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HEADWATER AUTHORITY OF THE SOUTH PLATTE (HASP) <br />APPLICATION FOR COMMERCIAL WATER USERS DIVERSION <br />UPPER SOUTH PLATTE BLANKET AUGMENTATION PLAN <br />Case No. 02CW389 <br />1. Applicant's name, address phone number and email: 60 /&'e * C L o s.3' A rf l c .c r C <br />�? 0. Av}(! /•So ANVA,(r &°7 9/0.1A'? 70,50 .J <br />l� /crcki co;S /vcC(�',� , c c -,,Itr'L ' <l) c <br />2. Name of structure or diversion used to obtain water: t.A) e (o7) t' w Ct.6 /P ) <br />2a. If a well, please provide the permit 11 and attach a copy of the well permit. <br />3. Name, address, Rhone numb r and email of each owner of properly to be served by the structure or <br />diversion: PC f t t ✓ / tt Ut C o , <br />t.)O( t'vac C ) ' ' k'1 r • / . ' ( / /'i' •S1t <br />P 0, / x /� kG A ( h ` �r , �� � 1s `j /0 .3 7 7 054 <br />u„ ( ft to 07 Z1 ILt) p , <br />4. Provide legal descriptions of each property to be served by the structure or diversion: <br />5. Location of structure or diversion (include quarter quarter, section, and approximate feet from section <br />lines; include a map of the location): <br />0 Vovi <br />6. GP coordinates for structure o diversion (if available): <br />. > ` <br />/06 G YS r Wes <br />7. Provide a detailed descriptipn of proposed water uses for each property and answer the applicable <br />questions: kg 1/ « p v't', -f r o K /o / f Z 12-1 7` 000 S r .F e c <br />S vo •tic, t. `EP✓ r j r t 4 / � C � 2S*Gi r < { j -- , , <br />7.1. For hotel, motel, lodge, guest ranch, cabins with kitchenettes— How many guest rooms and <br />staff rooms? What is the expected annual occupancy rate? <br />7.2. For hotel, motel, lodge, guest ranch, cabins without kitchenettes— Flow many guest rooms <br />and staff rooms? What is the expected annual occupancy rate? <br />7.3. For laundromats, how many washing machines? <br />7.4. For restaurants, with table /bar service, what is the expected average number of customers <br />per year? <br />7.5. For restaurants with paper service only, what is the expected average number of customers <br />per year? <br />7.6. For kennels, what is the expected average number of dogs to boarded per year? <br />7.7. For offices, what is the square footage of finished floor space? <br />7.8. For campgrounds and RV parks with central public toilet and shower facility, <br />how many campsites? <br />7.9. For campgrounds and RV parks with water /sewer hookups only, <br />how many campsites? <br />Page 1 of 2 <br />COMNIERCI -.i itasr. ugve.ance: ruu., 41 10 <br />