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Home My WebLink About20191102.tiffWATER SUPPLY INFORMATION SUMMARY Section 30.26.233.Id1. C.R.S. requires that the applicant submit it to the County:Adequate evidence that a water supply that in terms of quantity, quahty and dependahi6ty will ho available to ensure an adequate supply ei water. 1. NAME OF DEVELOPMENT AS PROPOSED LiL, I0[ -L14 -I.',i it L D - 4, C -1,k r- 'r ,4,(-1 .-,Ac2. - 2. LAND USE ACTION rn j�if uL r L.L r` Cc !,l/ ' .1- •' L? t-5 �.,j ZL S. NAME OF EXISTING PARCEL AS RECORDED C ' J C L 5 lG , , r , _ �i IU ` � :{_% � r ,5,,,,,.. t�ti I .9 SUBDIVISION V,1 FILING /0,...,1. BLOCK 1{ ; , i.. A LLITAif 4. TOTAL ACREAGE ICJ• . ,1 S. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED EYES - G. PARCEL HISTORY - Please attach copies of deeds. plats or ether evidence or documentation. ....^....._...••.-,..•,_.._�......_......._.._....._._._.__................�, �u�� k. Was parcel recorded with county prim B. Has the parcel over bees part of a H yes, describe the previews action to June 1, 1972? YES ❑ NO .r division of land action since June 1, 1972? 0 YES ® NO - 7. LOCATION OF PARCEL - Include a map defoliating the project area and tie to a section corner. `)E 114 OF m k) 114 SECTION ..ic) TOWNSHIP ` Lai 0 S RANGE 1- El E [ '"W PRINCIPAL MERIDIAN: I6TH 0 h.M. 0 UTE 0 COSTILLA 6. PEAT - Location of all wells"oa property must he plotted and permit numbers provided. Surveyors plot I3 Yes 0 Na H eat scaled hand drawn sketch ❑ Yes ❑ No S. ESTIMATED WATER REQUIREMENTS • Saflam perrxDay w Ana Feet per Year 10. WATER SUPPLY SOURCE HOUSEHOLD USE # of units GPO AF 0 EXISTING 0 DEVELOPED E NEW WELLS - WELLS SPRING = PRIMO Ma Me WELL PERMIT NUMBERS G441161.1 L 0 UPPERMulct d WEN MOM C3 LOW6r i1 AM E ' UMUCE FOX e COMMERCIAL USE p�-``f! f) of S.F. IRRIGATION I of acres ,1.21Sii - SPD AF citern © ... GPO ._ AF ❑ creme _ STOCK WATERING d` el head GPO AF 0 MUN,ICIPAL 0 ASSOCIATION i WATER COURT DECREE CASE NO.'S 0 COMPANY OTHER - GPO AF TOTAL _.._.. CPU _ AF 0 DISTRICT NAME LETTER OF COMMITMENT FOR SERVICE 0 YES 0 NO 11. ENGINEER'S WATER SUPPLY REPORT 0 YES I NO IF YES. PLEASE FORWARD WITH THIS FORM. Mia ray bi ngaind Wan' onr mien s =Wired.) 12. TYPE OF SEWAGE DISPOSAL SYSTEM 0 CENTRAL SYSTEM 0 VAULT • LOCATION of sepn.nieq dosianl 0 OTHER • DISTRICT NAME E SEPTIC TA1i KIEEACH FIELD ❑ LAGOON Ck ENGINEERED SYSTEM IJuuati a copy SEWAGE HAULED TO -- _ Hello