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,!Pit ter RA�s'"ry4 if tMY Vtnyer, cvkazlo V.210
<br /> POMW M &tA,-,l t4w,
<br /> -STATEMENT Of BINEFILA U-4t Of GROUND WWR
<br /> A!Ar-NOMENT Of I[XiSTING RECORD
<br /> 0,7
<br /> PERMIT NUMBER
<br /> STATE. Or COLORADO
<br /> COUNTY OF 5_11 .7)] ft 5
<br /> THE AFFIANT(S)---/..--C-2---h'J./
<br /> -if- /o/Ire, 41
<br /> whose address i s saw..
<br /> be.ng duly sworn upon oath, deposes aid says that t",e (1111F,y) I'l—I th- of tt,,p oi-l! bed hereon t'-
<br /> located in the 5 /y of Sect,on
<br /> c-the %
<br /> Range-- ;
<br /> W I
<br /> I !mot
<br /> and-�/ ,j the sectto-1 line. the total ,it- t t cf ,,F, ell
<br /> to-pt. *J1er.
<br /> i[all C, V102.1
<br /> efici-31 use for thn purpose(s) dps�r,trd l-,- t�lt C I,,, k,11L
<br /> was first a,:plied to trn- I/ is
<br /> the rn-ivirrurn sus..Ained purlip,rig rate of the well is tr t,erety
<br /> 4(� for wt,ich oa�rr
<br /> gallons per minute. Vie average annuil amount of water to 1)(, div-1ed 5 /4 tCre (let,
<br /> tf � "
<br /> made for -II C v 2 e 'r,J J n 5 t 7, the legal vi., ILind on ivr, h, t u
<br /> from this well s to te used it.- 4_ it S- , "� P t 4,V d.
<br /> which total,, acres and which is illustrated on the w-ir, cr, averse !Ide (,,f tn,, forryi. tl�,,!l this NC-11 %%-I` CC--
<br /> ,n compliance with the prrmft appr3ved ttlerefor, this stntf-r.e--,t ;f b(,riefillal G e Of -round w rater i-; fired in ccr-.;,,'
<br /> �
<br /> lay#. tit (!hey) lias (hive) read the statement% made hereon knows tl�,e content ttjt,reot. -j that the same trp t 1!5'
<br /> Weir) kr-,�,,,Acdze.
<br /> 7
<br /> ran W31 0"1,y
<br /> 1".rf Alnie.., ..n to before meon th-s day of
<br /> ,7
<br /> Pl,nf Date
<br /> Well 11%0
<br /> !0
<br /> T
<br /> "'IF: F THE STATE Ff':G171ri
<br /> DAY f
<br /> 4t;
<br /> r"i t'W'Icto
<br />
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