Form No. 627 Notice Of Water Right (Page 2 of 2) in pdf

PURPOSE AND PERIOD OF USE:

Domestic:

(Use one form per household)

Year-round use?

Yes

If "No", __________________ to ___________________ inclusive of each year.

(month/day)

Volume for domestic? ________________ acre-feet/year (see below)

Lawn and

Garden:

(Up to 5 acres) Indicate acreage: ________________ acres

Period of Use ____________________ to ____________________ inclusive of each year.

(month/day)

Volume for lawn and garden? _______________________ acre-feet/year (see below)

Stock:

Number and Type ________________________________ Year-round use? Yes

If "No", __________________ to ___________________ inclusive of each year.

(month/day)

Volume for stock? __________________ acre-feet/year (see below)

REMARKS: Use this space to further clarify any of the requested information.

_____________________________________________________________________________________________

10.

OWNER'S SIGNATURE _____________________________________________ Date ______________________

11.

Use additional sheets if necessary to complete the requested information. Maps showing your point of diversion, place

of use, and means of conveyance may be used to further explain your water use. Attach copies of affidavits or other

proof of your water use.

AVERAGE WATER REQUIREMENTS

Domestic Volume:

Family of five

1.0

acre-feet/year

1/4 acre or less lawn and garden

.63

acre-feet/year

Total volume

1.63

acre-feet/year

Lawn and Garden Volume:

Up to 5.0 acres

2.50

acre-feet/acre

Stockwater Volume:

Number of head X .017 = ______ acre-feet/year (for beef cattle)

For other kinds of stock, one additional step is needed.

Milk cows or horses

multiply by 1.5

Hogs

divide by 3

Sheep

divide by 5

Chickens

divide by 300

WATER RESOURCES REGIONAL OFFICES

Billings

Havre

Lewistown

Airport Business Park

210 6th Avenue

613 NE Main Street, Suite E

1371 Rimtop Drive

P.O. Box 1828

Lewistown, MT 59457-2020

Billings, MT 59105-1978

Havre, MT 59501-1828

Phone: 406-538-7459

Phone: 406-247-4415

Phone: 406-265-5516

Fax: 406-538-7089

Fax: 406-247-4416

Fax: 406-265-2225

Serving: Cascade, Fergus, Golden Valley

Serving: Big Horn, Carbon, Carter, Custer,

Serving: Blaine, Chouteau, Glacier, Hill,

Judith Basin, Meagher, Musselshell,

Fallon, Powder River, Prairie, Rosebud, Stillwater,

Liberty, Pondera, Teton, and Toole Counties

Petroleum, and Wheatland Counties

Sweet Grass, Treasure, and Yellowstone Counties

Bozeman

Helena

Missoula

2273 Boot Hill Court, Suite 110

1424 9th Ave.

Town and Country Shopping Center

Bozeman, MT 59715

P.O. Box 201601

1610 South 3rd Street West, Suite 103

Phone: 406-586-3136

Helena, MT 59620-1601

P.O. Box 5004

Fax: 406-587-9726

Phone: 406-444-6999

Missoula, MT 59806-5004

Serving: Gallatin, Madison, and Park Counties

Fax: 406-444-9317

Phone: 406-721-4284

Serving: Beaverhead, Broadwater, Deer Lodge,

Fax: 406-542-1496

Glasgow

Jefferson, Lewis and Clark, Powell, and

Serving: Granite, Mineral, Missoula, and

222 6th Street South

Silver Bow Counties

Ravalli Counties

P.O. Box 1269

Glasgow, MT 59230-1269

Kalispell

Phone: 406-228-2561

109 Cooperative Way, Suite 110

Fax: 406-228-8706

Kalispell, MT 59901-2387

Serving: Daniels, Dawson, Garfield, McCone,

Phone: 406-752-2288

For Mailing, Use Post Office Box Number.

Phillips, Richland, Roosevelt, Sheridan, Valley,

Fax: 406-752-2843

and Wibaux Counties

Serving: Flathead, Lake, Lincoln, and

Sanders Counties

Form No. 627 Notice Of Water Right Page 2

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