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c. (Well if Meter Information) <br /> A 2 C C _ r H f <br /> 1 Example Aug Plan <br /> 2 Well & Meter Information <br /> 3 Water Year <br /> 4 2021 Meter and Well information <br /> 5 should be kept current. This <br /> 6 Well Information <br /> 7 Name Well Well information is verified through <br /> 8 WD0 0104567 0105678 <br /> 9 Permit No. 12345F 12346FR field visits and meter testing. <br /> 10 Owner Jahn Brown lane Smith <br /> Contact 123 Fake St. 124 Fake St. <br /> Springfield CO Springfield CO If convenient, this information <br /> 11 80123 80123 can be listed on the tab where <br /> 12 Meter Information <br /> 13 Make MCclumeter Mccrometer meter readings are entered or <br /> 147 Model M0310 M0306 <br /> 15 Serial Number 9-8-RC263N 15-08090-6 separated as shown here. <br /> 16 Correction factor 0.931 1 <br /> 17 Multiplier 0.001 0.001 <br /> 18 Units acre-feet acre-feet <br /> 19 <br /> 20 <br /> 21 *Owner and Contact info is not needed here if the wells are owned by the owner Hof the plan. <br /> 22_ <br /> 23 <br /> ~� Contact&Plan Info I Well & Meter Information Depletions&Obligations Replacements `W <br /> Questions can be submitted to Ask DWR by visiting the DWR homepage at: dwncolorado.eov/ Page 11/15 <br />