1995-01-13_GENERAL DOCUMENTS - C1981008 (2)

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18. N a lure of Activity 1pescnpnpn a/pro%ect mduue an leam.esv Straighten a 40 f[ long by 4 ft wide section of Ca.lanity Draw so a 40 inch diameter corrugated metal pipe can be placed into thr stream channel . The CMF will have a gate on the inlet so water can be diverted into an irrigation pump . 19. Project Purpose lOp:CnflerhprelSOnO/pYrpaze o/Ne OrO%KG SM mirrvcl,an31 The purpose is to divert water into an irrigation pump . The water will be used to promote growth on WFC ' s reclamation , on its backfill . USE BLOCKS 20-22 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED 20. Reason(s) for Discharge All excavation material will be hauled back to the active mining area , where it will be covered by WFC ' s NPDES , Stormwater Management Permit and Plan . 21. Type(s; of Material Being Discharged and the Amount of Each_Type in-Cubic Yards Less than 10 cyd of sandy loam from the existing stream bank . 22. Sun ace Area in Acres of Wetlands or Other Waters Filled rsee nsrruulopa! Less than 1 acre 23. Is Any Portion of the Work Already Complete? Yes _ No X IF YES, DESCRIBE THE COMPLETED WORK 24. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (If more than can be entered here, please attach a supplemental list). San Miguel Power owns both sides of the affected stream , they own the New Horizon Mine P .O . Box 817 Nucla , Colorado 81424 25. List of Other Certifications or Approvals/Denials Received from other Federal, State or Local Agencies for Work Described in This Application. AGENCY TYPE APPROVAL' IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED DATE DENIED Colorado- Dept - Tech . -Revi-si-on— - t2=29-9-5--Pending _of Minerals & #23 to mine Permit Geology C-81-008 'Would include but is not restricted to zoning, building and flood plain permits 26. Application is hereby made for a permit or permits to authorize the work described in this application. I certify that the information in this application is complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly o 'zed agent of th applica t. C- - SIGNATURE a APPLICANT ✓ DATE SIGNATURE OF AGENT DATE The applic m be ation signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly authorized agent if the statement in block 11 has been filled out and signed. 18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. 'U.S.GP0:1994 620 478182018