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Participating <br />Description <br />of Water <br />Use <br />Well or <br />Surface <br />Diverson? <br />Well <br />Permit <br />Number <br />Wastewater <br />Treatment <br />Method <br />Name of <br />Nearest <br />Stream <br />Distance - <br />to Stream <br />(feet) <br />Zone <br />A, B or C? <br />Location of Well or Surface Diversion <br />Township, Range, Section, 114, 114 location <br />/) <br />• <br />• <br />‘ALL SrATE LEGAL° <br />Exhibit D (Pagel of 13) <br />2008 PARTICIPANT INFORMATION SUMMARY <br />UPPER SOUTH PLATTE WATER CONSERVANCY DISTRICT & CENTER OF COLORADO WATER CONSERVANCY DISTRICT <br />BLANKET AUGMENTATION PLAN - CASE NO. 02CW389 <br />Notes: <br />Wastewater treatment methods typically are: septic & leach field (s&l), evaporative (et , or central wastewater system (central). <br />Distance to stream is measured perpenticuiarly from the well to the nearest stream that has generally perennial flow. <br />For locations of Zones A, B and C, see Exhibit F. <br />