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Home My WebLink About1711000004304PL20070619111837i 1 i A CDD COVER SHEET FOR SLB 06/19/2007 11:18:37 1 A A i n FILE ID 1711000004304PL20070619111837 TAXMAP 1711000004304 SERIAL 254379 DIVISION PL SITUS 18680 BULL SPRINGS RD HOUSE# 18680 STREET BULL SPRINGS CONTENT PS0731 Letter and Land Use Info Form RECORD ID PS0731 LOCATED IN DATE FILE Cover Sheet Identifier AHJKMTWX Community Development Department Planning Division Building Safety Division Environmental Health Division June 19, 2007 James Verheyden 61848 Fall Creek Loop Bend OR 97702 Re: Land Use Information Form Map 171100004304 117 NW Lafayette Avenue Bend Oregon 97701-1925 (541)388-6575 FAX (541)385-1764 htt• • w.co.deschutes.or.us/cdd/ <1 •s2,? v� C3 (31 fo _ �G`j P V I have reviewed the above noted Land Use Information Form requesting; (1) establishment of an irrigation pond for alfalfa fields & home site; (2) creation of a wildlife habitat area; (3) recreation; (4) livestock watering source; (5) environment for established aquatic life; and (5) water source for fire protection, all of which, are typically outright permitted uses identified under farm use, forest management and natural resource enhancement. I have signed and enclosed the Land Use Information Form for your use and records. If you have any further questions or need additional information, please contact me. Sincerely, Chris B. Bedsaul Associate Planner PS0731 Enclosure Quality Services Performed with Pride Oregon Water Resources Depai ....ent Land Use Information Form THIS FORM IS NOT REQUIRED IF: 1) water is to be diverted conveyed and/or used only on federal lands; or 2) the application is for a water -right transfer, allocation of conserved water, exchange, permit amendment, or ground water registration modification, and all of the following apply: a) only the place of use is proposed for change, b) there are no structural changes, c) the use of water is for irrigation, and d) the use is located in an irrigation district or exclusive farm -use zone. Applicant Name: Mailing Address: 1/4Ot$LC '-o\\\\ LY-"'\& L.oa City: iltreArN, State: O`(- Zip: 1:V \ti -2. Day Phone: 5L\ 311--W \ iL This application is related to a Measure 37 claim. l7 Yes gNo A. Land and Location Please include the following information for all tax Lots where water will be diverted (taken from its source), conveyed (transported), or used. Applicants for municipal use, or irrigation uses within irrigation districts may substitute existing and proposed service -area boundaries for the tax -lot information requested below. Township Range Section 1/21/2 Tax Lot # Plan Designation (e.g. Rural Residential/RR-5) Water to be: Proposed Land Use: _- `\ ®ems Dt 1 '`4, . 0 Diverted 0 Conveyed 0 Used ,,'—k \\ V5 WeNVJt" -V14014 F- — \ **(Diverted eConveyed Used�V'^r�c?.ad 0 Diverted 0 Conveyed 0 Used 19cr/ ❑ Diverted 0 Conveyed 0 Used List all counties and cities where water is proposed to be diverted, conveyed, or used. B. Description of Proposed Use Type of application to be filed with the Water Resources Department: ;Permit to Use or Store Water 0 Water -Right Transfer ❑ Allocation of Conserved Water 0 Limited Water Use License ❑ Permit Amendment or Ground Water Registration Modification 0 Exchange of Water Source of water: 0 Reservoir/Pond etround Water 0 Surface Water (name) Estimated quantity of water needed: 0 cubic feet per second " gallons per minute 0 acre-feet Intended use of water: , -Irrigation 0 Commercial ❑ Industrial t7Domestic for - household(s) 0 Municipal 0 Quasi -municipal 0 Instream erOther �rv:d� t e�\4tk,\�� t�tteJ \ �vw.YS��-t VOINOk v'Y t..l \d1 \C- --� t Ye,C,v-caN \a�. s t, C,�C w�N�,Y� \ i Note to applicant: If the Land Use Information Form cannot be completed while you wait, please have a local government representative sign the receipt below and include it with the application filed with the Water Resources Department. Briefly describe: Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE, Suite A Salem, OR 97301-1266 For Local Government Use Only The following section must be completed by a planning official from each county and city listed unless the project will be located entirely within the city limits. In that case, only the city planning agency must complete this form. This deals only with the local land -use plan. Do not include approval for activities such as building or grading permits. Please check the appropriate box below and provide the requested information yt,and uses to be served by proposed water uses (including proposed construction) are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance section(s): 0 Land uses to be served by proposed water uses (including proposed construction) involve discretionary land -use approvals as listed in the table below. (Please attach documentation of applicable land -use approvals which have already been obtained. Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods have not ended, check Being pursued . Type of Land -Use Approval Needed (e.g. plan amendments, rezones, conditional -use permits, etc.) Cite Most Significant, Applicable Plan Policies & Ordinance Section References Land -Use Approval: 0 Obtained 0 Denied 0 Being pursued 0 Not being pursued 0 Obtained 0 Denied 0 Being pursued 0 Not being pursued • 0 Obtained 0 Denied 0 Being pursued 0 Not being pursued 0 Obtained 0 Denied 0 Being pursued 0 Not being pursued 0 Obtained 0 Denied 0 Being pursued 0 Not being pursued Local governments are invited to express special land -use concerns or make recommendations to the Water Resources Department regarding this proposed use of water below, or on a separate sheet. Name: C " rG � A J L itie: JSoCt ePt -k l• hone'' 3C3-671 Date: -/ 7--o7 -0ESL144.)-rE: 5 6 ou Signature: Government Entity: Note to local government representative: Please complete this form or sign the receipt below and return it to the applicant. If you sign the receipt, you will have 30 days from the Water Resources Department's notice date to return the completed Land Use Information Form or WRD may presume the land use associated with the proposed use of water is compatible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name: City or County: Staff contact: Signature: Phone: Date: Last updated 12/22/06 WR