Mitigation Intake Form

Fill out form below if you are interested in purchasing mitigation from the Okanogan County Water Bank.

Applicant Name*

Phone

Address and/or parcel number(s) where mitigation water will be used. *

Are you a junior/interuptible water right holder?*

Yes

Unknown

Is this mitigation for a new or existing use?*

New use

Existing use

Purpose of use for mitigation?*

Irrigation

Commercial

Industrial

Domestic Single (one residence)

Domestic Multiple (multiple residences)

Other

Describe your proposed use.*

If not for Domestic, define the mitigation term requested.

If not for Domestic, define the period of use.

If not for Domestic Single, what are the proposed quantities to be mitigated?

Please provide annual volume (in acre-feet or gallons), instantaneous rate (in gallons per minute or cfs) and acres (if irrigation)

What is the proposed source for the new water use?*

Existing well

New well

Existing surface diversion

New surface diversion

Other

Describe the location(s) of the new source(s)*

If existing well, what is the Ecology well log ID? Please also, at end of form, upload a well log if available.

If surface water source, what is the name of the stream?

if other source, please describe.

If applicable, please describe any proposed retiming projects to be paired with this mitigation.

Have you previously discussed your project with the Department of Ecology? If yes, please provide the name of the Ecology Contact.

Has a water right application been previously submitted to Ecology for the new use?

Yes

Upload Supporting Documents

Please upload any relevant documents such as property deeds, water rights, well logs, etc.

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