Nevada Code § 533.400

Verified statement to be filed with State Engineer by holder of permit within time set in endorsement on permit: Contents of statement; proof of beneficial use
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1. Except as otherwise provided in
subsection 2, on or before the date set in the endorsement of a permit for the
application of water to beneficial use, or on the date set by the State
Engineer under a proper application for extension therefor, any person holding
a permit from the State Engineer to appropriate the public waters of the State
of Nevada, to change the place of diversion or the manner or place of use,
shall file with the State Engineer a statement under oath, on a form prescribed
by the State Engineer. The statement must include:
(a) The name and post office address of the
person making the proof.
(b) The number and date of the permit for which
proof is made.
(c) The source of the water supply.
(d) The name of the canal or other works by which
the water is conducted to the place of use.
(e) The name of the original person to whom the
permit was issued.
(f) The purpose for which the water is used.
(g) If for irrigation, the actual number of acres
of land upon which the water granted in the permit has been beneficially used,
giving the same by 40-acre legal subdivisions when possible.
(h) An actual measurement taken by a licensed
state water right surveyor or an official or employee of the Office of the
State Engineer of the water diverted for beneficial use.
(i) The capacity of the works of diversion.
(j) If for power, the dimensions and capacity of
the flume, pipe, ditch or other conduit.
(k) The average grade and difference in elevation
between the termini of any conduit.
(l) The number of months, naming them, in which
water has been beneficially used.
(m) The amount of water beneficially used, taken
from actual measurements, together with such other data as the State Engineer
may require to become acquainted with the amount of the appropriation for which
the proof is filed.
2. The provisions of subsection 1 do not
apply to a person holding an environmental permit or a temporary permit issued
pursuant to NRS 533.436 or 533.504 .

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