"Application for Renewal of Water Easement" - New Mexico

Application for Renewal of Water Easement is a legal document that was released by the New Mexico State Land Office - a government authority operating within New Mexico.

Form Details:

  • Released on February 24, 2021;
  • The latest edition currently provided by the New Mexico State Land Office;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico State Land Office.

ADVERTISEMENT
ADVERTISEMENT

Download "Application for Renewal of Water Easement" - New Mexico

Download PDF

Fill PDF online

Rate (4.5 / 5) 48 votes
Commissioner of Public Lands
State of New Mexico
APPLICATION FOR RENEWAL OF WATER EASEMENT
1. APPLICANT INFORMATION
I _________________________ hereby submit this application for renewal of Water Easement # W
under the laws of the State of New Mexico and rules and regulations of the State Land Office, for a term of
five years. I submit this application:
_____ for myself, as Applicant.
OR
_____ on behalf of the Applicant, as Applicant’s Representative. By signing below,
Representative represents and warrants that he or she is duly authorized and has legal
capacity to submit this application for Water Easement on behalf of the Applicant:
Signature
Date
Applicant’s name:
(individual, business, municipality or MDWA):
Mailing Address:
Phone:
Email:
Representative’s name:
Relationship to Applicant:
Mailing Address:
Phone:
Email:
Applicant is:
_____ an individual resident of the State of _________________________.
OR
_____ a business that has a home office in the State of ___________________________
and is authorized to do business in the State of New Mexico. Business is a(n)
___________________________________ (partnership, corporation, other).
OR
_____ a municipality, or Mutual Domestic Water Association located within the State of
New Mexico.
Page 1 of 11
OGMD/Water Easement Renewal_2021-07-07
Commissioner of Public Lands
State of New Mexico
APPLICATION FOR RENEWAL OF WATER EASEMENT
1. APPLICANT INFORMATION
I _________________________ hereby submit this application for renewal of Water Easement # W
under the laws of the State of New Mexico and rules and regulations of the State Land Office, for a term of
five years. I submit this application:
_____ for myself, as Applicant.
OR
_____ on behalf of the Applicant, as Applicant’s Representative. By signing below,
Representative represents and warrants that he or she is duly authorized and has legal
capacity to submit this application for Water Easement on behalf of the Applicant:
Signature
Date
Applicant’s name:
(individual, business, municipality or MDWA):
Mailing Address:
Phone:
Email:
Representative’s name:
Relationship to Applicant:
Mailing Address:
Phone:
Email:
Applicant is:
_____ an individual resident of the State of _________________________.
OR
_____ a business that has a home office in the State of ___________________________
and is authorized to do business in the State of New Mexico. Business is a(n)
___________________________________ (partnership, corporation, other).
OR
_____ a municipality, or Mutual Domestic Water Association located within the State of
New Mexico.
Page 1 of 11
OGMD/Water Easement Renewal_2021-07-07
2. LOCATION(S) OF CURRENT EASEMENT
Please provide the following information about the location(s) of the state trust land where the easement is
requested (you may use more than one line but the land described must be contiguous). Add and Attachment
page if needed to itemize each well location:
Applicant is applying for
(
) well-sites as herein defined, to be located within the
County (“Easement Land”):
following described area in
Quarter-Quarter
Section
Township Range
Number of Easement Acres
OSE POD #
Driving directions to Easement wells:
3. WELL(S) INFORMATION
Please provide the following information about the well or wells associated with this application. Attach
additional Exhibit pages if necessary:
OSE
SLO or
Lat/Long in NAD 83
OSE Water
OSE
OSE-Permitted Volume
POD#
Grantee
decimal degrees
Right File #
Permitted
of Use (indicate
Well ID
Use
combined or per well)
*If you are applying to renew a water easement that was granted for commercial use, you are
requested to attach the most recent 2 years of well metering data or use history.
Page 2 of 11
OGMD/Water Easement Renewal_2021-07-07
4. WATER RIGHTS INFORMATION
Please provide the following information about water rights associated with this easement. Attach additional
pages if necessary:
New Appropriation
Existing
Transfer In of
on location of
Appropriation on
water rights from
requested easement
location of
another location
on state trust land
requested easement
(e.g., other state
on state trust land
trust land, Federal,
Private)
NM OSE water right file number(s)
Name of water right holder of record
at the Office of the State Engineer
Total acre-feet/year of OSE-granted
(or applied for) water right
Acre-feet/year requested under this
easement
OSE permitted point(s) of diversion
Point(s) of diversion requested under
this easement
OSE permitted purpose(s) of use
Purpose(s) of use requested under this
easement
OSE permitted place(s) of use
Place(s) of use requested under
easement (TRS, lot/subdivision OR
Unit/Mine name)
Water Right Permit Priority date
5. SALE, GIFT, OR TRADE OF WATER
This section is not completed this application will be rejected. Will any of the water produced under this
easement be sold, given away, or traded?
Sold? Amount in gallons and to whom?
Quantify the projected revenue stream
Traded? Amount in gallons and to whom?
Given away? Amount in gallons and to whom?
6. USE OF WATER
This section must be completed or this application will be rejected. Please list all intended Commercial uses,
Industrial uses, Mining uses, Secondary Recovery of oil uses and units, Agricultural uses, Domestic uses by
Applicant or other recipients of the water produced under this easement. Include location of use and
distinguish state trust land from federal, tribal and fee lands:
Page 3 of 11
OGMD/Water Easement Renewal_2021-07-07
7. GRANTEE IMROVEMENTS
***IF NOT ALREADY ON FILE AT THE LAND OFFICE PLEASE SUBMIT A CERTIFIED SURVEY
PLAT SHOWING THE LOCATION OF ALL IMPROVEMENTS INCLUDING EXISTING OR PLANNED
WELLS, EQUIPMENT, FACILITIES, INFRASTRUCTURE, ROADS, POWER LINES, AND OTHER
IMPROVEMENTS LISTED BELOW.
Please list all existing and planned wells, equipment, facilities, infrastructure, roads, power lines, and other
improvements associated with the operation of this water easement, and that are or will be located within the
boundaries of the easement during the term applied for herein:
8. CULTURAL RESOURCE PROTECTION
Please indicate that you (Applicant or Authorized Representative) have read the T&E and Cultural
Resources Notice to Applicants (attached) and that you understand and agree to abide by the terms and
conditions set forth therein.
Yes _____ No _____
An Archaeological Survey is strongly recommended. If no survey is provided, an Archaeological Records
Management Section Inspection (ARMS Inspection) in accordance with NMAC 4.10.15.9 is required. If the
ARMS Inspection is not provided by the Applicant, the Land Office will provide the ARMS Inspection in the
order applications are received.
An Archaeological Survey is attached with a cover page labeled:
Yes
No
Confidential Exhibit ________.
An ARMS Inspection is attached with a cover page labeled:
Yes
No
Confidential Exhibit ________.
The Applicant would like the NMSLO to provide the ARMS Inspection: Yes
No
9. SHAPEFILES
Shapefiles are required with all applications that include access roads and facilities for your project.
If the State Land Office has detailed and accurate location information about this Easement already
on file there is no need to re-supply this information. If you do not have shapefiles for the requested
easement, please contact the surveyor who developed the project location plat. If you already have
shapefiles for the requested easement, please provide the following information:
Name of shapefile custodian:
Email address:
Phone number:
10. BOND INFORMATION
The following is enclosed to cover payment for damages that might occur to the state land
improvements of a surface lessee:
Page 4 of 11
OGMD/Water Easement Renewal_2021-07-07
 A bond or other surety in the amount equal to $1,000.00 per well
Bond #
-Or-
 Sufficient bonding requirements have been met by the following Surety Bond on file.
Bond #
11. FEES
Please submit the following annual rental and fee with this application:
$
250.00
Application Fee:
st
1
Year Annual Rent = Number of wells requested __X $1000.00:
+ $
$
Check number
TOTAL PAYMENT SUBMITTED
12. ACKNOWLEDGEMENTS
Please initial each statement below:
______ If any information is omitted on this application it will be rejected as incomplete.
______ Applicant or Representative understands and agrees that before a Water Easement can be granted,
the Applicant must provide adequate bond to reclaim all surface damages that could result from
activities undertaken under this easement.
______ Applicant or Representative understands and agrees that if the water easement is granted, Applicant
must furnish Commissioner copies of records and such reports and plats of my operations including,
but not limited to meter readings, well logs, drill cores, OSE filings, and other data relating to
geological formations as the Commissioner may reasonably deem necessary for his administration of
the trust lands.
______ Applicant or Representative understands and agrees that Applicant must execute a standard Water
Rights Agreement before a Water Easement will be granted; OR Applicant executed Water
Agreement Number _____________, and has reviewed and will re-confirm the terms of the Water
Agreement if the Water Easement is granted.
______ Applicant or Representative understands that the State Land Office might require additional
information based on this application, and agrees to provide such additional information as
reasonably necessary to complete the application process.
I, (name) ______________________________________________, do solemnly swear (or affirm) that the
above statements and answers to questions in this application are true and correct to the best of my
knowledge and belief.
If application is being submitted by Applicant, please initial the following statement:
_______ Applicant covenants and agrees to abide by all laws and regulations of the Land Office and to hold
harmless, indemnify, and defend the Commissioner, his agents and lessees, in their official and individual
capacities of and from any and all liability, claims, losses, or damages arising out of or alleged to arise out of
or indirectly connected with operations under any grant made by the Commissioner.
-Or-
Page 5 of 11
OGMD/Water Easement Renewal_2021-07-07
Page of 11