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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. <br /> <br />-~~ <br /> <br />~:~t;::~~:1~~e % LarryRollie /iL Mev 01 z:i <br /> <br />Address: 15160 No. 16, Hwy 144 Ft. Morgan CO 80701;;:;'~'~-..... J!JiJh. <br />Well permit number: 6720-F #8N Water court number: W16704 Gill ,i-t S.., p---' <br />Location: SEl/4 NEl/4 Section 1 Range 60W Township 04N . , <br />Structure LD. number: 018158 Pump rate (gpm): 900 <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />yes K 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 />_ 3,;(0 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 feUJ H <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br />IA4.~ <br /> <br />Other <br /> <br />com <br />alfalfa <br />small 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. Otherwater_ <br /> <br />9. How many KWH did this well use in 2002? I'S c:; I u"-fJ <br />Date: 10 - ':s C -0 ;;< Signatnre~/ ~ <br /> <br />1 of 15 <br />