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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. <br /> <br />Contract number: 013460 <br />Name: Victor J. & Margie J. Quint <br />William & Tom Quint <br />Address: 35997 Hwy 6 Hillrose CO 80733 <br />Well permit number: 6037 Older Water court number: W2969A50 <br />Location: SW1I4NW1I4 Section 19 Range 54W Township 05N <br />Structure LD. number: 01 6105 Pump rate (gpm): 1400 <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />no-L <br /> <br />yes <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />no <br /> <br />4, If yes, please describe <br /> <br />5. How many acre-feet of water were pumped during 2002? <br /> <br /> <br />acre feet <br /> <br />a. If you have a flow meter, what is the current flow meter reading? <br />If your flow meter has a multiplier, enter it here <br />Flow meter reads in: Circle one (acre-feet) (gallons) (other) <br /> <br />b. If you do not use a flow meter, what other method did you use? <br />Describe <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br /> <br />Other <br /> <br />com <br />alfalfa <br />small grain <br />sugar beets <br />omons <br />beans <br />other (specify) <br /> <br />7. <br /> <br />Was the wellthe,So"Ie so, urce of water nsr on these acres? <br /> <br />Otherwater~,,', l ,< """,; 'N It- <br />~, II <br />How many KWH did this well use in 2002? <br /> <br />yes _ no <br /> <br />8. <br /> <br />9. <br /> <br />Date: <br /> <br />Signature: <br /> <br />20f6 <br />