[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF LICENSEE FOR FOR 2020

Primary Owner: SIERRA PACIFIC INDUSTRIES
Primary Contact:

Date Submitted: 03/30/2021

Application Number: A029131
License Number: 013259

Source(s) of Water POD Parcel Number County
UNSP Shasta
UNSP 042-390-05 Shasta

MAX Direct Diversion Rate: 150 GPD
MAX Collection to Storage: 0 AC-FT
Face Value: 0.03 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Domestic 0
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 0.006138
2000
April 0.006138
2000
May 0
0
June 0
0
July 0
0
August 0
0
September    0
0
October 0
0
November 0.006138
2000
December 0.006138
2000
Total 0.024552
8000
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