[SUMMARY OF FINAL SUBMITTED VERSION]


SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2020

Primary Owner: SANDRA JEAN VAROZZA
Statement Number: S011303
Date Submitted: 02/26/2021
1. Water is used under
Pre-1914 Claim
2. Year diversion commenced 1862
2. Purpose of Use
Stockwatering 63 HEAD OF CATTLE
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 0.214285 0 0.214285
February 0.214285 0 0.214285
March 0.214285 0 0.214285
April 0.214285 0 0.214285
May 0.214285 0 0.214285
June 0.214285 0 0.214285
July 0.214285 0 0.214285
August 0.214285 0 0.214285
September    0.214285 0 0.214285
October 0.214285 0 0.214285
November 0.214285 0 0.214285
December 0.214285 0 0.214285
Total 2.57142 0 2.57142
Type of Diversion Direct Diversion Only
Comments
5. Water Diversion Measurement
a. Required to measure as of the date this report is submitted No
b. Is diversion measured? No
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 (Gallons Per Day)
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 2020
8m. Amount (Acre-Feet) projected for 2021
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 JEAN
Last Name VAROZZA
Relation to Water Right Diverter of Record
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 JEAN
Last Name VAROZZA
Relation to Water Right Diverter of Record
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Jean Varozza
Date of Signature 02/26/2021