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<br />1. <br /> <br />IRRIGATION WELL USAGE REPORT <br />I~..." ."' _"""". d"._ <br />ijl' <br />, . ~ <br /> <br />" OCT 3 1 <br />~ <br /> <br /> <br />Contract number: 011110 <br />Name: 22 Ranch <br />% Tom Gill <br />Address: ~t. 1, Box 86 G Merino CO 80741, GoAD 0 e" ___ . II <br />Well ~ermlt number: RF 727. Water court number: ~1 ~~... Ge A. ~---7.,;f~~ <br />LocatIOn: SEl/4NWl/4 SectIOn 16 Range 54W Township 05N ~I; Pc <br />Structure J.D. number: 01 6681 Pump rate (gpm): 3100 <br /> <br />2. <br /> <br />Did you pump this well in 2002? <br /> <br />yes Y-_ no <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? <br /> <br />.~ <br /> <br />yes <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 />~.".._- .......... :..'11........'...... D.I? I 'acre&'.eet <br />. ~ rJ.._~ ~ 1. <br /> <br />a. If you have a flow meter, what is the current flow meter reading? (p <{it, .12 <br />If your flow meter has a multiplie , 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 <br /> <br />6. 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) AJo<;f;.IRe <br />I <br /> <br />Flood <br />70 <br />~SIO <br />&tJ <br />5tJ <br /> <br />Sprinkler <br /> <br />Other <br /> <br />5S <br />-ZS <br /> <br />7. Was the well the sole source of water used on these acres? yes no ')( <br /> <br />8. Otherwater_tIII1~~v^^~. fd.(Ara.rl5 d;~d ~ljq;.'I#~~ <br /> <br />9. <br /> <br />Date: <br /> <br />How many KWH did this well use in 2002? G; (0 ~ 7-1 <br />I? I ,- <br />/~/S/I/O?- Signature: )~ ~fP <br /> <br />1 of 1 <br />