[SUMMARY OF FINAL SUBMITTED VERSION]

PROGRESS REPORT BY PERMITTEE FOR REPORTING PERIOD

Primary Owner: OSTROM FAMILY TRUST
Primary Contact:

Application Number: A018782
Permit Number: 012221

Source(s) of Water	POD Parcel Number	County
ANDERSON SPRING	008-130-999-0	Sierra

MAX Direct Diversion Rate: 0.1 CFS
MAX Collection to Storage: AC-FT
Face Value: 40.1 AC-FT

Permitted Use(s)	Acres	Direct Diversion Season	Storage Season
Domestic		01/01 to 12/31

Compliance with Permit Terms and Conditions
I have reviewed my water right permit and I am complying with all terms and conditions	Yes
Description of noncompliance with terms and conditions

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

Permitted Project Status
Project Status	Not Complete
Construction work has commenced	Yes
Construction is completed	No
Beneficial uses of water has commenced	Yes
Project will be completed within the time period specified in the permit	Yes
Explanation of work remaining to be done	The service area is still being developed. Additional demand expected as service area is fully built out.
Estimated date of completion	12/31/2040

Purpose of Use
Domestic	125 Connections
Fire Protection	Hydrant System

Special Use Categories
Are you using any water diverted under this right for the cultivation of cannabis?	No

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	3.350516	0	3.350516
February	3.350516	0	3.350516
March	4.076943	0	4.076943
April	4.467253	0	4.467253
May	0	0	0
June	0	0	0
July	0	0	0
August	0	0	0
September	0	0	0
Total	15.245228	0	15.245228
Type of Diversion	Direct Diversion Only
Comments	An effort was made to report diversions under the highest priority rights first (A011120, A011501, A017135, A017137) before reporting under this right. Total demand still growing as subdivisions build out.

Water Diversion Measurement
Required to measure as of the date this report is submitted	Yes
Is diversion measured?	Yes
An alternative compliance plan was submitted to the division of water rights on
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
Briefly describe the measurement device or method	ELECTRONIC FLOW METER AT CL2, AND PROP METER ON OVERFLOW
Nickname
Type of device / method	Flow meter (electromagnetic)
Device make
Serial number
Model number
Approximate date of installation	02/01/2012
Additional info
Approximate date the measuring device was last calibrated or the measurement method was updated	05/12/2012
Estimated accuracy of measurement	99
Description of calibration method	OFFSET AGAINST 5 GALLON PAIL
Describe the maintenance schedule for the device/method	10 YEARS
Information for the person who last calibrated the device or designed the measurement method
Name	CLIFF
Phone number	2099481882
Email	RRLEWISH2O@GMAIL.COM
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)
License number and type for the qualified individual above and/or any other relevant explanation	LARRY OSTROM 504513
Type of data recorder device / method	Digital register (flow meter)
Data recorder device make	CHEM FLOW
Data recorder serial number
Data recorder model number
Data recorder units of measurement	Gallons
Frequency of data recording	More frequent than hourly
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
I am required to report my diversion or storage data by telemetry as of the date this report is submitted	No
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

Maximum Rate of Diversion
Month	Rate of Diversion
January
February
March
April
May
June
July
August
September

Water Transfers
Water transfered	No
Quantity transfered (Acre-Feet)
Dates which transfer occurred	/ to /
Transfer approved by

Water Supply Contracts
Water supply contract	No
Contract with
Other provider
Contract number
Source from which contract water was diverted
Point of diversion same as identified water right
Amount (Acre-Feet) authorized to divert under this contract
Amount (Acre-Feet) authorized to be diverted in 2021
Amount (Acre-Feet) projected for 2022
Exchange or settlement of prior rights
All monthly reported diversion claimed under the prior rights
Amount (Acre-Feet) of reported diversion solely under contract

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

Credits Claimed
	Conservation	Reclaimed Water Use	Conjunctive Groundwater Use
Claimed? (Yes/No)	No	No	No
January
February
March
April
May
June
July
August
September

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	Jennifer
Last Name	Spaletta
Relation to Water Right	Agent

Information on Certification and Signatory
Name of Person Signing and Certifying the Report	Jennifer Spaletta
Date of Signature	03/31/2022