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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. Contract number: 014230 <br />Name: Elmer Rothe <br />Emanuel Rothe % Larry Rothe <br />Address: 15160 No. 16, Hwy 144 Ft. Morgan CO 80701 <br />Well permit number: 11009 #37 Water court number: W2225 <br />Location: NWl/4 NWl/4 Section 22 Range 59W Township 04N <br />Structure I.D. number: 01 7020 Pump rate (gpm): 850 <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />yes ';<. no <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />no <br /> <br />or- <br /> <br />4. If yes, please describe <br /> <br />5. <br /> <br />How many acre-feet of water were pumped during 2002? <br />_I~O <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 f\fJ.J \-\ <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br />136 <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 K no <br /> <br />8. Other water <br /> <br /> <br />9. How many KWH did this well use in 2002? ~q q ~ q <br />Date: 10 ~ '60 - 0 ~ Signature: 1-:- .4?A M <br />'-/~ I <br /> <br />6 of 15 <br />