"Deschutes Basin Mitigation Credit Documentary Evidence Form for Mitigation Banks" - Oregon

Deschutes Basin Mitigation Credit Documentary Evidence Form for Mitigation Banks is a legal document that was released by the Oregon Water Resources Department - a government authority operating within Oregon.

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  • Released on January 20, 2021;
  • The latest edition currently provided by the Oregon Water Resources Department;
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OREGON WATER RESOURCES DEPARTMENT
DESCHUTES BASIN MITIGATION CREDIT
DOCUMENTARY EVIDENCE FORM FOR MITIGATION BANKS
This form is to be completed by a Mitigation Bank when mitigation credits are obtained from a mitigation bank by a ground water
application/permit/certificate holder to satisfy a mitigation obligation under the Deschutes Ground Water Mitigation rules.
Ground Water User Information:
Name:
Mailing Address
:
(Street, City, State, Zip)
Phone Number
:
E-Mail
:
(Home and Work)
(optional)
Ground Water Application, Permit, or Certificate #:
Mitigation Obligation
:
(amount) (see Notice of Mitigation Obligation or Initial Review for this information)
Zone of Impact
:
(see Notice of Mitigation Obligation or Initial Review for this information)
Mitigation Bank Information:
Mitigation Bank Name:
Mailing Address:
Phone Number:
E-Mail
:
(optional)
Mitigation Credit Information:
In the following table, identify the mitigation project identification number(s), the number of credits assigned
from each mitigation project, the zone of impact in which the credits are to be used
(note - many credits may be used within
and the type of mitigation project upon which the credits are based
more than one zone of impact)
(The Mitigation Bank shall notify
purchasers of mitigation credits of the category of credits purchased. The Bank shall state if the credits are temporary or whether subject to the continued maintenance
of a mitigation project. If temporary credits are not maintained the permit will be subject to regulation or cancellation.)
Project Type Codes: Instream Lease (Temporary) = ISL
Time-Limited Instream Transfer (Temporary) = TLT
Allocation of Conserved Water = ACW
Permanent Instream Transfers = PT
Storage Release = SR
Aquifer Recharge = AR
Other = Other (if other, please describe under project type in space provided below)
Mitigation Project ID
# Mitigation Credits Assigned
Zone of Impact
Mitigation Project Type Code (see above)
MP-
MP-
Add additional mitigation projects and credits below using above format:
Mitigation Project Operator
:
(if other than original credit holder)
(for example, name of storage project or aquifer recharge project operator)
Mailing Address:
Phone Number:
For Stored Water Releases
:
(if applicable)
Name of Reservoir:
Reservoir Permit/Certificate:
Contract Number(s):
The above described mitigation credits have been transferred from
, mitigation credit holder, to
,
ground water application/permit/certificate holder.
______________________________________________________
__________________
Mitigation Bank Signature
Date
______________________________________________________
__________________
Ground Water Application/Permit/Certificate Holder Signature
Date
January 20, 2021
OREGON WATER RESOURCES DEPARTMENT
DESCHUTES BASIN MITIGATION CREDIT
DOCUMENTARY EVIDENCE FORM FOR MITIGATION BANKS
This form is to be completed by a Mitigation Bank when mitigation credits are obtained from a mitigation bank by a ground water
application/permit/certificate holder to satisfy a mitigation obligation under the Deschutes Ground Water Mitigation rules.
Ground Water User Information:
Name:
Mailing Address
:
(Street, City, State, Zip)
Phone Number
:
E-Mail
:
(Home and Work)
(optional)
Ground Water Application, Permit, or Certificate #:
Mitigation Obligation
:
(amount) (see Notice of Mitigation Obligation or Initial Review for this information)
Zone of Impact
:
(see Notice of Mitigation Obligation or Initial Review for this information)
Mitigation Bank Information:
Mitigation Bank Name:
Mailing Address:
Phone Number:
E-Mail
:
(optional)
Mitigation Credit Information:
In the following table, identify the mitigation project identification number(s), the number of credits assigned
from each mitigation project, the zone of impact in which the credits are to be used
(note - many credits may be used within
and the type of mitigation project upon which the credits are based
more than one zone of impact)
(The Mitigation Bank shall notify
purchasers of mitigation credits of the category of credits purchased. The Bank shall state if the credits are temporary or whether subject to the continued maintenance
of a mitigation project. If temporary credits are not maintained the permit will be subject to regulation or cancellation.)
Project Type Codes: Instream Lease (Temporary) = ISL
Time-Limited Instream Transfer (Temporary) = TLT
Allocation of Conserved Water = ACW
Permanent Instream Transfers = PT
Storage Release = SR
Aquifer Recharge = AR
Other = Other (if other, please describe under project type in space provided below)
Mitigation Project ID
# Mitigation Credits Assigned
Zone of Impact
Mitigation Project Type Code (see above)
MP-
MP-
Add additional mitigation projects and credits below using above format:
Mitigation Project Operator
:
(if other than original credit holder)
(for example, name of storage project or aquifer recharge project operator)
Mailing Address:
Phone Number:
For Stored Water Releases
:
(if applicable)
Name of Reservoir:
Reservoir Permit/Certificate:
Contract Number(s):
The above described mitigation credits have been transferred from
, mitigation credit holder, to
,
ground water application/permit/certificate holder.
______________________________________________________
__________________
Mitigation Bank Signature
Date
______________________________________________________
__________________
Ground Water Application/Permit/Certificate Holder Signature
Date
January 20, 2021