Program Application and AgreementLong-Term Groundwater Replenishment • August 11th, 2023
Applicant Information Applicant Year: Applicant Name:Applicant Mailing Address: Applicant Phone Number: Property Address Where Applicant Would Apply Water Provided by the GRP Property APN#(s) Where Applicant Would Apply Water Provided by the GRP (“Applicable Land”) Total Acreage OfApplicable Land Total Acreage To Be Irrigated or For Conjunctive Use with WaterProvided by the GRP Crops To Be Irrigate with Water Providedthe GRP d by (Attach additional addresses if more than one address exists for the Applicable Land.) Proposed Method(s) of Irrigation: If a pump is used for irrigation, provide the pumping rate in Gallons Per Minute (“GPM”): GPM Proposed MID conveyance facility from which GRP water will be delivered: Estimated Fees: Category $ per Acre-Foot Estimated af/acre Total Acres Cost In-Lieu Water Mandator
