[SUMMARY OF FINAL SUBMITTED VERSION]
        
        
        
         REPORT OF LICENSEE FOR 2017
        
      
      
      
        Primary Owner:    
        
        
        FELCH FAMILY TRUST
  
        
  
        Primary Contact:  
            
        
        
      
      
	
        Date Submitted: 
        03/05/2018
      
      
        Application Number:
        A018080
        
        Permit Number:
        011695
      
      
      
      
        MAX Direct Diversion Rate:
        0.14
        CFS
        
        MAX Collection to Storage:
        0
        AC-FT
        
        Face Value:
        34.4
        AC-FT
      
     
      
      
      
      
      
      
        
          | 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 | 
        
        
            
              | Domestic | Lawn 2 Acres | 
          
        
     
     
     
     
    
     
  
    
      | Special Use Categories | 
    
      | C1. Are you using any water diverted under this right for the cultivation  of cannabis? | No | 
  
  
     
      
        
          | 5. Maximum Rate of Diversion for each Month | 
        
          | Month | Maximum Rate of Diversion (GPM)
 | 
        
          | January | 0 | 
        
          | February | 0 | 
        
          | March | 0 | 
        
          | April | 0 | 
        
          | May | 0.092 | 
        
          | June | 0.092 | 
        
          | July | 0.092 | 
        
          | August | 0.092 | 
        
          | September | 0.092 | 
        
          | October | 0 | 
        
          | November | 0 | 
        
          | December | 0 | 
      
      
      
      
      
        
          | 6. 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 | 0.092 | 0 | 0.092 | 
        
          | June | 0.092 | 0 | 0.092 | 
        
          | July | 0.092 | 0 | 0.092 | 
        
          | August | 0.092 | 0 | 0.092 | 
        
          | September | 0.092 | 0 | 0.092 | 
        
          | October | 0 | 0 | 0 | 
        
          | November | 0 | 0 | 0 | 
        
          | December | 0 | 0 | 0 | 
        
          | Total | 0.46 | 0 | 0.46 | 
        
          | Type of Diversion | Direct Diversion Only | 
        
          | Comments |  | 
      
      
      
      
        
          | Water Transfers | 
        
          | 6d. Water transfered | No | 
        
          | 6e. Quantity transfered (Acre-Feet) |  | 
        
          | 6f. Dates which transfer occurred | /
            to
            / | 
        
          | 6g. Transfer approved by |  | 
      
      
      
        
          | Water Supply Contracts | 
        
          | 6h. Water supply contract | No | 
        
          | 6i. Contract with |  | 
        
          | 6j. Other provider |  | 
        
          | 6k. Contract number |  | 
        
          | 6l. Source from which contract water was diverted |  | 
        
          | 6m.  Point of diversion same as identified water right |  | 
        
          | 6n.  Amount (Acre-Feet) authorized to divert under this contract |  | 
        
          | 6o.  Amount (Acre-Feet) authorized to be diverted in 
            2017 |  | 
        
          | 6p.  Amount (Acre-Feet) projected for
            2018 |  | 
        
          | 6q. Exchange or settlement of prior rights |  | 
        
          | 6r. All monthly reported diversion claimed under the prior rights |  | 
        
          | 6s. Amount (Acre-Feet) of reported diversion solely under contract |  | 
      
      
      
  
    | 7. Water Diversion Measurement | 
  
    | a. Required to measure as of the date this report is submitted | No | 
  
    | b. Is diversion measured? | No | 
  
    | c. An alternative compliance plan was submitted to the division of water rights on |  | 
  
    | d. A request for additional time was submitted to the division of water rights on |  | 
      
      
      
        
          | 8. 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 | 
        
          | 9. Are you now employing water conservation efforts? | Yes | 
        
          | Description of water conservation efforts | Currently not irrigating or maintaining pasture; only lawn. | 
        
          | 10. Amount of water conserved |  | 
      
      
      
      
       
        
          | Water Quality and Wastewater Reclamation | 
        
          | 11. 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 | 
        
          | 12. Amount of reclaimed, desalinated, or polluted water used |  | 
      
      
      
      
      
        
          | Conjuctive Use of Groundwater and Surface Water | 
        
          | 13. During the period covered by this Report, were you using groundwater 
            in lieu of available surface water authorized under your license? | No | 
        
          | 14. Amounts of groundwater used |  | 
        
      
      
      
      
      
        
          | Additional Remarks | 
        
          | This information duplicates what was supplied under the Supplemental Statement of Water Diversion and Use.  Are both really necessary? | 
      
          
      
      
        
          | Attachments | 
        
          | File Name | Description | Size | 
                
        
        
	| No Attachments | 
      
      
      
      
      
        
          | Contact Information of the Person Submitting the Form | 
        
          | First Name | Betty | 
        
          | Last Name | Felch | 
        
          | Relation to Water Right | Primary Owner of Record | 
      
 
      
        
          | Information on Certification and Signatory | 
        
          | Name of Person Signing and Certifying the Report | Betty Felch | 
        
          | Date of Signature | 03/05/2018 |