[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF LICENSEE FOR REPORTING PERIOD

January 1, 2021 to September 30, 2021

Primary Owner: RICHARD L JENNINGS
Primary Contact:

Date Submitted: 03/30/2022

Application Number: A010835
License Number: 003101

Source(s) of Water POD Parcel Number County
RALSTON GULCH Modoc

MAX Direct Diversion Rate: 0 GPD
MAX Collection to Storage: 149 AC-FT
Face Value: 149 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Irrigation 25 11/01 to 04/15
Compliance with License Terms and Conditions
I have currently reviewed my water right license and I am complying with all terms and conditions No
Description of noncompliance with terms and conditions requested revocation no longer in use
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 Yes
Description of other changes lowered spiway to 5 feet
Purpose of Use
No Use
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 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
Total 0 0 0
Type of Diversion No Diversion
Comments spiway lowered revocatio of right requested 2020
Water Diversion Measurement
Required to measure as of the date this report is submitted No
Is diversion measured? No
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 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
whites  Yes Yes spillway lowered no storage possiable
none  No 0 No 0 not needed
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 r
Last Name j
Relation to Water Right Primary Owner of Record
Information on Certification and Signatory
Name of Person Signing and Certifying the Report rjenninhs
Date of Signature 03/30/2022