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<br />IRRIGATION WELL USAGE REPORT <br /> <br /> <br />Oc- -', <br />T Vi (! :~n.... <br />.' ('iiOt; <br />~~----:-,~~ <br />~&A6 Be /R: ' <br /> <br /> <br />1. <br /> <br />Contract number: 013760 <br />Name: Barbara Teets <br />Address: 4403 Cty Rd T.9 Wiggins CO 80654 <br />Well permit number: 0583 Water court number: W1430 .... <br />Location: SEl/4SWl/4 Section 26 Range 60W Township 04N <br />Structure LD. number: 01 8610 Pump rate (gpm): 900 <br /> <br />:1 <br />" <br /> <br />2, <br /> <br />Did you pump this well in 2002? <br /> <br />yes <br /> <br />)( <br />~ <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 during2002? <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. Ify,ou do not use a flow meter, what other method ,pid you use? <br />Descnbe Dtt05 U5 "--at (' //.;2 d~ ,~4/M)/ <br />J ' <br />How many acres of each cropdid you raise with this well during 2002? <br /> <br />/~~) <br /> <br />6, <br /> <br />Sprinkler <br />b (i~ <br /> <br />Other <br /> <br />Flood <br /> <br />corn <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 -t- no <br /> <br />; <br /> <br />../ <br />to}; <br /> <br />8, Other water ' <br /> <br /> <br />9. How many KWH did this well use in 2002? <br /> <br />Date: <br /> <br />ItJ/JtJ!.J?.2- Signature: j~P~~ <br /> <br />1 of 1 <br />