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<br />IRRIGATION WELL USAGE <br /> <br /> <br />OOT i 5 lO02 <br /> <br />Contract number: 011271 <br />Name: Loose Robert, Inc. <br />Address: 730 Linda Street Ft. Morgan CO 80701 <br />Well permit number: 1535 Water court number: W16704 <br />Location: SW1I4NW1I4 Section 3 Range 60W Township 03N <br />Structure LD. number: 01 7799 Pump rate (gpm): J-15tt' //(;0 <br /> <br />2. Did you pump this well in 2002? yes j,./" no <br /> <br />1. <br /> <br />,- <br />G. A. S. P\ <br /> <br />3. Was the well used for use other than crop irrigation? yes no;---- <br /> <br />4. If yes, please describe <br /> <br />5. How many acre-feet of water were pumped during 2002? <br /> <br /> <br />acre 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. If you do not ~se a flow me1jer, what other method did you use? <br />Describe , /6 9 ~ ~,-.. <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Sprinkler <br />I Bj- <br /> <br />Other <br /> <br />Flood <br />~o <br /> <br />8. Other water_ <br />9. How many KWH did this well use in 2002? 9'8 /3lf <br />Date: If)<-> 2Y-t):;J.. Signature: ~~ ~ tP~~ <br />1 of 1 <br />