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<br />(':121 . d ll:UOl <br /> <br />IRRIGATION WELL USAGE REPORT <br /> <br />1. <br /> <br />CQIltract number: 012340 <br />NllIIl.: EmpireN~=Dluis J OP~Ff( <br /> <br />Address: 1473 CR S Wiggins CO 806S4 f~ ,~ F~f;1 re Ii '" <br />Well permit nwnber: 4978F Empire #1 Water court;~p,nber:"'W1l68v t[JO:'~ <br />Location: NEl/4 SW1l4 Section 32 Range 60W TOwDS1Up~04ri <br />Structure tD. number~ 01 8403 Pump rate (gpm): 1000 <br /> <br />Did you pump this well in 2002? ~51 no <br /> <br /> <br />2. <br /> <br />3. <br /> <br />no_ X <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />4. If yes, please describe <br /> <br />5. <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 />6, <br /> <br />b.If you do not use a flow:teter, what o,ther method did you use? <br />Describe .7:J ~@,!J~ ~rd~ ~ <br /> <br />How many acres of each crop did you raise with this well during 20027 <br /> <br />o ~()/) b ~ ~ <br /> <br />Flood <br /> <br />, Sprinkler <br /> <br />Other <br /> <br />com <br />alfalfa <br />small grain <br />susar beets <br />onions <br />beans <br />other (specify) <br /> <br />&S <br /> <br />7. Was the well the sole source of water used on these acres? yes L no <br /> <br />8. <br /> <br /> <br />~o~~ <br /> <br />Other water <br /> <br />9. <br /> <br />How many KWH did this well USe in 2002? <br /> <br />7~ I ~OD <br /> <br /> <br />Date: :; - D S - D'3 Sip.ature: <br /> <br />lofl <br /> <br />/ <br /> <br />C':12J/C':0 . d RI '" "'. >RI7 lilH::' <br /> <br />I "TUI"T ""'IT "''''' <br />