"Request to Withdraw a Water Right / Exempt Notice for Provisional Permits, Groundwater Certificates, or Exempt Notices" - Montana

Request to Withdraw a Water Right / Exempt Notice for Provisional Permits, Groundwater Certificates, or Exempt Notices is a legal document that was released by the Montana Department of Natural Resources and Conservation - a government authority operating within Montana.

Form Details:

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Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Montana Department of Natural Resources and Conservation.

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Download "Request to Withdraw a Water Right / Exempt Notice for Provisional Permits, Groundwater Certificates, or Exempt Notices" - Montana

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REQUEST TO WITHDRAW A WATER RIGHT / EXEMPT NOTICE
For Provisional Permits, Groundwater Certificates, or Exempt Notices
ALL WATER RIGHT / EXEMPT NOTICE OWNERS MUST SIGN THIS FORM.
I/we, ______________________________________________________________________,
hereby request the withdrawal of water right / exempt notice no. _______________________.
The reason for this request is:
This water right was never completed or put to use.
This water right has not been used for _____________ years.
This filing is an exempt notice and I no longer want to be notified by DNRC of any
water right applications in the area -or- I am filing a Statement of Claim which
duplicates this notice.
*If marking this box, you do NOT need to notarize this form.
Other ________________________________________________________________
______________________________________________________________________
As legal owners of this water right, I/we request this right / exempt notice be terminated. If
withdrawing an exempt notice, you do not need to notarize this form. All other withdrawals
must be notarized.
___________________________________________
Signature
Date
___________________________________________
Signature
Date
___________________________________________
Signature
Date
State of Montana
County of
Signed or acknowledged before me on
by
Notary's Signature
Notary's Name (Printed)
Notary public for the State of
Residing at
My commission expires
Affix Notarial Seal/Stamp Above
Return form to your local DNRC Water Resources Office or mail to: DNRC / PO Box 201601 / Helena MT 59620
Note:
If you withdraw your water right it will not be a valid water right. It means you have no legal right to use or
enforce the water right against other water users.
REQUEST TO WITHDRAW A WATER RIGHT / EXEMPT NOTICE
For Provisional Permits, Groundwater Certificates, or Exempt Notices
ALL WATER RIGHT / EXEMPT NOTICE OWNERS MUST SIGN THIS FORM.
I/we, ______________________________________________________________________,
hereby request the withdrawal of water right / exempt notice no. _______________________.
The reason for this request is:
This water right was never completed or put to use.
This water right has not been used for _____________ years.
This filing is an exempt notice and I no longer want to be notified by DNRC of any
water right applications in the area -or- I am filing a Statement of Claim which
duplicates this notice.
*If marking this box, you do NOT need to notarize this form.
Other ________________________________________________________________
______________________________________________________________________
As legal owners of this water right, I/we request this right / exempt notice be terminated. If
withdrawing an exempt notice, you do not need to notarize this form. All other withdrawals
must be notarized.
___________________________________________
Signature
Date
___________________________________________
Signature
Date
___________________________________________
Signature
Date
State of Montana
County of
Signed or acknowledged before me on
by
Notary's Signature
Notary's Name (Printed)
Notary public for the State of
Residing at
My commission expires
Affix Notarial Seal/Stamp Above
Return form to your local DNRC Water Resources Office or mail to: DNRC / PO Box 201601 / Helena MT 59620
Note:
If you withdraw your water right it will not be a valid water right. It means you have no legal right to use or
enforce the water right against other water users.