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

M~g Addre~ ________________________________________________
If "No," MUST obtain an easement or right-of-way and supply copy. Give name, maiiimtg
address and phone number(s) ofJepl owner.
Name
__
Zip ____ _
Home phone _______ -- Busine~ Phone ____ -
________ _
6. Type of water use and Quantity oC water needed: Please fill in the attached Water Use ~
indicating the quantity of water and months of use for each trOt of water use. Standard quantitite'~
and deful1t10nS are provided for your convenience. If wateTii'Se lS or a Commercial/Industrial Pu~S'!
or Other Use not on the Water Use Chan. refer to question 7.
7. Commercial/Industrial and Other Uses:
Explain in detail the basis for quantity of water requested. Use additional sheet of paper if nee:c:!cd.
Indicate type of operation including structures and methods used. Include a sketch or engin~ g
drawings. Enter quantity requested and months of use on attached Water Use Chart.
Based on incubation of 100 million pink salmon, 20 million chum salmon, and
250,000 king/coho salmon; rearing of 250,000 king/coho salmon smolts; and
3.0 CFS required to operate fishway during adult fish returns.
8. Date when water use began or is expected to begin June 1986 . If water use is existing, rxn@c
Statement of Beneficial Use of Water (Fonn 1 ()'1 OOJA).
o
~
HAVE YOU ATIACHED?
Deed, patent .. lease, etc.
USGS or Subdivision map
Water Use Chart
o Statement of Beneficial Use of Water (Fonn 1 ()"'1 003A) (if existing water use)
--
n Driller's log (if existing welH
Diversion sketch and plans
o Dam sketch and plans
Statements appearing herein are to the best of my knowledge true and correct.
OFFICE
USE
ONLY
X,Y
RMI
,
Location
check
Other
;