[SUMMARY OF FINAL SUBMITTED VERSION]
        
        
      
        SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR
        2016
      
      
      Primary Owner:
      MARK  HODGETTS
      
      
      
      Statement Number:
      S025244
      
      
      
      
	
        Date Submitted: 
        01/14/2017
      
      
      
      
      
        
          | 1. Water is used under | 
          
            
            
            
            
            
                      
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          | 2. Year diversion commenced | 
          
            
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          | 4. Changes in Method of Diversion | 
        
        
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      | Special Use Categories | 
    
    
      | C1. Are you using any water diverted under this right for the cultivation  of cannabis? | 
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          | 
            5-6. Maximum Rate of Diversion for each Month and
            Amount of Water Diverted and Used
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          | Month | 
          
            Rate of diversion 
            
           | 
          
            Amount directly diverted 
            ()
           | 
          
            Amount diverted or 
            collected to storage 
            ()
           | 
          
            Amount beneficially used 
            ()
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          | January | 
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          | February | 
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          | March | 
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          | April | 
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          | May | 
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          | June | 
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          | July | 
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          | August | 
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          | September    | 
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          | October | 
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          | November | 
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          | December | 
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          | Total | 
            | 
          0 | 
          0 | 
          0 | 
        
        
          | Type of Diversion | 
           | 
        
        
          | Comments | 
           | 
        
      
      
      
      
        
          | 
            Water Transfers
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            6d. Water transfered
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            6e. Quantity transfered (Acre-Feet)
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            6f. Dates which transfer occurred
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            /
            to
            /
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            6g. Transfer approved by
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            Water Supply Contracts
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            6h. Water supply contract
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            6i. Contract with
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            6j. Other provider
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            6k. Contract number
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            6l. Source from which contract water was diverted
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            6m.  Point of diversion same as identified water right
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            6n.  Amount (Acre-Feet) authorized to divert under this contract 
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            6o.  Amount (Acre-Feet) authorized to be diverted in 
            2016
            
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            6p.  Amount (Acre-Feet) projected for
            2017
            
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            6q. Exchange or settlement of prior rights
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            6r. All monthly reported diversion claimed under the prior rights
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            6s. Amount (Acre-Feet) of reported diversion solely under contract
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    | 
      7. Water Diversion Measurement
     | 
  
  
    | a. Required to measure as of the date this report is submitted | 
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    | b. Is diversion measured? | 
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    | 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. Conservation of Water | 
        
        
          | a. | 
          Are you now employing water conservation efforts? | 
          
            
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          | Describe any water conservation efforts you have initiated | 
          
            
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          | b. | 
          Amount of water conserved | 
          
            
            
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          | 
            I have data to support the above surface water use reductions due
            to conservation efforts.
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          | 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?
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          | b. | 
          Amount of reduced diversion | 
                
            
            
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          | Type of substitute water supply | 
          
            
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          | Amount of substitute water supply used | 
          
            
            
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          | 
            I have data to support the above surface water use reductions due to the
            use of a substitute water supply
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          | 10. Conjuctive Use of Surface Water and Groundwater | 
        
        
          | a. | 
          
            Are you now using groundwater in lieu of surface water?
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          | b. | 
          Amount of groundwater used | 
                
            
            
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          | 
            I have data to support the above surface water use reductions due to
            the use of groundwater. 
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          | Attachments | 
        
        
          | File Name | 
          Description | 
          Size | 
        
                
        
        
	| No Attachments | 
      
      
      
      
        
          | Contact Information of the Person Submitting the Form | 
        
        
          | First Name | 
          MARK | 
        
        
          | Last Name | 
          HODGETTS | 
        
        
          | Relation to Water Right | 
          Diverter of Record | 
        
        
	| 
            The information in the report 
            is true to the best of his/her knowledge and belief
           | 
	
            Yes
           |