DWR_1394519

• Permitno: 74900
• Receipt Number: 9051772
• Document Type - Well Permit: Original File
• Annotated?: No

(5) THE LOCATION OF THE PROPOSED WELL and the area on
which the water will be used must be indicated on the diagram below.
Use the CENTER SECTION (1 section, 640 acres) for the well location.
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7 MILE, 5280 FEET —�
NORTH SECTION LINE
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SOUTH SECTION LINE
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The scale ofthe diagram is 2 inches = 1 mile
Each small square represents 40 acres.
WATER'f.UlVALENTS TABLE.,(Rounded Figures)
An acre -foot cover,,.1a¢re of Igr)df.+fafact deep
1 cubic foot per seco*'iCf3) ... 449 gallonsper'minute (gpm)
A family of 5 will regp*e approximately f acre-foot of water per year.
1 acre -foot : -.. 43,560 cubic feet„ .. 325,900 gallons.
1,000 gpm pumped continuously for one day produces 4.42 acre feet.
(6) THE WELL MUST BE LOCATED BELOW
by distances from section lines.
o�
300 ft. from Tire 9L 'll' 11 sec. line
(north or south)
'?',0 ft. from W e s 7� sec. line
(east or west)
LOT I BLOCK 1_FILING x I_
SUBDIVISION
(7) TRACT ON WHICH WELL WILL BE
LOCATED
No. of acres 7 ,r Will this be
the only well on this tract? Ye- S
(8) PROPOSED CASING PROGRAM
Plain Casing
in. from ft. to le 0 ft.
in. from ft. to ft.
Perforated casing
_ !- in. from /00 ft. to /6-0 ft.
in. from ; ft. to ft.
(9) FOR REPLACEMENT WELLS givedistance
and direction from old well and plans for plugging
it:
X114-
(10) LAND ON WHICH GROUND WATER WILL BE USED: _
Ownerls):�7 A No. of acres:
Legal description:
(11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system
to be used.
82415e, htl�d Cl4E Dw�L V
(12) OTHER WATER RIGHTS used on this land, including wells.
Type of right Used for (purpose) Legal Description of land on which used
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE THE BEST OF HIS X"QWLEDGE.
SIGNATURE OF APPLICANTS)
Use additional sheets of paper if more space is required.