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<br />(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 SECTION (1 section, 640 acres) for the well location. <br />I f ~ 1 MILE, 5280 FEET =,1 <br />+ ~- t + + ~- ~ i t <br />I ~ I I <br />-)- - -1- - <br />I <br />1 NORTH 1 <br />~} <br />+- <br />I <br />-F- - ~ <br />- 1' - -{' <br />1~ <br />I <br />I <br />~ - <br />+ -~- <br />-~- - -~ <br />~- ~- -f - ~ ~- + -~ -I- + <br /> <br />The scale of the diagram is 2 iriches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE IROUntled Figures) <br />An acre loot comers i acre o1 land i foot deep <br />1 cubic foot per second Ills) ...449 gallons per minute Igpml <br />A family of 5 will require appro•~mately t acre loot of water per year. <br />1 acre foot ...43.560 cubic leer ...325.900 gallons. <br />1,000 gpm pumped continuously for one day produces 4 a2 acre-leer. <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(s): <br />Legal description: <br />(6) THE WELL MUST BE LOCATED BELOW <br />by distances from section lines. <br />2450 tt. from North sec. line <br />(norm or scum) <br />2400 ft. from West sec. line <br />(east or west) <br />LOT -- BLOCK -- FILING <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner:Gold Hill Ventures <br />No. of acres __ _ 9~ .Will this be <br />the only well on this tfact? No <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />fi in. from -1 ft. to 2 0 ft. <br />in. from ft. to ft. <br />Perforated casing <br />in. from ft. to ft. <br />in. from ft. to .`t. <br />(9) FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />No. of acres <br />(11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br />system to he used. <br />ironmental water aualitV monitor <br />(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right Used for (purpose) Description of land on which used <br />(13) THE APPLICANTIS) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />~}'L Qf..~. .s~ . <br />SIGnNATURE OF AP~PL(~ICANT!$1 <br />Use and ~tinnal shrnt< p! naner if mope snare i< renuired <br />