Free FormDBB-004Revised2004.xls - Colorado

DBB-004(03/2004) COLORADO GROUND WATER COMMISSION Room 818 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 ADMINISTRATIVE REPORTING - METER READINGS Well Permit No: _______________ Location : ____1/4____1/4 Sec ____ T _____R ____W Owner: ________________________________________ INSTRUCTIONS: SEE BACK OF THIS SHEET Date M/D/Y ( Flow Mtr Reading ) ( Power Mtr Reading ) Power Use Coefficient Kwh/AF Acre-Feet Used This Period Acre-Feet Used This Year Read Acre-Feet By Available (init) COMMENTS/NOTES Expanded Acres Commingled Wells Change of Use Other ___________ Calendar Year: _______ Historic Use: _____ AF Allowed Acre-Feet This Year: __________ Total Acre-Feet Banked: ___________ Water/Power Meter Limit* (meter units): ___________

ADMINISTRATIVE ENTITY/AGENT INFO: ______________________________ Name
* Assuming no break on record or meter changes

____________________ Mailing Address

___________________ City

_____ State

_______ ZIP

___________ Phone

________ District

INSTRUCTIONS BELOW PERTAIN TO THE PROPER COMPLETION OF FORM DBB-004 AND TO THE OBLIGATION OF THE ADMINISTRATIVE ENTITY IN REPORTING TO THE COLORADO GROUND WATER COMMISSION:

REPORTING TO THE COLORADO GROUND WATER COMMISSION: I. Completing Form DBB-004: Most of the Form requirements are self-explanatory. Listed below are guides for completing selected items on the Form. 1. On the upper right hand corner, the values for "Historical Use", "Allowed Acre-Feet This Year", and "Total Acre-Feet Banked", are taken from Form DBB-013 (Modified Banking), the well permit itself, or the calculated acre-feet for those using the "3-year rolling average". 2. "Water/Power Meter Limit" (upper right hand) is intended to show the well owner the maximum reading (flow meter or power meter) that the meter should not exceed in the calendar year. Use caution with this value when the meter does NOT read acre-feet or kilowatt-hours. 3. Near the left center of the form, the ( ) below "Flow Meter Reading" and "Power Meter Reading" is used to state the unit multiplier. For example, a flow meter may read in "gallons X 1000" or a power meter may read in "Kwh X 160". Use the relationship of 325,860 gallons/per acre-foot. An approved power use coefficient demands that the power use be in kilowatt-hours. If the power is via natural gas, the meter reading w/multiplier and calculated coefficient should be listed. Natural gas power use coefficients are not approved by the Commission for regular use in estimating acre-feet but may be useful in tracking flow meter performance. 4. The "COMMENTS/NOTES" section of the form is intended to show any changes or irregularities that would aid in explaining the readings (or lack of readings). All meter serial numbers and changes should be noted. Observed irrigated acreage or acreage descriptions should be compared to that permitted. The use of any temporary power use coefficient should be noted. COMMENTS to the well owner should be highlighted in this section. 5. Disposition of Form DBB-004 1 copy to the well owner/operator 1 copy to the Colorado Ground Water Commission 1 copy to the Water Commissioner for the Designated Basin 1 copy for the Ground Water Management District II. Administrative Responsibilities. 1. Frequency of Readings. a. Irrigation of Expanded Acres: At least six times per year, with one reading prior to irrigation pumping and one reading after irrigation pumping. b. Irrigation of Commingled Wells: At least three times per year, with one reading prior to irrigation pumping and one reading after irrigation pumping. b. Commercial or Municipal (year round): Monthly readings. c. Temporary Change of Use: Each week that pumping occurs while the temporary change of use is in effect and at the end of each calendar year that the temporary change of use occurred. 2. Flow Meter Certification and Operation: Newly installed flow meters must be field certified as to accuracy to their use as a measuring device before pumping. All existing installed flow meters must be field certified every four years. Certification must be done by an entity approved by the Ground Water Commission. The flow meter must be able to measure volume of water pumped within plus or minus five (5) percent of actual. 3. Power Use Coefficients: The well owner is responsible for having a power use coefficient determined for the well(s) by a certified tester. The results of the power coefficient tests and the written application describing the current irrigation practice and how the power coefficient was determined must be sent to the Colorado Ground Water Commission for approval. Power use coefficients cannot be used until the use of the power use coefficient is approved by the Commission. Power use coefficients must be re-certified at least every four years (4) from the last testing. 4. The requirements outlined in the Commission Policy Memorandum 95-3, concerning the use of flow meters and power meters, must be met.