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(5) THE LOCATION OF THE POSED WELL and the area on <br />which fife water will be used mus a indicated on the diagram below. <br />Use the CENTER SECTION (1 section, 640 acres) for the well location. <br />+--t--+-+---~-+--~-~- ~ <br />4L--- 1 MILE, 5280 FEET .1 <br />I I I ~ <br />_ ~_ <br />I <br />NORTH <br />I T <br />T ~- <br /> <br />~ - ~ <br />i NORTH SEC710N LINE <br /> <br />l I <br /> <br />- ~ I <br /> <br />- ~ <br />2 D <br /> y <br />J <br />z I f m <br />O m <br />H O <br />O ~ <br />w O <br />H Z <br />- <br />w r <br />w <br />3 <br />- _}- - <br />-~- - Z <br />m <br /> I I <br /> SOUTH SEC TION LIN t <br />~ ' I <br /> l <br />I <br />I <br />~ - <br /> <br /> I <br /> E <br /> ~ <br /> <br />~ <br />- ~- <br />I <br />- -~- <br />t <br />- ~" - -~ - ~-- <br />~ <br />- ~-- <br />- +~ - <br />I <br />- -r <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />• WATER EOUiVALE NTS TABLE IRoundetl Figures) <br />An acre-foor covers 1 acre of land i foor deep <br />1 cubic foot per second Icfsl ...449 gallons per minute I9pm1 <br />A family of 5 will require appro•~mately 1 acre-fool of water per year. <br />1 acre-toot ...43,560 cubic reel ...325,900 gallons. <br />1 OOO 9pm pu mpetl connnuously for one tlay produces 4.42 acre-feet. <br />Isl <br />nces <br />ft. from sec. line <br />(nortn or souml <br />ft. from sec. line <br />feast or wesq <br />LOT BLOCK FILING r <br />SUBDIVISION <br />(71 TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: <br />No. of acres <br />the only well on this tfact? <br />Will this be <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />in. from <br />in. from <br />Perforated casing <br />in. from <br />in. from <br />ft. to ft. <br />ft. to ft. <br />ft. to ft. <br />ft. to :t. <br />(91 FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(s): <br />No. of acres: <br />Legal description: <br />(11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br />system to be used. <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 APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />SIGNATURE OF APPLICANTlSI <br />Use additional sheets of paper if more space is required. <br />