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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 I1 section, 640 acres) for the well location. <br />+ - -t- - - - - - - ~- - 1 - -i- - -I- <br />I <br />~ ~~~-~-1 MILE, 5290 FEET -~--~ <br />1 <br />I ~ i <br /> <br />i <br />NO <br />T <br />RTH11 <br /> T <br /> t <br /> <br />~-- - -~ - <br />-f- - "'L <br /> I <br /> <br />+ -~ <br />- + - ~- <br />(6) THE WELL MUST BE LOCATED 6clJW <br />by distances from section lines. L L <br />'Z~ ft. from IVO ~ ` rr sec. line <br />(rnersn or south) <br />.Z 0 7 ft. from ` i S 1L sec. lin~ <br />IUtt or waft) <br />LOT BLOCK FILING s <br />SUBDIVISION <br />(7j TRACT ON WHICH WELL WILL BE <br />LOCATED <br />No. of acres ~~ ~ .Will this be <br />the only well on this tract? V ~ S <br />(B) PROPOSED CASING PROGRAM <br />Plain Casing <br />~in.from C ft.to~ft. <br />in, from ft. to ft. <br />Perforated casing <br />~__ in. from ~ G ft. to~ ~ ft. <br />in. from ft. to ft. <br />(9) FOR REPLACEMEPJT WELLSgivedistance <br />and direction from old well and plans for plugging <br />it: <br /> I <br />T 1 <br />I <br />T II <br />T T I <br />T 1I <br />T <br />~- - ~ - + - ~ - -~ - -~ - -I- - + - -}- <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 acres. <br />WATER EQUIVALENTS TABLE IROUntled Figures) <br />An sore-foot Covers 1 acre of land t foot deep <br />1 cubic foot per sewntl Ids) ...449 gallons per minute Igpm) <br />A family of 5 will repuire approzimetely 1 acre-foot of water per year. <br />1 xro-foot ...43,560 cubic feet ...325,900 gallons. <br />1,000 gpm Dumped continuously for one dry produces 4.42 acre-feet. <br />(10) LAI <br />Owner(s) <br />No. of acres: <br />Legal description: Sa ~ C <br />(11) DETAILED DESCRIPTION of the use of ground water: <br />(12) OTHER WATER RIGHTS used on this land, including wells. <br />Type or right Used for (purpose) Description of land on which used <br />~OM~ <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE JrO~E BEST OF HIS KNOWLEDGE. <br />a _ . <br />APPL <br />Use additional sheets of paper i( more space is required. <br />