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rruu m wancy, man Antons <br />Telephone (210) 222-2204 <br />Fox (210) 222.9869 <br />WMV.. edwardsaqurlar org <br />------------------ <br />! <br />Check d <br />.................. <br />'::f.-.\t��. v:,i';..I: ::..::: Vii...'•: �:.: - <br />- <br />13 bu p <br />ppn��{(cc pppCCep T y� ... <br />�.-,............: .. .:.. ,•....:}J�S!IY:�M.RMFS �.. ..-,. _ITlV:�`,: ":;`,. '. a:.:..,... �s:�s.-. �.�a�3_r.:, •,.>_: <br />A. TransterorInformation: <br />Name of Permit Holder: City of San Marcos, a Texas municipal corporation <br />Mailing Address: 630 E. Hope <br />San Marcos <br />Texas <br />78666 <br />(Streel a PO on) <br />(CRY) <br />(State) <br />(Zip) <br />Physical Address: <br />(Shen Ply) <br />(Sueel) <br />(City) <br />(state) <br />(zip) <br />Telephone: <br />-E-mal Address: <br />Authorized Representative: Devin "BuOV Benson <br />Authorized Representative: Thomas P. Taggart <br />Director of Public Services <br />(592) 393-8303 <br />(Relauokft <br />(Name) <br />(Relaronsh'p) <br />(1rdapi"o) <br />Mailing Address: 630 E. Hopkins <br />San Marcos <br />Texas <br />78666 <br />(SlreetorPoBox) <br />(CIV) <br />{Slate) <br />(Zip) <br />Has any of tho above Information recently changed? <br />4 Yes a 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 129 San Antonio <br />Texas <br />78248 <br />(SlreelcrPonox) ft) <br />(State) <br />(Zip) <br />Physical Address: <br />(Shen Ply) <br />-- <br />(Slats) <br />(ZIP) <br />Telephone: E -mall Address: <br />Authorized Representative: Devin "BuOV Benson <br />Attorney <br />210.892-1610 <br />(Name) <br />(Relauokft <br />(Telephone) <br />Mailing Address: 2161 NW Military Hwy, Suite 400 <br />San Antonio <br />Texas <br />78213 <br />(stmetol Po Box) . <br />(aty) <br />(state) <br />00) <br />Has any of the above information recently changed? ❑ Yes a No <br />is '�'� �2. - 41:: :til:,:\':' .:'l}='. �••`:: ".;% <br />....: :..�., ..:.,,.• .. {�' <br />A. Groundwater Use Information for Transferor (Lessor): initial Regular Permit (IRP)IRegutar Permil (RP) No: P to0.828(HAoo222) <br />Current purpose of use: 13 Municipal use ❑industrial Use ❑ Irrigation use <br />Amount of groundwater used to data: acre -(eel <br />Meter Serial Number: Reading: Dale: <br />B. Groundwater Use Information forTransferee (Lessee): If applicable, initial Regular Permit (iRP)1Rsguiar Permit (RP) No: P <br />Proposed purpose of use: ❑ Municipal use m Industrial use ❑ irrigation use <br />Do you intend to withdraw this water? Z Yes ❑ No At what rate? <br />gallons per minute <br />If YES, please describe what this water will be used for? Quarry operation <br />Meter readings (Note: readings must be taken within one Meek of submission of application): <br />❑ No[ Applicable (no well) <br />❑ Meier Serial Number: Reading: Date: <br />Meter Serial Number: Reading: Date: <br />(atlaclr addlilonal sheers !f needed) <br />