TRANSFER REQUEST FORM
ANTELOPE VALLEY WATERMASTER
Please include an application fee according to the fee schedule posted on the Watermaster website:
https://avwatermaster.net. Make check out to: Antelope Valley Watermaster Mail to: Antelope Valley Watermaster, 55022 West Avenue N, Suite 102, Box 195 OR email to:
[email protected]
Call Watermaster Administrative staff at 661-234-8233 with questions. Transfer Requests review could take up to 60 days.
PERMANENT TRANSFER? Yes or TEMPORARY/ONE-TIME TRANSFER? Yes or No No Permanent Amount 30 acre-feet Temporary/One-time Amount acre-feet
IF TRANSFER DUE TO CHANGE IN LAND OWNERSHIP, PLEASE ATTACH DEED AS PROOF OF SALE OR A PRELIMINARY TITLE REPORT
Date Requested_Fehruary 14, 2024
If Temporary, Calendar Years) to be Used_N/A
Which Party will be paying the annual Administrative Assessments) for the transferred water? Citv of Lancaster Is either Party a member of the Antelope Valley United Mutuals Group? Yes or No TRANSFER FROM (SELLER/TRANSFEROR):
Name 50th District Agricultural Association Street Address 2551 West Ave H. Suite 102 City Lancaster State CA Zip Code_ 93536
Phone 661-948-6060 [email protected]
APN#(s) where transfer originates (i.e., production well location(s)) The transfer for 30 AF of permanent water rights will originate from APN: 3114-011-907
APN#(s) (or water supply service area where groundwater was used TRANSFER TO (BUYER/TRANSFEREE):
Name City of Lancaster _Street Address 44933 Fern Avenue City Lancaster _ State CA. Zip Code 93534
Phone 661-723-6072 email [email protected] Note: Legal notices under the Judgment will be sent to the above email address. You are required to keep this information up to date. Please notify the Watermaster of any changes.
APN#(s) (or water supply service area where transfer will be pumped and used Location has not yet been identified Purpose of Transfer: City Investment
• Permanent Transfer resulting from Property Sale/Transfer [PLEASE ATTACH DEED OR PRELIMINARY TITLE REPORT] • Additional Source of Water
• Other, explain_City Investment
Water is to be Transferred from/to: (transferred water retains its original water type):
• Current Year Production Right: amount _ acre-feet
Carry Over Water: amount _acre-feet
• Storage: amount acre-feet
• Other, explain To transfer 30 AF of permanent water rights from APN: 3114-011-907 to the City of Lancaster
(Transferred water retains its original water type - e.g., transferred Carry Over Water remains Carry Over water) WATER QUALITY AND WATER LEVELS (not required if transfer is in association of change of land ownership) Are Parties aware of any water quality issues that exist in either the area transferred from or to? Yes or No If yes, please explain:
Please provide groundwater elevations in the areas affected by the transfer. N/A Are Parties aware of any water level issues that exist in either the area transferred from or to? Yes or No If yes, please explain:
MAPS
Please include a map of the area where the water was used by the Transferor and a map of the area where the water is intended to be used by the Transferee. Include locations of production facilities involved in or affected by the Transfer. This map can include all possible locations of past source and use and future source and use. Map of transfer area included- final destination has not been determined for City of Lancaster.
SECURITY INTEREST OR LIENHOLDERS
For Permanent Transfers, please provide a list of all parties with a recorded security interest, deed of trust or a lien in such real property or in crops growing or to be grown thereon, and attach copies of written notices to such parties and copies of return receipts. N/A
The transfer shall be conditioned upon:
1. Transferee shall succeed to the right of Transferor under the terms of the Judgment.
2. Transferee shall only use Transferred waters for reasonable and beneficial uses.
3. Any Transferee not already a Party to the Judgment must intervene and become a Party to the Judgment.
4. All applicable assessments (Administrative and Balance) and transfer fees are paid in full.
5. If the Watermaster determines that the transfer has resulted in a material injury, the parties will be required to work with the Watermaster Board to mitigate that material injury.
6. For Permanent Transfers, the Parties agree to duly record in the office of the appropriate County Recorder a document reflecting the Permanent Transfer reflected in this Transfer Form.
7. The Transfer Request Form must bear the notarized signatures of both the transferor and the transferee.
8. The Seller/Transferor must be the owner of the water rights pursuant to the Judgment. No Party may transfer water rights held pursuant to a lease agreement or other private contract with the actual water rights owner.
SIGNATURES
I understand and agree to abide by the terms of the Antelope Valley Adjudication Judgment. I swear under penalty of perjury that the intormation provided on this Transfer Request Form is correct to the best of my knowledge, that I am authorized to enter into this Transfer on behalf of the party indicated below and to bind that party on whose behalf I am signing, and that signing this Transfer Request Form is within the scope of my authority, and that the signature below, whether original, electronic, or photocopied, is authorized and valid, and is affixed with the intent to be enforceable. I understand that it is my responsibility to notify the Antelope Valley Watermaster of any changes in any of the information provided on this form within 15 days. I also understand that additional information may be required if there is a suspected potential for a material injury as defined in the Judgment.
Signature of Transferor ¿Daniel P. JacoRs _Date 3/1/2024 Signature of Transferee JAsoN Caudh _Date 3/4/2024
To be completed by the Watermaster:
Watermaster Engineer Approval Date
Watermaster Board Approval Date
ANTELOPE VALLEY ERWY
Anterpe Vlley
Far grounds
W AVENUE H W AVENUE H W AVENUE H W AVENUE i
ANTELOPE VALLEY FRWY
APN 3114-011-907
Antelope Valley Fairgrounds
ACKNOWLEDGMENT
A notary public or other officer completing this
State of California
County of Los Angeles
on March 1, 2024 before me, Heather Breheny, Notary Public (insert name and title of the officer)
personally appeared Daniel Patrick Jacobs
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(8), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. assassas
HEATHER BREHENY L
COMM. #2451626
NOTARY PUBLIC - CALIFORNIA
LOS ANGELES COUNTY
My Comm Expires JUNE 25, 2027
signu Heathe Bretty (Seal)
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document
State of California
County of Los Angeles
on March 4,2024 before me, Heather Breheny, Notary Public (insert name and title of the officer)
personally appeared Jason Caudle,
who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is/are- subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. HEATHER BREHENY!
COMM. #2451626 PTO
TARY PUBLIC - CALIFORN
OS ANGELES COUNT
My Comen Expires JUNE 26, 2027 /
some seather Behery (Seal)