"Claim of Beneficial Use for Transfers Character of Use and Place of Use" - Oregon

Claim of Beneficial Use for Transfers Character of Use and Place of Use is a legal document that was released by the Oregon Department of Environmental Quality - a government authority operating within Oregon.

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  • Released on July 1, 2021;
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CLAIM OF
Oregon Water Resources Department
725 Summer Street NE, Suite A
BENEFICIAL USE
Salem, Oregon 97301-1266
(503) 986-0900
for Transfers Character of Use and
www.oregon.gov/OWRD
Place of Use
A fee of $230 must accompany this form for any transfer final orders
including a water right with a priority date of July 9, 1987, or later.
Example – A transfer involves 5 rights and one of the rights
has a priority date of July 9, 1987, or later, the fee is required.
A separate form shall be completed for each transfer.
This form is subject to revision. Begin each new claim by checking for a new version of this form at:
https://www.oregon.gov/OWRD/Forms/Pages/default.aspx
The completion of this form is required by OAR 690-014-0100(1) and 690-014-0110(4).
Please type or print in dark ink. If this form is found to contain errors or omissions, it may be returned to
you. Every item must have a response. If any requested information does not apply to the claim, insert
“NA.” Do not delete or alter any section of this form unless directed by the form. The Department may
require the submittal of additional information from any water user or authorized agent.
“Section 7” of this form is intended to aid in the completion of this form and should not be submitted.
A claim of beneficial use includes both this report and a map. If the map is being mailed separately from
this form, please include a note with this form indicating such.
If you have questions regarding the completion of this form, please call 503-979-9103.
The Department has a program that allows it to enter into a voluntary agreement with an applicant for
expedited services. Under such an agreement, the applicant pays the cost to hire additional staff that
would not otherwise be available. This program means a certificate may be issued in about a month. For
more information on this program see:
https://www.oregon.gov/OWRD/programs/WaterRights/RA/Pages/default.aspx
SECTION 1
GENERAL INFORMATION
Type of Authorized Change
This Claim is being submitted for a transfer where the character of use
YES
NO
and the place of use were the only changes that were authorized.
If additional changes were authorized, you will need to select a different form.
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WR
CLAIM OF
Oregon Water Resources Department
725 Summer Street NE, Suite A
BENEFICIAL USE
Salem, Oregon 97301-1266
(503) 986-0900
for Transfers Character of Use and
www.oregon.gov/OWRD
Place of Use
A fee of $230 must accompany this form for any transfer final orders
including a water right with a priority date of July 9, 1987, or later.
Example – A transfer involves 5 rights and one of the rights
has a priority date of July 9, 1987, or later, the fee is required.
A separate form shall be completed for each transfer.
This form is subject to revision. Begin each new claim by checking for a new version of this form at:
https://www.oregon.gov/OWRD/Forms/Pages/default.aspx
The completion of this form is required by OAR 690-014-0100(1) and 690-014-0110(4).
Please type or print in dark ink. If this form is found to contain errors or omissions, it may be returned to
you. Every item must have a response. If any requested information does not apply to the claim, insert
“NA.” Do not delete or alter any section of this form unless directed by the form. The Department may
require the submittal of additional information from any water user or authorized agent.
“Section 7” of this form is intended to aid in the completion of this form and should not be submitted.
A claim of beneficial use includes both this report and a map. If the map is being mailed separately from
this form, please include a note with this form indicating such.
If you have questions regarding the completion of this form, please call 503-979-9103.
The Department has a program that allows it to enter into a voluntary agreement with an applicant for
expedited services. Under such an agreement, the applicant pays the cost to hire additional staff that
would not otherwise be available. This program means a certificate may be issued in about a month. For
more information on this program see:
https://www.oregon.gov/OWRD/programs/WaterRights/RA/Pages/default.aspx
SECTION 1
GENERAL INFORMATION
Type of Authorized Change
This Claim is being submitted for a transfer where the character of use
YES
NO
and the place of use were the only changes that were authorized.
If additional changes were authorized, you will need to select a different form.
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1. File Information
A
#
PPLICATION
T-
2. Property Owner (current owner information)
A
/B
N
P
N
.
A
C
N
.
PPLICANT
USINESS
AME
HONE
O
DDITIONAL
ONTACT
O
A
DDRESS
C
S
Z
E-M
ITY
TATE
IP
AIL
If the current property owner is not the transfer holder of record, it is recommended that an
assignment be filed with the Department. Each transfer holder of record must sign this form.
3. Transfer holder of record (this may, or may not, be the current property owner)
T
H
R
RANSFER
OLDER OF
ECORD
A
DDRESS
C
S
Z
ITY
TATE
IP
4. Date of Site Inspection:
5. Person(s) interviewed and description of their association with the project:
N
D
A
P
AME
ATE
SSOCIATION WITH THE
ROJECT
6. County:
7. If any property described in the place of use of the transfer final order is excluded from this report,
identify the owner of record for that property (ORS 537.230(5)):
O
R
WNER OF
ECORD
A
DDRESS
C
S
Z
ITY
TATE
IP
Add additional tables for owners of record as needed
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SECTION 2
SIGNATURES
CWRE Statement, Seal and Signature
The facts contained in this Claim of Beneficial Use are true and correct to the best of my knowledge.
Seal and Signature
CWRE N
P
N
.
A
C
N
.
AME
HONE
O
DDITIONAL
ONTACT
O
A
DDRESS
C
S
Z
E-M
ITY
TATE
IP
AIL
Transfer Holder of Record Signature or Acknowledgement
Each transfer holder of record must sign this form in the space provided below.
The facts contained in this Claim of Beneficial Use are true and correct to the best of my knowledge. I
request that the Department issue a water right certificate.
S
P
T
N
T
D
IGNATURE
RINT OR
YPE
AME
ITLE
ATE
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SECTION 3
EXTENT OF CHANGES COMPLETED
Note: The Claim only needs to describe the changes that were authorized in the transfer final order.
Change #1
Change in Character of Use
1. Claim Summary – Authorized Use(s):
Provide the new uses authorized by the transfer final order:
N
U
(
) A
EW
SE
S
UTHORIZED
2. Variations:
Were all the uses developed from what was authorized by the transfer final order?
YES
NO
If no, describe below.
(e.g. “The order authorized changes in character of use to industrial, commercial, and livestock. The water user did not
develop the commercial use.”)
Change #2
Change in Place of Use
1. Claim Summary – Authorized Use:
If Irrigation or Nursery Use:
#
#
THE
OF ACRES ALLOWED
THE
OF ACRES DEVELOPED
If the new use(s) was not irrigation or nursery:
N
U
(
)
W
EW
SE
S
AS THE NEW PLACE OF USE DEVELOPED TO THE FULL EXTENT
?
AUTHORIZED UNDER THE ORDER
(I
NCLUDE THE LOCATION OF THE DEVELOPED PLACE USE ON THE
C
)
LAIM MAP
YES
NO
NA
YES
NO
NA
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2. Variations:
Was the use developed differently from what was authorized by the transfer final order?
YES
NO
If yes, describe below.
(e.g. “The order authorized a change in place of use for 40 acres. The water user only developed 38 acres.”)
SECTION 4
CONDITIONS
All conditions contained in the transfer, or any extension final order shall be addressed. Reports that
do not address all performance related conditions will be returned.
1. Time Limits:
Describe how the water user has complied with each of the development timelines established in the
transfer final order and any extensions of time issued for the transfer:
D
D
A
C
W
C
ATE FROM
ATE THE
UTHORIZED
HANGES
ERE
OMPLETED
T
*T
D
M
F
B
T
“I
D
” A
T
RANSFER
HIS
ATE
UST
ALL
ETWEEN
HE
SSUANCE
ATE
ND
HE
“C
D
OMPLETENESS
ATE
I
D
SSUANCE
ATE
C
D
OMPLETENESS
ATE
F
O
(C)
ROM
RDER
*
,
MUST BE WITHIN PERIOD BETWEEN TRANSFER FINAL ORDER
OR ANY EXTENSION FINAL ORDER ISSUANCE AND THE DATE TO
COMPLETE THE CHANGE
2. Is there an extension final order(s)?
YES
NO
If “NO”, you may delete the following table.
If for a transfer extension order, provide the following information:
V
P
D
E
T
OLUME
AGE
ATE
XTENDED
O
3. Measurement Conditions:
a. Does the transfer final order require the installation of a meter or
approved measuring device?
YES
NO
If “NO”, items b through f relating to this section may be deleted.
Reminder: If a meter or approved measuring device was required, the COBU map must indicate the location
of the device in relation to the point of diversion or appropriation.
b. Has a meter been installed?
YES
NO
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