CENTRAL BASIN
WATER RIGHTS PANEL
Central Basin Watermaster Application for Groundwater Storage Projects
Page 1 of 4
APPLICATION FOR
GROUNDWATER STORAGE PROJECT
Section A: Project Lead
Agency/ Party
Name:
Contact Person:
Address:
Title:
Telephone:
Fax:
Email:
Current APA*:
Alpha No.
(if known):
*APA= Allowed Pumping Allocation
Section B: Other Partners/Participant(s)
Agency/ Party
Name:
Contact Person:
Address:
Title:
Telephone:
Fax:
Email:
Current APA:
Alpha No.
(if known):
Des
cribe purpose for participation:
CENTRAL BASIN
WATER RIGHTS PANEL
Central Basin Watermaster Application for Groundwater Storage Projects
Page 2 of 4
Agency/ Party
Name:
Contact Person:
Address:
Title:
Telephone:
Fax:
Email:
Current APA:
Alpha No.
(if known):
D
escribe purpose for participation:
Section C: General Information
1. Project Name:_____________________________________________________________________________________
2. Project Description: Please provide a general description (Executive Summary) of your proposed storage project to this
application as “Attachment C-1”.
3. Project Construction Start and
End Date:
4. P
roject Location: Please provide a description and a map(s) showing the location of the proposed project. If the project
includes injection wells or dry wells, please provide the exact location of each well (latitude and longitude). If the project
includes the capture and storage of stormwater, please include a map and description of the drainage area from which the
stormwater will be obtained. Include descriptions and map(s) as “Attachment C-2”.
Section D: Hydrogeologic Information
Provide a complete description of the hydrogeologic and water quality conditions at and in the vicinity of the proposed project.
Document how the captured water intended for storage will reach and become part of the usable groundwater in the production
aquifers of the Basin and not just shallow perched water or other unusable water. Include cross sections and geologic and
geophysical logs of boreholes or wells at or near the site demonstrating subsurface conditions. Provide maps showing locations
of existing water supply wells within two miles of the project. Provide the depth to groundwater and groundwater flow directions
and gradients near the site (groundwater elevation contour maps). Provide conceptual and/or numerical hydrogeologic models
to present subsurface conditions and to estimate the impact of captured and stored water on local groundwater conditions,
including mounding or changing of local gradients. Provide existing groundwater water quality data at or near the site, the
expected quality of planned captured water for storage, and a description of the compatibility of the two water types. Provide
information on any contaminated sites located within one mile of the proposed project using regulatory databases or other
From: To:
MONTH/YEAR
CENTRAL BASIN
WATER RIGHTS PANEL
Central Basin Watermaster Application for Groundwater Storage Projects
Page 3 of 4
means, including site name and address, contaminants of concern, media affected (soil and/or groundwater), depth of
contamination, and regulatory status (closed, inactive, investigative, containment, or remediation). Discuss how the storage
project water may or may not impact the contamination at the identified sites. Describe how the Project will not cause any
material or physical harm to the Basin. Label hydrogeologic and water quality information as “Attachment D-1”.
Section E: Storage Project Details and Requirements:
1. Describe in detail the design and construction of the proposed storage project. Specifically, describe the method by which
the water will be captured, put into storage (injection wells, spreading grounds, infiltration galleries/trenches, dry wells, bio
swales, etc.), and extracted from storage. Include details of planned maintenance of storage and metering equipment.
Include detailed information and drawings to describe all measures to capture and infiltrate water desired for groundwater
storage credits. Label description “Attachment E-1”.
2. Party to which the storage will be assigned: _____________________________________________________________
3. Estimated Storage (acre-feet/year): ___________________________________________________________________
4. E
stimated Duration of Allocated Storage: _______________________________________________________________
5. S
torage category or categories in which the water will be stored (check all that apply):
Individual Storage Account: Community Storage:
6. Source of stored water:
Section F: Monitoring and Extraction:
Please attach your responses to the following questions and label “Attachment F-1”.
1. Provide a description of how the amount of captured and stored water will be determined, including the proposed
metering devices to verify the volume of water stored and later removed. The project proponent will be required to
establish suitable measuring and recording devices to furnish such records as may be needed to determine with
reasonable accuracy the quantity of water placed into storage into the usable production aquifers of the Basin and the
quantity later recovered under the provisions of the approved project.
2.
Describe how the quality of the captured and stored water will be monitored, including frequency and chemical
constituents. Please describe how the project will be protective of the groundwater resources in this portion of the
Central Basin and not provide any material or physical harm to the Basin as requested. To analyze the water quality,
the suggested chemical analysis list can be found at:
ht
tps://www.waterboards.ca.gov/losangeles/publications_forms/forms/npdes_supplemental_req.pdf
.
CENTRAL BASIN
WATER RIGHTS PANEL
Central Basin Watermaster Application for Groundwater Storage Projects
Page 4 of 4
Section G: Environmental Compliance & Permits
Please attach your responses to the following questions and label “Attachment G-1”.
1. Environmental Compliance: provide a description and status of all applicable environmental documents required in
regards to CEQA/NEPA:
2. Permits, Easements, or Certifications: provide a description and status of all applicable
permits, easements or
certifications required for the proposed project:
3. Provide a description of the proposed method to extract the stored water, the estimated timeframe in which the extraction
will occur, and which party will be extracting the stored water.
This application be may signed by the parties by facsimile, electronic or digital signature, and such signature
shall be deemed valid and binding on the party signing this application in that manner.
Application Completed By (must be a duly authorized representative):
Name:
Title:
Date:
Signature:
This application must be a stand-alone document with all necessary information included as part of the
application. Documents, such as technical memos, studies, soils or infiltration data, modeling reports,
etc., may be provided as supplemental information, but pertinent information from those documents
must be included in the appropriate sections of this application.
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