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<br />Well Use Intonnation <br /> <br />Please complete Ibe following applicalion 1ft ils el"iret)' 10 pro\-i~ sufficienl i.formalioll fDr the weU allgmealalion plan. Those applicalioDs ooIlilled 001 prDpcrl)' will be <br />r\:jeck:d aad SCIlI back for complelion_ <br /> <br />SlAni <br />SllttJ('RRL <br />III <br /> <br />IN. \l"n\'~ <br />(lft ..\Cl"1\1~ <br />foX 1991 <br />Phn \' '* <br /> <br />tlRIUli.Hltl!ll <br />A~TIlnl): <br />bl.:Iu4.: "laM ,.. <br />of .:.I'" ~ <br /> <br />· U-1.:J.I. I ISH: <br />~wl .-\II'11.Iid <br />.-\wl}", 1o.:lu40: <br />,~ 01..,.,. vUlt <br /> <br />'uo yot II lSi! <br />.\Nr U"Il.."1 <br />\\' A l"E~IUGlIT~ <br />"',TillS WEU." ; <br /> <br />WIIoH <br />1)I'r(:1I <br />CPMf.-\NV <br />IS lIS~Il'! <br /> <br />lill.-\~l~~: <br />.-\SSOC1..nlm <br />WITIJ mOSE <br />lu(nn~ <br /> <br />.-\CltES <br />UtlUG..\'l1;U <br />BV TI~1S <br />WIq:. - <br /> <br />IIOU' toRICII LAWN <br />IXJI=:S TilE W A n:R <br />FltQt.~ TIPS WEU'-QQ <br />lO?(~~.fq ; <br /> <br />1I0W MANY UOMI~S lloa <br />111.: W.. from 'lhD "",,11 . <br />GQ T 01 Do lh.:y use. &ip&io; <br />inl'lil /ill aay ~I <br /> <br />Use as much space as )'OU need! The more infonnalion )""OU pro\'ide, the beller we can serve you! <br />tny: Jnitaljon Melhod: flood, sfXinkler. (N/A) Not Applicable <br />Well Use: irrigaliou, Ii,,'cslod. hooschoJd. municipal, commerciaJ (please describe), olber (please describe). <br />Sole Source (yes or no)(is Ihis your sole SOIlItC of WOller for )'our use?) if no marl,; Ihe ditch compall)' and shares used Wilh eacb wel" <br /> <br />Po lDU o"'n or lease an). walCl. for lhe use oflhis \\'cu. from sources ollter Ihan AGlJA'! ___ .___If)"cs, nhere and how much" <br /> <br />Southeastern Colorado Wah~l COnscn'3J1C}' Dislrict Application Quesliolls. nlis information tousl be filled 0111: <br />· Ho\\' man)' acres of Irrigahle l.aD" (lrrigalion land onlr) do )'ou own or operale? Owned and/or Leased '/ <br />· Ha\'c )'OU alr.:aJ}' compl~ICtJ an RR.o\ (,-.:rtificalion forllllhis )'C<)r forlhc Conscrvanc)' OiSllicl'! )'CS no <br />· Ie no, check OJIC below aDd )'OU ma)' receive an appicalion in Ihemail if )'00 own 2-40 or more irrjgable acres and relurD 10 AQUA as SOOR as possible. <br />· Are )'011 a sole owner (spouse included)'l _ <br />· Is ahe land owned or leased Ihrougn an)'I)"pc oflcgill cnlil)'? COfJlOntlioll_. Trust_. Es.t..Uc _, or PartJlcrsbip _' Please mark one. <br />"ag.: J of-l <br /> <br />o <br />lD <br />n <br />I <br />.... <br />o <br />I <br />\0 <br />,-..I <br /> <br />.... <br />N <br />'N <br />\0 <br />11 <br /> <br />I-l <br />o <br />1"11 <br />)> <br />r <br />< <br />)> <br />r <br />r <br />1"11 <br />-< <br />;a <br />1"11 <br />)> <br />r <br />~ <br />-< <br />r <br />~ <br />o <br /> <br />-..I <br />.... <br />\0 <br />.jll <br />en <br />N <br />U1 <br />-..I <br />U1 <br />U1 <br /> <br />11 <br />o <br />U1 <br />