BEFORE THE STATE ENGINEER OF THE STATE OF NEVADA
APPLICATION FOR EXTENSION OF TIME FOR FILING PROOF OF BENEFICIAL USE
MANNER OF USE: STOCKWATERING OR WILDLIFE
Name of person signing this form
4. Current owner(s) of record in the Nevada Division of Water Resources (NDWR):
a. If the permit has multiple owners, on whose behalf is this application being filed?
Name(s) of owners for which this application is filed
8. If requesting more than one year for extension of time, please state the reason for requesting multiple years.
14. If Wildlife use other than watering animals, how has the water been placed to beneficial use in the last 12 months?
16. Describe what work must be completed before water can be placed to beneficial use under the terms of the permit.
17. Describe the progress made during the previous year(s) and explain why this request for an extension of time is needed.
18. Describe your plans for the next year(s) towards completing your Proof of Beneficial Use.
YOU WILL BE PROMPTED FOR A $120 FILING FEE PER YEAR REQUESTED IN THIS APPLICATION FOR EXTENSION OF TIME.
A SEPARATE APPLICATION MUST BE FILED FOR EACH PERMIT.