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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 11 section, 640 acres) for the well location. <br />I <br />+ + <br />T <br />~NORTH~ <br />( <br />-~ - ~- <br /> <br />'~ + <br />~I <br />t - -~ <br />I <br />~ 1 MILE. 5280 FEET ~ <br />-}- + + ~ f <br />I <br />NORTH SFCTIONIINF i <br />I <br />~ ~ I <br />I <br />- + - <br />I - t <br />Z <br />C <br />H <br />L <br />V <br />f <br />v <br />3 <br />' SVUrM JGV I IUN LINt ' <br />-f- <br />I <br />i <br />n <br />i <br />i <br />C <br />i <br />n <br />I <br />i <br />t <br />+ ~- <br />- -{- - <br />~ + <br /> <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE (Rounded Figures) <br />An acre•loot covers 1 acre of land 1 loot deep <br />1 cubic loot per sewnd Icfsl ...449 gallons per minute Igpm) <br />A family of 5 will require approaimetely 1 acre-foot of water per year. <br />1 acrrfoot ...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 />.Z O ~ ~ ft. from -SO y ~ ~ sec. line <br />tnortnl1or so~tn) _• <br />ar0 ft. from eCt.rT sec. line `,, ~~ <br />(east or west) <br />LOT`~C ~ BLOCK FILING r <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner:~~y q'rl~~~P~ Andi'~Sa.~ <br />No. of acres 'a S 3 .Will this be <br />the only well on this tract? yQ ~ <br />(8-PROPOSED CASING PROGRAM <br />Plain Casing ~~) u <br />'t'~ in. from 0 ft. to~ft. <br />in. from ft. to ft. <br />Perforated casing <br />3• S in. from ~~ ft. to f a S ft. <br />in. from ft. to ft. <br />(9) FOR REPLACEMENT WELLS give distance <br />and direction from old well and plans for plugging <br />it: N ~ <br />F ',. <br />(10) LAND ON,f WHICH GROUND WATER WILL BE USED: <br />Ownerlsl: N/7 Mo~1 r rD ~ / /1 9 We- ~ ~ 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 />~V~ O"nC~W~{ f?/ VJ'C T~i~ w~II /1' Foi' MO~ty }D~/=^S <br />~~ly. - -. - - _-~ <br />(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Ty^pe or right Used for (purpose) Description of land on which used <br />~/`t <br />r <br />(13) THE APPLICANT(S) STAT.E(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />SIGNATURE OF APPL/CANT/S/ <br />