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WATER SUPPLY INFORMATION SUMMARY <br />Sacticn 30-28-133,Id1, C.R.S. requires that the applicant suhmit to the County,'Adaquata evidence that a water supply that <br />is sufficient in terms of quantity, qual"rty and dependahility will be avalahle to ensure an adequate supply of water. <br />1. NAME OF DEVELOPMENT AS PROPOSED <br />ine <br />2. LAND USE ACTION M• <br />3. NAME OF EXISTING PARCEL AS RECORDED <br />SUBDIVISION FILING 9LOCK LDT <br />4. TOTAL ACREAGE 102.4 5. NUMBER OF LOTS PROPOSEa_A PLAT MAP ENCLOSED ^ YES <br />6. PAflCEL HISTORY -Please attach copies of deeds, plat: or other evidence or documentation. <br />A. Was parcel recorded with county prior to June 1, 1972? ^ YES ^ NO _ y ~ ~~_ <br />8. Hu the parcel ever bem part of a division of hnd action since June 1, 1972? ^ YES ^ NO <br />If yes, describe the previous action <br />7. LOCATION OF PARCEL - Indude a map deGniatmp the projeR area and 6a to a secden comer. <br />Attachedlla OF 1I4 SECTION ~,1$ TOWNSHIP 10 <br />^ N CK S RANGE $~ <br />^ E ~ W <br />PRINCIPAL MERIDIAN: I~ 6TH ^ fxM. ^ UTE ^ COSTILLA <br />8. PLAT - Lacafion of all wells an property must be plotted and permit numbers provided <br />Surveyors plat ^ Yes ^ Ne If not, sled hand drawn sketch Yes ^ No <br />9. ESTIMATED WATEA REQUIREMENTS - Gallom per Day ar Acre Fut pu Year 10. WATER SUPPLY SOURCE _ ____ <br />Water supply and d~narld will ct7atlge yeARLY l~ IXISTING ^ DEVELOPED <br /> <br />WELLS SPRING ^ NEW WELLS - <br /> <br />HOUSEHOLD USE ;t of units GPD AF <br />WELL PERMIT NUMAEflS € muasm AOUFEI6 - iauu aw <br />^ Auunu ^ urrm AeuAxor <br /> 269719 i ^ torte aemx ^ tmru aaenxpE <br />COMMERCIAL USE t of S.F. GPD <br />~~ AF ` ° ronxa aA`w~ ° uu+w¢ Fax xms <br />^ ~ ° aamu <br /> i ^ orxu <br />IRRIGATION A of aces GPO AF <br />STOCK WATERING / of head 6PD AF ^ MUNICIPAL <br /> ^ ASSOCIATION 's WATER COURT DECREE CASE NO.'S <br />OTHEA GPO AF ^ COMPANY <br /> ^ DlSTRIC7 <br />TOTAL GPO AF NAME <br /> LETTER OF COMMITMENT FOR <br /> SERVICE ^ YES ^ NO <br />11. ENGINE'cR'S WATER SUPPLY REPORT ^ YES ^ ND IF YES, PLEASE FOflWARO WITH THIS FOflM. IThu m.y h. nqui.d brfan our nr'sw 'c ccmplel.dJ <br />TYPE OF SEWAGE DISPOSAL SYSTEM ~. ___..-_.-----__--_._..,...._....._._.._. <br />'IC TANKILEACH FIELD ^ CEftiflAL SYSTEM -DISTRICT NAME <br />^ VAULT -LOCATION SEWAGE HAULED TO <br />'ST.M ;Much r copy of mgim.onq duignl ^ G I HER <br />19 <br />