[SUMMARY OF FINAL SUBMITTED VERSION]

SUPPLEMENTAL STATEMENT OF WATER DIVERSION AND USE FOR REPORTING PERIOD

Primary Owner: SIERRA PACIFIC INDUSTRIES
Statement Number: S015240

Water is used under	Riparian Claim
Year diversion commenced	1900

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)
2022
October	0	0	0
November	0	0	0
December	0	0	0
2023
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 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 ID number	M009850
This Device/Method was used to measure water during the current reporting period	Yes
Briefly describe the measurement device or method	Nuway flume with onset pressure transducer
Nickname	Upper Goodrich Creek Flume
Type of device / method	Flume
Device make	EZ-Ramp / Nuway Winflume
Serial number
Model number
Approximate date of installation	05/25/2017
Additional info
Approximate date the measuring device was last calibrated or the measurement method was updated
Estimated accuracy of measurement
Description of calibration method
Describe the maintenance schedule for the device/method
Information for the person who last calibrated the device or designed the measurement method
Name
Phone number
Email
Qualifications of the individual
License number and type for the qualified individual above and/or any other relevant explanation
Type of data recorder device / method	Data logger (digital)
Data recorder device make	Onset
Data recorder serial number	2384639
Data recorder model number	U20-001-04
Data recorder units of measurement	Cubic Feet per Second
Frequency of data recording	Hourly
Additional data recorder info
I am required to report my diversion or storage data by telemetry as of the date this report is submitted	No
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
No data files

Maximum Rate of Diversion
Month	Rate of Diversion
2022
October
November
December
2023
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
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 2023
Amount (Acre-Feet) projected for 2024
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
2022
October
November
December
2023
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: N. Dziergas
Relation to Water Right	Diverter of Record

Contact Information of the Person Submitting the Form
First Name	Sierra Pacific Industries
Last Name	By: N. Dziergas
Relation to Water Right	Diverter of Record

Information on Certification and Signatory
Name of Person Signing and Certifying the Report	N. Dziergas
Date of Signature	01/13/2024