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(5) THE LOCATION OF THE P OSED WELL and the area on <br />wnich the water will oe used mus ncica[ed on the diagram helow. <br />Use the CENTER SECTION (t sec:Ion, 00"40 acres) for the well location. <br />r , - - - <br />I <br />' '4 1h11LE, 5280 FEET-- <br />i I I <br />' ~ I <br />I I NORTH SECTION LINE I <br />T _ <br />I NORTH_ <br />T <br />L f i <br />I <br /> <br />w <br />= <br />J <br /> <br />z <br />p <br />F <br />V <br />w <br />N <br />~ <br />y <br />w <br />3 ~ <br />_ - <br />T i <br /> <br /> <br />I <br /> <br />I <br />I I <br /> <br />I <br /> <br /> <br />~ <br />- - i - - ~ <br />xx i <br />- I - <br />T <br /> <br /> <br />I <br /> <br />I <br /> <br /> <br /> <br />I <br /> <br /> <br />- - - <br />m <br />y <br />y <br />H <br />N <br />n <br /> <br /> <br />p <br />Z <br />r <br /> <br />Z <br />' <br /> I <br />I <br />' SOUTH SEC I <br />I <br />TION LINE <br /> <br />' <br />T <br />~ - <br /> T <br /> I <br />L <br />T <br />- - <br />I <br />j I <br />i <br />-~ - ! <br />T ~ - - <br />I ~ i <br />~- - i - T - ~ - ~ - - - - - , <br />(6) TH 'NELL MUST BE LOCATED BELONJ <br />by ces from section lines. ' <br />1300 tt. from South sec. line <br />Inartn or soutnl <br />380 ft. from West set. line <br />leas: or ~..<st) <br />LOT BLOCK FILING a <br />SU9DIV1510N <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner. P&P4 <br />No. of acres `Nil) this be <br />the only •.vell on this tract? <br />18) PROPOSED CASING PROGRAft9 <br />Plain Casing <br />in. from 0 ft. to 1175 ft <br />4 in. from 0 h. to 480 ft. <br />-Perforated eesit*g- <br />Uncased in. from 1175 ft. to 1280 ft. <br />II in. from 480 ft. to 650 ft. <br />19) FOR REPLACEMEPJT WELLS give distance <br />and direction from old well and plans for plugging <br />it: <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EOUIVALE NTS TABLE IROU oiled Figures) <br />An acre-foot covers t acre of lantl 1 loot deep <br />1 cubic foot per secontl !cfsl . .449 gauons per minute Igpml <br />A family or 5 will regwre approximately 1 acre~fgol of water per year. <br />1 acre-foot ..43.560 cubic feet . 325,900 gallons. <br />1,000 gpm ou mpetl continuously far one day proqu ces 4 42 acre-feet <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Ownerlsl: Nnt Aot)ljr'ahla No. of acres: <br />Legal description: <br />(11) QETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br />system to be used. <br />H~Trirnl nai r Ralli far mnni tnri nn fp.r rnal mi pj fly oBr91j t <br />(12) UTHER WATER RIGHTS used on this land, including wells. Give Registration and'IYater 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 />S/GNA7URE OF APPL lCAN7fS1 <br />Use addit tonal sheets of paper if more space is required. <br />