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This document serves to notify the State Water Resources Control Board of water diversion and usage details for the owner, including information on conservation efforts and changes to the diversion
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How to fill out SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FORM

01
Obtain the SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FORM from the appropriate regulatory agency.
02
Fill out the section with the general information including your name, address, and contact information.
03
Provide details about the water source, including the name of the water body from which you are diverting water.
04
Specify the purpose of water use (e.g., irrigation, domestic, industrial).
05
Include the estimated amount of water being diverted in acre-feet or gallons per year.
06
Complete any sections concerning the location of the diversion points in relation to property boundaries.
07
Attach any required supporting documents or evidence of water rights.
08
Review the completed form for accuracy before submitting it.
09
Submit the form to the designated regulatory agency along with any required fees.

Who needs SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FORM?

01
Individuals or entities that are diverting water for purposes such as agriculture, residential use, or industrial activities.
02
Water rights holders who need to report their water usage to regulatory agencies.
03
Anyone required to comply with state or local water diversion laws.
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To protect California water resources for future generations. A diversion a without a water right is illegal, and you may be fined up to $500 per day of diversion and use.

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The Supplemental Statement of Water Diversion and Use Form is a document required by water management agencies that allows water users to report their water diversion and usage details.
Individuals and entities that have a water right or are using water from a stream, river, or groundwater source in a regulated area are typically required to file the Supplemental Statement of Water Diversion and Use Form.
To fill out the form, provide accurate information regarding water diversion amounts, usage quantities, purposes of use, and any additional details specified by the governing water management agency.
The purpose of the Supplemental Statement of Water Diversion and Use Form is to ensure compliance with water rights regulations, monitor water usage, and manage water resources effectively.
Required information typically includes the amount of water diverted, the type of water source, purpose of water use, location of use, and any changes in the water diversion or usage over the reporting period.
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