[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2018

Primary Owner: VICTORIA HOWE
Statement Number: S021774

1. Water is used under	Riparian Claim
2. Year diversion commenced	1994

3. Purpose of Use
Domestic	2 people, 7 st bernards, 1 acre lawn and garden area

4. Changes in Method of Diversion

Special Use Categories
C1. Are you using any water diverted under this right for the cultivation of cannabis?	No

5. Maximum Rate of Diversion
Month	Rate of Diversion (Gallons Per Minute)
January	18000
February	18000
March	18000
April	18000
May	18000
June	18000
July	18000
August	18000
September	18000
October	18000
November	18000
December	18000

6. Amount of Water Diverted and Used
Month	Amount directly diverted (Acre-Feet)	Amount diverted or collected to storage (Acre-Feet)	Amount beneficially used (Acre-Feet)
January	0.05524	0	0.05524
February	0.05524	0	0.05524
March	0.05524	0	0.05524
April	0.05524	0	0.05524
May	0.05524	0	0.05524
June	0.05524	0	0.05524
July	0.05524	0	0.05524
August	0.05524	0	0.05524
September	0.05524	0	0.05524
October	0.05524	0	0.05524
November	0.05524	0	0.05524
December	0.05524	0	0.05524
Total	0.66288	0	0.66288
Type of Diversion	Direct Diversion Only
Comments	This is a shallow well that serves the house and yard

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 2018
6p. Amount (Acre-Feet) projected for 2019
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?	Yes
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

Measurement Attachments
Measurement ID Number	File Name	Description	Size
No attachments

Measurement Data Files
Measurement ID Number	File Name	Description	Size
No data files

8. Conservation of Water
a.	Are you now employing water conservation efforts?	Yes
	Describe any water conservation efforts you have initiated	fix leaks
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

Attachments
File Name	Description	Size
No Attachments

Contact Information of the Person Submitting the Form
First Name	Victoria
Last Name	Howe
Relation to Water Right	Diverter of Record
The information in the report is true to the best of his/her knowledge and belief	Yes