[SUMMARY OF FINAL SUBMITTED VERSION]
REPORT OF LICENSEE FOR
FOR REPORTING PERIOD
October 1, 2022 to September 30, 2023
Primary Owner:
OSTROM FAMILY TRUST
Primary Contact:
WILLIAM
L
OSTROM
Date Submitted:
02/01/2024
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 | |
|---|---|
| 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 |
| 2022 | |
| October |
0 Acre-Feet
0 Gallons
|
| November |
0 Acre-Feet
0 Gallons
|
| December |
0 Acre-Feet
0 Gallons
|
| 2023 | |
| January |
0 Acre-Feet
0 Gallons
|
| February |
0 Acre-Feet
0 Gallons
|
| March |
0 Acre-Feet
0 Gallons
|
| April |
0.01381 Acre-Feet
4500 Gallons
|
| May |
0 Acre-Feet
0 Gallons
|
| June |
0 Acre-Feet
0 Gallons
|
| July |
0 Acre-Feet
0 Gallons
|
| August |
0 Acre-Feet
0 Gallons
|
| September |
0 Acre-Feet
0 Gallons
|
| Total |
0.01381 Acre-Feet
4500 Gallons
|
| Comments | |
| 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 | M020552 |
| This Device/Method was used to measure water during the current reporting period | Yes |
| Briefly describe the measurement device or method | |
| Nickname | |
| Type of device / method | |
| Device make | |
| Serial number | |
| Model number | |
| Approximate date of installation | |
| Additional info | |
| Approximate date the measuring device was last calibrated or the measurement method was updated | |
| Estimated accuracy of measurement | |
| Description of calibration method | |
| Describe the maintenance schedule for the device/method | |
| Information for the person who last calibrated the device or designed the measurement method | |
| Name | |
| Phone number | |
| Qualifications of the individual | |
| License number and type for the qualified individual above and/or any other relevant explanation | |
| Type of data recorder device / method | |
| Data recorder device make | |
| Data recorder serial number | |
| Data recorder model number | |
| Data recorder units of measurement | |
| Frequency of data recording | |
| Additional data recorder info | |
| I am required to report my diversion or storage data by telemetry as of the date this report is submitted | |
| 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 |
| M020552 | RR Lewis_Anderson Spring 23 diversion data for upload.xlsx | 20 KB | |
| Contact Information of the Person Submitting the Form | |
|---|---|
| First Name | Pam |
| Last Name | Ostrom |
| Relation to Water Right | Primary Owner of Record |
| Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief | Yes |