[SUMMARY OF FINAL SUBMITTED VERSION]

REPORT OF LICENSEE FOR FOR 2020

Primary Owner: SIERRA PACIFIC INDUSTRIES
Primary Contact:

Application Number: A013350
License Number: 003929

Source(s) of Water	POD Parcel Number	County
UNSP		Shasta
UNSP	042-260-008,042-	Shasta

MAX Direct Diversion Rate: 3700 GPD
MAX Collection to Storage: 0 AC-FT
Face Value: 2.4 AC-FT

Permitted Use(s)	Acres	Direct Diversion Season	Storage Season
Domestic	0	05/01 to 11/30
Stockwatering	0	05/01 to 11/30
Irrigation	10	05/01 to 11/30

Purpose of Use
Data Not Available

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

Amount of Water Diverted
Month	Amount diverted or collected to storage (Acre-Feet/Gallons)
January	0 0
February	0 0
March	0 0
April	0 0
May	0.3 97755
June	0.3 97755
July	0.3 97755
August	0.3 97755
September	0.3 97755
October	0.2 65170
November	0.1 32585
December	0 0
Total	1.8 586530
Comments

Water Diversion Measurement
a. Required to measure as of the date this report is submitted	No
b. Is diversion measured?
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

Contact Information of the Person Submitting the Form
First Name	Sierra Pacific Industries
Last Name	By: S Taylor
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