"Application by Public Agency to Register Water Use for Road and Highway Maintenance, Construction and Reconstruction" - Oregon

Application by Public Agency to Register Water Use for Road and Highway Maintenance, Construction and Reconstruction is a legal document that was released by the Oregon Water Resources Department - a government authority operating within Oregon.

Form Details:

  • Released on June 29, 2016;
  • The latest edition currently provided by the Oregon Water Resources Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Oregon Water Resources Department.

ADVERTISEMENT
ADVERTISEMENT

Download "Application by Public Agency to Register Water Use for Road and Highway Maintenance, Construction and Reconstruction" - Oregon

Download PDF

Fill PDF online

Rate (4.4 / 5) 13 votes
Page background image
Register No. RW-____________________
STATE OF OREGON
WATER RESOURCES DEPARTMENT
APPLICATION BY PUBLIC AGENCY TO REGISTER WATER USE FOR
Page |
ROAD AND HIGHWAY MAINTENANCE, CONTRUCTION AND
1
RECONSTRUCTION
Applicant: _______________________________________________________________________
(County, City, Town or Public Agency)
Name of Officer or Authorized Agent: _________________________________________________
Address: ________________________________________________________________________
_______________________________________________________________________________
City
State
Zip
Phone Number
________________________ makes application to register the use of the following described waters for
Road or Highway Maintenance or Construction.
1. Indicate the source of water for the maintenance or construction project:
_________ Groundwater, (attach copy of well log or description of the well)
_________ Surface water. If surface water, the source is ________________________
tributary to ______________________________________________________________
2. Provide the permit or certificate number if water is obtained from a well or conveyance or storage
facility that has a perfected or certificated water right:
Permit No. ____________________ or Certificate No. ___________________
3. Include written authorization from the owner of the right that allows use of water from the well or
conveyance or storage facility.
4. Indicate the maximum amount of water to be used during the calendar year:
____________ Gallons, or ______________ Acre-feet
5. Indicate the maximum amount of water to be used during any 24-hour period:
____________ Gallons, or ______________ Acre-feet
(Note: The amount of water used shall not exceed 50,000 gallons from a single source during any 24-
hour period).
6. Submit a fee in the amount of $340 with this application.
7. Provide 4 maps indicating the location(s) of the point(s) of diversion with this application. Maps may be
either a county road map or a Department basin map.
8. Provide a ODFW small pump screen self-certification form.
9. Signature: ____________________________________________________________________
Title: ________________________________
Date: ______________________________
Last Updated 06/29/2016 - MA
Register No. RW-____________________
STATE OF OREGON
WATER RESOURCES DEPARTMENT
APPLICATION BY PUBLIC AGENCY TO REGISTER WATER USE FOR
Page |
ROAD AND HIGHWAY MAINTENANCE, CONTRUCTION AND
1
RECONSTRUCTION
Applicant: _______________________________________________________________________
(County, City, Town or Public Agency)
Name of Officer or Authorized Agent: _________________________________________________
Address: ________________________________________________________________________
_______________________________________________________________________________
City
State
Zip
Phone Number
________________________ makes application to register the use of the following described waters for
Road or Highway Maintenance or Construction.
1. Indicate the source of water for the maintenance or construction project:
_________ Groundwater, (attach copy of well log or description of the well)
_________ Surface water. If surface water, the source is ________________________
tributary to ______________________________________________________________
2. Provide the permit or certificate number if water is obtained from a well or conveyance or storage
facility that has a perfected or certificated water right:
Permit No. ____________________ or Certificate No. ___________________
3. Include written authorization from the owner of the right that allows use of water from the well or
conveyance or storage facility.
4. Indicate the maximum amount of water to be used during the calendar year:
____________ Gallons, or ______________ Acre-feet
5. Indicate the maximum amount of water to be used during any 24-hour period:
____________ Gallons, or ______________ Acre-feet
(Note: The amount of water used shall not exceed 50,000 gallons from a single source during any 24-
hour period).
6. Submit a fee in the amount of $340 with this application.
7. Provide 4 maps indicating the location(s) of the point(s) of diversion with this application. Maps may be
either a county road map or a Department basin map.
8. Provide a ODFW small pump screen self-certification form.
9. Signature: ____________________________________________________________________
Title: ________________________________
Date: ______________________________
Last Updated 06/29/2016 - MA
*FOR WATER RESOURCES DEPARTMENT USE ONLY*
The foregoing application and accompanying data is hereby accepted for registration of water use as
Page |
described in the application.
2
This registration shall be in effect beginning __________________________________________.
Use can continue until the public agency voluntarily withdraws the registration or fails to file the annual
renewal statement.
This registration is subject to the following terms:
A. Water use under the registration shall not have priority over any existing water right;
B. The use is subordinate to all future permitted or certificated water rights;
C. Use shall not exceed 50,000 gallons from a single source during any 24-hour period;
D. No dam, reservoir or other impoundment facility may be constructed within a designated
scenic waterway; and
E. Under no circumstances may the registrant cause the water course to be dewatered to a
degree that the live continuous flow is obstructed.
The Department may require the public agency to cease withdrawal or diversion of water at any time the
director has reason to believe use of water under the registration is causing a significant adverse impact
upon:
A. The affected watershed; or
B. Any existing water right; and
The registrant shall notify the watermaster for the district in which the water is to be diverted not
fewer than 30 days nor more than 60 days prior to the date diversion under the registration is to
be initiated. If the proposed diversion is within or above a designated scenic waterway, the
registrant shall not withdraw water under the registration until the watermaster provides
written findings that the proposed withdrawal will not interfere with the free-flowing
character of the scenic waterway in quantities necessary for recreation, fish and wildlife
uses.
___________________________
_______________________
Water Resources Director
Date
If use continues beyond one year, an annual renewal statement and fee in the amount of $60 is
required and must be submitted on or before February 1 of each calendar year. Please contact the
Department for the necessary renewal statement.
Last Updated 06/29/2016 - MA
Page of 2