Application for Change of Water Right

JDF 300W R8-17 Application for Finding of Reasonable Diligence / To Make Absolute in Whole or in Part and Certificate of Notice

District Court, Water Division County, Colorado

Court Address:

CONCERNING THE APPLICATION FOR WATER RIGHTS OF

Applicant:

In the River or its Tributaries

In COUNTY

Attorney or Party Without Attorney (Name and Address):

Case Number:

APPLICATION:

For Finding of Reasonable Diligence

To Make Absolute in Whole or in Part

Original Case Number(s):

1. Name, mailing address, email address, and telephone number of applicant(s):

2. Name of structure:

Type: well spring ditch reservoir other:

3. Describe conditional water right:

A. Date of Original Decree: Case No. Court:

B. Subsequent decrees awarding findings of diligence:

C. Legal description:

D. Source of water:

E. Appropriation Date: Amount:

F. Use:

G. Depth (if well):

4. Detailed outline of work done toward completion or for completion of the appropriation and application of water to beneficial use, including expenditures:

5. If claim to make absolute in whole or in part:

A. Date water applied to beneficial use: Amount:

Use:

B. Supporting evidence that applicant diverted water in-priority and applied such water to the beneficial uses claimed:

C. Description of place of use where water is applied to beneficial use:

If actual location of the structure is different from the location in paragraph 3.C., provide the actual description:

Location information in UTM format (Preferred)

UTM Easting: Northing:

Zone: Zone 12 Zone 13

Street Address:

Subdivision: Lot Block

Source of UTMs:

Accuracy of location displayed on GPS device:

Legal Description Using the Public Land Survey System (PLSS) (Optional)

County of the Section Township N S Range E W Principal Meridian

Distance from section lines: Feet from N S and Feet from E W

Source of PLSS information:

Street Address:

Subdivision: Lot Block

6. Names(s) and address(es) of owner(s) or reputed owners of the land:

7. Remarks or any other pertinent information:

By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.

By checking this box, I am acknowledging that I have made a change to the original content of this form.

Verification and Acknowledgment

I being first duly sworn, hereby state that I have read this Application, that I have personal knowledge of the facts stated and, that I verify its contents to the best of my knowledge, information, and belief.

County of , State of Colorado, this day of , 20.

My Commission Expires:

Notary Public/Deputy Clerk:

The person signing this verification is: Applicant Engineer Other (describe)

Certificate of Notice

I, hereby certify that I have provided a copy of the application filed on with the Court to the following owner(s):

1.

2.

3.

The application was provided by: Certified mail Registered mail return receipt requested, within 14 days after filing.