| SEGREGATION REQUEST FORM |
The Adobe reader is required to print this form. It may be acquired at the following link. 
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INSTRUCTIONS:
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1. Enter Water Right Number, and then click 'Display Data'.
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2. Follow the instructions in BLUE.
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3. When finished, generate the printable form by clicking 'Print Data'.
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4. All owners involved in the Segregation MUST then sign the form in the spaces provided.
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5. Finally, Print and Mail the Form or bring it to the Division of Water Rights ALONG WITH THE FEE of $50.00.
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TITLE AND OWNERSHIP INSTRUCTIONS FOR SEGREGATING (SPLITTING) WATER RIGHTS:
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1. Ownership of the water right to be segregated MUST be clearly defined. if the right is to be
segregated by less than all of the owners, then undivided
interests must be split to establish definite, unique interests among all parties.
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2. As mentioned above, if a right has multiple owners, all owners must sign the segregation request.
However, if each owner's interest includes
the amount of water, the uses, and the place of use clearly defined, then one owner can file a segregation request without the signatures of the other
owners.
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3. The sole supply quantifications for each use in each group that are being affected by this segregation
MUST be established prior to a segregation
request being filed. The ownership interests when totaled
MUST equal the sole supply quantifications.
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