Primary Contact:

Date Submitted: 02/29/2020

Application Number: A022831
License Number: 010298

Source(s) of Water POD Parcel Number County

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. 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
2. 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
3. Purpose of Use
No Use
Special Use Categories
C1. Are you using any water diverted under this right for the cultivation of cannabis? No
4. Amount of Water Diverted and Used
Month Amount directly diverted
Amount diverted or
collected to storage
Amount used
January 0 0 0
February 0 0 0
March 0 0 0
April 0 0 0
May 0 0 0
June 0 0 0
July 0 0 0
August 0 0 0
September    0 0 0
October 0 0 0
November 0 0 0
December 0 0 0
Total 0 0 0
Type of Diversion No Diversion
Comments No water was diverted in 2019 under this license. I have requested that this license be revoked. My agricultural practice for the irrigated acreage under this license has been abandoned with no plans to resume. In drought years, the East Fork of Hayfork Creek cannot sustain summertime water diversion. Often, surface flow ceases throughout much of the summer.
5. Water Diversion Measurement
a. Required to measure as of the date this report is submitted Yes
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
Measurement Attachments
Measurement ID Number File Name Description Size
No attachments
Measurement Data Files
Measurement ID Number File Name Description Size
No data files
6. Maximum Rate of Diversion
Month Rate of Diversion (Gallons Per Minute)
January 0
February 0
March 0
April 0
May 0
June 0
July 0
August 0
September 0
October 0
November 0
December 0
7. Water Transfers
7a. Water transfered No
7b. Quantity transfered (Acre-Feet)
7c. Dates which transfer occurred / to /
7d. Transfer approved by
Water Supply Contracts
7e. Water supply contract No
7f. Contract with
7g. Other provider
7h. Contract number
7i. Source from which contract water was diverted
7j. Point of diversion same as identified water right
7k. Amount (Acre-Feet) authorized to divert under this contract
7l. Amount (Acre-Feet) authorized to be diverted in 2019
7m. Amount (Acre-Feet) projected for 2020
7n. Exchange or settlement of prior rights
7o. All monthly reported diversion claimed under the prior rights
7p. Amount (Acre-Feet) of reported diversion solely under contract
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 No water was diverted in 2019.
10. Amount of water conserved
11. I have data to support use reductions under this water right due to conservation efforts No
Water Quality and Wastewater Reclamation
12. 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
13. Amount of reclaimed, desalinated, or polluted water used
Conjuctive Use of Groundwater and Surface Water
14. During the period covered by this Report, were you using groundwater in lieu of available surface water authorized under your license? No
15. Amounts of groundwater used
Additional Remarks
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
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Richard Hix
Date of Signature 02/29/2020