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' (51 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 />~ ~1 1MILE, 5280 FEET ~L <br />1 J.. T T Y' ~ T ~" <br />I' I <br />i NORTN SECTION LINE <br />i <br />+NORTH+ <br />W <br />z <br />I~ <br />T t <br />~- - + <br />- -(- <br />2 <br />L <br />v <br />u <br />u <br />3 <br />I - <br />=-}-- <br />I I <br />-+ - <br />I <br />- -~- - <br />I - t - <br />~ <br />x . <br />JV V 1 M Jtl: I IuN LINt: <br /> - + - '~ <br /> <br />~f' I <br />+ <br /> <br /> <br />H I <br />N i <br />m <br />A ~ <br />~ T <br />O <br /> <br />r <br />__ <br /> <br />m ~' <br />- ~- - <br />I <br />~- <br />-~ i <br />~ <br />+ <br />+ <br /> <br /> <br />The scale of the diagram is 2 inches = t mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE (Rounded Figures) <br />An acrrfoot covers 1 acre of land 1 toot deep <br />i Cubit foot per second INsI ...449 gallons per minute Igpm) <br />A family of 5 will require epproximettly 1 acre-foot of water per year. <br />1 xre-loot ...43,560 cubic feet ...325,900 gallons. <br />1,000 ppm pumped continuously for one day protlurn 4.42 atYt-leer. <br />Owner(s) <br />Used for (purpose) <br /> <br />`111) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br />rystem to be used. <br />/5_U ~ L£Sr~/ /_:~~ <br />(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right <br />'' (13) THE APPLIC <br />TRUE TO T <br />~~ '/ <br />S/GNATr/dE OF <br />' Is) <br />I ~~ ft. from GcNTI1 set. line <br />~ q ~./ rf Inortn or scum) <br />~h. from f%3.Sf' sec. line • <br />(east ar wesq <br />LOT BLOCK FILING r <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: L~ <br />No. of acres ~-~ / ~ ~ ,Will this <br />the only well on this tract?~ ~t <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />in. from ~- I ft. to ~° ~_ h. <br />in. from h. to h. <br />Perforated casing <br />in. from ft. to ft. <br />in. from h. to ft. <br />(9) FOR REPLACEMEPJT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />• <br />Description of land on which used <br />~NT:(S) ~'ST.ATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />E BEST OF HIS KNOWLEDGE. <br /> <br />Use additional sheets of paper if more space is required. <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />