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Home My WebLink About20231505.tiffForm GWS-27 01/2020 No. DWR COLORADO DEPARTMENT 1313 Web: Sherman Phone: dwr.colorado.cov (303) DIVISION St., OF Ste 86E NATURAL 821, OF Email: Denver, WATER dwrpermitsonline@state.co.us RESOURCES Colorado RESOURCES - 80203 2223 For Office Use only REVIEW INSTRUCTIONS PRIOR TO COMPLETING FORM GRAVEL PIT WELL PERMIT APPLICATION 1. TYPE OF PERMIT NEW PIT(S) PIT(S) EXIST, CONSTRUCTED AFTER DEC. 31, 1980 2. APPLICANT INFORMATION NAMES) Loveland Ready -Mix Concrete, Inc. (Stephanie Fancher-English) Mailing Address P.O. Box 299 City, St. Zip Loveland, CO 80539 Phone (w/ area code) 970-667-1108 Email: stephanief@Irmconcrete.com 3. CONSULTANT/ATTORNEY/OPERATOR CONTACT (If different than #2) PIT NAME Dunn Pit NAME(S) Telesto Solutions, Inc. (Taryn Tigges) Mailing Address 740 14th St SW DRMS NO. M-1999-065 City, St. Zip Loveland, CO 80536 Phone (w\ area code)970-484-7704 Email:ttigges@telesto-inc.com 4. GENERAL LOCATION OF PIT(S): COUNTY Weld . 1/4 NE 1/4, Sec. 3 Tw 04 lam` N.I S. Range 67 E. Ix W. 6th P.M. p . g 5. Estimated maximum water surface to be exposed: 75.9 Acres. Number of Pits 3 . 6. Estimated depth of pits) 25 Ft. Estimated depth to groundwater 10 Ft. 7. Estimated date to expose groundwater 01/01/2023 ; date to complete mining 09/30/2045 . 8. ATTACHMENTS: (Check which have been attached.) (a) • Scaled map of pit area with range, township, & section clearly identified (REQUIRED). (b) Copy of the reclamation permit, if applicable. (c) Copy of pre 1/15/89 water conservancy dist. or water user assoc. augmentation agreement, if applicable. (d) Copy of proposed substitute water plan or augmentation plan application, if applicable. (e) Copy of court approved augmentation plan, if applicable. Case No. (f) Other . 9. 1.41 2.5 Detailed diversion acre-ft/yr acre-ft/yr description of any used for water reclamation of for withdrawn dust any use, control; tree other from establishment 5.89 the than acre-ft/yr evaporation, pond. of water and entrained method of in diversion, mined rate aggregate of diversion, removed and from annual site; amount of 10. Will dewatering occur within the DRMS permit boundary Yes IT No 11. in I (we) knowledge. the have read [Pursuant second degree the statements and to Section is punishable made 24-4-104 herein (13)(a) as a and class know 1 the C.R.S., misdemeanor.] contents the making thereof, of false and statements that they are herein true constitutes to my (our) perjury Sign or enter name(s).-rf submitt , r If signing print name & title Date (mm/dd/yyyy) Taryn Tigges, PE 08/30/2021 For Office Court Us Case 13 No. only Div. Co. WD Basin MD Use COLORADO DIVISION OF WATER RESOURCES GWS-27 INST (01/2020) DEPARTMENT OF NATURAL RESOURCES GRAVEL PIT WELL PERMIT APPLICATION - INSTRUCTIONS Applications must be computer generated online, typewritten, or printed in BLACK or BLUE INK. ALL ITEMS in the application must be completed. Incomplete applications may be returned for more information. Attach additional sheets if more space is needed. If filing online see online filing instructions! You may also print, scan and email the completed form to: dwrpermitsonline©state.co.us This applications is for use in applying for a well permit for a gravel pit that exposes groundwater to evaporation as required under the provision of 37-90-107(6) or 37-90-137(11), C.R.S. If this is not such a gravel pit, use General Purpose Application Form GWS-45. A permit is not required if the pit was constructed prior to December 31, 1980 and has not been operated or reactivated after that date. FEES This application requires a nonrefundable filing fee of $100. One application is required for each DRMS permit area. After submitting this form to dwrpermitsonline©state.co.us, you'll be provided with the payment options. A substitute supply plan or augmentation plan may be required for approval where groundwater was exposed after December 31, 1980. These plans are submitted separately and a filing fee of $1,593.00 is required. These plans may not be needed in areas where water is available and all other water rights are satisfied. ITEM 1 TYPE OF PERMIT - Check the appropriate box. ITEM 2 APPLICANT INFORMATION - This is the applicant's name and the mailing address where all correspondence will be sent. Include the phone number. ITEM 3 CONSULTANT/ATTORNEY/OPERATOR CONTACT - If there is someone different than the applicant to be contacted for additional information, then complete this item. Indicate the name of the gravel pit and the assigned DRMS number (include any prior DRMS/MLRD permit numbers that may be assoicated with this pit. ITEM 4 LOCATION OF WELL - The general location of the well (pit) must be indicated and include a quarter/quarter, Section, Township, Range and Principal Meridian. An outline of the pit(s) on a USGS 7 1/2 minute quadrangle map is desirable. ITEM 5 Indicate the maximum number of acres of groundwater to be exposed to the atmosphere and the total number of excavated areas (pits) covered within the DRMS permit. ITEM 6 Indicate the estimated proposed or actual depth of the pit(s), and estimated depth to groundwater. ITEM 7 Indicate the estimated dates of beginning to expose groundwater and completing the mining. ITEM 8 ATTACHMENTS - The list of attachments to this application provides information which is necessary to the evaluation. A scaled map of the pit area tied to a section corner is required. ITEM 9 USE - Complete this item if water is to be used for any purpose other than evaporation, those uses must be detailed. The information required includes but is not limited to the volume of gravel mined, the method of diversion of water from the pit, the pumping rate in gallon per minute, the average annual amount of water diverted or used in acre-feet, and the proposed use. ITEM 10 DEWATERING - Specify whether dewatering will occur within the DRMS permit boundary. ITEM 11 SIGNATURE - The individual signing the application or entering their name (and title if applicable) must be the applicant or an officer of the corporation/company/agency identified as the applicant or their attorney. An authorized agent may also sign or enter their name on the application if a letter signed by the applicant or their attorney is submitted with the application authorizing that agent to sign or enter their name on the applicant's behalf. Payment must be received via phone if filing online at 303.866.3581 (Records Office) prior to processing the application. IF YOU HAVE ANY QUESTIONS regarding any item on the application form, please call the Division of Water Resources Ground Water Information Desk (303-866-3587), or the nearest Division of Water Resource Field Office located in Greeley (970-352-8712), Pueblo (719-542-3368), Alamosa (719-589-6683), Montrose (970-249-6622), Glenwood Springs (970-945- 5665), Steamboat Springs (970-879-0272), or Durango (970-247-1845). COLORADO DIVISION OF WATER RESOURCES, 1313 SHERMAN STREET, STE 821, DENVER, CO 80203 (Main) 303-866-3581 3170000 3175000 O N U) N co a) cO 0 a x 0 0 0 U) 0 U 0 J a) L z a J a 0 0 0 J LL N 0 X a C C 0 LL s LEGEND • . PROPERTY BOUNDARY MINING CELLS :1 f 6:44 C tea Mean MI A`16 o Bard • Lake _. uBl.le 'Falk at .JS, tiff.) WWI h SITE LOCATION so krt • Mllflkell . l iI cole Coordinate System: NAD 1983 StatePlane Colorado North FIPS 0501 Feet FIGURE 1 LOCATION MAP DUNN PIT LOVELAND READY MIX P.O. BOX 299, LOVELAND, CO, 80539 PREPARED BY: TELESTQ SOLUT1 ONS • i 7. C Ci It I' ID It.. I E L Levelrinti. Coforafn (970)484-7704 Kw. teleso-inc. corn 3170000 3175000 Hello