West Coast Basin
WATER RIGHTS PANEL
West Coast 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
Adjudicated
Right:
Alpha No.
(if known):
Section B: Other Partners/Participant(s)
Agency/ Party
Name:
Contact Person:
Address:
Title:
Telephone:
Fax:
Email:
Current
Adjudicated
Right:
Alpha No.
(if known):
D
escribe purpose for participation:
West Coast Basin
WATER RIGHTS PANEL
West Coast Basin Watermaster Application for Groundwater Storage Projects
Page 2 of 4
Agency/ Party
Name:
Contact Person:
Address:
Title:
Telephone:
Fax:
Email:
Current
Adjudicated
Right:
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
l
ongitude). 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
From: To:
MONTH/YEAR
West Coast Basin
WATER RIGHTS PANEL
West Coast Basin Watermaster Application for Groundwater Storage Projects
Page 3 of 4
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 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: Regional Storage:
6. S
ource 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. D
escribe 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 West Coast Basin and not provide any material or physical harm to the Basin as requested. To analyze t
he
water quality, the suggested chemical analysis list can be found at:
https://www.waterboards.ca.gov/losangeles/publications_forms/forms/npdes_supplemental_req.pdf.
West Coast Basin
WATER RIGHTS PANEL
West Coast Basin Watermaster Application for Groundwater Storage Projects
Page 4 of 4
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.
Section G: Environmental Compliance & Permits
P
lease attach your responses to the following questions and label “Attachment G-1”.
1. E
nvironmental Compliance: provide a description and status of all applicable environmental documents
required in regards to CEQA/NEPA.
2. P
ermits, Easements, or Certifications: provide a description and status of all applicable permits, easements
or certifications required for the proposed project.
This application may be 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:
T
his 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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