Click here to download a copy of the Appendix "D" (in pdf)
AFFIDAVIT ON USE OF
BESSEMER DITCH SHARES ST. CHARLES MESA WATER DISTRICT PARCEL NO. ____________
NAME:______________________________________________________
TELEPHONE NUMBER:__________________________________________
I am the owner or former owner of the property described as St. Charles Mesa Water District Parcel No. (See above) ("Property"). (Circle appropriate description.)
To my knowledge, the prior owners/irrigators of the Property were:_____________________________________
Other water rights/well used to supplement the Bessemer Ditch irrigation supply for the Property include: (if possible, include well permit numbers, well capacities and quantities of water available, acre feet/year available from other surface diversions.):_________________________
The method of irrigation used on the property was (for example, flood, sprinkler, etc.):____________________________________
This property is now used for (check one):
Commercial:_____________________________
Other (Explain):________________________
The history and details of my irrigation of this property are set forth below:
| Year(s) | # of Acres Irrigated By Bessemer Ditch Shares | # of Shares Used | Was the supplemental source of irrigation supply used? | Crops grown* insert number from choices below | If more than one crop, acreages for each crop | Irrigation Season (approx dates of first and last irrigation) |
Other relevant information concerning the historical use of the Bessemer Ditch shares on the property:
______________________________________________________________________________
I,_________________________________, state that the preceding information is accurate to the best of my knowledge.
Date:________________________, 20____________________Signature:_________________
* Crops grown, choose from:
- Alfalfa
- Beans
- Corn
- Pasture Grass
- Small Grains
- Sorghum
- Soybeans
- Tomatoes
- Other Vegetables (truck crops)