[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2017

Primary Owner: William L Hinman
Statement Number: S011200

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

3. Purpose of Use
No Use

4. Changes in Method of Diversion
This Statement is attached to a rental unit.Due to drought conditions here,and the fact that this unit has a well that met their needs for domestic use we elected to not use the diversion.A second well put in,August,2016 proved "dry" We plan to douse again in another location in 2018

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	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	As stated above, due to drought conditions the past few years,we elected to not use the diversion for this property. There is an adequate existing well for domestic use.A late August 2016 well installation for outdoor use proved dry. We plan to douse for another well in 2018.At that time we will resume use of the diversion for Kitchen garden use.

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?	No
	Describe any water conservation efforts you have initiated
b.	Amount of water conserved
	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?	Yes
b.	Amount of groundwater used	600 Gallons
	I have data to support the above surface water use reductions due to the use of groundwater.	No

Additional Remarks
I have postal mailed a CHANGE form to put this statement, S011200 and S021670 in my name as Owner/diverter of Record.

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