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(5) THE LOCATION OF THE PI~OSED WELL and the area on <br />wnich the water ~.vill be used must indicated pn the diagram below. <br />Use the CENTER SECTION (1 secuon, 640 acres) for :he well location. <br />I ' ~ 1 MILE, 5280 FE'cT --I I <br />i ~ ' I <br />T - T - ,- - , <br />I <br />I NORTH1 <br />r <br />fi <br />I <br />T - ~ - <br />NORTH SECTION LINE I <br /> <br /> <br />m i <br />I <br />- ! - i <br />I <br />- ~ - <br />T <br /> <br />m <br />zl ~ a <br /> ~ H <br />J H <br />2 I ~ m <br />O <br />F XX I y <br />; I <br />w p <br />N I I Z <br />~ <br /> <br />N r_ <br />w I 1 I 2 <br />pi -i i i m <br /> I I <br />' SOUTH I <br />TI V c <br />T <br />i <br />I <br />i I <br />_ - _ <br />-_ <br />SEC O. LINE T <br />I ~ <br />- ~ = ~ - - - <br />i ' <br />~ i <br />- ~ I - ~ - ~ - J- - ~ - T <br />' T I - T <br />The scale of the diagram is 2 inches = t mile <br />Each small square represents 40 acres. <br />(6) TH~ELL MUST BE LOCATED BELOW <br />by noes from secuon Ines. <br />2650 it. from South sec. line <br />Inortn or sauml <br />1650 ft. from East sec. line <br />(east or v.asq <br />LOT BLOCK FILING <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: P&~1 <br />No. of acres .Will this be <br />the only well on this tract? <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />4 in. from ~ ft. to ~~_ ft. <br />4 in. from 0 ft. to 50 h. <br />F}rfDrdtRtCds+ng_ <br />Uncased in. from 170 ft. to 3~0 ft. <br />Uncased ,n. `,rom 5- ft. to 85 ft. <br />19) FOR REPLACEMEPIT WELLSeivedistance <br />and direction from old well and plans for plugging <br />i[: <br />WATER EQUIVALENTS TABLE IROUnded Figures) <br />An acre foot corers 1 acre of land t fpot tleep <br />1 cubit loot per second Icfsl . .449 gallons Der minute Igpml <br />A family o! 5 will repuire approximately 1 acre~fpot of water per year <br />i acre-too[ ..43.560 tub~c feet . 725,900 gallons. <br />1,000 gpm Dumped mnnnuously !or one day produces 4 42 atre~feet. <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Ownerlsl:-- Not Appllcahla 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 he used. <br />Nydrnlnair anllifar mnni+nrin9 fnr real m; n;n(~' Rgrm;t <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) Descrip[ion 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 />SlGNA7URE OF APPL ICAN7lSI <br />Use additional sneers of paper if more space is regwred. <br />