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1615 N. St. Mary's Sheet San Antonio, Texas 78215 Telephone (210) 222 -2204 Fax (210) 222 -9869 www.edwan158gUiferorg r------------------ 'T ' 'Check # '---- ---- ----- - - ---1 ri u �u t- �� z `'Y'a`..L. ice. a'."ati_; .TS.`�i � .�:^°, -'h�� n -_� � +a ,u. �k.� A. Groundwater Use Information for Transferor (Lessor): Initial Regular Permit (IRP)IRegular Permit (RP) No: P 100- 828(HAO0222) Current purpose of use: 8 Municipal Use Amount of groundwater used to date: Meter Serial Number: Proposed purpose of use: ❑ Municipal Use Do you intend to withdraw this water? 8 Yes ❑ Industrial Use ❑ Irrigation Use acre-feet Reading: 8 Industrial Use ❑ Irrigation Use ❑ No At what rate? If YES, please describe what this water will be used for? Quarry operation Meter readings (Note: readings must be taken within one week of submission of application): ❑ Not Applicable (no well) ❑ Meter Serial Number.. Meter Serial Number: Reading: — Reading: (attach additional sheets ff needeO Date: Date: Date: gallons per minute 4A) A. Transferor Information: Name of Permit Holder. City of San Marcos, a Texas municipal corporation Mailing Address: 630E Hopkins San Marcos Texas 78666 (Street or PO Box) (City) (State) (zip) Physical Address: ( Stred) (City) (ate) (zip) Telephone: E -mail Address: Authorized Representative: Thomas P Taggart Director of Public Services (512) 393 -8303 Mme) (Rdationdep) (Telephone) Mailing Address: 630 E. Hopkins San Marcos Texas 78666 (Street or PO Box) (City) (Stab) (ZIP) Has any of the above information recently changed? ❑ Yes ❑ No B. Transferee Information: Name of Transferee: Martin Marietta Materials Southwest Inc a Texas corporation Mailing Address: 8200 IH 10 West, Suite 600 San Antonio Texas 78230 (Street or PO Box) (W (State) (zip) Physical Address: (street) (City) (State) (2<P) Telephone: E -mail Address: Authorized Representative: Davin "Buck" Benson Attomey (210) 222 -9494 (Name) (RelaltonsWp) (Tel*one) Mailing Address: 2161 NW Military Hwy, Suite 400 San Antonio Texas 78213 (Skeet or PO Box) (City) (State) (zip) Has any of the above information recently changed? ❑ Yes ❑ No ri u �u t- �� z `'Y'a`..L. ice. a'."ati_; .TS.`�i � .�:^°, -'h�� n -_� � +a ,u. �k.� A. Groundwater Use Information for Transferor (Lessor): Initial Regular Permit (IRP)IRegular Permit (RP) No: P 100- 828(HAO0222) Current purpose of use: 8 Municipal Use Amount of groundwater used to date: Meter Serial Number: Proposed purpose of use: ❑ Municipal Use Do you intend to withdraw this water? 8 Yes ❑ Industrial Use ❑ Irrigation Use acre-feet Reading: 8 Industrial Use ❑ Irrigation Use ❑ No At what rate? If YES, please describe what this water will be used for? Quarry operation Meter readings (Note: readings must be taken within one week of submission of application): ❑ Not Applicable (no well) ❑ Meter Serial Number.. Meter Serial Number: Reading: — Reading: (attach additional sheets ff needeO Date: Date: Date: gallons per minute 4A)