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Foft F (Rev.) <br /> 7-57/5M STATE OF 'COLORADO <br /> a DIVISION OF WATER RESOURCES APR 271960 <br /> :. OFFICE OF THE STATE ENGINEER, GROUND WATER MaM tki('tER $te'. <br /> :l2,1587 <br /> COLO <br /> ]REGISTRATION NO. OF WELL <br /> Registrant A g _ R. SJAW Date A,�_ 19_ <br /> P.O. Address IN &rhur b AX nuwF, ToWpor, Lei. M_Zlond , <br /> WELL LOCATION <br /> WELL DATA County __ �?t1R Depth�ft. Diameter 60 in. <br /> �� — , aj Section 3 <br /> Casing ft. Plain, ft. Perfor. <br /> Twp. Rge- 6X � PM <br /> Static Water Level ZQ ft. from top <br /> Yfeld_.y�(gpm)( ) from ft. N <br /> Temporsrily not used; when in use, the <br /> ed for vur�oea_are far ]lvestoak on/at I I <br /> watering and irrigation. <br /> Pueblo Co.. ,SVi. ft Sec, 15, TAS, 21S. Rge. <br /> (legal description of land or site) 6314, 6 PM I <br /> W + E <br /> Water conveyed by size I <br /> Pftff DKTA <br /> Type Size <br /> Driven by at RPM <br /> Well was first used SD r� eri�y� I8,,U S <br /> -livestock, • cfs <br /> for irri"tlon using _ f. gpm WELL TO BE LOCATED AS ACCUR- <br /> ATELY AS POSSIBLE WITHIN A <br /> Well enlarged 19 to SMALL SQUARE-WHICH ]REPRESENTS <br /> deepened• 40 ACRES; OR IF IN A TOWN OR <br /> (gpm)(cfs)(ft) SUDDIVISION FILL IN THE FOLLOW- <br /> ING: <br /> LOG SHOULD BE GIVEN ON REVERSE <br /> SIDE IF AVAILABLE Town or 84 ivision <br /> treet address or Lot and Block <br /> The above well MM has not been registered in the Office of the State Engineer prior <br /> to May 1, 1957. If Registered give -Filing No. <br /> If NOT Registered prior to May 1, 1957, a $5.00 filing fee accompanies this form, <br /> the_above statements are true and correct to the best of my knowledge and belief. <br /> .� = Siib�eribed and Sworn before me <br /> tgs�--3 day of tJ� 18 �► <br /> ] y copamissio expires ! 1i r Registrant <br /> � r <br /> (SEAL) <br /> - aol!ry Public <br /> FOR ST&W ENGINEER'S USE , <br /> d Located in district, ,G-t County fo 4 A <br /> Registration No. in U <br /> �/ on ` 19 lap <br /> Y �I <br />