Delta Measurement Experiment Consortium Request for Extension
of Time Opt-in Form

Pursuant to a Senate Bill 88 and implementing regulations, those claiming the right to divert more than 10 acre-feet of water per year must measure and report the timing, rate and volume of their water diversions to the State Water Resources Control Board. The below-identified water right claimant whose point(s) of diversion are within the Legal Delta hereby joins in a Request for Extension of Time to comply with the measurement regulation filed by [Name of Sponsoring Entity/Member of Consortium].

Water Right Information

Water RightOwner: / [Name as it appears on the Statement of Diversion and Use on file with the SWRCB]
Authorized Representative: / [Name of a human being]
Phone: / ( ) - / Email:
Address of Owner or
Authorized Representative:
(circle one) /

Street Address

/

City

/

State

/

ZIP Code

Statement(s) of Diversion & Use: / S / 0
S / 0
S / 0
Permit or License: / A / 0
A / 0
A / 0
Assessor’s Parcel Number(s):
(served by water diverted under the identified claim(s)

Briefly describe the diversion facility.

Number of month(s) extension of time requested:
(24 months maximum can be requested)

I understand that the grant of an extension of time to comply with the measurement regulation does not change the responsibility for filing the annual water use report due by June 30 of each year. On behalf of the subject water right claim, I acknowledge individual responsibility to submit the annual use report. During the period of this extension of time, water use under the above-referenced claim will be estimated and reported in good faith, based on current practices and any interim improvement of such practices.

In connection with the exercise of the above-referenced claim(s), I, ___[Authorized Representative]____, am also aware of theresponsibility to comply with the measurement regulation. Following diligent effort to comply with the regulation, I have determined that compliance by January 1, 2019 is not possible because of obstacles presented by the specific circumstances of the applicable point of diversion for the subject water right claim(s) within the Delta (tidal gate, syphon, fouling/corrosion potential, unreliability of available devices, etc.). Further, I have learned that a variety of measurement devices installed by others have failed under harsh Delta conditions. Therefore, I have decided to join the [Name of Sponsoring Entity] program of experimentation. I anticipate that the program of experimentation will identify practical devices, methods or alternatives for fully complying with the measurement regulation. [Name of Sponsoring Entity]is hereby designated as representative of the above-referenced claim(s)before the Delta Watermaster as to any matter related to this request for extension of time.

Signature: /
Date:
Print:

This completed form and any attachments should be submitted as an email attachment to:

Or in hard copy to:State Water Resources Control Board

Office of the Delta Watermaster

P.O. Box 100, Sacramento, CA 95812

This form is only available to water right claimantswhose point(s) of diversion are located within the Legal Delta and who are represented by a sponsor participating within the Delta Measurement Experiment Consortium. The State Water Board will review the facts presented to determine whether additional time may be granted based on good cause. (Cal. Code Regs., tit. 23, § 936.)

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