License Application

Middle Rio Grande Conservancy District

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License Application

A License is required for the installation and maintenance of infrastructure within the Middle Rio Grande Conservancy District (MRGCD) rights-of-way, including buried and aerial utilities, culverts, and bridge crossings. Typical processing period is 8-12 weeks.

Applicant Information

Applicant First Name

Applicant Last Name

Organization

Address

City

State

Zip

Email

Phone

Requestor Information

If the requestor is not the same as above, please fill out the following fields.

Requestor First Name

Requestor Last Name

Address

City

State

Zip

Email

Phone

Location of Installation

Tract (Legal Description)

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

Existing Conditions

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

Type of Request

Request Type

Bridge

Concrete Box Culvert

Pipe Culvert or Siphon

Buried Utility

Aerial Utility

Other

Please provide a short description of your request.

Proposed Start Date

Proposed Finished Date