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❑ Copies of the deeds for the parcels of each unadjudicated groundwater source <br /> used by the system. <br /> • Adjudicated Basin: Attach the deed for the parcels of each adjudicated groundwater <br /> source that notes the adjudication or provide documentation of the Basin Water <br /> Master's terms of the adjudication as they relate to the water system's right to extract <br /> water from the adjudicated basin. ❑ NA <br /> Surface Water: ❑ Yes ® No <br /> Circle the type of water rights the water system holds for surface water from the list <br /> below: <br /> a. Appropriative <br /> 1) Pre-1914 <br /> 2) State Water Resources Control Board (SWRCB) Permit or License <br /> b. Riparian <br /> Appropriative <br /> ❑ If Pre-1914, provide a statement that water rights were established prior to <br /> 1914. ❑ NA <br /> ❑ if after 1914, provide a copy of the SWRCB water rights permit or license. <br /> Note that an application to the SWRCB does not document water rights.❑ NA <br /> Riparian <br /> ❑ Provide a statement that water is derived from a surface source pursuant to a <br /> riparian right. ❑ NA <br /> Purchased Water: ❑ Yes ® No <br /> ❑ Provide a copy of the water service agreement for purchased water that specifies the <br /> duration of the authorization. Note that for funding projects the long term use <br /> agreements must extend for the life of the loan or a minimum of 20 years for grant <br /> funded projects. ❑ NA <br /> Comments <br /> 9. Organization <br /> [Funding Projects- Necessary; New Systems, and Changes of Ownership - Mandatory] <br /> In order to establish the lines of authority and communication between employees and <br /> management including the governing board, managers, certified operators, and clerical staff, <br /> provide a: <br /> Water System Number: CA _______ Rev. 11/2014 <br />