[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2010

Primary Owner: LEWIS EVANS
Statement Number: S010138

Water is used under	Riparian Claim Pre-1914 Claim
Year of first use	1908

Month	Rate of diversion (CFS)	Amount directly diverted or collected to storage (Acre-Feet)	Amount beneficially used (Acre-Feet)
January	0.25	0.25	0.25
February	0.25	0.25	0.25
March	1	1	1
April	1	1	1
May	1	1	1
June	1	1	1
July	1	1	1
August	1	1	1
September	1	1	1
October	1	1	1
November	1	1	1
December	0.25	0.25	0.25
Total		9.75	9.75

Purpose of Use
Domestic	.5acres lawnhydropower
Irrigation	2.50 Acres
Stockwatering	5 horses
Other	hydropower

Changes in Method of Diversion

Conservation of Water
Are you now employing water conservation efforts?	No
Describe any water conservation efforts you have initiated
Reduction in Diversions
Reduction in consumptive use
I have data to support the above surface water use reductions due to conservation efforts.

Water Quality and Wastewater Reclamation
Are you now or have you been using reclaimed water from a wastewater treatment facility, desalination facility, or water polluted by waste to a degree which unreasonably affects such water for other beneficial causes?	No
Amount of reduced diversion
type of substitute water supply
Amount of substitute water supply used
I have data to support the above surface water use reductions due to the use of a substitute water supply

Conjuctive Use of Surface Water and Groundwater
Are you now using groundwater in lieu of surface water?	No
amounts of groundwater used
I have data to support the above surface water use reductions due to the use of groundwater.

Attachments
File Name	Size
No Attachments

Contact Information of the Person Submitting the Form
First Name	l Lewis
Last Name	Evans
Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief	Yes