Form 606 - Application To Change A Water Right - 2000 Page 2
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44.
TYPE OF PROPOSED CHANGE Complete ONLY the type of change you are proposing. Multiple changes of
one right or identical changes of more than one right may be applied for on one application.
A. Change in POINT OF DIVERSION
1) Location of proposed point of diversion
____ 1/4 ____ 1/4 ___ 1/4 Section _____ Township _______ N/S Range ______ E/W County ______
Government Lot ______ or Lot _______ Block ______ Subdivision Name ________________________
____ 1/4 ____ 1/4 ___ 1/4 Section _____ Township _______ N/S Range ______ E/W County ______
Government Lot ______ or Lot ________ Block _______ Subdivision Name _______________________
2) Is the new point of diversion
in addition to the old point of diversion
or
replacing the old point of diversion
3) Source of water if changed ______________________________________________________________
4) Means of diversion if changed ____________________________________________________________
5) If a well is involved indicate the well depths: old well _________ ft. new/proposed well ________ ft.
6) New well is located approximately ______________ feet ______________ of old well.
(direction)
B. Change in PLACE OF USE
1) Describe where you propose to use the water right. For irrigation show the number of acres for each
description.
County _____________________________ Subdivision Name _________________________________
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Total Acres
2) If some acres will be taken out of irrigation, identify those acres by location which will no longer be
irrigated by this water right.
County _____________________________ Subdivision Name _________________________________
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Acres Lot
Block
¼
¼
¼ Section
T
N/S
R
E/W
Total Acres
C. Change in PURPOSE OF USE
1) Proposed Use: ______________________________________________________________________
Rate ___________________________ gpm or cfs
Volume _________________________ acre-feet
Period of Use ____________________ to ____________________
month/day
month/day
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