Application Processing

Section, Township, Range

Stationing of Ditch

Ditch Grade (Design or Operating)

Ditch Capacity

Elevation of Centerline of Installation

Ditch Right of Way Width

Right-Of-Way-Ownership

MRGCD Map

Fees Paid?

Yes

Date Logged

Auto-populate with date when application was submitted.

Request No.

Auto-populate with system generated number. Ability to edit field if needed.

Special Use License Application

Applicant Information

Applicant First Name

Applicant Last Name

Organization

Address

City

State

Zip

Phone

Location Information

Tract (Legal Description)

Name of Ditch (Canal, Lateral, Acequia, Drain, Ditch)

Street Address

Note: The project site should be identified on vicinity map.

Type of Request

Request Type

Construction

Dewatering (Pump Into)

Pumping (Out Of)

Research/Survey

Commercial Boating

Event

Filming

Other

Please provide a short description of your request.

Proposed Start Date

Proposed Finished Date

Supporting Documentation

Letter of Request

Construction Plans or Drawings

Certificate of Liability Insurance naming the
“Middle Rio Grande Conservancy District” as additionally insured

W-9 for the deposit refund (if applicable)

Vicinity Map

Official Event Flier

For special events only.

Traffic Control Plan (if applicable)

Dewatering Plan

For dewatering/pump-in only.

Exhibit Map

MRGCD provides.

Engineer Drawings

MRGCD provides.

Payment Receipt

MRGCD provides.

Additional Documents

License Packet

Upload the latest license packet

Sent to Requestor - Ready for Signature
9/1/2020 11:00 am

Sent to Requestor - For your records
9/3/2020 11:00 am

Sent to Archives
9/4/2020 11:00 am

Admin Notes

John Doe - 12/12/2020 9:00 am

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John Doe - 12/12/2020 9:00 am