PERMFILE55514

• Permit No: C1981034
• IBM Index Class Name: Permit File
• Doc Date: 7/1/1988
• Section_Exhibit Name: Figures / TOC & Figures
• Media Type: D
• Archive: No

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20 M-~S
Index No.
IDWD
Use
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FIGURE 2. 04:A=}Oa I~hn~~i
srA'rE or• eo1.oHADO 213
llIV1510N OF WA'fl•:It HI•:SOUItC-•:8
OFFICE OF 1'HE STATI•: ENGINF;t:lt
MAP AND STATEMENT FOH WA'CEit WELL FILING
~2
YE1tMIT NUMBER
8etrn Lnaater
Know all men by these present~T~at the undersi6med
claimant(s), whose address Is ,City •
states: Claimant(s) la (are) the owner(s) of well No. located as shown on the map hcloa•; 11,
total number of acres of land owned by him (them) tqd~irrigated from this ~~is LI/wor
was commenced on this well by actual ~~structlon day of ,L~~ •• th
tested capacity of said well is (gpm) (c[s), Cor wliicli clai,T~ is hereby made for
purposes; that the average annual amount o[ water to bo diverted !s acre-[t. ; and tl,al tli
a[orementlooed statements arc made and this map and statanent arc filed in compliance with the laa•.
State o[ Color~~
County of
~ ss
Claimant(s)
Subscribed and sworn before me this day o[
My Commission expires
Not;iry Puhllc
19~
- - - MA P
THE WELL SHALL BE LOCATED W1Tlf 12EFE1tENCE TO GOVEIINMEN'f SUItVEY CORNE1tS Olt
AtONUMENT5, OR SECTION LINES DY DISTANCE AND DEARING.
feet from (North or South) section line
feet from (East ur West' section line
WELL IS POR IItIIIGATION, THE AREA TO BE I1t1t1GATEll MUS'P 111: SllAbl;b Olt C1iOSS-
HATCHED.
The square below will be used to indicate tltie location of the well aril the irrigated tancl.
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WELL LOCA'CION
Delta
Cuu
~ I/4 ~ L/4, sec.u
T. ~ It. ~ Y ~ P.
Ground Water Basin
1V;LLcr Managenunt
District-
Domesl[c wells may be located by the
1 nil. following: l.U'C 11LOCK _.

SUBDIVItii
~CCEPTED FOR FILING IN THE OFFICE Ol' 1'I1E S'CA'GE L•'NGINF:F.It OF' COLOIt.4DU ON TII[ti
DAY O1' LJ_.
REVISED May 8, 1981 late •.ngmecr