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<br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />IRRIGATION WELL USAGE REPORT <br /> <br />~ <br /> <br />1. <br /> <br />Contract number: 012690 <br />Name: Maxine Gill <br />% Hilde Gill Kaiser <br />Address: 11213 West Asbury Ave. Lakewood CO 80227 <br />Well permit number: 6563 Water court number: WI097 <br />Location: N1I2NE1I4 Section 16 Range 54W Township 05 <br />Structure I.D. number: 01 6675 Pump rate (gpm): 2800 <br /> <br />Did you pump this well in 2002? yes L no <br /> <br /> <br />2. <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />/ <br /> <br />no <br /> <br />4. <br /> <br />If yes, please describe <br /> <br />5. <br /> <br />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? /V 0 <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 '-PStiVW\t.t" . . <br /> <br />" <br /> <br />6. <br /> <br />How many acres of each crop did you raise with this well during 2002? <br /> <br />com <br />alfalfa <br />small grain <br />sugar beets <br />omons <br />beans <br />other (specify) <br /> <br />Flood <br />J4Lf <br />&S <br /> <br />Sprinkler <br /> <br />Other <br /> <br />7. <br /> <br />Was the well the sole source of water used on these acres? yes <br /> <br />Otherwater~~~~ J;i\I'\~\~ f'J-wmd<... <br /> <br />v/ <br /> <br />no <br /> <br />8. <br /> <br />9. <br /> <br />How many KWH did this well use in 2002? <br />I J I ...-;~i <br />D 36 () 7. Signature: 11!~:VJ;jv <br />. J I I I <br />( <br /> <br />4DJ 2s'/2 . <br />ItA; ,.114 M'I/""riM <br /> <br />1 of 1 <br /> <br />Date: <br />