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❑ Formation papers such as incorporation articles, partnership documentation, by-laws, <br /> and governing ordinances. ® NA <br /> ® Deeds and other ownership documentation of all system property including land, <br /> buildings, wells, storage tanks, treatment facilities, and other system components. <br /> ❑ NA <br /> ❑ Easements, leases, or agreements for long term use regarding land or system <br /> components that are not owned by the water system. Specify the duration of the <br /> authorization. ® NA <br /> ❑ Encumbrances, trust indentures, bankruptcies, decrees, legal orders, or other items that <br /> may affect the owner's control of the water system. ® NA <br /> ❑ If the water system is under temporary ownership such as a developer, describe the <br /> timing for the change in ownership and the contact information for the eventual owner. <br /> ® NA <br /> ® If the owner of the water system has owned or managed any other public water system <br /> within the last ten years, list these systems by name and number. ❑ NA <br /> ❑ For a sole proprietor submit a plan that describes how the system will continue to be <br /> operated in the event the owner becomes incapable of carrying out this responsibility. <br /> ® NA <br /> Comments <br /> 8. Water Rights <br /> [Funding Projects; New Systems, and Changes of Ownership - Mandatory] <br /> Provide the following documentation as hard copies or electronic format: <br /> ❑ List the current and emergency water sources that will be used to operate the system <br /> including groundwater, surface water, purchased water, and any other sources. <br /> ❑ Describe the long-term availability of the sources used by the water system to meet a <br /> projected 10-year water demand. <br /> Groundwater: ® Yes ❑ No <br /> • Unadjudicated Basin: Provide the following: ® NA <br /> ❑ A statement that the groundwater is extracted from a basin that is not <br /> adjudicated. <br /> Water System Number: CA ------- Rev. 11/2014 <br />