L o.rn"4e*i*,pAV t g

o.rn"4e*i*,pAV J L
Re. 5.ed..
TYPE OB PR|MT
IN BLACK INK
(For inslructions, see
bookleti 'How to Fil€ an
Application lo
Appropdate Water in
CalirorniaJ
APPLTcATIoN xg.
z/rf:-or+
t
e/ar/2"r5
California Environmental Protection Agencl,
)zz
3
z
Slate Water Besources Control Board
Division of Water Righls
P.O. Box 2000, Sacramento, CA 958i2-2000
Tel: (916) 341-5300 Fax: (916) 341-5400
www.walerboards.ca. gov/waterrig hts
il,:,1:ll3l
,tlj
ll: iJ
APPLICATION TO APPROPRIATE WATEH
1,
APPLICANT/AGENT
APPLICANT
Name
cit
of furlock
Attn:
Mailing Address
Michae] Cook
156 S. Broad\ray, Suite 443 ITo
City, State & Zip
I\rrlock,
Telephone
(2a9) 66a-5599, ext.
CA 95830
44l-8
z
Arr,anda Pear6on
Do!,rney Brand l,Lp
621 Capitol Mal-I
Sacramento, CA 95 814
(915) 444 -loOO
(976)
Fax
E-mail
ASSIGNED AGENT {if any)
[email protected]
520 - 5624
apearson@dowaeybrand. com
OWNERSHIP INFORMATION (Ptease check type of ownership.)
E Sole
tr Limited Liabilily Company
d General partnership.
tr Limited Partnership' C Business
tr HusbandMile Co-Ownership
EI
D Joint
E Other citv
tPlease identify
the names, addresses and phone numbers of all partners
Owner
Corporation
3.
Trust
Venture
(LLC)
PBOJECT DESCRIPTION (Provide a detailed description ot your project, inctuding, but not timited
to, type ol conslruction aclivity, area to be graded or excavated, and how the waler wiil be used.) Add
addilional pages if needed and check box below and label as an attachment.
E
For continuation, see Attachment No.
APP O6I2N9
r
g
Page2ofiO
4.
PURPOSE OF USE, DIVEBSION/STORAGE AMOUNT AND SEASON
PURPOSE
OF USE
a
DIRECT DIVERSION
AMOUNT
(irigation,
domestiq elc.)
Irrigation
Bate
Acre-teet
Beginning
(cls or
per
dale
spd)-
annum
(month &
da
cfs
18.5
See
'
Aflachnent No.
13, 393.
39 Vt
.AMOUNT
Ending
date
(month &
da
Acre'leet
per
annum
STORAGE
SEASON OF
COLLECTION
Beginning
Ending
dale
date
(month E
(month &
da
t2/3t
da
13,393.39 L/t
12/31
10
Total ara
8
SEASON OF
DIVEBSION
Total ala
13, 393 .
lf rate is lesa than 0.025 cubic feet per second (cfs) use gallons per
,
day (gpd)
b. Total combined amounl taken by direct diversion and slorage during any one year will be
I3, 393 . 39 acre{eet.
c Reservoir storage is: E onstream E offslream E undergroun d (lf underground
storage,
d
5.
Underground Storage Form.)
County in which diversion is localed:
Stani slau
San'Joa(.,.uin, Stan i slaus
t.,
erced
s
County in which water will be used
SOURCES AND POINTS OF DIVERSION/REDIVERSION
a. Sources and Points of Diversion (POD)/Points of Redlversion (pORD):
EfPoD/tr PoBD # San Joaguih River, river mile'9g.5
San Joaquin- sacramen t o .ue ltSrence
S an ! rancasco Bay
D POD/6 PORD# Patterson lrriqation District Pipelfre
Del ta-n4erdota Caral
thence
tributary to
lributary lo
DPOD/trPORD#
f]
POD
attach
tributary to
lhence
/ D PORD #
trjbutary to
thence
l{ needed. anach additional pages, check box below and label attachment
h
b.
See Attachnent
No.
1
Stale Planar and Public Land Su
Coordinate Descri r0n:
POD/
PORD
POINT IS WITHIN
i
CALIFORNIA
COOBDINATES
ZONE
(NAD 83)
6,392,689
2,004,060
6,375,527
1,984,259
E
N
E
N
3
fr-T/1-;;i11frn-.
xlw* "FSot
3
S'tl
%ol tW
%
of
l/t
lAol
1/.
1/t
-
SECTION
(40-acre
subdivision)
+6-
I'
6
IOWN.
RANGE
SHIP
BASE ANO
MERIDIAN
5S
MDB&I,I
6S
l'4DB&l'1
ll needed, attach addilio nal pages, check box below and label attachment
See Atlachment No. 4
Name of the Dost otfice most ofren-used_by-lhqse living neaf lhe proposed ooint(s) of diversion
u.
of f
G
c
s. Post
ice,
s0 Ii:-EE'l;a-o Avii. ,--pai{erson ; cA
'9
5363
AuJA^6
6 \S.
4olr+
Page 3 of 10
6.
WATER AVAILABILITY
Have you attached a waler availabiljty anatysis tor
yES E NO
this project?
II No, provide surficient information to demonstrate
trraii;L;;' reasonabre rikerihood that
unappropriared waler is availabre,for the proposed
rf needed, atlach additionar
pages. check box below and label atlachment_
"pp.priri;or,
!
"
$
b
C
See Attachment
Ni Lard2
ls your project iocated on a stream system decrared
lo be rufly appropriated by the state waler
Resources conlror Board (state water eoaroy auring yo,lr
iiopo""o season of diversion?
E] YES E NO
ln an average year, does the stream dry up ar any point
downstream of your project? tr yES E] No
monrhs?
Ll,? g|.#?*ich
d
tr Jan trireo n vai:n epib
rr,l"y
tr,tun tr iri,o-nrg
whal alternate sources of waler are available it a portion of your
requested diversion season must
be excluded because water is not avaitable f",
le.g.,'percoLting
purchased water, etc.) rf needed, attach additionai prg"i,
;n""k box berow and raber attachment
g;";;;;;;
"ddil;;i
E
7.
n!"p n o.l
See Attachment No
PLACE OF USE
a.
USE IS WJTHIN
(40-acre subdivision)
SECTION'
TOWNSHIP
BASE &
I'IERiDIAN
t%
%
%
E YES DNo
ol
1/4
I
l/e
of
f]
ot
I
1A
,/a
YES D
f]
YES
'Please indicate if section is projected with a ' (P)'' following the
aection
a See Aflachment No. 5 pl ease provide the Assessor,s parcel number-
Numbe(s) for the place of use:
PBOJECTSCHEDULE
Project is:
E
proposed,
NO
NO
D YES trNO
1/e
8.
tr
tr YES DNo
trYES DNo
E YES f] No
f]
Y4
YES
E
partially complele or El complete (year completed,
2Al1
Extenl of completion
Estimated amount of lime in years it yiill take lo r construction
to be completed
Estimaled amounl of time in y ears it will lake for water to be put to full
beneficial
use' 1s years
tr
No
Page 4 o{ 10
9.
JUSTIFICATION OF AMOUNTS REQUESTED
a. E IRRIGATION:
Maximum area to be irrigated in any one year
acres
M ETHOD OF
IRBIGATION
(sprinklers, tlooding, etc.)
s E AS ON o F
(AcreIeet/Yr.)
A TE F U S E
Ending date
(month &
da
Beginning
dale
month & da
ESee Attachment No
1
b. tr DOMESTIC: Number of residences to be served
DYES trNO Number of people to be served:
Separately owned?
Estima ted daily use per pe rson is:
gallons per day Area of domesti c lawns
and garden S
square reet
lncidental dom estic uses
(dust conlrol area, nu mberand kind
ot domestic animals, elc.l
e
tr STOCKWATERING : Kind of stock:
Describe lype ol opera lion:
o
tr
e. tr
Maximum number:
HECBEATIONAL: Type of recreation:
tr ,,"n,"nttH';t,li;;,:;'tr; oating E
Other
MUNICTPAL:
POPULATION
Llst for s-year periods until use
JS-COm eted
Period
Population
Averaoe darlv
use
I
(gallons per
.Bate of
diversion
Average daily
.AcreJoot
Total
use
(crs)
(per capita)
(acreJeel)
{gallons per
ita
I
l
Present
I
fl
See A ttachmenl Na
Monlh ot maximum use during year
Month of minimum use during-year:
f.
El HEAT CONTROL: Area to be heal conrro ed:
Type of crops protected:
Rate at which w ater is applied to use:
Heat prolection season will begin
(monih and day)
g. tr
nel acres
FHOST PROTECT ION: Area lo be ,rost prol;cted:
Type of crops protecle rJ:
Rate at which water is applied lo use:
gpm per acre
The frost protection season will begin
........-.-.......---- and end
h. tr
INDUSTRTAL: Type of industry
(month & day)
gpm per acre
and end
(monlh and cjay)
net acres
(monlh & day)
Page5oflO
Basis for determination of amount ol water needed:
i.
D MINING:
Name of the claim:
E
Nature of the mine:
Type of milling or processing
Aiter use, the water will be discharged into
in
ol
% of Section
_Y4
POWEFI: Totat head to be utitized
lvlaximum flow through the penslock
bei ng generated by the works (cts x ral i 8.8):
_
R
Maximum theoretical horsepower capable of
-=-8.&M
_% elficiency
kilowatts at:
inlo
--_,
tr -1/4
FlsH
Unpatsnted
leet
cls
Electrical capacity (hp x 0.746 x efficiency):
After use, the waler wi Ilbe discharged
1/4
in
of _
o'f Section
,f
k.
E
(watercour3e)
T-,
_
j
Patented
Mineral(s) to be min ed:
n
(watercourse)
_,
_B&i\A.FERC
i.lo.,
AND wTLDLTFE PRESERVATToN ANDioR ENHANoEMENT:
Lisr specific species and
habjtat type thal will be preserved or enhanced:
l. E OTHEH: Describe use
Basis ,or determinati on of amount of water needed:
10, DIVERSION AND DISTRIBUTION METHOD
a,
Diversion will be by gravity by means
b,
am, pipe in unobstructedJ hannel, pipe through dam, siphon,
weir, gate, etc.)
Diversion wilt be by pumpin! from:
rate:-:It:S
Pump discharge
Pump Efficiency: 808
c,
of
;
dcfs
or
tr
gpd
(sump, olfsel well , channel. reservoir etc)
,
Conduit from diversion
CONDOIT
ip)pe or
chahnel)
Gra:rnel
int to first lateral or to oflstream stor
IAL
CHO SS.SECT,ION
(ty.pe of pipe or
(pjpe diameter,
channel lining;
o
indicatd if pipe
is bu
or
concrete
hrried
Pipe
&
See Attachmenl No.
d.
Slo
OR
NUMBER
San Lr:is
e reservoir:
teet
.
*. or -
2t,t20
36 i.rtches diarEter u,616
PVC
e reservoirs: For und
round sto
CAPAOITY
(cfs, gpd or
spm)
f95 cfs
40 cfs
e com ete and attach und
round st
e form
DAM
FESERVOIR
t'.lA[,iE
uPto3 50
Horsepower:
V€rtical helght
from downstrbam
toe o, slope lo
spillway l8yel
382
materlal
earthfilL
E See Aftachment No
I
(feel)
l-8 600
dam helght
above spillway
area lyhen
crest
(acres)
f0
waler
full
12 700
deflh
(fest)
2 041 00
544
Page 6 of 10
e.
Outlst
Com lete for st
e
servoirs havi
'10
acrejeet or more.
OUTLET BIPE
BESEBVOIR
NAME
OR
of
a
Diameter
Length
Fall:
Head:
in inches
in teet
Vertical distance
between entrance and
exit of outlet pipe
in teet
Vertical distance from
NUMBEB
spillway to entrance of
outlet pipe in leet
S1o rag e
Storage below
entrance ol outlet
pipe in acreJeet
O
See Aftachment No
e.
lf water will be stored and th e reservoir is not al the point of diversion, lhe maximum rale ol cjiversion
to off-stream storage will be
cfs. Diversion lo offstream slorage will be made by:
| 6.5
E! Pumping [J Gravity
3
11, CONSEBVATION AND MONITORING
a. What methods will you use to conserve waler?
See
Attaclfient
Explain
1,.
How will you monitor your diversion to be sure you are within the limits ol your water right and you
are not wasling water? E Weir El lvleter E Periodic sampling tr Olher (describe)
b-
see AttachrTEnt 1.
12. RIGHT OF ACCESS
a.
Does the applicant own all the land where the water will be diverted, transported and used?
b.
List the names and mailing addresses of all aflected landowners and state what steps are being
DYESENO
ll NO, I tr do 6do
not have a recorded easement or written authorization allowing me access.
laken to obtain access:
6
See Aftachment No. L
13. EXISTING WATER RIGHTS AND RELATED FILINGS
a. Do you claim an existing right,or the use of all or part of the water sought by this application?
OYEStrNO
E Riparian E Pre-1 914 tr Registration E Permit E License
Percolating groundwater D Adjudicated D Other (specify)
b. For each existing rlght claimed, state the source, year ol first use, purpose, season and location of
the point ol diversion (to within quarter-quarter section). lnclude number of registration, permit,
license, or statement of water diversion and use, if applicable.
lf YES, please specify:
!
O
See Attachment No.
Page 7 of
1O
c
List any related appricalions, regislrations, permits, or licenses rocated in the proposed
prace of use
or that utilize the same point(s) of diversion.
6
See Afiachment
No.
r
14. OTHER SOURCES OF WATER
Are you presently using, or do you intend to use, purchased waler
water supplied by contract in
connection with this project? tr yes
lf yes, please explain .or
tlNo
15, MAP REQUIREMENTS
The Division cannot process your application without accurate information showing
the source of
waler and location ol water use. You must include a map with this application toli ir'rt
indicates the quartor/quarlor, seclion, township, range, and meridian ol (1) the propoieO-ooints
"reuiry of
diversion and (2) the prace ot use. A copy of a u.s.G.s. quadrangre/ropoir"ptii. ,iiip ot
project area is preferred, and canbe oblarned from sporting good; stores'or ihrougn
ir,e thternet ar
http://topomaps.usgs.gov. A certitied engineering map is r6{uired when
1tI appro[riating more
than three cubic teel per socond by direct diversion, (2) consiructing a Oarn wiricfr witi be'unjer
tr,e
jurisdiction of the Division of Safely of Dams,
13) creating a reservoir with a surface urei in
of ten ases or (4) appropriating more than 1,000 acrejeet per annum by undergrornd ;torug".
"i""r.
See lhe instruction booklet Ior more inlormalion.
See AftachmenlNo.4 & 6
io*
8
ENV RONMEN TAL INFORMA TION
\!glg: Elelore a water right permit may be issued for your projecl, the Slate Water Board must consider the
inlormation contained in an environmental document prepared in compliance with the California
Envircnmental Quality Act (CEQA).
orm n
d
m
lf a CEQA documenl has not yet
been prepared for your project, a determinatjon m ust be made of who is responsible Ior its p16paration.
ll
r
ta
s
m n
h
n
n
documents. Please answer lhe followin questions to the best ol your abitity and submit with this
application any studies that have been co nducted regarding lhe environmental evaluation ol your project.
16. COUNTY PERMITS
a. Contact your county planning or public works department and provide the following informalion:
person contacted. l4att l4achado
Date ol contact: lo/4n3
rLtb11c vl)fl<s (DJ-rector)
Department
Telep hone: ( 2 u9 )525-4J-J0
Oounty Zoni ng Designation:
N,/A
Are any counly permits required for your project?
NO
below:
lf YES, check appropriate box
[1 Grading permit E use permit EI watercourse E obslruction permit E change of zoning
E General plan change tr Other (explain):
b. Have you obtained any of the required permils described above?
ll YES, provide a complete copy of each permit obtained.
E
See Attachment No.
_
fl
yES tr
NO
Page8of10
17. STATE/FEDERAL PERMITS AND REOUIREMENTS
a.
Check any additional state or lederal permits required for your project:
E
Federal Energy Reguratory commission E U.s. Forest service D U.s. Bureau of Lanci
Management tr U.S. Corps of Engineers E U.S. Natural Res. Conservation Service E Calif.
Dept. of Fish and Game E State Lands Commission tr Calif. Dept. of Water Resources (Div. ot
salety of Dams) E calif . coastal commission E state Reclamation Board tr other (specify)
b.
For each
en
f
AGENCY
rom which a ermit is
PERMIT
ryPE
uired
rovide the followin
PEBSON(S) CONTACTED
information
CONTACT DATE
TELEPHONE NO,
I
A
c
I
See Attachnent No
Does.your proposed prgect involv€ any construction or grading-related adivity that has
significantly altered or would significan y alter the bed, bink, oi riparian rrauitit orany stream or
lake? trYES tsNO
lf YES, explain:
A
b
See Attachment No
Have you contacted lhe california Department of Fish and Game concerning your project?
Ettt*?JB.J j.,I"l?,"-?r,"l"f,Jt%.r\"^Wff
l#r"orconract:
.I
8. ENVIRONMENTAL DOCUMENT
a.
Has any california public agency prepared an environmental document for your pro.iect?
b.
lf Y-ES, submit a copy of the latest environmental document(s) prepared, jncludjng a copy of the
notice of determination adopted by llre California public ag6ncy. Fublic'agency:"
tr YES gNO
c. ll NO, check the appropriate box
and explain below, if necessary
The applicant is a Calilornia publi c agency and will be preparing the environmental docurnent.tr I expect that the State Water B oard will be preparing the environmental document...
I expect that a California public agency other than lhe State Water Board will be preparing
the
onvironmenlal document.. Public agency
I See Aftachment No. I
E
*
'.
Note: when compreted, submit a copy of the
llal environmental document (incruding notice of
detormination) or notice ol exemption.to the Stale water Board, Division of Water Ri"ghts and proot
ol
payment of the state Clearinghouse liling fee. Processing oi your apptication cannoibe
comfteteo unlt
these documents are submitted.
OEQA requires that the state water Board, as Lead Agency, prepare the environmental document.
The inrormation contained in the environmental document must be beveloped uy tne appticant inJaiitre
applicant's experise under the direction ol the state water Board, Division ol witer Ri;fits.
Ele:
Page 9 of 10
19. WASTEAA/ASTEWATER
a.
A
b
c
A
Will your project, during construction or operalion, (1) genBrate waste or wastewater containing such
things as sewage, industrialchemicals, metals, or agricultural chemicals, or (2) cause erosion,-turbidity
or sedimentation? tr YES E NO
ll YES, or you are unsure of your answer, explain below and contact your local Regional Water euality
Control Board for lhe following information (See inskuction booklel for address and- telephone no.):
See Alachment No.
Will a waste discharge permit be required lor your project?
Person conlacted:
What method of treatment and disposal will be used?
E YES tr}NO
Date of contact:
See Attachment No
20. ARCHEOLOGY
a. Have any archeological reports been prepared on this project? tr yES EI NO
b. will you be preparing an archeorogical report lo satisfy another public agency? E yES E No
c. Do you know of any archeological or historic sites located wilhin the gerieralirolect areatr YES
Ct
EFNO tf yES, exptain:
See Attachment No.
J
21, ENVIRONMENTAL SETTING
Attach !@complete sets or coror photographs,
crearry dated and rabered, showing the
vegetation that exists at the following three locations:
tr Along the stream channel immediately downstream from the proposed point(s) ol diversion
E Along the stream channel immediately upstream from lhe proposed pointls) oi diversion.
At the place(s) where_the water is to be used.
G See Attachmsnt No. t
!l
SUBMITTAL FEES
Calculaie your application filing lee using the "Water Right Fee Schedule Summarf,that was snctosed
in the
applice.tion packet. The "Waler Right Fee Schedule Summary" can also be viewed a rc oiviion
ot water
Rights' website (www.waterrighls.ca. gov).
A ch6ck for the apprication filing tee, payable lo the "Division of water Rights', and an
$g5o check for the
Streamflow Protection Standards review fee IPub. Resources Code S 1060s(a)], payaote to tne-,:Calitornia
Dopartment ol Fish and Game," musl accompany this apptication. nit appticibte ie6s are reluireO
at tne
time of filing. lf the application fees, are not received, your application witi not be accepted anJ *itt o"
returned lo you. Please check the lee schedule for any fee changes prior to submitlng the ajpiication.
,:
-'
.t
''
page 10 of 10
DECLARATION AND SIGNATURE
I declare under penalty of perjury that all information provided is true and correct
lo the besl ol my knowledge
and belief. l.authorize my agenl, if I have designated one above, to act on my behalf regarding
this vrater
right applicalion.
Signature o, Applicant
Title or Relationship
Signature of Co-Applicant (if any)
Date
Title or Relationship
Date
Appllcations that are not completely lllled Oul and/or do n ot have lhe appropriate teos
wlll not be accepted, ln lhe event lhat the Dlvlsion has to return lhe appllcallon because
it ls lncomplete, a porllon ol the appllcatlo n submittal fee wlll be charged lor the lnltlal
,
rcYlew.
..APP
CATION T
APPR
IATE WA
Berore you submit your application, be sure
o
l
tr
" CHE
LI
lo:
Answer each question comp,etely.
Number. label and include all necessary allachments.
lnclude a legible map lhat meets the requiiemenls discussed in lhe
instruclion booklet.
o
lnclude the Water Availability Analysis or sufficienl intormation lo
demonstrale thal lhere is reasonable likelihood that unappropriated water
ls available for the proposed appropriation.
tr
o
lnclude two complele sels ol color photographs ot the proiecl site.
Enclose a check for the riquired lee, payable to the Division ot Water
Rights.
o
Enclose an $850 check tor the Streamllow protection Standards review lee,
payable to the Department ol Fish and Game.
B
Slgn and date the application.
Send the original and one copy of lhe entire application to:
State Water Resources Control Board
Divlslon of Water Rights
P.O. Box 2000
Sacramento, CA 95812-2000