[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF LICENSEE FOR 2013

Primary Owner: LOUIS D SANDOZ
Primary Contact: LOUIS D SANDOZ

Date Submitted: 02/06/2014

Application Number: A020258
Permit Number: 013592

Source(s) of Water POD Parcel Number County
DUTCH CREEK Calaveras

MAX Direct Diversion Rate: 0 GPD
MAX Collection to Storage: 16 AC-FT
Face Value: 16 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Irrigation 23 10/01 to 06/01
Stockwatering 0 10/01 to 06/01
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
No Use
5. Amount of Water Diverted and Used
Month Amount directly diverted or
collected to storage
(Gallons)
Amount used
(Gallons)
January 0 0
February 0 0
March 0 0
April 0 0
May 0 0
June 0 0
July 0 0
August 0 0
September    0 0
October 0 0
November 0 0
December 0 0
Total 0 0
Comments Dam needs work
6. Maximum Rate of Diversion for each Month
Month Maximum Rate of Diversion
(GPM)
January 0
February 0
March 0
April 0
May 0
June 0
July 0
August 0
September    0
October 0
November 0
December 0
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
Dutch Creek  No 20 Yes visual
Conservation of Water
8. Are you now employing water conservation efforts? No
Description of water conservation efforts
9. Amount of water conserved
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
 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Thomas
Last Name Urbani
Relation to Water Right Other: nephew
Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief Yes