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<br />Upper Colorado River Pond Owner Survey <br /> <br />PLEASE COMPLETE AND RETURN BY November 15,1995 <br /> <br />PIC Code <br />County <br />Side of River: North <br />South <br /> <br />Name <br />Address <br />City/State/Zip <br />Telephone <br /> <br />1. How many ponds do you ownlmanage within one mile of the river? <br />Number? IF THE ANSWER IS 0 YOU MAY STOP AND RETURN THE QUESTIONAIRE <br /> <br />2. Is your pond (s) privately owned? Y_ N <br /> <br />Who owns the land the pond is built on? <br />Who owns surface access rights to the pond(s)? <br />Who owns the water rights for waters impounded in the pond? <br /> <br />3. What is the source of water for each pond? <br /> <br />POND Direct Spring Ground Irrig. Well Another other* Are <br />Name from outside water Ditch Pond Fish <br />(Size) River pond Present <br /> ? <br />1( ) <br />2( ) <br />3( ) <br />4( ) <br />5( ) <br /> <br />*Please describe briefly <br /> <br />PLEASE RETURN BY . NOVEMBER 15,1995 IN ENVELOPE PROVIDED <br /> <br /> <br /> <br />PLEASE TURN PAGE <br />