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(5) .rHE ' OCATIC)N JF THE PROPOSED WELL and trf: jr ea on (6) T_HE 'HELL MUS 7 BE LOCATEn.FFLOW <br /> which tnu warr,r :veil be ued must be indicated on the diagrdtrt below by distances from section lines <br /> Use the CENTER SECTION (1 section, 640 acres) for the well location <br /> — — -L — — _» _ 1400 ft. from South sec. Bri <br /> + e <br /> (north or soutn) <br /> :�— 1 MILE,5280 FEET ^�l ; 822 ft. from East sec. line <br /> (east or west) <br /> T * + 1 LOT N/A BLOCK N/A FILING N/A <br /> i I , N/A <br /> NORTH SECTION LINE I SUBDIVISION <br /> I I 1 1 (7) TRACT ON WHICH WELL WILL BE <br /> LOCATED N/A <br /> NORTH i _ ! — — Owner: <br /> zl N No. of acres N/A Will this be <br /> ;1 I <br /> r the only well on this tract? N/A <br /> T yl z (8) PROPOSED CASING PROGRAM <br /> Fj i r ; Plain Casing <br /> Tm2 in. from 2.0 ft. to 11.0 ft. <br /> in. from ft. to ft. <br /> T + _ ! I ! —•L. Perforated casing <br /> SOUTH SECTION LINE <br /> E 2 in. from 11.0 ft. to 21.0 ft. <br /> l <br /> in. from ft. to <br /> I I (9) FOR REPLACEMENT WELLS givedistance <br /> and direction from old well and plans for plugging <br /> l <br /> it: <br /> The scale of the diagram is 2 inches = l mile N/A <br /> Each small square represents 40 acres <br /> WATER EQUIVALENTS TABLE (Rounded Figures) <br /> An acre-font covers 1 acre of land 1 foot deep <br /> 1 cubic foci oer second (cfs) . . .449 gallons per minute Igpml <br /> A family of 5 will reau+re approximately 1 acre-foot of v.ater per year. <br /> 1 acre-foot 43.560 cubic feet . . 325.900 gallons. <br /> 1.000 gpm Dumped continuously for one day produces 4 42 acre-feet <br /> (10) LAND ON WHICH GROUND WATER WILL-BE USED: <br /> N/A <br /> N/A <br /> Owner{sl: No. of acres: <br /> Legal descrlotlon: <br /> (11) 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 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 /> UE TO THE BEST OF HIS KNOWLEDGE. <br /> fl- , X� A6,4444& ( <br /> SIGNATURE OF APP ANTfSI <br /> Use additional sheets of paper if more space is required. <br />