[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF LICENSEE FOR 2012

Primary Owner: GARRY GATES
Primary Contact: GARRY GATES

Date Submitted: 06/29/2013

Application Number: A017815
Permit Number: 011376

Source(s) of Water POD Parcel Number County
UNST El Dorado
UNST El Dorado
UNST El Dorado
UNST El Dorado

MAX Direct Diversion Rate: 0 GPD
MAX Collection to Storage: 52.9 AC-FT
Face Value: 52.9 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Stockwatering 0 11/01 to 05/15
Recreational 0 11/01 to 05/15
1. Project Abandoned
The project has been abandoned and I request revocation of my water right license No
2. Compliance with License Terms and Conditions
I have currently reviewed my water right license and I am complying with all terms and conditions Yes
Description of noncompliance with terms and conditions
3. Changes to the Project
Intake location has been changed
Description of intake location changes
Type of use has changed
Description of type of use changes
Place of use has changed
Description of place of use changes
Other changes
Description of other changes
4. Purpose of Use
Recreational water contact sport
Stockwatering 10 horses
5. Amount of Water Diverted and Used
Month Amount directly diverted or
collected to storage
(Acre-Feet)
Amount used
(Acre-Feet)
January 2 0
February 3 0
March 1 0
April 0 0
May 0 0
June 0 0
July 0 0
August 0 0
September    0 0
October 0 0
November 0 0
December 0 0
Total 6 0
Comments Water retained in storage facilities returned to ground water or evaporated.
6. Maximum Rate of Diversion for each Month
Month Maximum Rate of Diversion
(GPM)
January 25
February 25
March 10
April 0
May 0
June 0
July 0
August 0
September    0
October 0
November 0
December 0
7. Storage
Reservoir name Spilled this year Feet below spillway at maximum storage Completely emptied Feet below spillway at minimum storage Method used to measure water level
No 2 Yes visual estimate
No 2 Yes visual estimate
No 2 Yes visual estimate
No 2 Yes visual estimate
Conservation of Water
8. Are you now employing water conservation efforts? No
Description of water conservation efforts
9. Amount of water conserved
Water Quality and Wastewater Reclamation
10. During the period covered by this Report, did you use reclaimed water from a wastewater treatment facility, water from a desalination facility, or water polluted by waste to a degree which unreasonably affects the water for other beneficial uses? No
11. Amount of reclaimed, desalinated, or polluted water used
Conjuctive Use of Groundwater and Surface Water
12. During the period covered by this Report, were you using groundwater in lieu of available surface water authorized under your license? Yes
13. Amounts of groundwater used 1 Acre-Feet
Additional Remarks
This right includes diversion points and users not under my control due to division of property prior to my ownership. 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Garry
Last Name Gates
Relation to Water Right Owner
Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief Yes