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0334•ate Water Resources Control Boar DIVISION OF WATER RIGHTS 2125 19th Street, Sacramento, California 95818 PROGRESS REPORT BY PERMITTEE FOR 1915 OWNER OF RECORD: APPLICATION 18021 TAHOE PARADISE WATER & GAS COMPANY P O BOX 11117, TAHOE PARADISE, CALIF 95705 (916) 541-2622 Telephone Number (Include Area Code) If the owner or address shown above is wrong, please correct SOURCE: UNNAMED CREEK AMOUNT: 1 CU FT/SEC 6 AC-FT/ANN PURPOSE: DOMEST I C PERMIT: 13526 121-70 IMPORTANT! EVERY permit is issued subject to the conditions therein expressed. I have currently reviewed( permit: YES ® NO ❑ . I am complying with the conditions under which my permit has been issued: YES ® NO ❑ . Identify any non-compliance by permit term number under "remarks" on reverse side. This report is important in providing the record of use needed in establishing your water right. It should be filled out carefully and returned promptly to the STATE WATER RESOURCES CONTROL BOARD, DIVISION OF WATER RIGHTS 2125 Nineteenth Street, Sacramento, California 95818 THE PROJECT HAS BEEN ABANDONED AND I REQUEST REVOCATION OF THIS PERMIT: YES 0 NO n . CONSTRUCTION WORK 1. Has construction work commenced? YES ® NO ❑ . If YES, is construction completed? YES ® NO ❑ . 2. If incomplete, describe briefly the work done, including cost. 3. If not completed, give estimated date of completion. 4. What percent of construction work remains to be done? Explain. USE OF WATER 5. Has use of water commenced? YES ® NO ❑ Check appropriate box(es) below and explain how water was used. (a) ❑ Irrigation Total acres Irrigated Name of crops served and acreage of each (b) ❑ Stockwatering (f) ❑ Recreational Number of animals Boating, fishing, water contact sports (c) 0 Industrial (g) ❑ Power generation Nature of Use Installed horsepower capacity (d) ❑ Domestic 1390 (h) ❑ Other Number of persons, area of garden, lawn, etc. (e) 0 Municipal 410 Fi re Hydrantw Approximate population 6. Amount of water used each month under this permit in gallons or acre-feet. (If not known, check months water was used.) Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Total Annual 9.7 8.1 7.1 6.6 9.2 14.1 12.7 1 10.8 9.7 4.7 106.9 7. Has use of water, both amount and season, been as great as you expect in any future year under this permit? YES ❑ NO If "No", explain on reverse side under "remarks". 8. Has location of the intake, place of use, or type of use been changed? YES ❑ NO N. Explain on reverse side under "remarks". 9. Did the source go dry? YES 0 NO ®. If so, during what months? STORAGE PROJECTS ONLY Not Applicable 10. Did your reservoir spill this year? YES ❑ NO ❑ . If not, how many feet below spillway vertically was the water level at maximum storage? Have you emptied the reservoir? YES 0 NO ❑ . If not, how many feet below spillway vertically was it drawn down at end of season? I declare under penalty of perjury that the information in this report is true to the best of my knowledge and belief. Dated. 23 January 1976 SWRCB-15 (9.75) at Tahoe Paradise California (Location) (State) Sign here. Tahoe Paradise Water and Gas Co. eorge C. 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