Application For District Temporary Water Right Form - Oregon Water Resources Department Page 2
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33. CONSULTATION WITH STATE AGENCIES, LOCAL GOVERNMENTS, AND
TRIBAL GOVERNMENTS
Is this transfer application for a change in point of diversion in response to an emergency?
Yes
No
Has the district conferred with the Oregon Department of Fish and Wildlife, Division of State
Lands, and affected local governments
, and tribal
(e.g., county, city, municipal corporation)
governments about the proposed point of diversion change?
Yes
No
If “Yes”, for any of the above, list the agency or government name and the name and phone
number of the appropriate contact person:
Agency/
Gov’t Name: _______________________________ Contact Name: __________________ Phone: ____________
Agency/
Gov’t Name: _______________________________ Contact Name: __________________ Phone: ____________
Agency/
Gov’t Name: _______________________________ Contact Name: __________________ Phone: ____________
Agency/
Gov’t Name: _______________________________ Contact Name: __________________ Phone: ____________
Agency/
Gov’t Name: _______________________________ Contact Name: __________________ Phone: ____________
4. CONSENT FOR A CHANGE IN TYPE OF USE OF A WATER RIGHT TO
STORE WATER
Is this transfer application for a change in type of use of a water right to store water?
Yes
No
Has the district received written consent to the change from the operator of the reservoir if
different than the district, or from the appropriate federal agency if the water right to store water
is issued in the name of a federal governmental agency?
Yes
No
If “Yes”, for any of the above, label and attach a dated and signed copy of the written consent.
Last Revised March 2015
District Temporary Transfer Application
Page 2 of 3
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