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15) 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 11 section, 640 acres) for the well locatio ln. <br />~- ~- -~' - --+--- 1 - --- - t <br />' ~•4 1 MILE, SI60 FEET -> 1 <br />-r -~ T - T- ~ T I <br />i , <br />i NORTH SECTION LINE <br />.~ - - <br />I <br />TNORTH I W <br />T• 2 <br /> <br />I z <br />Q <br />1 <br />I U <br /> W <br />H <br />I N <br />J <br />T ; <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />+ - I i I <br />_ + _ I _ T _ <br />t <br />I x <br />~ <br />1 <br />~ II <br />~ - <br />- + <br /> <br />1 I <br /> <br /> <br />m <br />+ y <br /> <br />a I <br />N <br />~ ~ <br />m ~ <br /> <br /> <br />•i 1 - ~- <br />0 <br />z <br />r <br />_ <br />•j <br />m <br /> <br />- <br />~- - I <br />-~' <br />I6) 7HE WELL MUST BE LOCATED BELOW - <br />by distances from section lines. <br />20010 ft. from ~~ sec. line <br />.."~ to or soutnl <br />2~ ft. from ,~', . sec. line • <br />uus~ee ~ INSt~or west) <br />LOT~_BLOCK N/A FILING s N/A <br />SUBDIVISION ~'~~""k~ <br />(7) TRACT ON WHIC WE L L E <br />LOCATED Owner: ng <br />7,~C~T e 5 <br />tra 1 <br />No. of acres ~•~ .Will this be <br />the only well on this tract? L1'll(fXlWfl a L T1115 111 12. <br /> <br />(J3) PROPOSED CASING PROGRAM <br />Plain Casing <br />4 in. from 0 ft. to 5 ft. <br />~[~in. from I' A _ft. to_ I A ft <br />Perforated casing <br />4 _ in. from 5 ft. to 15 ft <br />N/A in. from N/A ft. to N/A ft. <br /> <br />~ SOUTH SECTION LINE <br />~ ~ <br />f <br />'r <br />+_ . ~' t ~' T rt ~ f <br />+ <br /> <br /> ~'~ r:,,Thescale of.the diagram~is 2~iriches.=. 1 rtlile ~ . <br />- ~ - - - -~ ~ Each small square represents 40.acrfs::: ;'~'- <br /> - ~~ '' WATER EOUIVA~ENTS.TABL~:IROUndep.F quresl <br /> An acrrtopt covers ] aueot land l.foordeey ~~:r" ;', <br /> ~~.1'eubic iogf'per set»nd lcfil~:;~. 449 galldns per minute lyprn) -. ~ <br /> . <br />~~~ AahmilY of 5 will require.'epproairruteiy't.adbfpot or water perYwr. <br />' 'f iatt'e-fool ... 43,5fsO~aubic feet ..'=325.900 ~Ildns: -: ' = "' <br /> 1,000 gpm Dumped continuously torbne'dsy'praducn 4.42~cre-feet. <br />:(10) LA'ND'' <br />Ow.ner(s) : <br /> <br /> <br />(9) FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />N/A <br />„- ; , <br />No, of acres: N/A <br />~.~;,.. <br />(11)'DE'TA9 LEU DESCRIPTION-ot the', use'of g~oUntl vlrater: Household use and domestic wells must indicate type of disposal <br />system to be used. N/A ~ ~ ~ - ~ = <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 />N/A N/A WA <br />(13) THE APPLICANT (S).: STAT ~. T~T THE F RMATION SET FORTH HEREON IS <br />TRUE TO 7HE BEST OF KN WLE~G <br />SIGNATURE OF APPL /CANTlSI <br />Use additional sheets of paper if more space ~s requued. <br />