2011-01-21_REVISION - M1979142

• Permit No: M1979142
• IBM Index Class Name: REVISION
• Doc Date: 1/21/2011
• Doc Name: Amendment application ‎(AM-02)‎
• From: CDOT
• To: DRMS
• Type & Sequence: AM2
• Email Name: DMC
• Media Type: D
• Archive: No

\(? tare \[;,p \,,. 'i ! Dist. No
PIT IDENTIFICATION C :7 _??,?
_.•ttle of Count\ i 1 roject No:
FIELD REPORT _L
Location ,,z be 11 ?Qsf T iYes1'
60
1 U.j
/T, I Y , i 4° -Section _ _Township Range
02, 1/4 or 1/16, etc. Section)
C{, S ,?"Id '111 •5ta /C 0 'r Cost
( :cr of Material
(Name) (Mailing Addr(!ss)
(Cu. Yd. or Ton)
Option
No
(Yes or No)
posed Use of Material 2j .2 ?
(Indicate "Spec." Item Number, such as (example) Item 13, 16, 23, 26, 31, 32 or-46, etc.)
Ballast Pit? Borrow Pit?
Surfacing Pit? t- Conc. Aggre.?
Give any information necessary for tests desired
'viously-Used? NO Purpose Results
f (Yes or No) (Show Project No. & Sample No.) (Surf., Oil, Concrete Agg., Etc.) (Fair Good t I
/ro r
} ent of Pit ?¢? -- Quantity Available in Pit 0 Z, 2 `f 7 6 y 461e s / /4 /d
{ (Square Yards) (Cubic Yards)
Distance from Center of Pit to Station No. of Project over route of haul is 1760
„f. (Feet : t es)
1.,??. s U-s r ?r"?!S Ii Lt t?>:s ? 1 4 Gam.
Unless the Pit Surface is practically free of interfering vegetation, of what does it consist?
t: > Approximately, how high is present face or bank of Pit, if any?
(Sagebrush, Grassland, Timber, Debris, etc.) (Feet)
-- there adequate sites for stockpiles if needed? V Give approximate locations and dimensions of stockpile sites when advisable
(Yes or No)
/ > ore o_
?n old 0/>'
::...:cription of Pit? un dl s 1 u e b e d ,y Cf o0 s / l- of Jam, i'!4 6)--0J-c1
(Undisturbed Deposit, Sand or Gravel Bar, Cut-face, etc.)
n} `additional information which should be brought to the attention of Cast Istimator not familiar with existing Field
e any-
'Conditions-,// he 0, S ?Fr/c"S v YJd'?es • ?OYIt ? i?to7 Zt?ccr/ [ri,rP/=?/ ?j?f rJ/;?
Zi?1fit /0 i rrrc v)c
bc/ ?"0s
'.;'f?f'?1"cY /-g. 'rLdf uu yrf ?f :i frJ??-/.,4 ffi/l GE I?G,yi//i"C? •f'vr Ur4 rep.
i;
f
Depth to water table? P f P't d' n ttcr9 Is lhis the period of high a:+tcr Llblc'
l., . (Feet)
i :
Maximum size of Material in Pit?
recent o t un cr a
(Percent) (Yes or No)
Inches 6
Feet
4.
`. proximate per cent of material larger than ? inches 3 7 inches
(Percent)
;. N:une of Person or Persons)
How sample(1? Qt1ICA w4y crlid 11C1}?Q f'/CSC f jJ01 C !
(Iland Fhovel, Iland Auger, Quick++•ay Trench, etc.) J
(9 ? /o
. !-stimated depth of pit
(Percent) (Feel)
7
Ccrlified h)
(l)islrir.t \latenal? l:nt:intrr? ,
l