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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 SECTI CIN (1 section, 640 acres) for the well location. <br />+.- -t-. -~ - +----T- ~- -+ - -~I <br />1 II ~ :f--ti MILE, 5280 FEET-I L I ~~, <br />I T li 1 i i T <br />I <br />I <br />_ ~ _ NORTH SECTION LINE <br />'I <br />NORTH L <br />7' T Z <br />1 2 <br />O <br />V <br />W <br />H <br />I <br />N <br />-f- •~ 3 <br />~ - ~- - <br />_r <br />I I X, <br />~ <br />_ _ <br />1 _ <br />- y. <br />I <br /> <br /> <br /> - <br /> <br />m lI <br />D <br />N <br />y 1 <br />m ~ <br /> <br />n <br /> <br />_H ~ - <br />O <br /> <br />r_ <br />Z <br /> <br /> <br />m <br />+ 11 <br />T <br /> 11 <br /> SOUTH SECTION LINE r <br /> <br />I~ <br />t <br />- ~- <br />- -~- ~ <br />- -T- - + - ~ - + - <br />I i <br />- -I- - + - -r <br />WATER EQUIVALENTS TABLE IROUridetl Figures) <br />An acre-foot covers 1 acre of land 1 foot deep <br />1 cubic foot per second Icfsl ...449 gallons per minute Igpml <br />A family Of 5 will require approaitnately 1 aerrfOOt of water per year. <br />t acre-foot ...43.560 cubic feet ...325,900 gallons. <br />1,000 ppm Dumped continuously for one day produces 4.42 acre-feet. <br />(6) THE WELL MUST BI LOCATED BELOW <br />by dirtances from sectioi lines. <br />~ 5 .~ ft. from ~ >~~h sec, line <br />-i I term or soutn) <br />~l ~ S ft. from ~ ' 4 5~ sec, lir~ <br />;oast or west) <br />LOT BLOCK _ -FILING s <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner:_T4LK C{~4uf°Z <br />No. of acres ~ • `'~ 8 .Will this be <br />the only well on this tract?_ V e 5 <br />(8) PROPOSED CASIN ~ PROGRAM <br />Plain C~~as~~ing <br />~in.from~L~ ft.to~ft. <br />in. from <br />Perforated casing I <br />ti C A E in. from I <br />in. from <br />191 FOR REPLACEMER <br />and direction from old W <br />it: <br />to ft. <br />(10) LAND ON WHICH CiROUND^/WATER WILL BE USED: <br />Owner(s): ~A C l~_~ ` h~ u e 7_ No. of acres: _ <br />Legal description: ~_~ of 7`h e n. E • yy Sec. / y '1 ~• n. 3 3 S, Rno . ~ <br />(11) DETAILED DESCRIPTIONII of the use of ground water: House+hold use and domestic wells must <br />systemmbeused.H~ut~e ~iclA ~ /S00 aa~ Sf°nt!< lank '7'' /40c LeaL~ <br />(12) OTHER WATER RIGiHTS used on this land, including wells. Give Registration and Water Coi <br />Type or right Used for (purpose) Description of land on ', <br />ncnC <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREC <br />TRUE TO THE BEST OF HIS KNOWLEDGE. I <br />r • l' _ <br />S/GNAT E OF APPL lCANTYSI <br />f <br />The male of tFle diagram is 2 inches = 1 mile <br />Each small square represenu 40 acres. <br />-ft. to ft. <br />_ ft. to ft. <br />WELLSgivedistance <br />II and plans for plugging <br />g f1,l. 6 t~ P, m. <br />tdicate type of disposal <br />[ Case Numbers. <br />hick used <br />J IS <br />Use additional sheets of paper if more space is required. <br />