[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF LICENSEE FOR 2020

Primary Owner: SHASTA FORESTS TIMBERLANDS, LLC
Primary Contact: W M BEATY & ASSOCIATES INC

Date Submitted: 02/01/2021

Application Number: A015559
License Number: 012133

Source(s) of Water POD Parcel Number County
ROCK CREEK 702-290-008 Shasta

MAX Direct Diversion Rate: 0 GPD
MAX Collection to Storage: 188 AC-FT
Face Value: 188 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Domestic 0 11/01 to 03/31
Recreational 0 11/01 to 03/31
1. Compliance with License Terms and Conditions
I have currently reviewed my water right license 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
Type of use has changed
Description of type of use changes
Place of use has changed
Description of place of use changes
Other changes
Description of other changes
3. Purpose of Use
Domestic 1 occasional guest
Recreational Fishing
Special Use Categories
C1. Are you using any water diverted under this right for the cultivation of cannabis? No
4. 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 15.666 15.666
February 0 15.666 15.666
March 0 15.666 15.666
April 0 15.666 15.666
May 0 15.666 15.666
June 0 15.666 15.666
July 0 15.666 15.666
August 0 15.666 15.666
September    0 15.666 15.666
October 0 15.666 15.666
November 0 15.666 15.666
December 0 15.666 15.666
Total 0 187.992 187.992
Type of Diversion Diversion to Storage Only
Comments
5. Water Diversion Measurement
a. Required to measure as of the date this report is submitted Yes
b. Is diversion measured? Yes
c. An alternative compliance plan was submitted to the division of water rights on 05/08/2017
d. A request for additional time was submitted to the division of water rights on 06/01/2017
Measurement Attachments
Measurement ID Number File Name Description Size
No attachments
Measurement Data Files
Measurement ID Number File Name Description Size
No data files
6. Maximum Rate of Diversion
Month Rate of Diversion (Gallons Per Day)
January 0
February 0
March 0
April 0
May 0
June 0
July 0
August 0
September 0
October 0
November 0
December 0
7. Water Transfers
7a. Water transfered No
7b. Quantity transfered (Acre-Feet)
7c. Dates which transfer occurred / to /
7d. Transfer approved by
Water Supply Contracts
7e. Water supply contract No
7f. Contract with
7g. Other provider
7h. Contract number
7i. Source from which contract water was diverted
7j. Point of diversion same as identified water right
7k. Amount (Acre-Feet) authorized to divert under this contract
7l. Amount (Acre-Feet) authorized to be diverted in 2020
7m. Amount (Acre-Feet) projected for 2021
7n. Exchange or settlement of prior rights
7o. All monthly reported diversion claimed under the prior rights
7p. Amount (Acre-Feet) of reported diversion solely under contract
8. 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
Rock Creek  Yes No 0 Visual Estimate
Credits Claimed
Conservation Reclaimed Water Use Conjunctive Groundwater Use
Claimed? (Yes/No) No No No
January
February
March
April
May
June
July
August
September
October
November
December
Conservation Supporting Information
Description of conservation methods
Description of baseline water use and time period
Description of conservation calculation methods
Conserved water used?
Additional Remarks
 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Ross
Last Name Brazil
Relation to Water Right Agent
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Ross Brazil
Date of Signature 02/01/2021