Form 642 - Dnrc Ownership Update Exempt (Reserved) / Severed Water Right
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2Form No. 642 (U01-2013)
DNRC OWNERSHIP UPDATE
EXEMPT (RESERVED) /
SEVERED WATER RIGHT
The deed or other recorded instrument must show that the
FOR DEPARTMENT USE ONLY
water right is no longer appurtenant to the property.
Rec’d Date _____________________________________
MCA § 85-2-424
Rec'd By _______________________________________
If the ownership interest in the water right is being divided,
Fee Rec'd $ ____________ Check No.______________
complete a Form 641 Divided Interest form instead.
Payor _________________________________________
Complete one form for each water right that will be exempted
Refund $ ______________ Date ________________
(reserved) / severed. Contact your local DNRC Water Resources
Deposit Receipt # _______________________________
Regional Office if you have any questions.
OUID # _______________________________________
Filing Fee $50.00
IMPORTANT NOTE
By severing a water right, it has been severed from the historic place of use and is no longer appurtenant to that
property. A severed water right will require a change authorization in order to use the water right in a manner
inconsistent with historical practices. Contact your local DNRC Water Resources Regional Office if you have
questions concerning the continued use of the water right being severed.
WATER RIGHT BEING EXEMPTED (RESERVED) / SEVERED ____________________________________________
1.
DNRC WATER RIGHT OWNER OF RECORD __________________________________________________________
2.
MAILING ADDRESS _______________________________________________________________________________
CITY _______________________________________________ STATE __________ ZIP ____________________
PHONE
____________________________ EMAIL
_________________________________________________
WATER RIGHT OWNER (IF DIFFERENT) _____________________________________________________________
3.
MAILING ADDRESS _______________________________________________________________________________
CITY _______________________________________________ STATE __________ ZIP ____________________
PHONE
____________________________ EMAIL
_________________________________________________
4. WHO SHOULD DNRC CONTACT WITH QUESTIONS?
NAME _______________________________________________________ PHONE __________________________
EMAIL __________________________________________________________________________________________
ATTACH A COPY OF A DEED OR OTHER RECORDED INSTRUMENT SHOWING THAT THE WATER RIGHT IS
5.
NO LONGER APPURTENANT TO THE PROPERTY. IF OWNERSHIP OF WATER RIGHT IS NOT CURRENT,
PROVIDE CHAIN OF TITLE FROM DNRC RECORD OWNER TO THE CURRENT OWNER.
PROVIDE A MAP
6.
An aerial photo is preferred. You may also use a scaled map, county plat or quad map showing township and range,
section corners, and a north arrow. Be sure to indicate the point of diversion and place of use. If this is a partial
sever/exemption indicate which part of the place of use is exempted (reserved) / severed and which part is owned by
whom.
Form 642 DNRC Ownership Update Exempt (Reserved) / Severed Water Right
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