Appendix A
APPENDIX A BEFORE THE BEAR RIVER COMMISSION
PETITION REQUESTING
DECLARATION OF A WATER EMERGENCY
IN THE LOWER DIVISION
Adopted November 18, 1997
1. Name of Petitioner Date
Address
Home Phone Work Phone
2. Water Right Information:
By Owner
By State Water Right Number
3. If owner of the claimed water right is different than in the Water Delivery Schedule(s),
describe your interest in the water right; and, if necessary, provide documentation attached
to this petition confirming your interest.
4. Describe the amount of water you believe you are entitled to and are now being deprived
of its use.
5. State the beneficial use(s) to which you would place the water.
6. Describe the amount of water you are currently receiving and the beneficial use(s) to which
you are currently using the water.
7. If you can, indicate what portion of your current water supply is natural flow and what
portion is storage water.
8. If you are a contract holder for storage water in Bear Lake, identify the contract and its
status including amount of water received this year and last year.
9. If your use or supply has been restricted, describe what you have done to determine that
such restriction has not been due to junior diversions in Utah.
10. State the reasons which bring you to the conclusion that you are being deprived of water
to which you are entitled because of diversion in Idaho.
11. Identify, if you can, the diversions in Idaho you believe are depriving you of water.
12. Give any additional information you have that you believe will assist the Commission in
evaluating this petition and your allegations.
I represent that the above information is true and correct to the best of my knowledge and belief.
Signature and Title of Petitioner
IF SIGNED BY PERSON OTHER THAN PETITIONER, THIS PETITION MUST
BE ACCOMPANIED BY A SIGNED AND NOTARIZED POWER OF ATTORNEY