_REPORT - M1995035 ‎(7)‎

• Permit No: M1995035
• IBM Index Class Name: Report
• Doc Name: STORMWATER MANAGEMENT PLAN WELLINGTON DOWNS PIT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

va9 urrll.e VY THr. SLATE ENGINEER
4i C~tamial Bldg, 1117 4~aman ~ Dmvc, Cblo~do a07L7
(1071 asasse]
SEE INSTRUCTIONS ON REVERSE SIDE
' GR AVEL PTT WELL PERMIT APPLICATION
E OF PERMIT
O
NEW PIT(S)
^ PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31,1980

' ^ REACTNATION OF PRE IAN. 1 1981 PIT(S~
2 OWNER
NAME(S) ('nnnPl l Racnurc-aa, Tnr
MallingAddress 4305 East Harmony Road
Ciry, St. Zip Fort Collins , GO 80525
Phone [phone]
3. ADDRESS OF LOCAL CONTACT pt diffvent than #~2)
' NAME(S) Ben Connell or Dave Simpson PIT NAME
MallingAddress 4305 East Harmonv Road Wellington Downs

Giry, St. Zip Fort Collins , CO 80525
'
Phone (970 ) 223-3151

4. GENERAL LOCATION OF P1T(S): COUNTY L a r i me r
' 1/4 S 1ti` 1/4, Sec. 3 Twp. 6 ®N. ^ S., Range 6 8 ^ g, ~ W, 6th per.
5. Tota] number of watt' surface ages (to be) ezposed 1. S Tota] Numbv of Pits 1
6. Estimated depth of pit 15 f t . Estimated depth to groundwaty 10 f t .
7. (a) Estimated date to begin excavation 1995 . to complete excavation
' 8. ATTACHMENTS: (Check which have been attached.)
(a) ~ Scaled map of pit area tied to a Section or 1/4 Comv plequired).
' ^
(b)
Copy of the reclamation permit if applicable.
(c) ^ Copy of Pre 1/15/89 Water Consvvancy Dist or Watt' Usv Assoc Augmentation Agreement if applicable.
' (d) ~ Copy of proposed Augmentation or Temporary Supply Plan if applicable.
(e) ^ Gopy of Court approved Augmentation Plan if applicable.
' (Q ©Other Substitute Supply Plan
9. etailed desa-iption of the use and method of diversion of any watt' withdrawn from the pond.
' 1Vater retained in the sand and eravel will be removed from the pit. Water will be
diverted to Dlallard Creek on the south side of the property. Hater will also be
diverted from the ponds for dust control on the roads. See substitute supply plan for
more details.
0 . 1 (we) have read the statements made hvein and know the contents thveof, and that they are true to my (our)
knowledge. [Pursuant to Section 24.4-104 (13)(a) C.RS., the making of false statements herein eotutitutes perjury
in the second degree and is punishable u a clazs 1 misdemeanor.]
Name/aide O'Ir~se qpe or PMT ignature ate
Dave Simpson Nice President \
For O~as 1J1e only .
t Case No
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