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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. Contract number: 013110 <br />Name: Beverly Bruntz <br />Address: 105 Fairway Lane Ft. Morgan CO 80701 <br />Well permit number: 12068 West Water court number: WI062 <br />Location: SW1I4 NEl/4 Section 34 Range 60W Township 04N <br />Structure LD. number: 01 5875 Pump rate (gpm): 1350 <br /> <br />2, <br /> <br />Did you pump this well in 2002? yes <br /> <br />no+ <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? 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 <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 />OnIons <br />beans <br />other ( specify) <br /> <br />7. Was the well the sole source of water used on these acres? yes _ no <br /> <br />8, Otherwater_ <br /> <br />9. How many KWH did this well use in 2002? <br /> <br />Date: Signature: <br /> <br />20f2 <br />