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Home My WebLink AboutG6a_140626-CrkdCrkWaterAppDIVISION OF MINING, LAND AND WATER WATER RESOURCES SECTION cwvvNv.dnr.state.ak.us/nilwll"water%index.htin Anchorage Office 550 West 7th Avenue, Suite 1020 Anchorage, AK 99501-3562 (907)269-8600 Fax: (907) 269-8947 For ADNR Use Only LAS # INSTRUCTIONS Juneau Office PO Box 111020 400 Willoughby Avenue Juneau, AK 99811-1020 (907) 465-3400 Fax: (907) 586-2954 For ADNR Use Only CID # CID # Fairbanks Office 3700 Airport Way Fairbanks, AK 99709 (907) 451-2790 Fax: (907) 451-2703 For ADNR Use Only Receipt Type WR Alaska Department of NATURAL RESOURCES For ADNR Use Only Date/Time Stamp 1. Complete one application for each water source (incomplete applications will not be accepted). 2. Attach copy of executed deed, lease agreement, or other possessory interest document for property where water will be used (applicant must own, lease, or obtain written authorization to use water on property). 3. Attach copy of legal access document (e.g. right-of-way, easement, permit) or application for legal access to water withdrawal point and transport route, if applicable, or copy of request or application for legal access to water withdrawal point. 4. Attach driller's well log for drilled wells (if already drilled and available). 5. Attach sketch, photos, plans of water system, or project description (if applicable). 6. Attach legible map that includes meridian, township, range, and section lines such as a subdivision plat, USGS topographical quadrangle, or borough tax map. Indicate location of water withdrawal, route of water transmission, water use area boundary, points of water use within boundary, and point of water return flow (if applicable). 7. Attach copy of approved ADEC water and wastewater system certificate (if applicable). 8. Attach copy of ADNR fish habitat permit (if applicable). 9. Attach notarized Statement of Beneficial Use of Water form and associated fee, if water system and water use are fully developed, and total water use does not exceed 500 gallons of water per day. 10. Attach completed Coastal Project Questionnaire (if applicable - see page 4). 11. Submit non-refundable fee see page 4). APPLICANT INFORMATION COMM. OF ELFIN COVE DBA ELFIN COVE UTILITY COMMISSION JOEL GROVES I POLARCONSULT ALASKA INC. Organization Name (if applicable) ATTN JANE BUTTON Individual Applicant Name (if applicable) P.O. BOX 2 Mailing Address 907-239-2226 (ECUC) Daytime Phone Number 907-258-2419 (POLARCONSULT) Fax Number (if available) 102-102 (Rev. 2/06) Page 1 of 4 Agent or Consultant Name (if applicable) Individual Co -applicant Name (if applicable) ELFIN COVE AK 99825 City State Zip Code 907-258-2420 x204 (POLARCONSULT) Alternate Phone Number (optional) JANEDBUTTON@GMAIL.COM, JOEL@POLARCONSULT.NET E-Mail Address PROPERTY DESCRIPTIONS Location of Water Use Subdivision Name or Survey Number Lot, Block, or Tract Meridian Township Range Section Quarter Sections CRM 043S 056E 6 NW 11'4 1�4 Location of Water Source Subdivision Name or Survey Number Lot, Block, or Tract Meridian Township Range Section Quarter Sections CRM 042S 056E 31 SW Location of Water Return Flow or Discharge if applicable Geographic Name of Water Body or Well Depth Meridian Township Range Section Quarter Sections JIM'S LAKE CRM 043S 056E 6 NW Y4 1/4 WATER SOURCE Ground Water Type (e.g. drilled, Depth in feet Static Water Level in feet) Completed Well Production Ca acit 7rotal NA -Date Surface Water Type (e.g. stream, lake, spring) Geographic Name (if named) CREEK CROOKED CREEK METHOD OF TAKING WATER IF KNOWN Pump Pump Intake Pump Output Inches GPM Hours Working Length of Pipe Hours/Day Feet (from pump to point of use) Gravity Pipe Diameter 12 Head 135 Inches Feet Length of Pipe 1270 Feet (take point to point of use) Ditch L H W Feet Diversion Rate GPM or COCFS Reservoir L H W Feet Water Storage AF Dam L H W Feet Water Storage AF 102-102 (Rev. 2/06) Page 2 of 4 AMOUNT OF WATER Common Water Uses and Standard Amounts Type of Use How Many Standard Amounts Total Amount Requested Months of Use Begin End Fully Plumbed Single-family Home (includes irrigation of 10,000 sq. ft.) # Homes X 500 GPD = Partially Plumbed Single-family Home (no hot water heater) # Homes X 250 GPD = Unplumbed Single-family Home (hand carry water) # Homes X 75 GPD Duplex or Triplex # Bldgs. X 1000 GPD = Four-plex and Larger Housing # Units X 250 GPD = Motel or Resort # Rooms X 150 GPD = Work Camps # People X 50 GPD = Domestic Irrigation # Sq. ft. X 250 GPD per 10,000 Sq. ft. _ Non -domestic Irrigation # Acres X 0.5 AFY = Other Water Uses Type of Use How Many Amount Total Amount Requested Months of Use Begin End RUN -OF -RIVER HYDROELECTRIC PLANT X 5 CFS x 55% C.F. = 1990 ACFTNR JAN DEC X = Type of Use Total Amount Requested Months of Use Begin End Expected date for water system and water use to be fully developed or date when existing use started OCTOBER 2016 Note: Pursuant to AS 46.15.180(a)(1). Crimes, a person may not construct works for an appropriation, or divert, impound, withdraw, or use a significant amount of water from any source without a permit, certificate of appropriation, or authorization issued under this chapter. 11 AAC 93.040 sets out the required information on an application for a water right. 11 AAC 93.050 authorizes the commissioner to decide what additional information is needed to process an application for a water right. This information is made a part of the state public water records and becomes public information under AS 40.25.110 and 40.25.120. Public information is open to inspection by you or any member of the public. A person who is the subject of the information may challenge its accuracy or completeness under AS 44.99.310, by giving a written description of the challenged information, the changes needed to correct it, and a name and address where the person can be reached. False statements made in an application for a benefit are punishable under AS 11.56.210. 102-102 (Rev. 2/06) Page 3 of 4 SIGNATURE The information presented in this application is true and correct to the best of my knowledge. I understand that per 11 AAC 93.040 and 11 AAC 93.050 additional information may be required by the department to adjudicate this application. Failure to provide requested information could result in this file being closed. Signatur JOEL D. GROVES Name 2, Date ENGINEER/AGENT Title REFERENCES Measurement Units GPD = gallons per day CFS = cubic feet per second GPM = gallons per minute AF = acre-feet AFY = acre-feet per year (325,851 gallons/year) AFD = acre-feet per day (325,851 gallons/day) MGD = million gallons per day Conversion Table 5,000 GPD= 30,000 GPD= 100,000 GPD= 500,000 GPD= 1,000,000 GPD= 0.01 CFS 0.05 CFS 0.2 CFS 0.8 CFS 1.5 CFS 3.47 GPM 20.83 GPM 69.4 GPM 347.2 GPM 694.4 GPM 5.60 AFY 33.60 AFY 112.0 AFY 560.1 AFY 1120.1 AFY 0.2 AFD 0.09 AFD 0.3 AFD 1.5 AFD 3.1 AFD 0.01 MGD 0.03 MGD 0.1 MGD 0.5 MGD 1.0 MGD Fees required by regulation 11 AAC 05.010(a)(8) • $100 for one single-family residence or duplex, or for water use associated with one single-family residence or duplex • $1,200 for activities related to oil and gas and associated substances • Fee varies for activities related to locatable minerals, unless the application is filed under 11 AAC 05.010(a)(9)(E)(i) or (9)(F)(i) - contact Water Resources Section for pre -application meeting • Fee varies for hydroelectric power generation - contact Water Resources Section for pre -application meeting • Fee varies for water removal out of a hydrologic unit under AS 46.15.035 or 46.15.037 - contact Water Resources Section for pre -application meeting • $200 for 5,000 GPD or less for a use not listed above • $450 for greater than 5,000 GPD and no more than 30,000 GPD for a use not listed above • $550 for greater than 30,000 GPD and no more than 100,000 GPD for a use not listed above • $900 for greater than 100,000 GPD for a use not listed above Make checks payable to "Department of Natural Resources." Coastal Zone If this appropriation is within the Coastal Zone, and you are planning to use more than 1,000 GPD from a surface water source or 5,000 GPD from a subsurface water source, you need to submit a completed Coastal Project Questionnaire with this application. For more information on the Coastal Zone, contact the Office of Project Management and Permitting; Anchorage 269-7470, Juneau 465-3562, vrvw.dnr.state.ak.us/acmpi. 102-102 (Rev. 2/06) Page 4 of 4