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<br />. <br /> <br />. <br /> <br />e <br /> <br />Proposed Easement Information <br /> <br />Describe the easement request and the purpose that it would serve (attach separate sheet if necessary): <br />The Town of Columbine Valley is requesting a storm sewer easement. <br /> <br />The requested easement will provide the Town of Columbine Valley legal access for maintenance or repair of the buried <br /> <br />storm sewer pipe across Colorado Water Conservation Board property. <br /> <br />Easement Request Requirements <br /> <br />(1) Has a site survey been completed by a licensed surveyor (yes or no)? Yes The easement requ.est <br />will only be approved once the applicant has provided a copy of the site survey to the CWCB staff <br />along with a legal description of the requested easement parcel. <br /> <br />(2) Do you have an understanding of the relevant environmental regulations and required floodplain <br />permits for this area? Please explain. Attach a separate letter demonstrating awareness of ~md <br />compliance with applicable local, state, and federal environmental and floodplain regulations. <br /> <br />(3) For all drainage easement requests, a site drainage study and drainage plan is required. <br />Is this a drainage easement request? (yes or no ) Yes <br /> <br />(4) Easements within the tOO-year floodplain of the South Platte River (Chatfield Downstream <br />Channel Improvement Project) must include a hydraulic analysis completed by a qualified professional <br />engineer (Colorado license required) to demonstrate no adverse impacts to the I DO-year floodplain. <br />Is this site in the 100-year flood plain? Yes <br /> <br />Has a hydraulic analysis been completed? Yes <br />If so, please attach the hydraulic analysis to this application. <br />(5) Please read the following statement and sign below. <br /> <br />I have read the CWCB's Easement Guidelines for the Chatfield Downstream Channel Improvement Project and <br />understand what is required in order for my request to be considered and possibly approved by the CWCB <br />Members at a regularly scheduled CWCB Board Meeting. <br /> <br />I have filled out this application to the best of my knowledge and have suppl'ed al he required information. <br />...., ~., <br />Signatu(~77 ~e'_________.Date: <br />/ <br /> <br />Please provide any additional comments you may have, if necessary, regarding the easement request (attach <br />separate letter or other documentation that you feel would be beneficial for CWCB to review). <br /> <br /> <br />2 <br />