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<br />f.`:~wlrrn ~ era Sri Ce:L•!nD:n! Cr'•~.. 1,!] C;iariT7:n $1.
<br />ir• t>tr••e,: ".r o. tub
<br />rrn•..r. n:r r~ Dsnwr, ut'aa?a G7:J3
<br />ra:~r r>, Brach Irw.
<br />-. , i
<br />_J.._97:1'EfAfNT OF i;Ef:Zfll.i;,L Uri CF GROU~u YlAtr. _ ' "
<br />_.. !:":'I~AIENi OF Efi;STING RECC~D . ~ '
<br />r / ..
<br />\~ PEP.ldIT NUTABER G ! ; [' ~r ~ .
<br />STATE. Q' COLOR,100
<br />Range-_bo.._1~~C S~. _-.. _. Grlr. PAI t'1'
<br />4 nwl
<br />ane~2/ 99 feet torn the. !_z3.: ~ _ sectroa ln,
<br />~Cae a• wrr.,
<br />was tryst applied to ' ~eneir,:ial use for itie purpesels) des
<br />th! marrmum si.s.;,,nn) pumping rate o! the well rs .. ~f
<br />COUNTY OF _ ~ r?_ S..JJ : T11 S I ~5
<br />i '
<br />7HE AFFIANT(S).,1rS_7-1i)!. ~.. i~J~(.'~j /° y
<br />whose aedress is.~C.a7.. f~I /rC . S ~". Eck GJ _ J 1' f Cf! C' i l al, Sd J ~ /~~ •r~
<br />br,ng duty sworn Open c~th, deposes a,dnsays haI r.e (t'•r•n •. ~,:•.a ter :•wnn.r .l .•f n.c ..~~' , r.,c, b^tl '.rrrnn
<br />totaled n the _. ~..d~'/ t.i e' the ! 7 ~ of cechen ,~C inhnci c 3 ~~~I
<br />r gallons ter mmu;e. tie a~rrage annul amount ur wa r
<br />SSdr'r t`I ~ 7 ~~ 4..! frq'-r Irr Hil I/ (f ~-r
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<br />me 7q! Uepth CI ^,r... equ ~. S~ ;. w.i;rr 1. .. •. n...
<br />cr e: Ferp n on file .S C r!.~r n,! ~~~ 2~~~ ^ 1^/~
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<br />al . vc : er •-. ^:ar t•.r t,~r.r,p;.. p r?tC N i ~ i e9 "e!ehy r5 /. ._
<br />}0 'Jl` di ..rlyd 5. .I, -. nr.rr. r^CI. r° i wri[n C!d.rr .~ ,..r^...r
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<br />made to ~/. ct•.7 e~I cl t!_ ti5 e . C % ~ ~(
<br />lrcm this wail 's M t'e usrd Is-. ~v~_ ~ .. ~i F G .'~.
<br />r
<br />~.rcnl ). the IPRaI ;.' ~,C•~gh^.', of t':••.
<br />s/r a ,t~' dJ•j /~~ L-'
<br />whrt:h 10!als _.i 7, ~ J. otra3 and whrch ~s dtustr fed en flit ~c dp rn ,"C :e~'C
<br />'n ccmChan[e wilh the permit appnved iherelbr th+s state"*e':t ;l brnrfr, ral
<br />lour; to (Ih!`y) has (h]ve) rCad the >tatement. m~dC herein. knows the COr
<br />(t!!eir) knowledge.
<br />f . ":~~?,•rr~d an~~"%^rn to b^"crc rtte on t s ._~ _.. ..
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