IR Checklist

Application:IS70753
Name:OREGON WATER RESOURCES DEPARTMENT
UseSupplemental?Priority Date
ANADROMOUS AND RESIDENT FISH HABITAT (INSTREAM) 10/11/1990
__ MU or QM:    [] will complete construction within 20 years 
   [] Fujii reviewed    recomendations:_________________________________________

__ Is the application complete? [] No     [] Yes

__ Prohibited by ORS 538? [] No     [] Yes    If so, do not do an IR; return the application & fees to the applicant.

__ DIV 9 [] will likely be available... [] will not likely be available...[] will, if properly conditioned...

[] classify as surface water well ___________________ has PSI with _________________________
(include basin map if true) well __________ is within [] 1N 3E 20,21,28,29   [] GWLA   [] CGWA _____________
GW conditions: _________________________________________________________________________
Ground Water Restricted Area(s): Groundwater Mitigation - Upper Deschutes

__ Division 33     []  NA     []  No     []  allowed 4/15 ~ 9/30

[] Division 33 Area(s):Statewide, Upper Columbia

__ SW Availability [] NA   [] 80% live   [] 50% storage _________________________________________________

WID(s): <a href="http://apps.wrd.state.or.us/apps/wars/wars_display_wa_tables/display_wa_table.asp?ws_id=0&exlevel=80" target="_blank"> (0)</a>
<a href="http://apps.wrd.state.or.us/apps/wars/wars_display_wa_tables/display_wa_table.asp?ws_id=30530643&exlevel=80" target="_blank">DESCHUTES R > COLUMBIA R - AB SHITIKE CR (30530643)</a>
<a href="http://apps.wrd.state.or.us/apps/wars/wars_display_wa_tables/display_wa_table.asp?ws_id=70753&exlevel=80" target="_blank">WHYCHUS CR > DESCHUTES R - AT MOUTH (70753)</a>


[] Use DWF's nonstandard W/A memo if the source is a Drews Reservoir tributary; the Snake River; the Columbia River; the North Umpqua River below Rock Creek; or within the drainages of the Lost River, Chehalem Creek, or Champoeg Creek (including Mission & Case Creeks)

__ POU Conflict? [] NA   [] No, different sources   [] No, make up a deficiency in rate   [] No, existing not at max rate

[] Yes _____________________________________________________________________________

__ Use is supplemental, checked for primary rights  [] NA    [] Yes     limits ________________________________

__ Use is   [] allowed    [] not allowed    [] limited    [] OAR   [] Compact __________________________________

__ Requested Use/Rate Season __________________________________________________________________________ 
Allowed Use/Rate/Duty __________________________________________   Limit _____________ Duty _____________

__ Land use :  []approved    [] not approved    [] being pursued    [] county notified    [] NA 

__ Storage Contracts: [] NA   [] BOR   [] Doug County   [] Corp of Eng   [] needed    [] obtained __________________    

__ Authorized agent specified:  [] NA    [] needed   [] Yes ________________________________________

__ Conditions: _______________________________________________________________

[] Small ≤ 0.1 CFS, ≤ 9.2 AF,  [] Medium > 0.1 and < 1.5 CFS, > 9.2 and < 100AF,    [] Large ≥ 1.5 CFS, ≥ 100 AF
Use “Medium” when the source is Siltcoos Lake, Sandy Basin ground water, or stored water with a contract.
Use “Large” when permit has temp control (including NU) or HC above a SWW, Tenmile Lake, or when the applicant is a government entity
Use “Large-7g” or “Large-7i” if GW recommends 7g or 7i
Use “Large with totalizing flow meter” for IR permits in South Salem Hills or IR over 10 Ac. in Stage Gulch CGWA

__ Stream withdrawn     [] NA   [] No   [] Yes, allows use/season  

Area(s):  

__ Basin Maps have been checked   [] NA    [] Yes  limits ________________________________________________________

__ SWW [] ABOVE   [] WITHIN   [] NA  (If above or within, notify Parks.)  Name

Scenic Water Way(s):   , ABOVE The Deschutes Scenic Waterway, WITHIN The Deschutes Scenic Waterway

__ Use is within a high priority area for streamflow restoration? [] NA   [] No   [] Yes

Priority WAB(s):  DESCHUTES R ab SHITIKE CR (OWRD: Good, ODFW: Moderate) (30530643)
SQUAW CR @ mouth (OWRD: Very good, ODFW: High) (70753)

__ Letter format [] Good   [] Limited  [] Bad   [] Bad w/ rate reduction opportunity    [] Bad w/ HC opportunity

__ POD is within North Umpqua settlement reach and the spreadsheet was updated ? [] NA    [] Yes

__ Forms  [] NA   [] DIV 33  [] basin map   [] HC except    [] spring description    [] other _______________________________

__ Copy to    [] NWR  [] WM# ___ [] ODFW [] CRIFC
[] NCR   [] Agent [] DEQ [] US Fish & Wildlife
[] ER [] CWRE [] DOA [] NW Planning Council
[] SWR    [] State Parks [] CTUIR
[] DOA Food Safety Division   
(bottled water)
[] City ______________________
(w/in 5-mile muni wells)
___________________________________________________________________________________
___________________________________________________________________________________

__ Any affected land owners? _________________________________________________________

__ Prior to permit, applicant must submit  [] NA   [] storage contract   [] easement [] plans/specs [] evidence of well repair

__ App and map meet min. requirements[] Yes   [] No _________________________________________
(If not, send IR certified.)

__ Fees

_________ CFS             Base __________
_________ AF Up to 1 CFS __________
   __________  Add'l CFS @  ____________ __________
Up to 20 AF __________
__________ Add'l AF @ __________ __________
Add'l  [] POD/POA [] Use + __________
Exam Fee Required = __________
Exam Fee Payed __________
Still Owed __________

 


Name:______________________________________ Date:_________ Peer Reviewer:___________________
The purpose of this checklist is to be used as a working document by Department staff to aid in the production of the related Initial Review, Proposed Final Order, or Final Order. It is not intended to be a complete record of all factors which were considered to produce the document, nor is it intended to serve any purpose other than that stated above. The related Initial Review, Proposed Final Order, or Final Order is intended to stand alone as the record of factors considered in its production.