October 1, 2016 through September 30, 2017
INSTRUCTIONS: Completion of this form satisfies your requirement to report annual water production for your well outlined in District Rule 54.
This reporting period runs from October 1, 2016 through September 30, 2017. If your well is inactive, please fill in the APN and address info and skip down to Line 5. Enter N/A in 5b and check inactive in Box 6. If you reported meter readings last year, those records should be in District files. A meter reading and the date the meter was read must be provided for this year if you have an active well. If you have questions or need assistance completing this form, please call (831) 658-5642.
For help with reading your meter click HERE.