HomeMy WebLinkAboutApplications - 04/17/2025Revised 05/16/2024 281 N College Ave, Fort Collins, CO 80525 970.221.6689 drcoord@fcgov.com Request for Extension 1|2
Water Adequacy Determination Application
Purpose & Applicability
To fulfill the water adequacy requirements of the City of Fort Collins (LUC Division 5.17), every development or redevelopment that requires new,
expanded, or increased water use must provide information related to the ensuring the proposed water supply is adequate for long-term satisfaction
of potable and non-potable water demands of the development, based upon FCMC §26-148 to -150. The Applicant is responsible for familiarity with
applicable code and requirements.
The checklists and requirements below summarize the code; more detail regarding contents of documents and needed information may be found
within the Fort Collins Land Use Code (LUC) and Municipal Code.
Project Information
Project Name: ______________________________________________ Project # : ____________________
Project Type: Standard ____________________ Deferral ______________________
Waiver ____________________ Change _____________________
Date of Prior Determination_________________________
Address or Parcel # ______________________________________________________________________
Water Provider
Please SUBMIT a SEPARATE Water Adequacy Determination Application for each water provider that services the development
Established Providers: ______________________________________ Other: ___________________________________
IF OTHER: Please Provide Contact Information for Water Provider
Manager: _______________________________________________ Public Water Service Permit #: _________________
Email: ___________________________________________________ Phone: ____________________________________
Applicant Certification
By submitting these materials and my signature affixed below, I acknowledge my awareness of Land Use Code Division 5.17 regulating the
Determination of Water Adequacy and submit my Request for Review to the City of Fort Collins. I agree to reimburse the City for all costs associated
with reviewing the attached application and associated materials, including costs associated with hiring consultants, not to exceed costs directly-
attributable to the review [LUC §5.17.5.B(1) and 5.17.6.B(1)]. I also acknowledge that this Determination may contain conditions, shall be final, and
becomes a material part of all future associated development applications.
Applicant Name (printed): ______________________________________________________________________________________
Email: ________________________________________________________________ Phone: _______________________________
Signature: _____________________________________________________________ Date: ________________________________