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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 (1 section, 640 acres) for the well location. <br />I <br />. I !-4 - -- 1 MILE, 5280 FEET ----- - ? <br />I <br />4- <br />NO H 4- <br />RTl <br />-4-- + <br />4-- <br />4- <br />L <br />-- ?- _ <br />S8UTH_§_E_CTION LINE <br />J <br />- - - 4- - 4- <br />k <br />?I <br />4- <br />?- <br />?- <br />4- <br />.4- <br />The }? <br />scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE (Rounded Figures) <br />An acre-foot covers 1 acre of land 1 foot deep <br />1 cubic foot per second (cfs) ... 449 gallons per minute tgpm) <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 />(6) THE WELL MUST BE LOCATED BELOW <br />by distances from section lines. <br />IS OO ft. from 1Ud 1` 4 sec. line <br />{north or south} <br />(o 0 0 -ft. from If a-4- sec. line <br />(east or west) <br />LOT BLOCK FILING # <br />SUBDIVISION RU55E11 CI/G1 5- <br />( 7) TRACT ON WHICH WELL WILL <br />LOCATED Owner: <br />No, of acres . S Will this be <br />the only well on this tract? <br />(8) PROPOSED CASING PROGRAM <br />Plain Casing <br />'51 in. from ___Z_L_ ft. to 0 ft. <br />in. from . ft. to 2 ft. <br />Perforated casing <br />- in. from O ft. to O O ft. <br />in. from ft, to _ ft. <br />(9) FOR REPLACEMEMT WELLS givedistance <br />and direction from old well and plans for plugging <br />it: <br />(10) LAND ON WHICH GROUND WATER WILL BE USED: <br />Owner(s): No. of acres: y <br />3 712 4z y w .,A- 1o Pr, ^ <br />Legal description: .S <br />(11) DETAILED DESCRI ION of the use of ground water: Household use and domestic wells must irate type of disposal <br />system to be used. ?? o 7 <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 />(131 THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />TURF OF APPL ICAN7 (S) <br />Use additional sheets of paper if more space is required.