Form 600 - Application For Beneficial Water Use Permit - 2001 Page 3
ADVERTISEMENT
1
2
3
48. (Cont.) Place of Use Non-Irrigation
Purpose of use ___________________________________________________________ Place of use same as Point of Diversion, CHECK
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W County
Lot
Block
Tract No.
Government Lot
Purpose of use ___________________________________________________________ Place of use same as Point of Diversion, CHECK
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W County
Lot
Block
Tract No.
Government Lot
Purpose of use ___________________________________________________________ Place of use same as Point of Diversion, CHECK
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W County
Lot
Block
Tract No.
Government Lot
9.
FLOW RATE, VOLUME, PURPOSE OF USE, AND PERIOD OF USE
CFS
__________ GPM up to _________________ for _____________________________ from __________________ to __________________
Acre-Feet
Purpose of Use
Month/Day
Month/Day
CFS
__________ GPM up to _________________ for _____________________________ from __________________ to __________________
Acre-Feet
Purpose of Use
Month/Day
Month/Day
CFS
__________ GPM up to _________________ for _____________________________ from __________________ to __________________
Acre-Feet
Purpose of Use
Month/Day
Month/Day
CFS
__________ GPM up to _________________ for _____________________________ from __________________ to __________________
Acre-Feet
Purpose of Use
Month/Day
Month/Day
CFS
TOTAL AMOUNT REQUESTED _________________________ GPM UP TO ______________________________ ACRE-FEET PER YEAR.
10.
PROPOSED COMPLETION PERIOD
How many years will be needed to complete the project and put the water to use after the permit is received?
Years
(NOTE: The water use must not begin until a permit is received.)
11.
LOCATION MAP (Must be included)
A map showing the following items must accompany this application. An ASCS aerial photo or USGS topographic map may be used.
a) Section Corners and Numbers
c) Point of Diversion
e) Location of Conveyance Ditch, Pipeline, etc.
b) Township and Range Numbers
d) Place of Use (Irrigated Acres, Stock Tanks, etc.)
12.
WATER MEASUREMENT
Describe your plans, if any, for measuring water use:
13.
REMARKS (Provide any additional information to explain the proposed appropriation.)
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
14.
CONTACT PERSON
All communications by the Department concerning the application will be directed through the applicant identified in Section 1 unless a contact
person is provided. If a contact person is provided, the contact person will receive all correspondence with a copy sent to the applicant.
• If the applicant is not an individual (e.g., corporation, estate, trust, agency, ranch), provide the following information:
OR
• If communications are to be conducted through an individual other than the applicant (e.g., legal counsel, consultant, employee, lessee),
provide the following information:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal