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(5) 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 0 section, 640 acres? for the well location. <br />it---- 1 MILE, 5280 FEET ---}i <br />I I <br />-I- - 4 - <br />4- NORTH+ <br />I <br />4 <br />I <br />4- <br />4- 4-- <br />I <br />I <br />+ <br />-? <br />-f - <br />-{ <br />-? <br />-I- <br />4 <br />-1- I <br />4- <br />II?' <br /> <br />! <br />- <br />- -?- <br />I <br />- + <br />- -?- <br />I <br />- - - - <br />-)- <br />? <br />- -}- <br />- -f- - I <br />The scale of the diagram is 2 inches s 1 mile <br />Each small square represents 40 acres. <br />(6) THE WELL MUST BE LOCATED BELOW <br />by distances from section lines. <br />0? ft. from sec. line <br />(north or south) <br />O ft. from W esf sec. line <br />("It or West) <br />LOT BLOCK FILING • <br />SUBDIVISION <br />(7) TRACT ON WHICH WELL WILL BE <br />LOCATED Owner: `TN AISS -4. Ls•wt.S <br />No. of acres sa- . Will this be <br />the only well on this tract? <br />(8) EROPOSED CASING PROGRAM <br />Plain Casing <br />6-& in. from ft. to ft. f <br />in. from eft. to_C?L w ft. <br />Perforated casing <br />2- in. from _ ft. to ?2049 ft. <br />in. from ft. to - `t. <br />•yl? <br />(9) FOR REPLACEMENT WELL givedistance <br />and direction from Old well and plans for plugging <br />it: <br />WATER EQUIVALENTS TABLE iRounded Figuresi <br />An acre-foot covers 1 acre of land 1 foot deep <br />t cubic foot per second (cfs) ... 449 gallons per minute (gpml <br />A family of 5 will require approximately 1 acre-foot of water per year, <br />1 acre-foot .. , 43,560 cubic feet ... 325,900 gallons. <br />1,000 gpm pumped continuously for one day produces 4.42 acre-feet. <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(s): S ?e t?11 - No. of acres: M <br />I description: f Zia. <br />(11) DETAILED DE5CRIPTI N of the use of ground water: Household use and domestic wells must indicate type of disposal <br />em to be used., /hn/l anJ 4y2ivje_ t 0? U4 `estC.A <br />A <br />(12) fl?EB 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 />x(13) Tk1E APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />UE TO THE-,,BEST OF,4HIS KNOWLEDGE. <br />SIG URE Of APPLICA fT/SJ <br />Use additional sheets of paper if more space is required.