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No <br /> \c) c---) <br /> 20 M 5-66 - STATE OF COLORADO s, J <br /> ` DIVISION OF WATER RESOURCES Z,,. <br /> Index No. / ' 7 ' OFFICE OF THE STATE ENGINEER A .ei9 JU' v 1968 <br /> IDWD '0 c' ,• - :,r, YN�1 +' .A SEgt <br /> UseMAP AND STATEMENT FOR WATER WELL /A+ , ittek COLOMS0 <br /> Registered <br /> PERMIT NUMBER 12011.6._F <br /> Know all men by these presents: That the undersigned William El Condo. <br /> claimant(s), whose address is 916 Fairhurst , City ;Steriing h Colorado <br /> states: Claimant(s) is (are) the owner(s) of well No, located as shown on the map below; the <br /> total number of acres of land owned by him (them) to be irrigated from this well iBy ; work <br /> was commenced on this well by actual construction 22nd day of Mai, , 19.; the <br /> tested capacity of said well is _ -sb (gpm) (cis), for which claim is hereby-made forSt;ock-(kmm <br /> purposes; that the average annual amount of water to be diverted is 50 ' acre-ft. ; and that the <br /> aforementioned statements are made and this map and stateme are filed La•c .1.) , yrith,the law. <br /> tea'' j " - <br /> State of Coloradoj -.: . <br /> County of a1,.J ) a8 1 i ants) "^ - '• -- <br /> Subscribed and sworn before me thia - 7, --__ day_o - ;. 1O ,.,,. <br /> My Commission expires ' '21.47.4,a er?f /9 y/ g[-"M - 4-4.-1 06 , <br /> Notary Public <br /> MAP <br /> THE WELL SHALL BE LOCATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS OR <br /> MONUMENTS, OR SECTION LINES BY DISTANCE AND BEARING. <br /> t.. "_ 17 f - feet from c r k (North or South) section line <br /> ' 1 - feet from' +-7 (East or West) section line <br /> IF WELL IS FOR IRRIGATION, THE AREA TO BE IRRIGATED MUST BE SHADED OR CROSS- <br /> HATCHED. % 1 <br /> The square below will b ed to indicate the location of the well and the irrigated land. <br /> I 1 !. I <br /> I I! I f <br /> r I r I 1 WELL LOCATION cr <br /> I I r • r r LoganCount <br /> r .1 r r3 <br /> l 1 t , I SW 1/4.. t1W 1/4, sec. 10 <br /> ---.,♦.�I i • r — -� _ - .. - , ,.... .. . --�.. . <br /> - - - T » - - r - - _ - -r - -I- - - r _ _ T. 9.I , ft- 50' , 6th P.M._ <br /> t I ,.,0•'" 1 ,!4''v,;•... r 1 I <br /> • - F eA :r• 'V I,!:".%;`,..:7:,t ,-.,y 'I.:4--_,7-*) <br /> I ` -*i f 1 , . • Ground Water Basin <br /> r .'}� ,,t r a, -_ 1 - + Water Management <br /> r -,,t t--r • =" I - I District <br /> - 7 -- Jt - - r - - ti- 4 - --1- - - r - <br /> r ' -.,1-, - -: ..`t; - r� Domestic wells may be located by the <br /> 1 . f _.1;,¢.....,;,; 1 j _...L_.r. 1 mi. following: LOT , BLOCK <br /> r ;; r . k• I 1 I <br /> I 1 ,i r I r SUBDIVISION <br /> I I 1 I 1 I <br /> r I r I 1 r <br /> I I I I -` I , 4-- <br /> ACCEPTED FOR FILING IN THE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS <br /> DAY OF , 19 <br /> State Engineer— • <br />