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n1A <br />4 3 6s Proof of ownership /copy of deed and/or a letter of acknowledgment from the lender. <br />6 If in a subdivision, provide a copy of covenants and approval from the Homeowners <br />Association. <br />() Detailed scaled plot_plan of the site and all existing structures if any, and the measurements of <br />any structure to the property lines, roads, access to parcel. (You can use a plat map of the <br />parcel as the base for the site plan.) <br />() Please describe in detail what you are requesting to do with/on the parcel, if you need <br />additional space attach a separate page to this application. Please explain to the Planning <br />and Zoning and the Board of County Commissioners how it is compatible with surrounding <br />land uses (area) and the Rio Grande County Master Plan <br />COOLEY & SONS EXCAVATING, INC. IS REQUESTING PERMISSION TO <br />EXCAVATE A RECHARGE POND ON THE NW 1/4 OF THE NE1 /4, S11, T4ON, <br />R7E, NMPM APPROXIMATELY 4 -6' IN DEPTH AND TO FFn THE, EXCAVATED <br />MATERIAL THROUGH A PORTABLE CRUSHER AND HAUL THE AGGREGATE OFF -SITE <br />FOR USE ON VARIOUS CONSTRUCTION PROJECTS <br />THE RECHARGE POND WOULD BE LEVELED AND 2;1 SIDE SLOPES CONSTRUCTED <br />AND SEEDED. THE PINT W <br />1 i <br />1 i . :111.► ; •C <br />WATER RECHARGE AND WILDLIFE HABITAT. <br />NEIGHBORING LANDOWNERS HAVE BEEN NOTIFIED OF FXCAVTTON AND MINING <br />PLAN. <br />Source of Water: () Public Water Source; ()District; ()Private Well; <br />1 ()Water Shares; (Attach water certificates or permit (s) <br />Sewage Disposal: ()Central Wastewater Treatment; () New Individual OSWS <br />()Existing System how long has the system been there? <br />Traffic expected to be generated by this change <br />OkFire District: () Del Norte; () South Fork; () Monte Vista; () Center () Carmel <br />Is an access permit required for this change? Attach any and all documentation. <br />() Colorado Department of Transportation Highway access permit: 970 - 385 -8360 <br />() Rio Grande County Driveway access permit if off of a county road. 719 - 852 -4781 <br />() Existing access/How long has it been there? <br />r\\\ () Attach a list of the names and addresses of landowners within 1500 feet of the entire boundary <br />of the property in a rural zone; 300 feet for commercial. The Land use Office will assist you in <br />generating a list but it will be up to you to verify the information with the Assessor's Office <br />Records. <br />2 <br />