APPLICATION TO DRILL A WELL
|
|
- Anne Booth
- 5 years ago
- Views:
Transcription
1 Victoria County Groundwater Conservation District 2805 N. Navarro St., Suite 210, Victoria, Texas Phone: (361) FAX: (361) Website: APPLICATION TO DRILL A WELL Complete this application for the purposes of obtaining a permit to drill a new water well or replace an existing water well. Note: In accordance with the District s rules, the District may request additional information not requested in this application in order to consider the application administratively complete. Note 2: Water wells to be used to produce groundwater for non-exempt use purposes require a production permit authorizing operation of the subject well. Note 3: Definition of Terms EXEMPT USE means the operation of a well, well field, or well system: 1. For the sole purpose of producing groundwater to be used for domestic use purposes; 2. For the sole purpose of providing groundwater for livestock, poultry or personal recreation that is drilled, completed, or equipped so that it is incapable of producing more than 28,800 gallons of groundwater per day; 3. For the sole purpose of providing groundwater for fire fighting; 4. For the sole purpose of providing a heat source or heat sink to a freshwater closed loop geothermal well; or 5. For the sole purpose of providing access to monitor groundwater resources that does not consume more than 5,000 gallons of water per year. EXEMPT USE WELL means a well utilized to produce groundwater to be used solely for exempt use purposes or a well otherwise exempt under the provisions of Section of the Texas Water Code. NON-EXEMPT USE WELL means a well that is not an exempt use well. ADW Application to Drill a Well Page 1 of 5 Revision:
2 SECTION 1: LANDOWNER INFORMATION Landowner Name Mailing Address: City: State: Zipcode: Phone: Note: Documentation demonstrating ownership of the subject property such as appraisal district records or deed must be submitted with the application. SECTION 2: PROPOSED WELL LOCATION INFORMATION Property Address: City: State: Zipcode: Nearest Intersection: Latitude: Longitude: Is the proposed well site located within incorporated limits of a municipality? Specify the acreage of the proposed well site property: Note: a map of the well site that accurately describes the location of property lines at the perimeter of the well site and the location of each water well within the boundary of the well site is required. ADW Application to Drill a Well Page 2 of 5 Revision:
3 SECTION 3: INFORMATION RELATED TO PERMIT Question 1: Will the subject well be used solely for EXEMPT USE purposes or be otherwise exempt under the provisions of Section of the Texas Water Code? Question 1a: If the answer to question 1 is NO, is the proposed well related to an existing production permit? N/A If YES, specify the production permit number: Question 2: What purpose will the groundwater produced from the subject well be put? (Examples. Domestic, Livestock, Commercial) Question 3: What is the intended capacity of the subject well in gallons per minute? GPM Question 4: Will the subject well be offset from wells owned by another person by a distance equal to one foot per one gallon per minute of the intended capacity as specified for Question 3? Note: if question 4 is answered NO, a waiver of the Question 5: Will the subject well be at least fifty (50) feet from the nearest property line? Note: if question 5 is answered NO, a waiver of the Question 6: Will the proposed well be at least 50 feet from any potential sources of contamination? Note: if question 6 is answered NO, a waiver of the ADW Application to Drill a Well Page 3 of 5 Revision:
4 Question 7: Will the subject well be located on a tract of land or lot of a platted subdivision with requirements related to water wells such as designating an authorized drilling area? Note: if question 7 is answered YES, relevant information such as a copy of the subdivision plat or deed covenants as filed with Victoria County will be required. Question 8: Is the proposed well a replacement well for an existing well that will be plugged and abandoned? Question 8a: If the answer to question 8 is YES, is the existing well registered with the District? N/A If YES, specify the well registration number: Note: If question 8a is answered NO, an Application to Register a Well for the existing well will be required. Question 9: Is a waiver or variance of any of the District s rules or requirement requested? Note: If question 9 is answered YES, additional information relevant to the waiver and good cause for granting the waiver will be required. Question 10: Is the District authorized to release any resulting permit to a person or entity other than the applicant? Note: If question 10 is answered YES, specify the contact information for the persons or entities that the resulting permit may be released: Question 11: Is the District authorized to register the subject well upon receipt of the related well driller s log? Note: If question 11 is answered NO, then well owner will be required to submit an Application to Register a Well for the subject well. ADW Application to Drill a Well Page 4 of 5 Revision:
5 SECTION 4: DESIGNATION OF AUTHORIZED AGENT The following individual is designated as an authorized agent for all matters regarding water well permitting, water well registration, and waiver requests for the subject property of this application. Name: Contact Information: SECTION 5: CERTIFICATION AND AGREEMENT I certify under penalty of law that this document and all attachments were prepared under my direction or supervision; the information submitted is, to the best of my knowledge and belief, true, accurate and complete; and I agree to operate the subject well in accordance with the Victoria County Groundwater Conservation District s Rules and the State of Texas regulations. Further, I certify under penalty of law that I am the landowner or I possess legal authorization to act as the agent of the landowner. Signature of Landowner or Authorized Agent Date Printed Name of Landowner or Authorized Agent ADW Application to Drill a Well Page 5 of 5 Revision:
APPLICATION TO DRILL A WELL
2805 N. Navarro St., Suite 210, Victoria, Texas 77901 Phone: (361)579 6863 FAX: (361)579 0041 Website: www.vcgcd.org Email: admin@vcgcd.org APPLICATION TO DRILL A WELL Complete this application for the
More informationCHAPTERS 35 to 37 Reserved CHAPTER 38 PRIVATE WATER WELL CONSTRUCTION PERMITS
, 8/18/04 Ch 38, p.1 TITLE III WITHDRAWAL, DIVERSION, STORAGE AND USE OF WATER DIVISION A WATER WELL CONSTRUCTION: GENERAL STANDARDS AND REGISTRATION OF CONTRACTORS CHAPTERS 35 to 37 Reserved, 8/18/04
More informationGUIDANCE REGULATIONS AND RULES FOR THE AQUIFER CONSERVANCY PROGRAM
GUIDANCE REGULATIONS AND RULES FOR THE AQUIFER CONSERVANCY PROGRAM A. Purpose of the Post Oak Savannah Groundwater Conservation District s Aquifer Conservancy Program 1. A method of groundwater management
More informationAPPLICATION TO CONVERT BASE IRRIGATION GROUNDWATER CHANGE IN LAND USE
900 E Quincy, San Antonio, Texas 78215 (210) 222-2204 or (800) 292-1047 Fax (210) 222-9869 APPLICATION TO CONVERT BASE IRRIGATION GROUNDWATER CHANGE IN LAND USE Instructions: This application is to be
More informationRAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL HEARINGS SECTION
RAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL HEARINGS SECTION OIL AND GAS DOCKET NO. 06-0270892 IN THE OAK HILL (TRAVIS PEAK) FIELD, RUSK COUNTY, TEXAS FINAL ORDER ADOPTING FIELD RULES FOR THE
More informationVICTORIA COUNTY GROUNDWATER CONSERVATION DISTRICT. Meeting Notice and Agenda
VICTORIA COUNTY GROUNDWATER CONSERVATION DISTRICT Meeting Notice and Agenda Public meeting notice is hereby given in accordance with Chapter 551 (V.T.C.A.) Texas Open Meetings Act that the Victoria County
More informationVICTORIA COUNTY GROUNDWATER CONSERVATION DISTRICT. Meeting Notice and Agenda
VICTORIA COUNTY GROUNDWATER CONSERVATION DISTRICT Meeting Notice and Agenda Public meeting notice is hereby given in accordance with Chapter 551 (V.T.C.A.) Texas Open Meetings Act that the Victoria County
More informationRAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL
RAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL OIL AND GAS DOCKET NO. 06-0268520 IN THE CARTHAGE (COTTON VALLEY) FIELD, HARRISON, PANOLA AND SHELBY COUNTIES, TEXAS FINAL ORDER AMENDING FIELD RULES
More informationNORTH DAKOTA REAL ESTATE APPRAISER QUALIFICATIONS & ETHICS BOARD Received : PO Box 1336 Bismarck, ND Telephone/Fax: (701)
NORTH DAKOTA REAL ESTATE APPRAISER QUALIFICATIONS & ETHICS BOARD Received : PO Box 1336 Bismarck, ND 58502-1336 Telephone/Fax: (701) 222-1051 Approved: Registration of Apprentice Appraiser / Termination
More informationRAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL
RAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL OIL AND GAS DOCKET NO. 05-0268630 IN THE DEW (CV CONSOLIDATED) FIELD, FREESTONE AND LEON COUNTIES, TEXAS FINAL ORDER AMENDING FIELD RULES FOR THE
More informationFINAL ORDER NUNC PRO TUNC
RAILROAD COMMISSION OF TEXAS HEARINGS DIVISION OIL & GAS DOCKET NO. 08-0308425 APPLICATION OF CONOCOPHILLIPS COMPANY TO AMEND FIELD RULES FOR THE FORD, WEST (WOLFCAMP) FIELD, CULBERSON, LOVING AND REEVES
More informationRAILROAD COMMISSION OF TEXAS OIL AND GAS DIVISION
RAILROAD COMMISSION OF TEXAS OIL AND GAS DIVISION OIL AND GAS DOCKET NO. 08-0308665 IN THE FORD, WEST (WOLFCAMP) FIELD, CULBERSON, LOVING AND REEVES COUNTIES, TEXAS FINAL ORDER AMENDING FIELD RULES FOR
More informationWESTON COUNTY FINAL PLAT APPLICATION
WESTON COUNTY FINAL PLAT APPLICATION Property Owner: Mailing Address of owner: Telephone Number(s) of owner: Property Owner: Mailing Address of owner: Telephone Number(s) of owner: (If subdivider/applicant
More informationRESIDENTIAL FERRY COUNTY BUILDING PERMIT CHECKLIST
RESIDENTIAL FERRY COUNTY BUILDING PERMIT CHECKLIST 1. Is there any water: river, creek, lake, pond, or wetland (circle all that apply), on or near your property? If yes, what is the distance between the
More informationType II Replacement Dwelling (EFC) Packet updated 07/07/16
WASHINGTON COUNTY Dept. of Land Use & Transportation Planning and Development Services Current Planning 155 N. 1 st Avenue, #350-13 Hillsboro, OR 97124 Ph. (503) 846-8761 Fax (503) 846-2908 http://www.co.washington.or.us
More informationCITY OF FAYETTEVILLE, ARKANSAS FINAL PLAT FOR STAFF USE ONLY FINAL PLAT FEE: $ $ Date Application Submitted: Date Accepted as Complete:
CITY OF FAYETTEVILLE, ARKANSAS FINAL PLAT FOR STAFF USE ONLY FINAL PLAT FEE: $200.00-$800.00 Date Application Submitted: Date Accepted as Complete: Project Number: Public Hearing S-T-R: PP#: Zone: Please
More informationSEWAGE FACILITIES PLANNING MODULE
Code. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WATER STANDARDS AND FACILITY REGULATION SEWAGE FACILITIES PLANNING MODULE Component 3s. Small Flow Treatment Facilities
More informationMINOR PLAT FILING APPLICATION
FILING APPLICATION Date of PC Meeting: Date of BCC Meeting: Fee Paid: 1. APPLICANT: DAYTIME PHONE: MAILING ADDRESS: LANDOWNER: DAYTIME PHONE: MAILING ADDRESS: AUTHORIZED AGENT: MAILING ADDRESS: RELATIONSHIP
More informationTOWN OF LERAY PLANNING BOARD Minor Subdivision Application Packet
This Packet is designed to assist applicants in providing the forms needed for submission of a 1 to 4 lot subdivision to the Planning Board for approval. The following should be filled out to ensure the
More informationRAILROAD COMMISSION OF TEXAS HEARINGS DIVISION
RAILROAD COMMISSION OF TEXAS HEARINGS DIVISION OIL AND GAS DOCKET NO. 02-0297183 IN THE SUGARKANE (AUSTIN CHALK) FIELD, ATASCOSA, BEE, DE WITT, LIVE OAK AND KARNES COUNTIES, TEXAS FINAL ORDER AMENDING
More informationDivision of Land Application
FOR PLANNING USE ONLY Application # DIV Application Fee Receipt No. Filing Date Completeness Date Division of Land Application A. PROJECT INFORMATION 1. Project Name: 2. Address of Subject Property: 3.
More informationAPPLICATION PROCEDURES FOR A PLAT AMENDMENT OR REVISION
APPLICATION PROCEDURES FOR A PLAT AMENDMENT OR REVISION DEFINITION: Any revision or amendment to an approved recorded or unrecorded final plat. A revision (not recorded) does not require a public hearing
More informationRAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL
RAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL OIL AND GAS DOCKET NO. 08-0268905 IN THE SANDBAR (BONE SPRING) FIELD, LOVING COUNTY, TEXAS FINAL ORDER AMENDING FIELD RULES FOR THE SANDBAR (BONE
More informationCITY OF NOVI LAND DIVISION INSTRUCTIONS
CITY OF NOVI LAND DIVISION INSTRUCTIONS All applications for land division in the City of Novi must be in compliance with Chapter 32 of the City of Novi Code of Ordinances and with the Land Division Act,
More informationNotice of Intent (NOI)
This section for official use only City of Columbia Permit Approval Notice of Intent (NOI) NPDES Coverage (DHEC) Land Disturbance Permit (LD) # Land Disturbance Plan (LDP) # City File (CF) # State File
More information1 st Hearing: 2 nd Hearing: Publication Dates: Notices Mailed: Rezone, Special Exception and Variance APPLICANT INFORMATION PROPERTY INFORMATION
City of Okeechobee General Services Department 55 S.E. 3 rd Avenue, Room 101 Okeechobee, Florida 34974-2903 Phone: (863) 763-3372, ext. 218 Fax: (863) 763-1686 1 Name of property owner(s): 2 Owner mailing
More informationAPPLICATION PROCEDURES FOR A MAJOR SUBDIVISION PRELIMINARY PLAT
APPLICATION PROCEDURES FOR A DEFINITION: The subdivision of a tract of land into at least three (3) residential, commercial, or industrial parcels, including the remainder of the original parcel, fronting
More informationCITY OF FAYETTEVILLE, ARKANSAS PROPERTY LINE ADJUSTMENT
CITY OF FAYETTEVILLE, ARKANSAS PROPERTY LINE ADJUSTMENT FOR STAFF USE ONLY FEE: $200.00 Date Application Submitted: Date Accepted as Complete: S-T-R: Project Number: PP#: Public Hearing Zone: Please fill
More informationAPPLICATION TO ENROLL MEMBER LAND IN THE CENTRAL ARIZONA GROUNDWATER REPLENISHMENT DISTRICT (REVISED JANUARY 4, 2017) PART I DEFINITIONS
CENTRAL ARIZONA WATER CONSERVATION DISTRICT CENTRAL ARIZONA GROUNDWATER REPLENISHMENT DISTRICT P.O. BOX 43020, PHOENIX, ARIZONA 85080-3020 23636 N. 7 th STREET, PHOENIX, ARIZONA 85024 APPLICATION TO ENROLL
More informationMinor Subdivision Application
FOR PLANNING USE ONLY Application # SD Application Fee $1,000.00 Receipt No. Filing Date Completeness Date Minor Subdivision Application A. PROJECT INFORMATION 1. Project Name: 2. Address of Subject Property:
More informationAPPENDIX NO. 11 VERIFICATION. (If no Improvement Construction Plan has been approved)
APPENDIX NO. 11 VERIFICATION (If no Improvement Construction Plan has been approved) I/We,, do hereby verify that I/We have reviewed the Final Plan. I/We further verify that the Final Plan correctly and
More informationMINOR SUBDIVISION INFORMATION
A. POINTS OF CONTACT: MINOR SUBDIVISION INFORMATION Surveyor: Address: Phone #: Fax # E-Mail Address: Representative (If different from applicant): Address: Phone #: Fax # E-Mail Address: B. GENERAL INFORMATION:
More informationApplication Instructions for: Type I Replacement Dwelling in EFC
Application Instructions for: Type I Replacement Dwelling in EFC Standards for Type I Replacement Dwellings are found in CDC Section 428 and Section 430-8.1. Please review to ensure your request qualifies
More information22 History Note: Authority G.S ;
1 1 1 1 1 1 0 1 1A NCAC 0C.01 is proposed for adoption as follows: Section.00 Permitting and Inspection of Private Drinking Water Wells 1A NCAC 0C.01 SCOPE AND PURPOSE (a) The purpose of the rules of this
More informationCHECKLIST FOR WELL CONSTRUCTION APPLICATION
DEPARTMENT OF ENVIRONMENTAL HEALTH CONSUMER PROTECTION DIVISION 1555 Berger Dr. Ste 300, San José CA 95112 Telephone: 408 918-3400 Fax 408 258-5891 Website: www.ehinfo.org/cpd Email: dehweb@deh.sccgov.org
More informationNew Jersey Department of Environmental Protection. Biennial Certification Monitoring Report for a Ground Water Classification Exception Area (CEA)
I. Site Background Information A. Facility Name and Location: New Jersey Department of Environmental Protection Biennial Certification Monitoring Report for a Ground Water Classification Exception Area
More informationAPPRAISAL MANAGEMENT COMPANY CERTIFICATE OF REGISTRATION APPLICATION
t A O Rec d App Rev FP BREA DS USE ONLY Overpay Misc Type Remit CC MO PO APPRAISAL MANAGEMENT COMPANY CERTIFICATE OF REGISTRATION APPLICATION Read All Directions in Parts IV and V Prior to Completing this
More informationLINEAL HEIR HOMESTEAD DENSITY EXEMPTION APPLICATION. Levy County, Florida
LINEAL HEIR HOMESTEAD DENSITY EXEMPTION APPLICATION Levy County, Florida Petition Number: HDE Fee: $125.00 Filing Date: TO THE LEVY COUNTY PLAT REVIEW COMMITTEE Application is hereby made to the Levy County
More informationRAILROAD COMMISSION OF TEXAS HEARINGS DIVISION ORDER NUNC PRO TUNC AMENDING FIELD RULES HOEFS T-K (WOLFCAMP) FIELD REEVES COUNTY, TEXAS
RAILROAD COMMISSION OF TEXAS HEARINGS DIVISION OIL AND GAS DOCKET NO. 08-0299178 IN THE HOEFS T-K (WOLFCAMP) FIELD, REEVES COUNTY, TEXAS ORDER NUNC PRO TUNC AMENDING FIELD RULES HOEFS T-K (WOLFCAMP) FIELD
More informationKERN COUNTY PLANNING AND NATURAL RESOURCES DEPARTMENT INSTRUCTIONS TO APPLICANT FILING MINISTERIAL OIL AND GAS CONFORMITY REVIEW TIERS 2, 3, AND 5
KERN COUNTY PLANNING AND NATURAL RESOURCES DEPARTMENT INSTRUCTIONS TO APPLICANT FILING MINISTERIAL OIL AND GAS CONFORMITY REVIEW TIERS 2, 3, AND 5 I. APPLICATION INSTRUCTIONS FOR TIERS 2, 3, AND 5 Please
More information2017 UNION COUNTY TAX ADMINISTRATOR'S OFFICE APPLICATION FOR PRESENT USE VALUE ASSESSMENT
2017 UNION COUNTY TAX ADMINISTRATOR'S OFFICE APPLICATION FOR PRESENT USE VALUE ASSESSMENT P.O. Box 97, Monroe, North Carolina 28111-0097 (704) 283-3746 New Name PARCEL # 123 Main St Monroe, NC 28110 IMPORTANT:
More informationCHECKLIST FOR CUSTOMER Lawful Lot Determination
CHECKLIST FOR CUSTOMER Lawful Lot Determination (LDO Section 10.2.1A) The following material must be submitted with a request for a lawful lot determination. Check off each item that you have included
More informationRAILROAD COMMISSION OF TEXAS HEARINGS DIVISION
RAILROAD COMMISSION OF TEXAS HEARINGS DIVISION OIL AND GAS DOCKET NO. 02-0297221 IN THE EAGLEVILLE (EAGLE FORD-2) FIELD, DEWITT, KARNES, LAVACA AND LIVE OAK COUNTIES, TEXAS FINAL ORDER AMENDING THE FIELD
More informationHouston Workshop. February Discussion concerning permitting issues and staying in compliance
Houston Workshop February 2019 Discussion concerning permitting issues and staying in compliance WHY WE ARE HERE To answer questions commonly associated with increased activity and technological advances
More informationPROPERTY OWNER(S) OWNER PHONE O ER MAILING ADDRESS PARCEL SIZE JOB ADDRESS APN# - - LOT # CONTRACTOR S NAME PHONE
COUNTY OF MADERA Community and Economic Development 200 West 4th Street, Suite 3100, Madera, CA 93637 (559) 675-7823 FAX (559) 675-7919 envhealth@madera-county.com FOR COUNTY USE ONLY RECEIVED MCEHD Applicant
More informationE L M E R B O R O U G H L A N D U S E B O A R D APPLICATION COVER SHEET (to be completed for all applications and appeals)
E L M E R B O R O U G H L A N D U S E B O A R D APPLICATION COVER SHEET (to be completed for all applications and appeals) 1. Name(s): 2. Address: 3. Telephone Number(s): 4. E-mail: 5. Owner Name(s) (if
More informationINSTRUCTIONS FOR APPLICATION IMPORTANT NOTICES
INSTRUCTIONS FOR APPLICATION Get Zoning and Watershed Permits or the Site Evaluation form (if applicable) and a Map of the property from the County Office building, second floor, room 214 (Planning, and
More informationRAILROAD COMMISSION OF TEXAS HEARINGS DIVISION
RAILROAD COMMISSION OF TEXAS HEARINGS DIVISION OIL AND GAS DOCKET NO. 03-0280185 IN THE GIDDINGS (AUSTIN CHALK-3) FIELD, BRAZOS, BURLESON, FAYETTE, GRIMES, LEE, MADISON AND WASHINGTON COUNTIES, TEXAS FINAL
More informationKERN COUNTY PLANNING AND NATURAL RESOURCES DEPARTMENT INSTRUCTIONS TO APPLICANT FILING MINISTERIAL OIL AND GAS CONFORMITY REVIEW TIER 1
KERN COUNTY PLANNING AND NATURAL RESOURCES DEPARTMENT INSTRUCTIONS TO APPLICANT FILING MINISTERIAL OIL AND GAS CONFORMITY REVIEW TIER 1 I. APPLICATION INSTRUCTIONS FOR TIER 1 AREAS Please complete the
More informationWSWC-WestFAST Non-Tribal Federal Water Rights Workgroup Stock Water Rights for Grazing Cattle on Federal Lands October 24, 2018
WSWC-WestFAST Non-Tribal Federal Water Rights Workgroup Stock Water Rights for Grazing Cattle on Federal Lands October 24, 2018 Wyoming Stock Water Rights on Federal Land Chris Brown, Senior Assistant
More informationApplication for Religious Organization Property Tax Exemption
Application for Religious Organization Property Tax Exemption Appraisal District s Name Phone (area code and number) GENERAL INSTRUCTIONS: This application applies to property that is owned or leased by
More informationDear Sir/Madam. RE: Billboard Sign Control Program
Dear Sir/Madam RE: Enclosed is an application for a State Permit and our regulation booklet. Please review the regulations and if the sign complies, submit a signed, completed application and W9 with the
More informationCharles E. Zech Denton, Navarro, Rocha & Bernal, P.C.
Charles E. Zech Denton, Navarro, Rocha & Bernal, P.C. General Police Powers A municipality may adopt ordinances for the good of the government, peace, or order of the municipality (Health, Safety and Welfare).
More informationRAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL HEARINGS SECTION
RAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL HEARINGS SECTION OIL AND GAS DOCKET NO. 08-0271959 IN THE TWO GEORGES (BONE SPRING) FIELD, LOVING, REEVES, WARD AND WINKLER COUNTIES, TEXAS FINAL
More informationThe Saskatchewan Farm Security Act 2016 Farm Land Ownership Declaration Corporation
Farm Land Security Board The Saskatchewan Farm Security Act 2016 Farm Land Ownership Declaration Corporation I/We, being a Corporate officer of (clearly print all names making declaration (Corporation
More informationINSTRUCTIONS FOR REGISTRATION OF RESIDENTIAL PROPERTY
INSTRUCTIONS FOR REGISTRATION OF RESIDENTIAL PROPERTY Article 13, Subtitle 4 of the Baltimore City Code requires that, upon property transfer and every September 1st thereafter, every owner of a non-owner-occupied
More informationTownship of Collier 2418 Hilltop Road Presto, PA 15142
Township of Collier 2418 Hilltop Road Presto, PA 15142 Fees: Major: 2 checks $600 + $50 per lot & $1700 Escrow) APPLICATION FOR SUBDIVISION major FINAL only Plans must be folded Rolled plans will not be
More informationTOWN OF BRASELTON, GEORGIA STREAM BUFFER AND SETBACK VARIANCE APPLICATION
TOWN OF BRASELTON, GEORGIA STREAM BUFFER AND SETBACK VARIANCE APPLICATION An applicant seeking a grant of variance from the stream buffer protection regulations found in Section 15.5 of the Town of Braselton
More informationREQUIREMENTS FOR COMPLETING VARIANCE APPLICATION COBB COUNTY, GEORGIA
REQUIREMENTS FOR COMPLETING VARIANCE APPLICATION COBB COUNTY, GEORGIA Application must be submitted in person to the Zoning Division, located at 1150 Powder Springs Street, Suite 400, Marietta, Georgia
More informationApplication for project information memorandum and/or building consent
Form 2 Application for project information memorandum and/or building consent Section 33 or section 45, Building Act 2004 The building Street address of building: [for structures that do not have a street
More informationAPPLICATION FOR EXEMPTION OF PROPERTY OWNED AND USED FOR STRICTLY CHARITABLE OR SCHOOL PURPOSES
15-DPT-EX FORM 901-A REV. 12/13 STATE OF COLORADO DIVISION OF PROPERTY TAXATION DEPARTMENT OF LOCAL AFFAIRS PHONE: 303-864-7780 TTY: 303-864-7758 Division of Property Taxation use ONLY APP. # FILE # COUNTY
More informationCecil County, Maryland Purchase of Development Rights Program APPLICATION TO SELL AN EASEMENT
Cecil County, Maryland Purchase of Development Rights Program APPLICATION TO SELL AN EASEMENT PART A I/We, landowner(s) of agricultural land in Cecil County, Maryland, apply to the Board of County Commissioners
More informationKEG REGISTRATION AND DOCUMENTATION.
Additions: Amended and added chapters to the 2005 Jefferson County Code of Ordinances. 2-13 Quarantine and Isolation. 2-50 Keg Registration and Documentation. 9-15 School Infra-structure Local Option Sales
More informationPlat Checklist PLAT TYPES AND DESCRIPTIONS
Master Plan / Revision to Master Plan (For Platting Purposes Only) Preliminary/Final Plat Preliminary Plat Final Plat Minor Plat Replat Amended Plat Plat Checklist So that we may efficiently review your
More informationNOTICE APPLICATION MUST BE FILLED OUT COMPLETELY.
NOTICE APPLICATION MUST BE FILLED OUT COMPLETELY. Only the Applicant or the Authorized Agent, designated on the appropriate form, will be allowed to pick up permits. FEE SCHEDULE Fiscal Year 2013-2014
More informationApplication for Part Lot Control Exemption and/or Deeming By-law
Application for Part Lot Control Exemption and/or Deeming By-law FOR INTERNAL OFFICE USE ONLY Received: File No(s): Please read the following before filling out this application: In order to avoid delays,
More informationENVIRONMENTAL DISCLOSURE FOR TRANSFER OF REAL PROPERTY (IC ) State Form (R / 1-07) Indiana Department of Environmental Management
ENVIRONMENTAL DISCLOSURE FOR TRANSFER OF REAL PROPERTY (IC 13-25-3-7.5) State Form 52653 (R / 1-07) Indiana Department of Environmental Management A WARNING TO THE PARTIES TO A TRANSFER OF PROPERTY: The
More informationPlanning Department Permit Application
Inyo County Planning Department 168 North Edwards Street Post Office Drawer L Independence, California 93526 Phone: (760) 878-0263 FAX: (760) 872-2712 E-Mail: inyoplanning@ inyocounty.us Planning Department
More informationAdministrative Action Request
Administrative Action Request Community Development Dept. 9220 Bonita Beach Road, Ste. 111 Bonita Springs, FL 34135 (239) 444-6150 permitting@cityofbonitaspringscd.org Type of Request (please check one):
More informationRAILROAD COMMISSION OF TEXAS HEARINGS DIVISION
RAILROAD COMMISSION OF TEXAS HEARINGS DIVISION OIL AND GAS DOCKET NO. 01-0297472 IN THE EAGLEVILLE (EAGLE FORD-1) FIELD, ATASCOSA, DIMMIT, FRIO, GONZALES, LASALLE, MCMULLEN, WILSON AND ZAVALA COUNTIES,
More informationBUSINESS LICENSE Information & Application Instructions
BUSINESS LICENSE Information & Application Instructions *Please read through this packet before beginning the application process; applications that are incomplete will not be accepted. 1. Register your
More informationCHARTER TOWNSHIP OF LYON APPLICATION FOR LAND DIVISION (LOT SPLIT)
File #: Date Submitted: CHARTER TOWNSHIP OF LYON APPLICATION FOR LAND DIVISION (LOT SPLIT) NOTICE TO APPLICANT: Applications for land divisions (also called lot splits ) are reviewed in accordance with
More informationAPPENDIX D BUTLER COUNTY AGRICULTURAL LAND PRESERVATION BOARD AGRICULTURAL CONSERVATION EASEMENT PROGRAM APPLICATION FORM
APPENDIX D BUTLER COUNTY AGRICULTURAL LAND PRESERVATION BOARD AGRICULTURAL CONSERVATION EASEMENT PROGRAM APPLICATION FORM A. General Information: Owner(s) of Property Social Security Number(s) Address
More informationCity of Leavenworth DEPARTMENT OF DEVELOPMENT SERVICES MAJOR SUBDIVISION APPLICATION 1
Proposed Name of Subdivision: City of Leavenworth DEPARTMENT OF DEVELOPMENT SERVICES MAJOR SUBDIVISION APPLICATION 1 FOR PRELIMINARY SUBDIVISION APPROVAL This application must be filled out legibly, in
More informationPermitting / Licensing Process for a Junkyard
Lewis County Building and Codes Department 7660 North State Street Lowville, New York 13367 Telephone: (315) 376 5377 Fax: (315) 377-3137 Ward John Dailey Donald Mallette Timothy Widrick Sr. Code Official
More informationIC Chapter 3. Responsible Property Transfer Law
IC 13-25-3 Chapter 3. Responsible Property Transfer Law IC 13-25-3-0.1 Application of chapter Sec. 0.1. This chapter applies to transfers of property that take effect, or that are scheduled to become final,
More informationOur Staff Member are committed to helping you during this process.
Sandbridge General Permit Sand Management Sandbridge General Permit Application Instructions The Virginia Beach Wetlands Board adopted a General Permit for Sand Management & Sand Placement for properties
More informationDRAFT PARK COUNTY US HIGHWAY 89 SOUTH EAST RIVER ROAD OLD YELLOWSTONE TRAIL ZONING DISTRICT REGULATIONS
Formatting: Changes recommended by the Board and accepted by the County Commission are formatted in RED: Changes made by the Park County Commission are formatted in YELLOW highlight: and changes made by
More informationAPPLICATION FOR A BUILDING PERMIT (To be completed by applicant) (Please Print or Type)
CARBON COUNTY Department of Planning and Development Application Fee $: 215 West Buffalo, Suite 336 Check #: Rawlins, WY 82301 Receipt #: Tel (307) 328-2651 FAX (307) 328-2735 Permit #: Date Issued: www.carbonwy.com
More informationSEWAGE FACILITIES PLANNING MODULE
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WATER STANDARDS AND FACILITY REGULATION SEWAGE FACILITIES PLANNING MODULE Component 2. Individual and Community Onlot Disposal
More informationVARIANCE FROM THE DEVELOPMENT STANDARDS APPLICATION PROCEDURES
APPLICATION PROCEDURES DEFINITION: A variance from the development standards is a modification of the strict terms of the relevant regulations where the modification will not be contrary to the public
More informationTOWN OF ARGYLE APPLICATION FOR ON-SITE SEWAGE FACILITY NEW CONSTRUCTION TCEQ REGION NUMBER COUNTY OF INSTALLATION. (Last) (First) (Middle)
TOWN OF ARGYLE APPLICATION FOR ON-SITE SEWAGE FACILITY NEW CONSTRUCTION TCEQ REGION NUMBER OFFICE USE ONLY APPLICATION NO. DATE RECEIVED AMOUNT COUNTY OF INSTALLATION 1. PROPERTY OWNERS NAME: 2. CURRENT
More informationWELLOWNER/LANDOWNER WELL USE AGREEMENT
WELLOWNER/LANDOWNER WELL USE AGREEMENT This Agreement ( Agreement ) is entered into on this day of, 200_, by and between BUENA VISTA WATER STORAGE DISTRICT ( District ) and ( Well Owner/Landowner ). WHEREAS,
More informationExempt Segregation. Application Packet. Contents Application Exempt Segregation Regulations Description of Review Process
Okanogan County OFFICE OF PLANNING AND DEVELOPMENT Planning GIS Natural Resources Outdoor Recreation 123-5 th Ave. N. Suite 130 - Okanogan, WA 98840 (509) 422-7160 FAX: (509) 422-7349 TTY/Voice Use 800-833-6388
More informationSUBDIVISION APPLICATION
SUBDIVISION APPLICATION Preliminary Plat Minor Plat Final Plat Amended Plat Applicant Name: Owner (if different from applicant) Name: Company: Company: Address: Address: City, State, Zip City, State, Zip
More informationRAILROAD COMMISSION OF TEXAS HEARINGS DIVISION
RAILROAD COMMISSION OF TEXAS HEARINGS DIVISION OIL AND GAS DOCKET NO. 08-0296473 IN THE TWO GEORGES (BONE SPRING) FIELD, LOVING, REEVES, WARD AND WINKLER COUNTIES, TEXAS FINAL ORDER AMENDING FIELD RULES
More informationSUBDIVISION APPLICATION: RECOMBINATION PLAT or EXEMPT PLAT
SUBDIVISION APPLICATION: RECOMBINATION PLAT or EXEMPT PLAT Pursuant to Article 7, Section 155.706 of the Unified Development Code, an owner of land within the jurisdiction of the Town (or a duly authorized
More informationFinal Plat Submittal Checklist
Planning & Community Development Department 550 Landa Street New Braunfels, Texas 78130 (830) 221-4050 www.nbtexas.org CC/Cash/Check No.: Amount Recd. $ Receipt No.: Submittal date office use only Final
More informationExemption Certificates
Exemption Certificates Of land zoned for residential use or a mixture of residential and other uses, up 20 per cent may be designated for social and affordable housing under Part V of the Planning and
More informationInstructions and Application Procedures Plan Amendments
Glades County Instructions and Application Procedures Plan Amendments Small Scale Plan Amendments are changes to the Future Land Use Map designation of properties 10 acres or less in size, or, in some
More informationAdopted August 22, 2013 by Sanders County Commissioners. Page 1 of 6
SANDERS COUNTY Buildings for Lease or Rent Review Process 1. Purpose The following regulations are intended to provide an administrative process for the acceptance and review of applications for the creation
More informationAll roads developed to access four (4) or more parcels shall be constructed to Park County Road and Bridge Standards.
P a r k C o u n t y P l a n n i n g a n d Z o n i n g 1002 Sheridan Avenue Cody, WY 82414 Phone: 307-527-8540 35-40 ACRE SUBDIVISIONS www.parkcounty.us/planandzone.htm May 2011 This is only intended as
More informationSELLER DISCLOSURE STATEMENT IMPROVED PROPERTY
Page 1 of 6 SELLER: To be used in transfers of improved residential real property, including residential dwellings up to four units, new construction, condominiums not subject to a public offering statement,
More informationRAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL HEARINGS SECTION ORDER NUNC PRO TUNC
RAILROAD COMMISSION OF TEXAS OFFICE OF GENERAL COUNSEL HEARINGS SECTION OIL AND GAS DOCKET NO. 02-0274324 IN THE EAGLEVILLE (EAGLE FORD-2) FIELD, DE WITT, KARNES, LAVACA AND LIVE OAK COUNTIES, TEXAS ORDER
More informationVARIANCE FROM USE APPLICATION PROCEDURES
APPLICATION PROCEDURES PURPOSE: The purpose of this document is to provide a summary or overview of the necessary procedures for the application for a variance from use. All procedures described herein
More informationSimple Land Division by Love and Affection - Application Checklist
Simple Land Division by Love and Affection - Application Checklist Yes No A completed simple land division application form, with identification of property owner(s) for each lot. Fee per adopted fee schedule.
More informationFLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION NOTICE OF INTENT TO USE S. 403.9327, F.S., GENERAL PERMIT FOR MANGROVE TRIMMING OR APPLICATION FOR S. 403.9328, F.S., INDIVIDUAL PERMIT TO TRIM OR ALTER MANGROVES
More informationNOTICE OF INTENT TO USE NPDES GENERIC PERMIT FOR STORMWATER DISCHARGE FROM LARGE AND SMALL CONSTRUCTION ACTIVITIES (RULE (4), F.A.C.
NOTICE OF INTENT TO USE NPDES GENERIC PERMIT FOR STORMWATER DISCHARGE FROM LARGE AND SMALL CONSTRUCTION ACTIVITIES (RULE 62-621.300(4), F.A.C.) You must submit this completed Notice of Intent (NOI) form
More informationApplication for 1-d-1 (Open-Space) Agricultural Use Appraisal Property Tax LCAD Form
Application for 1-d-1 (Open-Space) Agricultural Use Appraisal Property Tax LCAD Form 1-2013 Limestone County Appraisal District 254-729-3009 Appraisal District s Name P. O. Drawer 831, Groesbeck, Texas
More informationCITY OF NORTH PORT Neighborhood Development Services Planning Division Final Plat/Re-Plat Packet
CITY OF NORTH PORT Neighborhood Development Services Planning Division Planninginfo@cityofnorthport.com Final Plat/Re-Plat Packet The following items are to be included in the submission: Final Plat/Re-Plat
More information