[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF REGISTRANT FOR 2019

Primary Owner: THERESE LANZISERA
Primary Contact:

Date Submitted: 03/29/2020

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
Irrigation
Fire Protection
Aesthetic
1. Compliance with Registration Terms and Conditions
I have reviewed my water right and I am complying with all terms and conditions Yes
Description of noncompliance with terms and conditions
2. Changes to the Project
Intake location has been changed
Description of intake location changes
Place of use has changed
Description of place of use changes
Other changes
Description of other changes
3-5. Registered Project Status
Project Status Complete
5a. Construction work has commenced
5b. Construction is completed
5c. Beneficial uses of water has commenced
5d. Explanation of work remaining to be done
5e. Estimated date of completion
6. Purpose of Use
Fire Protection Greening of small pasture
Aesthetic Greening of pasture
7. 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 0.061378 0 0.061378
July 0.092067 0 0.092067
August 0.092067 0 0.092067
September    0.061378 0 0.061378
October 0 0 0
November 0 0 0
December 0 0 0
Total 0.30689 0 0.30689
Type of Diversion Direct Diversion Only
Comments
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. Maximum Rate of Diversion
Month Rate of Diversion
January
February
March
April
May
June
July
August
September
October
November
December
9.Water Transfers
9a. Water transfered No
9b. Quantity transfered (Acre-Feet)
9c. Dates which transfer occurred / to /
9d. Transfer approved by
Water Supply Contracts
9e. Water supply contract No
9f. Contract with
9g. Contract number
9h. Source from which contract water was diverted
9i. Point of diversion same as identified water right
9j. Amount (Acre-Feet) authorized to divert under this contract
9k. Amount (Acre-Feet) authorized to be diverted in 2019
9l. Amount (Acre-Feet) projected for 2020
9m. Exchange or settlement of prior rights
9n. All monthly reported diversion claimed under the prior rights
9o. Amount (Acre-Feet) of reported diversion solely under contract
10. 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
Relation to Water Right Primary Owner of Record
Information on Certification and Signatory
Name of Person Signing and Certifying the Report
Date of Signature 03/29/2020