CWCB Measurement Statement of Interest Form

Statement of Interest for CWCB Measurement Device Installation Program

Applicant Information
Organization*
If the Applicant will be an organization or district, provide the name of that organization or district. If Applicant will be an individual, this may be the name of the ranch or the name of the individual.
Are you the applicant or are you filling out this form on behalf of the applicant?*

I am the applicantFilling out on behalf of the applicant
If you are filling out this form on behalf of the applicant, please select an option that best describes your role:*

EngineerAttorneyOther
If other, please describe your role in relation to the applicant:*
Are you the main point of contact?*

YesNo
Please fill out your contact information*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Name of Main Point of Contact*

First NameLast Name
Email for Main Point of Contact*
example@example.com
Phone Number for Main Point of Contact*
Please enter a valid phone number.
Physical Address for Applicant*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing address same as physical address?*

YesNo, I have a different mailing address
Mailing Address for Main Point of Contact*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Measurement Structure Data & Information
Where are the Applicant's property and diversions located?*
Enter the location of your proposed measurement structure: Latitude and Longitude in decimal degrees.

If you do not already have the location of your structure, use the interactive map below to identify the coordinates.
Measurement Structure Location: Drag the pin in the map below to select the location of your measurement structure and determine the latitude and longitude.
Latitude*
Decimal Degrees
Longitude*
Decimal degrees
How many measurement structures do you plan on applying for?*
Tell us more about the measurement structures you plan to apply for.

For EACH measurement structure, please fill out:

Source: What stream or river does the ditch divert from?

Name: For each measurement structure, you must provide the name of the ditch or reservoir.

WDID: Water District Identifier, WDID is a 7-digit unique structure identification number assigned by Division of Water Resources to each structure (e.g. ditch, reservoir, spring, or well). If you have your WDID, please enter it. The WDID of your structure can be found on the CDSS Structure Tool. https://dwr.state.co.us/Tools/Structures

To add another structure, click +Add Row.
For each measurement structure you plan on applying for, add the name of ditch or reservoir (required), WDID (optional)*
Do you have any additional concerns or questions about this opportunity?
The information provided in this form may be public information that is subject to disclosure, except to the extent otherwise provided by applicable law.
Should be Empty:

Statement of Interest for CWCB Measurement Device Installation Program