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(5) THE LOCATION OF THE PROPOSED WELL and the area on <br />which the water will be used must be indicated on the diagram below. <br />Use the CENTER SECTION (1 section, 640 acres) for the well location. <br />I I <br />'<--- 1 MILE, 5280 FEET --- I <br />~ ~ T - _ <br />T <br />I , ~ <br />1 ~ . <br />I <br />I NORTH I1 <br />T <br /> T <br /> <br />I <br />'~ <br />_~' <br />~-- - -)- - <br />(6) THE WELLMUST BE LOCATED BELOW <br />by distances from section lines. // <br />~~ft. from i(/a/~/^f sec. line <br />(norm Or soutbl ~ <br />2/9.s f[. from r43~" sec. line <br />(east or west) • <br />LOT~BLOCK ~_FILING r <br />SUBDIVISION ~~~nhr~4~Pd~~*~$ <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED <br />No. of acres • 'u1 Q' .Will this be <br />the only well on this tract? <br />18) PROPOSED CASING PROGRAM <br />Plain Casing ''//,n, <br />in. from ~ h. [o ~ ft. <br />in. from ft. to ft. <br />Perforated casing '' //,^~ <br />_~_ in. from ~ ft. to lO ~ ft. <br /> -~' + T -~- - --L '~ -}- <br />I~ ( <br />The scale of the diagram is 2 inches = ]mile <br />Each small square represents 40 acres. <br />in. from ft. to ft. <br />(9) FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />- 1- - t <br /> <br />1 _ <br /> -~ <br />- -~ - <br />WATER EQUIVALENTS TABLE (Rounded Figures) <br />An acre-foot covers 1 acre of land 1 foot deep <br />1 cubit foot per second Icfsl ...449 gallons per minute Igpml <br />A family of 5 will require appra ximately 1 acre-fgot of water Der year. <br />1 acre-loo[ ...43,560 <ubi< leer ...325,900 gallons. <br />1,000 gpm pumped continuously for one day produces 4.42 acre-feat. <br />(10) LAND/SON WHICH GR/O+UNyD~ WAITER WILL BE USED: <br />Ownerlsl:_.r.~ e r ~~~ r ~ (,- /l ~~/~/1 No. of acres: -,(~~ 7 ~ <br />Legal description: ~C ]Z' ss ~ 70 G /1 ~ ~ ~ a 77 P w 2 ~7 e~ ~e ty f, <br />(11) DETAILED DESCRIPTION of the use of ground water: ry <br />(-~ n o r r e h r/ ~~ ~ I G o /~ M/ 2/ <br />(12) OTHER WATER RIGHTS used on this land, including wells. <br />Type or right Used for (purpose) Description of land on which used <br />(131 THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />S/GNATURE OF APPL ICANTISI <br />I Ice arl rl irinnal chr•nrc of na nor if mnro cnaro is rPni~~rarf <br />