[SUMMARY OF FINAL SUBMITTED VERSION]

REPORT OF LICENSEE FOR 2014

Primary Owner: RICHARD MARSHALL HIX
Primary Contact: RICHARD MARSHALL HIX

Application Number: A022831
Permit Number: 015725

Source(s) of Water	POD Parcel Number	County
EAST FORK HAYFORK CREEK		Trinity

MAX Direct Diversion Rate: 0.9 CFS
MAX Collection to Storage: 0 AC-FT
Face Value: 324 AC-FT

Permitted Use(s)	Acres	Direct Diversion Season	Storage Season
Irrigation	30	05/01 to 10/31

1. Project Abandoned
The project has been abandoned and I request revocation of my water right license	No

2. Compliance with License Terms and Conditions
I have currently reviewed my water right license and I am complying with all terms and conditions	Yes
Description of noncompliance with terms and conditions

3. Changes to the Project
Intake location has been changed
Description of intake location changes
Type of use has changed
Description of type of use changes
Place of use has changed
Description of place of use changes
Other changes
Description of other changes

4. Purpose of Use
Irrigation	30 Acres Pasture

5. Amount of Water Diverted and Used
Month	Amount directly diverted (Acre-Feet)	Amount diverted or collected to storage (Acre-Feet)	Amount used (Acre-Feet)
January	0	0	0
February	0	0	0
March	0	0	0
April	0	0	0
May	1.07	0	1.07
June	2.69	0	2.69
July	4.27	0	4.27
August	1.07	0	1.07
September	0	0	0
October	0	0	0
November	0	0	0
December	0	0	0
Total	9.1	0	9.1
Comments

Water Transfers
8e. Water transfered	No
8f. Quantity transfered (Acre-Feet)
8g. Dates which transfer occurred	/ to /
8h. Transfer approved by

Water Supply Contracts
8i. Water supply contract	No
8j. Contract with
8k. Other provider
8l. Contract number
8m. Source from which contract water was diverted
8n. Point of diversion same as identified water right
8o. Amount (Acre-Feet) authorized to divert under this contract
8p. Amount (Acre-Feet) authorized to be diverted in 2014
8q. Amount (Acre-Feet) projected for 2015
8r. Exchange or settlement of prior rights
8s. All monthly reported diversion claimed under the prior rights
8t. Amount (Acre-Feet) of reported diversion solely under contract

6. Maximum Rate of Diversion for each Month
Month	Maximum Rate of Diversion ()
January
February
March
April
May
June
July
August
September
October
November
December

7. Storage
Reservoir name	Spilled this year	Feet below spillway at maximum storage	Completely emptied	Feet below spillway at minimum storage	Method used to measure water level

Conservation of Water
8. Are you now employing water conservation efforts?	Yes
Description of water conservation efforts	Stopped diversion in late summer when creek could not support further water take.
9. Amount of water conserved

Water Quality and Wastewater Reclamation
10. During the period covered by this Report, did you use reclaimed water from a wastewater treatment facility, water from a desalination facility, or water polluted by waste to a degree which unreasonably affects the water for other beneficial uses?	No
11. Amount of reclaimed, desalinated, or polluted water used

Conjuctive Use of Groundwater and Surface Water
12. During the period covered by this Report, were you using groundwater in lieu of available surface water authorized under your license?	No
13. Amounts of groundwater used

Additional Remarks
Expect water diversions will increase in good rain years and as I become more active in managing the land.

Attachments
File Name	Description	Size
No Attachments

Contact Information of the Person Submitting the Form
First Name	Richard
Last Name	Hix
Relation to Water Right	Primary Owner of Record
Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief	Yes