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<br />IRRIGATION WELL USAGE <br /> <br /> <br />1. Contract number: 010360 <br />Name: Le Roy Hart <br />Address: 42996 Hwy 34 Orchard CO 80649 <br />Well permit number: R 0383 Water court number: W2173 <br />Location: NW1I4NE1I4 Section 30 Range 61 W Township 04N <br />Structure J.D. number: 01 6859 Pump rate (gpm): 1200 <br /> <br />2, Did you pump this well in 2002? yes L no <br /> <br />3. <br /> <br />Was the well used for use other than crop irrigation? yes <br /> <br />not- <br /> <br />4. <br /> <br />If yes, please describe <br /> <br />5. <br /> <br />How many acre-feet of water were pumped during 2002? <br /> <br /> <br /> <br />5:2lcre feet <br /> <br />a. If you have a flow meter, what is the current flow meter reading? <br />If your flow meter has a multiplier, enter it here <br />Flow meter reads in: Circle one (acre-feet) (gallons) (other) <br /> <br />b.}fyou do not uf a flo,\\, meter, what other method did you use? <br />De~cribe J, hi H Th-~~ r <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br /> <br />Other <br /> <br />com <br />~Wfu go <br />small grain <br />sugar beets <br />OnIons <br />. beans <br />other (specify)~ ~ .ji <br />I tf 10 <br />7 . Was the well the sole source of water used on these acres? yes L no <br />.I <br /> <br />8. Other water_ <br />9. How many KWH did this well use in 2002? /7C1o 71 <br />Date: /0/ M 10 C Signature:...J 7 1~ <br /> <br />1 of 1 <br />