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1 APPLICATION NO <br />2. FIELD OFFICE CODE <br />3. DATE RECEIVED <br />4. DATE APPLICATION COMPLETED <br />(ITEMS BELOW TO BE FILLED BY APPLICANT) <br />5 APPLICANT'S NAME <br />United Companies of Mesa County <br />8. AUTHORIZED AGENT'S NAME & TITLE (an agent is not required) <br />Peter Kearl - Consulting Hydrologist <br />6. APPLICANT'S ADDRESS <br />2273 River Road <br />Grano Junction, CO 81505 <br />9. AGENT'S ADDRESS <br />2263 Kingston Road <br />Grand Junction, CO 81507 <br />7 APPLICANT'S PHONE NUMBERS WITH AREA CODE <br />a Residence <br />b Business 970- 243 -490. _ <br />10. AGENT'S PHONE NUMBERS WITH AREA CODE 1 <br />a. Residence 970 - 985 -9606 <br />b. Business 970 -241 -7125 <br />11 STATEMENT OF AUTHORIZATION <br />I hereby authorize Peter Kea to act in my behalf as my <br />agent in the processing of this <br />application and to furnish, upon request, supplemental information in support of this permit application. <br />i <br />APPLICANTS SIGNATURE DATE` <br />APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 0710 -003 <br />Public reporting burden for this collection of information is estimated to average 5 hours per response, including the time for reviewing instructions, <br />Searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send <br />comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to <br />Department of Defense, Washington Headquarters Service Diiectorate of Information Operations and Reports, 1215 Jefferson Davis Highway, Suite <br />1204, Arlington VA 22202 -4302; and to the Office of Management and Budget, Paperwork Reduction Project (0710 -003), Washington, DC 2.0503 <br />Please DO NOT RETURN your form to either of those addresses Completed applications must be submitted to the District Engineer having jurisdiction <br />over the location of the proposed activity <br />PRIVACY ACT STATEMENT <br />Authority 33 USC 401, Section 10, 1413 Section 404. Principal Purpose: These laws require permits authorizing activities in, or affecting, navigable <br />waters of the United States, the discharge of dredged or fill material into waters of the United States, and the transportation of dredged material for the <br />purpose of dumping it into ocean waters. Routine uses. Information provided on this form will be used in evaluating the application for a permit <br />Disclosure Disclosure of reouesteo information is voluntary If information is not provided, however, the permit application cannot be processed not <br />can a permit oe issued <br />One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this <br />application (see sample drawings and instructions) and be submitted to the District Engineer having jurisdiction over the proposed activity. An <br />application that is not completed in full will be returned. <br />NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY <br />12 PROJECT NAME OR TITLE (see instructions) <br />C Pit River Reclamation Project <br />13 NAME OF WATERBODY, IF KNOWN (if applicable) <br />Colorado River <br />15 LOCATION OF PROJECT <br />(33 CFR 325) <br />Garfield Cr <br />COUNTY STATE <br />ITEMS 1 THRU 4 <br />14. PROJECT STREET ADDRESS (if applicable) <br />28580 US Hwy 6 <br />Rifle, CO 81650 <br />16 OTHER LOCATION DESCRIPTiO IF KNOWN (see instructions) <br />T6NR9VV. Section 11 Longitude ' degrees 44' 26 55" Latitude 39 degrees 32' 8.91" <br />17 DIRECTIONS TO THE SITE <br />Enter Untied Companies Rifle Operation approximately two miles east of the 1-70/US Hwy intersection. Check in at the scal <br />house for safety instruction Go east through the pit until you reach the river <br />ENG FORM 4345 — ONLINE <br />CESPK -CO -R <br />