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2005-06-24_REVISION - M2000016 (13)
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2005-06-24_REVISION - M2000016 (13)
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Last modified
6/15/2021 2:58:13 PM
Creation date
11/21/2007 10:53:26 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M2000016
IBM Index Class Name
REVISION
Doc Date
6/24/2005
Doc Name
review response
From
lafarge north america
To
dmg
Type & Sequence
AM1
Media Type
D
Archive
No
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:corm timer. ) <br />7-$8/5s[ <br />./ <br />Applicant <br />P. O. ees g~~. / ~i=~~.s.~' ~ <br />Quantity applie or fT6O ¢pm c • <br />AF Storage <br />Used for ~ Purposes <br />on/at <br />(legal description of land ate) <br />o acreage Irrigate a o er rte. <br />ESTDdATED DATA OF WELL <br />Hole slae:y~(g_in. to~_ . <br />Sp. to ft. <br />Cueing Plaines-in. fromgto1'L1t. <br />in. from to R. <br />Perf.~io. trom~_to~,~ft. <br />1n. frem to ft. <br />PUMP ~ Outlet . <br />DATA: ~ Type . RP_. Size~- <br />Use lnltiatlon date 19. <br />(Use Supplemental pages r i Dual ) <br />PPLI I~ A PROVED <br />No.~f / -~ <br />DATE 19 Sys <br />-. Q{AIL' V! VVLV1tAUV <br />APPLICATION FOR USE OF OROUND WATER <br />(Use Iwlellble PexLL or Typewriter) <br />JUL 4 -1959 <br />6RgIND WATBi SECT. <br />CCL4RA1)0 <br />LOCAT~~ EISfATE EN6BiEElt <br />County <br />Rge. (Lll~ •___[g_ P". M. ~ OR <br />set A ees or & R o o. <br />own or bdivieion <br />N <br />~ ~ <br />i <br />1 ~ <br />I <br /> <br />--'---- <br />i . <br />---r-° <br /> <br />i , <br /> <br />t ~ <br /> <br />~ ~ <br /> <br />--~-- <br />' <br />---i-- <br />i <br />t i <br />t <br />Locate <br />well [n <br />E 40 acre <br />(small) <br />square <br />as Dees <br />ee posalble, <br />w <br />j25. 09 fee required for 7ndnatrlal, <br />Commercial or Irrigation uses. <br />Applicaok ~ <br />Ageae or ~ <br />Dr111er / s2eCewa.{No._L_ <br />Address , <br />NOTB-SATISFACTORY COMPLETION REQUIRED FOR APPROVAL OS APPLR/ATION <br />
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