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<br />I~ <br />I ~\'l <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 />1. <br /> <br />,. <br />I <br />I,. <br />Contract number: 013080 . Iii! : :}r"'\ <br />Name: Gill Leola Lucille Trust . I r.. ~~'r <br />Address: 2141 Glen Fair ~ve Greeley CO 80631, / Ii;: Oc T 1 (i 2002 .,/1 <br />Well ~ermit number: 6966 . -yvater court number: W1470. lJ~ / '--.. ; 1/, <br />Location: SW1I4NW1I4 Section 17 Range54W Township 05N~. A'--'~--J!.I <br />Structure J.D. number: 018659 V Pump rate (gpm): 2880 " S. P" - <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />yes X _ no <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />no X <br /> <br />4. If yes, please describe <br /> <br />5. <br /> <br />How many acre-feet of water were pumped during 20021 <br />~O_ <br />~,,~tl~~M. .. .,,,,. .. .. <br /> <br />o <br />o <br /> <br />acre feet <br /> <br />a. If you have a flow meter, what is the current flow meter reading? 00 Q 137 <br />If your flow meter has a multiplier, enter it here ~ px. ....0 CJ t <br />Flow meter. reads in: Circle one (acre-feet) (gallons) (ollier) <br /> <br /><_.----:-.-:..~ <br /> <br />b. If you do not use a flow meter, what other method did you use? <br />Describe <br /> <br />c> <br /> <br />6. How many acres of each crop did you raise with this well during 20021 <br /> <br />Flood <br />17t.J <br />:J...'1J' <br /> <br />Sprinkler <br /> <br />Other <br /> <br />r\ <br /> <br />7. <br /> <br />corn <br />alfalfa <br />small grain <br />sugar beets <br />omons <br />beans <br />other (specify) <br /> <br />Was the well the sole source of water used on these acres? yes 4- no <br /> <br />() <br />() <br /> <br />o~ U/~ <br /> <br />8. <br /> <br />Other water iised\WitlitffiiSJrw.'ell <br />k.~~6;;~~~'\l:it':.:.~;,.i~~ <br /> <br /> <br />How many KWH did this well use in 2002? ;? L.: A rt:7 ~ (n vv I ) <br /> <br />\ . <br /> <br />9. <br /> <br />Date: (J't j (:3 2 DO 2- <br />/ <br /> <br />Signature: ~d.- L~ .1LitL. ~ <br />10f1 <br />