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4 <br />1615 N. St. Mary's Street, San Antonio, Texas 78215 <br />Telephone (210) 222 -2204 <br />Fax (210) 222 -9869 <br />rmrsnrw Arvm=o I www.adwardsaquifer.org <br />----- -------- --- --� <br />'T ' <br />Check # <br />'-------- ----- - - - - -' <br />A. Transferorinformation: <br />Name of Permit Holder: City of San Marcos, a Texas municipal corporation <br />Mailing Address: 630 E. Hopkins <br />San Marcos <br />Texas <br />78666 <br />(Street or PO Box) <br />(City) <br />(State) <br />(zip) <br />Physical Address: <br />(Street) <br />(City) <br />(State) <br />(zip) <br />Telephone: <br />E -mail Address: <br />Authorized Representative: Thomas P. Taggart <br />Director of Public Services <br />(512) 393 -8303 <br />(Name) <br />(Relationship) <br />(Telephone) <br />Mailing Address: 630 E. Hopkins <br />San Marcos <br />Texas <br />78666 <br />(Street or PO Box) <br />(City) <br />(State) <br />(zip) <br />Has any of the above information recently changed? <br />❑ Yes ❑ No <br />B. Transferee Information: <br />Name of Transferee: Martin Marietta Materials Southwest, Inc., a Texas corporation <br />Mailing Address: 8200 IH 10 West, Suite 600 <br />San Antonio <br />Texas <br />78230 <br />(Street or PO Box) <br />(City) <br />(State) <br />(zip) <br />Physical Address: <br />(Street) <br />(City) <br />(State) <br />(zip) <br />Telephone: <br />E -mail Address: <br />Authorized Representative: Devin "Buck" Benson <br />Attorney <br />(210) 222 -9494 <br />(Name) <br />(Relationship) <br />(Telephone) <br />Mailing Address: 2161 NW Military Hwy, Suite 400 San Antonio <br />Texas <br />78213 <br />(Street or PO Box) <br />(City) <br />(State) <br />(zip) <br />Has any of the above information recently changed? <br />❑ Yes ❑ No <br />PART II —WATER USE INFORMATION <br />A. Groundwater Use Information for Transferor (Lessor): Initial Regular Permit (IRP) /Regular Permit (RP) No: P 100- 828(HAO0222) <br />Current purpose of use: 8 Municipal Use <br />Amount of groundwater used to date: <br />Meter Serial Number: <br />❑ Industrial Use ❑ Irrigation Use <br />acre -feet <br />Reading: <br />Date: <br />B. Groundwater Use Information for Transferee (Lessee): If applicable, Initial Regular Permit (IRP) /Regular Permit (RP) No: P10 0 - 2 91 (BE 0 0 0 <br />Proposed purpose of use: ❑ Municipal Use Industrial Use ❑ Irrigation Use <br />Do you intend to withdraw this water? 8 Yes ❑ No At what rate? 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 week of submission of application): <br />❑ Not Applicable (no well) <br />❑ Meter Serial Number: <br />Meter Serial Number: <br />Reading: <br />Reading: <br />(attach additional sheets if needed) <br />Date: <br />Date: <br />