[SUMMARY OF FINAL SUBMITTED VERSION]


SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2017

Primary Owner: WILLIAM L. HINMAN
Statement Number: S021670
Date Submitted: 06/18/2018
1. Water is used under
Riparian Claim
2. Year diversion commenced 1990
3. Purpose of Use
Domestic 2 hhs 2-4 persons 3 fruit trees
4. Changes in Method of Diversion
winter 2016/17 caused our domestic diversion to become inoperable,due to flooding our Hayfork creek cistern. We reverted to using our pond (filled by rainwater only)for 2 households (2-4 persons)in Mar. Apr. May,2017 Diversion resumed in June,2017. 
Special Use Categories
C1. Are you using any water diverted under this right for the cultivation of cannabis? No
5-6. 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 0.038054 0.038054
February 0 0 0.034372 0.034372
March 0 0 0 0
April 0 0 0 0
May 0 0 0 0
June 0 0 0.036827 0.036827
July 0 0 0.038054 0.038054
August 0 0 0.038054 0.038054
September    0 0 0.036827 0.036827
October 0 0 0.038054 0.038054
November 0 0 0.036827 0.036827
December 0 0 0.038054 0.038054
Total   0 0.335123 0.335123
Type of Diversion Diversion to Storage Only
Comments
Water Transfers
6d. Water transfered No
6e. Quantity transfered (Acre-Feet)
6f. Dates which transfer occurred / to /
6g. Transfer approved by
Water Supply Contracts
6h. Water supply contract No
6i. Contract with
6j. Other provider
6k. Contract number
6l. Source from which contract water was diverted
6m. Point of diversion same as identified water right
6n. Amount (Acre-Feet) authorized to divert under this contract
6o. Amount (Acre-Feet) authorized to be diverted in 2017
6p. Amount (Acre-Feet) projected for 2018
6q. Exchange or settlement of prior rights
6r. All monthly reported diversion claimed under the prior rights
6s. Amount (Acre-Feet) of reported diversion solely under contract
7. Water Diversion Measurement
a. Required to measure as of the date this report is submitted No
b. Is diversion measured? No
c. An alternative compliance plan was submitted to the division of water rights on
d. A request for additional time was submitted to the division of water rights on
8. Conservation of Water
a. Are you now employing water conservation efforts? Yes
Describe any water conservation efforts you have initiated As drought in our area continues to be a factor, the two households on this project still do not have gardens;there are a few (3) apple trees,a grape arbor (over 40 years old)some container plants,and we water one equine.
b. Amount of water conserved
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.
Additional Remarks
I have sent by postal mail,a supplemental statement for change in Diverter Name for this water right,S021670. also a copy of the summary information page for this ID which has the incorrect APN listed.Should read pod parcel#017-380-32-00  
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 New Diverter of Record
The information in the report is true to the best of his/her knowledge and belief Yes