Affidavit For The Partial Diminution Of A Water Right Certificate Form - Oregon
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2AFFIDAVIT FOR THE PARTIAL DIMINUTION OF A
WATER RIGHT CERTIFICATE
State of Oregon
)
) ss
County of _____________________________
)
I/We (or authorized agent), ______________________________________________________,
residing at_____________________________________________________________________________,
telephone number _____________________________, being first duly sworn depose and say:
1.
I/We are the legal owner(s) of the property described as tax lot number ____________________,
within the _______¼_______¼, Section ________, Township _______ N/S, Range _______ E/W, of the
Willamette Meridian, in ___________________________________ County, Oregon, as shown on the
attached map and described in the attached deed and legal description and made part of this affidavit;
2.
A portion of water right certificate number ___________ issued to _________________________,
with a date of priority of ______________________ for use of ________ cubic foot per second of water
from __________________________________________________________________(sources) for the
purpose of ________________________________________________________(uses) is appurtenant to
my/our property;
3.
The appurtenant water right is/is not located within the boundaries of an irrigation, drainage, water
improvement, or water control district, or federal reclamation project (if the right is located within a district
or reclamation project, name it here:
_________________________________________________________);
4.
If the water right is issued in the name of an irrigation district, then the affiant must have the
concurrence of the district to the diminishment of the portion of the water right. (Signature of district
manager on the line below documents concurrence of the district.)
_______________________
________________________
_________________________
Signature of district manager
Printed Name
Date
5.
I/We have obtained a _______________________________(e.g., better, more economical) source
of water for the primary irrigation of the portion of this water right shown on the attached map and
described as follows: The right to the use of ______ cubic foot per second from
_________________________________________ for the irrigation of ________ acres located:
____¼ ____¼
______ Acres
____¼ ____¼
______ Acres
____¼ ____¼
______ Acres
Section ____
Township ____ N/S, Range ____E/W, WM;
6.
I/we request the water right be diminished from a right for primary irrigation to a right for
supplemental irrigation of the lands described above in item #5;
Affidavit-Partial Diminishment
Page 1 of 2
July 2009
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