L
C-72A
(x-xx)
Bureau of Reclamation
OMB Control No. 1006-0015
Expiration Date: xx/xx/2025
Contractor: Contract Number:
DIVERSIONS OF COLORADO RIVER WATER AND RETURN FLOW FOR MUNICIPAL, INDUSTRIAL, DOMESTIC, AND IRRIGATION USES IN THE STATE OF _________ CALENDAR YEAR 20_____ |
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Total monthly water diversion and return flow—please indicate unit of measurement: |
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Diversions |
Return Flows |
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Month |
River Intakes (column a) |
Wells (column b) |
Metered Return Flow (column c) |
Estimated Return Flow* (column d) |
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Jan |
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Feb |
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Mar |
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Apr |
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May |
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Jun |
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Jul |
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Aug |
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Sep |
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Oct |
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Nov |
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Dec |
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Annual Totals |
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Grand Totals |
(columns a+b) |
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(columns c+d) |
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*If return flows are estimated; indicate the method used |
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As set forth in the contract |
Other methods (please enclose an explanation of methods used) |
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New diversion point(s) added during the calendar year ______________________________________________ |
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Report certified correct and submitted by: |
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Name:___________________________________________ Date: _______________________________________ Telephone Number: ________________ Email address:_____________________________ Note: The completed report should be submitted by the date set forth in the water delivery contract to the Regional Director, Attention: LCB-4200, Bureau of Reclamation, P.O. Box 61470, Boulder City, NV 89006 or by electronic mail to [email protected]. |
Instruction For Completing Form LC-72A
Paperwork
Reduction Act Statement:
This information is being collected in order to allow the Secretary
of the Interior, acting through the Regional Director, Interior
Region 8: Lower Colorado Basin, Bureau of Reclamation to prepare
and maintain complete, detailed, and accurate records of diversions
of Colorado River water, return flow to the river, and consumptive
use in compliance with the Consolidated Decree of the United States
Supreme Court in Arizona
v. California,
entered March 27, 2006 (547 U.S. 150 (2006)). An agency may not
conduct or sponsor, and a person is not required to respond to, a
collection of information unless the form displays a currently valid
Office of Management and Budget (OMB) control number.
Estimated
Burden Statement:
Public
reporting burden for this form is estimated to be 10 minutes which
includes reviewing instructions, gathering and maintaining data, and
completing and reviewing the form. Direct comments regarding the
burden estimate or any other aspect of this form to the Bureau of
Reclamation, Boulder Canyon Operations Office, Attention: LCB-4200,
P.O. Box 61470, Boulder City, NV 89006-1470.
Instructions:
Please
type
or
print
legibly
the
following
information.
1.
In
the
top
section
of
this
form
a.
Name
of
the
Contractor.
b.
Contract
number
of
contract
for
delivery
of
Colorado
River
water.
c.
Name
of
the
Lower
Division
State
within
which
the
Contractor’s
entitlement
is
included
(Arizona,
California,
or
Nevada).
d.
Calendar
year
for
which
the
form
is
being
completed.
2.
In the
middle
section
of
this
form:
a.
Insert
a checkmark
to
indicate
the
unit
of
measurement.
b.
Column
a—diversions
from
river
intakes,
if
any,
during
each
month
and
the
annual
total.
c.
Column
b
–
diversions
from
wells,
if
any,
during
each
month
and
the
annual
total.
d.
Column
c
–
metered
return
flows,
if
any,
during
each
month
and
the
annual
total.
e.
Column
d
–
estimated
return
flows,
if
any,
during
each
month
and
the
annual
total.
f.
The
grand
total
of
annual
diversions
(sum
of
columns
a
and
b).
g.
The
grand
total
of
annual
return
flows
(sum
of
columns
c
and
d).
3.
In
the
bottom
section
of
this
form:
a.
If
return
flows
are
estimated,
insert
a
checkmark
to
indicate
whether
the
method
used
is
as
set
forth
in
the
contract
or
by another
method.
If
another
method
is
used,
please
provide
information
about
the
method
used.
b.
List
any
new
point(s)
of
diversion
added
during
the
calendar
year.
c.
The
name
and
telephone
number
of
the
person
submitting
this
report
in
case
of
questions.
d.
The
date
the
form
is
completed.
4.
Return
the
completed
Form
LC-72A
to
the
address
shown
at
the
bottom
of
the
form.
For your convenience, you may also submit the form via electronic
email to: [email protected].
Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Ken Isakson |
File Modified | 0000-00-00 |
File Created | 2022-03-25 |