N.M. Admin. Code § 19.26.2.26
All plan drawings, proof of beneficial use maps, and declaration maps filed with the state engineer shall meet the requirements listed below. Proof of beneficial use maps and declaration maps shall be prepared by either a licensed professional surveyor or licensed professional engineer in the state of New Mexico. Plan drawings and maps prepared with the aid of a computer shall be submitted with a copy of the digital data files in a format acceptable to the state engineer.
MAP
of the
________
(name of system: ditch, ditch & reservoir, irrigation, power, etc.)
________ , Applicant/Declarant/Permit Holder
State Engineer File Number(s): ________
Located in ________ County, State of New Mexico.
Scale of Map: 1 inch = ________ feet.
The undersigned,
________ ,
whose address is: ________ ,
Zip Code ________ , County of ________ , State of ________ .
The headgate, which is the point of diversion from ________ (river, creek, spring, arroyo) from which the works derive their water supply, is located as follows ________ (latitude) and ________ (longitude) or X = ________ and Y = ________, (New Mexico state plane coordinate system), NAD ________.
State of New Mexico)
) ss.
County of ________)
I, ________ , hereby certify that I am licensed professional surveyor and that the accompanying maps were prepared by me or under my direction, and that the same are true and correct to the best of my knowledge and belief.
________
Licensed Professional Surveyor
License Number: ________
Date Submitted: ________
State of New Mexico)
) ss.
County of ________)
I, ________, hereby certify that I am a licensed professional engineer, qualified in ________ (agricultural, civil, geological etc.) engineering and that the accompanying ________ (maps, drawings or specifications) were prepared by me or under my direction, and that the same are true and correct to the best of my knowledge and belief.
________
Licensed Professional Engineer
License Number: ________
Date Submitted: ________
State of New Mexico)
) ss.
County of ________)
I, ________ , being first duly sworn, upon my oath, state that I have read and examined the accompanying drawings and statements, (consisting of ________ sheets) and know the contents thereof and representations thereon, and all that is shown hereon is done with my free consent and in accordance with my wishes and state that the same are true to the best of my knowledge and belief.
________
Owner
Subscribed and sworn to before me this ________ day of ________, 20________
________
Notary Public
My commission expires ________ (SEAL)
If a claimant is a corporation, political subdivision or other governmental entity the following shall be used:
State of New Mexico)
) ss.
County of ________)
I, ________ , being first duly sworn, upon my oath, state than I am the ________ (officer) of ________, a corporation duly organized under the laws of the State of ________, and that the accompanying drawings and statements, ( consisting of ________ sheets) were made under authority of the Board of Directors of said Corporation, and that, in their behalf, I have read and examined the statements and representations thereon and all that is shown hereon is done with their free consent and in accordance with their wishes and state that the same are true to the best of my knowledge and belief.
________
Representative, Title
Subscribed and sworn to before me this ________ day of ________ , 20________.
________
Notary Public
My commission expires ________ (SEAL)
State of New Mexico)
) ss.
County of ________)
I hereby certify that the accompanying ________ (map, plans, specifications) have been duly examined by me and accepted for filing on the ________ day of ________ , 20________.
________
State Engineer
N.M. Admin. Code § 19.26.2.26