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._L:... .. ... .. .. .. .. ... <br />(5),THE LOCATION OF THE P~ 3SED WELL and the area on <br />which the water will be used mui :Indicated on the diagram below. <br />Use [he CENTER SECTION (1 section, 640 acres) for the well locatio <br />n. <br />+ - -}' - l <br />~- - +- - -~' - -~ - + - -)- - T <br /> ~ <br />4 1 MILE, 5280 FEET -mil <br /> <br />I II <br />T <br /> ~ i 1~ <br />I <br />NORTH <br />l' ~ <br /> <br />~' <br />~ <br />'~" <br />-}- ~ <br />~- <br /> <br />I <br />~ ~ <br /> -~- <br />Wel <br />Location <br />+-~- - <br /> --} <br />~- ~ -~ <br />I <br /> ~ ~ I I <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />(6) TH~ LL MUST BE LOCATED BELOW <br />by t._,ances from section lines. . <br />660 it. from South sec. line <br />(hor)n or south) <br />1 , 2'~0 ft. from West sec. line <br />(east or west) <br />LOT BLOCK FILING.• <br />SUBDIVISION <br />(71 TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: S i eg_ri s t Comoan i es <br />No. of acres 246 .will this be <br />the only well on this tlact? Yes <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />10 in. from 0 ft. to 20 ft <br />in. from ft. to ~ ft. <br />Perforated casing <br />10 in. from 10 ft. to 20 ft. <br />in. from ft. to `t. <br />19) FOR REPLACEMENT WELLS give distance <br />and direction from old well and plans for plugging <br />it: <br />WATER EQUIVALENTS TABLE IROUnded Figures) <br />An acre loot covers 1 acre of land 1 loot deep <br />1 cubic loot per second Iclsl ...449 gallons per minute Igpm) - <br />A lamily of 5 will require approximately 1 acrr loos of water per year. <br />1 atrtloot .. 43,560 cubic leer ...325,900 gallons. <br />1,000 Bpm pu mpe0 con bnuously for one tlay produces 4.42 ecre~leet <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(s): S i e r i s t Com an i es No of a es: 246 <br />. o o ectlon and NW lf~, o ectlon <br />Legal description: T'iN. R68W and Part of NW 1/4 Section 2 T2N R68W. <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. FOr dust Con t ro 1 <br />purposes on site by sprinkling. Estimated weekly use is <br />5,000 gal. which is equivalent to less than 1 Acre-Ft./Year. <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 />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE T OF~HI//S KNOWL~E~DGE. '"''` ~'~' <br />C~~ i~~~~ t%/GIp~.Qd!(n ~Ci• Engi Weer for Applicant <br />S/GNATURf OF APPL ICANTl51 ~ LaVe rn C. ~ Ne I.son, P.E. <br />1 Use additional sheets of paper it more space is required. <br />