2010-05-27_HYDROLOGY - M1977151

• Permit No: M1977151
• IBM Index Class Name: HYDROLOGY
• Doc Date: 5/27/2010
• Doc Name: Well Permit/SWSP Application
• From: Rex M & Sharon A Hiner
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: MAC
• Media Type: D
• Archive: No

Form No, COLORADO DIVISION OF WATER RESOURCES For ®(6-ice Use only
GWS-27 DEPARTMENT OF NATURAL RESOURCES
612006 1313 Sherman St., Rm 818, Denver, Colorado 80203
Phone: (303)E.W3581
REVIEW INSTRUCTIONS PRIOR TO COMPLETING FORM
_ _
f GRAVEL PIT WELL PERMIT APPLICATION
1 TYPE OF PERMIT
0 NEW PIT(S)
t_J PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980
2. APPLICANT INFORMATION
NAME(S) R.M. Hines.. Cons*.,uct.ion Co., Inc.
Mailing Address 2220 "Oil Stree?? • PY
C
iI City, St. Zip Gree I. ey , CC -
Phone( 970 ) 3S6--2660
?- -- -- -----^ - - - -
3. CONSULTANT/ATTORNEY/OPERATOR CONTACT (if different than #2)
RAME(S) _Jared Dai.n.s _ Y PIT NAME Greeley Pit
MailingAddress _ 1499 W. 1.2 0 t hpAvenue
M-1977-151
®MG NO
-3 -' -?
.
----
City, St. Zip_Denerer,? CO 80234
Phonef 3 0 3 452-667.1
--
_?_____
14, GENERAL LOCATION OF Pli(S): COUNTY ^ -Wei d
((
?'
6 5 D E?L? W. ?5 t h-?P.M.-
1/4 NW 114, Sec. 31 Twp. t_ :I N. LJ S.,Range_
5. -
Estimated maximum water surface to be exposed: _ 95 Acres. Number of Pits 4
6. Estimated depth of pit(s)_ 5 0 Ft. Estimated depth to groundwater 8 Ft.
7. Estimated ?late to expose groundwater 1977 ; to complete mining _ unknown
j 8. ATTACHMENTS: (Check which have been attached.)
?
I
(a) X Scaled map of pit area with range, township, & section clearly identified (REQUIRED) ?

? Copy of the reclamation permit, if applicable. j
(b)
L
{
?
(c) Copy of pre 1/15/89 water conservancy dirt. or water user assoc. augmentation agreement, if applicable.

L?` !! Copy of proposed substitute water plan or augmentation plan application, if applirable.
(d)
(
(e) L?I Copy of court approved augmentation plan, if applicable. Case No.
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O

9. (
)
er
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Detailed description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amount of
diversion of any water withdrawn from the pond.
In addition to evaporation, water with.dr'awrn from the pond will include
water used for dust contra.). and water retained in the- mined product.
See SWSP request: for further information.
N_
10. i (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) i
knowledge. (Pursuant to Section 24-4-104 ('13)(a) C.R.S., the making of false statements herein constitutes pergu?y
f
in the second degree and is punishable as a class 1. misdemeanor-]
Name!Title (Please type or print) Signaaturo-' - - Date-

Rex M Hiner, owner
21 2010
rt y
,

For Offaoe Use only
court Case No. Div. Co. WD Basin MD Use