Table 2-5B Water Rights Self Assessment 6 Year Forecast Forecasted water use Forecasted Existing Priority Any portion from sources water right status Permit Source Water rights Name on Date supplemental? (6-year Demand) (Excess/Deficiency) certificate or Name or document (List oldest (If yes, explain in Maximum Maximum Maximum Maximum Maximum Maximum claim # 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 Forecasted consumption Forecasted intertie supply intertie use through intertie status (Excess/Deficiency) Intertie name/ 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 Pending water rights Pending water right application Any portion supplemental? Name on application Date submitted Maximum Instantaneous Flow Maximum Annual Volume (New/Change) (If yes, explain in footnote) Rate (Qi) Requested (Qa) Requested 1. 2. 3.
Table 2-5B Water Rights Self Assessment 6 Year Forecast Permit certificate or claim # Name on document Priority Date (List oldest first) Source Name or Number Any portion supplemental? (If yes, explain in footnote) Existing Water rights Forecasted water use from sources (6-year Demand) Forecasted 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/ Identifier Name of purveyor Providing water Existing limits on intertie use Forecasted consumption through intertie Forecasted 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.
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