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(5) THE LOCATION OF THE PROPOSED WELL and the area on ~ <br />which the water will be used murt be indirated~on the diagrarri below. <br />Use the CENTER SECTION (] action, 640 acresy for the well location. <br />+ - ~- -• ~-- - ~-- - -1- - + - -~ - -~ - -~ <br />i ~ 4 1 MILE, 5260 FEET -=~1 <br />j- -~ ~- t + 1- ~- -I- ~- <br />~- - ~- -' <br />1 NORTHt <br />+. 't' <br />I <br />1. ~. <br />t- - -)- - <br />I <br /> <br /> <br />I <br />+ ~ <br />+ <br />+ <br />I <br />t - "~- - -~- - -~- <br />.y <br />- ~' - I <br />'{" <br />~ - <br /> <br />I <br />1 <br />T <br />(6) THE WELL MUST BE LOCATED BELOW <br />by dirtances from section lines. <br />1~Q_ft. from . So~'fh sec. iine~ <br />Inorln or wutn) <br />~ ~9 C7 ft. from fo ~ ~" see. line <br />(ast or wasq <br />%f4c7F ~ <br />LOT ~~ BLOCK FILING • <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: ~ '~~+~~~ Ron c) <br />No. of acres ~. ?-3 .Will this be <br />the only well on this tfact? <br />(8)PROPOSED CASING PROGRAM <br />Plain Casing <br />~in. from t /- ft. to~_ft. <br />I <br />}- -)- - -+ <br />- 3 <br />I <br />in. from ft. to ft <br />Perforated casing <br />t,u ost; c ~''°"`') P°c'~ ~ F needed! <br />m. from ft. to ft. <br />~ ~ ~ <br /> <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />-~ ~- in. from ft. to .`t. <br />(9) FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />- -~ it: <br />WATER EQUIVALENTS TABLE IRountletl Fipuresl <br />An acre loot cgvers 1 acre o} lantl 1 }oot Deep <br />t Cubic loot per semntl lc(sl ...449 9ellons per minus! I9pm1 <br />A family p! 5 will require apprpalmatlly 1 acre-foot Of water per year. <br />1 acre-toot ...47,560 cubic fat ...325,900 gallons. <br />1,000 ppm Dumped continuoutly for one tlay produces 4.42 acre•feet. <br />(70) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(sl: ~:c~-.nrr~ R ,r.,n..o~ No. of acres: .~.~ I'~ <br />Legal description: S E '~ rah -I++a- -3 F ~„ Sec. IS ~W P . 3 ~ RAq~ (p7 tct. !D ~' ~/n <br />(111 DETAILED DESCRIPTION of the use of yrounJ water: Houxhold ux and domestic wells must indicate type of disposal <br />system to be used. ~m Mo s'(f L /,500 G' o (. ~3e.. ~: r _ y'on <br />(12) OTHER WATER RIGHTS used do 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 />hnno~ ~ - <br />(13) THE APPLICANT(S) STATEIS) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. . <br />!7 - <br />SIGNATURE OF APPL /CANTlSI <br />