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This template is provided as offline worksheets and all requests must be submitted using on-line New Request Form.

A. Applicant Information

Requesting Agency Information
Agency Name:
Address:
City: Zip:
Work Phone: Cell Phone:
Email: Fax:
Revision Request Manager Information
Person Name:
Address:
City: Zip:
Work Phone: Cell Phone:
Email: Fax:

B. Description of Proposed Boundary Modification

  1. Short Description
  1. Type of basin boundary revision
  • Scientific External
  1. Provide a narrative overview of the boundary modification request and how the resulting modification would affect likelihood of sustainable management.
  1. List of existing basin(s)/subbasin(s)
  1. Provide the proposed name for the new basin(s) or subbasin(s)

C. Initial Notification and Combination of Requests

  1. Was an initial notification submitted to the Department?

D. Required Documents for All Modifications

  1. A copy of the statutory or other legal authority under which the requesting agency was created with specific citations to the provisions setting forth the duties and responsibilities of the agency.
  1. A copy of the signed resolution adopted by the requesting agency formally initiating the boundary modification request process.
  1. A map of adequate scale (no greater than 1:24,000; e.g., 1:10,000 is not acceptable) showing the proposed modified basin boundary in relation to the existing Bulletin-118 basin boundary and the local agencies that are within or bordering the existing and proposed basin.
  1. A GIS shapefile of the proposed modified groundwater basin boundaries. Download Existing B118 basin shape file | DWR Spatial Data Standards
  1. A GIS shapefile of the political boundaries of any affected or adjacent local agency. Download water agency shape file
  1. Any information, if necessary, to enable DWR to satisfy the requirements of a responsible agency pursuant to the California Environmental Quality Act.

E. General Information

  1. Describe the lateral boundaries of the alluvial aquifer or aquifers that form the groundwater basin and the definable bottom of the basin. The description must be in terms that are clear, definite, and sufficiently detailed to allow an authoritative map of the proposed basin boundaries to be plotted using the given description.

F. Notice and Consultation

  1. List all local agencies and public water systems affected by the basin(s) modification request.
  1. Explain the methods used to identify interested local agencies and public water systems in the affected basin(s):
  1. Provide information regarding the nature of consultations with affected or interested agencies. Attach and cite any copies of correspondences with local agencies and public water systems and/or any other persons or entities consulted.
  1. Provide a summary of all public meetings at which the proposed boundary modification was discussed or considered by the requesting agency. Attach and cite any copies of agendas and notices published.
  1. Attach a copy of all comments regarding the proposed boundary modification received by the requesting agency and a summary of any responses made by the requesting agency.

H. Local Support

  1. Provide any evidence that sufficient information was provided to affected agencies and systems regarding the proposed boundary modification.
  1. Provide a list of all affected agencies and affected systems that submitted comments and/or documents in support or opposition to the proposed boundary. The agency submitting their support or opposition for a boundary modification must provide a copy of a resolution formally adopted by the decision-making body of the affected agency or system or a letter signed by an executive officer or other official with appropriate delegated authority who represents the agency or system. Attach copies of the resolution and/or signed letter detailing the support or opposition submitted.
  1. Provide any evidence that rebuts any opposition to the proposed boundary modification.

I. Hydrogeologic Conceptual Model

  1. Principal aquifer units within requested basin.
  2. Lateral boundaries of the proposed basin, including:
    1. Geologic features that significantly impede or impact groundwater flow.
    2. Aquifer characteristics that significantly impede or impact groundwater flow.
    3. Significant geologic and hydrologic features and conditions of the principle aquifer units, as appropriate, including information regarding the confined or unconfined nature of the aquifer, facies changes, truncation of units, the presence of faults or folds that impede groundwater flow, or other groundwater flow restricting features.
    4. Key surface water bodies, groundwater divides and significant recharge sources.
  3. Recharge and discharge areas within the basin.
  4. Definable bottom of the basin or subbasin.

The department may waive this requirement for an internal boundary modification if the requesting agency is able to demonstrate that the proposed boundary modification is unlikely to affect sustainable groundwater management.

J. Technical Studies for External Scientific Modifications

  1. A qualified map that depicts the lateral boundaries of the aquifers that define the basin or subbasin.
  1. A technical study that provides subsurface data that demonstrates the vertical thickness and relevant physical properties of the alluvial aquifer or stacked series of alluvial aquifers.