[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2015

Primary Owner: GENE C. GRAVES
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 diversion commenced	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 (Acre-Feet)	Amount diverted or collected to storage (Acre-Feet)	Amount beneficially used (Acre-Feet)
January	0	0	0	0
February	0	0	0	0
March	0	0	0	0
April	0	0	0	0
May	0	0	0	0
June	0	0	0	0
July	0	0	0	0
August	14032	0.043063	0	0.043063
September	0	0	0	0
October	0	0	0	0
November	0	0	0	0
December	0	0	0	0
Total		0.043063	0	0.043063
Type of Diversion	Direct Diversion Only
Comments

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"	Diversion is small or minimal in size
	Explanation of why use of devices and technologies listed in Section 1 are "not locally cost effective"	The water taken in generally from May to October. Last year was a drought. Only used one month for 2015. The water is used for Oat hay. The cost of the 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 electric bill. Which can be used to estimate the water used.

6. Purpose of Use
Domestic	1/2 acre of lawn
Irrigation	5 Acres Grains (Wheat, Oat, Corn)
Stockwatering	2 horses

7. Changes in Method of Diversion
None

8. Conservation of Water
a.	Are you now employing water conservation efforts?	Yes
	Describe any water conservation efforts you have initiated	Stopped watering the lawn.
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?	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
My family have used water from Hayfork Creek for over 40 years. The water has helped in fire prevention during really day years. I hope to continue to use water from Hayfork Creek for hay and pasture.

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	Diverter of Record
The information in the report is true to the best of his/her knowledge and belief	Yes