[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2015

Primary Owner: William L Hinman
Statement Number: S011200

1. Water is used under	Riparian Claim
2. Year diversion commenced	1976

3-4. Maximum Rate of Diversion for each Month and Amount of Water Diverted and Used
Month	Rate of diversion	Amount directly diverted (Acre-Feet)	Amount diverted or collected to storage (Acre-Feet)	Amount beneficially used (Acre-Feet)
January		0	0	0
February		0	0	0
March		0	0	0
April		0	0	0
May		0	0	0
June		0	0	0
July		0	0	0
August		0	0	0
September		0	0	0
October		0	0	0
November		0	0	0
December		0	0	0
Total		0	0	0
Type of Diversion	No Diversion
Comments	This rental is not currently using surface water.A well installed in 1976 serves domesti needs.no garden used surface water

Water Transfers
8e. Water transfered	No
8f. Quantity transfered (Acre-Feet)
8g. Dates which transfer occurred	/ to /
8h. Transfer approved by

Water Supply Contracts
8i. Water supply contract	No
8j. Contract with
8k. Other provider
8l. Contract number
8m. Source from which contract water was diverted
8n. Point of diversion same as identified water right
8o. Amount (Acre-Feet) authorized to divert under this contract
8p. Amount (Acre-Feet) authorized to be diverted in 2015
8q. Amount (Acre-Feet) projected for 2016
8r. Exchange or settlement of prior rights
8s. All monthly reported diversion claimed under the prior rights
8t. Amount (Acre-Feet) of reported diversion solely under contract

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"
	Explanation of why use of devices and technologies listed in Section 1 are "not locally cost effective"	Tenants have elected to not use surface water due to continuing drought. No pump in creek
g.	Method(s) used as an alternative to direct measurement	Other
	Explanation of method(s) used as an alternative to direct measurement	No surface water usage by tenente in this reporting period

6. Purpose of Use
No Use

7. Changes in Method of Diversion
No surface water diverted per this statement

8. Conservation of Water
a.	Are you now employing water conservation efforts?	Yes
	Describe any water conservation efforts you have initiated	Not diverting surface water
b.	Amount of water conserved	Acre-Feet
	I have data to support the above surface water use reductions due to conservation efforts.	No

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?	Yes
b.	Amount of groundwater used	274 Gallons
	I have data to support the above surface water use reductions due to the use of groundwater.	No

11a. Additional Remarks

Attachments
File Name	Description	Size
No Attachments

Contact Information of the Person Submitting the Form
First Name	Maralee
Last Name	Hinman
Relation to Water Right	Other: I needto be DoR
The information in the report is true to the best of his/her knowledge and belief	Yes