Pawnee Nation of Oklahoma Division of Natural Resources and Safety
Phone: 918.762.3655 | Fax: 918.762.6461 | Email:firstname.lastname@example.org 301 Agency Road, P.O. Box 470, Pawnee, OK 74058
Pawnee Nation Code of Laws Title XII, Chapter 15
ATTACH A "LEGAL" DESCRIPTION OF THE PLACE OF USE.
IF SURFACE WATER:
Name the water source and indicate if stream, spring, lake, etc. If unnamed, write "unnamed spring," "unnamed stream," etc.:
IF GROUND WATER:
Enter the north-south and east-west distances in feet from the point of diversion or withdrawal to the nearest section corner:
(Complete for all irrigation and agriculture uses
B. List total number of acres for other specified agricultural uses:
D. Farm uses:
A.Attach a map of the project.
I certify that the information above is true and accurate to the best of my knowledge. I understand that in order to process my application, I grant staff from the Pawnee Nation Department of Environmental Conservation and Safety access to the site for inspection and monitoring purposes. Even though I may have been assisted in the preparation of the above application by the employees of the Pawnee Nation, all responsibility for the accuracy of the information rests with me.