NL Cypress-PT830722TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
P.O. Box 13087 MC -160, Austin, Texas 78711 -3087
Telephone (512) 239 -4691, FAX (512) 239 -4770
APPLICATION FOR A TEMPORARY WATER USE PERMIT FOR MORE THAN 10 ACRE -FEET OF WATER, AND /OR FOR A DIVERSION PERIOD
LONGER THAN ONE CALENDAR YEAR
This form is for an application for a temporary permit to divert water under Section 11.138, Texas Water Code. Any permit granted from this application
may be suspended at any time by the applicable TCEQ Office if it is determined that surplus water is no longer available.
Notice: This form will not be processed until all delinquent fees and /or penalties owed to the TCEQ or the Office of the Attorney General on
behalf of the TCEQ are paid in accordance with the Delinquent Fee and Penalty Protocol.
1. Data on Applicant and Project:
21.
A. Name
B. Mailing Address
I.
Social Security or Federal ID No.
Telephone Number Fax Number _
Applicant owes fees or penalties? Yes No
If yes, provide the amount and the nature of the fee or penalty as well as any identifying number:
E. Describe Use of Water
F. Description of Project (TDH Project No. if applicable)
G. Highway Designation No.
Type of Diversion (check one):
From Stream r From Reservoir
4. Amount and Source of Water:
acre -feet of water within a period of
is to be obtained from tributary of
of Basin.
County
3. Rate of Diversion:
A. Maximum
(capacity of pump)
gpm
(specify term period not to exceed a three year term). The water
, tributary of tributary
5. Location of Diversion Point:
At Latitude °N, Longitude °W, ((at) or (near) the stream crossing of), (at a reservoir in the vicinity of)
(R -O -W) (Highway), located miles in a direction from (County
Seat), County, and miles in a direction from a nearby
town shown on County road map. Note: Distance in straight line miles.
Enclose a USGS 7.5 minute topographic map with the diversion point and /or the return water discharge points labeled. Owner's written
consent is required for water used from any private reservoir, or private access to diversion point.
6. Access to Diversion Point (check one): 7. Fees Enclosed: 10 ac -ft ggreater than
or less 10 ac -ft
❑ Public right -of -way Filing ............. ............................... $ 100.00 $ 250.00
❑ Private property Recording ....... ............................... $ 1.25 $ 1.25
(A letter of permission from landowner is attached) Use ($1.00 per ac -ft or fraction thereof) $ $
❑ Other (Explain) (Note: 1 ac -ft = 325,851 gals. Total $ $
1 ac -ft = 7758.35 bbls.)
Upon completion of any project for which a temporary water permit is granted, the Permittee is required by law to report the amount of water
used. This document must be properly signed and duly notarized before it can by accepted or considered by the Texas Commission on
Environmental Quality.
Name sign Name (print)
Subscribed and sworn to me as being true and correct before me this day of
Notary PUNIC, State Ot I exas
Form TCEQ -10202 (revised 2/08)
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Sec. 11.138. TEMPORARY PERMITS. (a) The commission may
issue temporary permits for beneficial purposes to the extent that
they do not interfere with or adversely affect prior appropriations
or vested rights on the stream from which water is to be diverted
under such temporary permit. The commission may, by appropriate
order, authorize any member of the commission to approve and issue
temporary permits without notice and hearing if it appears to such
issuing party that sufficient water is available at the proposed
point of diversion to satisfy the requirements of the temporary
permit as well as all existing rights. No temporary permit issued
without notice and hearing shall authorize more than 10 acre -feet
of water, nor may it be for a term in excess of one year.
(b) The commission may prescribe rules governing notice and
procedure for the issuance of temporary permits.
(c) As between temporary permits, the one applied for first
has priority.
(d) The commission may riot issue a temporary permit for a
period exceeding three calendar years.
(e) A temporary permit does not vest in its holder a
permanent right to the use of water.
(f) A temporary permit expires and shall be cancelled by the
commission in accordance with the terms of the permit.
(g) The commission may prescribe by rule the fees to be paid
for issuance of temporary permits, but no fee for issuance or
extension of a temporary permit shall exceed $500.
Amended by Acts 1977, 65th Leg., p. 2207, ch. 870, Sec. 1, eff.
Sept. 1, 1977; Acts 1981, 67th Leg., p. 978, ch. 367, Sec. 5, 42,
eff. June 10, 1981; Acts 1985, 69th Leg., ch. 795, Sec. 1.012, eff.
Sept. 1, 1985.
101110