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LRe Ilx Cf-NifR SF<_TIDN it .!~rnun, WO avea la Irr[wrll IrK ~huu 1 <br />r <br />_r - -~ - •- -1- - --a- - -4- -- ~ ~ ~ -- -~ <br />' I I <br />I 4--- Ihtll E, e~so ftSl -- Y <br />r -4• r ~ + t -~ ~ <br />I I 1 ~ <br />_j _ NQR[M SECTION 4. riu( 1 _ ~ ., -~ <br />I ~ T --_ { <br />-_ ~ X <br />1 <br />I 1 N i <br />a- ~ <br />I ~ $ ( ~ ~, <br />c: 1 <br />I 1 I ~ <br />( 1 <br />j - + SOUTH SECTION trNF - + l <br />~ ~ ~ <br />{- + -~ ~! T -+ -+- + <br />f <br />i <br />]S50__((. Ira,,, North u<.Ime <br />- In.. h. ~• s•ulal 1 <br />r <br />1100 ti irpm We.,t set lies . <br />~l <br />LOT ~HLOCK _~-fIUNG • <br />(7j TRACT.O~LWH-CH WELL WILL_BE <br />LOCATED Owner:M_Q~r.~I.G.- <br />No ut acres-- 3a WJf Mis tse <br />the only wNl on sms vac.i? Yes-_- • <br />(8) I°t~c~PnSED CASSNG PRl7CR~M <br />Plein Casing <br />r/ <br />8-~ 8 in irpm 0 ~ It. to? ft. <br />_ m,lrgm it. tU h. <br />f a(nralc:rl ceyrr~ <br />H =~B-~. from 25---- rL cn150 _ h. <br />in. from fi. (u . -, ft. ;, <br />(9) FQR REPLACEM14FNT INFLI_$yi~edistusce <br />rna) di.Mion (tom oM wc71 aM punt f(p plv>81rq <br />If: <br />Thr scale of ttlr dia~am h 9 intnM = t .ntl! _ _ <br />. !~ Earn small sQaurc rMlfPtrnis 40 an c. ` <br />. ~,/ WATER EOUIVALErtlT1: 1waLE lpsb•~Oet Fgwd - <br />F.n ...clual ac:nt 1 Intt DS i.nd 7 Innl t1r'ro <br />1 cuhrc Ivot Ftr vannd lcitl .. MV ylinr.y ~.r+ n :.•vlc (ywrtl - - -_ ~_ - - <br />F INru1Y a1 ~ w~.ii rerutr• taPMn.rnyrNr 1 i(•t ruol of wrNw Pw yor ' <br />1 ~rf-loot 4! ~f:n otht~ IMl ... 7Z~,9JO patlttna -- "- ' <br />r.l7f1f1 So^' CvrrKM CMru•vOrHIY (01 urt. dry PorMtrs{ ~ tZ Kr[ I[tl. r <br />(10) LAND. ON IYHL~FiStROUND WATER WILL HE USED: , <br />I n.„r,rul:- Cploradt2~71cstmor~~nd_Inc. ,_ Nn,nlxrtf:~~- <br />j S1%2 NEl/4 and NWl/4 SEl/4 of Sri:t.i(sn 24, Trip. 13 S.. Ry<=. 92 51,4! <br />r lrpal dfuriRUVn: -- - - - - ----- - --'__'.~N <br />(111 12EI~LLEP DE.S.frfiteTlON of th[ use of ground wailf; HotnrMJA atu end dl>ml~r•t -ens arts) a~dKOte Mile os Gi{p0101 tYUewl <br />tp tt used. <br />j ~-i_nund t•;ater will. be used for suppt:f~g9iou_1)S. cosl.du~1:, .~ot;zblc drinkint} __ <br />i • :+i r-r hlr3 for liath blouse end sanit;,ry f yctl ity. W?~~tc from the latter <br />f.~C11-11y-WS?"['-ISirifYrp"n~t':~-6~.111:oUgh a standard, Pacxaga~Zre <br />(12j 4711ER 6VATER RIGItTS uxd on illis (end, inttuding wells. <br />---. - Typc or right Used for IGurPOMI _ - _ - -- naruimiuu pl Lrrt on which used -_--~-- <br />NOnO <br />(73) THE APPLICANT(S) STATE(Sl THAT THE INFgRMAT10N SET FORTH NERFQN 15 <br />TRl3E TO THE BEST OF IIIS 1(NOWLFI]GF <br />COLOR{ADO i STlrC:N a IN <br />k,/?:ATUAL or Mir rC~r+rc51 Attorney for ApplzCant <br />Uu ulditional shftls OI taper if more state Ia renuiled. <br />