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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1, Contract number: 013460 <br />Name: Victor J. & Margie J. Quint <br />William & Tom Quint <br />Address: 35997 Hwy 6 HilIrose CO 80733 <br />Well permit number: 8496 Bill & Tom Water court number: W2969A40 <br />Location: SW1I4NW1I4 Section 31 Range 54W Township 05N <br />Structure LD. number: 018052 Pump rate (gpm): 1600 <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />yes <br /> <br />x <br /> <br />no <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />no <br /> <br />x. <br /> <br />4, If yes, please describe <br /> <br />5. <br /> <br />How many acre-feet of water were pumped during 2002? <br /> <br /> <br />.;2;:LO acre feet <br />'7 ~/.3<./9 <br />9 6> ()~9 .3 fI- <br /> <br />!J- 0 0 a-.. <br />eltd2 <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 />com <br />alfalfa <br />small grain <br />sugar beets <br />omons <br />beans <br />other (specify) <br /> <br />Flood <br />'1 <br /> <br />Sprinkler <br /> <br />Other <br /> <br />, ?-O <br /> <br />8, <br /> <br />W31l the well t,h, ,e SO,le sou, ,r,ce,. 0: water rd on these acres? <br /> <br />Otherwater_ N f: <br />How many KWH did this well use in 2002? <br /> <br />yes 1- no <br /> <br />7. <br /> <br />9, <br /> <br />Date: ( 0 J Z> I ) 0;)- <br />I I <br /> <br />Signatnre: '7Yl OA-.r ~) { n":.t:. <br /> <br />5 of6 <br />