[SUMMARY OF FINAL SUBMITTED VERSION]

REPORT OF LICENSEE FOR FOR REPORTING PERIOD

Primary Owner: SIERRA PACIFIC INDUSTRIES
Primary Contact:

Application Number: A012739
License Number: 005256

Source(s) of Water	POD Parcel Number	County
UNSP	024-030-10	Tuolumne

MAX Direct Diversion Rate: 7200 GPD
MAX Collection to Storage: 0 AC-FT
Face Value: 8.1 AC-FT

Permitted Use(s)	Acres	Direct Diversion Season	Storage Season
Domestic	0	01/01 to 12/31

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 in the area this period.

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