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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 />j ~l- 1MILE, 5280 FEET <br />~" -f- + t + ~- + + ~ <br />~ i I I <br />i NORTH SECTION LINE <br /> <br />I <br />NORTH1 <br /> T i <br /> <br />) z <br /> O <br /> U <br /> <br /> y <br />'~ <br />( -I- 3 <br /> <br /> <br /> <br /> <br /> <br /> <br />~ <br /> <br /> <br /> <br /> <br /> <br />~- - I I <br />_ ~ ~ <br />I j <br />I )) <br />- -f - - - t - <br />I j <br /> <br /> <br /> <br /> + t <br />y <br />N <br />~ I <br />N ~ <br />m <br />n y <br /> <br />0 <br />Z <br /> <br />r_ ~ <br />Z <br /> <br /> <br />m <br />+ 11 <br />T <br /> ) <br /> SOUTH SECTION LINE <br /> f <br /> - + - <br />• The scale of the diagram is 2 inches = 1 mile <br />Each small square represenu 40 acres. <br />WATER EOUIVALE NTS TABLE (Rounded Figures) <br />An acre-foot covers 1 acre of land 1 foot deep <br />1 cubic foot per second Icfsl ...449 gallons per minute (gpml <br />A lamily of 5 will require approximately 7 acre-foot of water per year. <br />1 acro-foot ...43,560 cubic feet ...325,900 gallons. <br />1,000 9pm pumped continuously for one tlay prptluces 4.42 acre-feet. <br />(10) LANDA'ON WHI,yC~H GROUND WATER WILL BE USED: <br />Owner(sl: /y ~ /-IOn~~Or~~1q (/V~°I <br />(6) THE WELL MUST BE LOCATED BELOW <br />by distances from section<lines. <br />d ~ ft. from Sa U+ /i sec. line <br />(norm or soum) <br />.* ~, <br />I 0 b ft. from ~.q-sf sec. line '' <br />(east or west) <br />LOT~1~3 BLOCK FILING • <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: ~~N Va //P )n <br />No. of acres 3S • oot.t .Will this be <br />the only well on this tract? Y •~ <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />~\ <br />y in. from G ft. to fs~ ft. <br />in. from ft. to ft. <br />Perforated casing c~- f <br />•~ • S _ in. from Ss r ft. to s~ 7 ft. <br />in. from - ft. to ft. <br />(9) FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it:,/ A <br />V /"~ 4. - <br />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 />ryttem to be used. __ <br />No q~o~ndwa ~!/ Vse, ?l.e we/l i T F° ~ /~-)ism; ~a~;.,~ _ <br />(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right Used for (purpose) Description of land on which used <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />• <br />SIGNATURE OF APPL ICANTISI <br />