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<br />2, <br /> <br />3, <br /> <br />4. <br /> <br />IRRIGATION WELL USAGE REPORT <br /> <br />1. Contract number: 012940 <br />Name: Francis Ford <br />Shirley M. Ford % Roy Knapp <br />Address: 2706 Hwy 144 Orchard CO 80649 <br />Well permit number: 11612 Water court number: W1479 <br />Location: SW1I4SW1I4 Section 34 Range 60W Township 04N <br />Structure I.D.number: 01 6856 Pump rate (gpm): 1000 <br /> <br />Did you pump this well in 2002? <br /> <br />yes X <br /> <br />no <br /> <br />Was the well used for use other than crop irrigation? <br /> <br />u% <br />f <br /> <br />no <br /> <br />x <br /> <br />yes <br /> <br />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. Ify,ou do no~ flow ~ter, what other method did you use? <br />Descnbe 017 <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />7. <br /> <br />8. <br /> <br />9. <br /> <br />Date: <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 />/30 <br /> <br />Was the well the, sole source of water ust/on these acres? yes ~ no <br /> <br />Other water_ xl ~ <br />How many KWH did this well use in 2002? k ' / () 3 I '1 f 3 <br />/Q~OL Signature: 1!C(j_ ~n~ <br /> <br />1 of 1 <br /> <br />rf}' <br /> <br />&0 <br />