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HomeMy WebLinkAbout1.0 ApplicationDate: SPECIAL/CONDITIONAL USE PERMIT June 13, 1990 Applicant: John J. Stanford Address of Applicant: 855 Chatfield Road, Aspen, CO 81611 Special/Conditional Use: Office Systems Storage Legal Description: Lots 9 and 18, Sectional, Township 7 South, Range 89 West of the 6th P.N., County of Garfield, State of Colorado, Assessor Lot* 160 Practical Description (location with respect to highways, county roads, and residences): Intersection of Highway 82 and Old Highway 82 Requirements: 1. Plans and specifications for proposed use. 2. Letters of approval from utility companies, sewage and water. Road access and other information deemed necessary. 3. A vicinity map drawn to scale depicting the subject property, location and use of building and structures on adjacent lots. NJ.I\.4. An impact statement on the proposed use where required by Sections 5.03-5.03.12 of Zoning Regulations. 5. Notice including the name of the applicant, description of the subject lot, a description of the proposed special use and time and place for the hearing shall be given in the newspaper of general circulation in that portion of the County at least fifteen (15) days prior to such hearing time. Applicant shall bear the cost of advertising. 6. A copy of Assessor's map showing property; and a listing of all adjoining property owners of said property. Notice containing information described under paragraph 5 shall be mailed to all owners of record of these lots at least 5 days prior to the above hearing by certified return receipt mail and the receipts shall be presented at the hearing by the applicant. 7. A fee of $ shall be charged for each application and shall be submitted with the application. 8. Attach a copy of proof of ownership for your property. (Deed, title insurance). List all adjoining property owners of said property. SEE ATTACHED LIcT Notice shall be sent at least five (5) days prior to hearing by return -receipt mail to all of the above noted persons. Mailing is the applicant's responsibility and proof of mailing must be presented at the hearing. The above information is correct to the best of my knowledge. Ap,p) icant 2 --' /t' Dat • LISTING OF ALL ADJOINING PROPERTY OWNERS to • • Lots 9 and 18, Sectional, Township 7 South, Range 89 West of the 6th P.M., County of Garfield, State of Colorado (Assessors Lot# 160) Paul and Arrie Shaw P. O. Box 1193 Glenwood Springs, CO 81602 Mobil Home Management Corporation P.O. Box 283 Aspen, CO 81612 George F. Fields and Marjorie M. Fields James M. and Jacueline M. Fields 2213 Bennet Street Glenwood Springs, CO 81601 Roy R. and Martha A Rakich P. O. Box 444 Glenwood Springs, CO 81602 Delores A. Stowe P. O. Box 1581 Glenwood Springs, CO 81602 Walter A. and Delores A. Stowe P. O. Box 1581 Glenwood Springs, CO 81602 Lot# 058 Lot# 093 Lot# 121 Lot# 122 Lot# 112 Lot# 113 America,i Land Title Association Commitment - • 10/73 COMMITMENT FOR TITLE INSURANCE ISSUED BY STEWART TITLE GUARANTY COMPANY STEWART TITLE GUARANTY COMPANY, A Texas Corporation, herein called the Company, for valuable consideration, hereby commits to issue its policy or policies of title insurance, as identified in Schedule A, in favor of the proposed Insured named in Schedule A, as owner or mortgagee of the estate or interest covered hereby in the land described or referred to in Schedule A, upon payment of the premiums and charges therefor; all subject to the provisions of Schedules A and B and to the Conditions and Stipulations hereof. This Commitment shall be effective only when the identity of the proposed Insured and the amount of the policy or policies committed for have been inserted in Schedule A hereof by the Company, either at the time of the issuance of this Commitment or by subsequent endorsement. This Commitment is preliminary to the issuance of such policy or policies of title insurance and all liability and obligations hereunder shall cease and terminate six months after the effective date hereof or when the policy or policies committed for shall issue, whichever first occurs, provided that the failure to issue such policy or policies is not the fault of the Company. This Commitment shall not be valid or binding until countersigned by an authorized officer or agent. IN WITNESS WHEREOF, the Company has caused this Commitment to be signed and sealed, to become valid when countersigned by an authorized officer or agent of the Company, all in accordance with its By -Laws. This Commitment is effective as of the date shown in Schedule A as "Effective Date." STEWART TITLE Chairman of the Board Countersigned by: Authorized Signatory Company City, State 165 GUARANTY COMPANY ,,,Nttutoi.�-r ti Q-0RPQ44 ••1) }^ • z 1908 • „p�P�d yarn///i/e Serial No. C-1601 2 191 President SCHEDULE A ORDER NUMBER: 90017603 C3 COMMITMENT NUMBER: N/A 1. EFFECTIVE DATE: June 05, 1990 at 7:45 A.M. 2. POLICY OR POLICIES TO BE ISSUED: AMOUNT OF INSURANCE A. ALTA OWNER'S POLICY PROPOSED INSURED: JOHN J. STANFORD AND WAYNE G. RUDD B. ALTA LOAN POLICY PROPOSED INSURED: BANK OF ASPEN C. ALTA LOAN POLICY PROPOSED INSURED: D. $ 170,000.00 $ 100,000.00 3. THE ESTATE OR INTEREST IN THE LAND DESCRIBED OR REFERRED TO IN THIS COMMITMENT AND COVERED HEREIN IS FEE SIMPLE AND TITLE THERETO IS AT THE EFFECTIVE DATE HEREOF VESTED IN: B. J. AKINS AND ZILLA AKINS AS JOINT TENANTS 4. THE LAND REFERRED TO IN THIS COMMITMENT IS DESCRIBED AS FOLLOWS: SEE ATTACHED LEGAL OWNERS: $ 488.00 MORTGAGEE: $ 50.00 TAX CERT. $ 10.00 ABSTRACT SURRENDER CLOSER: CINDY EXAMINER: RLH AUTHO•IZ 99C (500M 10-89) TERSIGNATURE STEWART TITLE OF GLENWOOD SPRINGS, INC. 801 COLORADO AVENUE GLENWOOD SPRINGS, CO. 81601 (303) 945-5434 FAX NO. (303) 945-7081 STEWART TITLE GUARANTY COMPANY SCHEDULE A PROPERTY DESCRIPTION ORDER NO: 90017603 C3 A parcel of land situated in Government Lots 9 and 18, Section 1, Township 7 South, Range 89 West of the 6th P.M., County of Garfield, State of Colorado, being more particularly described as follows: • NOTE: For the purpose of this description all bearings contained herein shall be relative to a bearing of N. 0 degrees 15'00" E. on the East line of Lot 36 of said Section 1. Commencing at the corner common to Government Lots 8, 9, 18, and 36 of said Section 1, which is monumented by a brass cap witness corner N. 1 degree 14'00" E. 10.00 feet, in place and marked LS 10732; thence along the East line of said Lot 18, S. 1 degree 14'00" W. 252.06 feet to the TRUE POINT OF BEGINNING; thence continuing along the East line of said Lot 18, S. 1 degree 14'00" W. 59.98 feet; thence N. 87 degrees 47'00" W. 286.12 feet; thence N. 36 degrees 50'00" W. 549.73 feet; thence N. 52 degrees 31'00" E. 192.86 feet to the southwesterly right of way line of old State Highway 82; thence along said right of way line, S. 53 degrees 23'00" E. 351.00 feet to a point on a non -tangent curve, the radius point of which bears S. 52 degrees 58'26" W. 1760.08 feet; thence leaving said right of way line, along the arc of said curve to the right, 350.69 feet, through a central angle of 11 degrees 24'57", and a chord bearing of S. 31 degrees 19'05" E. 350.11 feet to the TRUE POINT OF BEGINNING. COUNTY OF GARFIELD STATE OF COLORADO STEWART TITLE GUARANTY COMPANY 99C (500M 10-89) SCHEDULE B - SECTION 1 ORDER NUMBER: 90017603 C3 REQUIREMENTS COMMITMENT NUMBER: N/A • THE FOLLOWING ARE THE REQUIREMENTS TO BE COMPLIED WITH: ITEM (A) PAYMENT TO OR FOR THE ACCOUNT OF THE GRANTORS OR MORTGAGORS OF THE FULL CONSIDERATION FOR THE ESTATE OR INTEREST TO BE INSURED. ITEM (B) PROPER INSTRUMENT(S) CREATING THE ESTATE OR INTEREST TO BE INSURED MUST BE EXECUTED AND DULY FILED FOR RECORD, TO WIT: 1. Execution of attached Affidavit as to Debts and Liens and its return to this office. 2. Deed from vested owner, vesting fee simple title in purchaser(s). 3. Deed of Trust from the Borrower to the Public Trustee for the use of the proposed lender to secure the loan. NOTE: For an additional charge, Stewart Title of Glenwood Springs, Inc. will provide any copies of exceptions as shown on Schedule B - Section 2. STEWART TITLE GUARANTY COMPANY 99C (500M 10-89) � s• SCHEDULE B - SECTION 2 EXCEPTIONS ORDER NUMBER: 90017603 C3 COMMITMENT NUMBER: N/A THE POLICY OR POLICIES TO BE ISSUED WILL CONTAIN EXCEPTIONS TO THE FOLLOWING UNLESS THE SAME ARE DISPOSED OF TO THE SATISFACTION OF THE COMPANY: 1. RIGHTS OR CLAIMS OF PARTIES IN POSSESSION NOT SHOWN BY THE PUBLIC RECORDS. 2. EASEMENTS, OR CLAIMS OF EASEMENTS, NOT SHOWN BY THE PUBLIC RECORDS. 3. DISCREPANCIES, CONFLICTS IN BOUNDARY LINES, SHORTAGE IN AREA, ENCROACHMENTS, AND ANY FACTS WHICH A CORRECT SURVEY AND INSPECTION OF THE PREMISES WOULD DISCLOSE AND WHICH ARE NOT SHOWN BY THE PUBLIC RECORDS. 4. ANY LIEN, OR RIGHT TO A LIEN, FOR SERVICES, LABOR OR MATERIAL HERETOFORE OR HEREAFTER FURNISHED, IMPOSED BY LAW AND NOT SHOWN BY THE PUBLIC RECORDS. 5. DEFECTS, LIENS, ENCUMBRANCES, ADVERSE CLAIMS OR OTHER MATTERS, IF ANY, CREATED, FIRST APPEARING IN THE PUBLIC RECORDS OR ATTACHING SUBSEQUENT TO THE EFFECTIVE DATE HEREOF BUT PRIOR TO THE DATE PROPOSED INSURED ACQUIRES OF RECORD FOR VALUE THE ESTATE OR INTEREST OR MORTGAGE THEREON COVERED BY THIS COMMITMENT. 6. UNPATENTED MINING CLAIMS; RESERVATIONS OR EXCEPTIONS IN PATENTS OR AN ACT AUTHORIZING THE ISSUANCE THEREOF; WATER RIGHTS, CLAIMS OR TITLE TO WATER. 7. Any and all unpaid taxes and assessments and any unredeemed tax sales. 8. The effect of inclusions in any general or specific water conservancy, fire protection, soil conservation or other district or inclusion in any water service or street improvement area. 9. Right of the proprietor of a vein or lode to extract and remove his ore therefrom, should the same be found to penetrate or intersect the premises hereby granted, as reserved in United States Patent recorded May 17, 1897 in Book 14 at Page 460 as Reception No. 20105. 10. Right of way for ditches or canals constructed by the authority of the United States, as reserved in United States Patent recorded May 17, 1897 in Book 14 at Page 460 as Reception No. 20105. 11. Road Viewers Report of Garfield County recorded December 11, 1986 in Road Record Book 1 at page 77 as Reception No. 3425. 12. An undivided one-half interest in and to all oil, gas, hydro -carbons and minerals of every kind and nat under the lands conveyed hereunder, together wits OWNitetorrITIAE GUARTT COMPANY Continued on next page 99C (500M 10-89) • CONTINUATION SHEET SCHEDULE B - SECTION 2 ORDER NUMBER: 90017603 C3 COMMITMENT NUMBER: N/A enter upon said lands and explore, drill, mine and produce, upon payment to the owner of the surface for all damages occasioned in connection therewith, any of said above described substances, as reserved by Josephine Coryell in the deed to Tony Rakich recorded December 15, 1961 in Book 338 at page 150 as Reception No. 215991 and any and all assignments thereof or interests therein. 13. An undivided one-fourth interest in and to all oil, gas, hydrocarbons and minerals of every kind and nature in, on or under the lands conveyed hereunder, together with the right to enter upon said lands and explore, drill, mine and produce, upon payment to the owner of the surface for all damage occasioned in connection therewith, any of said above described substances, as reserved by Tony Rakich in the deed to B. J. Akins and Zilli Akins recorded June 6, 1962 in Book 342 at page 336 as Reception No. 217781 and any and all assignments thereof or interests therein. 14. Easements and rights of way as granted to Public Service Company of Colorado by documents recorded August 28, 1959 in Book 320 at page 38 as Reception No. 206565 and October 29, 1959 in Book 321 at page 235 as Reception No. 207166. 15. Easement and right of way as granted to Rocky Mountain Natural Gas, Inc. by document recorded August 4, 1966 in Book 378 at page 98 as Reception No. 235588. 16. Terms and conditions of the County Subdivision Exemption Resolution No. 80-94 for B. J. Akins and Zilli Akins recorded May 28, 1980 in Book 549 at page 248 as Reception No. 304241. STEWART TITLE GUARANTY COMPANY 99C (500M 10-89) CONDITIONS AND STIPULATIONS 1. The term mortgage, when used herein, shall include deed of trust, trust deed, or other security instrument. 2. If the proposed Insured has or acquires actual knowledge of any defect, lien, encumbrance, adverse claim or other matter affecting the estate or interest or mortgage thereon covered by this Commitment other than those shown in Schedule B hereof, and shall fail to disclose such knowledge to the Company in writing, the Company shall be relieved from liability for any loss or damage resulting from any act of reliance hereon to the extent the Company is prejudiced by failure to so disclose such knowledge. If the proposed Insured shall disclose such knowledge to the Company, or if the Company otherwise acquires actual knowledge of any such defect, lien, encumbrance, adverse claim or other matter, the Company at its option may amend Schedule B of this Commitment accordingly, but such amendment shall not relieve the Company from liability previously incurred pursuant to paragraph 3 of these Conditions and Stipulations. 3. Liability of the Company under this Commitment shall be only to the named proposed Insured and such parties included under the definition of Insured in the form of policy or policies committed for and only for actual Toss incurred in reliance hereon in undertaking in good faith (a) to comply with the requirements hereof, or (b) to eliminate exceptions shown in Schedule B, or (c) to acquire or create the estate or interest or mortgage thereon covered by this Commitment. In no event shall such liability exceed the amount stated in Schedule A for the policy or policies committed for and such liability is subject to the insuring provisions and the Conditions and Stipulations and the exclusions from coverage of the form of policy or policies committed for in favor of the proposed Insured which are hereby incorporated by reference and are made a part of this Commitment except as expressly modified herein. 4. Any claim of loss or damage, whether or not based on negligence, and which arises out of the status of the title to the estate or interest or the lien of the insured mortgage covered hereby or any action asserting such claim, shall be restricted to the provisions and Conditions and Stipulations of this Commitment. STEWART TITLE GUARANTY COMPANY All notices required to be given the Company and any statement in writing required to be furnished the Company shall be addressed to it at P.O. Box 2029, Houston, Texas 77252, and identify this commitment by its printed COMMITMENT SERIAL NUM- BER which appears on the bottom of the front of the first page of this commitment. Page 5 1 1&l v �; 5•Z; 5•Z 5•� S•Z 5• ,•e-.b•z r,_�. s_c�- ... . ., , . o_e�_¢_e�_e..9.e.a.S...?.s_-.7.s?3.s•!2.s�2 _ _ _ _ _ . ,. - q.e - o es es.e..-as�.7s�2.S±2.3±2• _ �IG'R7 9.0 DRAINAGE STUDY FOR STANFORD PROPERTY GLENWOOD SPRINGS, COLORADO HCE JOB NUMBER 90050.001 JULY 20, 1990 TIME 'Y P. BECK, F.E. 118 W. 6th Street • Suite 205 • Glenwood Springs, CO 81601 Telephone 303-945-8676 CONTENTS Vicinity Map Text Calculations (two sheets) Site Drainage Plan (11" x 17") VICINITY MAP SCALE.• 1" = 2000' GENERAL The project is located within Garfield County, Colorado. The site is southwesterly of Old Highway 82, near the turn-off to the Spring Valley Campus of CMC, as shown on the attached drawings. The proposed development consists mainly of a new building to be located on an unimproved lot. CRITERIA The criteria for this study was taken from information from Garfield County, generally accepted procedures, and the D.R.C.O.G. Drainage Criteria Manual. HYDROLOGY The hydrologic method used is the Soil Conservation Service method, as described in the publication "Procedures for Determining Peak Flows in Colorado." Drainage basins, areas, peak flows, and related calculations are shown on the accompanying calculation sheets and drawings. DRAINAGE PLAN Off-site drainage does not appear to significantly affect this site. Note that the four -lane highway, railroad and Old Highway 82 would store and/or deflect a significant amount of flow. Thus, it would take a very large flow from the other side of the highways to impact this site. The accompanying Drainage Plan drawing shows the flow patterns proposed on the site. The roof areas will be drained to the ground surface and parking area surrounding the building. SUMMARY This drainage planwill protect the site and adjacent facilities by maintaining approximately the existing drainage patterns, and by detaining the difference between the expected existing flows and developed flows.. -FA-k)F�fZ�' �2aP�2T� -$64S tid = 90 Or Tc o ME /t P31, Germ/ 7eon/ P'J TtJ,ae- Ctv C4pvE 4L nA-r362. 70 Al /A4 / yg) a4 F� p = 2. 0-0/C- <;2ouP i3 .:0: mfrs t�o _ 3 iz o Po 5 Ea C_o u O r Trax)_ s 5r4 -mc- !1-5 E-x7/Nq C-EXGP7- gaoo5 Roo' .E w/ Cti a ¢ cm- W/ cV = 85 v1srTe cN (o.1. x-98) -r{6485)t(4,2 7.0) 1 S . 5 cs o ca 7L--KE-D : CovetP�zEQ 1 2d c, 5C-5 _._Tk13L.\LS�Ttoni N1EEJ[(0,0 J ._ 77/767 1 ;Viz_ (c) fit# S T oLD EckUk,t2E 0-05 " F- on) VD Lc., . l v Le,w-2 -r-74---e DevszoPc• �loW5. To A/A-7CH- 7f - ...EX/�T//./ � %... / 0.05 in x FT 7,,.4•gar.K.435sOfra 870 F /2 m �c -1>-\E to Ac-g oF- oravtot,S ouzFFA-LL._ Pr ` -D TE,v77 o d//4) F L7- 7ro._I / i s fr N enJ0e-p. °SSt11LE L._3 I,- LD . E E : � . 15 X e, w -655 '5cr7ro. F / Ro)c/rtelqTEL-/ ,i 4 C/ e /A/ 0-6 7ro 1 (- 14JOG( L -P , 7#-/i J i /4/n/ 4C5-4 'Pe5 51—C r vC civ 4J id /9 HOLY CROSS _ECTRIC ASSC 1:IATION, NC. 3799 HIGHWAY 82 P. O. DRAWER 2150 GLENWOOD SPRINGS, COLORADO 81602 June 12, 1990 Mr. Jack Standford 16311 Highway 82 Carbondale, Colorado 81623 RE: 4 Acres at 154 Road and Highway 82 Dear Mr. Standford: (303) 945-5491 FAX: 945-4081 The above mentioned development is within the certificated service area of Holy Cross Electric Association, Inc. Holy Cross Electric Association, Inc. has adequate resources to provide electric power to the development, subject to the tariffs, rules and regulations on file. Any power line enlargements, relocations, and new extensions necessary to deliver adequate power to and within the development will be undertaken by Holy Cross Electric Association, Inc. upon completion of appropriate contractual agreements. Please advise when you wish to proceed with the development of the electric system for this project. Sincerely, HOLY CROSS ELECTRIC ASSOCIATION, INC. Buzz Quaco, Staking Engineer BQ:rjm ROCKY MOUNTAIN NATURAL GAS COMPANY, INC. 2517 GRAND AVE., GLENWOOD SPRINGS, CO 81601 • TELEPHONE (303) 945-8614 June 12, 1990 Dear Mr. Stanford, I would like to confirm that we do have gas service available in the 5400 area of 154 road. If we can be of further help, please contact us. Sincerely, Darrell Hartigan District Manager Application must be complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. t y COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Deriver, Colorado 80203 PERMIT APPLICATION FORM ( X) A PERMIT TO USE GROUND WATER (x) A PERMIT TO CONSTRUCT A WELL FOR: (X) A PERMIT TO INSTALL A PUMP ( ) REPLACEMENT FOR NO ( )OTHER WATER COURT CASE NO (1) APPLICANT - mailing address I FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME Wayne Rudd STREET 16311 Hwy 82 CITY Carbondale, CO 81623 Receipt No / Basin Dist (State) (Zip) CONDITIONS OF APPROVAL TELEPHONE NO 963-1210 This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water County Garfield (see attached survey) right from seeking relief in a civil court action. )J E ''/ of the 5 E '' Section Twp. 7 S Rng. 89 W 6th P.M. IN,SI IE,WI (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 15 Average annual amount of ground water to be appropriated (acre-feet)' 1 Number of acres to be irrigated: 0 Proposed total depth (feet): 200 Aquifer ground water is to be obtained from: Tributary Owner's well designation GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY - no irrigation (0) ( ) DOMESTIC (1) ( ) INDUSTRIAL (5) IA) LIVESTOCK (2) ( ) IRRIGATION (6) I' ) COMMERCIAL (4) ( ) MUNICIPAL (8) v)OTHER (9) Commercial Exempt DETAIL THE USE ON BACK IN (11) (4) DRILLER \lame Shelton Drilling, Inc. itrcet —E.O. BOX 1 070 :By Basalt, CO 81621 (Stale) (Zip) APPLICATION APPROVED PERMIT NUMBER DATE ISSUED EXPIRATION DATE (STATE ENGINEER) ON OF THE PROPOSED WELL arj the arca on ..ater will be used must be indicated on the diagram below. (6) THE WELL MUST BE LOCATED BELOW ..ENTER SECTION (1 section, 640 acres) for the well location, by distances from section lines. .-r — ± — -I- — -+- -- -I- — --F. — -I- — -L ,1,, LI- (..) I t from 5o 4j1_ sec. line rr (north or south) ( 1.4 -- -1 MILE, 5280 FEET - 1 I ), 010 ft. from f=" O -e- sec line teas. or west) + + + -I - + -}- -i- + LOT I g BLOCK FILING # I I.1 ...I_ -1_ — i NORTH SECTION LINE I _ I SUBDIVISION See attached survey for WeL + --1{ - Icm-FrYo' I I (7) TRACT ON WHICH WELL WILL BE is NORTH LOCATED Owner:Wayne G. Rudd and w _ - — + + + -Jv m hrt—J—StatrEard-- oI 1 No. of acres 1 _ RQ . Will this be -I- r o ti the only well on this tract? Yes w -4-j I y I I z + (8) PROPOSED CASING PROGRAM -I _ — Z Plain Casing I m 7 in. from 0 ft. to 1 80 ft. — -i- - I in. from ft. to ft. SOUTH SECTION LINE � — �t' -- --I- Perforated casing 1 _____7___ in. from 1 80 ft. to 700 ft. -I + + -I- -I- -I- 1- I 1 in. from ft. to ft. -I- — --I- — The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfs) ... 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1.000 gpm pumped continuously for one day produces 4.42 acre-feet. (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it: N /A )( (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): Wayne G. Rttdd and John .1. Stanford Legal description: Same as section #2. No. of acres: 3 _ 89 (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Inside office use. Septic system meets county specifications. (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which used Nonp < (13),THE APPLICANTS) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST, F HIS KNOWLEDGE. S/CNA/f5hfE OF APPL/CANT(SJ Use additional sheets of paper if more snace is renuirerl Ci:" :ADO D Z V I s I ON OP' WATT REOURCE£i I NM TRUCT I ONM aP4 COMPL_ESINB AN APDL -KATION IPOR A WELL_ WEAN IT T)E APPLICATION MUST BE TYPED OR CRINTED NEATLY IN BLACK INK ON AN ORIGINAL APPLICATION FORM. COPIES ARE NOT ACCEPTED. rCRMIT Rr►LICATION ►ORM ( ) A PERMIT TD USE GROUND MATER, ( ) A PERMIT TO CONSTRUCT A WELL THE AREA AT THE TOP OF THE APPLICAITOP) IS FOR YOU TO INDI- ( ) A PERMIT TO INSTALL A PUMP CATE IF THIS I9 A NEW, REPLACEMENT OR OTHER TYPE OF -WELL. IF REPLACEMENT, SUPPLEMENTAL OR ALTERNATE POINT OF ( ) REPLACEMENT FOR NO. DIVERSION PLEASE INDICATE THE APPROPRIATE PERMIT OR ( ) OTHER REGISTRATION NUMBERS AND COURT CASE NUMBER(S). WATER COURT CASE NO. (1) APPLICANT-MAILIN0 ADDRESS PLEASE COMPLETE IN FULL( NAME. ADDRESS AND TELEPHONE NAME STREET NUMBER. THIS IS WHERE ALL CORRESPONDENCE WILL 8E SENT. CITY TILIEPHONIE NO. MUM ODM (2) LOCATION OF PROPOSED WELL DESCRIBE THE WALL LOCATION ONLY, NOT THE PROPERTY. COUNTYDESCRIPTION. IF YOU DO NOT KNOW THIS INFORMATION, YOU S ,1 /4 THE 1/4 6ECTION (SHOULD CONTACT YOUR DRILLER, COUNTY CLERK, COUNTY 482E25OR OR THE COUNTY PLANNING DEPARTMENT TO OBTAIN THE TWT. rR --P.M. INFORMATION FROM THE SUBDIVISION MAPS OR St)9VEY PLAT FOR MX LL 11 - YOUR LAND' PLEASE BE SURE THE 1/4 1/4 DESCRIPTION CORRESPONDS TO THE DISTANCES IN ITEM NO. 6. (37 WATER USE AND WELL DATA PROPOSED MAXIMUM PUMPING RATE (GPM) AVERAGE AMOUNT OF GROUND WATER - 70 BE APPROPRIATED (ACRE-FEET), NUMBER OF ACRES TO BE IRRIGATED: PROPOSED TOTAL DEPTH (FEET)1 AQUIFER GROUND WATER IS TO 8E OBTAINED FROM: OWNERS WELL DESIGNATION GROUND WATER TQ BE USED FOR) ( (-HOUSEHOLD USE ONLY -no lrrlgatlan(0) ( ) DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) (-JNICIPAL (0) ( ) OTHER (9) DETAIL THE USE ON BACK IN (11) A PROPOSED PUMPING RATE MUST BE INDICATED. MOST NEW HOUSEHOLD, DOMESTIC AND LIVESTOCK WF,9 ARE LIMITED TO 13 BPM. THIS INFORMATION I9 REQUIRED BY STATUTE AND I5 IMPORTANT IN OUR EVALUATION OF MOST APPLICATIONS. GENERALLY PROPOSED AMOUNTS SHOULD NOT EXCEED THE AMOUNTS INDICATED BELOW. THERE CAN BE EXCEPTIONS( HOUSEHOLD 1/3 ACRE-FOOT DOMESTIC (INCLUDES LAWN) - 1 TO 3 ACRE-FEET LIVESTOCK (CATTLE) 1 ACRE FOOT /100 HEAD IRRIGATION 2 TO 3 ACRE FEET /ACRE OTHERS VARIABLE FUR IRRIGATION WFFI 9. THE NUMBER OF ACRES YOU INTEND TO IRRIGATE MUST BE INDICATED. IF THIS IS FOR LAWN AND GARDEN IRRIGATION UNDER A DOMESTIC WELL, THEN INDICATE ON2 ACRE OR A FRACTION OF ONE ACRE. A PROPOSED WELL.DEPTH MUST BE INDICATED. THE AQUIFER GROUND WATER I5 TO BE OBTAINED FROM SHOULD BE COMPLJIoU IF KNOWN. IT I5 REQUIRED IN MANY CASES AND ESPECIALLY IF MORE THAN ONE AQUIFER I5 PRESENT. THE DRILLER OR CONSULTANT MAY BE ABLE TO A55I5T WITH THIS INFORMATION. IF YOU ARE APPLYING FOR MORE THAN ONE PERMIT THE DESIGNATION CAN BE USEFUL. PLEASE INDICATE YOUR PROPOSED USE OF THE WELL. HOUSEHOLD USE ONLY - FOR USE ONLY INSIDE THE HOUSE (NO OUTSIDE USE, NO LANDSCAPE IRRIGATION OR STOCK WATERING DOMESTIC - FOR NO YORE THAN 3 5INGLE FAMILY HOUSEHOLDS. LAWN AND GARDEN UP TO ONE ACRE AND LIVESTOCK WATERING. LIVESTOCK - FOR WATERING LIVESTOCK ON FARMS AND RANCHES. COMMERCIAL - FOR USE GENERALLY IN OFFICES. INDUSTRIAL - FOR OFFICE5 AND MANUFACTURING. IRRIGATION - FOR THE IRRIGATION OF CROPLAND. MUNICIPAL - ALL USES AS50CIATED WITH WATER DISTRICTS, SUBDIVISIONS, TOWNS AND CITIES. OTHER - USES INCLUDE OBS55RVATION AND MONITORING WELLS. (4) DRI k Fa Name Strout City Telephone No. Lic No. THE PROPOSED ORIt(F2 INFORMATION I5 OPTIONAL. IF NO DRILLER I5 PROPOSED,YOU SHOULD INDICATE 'LICENSED'. PLEASE COMPLETE THI5 ITEM IN FULL IF YOU HAVE INDICATED A DRI( ( FR.