Training, Hydrology. ect Substitute Water Supply Plan Review Form

• Description: Substitute Water Supply Plan Review Form
• State: CO
• Basin: Statewide
• Date: 9/5/2006
• Author: Division of Water Resources
• Title: Substitute Water Supply Plan Review Form
• Water Supply Pro - Doc Type: Report/Study

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Supply 1 Plan Name
ADMINISTRATION
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General
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Applicant Name Consultant Name
Applicant Contact Consultant Contact
Applicant Address Consultant Address
Applicant City Consultant City
Applicant Zip Consultant Zip
Applicant Phone/Fax Consultant Phone
? Sv7sp L1`+_Consultant e-mail address PrO0 V YI= C�' �5
Consultant Fax
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Date submitted Date of request
Date assigned to staff Staff evaluator
Completion Target Date Date of initial review
Date sent to Div. Office Date of Div. Review
Duration of the project Date of Approval Letter
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Fees =f- 6 /4` h. . .
SWSP Fee? SWSP Receipt No.?
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Well Permit Issues
Well Permit(s)? Wells within 600'?
Well Permit fee? Permit Nos.?
Receipt No.? Waivers submitted?
Additional Forms
Accounting Form provided? Court case provided per 308(4)? 1
Project Location
Township County
Range Water Division
Section(s) Water District r l
Section(s) Stream
Refer to General Substitute Supply Plan Guidelines
Colorado Division of Water Resources 9/5/2006