[SUMMARY OF FINAL SUBMITTED VERSION]


SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR 2020

Primary Owner: MARALEE HINMAN
Statement Number: S021670
Date Submitted: 06/26/2021
1. Water is used under
Riparian Claim
2. Year diversion commenced 1990
2. Purpose of Use
Domestic 2 hshlds 2-3 persons household composition unchanged from last report.no garden
3. 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 beneficially used
(Acre-Feet)
January 0.009514 0 0.009514
February 0.008593 0 0.008593
March 0.009514 0 0.009514
April 0.009207 0 0.009207
May 0.009514 0 0.009514
June 0.009207 0 0.009207
July 0.009514 0 0.009514
August 0.009514 0 0.009514
September    0.009207 0 0.009207
October 0.009514 0 0.009514
November 0.009207 0 0.009207
December 0.009514 0 0.009514
Total 0.112019 0 0.112019
Type of Diversion Direct Diversion Only
Comments 7 months @100 gal. day per person 2 households 1& 2person 1 months @ 100 gal. day per person 4 months@ 100 gal. day per person
5. Water Diversion Measurement
a. Required to measure as of the date this report is submitted No
b. Is diversion measured? No
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
6. Maximum Rate of Diversion
Month Rate of Diversion
January
February
March
April
May
June
July
August
September
October
November
December
7. Water Transfers
8a. Water transfered No
8b. Quantity transfered (Acre-Feet)
8c. Dates which transfer occurred / to /
8d. Transfer approved by
Water Supply Contracts
8e. Water supply contract No
8f. Contract with
8g. Other provider
8h. Contract number
8i. Source from which contract water was diverted
8j. Point of diversion same as identified water right
8k. Amount (Acre-Feet) authorized to divert under this contract
8l. Amount (Acre-Feet) authorized to be diverted in 2020
8m. Amount (Acre-Feet) projected for 2021
8n. Exchange or settlement of prior rights
8o. All monthly reported diversion claimed under the prior rights
8p. Amount (Acre-Feet) of reported diversion solely under contract
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
This water right does not have a groundwater source. 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Maralee
Last Name Hinman
Relation to Water Right Diverter of Record
The information in the report is true to the best of his/her knowledge and belief Yes
Contact Information of the Person Submitting the Form
First Name Maralee
Last Name Hinman
Relation to Water Right Diverter of Record
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Maralee Hinman
Date of Signature 06/26/2021