diff --git a/docs/source/decisions/00010-vertical-datum.rst b/docs/source/decisions/00010-vertical-datum.rst
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+#####################
+Vertical Datum Policy
+#####################
+
+
+Summary
+=======
+
+This ADR defines the policy for handling vertical datums in the CWMS Data API, specifically addressing the use of ``OTHER``, ``NATIVE``, and ``LOCAL`` datums and their representation within the system and at the API boundary.
+
+
+Context
+=======
+
+When storing vertical datum information there's a need to support custom or non-standard datums.
+
+In the database ``AT_VERTICAL_DATUM_OFFSET`` table, vertical datums are constrained to ``NGVD29``, ``NAVD88``, ``LOCAL``, and ``STAGE`` (though ``STAGE`` is never used).
+Conversely, the ``VERTICAL_DATUM`` field in the ``AT_PHYSICAL_LOCATION`` table is unconstrained and can contain any text.
+
+``LOCAL`` is used within the database to specify any datum that is not ``NGVD29`` or ``NAVD88``. The ``AT_VERT_DATUM_LOCAL`` table is used to specify the actual name of any ``LOCAL`` datum.
+
+Outside the database (e.g., in HEC-DSS files or the vertical datum info XML), the term ``OTHER`` is used as a synonym for ``LOCAL``.
+
+Proposed Changes
+================
+
+Vertical Datum Identification in CDA
+-----------------------------
+
+* **NATIVE**: Specifies the vertical datum that elevations are stored in for a location (whether that datum is ``NGVD29``, ``NAVD88``, or ``OTHER``). It is critical that all elevations for a location are stored in the same datum to ensure consistency and allow for proper datum conversion during storage or retrieval.
+* **OTHER**: An outward-facing synonym for custom datums (represented as ``LOCAL`` in the database).
+* **LOCAL**: To avoid confusion with the more general term "NATIVE", we will use ``OTHER`` as the outward-facing term for custom datums, while ``LOCAL`` will be used internally in the database to represent any datum that is not ``NGVD29`` or ``NAVD88``. The actual name of the custom datum will be stored in the ``AT_VERT_DATUM_LOCAL`` table.
+* **NGVD29 / NAVD88**: Standard vertical datums.
+
+Storage and Retrieval Logic
+---------------------------
+
+The database handles the normalization between ``OTHER`` and ``LOCAL``.
+
+* **Normalization In (Storage)**: ``OTHER`` → ``LOCAL``
+* **Normalization Out (Retrieval)**: ``LOCAL`` → ``OTHER``
+
+The ``SET_VERTICAL_DATUM_INFO`` database procedure performs an explicit replacement of ``OTHER`` with ``LOCAL``. Actual custom datum names are stored in the ``AT_VERT_DATUM_LOCAL`` table.
+
+Offset Management
+-----------------
+
+When using ``OTHER``/``LOCAL`` datums, offsets to standard datums (like ``NAVD-88``) must be manually provided during storage if they are expected to be retrieved.
+
+* If an offset is stored for ``OTHER``/``LOCAL`` to ``NAVD-88``, the database may automatically create an ``NGVD29`` offset from ``NAVD-88`` on the first read if it doesn't exist.
+* This behavior can result in multiple offset rows for a single location.
+* It is expected that offsets stored for ``OTHER``/``LOCAL`` datums can be retrieved, but the existence of offsets is not guaranteed.
+
+Decision Status
+===============
+
+(Status: accept)
diff --git a/docs/source/decisions/index.rst b/docs/source/decisions/index.rst
index 539f13e89..f0aba9eb5 100644
--- a/docs/source/decisions/index.rst
+++ b/docs/source/decisions/index.rst
@@ -26,3 +26,4 @@ Some decisions may also be a proposal and marked appropriately.
     Access Management Clients <./0007-access-management-clients.md>
     Timeseries CSV Format <./0008-timeseries-csv-format.rst>
     Handling Releases <./0009-code-changes-and-releases.rst>
+    Vertical Datum Policy <./00010-vertical-datum.rst>