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(.ri) Tl ti: LOCATION OF "fFiG F'i itil'OSCD VJ!:L i and :Im ai ~:a un <br /> which the water will be used must 6e indicated on the diagt.un below. <br /> Use the CENTER SE CTION (1 section, G40 acres) (or t he well location. <br />~- - -)- - ~- - ~ -- - + -- -~- - ~- -- -I- <br />i ~~ - 1 MILE, 5280 FEET --) <br />~ <br />L, <br />I I I <br />T T + + ~ I <br />I <br />( ~ <br />! I <br />- <br />- - - <br />- <br />- - - <br />- - F <br />1 <br />I <br />NORTHI ~ <br />+- -(- <br />-F' <br />+ - -{- <br />~I <br />t <br />-I- <br />Tr?fitment Discharge I <br />Pc~ttd + .~ to STrream ~ <br />1 <br />~- <br />f <br />- ~- - <br />-F- <br />II <br />T <br />-~ <br />- -1- - -~- - -}- - -}- - -F- - + - i- - -+- <br />The scale of the diagram is ? iluttes = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE (flaunrJed Flguresl <br />An acre loot covers 1 acre of land 1 loos deep <br />1 cubic loot per second Iclsl ...449 gallons per minute Igpml <br />A family of 5 will require apprp>.Imately 1 acre~toos of water per year. <br />1 acre-loot ...43.560 cubic leer ...375,900 gallons. <br />1,000 gpm pumped continuously lur one day produces 4.42 acre-lees. <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(s): N/A <br />(G) l~i IL'yVELL NiUS l' UC L(.)CATED BELOW ~~ <br />by distances from section lima. <br />1 .450 ft. from _ South sec. line <br />Imnr~ or soutn) <br />100 ft from- West sec.line• <br />feast or wesn <br />LOT BLUCK- ..FILING n <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: Ven.to Trust <br />No. of. acres 360 _. Will this be <br />the only well on this tfact?~:<c <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />8 in. from 0 ft. to 360 ft <br />in. from I't. to ft. <br />Perforated casing <br />N / A in. from ft. to it. <br />in. from ft. to .`t. <br />(9) FOR REPLACEMENT VI'ELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br /> <br />No. of acres: <br />Legal description: <br />(11) DETAILED DESCRIPTION of the use of yround water: Household usgand domestic wells must indicate type of disposal <br />system to beused.The water will not be consumptively used. Water is pumped from the <br />dewatering well into a treatment Pond, then discharged to the stream system. <br />The pond and discharge system are permitted by the-Colo. Dept_`.of Health a <br />ll l: l 1llCLL L4llLL l\G 1.1 IIl.1 L.1 V11 U1V1J1VIlJ <br />(12) QTHER WATER RIGHTS used on this land, including wells. ive Registration anti Waler Court Case Numbers. <br />Type or right <br />N/A <br />Used for (purpose) <br />Description of land on which used <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON I:S <br />J TRUE TO THE BEST OF HIS KNOWLEDGE. <br />+~ ~ <br />SIGNATURE OF APPL ICANTfS) <br />Ora (~~ .au:eC `nch~d l?/ 11) <br />U;c vlAilion a! .~irn r. n! pater " mnr~ •;»rr. i; rrquircd. <br />