[SUMMARY OF FINAL SUBMITTED VERSION]


SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR REPORTING PERIOD

January 1, 2021 to September 30, 2021
Primary Owner: XARIA THAO
Statement Number: S026139
Date Submitted: 01/25/2022
Water is used under
Year diversion commenced 1980
Purpose of Use
Domestic 4 persons
Stockwatering 50 to 150 chicken
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 beneficially used
(Acre-Feet)
January 0 0 0.006138
February 0 0 0.006138
March 0 0 0.006138
April 0 0 0.006138
May 0 0 0.006138
June 0.006138 0.006138 0.006138
July 0.006138 0.006138 0.006138
August 0.006138 0.006138 0.006138
September    0.006138 0.006138 0.006138
Total 0.024552 0.024552 0.055242
Type of Diversion Both Direct Diversion and Diversion to Storage
Comments
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 Attachments
Measurement ID Number File Name Description Size
No attachments
Measurement Data Files
Measurement ID Number File Name Description Size
No data files
Maximum Rate of Diversion
Month Rate of Diversion (Gallons Per Day)
January 65
February 65
March 65
April 65
May 65
June 65
July 65
August 65
September 65
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
Credits Claimed
Conservation Reclaimed Water Use Conjunctive Groundwater Use
Claimed? (Yes/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
 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Xaria
Last Name Thao
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 Xaria
Last Name Thao
Relation to Water Right Diverter of Record
Information on Certification and Signatory
Name of Person Signing and Certifying the Report Xaria Thao
Date of Signature 01/25/2022