Condition 2: Multiple User Classifications on Parcels 10 Acres or More in Size

Use the form below if the following scenarios apply:

Your parcel is 10-acres or more AND
You have more than one user classification on your parcel, for example:
- you have non-irrigated rangeland AND you use groundwater on another portion of your property
- you have non-irrigated rangeland AND you use surface water or receive water from a water provider on another portion of your property
- you use both groundwater and surface water on different areas of your parcel

LANDOWNER CONTACT INFORMATION

Landowner Name (required)

Landowner Mailing Address (Street, City, State, Zip) (required)

Landowner Telephone (required)

Landowner Email (required)

PARCEL INFORMATION

1. Parcel Address (Street, City, State, Zip) (required)

2. Assessor Parcel Number (APN) (required)

3. Total Parcel Acreage (required)

CONDITION 2 - MULTIPLE USER CLASSIFICATION REQUEST - SUPPLEMENTAL INFORMATION

3a. Total Non-Irrigated Acreage

3b. Total Irrigated Surface Water Acreage

3c. Total Irrigated Groundwater Acreage

4. Upload Google Map or Google Earth graphic/pdf with 1) parcel boundary AND (2) multiple user class areas including non-irrigated area, surface water area, and/or groundwater area of land shown on map.

5. Provide additional explanation for your multiple user classification request

6. Does your parcel receive water from a water provider? (required)

Yes

If "YES" to question #6 above, please upload proof of water service (this can be a copy of your water bill)

7. Do you have a riparian water right or permits for surface water allocations? (required)

Yes

If "YES" to question #7 above, please upload proof of water right or permits.

If "YES" to question #7 above, please upload photo of any diversion from a creek, stream, or other surface water source.

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For questions, please contact Wyandotte Creek GSA at 530-552-3591 or email wyandottegsa@gmail.com

Condition 2: Multiple User Classifications on Parcels 10 Acres or More in Size

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