[SUMMARY OF FINAL SUBMITTED VERSION]


REPORT OF LICENSEE FOR REPORTING PERIOD

January 1, 2021 to September 30, 2021

Primary Owner: RICHARD MARSHALL HIX
Primary Contact:

Date Submitted: 03/29/2022

Application Number: A022832
License Number: 010297

Source(s) of Water POD Parcel Number County
SIMMS CREEK Trinity

MAX Direct Diversion Rate: 0.84 CFS
MAX Collection to Storage: 2.5 AC-FT
Face Value: 302 AC-FT

Permitted Use(s) Acres Direct Diversion Season Storage Season
Irrigation 32 05/01 to 10/31 10/01 to 06/01
Stockwatering 0 01/01 to 12/31 10/01 to 06/01
Domestic 0 01/01 to 12/31 10/01 to 06/01
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
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
Purpose of Use
Domestic 4 persons, < 1/4 acre
Irrigation
Stockwatering 10 cattle
Irrigated Crops
Multiple Crops Area Irrigated (Acres) Primary Irrigation Method
Pasture No 5 Surface (example: flood)
Special Use Categories
Are you using any water diverted under this right for the cultivation of cannabis? No
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 0.09 0 0.09
February 0.07 0 0.07
March 0.03 0 0.03
April 0.19 0 0.19
May 0.21 0 0.21
June 1.35 0 1.35
July 0.11 0.01 0.12
August 0.32 0 0.32
September    0.32 0 0.32
Total 2.69 0.01 2.7
Type of Diversion Both Direct Diversion and Diversion to Storage
Comments rows for Oct - Dec missing above; data provided below Oct 0.46, 0.00, 0.46 Nov 0.02, 0.00, 0.03 Dec 0.02, 0.02, 0.02 Totals: 3.19, 0.01, 3.20 ac-ft
Water Diversion Measurement
Required to measure as of the date this report is submitted Yes
Is diversion measured? Yes
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 ID numberM007470
This Device/Method was used to measure water during the current reporting periodYes
Briefly describe the measurement device or method1.5" Positive-displacement device
NicknameSims Creek Meter
Type of device / methodFlow meter (positive displacement)
Device makeEKM Metering Inc.
Serial number2016 S/N00000299
Model numberEKM-SPWM-150-CF
Approximate date of installation08/31/2017
Additional info
Approximate date the measuring device was last calibrated or the measurement method was updated06/30/2018
Estimated accuracy of measurement3.9%
Description of calibration methodFlowed through meter into calibrated volumetric container. Compared measured meter volume to actual volume collected by container.
Describe the maintenance schedule for the device/methodOwner will use the American Water Works Association recommended 5-yr test frequency for 1.5" positive displacement meters. In 2018 installed a Y-strainer upstream of meter and replaced the intake strainer at the diversion point.
Information for the person who last calibrated the device or designed the measurement method
NameRichard Hix
Phone number510-529-1403
Emailmarshall.xih@gmail.com
Qualifications of the individualTaken and passed the Assembly Bill 589 measurement class offered by the University of California Cooperative Extension (attach copy of certificate at the end of this form)
License number and type for the qualified individual above and/or any other relevant explanationRichard Hix completed the University of California Flow Measurement Devices and Methods training in Hayfork on 22 June 2018. He is a PhD Chemical Engineer with 25+years experience in research and industrial flow measurement.
Type of data recorder device / methodData logger (digital)
Data recorder device makeOnset Computer Corp.
Data recorder serial number20197823
Data recorder model numberH21-USB
Data recorder units of measurementAcre-Feet
Frequency of data recordingDaily
Additional data recorder infoDevice counts meter pulses and outputs total pulse count for the time selected, hourly, time period. One pulse = 0.1 ft3. Logger installed 03/13/2018. Current logging is on a 12-hr frequency.
I am required to report my diversion or storage data by telemetry as of the date this report is submittedNo
I report my diversion or storage date by telemetry to the following website
Measurement Attachments
Measurement ID Number File Name Description Size
No attachments
Measurement Data Files
Measurement ID Number File Name Description Size
M007470 2021 Data Upload for SWRCB.xlsx 2021 Data Upload for SWRCB 44 KB
Maximum Rate of Diversion
Month Rate of Diversion (Gallons Per Minute)
January 72
February 63
March 46
April 68
May 93
June 50
July 71
August 72
September 37
Water Transfers
Water transfered No
Quantity transfered (Acre-Feet)
Dates which transfer occurred / to /
Transfer approved by
Water Supply Contracts
Water supply contract No
Contract with
Other provider
Contract number
Source from which contract water was diverted
Point of diversion same as identified water right
Amount (Acre-Feet) authorized to divert under this contract
Amount (Acre-Feet) authorized to be diverted in 2021
Amount (Acre-Feet) projected for 2022
Exchange or settlement of prior rights
All monthly reported diversion claimed under the prior rights
Amount (Acre-Feet) of reported diversion solely under contract
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
Sims Creek Pond  No 10 Yes 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
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
Water use is minimized due to multi-year drought conditions. Water diversion minimization will be a goal for 2022. 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Richard
Last Name Hix
Relation to Water Right Primary Owner of Record
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Richard Hix
Date of Signature 03/29/2022