Name: GMA 12 Meeting
Start: 2020-07-24T10:00:00-05:00
End: 2020-07-24T11:30:00-05:00

To verify your property we need either your Property ID number or you can upload
a copy of your deed.
County Appraisal Property ID Number
The Property ID number is available on your property tax statement from the County Appraisal District.
Attach deed or other information here.
Property Location*
- Burleson
- Milam
Total Acres in this Property*
To participate in the Aquifer Conservancy Program, you must own the land and groundwater rights.
Is your groundwater leased?
- Yes
- No
This question only applies to the ownership of groundwater. If your groundwater has been leased, you are not eligible to participate in the ACP until your groundwater lease expires.
Lease Expiration
Date Format: MM slash DD slash YYYY
Do you have a Non-Exempt Well on this Property?
- Yes
- No
This does not refer to an Exempt residential or livestock well that is REGISTERED with the District.
Permit Number(s):
Total Acre-Feet Permitted

Check the appropriate box for classification of the person(s)/entity who are considered owners of the property.
- Individual/Sole Proprietor
- Trust/Estate
- Corporation
- Partnership
- LLC / LLP
- Undivided Interest
CORPORATION
NAME OF OFFICER & TITLE
TRUSTEE
PROPER NAME OF TRUST
PARTNERS OR NAME OF MANAGING PARTNER & TITLE
LIMITED LIABILITY COMPANY
MEMBERS OR MANAGERS & TITLE
Add additional names by clicking on the circle with the plus symbol at the right of the address field below.
Name & Addresses
Name Address Ownership %
Number of Acres to Enroll*
Choose the length of commitment.
- 5 Years/$5 per acre per year
- 10 Years/$8 per acre per year
- 20 Years/$10 per acre per year
- 20 Years/$0 per acre per year
How did you hear about our program?
- Ambassador
- Newsletter Mail-out
- Friend
- Email
A one-time, $10 per acre, signup bonus is available if you sign by October 31, 2019 (assuming you qualify for the program)
Consent*
I agree to the terms for this application provided by POSGCD.
I/We the Applicant(s)) attest that all information is true and correct. I/We further acknowledge that I/we have read the Aquifer Conservancy Program requirements and state that I/we meet the qualifications for the Aquifer Conservancy Program, including that the Property indicated herein is eligible to be part of such Program. My/Our signature(s) acknowledges that I/we will follow the applicable provisions of the Program established by POSGCD.

Notice of Public Hearing – Amending Rules

GMA 12 Meeting

Name	Address	Ownership %