[SUMMARY OF FINAL SUBMITTED VERSION]


SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2019

Primary Owner: LAKE CANYON MUTUAL WATER CO
Statement Number: S001160
Date Submitted: 07/01/2021
1. Water is used under
Riparian Claim
2. Year diversion commenced 1956
2. Purpose of Use
Domestic 156
3. 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 beneficially used
(Acre-Feet)
January 0 0.63081 0.63081
February 0 0.721035 0.721035
March 0 0.778669 0.778669
April 0 0.808529 0.808529
May 0 0.930978 0.930978
June 0 0.966607 0.966607
July 0 0.999015 0.999015
August 0 0.943008 0.943008
September    0 0.798862 0.798862
October 0 0.769861 0.769861
November 0 0.661683 0.661683
December 0 0.3818 0.3818
Total 0 9.390857 9.390857
Type of Diversion Diversion to Storage Only
Comments
5. Water Diversion Measurement
a. Required to measure as of the date this report is submitted No
b. Is diversion measured? My diversion is measured by a watermaster assigned to the following service area: Lake Canyon Mutual Water Company
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 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
January
February
March
April
May
June
July
August
September
October
November
December
7. Water Transfers
8a. Water transfered No
8b. Quantity transfered (Acre-Feet)
8c. Dates which transfer occurred / to /
8d. Transfer approved by
Water Supply Contracts
8e. Water supply contract No
8f. Contract with
8g. Other provider
8h. Contract number
8i. Source from which contract water was diverted
8j. Point of diversion same as identified water right
8k. Amount (Acre-Feet) authorized to divert under this contract
8l. Amount (Acre-Feet) authorized to be diverted in 2019
8m. Amount (Acre-Feet) projected for 2020
8n. Exchange or settlement of prior rights
8o. All monthly reported diversion claimed under the prior rights
8p. Amount (Acre-Feet) of reported diversion solely under contract
Credits Claimed
Conservation Reclaimed Water Use Conjunctive Groundwater Use
Claimed? (Yes/No) No No No
January
February
March
April
May
June
July
August
September
October
November
December
Conservation Supporting Information
Description of conservation methods
Description of baseline water use and time period
Description of conservation calculation methods
Conserved water used?
Additional Remarks
 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Wilfred
Last Name Everts
Relation to Water Right Company Representative
The information in the report is true to the best of his/her knowledge and belief Yes
Contact Information of the Person Submitting the Form
First Name Wilfred
Last Name Everts
Relation to Water Right Company Representative
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Wilfred Everts
Date of Signature 07/01/2021