How to use or fill out download summary record of quarterly groundwater surface water withdrawal form with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the period of withdrawal at the top of the form, specifying both the start and end month and year.
- Fill in your details as the Permittee/Grantee, including your mailing address, contact person, email address, and phone numbers.
- Provide your Conditional Water Permit number and Water Permit number in their respective fields.
- Indicate the amount of water granted in liters per second (lps) and state the purpose of withdrawal.
- Complete the location details for your water source, including latitude and longitude coordinates.
- Specify the measuring device used for monitoring water withdrawal, including brand, size, serial number, and test results. Indicate if the meter has been tested.
- Record monthly readings for both initial and final cubic meters consumed during each month.
- Ensure that all signatures are completed by both preparer and submitter along with their printed names and positions.
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See more download summary record of quarterly groundwater surface water withdrawal form versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2014 | 4.9 Satisfied (20 Votes) |
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