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(5) THE LOCATION OF THE PROPOSED WELL and the area on <br />which the water will be used must be indicated on the diagram below. <br />Use the CENTER SECTION (1 section, 640 acres) for the well location. <br />•j ~~ 1MILE, 5280 FEET- I <br />t -{- ~r + + + ~ + -}- <br />~ ~ ~ ~ <br />i NORTH SECTION LINE <br />NORTH <br />T z <br />) <br />-I- <br />'>L -F- <br />-}- - ~-- <br />- -(- <br /> <br />WATER EOUIVALE NTS TABLE IROUnded Figured <br />An acre-loot covers 1 acre o} land 1 loot deep <br />1 cubic foot per second Icfsl ...449 gallons per minute Igpml <br />A family of 5 will require approximately 1 apre~fOOt of water per year. <br />t acre-foot ...43,560 cubic feet ...325.900 gallons. <br />1,000 gpm Dumped continuously for one day produces 4.42 acre-feet. <br />(6) THE WELL MUST BE LOCATED BELOW <br />by~distances from section lines. <br />d,OD ft. from /IG^ sec. line <br />lnortn o 'soutnl <br />I f~' <br />00 ft. from W 2,TT sec. line ~~• <br />least or west) <br />LOT~BLOCK FILING r <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Otyner:~SS%1 /QQJov~c4f <br />No. of acres by ~ ,t ~ .Will thls be <br />the only well on this tract? /V d <br />(8)PROPOSED CASING PROGRAM <br />Plain Casing <br />_~_ in, from ~_ ft. to $~ ft. <br />in. from ft. to ft. <br />Per'fora~ted casing ~~'' cc ~) <br />~_ in. from ~ ft. tom ft. <br />in. from ft. to ft. <br />(9) FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />N /} .. <br />'t <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Ownerlsl: ~ ~ MOn / ~/` f nc, W Q. ~! 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 />NO a /'0 ~ti~ iNS ~Qr" L, co . ?ln2 +~2 ~f ~ s FO r /1, Dn i ~D/'!n~ <br />~~n !Y - - - <br />(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right <br />NA <br />Used for (purpose) <br />Description of land on which used <br />(131 THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />• <br />~ <br /> <br />I I <br />- + <br />j <br />I <br />2 <br />C <br />i <br />c <br />V <br />f <br />u <br />u <br />3 <br />SOUTH SECTION LINE <br />+ ~-- ~ <br /> <br />r <br />+ + <br /> <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br /> <br />m ~- t <br />D <br />H <br /> I <br />m <br /> <br />n ~ <br /> <br />0 <br />Z 1 <br />m <br />~- <br />--~--' <br />SIGNATURE OF APPL ICANTlSI <br />