Table 3-5 Water Rights Self-Assessment Existing Status Existing Current water right status Priority Any portion Existing consumption Source Water rights (Excess/Deficiency) Permit certificate Name on Date supplemental? Name and or claim number document (List oldest (If yes, explain in Maximum Maximum Maximum Maximum Maximum Maximum Number first) footnote) Instantaneous Annual Instantaneous Annual Instantaneous Annual Flow Rate (Qi) Volume (Qa) Flow Rate (Qi) Volume (Qa) Flow Rate (Qi) Volume (Qa) Permits/ Certificates 1. 2. 3. 4. Claims 1. 2. 3. 4. TOTAL Existing limits on intertie Existing consumption Current intertie supply use through intertie status (Excess/Deficiency) Intertie name or Name of purveyor Identifier Providing water Maximum Maximum Maximum Maximum Maximum Maximum Instantaneous Annual Instantaneous Annual Instantaneous Annual Flow Rate (Qi) Volume (Qa) Flow Rate (Qi) Volume (Qa) Flow Rate (Qi) Volume (Qa) 1. 2. 3. 4. TOTAL Any portion Pending water rights Pending water right application Name on Date submitted supplemental? Maximum Instantaneous Flow Maximum Annual Volume (Qa) (New/Change) application (If yes, explain in footnote) Rate (Qi) Requested Requested 1. 2. 3. 4.
Table 3-5 Water Rights Self-Assessment Existing Status Permit certificate or claim number Name on document Priority Date (List oldest first) Source Name and Number Any portion supplemental? (If yes, explain in footnote) Existing Water rights Existing consumption Current water right status (Excess/Deficiency) Maximum Instantaneous Flow Rate (Qi) Maximum Annual Volume (Qa) Maximum Instantaneous Flow Rate (Qi) Maximum Annual Volume (Qa) Maximum Instantaneous Flow Rate (Qi) Maximum Annual Volume (Qa) Permits/ Certificates 1. 2. 3. 4. Claims 1. 2. 3. 4. TOTAL Intertie name or Identifier Name of purveyor Providing water Existing limits on intertie use Existing consumption through intertie Current intertie supply status (Excess/Deficiency) Maximum Instantaneous Flow Rate (Qi) Maximum Annual Volume (Qa) Maximum Instantaneous Flow Rate (Qi) Maximum Annual Volume (Qa) Maximum Instantaneous Flow Rate (Qi) Maximum Annual Volume (Qa) 1. 2. 3. 4. TOTAL Pending water right application (New/Change) Name on application Date submitted Any portion supplemental? (If yes, explain in footnote) Pending water rights Maximum Instantaneous Flow Rate (Qi) Requested Maximum Annual Volume (Qa) Requested 1. 2. 3. 4.
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