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, 5022 West Avenue N, Suite 102, Box 195, Palmdale, CA 93551 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 No TEMPORARY/ONE-TIME TRANSFER? Yes or No Permanent Amount 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 R equested
If Temporary, Calendar Year(s) to be Used
Which Party will be paying the annual Administrative Assessment(s) for the transferred water? Is either Party a member of the Antelope Valley United Mutuals Group? Yes or No TRANSFER FROM (SELLER/TRANSFEROR):
Name Street Address
City State Zip Code
Phone email
APN#(s) where transfer originates (i.e., production well location(s))
APN#(s) (or water supply service area) where groundwater was used
TRANSFER TO (BUYER/TRANSFEREE):
Name Street Address
City State Zip Code
Phone email
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
Purpose of Transfer:
Permanent Transfer resulting from Property Sale/Transfer [PLEASE ATTACH DEED OR PRELIMINARY TITLE REPORT] Additional Source of Water
Other, explain
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
Specified Year(s) ______________________
Oldest Water Available
Storage: amount acre-feet
Other, explain
(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? Ye s or No If yes, please explain:
Please provide groundwater elevations in the areas affected by the transfer.
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.
SECURITY IN TEREST OR LIENHOLDERS
For P ermanent 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.
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.
To be completed by the Watermaster:
Watermaster Engineer Approval Date
Watermaster Board Approval Date
SIGNATURES
I understand and agree to abide by the terms of the Antelope Valley Adjudication Judgment. I swear under penalty of perjury that the information 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 Date
Signature of Transferee Date