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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. <br /> <br /> <br />Contract number: 013110 <br />Name: Beverly Bruntz <br />Address: 105 Fairway Lane Ft. Morgan CO 80701 <br />Well permit number: CP10125 East Water court number: <br />Location: SW1I4 NE1I4 Section 34 Range 60W Township <br />Structure J.D. number: 01 5873 Pump rate (gpm): 1350 <br /> <br />CC1 3 ()'':2001 <br /> <br /> <br />~..,="~;,' <br />4N 'ij"- ~,"C\ S~ 1\ ~ <br />~r.' <br /> <br />2, Did you pump this well in 2002? <br /> <br />yes X no <br />yes no ~ <br /> / <br /> <br />3. Was the well used for use other than crop irrigation? <br /> <br />4. If yes, please describe <br /> <br />5. <br /> <br />How many acre-feet of water were pumped during 2002? <br /> <br />') 1-.~ acre feet <br /> <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 <br />Describe et 1(, <br /> <br /> <br /> <br />G:> e;2 ir)~ ~ <br /> <br />6. How many acres of each crop did you'raise with this well during 2002? <br /> <br />FlOOd$' <br />-,,"3, <br />rI <br />tJ <br />(I) <br />o <br />t'<J <br /> <br />Sprinkler <br />tftj <br /> <br />Other <br /> <br />7. <br /> <br />com <br />alfalfa <br />sm~ll grain <br />sugar beets <br />omans <br />beans <br />other (specify) <br /> <br />Was the well the sole source of water used on these acres? yes ~o <br /> <br />Other water_ fJ (ft- <br /> <br />H$" <br /> <br />8, <br /> <br />9. How many KWH did this well use in 2002? <br />Date: Jf) /3.t? / IJ ;2- Signature: J~ t& ~' <br />'/ <br /> <br />10f2 <br />