[SUMMARY OF FINAL SUBMITTED VERSION]


SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR REPORTING PERIOD

January 1, 2021 to September 30, 2021
Primary Owner: SIERRA PACIFIC INDUSTRIES
Statement Number: S004951
Date Submitted: 03/18/2022
Water is used under
Riparian Claim
Year diversion commenced 1956
Purpose of Use
No Use
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
February 0 0 0
March 0 0 0
April 0 0 0
May 0 0 0
June 0 0 0
July 0 0 0
August 0 0 0
September    0 0 0
Total 0 0 0
Type of Diversion No Diversion
Comments No logging activity in area, no dust abatement needed.
Water Diversion Measurement
Required to measure as of the date this report is submitted No
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
January
February
March
April
May
June
July
August
September
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) 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
 
Attachments
File Name Description Size
No Attachments
Contact Information of the Person Submitting the Form
First Name Sierra Pacific Industries
Last Name By: L Lor
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 Sierra Pacific Industries
Last Name By: L Lor
Relation to Water Right Diverter of Record
Information on Certification and Signatory
Name of Person Signing and Certifying the Report L Lor
Date of Signature 03/18/2022