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j5) 4HE L,✓l.A OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED S <br /> which the water will be used must be indicated on the diagram below. by distances from section lines. <br /> Use the CENTER SECTION (1 section, 640 acres) for the well location. <br /> 2165 ft. from South sec. line <br /> 1 _ i _ 4- _ 44- —1— — + -- —� {north or south l <br /> i I 1773 East <br /> ' 1 MILE,5280 FEET ---1► ; ft. from sec. line <br /> (east or west) <br /> T -r + + -i LOT N/A BLOCK N/A Fluivc * N/A <br /> I I <br /> _ _ NORTH SECTION LINE Y SUBDIVISION N/A <br /> t I (7) TRACT ON WHICH WELL WILL BE <br /> LOCATED Owner: N/A <br /> NORTH I WLL I _ _ T — to <br /> y l No.of acres N/A Will this be <br /> C; i m the only well on this tract? N/A <br /> N{ z ' (8) PROPOSED .CASING PROGRAM <br /> l-� X r- i Plain Casing <br /> m t 21-2 in.from 2•5 ft.to 17:0 n, <br /> 1 i i <br /> 2k in.from 22.0 ft. to 24.0 ft. <br /> T ► I _ I — Perforated casing <br /> SOUTH SECTION LINE I T 23- 17.0 22.0 <br /> 2 in.from ft. to ft. <br /> in.from ft.to `t. <br /> I i I (9) FOR REPLACEMENT WELLS give distance <br /> and direction from old well and plans for plugging <br /> I _1_ <br /> The scale of the diagram is 2 inches= 1 mile N/A <br /> Each small square represents 40 acres. <br /> WATER EQUIVALENTS TABLE (Rounded Figures) <br /> An acre•fnot covers 1 acre of land 1 foot deep <br /> 1 cubic foot per second icfs) .. .449 gallons Der minute (gpm) <br /> A family of 5 w:ll require approximately 1 acre-foot of water per year. <br /> t acre-foot .. 43.560 cubic feet.. .325,900 gallons. <br /> 1.000 gpm Dumped continuously for one day produces 4 a2 acre-feet. <br /> (10) LAND ON WHICH GROUND WATER WILL BE USED: <br /> Owner(s): N/A No. of acres: N/A <br /> Legal description: <br /> 01) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br /> system to be used. Water Quality Monitoring Wel l <br /> (12) HE used on this land, including wells. Give Registration and lNater Court Case Numbers. <br /> Type or right Used for(purpose) Description of land on which used <br /> Commercial Drinking/Sanitary <br /> Permit #64684 - Decree W6915 <br /> (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br /> TR E TO THE BEST OF HIS KNOWLEDGE. <br /> SIGNATURE Of APPLIC TfSI <br /> Use additional sheets of paper ;f more space is required_ <br />