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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 CENTEq SECTION (1 section, 640 acres) for the well location. <br />}- T __ _ __--_-l_ + <br />I <br />~ ~t 1 MILE, 5290 FEET <br />i -~ <br />T - -' _ T - T I <br />' I I <br />_ ~ _ NORI'FI SECTION LINE <br />NORTH <br />T T W <br />z <br />J <br />1 =O <br />1 U <br />W <br />N <br />N <br />-~ ~- 3 <br />~- - <br />f- <br />~ i <br />- ~ y <br />I t <br />~- <br /> <br />X I <br />I <br />1 <br />_ ~ ._ <br />I <br />I <br />I <br /> - + - "~' <br />m ~ f <br />a <br />N <br />y I <br />m ~ <br /> <br />n ~ <br />H <br />0 <br />2 <br />r <br />Z <br /> <br /> <br />m <br />+ 11 <br />T <br /> 1I <br /> SOUTH SECTION LINE ~ r <br /> I II <br /> <br /> <br />77tuscarepf;t~~BiagrauSir3~rtches=l mile :: <br />~.`~ <br />,,. <br />f-Ir <br />'T~, <br />' <br />, <br />_ <br />. <br />I <br />- . - . <br />• Each srtiat~'sa Irate sepr2sstlR'40:~cies: L , ~ _ .. <br />. <br />~'I ~ ~ - - ~~ •-•'~ = ~-!~~'4VATEf(•'EOI11VAtENJS;TA$~E I~Coirndcd Figured - + - <br />`I''=~- 1'cutlitt f <br />`(~~ :l~r A4arnil~o <br />-~ ~ i ~ . T c: T ~t seia'tod7 <br />1,000 gpm <br /> <br /> <br />.I,euef'd€sciieVOr'i: -.ZZtS.IJ - =4:•::~n~~R •'t'i',v ~7::= _ .. <br />161 THE WELL MUST BE I OCATED BELOW <br />by distances from section li les. <br />Z~ ft. from I`bI't I sec. line <br />. ,-. • , lna n,or wutnl <br />2550 ft. from_EdSt sec.line• <br />(e: it or west) <br />LOT N/A BLOOf4•. N/A _FILING s_t][.O_ <br />'' <br />SUBDIVISION -~'I/~•* <br />(7) TRACT ON WHICH N ELL WIL <br />LOCATED Owner: ~~ <br />No, of acres 55-000 .Will this be <br />the only well on this tract?_ )I'rCfK]NTl ~ thic tiffp <br />I <br />(8) PROPOSED CASING (PROGRAM <br />Plain Casing <br />_~ in. from ~_ I ft. to ~_ ft. <br />N A _in. from ( A I ft. to~_ft. <br />Perforated casing <br />_~__ in. from ~_~ I ft. tom- ft. <br />__plOL_ in. from ~(({~ I ft. [o~Ld>- ft. <br />(9) FOR REPLACEMENT tryELLSgivedistance <br />and direction from old well i nd Dlans for plugging <br />it: <br />N/A <br />II <br />I <br />No. of acres: ~ ~ <br />~;11)rDETAI'LED DESCRIPT~af''the`•"uirdf •giourid'water: Household use and domestic wells must in lieate type of disposal <br />rystem to be usedN/A _ ~" ~~ ~~ ::•~. ::~~~~.t'.'. <br />it <br />x;92) OTHER WATER Rl~j~ used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right Used for (purpose) Description of land on wt I h used <br />N/A N/e N(e ~~~ <br />,:: ~ i l:• <br />~;13) THE APPLICANTt(S)'?STATE <br />TRUE TO THE BEST OF. fil <br />T THEE OC7~ SET FORTH HEREON IS <br />/ G <br />:i/GNATURE OF APPWOANT(Sl~ ~ ,.y ~ ~~,~ w__./ <br />-7 ~' <br />L,-..~ <br />Use additional sheets of paper if more space is required. <br />