Sample Quarterly Groundwater Extraction Statement
A Quarterly Groundwater Extraction Statement must be submitted, with payment, four times a year by each groundwater extraction facility operator within OBGMA boundaries. Statement due dates and reporting periods:
- Feb 1 (for Oct 1 – Dec 31),
- May 1 (for Jan 1 – Mar 31),
- Aug 1 (for Apr 1 – Jun 30), and
- Nov 1 (for Jul 1 – Sep 30).
A signed original statement must be filed on or before the indicated statement due date. Please report the extraction amount for the reporting period in acre-feet. A minimum fee is due each quarter regardless of pumping amounts. Personal information contained in these forms is confidential (California Government Code 6255(a)).
Sample Extraction Statement.pdf