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•r APPLICATION FOR DEPARTTT~ENT OF THE ARMY PERMIT ~ OMB APPROVAL NO. 0710-003 <br />Public reporting burden for this colleetlon of Informatlon Is estlmated to average 5 hours per response, Including the tlme for reviewing Instruetlons, <br />rearchlnp existlnp dam sources, gatftering and malrtmining the dam needed, and eompletlng and ravtewlrp the txllectbn of Informatlon. Sand comments <br />epardlnq this burden estlmam or any other aspect of thla collection tN Informatlon, Including sugpestlons }or reducing this burden, to Department of <br />Defense, Washington Headquarmrs Service Dlrectoram of Informatlon Operatlons and Reporm, 1215 JeRerson Davis Highway, Sulm 1204, Arlington, <br />VA 22202.4302; and m the Office of Management and Budget, Paperwork Reduction ProJed (0710-0007), Washington, DC 20503. Please DO NOT <br />iETURN your corm to either of those addresses. Completed applkatlons must be submitted to the District Engineer having Jurlsdlctlon over the locatlon <br />rf the Proposed activity. <br />PRIVACY ACT STATEMENT <br />>uthorlry: 33 USC 401, Seetlon 10: 1417, Section 404. Principal Purpose: These laws require auNOrizing actlvltles In, or aRectlng, navigable waters <br />of the United Sates, the discharge or fill materWl Into waters of the Untlad States, and the transportation of dredged mamrial for the purpose of dumping <br />.t Into ocean waters. Routlne Uses: Informatlon Provided on this form will be used in evaluating the appllwtlon for a permit Disclosure: Dlxlosure <br />o} requested information is voluntary. If information Is not provided, however, the permit application cannot be processed nor can a permit be Issued. <br />)ne set of original drawings or good reproducible copies which show the location and characmr of the proposed actlvlry must be attached to this <br />rppllcatlon (see sample drawings and instructions) and be submitted to the District Engineer having Jurisdiction over the location of the proposed <br />activity. An appliwtlon that Is not completed in full will be returned. <br />(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS( <br />I. APPLICATION NO. 12. FIELD OFFICE CODE 13. DATE RECEIVED <br />i. APPLICANT'S NAME <br />Grand Junction Pipe and Supply Company <br />8. AUTHORIZED AGENT'S NAME AND TITLE (an anent o not required) <br />i. APPLICANT'S ADDRESS 9. AGENT'S ADDRESS <br />r.0. Box 1849 <br />Grand Junction, CO 81502 <br />tn: Ed Settle <br />7. APPLICANT'S PHONE NOs. W/AREA CODE 10. AGENT'S PHONE NOs. W/AREA CODE <br />a. Residence a. Residence <br />b. Business (970) 243-4604 b. Business <br />11. STATEMENT OF AUTHORIZATION <br />hereby authorize, to act in my behalf as my agent In the processing of this application and to furnish, upon request, <br />.supplemental information in support of this permit application. <br />APPLICANT'S SIGNATURE <br />DATE <br />NAME, LOCATION, AND DESCRIPTION OR PROJECT OR ACTIVITY <br />' 12. PROJECT NAME OR TITLE (sn instruNOns) <br />~~aring Eagle Gravel Pit <br />I 13. NAME OF WATERBODY, IF KNOWN (if applicable) <br />:,~lorado River, and Monument Creek <br />15. LOCATION OF PROJECT <br />Mesa <br />COUNTY <br />14. PROJECT STREET ADDRESS (Il apPlkabla) <br />1972 Broadway <br />Grand Junction, CO <br />16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (ea insbucWns)5«tian,Twmah~p, Renwe, LaVLOn,and!«PCCeswre'a Parcel NUmbm, breumple. <br />I/2 Sec. 35 and E1/2NE7/4, Sec. 34, TIN, R2W, Ute Meridian Colorado River Mile 378.0 <br />rv~1/4NE1/4, Sec 16, T11 S, R101 W, 6th PM Monument Creek <br />17. DIRECTIONS TO THE SITE <br />rated appmbmatey 1 mile north of the intersection of Canyon Creek Drive and Broadway (Colorado State Highway 340). See attached USGS <br />Map (F:9.trae /) <br />4. DATE APPLICATION COMPLETED <br />!G FORM 43x5 EDITION OF SEP 91 IS OBSOLETE (Proponent <br />