PERMFILE55608

• Permit No: C1981012
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Section_Exhibit Name: EXHIBIT 11 WATER WELL INFO PART 1
• Media Type: D
• Archive: No

(5) THE LOCATION OF THE PROPOSED WELL and the area on
which the water will be used must be indiw[ed on the diagram below.
Use the CENTER SECTION (1 section, fia0 acres) for the well locationn.
~~ 1MILE, 5280 FEET
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I6) THE WELL MUST BE LOCATED BELOW
by distances from section Tines.
~3_~ft. from liorf~ sec. line
11tnortn oI/r scum)
~/ ?~ft. from NES 7 sec. line
(east or west)
LOT~BLOCK FILING r
SUBDIVISION 'a ~--//~
(7) TRACT ON WHICH WELL WILL BE
LOCATED Owner: B~/I btii//r~°l~il~
No. of acres- ~~~ ~ S .Will this be
the only well on this tract? / ~S
(H)PROPOSED CASING PROGRAM
Plain Casing
~1 G
~"~ in. from V ft. to ~ / 9 ft.
in. from ft. to h.
Pe~rfo?rated casing C'n
3•.S in. from y 55 ft. tom ft.
I
in. from ft. to fi:.
(9) FOR REPLACEMEPJT WELLS give distance
and direction from old well and plans for plugging
it:
N ~ i. .

The xale of the diagram is 2 inches = t mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE IROUnded F~guresl
An acre-foot covers t acre of land t foot deep
1 cubic foot per second Icfsl ...449 gallons per minute (gpml
A family of 5 will require approximately t acrrloot of water per year.
1 scre-foot ...43,560 cubic leer ...325,900 gallons.
1,000 gpm pumped con tenuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED:
Owner(sl: N ~ M On ~ ~Or 1 Aq h/e / ~ _ No. of acres:
Legal description:
(11) DETAILED DESCRIPTION of the use of ground water: Housefiold use and domestic wells must indicate type of disposal
system to be used. I ~-~ ~ (~g e '25,
/~o ti~[7vn q P V Q T w 11 iJ' Fs~ rto~i~oni~
0/1 IV .
(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.
AA/I Type or right
Used for (purpose)
Description of land on which used
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
. TRUE TO THE BEST OF HIS KNOWLEDGE.
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SIGNATURE OF APPLICANTlSI