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HomeMy WebLinkAbout2015 application to lease rent water rights BYUI well.pdfFonn 42.1761-2 10/15 STATE OF IDAHO WATER RESOURCE BOARD APPLICATION TO RENT WATER FROM THE BOARD'S WATER SUPPLY BANK Applicant Name: City of Rexburg Is this application being submitted with a lease application as a lease/rental package? Yes ❑✓ No ❑ If yes, specify companion water rights in Section 4 This application must be completed according to the minimum requirement checklist below. This checklist is part of the rental application and must be included with the rental application. Applications that do not meet the minimum requirements will not be placed in the processing queue and may be returned until all minimum requirements have been met. Rental applications should be submitted well in advance of the desired start date for the use of rental water. Rental applications may be processed as early as November I of the year prior to the intended use of rental water. Any rental application received on or before November 1 for use in the next year will be assigned a received date of November 1. Rental applications submitted more than one year in advance of the proposed start date for the use of rental water will not be accepted and will be returned to applicants. Rental applications may be returned to applicants if the desired start date for the use of rental water cannot be accommodated by the Water Supply Bank. Rental requests will not be accepted once the rental season of use period has concluded. One rental application per beneficial use of water. For multiple beneficial uses of water, separate rental requests should be submitted for each unique beneficial use of water. One rental application can be submitted if you propose to rent water from multiple sources. For additional instructions on completing a rental application, visit the Bank's website at http://idwr.idaho.pov/water supply bank. MINIMUM REQUMEMENT CHECKLIST I Check All Items as Either Attached (Yes) or Not Applicable (N/A) I Yes Completed Application to Rent Water from the Board's Water Supply Bank ❑✓ Confirmation that this form has been printed single sided, per requirement of the Water Supply Bank Attachment N/A Yes O A map showing the proposed point(s) of diversion, place(s) of use, and water diversion and distribution systems proposed to be used with your rental request 3A ✓❑ ❑ Detailed information on a proposed use of rental water 3F ✓❑ ❑ Authorization from the owner/operator of the rental point(s) of diversion 3H ✓❑ ❑ Water modeling to account for the impacts of the rental request M Z ❑ Documents justifying a rate of flow greater than 0.02 cfs/acre 3K ❑ ❑✓ Authorization from the owner/operator of the property at the proposed rental place(s) of use 4B ❑✓ ❑ Explanation of how the rental water will sufficiently accomplish your rental purposes 4C ❑✓ ❑ Explanation of consumptive use amounts for water rights experiencing a change in nature of use Department Use Only — Proposed Water Right(s) 22-4130 Page I I STATE OF IDAHO WATER RESOURCE BOARD Application to Rent Water (Continued) 1. CONTACT INFORMATION A. Applicant City of Rexburg Mailing Address PO Box 280, Rexburg, ID 83440 Street City State Zip Code Email Address lohnm@rexburg.org Phone Number 208-359-3020 B. Is this application being completed by an authorized representative on behalf of the applicant? Yes ❑✓ No ❑ If yes, representatives (includes company employees if the applicant is a corporation, as well as legal eellnsel or consultants) should provide their information below if they desire to be included on correspondence with the rental applicant. Representative Kristin Moore Professional Title Water Rights Analyst Organization Rocky Mountain Environmental Assoc. Relationship to Applicant consultant Mailing Address 482 Constitution Way Ste 303, Idaho Falls, ID 83402 Email Address kristin.rmea@gmail.com Phone Number 208-524-2353 2. MAP Create a map of the proposed point(s) of diversion, place(s) of use and water diversion, delivery and distribution systems. Make sure the rental place of use is outlined and annotated with legal land descriptions (Township, Range, Section and Quarter - Quarters) or with GPS coordinates. For irrigation purposes, mark the number of acres you desire to irrigate. Attach the map to this application and label it Attachment 2. 3. DESCRIPTION OF PROPOSED USE FOR RENTAL WATER A. Describe why you desire to rent water and provide a detailed description of your proposed use. If the proposed use is not for irrigation, describe in detail how you determined the amount of rental water required. If the space below is insufficient, attach additional sheets as required and label thein Attachment 3A: Applicant proposes to rent this irrigation water right to supplement the City's municipal water rights. It will be applied to 133 acres of current irrigation within the city as shown on Attach 2. B. Enter the desired and/or minimum rates of flow, volume, or irrigable acres requested for your rental purposes: Desired Rate (Cubic Feet/Second) Desired Volume (Acre -Foot) Minimum Rate* (Cubic Feet/Second) Minimum Volume* (Acre -Foot) Desired Acres I (if applicable) 2.66 cFs 466 AF 2.66 CFS 466 AF 133 Ac Sometimes water rights provide an exceptionally low rate per acre and/or low volume per acre. This section is meant to establish an acceptable range of water sufficient for your proposed water use. Please see question 4B and complete if necessary. C. This section must be completed in full. Enter the proposed start date and latest possible start date for using rental water as well as the number of years you would like to rent water. The latest possible start is the latest possible date by which you would be willing to pay for a rental and be able to benefit from utilizing rental water. Desired Latest Possible *Mark Desired **Applicant's preference if rental Start Date Start Date Rental Duration application cannot be processed (month/day/year) (month/day/year) (Calendar Years) prior to the latest possible start? 4/01/2016 4/15/20160 ❑ ❑ E]Z] ZProcess application El Return application 1 2 3 4 5 as soon as possible to applicant * The number of years permissible for a rental is subject to the lease contract duration for lite water rights) being rented. Per Idaho Code 42-201, it is unlawful to divert or use water without a valid water right. Water Supply Batik rental applicants are not authorized to utilize rental water prior to lite execution of an approved rental agreement. Rental requests may be returner/ to applicants if no water is available from the Brunk to f ulfill a rental request. Page 12 STATE OF IDAHO WATER RESOURCE BOARD Application to Rent Water (Continued) D. Describe your water distribution system and how rental water will be delivered from the point(s) of diversion (POD) to the proposed place of use (POU): The municipal water system will deliver this rental water from the original point of diversion of the right proposed to be rented. E. Describe the physical type (pump, headgate, etc.) and location of the POD from which rental water is proposed to be diverted: POD Description Water Source Other Water Rights Diverted from this POD 6N 40E Sec 30 NESE ground water Rexburg municipal WRs: 22-7074, 22-7175, 22-7176,22-7617,22-7754,22-13790,22-13888 If the POD(s) above are located where water is turned into a canal, lateral or ditch, or if they are located on your property but are serviced by water that is delivered via a Cann(, Intern( or ditch, your rental request ntust include documented authorization from all relevant canal companies, irrigation districts and/or water delivery entities, confirming that trey consent to your diversion of waterfront their system. F. Has documented consent from all relevant water delivery entities been obtained? Yes ❑ N/A ❑✓ If yes, include documented consent as Attachment 3F. G. Do any POD(s) identified in Question 3E divert from a water source that may require water modeling? Yes ❑ No ❑✓ Refer to the Water Modeling Requirements Information Sheet to determine if a rental POD nmy require water modeling. H. Has water modeling been provided with your rental request? Yes ❑ N/A ❑✓ If yes, label modeling Attachment 3 H. Rental applications that require modeling will be returned if modeling is not provided. 1. Specify the desired beneficial use of water and the requested season of use or number of acres required: Z Irrigation 133 (number of acres) Duration: Subject to IDWR standard seasons of use ❑ Commercial from: (om/dd) to: (nm/cid) ❑ Stockwater from: (mni/dd) to: (ant/dd) ❑ Industrial from: (nanddd) to: (unt/dd) ❑ Other: from: tom/dd) to: (mnn/dd) J. For irrigation uses, do you propose to divert water at a rate greater than 0.02 cfs/acre? N/A ❑ Yes ❑ No ✓❑ If yes, justify the rate of flow and attach any supporting documents as Attachment 3J. Justification may include information on soil composition, conveyance losses, crop type, irrigation systems, public access areas, etc. A rate of 0.03 cfs/acre is permissible for irrigation of 5 acres or less. K. Do you own the land at the proposed rental place of use (POU)? Yes ❑ No E If no, attach documentation from the POU owner/operator confirming your authorization to use the POU and label it Attachment 3K. Municipal provider / see agreement in Attach 3K L. List all other water rights and sources of water at the rental place of use for the same purpose, including privately owned water rights and water received from a municipal supplier, an irrigation district, a canal company or any other water delivery entity. Explain why additional water is required: City of Rexburg overlaps POU with municipal water rights that may also provide irrigation. The proposed rental will be providing the irrigation water during the rental period. Page 13 STATE OF IDAHO WATER RESOURCE BOARD Application to Rent Water (Continued) 4. RENTAL REQUESTS FOR SPECIFIC WATER RIGHTS A. Are you requesting to rent specific water rights? Yes ✓❑ No ❑ If yes, specify below the elements of the water rights you are requesting to rent. If no, continue to Question 4B. Important Information: Diversion rates and volumes sought for rent must be proportionate to the per acre diversion rates and per acre volume limits of the water right under lease contract to the Water Supply Bank. Prior to completing this section, applicants should review all water right lease contracts and any active rental agreements to determine which elements of a water right are available to satisfy a rental request. Lease and rental documents are searchable via IDWR's website. Water rights identified below must either already be leased to the Bank or a lease proposal should accompany this rental request. Rental requests for water rights not yet leased to the Bank will be returned if companion lease applications are not provided with the rental request. For leased rights featuring combined limits, rentals must be consistent with combined diversion rate, volume or acre limits. Combined limits should be listed on a row below water right numbers. Water Right Elements Leased to Water Supply Bank M d Water Supply Bank Rental Request W a g Water Right Number Diversion Volume Acres Diversion Volume Acres (leave blank if sub -total Nature of Use Rate (CFS) (AF) (AC) 3 Rate (CFS) (AF) (AC) of combined limits) u 22-4130 Irrigation 2.66 466 133 2.66 466 133 m c c f m w N (D d � 5 ry 3 m � m � 3 " 3 J < N � v < m m a d s� m � o < m m Applicants must ensure the requested rate per acre and volume per acre 2.66 466 133 do not exceed the rate per acre and volume per acre limits of water TOTAL rights leased to the Water Supply BankCFS AF I AC *Attach multiple copies of this page if space above is insufficient to list all water rights requested to he rented on this application. B. If water right conditions, combined limits, or the sum of all water right elements being requested provide an unconventional duty of water (e.g., an unusually low rate per acre or volume per acre for irrigation use), explain how your proposed rental will sufficiently accomplish your intended purposes. Attach a separate page if space is insufficient and label it Attachment 4B: N/A C. Does your rental request propose to change the nature of use for any water right(s) being rented? Yes ❑ No ❑✓ If yes, explain how the water right(s) will be converted to new uses. Include the historic, consumptive use amounts for the water right being rented if you have it, as well as the new consumptive use amount for your proposed beneficial use. If space below is insufficient, attach a separate page and label it Attachment 4C: Page 14 STATE OF IDAHO WATER RESOURCE BOARD Application to Rent Water (Continued) 5. ADDITIONAL INFORMATION A. Is this the first time that rental water is being requested for this purpose at the rental place of use? Yes ❑ No ❑✓ If no, list previous rental requeststagreenients and explain why you have not secured a pennanent water right for your needs: For the years 2011-2015, Applicant rented water right 22-4130 for a similar use. This lease arrangement benefits both parties and allows for the beneficial use of this right to be applied through the municipal water system. Owner is not yet ready for a permanent change to their water right. B. Have you or do you intend to submit an application for permit or transfer proposing a similar use as this rental? If yes, describe: Yes ❑ No ❑✓ C. Was this rental application submitted in response to a Notice of Violation (NOV) or a pending NOV? Yes ❑ No ❑✓ If yes, describe the date and location of the NOV. D. Additional Information DECLARATION I hereby assert that the information contained in this application is true to the best of my knowledge. I understand that any willful misrepresentations made in this application may result in rejection of the application or cancellation of an approval. I understand that if this rental application is approved, it will be subject to the provisions of Section 42-1766, Idaho Code and all applicable state and federal laws. I understand that the submission of a rental application provides no guarantee for approval of a rental agreement. 1 also understand that, per Idaho Code 42-201, it is unlawful to divert or use water without a valid water right and that I ant not authorized to utilize water as proposed in this application prior to the execution of an approved rental agreement. Signature of App icant Printed Name of Applicant Date Signature of Representative Printed Name of Representative Mail to: Idaho Department of Water Resources P.O. Box 83720 Boise, ID 83720-0098 Date Page 15 Attachment #2 (i Proposed Well F—I Section N ® Existing Well � Se W F WSB Rental Application Water Right No. 22-4130 WR POU 22-4130 S Proposed POU Municipal Boundary Feet oc(� 7�nunGnin O Twp & Rng 0 300 600 1,200 by: KM E R(5NWNTAL 2013 NAIP Photography November 9, 2015 As CTAT ,,INC Fomid2-1761-1 P15 APPLICATION TO SELL OR LEASE A WATER RIGHT TO THE WATER SUPPLY BANK An application to lease or sell a water right into the Water Supply Rank must be prepared in accordance with the minimum requirements listed below to be acceptable for processing by the Department. Use this checklist to ensure all necessary documentation has been provided. This checklist is part of the lease application and must be included with the lease application. Incomplete applications will be returned to applicants for completion. Designated Applicant BYU-Idaho Water Right No. 22-4130 (Select one owner -sec item IA on the application) (One waterright per application) All Items must be checked as either Attached (Yes) or Not Applicable (N/A) - YES I1 Completed Water Supply Bank Lease or Sale Application Checklist (this form). ❑ Completed Application to Sell or Lease a Nater Right to the Nater Supply Bank (pages 2-3). m Application filing Ice of $250.00 per water right. If you are submitting more than one lease application and the water rights have an overlapping. common place of use. or a common diversion rate or volume, the total fee for all water rights is $500.00. For places of use, multiple water rights must be used to irrigate the same lands in order to qualify for the joint filing lee. Individual filing fi`es are required for water rights that share a common permissible place of use but which cover separate acres within the permissible place of use. chment NIA YES IA ❑ Contact information for all owners of the water right that is being leased or sold on this application. 16 © An Internal Revenue Service ( IRSI Form W-9 for the Designated Applicant. 1C ❑ Notice of Change in Water Right Ownership form (acecssible from www.idwr.idaho.auv). I D m ❑ Written consent from irrigation district or water delivery company. I E © ❑ Contact inRvmation for an authorized representative and documentary proof they are authorized to represent the Designated Applicant on this application. If the Designated Applicant is a business. partnership, municipality, organization or association, include documents identifying officers authorized to sign or act on behalfol'thc entity. 2 m ❑ Description of a water right portion offered to the Water Supply Rank. 3E © ❑ Evidence demonstrating that a water right has not been lost through abandonment or forfeiture pursuant l0 Scclinn 42.2225,2 ,, Idaho Codc. 4 © A map that clearly outlines the specific location where irrigated acres will be dried up, or where u beneficial use of water will be suspended. You have the option of printing a map using the map tool on IDWR's website at: www.idwr.idaho.gov. Department Use OnlyFee Amount Amount $ Received By: Date Received: Receipt 4 ......_.... ............... .... ..... ..,.......i.._.......... .............._..... ............. ._......... ,...... __................. ....._..._..............__......................... W-9 received? Yes ❑ No ❑ (Route W-9 to Fiscul) Name on W-9: Fonn42.1761-1 U15 APPLICATION TO SELL OR LEASE A WATER RIGHT TO THE WATER SUPPLY BANK 1. CONTACT INFORMATION A. An application to sell or lease a water right to the Water Supply Bank must be completed by a Designated Applicant who is a recognized owner of the water right being sold or leased to the Water Supply Bank. If there are additional owners recorded ]or the property to which the water right is appurtenant, those individuals must authorize the Designated Applicant to represent them on this application by completing and signing Attachment IA of this application package. Designated Applicant BYU-Idaho Email Address gutierrezv@byui.edu Mailing Address 525 S Center ST 1695, Rexburg, ID 83460 Phone Number 208496-1901 Q The Designated Applicant is the sole owner of the water right being sold or leased to the Water Supply Bank. oil ❑The Designated Applicant is representing additional water right holders who have completed Attachment IA. B. Has the designated applicant completed an IRS Form W-9 (Attachment IB)? Yes ❑✓ No ❑ C. Are all applicants on this firm listed in IDWR's records as the current owners orthe water right'? Yes No ❑ If no. attach a Notice ojChange in Water Night Ownership form along with the required documentation and fee (Attachment IC). D. Is the diversion works or system owned or managed by an irrigation district or water delivery company? Yes ❑ No ❑✓ If yes, provide written consent from the company, corporation or irrigation district authorizing the proposed sale or lease (Attachment I D), E, Is this application being completed by an authorized representative of the Designated Applicant? Yes ❑ No Z If yes, representatives (includes employees of Designated Applicant companies) must complete this section and submit documentary proof of their authority to represent the Designated Applicant (Attachment I E). Name or Representative Prolbssional Title Mailing Address Organization _ Email Address Phone Number ❑ Send all correspondence for this application to the representative and not to the Designated Applicant. OR ❑ Send original correspondence to the Designated Applicant and copies to the representative. 2. DESCRIPTION OF WATER RIGHT OFFERED TO THE BANK Water Right Number 22-41 3. GENERAL INFORMATION © The full water right is being offered to the Bank. OR ❑ A part of the water right is being offered to the Bank. (II'a portion of a water right is being offered, complete Attachment 2) A. Please provide a description of the current water diversion system. Well water. B. Describe any other water rights used for the same purpose at the same place of use as the water right being offered to the Bank. City of Rexburg rental C. Are any of the water rights identified in question 3B stacked with the water right proposed for lease? Yes ❑ No Q Stacked water rights are water rights that are utilized together to achieve a common beneficial use, such as irrigation of the same lands. Stacked water rights cannot be separated and must be jointly leased to the Water Supply Bank. Stacked water rights qualify for the multiple fee payment of $500. 1'a gc Form a2-1761.1 1/15 Will the present place of use continue to receive water from any other source? Yes ❑✓ No ❑ If yes. describe. City of Rexburg rental. G Has any portion of this water right undergone a period of five or more consecutive years of non-use? Ycs ❑ No ❑✓ If yes, describe and attach Watermaster records or other evidence to demonstrate that the water right has not been lost through abandonment or forfeiture pursuant to Section 42-222(2). Idaho Code. 17. Is this water right involved in any other ID W R process such as an application for transfer or a mitigation plan? Ycs ❑ No If yes, describe. 4. MAP Plat map, survey map, or aerial photograph clearly showing the specific acres proposed to be idled by this lease application. S. SALE/LEASE AGREEMENT A. Is the water right, or portion thereof, offered to the Idaho Water Resource Board (I W RB) for sale ❑ or lease ©? If lease, specify the years when the use of water will be suspended: 2016 to 2020 (maximum lease period 5 years). B. Show the minimum payment acceptable to the seller/lessor. The minimum payment may be shown as the `current rental rate" as established by the I W RB. Include the method of determining the minimum payment if other than the current rental rate. Agreement with City of Rexburg to rent these rights for $100. 1 hereby assert that the information contained in this application is true to the best of my knowledge, and that 1 have the authorities necessary to offer this water right for sale or lease to the Idaho Water Resource Board. The Designated Applicant acknowledges the following: I. Payment to the Designated Applicant is contingent upon the sale or rental of the water right from the Bank. 2. While a water right is in the Bank, the seller/lessor of the water right may not use the water right even if the water right is not rented from the Bank. 3. A water right accepted into the Bank stays in the Bank until the Designated Applicant receives written confirmation from the Board or Water Supply Bank that the water right has been released from the Bank. 4. While a water right is in the Bank, forfeiture provisions are stayed. 5. Acceptance of a water right into the Bank does not, in itself, confirm the validity of the water right or any elements of the water right. ZO�E,Z4� Signature of Designated Applicant Signature of Authorized Representative CHAekCS ltl. ANOGtd� Printed Name Printed Name Mail to: Idaho Department of Water Resources P.O. Box 83720 Boise, ID 83720-0098 .S/v/O ZoIS Date Date 1'a8v 3 W Form Form age Request for Taxpayer Give Form to the (Rev. August 2013) Identification Number and Certification tifi requester. Do not Department d tie T,eas„y send to the IHS. Interna' Hoerun Sallee Name (as shown on your Income tax return) BRIGHAM YOUNG UNIVERSITY-IDAHO- Business nemeldlsmilarded entity name, If different from above ei Check appropriate box for federal lax ctesslfcallon: Exemptions (go instructions): E] IrWMduel/sola proprietor Z C Corporation E] S Corporation ❑ Partnership E) Trustmetate o Exempt payee Cede (If any) -5 E7 Limited gabllity company. Fater the tax classification (C=C cpporshan,S=S co,pomlion, P•partnershlp)► Exe1P110n from FATCA reporting code Of any) [] Other(Seelnslructims)► Y Adtlroas (number. affect, and apt. or Sulo rc.) Requester's name end address (optional) 525 S CENTER ST STOP 1695 v �+ Cily, state, and LP coda REXBURG, ID 63460 Ust account numbers) here loplionali Taxpayer Identlficetion Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on the "Name" line Laoolr asour ry narrow I to avoid backup withholding. For Individuals, this Is your social security number (SSN). However, for a r j j j resident allen, sole proprietor, or disregarded entity, see the Pad I instructions on page 3. For other L_I - I i - m entities, It Is your employer Identification number (EIN). If you do not have a number, see How to get a L LJ AN on page 3. Note. If the account is In more than one name, see the chert on page 4 for guidelines on whose I Employer identification number 8 2 number to enter. _I Q 1 21 0 7 6 9 9I Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer Identlficetion number (or am waiting for a number to be Issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Servlos (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me, that I am no longer subject to backup withholding, and 3. 1 am a U.S, citizen or other U.S. person (defined below), and 4. The FATCA codes) entered on this form (if any) Indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply, For mortgage Interest paid, acquisition or abandonment of secured property, cencelladon of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the General Instructions SeoWn references are to the Internal Revenue Code unless othenwlse noted. Future developments. The IRS has pealed a page on IRS.gov for information about Form W-9, at www.lrs.goww9. Information about any future developments affecting Form W-9 (such as legialation enacted after we release It) vell be posted on that page. Purpose of Form A person who is required to file an Information return with the IRS must obtain your Correct taxpayer Identification number (TIN) to report, for exemple.income paid to you, payments made to you In settlement of payment card end third pert' network transactions, reel estate trene mma, mortgage Interest you paid, acquisition W abondonmant of seared property, cancellation of debt, or contributions you made to an 11U. Use Fpm W-9 only if you we a U.S. person including a resident alien), to provide you comecl TIN to the person requesting it (the requestal and, when applicable, to: 1. Cerny that the TIN you we giving IS correct for you are walling for a number to be issued), 2. Certify that you aro not subject to backup withholding. or 3. Claim exemption from backup withholding it you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. Person, your allocable share of any partnership income from a U.S. trade or business is not subject to the Date 0 - Withholding lax on foreign Whom' share of offecl Woly connected Income, and 4. Certify that FATCA Mole) entered on this form of any) Indicating that you ere exempt from the FATCA reporting, Is correct, Note. If you are a U.S. person and a requester gives you a torn other than Form W-9 to request your TIN, you must use the requester's lam if it Is substantially similar to [his Form W-8. Definalon of a U.& person. For federal tax purposes, you are considered a U.S. person 0 you are: • An Individual who Is a U.S. Cltiren or V.S. resident alien, • A malnershlp, corporation, company, or association created W womood In the United Stales or under the laws of the United Stales, • An estate (other then a foreign estate), or • A domestic trust (as defined In Regulations section 301.7101-7). Special rules for partnerships. Partnerships that conduct a trade w business In me United Slates are generally required to pay a withholding lax mdor aeceon 1446 on any foreign partnersshare of effectively connected laxable, Income from such business. Further, In certain eases where a Form W-9 hes not been resolved, the rules under section 1446 require a partnership to PrOSOmle that a pallor IS a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner In a partnership conducting a trade or bu iftss In the United Slates, provide Fwm W-9 to the pumormi to establish yaw U.S. status and avoid section 1446 withholding on your Share of partnership income. Cat. No. 10231% Fpm W-9 (Rev. 8.2013) Attachment #3 G WR POD 22-4130 N WR POU 22-4130 wE O Twp & Rng S OSection 0 QQ 0 300 600 2013 NAIP Photography WSB Lease Application Water Right No. 22-4130 = Feet oc �(ounfain 1,200 by: KM November 9, 2015 ENV ROW NTAL"