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OFFICE OF THE STATE ENGINEER <br />DIVISION OF WATER RESOURCES <br />303-866-3581 <br />?/ 1 / FOR OFFICE USE ONLY <br />DAM NAME Y0a.S &r e- Pond CIO NO. WATER DIV: ff DIST: 7 <br />NOTICE OF INTENT TO CONSTRUCT A NON-JURISDICTIONAL <br />WATER IMPOUNDMENT STRUCTURE' <br />This notice is required per Section 37-87-125, C.R.S. (1998). <br />This notice must be submitted to the Division Engineer's Office a minimum of 45 days prior to construction. <br />(PLEASE PRINT OR TYPE NOTICE) <br />OWNER INFORMATION <br />Name: Seneca Coal Company LLC, <br />Telephone: (970) 276-5217 <br />Address: PO Box 670, 37796 RCR 53 Hayden CO_ <br />Street / P.O. Box/ Rural Route city state <br />Responsible Person: Roy Karo Telephone: (970) 276-5217. <br />Address: PO Box 670, 37796 RCR 53 Hayden CO 81639_ <br />Street / P.O. Box/ Rural Route City State Zip Code <br />Contractor: NA Telephone: ( ) <br />STRUCTURE INFORMATION <br />Name of Dam: Yoast Mine Pond 010 Water Division: 6 Water District:-57- <br />Location 2 : <br />Option 1 <br />OR <br />.Option 2--? <br />% / % Sect: _NW % of the _NE_ %; Sect: _8_, Township: _T5N_, Range: _R87W , _6th_ P.M. <br />Distance of dam from Section lines _1100_ft from N , _1550 ft from E <br />Utilizing GPS: Set to UTM Datum. Measured on crest of dam above streamline/outlet. <br />Northing m. Easting M. <br />Note: GPS settings must be NAD83 CONUS. <br />Dam Dimensions: Vertical Height 3: _9.4_ft., Length: _540_ ft., Slopes: U/S: _3.75_ H:1V, D/S _3.75_ HAV <br />Reservoir: Surface Area: -2.8-acres, Capacity: _14.0 acre feet, Drainage Area: -940-acres <br />Emergency Spillway: Width: 8.7 ft., Side Slopes: 3 HAV, Freeboard 4 :-6.4-ft <br />Outlet Drain: Type: _CMP Riser with 6" orifice-, Size:_36_inches, Location: -Center of Embankment <br />Stream Name or Water Sources: Annand Draw - Tributary to Grassy Creek - Tributary to Yampa River <br />Proposed Water Use:_ Livestock and Wildlife Water Water C ase No. (If applicable) 95CW72 <br />9/a O? <br />gnature of Owner Date <br />DIVISION ENGINEER'S REQUIREMENTS: <br />DWR (03/07) <br />Signature of Division Engineer Date <br />1 A "Non-Jurisdictional Structure' is a dam creating a reservoir with a capacity of 100 acre-feet or less and a surface area of 20 acres or less and a vertical height (see <br />footnote 3) of 10 feet or less. <br />2 Please see example on reverse side (or page 2) of this form. <br />3'vertical Height is measured from the elevation of the lowest point of the natural surface of the ground where that point occurs along the longitudinal centerline of the dam <br />up to the crest of the emergency spillway of the dam. <br />4.Freeboard" is the vertical distance from the bottom of spillway to the crest of the dam. <br />5 <br />If eemdtruedem in tesetvetr imeteepts gteumawdter, a well permit is retlulree. (Weft pertnn appfteat,oms can be foume at www.water.stme.eo.us/pubs/forms.asp) <br />81639_ <br />Zip Code