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PERMFILE126562
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PERMFILE126562
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Entry Properties
Last modified
8/24/2016 10:23:46 PM
Creation date
11/25/2007 3:36:59 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983013
IBM Index Class Name
Permit File
Doc Name
PERMIT APPLICATION FORM
Media Type
D
Archive
No
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I (5) j'HE LOCATION OF THE USED WELL and the area on <br />which the water will be used must a indicated on the diagram below. <br />Use the CENTER SECTION (1 section, 640 acres( for the well location. <br />~ ~~ - 1 MILE, 5280 FEET --{.I <br />f -}- -}- + + 1- + ~- -t <br />~ i I I <br />- ~_ <br />I <br />NORTH <br />I <br /> <br /> <br />1 <br /> <br />T <br />-~- <br />i NOR7H SECTION LINE <br /> I <br />- ~ ~ I <br />- ~ - <br />2 j <br />J rn <br /> ~ <br />Z I <br />O m <br />= n <br />U ~ <br />w p <br />N I I Z <br />' <br /> <br />N r_ <br />w <br />3 _I _ <br />- <br />- ~ <br />- - 2 <br />m <br /> r <br />I 1 <br />l <br /> SOUTH SEC TION LINE ' 1 <br />~ <br />- '~ <br /> <br />-I- I. <br />-t i <br /> <br />_1_ ll <br />- <br />~- +- <br /> <br />--)- 1 <br />- -~ <br /> I <br /> 1 I <br />I <br />I <br />t - ~- - + - ~ - -I- - ~-- - -F- - +- - -r <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE IROU ndetl Figur¢sl <br />An acre~fpot covers 1 acr¢ of land 1 loot deen <br />I cubic foot per second Icfsl ..449 gallons per minute Igpml <br />A lamely of 5 will regwr¢ approaimat eiY t d[r¢~l001 O! wal¢r per year <br />1 acre fool . . 43,560 cuh~c leer .325,900 gallons. <br />1.000 gpm pumped con bnuously for one day produces 4 d2 acre~feer. <br />161 <br />ft. from sec. line <br />(n Or[Il pr sourp) <br />ft. from sec. line <br />(east or west) <br />LOT BLOCK FILING r <br />SUBDIVISION <br />(71 TRACT ON WHICH WELL WILL BE <br />LOCATED Owner. <br />No. of acres .Will this be <br />the only well on this tract <br />(81 PROPOSED CASING PROGRAM <br />Plain Casing <br />m from ft, to ft. <br />in. from ft, to ft. <br />Perforated casing <br />In from tt, to ft. <br />m.irorn ft to ft. <br />(9) FOR REPLACEMEPJT WELLS give distance <br />and direction from old well and plans for plugging <br />it: <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Ownerlsl: No. of acres: <br />Legal descrlplmn: <br />(11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br />system to be used. <br />(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right Usec1 for (purpose) Description of land on which used <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />S/GNA TURE OF APPC/CANT/S/ <br />l)sn addl~lnnal d~~~n , , naf+rr H mnu~ ;,o„ ~c nui'+n ~.t <br />
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