Plum Creek Groundwater Conservation District
P.O. Box 328
Lockhart, TX 78644
(512) 398-2383
plumcreekcd@aol.com
FAX (512) 398-7776
Groundwater Transportation Application/Registration
Instructions:
Complete all questions. An incomplete application is grounds for refusal.
Use of Water Transported Out of District:
Amount of Water per Year:
Owner:
Phone:
Mailing Address:
(Street or P.O. Box)
Operator:
(City)
(ZIP)
(City)
(ZIP)
Phone:
Mailing Address:
(Street or P.O. Box)
Location of the Transportation Facility:
Latitude:
North
Longitude:
West
(degrees, min., sec)
(degrees, min., sec)
This facility is located on Road Number
and is
miles
of Lockhart or Luling, Texas. (circle one)
(N. E. S. W.)
Legal Description: Survey Name:
Survey No.:
Abstract No.:
Size of pump(s) producing water from this facility: Horsepower:
GPM:
Total amount of water capable of being produced: GPM:
x 1440 = GPD:
Location of Well(s) from which Groundwater is to be Transported:
Latitude:
North
Longitude: West
(degrees, min., sec)
(degrees, min., sec)
This well is located on Road Number
and is
miles
of Lockhart or Luling, Texas. (circle one)
(N. E. S. W.)
Land Owner:
Phone:
Legal Description: Survey Name:
Size of Well Casing:
Survey No.:
inches Total Depth of Well:
Outer Diameter of Well Screen:
feet Type of Well Screen:
inches Total Length of Screened Interval:
Size of pump in this well: Horsepower:
Abstract No.:
feet Screen Opening:
inches
Total GPM capable of being produced:
Name of Formation producing water:
Date completed:
List (on a separate page) all landowners within one-half (1/2) mile of each well.
Please include driller’s log for each well. (Repeat this section for each well producing water to be transported)
All the information in this application is true and correct to the best of my knowledge.
Signed
Date
********************************************District Use Only*******************************************
Fee Received: Yes
No
Waived per Rule 19
Permit #:
Field Inspection Date:
Inspected by:
This permit is approved subject to the rules of the
Plum Creek Groundwater Conservation District
Signature of Director & Title
Change in Well Status-1
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