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(5) THE LOCATION OF THE PROPOSED WELL and the area on <br />which the water witl be used must be indicated en the diagram below. <br />Use the C7=NTER SECTION f t section, 640 acres) for the well location. <br />I,~ ~ 1 MILE, 5280 FEET-;rl <br />~ I <br />_ ~_ _ i NOfiTH SECTION LINE <br />1 <br />+NOarti+ <br />z <br />..~ '}" <br />) <br />~^- - -)- <br />-~- -)- <br />C <br />F <br />u <br />v <br />v <br />u <br />3 <br />!0 <br />I ' /D <br />I <br />_ .~ _ <br />I ~ +. - <br />I <br />~ <br />-f -- - ~ <br />^'~ <br />I <br />/0 <br />auu ~ n acv i ww urvc <br />- + - '~' <br />b ~~ f <br />I' <br />I ~ .... --}-'. <br />'~' <br /> <br />' I I <br />i <br />. , ~ ~ i <br />~ , <br />The scale of the diagram is 2 inches = 1 mile '~ <br />Each smal I square represents 4Q acres. <br />(6) THE WELL MUST BE LOCATED ESEL'O~N• <br />by distances from section lines. <br />1604 ft. from ~~ sec. tine <br />(n«tn or seutn) <br />3290 {~, from West sac. line <br />(east or west) <br />LOT BLOCK FILING a <br />SU601VISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: H'G ~~ ~• <br />No. of acres 88.85 . Wili this be <br />the only well on this tract? NO-QC1'St12]CJ Cti~YiESt1C <br />we]1 <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing Duc~ll-use gd1V. Cf~ <br />in. from ft. to ft. <br />in. from ft. to ft. <br />Perforated casing <br />,,, in. from ft. to ft. <br />_,_ in, from ft. to ft. <br />(9} FOR REPLACEMENT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br />New tae11 located apprlmtim-ttely <br />tsao miles r>Iort-1z of oZd well to <br />WATER EpUIVALENTS TABLE IRourrded Figuresi ~ pl~gE~. <br />An acre-foot covers t acre of larni t tOOt deep <br />1 cubic toot per second Icfs} , , , 449 galiOnS per minute (gpm), <br />A family of 5 will require apprpximately t asre•toot of water per year. <br />1 aera-foot ... 43,SG0 cubic felt . , •, 325,900 gallon. "' <br />1,000 Qpm pumped continuously for One dsV Produces 4.d2 acre-feat. <br />{10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(s): H=G Coal Company No, of acres: aPArox. 280 <br />Legal description: ' X1/4. ~• l4 % NiF,]./4 , Sec. 22 ' & on Routt Cota~ty Roi3d 53 south 9 miles <br />(1'I) QETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal <br />ay:tam to be used. kpr t]se at coal ha~.ling facilities for facilities dust control, offit~r <br />change house.& for.dust control along Roust County Road 53. <br />(12) OTHE WA'[,~R RI(aJ-jTS used on this land, including wells. Give Registration and Water Court Case Numbers. <br />Type or right _ Used for Ipurposel pescription of land on which used <br />Walkzr Ditch agricultural Pasture <br />2.697 CFS ' <br />(13) THE APPLICANT{S} STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE, A-G C COMPAN~r <br />BY ~ `~'~h~ - <br />SlGNRTURE Of APPLlCANTfS! Richard H . Tobler <br />i • <br />Use additional shears of paper if more space is required. <br />MR-16 7-5.5 Revised 11/07 <br />