[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2012

Primary Owner: EDWARD E. BROWN
Statement Number: S021705

1. Water is used under	Riparian Claim Other: Grant Deed gives a 1/6 interest in and to any existing water rights
2. Year of first use	1969

3-4. Maximum Rate of Diversion for each Month and Amount of Water Diverted and Used
Month	Rate of diversion (GPD)	Amount directly diverted or collected to storage (Gallons)	Amount beneficially used (Gallons)
January		0	0
February		0	0
March		0	0
April		0	0
May		0	0
June		0.071628126	0.071628126
July		0.110296266	0.110296266
August		0.158079039	0.158079039
September		0.0648949594	0.0648949594
October		0	0
November		0	0
December		0	0
Total		0.4048983904	0.4048983904
Comments

5. Water Diversion Measurement
a.	Measurement	Direct measurement using a device listed in Section 1 is "not locally cost effective" for water directly diverted and/or diverted to storage
b.	Types of measuring devices used
c.	Additional technology used
	Description of additional technology used
d.	Who installed your measuring device(s)
e.	Make, model number, and last calibration date of your measuring device(s)
f.	Why direct measurement using a device listed in Section 1 is "not locally cost effective"	Diversions are infrequent
	Explanation of why use of devices and technologies listed in Section 1 are "not locally cost effective"	We use the water generally from May to October. The water is used for pasture and hay. The creek some times runs dry during the summer. The last few years this has happen off and on. The hay is only used for our animals and not sold. The cost of seed, fertilizer, fuel, electric power and equipment is generally more than the few ton of hay we get.
g.	Method(s) used as an alternative to direct measurement	Electricity records dedicated to the pump
	Explanation of method(s) used as an alternative to direct measurement	The pump has its own separate bill. Which can be used to estimate the water used.

6. Purpose of Use
Domestic	1/2 acre Lawn
Irrigation	5 Acres
Stockwatering	3 horses and donkey

7. Changes in Method of Diversion
none

8. Conservation of Water
a.	Are you now employing water conservation efforts?	No
	Describe any water conservation efforts you have initiated
b.	Amount of water conserved	Acre-Feet
	I have data to support the above surface water use reductions due to conservation efforts.

9. Water Quality and Wastewater Reclamation
a.	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
b.	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

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

11a. Additional Remarks
We have used water from Hayfork Creek for over 40 years mainly for our pasture and hay fields. The water has helped in fire prevention during the drought years. I hope to continue to use the water.

Attachments
File Name	Description	Size
No Attachments

Contact Information of the Person Submitting the Form
First Name	Gene
Last Name	Graves
Relation to Water Right	Co-Owner
Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief	Yes