[SUMMARY OF FINAL SUBMITTED VERSION]
REPORT OF LICENSEE FOR
FOR 2020
Primary Owner:
OSTROM FAMILY TRUST
Primary Contact:
WILLIAM
L
OSTROM
Date Submitted:
03/31/2021
Application Number:
A017137
License Number: 005981
| Source(s) of Water | POD Parcel Number | County |
| ANDERSON SPRING | 008-120-009, | Sierra |
MAX Direct Diversion Rate:
150
GPD
MAX Collection to Storage:
0
AC-FT
Face Value:
0.1
AC-FT
| Permitted Use(s) | Acres | Direct Diversion Season | Storage Season |
|---|---|---|---|
| Domestic | 0 | 04/01 to 09/15 |
| Purpose of Use | |
|---|---|
| Data Not Available |
| Special Use Categories | |
|---|---|
| C1. Are you using any water diverted under this right for the cultivation of cannabis? | No |
| Amount of Water Diverted | |||
|---|---|---|---|
| Month |
Amount diverted or collected to storage (Acre-Feet/Gallons) |
||
| January | 0 0 |
||
| February | 0 0 |
||
| March | 0 0 |
||
| April | 0.01381 4500 |
||
| 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 | 0.01381 4500 |
||
| Comments | |||
| 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 number | M011534 |
| This Device/Method was used to measure water during the current reporting period | Yes |
| M1. Briefly describe the measurement device or method | ELECTRONIC FLOW METER AT CL2, AND PROP METER ON OVERFLOW |
| M2. Nickname | |
| M3. Type of device / method | Flow meter (electromagnetic) |
| M4. Device make | |
| M5. Serial number | |
| M6. Model number | |
| M7. Approximate date of installation | 02/01/2012 |
| M8. Additional info | |
| M9. Approximate date the measuring device was last calibrated or the measurement method was updated | 05/12/2012 |
| M10. Estimated accuracy of measurement | 99 |
| M11. Description of calibration method | OFFSET AGAINST 5 GALLON PAIL |
| M12. Describe the maintenance schedule for the device/method | 10 YEARS |
| Information for the person who last calibrated the device or designed the measurement method | |
| M13. Name | CLIFF |
| M14. Phone number | 2099481882 |
| M15. Email | RRLEWISH2O@GMAIL.COM |
| M16. Qualifications of the individual | Person trained and experienced in water measurement (for diversions of less than 100 acre-feet per year - no specific training is required; the person using any equipment and reporting the information must know how to use the equipment and submit correct information) |
| M17. License number and type for the qualified individual above and/or any other relevant explanation | LARRY OSTROM 504513 |
| M18. Type of data recorder device / method | Digital register (flow meter) |
| M19. Data recorder device make | CHEM FLOW |
| M20. Data recorder serial number | |
| M21. Data recorder model number | |
| M22. Data recorder units of measurement | Gallons |
| M23. Frequency of data recording | More frequent than hourly |
| M24. Additional data recorder info | SYSTEM IS A RATIO CHLORINATION UNIT MEASURES GALLONS AND REPORTS TO A TOTALIZER FOR BOTH FLOW AND GALLONS. READ EVERY 3 DAYS AS REQUIRED BY HEALTH DIV |
| M25. I am required to report my diversion or storage data by telemetry as of the date this report is submitted | No |
| 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 | |||
| Contact Information of the Person Submitting the Form | |
|---|---|
| First Name | Jennifer |
| Last Name | Spaletta |
| Relation to Water Right | Attorney |
| Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief | Yes |