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- NeDNR SW Form 100-E "Application to Renew a Temporary Change of Location of Use and Purpose of Appropriation to Augment the Flow in a Specific Stream Reach for a Privately Held Water Appropriation" - Nebraska
NeDNR SW Form 100-E "Application to Renew a Temporary Change of Location of Use and Purpose of Appropriation to Augment the Flow in a Specific Stream Reach for a Privately Held Water Appropriation" - Nebraska
What Is NeDNR SW Form 100-E?
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 August 1, 2016;
- 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 100-E by clicking the link below or browse more documents and templates provided by the Nebraska Department of Natural Resources (Surface Water).
Download NeDNR SW Form 100-E "Application to Renew a Temporary Change of Location of Use and Purpose of Appropriation to Augment the Flow in a Specific Stream Reach for a Privately Held Water Appropriation" - Nebraska
![NeDNR SW Form 100-E "Application to Renew a Temporary Change of Location of Use and Purpose of Appropriation to Augment the Flow in a Specific Stream Reach for a Privately Held Water Appropriation" - Nebraska](https://data.templateroller.com/pdf_docs_html/1829/18299/1829960/page_1_thumb.png "NeDNR SW Form 100-E "Application to Renew a Temporary Change of Location of Use and Purpose of Appropriation to Augment the Flow in a Specific Stream Reach for a Privately Held Water Appropriation" - Nebraska")
1August 2016
DNR SW Form #100-E
Page 1
STATE OF NEBRASKA
DEPARTMENT OF NATURAL RESOURCES
APPLICATION TO RENEW A TEMPORARY CHANGE OF LOCATION OF USE AND
PURPOSE OF APPROPRIATION TO AUGMENT THE FLOW IN A SPECIFIC STREAM REACH
FOR A PRIVATELY HELD WATER APPROPRIATION
FOR DEPARTMENT USE ONLY
Filed in the office of the Department of Natural Resources
1.
Name and Address of Appropriator of Record:
at
a.m. / p.m.
on
,
20
Mod. No. TRL-
App No.
Zip Code:
Telephone No.: (
)
Original Transfer Mod No.
Cell Phone No.: (
)
Water Division
e-mail address:
Receipt No.
Amount
2.
Name and Address of each mortgage holder or deed of trust holder for land now under permit.
(If more than one, please use DNR form 962-4)
Zip Code:
Telephone Number:
(
)
Cell Phone Number:
(
)
e-mail address:
3.
List the water appropriation number that this application is proposed to modify:
4.
List the current water use contracts (CREP, EQIP, etc.):
5.
List the original transfer number (if known):
6.
a)
Date original transfer began: ___________________________________
b)
Date original transfer ends: ___________________________________
c)
Length of original transfer (years): _____________________________
7.
a)
Date requested for transfer renewal end: _________________________
b)
Requested length of transfer renewal (years): _____________________
8.
If Lease is involved, attach a copy of lease agreement or document that lists all parties involved and the intent of the lease.
Acknowledgement by Landowner
9.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information
is true, complete and accurate. I have initialed and dated all addendums and attachments to this transfer. I certify that all conditions of the original
transfer remain in effect and only seek to extend the length of the transfer. I agree to pay for the cost that may be incurred in the processing and
approval of this application:
Date
Signature of Appropriator of Record (Or Representative with Proper Documentation)
Submit this application with a $10.00 filing fee to:
Nebraska Department of Natural Resources
P.O. Box 94676
Lincoln, Nebraska 68509
(402) 471-2363
August 2016
DNR SW Form #100-E
Page 1
STATE OF NEBRASKA
DEPARTMENT OF NATURAL RESOURCES
APPLICATION TO RENEW A TEMPORARY CHANGE OF LOCATION OF USE AND
PURPOSE OF APPROPRIATION TO AUGMENT THE FLOW IN A SPECIFIC STREAM REACH
FOR A PRIVATELY HELD WATER APPROPRIATION
FOR DEPARTMENT USE ONLY
Filed in the office of the Department of Natural Resources
1.
Name and Address of Appropriator of Record:
at
a.m. / p.m.
on
,
20
Mod. No. TRL-
App No.
Zip Code:
Telephone No.: (
)
Original Transfer Mod No.
Cell Phone No.: (
)
Water Division
e-mail address:
Receipt No.
Amount
2.
Name and Address of each mortgage holder or deed of trust holder for land now under permit.
(If more than one, please use DNR form 962-4)
Zip Code:
Telephone Number:
(
)
Cell Phone Number:
(
)
e-mail address:
3.
List the water appropriation number that this application is proposed to modify:
4.
List the current water use contracts (CREP, EQIP, etc.):
5.
List the original transfer number (if known):
6.
a)
Date original transfer began: ___________________________________
b)
Date original transfer ends: ___________________________________
c)
Length of original transfer (years): _____________________________
7.
a)
Date requested for transfer renewal end: _________________________
b)
Requested length of transfer renewal (years): _____________________
8.
If Lease is involved, attach a copy of lease agreement or document that lists all parties involved and the intent of the lease.
Acknowledgement by Landowner
9.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information
is true, complete and accurate. I have initialed and dated all addendums and attachments to this transfer. I certify that all conditions of the original
transfer remain in effect and only seek to extend the length of the transfer. I agree to pay for the cost that may be incurred in the processing and
approval of this application:
Date
Signature of Appropriator of Record (Or Representative with Proper Documentation)
Submit this application with a $10.00 filing fee to:
Nebraska Department of Natural Resources
P.O. Box 94676
Lincoln, Nebraska 68509
(402) 471-2363
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![](https://www.pinterest.com/pin/create/button/?url=https://www.templateroller.com/template/1829960/nednr-sw-form-100-e-application-to-renew-a-temporary-change-location-use-and-purpose-appropriation-to-augment-the-flow-in-a-specific-stream-reach-a-privately-held-water-appropriation-nebraska.html&media=https://data.templateroller.com/pdf_docs_html/1829/18299/1829960/nednr-sw-form-100-e-application-to-renew-a-temporary-change-location-use-and-purpose-appropriation-to-augment-the-flow-in-a-specific-stream-reach-a-privately-held-water-appropriation-nebraska_big.png&description=NeDNR SW Form 100-E "Application to Renew a Temporary Change of Location of Use and Purpose of Appropriation to Augment the Flow in a Specific Stream Reach for a Privately Held Water Appropriation" - Nebraska Download Pdf){kind=small}
Most popular documents
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-
"Zappos Kid Shoe Size Chart"
-
DD Form 2813
-
DA Form 2062 "Hand Receipt/Annex Number"
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DD Form 1750 "Packing List"
-
AF Form 910 "Enlisted Performance Report (AB Thru Tsgt)"
-
DA Form 31 "Request and Authority for Leave"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
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