Application Number: A015856A
License Number: 007064A
Date Submitted: 2012-05-16
1. Project Abandoned
The project has been abandoned and I request revocation of my water right license No
2. Compliance with License Terms and Conditions
I have currently reviewed my water right license and I am complying with all terms and conditions Yes
Description of noncompliance with terms and conditions
3. 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
4. Purpose of Use
Stockwatering 1,300 Cattle
Irrigation 769 Acres Mixed Crop Types
5. Amount of Water Diverted and Used
Month Amount directly diverted or
collected to storage
Amount used
January 4 4
February 3 3
March 4 4
April 4 4
May 651 651
June 643 643
July 704 704
August 704 704
September    16 16
October 4 4
November 4 4
December 4 4
Total 2745 2745
6. Maximum Rate of Diversion for each Month
Month Maximum Rate of Diversion
7. 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
Conservation of Water
8. Are you now employing water conservation efforts? Yes
Description of water conservation efforts Conservation measures include recapture and reuse of an undetermined quantity of tailwater originating from both surface and groundwater sources. In addition, the licensee has installed approximately 30,784 feet of pipelines to replace unlined canals which have resulted in reduced seepage losses and an as yet undetermined reduction in surface water diversions. Estimated quantity of conserved water is based on the difference between the quantity authorized under appropriative water right License 7064A (Application 15856A) and the total diversions reported for 2011.
9. Amount of water conserved 1480 Acre-Feet
Water Quality and Wastewater Reclamation
10. During the period covered by this Report, did you use reclaimed water from a wastewater treatment facility, water from a desalination facility, or water polluted by waste to a degree which unreasonably affects the water for other beneficial uses? No
11. Amount of reclaimed, desalinated, or polluted water used
Conjuctive Use of Groundwater and Surface Water
12. During the period covered by this Report, were you using groundwater in lieu of available surface water authorized under your license? No
13. Amounts of groundwater used
Additional Remarks
Quantity of Water Diverted: The quantities are estimated based on USBR's Farm Delivery Requirement (FDR) method. The FDR method provides an estimate of the quantity of water necessary to meet the crop consumptive use and leaching requirements and uses an assumed on-farm irrigation efficiency developed by USBR. The quantities also include an estimate of conveyance system losses. Place of Use: The place of use also receives water under License 7641D1 and is supplemented by Contract No. 14-06-200-5520A-R-1 between the Pleasant Grove-Verona Mutual Water Company and the USBR.
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name MBK Engineers
Last Name MBK Engineers
Relation to Water Right Authorized Official
Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief Yes