2011-11-08_REVISION - M1986015

• Permit No: M1986015
• IBM Index Class Name: REVISION
• Doc Date: 11/8/2011
• Doc Name: Forward Comment to Operator- email.
• From: DRMS
• To: Gary Tuttle
• Type & Sequence: AM4
• Email Name: TC1
• Media Type: D
• Archive: No

Form No.
GWS -27
5/2011
COLORADO DIVISION OF WATER RESOURCES
DEPARTMENT OF NATURAL RESOURCES
1313 Sherman St., Room 821, Denver, Colorado 80203
Phone: [phone] Fax: [phone]
For Office Use only
REVIEW INSTRUCTIONS PRIOR TO COMPLETING FORM
GRAVEL PIT WELL PERMIT APPLICATION
1.
TYPE OF PERMIT
DEC. 31, 1980
X ' NEW
PIT(S)
EXIST, CONSTRUCTED AFTER
�
1 PIT(S)
2.
APPLICANT INFORMATION
NAME(S)
Mailing
City,
Phone
Transit Mix of Pueblo
Address
St. Zip
( 71
444 E Cost ilia St.
Colorado Srpings, CO 80903
9 ) 475 -0700
3 .
CONSULTANT /ATTORNEY /OPERATOR CONTACT (If different than #2)
PIT
DMG
NAME Pueblo East P:
NAME(S)
Mailing Address
City, St. Zip
Phone ( 303
Bishop – Brogden Associates, Inc.
3 3 3 W. Hampden Ave ., # 1 050
NO. M-1986-015
Englewood, CO 8011 0
) 806 -8952
4.
GENERAL LOCATION OF PIT(S): COUNTY Pueblo
see Attachment 1 —
1/4 1/4, Sec. Twp. N S , Range
E. W. P.M.
5.
Estimated maximum water surface to be
exposed: 1 3 -3 Acres. Number
of Pits 3
6.
Estimated depth of pit(s) 3 7 Ft. Estimated depth to groundwater 1 0 Ft.
7.
Estimated date
to expose groundwater February 1 , 201 2 ; to complete
mining
December 31 , 2 01 5
8.
ATTACHMENTS: (Check which have been
attached,)
range, township, & section clearly identified
if applicable.
conservancy dist. or water user assoc. augmentation
water plan or augmentation plan application,
plan, if applicable. Case No.
(REQUIRED). ,
agreement, if applicable.
if applicable.
(a)
(b)
(c)
(d)
(e)
(f)
X
Scaled map of pit area with
II Copy of the reclamation permit,
Copy of pre 1/15/89 water
Copy of proposed substitute
Copy of court approved augmentation
II
u
___..
Other
9.
Detailed description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amou
diversion of any water withdrawn from the pond.
See Attachment 1
10.
I (we) have read the statements made herein and know the contents thereof, and that they are true to my (our)
knowledge. [Pursuant to Section 24 -4 -104 (13)(a) C.R.S., the making of false statements herein constitutes perjury
in the second degree and is punishable as a class 1 misdemeanor.]
Name/Title (Please type or print) 1
Paul Bss
Re Engineer.: Resource Engineet.
Signature
�_ f ti A_
�
Date
.. /l�t/ r �b((
For Office Use only
Court Case No
((//
Div. Co. WD Basin MD Use
—