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+ <br /> COLORADO 011W1014 OF Vo ATCR RESOURCES <br /> A teat oe 300 Col;trn'sine el"I , IA CO SIterman St 1 i <br /> phtllT IH Pt AS <br /> cOrrCr xce'05'lEii Denver, Col ,ad* E2UO3 <br /> MAILED rt nc auk st STATE DF COLORAno I Ar '. <br /> a <br /> COUNTY OF <br /> y� <br /> STATEmENT OF BENEFICIAL USE OF GROUND WATER <br /> ,�..._ Amllj .trNT OP EXISTING RE-CORD ,rr,. r •red <br /> r LATE REGISTRATION <br /> PERMIT HUMBER ik LOCATION OF wfl,� <br /> THE AFFIANTIS) .___ !Ta`u1 W,_I�i^Cota �� _ cep^•r -----T1is_Art-fr <br /> Whose marling 2(160 ILAzy 1Ane <br /> address is <br /> Traustgmt T,.. <br /> _Timms 77001 63- W <br /> City - -; <br /> ,...•rl r1+.1 <br /> being duly swoon upon osth, deposes and says that her (they) Is (ore) the owners) of the well described he,eon, <br /> r" <br /> 2• , e from feet f th _ __ _.w section I Ino and _ feet /r <br /> located as described above, of distances of <br /> section Ilne, water from this well was first applied to a beneficial use for the purposr(sl described here n on the 31 <br /> day of —Dee. , 19 ?.16_, the maxims, , sustained pumping rate of the well is _� gallons per minute, the p r : g <br /> 2 a -_ <br /> rate clo,mefl hereby Is -_247 gallons per minute; the total depth of the well is _ _feet, the ove, a annvol a <br /> g <br /> x•. <br /> of water to ix diverted is _acre-feet; for which claim is hereby made for Irri __ s� <br /> fs-1. fill. ar& wildlife purpose(s); .he legal description of the fond or, which the voter from this well Is _5 <br /> f ,..ice <br /> [ <br /> acres ore irrigated and which is Illusitoted on the map on the reverse tide of triis farm; that this "') w^s ca, t <br /> ca�r+pliance with the pt^rnit apnraved therefor; this steternont of beneficial use of IoUnA water is riled '-n co?^-!;"ce wi;), - <br /> f;h¢y) has (hovel read tl,e str+ements made herean; knows the <br /> ca tint tI e'eaf; anthat CIS ta^a are true of <br /> (COi'PLETE REVERSE SIDE OF TIM Ftln'V <br /> FOR OFFICE US! ' LY <br /> St;bsrr,bed and swo•n <br /> to befo*t me on this dry of _ W�--- g— f';-/4__ - <br /> i� <br /> • sC,s•/ �qH riD �. <br /> n" My Commission expires• <br /> - ---� <br /> ACCFPTED FOP FiLI:=G BY THE STATE C'.GI'oEEf2 OF C0t_0�2ADO t <br /> ' PUOSUANT 10 THE FOLLUii` ,G CONDITIONS- <br /> 'A _ <br /> tte'y '.Js• _ c. <br /> 1 <br /> t <br />