[SUMMARY OF FINAL SUBMITTED VERSION]
        
        
      
        SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR
        2012
      
      
      Primary Owner:
      KITTY  WILSON
      
      
      
      Statement Number:
      S013174
      
      
      
      
	
        Date Submitted: 
        06/29/2013
      
      
      
      
      
        
          | 1. Water is used under | 
	
              Riparian Claim
 | 
        
          | 2. Year of first use | 1975 | 
      
        
      
    
      
        
          | 3-4. Maximum Rate of Diversion for each Month and
            Amount of Water Diverted and Used | 
        
          | Month | Rate of diversion 
 
	
              (GPD)
            
 | Amount directly diverted or collected to storage
 (Gallons)
 | Amount beneficially used (Gallons)
 | 
        
          | January | 310 | 0.02854077 | 0.02854077 | 
        
          | February | 310 | 0.02854077 | 0.02854077 | 
        
          | March | 533 | 0.0491024 | 0.0491024 | 
        
          | April | 2000 | 0.184134 | 0.184134 | 
        
          | May | 3667 | 0.337579 | 0.337579 | 
        
          | June | 3833 | 0.3529235 | 0.3529235 | 
        
          | July | 4167 | 0.3836125 | 0.3836125 | 
        
          | August | 4167 | 0.3836125 | 0.3836125 | 
        
          | September | 3000 | 0.3529235 | 0.3529235 | 
        
          | October | 3500 | 0.30689 | 0.30689 | 
        
          | November | 310 | 0.02854077 | 0.02854077 | 
        
          | December | 310 | 0.02854077 | 0.02854077 | 
        
          | Total |  | 2.46494048 | 2.46494048 | 
        
          | Comments |  | 
      
      
      
      
      
        
          | 5. Water Diversion Measurement | 
        
          | a. | Measurement | 
	
              Direct measurement using a device listed in Section 1 is
              "not locally cost effective" for water directly diverted
              and/or diverted to storage
            
 | 
        
          | b. | Types of measuring devices used |  | 
        
          | c. | Additional technology used |  | 
        
          | Description of additional technology used |  | 
        
          | d. | Who installed your measuring device(s) |  | 
        
          | e. | Make, model number, and last calibration date of your measuring device(s) |  | 
        
          | f. | Why direct measurement using a device listed in Section 1 is
            "not locally cost effective" | 
              
              
                  
                    Diversion is small or minimal in size
                  
                    Diversions are infrequent
                  
                    No power at diversion point
                  
                    Other
                   | 
        
          | Explanation of why use of devices and technologies listed in 
            Section 1 are "not locally cost effective" | I have a 2 acre yard that I keep green watering lawn and garden | 
        
          | g. | Method(s) used as an alternative to direct measurement |  | 
        
          | Explanation of method(s) used as an alternative to direct measurement | Friend who knew how to determine usage based on pump capability and hours of usage. | 
      
      
      
      
      
        
          | 6. Purpose of Use | 
        
        
        
            
              | Domestic | 2 | 
          
            
              | Irrigation | 2
                Acres | 
          
      
      
      
      
      
        
          | 7. Changes in Method of Diversion | 
        
          |  | 
      
      
      
      
      
        
          | 8. Conservation of Water | 
        
          | a. | Are you now employing water conservation efforts? | Yes | 
        
          | Describe any water conservation efforts you have initiated | drip lines and watering early morning or evening | 
        
          | b. | Amount of water conserved | Acre-Feet | 
        
          | I have data to support the above surface water use reductions due
            to conservation efforts. |  | 
        
      
      
      
      
      
        
          | 9. Water Quality and Wastewater Reclamation | 
        
          | a. | Are you now or have you been using reclaimed water from a wastewater
            treatment facility, desalination facility, or water polluted by waste to
            a degree which unreasonably affects such water for other beneficial
            causes? | No | 
        
          | b. | Amount of reduced diversion |  | 
        
          | Type of substitute water supply |  | 
        
          | Amount of substitute water supply used |  | 
        
          | I have data to support the above surface water use reductions due to the
            use of a substitute water supply |  | 
      
      
      
      
      
        
          | 10. Conjuctive Use of Surface Water and Groundwater | 
        
          | a. | Are you now using groundwater in lieu of surface water? | No | 
        
          | b. | Amount of groundwater used |  | 
        
        
          | I have data to support the above surface water use reductions due to
            the use of groundwater. |  | 
      
      
      
      
      
      
      
        
          | Attachments | 
        
          | File Name | Description | Size | 
                
        
        
	| No Attachments | 
      
      
      
      
        
          | Contact Information of the Person Submitting the Form | 
        
          | First Name | Kitty | 
        
          | Last Name | Wilson | 
        
          | Relation to Water Right | Owner | 
        
	| Has read the form and agrees the information in the report 
            is true to the best of his/her knowledge and belief | Yes |