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i,► THE t::L,a i IUiJ OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED-RELOW <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 /> + _ — _ 4- L __ 1982 Ft. from South o sec. lute <br /> ....� � (north Or SOulh) <br /> 1 MILE,5280 FEET 1531 ft. from East sec. line <br /> (east or west) <br /> T i + <br /> LOT N/A BLOCK N/A FILING N/A <br /> I i I <br /> NORTH SECTION LINE — _ SUBDIVISION N/A <br /> I I E ( I (7) TRACT ON WHICH WELL WILL BE <br /> ' + LOCATED Owner: N/A <br /> l NORTH t W1_ <br /> r - zt T D I No.of acres ,., N/A Will this be <br /> Z m the only well on this tract? N/A <br /> yl ` z r (8) PROPOSED _CASING PROGRAM <br /> >- X r_ I Plain Casing <br /> 4- <br /> 1 2h in.from 3.0 ft.to 8.4 ft. <br /> ° 212 in.from 13.4 ft.to 15.4 ft, <br /> 4- _ + Perforated casing <br /> SOUTH SECTION LINE <br /> ( �2 8'4 ft.to 13.4 ft. <br /> in. from <br /> in.from ft. to `t. <br /> I i 1 (9) FOR REPLACEMENT WELLS givedistance <br /> l T l and direction from old well and plans for plugging <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-foot covers 1 acre of land I foot deep <br /> 1 cubic foot per second Icfs) .. .449 gallons per minute lgpml <br /> A family of 5 will reouire approximately 1 acre-foot of water per year. <br /> 1 acre-foot. . 43,560 cubic feet.. .325,900 gallons. <br /> 1,000 gpm pumped continuously for one day proauces 4-12 acre-feet. <br /> (10) LAND ON WHICH GROUND WATER WILL BE USED: <br /> Ownerlsl: <br /> N/A No.of acres: N/A <br /> Legal description: <br /> (11) DETAILS"" ESCRIPTION_ of the use or ground water: Household use and domestic wells must indicate type of disposal <br /> system to be u- Water Quality Monitoring Well <br /> (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water 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 /> T UE TO THE BES OF AIS KNOWLEDGE. _ k <br /> A'-fY1t <br /> 31GNA RE OF APPLICA (S) <br /> Use additional sheets of paper if more space is redulred. <br />