l^n approvev ..d - • i stock form—stole publishing co, helena,...

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k 1 [l / 3 _ Approved Stock Form—Stole Publishing Co, Helena, Montana—38496 u<g^S>" J? . . l .L^nv .. - I I DUPLICATE "" x County ...A-*.'»?• ' I I STATE OF MONTANA. ' FD)ECEI¥£[1^ I I . ADMINISTRATOR OF GROTJNOWATER CODE Ini jij I I •' OFFICE OF STATE ENGINEER AUG 2 1 1 9 6 3 I Notice of Completion of Groundwater Appropriation I I Without Well I I (Under Chapter 237 Montana Session Laws, 1961) I Bate of Appropnation of Groundwater K f Owner 770, /0////0/T Addresg Av /<« Mo*ff~ I Contractor (if any) *\O~T ^KOXCH I I Address jf Contractor ...r ..... fl I Date Started;.4ox .... A*».C(.VM.S.. Date Completed...^5JL..A.5.P..H*A N Describe means of obtaining groundwater without a well "as by I 1 j r -i——r— '—\ ——p—I sub-irrigation and other natural processes". Include . depth, to I .... 1.—! ! .'!..—I.—|— water when applicable ..... ^.j'?..'3ft.>..»«.J.=S .SS.*MSiJ.S l .Jf...?..?\, ...j—i. v .;.—..... -i—'\2—\ <} ^&.*i: Jt.$. i^.^^be.Y^... w 1 ! ! 1 \ 1 E ,....;..—.;.—-:.—..—:_-.;—i.— I , ••""•: i—["" : i I'""' ; ; i I | ! Quantity of water developed and used with explanation of method _ ^ , | ^ j ^^^ ^ measure or estimate such amount. If use is intermittent B s ft . estimate approximate lengths of periods of. use...I?.^.™ .<7.!*;*?.f*A£* I %k v M^£... ilk. */!.. u M1 CKCA ...£/?>«.....r«».» >*5: Indicate point of appropriation J ' ' I I .' ? i/ H and plaae of use, if possible. g»»YS^I iiTii N ^ y %&!.(*.»$ I .: lQjz&j&i^ Signature of Owner...*/.....S-/. yZt-.-.*Srtft«**nferrr. I Bateil .... i^As/ ..... /l4.^.. H This form to be prepared by contractor (if any), otherwise by the owner. B Three copies of this notice are to be filed with the County Clerk and Recorder of the county in which the H works are located. B Please answer all questions. If not applicable, so state, otherwise the form will be returned. B Original to the County Clevk and Recorder; duplicate to the State Engineer; Triplicate to the Montana

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Page 1: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

k 1

[l / 3 _ Approved Stock Form—Stole Publishing Co, Helena, Montana—38496 u<g^S>" J ? •

. . l .L^nv .. - • II DUPLICATE "" x County ...A-*.'»?• ' I

I STATE OF MONTANA. ' F D ) E C E I ¥ £ [ 1 ^ II . ADMINISTRATOR OF GROTJNOWATER CODE I n i j i j II •' OFFICE OF STATE ENGINEER AUG 211963 •

I Notice of Completion of Groundwater Appropriation II Without Well II (Under Chapter 237 Montana Session Laws, 1961) •

I Bate of Appropnation of Groundwater K

f Owner 7 7 0 , /0////0/T Addresg A v /<« Mo*ff~ I• Contractor (if any) *\O~T ^ K O X C H I

I Address jf Contractor ...r..... fl

I Date Started;.4ox....A*».C(.VM.S.. Date Completed... 5JL..A.5.P..H*A

• N Describe means of obtaining groundwater without a well "as by• I 1 j r -i——r—'—\——p—I sub-irrigation and other natural processes". Include . depth, toI . . . . 1.—! ! .'!..—I.—|— water when applicable..... .j'?..'3ft.>..»«.J.=S .SS.*MSiJ.Sl.Jf...?..?\,

• ...j—i.v.;.—..... -i—'\2—\— <} ^&.*i: Jt.$. i^.^^be.Y^...

• w 1 ! ! 1 \ 1 E

• ,....;..—.;.—-:.—..—:_-.;—i.—

I , ••""•: i—["" : i I '"" '• ; ; i I | ! Quantity of water developed and used with explanation of method_ ^ , | ^ j ^ ^ ^ ^ measure or estimate such amount. If use is intermittentB s ft . estimate approximate lengths of periods of. use...I?.^.™ .<7.!*;*?.f*A£*

I %kvM^£... ilk. */!.. uM1 CKCA ...£/?>«.....r«».» >*5:• Indicate point of appropriation J ' ' I I .' ? • i/H and plaae of use, if possible. g»»YS^I w« i iT i i N ^ y %&!.(*.»$

I .: lQjz&j&i^• Signature of Owner...*/.....S-/. yZt-.-.*Srtft«**nferrr.

I Bateil....i^As/...../l4.^..H This form to be prepared by contractor (if any), otherwise by the owner.

B Three copies of this notice are to be filed with the County Clerk and Recorder of the county in which the

H works are located.

B Please answer all questions. If not applicable, so state, otherwise the form will be returned.

B Original to the County Clevk and Recorder; duplicate to the State Engineer; Triplicate to the Montana

Page 2: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

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Page 3: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

f ^ „ " Ii . . ^. M . • . V •..•.fc> ;U 1

f 1 " :• '"•: ""' :• • ""•"• ^ ^ ^ ^ ^ ^ W 1 " ! - 1I f MONTANA BUREAU OF MINES AND GEOLOGY NT] : UJ ' If « ' Bntte,Montana APR g 5 198] '— , •

| | ^ . WATER WELL LOG . . STATE-EN G1M|EER ; I1 I , i .. |••—• o ^ r £.A....&odsd«^^,,.... ,,Am^.JhdiMi^,..MM^ I I\ j . j . . ' . . . . j X>m.^X.Q^^.....^iAAjJJL~., AAeaess....J^Jj^.:.'^f^iha^^.. , •

[ ____l___ Date Started )SfJ^jL....S,d..%L/-.. DateOompleted....<a^tLtr,/V«-/9'.tf/ j 1

" I 1 I Location: Sec A. T J..L R ./f... yi sec Mi?^&...s.^...±.M. : i

Type of well -*\. -- Equipment used. }C. ...i.. 1j (Dug. driven, bored, or drilled) (Churn drill, rotary, other) \

| Water use: Domestic ]X j Municipal j |, Stock \ J Irrigation j J \

Industrial'! I Drainage | I Other: •

) Casing: <£ ft. to /.O.X. ft. Type....J4^.jd^...^rf«A..Slze..^..^ |

Casing: ft. to ft. Type Size \ I

; i Casing: ..ft. to ft. Type Size '; 1

| Perforated or Screened: Ft to ft Ft to ft j

• ! Type of screen or perforations '.

; Static Water level, for non-flowing well: J.&... feet.

'• \ Shut-in pressure, for flowing well: lb./sq. in. on: ClAtuJL JM.*..J$.£J.. i... • ! • . ^ ( d a t e r ) j

I Pumping water level $.0. feet at /if....gal. per min ;

i; I How tested: $&.9*<Jl*r<L ." '.. i

! Length of test J.../ZOL. j

Remarks: (Gravel packing, cementing, packers, type of shut-off, depth of shut-off) j

I . . , . . r i

; ' " . t; ~~ ~~ ; : •

I" i a « ^ ... (over) • • •. :;

^ a a * ' ^ ^ — - ' " " • - - : : ; ; :

Page 4: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

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J^^Br-S|^f;|i;;v|f' :'| . ••• • • • LogofWeU . | '. " >• ! V ; ^ ; f ^ B. ^ ^ ^ ^ K ' . : ; S ; : ^ V ; ^ - ; ' . ' 1 D e p t h , f e e t , . v ' . | "•• ' ~' ' I • • '••?.- ••S-:lx WM' ^ ^ ^ B : ^ - : * i . •.•,-..'•. • : ; ' . 1 — — — • — i L - r • • D e s c r i p t i o n o f M a t e r i a l D r i l l e d f v , . , ; ••••.-•. ; : ^ Bi ^ ^ ^ ^ B f . v - ' . - - " - ' ; - , • . • • . • • • ' • ' . • • . « • • •' • ! F r o m ' | " T o • . I . . ••. : ': •.' ....,.•••.; ' : ^ H

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Page 5: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

; • • • . • . , * * — . . • . . • — - • - . •

' ™ 2 ' Approved Slock Form—State Publlshln» Co Helena Montana—41933 <&3%}/ \ I

<"*• MleNo T__/(e_ R_ f I I

: • , r>™**™ """i^S3f?D"" „ * * » » * * * • • IntVlH*^1 ' STATE (OF MONTANA i ' •

•AM 9 A 1QRQ ADMINISTRATOR OF^GBOUNpjS'ATER CODE i •: I 1 Top ot Ground _ _ _ _ _ _ " Om0E_0FOTA|E_^JB j |

" I (Kiev, above sea levin-•..::.............) •-—Notice of Completion of Gfounclwater ; II -Q I; — Appropriation by Means of Well j I

\ t (Under Chapter 237, Montana. Session' Lavs, 1961) i fl. ' j —X" Sop Soil yt>. 1 I

: - - 1* Owner QfiXJ (%B»'b9r9 Address MOS HPRtSttft _ I

\ UflO* <J«areO. Saad Clay D r i U e r ^ ^ ^ 0 3 ^ . . ^adress i r lae Haataaa. . 1

: -lot , | •I -105* Gr&VdL 9t Water- ' D a t e ° f N o t i c e o f A-PP110?111141011 o t Ground-water _ •

P - Date well started J"unel2.196?~ Date Completed thtae 2 3 1967 \ M

I' ~ Type of welL ftrtLlled Equipment tTsedCQHUmL BXdU i < •K _ (dug, driven, bored or (Churn, drill, rotary or i Hf driUed) other) j fl

I[ : I Water Use: Domestic _ Municipal D Other • Irrigation • '; •I , ; r" Industrial D Drainage • Stock • '• •

1 ' °^S Indicate on the diagram the character and thickness of the different ! ••', ~ strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc *| II ' Show depth at which water is encountered, thickness and character of water- [ mI . . hearing strata and height to which water rises in the well. J •

• Slnot Size and From To ' ocuonoiTin^o S I• DrUled Wd«n«of (F«t) (F«et) PEBBOKAT1ON8 | •• - Bole Cuing Kind From To i •

triiiTiW ^ Static "Water Level for non-flowing Well .$2 ieet. ;• — ; ] | ! ; j Shut-in Pressure for Flowing Well. ..

• — i — • ; ';—j—I Pumping Water Level 100. feet at .12...gal. per minute, j

m - .... ijkL.J i~..i i—. •!H 1 ! 1 ! I ! Discharge in gal. per min. of flowing well.... - - •_ • yU • ' ' ' ' £ j

• - • i ; I I i How Tested.PUBp. Length of Test.....1t...Stour. __.... !

• ' • : : : ! ; Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- !• ~ ""•': '. : : ; j tion of place of use of groundwater if not at well, and anyK : I • ; : ; • '. other similar pertinent information, including number of j

I - \ ^/•xSP./jj'if ,', UL ! ! : ' acres irrigated, if used for irrigation) :

B — Y1 '[...J/j,. See....fe.. T.f.fe.. B.../...7• — J indicate location of well andI 1O5'I plaoe of use, if possible. Each __ ;• . — I small square represents 10 acres. '

I _ _ _ ! Show exact depth of bottom. -j_r

I : Driller's License Number \

I m...§mi<....J^^A^.. I• ; DszUer's Signature !

• : This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder XI ' ; in the county in which the well is located. i

I Please answer all questions. If not applicable, so state, otherwise the form will be returned. ;

1; Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of ;

Page 6: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

f . ' % \ •:'•' • • • • • ' . . ' • | ' ^ ^ : ; ; ' ; ;'\/0 ^^3,,^;,,,,...^

• !j " ' ! r -T» . . . ^ I : ; • " • • . • %•••" • ; ! - • •

• •; -• f - " . 'f-L : • • • . "'• • ' • ; ! ' • ! ' ' • ' :

I ; -ss^nw ; -: Jilt LnT^I^^

I ; . ; : ^ ^ ^ - ; -Ty :J5; ^ j : . . ;HK .' 3 ^ ' : , _' • . ' •-; ' ":.' .', r , i _ • . -" . . : • • • • ; i •' :• ";' ^ ":

B • ' " ' : • ' ' : • • < : " ' : ••; .• ' • " • f 1 . " ' . ' . . - . ) [

^ B • -. •;, : ' ' fl • • ^

^ | - r • • i ' r ' - i i . / - r i . . • • • • " • ' ; • • • • . . :

Page 7: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

1fl^^H a r " . • • Approved Slock Form—State Publishing Co., Helena, Montana—40876 <*!aa£°3

^ ^ B Pile No „. isJ.f*.:M.:.SB,.J.^.!z...

, ^ ^ H DUPLICATE County..._~*J£.™^ H STATE OP MONTANA f™^ I F C F If V H? F ^ '^ ^ B ADMINISTRATOR OF GROUNDWATER CODE £ \ fl I

, ^ ^ H OFFICE OP STATE ENGINEER U U AUG 2 1 1963 ~ ^ '•

T I ^ B ] Declaration of Vested Groundwater RightgJAJ£ £|\JQ| |^££j^g ^ r ^ ^ ^ V '{'•'• (Under Chapter 237, Montana Session Laws, 1961)

| S I ^J,....M^. ——.«. Aih \,, ^ ^ H •• (Name of Appropriar r. (Address) I (Town) • !-ii

T ^M C o m t* ot J±*ESL State of....../!jW.^.r:.™.-........ ......:........:....:.....„:...... (

t ^ H B J have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as follows: ;

Sf I i I I j I I I 2. The beneficial use on which l ie claim is based.*i*£!.?.$.._.'..5. ' i

| H —M~i i~~i—!— ±jsXk?JUs. .ve.« l?..>r. J^ H B J ! I I i l l 3- Date or approximate date ofjearlicat.beneficial u s e ; and hpw«.con- /

H 1 ; : • ! i tinnons the use has beeiL,..C«^>Az*..^.....^......fI..?..G. :i^\WM ; | | ! | _j iL*y aj|L_ifl '<?«it««jji?i...ft:5i»j[.t• ^ • j w r ; ; ' ; i 1 E _.."S./jS_fe.fe XA«r.tt^HH j i i j j ; 4. The amount of gioundwater claimed/ten miner's inches or gallons •

H iniiiiuiii vi*n^HBB I I I I ' l l 5. If used for irrigation, give the acreage and description of the lands / '^ ^ M s to Tdjieh water haa_be,en applied and name of the ewner thereof,'''

- I H Mvs£*eet> T^R/7*' :3::s7^vfezr:^7^ —^ ^ ^ R Indicate point of appropriation -f.-y~-f.

i - ^ ^ H n l * n d p l a c e o f u s e , i f p o s s i b l e . . • i _ j . , j . - , 3 , .: ^ ^ H H Each small square represents 10 6- Tlle means of withdrawing such water from the ground and the

v. : ^ ^ ^ B acres. location ojLeach well or other means of withdrawal ... -J^B ^?.um..^.i.Mjf „...

•• K^H \ 7. The date of cominencement and completion of the construction of the well, wells, or other works for with- ,

^ m • drawal of groundwater-.. -Q^^^^h lt<tl. WUir****

^ ^ B 8. The depth of water table L3..2^. ,Cr..?..<?...!?T. „

i '^^B| 9- ° a r ^ ^ m&y b e available, the type, size and depth of each well or the general specifications of any other

• • works for the withdrawal^ g r o u n d j a t e r ^ ^ . - ^ Wefts ^1X11'^ t^.

: ., - | ^B . ...„ . . . . . . .... .

^ ^ H 10- The estimated amount of groundwater withdrawn each year Q..^.9j..P......^...m..S^JJ^.~..f^..y.f3..r'

i ^^H 11- The log of formations encountered in the drilling of each well if available..^^j.^r y^ . .__y .™

J^^H 12. Such other information of a similar nature as may be useful in carrying out the policy of this, act, including^ ^ H reference to book and page of any county record— ^JL/..^i. -Af^r .•...—......;:...... .:......;^^m .....; /fia../.. £iMjQ>..M£\.;Z..:l^......ix...J.

• j - -" -- ^^^M^~:l

^ | K Signature of Owaer...sJ.-.!^~:L.jC^^ti^(&^<^irT!>

H[ .-'•..' D»te/|.....^^.S:..;jZ^X.^ ^ ^ B Three copies.to be filed by the owner with the County Clerk and Recorder of the county in which the^well is

^ ^ H located. ^ .: / ^

j ^ ^ ^ B Please answer all questions. If not applicable, so state, otherwise the form will be returned. - '

^ ^ ^ H Original to the County Clerk and Recorder: duplicate to the State Engineer;^Triplicate to the Montana Bureau^ ^ ^ | of Mines and Geology, and Quadruplicate for the Appropriator. •.;'• ; <

Page 8: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

t'W^ff^^H'^^r'tL"'~:'-' -••::••• -.: •'•-, b ': ^ -:: •••: . '- i : I fM 0 X ^ ]

^ l r ^ - : . r - ^ •••' - ^ :; '••• • '•;• • '&Q- 7 % J ^ ^

' • ' . ' • • • • " * " • ' ' • ; . . . * ' . • , . • ' .

1 i • " . , - . . • • • ' .

I 1 " •

, J r - • ' . ' • " ' . • :

" • ' , " ; . • !

AD l9<£aLU^<i»^M

; - ...EAZEL-«INNKK--: Com^Qak find Recorderi j h ^yi_Aj=^fe=d —

fib) ' Depufr

? - • : • . - • "• ;- f ^ ' • "-.

i . . . . . v ^ , • . * — . . . • . • - • • • • — . • • . . •

• I

Page 9: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

. • — * s • '

OW. _ , ^ N T A N A ; , M T r R R E $ 0 ! . , c ^ B O A R D Approved Stock Form^tawPubUshlng Co, Helena, Monlana^2w ^ ^ / 3

File No <* H & ; d . E i V f" D . T J>£» K ISftt. -*s%

J? < '"'Si'TRIPLICATE ^ ' ! $ ^ £ 5 !?70 County 'LpHlBJ^ »i -

T 0 ^ r ~ \ . " ' / i ' STATE OF MONTANA $&,V" j ADMINISTRATOR OP GROUNDWATER CODE

— 1 Top of Ground AL^. . . ki OFFICE OP STATE ENGINEER "

(Eiev. above sea leve&a^JOBfcl f Notice of Completion • of Grounawater"" '%""•:• o ^ ' Appropriation by Means of \j(feH

F o r m a t i o n s Lojjij,.^ r. .>? • DEVELOPED AFTEB JANUARY 1, 1962 J U

O - 14 Sana^and . . (Under Chapter 237, Montana Session Laws, 1961)- -graTel mixed JohB R. A W T_^ . irtitlt;-cobble- ownerJ*/SRKI!li._S5»l3*«l . .-Address M*S*Pfl3.«». .««ntfl«a

atones* (

_ 1 4 - aa Cobblestone* DrinerjLibjapty.. DrlllAwt Co.juidress J t twt f l«* . j»sa»taaa

I and g r a v e l *

!n^3t** * • Date of Notice of appropriation of groundwalor S«W f 4.&O4*d a y .

_ 2 3 - 2 7 Fine sand Date wdl started...5/2/6.9.... Date completed 5 / 2 1 / 6 9and g r a v e l *

- 27 - *3 Gfarel and Type of well...RKiM«4. .Equipment used Cabla. %S9lM.. Cobblestones (Dag, Driven, bored or drilled) (Chum drill, rotary or other)

mixed i n "Water tise: Domestic ffl Municipal Q Stock IB Irrigation g]•andy e l a y . Industrial • Drainage D Other,D

- * * . . Indicate on the diagram the character and thickness of the different strataI g r a v e i a u x e a met-with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show

- I ' *O c l a y * depth at which water is encountered, thickness and character of water-hearingI 8 S » 98 Grave l a n d strata and height to which the water rises in the well. '

c o b b l e s t o n e s , ' • • ' - '- J - ^ J M~ • SIzeot Size and Frcv To wbimbATinlVD

- mixed i n j ^ ^ W l I ,h t ^ ^ of,,,, PERFORATIONSClay* Hole ofCaslHB Kind From I ii

~ 98 - 187 Saady c l a y , Sl" «*« '<»«>- some grave l_ mixed i n . 6" 6 5/8" "

1S7 - 1%9 Pine sand * %" +1*9" 182 H O K E- and gra-rel

mixed inelay* seeps

- ef water*. • ' • '•_ 1 4 9 - 158 S i l t y s a n d , _, _ . m _ , s „ . „

some i r r a v e l Static Water Level for non-flowing well- mixed i n . j ! .JL*3........feet._ 1 5 2 - 179 Gravo* and ! I Shut-in Pressure for Flowing nWeH.».«mrJt.

cobblestones "i "1 _ . _, ••£« 1| _ adxed i n i ' Pumping Water Level JMHL .feet

I sandy c l a y * w j i—— E a t ^ - e^1-Per minute-1 7 9 - 182 Clean eoaarse ! | Discharge in gal. per min. of flowing weU

, 1 &££• -----I - - - - - J - i : : - J«Mtefl«ta«! ; How Tested...AiC..lll«!*...je5mip. .

"~ I ! 1 1 Length o£ Test As • '

Remarks: (Gravel packing, cementing, pack-I water ri. . . in well SSfrSLSL T-lfelfjr e f ^ ****•»*-*****'*

E 1 2 5 f e e t from s u r f a c e * Indicate location of well and Ang-..MU...la...&oJning...th«augh.-.I place of use, if possible. Each **.« „ „ , „ Vot.niu «#• . 1 . 4nnw

I small square represents 40 •t»*-«»«»-ft«>-*-*-Oa..»f...six...inBh.I acres. ..«ajRing«....Uftlls.:.inL..tnis...area ••

_ 1 "7 Q 3 »•' -c*n~-b» --*«B«JMle.4...up.Qn....t£t...pradac.e....cXeaxr...aand...£rea....P ° ^ 'i'or record _ ^ .««Mc...ye.ajp...a.f.t«r....xe.iMr....a.s...l,!BXlg. (Continue on reverse side)' '"° rjJL—-day 0*—*-^-~^"~7\—USE—If used for irrigation, industrial, drainage or other. Explain, state

_ M . - J - S * ^ - - - - _<rg*°T=FT number of acres and location or other data (i.e.: Lot. Block and Addi-_ A . D. 19-J-S— a t - ^ 7 7 ^ tion). !

o'clock_ 2—Wl. Approxisjately-flO-.aeiss**L _ _ J Show exact depth of bottom.

Bottom of w e l l 1 8 2 f t . ' '""This form to be prepared by driller, and three copies to be filed by the owner with the ...................Sa--.-—•- • - -County Clerk and Recorder in the county in which the well is located, tissue copy to be Driller s License Numberretained by driller. \ V \ W (\ ( ST^ v C N i t\Please answer all questions. If not applicable, so state, otherwise the form will be VLJ..UAL.k^A^.fe.:.^»<S^MS^Afe:.returned. Driller's Signature

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^j^:;: f%S:;^u%^. -v<:^m:^Wr"". .7., 7'' ". '.'".• ' v T ^ ^ ^* |\ A \ t Z £ S . T - " r & P ? t # & & 4 X W i - - - w : - } i ; ' t j . ' ' j . Z - ^ ? i i . i ! s t t . .-•• • • • • • ; . . " . ' . : • • . - • . • • • • • , • : . ' • • . • . ' . . . • " , - . ••'•• • • ; ; ; • . ' .-• • , • ' - : ' ' . , • - v ; - > - i ? X * r " I

; : X ^ ' } : r ' : - " ' ' f \ ' • ' • • . • : , : , ' - v \ . ; ' 1 ; ; . ' ; ' . • , ' • • • " '• ' - •'" '•'•-..• . +.\^-:-'-:-:;::-,:^ •-<;:an:'r•„%:•-': •.•':h-:"-v4i ::tix^y'>'ki'^^M^^^f/*'^'^i •

P ' ; ; : ; f ^ ' ; ; > ' ; f ' : '.: • ; : . • ' • • ' ' ; > ; • . • ; • ! ' • • ' ' ' • . . • . . . . '••• : ; ; • " ••••• ' ^ / • • • " . / ' • • ' - r ^ . ; ' : ' ; ; • . : - : : • •••:;• • • • " ; • - • ' • • . - • • ^ v : ^ . : V " ' - ^ ' - s ; v V I : ^ t v ^ ^ : K S S | : f e ; ^ ; ; ^

l - f ' i -..•••."••'' : ' -• ' :,:. • . ' • '•• :.' .;v;--V ; :;.-^;:^-•; ' ' ^ ^ f ^ l i f t i f e ^ J

! ' ^ • . • - • . ' . • • • ' . • • . . • • • • ' ' ' ^ ' • ^ ' • ^ ^ • ^ ' • ' • • • - '

; • ' • • • . • { • • . . • • • • t ; A i > i S f l V ' i . i . '•;>• ;••;.•-•:.• '-••;!• - ' j i ' T 4 1 ' • ; . • • . ' " . • • : • •. •. :.".-•. .'.•";--1~.V;'?i:"- ;. • • ' ' ' ' • ; :"•" ' • . •" ; ^ • ' • • . • • ^ • * v l - ' v ; i ^ ' V : i V : . ' v 4 i i : ^ ' S ; '

: • - : f : : i ' : ; " ; l . ; : " ; : ^ / ; r ' " ^ ' . • • • ; • . ; ' : ::'.' ' • • • • . • • - ' " • ' • . • . • - • • • • • " • • • • ^ • • ^ • ' ^ : > " • • ^ ; : ; : • : • ^ ; ^ f V ^ ^ ^ | p | ^

: , : : ' • V ••. : . ; i . : . '.'_'••'• ••' . . " . , . ' . • . • . " 7 ' " . . • . 1 ' " : - . ; - ^ .•• ••• 7 '. i-'^^i"'^'''^^'''.

• • . ' • " • ' . ' - . • ' . • - . • ^ • ' . • ' • , • . . ' . . . ' • ' • • ' . " - . ' ' . ' ' , ' • ' ' , ' } ,

, I : • - - - . • . . . . . . . . ' . . - . - . . . . . . . , • ' ' • ' • " ' • • . ; • ' • . ' .

«K they ar« not overptuap«dt i . e> ( they should be pusped at rat«si . not la exc««s of 50 percent of the tested capacity of the aquifer*

' i ' • ; • • . • -., • • • . ''• ^ . 7 7 7 ... • ; ' : • , - . ' . . . • • ' , • , : - - v \ . : '

7 - - • :

- • • . . . • • " • . • . . -. .' • . . • • • : . . ' • • ••••• .. • . • • - ; • • ' ? • • <

. . : , ; • ; : . • . • - : - . - : . < • " • • • ; ' ' • • • - • • \ •

:. (qrfr j i g -B i §

• " ^ w . , • • . • ' ' ' . • 1

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• • eft • • r" A ''O T • Approved Slock Form—Slate Publishing Co., Helena, Moiuaaa-^ttU* « ^ _ i * » 3 /

: pfleNo.. i,^^...:M^.^ -•;

; DUPLICATE /potm^L_i...J..Ki--i~.;i-£_~.~..-.

STATE OF MONTANA ;;•—• •|jf^MM"lpill'1|£'[f\\'.•• ADMINISTRATOR OP GBOTJNDWATEB CODE'•'/.• t n \ ^ ^ : , ' ^ l . ,•. . l \ J j • ;

OFFICE OF 8TATE ENGINEER • .: ;; Ll U. 4 j f f j \ | ; f o 1964Declaration of Vested Groundwater ^!gw|jfj: | ENGINEER

(Under Chapter 237, Montana Session Laws, 1961) : ' i; - . ' I ';

L Alfic »d 8. Walltor o f I*?-?? ^\_ ___. ", •(Name of Appropriator) (Address) (Town) i

County b£ ™ State ot................]™^.......-.:. -I........ _..__„ -jhave appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, a* follows: j

I ! i ! i ! ! 2. The btnef icial use on which the claim is based iI !. i : ! 1 ! itosi33ta.c uao , Gtock uatoi*, sad I r r i g a t i o n for '

i | i j ! | 7U!>'a""iSS"QH;3oii"i | j I ! "~j 3. Date or approximate date of earliest beneficial use; and how continu-1 ! j — I—! 1 ous the tise has been . ™—™.. „„._. .. .| ; | i l l ^ ^ cOiiBxaiuottsr xtBo

: i iip" i | i 4. The amount of groundwater claimed (in miner's inches or gallons. . . . i :.—.': ! -—i .—;—. per minute) $ . . . S ^ B . . ^ . l 4 9 « * 5 .

I ; '; ' I • i I I 5. If used for irrigation, give the acreage and description of the landss to which, water has been applied and name of the owner thereof

•Jariaii and yard aswasd t he iiouoo

::::_..%....':.t See.....'.... T ..:.' B....:.^. _ _.

Indicate point of appropriation ~ ":and place of use,' if possible. Eachsmall square represents 10 acres. 6- The means of withdrawing such water from the ground and the loca-

tion of each well or other means of withdrawal: "'MLTo^^^5'"3Cta3>i'3i'K£o"niEp;"~

7. The date of C M m n a n e m o i ^ ^ g j p ^ g j ^ . ^ gc. otj^works for with-arawai ot groundwater I"....". :

8. The depth of water table l?!f.ii^.

9. So far as it may be available, the type, size1ana,depth,.of..eiicJi...w.eltQFy,the eeneraLspeciflcations of any otherworks for the withdrawal of g r o u n d w a t « . . . _ . . ± : ^ _

10. The estimated amount of groundwater withdrawn each year .'.ii:'.?.?.".'.'...?! !!.0.1?.

11. The log of formations encountered in the,.,drilling of each well if available

12. Such other information of a similar nature as may be useful in carrying out the policy of this act, includingreference, to. bcipk and^age. of any county record _

Signature of QymsT.J^3^^.^^......£l^Zd^L<-'

TM**M&£oJj££jlm

Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is located.

Please answer all questions. If not applicable, so state, otherwise the form will be returned.

Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau ofMines and Geology, and.Quadruplicate for the Appropriator. ' fr}&6

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. ... : ' ; *m. m * • : > / • • • ' . •.• . . - • • • . • ^

t f i t : : / • • • • • • . ; " • : ? '

' ' . ' « ' S . V ^ ' ; " ' 5 . " • • . . , , . . . . • . • . . •:•••••"•.":•"••: - • • • . • . • - * • • . . • -•• •• , . v « - " : # > « « ! « S f ^ - i ( * < . . , • • • • « $ » » ^ W i ^ f A " * * ^ n « f „ '•••'-;'<'•'

j "!.•*;-_. !•>'•; •••• • , • ' f w •'^••'I".,TI', * •• % • ^-ti.i'V1'1. '..'.;r.':,'.''..v-,i.'^'' • • >. '• •'••'.-••V:".' • •',. i ' V , ' ' ' M 0 S'-'T. ~$\ A p p r o v e d S t o c k F o r m — S t o t o P n b U t h i n g C o J H o l s t u M t ) H t w n i ^ | 2 3 j i i iri.itiki^.j&ty' f XtrPlt '"' ii

p i ^ y > ^ * l & v e ^ o p p ^ S ^ pwtindwater awarding to i e Montaim UWB in effect prior to JanBiuy 1,1962/M'foTloWsT" M '•*•*•

•• • ' 5 : iHS; ; ' ' ; 5 ; | i - - ; - . ^ - ; : i .-.•••• \ > i ] 1 2 The benefidal use on which the daim is based. __ „ v

!• •. ••.•!;:--r-'i. i2i =;£:..!::...!.......„.!.....! L Jtaaaotic xioo, stock watar^ aa& i r r iga t loa f a r :

i •; ^ ' ; M " S ; f ; 3 ^ : i : | ! I •zsjRT' a'gcrfJEr"" ' ~ ~ 4Iy':.'••': •:..-..'? .\^"j"":"!'~~i~"~ ' "j T!" i 8. Date or approrimate date ofeariiwt beneficial use; and how eontinu- 1

||;f^feP|:-H-|-vj----|--j----.. ^ : ^ . ^ : : : ^ ^ l w - " . — .m |; . -; •"•".*;"""TjK- —-•;•"""| !' 4, The amount of groundwater claimed (in miner's inches or gallons *SI ••••••;;•;':•; .v^-.-.U . i - ~ f ' -i—4—-1—- permimite). .^..M^^.S^J^P'^ f

- ' . • ' • ! . . . . ' . . !_• • . .! ^ w; „ ' * " " *~*~* ** * T ~ (5• . . . ; "• •! ! ' • ' ! I \

I •' '•• ~!:' ! !. • i I I I 5. If used for irrigation, give the acreage and description of the lanfli t-. - s to which water has been applied and name of the owner thereof t• . , . Sardoa and ye rd around t h e haaoa [

. , ^ ^ T ^ • " " " • • • • " • • j

Indicate point of' appropriation T" 'li ':..;iiilifl'jj^iua:Ol'1ise;:i('i)OB*IUe.'Bash „ . , . . , , , . .' . small square represents 10 acres. 6- T^16 means of withdrawing such water from the ground and the loea-j?:'';"v?;V-S'-"'V'fi-. ;-'.',''.-"!'"' tion of each well or other means of withdrawal-.

f 8: The depth of water table i ^ . . £ . ? ? * "

: 9. So far as it may be available, the type, ^ipd.depth^pLeaehj.weU'OZJjhe g^^Lspecifications of any other .works for the withdrawal of groundwater. ,?„ *,? ,^7!°. .T'^, ? ..TTT TT*'ZB'.. . . •>;

? ""•Z."""""..~"":"" ^ " ~ |

1 10. The estimated amount of groundwater withdrawn each year .".*.„ .5. •?

' > 11- The log of formations encountered i n thei^rilling of each well if available - _ ;*

12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including ireferencejg^pkjand jpa^pf any county record. . — i

' ; . • - , • • i

I • . . . •:;- ' JM^&lht^Ao^t^L

• Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is located.: • . • : ; / ' ' " ' . ' ' ' . ! ' . . ' , ' • ' ' " • ' ' • •

: Please answer all questions. If not applicable, BO state, otherwise the form will be returned.

i •• Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau of; Mines and Guology, and. Qnadrnplioate for the Appropriator. * " ^tOte^

I '••%': .••• •

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: , ..; ':' ' : ' ' • • ' • • • i'^-^r//' '::>:^r^::l:--%v-. (

', • ' . ' • ' . ' : ' . ' • • • .. " . ' : : ' . . • . : , . 3 t - . - f i " - . : - . S ^ " : - . : ; i r ^ ' . ; : ; : • ' : • • ' : •

I ;, STATE OF MONTANA! ^ . • " • ' ; •' .' ' ' ' : X#;H -Ui^^iH: \

'- Caunt\) of Lake, A • • •' 'yr^l'K'- '• r : : ,v;:s--i ';':;"..•• •'.;'• -•: Filed on rte— JS .Jou o / l - ^ ^ r r l ..'' . .: ... ' ' '•-' ':.•;'-' •': # : : ' • '•";.': -. 1

•: ' H A Z E ^ i u N m e i i ^ •• • ._ . 5 : : r ; . ; v ; ^ v - ; ; •;, ; •CoanfyJ^erk^ind Recorder i ' •

B,, £LJ=^£*2^w" « : . &i ' ,; i. 1

.•. * .-.;. ::- • • • . .. T . J : M t / ? : ;

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^ h fi <•- BBBHI- i;.;=

; . " a W 2 W MCflTAUA V'ATER RESOURCES BOARD Approved SlockFonn-StatePubllBhlng Co., HelcnB,Montana-?l232\j4S^; ^ B^Hi '^

f ;" ,.™. NO.., R E C E I V E D T.ii, /.i/a... :.:; -j K, DOTUCATE [,0V 2 0 1S69 C o u n t j C ^ L ^ . i IBS

- . " A TO a . STATE OP MONTANA | I B V ®" ' ADMINISTRATOR OF GROTJNDWATER CODE I ^ ^ B ''; i' i'i TOp o f Qromui _.,.,_^______ OFFICE OF STATE ENGINEER R ; |

I ~ ,' (Eiev. above sea level. , ) Notice of Completion of Groundwater ; ^ H L : I: - ^ Appropriation by Means of Well < ^ H I

O - * t o p BOil DEVELOPED AFTER JANUARY 1, 1962 j B ^ B I ^ '•*

' —20 , (Under Chapter 237, Montana Session Laws, 1961) , B^BH^1-20 gravel & rock s ^ H ! ":;

! I*, 2CVi»0 gravel « rock o^J^BEJLJS^X. Address....ArUe „. j H

I , ~ ijO-60 gravel & rOCk ;Prmei0^e^..a3S^33i2g..€o-v---^ddressBU4^..j!^^ j ^ B l

60-»8O rOCk 1>ato o f Notice of appropriation of ground-water.S^fer..'.|:gy_.'|gg5i-....i:.-. ^ ^ H ;

[-50 8 0 - 1 0 0 rOCk DateyreUstarted..Sejvfr4...^.s.-4969..r)atecompletedSes^,...5.r.ii969..._ - | ^ P

" 100-120 wok & gravel ^MJnSef»Sl5-""""""E^rlirrot^«rfi^ ' fl', ~°0 « _ _ _ T Wateruse: Domestic S Municipal • Stock n Irrigation Q ^ ^ H '

• " 12Sid1aS9Seft38^ I n M a l g Dr£dna8eD O t e D : H: —on ' Indicate on the diagram the character and thickness of the different strata ; ^ ^ H

fv • • , ; ' . . . ' met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show : ^ ^ ^ B; — ' , depth at which water is encountered, thickness and character of water-bearing \ ^ ^ ^ B

1 -' •' '• strata and height to which the water rises in the well. : • • • •

; "Bo , ) * & •SIM of SUenud From to PERFORATION!! ' BBB1

1 - Drilled W«l«ht (Fed) (Feet) PERFORATIONS SMWRole ofCwinn Kind From To • R K H B

I - 6" 6" I^D. ; • •_ 17 ITJ. 0» llttv cuttlnc I ft^H

I TOC torch 125» *¥>• . i • •

I ' "12( N Static "Water Level for non-flowing well i DJHH

I \ '- • | | ...1:25*. .feet.1 HHm !• "^ISt J - -i- Shut-in Pressure for Flowing Well .. j fl^BB. _ i j Pumping Water Level feet 1 ^H^Hf:

I —I'M • w ' r E & t — ' ^ gal. per minute. j ^BB• _4« to i1 11 . 1 ' '< Discharge in gal. per min. of flowing well [ ^ ^ ^ B

I • _ vil 1 • i flawm I I How Tested.....'bailap- ; • ^ • B ^I ~ I ' I ' Length of Test JJ-.-iioUFS— I^^HM• Remarks: (Gravelpacking,cementing,pack- ' ^ ^ ^ HI - A tract of land located in erg t y p e of shUtoff) • ^ H1 H-1503 SW -• -"H---. Sec. 9... T46. .E . . .^ H• * — Indicate location of well and r ^ ^ ^ B ,• .• place of use, if possible. Each ' ^^•V• V :• ~ small square represents 40 "" : ^ ^ HB. |__ acres. ' : B^HH

I .: (Continue on reverse side) j ^ ^ ^ B

• USE—If used for irrigation, industrial, drainage or other. Explain, state ' ^ ^ ^ B• — number of acres and location or other data (i.e.: Lot, Block and Addi- BBBJI• tion). : | ^ B

I L M ^ J Show exact depth of bottom. <:' ?'; -; ;: ^ ^ H

• This form to be prepared by driller, and three copies to be filed by the owner with the •***?*»* £"""—•'•"'""'"'"— ^ ^ ^ H - '• ; County Clerk and Recorder in the.coonty in which the well is located, tissue copy to be Driller s License Number.. . B^BE'• ; retained by driller. ' r~^ ''\S/f~!)'£^S '"'• BHB• Please answer all questions. If not applicable, so state, otherwise the form will be ^ &ggi£zL~.—^.5r.«^s^...... ^ ^ B• - returned. '• Driller's Signature - • • • • ;

B ^ ^ ' B^Bii

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^ m - v . - : - r | p ? / - - - . . . . . . ; ; . • • . . • • . : •• • • - . •

• h f i i f f © © • ; - • • :' • ' • '•. • • • • • • ' • • •.•••• • ' . • '••-.•••• . •• . • • ' : • • . '• • • • ^ f i : S i l ' ^ H ;

^ ^ B | ". ; ' ; > . ' " • ! . ' . - V . ' - ? ' , ' ; • ' ' ' • ':

" : ' • • ; . " • • • • :

• • . ' • ' " " ' " . • • : ' " ' V . \ , ' " " V > - ^ ^ ^ ^ f l

^ K , : &v

; ' - v ' - ' ' ,: • • ' • . ' . / ' • ' • . • • • . • . . • • • • " • . ' . . . . . • " • • " ' . . • ' . " • ' • . ' , • • • v

: i- . v ; ^

v; ^ ^ H |

^ • 1 :"-:'•••'.• •" ' 1 ' • - V ' " ^ - ;1 / - i ^ 1 \ • • " ^ • » V . V " . . ' i :. i " - S - : v i • ! : ' = • • , • ^ • " • ^ . ' " " • i . . • ' . § • : . I •"••'. V ? ^ § : ' ^ : ¥ ^ ! ^ f e

! • ' ; ->:^ . ' ' '^BU>i l l t t9 iX •••?;• :- • I :" .:> i :. ;- ; '-;. ? -i !!-.- -...J;^.S:^L:..^;-,;'-.:.:b:&I^;|. .r.; H HH ' [ :-:;;r-' l i i l l ' -;- : : :• . • o •• -;

; •, ,• ii. .'•;! . -5 ;; j •• •'g":, ..•'': ^ ^ i r f p S ^ I ^ H

^ H STATE Or MONTANA.! e5 ' . :J; li J 's ^ ^ 1H ^ B ' . County of Lake .., V• " ' • . •• . •••- .. . ; - ; - < H ^ I^ ^ H jFlledontheJ__ Jay 0 ' r; , ;-

- .- j „ : ' ~ ' : ' " ' H ^ |

^^^^^K • V • • T ',;' • •: ' t -' l ^ ^ ^ ^ ^ l^ ^ ^ ^ ^ K ['. ii i V . J^^^^^B^ ^ ^ ^ V ' • A ' . , • " . . - • * ....._J. . „ - ,,.,-,,; -,: -.if.-.!,:'- ... ,•,;.•.?.-,:,.- • . . . • , i« •. • •. • v, . • - , v - - v . . ; .^,. -,-;_;;., . . - jvi t- . t . i* , r.-i..1 -•«•).•. i v ^ s : . . -^.. •,*••-.-..i>-.- •-:;-w:^/iS.u<^Ct'^;^VV^/:^V^-1t<.-a<uA;iri»«Wi»»*W^ -«\aAt.>;^'- ' ^ ^ ^ ^ H

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O H H f C Approved Slock Form—Suite Publishing Co., Helena, Montana—40876 "%s2^>3£j - flfl

^ B Fde No! X T.ti..M~-X-.M.Jt/~ I ', I^ H DUPLICATE County...:..'^^..: ' •• r . STATED* MONTANA j ^ , ^ j •^ H ADMKISTBATOS OP GKOTJNDWATER CODE U V [^ lLj%Jj ft P i H^^M "* OFFICE OF STATE ENGINEER [I i i .' ' ', •M - . . , ' .; ..' - JAN 6 1954 . •HB ;- Declaration of Vested Groundwater Bights " ' •^ ^ B , " _ (Under Chapter 237, Montana Session Laws, 1961)SlATE ENGINEER i B

j^Hj ••••"s*^^"~Nam^FApp?o^&lorj ' ° ~ (Address) " /^TOTTO?"" i •i ^ ^ B , County of. .A_^_..j«: .._........ State of .ji^LtrTtf---&&?- ' flipfljl have appropriateff*grbundwater according to the Montana laws in effect prior to January 1,19P2, as follows: < ^M

^^H* N > ' - ( > !^ ^ ^ H i | i i i j 2. The beneficial use on which the claim is basedJU^-e-S-^^if-" ^ |

M B ] 1—"I j — j — | — . . ^ . . . ^ ^ ^ ^^ . . y R . . . .C . . . . . . / » . ^« : ^ . a ^ .* .: •; ^ ^ ^ B i l l i l l 3. Date or approximate date of earliest beneficial use; and how con- • '; S j; ^ ^ ^ B ! ! 1 ! ! — I — tinuous the use has been.......™ i . ; W

jB^H w —j—j—\—•—i—|— E rrrrzrr......." ... w-rHi-© *** *-- H; ^ ^ ^ H j I ! ! ' ' 4. The amount of groundwater claimed (in miner's inches or gallons H

MM — | j—j~"H~~ !!I!!^!!::ii::^f^:3)!h:^a!^'"^^ 1i f l ^ H I 1, ! i ' i I 5. If used for irrigation, give the acreage and description of the lands H: > H ^ B s to which water, has been applied and name of the owner thereof! •i^^H y.-*>.l?rj±n.:. «£<S £*..£rLP?!. .-St.*.*!:*. Hl ^ H 5£.%«*A Secf..... T/i# R/f«/ ^pg^-JSJLXl&MgZZI. •^ ^ ^ B ' I n d i c a t e p o i n t of a p p r o p r l i i . i o n i H^ ^ ^ 1 : a n d p l a c e of u s e , i f poss ib l e . „ . , ; , . , „ ! •.;^^H ! Bach small square represents 10 6- T5>e »<»««' °* withdrawing such, water from the ground and the > •J ^ ^ H | ' acres. location of each -well or other means of withdrawal ' •

W/m \ f-ZexdhrA- f****jO^~Z i I^ ^ ^ B : 7. The date of commencement and completion of the construction of the well, wells, or other works for with- \ It H ^ H • drawal of groundwater _.^.—I^, _ ; V" ^H _ .lA*i..J\..H.Q..U<'.#\. •

' B ^ H 8. The depth of water table 4*rt--A">1*t*>H I

1 H ^ H | 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other Ii f l^^B works for the withdrawal of groundwater , ^ „._„ „... ' •J^^^^H * (*T0("r^-V5'- Jb'"C"*/7""l 'St'V'Jr f"fr'C"f\""y /.*AK..^ps^R(».^«.. •

.^^^^V 10. The estimated amount of groundwater -withdrawn each year £t..Q.Q..~..(jLQ..Q.. ^ /^^ . . .yA^ .y . .y^^ ^

^ ^ ^ B 11. The log of formations encountered in the drilling of each well if available

HBBl Crit A rrvvr/T

mm '• ^ • l 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, includingSBVB reference to book and page of any county record T.* ^I ^^^H . . . . . .. ........ JJM i£ UL.£L lljjd£

^•HH {/t"ftixvw*fTi

• H Signature of Qwa.&J&J^ Q(« ^ 2 ^ ^ ^ .

• ^ ^ H Three copies to be filed by the owner with, the County Clerk and Recorder of the county in which the well is

•JHH located. ., :

fl^HJI Please answer all questions. If not applicable, so state, otherwise the form will be returned.

• H p J Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau

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\m~: :—^i|

i ' • • • • ; • • • • • ; • • • • • • , • • • : • • • • ' ^ ^ ^ v ^ « - ^ * « ? ' # ' : ' ? ; : 5 S v i a ^ : l H

I ; STATE OF MONTANA)^ " ; ; - ; -. ,• Count} aJLake, -fj '. L '' -I FilAon lhe.%.l~jda\> of.WUfi--- ..-.'' ; ' " '• A.D.I9.(s^..aL?i^-o'xkckM.M :• ^Jj^fisssitJSKasJiCTf--'- —I (Sjinip Qsrfe'and Recorder -•••; f :

1

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f . JI <^_S~, GW 2 Re»l ed 1969 R F C E l V E D - County * * " * " - 1 . •I 1 T A T E P U B L I S H I N G C O M P A N Y L l l - « ' * • * * " ' • f » * ' ^ ^ - X . ^ H

I. STATE OF MONTANA n p T jCcriQTfr <? * « jt DRIltjERVlOG •t ft ADMINISTRATOR OF GROUNDWATER CODE U ° ' ^ " i B d i e ^ t n V S ^ . color. 1h.de- 1I ? MONTANA .WATER RESOURCES BOARD „ - ~ n>s ofst&ta suctfas soil, clay, sand, , I

I NOTICE OF COMPLETION OF GROUNDWATER gcavel^le, ^Stone, etc. Show ' •I APPROPPIATIOW^PY MPAKK ftC \ « P l l - " S" « ~depth~at which water is found and t •I APPROPRIATION CBY MEANS OF WELL - "- hlighrtowh.ch'water rises In well. ' MI - ' ^ Dev . ! .^ after January 1. 1962 - ^ « , * « ? ^ J5» Approx.^ I

I (Under Chapter M^Montana Session Laws, 1961, as amended) Top oCground'a j j . c L »bove t M MWQ J?__j_$ L S

ja This form to be prepared by driller, and three copies to be filed S ^ V £.> *" 'jz , t f \ •M by tho owner with the County Clerk and Recorder in the county in ' *~ "S~) r • >»" ' r * •• whirh the well is located, last copy to be retained by driller __O_"> _;*JWJ_ _Tjg»8OlX»_ v . ^ ; _ _ 1 _ _ _ ' •• Please answer all questions If not applicable, so state, otherwise the * *j7 <&>••< ~- * -* v * IBv form may be returned _XJ^ 34 WJa <*!*£''Wl^^gravjll t •• " — '~aat3"liouldir*~ mTxed~ ££• I •I Owner John Finley r-— — , ]£E 1EZ J^J£*-£S££Sti£a. J I• ; <Jwner... v . For Administrator's Use V&Z»r. ' •m Address Ar loe , Montana File „ / ^ ^ ^ T ^ r / • 1

• r . ^•Z-?J°,/7? M

• Date well started A?/3/<»2 GW1 —-_^._:i .___J.-:_^ •

I completed 12/4/6a ^::::::::::::::l::^^ ZZ ~Z _ ! I

I : (Dug, iriveD, bored or drilled) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ _ _ — I

I Equipment used A.i.?...8S*S5X — 1H (Churn drill, rotary or other) _ ^ _ _ «_ ' •

B Water Use: Domestic JQ Municipal • Stock G Irrigation K ' " — i I

• Industrial D Drainage Q Other Q* Garden/Lawn B — • I

H *Describe — ——: 1 1B USE: If used for irrigation, industrial, drainage or other. Explain, ~" • :' •H : state number' of acres and; location or other data (i.e. Lot, Block ' ' , 1• ! and'Addi»:on). . ' .ABBSfiMm^ ! I

• : ESTIMATED ANNUAL WITHDRAWAL ^^Baena^ . . ___; ; I

• ! IWuSl ^ 'dSf ^ ^ PERFORATIONS - ~ " ~ I• • Roto of Cafllns • ———— — ^ — -.——————.——————"-— ! •• Kind From To ; | I^ K Sbe (FMI) (Feet) ~ ~ ^ ^^^^ —~————————— j _

• 6" 6 5/8" I I• C D X • • ^ |• K" +2 36 N O N I 3^3 ~IH. ; I

H I j I j I Static water level 5S ft.* ; - I•J j | Pumping water level .93 .ft.* I : IBJ J -4 at .?.?. gallons per minute, T ; IBt i j measured JLSbB^igstw, after pumpingH | ) began. ° , f

B ^ W | ( *Measured from ground level. _ _ _ _ _ _ _ _ _ _ _ _• S ! W e l 1 developed by . . .A i r . J t , i £ t . . . ~ ~BJ j J for i?* hours. Pump _ _• j i Power..2.3P..V.. pomp Kt.. HPHf | j Remarks: (Gravel packing, cementing,Bt — ' — packers, type of shutoff) A l . l• SW}4 NEH. SEH WHi & part *rat«?..«S.t®«1±«S...Kell _ _• of M..JA .J9H.K Sec...9. through. cxack8...ftBA ;BJ T JL.6^R W... E .«.«sm.ia..*Jh*..*fflsls*•I S ($ .Kftl.l9....4B...1efei.fl...ar.fta. ^_R L^d ic^ lHo2lT l3 f iOC^vMLV?WD PLACE OF USE, IF POSSIBLE."** •H EACH SMALL SQUARE REPRESENTS 40 ACRES.H LIBEHXJf DRILLER,CflMPANY ,,m Driller's Signature . . \ ^ . ^ v ^ ^ . . ^ . , ^ ^ — \

H Driller's Address ...MQQ..Ma0tt9...S.%Xe>.S.%. - * - ± —

• Mi^ula.,.^^ LICENSE N O j a *J?£i?Z?££%>l£S> i"BJ to surface• : 1

• , /in'6^ !

M\ , i

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• ip^vjlll^ .. .;••• - . ; ? C 1• ':•:,: •••••• ..t;^;^l@0ifii^-?^--;s;, :.£p*.ow#^>#i^r*M.; • • ' • E T Z ^ S I ^ C ^ ^ i ^ i ^ i ^ ^ i -.:•.. •^ m - ; - • • ^ | ; ^ - ^ ^ ; : - ^ . ^ ^ ^ . .. : • • ' • - • •

^^H can >>e depended upon -to produce olear Band fre» xater y«ar after i •^^H i'. year- a« long a» they -ar-e not overjumped, i^e. t they ghoiild ba —:!.'-•--•-i . i H^ H *fe . .-^^i^ed ::'a*^^^s^a^^1l^^^B^of 1 •^ ^ B ! '"• ° * p » ° * * y . • ? * ' \ * ^ . ; < * ¥ | l ? * # « v ; .' •...'...'•' ; v i ; ' v ; ' ^ • ::..' ; - ; • • ; • ' - - - : • ; - ; • . . , - - . - - : . . . . . - ? - . . ; • • • - • . . . . - i i •

• i v : . v - . - . ; • . • • • - • • • • • • •••:• • v t * - r ! • % v . ; :

I lli-sl'J;:. 111119 •• - - v •••;

I

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..,, ?| * «SUw2K.v,,d»o, - - .R^CESVED County. < ^ ^ ' f ^ f M £• | ^ STATE OF MONTANA , ^ c i q -? , 'DRIU.ER'S^LOG &ffik I

ADMINISTRATOR OF GROUNDWATER CODE " Indicate the character, color, thick- W ?

MONTANA WATER RESOURCES BOARD ^ , , , , p , „ _ , r . . . n r ^ ^ s t r a t a s u c h a 5 , '„„, ^ s a n d , « |

NOTICE OF COMPLETION OF GROUNDWATER' > ' r> '_WWal. shale, sandstone, etc. Show f | | i j I

APPROPRIATION BY MEANS OF WELL ' Jg, to I S SE !_?-?*_ fit)Developed after January 1, 1962 , S g g -j I

(Under Chapter 237 Montana Session Laws, 1961, at amended) Top of Ground (EI« above K. icv.i) -wi fe 1 I^ — — ^ — . _ - "i

This form to be prepared by driller, and three copies to be filed Fnn TO f | 8 | iby the owner with the County Clerk and Recorder in the county)" in ( F w ) " *** smwwhich the well Is located, last copy to be retained by driller , ~ ~ J _ ~2§!__Please answer all questions. If not applicable, so state, otherwise" the O"1 STH 51—cR 8X_fc & "bouTderSy'1form may be returnee! „ I _ $tt* JggiK

%. 5T "5y T ~eeininte5~i'ana~s"@a<S§alOwner JEODgr A 9 t I For AdmmistratorTusTTI " 5 ^ ~KP" -^SESSnPJSSTbSSS^S

Address BOX 5 i n.8-Mt}3»tf ZBL'3BLZSSSSZ&S£*E£L \Aclea^ iaontana Qt#»&W93 WV0a,tn, ^ \

Date well started H a ' ' * GW 1 . 1 | | | | j

completed 5-1-72 J ^ . ^ ^ -|

Type of well . ^ 1 1 ^ .... ^ . _ . J^M "'.' (Dug, driven, bored or drilled) >" *

I Equipment used .....?M?5...P*i?:i ~—I"—• ' (Chum drill, rotary or other) _ ^ _ _ _ _ _ ^ _ ,! . „ > *1 Water Use: Domestic Q Municipal • Stock • Irrigation • : - : • — Ttf~~~

Industrial • drainage • Other n * Garden/Lawn H •- " T " * " "

i *Describe ——.................... ^ ^

USE: If used for irrigation, industrial, drainage or other. Explain, ~ I "; i state number of acres and location or other data (i.e. Lot, Block .

• • • : t,^i

: and Addition) . ^ ^ '

j ESTIMATED ANNUAL WITHDRAWAL '.'.. . Ii " ^ • ^ ^

' Size of Sbe and From To ""••••"" ~"^^^ " " " ^ « » ^ « _ _ -JJ.^Drilled Weight (Feel) (Feet) PERFORATIONS >•

Bol« of Casing : — — - — — — — _ _ _ _ _ _ _ — — — ^Kind From ToSize IFeet) (FceJ) ' '.

6" 6 5/8n<d none . I F <tJx . 2 5 0 lh+ 47' m««faq .• . 1 ^

• zzizziziziziiiiirzzzzi ^

N ;.A.:: _ T i l fcI j I j I Static water level .:Li ft.* ~ "* ' "!>'.

! I Pumping water level i r.i. .ft.* **- J .|- at ../85. gallons per minute,

, ! ] measured minutes after pumping _ _ _ _ _ _ . r

: ; ! began. " ' 'w j | B *Measured from ground level. \ ' '

I I Well developed by ..:.„.... " " ' ~ | ~ ~ ~ ~ ' ~ ~ ^ 'J.A .J. for hours. -:"; I| | Power.. Pump HP _____ [j | Remarks: (Gravel packing, cementing,

': T T U 1.-jiacVC.0 •{.c-sr^eJ't. packers, type of shutoff) "_Z . Z I—I I I 7 ' \

.___?..% 5.w» sec-3 zirrzzrrrzzzzzT iL N R l.%...... i; -- . -i

• j . w - •INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. "" 'EACH SMALL SQUARE REPRESENTS 40 ACRES. —

Driller's Signature ^ ^ l ^ ^ ^ ^ S L ^ ^ ^ - • — — — — — — — _

Driller's Address . . .M?£??^f^I . . . . . .^... iT't """" " *' ' 'B u t t s , Montana LICENSE NO. ?• ______43-1— Show exact depth of bottom 1

' i • ' • .

: i ? L . . . • . • • • . . . . . . . - . . . . . . . . . . - • * - ; •

; ; • \ . . • . • . , . • - . . . . • •

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wem-y • • • ••.;! •• : • = • • : - - • • - . •:• • - . ; - A ^ a i ul ^ ' g / w . . , . . • • - . • • . • • ; • . • : • . ; - , • • • • / : * g M

g l f W v ; - • • ; • : • • • . .^W'-il-j^ ' • v ^ '

:' ' : / • • . ' •

:' - ' . ' • • . ' ' • • ' . ^ . • ' ' • / • •

: /' "

v-

:^ - v

! n ; ' v ; . " ! ' : i . - - . ' • ; : ' • ' • ">*?! • • ' • • . ' ; " : ! • . • . • " • • . • , ' . ;

K - ^ f e V M • •?!!*» ' I '• ' '••' i-:";"'':'v' '

' • • ' . v ' ^ : • • ' • • . • • : - : L " • • . . • • ' ; ^ V ^

* • ' : ' • ' • • . . , . . - > , • • , • . • • , - , w e s a S B * 8 ^ ! ^ ^ ^ 1 ' '•

St ; v ! • H ! H - •• •. •! i ; ] • \ •'• \-\ \ \ i - ; • • v * ^ . i ? ^ ' S . S : W : 4 i : - r c: ':i 1 • I I

! * i ; i ^ > f e ; - • . • • • • • - ' ! . • • ? ; i ' ;•• ••• ; ''n T?-^iB^^^-1^ -'Vg;^-1 « / j

ili|S'% : ;-,_.-,;:- :*•;;•••• :-H, .-. ."• -• A D ; l 9 - i i i f e ^ ^ ^ ^ ^ i ^ ^ | ^ ^ i

R ; f }&•'.':•:• i "'•••• i ^ g s & r m i i 4

. • • • ' ; 4 ' ' - - i s ' - : ^' • & * ;"! • • ; • : ' • • • „ • • • • ! . "'"::- '.:. \ '< ^ v.-V . . ' ^ ( . ' E 1 y

M>:¥'"": • • • - : : - • " • : ? - ;; um 1 I ° !

K . . . v •• - • = • • , : • ••• - -:• ••:• - - ; 3 , - 4 a : %

- r - M >;.. - ^ - • / • . -• ••• •.=•- s ;••••• - - ^ ; 4 s . I £

• - - H ^ C-? • - • • • - :'i ::" : ''Tm s I ^u - i - i — - - " " • "

:. •" • • • - • - • '

: - ••• • • ~ • ' - ' • ' ' ' • • » • •

n S

• • •• - " i .' •' ' ''• ,••• ' ~ ' ,' -•' - . "; , . . • ' • • ~ ' Z t * ? - , . • & ' - r H • "

• • • • ' • • ' 1 ! i • • . - , . ! . :

' • . - . • , • - . • ; . • ; . • _ • . & . ; i . • • • . £ : , . ( I 4 £ - »

: •• V '• - V " , . . . ' • - • ' " • ' • • J ' - ' >V ' . : " ,f- V-' w'1 V , 1 . . - , - , " • - • " , ! ' ' . ' • • ; ' : : • • ' . ' . • • • • • v : ~ • " : _ " ' . • • ' • . . ? . :

. ' • : • • • '" •> ' : ' , : . • • > .' • ..' , - . • • - . : ' :. • • ; ' " • ' * • - : . • r i ± *

• . ' ; ; r \ . - . . . . T . ; ; ' ' ' : ^;

. . " - . ; ' ' . • " ' - . • : ; • • ' " " " ^

".''• . .- • . - V. ' " j "

. ,-&mm.^ . „ • . . . . . . . ,

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^^^Hl^^Hll'^fsi^0"^ COnS6rVat1On a^Ss'^LSlArle^Al I '*' I{ • ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ • R l i i r T h q Bureau location T. 16M R.19W Sec. 9 I ' v jH^ ^ ^ ^ ^ ^ ^ ^ ^ • • P ^ ' d w a t e r Section- Doc- No. R-1367, 204985 | •^ ^ ^ ^ ^ l ^ ^ ^ ^ ^ H B p i m W. Mitchell Building . | V^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ H H P e l e n a , Montana 59601 | '<•

^^^^H^^^HRP' As the Administrator of the Groundwater Code for the State of Montana, please take jj <•i ^ H ^ H H H P P * ' note of the following special instructions, in order to properly protect your ground- j •O H | H B H H P P ' water right. -Ip^^V Special Instructions: j 1

I ' P l e a s e provide the i n f o r m a t i o n a s i n d i c a t e d i n r e d on t h e a t t ached" form.,-, = - - , « „ ', •

I ! ' *(r""-'"L' w Z D j Iw I Thank you. . , •

f . .. j o > r A ^ v ^ « A cx\«L**o •' cr-;:":

I j • Industrial • Drainage • Other • * Garden/Lawn 0

• ! •• *Describe .^T. ~ |

• : i USE: If used for irrigation, industrial, drainage or other. Explain, ' I• j i- state number of acres and location or other data (i.e. Lot, Block ™

I j - ^ — " = = T B ~ a n d Addition) \

I ; ; ESTIMATED ANNUAL WITHDRAWAL • .• ; ' Sbe of Size and From To " — — — — '• ' Drilled WtltM (Feei) |FM) PERFORATIONS

• . Kind From ToV Stte IFett) (Feet) i

I : 6" 6 5/8"<.cL none I• ; x .253 2.h±- &T On-h^iso• : .. *9s«b' .

I I; IJZjZZZZZ]I i : » 7 : ~*~* I ' !H . • , I > ~ I t Static w^ter level /..?Z .ft.* ;'I ', i \ *> Pn^pinr, ^ f f )ftYf| f> "> .ft.* )B J J 4 at ..23. gallons per minute, |• " ! | / " measured .«Jfl.aninutes after purri|wnq _ _ _ _ _ I• ;; : | • I began.. ^ ' / ' i e jT - - j• •• W I i " J E \ *Measured from ground level. _P I ^J ~ 1. '• • ' | ! ' A Well developed byJ?^.%W--«- 7 ~| " I ""I• :; L* J /\for... hours. ° / iH ' : " | '• | I Power Pump H^ \I '- ' | i / Remarks: (Gravel packing, cementing, \ \M • ; -TT W i f e , •C-i.JfV.VL I packers, type of shutoff) f | ~ T • II ' ,,v . , ^...*MM±*2L.....±,/. ./ :_J• i J.i.'i..y4 J- -'A Sec...l ....£?a.u.u..e ^A.^./e. / . r . i !• \\ T it NR 1%......% _ 1 |

I > ; J. fr _ " " """ iI 1 INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. 1I . K . EACH SMALL SQUARE REPRESENTS 40 ACRES. ' !I ' I . 1 Driller's Signature O!£^2^^SS^»5L Compaxgr | |I ' 1 Driller's Address ..^t^E^L^flr. H—I ; _|l i '; . ? . \ ^ *? . ' ??°5*??.? LICENSE NO ?. 43J_ Show exact depth of bottom *.

I > I f- s/,093 :.\l - \ - •••• ^ - ^ — - •• • • • ; , " • • — - , , , - , W , . , - . . . - • • - • • • • - , . ; . . • . - . . , , , ^ . . . . . ; . ; :

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^ "Vr^^B^^^K/^^KtKt^^ • ~ — - • • •••-•• • ••- - •- r * * ' ;•• ,,;.

^ ^ ^ H ^ ^ H H H H I H ? E r > w v . -:':y:\i:^\:^^^. coUnty...:._ .~-...::::.....r...||j 7:,^^^^^^^^^I^H^^^V STATE OF MONTANA . , ., R V W DRILLER'S LOG : | | -

^ • • ^ ' s ^ s s y •••••';:;:;,,sx-tr^.s; • j .^ ^ ^ ^ H v T NOTICE O F COMPLETION OF GROUNDWATER , f . , v , g rave l , shale, sandstone, etc Show |

• H P • APPROPRIATION BY MEANS OF WELL S l ^ S l ^ S ! '• |BHnBPv| Developed after January 1, 1962 I

Kf fP^f^^ I (Under Chapter 237 Montana Session Laws, 1961, as amended) Too of Ground (Ei», ,b.». »e« I.»«B 1

H ' ' ' | This form to be prepared by driller, and three copies to be filed. From To !• * I by the owner with the County Clerk and Recorder in the county in 1Fw" (FM>) ' '- *• ; | • which the well is located, last copy to be retained by driller. _ _ _• : % Please answer all questions. If not applicable, so state, otherwise the ~ " t P " " T ~ " "g lacE arx^~eI"W5.W@XB"• ; I form may be returned. _ _ _ _ _ . _ _H ' 1 • * 5T ~TP~ copifmtePT'sanfl fr"orave3If I Owner _ZOIiy.JbC!3± For Administrator's Use 1 " 3 " ~ ~ ~ ' ' 7 ^ a ~ a " < " r ~ ~ " " ~ ~

• 1 Address . ^ . .51 i ^AOSX^UtlU. --gyl ^ ^ ^ g ^ y ^ ^ - - ^W ?• ..Arles,...Mo~i_sna Qmi&.Q.fJ.SS.JtilP.a.m, - - -

H \ Date well started .'. *„?„.".?_?.. GW1 —\

B ; completed .?."?:~7.?. „.... , -1

I ] Type of well ^^M. _ L \^ H . i (Dug, drtvm, bored or drilled) _ _ _ _ _ _ _ _ _ _ j• I Equipment used <?h5.rn.._??ill -1H H , ' ' (Chum drUl, rotary or other) \

H ; Water Use: Domestic _1 Municipal Q Stock • Irrigation • e

^ B ] '• Industrial • Cjfainage • Other • * Garden/Lawn 0 \

H \ • *Describe I l 1^ 1 i USE: If used for irrigation, industrial, drainage or other. Explain, ' " ~ 1 i^ H ! ''••• state number of acres and location or other data (i.e. Lot, Block ~ — — — —— IH • • i _. —• I f - .—- =•- and Addition)• ; ',• • ! • ESTIMATED ANNUAL WITHDRAWAL \

• ; BStf S^,?S? S 3 (FT ) PERFORAnoNS T J i^ • ' Hoto of Casing . 1 '^ H Kind From To . I^ H Sbc (Fttl) |FM| ~ ~ ~ ~ ~ P ~ ~ — —---—--——---—-—-——————-— (

B 6" 6 5/3n<.a none '.• x .253 _&+ 47' D»**!-HS??

I : ' » . ->——-—•_L_LZ- S^ H ; I i I , Statir water level /..^Z. ft.* SH i t -9 D..mfjn- ...1tflr | ^ | y ^ .ft.*| •^ H : J 1 at ..23. gallons per minute, ;| H j • /"* measured .ft^l.aninutes afler-rurp(>»nql ;,_ _ • • I ! I began. GA>I-*O \ \ ~ *" \^M : " w ( ! ; 1 B l *Measured from ground level. * J J I ~ J ?^ 1 • ' • 1 --) \ Well developed b^A^'/^f-Ji. U I I t^m :, ].*. j /\for... hours. ° / I^ H : • - ! ; i I Power Pump rM ~ ~^_ Z '^ H ; • j j / Remarks: (Gravel packing, cementing, \ _ _ _ . ._ H ; T r U\ VJCCW c •C.tv>Lv..c-V L \ packers, type of.shutoff) 7 " | ~ ~ | ;

H . , , .,, V ....s.h.u±u..lL....fk.9. ./ ___, \^m .li£.:A _.' .y« sec.l ...£?.jr.u.u..e &:4.$-.v. / . V " ~ "i .

• ; T......i_......NR....J4 1 1 L _] I^ ^ B • S W" _____ ' ________________________ i^ B ' INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. I

• ; . EACH SMALL SQUARE REPRESENTS 40 ACRES. • i

B , I Driller's Signature °!_*^_^_«S-.fiS__=».?-»y I !

• \ , \ Driller', Address .J^IJEE^L^. -H-I \^ 1 ; . ?]5*1:.9.i; *?95*«aa LICENSE NO ? 43J__ Show exact depth of bottom ;

III

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£ :«C>'3 ow 2 Re«iitii W9 i 'LFl ' . ' / t lovv County L A A < & . ~ . - v~- :

| ' ^ ' v •••.'• ^ STATE O F MONTANA MONTANA " • • • P A - P * ™ - DRIllER'S; LOG . > ; ':'•• i j • ; , : •:.: A D M I N I S T R A T O R O F I G R O U N D W A T E R C ^ V j j -\ •'•:.?! MONTANA WATER RESOURCES BOARD ' " ; ; l T I -^ nessof i t r ^ ^ h « wll, cl.y. sand, iI NOTICE OF COMPLETION OF GROUNDWATER gravel, «hale, ^hdsfone, etc. Show ;% • APPROPRIATION WY MEANC OP U I E I I depth,at whlch,;water Is found and .5 APPROPRIATION BY MEANS OF WELL height to which1'water rises In wel l . !I ' ':» Developed after January 1, 1962 - '\-jj •"'••• . : — T . . .• •: :••' ,('• ' . I;] (Under Chapter 237 Mont«na> Sesilon tawa, 1961, as amended) Top of Gro.uhd a -':\ .' I W »bw>«ilevel) !I This form • tot >be prepared by driller, and three copies to be filed *"»» *»'« -V; :. ' : • ' , iI by the owner'With the County Clerk and Recorder In the county In «"•" <V«i ,s-i ••.v--, ^ . _JI which the Well is located, last copy to be retained by driller. nr i a t i *fnri rillmr.wnuaT. JL- — ' 'it Please answer all questions. If not applicable, so state, otherwise the • " J * " * * ^ W ^ f f B f > h t l 1 n fftongffi 'I form may b e returned iff1 iV mJSfnm^* — ^^ K

j OwnerHCSSEtLllAtJfi....... I For Adrninistrator's Use"! ^ ^ « ^ ^ti^tUa.&aaB^--\ \

I Address............?.^..I^. f\\e£rj3.23..r£a.$.a2£. -691.»»-. -gan-claj^gravtl a n a —

1 *ti-.ss?uU,..Mt:., %&.Q3/.?.?JL..2.M.<ilM. ^ J f ^ - ^ ftifly Wlfl fflWl-H

; Date well • "stJjfMpW.-Syl©?! Gw 1 -89J-- 9 0 1 - BO1>jti>48r8 - - - j

; completed D iD^ -2 ,a97 i ':•!:. «&«- l a w -Saa-olafrflaaa-aaa—-rf-,•: . . . . ^ g r « W l rrrrJ,; Type of well. ..DRHiiHX. .-«... -18V - U S t-aaa(kggW6l P3M ft—~: ' (Dui. driven, boted or drilled) TM M*P " T W B \ ^ P " ' t " ,

i Equipment used -CHB8«. ..:. 12&-'-026 UTim'Clay M>fl-gW»>^PI . . • ', (Chum drill, roury or oUier) _ _ _ _ _ _ _ ^ * "< ' -Yr""

! Water Use: Domesticjg Municipal •,.|t6ck Q Irrigation Q 186^ -1851 SaBad^gCaa^L M M ^ W t ^ jj I ' - ' > « • ; / • • Tffl .i Industrial Q Drainage Q Other.'•* Garden/Lawn D ""g^J

\ *Describe ....<3£*z><**~K...-*2?z*zr.. „.. :—- ^I • ' ' ' • "• * i * w• U S E : I f u s e d f o r I r r i g a t i o n , i n d u s t r i a l , d r a i n a g e o r o t h e r . E x p l a i n , S j i !ii s ta te number of acres and location or o'her data (i.e. Lot, Block ~ " ''};,.

!; and Addition). .«L«a^..^7.>...^s^....1?S:R^A^rf!'..... | 1

! ESTIAAATED ANNUAL WITHDRAWAL i tX^.^^.^. .^ . . -^^- frr . "v"!

'; SuiSi swJiStd V M > (PM> ''-;; PERFORATIONS ~ vi'M

i H o w ' of CMIHI ''' ^ • ^ • ^ » >••• _ ^ i M I B _ ^ •• ^ ! ' i j

j 6nI.D. 6-!i/8w0D|trouna 135 f t . * ^ "** ZHHZ ^ •

, l A i"8iae»'"evel * °" e n o n e n o n e " ^1 iv lbs. #ii • •

l> *

1-

r: ' j

: w nzzzz •:';' s

i j Static water level I J g ''•* '^ I! I Pumping water level ...JgQ .ft.* '" •j _J at . .gg gallons per minute, j

i j 1 j measured .fiO-minutes after pumping [•-,'w ^ i I i . besan- Z I I 1 — - • ~-^ .)..,.

I i • "Measured from ground level. J; I ! Well developed bvhaj. l .tuat-.ai ^"gjyTi;!* gt P"T> " ;

J . . j for 4 . hours. I I! • Powergg©. Pumpg^,|. HP T Z— iI I R e m a r k s : ( G r a v e l p a c k i n g , c e m e n t i n g , '

_ ' , . r~ packers, type of shutoff)Tract 12, s 7 i. ~ 3 ~Jock»...R«ichsfctsw. J&5L I I ~

T ® R E ••.-,..-• _16 I 19 0? J^ - I _

INDICATE LOCATION O F WELL AND PLACE OF USE, IF POSSIBLE.EACH SMALL SQUARE REPRESENTS 40 ACRES. ^ .

D r i l l e r ' s S i g n a t u r e 2Cs^^is^J^^..^d^^*^y^.

Driller's Addressi65a..i^¥6th»¥v"jasso»i^v,--K:ira:ASA-- — - • - — - ^ — —

LICENSE NOigj , 18S f t . Sh0w exacl d e p t h o f b o t l O m .

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Im§mmm:: x ..,, .. :-.n-s»«^a amu •l:.iSili;ili^frV \ • STKTE OF MONTANA, • ,;, :^' ; f : ^ > ^ ^ p i ^ i | U l l U ^ •

i," • 1

Page 26: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

'&*S^ ' ' '' "*"• ' B B B4 jjjyyT - flBBBBfl]

I August 1, W72 i l l

I " Mrs. Ethel M. Harding >" B HI Cl«rk & Recorder, Lake County ' BBfl• P. 0, Box 491 a^H• Poison, Montana 59860 ' BBJI Dear Mrs. Harding: J ^ B I

I This Is in response to your July 21, 1972 letter requesting suggestions on II• hew to correct a typographical «vror on Well Report, K-1323. The owner i s a _ B B |• Mr. Kussell Lane who has drilled a well in Tract 12, Jocko Ranchettes in • • •• Lake County. The original filing indicated the well to he located in Section ^ ^ H3 19, Township 16 N, Range 19 W. This particular well filing was returned to ^ H |• Mr. Lane because, according to Ishe location, the well was located in Missoula ^ ^ H• County. Therefore, the well should have been recorded and filed in Missoula ^^M• County and not Lake County. Evidently Mr. Lane noticed that the section ; • •I ninober on his filing was Incorrect and proceeded to your Off ice to change • ^HHm fhta ti«stlon nunfcer to 9 Instead of 19. I ^ ^ B

• We would suggest, that since It was only a typographical error that the 19 • BBBBI• be chango-i to a 9 without any additional paper work. We have made the corrac- * ^ H• tlon change en our form and indicated the terror to be typographical. ^^M

I Thank you for bringing the error to our attention. If we can be of further • L IB assistance, please fee l free to call on us at any time. ; • V JI ""-''- •• ' - ' a s B !M Sincerely, • • •

B Bonald J. Guse : ^^HH Groundwater Rights Coordinator « B H• WATER RESOURCES DIVISION • •

B SJG/lk ^ H

• • \ I ' '< Powerii.yj Pump:~/,A HP | I B ^ |Hs \ \ I -1 i Remark's: "(Gravel packing! cementing, B HH " * * packers, type of shutoff) ^ ^ B• Tract 12, s S~>~. \ »T ./ rQ ••J Jocko.. Ranch.e&tst£...l?>..../) ,&ze&jn Z..sfr#£. /.I.... ^BJ• T ;N>R.....^=r^ E ••, -a- 4--A J [ B H• 16 1" iy> \fp ±......zttjji2£4{M$^..gAJa^£ I T B HH INDICATE LOCATION OF W E L L " A N D PLACT OT USE, IF POSSIBLE. ^ H• EACH SAAALL SQUARE REPRESENTS 40 ACRES. 1 flfl

• j , / . . * . . . • • •BJ ' Driller's Signature :..'i.':.^toAt.j'^.....^:..i.'fv^^T.\«Vr^!?.Srf. J^M

• Driller's Addressl^r,..f..^¥^•^Vv»•n•v•••KJv.!rV-•lv^.••1•i-.•:.:•.v;Vu1Ji;v••• ^ H

I '. LICENSE NOtift 1S5 f t . Sh°W eXaCt depth °f b° t t O m H

I ? •• • • ^9-CJ/S B

"* -" = H

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H^^^^^^^^^^^H|^H^ • ' * ETHEL M. HARDING ^ * | | J r* ,*H

I^B^^H^^I^^HP^ , FROM CLERK AND RECORDER % , */' «

^ H r ; ' ; : ^ , S:lon • " • " " • ^ jh ••••.•^^^^H^^^HK^Helo-na, Mt. 59601 P.O. Box 491 — Poison. Montana — 59860 j | ». ' < •

^ ^ ^ ^ ^ I ^ B r SUBJECT Russell Lane R-1323 • . | _,/ > •^^H|^^HHRm| NO. ii A io TOLD . , - ' . . , . , ' $ -t ^ ^ |

[••Pi MESSAGE DATE 7-21-72 19 | _ '. ' •

HPMPc I Mr* Lane brought in the notice from you that there is an error on the | J;~ flH ^ - ' ' 1 Well .Report, R-1323. Tract 12, Jocko Ranchettes i3 in Lake County | i :SK f 'v'' , I and the report should read Sec. 9, T16N R 19W. | . •

Hfc ' I How do you suggest this be corrected, as it is a typographical error. | t fl

H> " 1 Whel M. Hpr &ig ~^C 1 • 9ft. I *Enc- S I G N E ^ ^ ^ ^ g r | IH ' % REPIY ^ / DATE ^ 19 | H

••- *5 r\ I J l

^ H iGioylSn - S M M - W I " FODM 44->o:r 3 PAHIS RETAIN WHITE COPY, RETURN PINK COPY L^ 8 n H^ ^ ^ H WILSON JOHTS COMPAHV • (£. 1961 " CnitnCO IN U .2. K r ^ H

I i|§§li •• •^ ^ B ^ W ^ " state number of acres and location or other data (i.e. Lot, Block — •— — — '• • ' • • ' xBj

H I and Addition). .£.^^..&.J.>...^J#...3&-^J*g£U. v | •^ H i . i j M^ B ] ESTIMATED ANNUAL WITHDRAWAL•{^:.-^f..^1:^.^..~..rr.i.^.^.^r. | •• • H \ She of Site and From To ncDcADinAMc ' • •

^ H 1 Drilled Weieht (Fetl) (Fed) rERFORATIO^S , H

B i «*" orCM1"e — K E FT^ i — . 1• i 6nI.D. 6-fi/S"OD ipround 1S5 fiL SUe (F"° (FK1) | •

• i l/^'side-r7*1 no"s nor<8 none — [ J — z z r :-J IH ) [vair t 1 -—— ^ ' \ 1

| B iZoC^O^I | I i I Static water level 4.3.3 ft.* ~ ™ , j I^ H \-n j j Pumping water level -...T/.j§.- A* i •^^B | . 1 J at .-4U) gallons per minute, ! IBHr '.rfliSSonlH j j measured .£O-minutes after pumping | I^ B i Count/ » '; i began. P f L_II _ _ i I^ ^ K j w ; j ""' "Measured from ground level. ! *M^ B •; | ! I Well developed hv 'T-.J l .*-.qj.t-a.t|i^ H'lh t .a l t- T"-''VP i^ H 5 I 1 j for 4 . hours. ' 1^ H \ \ • | Powerif^rj Pump.^/4 HP 1^ ^ H • V -' ' Remarks: (Gravel packing) cementing, ____ _ _ _ . _ „ _ _ _ _ _ _ _ _ _ _ . „ _ !

^ ^ K ' • • ' packers, type of shutoff) ____ ^____________^_^___ ',B ' Tract 12, s ^ > ^ .o ^ .A :. ;^M . Jocko Ranchet.tair 19 7 ^-de^^?) Z.^a^T- •/••?-) I^ B T (N)R t ^ T E -v---"vyr 4~"/)~ T <^ K ^5 "s" 19 i ^ *:.^!3S&0a&Mts&f:..jeA'M3'-* , !

^ B i INDICATE LOCATION OF WELL AND PLACF OF USE, IF POSSIBLE. : i| H ' , EACH S AALL SQUARE REPRESENTS 40 ACRES. _ j I

^ H ; ' ' Driller's Signature i.i?^kSss^<.^....s^..-^:^.^'^r^^S^*. ; • ; j I I

^ B ' - Driller's Addressl5F^..^¥5^V*v-"^I&"^t:-*%^-^:"v?r/>.vj:V-" ' "~j * I

• ; , ; ; LICENSE N C ^ - * 3 5 - S * « - s h o w exac t d e p t h o f b o t 1 o m | j

I ; ' - ! . . • ; . . - . " , . . . :...: ,..,,,.. ,,.. .,,,• - . . - • • • • • ¥?•?/$.:\ \

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H H L ^ ' - .... - ~ ' .. - . * •• ^ • ^ •SBJB^BaBSEpar tmen t of Natural Resources and Conservation Owner Mr. Russell Lane *^> £ > ? ' l ^ ^ ^ B^ • • ^ ^ ^ • ^ W a t e r Resources Division Address Box 156. Missoui~MT~5g~B0i j ^ ' i H•^•^nKjB^Bf lPEng ineer ing Bureau LocatiorTT. i6N R. 19W Sec. 19 "' A I '',' ' .B^H• ^ • ^ ^ • • • F ^ Groundwater Section Doc. No. R- 1323. 202396 — I n '^H^ ^ • ^ • f ^ Sam W. Mitchell Building ~"^ - • • •^ ^ ^ ^ ^ H f T Helena, Montana'59601 " ^^M

• n , „ : ; : : ; • : • : : : . ; • ; . .. •^ ^ H p r :; As. /ty?Administrator of•.the Groundwater Code for the State of Montana, please take - flHIWHm$y i n o t e of the following special instructions, in order to properly protect your ground- 1 ; ^ ^ HR p T i : water right. ; | ^Bfl

P ' ' '^B^lI " 1 Special Instructions: > fl^|E L According the location indicated CSectiori 19, T 16N, R 19W) on the attached form, the ' ~ ^ ^ l«• well is located in Missoula County and not Lake County. V. • ^ ^ ^ pK I The well should be recorded and filed in the county in which the well construction is ^ ^ B <fc i located. Please check the location to see tha t i t is correct. ^ ^ B

W % Thank you. «~ _, _. ^ ^ K

f f -JUL2 5 197? ^ 1I \ MO:iTA!!.. DEPAHT -KT OF NATuiJAL i . ^ ^ H 'I r RKOU CSS Ai'!!) i:Ov!;;LRVA'i!0f! | :^HB

I , t Water Use: Domestic;^ Municipal • Stock D Irrigation • J 2 ^ J ^ J - C 2 = d : r S 3 S 5 S : i l . 4 » ^ - W a 4 * p . ^ H

I 1 Industrial • Drainage • Other • * Garden/Lawn • ^ ^ ^ H

I j *Describe ....sS.it».Tr«4«r...^*^rr. '• ^ ^ ^ B

• I USE: If used for irrigation, industrial, drainage or other. Explain, ~~ ^ ^ ^ B• i state number of acres and location or other data (i.e. Lot, Block < J^^H

I and Addition). .^.<i^dr..MJ..^...J^J:-tP...'.^xi^iJ!J^^J.. j J^H• o 1 "I • ^ HI ESTIMATED ANNUAL WITHDRAWAL fet^^^^^r..^..—.^^.^— I • ^ ^ |Ms •••••'• • Size of Slit and From To ' 1— I - j ^ ^ ^ H• ? . , . Drilled Welcht (Ftet) (Feet) PERFORATIONS I ^ ^ ^ H• / . ..• . I Role of Culnt — _ — _ , _ - — . — — — _ _ _ _ — — _ _ — 1 ^^HH• ' ! . • • • • - . ( Kind From To i . fli^H

I : j 6"l .D. 6-fi/3"0D ground 1S5 ft(. SUe lFct<) (FM|) ! • H

I . . .,-••.: I l / ^ - s w * . ^ * 1 noTi£ nons rione ••— — — I H

| V I •• ' * £^Z]ZZIZZ3 ; : '•'• •• . !t.0C4X''«4| ! j I I Static water level ..3.3.3 ft.* ! ^ H• ' j j ^ I I Pumping water level ... .C-lQ ft.* j ^ H |• i^liSSoa^ ^ 1 a t -4*3 gallons"per minute," |~ '_[ Z Z _ j ^ HV ; ]T^, • ! ! measured .£Q.minutes after pumping I ! <^^H• \Coui>Y » j I ; began. ~ ~_\ "" \ ^ H |H 5 w I ( "" E "Measured from ground level. ' ^ ^ Hm \ I I I Well developed byiy.;.1.2,.-£S5:t...'» ti SVh t."'--t. T->,-r.n ! ^ ^ HB i \ -1 J for 4. hours. "_ j ^^K• j \ j j Powerji.313 Pumpg./^. HP ! ^ ^ HH j \ . -j I Remarks: ^Gravel packing) cementing, j ^ ^ HH . ! • • packers, type of shutoff) T ; ^ ^ H

• j Tract 12, s ,—?*«. A ./, * 1 7 ; ^ H• j Jocko..Banc.h.e&tffi||.19 ) J^z^ai.....7-^ii^. ZS I ^ H• j 16 J 19 QtP LL^^£^ii^pm^.^j%MO^.f. ; ^ HB INDICATE LOCATION OF WELL AND PLACETOF USE, IF POSSIBLE. ' | ^ |• ' . EACH SMALL SQUARE REPRESENTS 40 ACRES. \ s HH

1 1 v .^v -"' * ! ^ • H• ^ .1 Driller's Signature . :...^.l-^^rrtJ^rf.^A.....o.:...^.'-^!-.;f..^<r^r^?^f. j vwi ^HflB ' •' i ^ ^ HH . Dril'er's Addressl55^..Sr.,yth-.^»-I-:T^r-.-vL1"A-tj"i-:-~^»-i:V--- ' ' ' ! ^ ^ S• I - , / ; '. LICENSE NOtga- ^ S 5 ^ ^ _ _ Show exact depth of bottom j H

I -.. 1 ,.;J , ^ , __ •...-. .„. ; : _ . _ ^ #£.. ?/S •;. j •;•;•-.' H

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i j^^^^^^^^^^^^^HP: '! . * ' STATE OF MONTANA r.iOflT/lf'.-. D c , , p L _ . , _ ' DRILlJER'S: LOG ' 1 * T j •

^ H ^ ^ ^ H H P ^ NOTICE OF COMPLETION OF GROUNDWATER gravel, shale, sandstone, etc. Show •

HBBP^ APPROPRIATION BY MEANS OF WELL * & J J * * t £ riseT f j S ! I^^^^^^HP' Developed after January 1, 1962 . ! , •

fl-^-^H-P^' ' (Under Chapter 237 Montana Session Laws, 1961, as amended) Top of Ground '(Eiev. above sea level) J I

:'_^_i__^H^ I ^his f ° r m *° be PreParec' by driller, and three copies to be filed pom To • • ' { M<'_^^^^Hp ' by the owner with the County Clerk and Recorder in the county in ' ' ' ' • • • j •;_H^^H& " ' ' which the well is located, last copy to be retained by driller. r>T A Q I -*ia_._yn_".__-«____. " •4fl^HB^F i Please answer all questions. If not applicable, so state, otherwise the _ '••*••-*t~-r-**^'V!i;ju'*ilr 3'^r iC •i^^^P^f ' ' form may be returned. 7tf»r &QT *)£__£«£ " """* ' ' •

«;> ' ownerrr:::.^..!^ Atl:lnb&£?\ J^mt^JmJ^Lsessil^J 1!^H j Address ?.??._H?. Fte£./.3.ZZ. $G£3.26.\jr -Sai -gSA-.•E^y.^^^sayaj . -sna 1 J

^ V j Missoula,..Mt:, %£.fy/M£..2M(t,,*f' JBLSaJ-' aa-C^j^ina-gg^sa 1 J

^ ^ H ' Date well starfBctJiV.».-g-f.lS-71. GW1 £Q1. QQ1-^jiS&j&s j I

^ ^ ^ B ' completed £..£,...2,-137.1 •5&s- 153^L -4«!T-&-i^rr55a-asr-Siis ! I^ B "• ' ^ .y.r^l j • I^ H , Type of well ...;:.7;.T.T.:,J3 -iSP -4SS t-^:^rw}r«SW*i-*sa-« j I^ ^ H l ' (Dug, driven, bored or drilled) _ _ _ _ _ _ _ _ '-.'.-••-?A ?1r " c n r i a t f • | fl| ^ ^ H , Equipment used Ci-,.i.-SJJ. ,Aid-'. —A»~>' . --C4.i.—r.Tth—^S -f'f* I^ | ^ ^ | (Churn drill, rotary or other) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ « _ _ « _ _ « _ _ _ _ _ _ _ _ . j fl

^ H I, Water Use: Domestic;^ Municipal D Stock D Irrigation • ___-Jl_3I_-_dVJC3»- '2-- i»?4-W84*Jf i I

^ ^ ^ B Industrial • Drainage • Other • * Garden/Lawn • "" ! I

^ ^ H ; *Describe .....i3.it«.cr«s«r...ri*Srfrrr. 1 I

fl^H j USE: If used for irrigation, industrial, drainage or other. Explain, [~~i IH^H I state number of acres and location or other data (i.e. Lot, Block ! I

^ H i and Addition). .W.tt^..&.A>...faJ^...^rJ*>Z&J...... ] \ I

^^m i ESTIMATED ANNUAL WITHDRAWAL . ^ . ^ ^ ^ ^ ^ . ^ . £ - . : 5 - . ^ . ^ — I^ ^ ^ H ' Size of Size and From TTc> ' I _ _ _ _ _ _ _ _ — _ _ _ _ _ _ _ _ _ _ - _ — _ — — 1•i^l | Drilled Welcht (Feel) (Feet) PERFORATIONS . 1^ ^ ^ B | Hole or C~ln« — — — •——— -——.————_——.——— I •_ ^ ^ B , Kind From To ! 1

^ M 8"I .D. 6-?i/3»0D jjround 135 _ 1 . Sl" (Feet> lFM<) ; I

^ M | l/ i !»3lQ3- :-eV<rl n o n 5 n o n s " o n e ^ - ^ ^ - ! " = • • ' I

^ H , | [wa l l " | j - j -j •;• , I^ H ^ ^ B ' ' • ' •-" — -• ••'• __,_»._4_»_-._-.4_.__._-.-_,—.——.——_—.—.———.———i ' 1

I i, , ————EEzEEEEEz i^ ^ ^ H t Z.0C<lX/o41 I I i I Static water level ..3.1.3 ft.* i J^ ^ H I j ^ j I Pumping water level ...J.' g ft.* j I^ H !»)__*_/« •i 1 a t " ' ' ^ gallons" per minute, ~ ] jJ^H 1 j«i»»»«y«i ; I measured XQ.minutes after pumping j J

VI i fou ' l% ______ J L_ E besan- —- -'•— i 1

^ ^ ^ H • I ! "Measured from ground level. 1•B ; I I ! Well developed bv^.v..i.l..tgJ.t-.?J li ~ " F) t ^ - t f~vri ~ ~ ! j^ ^ H j 1 . j J for 4. hours. "_ J - I^ ^ H : j \ ! I Powerii:^ Pump^./,i. HP j jJHB ; y . .| I Remarks: ^Gravel packing,' cementing, \ |^ ^ ^ B I ** packers, type of shutoff) ! IH • 1 Tract 12, s xOs. .0 « , j i^ H i JociCo..Rgjtg.h.g.fat-A.|||15i| J ^&&e&M.....7-.,<4U)£. /.J..... i• • : T (N)R ."^r^T E •-, :-c -t-r-A - / : '^^m I 16 j 19 3/> i...:.,S^&^MMv:..^AKX.x T ;^ H i INDICATE LOCATION OF WELL AND PLACTOF USE, IF POSSIBLE. ! ,^ H ! EACH SMALL SQUARE REPRESENTS 40 ACRES. I !;

I ^ H i .,, • / . _ . . * . . , . . i '^^m I Driller's Signature •Jr±-^k^^^J.^......^.:...^::^.^<<^.Z^i. ; '• j

^^m Driller's Addressl5.^..^¥5^Vi.^v...»r.jVJf-_;V-*ny--j-:"«!i/a_V--- ' ' ' \ I

H | ^ ; LICENSE NOJ.3J 155 f t . Sh0W eXaCt d e p t h ° f b ° " O r n j

: H ' . _'_ _ ;...; .,.,...,. _ „ ., #?..-?/s ;J• M B L - — • - - • - • • • • • • - • ' • • • • • - • • • • • - • • • - • ' • • • - - ^ : . : ± - - • • • • • • • • -

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B .,,. sfeiTJSSS1- < WWsauRCEsBOWD T . ^ T S S " ill I• 1 5 STATE OF MONTANA,"R E.CSE II V E D DRILLER LOG t « d •

P I ^ H ADMINISTRATOR;OF GROUNDWATER CODE , Ind ica te ,he eharadwjyeolor,, thick- - » » M>; : B H ' MONTANA WATER RESOURCES BOARDc^p {| 1 9 / 1 ness of strata such as,soll,'clay,'saiicl,'*fflf fl

• 1 NOT I« « COMPLETION OF GROUNDWATER' ^^L^S^tLt^Wi' I&J» . APPROPRIATION BY MEANS OF WELL - £ & t ^ « n ^ j 2 m Ip ';_LB^H'' Developed after January 1, 1962 SSfi' ' •

& < ^ ^ ^ H ' (Under Chapter 237 Montana Session laws, 1961, as amended) Top of Ground QEICT »bove m level) ffiHBJ fl

s <:flfl^B . This form to be prepared by driller, and three copies to be filed *"»•>• ,J°, , iHasi, .flBH': , by the owner with the County Clerk and Recorder in the county in " ' ' ' . 222}!' :B^^B - which the well is located, last copy to be retained by driller. fi* *-a)?' ttfynf •Bnn'fl"tvni? ••wm»' ;fl^^(: -: Please answer all questions. If not applicable, so state, otherwise the JTfTTl' tiTI, *ftlt' *f j f^;. y' ^^B' ? form may be returned^ f f f " f ^TtT'^WTff J $8$i\

1 '(BBflT ; i « • • ••' ••• • • • -- - • . „ ; , " ° * S S ! S: : ^ H li Ow,Per»<»«ad-ajBfi-«CglHJpl7r Administrator's Use I " ^

• ! Ad|ess,..B«.W................ -Vg^ffsfe — 4--— -g|^ H ^ ..... a .-Montnaa - & ? ^ ^ - --*• 3H H ; Date well started ••Aag«0^-2'7-r—IS W 1 " ~ ' %ig|

^ ^ H J, completed ..Aanaafe 29-T 186» 1 : " ^ ^

^ ^ ^ B * *»•****» a5Jiiio5vM"bo«d"ordrSe5 '£<"" . 2M ;

^^^Bl i Equipment used ....Ghuarft-BE&li - Klif^^^•j .'i '•"•,•.••.'• * * • • « • • • •» — (Chum drfU, rotary or oilier), . . ^ S

^ HJ : Water Use: Domestic Municipal • Stock • Irrigation • " -^^f, •

^•^B ; •,-'•; Industrial Q Drainage • Other • * Garden/Lawn • ^ ^ - I

^B^B USE: If used for irrigation, industrial, drainage or other. Explain, T _ WB , I•H^B ;. state number of acres and location or other data (i.e. Lot, Block " | •

: ^ ^ B ••'' ESTJAAATED ANNUAL WITHDRAWAL S

, ^ 1 !feS ^"S? 8 S <&0 PERFORATIONS » ,ff^^^^H -Hole of Casing — _ — — . — — — — — — rtjm^ ^ ^ H ;::,;. • Kind From To # B S |

• • f f ^ K SUe (F«t) - (Fed) ftST*

j^B , 6" 6 5/8"Kl ~ ~ __2 | p '^ H '•• -'-:• K .250 0' 136' Cttttiiur ; ~~ BB^Bl : . . . :, • • torch 130" -1351 -— — . | | |BJBjB Mayj_H7Q IA2« lafi* i/ii» \ isis'

^ H rl^ara^ «" 14^ 136 14X IE » ;^ B J B ; *? ,_. L • 0$-'<B^BJ r j 1 i 1 Static water level V-". _„ .ft.* . | | | , -BBBJ '•' ! I Pumping water level ....M:*^... ..ft.* ; W$itBJBB . . . .—J— ^ at IS gallons per'minute, «S|;jB^BJ ! j measured minutes after'pumping I ?HMt'^B^B ''; '; began. . I . . ;|lj|'i•J^H w ~ | i E *Measured from ground level. . V|!'f£S ' ,B ^ H I I Well developed by .fegti-lijig-ai*LJtaii-wnping f%iB _ B B 1 J for 4. hours. ] '$g§[•^•J ! ! Power Pump. .J HP _ _ _ I _ J , *$ -^B^Bj I j Remarks: (Gravel packing, cementing, I T iSS!';-'-

• ^ ^ 7 Xoeto/^Mjfc^^^ ~M• • - 'A „ _ / * Sec 9 • - L : ^|:: ]m ^~.ifc~!«.«...-...<: ===z : — L 4 - T ==:m:. |V^B VINDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE — — - r ~ - — ™ — - ;-0- •^BB • EACH SMALL SQUARE REPRESENTS 40 ACRES. — T : —~ ?$&:•H " # • • ?:' ,. % "•-{ ~ ~ — — PS::B_B1 Driller's Signature ..^!J5eefe--Co»tacacti_g--Co_pMM! • " ; :—-^.fsU:

• • ••• ^ -. W^Lm^ ' --.- — —— sp?;^•B Driller's Address 2804 -Harvard AVO, -• H Tx% |j|r?

' '^mm •') -^ , ' ^ v ^ ^ Show exact depth of bottom $ $ H ;

• , • - . . • • • • - • - " - • ; ^ ^ ^ : | | : : :

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: - e ^ . . . - * • • • • • ' • • -: • • • • • ' • • • • • ' • " • • • • • • • • - • : • • • • " ' ' ' • • " " - , . . . . . . . . .^•y-™? v

:$%&?J:^'~r-::. - . • • • • • • • ••" " : > V ' : ' S * - fl

IP l S - ^ f • •• -- >v ..JMK7 * .9 •".-,.• ••! - Il ; p i#^ :^ : : ; ; : : . - . > . - 5 -H fe '• • •• ! i * . . > ----- ••-•: •--:••.:—---V-: . , A ->a.. H V ; v f .! •

I m%M:rm*> &.'?'. '• •-•-.• : i f f * •! - - ; - •• •-: • • • • • ; • - •• ' ? ^ • ^ i - - : . 1

[||"||§;,i |L: :-i'-f J !• ;- ••;•• :•• \K'\% - £ ^ | | i :* I

p ^ i ^ v ^ V - H ' " :r'"" • ' . : I... :.... i : ./..'-; •"•' '•. ^;'raE|wBLic^ • ! 1

• • ^ i ^ S W B ^ ' , * . -y 'vr l ' . p . " •:;" l ^ - i ^ . : sx t tE OEI'MDHXAHAX- -•,' J 1i p P # i f ^ - ; ; ^ ' .:.•.....r/..^:.:;^is - ^ :'L: : zcoprc^iiKE^*8,.! Ip ^ ? t ' ••;;;••;. ;:;'•• X tv ' . :; ;> :•; • Tiled on the 7th d«yi IB : of Sept. A.D. 1971 IB ] S i r r : n " - r r i ! : . ; V i ' ; • ; • ; ;• •;•; ; : . ; . ;' ; .••; ,*••• \ « t 8 : 4 5 o ' c l o c k A . M . - I

p . ^ i i ; : | . . . . / . . ; . . ] . . . ! : . . ! . ; _ ) . . ; . I.:..;.;. : . i . ....:. ;•: :••..•. : i f . ' E T H E L M . H A R D I N G I| f f.:{ 1 1 r ; ; .'•': ; : ;. • • • : ' : • : r : ; ; ' : •. : :'••: -.'•,'•. • 9 0 « B f c y c i e i * ! & K « c o r d I

m \ - M -i •'•!•' : i ;;.; : : : • • ' : : ; ' • ': ; S K • '• d e p u t y ; ? - ;

L_

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• •* I^ ^ ^ ^ ^ H rr*-- • • •- '-• . - - . - • - * * . . '...- .TC-sexsataraKi i t tz-vJ.- t .v.-- .*1" . ; . . * ' . . . O ^ ^ |

• - — - — - : • - -— .;:-.• -', uti-H&y^a'X I^ B ; ^ y ^ 2 R e V " C l " " 9 , , ( r - , , __„ C o u n t y . . ^ ^ ^ ^ I •^ ^ B I. . . STATE OF MONTANA " ~- •••• ' -•' ~'L / f ^ [ ' t } '™ DRILLER'S LOG H

_ _ H NOTICE OF COMPLETION OF GROUNDWATER - ' t J gravel, shale sandstone, etc. Show , H

H : APPROPR.M.GN BY MEANS OF WELL ffi.t ^ S !_X2 - IflJHJ Developed after January 1, 1962 I H^Hj ! (Under Chapter 237 Montana Session taws, 1961, as amended) Top of Ground mWy. nbove . „ lwcB ' i •

_ _ _ B This form to be prepared by driller, and three copies to be filed From TO '• flj, ^ H by the owner with. the County Clerk and Recorder in the county in (Fw" (F«O, ^ M

• _ _ • : which the well Is located, last copy to be retained by driller. }_ fl]HH_§ i Please answer all questions. If not applicable, so state, otherwise the W ~HJ • tdp~gf» l i _ ISflflJ ; form may be returned^ i ^Mfl^H • f ~rSSf':^SSTe"erSrSi~'S"»S3B ' flJ^H Owner V««»««y» K*J»ieih , . " VZZ j. •^ ^ B i For Administrator's Use " 2& iJP\ ttxtSwX t gaefc •

• H Date well started .J**X_.?.f...M?.?.... GW 1 _ _ _ . . _ _ . _ _ _ _ _ . _ ^______i^i;; I^^•H • •: 96' -3LOO' faflhv« is. wifi*«i»»1 •• •

^HH p e e 1 1 ~leii*""X5SV"yS5?i»*""~ - .T I•fl Type of well M M _ ---X-- ^ — --±Mi •^ ^ ^ ^ B ' (Dos, driven, bored or drilled) " 1 2 t j U p * arWWWt-T. WKKTO «w»l»«w •'i • ^ 1

^ H Equipment used _ f * " j * l M M ™_J _ _ £- L •^ ^ ^ ^ P (Chum drill, rotary or olher) _ _ _ ^ ^ _ _ '•' • • ' "-' •• | H

^ ^ ^ | Water Use: Domestic Q Municipal Q ' Stock n Irrigation • • ^ " " I " I

^ ^ H '• Industrial Q Drainage Q Other • * Garden/Lawn Q "" ~ — - — T ~ > ~ Bj

^ ^ ^ H *Describe — -—-~ H

^ ^ ^ H USE: If used for irrigation, industrial, drainage or other. Explain, 1 ' ' ; I•^H state number of acres and location or other data (i.e. Lot, Block . ' B

A^H and Addition) . • ••'•'• - r I• • I Ci±Z" . ••••; I^ ^ H ESTIMATED ANNUAL WITHDRAWAL ...3^.Js^Q5'...^p£... •'•:'.-.'; I

^ ^ B Mlled SWdJStd UBS, ^ PERFORATIONS . , . I• B B V B I Hoto of Casing ——— • " — - ..—•••••^^••.—••.^••••t-M—ii—-•••••• » « ^ ™ — » - . - an•^•1 Kind From To 1 . . •

* H 6- <; s/8"o.i *• 143" cuitiBu (FM" <B"0 H I 1 ;•. I^^m 17.02^ fcorob »«»«.'—»—— . fl

H N ,« ~T j '.'.• • • r" j I • I Static water level ?-2«-» •ft>* CH J H J j ! Pumping.water level ........ .ft.* IHHB j . ..^ at .gallons per minute, |TH^H^ 1 I measured minutes after pumping.___ _ _ _ _ L _ _ _ _ _fl^fl ! I ! began. " I _L_I 1• H H i I | *Measured from ground level.^ . , _ _ _ _ _ _ _ _ _ *• • • ! ! WelL developed by •••5g?^...^H*'a I_I__I____ZIZ___I_B f l B < .1. for „ hours.H B ] I Power Pump HP ,fl^Hj ^ | ! Remarks: (Gravel packing, cementing, : I^H^H ———————————————— packers, type of shutoff) ________________________^___ •' : ' I

_ ^ H -S&....>U-7&J..VA Sec...? - '•- I• _ • 1....J.6. <_3>R.. .13..... E I• • • -Te.B n s (5) I ;: 1• • I "-^^IN^icTCffl^fATION OF WELL AND PLACE OF USE, IF POSSIBLE. , I•f lJI EACH SMALL SQUARE REPRESENTS 40 ACRES. . I_ _ • „.„ , „ O'K©e£e Drilling ca^any . I• • • Driller's Signature °.Z^f._ _ H ^. , , . A J J 2804 Hacvarel &ve. . ]. •• • • Driller's Address ' ' :—• • • Sl i t te, Montana LICENSE NO ^ Show exact depth of bottom ;

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. .. . ^ ;

i : . I I 1 • •.« 1 l . | •• '-. 'IffVtp • •, \\. . _.r\i!;l } I ! \ \ I I y ; ? ' •:

H i \ l I M I M III , ^ >•[ I ItV i* |»\6M--l i l l :H Hi - I l i l S ! I11 .:>. -^

I I 111 I t i l l i n t f . ^ ^ 2 u ^ •;I I I p- i a a i « l— 1 .

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^^^^^^^^^^^^^^^^^^^^^H^HH_^^HH||P^ County. .<£dO^-^. - *; ' -^ H ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ H ^ ^ H M B p p i P ^ ^ r - >r, rj ' "D

DRIIUR'S too ' •• i_ H _ ^ ^ ^ ^ ^ H ^ ^ ^ ^ ^ ^ H ^ _ _ ^ ^ ^ _ H 5 P n ° W A T | E * CODE - ,ndtcate the charocter, co|or) 1hick- < £J^H^^H^^^^H^H^^HHH^^^W»SOURCES_BOARD ^ ness of sirata such as soil, clay, sand, •

_ _ _ ^ _ _ _ _ _ _ _ _ _ _ _ ^ _ ^ _ _ ^ _ _ ^ § O T « r 2 3 7 MontM* S«Mlon Laws, 1961, at aimndotl) Top of Ground pin «i»™.»i«ei) »

_ ^ ^ ^ ^ ^ ^ ^ ^ _ ^ _ _ ^ H ^ ^ ^ B _ I r o r m » t o be prepared by driller, and three copies to be filed gjy TO H' ^ ^ ^ B | ^ ^ H ^ ^ H | ^ H H H B p j t h e ' o w n e r with the County Clerk and Recoider in the county in ' w w w • 5

^ ^ ^ H H ^ I H H I H M ^ P * w n 1 c h the well Is located, lest copy to be retained by driller. _3_t _^HB^Hffij | |pP!WvrF' Please answer all questions. If not applicable, so state, otherwise the 5! * * • toP i w f t i" _ _ _ K ^Fv&<>r~ - " [<• form may be returned. • . • )

r fl^H ' [ VCSMV. KattMth I ' '•• • •U ^ ^ B ' I Owner _ S. For Administrator's Use "gST CF"aKSSTT'x^Si '"" " r"*"j '

f H ; Address ______________ „_ . . . ^ ^ ^ -Jili-i^c-^T-^r M 1

. H !, •--.-• ?®*JBJ*& -Ttt^nanhsssr " j j____ j : Ir Date well started ..**JL*»...*•!?.?.... GW 1 --sr4—.-7.7: r - - - r - " - : - - - - - _ r , ']^ ^ ^ ^ ^B ^ 1 h ^gfj 1 ^^__H _L__Bfl______L^Jal^Lii^L^LQ______B_________J'l

^HB • i (&i!"dri«i"bored"or drtUed) \2a' 1 * »* y r — f i l «-»»ilr» —_•>«-• ,

" _ _ _ • ;!, Equipment used ..._***?...$**?:?••. \- 'H H ^ H ' J 1 . (Churn drill, roury or other) 1 r—^^———— i<> \

^ | H ;, Water Use: Domestic 3 Municipal • ' Stock • Irrigation D '."?~i

^ ^ B "I I ' Industrial n Drainage D Other D* Garden/Lawn O ; —^

HH' i l . "Describe — . — — — . — — — — — — — » — — — . — • • J• H H H I' USE:.If used for irrigation, industrial, drainage or other. Explain, ~~~~~ .!,flH^H if state number of acres and location or other data (i.e. Lot, Block : ~ ~" . -|1 _ ^ B | | and Addition) - j - — '''•'''''

^ ^ B j | ^KTIMATED ANNUAL WITHDR^A^ . . . . . . ^ . ' ^ ^<^g^<g^^? . ^ ! . . j

• _ _ H i | SSlSl S«iS£? S3) (/—) PERFORATIONS : ; |i " ' • _ _ • i I", Klxl From To ____—.——_—._—_—_——————————————- •'•'••

^M ; ; «- ii 5 / i -«J (>• 140• Ctt«£i4 (F"° <FM<) '•••:{•^H i , • i 7 . 0 J > t o r c h ncMM" — j

H^H •! " .,, 1 i^ ^ H ; | j j 1 j j Static water level r^e* ft.* T i

; ' ^ ^ H I !, ! Pumping-water level ....„.:. -ft.* 1 .}V _ | ^ _ , l | -; --• at gallons per minute, J_ •

• j ^ ^ ^ ^ ; j ; | measured minutes after pumping I ;: : <fl^B ; I ! began. [_ .': 5 ^ ^ ^ B : w • I * 'Measured from ground level.. , . "__ I _ , ... ;

- ' ^ H | i - WRli developed bv ••.•*g»*..g***Ta ! T "1 ;^ ^ ^ B ;|! ' ] ._! for* hours. •.

: H l I | j ! Power Pump HP_ ^ ^ B ; i „- i '; Remarks: (Gravel packing, cementing, • :•^^B IS "* ' ' ' packers, type of shutoff) ; ••*.'.;

^ H t S^....%-3_^.1A Sec...? - ^^ H f T J<L (S)R. J.9..... E . ;

^ B ;!"S& o s ($t) _ . ;

^ H iu>KU*'iMD'lc7^rri?^TION OF WELL AND PLACE OF USE, IF POSSIBLE. i^ H 1 EACH ^ M A U SQUARE REPRESENTS 40 ACRES. •

_ _ H „ . «., 0***n«e Drilling cowpaay•^B. : Driller's Signature .:. ZZZ.t — —I B V :; '' '• r.... . A J J *•<>* HattTOna AV«. I I •^ ^ H ! Drillers Address —• ' ~ :m ; , B u t t c ' M0fttM»« LICENSE NO ® * 4 Show exact depth o f bottom ' "

H i V^j^^ 1

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. > ^ ^ B • • • • : . • • • • . • • : • • • , ' , Jf ~ r !

• i H ; j , , ; ; . ^ R E C E I V E © M>ti'-ik\*> ''Hi1 : '^ ^ ^ B • ^ . ) ' c W 2 Revised 1969 County Il i iSS ."fcc •(£'•B'' > •••' . r . l .M.u.H.M.eo, .™™ ' - r f i 1 « 1 O ? > < « * ' ' ' #^ • ' •" STATE OF MONTANA " W DRIIUR'S LOO ' $ .

^m i :: ADMINISTRATOR OF GROUNDWATERCQDE-,^. , , n d f c a t e t h e e h a r a c t e r color/,thick-, *<

^ M " * MONTANA WATER RESOURCES BOARD ^ . . n ^ , . ^ ^ ^ ^ ^ ^ , ^ o f s t r a t a . s u c h a s ^ i / d a y , sffd,' f *

^ B ? NOTICE OF COMPLETION OF GROUNDWATER " ' " ' ' t rawl , shale, sandstoi^ etc^Show $

• I APPROPRIATION BY MEANS 07 WELL Z&W& S_ S-Jtttf 1M^f : Developed after January 1, 1962 1^ ^ H j (Under Chapter 237 Mont«n» Sewlon Uw», 1961, a» amended) Top of Ground (Eiw above M icvcp t

^ ^ ^ H ') • This form to be prepared by driller, and three copies to be filed vnm TO ''i^^^m • by the owner with the County Clerk and Recorder In the county in < F M ° <F* t0 Jf^^H[. i which the well Is located, last copy to be retained by driller. _ Q _ 3^ ^ov> „„<-, »

; ^ ^ ^ B ' • Please answer all questions. If not applicable, so stnte, otherwise the 1 fig; T.^T-^B. firnyfti *| ^ H ' ! form may be returneii fig_ 7 0 RCftffla_an-2L 1^ ^ H i • 7O T ip ' "Sr-^vol j

H ! Owner ...BarL..At0M^. I For Administrator's uSH ^ Q . '-&& --&&&-&-&&* 1

^ ^ 1 i Address ...Arl.Qo...J.cin!.;a...So.a.4. Tx\^rJ3SL....3O.£^S3i.. - - • • •

^ H : •'. U49yl92S>....t/JMa*ir H I I Z T I ;J ^ H • Date 'well started _Aaa_5.JL9.Z£ GW 1 •;.'—-„

SH completed ..^Bk.B...19.22 :..V...;.-..._ ; ^ -I

^ H Type of well .X^.leA&, . i . - — j^^•H (Dug, driven, bored o^r i l l ed j? ; ^ • • - i

J^^H ^hura^ljroury or other) ^ '

^ ^ ^ P Water Use: Domestic jX] Municipal Q Stock D Irrigation • ;:—' '' ;

^ ^ H Industrial • Drainage Q Other D* Garden/LaWn Q • \

^ ^ B *Describe ']

^ ^ H USE: If used for irrigation, industrial, drainage or other. Explain, T ~~<^ ^ • 1 i state number of acres and location or other data (i.e. Lot, Block j

^ ^ H • and Addition) _ :

^ ^ B ESTIAAATED ANNUAL WITHDRAWAL ; _. •

^ H Drtiltd ^JlSt" 5KS & PERFORATIONS j^ | l l l l j Hole of CaUBg . —•«—-— , H M - ~ > H ••^^^M Kind From To^ ^ ^ H She (Feet) (Feet)

^ ^ H 6 6. 17;? e 126 ... ~ , , , I . i

• r - EEEEEEEEEE ;

^ ^ H I I I j I Static water level I.l.9....ft.* :^ ^ H | ! i\ Pumping water level A.23.ft.* :a ^ ^ H J i at .;...i5gallons per minute,^ ^ ^ B ! I measured ..feQ.minutes after pumping^ H ^ H ; i began. _____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

^ ^ ^ M w I I E *AAeasured from ground level. _ (

^ ^ H ! 1 Well developed by P.?y.l | ~ [fl^^H j ! for :.i hours. _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _^ ^ ^ B ! j Power..S.".\il.GS"-- Pump AC HPfl^^H i • Remarks: (Gravel packing, cementing, _____ _ _ _ , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _^ ^ ^ | packers, type of shutoff)_ ^ H <9- I . ...mM t kbLK tl£jk s*Jk^ H T.....1.L ®R Li...... E - T > .

^M T c§) r Lfi. . ' :.;^^m INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. —^ H EACH SAAALL SQUARE REPRESENTS 40 ACRES. : — .

^ H Driller's Signature ..UMA<^...J&yjM^. — — — _ _ j ,

^ ^ B Driller's Address it... Ar_-o<j...-.iioat ' ' • — '•—• i :,|

^ ^ H LICENSE N O „ „ • ' Show exact depth of bottom

_^_^_^_H- '*_«!« .

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•itliv... i,;^f§^^ •; I• I Wm^. • ^ ^ p ^ M I ^ ' ••! I

• ^ • i - ^ K - . V v : ••.;•.•,.:•• i ; W ; ^ U S ^ j l J y ^ ; ; f o r j r r i g a f J O T ; ! \ l ^ . ~ T ^~ ~^~~;-.-, .-,.-•• .^ .s s^i$l , - . ;^?af iS. jJ | -Sf i ] • • • • ' I^ H H f ;.^:v;-::y ; ;>%•• • . . . . ^;::;;; : ,^-Nstate;.number^aCTm^}|peaHonVoi':other:data:^ : ~--r- r"-- ""T™~?^r^^5g^T; .$$£: I^^R^fe"?-' " " • -1|K":.,.-:- '-. J iV\v'i^«^Vj«^&tfii^^?-^=iUl^^^' "Jlj _'_ - L_ •..." " ' ' - ^ i : '-"' •-'•l:-i"v ti:":'^ •^y.y<^-V°:^\<&.^&!!& j j | V I

^ ^ B ! 4 ' ; > ^ : : :•: ••";• : . • • • ^ ? ^ ^ ^ ^ : ^ ^ S ; ^ \ ^ f S ^ : ^ - S ^ A .-•• '••••• ••••-••••.,•: ' :-•'• • : • : • - • - ^ ^ - ^ i ^ • ; -^ : . ^ ^ ^ ^ ^ a s a a a s * g M • : .

^^BKf'r^i'-'!?1"/''"' • • .'"-'ty, ' .!"."" "" I . 'T",*~"' "IT . ' " i ! *""'!•'' ' " ' " "' "' j':vTf-.*.' r-:i;--'-5*f ivau^i' ' : '"- . - ' '?a^ ; ; 'H5a'ia t 'yWH7as Sfe;>^ ^ • | : X ; ' S J £ i ^ \ V . • ••••••••.• ^ ; * : i : h . v ^ S ^ M ' S « 5 S ^ ^ f e j » ^ '-iS&y- '•:'-" /^imBtatitu^--'-i.y''A:: KW?: s:vv.v.»-" 'N ' i a^^ f fgS;^ ; '—-^^ f iSS^ I K S • •^ ^ • j j " $ & " ; • <;. -• / ^ ; ' ' : : ; : ^ > ; " v * - ; - : . ^ p f ^ r ' w : ; : ; " :-r •:-':• . : " • — T S I " — . B 6 . ' • ,- -t,,".":.~.--:^: ^ ; " * ^ i ~ " • : - . ^ A - - ; ; : ? ^ 5 ^ ; 3 s t g#v -..^ ^ K . ; . i r ; ; : / ; ; ; • ; & ' : ^ : - - ^ . • : i . ; ^ : ' P : ; . ? ; ' ' - : : : " r v > - ; : v : : ' : • • ; •'•••• ••••••• ***'" "•«> ;• t ^ * ; ; •;- : ~ ~ ^ rr"~r^r •• « f s « & ? : « ^ ^ s ? g ^ • ;

^^K. !? !^ 'v^ •;• . ••"^vv :>:^x;;Si^7#.^ ; .' '.'. ; . , . - — " ~ ~ ' - " ^ - •;• ; ^^ : ; ; ^ f f ! ; " I f f . :

^ ^ K :-$ ;>v r ; ' • " '•" I--'.--: • • ' • l v - . • • • : ' : . ' • : • • • | ' : - v i : - ' - . ' - r - : Static water level _ . . . . . . . _ . ^ l l 9 , . . f t . « " ~ ~ " ^ " ~ r " " " " ' • " " " " " " " — - 7 . .'^ ^ ^ B l ;;-.'::.' •• - . . I \ y '••",'.: 'j''.': M' Pumping water level .'..Jt23.ft.* ,_v _,_ i. ,l__i__ ____^.^.^._^._ ••• '": :.^ ^ ^ B , • V ; - L . . . - . ; . . . • . . f •..••,- ;• .. ——- \——- • ( — — . ' . a t : . . . ; . . . . _ . . . . . 1 5 g a l i o n s p e r m i n u t e , _ ; • ' •• . r ' " - ^ '•' •'•"' ' : - • • ' " • • :

^ ^ ^ • ; '.:,)'.• f • •!'• -••• ! measured ...oQ.nnlriotes af ter pumping • _ _ . _ '<^ B •'-•• : I . : . • ' , , : • • . : . i : , : u . , . ; v • - " • • : . ^ b e g » n / • . • / • • • . ; : • ; ; . . - ^ ^ - ^ - ' — — - . . . • - - - . • , -

. ^ • ^ • j ''.•. I ; ^ > - j . , , . . ' . ,,; ;«. *AAeasured from ground level. 2 _ i _ _- . ' •__'••_____._ .± i . - - - . i !^ • ^ • • 1 .' ; , I ! I Well developed by ..._$£!&1. . "*~" j~ "*""~~ ~ . . "•::•••; :•:"'' i 1^ ^ • j 'v;-j;.'/ . 8... ...—L ,. j .. . for— -2.....hours. . , ZZZ-XHZ— . .______;• ^ • • / • . ; • • • ? ; • . • • ; • . : . : f 1 •,. ; .•• | '•• • . ; ••' t t o w e r ^ B a i l a * - P u m p . — . . J L . . - H? ' V • •' • • • - - • : •• -. ;.--• ••....• ,

• ^ ^ H i •,:•;''• ;i]"' •..'. • ! • . • • • '• ' ••' i • • : I • ••• R e m a r k s : (Gravel p a c k i n g , c e m e n t i n g , _ _ ^ _ ^ 'j,^_,.^._____^i^.^_2———L-.- i^ ^ ^ • < •'.?.V,:i-•.••.• •''• « • . • • : ' . ' • " ' ~ ^ — • . • . - . . . . . • • • • • p a c k e r s , t y p e o f s h u t o f f l . . . . . . • • • • • • . . „ . . . ~ " " • , * * ' - • : • • ' . . : . ' " • • • • ' • ' • " ' : • ;

• • t . ^ . : - " . •• . I •••,•• •Q.: . , I ' - : . ..— _.. ^ - - ^ r — r - . , , , . . . - : : . ^ . . : . . ^ . . r : , . . , - . . ^ , . r i ... . . ,• ^ • R s « ; - ? ; . . : . . :. l'"£-/"-i!«L%_i4 a..?'.V4 Sec....!.!?..™ -•••.. : ^......-.......:."v:^":" f 7 7 ' '~""T**T"*- ' " ^ ^ ^ " * o ^ n ~ ~ . , -'U'''L

| H K ;9J^'r"^:'•••'.• |v:;;!;";-- £ 3 1 : . ; L I © R . _ : U I X Z ! " E -g_g....................._......—........™.^ :^_-_ v;^;. . ^ i Z i ^ ^ i 3 i s ^ ^ i ! § | '•!

f ^ H •i#«=;v':.1 v .•••-•' I ^ AINDIOVTEUJJ^ION; Of WEa AND! PLACE OF USE; IF .POSSIBLE.-; .••••'• ™~ 5T~-£ ^ r : r ~ r ^ - ~ ~ ~ ^ ~ j p *

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(PPP;!^II!II:!!!If.i!!i!!!!Mm\ii JtiiTiMIt i S l i l i l

l i l l l t l l i i r ! i i i ! i i i \ i l l i j ' t i ^ W t ! i l l i f i i I f f l R I I ! l l * * i |iSp^ teM^-S I !.i !• •: H .i ! i ; i. r; i j i ;^?^^i ; : ; : :, ;;\ {}&[•)& u,\l. mm^V •• 4 ^ # p i ! 4 - # ^ ^ - - i - - - - H r - i - i - i ; - H 4 4 - f : - : -•::•:• !••;.,- I - J - I - I ;•; 4 - ^ - : ^ F ; ' f ^ I - - H : - • ^ t f ^ - . " ^ w •• | . I | | 3 ^ ; r ; t y ^ ^ i ^ o , 4 , ' ..i .:•.,...: . . : . . ' : . . . ' :..!..; ; . ; . . : •: coun ty of L d k e - ' h s s . y :.^ .' ' • : < : ' . + '. . . . . . . i : ; : : . . < : - ./.•:, •;:.;;;; ;/;;*:; S |

•? i:^fer--"w.:- .v' .v^::?.'; i , •.:.'.1-•:: • V S •'; v "•. • A/D. i9^_at/jLL^j)idockii=«M : .-•••-•"-T ^ .. g. • •• /r<:-::y.-y.:~\y;v^--: ^ H

ilPlI^^.?1:' ., • • •.- : ••-.. P^^HAftaiMG •; V V j • '• j • J ; : v ^ f : . • V N : . ; . - - ; 1 ? ^ . ^ •^ B v '•^fe^S"--fcsJJ.;frw.1 •-•"" ': ' '':' :'••'' : .'.. • ' r . U G o u n t y C l e t k a t « l Recorder /" ."•'•• ;';••' !;• ;. c * 9 .' v,v . ' : ". • J^H

• ;«MyM^y!:;. • • - • • * • ::, ••• •. :. : . : ? ^ ! i r 1 ,r::- , :, S : S # - • • . . / •l:imt;- i;;' •., ••...•• •• • :•> :• ••-• H ' i f i . . ••: M : , : - M ^ I : : S S

i B t i . ' ::"•, ;• s r....:. ? "M^ill...I»-; ;..-;., =: ;• :: : - •• • , •• • •: r ' : ^ : l i z $ m * . • I

| l l Z t . . . , L . J ; ; • o : ! ' ;;• J •'• •;• •; : . : j ' Wk'l; '^ i l ^ 1

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afc&X* — "" .^ £> € E1 V „ D cdunty___3_U r»_l^L,STATE OF M O N T A N A i i c r . ' 0 1 0 7 9 DRIUER'S LOG -

NOTICE Op COMPLETION O F GROUNDWAtlR' l ? C r ' ? A i ' n COMSERVgrRXf'. s h a l e ' sandstone, etc Show

APPROPRIATION BY MEANS OF WELL • * * J ;h£ SE l ^ MDeveloped after January 1, 1962

(Under Chapter 237 Montana Session Uws, 1961, as amended) Top of Ground (ECT. above««level)

This form to be prepared by driller, and three copies to be filed i*om TOby the owner with the County Clerk and Recorder in the county in ("*° (*~> - !which the well is located, last copy to be retained by driller. __?_. __._ _=___ih£2___? 'Please answer all questions. If not applicable, so state, otherwise the 'form mer/ybe^turned. £_ Jf?_ y*M***J(% Ct«-v *_o~_j_U

Owner M i ^ J ^ E i k j I F „ , , . . • . . „ 1 - £_- £?_. L-^__^__-___^____-;\ y For Administrator s Use i/f<*[**-*,£.> jj jH.'—~*->' ' •

j Add««:__£____vgs__^^ £3-- - - - ikfc^-gj-S*- _-__-~-. I! J2L^Jl>£lLt ®e*JJm..3;4Sj>*>, —\ : |i •} \ si- 7 1 I

Date well started .Z.J?....SLL±.^.13<& GW1 %

comnKtpH T1 ' J<'-•'-'• - O • J•?<{) 7

TA/no f\f \ A / O I I 'r.-***^!». ^,-v " ' ""-*1 ^^^^^^B H^^^^to. . . . . , . , , .— •y r^ *^i w \ ^ 1 v ""••"•••••••••"••*••• '••••"•••"••••*»••••"••••••*•••••••••••»»•••»»*»•«»»«»«««»w»^«»»»«»—»»»^ ^^^^^^^^^1 ^ ^ ^ ^ ^ ^ ^ ^ ^ ^^^ ^ ^ H ^ ^ ^ ^ ^ ^ ^^^ NM ^*^^H*^^^^^^^^^^^w ^^ ^^ ^^ ^ ^ ^ ^ ^ H ^^ ^^

(Dm, driven, bored or drilled) _ _ ^ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Equipment used :v../..^:vir:.YJfe:...A.;::^::::.i:i ':

(Chum drill, rotary or other) •

Water Use: Domestic 0 Municipal • Stock D Irrigation D . : ':

Industrial • Drainage • Other D * Garden/Lawn • :-

; *Describe —-USE: If used for irrigation, industrial, drainage or other. Explain, I

state number of acres and location or other data (i.e. Lot, Block

and Addition) :'(/?$..

ESTIMATED ANNUAL WITHDRAWAL .._l";.&...!V.^..^L..:.:..i./r..j!..:....

Drilled SWdJ£|d fl£5 ( lK() PERFORATIONSHOW Of VASlQS —*-—> -————>«>—»« —-———«—_—_k _ — -—————_—___*M*—_k-_> ^ •—*"—• —I !——•——»»—• M H I H I H H ^ H I 1 M P « — 4 — 4 « H R B H f l — « — « — • •

- _ ^

i j j Static water level ...i..:L...:.". .ft.*I I Pumping water level ..S.J.. .ft.*j 1 at ...L.... gallons per minute,I I measured iJl.'lAminutes after pumping _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

w ' 1 ' E began>

I ! *Measured from ground level. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 'I j Well developed by ...4i.r.:::i:-..irr. " ~_ I '.j I for ....££. hours. . _ _ _ _ _ . _ _ _ .i [ Power Pump HP! * j Remarks: (Gravel packing, cementing, _ _ _ _ _ _ , _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

, ~ packers, type of shutoff) _ _ _ _ _ _ _ J _ _ _ _ _ _ _ _ _ _ _

/fccru. £<%* £k.v* sec.../£i... " Z I I Z Z Z I Z I Z Z Z l — r, [7 :^_J® tft^£-r '.E KfJL

INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE.EACH SMALL [SQUARE REPRESENTS 40 ACRES.

Driller's Signature ~&.S^.^^..^M.^z:.J.j:.:^zd::!^::^Z^ : —: •

Driller's Address hL'.lA...X:2!. - C 1 - ' -

L..'.'.C:.....:.:;r:..:'_i-..'::. .^I.£.22::z.. LICENSE NO...J..C.:< . ^ s h o w e x a c t d e p t h o f b o t t o m

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* ~ 1 1

™ l i^^^^S!i^%|i!i^' '°^^^'f!a*V°p^ t°ifee5re t ' l"eH b^ ""driller.^ 1 w ,;,' _E3!i$ ijjjgSfS •a SBBjgg aW(!ifi!»IJag^J !J8iaW |P j : V -:*fir ^ f p 4^^^«er7por t ions Iffnot applicable, soVtate^otherwllreUhe' "' * "BJSa W B ^ i ^ a P t a W ^ ^ ^ i ^ ^ ^ B ^ ' l T-.vW.-': Ir^fjfofmpSj^^rorn^V *»?-• ' ' -. '-~~ '_ __ ', V**}<i; - Vr ^gWSggS g f a ^ ^ ^ ^ ^ ^ ^ g g ^ ^ p .::::;.- v:;.' .-;i

"Tf-v?-s:W"er * f ' " * , ^0 For "Administrator's Usotg; V '' aS9>wi sHH ' 5 S J 5 5 ^ ^ ^ ^ ^ W » ^ ^ » ^ ^ 1 ; ' •/? '

" ">/ &ac*yrY/4s. o<y&fw>. y. T7~ l\ i^y-T^j^s^^^itmii .

1 Date well started # > ^ V y - / ? ^ G W l — ^ - 1 z&S^&Lgm

Type of well . « i^<. t lU4 • - ^JL J&Lp^kJ(Dug driven, bored or drilled) : ^ ' ^ " ^ " j t"l?'C*j

Equipment used " / i^C^V- J&UJJt ^ L^^SafeJ(Chum drill, rotaiy or other) II \ 1 .i V. I

Water Use Domestic B] Municipal • Stock • Irrigation • ——' ~~-—I

Industrial • Drainage D Other D* Garden/Lawn • ~~j&~—]

I *Descnbe . . .—._ __— _ _ _ _ i..2__ ;[ •• I

, USE: If used for irrigation, industrial, drainage or other Explain, I istate number of acres and location or other data (i e Lot, Block I

' and Addition) '$/?* L-— I

ESTIMATED ANNUAL WITHDRAWAL J ? ^ * 0&-0 V» A > S- 1_^ \ I* " / '..I ' y. i

DrUIed WdjSl (FeS (So PERFORATIONS "~ i ' ' 1

r* t?Z r^ s*' ~^ s *r====~"- ~"JL-1ZZI ,<

N = = = = = = = . — — — jI j I j I Static water level / > '-* ft * ~ ' \ Z. I

, | Pumping water level © ° ft *J 1 at t" gallons per minute, !! ' measured //^minutes after pumping

' j i began., "" *Measured from ground level. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ '| | Well developed by &>•»«**-*' ~i .' for y hoursj j Power . Pump _ HP ~ \ _^ •, jj • j Remarks (Gravel packing, cementing, *

.__ packers, type of shutoff) ; 'm [

ljM*k?J%*&* Sec /<H ±• T <3i <N)R*.. / f . E *fl&

<t- cy S <r- {V\J? i *INDICAiTE LOCATION OF W a L AND PLACE OF USE, IF POSSIBLE •-EACH SMALL I Q U A R E REF;RE.§ENTS 40 ACRES ^ - - ;

Dnller-s Signals t / - ^ I ^ ^ ^ 2 u ^ C - ? - - ; ^•j« , j ( / _ • „

j Driver's Address &**"/ &/ I HI 1 1 *-

j ^ r-SkJLr 'h/i-i^J- ucENSE NO r £ ¥ _ _ ^ ? L L _ Show exact deolh of bottom

!' , ft 9 7?\ J .

i . - . , • :| ^ _ _ _ _ _ M » ^ I : T . . . . . . . . . . • - . . . , . - . .

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iJ^^Lm^r- - _ - ._.,..-.-.~-^--*-«-"-. . ^,:^-~.^-~>r^V^^ ^^m

Bli^¥^H"; . "^ • -:.- ••• -v- -T-- i i r:y^\ I

. ' ^ H - ; t j " ; ; ; 1 > 1 ' 'V-. % [ :•:••: ::..' i ••;-. . I W a i t e ^ B O r f b u ^ h s : ; , v ; : :; i • •

• ^ ^ • [ i l f ^ U •;'' '"•' ••i:'^:" i .":•'"'...'.; '• \ . : '.,;• \ Th* P u b l i c .•: ' ' : f y : - - \ ^ H

• | ^ H [ - : l r ' : ^ ; V ^ , i •• ?• ] ~ :\ ' J ; ' . - I ' ' ' • : ' : ^ ; W e i i R e p | r t ^ '.: [ • ' - • ' • • ^ H

m m m - : : \ • • • • • • • • • • : •.--. : :m^m- \ I

I I

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H flfcrf-j.^*— ^ 4 | ^ county M L ^ l , \|< 1^ H ^ <v , ^ A T E O F MONTANA ^ , . "^ Jt 3 Mv/-?, DRILLER'S LOG' ' " 1

^ H NOTICEJSF^COMPLEffON OF' GRO0NDWATER * C X K " I ' J f t j ^ 1 ' ^ale, sandstone, etc.; Show I

H APPROPRIATION BY ME*NS OF,WELL t , ^ ^ X ^ ^ 1 S K S I< ^ ^ | Developed after January" 1, 1962. * * ,f'< , \ IB^^^hB ~ "» •- s' ' A -''0 •j^B (Under Chapter 237-,Montan» Swion lawt, 1961, as amended)" Top'ofiGriaund ' qncv. .DOTC .cucvd) i |j^^H This form to be prepared by driller, and three copies to be filed" ' go«y t&°\ ' , ' I'^Hg by the owner with thejCounty Clerk and Recorder in the county in " ^ recto ^_^ . , •j^^B which the well Is located, last copy to be retained by driller. ft i ^ • G^^y^y^y i j ^ j . * I' ^ ^ H Please answer all questions. If not applicable, so state, otherwise the ~ ~ T ' • " ^"tw-awti !*** '^ - '5r ' ' Iv'> I^ H form may be returned, ._Jk»JLS. .^fifflMBaShb^^Baii^iJl- I

H Ow*_J*H»§a»Ht I ForAdrnini5tr5or.sUse I - ^ 4 ^ - ^ ^ ^ - - - " - I^ V Address !£>1*£S ^SsSZ. -tt-.J^ JflgtiMfi Sft Sti-'-- I^^^M ' A :—ft'gftlmir * " •

^M __JBSBHtet«*b QmtyMyLa&Sfyn. -AL--&S-,-liia^^g^a-^^-... I^ H Date well started I?*.*P.5»/ft.? GW 1 -£8.1-SSL - Jim.il»^|wHftl^MWgteg.-. I

HH completed . 2 * S : _W_!__aU—tea oliy* ffw-rtt I^^M ' ' — _ ; . — : — : _ : — ^ _ i 1^ B Type of well . .M^.* . . . . -131, -428- - « % •tWBto.ag-gM^flLy I^ ^ ^ ^ R • • . . . (DUB, driven, bottd or drilled) T f l t t j f I

^•H Equipment used .......5™*?...^??^....:.. I^ ^ ^ ^ H (Churn drill, rotary or other) ^^^^.^ _ _ _ _ H H . . v ^ - H M - n . . ^ H « H . _ - » M M - n « « •| ^B Water Use: Domestic B Municipal • Stock JS. Irrigation D 1

fl^H Industrial D Drainage D Other • * Garden/Lawn H I

^ ^ H *Describe I

H^B USE: If used for irrigation, industrial, drainage or other. Explain, '. I I•^^B state number of acres and location or other data (i.e. Lot, Block I

• ^H . and Addition) I

W^M ';'••• ESTIAAATED ANNUAL WITHDRAWAL igP^QDB. L . . ; .. I

^ ^ H Mllid SW°dS« S2S) (F«) PERFORATIONS " I^ ^ ^ ^ K Hole ol CUIDB : — - . _ _ — — — — — — — — — I

^ ^ H Kind From To _ ^ _ ^ « _ ^ - ™ - ™ — ^ - _ » ^ - ^ — . — — I

^ B 4« 6 5/e i«d» m« Sl" (FMt> (Ftt0 H I I H I| ^ H x7# wp m « t UO 122 j^ H 5» Hw«.o — I

H "T'IZZZZZJm - —•———_t—Li^ :^E^H| I j I j I Static water level ..36i.~ .ft.* ' ! I^ ^ ^ K ' | Pumping water level ...&§ .ft.* .. I

.^^HH- -; J. at ...10 ....:......gallons per minute, ; ; I^ ^ ^ H ', j measured l^minutes after pumping I

^ H « '< I '• E began> •—"1 "—-

^ ^ ^ B I ', *Measured from ground level. J |_ _. Jj ^ ^ H i [ Well develop .1 by .S^ii^a.. T I£ ^ ^ | \ J for ....J^... hours. I I

i j Power Pump HP ' I

i Remarks: (Gravel packing, cementing, I^ ^ ^ _ _ he l i n e packers, type of shutoff) • jHH y4 1^ SgC 1 6

m ^r*^ az==^-\- -HH^H INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE.^ ^ 1 EACH SMALL SQUARE REPRESENTS 40 ACRES. I^ H Driller's Signature-=^2^^.^^^«..C2ks^^-^rL,. ~ ~ ~ " ~ ~ " ~ ~ •^ ^ H • *y . \ • • ~ ~ ~ >^ ^ ^ H Driller's Address T^^..fff. ' ;—' ' • : ;— —— .Bi "^Ua^--«onfe ••- - LICENSE NO....504.... * » * Show exact depth of bottom

a

Page 42: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

• • • : f c :

, ' ' • " • ! * i

. 1 . •

H$pli:•'. • ! :!lf iviil^I-I#•ililfel^^Hl

I -$*$$$-%•>i;mi • -t- • -^ •!••; & r i ' ; . - f t a l l S P ^ K i• • - . . ' - v * ' - • • • • ' • ^ ? v • " > • n c > • ' f c V • W 1 * " J ' ' ' • *•• - i •-• •• -'I'-'.V•• ? * ; ; • r - W y • V ^ w * » - < v . v i ' v . " •

• ^ • • I ' - i - ^ ^ « i - ? j s < s ' ? , • • • • • : • • . : -.' ;-: ' : "; •.•!•• •• •:. s v - ^ s ^ ^ ^ s ^ s l s t ^ f e f e ^ ^

;,;.:• ";:p nlfi ilfi * : ] fM |: :BiS^PiiI rMH^^lx ^^btoxt-- " •;.-:••• f - :•' ; ' •-•••":. ; : ^ V ; f e ; : : : ^ | | | ] ^ j § | : :

i • '•'-—-.••--_'••• • - - ' g - P ^ y t i' V v i - K i i n I'sri-lU-.-M--! j . I- \"l \'\ \ Ht\:^^&-iW^MlM

; '••: :: 3; : j ; . : : \ * \ i * < \ \ H i : B * ! 1 ' i ! § i i ! r i : U I - ! ! : 1 K ? 3 JiW •«: i : t. ' -•• ••. A \S . h i s ; r i • i >! f i ! M ; , ; : U M : •;. | : r : • i:: 5 © * '

I %: ;-;J: '.I iiia^!<f!i^!+!ii.!!i-i!iii:!^i#lfeiI s -^ s-?iJ4 ;i i i n i ; { ; i i | ^ i ; U | is U i i i i M i * U ' « | I ;I : -. .• ; i : : • : : \ M i ! ?>J ! 1 f I ; • •: i ! ! ; : - : - ~ - ~ , - ^ - , s j * : - ;

I i -i i • i ! •; ; : : i ; ! ; ; • ; ' i ; • ; ; ; ; ; . . ; • ;.:.

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_ _ ^ | H i <*»•• - . • ' - . • • . • • • • ' • ' • ' ^ ^ S F ^ ^ ^ f

• ^ B M E ' • ' • •• r •

^ H [ •-" • - ."•"''% \

BH « f - B I I I M T V I Wt I ™ / V_ _ • ,.:.. <a4__»<»3 GW 2 Revised 1969 County...~"~™.T -V. ••/••• if '^ ^ ^ E ' , ' " STATE PUILItHINO COMPANY .. iP " '

QB - - "" STATE OF MONTANA ' DRIUER'S LOG £9 , . ' ADMINISTRATOR OF GROUNDWATER CODE MONTANA WATER iKSOlWCFSlW|leaje the 'character, color, thick- ,?,• , • MONTANA WATER RESOURCES BOARD R _ Q [T | y £ p g ^ of strata such as soil, clay, sand, i

• NOTICE OF COMPLETION OF GROUNDWATEIT m gravel, shale, sandstone, etc. Show |

• • APPROPRIATION BY MEANS OF WELL 0CT26 1971 g ^ ^ HsJstwS "1 !^ B ' Developed after January 1, 1962 2

Hi ' (Under Chapter 237 Montana Session laws, 1961, as amended) Top of Ground <mev. above iea level) '& :

,___• This form to be prepared by driller, and three copier to~be~filecr"" ~S»£" "To—"'+- d :t ^ B •, by the owner with the County Clerk and Recorder in the county in " * ° g j e 0 I A^ H ; which the well is located, last copy to be retained by driller. _5Ll_ ^ L _ 3 ^ -^__R ' Please answer all questions. If not applicable, so state, otherwise the ~ | -k^ B i form may be returned; _2J_ L'L'—SSL^SE^i 'A

• I Owner...Ll0?d..^C*S^ -I For Administrator, Use 1 ^ E ^ Ja*JBSAA*jgfe-i

W^ * Address .M??.f..M?»t?5* F^_£^^_ T^Ug - ^ ^ ^ ^ ^ ^ 1 - - - !

^ H /..—•. s?..... Ii23"ft"l28' ~"Tan~aand—tioht aaapwcrei

I Date we"started • ^ ^ - GW i w 3MJ -TjssrsssaTsa^T—T:H completed I I 142~ "147" ~g5l"anfl~ ft"^.^Ti "

H Type of well Acllled amtar 1;^ ^ H (bus, driven, bored or drilled) _ _ ^ _ _ _ ^ _ _ _ _ _ _ _ _ _ _ _ ^ _ _ _ ^ _ — —

| H Equipment used C^^...^**?'.^ '^ ^ H (Cbura drill, rotary or other) _^___ _ ^ — — ^ ^ — ~^H i Water Use: Domestic S Municipal • Stock Q Irrigation •

^ H Industrial • Drainage D Other • * Garden/Lawn • r "

^ ^ H *Describe - — — _ _ - L _ — — — _ _ — — — — — — —

^ H USE: If used for irrigation, industrial, drainage or other. Explain,^ ^ B state number of acres and location or other data (i.e. Lot, Block — — .———. _ — — — — — — —

^ H ; and Addition) .

^ B , ESTIMATED ANNUAL WITHDRAWAL . _ -

H^HJ Size of Sim and From To ..„ „, . „««»,« ^ ~ ~ ^ ~ ~ ~ ~ .^^M Drilled Wdjht (Fed) (Feet) PERFORATIONS|)>)>B Hole of Cadog —— _L_ _. _ _ _ _ _ _ _ _ _ _ — . _ _ —^ ^ B Kind From To ;

^m x .280 ZZ I I —^ B sch 40 18"a.c . — - — • -• • 147' none • — :

HH ii ~^ H I I i i I Static water level .3>3.?. ft.*BH , 1 » I Pumping water level ...H.32. .ft.*H H j [ at 14 gallons per minute, .H B L ! | measured minutes after pumping ^ •;B ^ B | | began. _ _ _ _ ^ _ _ ^ _ _ ^ _ ^ _ ^ _ ^ ^ _ _ _ _ _ _ _ _ _B^B w | | 'Measured from ground level. _ _ _ . . _ _ _ _ .^ H j j Well developed bytSat-piTmpL T ; •B B f ] 1 for .?. hours. I , ;

BB j ! Pow<ffilecfcr±C Pump..X HP TBJ| | i Remarks: (Gravel packing, cementing, ____ ___^_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ •^ J l ———— packers, type of shutoff) .

H A&yt MM sec...,1k:... I'.- .B T li& ®R.....J$.... I ;^ H INDICATE LOCATIOIS^OF'WELL AND PLACE OF USE, IF POSSIBLE. :.-^ B EACH SMALL SQUARE; REPRESENTS 40 ACRES. §r : ——

H : Driller's Signature .9.^l^?«l^i.:^...?S?B?B« " ^ "T T f ^ - —^-H^_^B ' '. • ' i a'a' i I n l " j '•" i I I . . . . I , I ,

^ B Driller's Address2804^Ha^8a.d.Butte.,...Mont^a..5^ :"; I ^ X— _ _ __

^ ^ 1 . V.' L lc.EN|cp K I O 8 "-147*'--'- Show-exact depth of>'bottom' .

I -. i. : " '™ '' " *Jt329-.;- ": :_^H , - > ' . .1^ H : • • • • ! : . • . , • • .• • - ; • • • ' • • • • • • • • • • • • • • • • • • • • •

Page 44: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

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• i i i ! ! ! ! S ! ; ! i i i ! ; M : ! n ! i i ; ! ! i i | i m i M i i ^ P !K. i ! ! M i :•• \ ' ; M ; ! ! ; • ! • ! - i i •' M ; 1 i I : ; ; •? ! j 1 ^ ' | - , r r h l | ^ i i ;

; ; «>[[ j .:• i ! j ; i j ; ; • ;;; j ; : ; j j : ; • !| Lx\ i 1 u I l : | ; 2 i j ; i - i i S l J ^ l j

• . ^ . . ^ • ^ l -h - i - i - ^ i ••• • ; : ;--i-i--!-!-i-i:-;-i-r-H-*-H-!-ii*l Hm-ft^ri^h: WBLE:BBPOKC i ! i ^ : i : .: " : ! 1 : ; I : ! i i ; i : ' ! ; 'M j | i : V\- 'A VUi r-?W:\)

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: : , : C o u n t y o f L a k e .' rM

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.• -SS§t.:^. HARDING!; " ^ V ™ : V ' "" : ' " :,: ....-iv , (i '"' : ^ ^ .,:^

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• • \'"'^ " "" ' <• ..••'••h:t£:\ I• • M o w Approved Stock Form—SUM Publishing Co., Helens. Monlono-42234 <*%^ . 3 ' : ! • • •

j ^ B Fae No.......... ^....:4L^~-.^~.-.~.l$-^----~--^- ^ fl|^ H DTJPLIOATZ County,—_.._.._..._,.....,,.,,.,„... . : ^ H

• - STATE OS MOHTAKA P : E E E ! f |fff|:- : i- •^ H ; ADMrNISTEATOE OF OEOUNDWATEE CODE [JjY iJJJ ' H |^ H • , . • OFFICE OP STATE ENOINEER JAN 6 1984 ,,: H

B | Declaration of Vested Groundwater Rigrft£ATE ENGINEER I^ ^ B : (Under Chapter 237, Montana Session Law8, 1961) : ^ H

H [ 'iMU^e?-jL^L^x^4- , of............. _..... -—At&S^ ; B• • • J i (Name of Appropnator) (Address) , (Town) • ^ H| ^ ^ H County of....O.!£...Ai..:S£'. State of.../^a?...^3..3Z . . . . ..... ; ^ |j ^ H B have appropriated ground-water according to the Montana laws iireffect i>rior to January 1, 1962, as follows: ' ^ H

WL •. , " , ; B^•B i • ; j l l 2, The beneficial use on which the claim is based. ^ H^ ^ B —-! 1—-;—;- ••-—i-—-| .M*2~<-e~'4JiM>i~'~&--*-J^~4-J-<iJL^.1^^ • ^ H^m ...i.j£\L i J i_ *- *» H^ ^ _ j """• | > ! i 3. Date or approximate date of earliest beneficial use; and how continu- ^ H^ ^ ^ B j ! j I | ! ous the use has been 'j£y?.s&L.lo. ^ iH

HE W H—H—H—i— E i~rzzzzzizzzizizizzzzzzzzii I BH ^ l ....;.—;-...| —.; , ; ^ ^ e a m o x m t 0£ gyoundwatcr claimed (in miner's inches or gallons ^ H^ H ....; :.....: :—.!..„.!—. perminute) ^..&^....jB*^.^Z£f3*J.t. ^M

^^B I '• ! ! I I I ! I 5. If used for irrigation, give the acreage and description of the lands | H^ ^ H s to which water has been applied and name of the owner thereof ; ^ H

^ ^ H Indicate point of appropriation ^~ " '•• WM^ ^ H and place of use, if possible. Each \ ^ H^ • | : small square represents 10 acres. 6- Tlle means of withdrawing such water from the ground and the loca- ; ^M^ ^ H . tion of each well or other means of withdrawal : ^ H

H | £l&.jc.ti.c,-....J?M.&z/<2.... i •

| H K 7- T n p date of commencement and completion of the construction of the well, wells, or other works for -with- ^ f l^ ^ B drawal of groundwater .r MUjjB &Cn.t:.....£pt..l?..^>..tl.. HH H 8. The depth of water table k^>....t.Z.!. ^ |

^ ^ H 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other B l^ ^ ^ B works for the withdrawal of groundwater Bfl

9 "^ H• • LZZI:Z:Z:ZZ:"ZIZ^™:ZZZIZZZZIZZZZZZZZZZZ •VJBB 10. The estimated amount of groundwater withdrawn each year....<^.fe.r_./....^.?..Ck.....^±4?..<^../. ^M

• ^ ^ R 11. The log of formations encountered in the drilling of each well if available ^ H

^H ;' ZZIS!CZZ .ZS!i ZZZIZrZZZZ •

B^^B 12. Such other information of a similar nature os may be useful in carrying out the policy of this act, including ^ HH^H^H . reference to book and page of any county record V IH ^ H ^ B i •».—• • — «.. . . . .. ... ...... i ....«.....__ Bfl

^ H • ..#.?..fiy£..JL...^.#.^:.*i<-.....3?.3~ L./M...-<S.....'£/.. ^^p^.^^^./^ZZ~..Q.... H

^^M Signature of Owner. . t^!^™!^.. /^. . . . .M|^ifl«t^. . . H

j ^ ^ B Three copies to be filed by the owner with the County Clerk and Becorder of the county in which the weU is located. * - fl

j ^ ^ H Please answer all questions. If not applicable, BO state, otherwise the form will be returned. - • •

^ H ' • • • . • • ; • . • • • • • • • • • : • • : . . • ' • • ' • : - . • • • . • , • • . • " • " • ' • • • • • ; \ • ' . i - : > : ' ' • - < : - v p / i •

• • • I Original to the County Clerk and Recorder; Duplicate to tbe State Engineer; Triplicate to tlie Montana Bureau" o f / / H• • • Mines and Geology, and Quadruplicate for the Appropriator. lH3> I I

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^ m '. r ;;. . '•, f U S l l o •••• ; . ' ' • ' ; ; • : .; t [ ;, f- ;

^ B R [ • County c£ Lake, | * .^ B H ! ^rfe^ °" the—S-L-dav of Skf- . _

j ^ H ^T/£ ^lerXJ^ Reorder^^B *•• /a fm^^±^.

Page 47: L^n Approvev ..d - • I Stock Form—Stole Publishing Co, Helena, …mediaserver.dnrc.mt.gov/archive/ground_water/lake/T16N_R... · 2008-09-20 · k 1 [l /. . l 3 _.L^n Approvev

• k W . " D O T U o i i T E ^ •-•• •.'•• '-:- :•"'•'•. • •'•"•': • • \ • •'•'^V^v4f^Com^^^Sl _' "*"* t I•'•• r ' r ' . , ; . : v ••:•••••• ••- • •••; ; . • • • • • • . - • . ' • . , - • • ..*••••-: . - . - ..,:''ii»i:*feVs;rf:K.iMS»«a&:!.'v •> ,K-f'vvw- , r , - j •

? i . : ^ m ; ; , - . ; ; - - v . • • •.••••: xioov -• ' " : . : • * & & • • • ' • ^.i«u-%m$£%mfBM&Wlte$^ ' " -* I

!;v?:'S&:; *_—' .: • ^>^ Owne^^J fe l f c^ ---"••-- S I

120 Gravel an d a y Da te of Notice of appropriation of groim^water..:_.;..;..:i:;;.::i _...:— I M• • • i a 8 * A ; - : ' ' • • • - ' • - - • • ' • ' . - • • • ^ • • f i ^ - " m

I ii(2« Water & QravtfL Date weU 8tartodKay..5-i9fi9- --Date completedItoy.-:'21,--X969.- - •

; _ ' Type of welL.....Jbd&iexl.... .Equipment vaii-Jsmm^Sttli I(Dug, driven, bored or drilled) ^ChanrdHll, rotary or other) •

; — : i •WTater^tise: Domestic B Municipal D, ; ' StocK"D Irrigation Q I_ ',':;.: ' > • •' 'iIndustrial D Drainage Q - Othet^Ii •

: l _ ' o ' . Indicate on the diagram the character and thickness ofthe different strata I'.•••••' m e t -with in drilling, such as soil, elay, shale, gravel, rocK'or sand, etc. Show * •

• [_ '•-;.. I deptl i1 at which'w11*61^^8 encountered, thictaess andjcharacter of water-bearing fl: ' '_••• " stra^a^and height to which the water rises in the well. ; ' ' •

; * • ' . Size ol SUe and From To PERFORATIONS •

, ; Bole or Cuing Kind , ",From To •. •— . - Site (Feet) (Feet) •

| • _ . . 6" 6" 1 » 0 U& , I

\ l I; •— . N Static Water Level for non-flowing .well I

I _ i / i ••—-iaa---feet- ' I_ I . . ' . . ' Shut-in Pressure for Flowing Well •

|

| j Pumping Water Level I^OL feet I

w | I E at ^ 5 . gal. per minute. i Ii j Discharge in gal. per min. of flowing well . I

I I i i • : I! I •• l> I ! How Tested B a i i e P - - - • " I; ~ I —'• 1 ! Length of Test 2-Hrs • ••• .': I( — : Remarks: (Gravelpacking, cementing, pack- : I

- / 1/ <5 t T? ers, type of shutoff) ; II t? i MTPI mrlmsc *4—Sec**-. Hv»*r- •KI-QW 1

_ I B 5 Nf * NESffiicate locifon *PItirell;LffiS - ; JI ! place of use, if possible. Each J

— I sm.aU square represents 40 II I ^ acres. I

J.42fl \ II :- : (Continue on reverse side) II f USE—If used for irrigation, industrial, drainngo or other. Explain, state I

_ I )l number of acres and location or other data (i.e.: Lot, Block and Addi- I" - I ' }\ t ion)- ' • • • ; • • I

L ^ ^ J Show exact depth of bottom.' I

A- " 7 :" " ~ZThis form to be prepared by driller, anil tjiree copies to be1 filed by the owner -with the """.V,"™ T • - —~-ir"""i ICounty Clerk and Recorder in the county in which the -well is located, tissue copy to be JJnller s License Number ' . Iretained by driller. i ' . -1 • / . 1 , IPlease answer all questions. If not applicable, so state,, othenviso the form •will be •~y<31exh4~&Z£3s&£ZL X Ireturned. l Mflcr's Signature. - //? 2-^ J I

: - " . . . . . . . / ^ . _ ,

1

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^ ^ • : ' ' ' ^H

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^ W ^ f c / l ^ ^ f e S :- ' % in 1 »4 ;ti r- ' ' •:' ' -• '•••''•[ •"•• •

•yp-^--.; ^ i. - i i • • t'm<r*\''j." I^ B ; ^ " ^ ' " ; i ! £ • % ' • •• V '•'.' WELL REPORT :: •

^ • ^ 1 :•:::.•:-.::•• :•• fis- $ ! « . • • ; '•- ' • - ^ • • • • ' l •• •• •

^ ^ B M ^ • • ' : ' • ' • • . / . ; ' " • • • . . i ; " f ; i ' •' / . / • • • ' • " . , ' # % • • • • I

• «:;::i-••••::... ^^.^,:?' / / /. ' " : M :t ' '•

^ • p ; % K •;:;•:— . $'"" $ ' / ' '/ S v ::. i;. S A H A H M0BAH-. v:'"; ;- r - "••••'•• i ; 1 7:&.^%--\^ • • • • l ^ ^ V • • • : • . • • • • $ * ' <• • ' • ; f ~. :: • T W O ^ B T H - ^ -•'••l\ :: j • = ; ! i S . ^ e - . - .

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^ • B - v - v - - f • : • . s j ^ ? r : w . . ... . H •> -•.- - i - ; = ••• •-•• : •• • • • . . ; ' * :i '. . • i w £ . v | T ^ '

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i ^S iv f ^:.': IpP^^:.:V^,:a"'->••;•• . j g s i - ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ p ^ ^ y • • • • v:g H

R -'•-!•=!'••••••:•":•.'V';.. '- '. . ' >;v • • ^ ^ s | ^ i . ' ; - - ? 0 P ; ^ i ^ r 0 U n d •• / -.••-• v.." •. ; . PlcH«rt— :;. • ~ ' ; , . . ; - \ y . t - 4 & ^ 3 a ^ ^ :'•'• •-..'•••':•: H ^ H JB i ' - : ; - ; V = ' . ' - ' V ; '•"•':•:•. • • ' ; / 0 . ^ ^ | p [ ' s ^ & ; \ ? - : S ' ^ ' ' : : ; ' . " • ' • •• ; ';>:'.:-~;' •' • • . y ^ ; y : : u ^ - & ^ * i i i 4 * ^ ^ •'.. ' H H f l

I <mm^:• ..vi;:7:igi&®i-.:;,i;;:-.vy;-i . ... • : ^ w ^ m ^ ^ ^ ^ & f ^ B ^ m - - # < •

| : | # ; v ; - •••'.- i ^ K i ^ * ^ : : •,•:• l i d M ^ ^ H• ' \V . j v/" : • • • ' . . Date of Notice of Appropriation of Qrovindwater.......;:..:...^;:.^.....:^™^"--:----""1^'! ; ; ^ ^ ^ |

| ; : " ^ :: . • . • [ ; . - . . ' • ' : ; . , Date weU starte-d r.|^»:.ia..l5!66.....DatB 6 o n q i U r t » a ; ^ | ^ ^ ^ ^ : ^ | . ^ H

R . 1 "~ ; Type of welL.....BS!KUl.e.d. Equipment Usea.:.J9™ffa;:3^&ti::;.^.. | , ^ ^ |• ' i _ (dag, driven, bored or (Churn, drill, rotary or ^^^^HB i drilled) other) > ^ ^ B• ; i ^ ^ ^ HH i Water Use: Domestic 3 Municipal • Other D Irrigation D ' l ^ ^ |• : ~ Industrial • Drainage Q Stock D ' ' H | |

• ; ^SS Indicate on the diagram the character and thickness of the different - ^ ^ H• ~ strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. - ^ B3 ; • Show depth at which water is encountered, thickness and character of water- ' ^ ^ ^ 1H : bearing strela and height to which water rises in the well. ' ^ ^ ^ f

I ! • ' ' = ! ^^HB ' S U > ° ' Slit and From To PERFORATIONS - H^B• Drilled Wdnlitof (Feet) <FMI> PERFORATIONS , ^HH• i - Bob _C a s i"= Kind From To ' H^HS 5 " 5 " I D Slie (Fod) (FMI) ! HH

I \ ~ 14-69 # 0 90* | • •I• ' I - 0. iSo*)^- • j H |

H ; N Static Water Level for non-flowing Well .??. feet, "i ^ ^ H

K , — !. ...; ; ! I j Shnt-in Pressure for Flowing WelL. ' ^^KS|

H ; — j — ; 1 i ] — ' — Pumping Water Level P.5 feet at ,9...gal. per minute. ; ^ ^ H

^B I j* j ' ' i Discharge in gal. per min. of flowing welL „ * ^HflB • w —! i : ' ; ! i E ^. 2 Etas ' HH• — : : : ; ; ! How Tested. -R1M8B .Length of Test i ^ ^ HH I—;—:——•—';—;— •; ^ H•B I : • • • : | 55 Remarks: (Gravel packing, cementing, packers, type of shutoff, looa- ^ ^ HH _ I : ; j ; i | " " tion of place of use of groundwater if not at well, and any • ^ ^ 1B I • : :_ .! ; I other similar pertinent information, including number of : H H J

m - \ c^^f #7iiVAb%vA*&£*W ^ acres irrigated, if used for irrigation) .; . ^ H

i - I % seciZ. vWt-aJ3xf WMH — I Indicate location of well and : ^ ^ HBJ I place of use, if possible. Each ^^^BH — ' ( | I small square represents 10 acres. H B j

H B ^ K J Show exact depth of bottom. . . : HflH .......... ......«S. i ^^^^|H Driller's License Number i ^ H l

H J2i^L-^&aaJ^L I W&B Dfiller's Signature I M BH This form to be prepared bj driller, and three copies to be filed by the owner with the County ClerV and Recorder i HJ

H in the county in which the well is located. • ; ^Bf l

wM •, Please answer all questions. If not applicable, so state, otherwise the foi-m will be returned. ! H H

HJ Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of HjHJ Mines and Geology and Quadruplicate for the Appropriator. .' •' n - , H J |

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i "l ' ; ^^Bi - *^^B

|: \OJU&MX\ ' ; , -I• ;'• • \ : ' ",'•"• ''•} n r ; ;• • : . "•"• '•' '• -'• '•'".'-• - ' ^ ^ ^ ^ 1

; : . STATE OF MONTANA 1 ' ; ^ : ' ^ ^ • 1

I Filed b n t h R ^ day of " L f l y :~- -.. v . 'Hj

I ; ; y^-O* County^Clerk Md Recorder . •' . ' ; • • • ' • . , B ^ H

I ••• : \' •; ';: ... f « ; Deputy '• ,V " .- ^ ^ ^ f l

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• ^ ^ H • GW^i, Approved Slock Form—State PubllshlnB Co, Helena. Montana—42234 u<ggg»y>3'I I i ^^^H

• : :FileNo ..„.._...„... ' T ^. . . . .^ M ' ••fAW I DUPLICATE Coimty..fS^^r. - ^ER^ H STATE OF MONTANA ' , ' B |^ H : ADMIN1STEAT0E OF OEOUNDWATEE CODE p F J E C E I V E f T ] HIj ^ H ! OFFICE OP STATE ENODJEER n ] „ ! l y j ^ H

^ M Declaration of Vested Groundwater Rights , k - | H• H j : (Under Chapter 237, Montana Session Laws, 1961) STA I t . ENGINEER ^ ^ B

flB ; i&^^l^^..&^M.^i^rr.. , of.....-i&.^Z L.-WfWL- ! ^ Hj ^ ^ B ^ (Name of Appropriator) (Address) ^ (Town):. ' B HJ ^ ^ B ! Comity ol. . . .£*^&... . -State of t<??1-eZ&L... _. SHt H B V nave appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as follows: > B V f'IHH : N IBIflj^^B \ | | | i j 2. The beneficial use on which the claim is based....<^En?^«fi52!fc^5!^... .SHrjfl[|(i —- i I i—- i™-j i--- - sdew* ? iffe... . s «a rfr:.Sir: I^^ l

^ ^ ^ H ; ! ; ! I ! 3_ Date or approximate date of earliest beneficial use; and how continu- : H^H•'a^^B ' '< ' - ! ! i ous the use has been &T~K3?cr~ s'g/.6'. _ . ^ ^ B| B i i | i : i , ^ * * f e & ^ . ^ ^ : . . . ' ^ . .?*3r^: • •'^ • j l w —I—j—i——I—; j — E ^Hf

' ^ ^ H • ; ; "I i i 4. The amount of groimdwater^aimed (in miner's inches or gallons |HH;:HH ..--: i—-: !----• j — - per minute) KJ....^^:QXk<^.....J?...i^sr^k^t<;.. IB

•-^^^m I I I ! I I i ! I 5. If used for irrigation, give the acreage and description of the lands ^^IB;^H^J s to which water has been applied' and name of the owner thereof ^ ^ ^ B

B H dM* sec...# til *zr... £~~ : : -. •^^^H Indicate point of appropriation " ^ ^ B•I^H and place of use, if possible. Bach , i^BI^^H small square represents 10 acres. 6- T l l e mesns of withdrawing such water from the ground and the looa- ; ^ H H•HH tion of each well or other means of withdrawal HH. ^H ...»^^Sjafe2idfe_5jCrfkfe5K^a5=-. W^m

jHj^B 7. The date of commencement and completion of the construction of the well, wells, or other works for with- : ^ ^ ^ Bif lB^H drawal of groundwater .s£gi£<t /?..£.<!?.'&'-. ' ^ ^ ^ H

^H ,- ---; .^^j^^~^.^^...^^^ ; wm' | ^ H 8. The depth of water table.-.Z^j^k?^^-. ^a.^4^^ i«^^.....«^*^<9fe?^. . ^ ^ : . I I H

- ^ H 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other fl^H^ ^ ^ H works for the, withdrawal of groundwater ..^ .„ .„. ..j,. H ^ H^ ^ H /£&^..~.-z3*z?i*kigt!?... *3!&&...*z£z3:&ic^/.....zz:.. *k&^jg&S&&x-.. ^ ^ 1

^ E B 10. The estimated amount of groundwater withdrawn each year.^?.i^?S«^^^.A^.....^£2^^l5..€^^ ^ ^ 3 .

*^^^A 11. The log of formations encountered in the drilling of each well if available HI

| M :.::::.:..; z... gtL : .:.::..::...::....:....: HI^^B 12. Such other information of a siml'ar nature as may be useful in carrying out the policy of this act, including ^Bfl iJI^H^ft reference to book and page of any county record y . y. JL ->»-•? - • • B ^ H BMH .^J?Z...^^^.^..4hzS$. 1 ^ H

j j ^ H Signature of OwnerJjk<i^/...^Z^^fe^^.^.'^^^-^_. H B I

| H *te . __j£*v£££ H^•H Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is located. ^HB

^^^B Please answer all questions. If not applicable, >:o state, otherwise the form will be returned. ^HH•HHHj SHBV• • • • Original to the Coonty Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau of ( • • •H_V Mines and Geology, and Quadruplicate for the Approprintor. /tl3'ii HH

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^ ^ ^ K • .„.„„ „.-,.:.•--.«- ., ._.... „ .....-..„ ..^.,^^-.1««w,7i^aF^^;i%i^a9w?s<*!vi>^^BB

I ! ^T*^^ r "• . : .: 'rXXXm^m

•B County of Lake. f "" . : ; • •

^ H -;-- HAZEL KIKNICK " BH

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• ,:.,, ..,„. ,,*-'|•B f i ^ s ^ s ^Ei^.:rtove'sea:;ievd. • •y•£••••. Notice ^ ^ m p I e t i o n ? p % G r e t i • .^ H . •• # ; > : 3 & r v ^evv:-:/••;••• . . . . • - • •• ••••• •••. .;. A p p r o p n a t i o n ? * b y | ? A t e a h ^ o f j ^ / l ^ l l ; ^ ? & ^ ^

• B ' •'• ' ' ^ i ' ^ ^ S l ^ i ^ ^ " . ^ 7 8 1 ' • • • ' •• . • • • (Under, C h a p t « : 2 ^ : - i t p O T ^ S M s i « ^ ^ ', •

~ H | ;M :>i^l>^»aas'^ma:& Water OwnerJ8«L3S&^^

i ^^^^H o.:: ' „", •• -1. • . Date of N*otice of appropriation of grpiindwater...J..................-..:..;..:......:....:.:C.'»....; y H'flk . : ^ x - . _ ' ' • . ; . • :- • . ' , • • • • • . • / : ' • • • > ; - y - ' ' :•• :•'".;- " y ' r ] ] > ' • : ! ' [ ; . . u S S : i v • ^ . : ' - i f I

^ B :;: • ' _ •"'• : '• • : DateweUstartei..J^Jl£.J^......bateoonipletedja^;CMiS^ 1. ^ ^ ^ H . • ' • • • i • • . . • ' • • . . . • • ' • • • ' • . • • " • • ' " • • , . • - . . • - • " • • ; • ' ' [ • ^ ^ ? : : c : ^ i x ^ , i

:.

: H M

:HB • — : Type of well.. .J3]ctll«a................Equipment used ....C&iini.:SEOJL.. " •; .^^^^B ,: ' (Ducr, driven) bored or drilled) (Churn drill, rotary or other)H ^ H '••..;• | Water use: Domestic Hi Municipal D Stock • Irrigation •• ^ H :i — Industrial D Drainage D Offier •; ^ ^ ^ H Indicate on the diagram the character and thickness of the different strata: ^ ^ ^ H '-\ met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show•HI — depth at which water is encountered, thickness and character of water-bearing^ ^ ^ H i strata and height to which the water rises in the well.

. ^ ^ ^ ^ | i SUe of Size and From To mmur.oATOXIC^ ^ M - Drilled Welrtt (Feel) (Feel) rERFOHAWONS^•^B ! Bole o(C«sln» Kind From To

^ ^ • 1 — fiw $? 18.97# o &» Sb» «*•" <Ftt(>

I :! . I ... 1flH '•; - F x i I I 1 —ija.~...feet. !.^ | ^ ^ B ,..•; • ' / ? • • J - -I Shut-in Pressure for Plowing WelL .......^ H i UK. No.J<;</se? - ^ - y y / T / / i j Pumping Water Level ..<7R. feet ^• ^ B ~ Filed for record- , y, i ! , % , . .^ B i - « ^ - ^ Z 6 L t t a y o f ^ l ^ " " ! 1 — E ^...........,......^.......gal. per minute. •'BBBj ! AD. 10"7.*? at~--7 •<?<."" '" ' ' Discharge in gal. per min. of flowing well >

, ^ ^ B — ! v ;. : j How Tested Bailer.. < ..:.... >. • ^ B . "" . ' '• 1 J Length of Test l...Hoa»—. ..... :: I: ^ ^ ^ l I — Remarks: (Gravel packings cementing, pack- ', I

• ! - ^i^^La*'^^--^-- - " —• I• M h L I Indicate location of well and 'j< • • • I I place of use, if possible. Each • . . :i '• • H I— I small square ' represents 40 "" "—"" IBS^I ! I I acres. '_ _ j

• ^ ^ H I • -.-••• ; (Continue on reverse side) !W ^ H T . I USE—If used for irrigation, industrial, drainage or other. Explain, state ' i^ ^ ^ B 3 3 * 1 number of acres and location or other data (i.e.: Lot, Block and Addi-«•• • • . I t i o n ) . . . ;_ •• \_"•":>4>'"-'&","i

•SB « I ^ « J Show exact depth of bottom. ....—.-—._ ;

•H /?B B M i This forrA to be prepared by driller, and three copies to be filed by the owner with the ................./..../.• • V County Clerk and Recorder in the county in which the well is located, tissue copy to be Driller s License Number (HBS retained by driller. q * <• • H answer all questions. If not applicable, so state, otherwise the fora will be ••y4&tl!l£...^^i&ii!^^..• _ • reined. D#er's Signnture. |

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^ ^ K : ' ; | i S f | ? s i ? i ' ' • • ',"••..•.-.•• . ' - . • • ' . • ' • • • . • • . • ^ > ; ' : ^ J B

^ ^ ^ H i * < ^ £ v i T t : - . ' v - M ' - '•• - . •••.•••' •:.''•'• ? ^ ^ H^ ^ K •? . '?S'"? : : - : -": - 1 ' : - - ' ' - ' . - - . ' . •.-•• . ; . • • . . . . • ....... •:• ••..'••• v < ' : ^ H

^ ^ • * - - . : ! | | > . ' > : ' • • . - • - j ^ • '• ' ' ' : ' l v • • ; , ' - i ; i , > ^ |

^ ^ ^ K . • • ' : ' ? , I h - ' - ' !'••:•'; & L •••' ' ' '•' '• : ; ; : ' ; ^ H^ ^ ^ B | ' : ' - C y • • • - ; .^.- .' ' . • • •••••.' : ; ' X v ^ H

^ H | ^ - • • ' • • • • • •;

' / ' '; • • ' . ' • • : : • • • , • • . . • • . ' • ' • • ' H

^ • • L fifi:-y--> :''>•' • • • ' , . • • " . • ; ' - - ^ B J

^ ^ K f - : ^ - ^ • ' : ' ' - . • ' • • • • ' • . ' ; ' ' • •" ':P,;-,'/ • ' • fl|

^H| :Ol| | i |S ^- . - 'r^ The tublic ' I

^ B ^sfe by o " DSP™ •

^ I ^ ^ ^ K "''•'•' l"' '"'• ' : ' ' ' ^ ' *; ^ 1^ ^ H ' ''< ' ' • ; ' - • ' •H ^ K - '&tS--V^: • •: • • • • . - . ' • '5 V.; i •

^ ^ H ' K * : & - •••'.••••••' •" •-'• ' : ; •' ^ ' i <

^ ^ B . • . . ^ S ' ; : - ; U .-'"."'. •. ' • !T ''• ' "" 'V "; ''" ' \^ ^ B l i ' v ' V ' ^ / v . • . " • . • .. .:,..,..•.. . ; . , . ; . . , . , , ^ - . . ^ . ^ ' . ^ " ^ - ^ ^ ^ • - • • ' • " • " " I • g ;: ^ .,^ ^ ^ ^ B & : - ^ ^ ' ^ - * ^ "

1 T^ " ' "

r^ '

:' '

w r" ' ^ ' ' * " , ' - • • • ' • • ' • ' • •' • ' . ' * , . •. ; ,

;' :

"' :. '.-, * i

' ^ ^ ^ ^ B . ' i ' ; ^ ; . . ; - . ' . . ,v . : ' . '. ; ' . ... . - . . . - •• • •- • • • - ~ ~ ' " " " " ' " •

^ ^ H B t .••?;•;••. • _ _ • _ . • • • ' • ' "

•^B ^

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H •'•• • :£ ^^^^^S^^^^^Si^^^^^>W'^^^^^S^^^sS(S^^^t

^ H ! •.'• '(Uh'derC^ TnrVnfep&minrf V\^:-/.^a£"'g^''^yig^fffe :^-w[

jB !$• •' ';.tte^m;;^o::jbe ipfpared" by; driller, \ancl three: copies to be ''filed' ^ lASSKsl ^''•:iyH&d^^^90BWS§\^M -^//v^by^.awrio^itK-rfri^Cbunty Clerk--and^Recorder,inv1heVcountyiri' ' ' " W " 1ffW»;" ?•>^»ayifa»:^fa^wigyfei^^ag&lj ^ B I;'' , >*!<$;;tHe|v^pis l ated/;lastcopy to be retained bydri|ler. ^ i i ^g|SSSSS^^ISfi^SSffiSlSHXSiii^ H ;'- Please answerall questions. If not applicable, so stated otherwise the /^.^a g^y j : ;M i ; ^»^a ;S ;» i ^a^^^ i ^ ^^ H ' • form may be,re,tyrried. • • - : . V '• '. .;.„• ;£§;2\3&£ ^ S S S ^ S ^ S S S ^ S l S S i i i

• / OWner •J^St^m-—\ For A^^.o^T^ ^ ^ ^ ^ ^ ^ ^ ^

^ ( Address ....Airie.«..»ctAi: Rie......Z£^a?..!Z£. • - - - — -

^ H Date well started M&.3-.237Q.... GW 1 ^

j j H completed ...Axie.71320.

^ ^ H (Dug, driven, bored or driUcd) _ ^ _ _ _ _ _ ^ _ _ _ _ _ _ _ _ _ ^ —

^ ^ B Equipment used X X. — — ~" "~^ ^ ^ | . . . (Churn drill, rotary or other) ^ _ _ ^ . . . ^ ^ ^ . ^ . . . ^ _ — .

^ H • Water Use: ' Domestic 3 Municipal • Stock D Irrigation Q

^ H Industrial Q Drainage • Other Q * Garden/Lawn •

| ^ H *pescribe .: —— ——^ ^ H USE: If ^usecl for irrigation, industrial, drainage or other. Explain,^ ^ B " state number of acres and location or other data (i.e. Lot, Block ~ ""MH and Addition)

^ H ESTIMATED ANNUAL WITHDRAWAL &*?.*..Q.OO.aa.L.m I

I ^ B ^ H Size of Size and — F*om To „_ „„ I ———.i^^B Drilled Welgbl (Feet) (Feel) PERFORATIONS• • • Hole of Caslns ^——•~"-l"r"11 ••• ' — — — — - - — ^ — — — — — - — - — -BHH — Kind From To

• 6« 6 - - l ? # 0 115 She (FM° (F€d>

^ H I \ j j I Static water level 88... .ft.* :^ ^ H 'i I Pumping water level ....iO.8..ft.*^ ^ H j j . at 2fe gallons per minute, ^ _^ ^ B ! | measured ........minutes after pumping \

H I w I I i _ be9an- B a i l e r ' ——I—I ; •—••• '^ ^ B ! I *Measured from ground level.^ B '} I Well developed by -Bai ler \'_ ~ ~^ ^ H 1 ! for .........?.. hours. ;^ H ! '; PoweBaHar..... Pump-.^aiierHP ~ ["_ ~ ~ ~ ~^^B j j Remarks: (Gravel packing, cementing,HH packers, type of shutoff) '

H jML)kH£-***jJL ~::i~zzziiiii ,H T.../.M.... N R..../.M.. E . ;HHB • § • ' W \ '•"••'HI INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. \- - — - - - .| n EACH S/WALL SQUARE REPRESENTS 40 ACRES. -—— • : : — '., ;. , . .;..;./ . :.'

^ B Driller's Signature .........jMl&....sZ&±y££^. — — •-— — !' '..' ' ' . .'.-

• H Driller's Address &AJLLU. 1}H4r&*£Zl~.. I — — 1 — : r ' ; • ' ' • ; _—•-—.M B • . . . -. . " " H 5 ' •" •'•• • ' ' ' • •

• • LICENSE NO...14- : — : - ' .J' S h o w e x a c t d e p t h o f bot1om

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? • : • : • • • ; • . • . • • • . § ••

« § l : # i m p P ^ $ w i i p Hi -iifeKW$f •••:,*:•• J^-?i'-s -K'i- il i i i t f f ¥ ? W--:- • » • t ' ••• J ••':;; I •• * i f ! ^"' ' * - ^ -M" • •- ^ * * • W S ^ '••' •!i » # : ;?.•:[.• ; . | S * - i i : • t ! ; ] t • f . t ! ^ , i f t P W W i i i B . - 1 ,.•••ffiifliift^fi^«*.^^M4-i^wa..li: j - ••• ^ ^ f e : : : • •& - i

WWi$®i^^ . i . A ; J ± : i . ; : i J B ; ' N j i ^ i t , ' ' : • v . . ; i - -;-;;:?: ••••.•-;i

l ^ l l p f e & : ; . . | s r - i - : r . i = :••:. " , ; , ' y 1 / 1 ; ? ••^••-"^;::. !

^ S W ^ r ^ - ^ T - s . V * j . • • ; • • • • • • • • ^ • • ! ; 4 V , # : • : • * • • ! - ; • • • ! • i • Q > - • : « - - : i = ^ - - • ••• ^ . - a • . ' i » : ' " - | - ! I

: " l l i : J : l i i ; : % 8 : l i ' \ j c i ; :"; • ; : • : . : •:'"'• • i 'yV: l i \ l ^ J l f •:

, ^ - ^ ; V : | | ! i ^ : S ; - : ?•: . . ; i f ' ' . ' ^ ; • ;, :,: ••%•'•'";.. • " ^ ' 1 • ;•" bounty xJ i j l ike^ fcssj '2: ./

:illifi: I A V- it i * i-?r. t l l l^fai^~M" "

• ^ ' • • - < • ' • - • • - , . .. . . • 2.00 . . . :

O'1

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— M H ^ • .- • - - . - „ . ., . . . . . . . . . . . ,T,., ..., • • . • • ^ f . . . ^ j |

• • f l j ' 0 W 2 I U j ihlUl ]L I] W I t I I 11 Approved Slock Form-StawPu'fliSw Co., ^cicnn/MonlnnS^i._^8^¥|s fl

•Bfl ' DUPLICATE " '•'T5' ' ^ •<+.*.•'-Svc/4:9^i&liM£ii|i@RSil^mH ' I

B ' ' ' STATE ENGINEER ^y.^,^J9£M^^WfllBEIw|R IB B f l t r ^ w a IP « n , J • • ' • • • : ' OFFICE1 O P ' S T i i S E 5 E N G i N S E ^ : n IB B B I ^ ^ ^ Top of Ground . . • -.. • ,-^»t?*:'tf>*MS!aft^^.*ia^^ ,. •

B I B " (Elev. above sea maJilL- ) NotlCG OT Completion^ p ^ J l f ^ a t e t . gd : •

^ B ^ B (Under. Chapter ;^7;3lon^ ;' I

^ H | - DrmBr-j&Lj^ll^iifi^^ • : 1• ^ ^ H I V Date of Notice of Appropriation of (Jroi3iidwater......;...i.....::...i.........:....i..;l.....'..;... M

J^B^ ; - q.0ftk(?RAU t=J*> Date weU startcd.. . .fi:...JgA:i fcDate Completed-J^^aKl:^:^:;^;, - |

^ H | ;N — . . Type of yi^L^J^JLkLM^Q. Equipment Vae&.»..£~tfMj£A£.-.--:~ I 1^^^^B • _ (dug, driven, bored or (Churn, drill, rotary or - •^ ^ H • , \ drilled) other) t •^ ^ H :; . sf, /f/)/Z,P. / / " ' Water Use: Domestic [Jf Municipal D Other • Irrigation Qf i I^ ^ H ,:" ~ .:-.- (Pp ' •. Industrial D Drainage D Stock \}£ i | I

^ ^ ^ H . - °®8 Indicate on tie diagram the character.and thickness of the different • I^ ^ ^ H ~ • strata met with in drilling, such as soil, clay, shale, gravel, rook or sand, ete. ij •^ ^ ^ H ' — / Show depth at which water is encountered, thickness and character of water- % IH ^ ^ B - : ' •. bearing strata and height to which water rises in the well. - I

^ ^ ^ H '' I \" S|MO' SUeond From To PKHFORATTONS I^ ^ H . I , i Drilled Weldhtot (Feet) (Feel) PEBTORATIONg . •

^ ^ H ~ I Chfrh /)- /? At/PL 5" •,, i-.?stag • Ktea From To ( I

| H • ! - 6>f*ciAy "•]fl|B I O&h fcy^^LJe? Static Water Level for non-flowing Well £..9...jf~~}.. feet. [

•^^^^H i — ! ] ; ! j j Shut-in Pressure for Flowing WfiU-—. :'

^ ^ ^ B ! \/)'~—j"""!—i— j—-;-—j Pummn^JVater Level......tfc^WBBhseilitet..../....(/. gal. per minute. •;

^^^^^B :. ! i 1 I | j Discn^^Pftn gal. per min^^a^^HPR^wpll. - i I

^ ^ H - ' i i ; i | i How TisteiL.tf^'^^P^L..Jj^h of 1est....f..M.^!Sji ':

^ ^ ^ H : ; i : ; ; i Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- •^ ^ ^ B - I j • • I* ! '; tion of place of use of groundwater if not at well, and any^ H J K , I ;...r! : ; ; I other similar pertinent information, including number of : ,

^ ^ ^ B • - ff\/WllW dJ/Vhf^~^ ~~^^**N acres irrigated, if used for irrigation) .../...±.iU~...X!...!.l.--&-~-- i--

^ B i -^I>^^FseezXrT....^E....y ) JAK£...±...£.^J.Z....rA.4:..£s..i.B^Bfl ' _ 1 Indicate location of well and J .'.' •• ^ • B ! I place of^usej«jf_j!sjsibie<_JEaoh--r^**'B H ^ B ' I small square represents 10 acres. /Bf lH _ I J. I^ H | I /Bu7^Sct depth of bottom. / / -v /• :

H H H | / J..^^...^L |• H B K ' - Drille/'s Incense Number i

• ^ • B . ; This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder :

^ B H g : in the county in which the' well is located.

^ B B J i Please answer all questions. If not applicable, so state, otherwise the form will be returned.

B H H J Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of iB B H J • Mines and Geology and Quadruplicate for the Appropriator. , aBflBT '= ' ' • • • • ' ' . . . . . . . - > .

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- ' ^ B - ^ S S : ' # ' " ' . : • • - • • ; • • - . • . • " . • • . . . • - •• •yy^yfym

- ' ^ ^ ^ K '••20'i:iS•••;H..1.; . ' • ; • . • • " • • " • j - ' • • • . - • • ' • . . ; • . •'•••'•

• • ^ B . ^ s ? i % i v . ' : ' . • • : ; . ; • , . : •• • -:yyy

i^B ' i ?>y \t :•:- -. .. ,- •• ; • ..- •••• : •,. . • • . !• . • • • \ - : : J \ - i : ^ i t - : ' M -

^ B | : , - ^ i ; : v: •- •••• - •>? . . • : . • •-.'• -•. >•. -; : . • , . - "•r^"'" " : - " W v : S v f e f c i :

^H: ! • STATE OFiMONTAN/iy^ ; -> v • .- ; . . ; - ^ . ';.. \ -.•• . . ; ' / . - - . - i i ^ ^ |

^ H ' j ,4 O T P ^ ^ ^ - ^ M - ^ - ^ y ' ' ." ": •' : ' : ••'••: ^-y^iimKk^ H ' - • ' • : Cou^Qirt ' and-Recorder ,; .; ,- ,. ... . •• :••- ; ; ..>.... .;.;.• . ^ v ^ ? | f | H |

j^B ; g ^ fe-:;• C - l i ^ ^ j ^ d a A ^ p , v .: : • :. ' • . :•••?•••-••;••;• .;';•• ••;.:•;•' 4 ^ ^ p

^ H ;; : j p f - r C - ; g _ . •-: : - .••• •' • . • " j • ; ' i \ ; ^ . : • | " " ' ; •

^ | B . '; : v . 5 ^ ' - •; : • : ' " ' - : : ' - ;.- • ' ; • ' " i '''• * . • • '• V

J ^ ^ ^ B 5 L _ ^ ^ ™ « •• -

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H B V J ; o v Approved Slock Form—State Publishing Co., Helena, Montana—39089 < ^ » 3 \ V ' IJ

^M File No • ' T....../^.....Zi.^........:,:. I •^ ^ ^ B DUPLICATE County.«I«»lui«i.:. ...... ' ^ |A w M STATE OF MONTANA > i fl^H| ' ADMINISTRATOR OP GEOTTNDWATEE. CODE j " ^ \ £ (Q E I EflV\ "I II ^ ^ K OFFICE OF STATE ENGINEER I nV |]11 '' H^M — . •' jPPtiRt.'i&m'z?- \ •

itl^ifllfl Declaration of Vested Groundwater Rights ^ -'• ; •^ ^ ^ • A B M ' (Under Cihapter 237, Montana Session Laws, 1961) STATE E N G I N E T E R , •

^ r t ^ ^ M • • •'••-• ; - • -• • : — "' ' : ••"/:':-: ' ' Iw y ^ B i.Jj.M^:.......JkL*^l^ ,-<L-UL£JL \S£kJkiL*L-. • ••^^S^^^^m ^ * u °£ ^PP10?1*^*) (Address) , (Town) > H^ - 4 ^ - i ^ ^ ^ B County of....»LaJL(U _ _ State of....<f23aQva2L2r<9«wft»<«! i H

-; >' , - j ^ ^ ^ H have appropriated grottndwater according to the Montana laws in effect prior to January 1, 1962, as follows: ^ H

r '• m N • m' ^ ^ ^ ^ L i ' i I ! ! 2- The beneficial use on which the claim is based.-rf i t i /m/Juvw. : ^ H^ ^ ^ V j—i—j i—j 1"— CftvLOUA\y3Law^.v<0!iMiL..^^^ flj

J ^ | ^ H ; ; i i ! 3. Date or approximate date of earliest beneficial use; and how con- . ^M• l ^ l —i ! i !—!— tinuous the use. has.been-.iJ^..^U£«JLL._W<arft.Au«rJacw!w^<(L , H^ ^ B j ! ., y i | | J$J.a...a,*JL..Mau^..Ji&iu>^ •^ ^ • 1 w j rp i j i E ^U^Ww.~O-«jUbCu^....^iUUa-a^fcft-fc* •<C. Hi^^•j . j i j I H^ ^ ^ H fJ.f.nJ ^ " i i ' i 4l e a m o u n t ° groundwater claimed (in miner's inches or gallons j H^ ^ B | ^ta.'iS^^1—' ! '<—'•— per minute). &..0...jO^iSuLaM~& ^j»-a_.../axXJUiiUJutJl- 9I ^ W "^^i | g ^ i ! i ' j •(£••••• -' Hfl^^H I I ! ' • ! I 5. If used for irrigation, give the acreage and description of the lands ^t

LM. ^^^^m s . to which water has been applied and name of the owner thereof ^M

" S ^ M ! Indioaie point of appropriation t S ^ f c f ^ E f r i S j T ^ ^ Ii^H a n d p l a c e o f u s e , I f p o s s i b l e . • '• 2 * ' ^ T fe^T^5^' • • - - , . A •* *. • •| ^ ^ H h Bach small square represents 10 _6. -The meansi-ot withdra.wmg'jEaeh.jwater f romthe ground and the . H

1 S. i ^ | ^ H ! acres. . location'offeach. ell.or othejmeaiMi6f'wi1idrawal.jOU^^UiAjar»J«» ' H

, J J J ^ H 9 ^ ^ ^ H | 7. The dale of commencement and completion of the construction of the well, wells, or other works for with- ' { H' ^^H| ^H drawal of groTrndwater...£j6xJL...^^AAgNAJU—U^A^^w*-^---'£vi*J*^1>^^ t •^^•K^^^H X&...OAJZuQAjyi^....,Aj>-'^^ ! fl

' " S B ^ ^ I ^ B 8' The depth of water table •^-£Mt:S*M^"~£^ -••• ' I

^ ^ ^ B 9. So far as it inay be available, the type, size and depth of each well or.the general specifications of any other ; Bj^ ^ H works for the withdrawal of groundwater ^aJ^JU...JlA....^L^JLA^••..^S>jL...C^ysjU...J^A^gJ8^Z.... •^ H .iL<^..>\^...jL^....-etA.«^...JdU^» .?Z_ ..::.: •

^ ^ ^ H 10. The estimated amount of groundwater withdrawn each year. &.J..J.t.Q...Cj..Cl.£LQjjiLGr!(>>£SLm* < H

«fl^BV 11. The log of formations encountered in the drilling of each well if available .^LtUUiJU-—>LA..^lts '^ H ^ B j ..,.Lor^..-<>J^...J4o.XA^UfvClc»A-^, <3U£l3*CiLo~i>Jul«,--'- --•• : "

S ^ ^ H 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including j• H p ^ reference ±o book and page of any county record.....#}^....<3-Qvj>i^^---"JXft»e?er0tafi^ i• ^ B J JiA....I^U*-e. Cu&0jJLo>J*SU-** :

HH Signature of Owner ^JLtirt^^.y!aMj7Z-^ClTi^r

BBVj Three copies t o b e filed by the owner with the County Clerk and Recorder of the county in which the well is

• • • J located. - ,

^ H ^ B Please answer all questions. If not applicable, so state, otherwise the form will be returned. ,

^ H B B Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau• • • of Mines and Geology, and Quadruplicate for the Appropriator.m

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^H^P^^^^^^S^s^v^^.

^ ^ K ' ^ U : ' & y f ^ ' •:•%••••••':•••. : • . • • - • • - • ... ; . ' ~- t u u r ' t s , i [ L u f o ^ s » -! i _ ••;

m M m m ^ - m i * : . • • • ' ; ^o-/^.^.o^£ • •;^ K . ^ f ' ! S : v : ' v ... ; ; = :•..'. '; . ••••• : - . flflaX-EINNJCK- •••'^ • | : - ^ r ; :i; ^ . I- tqan®MerkjWl Recorder

j ^ H •; .•"*•. • •" ••.''•' - ; •' \ • . * • W ;

^ ^ ^ • - " ' • ' ( i > f « - ) i t . i . , " ; - ' - ; ; ; ; , - ; ; - . . . . • • . ~ . • • • - — — • - • • • • - • • _ . .. . .