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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. <br /> <br />Contract number: 014660 <br />Name: Lance Kaufman <br />Barbara A. Kaufman <br />Address: 3998 MCR U Wiggins CO 80654 _=_ <br />Well permit number: 2547F North Water court number: W1475 <br />Location: SE1I4NE1I4 Section 27 Range 60W Township 04N <br />Structure I.D. number: 01 6858 Pump rate (gpm): 1100 <br /> <br /> <br />(V"" -:" '1 p; <br />Jt,;<< I .L. v <br /> <br />(_.~ <br />;:. ... <br /> <br />2, <br /> <br />Did you pump this well in 2002? <br /> <br />yes <br /> <br />x <br /> <br />no <br /> <br />x <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? <br /> <br />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 ~ r1t'J J -; (tffJ J J IJ 6 (Jf /V1 <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 />S5 <br />~'3o <br /> <br />Sprinkler <br /> <br />Other <br /> <br />7, Was the well the sole source of water used on these acres? yes L no <br /> <br />8. Other water__ <br /> <br />9. How many KWH did this well use in 2002? <br />Date: LO -/:5- ()2-- Signatur~ G~t <br /> <br />lof2 <br />