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<br />1. <br /> <br />2. <br /> <br />3. <br /> <br />IRRIGATION WELL USAGE REPORT <br /> <br />~a~ !eJdP <br /> <br />Contract number: 013270 <br />Name: Quinto Brunelli <br />Address: Rt. 1,25002 Rd 8 Weldona CO 80653 <br />Well permit number: 4664-F Water court number: W-8327-76 <br />Location: SWl/4 SE1I4 Section 29 Range 59W Township 05N <br />Structure LD. number: 01 9158 Pump rate (gpm): 450 <br /> <br />Did you pump this well in 2002? yes <br /> <br />v <br /> <br />no <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />v <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 />sm~ll grain <br />sugar beets <br />omons <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. <br /> <br />9. <br /> <br />Date: <br /> <br />Otherwater_ <br /> <br />No I\) E <br /> <br />How many KWH did this well use in 2002'1 ~ <br />I b - '-~H) Signature:(~ ~ e. <br />~ <br /> <br />~3~f3 <br />