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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: 22297F #16 Water court number: W85CWI08 <br />Location: NEl/4NE1I4 Section 16 Range 59W Township 04N <br />Structure I.D. number: 01 7430 Pump rate (gpm): 850 <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />yes, <br /> <br />)( <br /> <br />no <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />no ',C. <br /> <br />4. If yes, please describe <br /> <br />5. <br /> <br />How many acre-feet of water were pumped during 2002? <br />_ ~q %. 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~ou do not lfse a flow meter, what other method did you use? <br />Descnbe \( W N <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br />(~1. <6 <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. Other water_ <br /> <br />9. How many KWH did this well use in 2002? /'46( <br /> <br />Date: (0 -3.0 - CI::>' Signature:L/.~~ ~ <br />p <br /> <br />10 of 15 <br />