1. Drain application request - Laserfiche WebLink

" , ] i " I '1 , APPLICATION TO DRAIN WITH DRAIN TILE ~ Water' Development Division Office of the State Engineer 900 East Boulevard -- Bismarck, N D 58505-0850 Rev,10/1/07 D~",' R~kd St<1mp Loc<~tion I, the undersigned, am applying for a permit under NDCC Section 61-32-03 to drain a pond, slough, lake, or sheetwater, or any series thereof, which has a watershed area comprising 80 acres or more , '", .1.,. .;,.' .~ (Swc USt;ONLY) No. 3:;1.(;,1 This application must be accompanied by FSA aerial photo or equivalent showing the location of the proposed drain tile. Copies of all required permission documents or easements are to be filed with applicatIon. A copy of a completed NRCS 1026 fonn Is to be provided with application If available. (1) Water Resource District in which project is located: (2) Legal description of land to be tiled: /?II{S A R; v e,. ~ t ~t':J"("Od l4 5 \N l4 Section S E_l4 ~lU l4 Section 2~ 2'-( Township /,-; /-N Range ~-1- W , L(' Range 53 Legal description flocation outlet: Township l4 l4 Section Township Range (3) Design Data: (a) Type of outlet (gravity, pump, other): (b) Outlet flow capacity (cfs) Tiled area (acres) 7' ~u.4- ~ (lq 1;; tt , Design capacity of tile system (incheslhour) , Watershed area contributing to tiling (acres) 3. 1/ % 'P^' 2YA,.<:,- 7' a.ALI (c) Where does tile system discharge (road ditch, private drain, assessment drain, natural watelWay or other): _AhtuL.cLi:b-i (~~ ) (4) Do you own land to be tiled? ~Ves 0 No If"No", give name and address of landowner (5) Do you own where system outlets? OVes ~ No if "No", signed easements are required, including the appropriate Federal, State, County or Township road authority if outletting into a road ditch. (6) Do you have flood easements from the downstream landowners, for minimum distance of one mile from the point of discharge to drain onto their land? Ov es ~ No 1f'A Cl \ (7) Contractor if known (: ~ f ~AoY\. /jfl.A~ (8) Anticipated construction start date ~ -} 0 - 09 Completion date ) 0 ~ 2. 0 - oR The filing of this application and Its approval does not relieve the applicant andfor landowner(s) from any responsibility or liability for damages resulting from the construction, operation or faIlure of this drain. APPLICANT'S CERTIFICATION I understand that I must undertake and agree to pay the expense Incurred in making an Investigation. If the Investigation discloses that the quantity of water to be drained will flood or adversely affect downstream lands, I will be required to obtain flowage easements and must file the easements in the office of the county recorder before a permit may be issued. My signature below acknowledges that I have read and agree to these statements, and will adhere to the conditions given on the back of this application. Phone: Do.l;;d_w GI.t 1I~,.,r/ I/., 0 I Is.;l (fo/ f. E ..w~~f FQ,... (j II. (). .6'go 7 K ]$~ Date: 2-/5 - O~ Land Owner (Print): Address: Signature: