2507.F CALIFORNIA—THE RESOURCES AG
.E WATER RESOURCES CONTROL BOARD
• •
•
RONALD REAGAN, Gov rnor
DIVISION OF WATER RIGHTS
ROOM' 1015, RESOURCES BUILDING
1416 NINTH STREET • SACRAMENTO 95814
DECLARATION OF APPLICANT REGARDING OTHER .RIGHTS TO USE WAThR2 3 0
. TO ACCOMPANY APPLICATION ?'- '
Note: A permit can be issued only for unappropriated water. Unappropriated
water does not include water that is being used pursuant to an existing right,
whether the right is owned by the applicant or by another person. When an
existing right is claimed, Section 653 of Title 23 of the California
Administrative Code requires that, before an application will be approved, the
applicant must agree not to exercise said right so long as a permit or license
is in effect.
Applic should check the appropriate paragraph below:
1. Applicant does not claim an existing right for the use of water sought
by this application.
0 2, Applicant claims an existing ❑ riparian; ❑ pre -1914 appropriative
right, or ❑ other right (explain on reverse side) for the use of
water sought by this application but agrees. not to exercise said right
so long as a permit or license for use remains in effect.
0 3. ° Tete lger,.sou t Eby =this .application is ^'for $additional. water over that
claimed under an existing (check proper box):
Permit Number
❑ License Number
❑ riparian right
❑ pre -1914 appropriative right
❑ other right (explain on reverse side)
for use within the same place of use as described in the subject
application. Details of the existing right are reported in:
❑ Statement of Water Diversion and Use No. S previously
filed with the State Water Resources Control Board.
0 The enclosed Statement of Water Diversion and Use.
Aor4 art J9i
Date
SWRCD 1m (4/73)
19N6 -ORA (.c.%ArE2 CO.
r
Signature of Alicant
RECYCLED PAPER
APR 11 1' 08111'1'73
STATE i-fi PEsOli C
Es
CONTROL, HOARO
SACRAMENTO
•
j' 'R STATE OF CALIFORNIA
7III ' THE RESOURCES AGENCY y
STATE WATER RESOURCES CONTROL BOARD l7
DIVISION OF WATER RIGHTS
STATEMENT OF WATER DIVERSION AND USE �k�� Q2
�5
This statement should be typewritten or legibly written in ink. ~i v
A. Name of person diverting water _____________ _
Address _��
B. , Name of body of water at point of diversion
Tributary to
C. Place of diversion 1/4 1/4 Section , Township ,. Range B&M,
County, or locate it on sketch of section grid on `reverse side with regard to section
lines or prominent local landmarks.
D. Name of works
E. Capacity of diversion works cubic feet per second
gallons per minute
Capacity of storage reservoir gallons
acre-feet
State quantity of water used each month in gallons or acre-feet
Total
Year Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Annual
If monthly and annual use are not known, check months in which water was used. State extent of use in
units, such as acres of each crop irrigated, average number of persons served, number of stock watered, etc.
Maximum annual water use in recent yearsgallons
acre-feet
Minimum annual water use in recent years. gallons
acre-feet
Type of diversion facility: gravity , pump
Method of measurement: weir , flume , electric power meter. , water meter , estimate
F. Purpose of use (what water is being used for) ,
G. General description or location of place of use ( use sketch of section grid on reverse side if you desire)
H. Year of first use as nearly as known
I. Name of person filing statement jt4A.' ft r �' �r_ 1t%A_R_Tll
PositionOrganization ,1✓_LTO67_
Address / p
o - 13C4 102 L Id_
I certify that the foregoing statements are true and correct to the best of my knouwleilgeRand `beliefs A
Date Signed__ _____ es-, t 97)
WRCB 40 (6.72)
Signature
See Instructions on Reverse Side
64370:9138 6-73 1.600 0 OSP
The location of the diversion point and the place of use may be sketched on this section grid. If it is used, please
enter the section(s), township and range below and show any streams or other landmarks that will assist in
identifying the area.
W
N
s
Section(s)
Township ; Range B&M
Instructions
II108 AM'73
-E:ht RESOURCES
OL ii0Aro
AMENTO
A statement should be filed except where—
1. The diversion is on file with the State Water Resources Control Board by means of an application, permit
or license.
2. The water is pumped from a ground water basin.
3. The water is diverted from a spring that does not flow off the property on which it is located.
4. The diversion is supervised by a state -appointed watermaster.
5. The diversion is included in annual reports filed with the State Water Resources' Control Board or with 'a
court by a watermaster appointed to administer a court decree determining the rights to divert water.
6. The diversion is on file under the recordation of ground water extractions law.
7. The diversion is reported by the Department of Water Resources in its annual hydrologic bulletins describing
certain major diversions from the Sacramento River and major tributaries.
8. The diversion is in the Sacramento -San Joaquin River Delta lowlands.
More specific information defining the types of diversions for which statements are not required -may be obtained
from the Division of Water Rights of the State Water Resources Control Board.
A separate statement should be filed for each point of diversion.
A duplicate copy will be returned for your file.
Please send the completed statement to: State Water Resources Control Board
.Division of Water .Rights
1416 Ninth Street, Room 1015
Sacramento, California 95814
F, • 411
1
l
11
1
(STATE
;
I
µ
;-- .. -1
WA
I_ CONT
:v, 8AC
3
i
1
1
1
1
i
1
_._.._.
`
1
-_.1 _
4
r
3
1
1
.
1
1
`
1
1
-
8
•
8
1
I
3
1
1
i
.. ,
i
1
1
1
s
Section(s)
Township ; Range B&M
Instructions
II108 AM'73
-E:ht RESOURCES
OL ii0Aro
AMENTO
A statement should be filed except where—
1. The diversion is on file with the State Water Resources Control Board by means of an application, permit
or license.
2. The water is pumped from a ground water basin.
3. The water is diverted from a spring that does not flow off the property on which it is located.
4. The diversion is supervised by a state -appointed watermaster.
5. The diversion is included in annual reports filed with the State Water Resources' Control Board or with 'a
court by a watermaster appointed to administer a court decree determining the rights to divert water.
6. The diversion is on file under the recordation of ground water extractions law.
7. The diversion is reported by the Department of Water Resources in its annual hydrologic bulletins describing
certain major diversions from the Sacramento River and major tributaries.
8. The diversion is in the Sacramento -San Joaquin River Delta lowlands.
More specific information defining the types of diversions for which statements are not required -may be obtained
from the Division of Water Rights of the State Water Resources Control Board.
A separate statement should be filed for each point of diversion.
A duplicate copy will be returned for your file.
Please send the completed statement to: State Water Resources Control Board
.Division of Water .Rights
1416 Ninth Street, Room 1015
Sacramento, California 95814
F, • 411
STATE OF CALIFORNIA
THE RESOURCES AGENCY
STATE WATER RESOURCES CONTROL BOARD
DIVISION OF WATER RIGHTS
STATEMENT OF WATER DIVERSION AND USE
ku
i
�� �Yi P 02
This statement should be typewritten or legibly written in ink. �Q r ti
?` a
A. Name of person diverting water -6 �14p•
Address. Nc.... _ ..
B. Name of body of water at point of diversion. PC lf
Tributary to
C. Place of diversion. 1/4 1/4 Section , Township -- : -, Range
County, or locate it on sketch of section grid on reverse:side with regard to section
lines or prominent local landmarks.
D. Name of works
E. Capacity of diversion works
Capacity of storage reservoir
State quantity of water used each month in gallons or acre-feet
Year Jan. Feb. Mar. Apr. May
June July Aug. Sept. Oct.
cubic feet per second
gallons per minute
gallons
acre-feet
Total
Nov. Dec. Annual
If monthly and annual use are not known, check months in which water was used. State extent of use in
units, such as acres of each crop irrigated, average number of persons served, number of stock watered, etc.
gallons
Maximum annual water use in recent years.
acre-feet
Minimum annual water use in recent years gallons
acre-feet
Type of diversion facility: gravity , pump
Method of measurement: weir ..____., flume , electric power meter , water meter , estimate
F. Purpose of use ( what water is being used for)
G. General description or location of place of. use ( use sketch of section grid on reverse side if you desire)
H. Year of first use as nearly as known.
I. Name of person filing statement.
Position ille•jt/2_r'A%#"
Address t2a2( 22O G
I certify that the foregoing statements are
Date signed... ____
WRCB 40 (6-72)
Organization Alts ll/ta u(.�a? m
�a- 1 _ter_G'
true and correct to the best of • my °kn&vledge and belief.
Signature ,_
See Instructions on Reverse Side
54575-983 5-73 1.000 0 osP
The location of the diversion point and the place of use may be sketched on this section grid. If it is used, please
enter the section(s), township and range below and show any streams or other landmarks that will assist in
identifying the area.
w
1
_ .._
!
1
1
!1
1
1
s
-.
1
1
1 NPR1i
_ '1 STAT i& 3
1 CO
1 8.
I
;
1
i
1
1
1
1
1
1
1
1
1
i
1
1
1
i
!
1
. 1
,._.._.1 .....
_ _ i
_ 1-.. ._ _
. _ 1 .._
1
11
i
i
i
1
1 •
1
1
1 ,
i
I
• '1
1
i
1
1.. _
_ _ .. .._.. _
. 1 .., _
1
_ ........1 _
1
1
i
1
1
,
1
1
Section(s)
Township ; Range.
Instructions
B&M
' LL 08 AM '73
ATER RESOURCES
JTROL BOARD
CRAMENTO
A statement should be filed except where— 1
1. The diversion is on file with the State Water Resources Control Board by means of an application, permit
or license.
2. The water is pumped from a ground water basin.
3. The water is diverted from a spring that does not flow off the property on which it is located.
4. The diversion is supervised by a state -appointed watermaster.
5. The diversion is included in annual reports filed with the State Water Resources' Control Board or with a
court by a watermaster appointed to administer a court decree determining the rights to divert water.
6. The diversion is on file under the recordation of ground water extractions law.
7. The diversion is reported by the Department of Water Resources in its annual hydrologic -bulletins describing
certain major diversions from the Sacramento River and major tributaries.
8. The diversion is in the Sacramento -San Joaquin River Delta lowlands.
More specific information defining the types of diversions for which statements are not required may -be-obtained
from the Division of Water Rights of the State Water Resources Control Board.
A separate statement should be filed for each point of diversion.
A duplicate copy will be returned for your file.
Please send the completed statement to:
State Water Resources Control Board
Division of Water Rights
1416 Ninth Street, Room 1015
Sacramento, California 95814