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Attachment A: Mitigation Plan <br />Section <br />Required information <br />Identify any water rights (including permits, certificates, claims, instream <br />Al flows, or legal permit -exempt wells), you expect to be impaired and <br />identify the expected nature of that impairment. <br />A2 Identify the source of supply for the proposed mitigation water. <br />Describe how this mitigation water source will offset the impacts of the <br />A3 proposed change. This should specifically address how the change in the <br />amount of water in Section A4 will be offset by the source identified in <br />Section A5. <br />Estimate the change in consumptive quantity that would be available for <br />A4 I the use being impaired. Describe the methodology used to support your <br />estimate. <br />Reference(s) <br />A5 i Describe actions that will be taken to ensure mitigation will be maintained i <br />for the duration of the water right change authorization. <br />i <br />List each water right being proposed for transfer, relinquishment, or <br />+ conveyance to the Trust Water Rights Program. <br />A6 i Provide a history of beneficial use of each water right listed above and <br />identify whether a separate water right change application has been filed <br />for these water rights. <br />A7 Provide copies of any agreements between you and other parties <br />regarding mitigation for impacts, if applicable. <br />Describe the benefits and costs, including environmental effects, of any RCW 90.03.255 <br />A8 water impoundment or other resource management technique that is RCW 90 44 055 <br />I included as a component of the application. <br />For surface water, analyze whether there will be any increased water <br />A9 supply from the impoundment or technique, including recharge of <br />groundwater, as a means of making water available or otherwise <br />offsetting diversion impacts. <br />For groundwater, analyze whether there will be any increased water . <br />A10 supply from the impoundment or technique, including recharge of <br />groundwater, as a means of making water available or otherwise <br />offsetting the impact of the diversion of surface water. <br />If you intend to offset your new use, describe how and when non- WAC 173-500-050(5) <br />consumptive water returns to ground water or surface water, and explain WAC 173-500-050(9) <br />All I how this volume was estimated. Specifically describe how the quantity, POL 1020 <br />timing and location of return flow would change if the proposed change <br />is approved, <br />ECY 040-1-14 (Rev 03-2021) Page 13 of 16 <br />