[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF LICENSEE FOR 2019

Primary Owner: Jeff Bauer
Primary Contact:

Date Submitted: 01/30/2020

Application Number: A018202
License Number: 006732

Source(s) of Water POD Parcel Number County
UNXX Shasta

MAX Direct Diversion Rate: 0 GPD
MAX Collection to Storage: 11 AC-FT
Face Value: 11 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Stockwatering 0 11/01 to 04/01
1. 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
2. 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
3. Purpose of Use
Stockwatering Intermittent, Wildlife only
Fish and Wildlife Preservation and Enhancement Wildlife frequent our pond for drinking, etc.
Special Use Categories
C1. Are you using any water diverted under this right for the cultivation of cannabis? No
4. Amount of Water Diverted and Used
Month Amount directly diverted
(Acre-Feet)
Amount diverted or
collected to storage
(Acre-Feet)
Amount used
(Acre-Feet)
January 0 0 0
February 0 0 0
March 0 0 0
April 0 0 0
May 0 0 0
June 0 0 0
July 0 0 0
August 0 0 0
September    0 0 0
October 0 0.0001 0
November 0 0.0002 0
December 0 0.0007 0
Total 0 0.001 0
Type of Diversion Both Direct Diversion and Diversion to Storage
Comments As it rains the runoff collects in the pond and a culvert allows the water to spill through once the pond is close to filling. With very little rainfall this year the pond water never reached the culvert therefore did not spill over. Water was diverted by entering the pond, however no water was used except by wildlife. The pond was mostly dry through the year.
5. Water Diversion Measurement
a. Required to measure as of the date this report is submitted Yes
b. Is diversion measured? Yes
c. An alternative compliance plan was submitted to the division of water rights on
d. A request for additional time was submitted to the division of water rights on
Measurement ID numberM016892
This Device/Method was used to measure water during the current reporting periodYes
M1. Briefly describe the measurement device or methodStaff gauge
M2. Nickname
M3. Type of device / methodStaff gauge
M4. Device make
M5. Serial number
M6. Model number
M7. Approximate date of installation10/01/2018
M8. Additional infoA simple staff gauge was created by property owner out of pvc and installed along pond bank, using survey equipment it was marked in feet.
M9. Approximate date the measuring device was last calibrated or the measurement method was updated
M10. Estimated accuracy of measurement
M11. Description of calibration method
M12. Describe the maintenance schedule for the device/methodThe pvc and footage markings are checked quarterly.
Information for the person who last calibrated the device or designed the measurement method
M13. Name
M14. Phone number
M15. Email
M16. Qualifications of the individual
M17. License number and type for the qualified individual above and/or any other relevant explanation
M18. Type of data recorder device / method
M19. Data recorder device make
M20. Data recorder serial number
M21. Data recorder model number
M22. Data recorder units of measurement
M23. Frequency of data recording
M24. Additional data recorder info
M25. I am required to report my diversion or storage data by telemetry as of the date this report is submittedNo
M26. I report my diversion or storage date by telemetry to the following website
Measurement Attachments
Measurement ID Number File Name Description Size
No attachments
Measurement Data Files
Measurement ID Number File Name Description Size
No data files
6. Maximum Rate of Diversion
Month Rate of Diversion (Gallons Per Day)
January 5430
February 9363
March 5255
April 2715
May 3503
June 0
July 0
August 438
September 226
October 9
November 1810
December 5256
7. Water Transfers
7a. Water transfered No
7b. Quantity transfered (Acre-Feet)
7c. Dates which transfer occurred / to /
7d. Transfer approved by
Water Supply Contracts
7e. Water supply contract No
7f. Contract with
7g. Other provider
7h. Contract number
7i. Source from which contract water was diverted
7j. Point of diversion same as identified water right
7k. Amount (Acre-Feet) authorized to divert under this contract
7l. Amount (Acre-Feet) authorized to be diverted in 2019
7m. Amount (Acre-Feet) projected for 2020
7n. Exchange or settlement of prior rights
7o. All monthly reported diversion claimed under the prior rights
7p. Amount (Acre-Feet) of reported diversion solely under contract
8. 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
8622 Placer  Yes Yes Staff gauge, surveyed for accuracy, down embankment of pond
Conservation of Water
9. Are you now employing water conservation efforts? Yes
Description of water conservation efforts We did not use stored water.
10. Amount of water conserved
11. I have data to support use reductions under this water right due to conservation efforts No
Water Quality and Wastewater Reclamation
12. 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
13. Amount of reclaimed, desalinated, or polluted water used
Conjuctive Use of Groundwater and Surface Water
14. During the period covered by this Report, were you using groundwater in lieu of available surface water authorized under your license? No
15. Amounts of groundwater used
Additional Remarks
 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Heidi
Last Name Bauer
Relation to Water Right Other: Spouse of primary owner
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Heidi Bauer
Date of Signature 01/30/2020