NeDNR SW Form 07-13 "Petition for Waiver of Outlet Works" - Nebraska

What Is NeDNR SW Form 07-13?

This is a legal form that was released by the Nebraska Department of Natural Resources (Surface Water) - a government authority operating within Nebraska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2007;
  • The latest edition provided by the Nebraska Department of Natural Resources (Surface Water);
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of NeDNR SW Form 07-13 by clicking the link below or browse more documents and templates provided by the Nebraska Department of Natural Resources (Surface Water).

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Download NeDNR SW Form 07-13 "Petition for Waiver of Outlet Works" - Nebraska

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September 2007
SW DNR Form 07-13
STATE OF NEBRASKA
DEPARTMENT OF NATURAL RESOURCES
PETITION FOR WAIVER OF OUTLET WORKS
In accordance with § 46-241(5) Neb. Revised Statutes
FOR DEPARTMENT USE ONLY
1.
Name and Address of Landowner or Applicant (Not project engineer or consulting firm)
Filed in the office of the Department of Natural Resources
at
a.m./p.m.
on
,
20
Petition No.
Zip Code:
Telephone Number (
)
Application No.
Cell Phone Number:
(
)
Water Division
e-mail address: (Optional)
Receipt No.
Amount
2.
List the name of impoundment structure:
The legal description of impoundment structure:
3.
_______¼ ______¼ Section__________, Township____________North, Range________E
W
, County______________________________
4.
State the reason for waiving the outlet works:
5. Describe how inflows of water into the structure would be passed downstream when required by the Department:
6. I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true, complete and accurate.
DATE:
S
L
A
IGNATURE OF
ANDOWNER OR
PPLICANT
A non-refundable filing fee of $10 payable to the Department of Natural Resources must accompany this form. Mail to:
State of Nebraska
Department Natural Resources
301 Centennial Mall South
P.O. Box 94676
Lincoln, Nebraska 68509
(402) 471-2363
September 2007
SW DNR Form 07-13
STATE OF NEBRASKA
DEPARTMENT OF NATURAL RESOURCES
PETITION FOR WAIVER OF OUTLET WORKS
In accordance with § 46-241(5) Neb. Revised Statutes
FOR DEPARTMENT USE ONLY
1.
Name and Address of Landowner or Applicant (Not project engineer or consulting firm)
Filed in the office of the Department of Natural Resources
at
a.m./p.m.
on
,
20
Petition No.
Zip Code:
Telephone Number (
)
Application No.
Cell Phone Number:
(
)
Water Division
e-mail address: (Optional)
Receipt No.
Amount
2.
List the name of impoundment structure:
The legal description of impoundment structure:
3.
_______¼ ______¼ Section__________, Township____________North, Range________E
W
, County______________________________
4.
State the reason for waiving the outlet works:
5. Describe how inflows of water into the structure would be passed downstream when required by the Department:
6. I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true, complete and accurate.
DATE:
S
L
A
IGNATURE OF
ANDOWNER OR
PPLICANT
A non-refundable filing fee of $10 payable to the Department of Natural Resources must accompany this form. Mail to:
State of Nebraska
Department Natural Resources
301 Centennial Mall South
P.O. Box 94676
Lincoln, Nebraska 68509
(402) 471-2363