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<br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4, <br /> <br />5. <br /> <br />IRRIGATION WELL USAGE REPORT <br /> <br />/: -~- --~i~~ ~~'. <br />" , I\~ ,- '1~~ f.~\ <br />Contract number: 641200 ,jr.~ ~- :'~'.'~ <br />.;111 '1 <br /> <br />Name: Glen Toyne \\lii .'-"1 2, 9, 2002 tL <br />Address: 11759 Hwy 59 Sedgwick CO 80749 I~~ Ol; 1 ~ <br />Well ~emllt number: 1-13628F. Water court number: ~21~~J,~=","=,",~=:~=~,;-~~~J <br />LocatIon: NW1I4 NWl/4 SectIon 19 Range 46W TownshIP ITN ~G tfii\c @r, I, G <br />Structure J.D. number: 646453 Pump rate (gpm): 1500 <br /> <br />Did you pump this well in 2002? <br /> <br />yes X no <br /> "- <br />yes no X <br /> <br />Was the well used for use other than crop irrigation? <br /> <br />If yes, please describe <br /> <br />How many acre-feet of water were pumped during 2002? <br /> <br />/ <br /> <br />acre feet <br /> <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 />Plow 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 fv 7- ; v..u; h <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 />Plood <br /><2' <br /> <br />Sprinkler <br /> <br />Other <br /> <br />7. Was the well the sole source of water used on these acres? yes ----X- no <br /> <br />8. Other water_ <br /> <br />9. <br /> <br />Date: <br /> <br />How many KWH did this well use in 2002? <br /> <br />:;(5'8 (] <br />~-~~ <br /> <br />/0..../9-0'2 <br /> <br />>/j~ <br />.- <br /> <br />Signature: <br /> <br />10f3 <br />