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I5) THE LOCATION OF THE P OSED WELL and the area on ' <br />which ;he water wdl be used mus Indicated en the diagram below. <br />Use the CENTER SECTION (1 section, fi10 acres) for the well location. <br />- - - - - ~- ~ - ~ - - I <br />r , r - -- - <br />' ~~ 1 NILE, 62H0 FEET ~l <br />~ I ~ 1 <br />T. _ ~ ; _ <br />I ' <br />i <br />~- T _ <br />I <br />I NOfiTH I <br />r ,- <br />T <br />I <br />- - -{- - <br /> rvunin stc iiurv urvt I <br /> <br /> <br />u I <br />I <br />_ I ~ <br />I <br />_ _~~ <br /> <br />m <br />L ~ I ~ <br /> N <br /> <br />I ,y <br />z y <br />7 m <br /> I n <br />~ I ~ <br />u p <br />n I <br />i 2 <br />~ r <br />u I i I 2 <br /> __ _ <br />I <br />I <br />~ m <br />I <br />1~ <br />i I <br />I <br />I <br />I _ I <br />T <br />L <br />I <br />1 <br />--- - 7 <br />II <br />T <br />~-- ; <br />i - - - --- - - --- <br />~ 1 T <br />~ -- <br />1 <br />- <br />- <br />1 T I <br />T' _ ~ <br />I , <br />T _ + _ I <br />T <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE IROU ntled Figuresi <br />An acre foot covers 1 acre o! land 1 foot deep <br />1 cub¢ fop[ per second (cfsl ...449 gauons per minute Igpml <br />A family pf i will require approaima[ely 1 acre-foor of water per year. <br />1 acre-foor ..43.560 cubic feet 325,900 gallons. <br />1 000 gpm pumped ppntlnupu5~y for one tlay prpdupe5 4 62 dCle~feet. <br />(6) T "JELL MUST BE LOCATED BELOW <br />by noes from secuen lines. <br />1000 ft. from NOrth sec. line <br />tnortn or iouml <br />1050 ft. from East sec. line <br />(east pr ~nastl <br />LOT BLOCK FILING . <br />SUBDIVISION <br />17) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner. PRM <br />No. of acres .Will thls be <br />the only well on this trac[? <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />4 in. from 0 ft. to 50 ft. <br />in. from ft. to ft. <br />Perforaxd2asirxr <br />Uncased in. from 50 ft. to 270 ft. <br />in. from ft. [o ft. <br />(9) FOR REPLACEMEI`JTWELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Ownerls): Not ADnlicahla No. of acres: <br />Legal description: <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. <br />_ Hy~lrnlnr~i'r enlti for mnni t~r~ng for coal~i ni rg perrli t <br />(12) OTHER WATER RIGHTS used on this land, incwdmg wells. Give Registration and'Nater Court Case Numbers. <br />Type or right Used for (purpose) Description of land on which used <br />Not Applicable <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />SIGNATURE OF .7PPL lCANT/51 <br />Use additional sheets of paper if more space is required. . <br />