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- - : `~ <br />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 (1 section, 640 acres) for the well location. <br />+ - ~t - ~+ - - Y - + - -{- - -)- - -~ <br />~ t~ 1 MILE, 5280 FEET ~ <br />T '~~ T T _ T _ 't' <br />~ i <br />+ - -}- <br />I <br />+NOarH+ <br />t <br />-~ 'F- <br />-~ - -~ <br />1' _ "L' <br />+ t <br />I <br />..L .+ <br />I. <br />--~ <br /> <br /> ~ ~ <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE IROUndetl Figures) <br />An acrrfoot coven 1 acre of IarM 1 foot deep <br />1 cubic foot per secontl Icfsl ...449 gallons per minute Igpml <br />A family of 5 will repuire appmaimately t acre-toot of water per year. <br />1 acre-foot ...43,560 cubic feet ...325,900 gallons. <br />7,000 gpm Dumped continuously for one day produces 4.42 acre-feet. <br />(6) THE WELL MUST BE LOCATED BELOW <br />by distances from section lines. <br />A s a ft. from N U y t~ sec. line <br />~q ~ (north or rOUtn) <br />~L_ft. from ~8 5 'r sec. lin• <br />(east or waft) <br />LOT BLOCK FILING • <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WIL E <br />LOCATED Ownyer:__, ' ~' e <br />No. of acres ~~ ~ o .Will this be <br />the only well on this tract? V E S <br />(8) PROPOSED CASING PROGRAM <br />` PlainlCasirg <br />6 ~,r in. from ~ ft. to! J.-h. <br />in. from ft. to ft. <br />Perforated casing <br />`in. from ft. to ft. <br />in. from ft. to ft. <br />19) 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 />Ownerlsl: TO c ~-~l~-~l1lU F ? No. of acres: <br />I f <br />Legal deseription:_Il. f_ /4 oP 7h~~' .E/~/ .S~c. /r/ 7mv..~3 S, Rnv. 6R ft1. 6--~ P/TI. <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. f>`d Lr Sr' ~ia~~- ~TOc ~(Z 1 So/t/C ~d.v~ f _ /o~ r _ tac <br />G)s7t `e- <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 />yo ~ -~ <br />.. <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />n <br />S/GNA Rf OF APPL /CANTI~ ~ ~ <br />Use additional sheets of paper if more space is required. <br />