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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. Contract number: 013460 <br />Name: Victor J. & Margie J. Quint <br />William & Tom Quint <br />Address: 35997 Hwy 6 Hillrose CO 80733 <br />Well permit number: 7119 Pasture Water court number: <br />Location: SEl/4 NWl/4 Section 24 Range SSW Township 05N <br />Structure I.D. number: 01 5348 Pump rate (gpm): 2000 <br /> <br />2. <br /> <br />Did you pump this well in 2002? yes <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />4. If yes, please describe <br /> <br />5. How many acre-feet of water were pumped during 2002? <br /> <br /> <br />a. If you have a flow meter, whatis 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 <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br /> <br />Other <br /> <br />corn <br />alfalfa <br />small grain <br />sugar beets <br />OnIons <br />beans <br />other (specify) <br /> <br />7. Was the well the sole source of water us d on these acres? yes no <br /> <br />8. Other water <br /> <br /> <br />9. How many KWH did this well use in 2002? <br /> <br />Date: Signature: <br /> <br />no{~ <br /> <br />no <br /> <br />acre feet <br /> <br />~ <br /> <br />60f6 <br />