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Vorm C(Rev-) STATE <br />• 4,rd /5M APPLICATION FOR <br />"=(U se* Pencil ors. , ewriteri <br />Applicant De3beZt EhMjy <br />P.O. Address M - its Qrae]e3rj <br />Quantity applied or 60 gpm or <br />AF 8toftge <br />Used for Ir'r Mggon & livestock Purposes <br />on /at 5 acres of B of c ] b <br />(legal description of lad site )R65 <br />Total acreage irrigate and o er rts. <br />ESTIMATED DATA OF WELL <br />Hole size: 8 in.1—OKIR. <br />in. to ft. <br />Casing Plain 8 in. <br />in. <br />*pawor Perf =. in. <br />in. <br />PUMP <br />DATA: Type - <br />from o to 16 ft. <br />from —to ft. <br />from-2 Io =ft. <br />from to ft. <br />75utlet <br />,f al. . HPj_Rize 2„11 <br />Use initiation date 18 1962 <br />(Use Supplemental pages for ad on2 ata) <br />HIS APPLICATION APPROVED <br />PEi wr No.-:1K Q7-,E <br />ISSUED: DATE ` 19 <br />OF COLORADO <br />E O GROUND WATER VIEWED <br />USE <br />.BRAY 1$ 1962 • <br />GROUND ww SST• <br />LOCATJON OF WELL. MLOWD <br />County - tit _,_ ,+ &U FN61N R <br />Colo, <br />Pa <br />D <br />�,o <br />m0 <br />�4 <br />d <br />m� <br />0 <br />,s y <br />m <br />.+offm <br />+q P <br />o� <br />Rge. 66 IN .b P. M. OR <br />Weet Address or ER & Block No. <br />Town or ' sioa <br />N <br />,E <br />Locate <br />well in <br />40 acre <br />(small) <br />square <br />as near <br />as possible. <br />$25.00 fee required for uses other <br />than Domestic or Livestock. <br />Applicant Agent Or i M&d �.1dY_ <br />Driller LeRR ts Inc. No. TO <br />Address �gM2ew- flo1 o, . <br />k .NOTE - SATISFACTORY COMPLETION 'REQUIRED FOR APPROVAL OF APPLICATION <br />