Figure: 30 TAC §230.1(c)(2)

TRANSMITTAL OF DATA
Use of this form: If required by a municipal authority pursuant to Texas Local Government Code, §212.0101, or a county authority pursuant to Texas Local Government Code, §232.0032 the plat applicant shall use this form to attest that information has been provided in accordance with the requirements of 30 TAC Chapter 230. This form shall be provided to the municipal or county authority, the executive administrator of the Texas Water Development Board, and the applicable groundwater conservation district or districts.

  Name of Proposed Subdivision:


  Property Owner's Name(s):

  Address:

  Phone:

  Fax:


  Plat Applicant's Name:

  Address:

  Phone:

  Fax:

I, _________________________________, the Plat Applicant, attest that the following information has been provided in accordance with 30 TAC Chapter 230.

Has the Certification of Groundwater Availability for Platting Form (Figure:
30 TAC §230.3(c)) been provided to the:		 (Please Circle One)
    1. Municipal or County authority? Yes No
    2. Executive administrator of the Texas Water Development Board? Yes No
    3. Applicable Groundwater Conservation District or Districts? Yes No
        Name of Groundwater Conservation District or Districts:
 
 
 
Have copies of the information, estimates, data, calculations, determinations,
and statements been provided to the:
    4. Executive administrator of the Texas Water Development Board? Yes No
    5. Applicable Groundwater Conservation District or Districts? Yes No
        Name of Groundwater Conservation District or Districts:
 
 
 

Note: Mail the required information to the executive administrator of the Texas Water Development Board at the following address:

Executive Administrator
Texas Water Development Board
Groundwater Resources Division
P.O. Box 13231
Austin, Texas 78711-3231

Contact and other information for the Groundwater Conservation Districts within the state may be accessed on the following Internet pages:

http://www.tceq.state.tx.us/permitting/water_supply/groundwater/districts.html
http://www.twdb.state.tx.us/GwRD/pages/gwrdindex.html
http://www.texasgroundwater.org/index.htm