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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. Contract number: 011911 <br />Name: Frances Bender <br />Jackson W. Bender <br />Address: 880 E. 23rd St. Loveland CO 80538 <br />Well permit number: 12344 Water court number: W2919A14 , <br />Location: CENTER SEl/4 Section 33 Range 60W Township 05N <br />Structure LD. number: 01 6067 Pump rate (gpm): 375 <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 /> <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? 7--<'5". L:S 55 <br />If your flow meter has a multiplier e ter it here .. 00 I <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 <br /> <br />6, How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br /> <br />Other <br /> <br />com <br />alfalfa <br />small grain <br />sugar beets <br />omons <br />beans <br />other (specify) <br /> <br />Was the well the sole source of water used on these acres? yes _ no ^ <br /> <br />I...~ <br /> <br />7, <br /> <br />8, <br /> <br />Other water_ AI ol1~ <br />How many KWH did this well use in 2002? J./ 0 ) / X' Cf <br />/O-/.~-().:l.. Signature:~5~ <br /> <br />9, <br /> <br />Date: <br /> <br />20f2 <br />