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APPLICATION To TRANSFER , <br />1815 N. St. Mary's Street, San Antonio, Texas 78215 <br />Telephone (210) 222 -2204 ----------------- <br />Fax (210) 222 -9889 <br />EDMRlls AwiFFR <br />www oorwardsaquiter org Check # <br />A U, 11 6 N 1 Y Y ' <br />PART] - TRANSFEROR AND TRANSFEREE INFORMATION <br />A. Transferor Information: <br />Name of Permit Holder: City of San Marcos, a Texas municipal corporation <br />Mailing Address: 630 E. Hopkins San Marcos <br />Texas <br />78666 <br />(Streator PO Box) (City) <br />(State) <br />(Zip) <br />Physical Address: <br />(Street) (City) <br />(State) <br />(Zip) <br />Telephone: E -mail Address: <br />Authorized Representative: Thomas P. Taggart Director of Public Services <br />(512) <br />393 -8303 <br />(Name) (Relationship) <br />(Telephone) <br />Mailing Address: 630 E. Hopkins San Marcos <br />Texas <br />78666 <br />(Street or PO Box) (City) <br />(State) <br />(Zip) <br />Has any of the above information recently changed? ❑ Yes ❑ No <br />B. Transferee Information: <br />Name of Transferee: Martin Marietta Materials Southwest, Inc., a Texas corporation <br />Mailing Address, 5710 West Hausman Road, Suite 121 San Antonio <br />Texas <br />78249 <br />(Street or PO Box) (CRY) <br />(State) <br />(Zlp) <br />Physical Address: <br />(Street) (City) <br />(State) <br />(Zip) <br />Telephone: E -mail Address: <br />Authorized Representative: Davin "Buck" Benson Attomey <br />(210) 222 -9494 <br />(Name) (Relationship) <br />(relephone) <br />Mailing Address: 2161 NW Military Hwy, Suite 400 San Antonio <br />Texas <br />78213 <br />(Street or PO Box) (City) <br />(State) <br />(Zip) <br />Has any of the above information recently changed? ❑ Yes ❑ No <br />TART 11 -'., WATfi 0614' INFORMATION , <br />A. Groundwater Use Information for Transferor (Lessor): Initial Regular Permit (IRP)IRegular Permit (RP) No: P.,,1 „00-828 HA00222 <br />Current purpose of use: 6 Municipal Use ❑ Industrial Use ❑ Irrigation Use <br />Amount of groundwater used to date: <br />Meter Serial Number: <br />Reading: <br />me -feet <br />Date: <br />B. Groundwater Use information for Transferee (Lessee): If applicable, Initial Regular Permit (IRP)IRegular Permit (RP) No: p100- 2 9i (BEO00 <br />Proposed purpose of use: ❑ Municipal Use <br />Do you intend to withdraw this water? 6 Yes <br />A Industrial Use ❑ Irrigation Use <br />❑ No At what rate? <br />If YES, please describe what this water will be used for? Quarry operation <br />Meter readings (Note: readings must be taken within one week of submission of application): <br />❑ Not Applicable (no well) <br />❑ Meter Serial Number Reading: <br />Date: <br />Meter Serial Number. Reading: Date: <br />(attach additional sheets Il needed) <br />gallons per minute <br />