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� <br />= — <br />_ _ <br />� <br />� <br />TCEC� <br />Texas Commission on Environmental Qualitv <br />PO Box 13087, MC-160, Austin, Texas 78711-3087 <br />Telephone (512) 239-4691, FAX (512) 239-4770 <br />APPLICATION FOR AMENDMENT TO A WATER RIGHT <br />Notice: This form will not be processed until all delinquent fees and/or penalties owed to the TCEQ or the Office <br />of the Attorney General on behalf of the TCEQ are paid in accordance with the Delinquent Fee and Penalty <br />Protocol. <br />Customer Reference Number (if issued): CN <br />Note: If you do not have a Customer Reference Number, complete Section II of the Core Data Form (TCEQ-10400) and submit it with this application. <br />Name: Citv of Paris. Texas <br />Address: P.O. Box 9037 <br />Paris, Texas 75461-9037 <br />Phone Number: 903-784-9201 <br />Email Address: iaodwin(a�paristexas.qov <br />2. Applicant owes fees or penalties? <br />r� Yes r� No <br />Fax Number: 903-785-8519 <br />If yes, provide the amount and the nature of the fee or penalty as well as any identifying number: <br />3. rl Permit No. r Certificate of Adjudication No. 02-4940A <br />Stream: Sanders Creek Tributarv of Red River Watershed: Red River Basin and Sulqhur River Basin <br />Reservoir (present condition, if one exists): Pat Mavse Reservoir (qood) <br />County: Lamar <br />4. Proposed Changes To Water Right Authorizations: <br />This application seeks to amend Certificate of Adiudication No. 02-4940A to add an aqricultural <br />purpose of use to the existinq authorization in that appropriation. <br />(Attach additional page as necessary, attach map/plat depicting project location, diversion point, place of use, and other pertinent data). <br />5. I understand the Agency may require additional information in regard to the requested amendment before <br />considering this application. <br />Name (sign) <br />Name (print) <br />Name (sign) <br />John Godwin, City Manaqer <br />Name (print) <br />Subscribed and sworn to me as being true and correct before me this day of <br />20 <br />Notary Public, State of Texas <br />Form TCEQ-10201 (revised 2/2010) �� � � <br />Error! Unknown document property name. EX H� B I T v�, <br />� ( <br />Page 1 <br />