[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2013

Primary Owner: LAKE CANYON MUTUAL WATER CO
Statement Number: S001160

1. Water is used under	Riparian Claim
2. Year diversion commenced	1956

3-4. Maximum Rate of Diversion for each Month and Amount of Water Diverted and Used
Month	Rate of diversion (GPD)	Amount directly diverted (Gallons)	Amount diverted or collected to storage (Gallons)	Amount beneficially used (Gallons)
January	9001.1	0.8563335804	0.8563335804	0.8563335804
February	13158.3	1.1306871026	1.1306871026	1.1306871026
March	11384.5	1.083076188	1.083076188	1.083076188
April	11302	1.040541234	1.040541234	1.040541234
May	11465.1	1.090748438	1.090748438	1.090748438
June	8042.3	0.740433503	0.740433503	0.740433503
July	6536.7	0.621881896	0.621881896	0.621881896
August	6649.3	0.632592357	0.632592357	0.632592357
September	4339	0.399478713	0.399478713	0.399478713
October	4468	0.425073339	0.425073339	0.425073339
November	2420	0.22280214	0.22280214	0.22280214
December	2187	0.20807142	0.20807142	0.20807142
Total		8.451719911	8.451719911	8.451719911
Comments

Water Transfers
8e. Water transfered	No
8f. Quantity transfered (Acre-Feet)
8g. Dates which transfer occurred	/ to /
8h. Transfer approved by

Water Supply Contracts
8i. Water supply contract	No
8j. Contract with
8k. Other provider
8l. Contract number
8m. Source from which contract water was diverted
8n. Point of diversion same as identified water right
8o. Amount (Acre-Feet) authorized to divert under this contract
8p. Amount (Acre-Feet) authorized to be diverted in 2013
8q. Amount (Acre-Feet) projected for 2014
8r. Exchange or settlement of prior rights
8s. All monthly reported diversion claimed under the prior rights
8t. Amount (Acre-Feet) of reported diversion solely under contract

5. Water Diversion Measurement
a.	Measurement	Water directly diverted and/or diverted to storage was measured
b.	Types of measuring devices used	Propeller Meter
c.	Additional technology used
	Description of additional technology used
d.	Who installed your measuring device(s)	Representative using manufacturer's recommendations
e.	Make, model number, and last calibration date of your measuring device(s)
f.	Why direct measurement using a device listed in Section 1 is "not locally cost effective"
	Explanation of why use of devices and technologies listed in Section 1 are "not locally cost effective"
g.	Method(s) used as an alternative to direct measurement
	Explanation of method(s) used as an alternative to direct measurement

6. Purpose of Use
Domestic	59 homes

7. Changes in Method of Diversion

8. Conservation of Water
a.	Are you now employing water conservation efforts?	No
	Describe any water conservation efforts you have initiated
b.	Amount of water conserved	Acre-Feet
	I have data to support the above surface water use reductions due to conservation efforts.

9. Water Quality and Wastewater Reclamation
a.	Are you now or have you been using reclaimed water from a wastewater treatment facility, desalination facility, or water polluted by waste to a degree which unreasonably affects such water for other beneficial causes?	No
b.	Amount of reduced diversion
	Type of substitute water supply
	Amount of substitute water supply used
	I have data to support the above surface water use reductions due to the use of a substitute water supply

10. Conjuctive Use of Surface Water and Groundwater
a.	Are you now using groundwater in lieu of surface water?	No
b.	Amount of groundwater used
	I have data to support the above surface water use reductions due to the use of groundwater.

11a. Additional Remarks

Attachments
File Name	Description	Size
No Attachments

Contact Information of the Person Submitting the Form
First Name	Rebecca
Last Name	Cabral
Relation to Water Right	Other: Board member
The information in the report is true to the best of his/her knowledge and belief	Yes