRAVEL PIT WELL PERMIT APPLICATION <br /> <br /> <br />TYPE OF PERMIT 1YA7EH HE9UUHCES <br />sr~ ~ <br />NEW PIT(S) a <br />31 <br />1980 <br />CONSTRUCTED AFTER DEC <br />^ PIT(S) EXIST a`o+ ~+ <br />, <br />, <br />. <br />a <br />In m <br />.OM 1 <br />APPLICANT INFORMATION ~ ~ m L <br /> <br />NAME(S) ELAM CONSTRUCTION, INC. a low r' <br />„~ ~,~ s <br /> <br />Mailing Address 1225 S0. 7th. STREET ~m am <br />~ N~ a <br /> <br />GRAND JUNCTION, CO 81501 <br />City, St. Zip <br />~~"« <br /> <br />Phone ( 1 <br /> <br />S. CONSULTANTIATTORNEY/OPERATOR CONTACT (If different than #21 <br />NAME(S) PIT NAMEHWY. 50 BORROW N0. 2 <br />Mailing Address <br />City, St. Zip DMG NO. M-1999-076 <br />Phone ( ) <br />3. GENERAL LOCATION OF PIT(SI: COUNTY MFSA <br />SW 1 /4 SW 1 /4, Sec. 32 Twp. 2 ^ N. ®S., Range 2 ©E. ^ W. UTE P.M. <br />5. Estimated maximum water surface to be exposed: ONE Acres. Number of Pits ONE <br />6. Estimated depth of pit(sl 12 Ft. Estimated depth to groundwater 11.5 Ft. <br />7. Estimated date to expose groundwater EXISTING ; to complete mining <br />8. ATTACHMENTS: (Check which have been attached.) <br />(al ®Scaled map of pit area with range, township, & section clearly indent'rfed (REQUIRED). <br />0 <br />Copy of the reclamation permit, if applicable. <br />(bl <br />(cl ^ Copy of pre 1 /15/89 water conservancy dist. or water user assoc. augmentation agreement, if applicable <br />^ <br />Copy of proposed substitute water plan or augmentation plan application, if applicable. <br />(dl <br />^ <br />CopY of court approved augmentation plan, if applicable. Case No. <br />lel <br />^ <br />Other <br />(fl <br />9. Detailed description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amoun <br />of diversion of any water withdrawn from the pond. <br />EVAPORATION ONLY <br /> <br /> <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 (131(a1 C.R.S., the making of false statements herein constitutes perju <br />in the second degree and is punishable as a class 1 misd anor.l <br />Name/Title (Please type or print) ignat Date <br />HAROLD F. ELAM, PRESIDENT ~~ay~oD/ <br />Tr, ~..K+,nnrLCrG ( 15ru..:aa+2, G4w. SJ~k( $eC j~ <br />~ <br />For Office Use only <br />S F ay SeL S l -' <br />lf..~' <br />WD ~.Z B <br />I C <br />MD U <br />i <br />o. <br />as <br />n <br />se _ <br />Court Case No, Div. <br />,~ <br />