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Before the FERC Application for New License for the Annex Creek ...

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STATE OF ALASKA<br />

DEPARTMENT OF NATURAL RESOURCES<br />

I)IVISION OF LAND AND WATER MANAGEMENT<br />

OFFICE USE ONLY<br />

APPLICA nON FOR WATER RIGHT<br />

Instructions: You will need (I) I map showing t..'te location of your source of water and <strong>the</strong> area of use ..<br />

« .:) a copy of your property owraership document, i.e. deed, patent. lease agreement or an easement<br />

agre"!'ment if you do not own <strong>the</strong> property involved, (3) a copy of your driller's well log, if application<br />

is <strong>for</strong> an existing well, (4) Statement of Beneficial Use Of Water (Form 10-1003A) if this is an existing<br />

w3ter use. md (5) <strong>Application</strong> <strong>for</strong> Permit to Const!'Uct or Modify Dam (Form 10-1015) if you will be<br />

constructinl a dam over 10 feet high or over SO acre feet of stora~. Please type or print in ink.<br />

l. Full legal name of Applicant{s) Douglas Island Pink and Chum<br />

..,<br />

Mailing Address P.O. Box 168<br />

Juneau, Alaska 99802<br />

Home Phone Bu~ess Phone (907)586-4041<br />

3. Source of Water Supply:<br />

--------------------------<br />

(a)<br />

DWell<br />

o Drilled 0 Hand Driven DDul 0 O<strong>the</strong>r ________ _<br />

If existing well, attach copy of driller's well log.<br />

(b)<br />

10·102 fRev. 3182)<br />

If existing weU, and no lOS. supply all known in<strong>for</strong>mation<br />

Total depth ______<br />

Orawdown -------<br />

Intake Depth _____<br />

Screened Yes No Unknown<br />

Static level ---------<br />

GJ Surface Water<br />

o Stream 0 RiYer l!J Lake 0 Sprina<br />

Give ,eoJl'3phic name (it unnamed, state so)<br />

Tailrace-Salmon <strong>Creek</strong> Powerhousi'.

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