HomeMy WebLinkAbout20112758.tiff No water will be needed at this facility for Phase I & II, when Phase III is implemented
potable water will be trucked in.
• WATER SUPPLY INFORMATION SUMMARY
Section 30.28.133,(d). C.R.S. requires that the applicant submit to the County,'Adequate evidence that a water supply that
is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water.
I. NAME OF DEVELOPMENT AS PROPOSED
2. LAND USE ACTION
3. NAME OF EXISTING PARCEL AS RECORDED
SUBDIVISION FILING STOCK LOT
4. TOTAL ACREAGE 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED C YES
6 PARCEL HISTORY - Please attach copies of deeds, plats or other evidence or documentation.
A. Was parcel recorded with county prior to June 1. 1972? CJ YES ^ NO
B. Has the parcel ever been part of a division of land action since June 1, 1972? C YES a NO
It yes, describe the previous action
7. LOCATION OF PARCEL • Include a map deliniating the project area and tie to a section corner.
1/4 OF _ 1/4 SECTION TOWNSHIP ❑ N 0 S RANGE 0 E 0 W
• PRINCIPAL MERIDIAN: ❑ 6TH C k.M. 0 UTE 0 COST1LLA
8. PLAT - Location of all wells on property must be plotted and permit numbers provided.
Surveyors plat Yu ❑ No II not, scaled hand drawn sketch 0 Yes ❑ No
9. ESTIMATED WATER REQUIREMENTS-Geuoru per Clay or Acre her per Year 10. WATER SUPPLY SOURCE
❑ EXISTING 0 DEVELOPED ❑ NEW WELLS -
WELLS SPRING r OI=sowers,(MU ONO
HOUSEHOLD USE N of units GPO AF WELL PERMIT NUMBERS o Auunu o unta,ev*ec
o-. Oh C LOWS AMneot
COMMERCIAL USE I of S.F. GPO AF o LOWER oAesow 0 IseAvu 105 MetS
c oenm o aumrs
3 ONO
IRRIGATION ! of acres GPD AF
STOCK WATERING I of head GPU AF 0 MUNICIPAL
O ASSOCIATION WATER COURT DECREE CASE NO.'S
OTHER GPO AF 0 COMPANY
D DISTRICT
TOTAL GPO AF NAME
LETTER OF COMMITMENT FOR
SERVICE 0 YES O NO
11. ENGINEER'S WATER SUPPLY REPORT ❑ YES 0 NO IF YES, PLEASE FORWARD WITH THIS FORM. (The may be required Oster'our reviews compNradJ
12. TYPE OF SEWAGE DISPOSAL SYSTEM
D SEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM • DISTRICT NAME
I
•C LAGOON ❑ VAULT • LOCATION SEWAGE HAULED TO
u^ ENGINEERED SYSTEM 'Amina ally of eapunarnq flaunt 0 OTHER 2011-2758
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