HomeMy WebLinkAbout951885.tiff MAY' 15' '95 id,18 SCUDDER_:SUJ2D YrMU5-+HXH —� [ pr'.c
•_5-71 (:OLO1t:\t1U InvisiON of W:viFit Ltl•:S(RJR(:i:
7 I_ L• 1 l\�C.�.+C14Lc: :.
WI Cululn\Mn. Bldg_ 1845 1hrrm+..Suer:.t)nnv.(,C.Hor:III..8020:1 L _� SUN 2
S. OR PRINT IN BLACK INK. APPLICATION MUST BE COMPLETED BEFORE ACCEPTANCE.
'ftTl ON FOR: GROUND WATERTO BE USED FOR
A PERMIT TO USE GROUND WAT72 • )C DOMESTIC -1l) COMMEi1b'IAL (Is)
A PERMIT TO CONSTRUCT A WaL X LIVESTOCK (2) INDUSTRIAL („
f MUNICIPAL (8) IRRIGATION (Er)
REPLAC *4f FOR NO. aPHI?R
A. PERMIT TO INSTALL A PUMP
OTHER
4lELI. LOCATION
ttcANT /f/•chac,-/ / ct �,-/r'en /. ///�'(,(7o.LCot1VT`! (4,e
'`n // � i of the �� of Section
:eet Address 3#5-7 L✓• f341 /` -- .``
� 0r?:J-C.r R. �� Li n
6- & State 4tenrift 4.P l,,, rohrac/er; .2 ADDITION ...
•
IN ADDITION TO THE ABOVE, TILE WELL MUST BE
Le-phone No. 44 7- 0 3 0c. LOCATED WITH RE1E1FRCE TO GOV32NMENT SURVEY
rCORNtIS, MONUMENTS OR SECTION LINES BY DISTAttr'
OF AQUIFER GROUND WATER I�; TO BE C�EIAIN ..D
AND BEARING (DOhtISST:CC WELLS IYh'! WE LOCATED BY
LOT, BLOCK, & SUBDIVISION.)
MI X/44 1/if-UV
()POSED TOTAL DEPTH OF WELL 1pO _ Ft. /too ft. from 416/.. Th section 1
(North or South) -
TIMATED MAXIMUM PUMPING•RATE /sc GPM. Vac) ft. from "E(r'ST section 1'.
(East or West)
tGE ANNUAL AMOUNT OF GROUND WATER TO BE
LOT BIA(:K FILING ii
`iPliIATED CI Acre-feet
SUBDIVISION
PA.T'r) GROUT 'PROGRAM •
Ground Water Basin
dal �.c..me ...-r iY
Water M(pnnt. Dial.
:rvals 0 ip
Anticipated drilling date sieve/! e 19 7c.
t:ement Method ,our' Pte'( Owner of land on which well
is located:
100S= CASING: F, i,>/p A . I /i/aetl / . /4'4, led n
r �
iin 1/45- in. from 0 ft_ to ,30 ft. Other water rights on this land -
in. from ft. to _ ft. .
.rf- S in. from 70 =t. to 6 f - -
in. from ft. to £t. '—•�
rifler S. C. (. !;//iaf.', N)- 1/ Y- t'Ale.,07- ,,i F'ir. c� __—
? i.
,�1 tiitytaturC of Applicant
a dress >Nla7t/ e ;;;fie / `,�aC/ft/r< do
IF WELL -1 ;r'] ^A'''IC." , FACE SIDE OF THIS r\3'ICIIC:\T]CN MUST BE COVTL-{TE7.). .17-r�.
iCH OFF]OE USE ONLY 'nap
ONDITIONS OF AF'F.OS'A!. AYPLICA'rLoN juinR(`vi-::p: VATS?` FOR CUM \2.) '.....
AFTER DATE ISSUED UIiLFSS EXTENDED FOR 'GOOD
This well shall be used in such a way as to not cause „ r. ; ,
material injury to existing water rights. The. issuance CAUSE SHOWN TO THE ISSUING AGENCY.
of this permit does not assure the applicant that no •
' injury will actinre .^.n5U1^r \rst?!d vat (-l;ht or PEIThaT NO. __ 6 rT-
-
911
precuide ar.owcr : .:Jr of vas::c Water right from JUL 18 1972
seeking re:ici in a civil court action DATE ISSUED - —.
'HE RETURN r • ) r h ttS
iSED FOR IRRIc:F.':'LON. i'&/ 7/%7/97 RY _..
05/18/95 12:49 TX/RX NO.0854 cbias5 N
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