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0296State Water Resources Control Board DIVISION OF WATER RIGHTS' P.O. Box 2000 SACRAMENTO, CA 95812-2000 901 P STREET, SACRAMENTO, CA (916) 657-1364 FAX: (916) 657-1485 REPORT OF LICENSEE FOR 1992, OWNER OF RECORD: SOUTH TAHOE PUBLIC UTILITY DISTRICT APP SOUTH TAHOE PUBLIC UTILITY DISTRICT 1275 MEADOW CREST DR SOUTH LAKE TAHOE, CA 96150 IF OWNER'S NAME/ADDRESS/PHONE NO. IS WRONG SOURCE: UNCR PURPOSE: DOMESTIC JAN 01 TO DEC 31 / C — 1993; 13.9;4 N� rri I¢ATYON: LICENSE : 10608 4018g1 0,1 TELEPHONE NUMBER: (916) 544-6474 OR MISSING, PLEASE CORRECT. COUNTY: EL DORADO ACRES/HP: DIVERSION/STORAGE SEASON: 0 AC AMOUNT: 0.27 CFS 0 AC -FT THIS REPORT IS REQUIRED BY THE TERMS AND CONDITIONS OF YOUR LICENSE IMPORTANT! EVERY license is subject to the conditions therein. I have currently reviewed my license: YES [ X ] NO [ I. I am complying with the conditions of my license: YES [ X ] NO [ ]. Identify any noncompliance by license term number under °Remarks° on reverse side. This report is important in providing the record of use needed in maintaining your water right. It should be filled out carefully and retumed promptly to the above -listed address. THE PROJECT HAS BEEN ABANDONED, AND I REQUEST REVOCATION OF THE LICENSE: YES [ ]. COMPLETE FOR DIRECT DIVERSION PROJECTS 1. Have you used the full licensed amount of water each year? YES [ ] NO [ ]. 2. State the quantity of water used each month in gallons or acre-feet (if not known, check months water was used). 1992 1993 1994 Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct Nov. Dec. Total Annual None None None COMPLETE FOR STORAGE PROJECTS 3. Did your reservoir spill this year? 4. If not, how many feet below spillway vertically was the water level at maximum storage 5. Have you emptied the reservoir? 6. How many feet below spillway vertically was it drawn down at end of season/ 3/94 1992 1993 1994 • 1994 (Continues on reverse side) FOR0135R1 USE ( COM 7. Acrea 8. Stock 9. Dome 10. Recre 11. Indust 12. Munici 13. Power 14. Other 15. If no water was usedin oneor more years, briefly state the reason under "Remarks". 16. If the location of the point of diversion or place of use or type of use(s) has been changed and the permission of this Board has not yet been obtained, please describe nature of changes under °Remarks". see; page 1 for year of use) le irrigated vatering - number of stock. ;tic - number of persons garden area,,etc ational - nature of use ial - nature =of:use pal - approximate population generation - KW p I I ) o` E ! i 1 PLEASE ANSWER ONLY THOSE QUESTIONS BELOW WHICH ARE APPLICABLE TO YOUR PROJECT. CONSERVATION OF WATER 17. Describe any water conservation efforts you may have started: 18. If credit toward beneficial use of water under this license for water not used due to a conservation effort is claimed under Water Code Section 1011, please show the amounts of water conserved (acre-feet or mg.): 19 (af/mg) 19 (af/mg) 19 (af/mg) WATER QUALITY AND WASTEWATER RECLAMATION. 19. Are you now or have you been using reclaimed water from a wastewater treatment facility, desalination facility or water polluted by waste to a degree which unreasonably affects such water for other beneficial uses? YES [ ] NO [ ]. If credit toward use under this water right through substitution of reclaimed water, desalinated water or polluted water in lieu of appropri- ated water is claimed under Section 1010 of the Water Code, please show amounts of reduced diversion and amounts of reclaimed water used: 19_ (af/mg) 19_ (af/mg) 19 (af/m€ REMARKS: (Identify the item you are explaining. Additional pages may be attached.) This spring has not been used since 1987. I declare under penalty of perjury that the informatign in this report i true to the best of my knowledge and belief: Date: f 1 `1 1 ' 'Sign Here: LICENSEE (OR AGENT OR DESIGNEE) RET OF LICENSEE - PAGE 2 APPLICATION NO. STATE WATER RESOURCES CONTROL BOARD DIVISION OF WATER RIGHTS P.O. BOX 2000 SACRAMENTO, CA 95812-2000 INFORMATION SHEET POINT OF DIVERSION: OWNER NAME PARCEL NO. MULTIPLY OWNERS: Please list after (1) below the owner authorized to receive all correspondence and report forms. Also list the names and addresses of the remaining owners. (1)OWNER PARCEL NO. (FIRST) (MIDDLE) (LAST) ADDRESS TELEPHONE NO. ( OWNER PARCEL NO. (FIRST) (MIDDLE) (LAST) ADDRESS TELEPHONE NO. ( OWNER PARCEL NO. (FIRST) (MIDDLE) (LAST) • ADDRESS TELEPHONE NO. ( [If more owners, please add name(s), address(es) and parcel number(s) on a separate sheet] *If more Points of Diversion, please add information on a separate sheet. *AGENT: Please provide the current address(es) of water right owner(s) above.