November 20, 2018 Rules

Plum Creek Conservation District
P.O. Box 328

Lockhart, Texas 78644 (512) 398-2383 FAX (512) 398-7776
info@pccd.org

PRODUCTION PERMIT CHECKLISTEXISTING WELL

To obtain a Water Well Production Permit for an Existing Well based upon its Historic use
the following additional information shall be provided to the District on forms provided bythe District:1.

Name and mailing address of the applicant/registrant and, if different, theowner of land on which the well is or will be located.

2.

If the applicant/registrant is other than the owner of the property,
documentation establishing the applicable authority to construct and/oroperate on the property described in the application for the proposed use.

3.

The location of the Existing Well or the location where a new well, test
well or test hole is to be drilled in sufficient detail to allow the District tolocate the placement of the well with reference to property ownership
records and location from access points.

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4.

A statement of the nature and purpose of the existing/proposed action, theamount of water to be used for each purpose, and the estimated rate at
which water will be produced from the well.

5.

An acknowledgment by the applicant/registrant that required informationin any Operating Permit will be furnished to the District by theapplicant/registrant upon completion of the well(s) and prior to productionof water therefrom under any Operating Permit.

6.

A water conservation and drought contingency plan, or a declaration thatthe applicant/registrant will comply with the District’s Groundwater
Management Plan.

7.

A water well closure plan, or a declaration that the applicant/registrant willcomply with well plugging guidelines and report closure to the TCEQ andthe District.

8.

For Well Fields the following additional information: (i) the total numberof wells within the Well Field; (ii) the location of each well within theWell Field; (iii) the cumulative maximum production limit from all wellsin the Well Field; (iv) the anticipated maximum instantaneous production
rates for each well in the Well Field; (v) the proposed construction
completion date for all wells in the Well Field, including the construction
completion date for each Well in the Well Field if available.

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OTHER:

9.

If available, a technical description of the well including, but not limited
to, all of the following:(a)a copy of the driller’s lithologic log and geophysical log for thewell.

(b)a completion record showing the depth of the well, the casing
diameter, type and setting, and the perforated intervals.

(c)the size of the pump used to produce groundwater from the well;and the date the well was drilled.

10.

The purposes of use for which water has historically been produced.

11.

The highest volume of water produced during any consecutive twelve (12)month period prior to January 1, 2004 supported by documentary evidence
corroborating such production and use.

12.

If known, monthly production during a period of twenty-four (24)consecutive months or for the number of months less than 24 during which
the well has operated.

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13.

The number of contiguous acres owned or leased for water production
from which the groundwater has been produced from the Existing Well.

14.

The number of acres owned or leased for water production by theapplicant.

15.

Additional information that may be required by the Board, and authorizedby Chapter 36, Texas Water Code.

Applicant’s Sworn Statement
I hereby swear and affirm that the information given herein is true and accurate to the best of myknowledge and belief, and that I am aware of, knowledgeable of, and will comply with all District Rules.

___________________________
Owner’s or Applicant’s Signature____________
Date