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(5) THE LOCATION OF THE PROPOSED WELL and the area on <br />which the water well be used must be indicated on the diagram below. <br />Use the CENTER SECTION 11 section, 640 acres) for the well location. <br />+ - -r - - + - -a- - - - ~ - ~- <br />~ '/---t MILE, 5280 FEET--~I I <br />- T T ~ i <br />f 1 ~ - ~ ~ <br />~ I ~ <br />i NORTH SE ION LINE <br />NORTH <br />T 2 <br />I z <br />O <br />t U <br />W <br />I w <br />f- <br />N <br />+ A ~- 3 <br />-~- - -E- <br />+ + <br />} ~r <br />. .. <br />.. -~=- , <br />.--G- <br /> <br />I <br />I <br />- T - <br />I a I <br /> <br /> <br />- T <br />+II <br /> <br />II <br />I II <br />"~ <br />Illl <br />suu I n sec I turv une <br /> ~" <br />m + <br />a 1• <br />~ <br />m I <br />~ <br />A 1 <br />H <br />0 <br />r_ <br />2 <br />- I <br />The scale of the diagram is 2 inches = 1 mile <br />Each small square represents 40 saes. <br />•,- WATER EQUIVALENTS TABLE IROUntled Figures) <br />.~ ,AO aae-loot covers 1.aRe of land 1 foo[ deep <br />• 1 cubic foot per semnd (ds) ...449 gallons per minute Igpml <br />A /amity of 5 will require approximately 1 acre-foot of water per year. <br />1 acrcfoot ...43,560 cubic feet ...325,900 gallons. <br />1,000 gam Dumped continuously for one day produces 4.42 ave-feet. <br />(6) THE WELL MUST BE LOCATED dEtOW <br />by distances from section, l/fines. <br />e1 3 O h. from ND !^ Th <br />sec.:ir <br />? ft. from ___~/ ec. li~ <br />weft) <br />LOT BLOCK_~e_FILING a /~ <br />SUBDIVISION .~r~I.NS%/e ~J b.,.e,.~ J/I lsU.y%r rC'~- <br />(7) TRACT ON WHICH WELL WI/~LL BE <br />LOCATED Owner: co ~.~ /1/ /7 r/ d hc~r ,// <br />No. of acres~~/'ro ,Y• a derv. Will this be <br />the only well on this tract? /~ S <br />i <br />(SIPROPOSED CASING PROGRAM <br />Plain Casing / / ,t <br />~in.from ~ ft.to~ft. <br />in. from ft. to ft. <br />Perforated casing <br />~_ in. from ~_ ft. to ~ S 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 />~rl~ // 6 ~. A e y M a.v ~..~T/v <br />S ~. d ~ e, d~ 13 v O ctJ,f/~ h. <br />(10) LAND-OWN/ WHICH`/GROUND WATER WILL E SED: <br />Ownerlsl: (Jo l~ ./ /V N !3~ t~ ~ ,lam A ro y <br />No. of acres: O'f~ .r• a deI-e. <br />Legal description:s~,aT3 Aloe-,(/ /. ~iy,/sJT_eF.57.ie.,.~/f~•~. -Nu.~y ~~~ Sc~. -3o Tp•33~/~d~u- <br />(11) DETAILED,.DESCRIPTION of the use of ground water:Household use and domestic wells muse indicate type of disposal system <br />ro be <br />DOMESTIC <br /> <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 />~oti~ <br />~C}..~ . <br />(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS <br />TRUE TO THE BEST OF HIS KNOWLEDGE. <br />OF APPL ICANTl51 <br />