[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF REGISTRANT FOR 2018

Primary Owner: THERESE LANZISERA
Primary Contact:

Date Submitted: 05/13/2019

Application Number: H501799
Certificate Number: 100230

Source(s) of Water POD Parcel Number County
Hayfork Creek 016-210-09-00 Trinity
Hayfork Creek 016-210-09-00 Trinity

MAX Direct Diversion Rate: 10 Unknown Units
MAX Collection to Storage: 0.31 AC-FT
Face Value: 0.31 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Aesthetic
Irrigation
Fire Protection
1. Certificate Review
I have reviewed my water right certificate Yes
2. Compliance with Registration Terms and Conditions
I am complying with all terms and conditions Yes
Description of noncompliance with terms and conditions
3. Changes to the Project
Intake location has been changed
Description of intake location changes
Place of use has changed Yes
Description of place of use changes Abandoning cannabis SIUR and pond plan, pasture, livestock and fire suppression planned use
Other changes Yes
Description of other changes Well water to be used for cannabis, not creek
4-6. Registered Project Status
Project Status Revocation Requested
6a. Construction work has commenced
6b. Construction is completed
6c. Beneficial uses of water has commenced
6d. Explanation of work remaining to be done
6e. Estimated date of completion
7. Purpose of Use
No Use
8. Maximum Rate of Diversion
Month Rate of Diversion
January
February
March
April
May
June
July
August
September
October
November
December
9. Amount of Water Diverted and Used
Month Amount directly diverted
(Acre-Feet)
Amount diverted or
collected to storage
(Acre-Feet)
Amount 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 Pond for storage and cannabis use plan abandoned due to financial restraints. Being solar pump was installed, we plan to use direct to irrigate small pasture for livestock and fire suppression.
Water Transfers
9d. Water transfered No
9e. Quantity transfered (Acre-Feet)
9f. Dates which transfer occurred / to /
9g. Transfer approved by
Water Supply Contracts
9h. Water supply contract No
9i. Contract with
9j. Contract number
9k. Source from which contract water was diverted
9l. Point of diversion same as identified water right
9m. Amount (Acre-Feet) authorized to divert under this contract
9n. Amount (Acre-Feet) authorized to be diverted in 2018
9o. Amount (Acre-Feet) projected for 2019
9p. Exchange or settlement of prior rights
9q. All monthly reported diversion claimed under the prior rights
9r. Amount (Acre-Feet) of reported diversion solely under contract
Measurement Attachments
Measurement ID Number File Name Description Size
No attachments
Measurement Data Files
Measurement ID Number File Name Description Size
No data files
11. Storage
Reservoir name Spilled this year Feet below spillway at maximum storage Completely emptied Feet below spillway at minimum storage Method used to measure water level
 
Additional Remarks
 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Therese
Last Name Lanzisera, Hayfork ,Ca.
Relation to Water Right Primary Owner of Record
Has read the form and agrees the information in the report is true to the best of his/her knowledge and belief Yes