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<br />WELL NUMBER 1 OF 1 <br /> <br />CONTRACT NUMBER A 64-170-2 <br /> <br />LOCATION: SUBSECTION NW1/4NE1/4 SECTION 2 <br /> <br />TOWNSHIP 08N RANGE 52W <br /> <br />WELL PERMIT REGISTRATION NUMBER 5913 <br /> <br />WATER COURT NUMBER W2289 <br /> <br />RIVER REACH NUMBER 08 <br /> <br />PUMP RATE 2000.0 GPM <br /> <br />HORSE POWER 25 <br /> <br />1. DID YOU PUMP THIS WELL IN 2001? <br /> <br />YES X <br /> <br />NO <br /> <br />2. HOW MANY ACRES WERE FLOOD IRRIGATED WITH THIS WELL IN 2001? <br /> <br />(}'Z-/ <br /> <br />3. HOW MANY ACRES WERE SPRINKLER IRRIGATED WITH THIS WELL IN 2001? <br /> <br />. i <br />rv Oil e <br /> <br />4. WAS THE WELL THE ONLY SOURCE OF WATER USED ON THESE ACRES? YES____ NO <br /> <br />/ <br />); <br /> <br />5. IF THE ANSWER TO QUESTIO~4~WAS NO, WHAT <br />FURNISHED BY THE WELL? ~ 1/2 <br /> <br />6, HOW MANY ACRE FEET OF WATER DID YOU PUMP <br /> <br />FRACTION OF THE TOTAL WATER WAS <br />3/4 TOTAL (circle one) <br /> <br />WITH THIS WELL? <br /> <br />/('CI, '7 ( <br /> <br />7. HOW DID YOU OBTAIN THE ANSWER TO QUESTION 6? (FLOW METER, ESTIMATE, GUESS?) <br />r / <br />rtJ!--t41u ~ <br /> <br />FLOW METER READING AT END OF IRRIGATION SEASON. <br /> <br />8. HOW MANY ACRES OF EACH CROP DID YOU RAISE WITH THIS WELL? <br /> <br />CORN: <br /> <br />!2C, <br /> <br />~t <br />:?kk <br /> <br />s (r(~7/-tlf'r (17 )f.~/!t; j le\ r <br />7062- f",or' <br /> <br />ALFALFA: <br />SMALL GRAINS: <br /> <br />SUGAR BEETS: <br />OTHER :. {;.;h1~ f1e~(ts <br /> <br />TOTAL = <br /> <br />7~ <br />i 1,?-.. <br />( <br /> <br />DAYS @ <br /> <br />HOURS PER DAY OR TOTAL HOURS <br />ENERGY DID THIS WELL USE? if () 16 <br /> <br />THIS YEAR. <br /> <br />-::? tl <br />/: i g-, I( 1 f/r:s <br /> <br />9. PLEASE ESTIMATE THE NUMBER OF DAYS THIS WELL WAS IN OPERATION. <br /> <br />10. HOW MANY KWH OF <br /> <br />~> 1$ I <br /> <br />DATR, m/lfrmi OZ SIGNATURE, (?L'~tff=' <br /> <br />PLEASE RETURN ALL PAGES OF THIS FORM TO: tI <br />GASP <br />P.O. BOX 974/219 EAST RAILROAD AVENUE <br />FORT MORGAN, CO 80701 <br />(970) 867-5298 <br />