Exhibit 1-A

PRELIMINARY WORKSHEET IDEA

Circle all that apply ______________________________________________________________________

Land Use /Type –

Existing Resid. Lots: 1 parcel 2 parcels 3+parcels

Total parcel acreage: <1 ac 1-2.5 ac 2.5-10 ac 10-40+ ac

Estimated water use: ____________ (follows parcel size)

New Subdivision: Total acreage is: <2.5 ac >2.5 ac

Estimated water use: ____________ (<2.5 AF; >2.5 AF)

Commercial/Industrial

Estimated water use: ____________ (<1 AF; 1-10 AF; 10+ AF)

Within Cal-Am Service Area? Yes No

Type of Water Potable (drinking water) Non-Potable (irrigation, animals, industry)

Location

CV alluvial aquifer (must demonstrate water rights)

Upland (non-alluvial): <1000 feet from receptor* >1000 AF from receptor*

Seaside Basin

Coastal Subarea Laguna Seca Subarea Other Seaside

Urban Coastal/Aquajito area

Pebble Beach/Highlands

Other Factors

Status: New system Amend existing system

Within Coastal Zone?

Other Permits Required

Federal State County/City Other

* “Receptor” refers to nearby registered water well (including ASR or desal intake well); Carmel Valley alluvial aquifer boundary; listed tributaries to Carmel River (Tularcitos, Hitchcock Canyon, Garzas, Robinson Canyon, Potrero); and shoreline mean high tide line.

U:\staff\word\committees\RulesRegsReview\20040802\01\item1_exh1a.doc

Revised July 27, 2004