Form ECY040-6 "Amendment to Water Right Claim" - Washington

What Is Form ECY040-6?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2013;
  • The latest edition provided by the Washington State Department of Ecology;
  • 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 Form ECY040-6 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download Form ECY040-6 "Amendment to Water Right Claim" - Washington

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Water Resources Program
Amendment to Water Right Claim
Water Right Claim Registry No.
Department of Ecology
Please attach a copy of your Water Right Claim to this
Cashiering Unit
form and return with the required $50.00 fee to:
PO Box 47611
Olympia, WA 98504-7611
Name:
Phone No:
Other No:
Address:
City:
State:
Zip:
Email Address:
Original Water Right Claim was filed by:
Name:
Address:
Reason for Amendment: Please check appropriate box(es)
An error in estimation of the quantity of the applicant’s water claim as prescribed in RCW 90.14.051.
(Applicant must provide reasons for the error in the original claim.)
Explanation:
Change in circumstances not foreseeable at the time the original claim was filed.
(Such a change must relate only to the manner of transportation or diversion of the water and not to the use or
quantity of water.)
Explanation:
The amendment is ministerial in nature.
(Obvious typographical or clerical errors occurred in the act of filling out the original claim.)
Explanation:
ECY 040-6 (Rev 02-2013) To request ADA accommodation including materials in a format for the visually impaired, call Ecology Water Resources Program
at 360-407-6872. Persons with impaired hearing may call Washington Relay Service at 711. Persons with speech disability may call TTY at 877-833-6341.
Water Resources Program
Amendment to Water Right Claim
Water Right Claim Registry No.
Department of Ecology
Please attach a copy of your Water Right Claim to this
Cashiering Unit
form and return with the required $50.00 fee to:
PO Box 47611
Olympia, WA 98504-7611
Name:
Phone No:
Other No:
Address:
City:
State:
Zip:
Email Address:
Original Water Right Claim was filed by:
Name:
Address:
Reason for Amendment: Please check appropriate box(es)
An error in estimation of the quantity of the applicant’s water claim as prescribed in RCW 90.14.051.
(Applicant must provide reasons for the error in the original claim.)
Explanation:
Change in circumstances not foreseeable at the time the original claim was filed.
(Such a change must relate only to the manner of transportation or diversion of the water and not to the use or
quantity of water.)
Explanation:
The amendment is ministerial in nature.
(Obvious typographical or clerical errors occurred in the act of filling out the original claim.)
Explanation:
ECY 040-6 (Rev 02-2013) To request ADA accommodation including materials in a format for the visually impaired, call Ecology Water Resources Program
at 360-407-6872. Persons with impaired hearing may call Washington Relay Service at 711. Persons with speech disability may call TTY at 877-833-6341.
ONLY FILL OUT THE INFORMATION TO BE AMENDED:
Source from which the right to take and make use of water is claimed:
(choose one)
Groundwater, the source is:
Surface water, the source is:
Quantities of water and times of use claimed:
Quantity of water claimed:
(Cubic feet per second or gallons per minute)
Quantity of water presently used:
(Cubic feet per second or gallons per minute)
Annual quantity claimed:
(Acre-feet per year)
Annual quantity presently used:
(Acre-feet per year)
If for irrigation, Acres claimed:
Presently Irrigated:
Times during each year when water is used:
Date of first putting water to use: Month:
Day:
Year:
Location of the point(s) of diversion/withdrawal:
feet
and
feet
From the
corner of Section
being within the
of Section
Township
N. Range
(E or W) W.M.
If this is within the limits of a recorded platted property, Lot
Block
of
_____________________________________________________________________________
(Give name of Plat or Addition)
Legal description of lands on which the water is used (attach description if more space needed):
County:
Purpose(s) for which water is used:
The Legal Doctrine upon which the right of claim is based:
I hereby swear that the above information is true and accurate to the best of my knowledge and belief:
Printed Name:
Date:
Signature:
ECY 040-6 (Rev 02-2013) To request ADA accommodation including materials in a format for the visually impaired, call Ecology Water Resources Program
at 360-407-6872. Persons with impaired hearing may call Washington Relay Service at 711. Persons with speech disability may call TTY at 877-833-6341.
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