HomeMy WebLinkAbout20160755.tiff Statement for Adequate Water for Wes Moser, Inc. Change of Zone
Currently the property is an agricultural use. The owner is requesting a Change of Zone to 1-3
without a proposed use. At such time that a use is proposed for the property and the potable water
requirement (rate or volume) is understood the site will be developed with commercial wells during
the Site Plan Review process.
WATER SUPPLY INFORMATION SUMMARY
Section 30.28-1334d1, 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.
1. NAME gq OF DEVELOPMENT AS PROPOSED
t,(/.Ch VvIC �jL� f �KL
2. LAND USE ACTION C kotAtc y.. cc Z ovtQ-
3. NAME OF EXISTING PARCEL AS RECORDED Z. ( 3 ZGj ( OOO6(a
SUBDIVISION FILING BLOCK LOT
4. TOTAL ACREAGE 24° 5. NUMBER OF LOTS PROPOSED N.1. (Jo
PLAT MAP ENCLOSED 0 YES (J o
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? ❑ YES 0 NO
B. Has the parcel ever been part of a division of land action since June 1, 1972? ❑ YES 0 NO
If 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 12- Th( SECTION ZS TOWNSHIP 3 Kid ❑ S RANGE 655- DE W
PRINCIPAL MERIDIAN: Ea 6TH 0 N.M. ❑ UTE 0 COSTILLA
8. PLAT - Location of all wells on property must be plotted and permit numbers provided. 744-
Surveyors plat ❑ Yes 0 No If not, scaled hand drawn sketch ❑ Yes ❑ No
9. ESTIMATED WATER REQUIREMENTS • Gallons per Day or Acre Feet per Year 10. WATER SUPPLY SOURCE
A4-1-14-C-0( a-t - '^` J l ❑ EXISTING 0 DEVELOPED ANEW WELLS
WELLS SPRING PROPOSED AOUFERS (CHECK ONO
HOUSEHOLD USE p of units GPO AF WELL PERMIT NUMBERS 0 AIUMAI 0 UPPER ARAPAHOS
❑UPPER OAWSON E-7 LOWER ARAPAHOE
COMMERCIAL USE II of S.F. GPD AF ❑LONER DAMSON ❑LAMAMt FOX HILLS
❑OMER ❑DAKOTA
❑o11cR
IRRIGATION/I of acres GPO AF
STOCK WATERING # of head GPO AF 0 MUNICIPAL
❑ ASSOCIATION WATER COURT DECREE CASE NO.'S
OTHER • GPD AF 0 COMPANY
❑ DISTRICT
TOTAL GPO AF NAME
LETTER OF COMMITMENT FOR
SERVICE 0 YES 0 NO
11. ENGINEER'S WATER SUPPLY REPORT 0 YES h3'-NO IF YES, PLEASE FORWARD WITH THIS FORM. (This mg be required before our reviews completed)
12. TYPE OF SEWAGE DISPOSAL SYSTEM (w 15
fa SEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM - DISTRICT NAME
❑ LAGOON ❑ VAULT - LOCATION SEWAGE HAULED TO
❑ ENGINEERED SYSTEM (Minh a copy of miaowing designl 0 OTHER
Evidence of Adequate Sewer for Wes Moser, Inc. Change of Zone
Currently the property is an agricultural use. The owner is requesting a Change of Zone to 1-3 without a
proposed use.At such time that a use is proposed for the property and the sewer requirement(rate or volume)
is understood On-site Wastewater Treatment Systems(OWTS)will be utilized and will be constructed to Weld
County Standards after the approval of a Site Plan Review on the property until public services are available.
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