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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. Contract number: 641200 <br />Name: Glen Toyne <br />Address: 11759 Hwy 59 Sedgwick CO 80749 <br />Well permit number: 2-13627F Water court number: W2167 <br />Location: NWl/4 SW1I4 Section 19 Range 46W Township UN <br />Structure I.D. number: 646457 Pump rate (gpm): 850 <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />yes X <br /> <br />no <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />no X <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 E&,1rWuJe <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />FIQod <br /> <br />Sprinkler <br />I '^ 2.. <br />30 <br /> <br />Other <br /> <br />com <br />alfalfa <br />small grain <br />sugar beets <br />OnIons <br />beans <br />other (specify) <br /> <br />7. Was the well the sole source of water used on these acres? yes ~ no <br /> <br />8. Other water_ <br />9. How many KWH did this well use in 2002? 'I ~ 8 S" 0 <br />Date: 10- I y.- 02. Signature: ~)j.L [). :r;~ <br /> <br />20f3 <br />