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RES 1977-43 - Board
, R d RESOLUTION NO. 7743 OF TRUCKEE-DONNER PUBLIC UTILITY DISTRICT WATER RIGHTS FILING: SOUTHSIDE SPRING BE IT RESOLVED BY THE BOARD OF DIRECTORS OF TRUCKEE-DONNER PUBLIC UTILITY DISTRICT: Section 1 . The form of "Application to Appropriate Unappropriated Water: prepared by the engineer for diversion from Southside Springs is hereby approved; and the president of the District is authorized to execute the same, and special water counsel for this District is directed to file it with the State Water Resources Control Board. PASSED AND ADOPTED by the Board of Directors of the TRUCKEE- DONNER PUBLIC UTILITY DISTRICT at a meeting of the Board of Directors held within the District on the 17th day of October 9 1977, by the following roll call vote: AYES: R. HUBER J. MAASS , K. KUTTEL P. SUTTON NOES: ABSENT: TRUCKEE-DONNER PUBLIC UTILITY DISTRICT By T UTTO, , President ATTEST: *ThKe-reidf e State of California State Water Resources Control Board The Resources Agency DIVISION OF WATER RIGHTS 2125 — 19th Street, Sacramento, CA 95818 Phone (916) 445-0346 APPLICATION NO. FILED _ at M. (Do NOT fill in the above blanks) (This application MIUST be typewritten or legibly written in irk, filed in duplicate and accompanied by the minimum fee of S10.' { Truckee—Donner Public Utility District (Name of Applicant) 587-3896 916 (Telephone Number) (Area Code) P . O . Box 309 Truckee California 95934 (Address) (City or Town) (State) (Zip Code) do hereby make application for a permit to appropriate the following described UNAPPROPRIATED waters of the State of California, SUBJECT TO VESTED RIGHTS, and if a permit is issued will not exercise any claim of existing right to the same water so long as a permit or license is in effect. NOTE: A permit can be issued only for unappropriated water. Unappropriated water does not include water that is being used pursuant to an existing right, whether the right is owned by the applicant or by another person.When an existing right is claimed, Section 653 of Title 23 of the California Administrative Code A requires that, before an application will be approved, the applicant must agree not to exercise said right so long as a permit or license is in effect. Applicant should check the appropriate parao aph below: A [] Applicant does not claim an existing right for the use of water sought by this application. B. E Applicant claims an existing Q riparian, Q pre-1914 appropriative right, or [� other right (State nature of right in space provided below) for use of water sought by this application but agrees NOT to exercise said right so long as a permit or license for such use remains in effect C Q The water sought by this application is for additional water over that claimed under an existing right. (State nature of right in space provided below) Nature of Rights (riparian, a�;aropriative, Year of Use made in recent years Season of Use Source of Location of -purchased %•. ter etc. First Use including amount if known other supply_ Point of Diversion Prescr:; ptive 1936 160 Ac . Ft./Year 1/1 — 12/3 Tonini SW' NWa McGlasher S 14 , T17N Spring R16E M.D. B& I. IF THE REQUIRED MAPS ARE f,OT FILED WITH THE APPLICATION, STATE THE REASON FOR NOT FILING THEM: (days) (months)will be needed to fill maps. L The Pam of the source at the point of diversion is Southside Springs (If unnamed, state nature of source and that it IS unnamed) tributary to Truckee River What is the name of ttx post office most used by those living rear the proposed point of diversion? Truckee What are the names and z�ddresses of diviners of water from te source of supply downstream from the proposed point of diversion? Spring to Truckee River — None Truckee River — Numerous SWRCB 1-7/74 t , 2(a), The amounts of water for each purpose, dates between which diversions will be made and uses for which the water is to be appropriated are as follows: DIRECT DIVERSION STORAGE AMOUNT SEASON OF DIVERSION AMOUNT COLLECTION SEASON I Cubic feet per second Acre-feet or gallons per day 1 Annually Begin End Acre-feet per year Begin End Heat Protection 5 `rost Protection 5 rrigation omesti-3 . 20 145 Stockvratering 3 Recreation 2 Fite Protection 5 Munici al 2 . 05 36 Industrial 2 Minin 2 Power 4 OTHER TOTALS _ 1_81 GRAND TOTAL acre-feet annual (Col.3 + Co.6) = 181 Gore-feet per year maximum METHOD OF NAMING AND COMPUTING DIRECT DIVERSIOR AI`401.111T: 1. Use gpd if less than 0,025 cis (16,000 gpd=0.025 cfs). 2. Average diversion rate to equal the amount needed during a 30--day period. 3. Average diversion rate to equal the amount needed during a 7--day period. 4. Average diversion rate to equal the amount needed during a 14-day period, 50 f?zxirrwm diversion rate. (b). Complete the following if water will be stored and the reservoir is NOT at the diversion point.The maximum rate of diversion to offstream storage will be cfs. Diversion to the reservoir will be by❑ pur�pinn; ❑ gravity. 3. The points of diversion or rediversion are to be located as follows: 4G-acre subdivision of List all points giving coordinate distances from section corner or vr Base and public land survey or Section Township flange Meridian quarter section corner or other tie as alloyed by Board's regulations projection thereof N 44-01-08E 1651. 69 Ft. SW of NW 14 17N 16E M.C . uJ a Corner Sec. 14 f ' 'A of 4. The point of diversion will be in Nevada County. 5, Does applicant own the lznd at the point*of diversion? © Yes ❑ No if applicant does not own lard at point of diversion,state name and address of owner and state what steps have been taken to obtain right, of access: PLACE OF USE 6. Does applicant own 1,, land where the water will be used? ❑ Yes xQ N0; Jointly? ❑ Yes ❑x No All joint owners should include their names as applicants and sign the application at the bottom of PAGE 6. If applicant does not oven land where the water will be used, give narm and address of owner and state what arrangements have been made with the owner. 1'1unicioal and domestic use by members of Public Utility District BASE AND Acreage within 40-acre subdivision SECTION TOiVNSHIP RANGE 14EP,iDIAN Place of Use 'A of rb 34 — 36 18N 15E , 2, 3210, 11, 12 ,13 , 1411. 17N - 15E rb of r� 31 — 36 18N 16E M. D. 1 — 18 17N 16E 31.232 16N 17E 596, 778, 17218 17N 17E if area is unsurveyed, state the location as if lines of thr public land survey were projected, if space does not permit listing all 40-acre tracts, state sections, townships and ranges,and show detail on map. ' 2 - 1 7. Do any part of these lands comprise a subdivision on file with tl�e State Department of Real Estate? [x J Yes [] No. If so, state name of subdivision numerous . Is later subdivision of these lands contemplated? [x1 Yes [] No. Is it planned to individually meter each service connection? x❑ Yes ❑ No. If so, when ? Financially able DIVERSION IVORKS AND/OR STORAGE RESERVOIRS (Amounts grossly in excess of capacity of diversion works cannot be approved) S.(a) Diversion will be by pumping from Reservoir (sump, offset well, unobstructed channel, reservoir, etc.) (b) Diversion will be by gravity by means of Springs in bottom of enclosed reservoir (pipe in unobstructed channel, diversion dam, pipe through storage dam, siphon, gate, etc.) r 9.(a) The following applies to storage reservoirs: RESERVOIR Name or number of Height of dam from Material of Max. Height of dam Approximate Surface Approximate capacity reservoir, if any streambed to spillway construction water above water area when full (acres) in acre-feet level (feet] depth line when full (feet) Southside 2 feet cone 6 1 foot . 25 block (b) For any reservoir having capacity of 25 acre—feet or more, complete the following: Diameter of outlet Length of outlet Vertical distance between Vertical distance from spill- Estimated storage below pipe (inches) pipe (feet) entrance and exit of outlet way to outlet pipe in outlet pipe entrance pipe feet reservoir fee CONDUITS 10. Main conduit from diversion point(s) to first lateral: pipeline X open channel—; combination of pipeline and open channel DIAMETER LENGTH TOTAL FALL OR LIFT KIND OF PIPE 611 100 Ft Flat Steel PIPELINE WIDTH AT TOP WIDTH AT BOTTOM LENGTH TOTAL FALL LINING OF CANAL OPEN CHANNEL 11.(a) Estimated capacities of pumping plants: (1) 520 GPM (2) (b) Estimated capacities of main conduits: (1) 600 GPM (2) (c) Estimated total cost of the diversion works proposed is Existing (Give only cost of intake.or headworks, pumps, storage reservoirs, and main conduits.) C01,1PLETION SCHEDULE 12. Proposed date of commencement: Existing Estim. ted date of completion: Existing Estimated date of complete application of water to proposed use: 1936 It complete, date of completion: 1936 3 USES 13. HEAT PROTECTION: The total area of heat protection is acres.Type of crop protected (net acreage) cfs Rate at which water is applied to use: gpm The heat protection season will begin about and end about (beginning date) tending et;ite) FROST PROTECTION: The total area of frost protection is acres. Type of crop protected (net acreager cfs Rate at which water is applied to use: gpm The frost protection season will begin about and end about (beginning date) (ending date) 15. IRRIGATION: Net acreage to be irrigated is acres. Gross acreage that may be irrigated is acres. Acreage and type of crop is as follows: ANNUAL DEPTH OF APPLIED WATER TYPE OF IRRIGATION. TYPE OF CROP(S) OR ACRE-FEET PER ACRE (Sprinklers, flooding, etc.) ACRES t 5 1 I l l The irrigation season extends from to of each year. (day and month) (day and month) 16. DOMESTIC: The number of residences to be served 1470 Separately owned: ® Yes Q No The total number of people to be served 4 020 Estimated daily use per person 125 GPD . The total area of domestic lawns and gardens . Miscellaneous domestic uses • (Oust control, Domestic animals, etc.) STOCKWATERING: Maximum Number Describe type: of operation (feedlot, dairy, range, etc.) I Kind of stock ' " t i i. RECREATIONAL: Type of recreation • Private Open to public without charge ,Open to public,admission charged 19. FIRE PROTECTION: Describe use Basis of determination of amount needed • 20. MUNICIPAL: Estimated projected use: 5 POPULATION MAXIMUM MONTH ANNUAL USE 5—year periods Average daily use Rate of Diversion Average daily use Acre"-foot Total until project per capita (gal.) (cfs) (gal. per capita) (per capita) Acre-feet completion Present 4020 125 . 14 563 19 19 19 19 19 19 _ ^0'' filonth of maximum use during year A u q u s t It'onth of minimum use during year May • Is it planned to individually meter each service connection? o Yes Q No. If so,when? Financially able 1. 114DUSTRIAL USE: Type of industry ' Basis of determination of amount needed • 22. MINING: The name of the mine is Patented Q or Unpatented Q (Name of claim) The nature of the mine is h1inaral to bo mined is Type of milling or processing --- • After use, the water will be discharged into (Name of Stream) in ___ of Sec.-, T. R B.& 51. (State 40—acre subdivision) 4 r 23. POWER USE: The total fall to be utilized is feet. The maximum of water to be used through the penstock is � (Difference between nozzle or draft tube vrater level and first free water surface cubic feet per second.The maximum theoretical horsepower capable of being generated by the works is (cubic feet per second x fall 8.8) The use to which the power is to be applied is The nature of the works by means of •�""" (For distribution and safe or private use, etc.) which power is to be developed is . The size of the nozzle to be used is inches. (Turbine, Pelton wheel, etc.) After use, the water will he discharged into in of (Name of Stream) (State 40—acre subdivision) Sec. , T. I B. & M. 24. OTHER: Describe use Basis of determination of amount needed ENVIRONMENTAL EFFECTS 25. ENVIROMMENTAL lU11PACT REPORT . (a) Has an Environmental Impact Report (EIR) been prepared to cover the project described in this application? ❑ Yes x❑ No If"Yes", give name of agency that prepared the Report: (b) If the answer to (a) above was "NO", do you presently intend to prepare an EIR? ❑Yes ® No. If so, when do you expect to submit it? (c) (1) Will approvals or permits be required by other agencies for the proposed project? ❑Yes ❑No.Names of agencies and approvals or permits required: (2) If the project is underway or complete, have you received approvals or permits from other agencies? ❑Yes x0 No. Haines of agencies and permits or approvals obtained: 26. WATER QUALITY (a) In a normal year,does the stream dry up at any point downstream from your project? ❑ Yes ❑No. If so, in what monbhs does it dry up? Unknown — No flog from spring area since 1936 (b) During low flow conditions, what is the greatest percentajz of the total streamflow which will be diverted in conjunction with your proposed project? 100 %.In what month of the year Trill this take place? A 11 (c) Will all of the water diverted be consumed? ❑x Yes ❑ Mo. If riot, the wastewater or surplus will be (1) retained in a reservoir❑ (2)discharged into a stream or take❑ (3)discharged into settling ponds ❑ (4)discharged to land disposal❑ (5) other❑(describe): Describe location of disposal by 40-acre subdivision of public land survey or a projection thereof: . N/A (d) `'that percent will be returned to the steam? 0 (e) Will the project as a whole involve a substantial change in land use?❑Yes ❑ No. Describe the change and the land use you propose to initiate: (1) Will you be plowing under or grading away the natural sod and exposing bare ground to the elements?❑ Yes ❑No. Nur;Ier of acres involved: . Average slope: %. Soil Classification: Erodibility (2) Describe methods you intend to utilize in order to minimize erosion and prevant the entry of silt into surface waters: (1) Will the wastewater or runoff contain waste naterial? ❑ Yes ® No (1) Domestic ❑, (2) h'unicipal ❑, (3) Industrial❑ , (4) Agricultural ❑, (5) Other ❑. Describe: 5 r (g) Will wastewater or runoff contain any industrial material such as heavy metals or oils which are deleterious to fish and wildlife or which would impair the water for beneficial uses? ❑Yes ❑x No. Describe: (h) Describe method of sewage disposal, if any: Septic tank: Community sewer: Released untreated: Other (describe): N/A (i) Will pesticides, herbicides, fungicides,and/or fertilizers be used in conjunction with the overall project? ❑ Yes ❑x No. Describe either by chemical composition or brand name: (j) Describe methods of wastewater treatment which will be utilized in minimizing the entry of waste materials into surface and groundwaters: N/A 27• WASTEWATER RECLAMATION Describe what steps have been or will be taken to reclaim or reuse the water sought to be appropriated? N/A 28. FISH AND WILDLIFE (a) Have you consulted the California Department of Fish and Game concerning this proposed project? ❑ Yes ® No. (b) What was that Department's opinion concerning the potential effects of'your proposed project on fish and other wildlife? N/A (c) If you have not contacted the Department of Fish and Game,what effects on fish and wildlife do you foresee as potentially arising from your proposed project? None 29. GENERAL (a) What other significant environmental effects,adverse or beneficial,do you foresee as possibly arising from your proposed project as a whole, and what methods are you prepared to utilize in dealing with the adverse effects? None (b) If possible, enclose a photograph or photographs of the project area and site with this form; if such is enclosed, please check this box❑. I request that all matters pertaining to this application be referred to the following authorized agent: Name Truckee Donner Public Utility District P. O . Box 309 , Truckee , California 95734 Telephone 587-3896 Address p Area Code 916 I declare under penalty of perjury that the above is true and correct to the best of my knowledge and belief. Dated 1.��� Z�, 19�, at ,�i��° i e-� California ' Mrs. ZZ —Miss (cross out (Signature of a licant (Refer-to Section 671 of the Board's regulations) If applicants are members of the same family (i.e., two above) husband, wife, mother, father, son, brother, sister, Mr. etc.)or reside at the same address, please indicate Mrs. their relationship: hiss (cross out (Signature of applicant) (Refer to Section 671 of the Board's regulations) two above) Additional information needed for preparation of this application may be found in tie leaflet entitled"INFORMATION AND 114STRUCTIONS FOR FILING APPLICATION TO APPROPRIATE WATER IN CALIFORNIA." If there is insufficient space for answers in this form, attach extra sheets. Please cross reference all remarks to the numbered paragraph to which they may refer. Send application in duplicate to the STATE WATER RESOURCES CONTROL BOARD,DIVISION OF WATER RIGHTS,2125 —19th Street, Sacrar nto, Ca 95818, with $10 filing fee. 6 ............. .............. ........................... cQ cl C4 cq co•! Oi— a. CL) t, r-j: < ce _xt dc w z \AA 4 I ; i ah i I � UY, cn cn co uj c: -r-1 (Ti 1: rH .......... .......7.............. 0 z j ? -H u Is 4-) 0 i i I ci CD U) co Q) u •ri D -0 0 Z) 0 a- u w. cl cl� .............. ............ State of California State Water Resources Control Board The Resources Agency DIVISION OF WATER RIGHTS 2125 — 19th Street, Sacramento, CA 95818 Phone (916) 445--0846 APPL/CA TIOM TO APPROPRIA TE U APPRRPR1A TECH WA TER APPLICATION NO. FILED _ at M. (Do NOT fill in the above blanks) (This application 41UST be typewritten or legibly written in ink, filed in duplicate and accompanied by the minimum fee of S10.' i t, Truckee—Donner Public Utility District (Name of Applicant) 587-3896 916 (Telephone Number) (Area Code) P . O . Box 309 Truckee California 95934 (Address) (City or Town) (State) (Zip Code) do hereby make application for a permit to appropriate the following described UNAPPROPRIATED waters of the State of California, SUBJECT I { TO VESTED RIGHTS,and if a permit is issued will not exercise any claim of existing right to the same water so long as a permit or license is t i in effect. NOTE: A permit can be issued only for unappropriated water. Unappropriated water does not include water that is being used pursuant to an existing right, whether the right is owned by the applicant or by another ` person.When an existing right is claimed, Section 653 of Title 23 of the California Administrative Code �^ requires that, before an application will be approved, the applicant must agree not to exercise said right so long as a permit or license is in effect. , Applicant should check the appropriate parao aph below: ' Applicant does not claim an existing right for the use of water sought b this application. A � PP � g g b Y PP B, C Applicant claims an existing Q riparian, F--j pre-1914 appropriative right, or Ox other right (State nature of right in space provided below) for use of water sought by this application but agrees NOT to exercise said right so long as a permit or license for such use remains in effect. C F---j The water sought by this application is for additional water over that claimed under an i existing right. (State nature of right in space provided below) Nature of Rights (riparian, appropriative, Year of Use made in recent years Season of Use Source of Location of purchased water, etc.) First Use including amount if known other supply Point of Diversion Prescriptive 1936 160 Ac. Ft./Year 1/1 — 12/3 Tonini SW4 NW4 I McGlashen S 14 , T17N i Spring R16E M. D. B&If. I �.IF THE REQUIRED MAPS ARE NOT FILED WITH THE APPLICATION, STATE THE REASON FOR NOT FILii:G THEM: (days) (months)will be needed to file maps. 3 The name of the source at the point of diversion is S o u t h s i d e Springs (If unnamed, state nature of source and that it IS unnamed) tributary to Truckee River What is the name of the post office most used by those living rear the proposed point of diversion? Truckee What are the names and addresses of divefters of water from the source of supply downstream from the proposed point of diversion? Spring to Truckee River — None Truckee River — Numerous ;'NRCB 1-7174 4 2(a). The amounts of water for each purpose, dates between which diversions will be made and uses for which the water is to be appropriated are as follows: DIRECT DIVERSION STORAGE AMOUNT SEASON OF DIVERSION AMOUNT COLLECTION SEASON Cubic feet per second Acre-feet or gallons per day 1 Annually 3 Begin End Acre-feet per year Begin End Heat Protection 5 -rost Protection 5 Irrigation )omestir,3 .20 145 Stockwatering 3 Recreation 2 Fire Protection 5 Municipal 2 . 05 36 Industrial 2 Mining 2 Power 4 OTHER TOTALS 181 GRAND TOTAL acre-feet annual (Col.3 + Co.6) = 181 acre-feet per year maximum METHOD OF NAMING AND COMPUTING DIRECT DIVERSION AMOUNT: 1. Use gpd if less than 0.025 cfs (16,000 gpd=0.025 cfs). 2. Average diversion rate to equal the amount needed during a 30--day period. 3. Average diversion rate to equal the amount needed during a 7—day period. 4. Average diversion rate to equal the amount needed during a 14—day period. 50' Iflaxirrvum diversion rate. (b). Complete the following if water will be stored and the reservoir is NOT at the diversion point.The maximum rate of diversion to offstream storage will be cfs. Diversion to the reservoir will be by❑ pumping; ❑ gravity. 3. The points of diversion or rediversion are to be located as follows: List all points giving coordinate distances from section corner or 40-acre subdivision of Base and public land survey or Section Township Range Meridian quarter section corner or other tie as allowed by Board's regulations projection thereof N 44-01-08E 1651. 69 Ft. SW of NW 14 17N 16E M. C . W a Corner Sec. 14 f r t� of 4. The point of diversion will be in Nevada County. 5e. Does applicant own the land at the point of diversion? © Yes ❑ No If applicant does not own land at point of diversion,state name and address of owner and state what steps have been taken to obtain right— of access: PLACE 4F USE 6. Does applicant own the land where the water will be used? ❑ Yes x❑ No; Jointly? ❑ Yes [] No All joint owners should include their names as applicants and sign the application at the bottom of PAGE 6. If applicant does not own- land where the water will be used, give name and address of owner and state what arrangements have been made with the owner. Municipal and domestic use by members of Public Utility District BASE AND Acreage within Place of Use 44-acre subdivision SECTION_ TOWNSHIP RANGE MERIDIAN 'A of. 'A 34 — 36 18N 15E , 2 , 3 , 10, 11,12, 13 , 14 , 1 17N • 15E rA of to 31 — 36 18N 16E M. D. 1 — 18 17N 16E 31, 32 18N 17E 5 , 61718217,18 17N 17E If area is unsurveyed, state the location as if lines of the public land survey were projected. If space does not permit listing all 40-acre tracts,state sections, townships and ranges,and show detail on map. 2 1. Do any part of these lands comprise a subdivision on file with the State Department of Real Estate? Yes [] No. If so, state name of subdivision numerous . Is later subdivision of these lands contemplated? Lx] Yes 0 No. Is it planned to individually meter each service connection? x❑ Yes ❑ No. If so, when? Financially able DIVERSION WORKS AND/OR STORAGE RESERVOIRS (Amounts grossly in excess of capacity of diversion works cannot be approved) ?--A,(a) Diversion will be by pumping from Reservoir (sump, offset well, unobstructed channel, reservoir, etc.) (b) Diversion will be by gravity by means of Springs in bottom of enclosed reservoir (pipe in unobstructed channel, diversion dam,pipe through storage dam, siphon, gate, etc.) 9.(a) The following applies to storage reservoirs: RESERVOIR Name or number of Height of dam from Material of Max. Height of dam Approximate Surface Approximate capacity reservoir, if any streambed to spillway construction water above water area when full (acres) in acre-feet level (feet) depth line when full (feet) Southside 2 feet conc 6 1 foot . 25 bloc (b) For any reservoir having capacity of 25 acre—feet or more, complete the following: Diameter of outlet Length of outlet Vertical distance between Vertical distance from spill- Estimated storage below pipe (inches) pipe (feet) entrance and exit of outlet way to outlet pipe in outlet pipe entrance pipe feet r rvoir fee CONDUITS 10. Main conduit from diversion point(s) to first lateral: pipeline X ; open channel ; combination of pipeline and open channel DIAMETER LENGTH TOTAL FALL OR LIFT KIND OF PIPE 611 100 Ft Flat Steel PIPELINE WIDTH AT TOP WIDTH AT BOTTOM LENGTH TOTAL FALL LINING OF CANAL OPEN CHANNEL 11.(a) Estimated capacities of pumping plants: (1) 520 GPM (2) (b) Estimated capacities of main conduits: (1) 600 GPM (2) (c) Estimated total cost of the diversion works proposed is Ex i s t i n g ,•-. (Give only cost of intake,or headworks, pumps, storage reservoirs, and main conduits.) COMPLETION SCHEDULE - 12. Proposed date of commencement: Existing Estimated date of completion: Existing Estimated date of complete application of water to proposed use: 1936 If complete,date of completion: 19 36 3 USES 13. HEAT PROTECTION: The total area of heat protection is acres.Type of crop protected (net acreage) cfs Rate at which water is applied to use: gpm The heat protection season will begin about and end about---- (beginning date) (ending date) 14. FROST PROTECTION: The total area of frost protection is acres. Type of crop protected (net acreage) CIS Rate at which water is applied to use: gpm The frost protection season will begin about and end about . (beginning date) (ending date) 15. IRRIGATION: Net acreage to be irrigated is acres. Gross acreage that may be irrigated is acres. Acreage and type of crop is as follows: TYPE OF CROP(S) ANNUAL DEPTH OF APPLIED WATER TYPE OF IRRIGATION, ACRES OR ACRE-FEET PER ACRE (Sprinklers, flooding, etc.) The irrigation season extends from to of each year. (day and month) (day and month) 16. DOMESTIC: The number of residences to be served 1470 . Separately owned: ® Yes [Q No The total number of people to be served 4020 Estimated daily use per person 125 G P D • The total area of domestic lawns and gardens Miscellaneous domestic uses • (Dust control, Domestic animals, etc.) 17. STOCKWATERING: Maximum Number Describe type of operation(feedlot,dairy,range,etc.) Kind of stock • 18. RECREATIONAL: Type of recreation • Private Open to public without charge ,Open to public,admission charged 19. FIRE PROTECTION: Describe use • Basis of determination of amount needed • 20. MUNICIPAL: Estimated projected use: POPULATION MAXIMUM MONTH ANNUAL USE 5—year periods Average daily use Rate of Diversion Average daily use Acre-foot Total until project per capita (gal.) (cfs) (gal. per capita) (per capita) Acre-feet completion Present 4020 12 5 . 14 563 19 19 19 19 19 19 _ Month of maximum use during year August Month of minimum use during year May • Is it planned to individually meter each service connection? Ex] Yes [] No. If so,when? Financially able 21. INDUSTRIAL USE: Type of industry • Basis of determination of amount needed • 22. MINING: The name of the mine is Patented or Unpatented EJ (Name of claim) The nature of the mine is Mineral to bo mined is Type of milling or processing _ • After use, the water will be discharged into (Name of Stream) in__---__ _ of Sec.-, T. , R , B.& M. (State 40—acre subdivision) 4 23. POWER USE: The total fall to be utilized is feet. The maximum of water to be used through the penstock is (Difference between nozzle or draft tube water level and first free water surface cubic feet per second.The maximum theoretical horsepower capable of being generated by the works is (cubic feet per second X fall _ 8.8) The use to which the power is to be applied is The nature of the works by means of `''"� (For distribution and sale or private use, etc.) which power is to be developed is . The size of the nozzle to be used is inches. (Turbine, Pelton wheel, etc.) After use, the water will be discharged into in of ((Name of Stream) (State 40—acre subdivision) Sec. T. , R B.& M. 24. OTH ER: Describe use Basis of determination of amount needed ENVIRONMENTAL EFFECTS 25. ENVIRONMENTAL IMPACT REPORT (a) Has an Environmental Impact Report (EIR) been prepared to cover the project described in this application? ❑ Yes x❑ No If"Yes give name of agency that prepared the Report: (b) If the answer to (a)above was "NO", do you presently intend to prepare an EIR? ❑Yes ® No, If so, when do you expect to submit it? (c) (1) Will approvals or permits be required by other agencies for the proposed project? ❑Yes ❑No.Names of agencies and approvals or permits required: (2) If the project is underway or complete,have yeu received approvals or permits from other agencies? ❑Yes x0 No. Names of agencies and permits or approvals obtained: 26. WATER QUALITY (a) In a normal year,does the stream dry up at any point downstream from your project? ❑ Yes ❑No,if so, in what months does it dry up? Unknown — No flow from spring area since 1936 (b) During low flow conditions,what is the greatest percentage of the total streamflow which will be diverted in conjunction with your proposed project? 100 In what month of the year will this take place? A 11 (c) Will all of the water diverted be consumed? [0 Yes ❑ No, If riot, the wastewater or surplus will be (1)retained in a reservoir❑ (2)discharged into a stream or take❑'(3)discharged into settling ponds []�(4)discharged to land disposal❑�(5) other❑(describe): Describe location of disposal by 40-acre subdivision of public land survey or a projection thereof: N/A (d) What percent will be returned to the stream? 0 0. (e) Will the project as a.whole involve a substantial change in land use?❑Yes © No. Describe the change and the land use you propose to initiate: (1) Will you be plowing under or grading away the natural sod and exposing bare ground to the elements?❑ Yes ❑No. Humber of acres involved: Average slope: °�. Soil Classification: Erodibility (2) Describe methods you intend to utilize in order to minimize erosion and prevent the entry of silt into surface waters: (f) Will the wastewater or runoff contain waste material? 0 Yes ® No (1) Domestic ❑, (2) Municipal ❑, (3) Industrial❑ , (4) Agricultural ❑, (5) Other ❑. Describe: 5 (g) Will wastewater or runoff contain any industrial material such as heavy metals or oils which are deleterious to fish and wildlife or which would impair the water for beneficial uses? ❑Yes ❑x No. Describe: (h) Describe method of sewage disposal, if any: Septic tank: Community sewer: Released untreated: Other (describe): N/A (i) Will pesticides,herbicides,fungicides,and/or fertilizers be used in conjunction with the overall project? ❑ Yes ❑x tJo.Describe either- by chemical composition or brand name: i) Describe methods of wastewater treatment which will be utilized in minimizing the entry of waste materials into surface and groundwaters: N/A 27. WASTEWATER RECLAMATION Describe what steps have been or will be taken to reclaim or reuse the water sought to be appropriated? N/A 28. FISH AND WILDLIFE (a) Have you consulted the California Department of Fish and Game concerning this proposed project? ❑ Yes ® No. (b) What was that Department's opinion concerning the potential effects of'your proposed project on fish and other wildlife? N/A (c) If you have not contacted the Department of Fish and Game, what effects on fish and wildlife do you foresee as potentially arising from your proposed project? None 29. GENERAL (a) What other significant environmental effects,adverse or beneficial,do you foresee as possibly arising from your proposed project as a whole, and what methods are you prepared to utilize in dealing with the adverse effects? None (b) If possible,enclose a photograph or.photographs of the project area and site with this form; if such is enclosed,please check this box❑. 1 request that all matters pertaining to this application be referred to the following authorized agent: Name Truckee—Donner Public Utility District Address ` P.O . Box 309 , Truckee, California 95734 Telephone 587-3896 Area Code 916 declare under penalty of perjury that the above is true and correctjg the best of my knowledge and belief. Dated 4 ZZ 19 at � �-�� , California Mrs. S-- (cross out (Signature of applic nt) ( fer to Section 671 of the Board's regulations) If applicants are members of the same family (i.e., two above) husband,wife, mother,father, son,brother, sister, Mr. etc.)or reside at the same address,please indicate Mrs. ,.-4heir relationship: Miss (cross out (Signature of applicant) (Refer to Section 671 of the Board's regulations) two above) Additional information needed for preparation of this application may be found in tie leaflet entitled"INFORftATION AND INSTRUCTIONS FOR FILING APPLICATION TO APPROPRIATE WATER IN CALIFORNIA." If there is insufficient space for answers in this form, attach extra* sheets. Please cross reference all remarks to the numbered paragraph to which they may refer.Serxi application in duplicate to the STATE WATER" RESOURCES CONTROL BOARD, DIVISION OF WATER RIGHTS,?125 --19th Street, Sacramento, Ca 95818, with $10 filing fee. 6 ...... ............. ............................ CQ cl CA .......... ok. L11 a! CL) oF cr- c 2t Is ci 14 % 5. .......... It co M 4-) ri (1) 16 r....................... 0 or-i u 4-) U 16 (L) O -0 0 D a_ 74 co cl ................... ......