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(5) THE LOCATION OF THE PROPOSED WELL and the area on <br />which the water will be used must be indirated on the diagram below. <br />Use the CENTER SECTION It section, 640 acres) for the well location. <br />+- -i -- - '~--- ~- ~ -'i- - '.'~ <br />t i <br />- ~- - -~- - <br />NORTH f <br />T <br />-. '~ T <br />-I <br />:~ ~ <br />+ - -f-' - <br />I <br />i I <br />- f - -t <br />y <br />1 <br />I <br />~ - .+ <br />- + - ~- <br />i 1 ~ I 1I <br />t '+' T t + T T <br />!II ~ II <br />T - T - -~ - t - ~ - "L - -I- - +- - I <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE (ROUntled Figures) <br />An acre-four covers 1 acre of lantl 1 four tleep <br />1 cubic foot per second Icfsl ...449 gallons per minute Igpm) <br />A family of 5 will require approximately 1 acre.foot o! water per Year. <br />1 acre~foat ... d3,560 cubic feet ...325,900 gallgns <br />[.000 gpm pu mpetl cgntinuously }or one day Protluces 4 42 acre-feet. <br />I6) <br />by`d3istances from section lines. <br />aft. from north sec. line <br />74g0 Inprfn pr fOUln) <br />6$C` ft. from east sec. lin~ <br />(off Or w~4q <br />LOT BLOCK FfLING • <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner:Julia Silva <br />No. of acres 40 .Will this be <br />the only well on this tfact? YE:S <br />18) PROPOSED CASING PROGRAM <br />Plain Casing <br />6 5/8" in.irom +1 ft.to 20 ft. <br />3 <br />4 in. from Z 0 <br />ft. to 12 0 ft. <br />Perforated casing <br />3 <br />4 in. from 1 20 <br />ft. to 200 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 />• <br />(101 LAND ON WHICH GROUND WATER WILL BE USED: <br />Ownerfsl: Julia Silva ~ No.ofacres: 40 <br />Legal description: NW~ of the NE~ Section 12 TaA 33S Rng 68W 6th om <br />(11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br />rystem to be used. <br />Household use - septic system with leach:_ field <br />(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right <br />Used for lpurpose) <br />Description of land on which used <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />~D TRUE TO THE BEST OF HIS KNOWLEDGE. <br />'! 1 MILE, 5280 FEET -~I <br />_ ~' T - -r <br />Use additional sheets of paper if more space is required. <br />