PERMFILE55473

• Permit No: M1983141
• IBM Index Class Name: Permit File
• Doc Date: 4/13/1992
• Doc Name: PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

151 THE LOCATION OF THE PROPOSED WELL aril the area on
whirh the water will be used must be indicated on the diagram below.
Use the CENTER SECTION I1 section, 640 acres) for the well locatio ln.
f - + - _1_ - + _ + - ~ - ~ - 1 __ _r
11 I It 1 MILE, 5280 FEET - - ~I I
I T T + + -t ..i . ~ -~
I ~ i ~
-~
I
NORTH
T
-)- -}-
+ - +
NORTH SECTION LINE
I I
2 - ~ T D
~ Y N
1 ~
2 N
O m
r n
V ~
w p
y Z
~ r
N
~ - -1- - i -_ -t- m

SOUTH SEC TION LINE
+ - ~'
i
~
- t

+ II
t
~-- rt

I I
~
~ - -~ - ~ - - + - -+ - y - r r - rt
The scale of the diagram is 2 inches = t mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE IROUndetl F~gu rest
An acre~iool covers 1 acre of land 1 fool deep
1 cubm fool per second Icfsl 449 9auons per minute I9pm1
A family O! 5 will regwre apprO K~mately 1 aue-foot o! water per year
1 acredoot ..47,560 cubk feel . . J26,900 9aliorts
1 000 gpm Dumped continuously for one day produces 4 42 acre~leet
16) THE WELL MUST BE LOCATED BELOW
by distances from section lines.
ft. from sec. line
Inprin or sou[n)
ft. from sec. line
tease or weft)
LOT BLOCK FILING a
SUBDIVISION
(71 TRACT ON WHICH WELL WILL BE
LOCATED Owner.
No of acres
WIII this be
the only well on this tract?
18) PROPOSED CASING PROGRAM
Plain Casing
in. from
in. from
Perforated casing
_ in. from
in. from
ft. [o ft.
ft. to ft.
ft. to ft.
ft. to ft.
191 FOR REPLACEMENT WELLS give distance
and direction from old well and plans for plugging
it:
1101 LAND ON WHICH GROUND WATER WILL BE USED:
Owner~sl: Mi V i rla No. of acres
Legal description: SW '%, NF. % SRC 12 TWN 1N RNG 72W (Times Mine)
(11) DETAILED DESCRIPTION of the use of ground water Household use and domestic wells must indicate type of disposal
system to be used. 98r Access Hole To Remove Stored Water From Times Kline
(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.
y r ht Used for (purpose) Description of land on which used
20 Shares ~~~ hand Ditch Milling Times Mine
'I~ater ('nttrr Ari~ttrfiCatinn RS (^W117
(13) THE APPLICANTIS) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE T THE/fBEST F HIS KNOWLEDGE.
5/GNATUFE OF/APPL /CANT/Sl
Use additional sheets of paper if more space is required.