[SUMMARY OF FINAL SUBMITTED VERSION]

REPORT OF LICENSEE FOR FOR REPORTING PERIOD

Primary Owner: SIERRA PACIFIC INDUSTRIES
Primary Contact:

Application Number: A019114
License Number: 009031

Source(s) of Water	POD Parcel Number	County
ONION CREEK		El Dorado

MAX Direct Diversion Rate: 1800 GPD
MAX Collection to Storage: 0 AC-FT
Face Value: 1.1 AC-FT

Permitted Use(s)	Acres	Direct Diversion Season	Storage Season
Fire Protection	0	05/01 to 11/15
Domestic	0	05/01 to 11/15

Purpose of Use
Data Not Available

Special Use Categories
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
2021
January	0 Acre-Feet 0 Gallons
February	0 Acre-Feet 0 Gallons
March	0 Acre-Feet 0 Gallons
April	0 Acre-Feet 0 Gallons
May	0 Acre-Feet 0 Gallons
June	0 Acre-Feet 0 Gallons
July	0 Acre-Feet 0 Gallons
August	0 Acre-Feet 0 Gallons
September	0 Acre-Feet 0 Gallons
Total	0 Acre-Feet 0 Gallons
Comments	NO logging operations in area for the year. NO dust abatement needed.

Water Diversion Measurement
Required to measure as of the date this report is submitted	No
Is diversion measured?
An alternative compliance plan was submitted to the division of water rights on
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