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J i - Montana Department of Natural Resources and Conservation

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^•^•H^^H^^H^HHTdm, ' ' -' • ' MONTANA WATER i?tS0URCKB0/\RQ; t o un . t Y--8ii'W>r-«O*;^^|p<br />

•MSPP^ NOTICE OF COMPLETION OF GROUNDWAjKL c E | y E «h at which water to found <strong>and</strong>.<br />

^•PP^ APPROPRIATION BY MEANS OF WELL"*- iiifl- ~j<br />

^ y :>•?: fek>..a... r—r~" ^<br />

.—-B<strong>of</strong>efea-r-itoataaa " ["---"—; ZZHIZLJ<br />

Date well started ..jJay-25r- 1^7i GW 1 "" T 1——— " -i .' -1 .<br />

completed easa ~ h: ' 1——U "~~" [ "^\ )'[<br />

) Type <strong>of</strong> well W^^^^ 1 ^;^^^^^ "" PiVCEIvSLL '•-• I<br />

Equipment used CSM«n--WilijS^'Si;ViSwo;'iu^) " 1 D&C3% |^j __i.^^. \<br />

Water Use: DomesticjP Municipa. D Stock Q .rrigation D [^^3^"^^^ %<br />

1 .ndustrlalO Drainage D Other Q* Garden/Lawn D "p^TIHPliBWSFRVnTTn., ^ j<br />

1 *Describe ~ ~ I I ;<br />

; <strong>and</strong> Addition) v . -j- _— I {<br />

I ESTIAAATED ANNUAL WITHDRAWAL - I" | T "" —r~4. \ • ~,. \<br />

~^S W » ^ ~ rE»>o^T,ON i_L - f ••• • :<br />

• . "* "^ is sa A. -• 1 \— 3- i<br />

/^ r 1 r" I \ Static water level jfl f-'U 1<br />

/ i |* , \ pumping water level ....%% ft>*L \ — 1<br />

I ' ! ! I ji ....-» gallons per minuteJ . -J<br />

; \ ! V /measured minutes after pumping! L<br />

\ ! I / began. • — | ' _ I<br />

W i 1 ! ' • / 'Measured from ground levei. "* ~"\<br />

j ! ' • ! / Well developed by -batiittg ' 3Z]<br />

/ J j 1 \ Povw!? Pump HPJ 1 I E • - j<br />

/ i ! N "^Jemarks: (Gravel packing, cementing,! I 1. _„_— \<br />

\ I I '——» /packer*, type <strong>of</strong> ihut<strong>of</strong>f) —-L -f : : n<br />

1 f tff..'r/f „ *~ tf j X-"^-.^2-"^^i •-—I Y-—4 -———• 1<br />

/-4T_2—NR....../—#u £a.iiMfc.j^iiikj?*..J^s«ttC_J—3-———<br />

VjIftlCATE LOCATION OF WEU#*O PLACE OF USE, IF POSSIBLE. -j- —tACH<br />

SWAU SQUARE REPRESENT/ 40 ACRES. j *-i-.—4 j .<br />

>——- — . . _ ._


I - • County /\^JJA^ JW „ ^^-c^J J<br />

I ' STATE OF MONTANA |6>W«>' "M ' I<br />

I ADMINISTRATOR OF GROUNDWATER CODE Si " I<br />

I ; ' OFFICE OF STATE ENGINEER UU jft^ g ^ -0 '<br />

I . DECLARATION OF VEST3D GROUNDWATER RIGHTS STATE ENGINEER I<br />

I " • .(Under Chapter 237, <strong>Montana</strong> Session Laws,196l) " I<br />

I " ' (name <strong>of</strong> appropriator) (address) (Town) , I<br />

I ' County <strong>of</strong> Silver Bow, State <strong>of</strong> <strong>Montana</strong>, have appropriated groundwater accord- : I<br />

I ' ing to the <strong>Montana</strong> Laws in effect prior to Jan. 1, 1962, as follows: j 1<br />

I " . , >l 2. The beneficial use on which the claim is 5 I<br />

I I i I [ I ] I 1 based j I<br />

[ .- ' 3. Date or approximate date <strong>of</strong> earliest bene- 1<br />

I . ficial use;<strong>and</strong> how continuous the use has : I<br />

I - , been if,/-, ' \<br />

I . • 4, The amount <strong>of</strong> groundwater claimed (in ' I<br />

I miner's inches or gallons per minute) I<br />

I ' 1—'—i—>—' ' 5. If used for irrigation, give the acreage I<br />

I - i .j/.M/L/teFSec TffwRjUy & description <strong>of</strong> the l<strong>and</strong>s to which water I<br />

Indicate poinT<strong>of</strong> appropriation has been a PP lied & narae <strong>of</strong> the owner there<strong>of</strong> ". I<br />

I " ; <strong>and</strong> place <strong>of</strong> use, if possible» I<br />

I ' Each small square represents 10 __________________________________ I<br />

I , acres* —_————---———_——__—__-_-_—._———-—-——--«--——————--•——— •<br />

I 6. The means <strong>of</strong> withdrawing such water from I<br />

[ " ' the ground <strong>and</strong> the location <strong>of</strong> each well or I<br />

I other means <strong>of</strong> withdrawal . I<br />

I 7. The date <strong>of</strong> commencement <strong>and</strong> completion ox the construction <strong>of</strong> the well,wells, M<br />

I ^ or other works for withdrawal <strong>of</strong> groundwater 1<br />

8. The depth <strong>of</strong> water tab.e $d' ' " I<br />

- . 9. So far as it may be available, the type, size <strong>and</strong> depth <strong>of</strong> each well or the J<br />

general specifications <strong>of</strong>Uany other works for the withdrawal <strong>of</strong> groundwater ' •<br />

10.The estimated amount <strong>of</strong> groundwater withdrawn each year I<br />

11.The IOR <strong>of</strong> formations encountered in the drilling <strong>of</strong> each well if available I<br />

12,Such other information <strong>of</strong> a similar nature es may be useful in carrying out I<br />

' ^- the policy <strong>of</strong> this act, including reference to book <strong>and</strong> page <strong>of</strong> any Co.record •<br />

f: . . . Date fli^^o r ?/ -v. (n 3 1 Signature <strong>of</strong> Owner %£^, ^


•I • . • • . * . ' . . . . '.:'•;.'• '''••\vvV'V^v;^v^?."':"''"":,.•' T.':';::.^<br />

^** w " ;MMi J*mm,M« „. • - •V^" : ' v'"i.*V ".'.' ;v'.iV,..'.^." .,.{-".'•.;; .'.;.,.' J<br />

• • • - • - . 1 , *<br />

I I'c- 'jy cc: . V i - .- '." » ' J,'y~ '<br />

v/as filed at my o'j/i c.i :' i .'sZ/_/-=•<br />

. .».^Lfe..minut'"j i a .-.t.^iuuv- ?•.;:^ 'Ji' ,_ _.-,'. ~I':/' -::^-'*"*V' 1 ~ - . ' . ' ' '.,'.."•••-•-'•".'"•'•''<br />

M^fiiiiittdi^^^^i^^•^^^^^^.^^^^^l^_^^^-Z^l^--L^^ 2^ _:"-. ..... .. - , -.- -: • '- " '-"• '-..•--~~. .—^ ----- .-V. .,.-.••- ; -. . - - - - _ - - - _ _ ^ ". " _^ _____ ___ _ _ _ _


OW! ^*t Approved Stock Form—Stole Publishing Co, Helena <strong>Montana</strong>—43642^^§^>3<br />

File No ,,m,T ., T */*'«*..4%Si%/""r<br />

... STATE OP MONTANA<br />

**"* OcP I 9 l30i!DMINTSTRAT0E OP GROUNDWATER OODE<br />

[—| Top <strong>of</strong> Ground OFFIOE OF STATE ENGINEER<br />

~+, "(Eiev. above sea level. Soon ^ Notice <strong>of</strong> Completion <strong>of</strong> Groundwater<br />

Appropriation by Means <strong>of</strong> Well<br />

-, * < ft DEVELOPED AFTER JANPARY 1, 1962<br />

_7 a-Afibtj *^ J?o,/ (Under Chapter 237, <strong>Montana</strong> Session Laws, 1961)<br />

I . O»ncr/V -O'lfc .^ddre!>3 *./ \ S 3 ** *1 I ^1/ ,V_-it._<br />

../- (Continue on reverse *ldo)<br />

.'. ~••-.-' . USE—Ii ust


.zr:—<br />

I ^ - ' «*_ "<br />

H GW 2 fl"^ ^ Approved Stock Tom—State Publishing Co , Helena <strong>Montana</strong>-~43542H|^&^3 t i<br />

I *' J °> - f'WANA WATER RESOURCCS BOARD ' . . ' " tli ' *M&ZS2B& t<br />

I TBIPHOATE "^ R E C E TV E D r^ .,, ' Co^.fSl|*-^^^fV<br />

I v a "• Trtii . ' > STATE OF MOH'^ANA^f^'l-iv'tf''-^"'^^^""<br />

I •*, lj SEP i-9 l96itoMIOTSTBATOR l 'OP^OEDH^g r lT^ODDE_ \ W M ^<br />

• '^L^^ _ "- «;„,_» OFnOE,OFSTATEPNQINEEB( 5S*»fi- 1 V^S&^S''*'<br />

I > t_f|* AW/ ^ O*./ ' (Under Chapfe"2S7; itoilai^^^^g^^^SEg j<br />

I i Date <strong>of</strong> Notice <strong>of</strong> appropriation <strong>of</strong> groundwater . *ic# Witt .u,J^^^^^^^ j<br />

• ^15;^^"^"%***^ 6^flA"Vtf Date well started wf-ii^e- I__^^!Sfe cpmpleted'"^^'^^^^ft|i I<br />

I i. ,/ Type <strong>of</strong> well. J^D/r fiiCjjf--- '. J.EflmpmenV*iifled^J^S^^^fclte I<br />

• '^ - (Dug, driven, fcored or dnlled) v ' , (GtujnV:drnii'r6t»^w;ottW)mi 1<br />

I f *»j>«c >*£ > /L>t* V?.* j, « . / Water-use. Domestic BD Municipal Q ' ' SfecPtaMJro^^pl^K J<br />

• i_ t *W" * *** ** Indicate on the diagrsWijhe characterv«id tUcldl^s?q^^^^^^^^^^p I<br />

I .< " i" 1 ,*~ _ f r mct TOth iadrilling, sadl as aoil^.Clayf'>sBal^,%gri*e|,^&F,a^^^mS^^^ I<br />

I l ^P K -^i.» ji -* . Z' . * unit si»«d « t^«M». ' ii» '» j./%MS^uSm^ffi^^^^w J<br />

I h f4 ^r^fy+ftb** ~* S-SK ~*^ ^ i# ,#J|| ^B ^H<br />

I ^ -*— ^ * uiuicftte locfttlon <strong>of</strong> well, ADCI «f^-i^ •" ^*-• • r ,, rp^j^^Ti^iKTff^^''' I<br />

I " L - ^~ " *$M& ot iwe, tt possible. Eftoh ^J^j^\ij.i__.jl.i^^.^^^toJ^Mg^ t ^' I<br />

I _ acres. i.»y^..,. i&. JAi»tlttif^^Jus. I<br />

I _ _ 2.4/oyj* _ f*A?&(• *.r+&M&. Z a.t |<br />

I „ . , » . . . „ .(Continno on reverse side) _ I<br />

I ~~ TJS&-U used for irrigation, industrial, drainage or other. Explain, state I<br />

I _ number <strong>of</strong> acres <strong>and</strong> location or other data (i e. * Lot, Block <strong>and</strong> Addi- I<br />

I • tiott )- „ I<br />

- • T: „ ;*or::._\" ':.zzzz \<br />

I L..J Show exact depth ot bottom. - I<br />

Jt /7f_ " I<br />

ThUiomtoUpn^Mttedbydnn!«r,<strong>and</strong>threecopIe»tol»ftUdlijrU»ow«wipriflith« 37,,." TT" " x -*;—7"~"—' ~ I<br />

I &wnn-Q^ UHI Records In the connty In which the «tUUIoe«l*d,tiau« copy to fee DrilUrt License Nujnber • - I<br />

j reUlaad Vj- drUlw. ^ ^ ^. I ' ^ » " I<br />

flMM anwrn «U qnoUau. If «ot applhablt, to state, otherwise a* torn will be JJ3fa


|||f5^> : €^^ ••'•'• ••' '•.•' '•'. ."•.••." ; ;: ' : ;.' ^V^^^0^^^M^J^^§§^;:<br />

• ~fiz%;zi)£r'•/•-*.' ,"•: ....'.-?:-; r^*;,?;^" 1 :.!:^ 1 .".^-'.'. 1 ^ 1 ' • • ,::.\ 1 Y, . -; ^, • , . • " . . . - . •;i,...;:.yr.,HV..:. _^^7:_.^..:r-.;-^j:, ^.;-...^_...._.i-.^.;-. Ty;. • •••..; . ••/*..• >!.••• ; ; ^':^./<br />

v .;^s''^,;.^^- :.•;-•- :•;• .V •;"...:,;:,• ' 1 .\'> v: . 1 .w.. 1 :. ,.•;•.'•;,•'';:• V"-" ; A:-;^ >' ;-';?;' ' v •.--:•' :J:'' ' . '• '• ' ' ' ' • . '• :"}Vi.?:'i":?'.:7-l, •;.-V';:'rir':""/^- ;; 'C" : - : ''\' •; : 'rj>*i : v"':-..' : '-" ! .-"'' r ".'; : rJ : ^ ./"" "•^•i<br />

1^%; : :M - "i;:Wf?:^f: ..'•.:'. ;.y. 'E;^MM-.^ •••':; .,•• .•., •• ; •:il^> M^M : ^m^miMW0M : 'y : $9<br />

S ^ f s: ^ ".'?•:-rv'rA '/:-• • • "V' "1."":'. t : " : - V "" - . ;•....:. ._ !:O^ •• !•: '-••'•%' F ":~ ; '\K:S's~~~?}s~~~ : r.~' r :.''""-' : '-'"l "•••."'••. : J''- 1 'v.:"v.r'' "•'•• : .. *'. -'-Vi 3 i<br />

S » . f i i '• S \ > i - .:.-;.'"' •.- •- • '•• ' . L • • • . . - " • • H ' — '. • •" :• •• :', ' '-•••' " •• ~ ••il '"'£.•-:'; ::.-r"': -.'- •'• '-• -•'•:':••--• - • ' •'• • V" ' 5 - ~<br />

":,:. ;'.•"•",'- "'' ' \'Z •'"-•'. •-• .'-• '•*?•>.';'- . ' " " . ' • • 7- ..•••" 'T- -;'. -. fr': 1 .--. '• ,',".* "„ ' " : ':'' U'jj'.'""'" .'-'""""T."."'."-.-.•"•;'•"•''•'"•*• • .- "~ri]


^ ' Appro«dS,octP0nn-S,.ePuKJsh1n8Co..He.c,.,Mon«na-456« JS*3 • ;<br />

ow2 v£M nZ&l.<br />

_.. XT .. MONTANA VMTEitRBOU'CES BOARD ,- _ /§L^.t<br />

-<br />

0C73 ""aawssBg"<br />

TRIPLICATE STATE OF MONTANA<br />

. .Top <strong>of</strong> Ground ^^^^^^toT^OlOOI^rtW<br />

k (Kiev, above -ea level —> A^Siation by Means <strong>of</strong> Well<br />

PM 41 ^ ELOPED AJTKEJANUABY 1,1962<br />

L» S»*S»r m « 0W- Chapterli^=on Laws, 1«)<br />

-2-° I 4-.-70 s<strong>and</strong>-sow »oiat«ro<br />

I | &«> «*«,«* ««*»««« AddressiiBtta, ****** - -<br />

hoi Date <strong>of</strong> Notice <strong>of</strong> appropriate <strong>of</strong> grounder . - _~<br />

L ^ w A t . i . l * ' - DatocomI,letcdH«f*^19W---<br />

•#0 Tvpo <strong>of</strong> .on drillad ^ ^ ^ ^ rgSZSS^Sfi<br />

- I < DllKl dnven ' , m


ifSlfcS • - fllllSfr ^<br />

; ; v l l c r<br />

~-«j' : •* ^y: • T ' :.'"' ' ;-.-' •'• - — • "--H v .• • • " • ""* ' ' •-•• — •- ' " " • ' • . T ; •'.:: ' • ' - • ' * - ' - •-"• ''•'" -• ""••"• • ' " " *'


:.•. = •"-•:• : • • • • • . . ^^•^••'mq' % . ""SJ- •<br />

:" ••v- ; ,v • :.:v.: af-4.'"• • •• -• : • • • ^ • • - : s o y '•••'• '••'•• : ^ v :'<br />

> : • ; : • ; ^ - \ • • , ... • :." v ' "" ' r ^ i F V ^ P ^ & j l t ••;•• ••"• -: •<br />

•'.'•'": • • -' : ;1;•'••;' •;o5?TGE;^: : sm& • ••• I ' f j J V i r y - p - ^ i g g § ^ ;• - : ' ; '.<br />

'"•- '• -..'; ; ~- ' SS^r- - ' ,#Op" VESTED GROOSDKATER"SiG^S~ :-.'.-V.' : .".: .:.: v ISv^- : ^' rCCD '•'•••'• •..;.•'."<br />

••• : \yc.r' -y •-ShsS^I"^ _ . :•' , •..^. , ^ : 0h6»ter 237, <strong>Montana</strong> Session Lavs, 1961) ^ : ^ ] ^ i sL^N^ilt&K .r ' .^V<br />

'•••'••' : - ^ - ^ J ' • - ; : --<br />

:•- . ":J i £ : - •-- I S ? . - - ' ; • • • ' " ' ' - '••••• '••• ! ~ " j ^ a t i S s T •••:• • :. - •• - ( -' rV : - i bfen.:"0^m%.a:.A^a-V, . '• ' -.- v..';:• "-i----.<br />

£ •' ? I • 1 •—i \- '-- 7 •" IJ^^v^frniJ^/^ _ ... :,.;..;;:.<br />

• '•:-•"' '••' ,-ib..^_i- . ! ,| I -----, -I.-l'l" -"'V-^ : - The amount <strong>of</strong> -gr.ow&m%er fclaimea^fc ..:..• - .• v: // : -••,-.. -:-y' •<br />

,f _ • • I | ! I ! | i -^ • ,:--^ : ;':;.::r miner's inches or gaOioriS-:p^-msSiSB? .:,,,-. : - vyV:/,;;..<br />

••-•-•-•<br />

: ''H^-^r •{ -<br />

i ^ - ' ^"./ ' " U r''" : ':-^'5^-ir used for irr±gatxon>;r|i*& th^<br />

.;••;•",:- •. f-*\ i_i_ ; i .___ ".-.- •.' • .''-:„• ':•'•••:.-'..-•~ancl description oy:-'ths-.;l&iias.n:o:--wfii<strong>of</strong>ej .^-~-~~"?~'"">' . :.• .•• ••-":<br />

' "-'•.:'. " . LJ- • : - •'"" : • : -^- '-'v •;•.'•' water has h e t ^ r a p ^ ^ ' s & ' W m s r M ' %^-SM^ -,. , ^ • : [ "•<br />

- H I ]• | , {• l~ ^-,.. - .••.-... •,:,M : owner there<strong>of</strong>.;p%^^*^[?*W^ : ., Z-^-.-.W-<br />

' ; •••••••.-.• •;• ':-- ._^^BBC^l_it^jR—->-••:•• ^ -• • ' :: -^' '^^^'Sma&W^^^^ti^^ ^•'•r : ^<br />

v ' • " InaieatB- *eiTrt r <strong>of</strong> appropfiation ^^;,-; -;":•/:: ;,f^,.^/-h/fei^wa 7^azi- ; fa»T.|V'»fr\.. • •___ ^-,,::-..., •--. .,••,...<br />

";\;-.: ,•• ..^ "Bna--Tjja:oo-<strong>of</strong> uea, if possible. :•,,:,•_•..•.:_ ; 6v ihe^esns <strong>of</strong> vdtnaravMgvii^^tirficpm- -.'.•- d. :i : :~<br />

•••:.-•;.. ^ Mor-smaOa square represents 10 ^:;:;-: ;,,, the ground <strong>and</strong>-the^datibtt.<strong>of</strong>^acrTOn:- " i .'.<br />

• .. : 7.. The date-<strong>of</strong> coaanencenenb <strong>and</strong> completion <strong>of</strong> the construction ~o"f th©T^^»e3arvells,-or. .,,,;- . .« • ;. : .<br />

..-••"'•'••'.•..• other works for withdravral <strong>of</strong> .groundHater .—. r rSr^ ?- z -. : ,-~~..*'•'•'•' • . . g e a g i t e B . ^ 1 ^ . •-•- •• ••• • --. -,--.~^-^ -.: •• ^ y . v : V ; : ^ :<br />

' : r !X. Sp.-far-.as it, my bo availobleV IH^rpa,,, size <strong>and</strong> depth <strong>of</strong> .aach-vielL^r thfe-gensrot ;.-;.:. •;- . • •(;:• . : .<br />

.'.."." -• • 10. The e^tto^"" •"?"';"*: . ^ gumittflui.iaT' u^Virtrnvn finnh vsar ^2jo f 2-gffi./&g>g>: *3^r/ftgT>iS.g : j: V- . " ':; . .<br />

- • • ' . . . ' • • • • " ' " , - . . ' • ' . " ' : . - " ' " . " . " . - . •";.: ; , V r "' " "..!". . T ' * . r . " : . ' . . _ • . * • - " '"•'-—" -',-""'' ' ~ '" '' • • • ' • " - " " - - - - '• — \ * " « ' ' ^ ' . ~ . •"."•,.'.,' - - . \ \ • , . . . . " • "<br />

•-•, •" xi. The log <strong>of</strong> for!Ktionoleir;ountereti, ir...the drilling,<strong>of</strong>.! ...each v/ell if available :r,->-^;: : :i . ' • '<br />

'K::''•'• : " jUtd AMt^Lklpy ^Q;^;;:7':\ : .::: ': : ,^~,'.'„:". :—' . \r -<br />

-12.. • Such otheroiri'oritc.tibri...<strong>of</strong> n^EiBdlar/natw-o'as.imy\feLuseful. in.:Mrrying bpt %the policy . ) • ••••".• -.;'<br />

'.. '"•'' r 'T<strong>of</strong>..:.t;iia-B!ct.3 ' '<br />

:<br />

' '•••<br />

; •' ' •'-'.-•• - ^^r^^^yj (Y& ^" '"' •"•' '" : ::<br />

,-Ar- or IC'AIA ) -- .<br />

-•" >ttreif0 """—£^w^ y>u^/£>OtA*^.<br />

,^ r n p r l. r i ^lar-t-irr -t -T wi«'st»rs^r~ ' * r 1 i.r ft-sen whoSfe naife<br />

,,'u,] i, ro+ , ' --r-- T i" - 1 "! " -'•* > "h.'+ he know<br />

, . , " ' / . - c c " ^h t t> iuv,ru -.i" thiif -HJerein stat>?d sre


i<br />

"" £ *"<br />

i , \ ' T<br />

- - " ,-.v,»V :<br />

' ,• r '<br />

cMm.s&m^u . •-'"".'<br />

f i»ebv certify tUae tfcft wftttfltaAt^.,-. . x. •<br />

- was filed atjliy effle* on •h».r i^,r^ . " '<br />

l J<br />

A _ ' "


1 , | ^ H 1 ! 1 Location: SPC _£ V-JUL. TL-JjS* sec ^ ^<br />

";/- * H , >e<strong>of</strong>weU ^-^£f^^= E ^ ment - ed " ^fiffe=5<br />

J flH . water use: Domestic Q Municipal Q »«* S Irrigation Q •<br />

^ H | ' industrial Q Drainage {_] , Other:<br />

^ H Casing: £. ft. to j£g......«. ^*J^JO:^pluJ7§£&.. -


Log <strong>of</strong> Well<br />

Depth, feet I j<br />

—From j — Description <strong>of</strong> Material Drilled<br />

- " ZA %1 C&Tf *<br />

j /<br />

. i<br />

!<br />

' . ' • . " - . : - - „ • • ' . ' " - . • " " • _ " * - ; ' | " • _ " - • • " • • • . ' • ' ' • ' . " • . • • • - - . -<br />

t<br />

• (<br />

i<br />

i<br />

:•-, •':^^&?y • I . . . . . - .. - .•• •••;'.:••"••- y '--- ..-• • ' •• % - " - • " - •<br />

••'.•'- '.,l'^l'~'rrv .! •' L , • •"' ' ' • '" • • _ •<br />

- . . ; • ; . - , ' " ? „ 7 - ^ •.'-.'*"•.• - - ••'. • I - . . ' '-"••'. '• ' • ' " " ' -" ' • • - . . • " ' • - .<br />

i


nil -1 I<br />

05?TCE OF STATE<br />

UU DEC 17 1963 -^<br />

OF VESTED GROffflKttTER RIGHTS STA ' h H\ii,«.vl i-'PQ<br />

Cteeter 237,MontaRa Session LaVs, 1961)° ' "' " L L "<br />

Countv<strong>of</strong> snv> - -~ ~ • (Address; (Town)<br />

+>«> v * i '"* Bovr > stat e <strong>of</strong> <strong>Montana</strong>, have appropilptea groundwater according to -<br />

xne-Momafla.^ in effect prior to Ja..uary 1, 1962, ss iollows:<br />

2. The beneficial, use or which the claim is<br />

based Ai\-r


:<br />

i<br />

] \ i . y ' l ^ ^ f "•-•':•• • / r : y \ ; £ ^ S - ^ : _ ' i i : ' r [ ^' [ -'•'.' '. ,."".'. '. ••'-•'• "• '^ : ' ''J'^-^^^ri'^'^^S--'^'•••'•••'"• V 1 - %'^A'r^f'-^.<br />

• • ' • • • " . .<br />

' -.'•', •%• "' ' = 1 . / '-•" ^ _<br />

I fecttbjr certify rt»t to urttbttt kiptjannt :<br />

WM filed it B^otficktf^t&Suuu^&uwtiu.,^,<br />

. •' V StlfiK IHMlkHW r ^ „ ^.^ .^ ' _ :<br />

' V - . • ' ; . ~ " • : " • " . - . • " • " " " • ' . . - ' * '<br />

" " . * . - . " ' ' ' " " . . " • . . ' " • " • • - - „


• Gw 2 I ~<br />

'<br />

* - —rsssrjsr*<br />

Approved Slock Form—Slate<br />

^.f*r<br />

Publishing Co . Helena, <strong>Montana</strong>—4ijf,2 jj§§^»3<br />

I TRIPLICATE ^ ~,r.n County.*dk d^^'&^^Z.<br />

I 10Q Of". 1 '^ STATE OP MONTANA ]<br />

I<br />

• •• | T0p <strong>of</strong> Qrouad<br />

| a


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l^'f'lf 1 • S.A.^? l?i" • .;-- v: "~" . •.•:: i I .i r - -•!' " • ' -iSMM;iz$^


• 0W2 MONTANA WATER RESOUWJ Approved Stock Form-Slate Publishing Co., Helena, Monuna-48JJ-, .^_£>3 1<br />

I ».* :. RECEIVED t___L__<br />

1 wunrouoil. JUN-24J9S9___ c««4^&°!_ _<br />

I rOa _______ STATE OP MONTANA j<br />

• , ADMINISTRATOR OF GROUNDWATER CODE I<br />

B .1 ,ii . Top <strong>of</strong> Qround " STATE WATER CONSERVATION BOARD j<br />

I ~ (Eiev. above sea levoi ) Notice <strong>of</strong> Completion <strong>of</strong> Grourtdwater , I<br />

I -*o* o»~3' s<strong>and</strong> Appropriation by Means <strong>of</strong> Well j<br />

1 - DEVELOPED AFTER JANUARY 1, 1962 j<br />

• -20' (Under Chapter 237 <strong>Montana</strong> Session Laws, 1961, as amended) I<br />

I -30. ar^o^bSSIar* 1 ***" ltownBr -»«pT-*r-es-«o_a*r -Address-^j.^ verdleReigtjt* I<br />

I - DriUer -O'Re9f»-Drill±ng-Cov Address -««* BarrariX Ave. • j<br />

• ** Date <strong>of</strong> Notice <strong>of</strong> appropriation <strong>of</strong> groundwater.. October SSr l&SB I<br />

• ( Date well started0etOber~3T--.lW»JEDate couplcted-XJet<strong>of</strong>aftS 4, 19J68 I<br />

I _ Type <strong>of</strong> well ^yf If +A __;.Equipment used r?TOiTT?i "irfiH.l —. J<br />

• 1 gp8l Water f 58* (Dug, driven, bored or drilled) (Chum drill, rotary or other) 1<br />

I -60* Water use: Domestic [jj Municipal • Stock O Irrigation Q I<br />

I _ Industrial • Drainage Q Other • I<br />

I -go' Indicate on the diagram the character <strong>and</strong> thickness <strong>of</strong> the different strata I<br />

• , . met-with in drilline, such as soil, clay, shale, gravel, rook or s<strong>and</strong>, etc. Show 1<br />

• _ 30 -75 (MCOiSpOSlBCl graftifepth at which water is encountered, thickness <strong>and</strong> character <strong>of</strong> water-bearing I<br />

• 76 '*»4 9pm water strata <strong>and</strong> height to which the water rises in the well I<br />

• -80" •...-.•,- ... : I<br />

• Slu<strong>of</strong> 9a.-1 From To unntBATlnNa J!<br />

• Hole otOdx Kind turn T» 1<br />

• -96* sh< *"" w«) 1<br />

I - 6 B 6 5/8" ea 13' 76* I<br />

I -100 5fi ' 60 * I<br />

I ^• qo 17.02 H ..0* 135« sotting 1X9' US' I<br />

I - boroh 122' X27* I<br />

I nu I<br />

I - W'-UJ 1 dsosmpeseS ggftnlt I<br />

I ~12C " w Static Water Level for non-flowing well 1<br />

I _ 113'-125' d«eo»pO86& tyranit : Q/~ **" fcet ' I<br />

I "Tifl * 9PS ' ^ W 5 ' •* -Ml--— Shut-in Pressure for Plowing "WelL... ... .. I<br />

I _ j i Pumping Water Level .._12tt'._ . .feet I<br />

I ^ t 1 „ at.JPt« . - gal. per minute •<br />

I "135 dftCOrapoaed granit j | Discharge in gal. per min <strong>of</strong> flowing weU I<br />

I ~ j ! How Tcsted.-lfcHe* • I<br />

I ~ - I—•—i •'-•...-! Length <strong>of</strong> Test . 3 l»V«r* I<br />

I — '•" ''.' ' '"" '"' Remarks: (Gravelpacking, cementing, pack- I<br />

I ~ ...-.y1...-Sec..J..-T.^U..^.',' CrB ' type0f8tat0ff) " " I<br />

I — Indicate location <strong>of</strong> well: <strong>and</strong> - I<br />

• place <strong>of</strong> use, if possible. Each I<br />

I — small square represents 40 I<br />

I acres. _ I<br />

I _ (Continue on reverse side) I<br />

I • USE—If used for irrigation, industrial, drainage or other. Explain, state I<br />

I _ number <strong>of</strong> acres <strong>and</strong> location or other data (i.e.: Lot, Block <strong>and</strong> Addi- I<br />

I tion). I<br />

I [jjaJ Show exact depth <strong>of</strong> bottom. I<br />

I Thia form to bo prepared by driller, ami three copies to be filed by the ownar \rtth tho •"••"••"","•"" ****** - I<br />

I " Connty Clerk «nd Recorder in the covinty in which the well Is located, tisane copy to be Driller 8 Luonic Number •<br />

I retained by driller. I<br />

I Please answer all questions. If not applicable, so state, otherwise tho form will be —*•—'• •——• — -- --..—'- .. I<br />

returned, .. _ Driller's Sip-nature I


' * \ * * >, r — , : ' . • : - _ • > • • • . . . • • • • • . . • • • . • .. •: • • • .' . . '. • •• • „ ' -<br />

- • ^


GW U T - X" R y<br />

County 5^ /,/isO J3tJW><br />

*<br />

STATE OP MONTANA<br />

ADMINISTRATOR OF GROUNDWATER CODE Oj E C EI V E flTl<br />

OFFICE OF STATE ENGINEER fil I I I<br />

^ DPC 17 Mfft •—'<br />

DECLARATION OF VESTED GROUNDWATER RIGHTS<br />

u wvvl<br />

(Under Chapter 237,<strong>Montana</strong> Session Laws, 19&L-}A . i , , CCD<br />


.•' ' , . i , 11, *•*-<br />

i \ , \ & \ ' • ; i ! R ' | .V. 1 -- ; ! ;<br />

-' -- - - , COUNtViOB'SiLVBlMJt"'! 1 *' '<<br />

1 , -•" I hcfeby etrtlfy tfe« |fi« |gtfei| tettutnw* • ' - " i ~<br />

- , - ' ' ,.( frail tiled it tavfltftoB »^'^jL.nnn;.T1^ i\ __ • * - ' ' • * , , _<br />

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- ^ ^ ^ ^ ^ ^ _ — -._••• • m , ..... • » ii ii • 111 i • u-u--«__-__^_^_^__nH--___Mwa<br />

• " ^ ^ P<br />

:^H - WKSW - ~^" LfU DEC 8HSS3<br />

^ B aWciVsiOT STAIt tNblNEER<br />

^ ^ B --. a A '" *® ^TED GROUTCMATER RIGHTS<br />

^^H G^ JLrf/J^ CfflKSfce- 1 237,<strong>Montana</strong> Session Up#sj 1961V? / ^o //<br />

• • \ 1 (N TJ. -.V^-/ ' Uddrcss^ '(Town}<br />

:^^H NQoupty <strong>of</strong> Siuv^ BoWj gtate <strong>of</strong> Mont3na> have approp_:Ptea groundwater according to<br />

• • tE§-Mon««B^^" in effect prior to Ja..uary 1, 1962, as iollows:<br />

^^H 2. The beneficial use or .which the claim is<br />

^^H —,—, ^—r~—— 3- Date or approxinlate date o^/earlieat bene-<br />

^^^K ' ~' ficial use"; <strong>and</strong> hov; continuous the use has<br />

:; ,\, mm zzttiT^ ^r^Tu


:.'r-<br />

: ; : : : : ;<br />

;<br />

^ ^ ^ B * • . : ' v . ; • • : < ' • . . ,-. . • " . ' , . . . .• ' • . . • : : . . " • • • ' ; '• '' - • • ' - • • •' " • • ' • • • " • . - ^ ' = " ' ' . ' i ^ - ; . - - - '•


•: ^fli^B OVI 1 **\ ^ ^ Approved Stock Form—Sule Pub'«hin8 Co . Helena. Wonlana-^1933 J^^^> 3<br />

H Fil8No pWB^MUl T-Jt-dLEjL^ LQ.....<br />

J^M STATE 07 MONTANA<br />

"^Hl T«tr CMft\W%©? STRAT0R 0F QK.OUNDWATER CODE<br />

^ B I . Top <strong>of</strong> Ground $1 Kit tNVHl- om0E 0F STATE ENGIKEEB<br />

^ H ~ (H». above sea level. > Notice <strong>of</strong> Completion <strong>of</strong> Groundwater<br />

^^m ^° Appropriation by Means <strong>of</strong> Weil<br />

-^^^H (Under Chapter 237, <strong>Montana</strong> Session Laws, 1961)<br />

| ^ K -tfO 0»« 40» d«C0«p08«d Date <strong>of</strong> Notice <strong>of</strong> Appropriation <strong>of</strong> Groundwater. _<br />

, : > _ n ? w H .. - g^«« ^ S81 ' ^ ^ W6U ^d...^;...6rl^Date Completed..^rffrm........<br />

x 1|iv Vt '^^^H<br />

drUled) otber)<br />

' -\J* C fli ^^^^B * Water Use: Domestic g] Municipal Q Other • Irrigation Q<br />

= " c *" /• t i' ''^^^H ~ Industrial Q Drainage • Stock •<br />

1 V ! ' " -- '^^^^H *' °^" Indicate on the diagram the character <strong>and</strong> thickness <strong>of</strong> the different<br />

:."• '; ? ' i^^^H ~ - - strata met with in drilling, such as soil, clay, shale, gravel, rook or s<strong>and</strong>^eto.<br />

s >'-• ~~ x ' ' ^ ^ ^ H -tjO'^ fcO? ai SO f d80008*09*


t.i list, i I ' € jf ; '' " " " v r :; -'f !<br />

;l : III I i I ril "••;;. _ _ :-;,'


• • • ^ ' ; • r '- : I<br />

W'^ S ^^ mS ^SSBHBtKK^^^^"wZZZL- ^Derratl - CountySllTOr. g^, . |<br />

• n^F*"^.* Baxtu , , ,.y STATE OF MONTANA<br />

> Cov c rf-i'ci ADMINISTRATOR OF GROUNDWATER CODE .<br />

• , _ ,_ pir 1.1 s.ivjn OFFICE OF STATE ENGINEER<br />

• j Top <strong>of</strong> Grountjj^ t<br />

I " (Eiev. above sea level 7 Notice <strong>of</strong> Completion <strong>of</strong> Groundwater<br />

I Appropriation by Means <strong>of</strong> Well<br />

I ~ (Under Chapter 237, <strong>Montana</strong> Session Laws, 1961)<br />

I - Owner WLchftrd H<strong>of</strong> taaxt •- Addtess -fiuttei" <strong>Montana</strong> • • - .<br />

I _ Drmer O»S«rf*arining'Sa^ adress Bnttff, <strong>Montana</strong> • - •<br />

K -40 O'« 40* d«eoapOaed Date <strong>of</strong> Notice <strong>of</strong> Appropriation <strong>of</strong> Groundwater . . L<br />

I - SSI*** ^ eSl - ***' °ate -U started ^ ^ ^Date Completed..^ ^ . ^ - ,<br />

I "^° Type<strong>of</strong>weu juweBt-i«»dpiil«dP? w P mentUMd -«hw«-iirlll--•- '<br />

• _ (dng, driven, bored or "** (Churn, drill, rotary or<br />

• _ drilled) other)<br />

I -60 .<br />

I Water Use • Domestic XI Municipal • Other • Irrigation Q<br />

I ~ Industrial Q Drainage • Stock Q<br />

I ^<br />

I °^t Indicate on the diagram the character <strong>and</strong> thickness <strong>of</strong> the different<br />

• ~ strata met with in drilling, such, as soil, clay, shale, gravel, rock or s<strong>and</strong>, etc. ^<br />

I -60 40*»80* deOOBpOS^d Show depth at which water is encountered, thickness <strong>and</strong> character <strong>of</strong> water-<br />

• M grsnito bearing strata <strong>and</strong> height to which water rises in the well<br />

I *5 (KM-65* white deooaponed<br />

I — granite« Iwsnty five amo< D«U »*•« io PTB«IRATION« I<br />

I _ |al. per. -to.. -2- '««-


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: . . . . , - . • ; : , ' - \ ' : . ! \ : - • • . • ' ' • ; . . . ' ^ .' ~ " v } r J C '"?'}'• ••••:. 1 V " " " = "-'•'": """;". :<br />

| ) •' : ' \ \ - . ••• ~ C '=•:<br />

'. !•':%:iy'£?-££ '.:.'•• •"' -' • •••^....•'"'. v-vV-'.v.lV- 1 '!' ;"r"'- 11 "•••;"."•;."."•. r-.'^-^ .;.;.:.. ..•;-^-;.:- --.'•'•-:7- , -.• .; ;. ,;.v;^-;v.r-.-;-,,;•,.. y--;^ . v ^,^y-\^,.f^^;:rp-^-r.-,if-^-- ?•: : :' -.j;:, :-. ^<br />

7^^#T^&vAI^>-':^i/ V '•"•••• .-^^-- . ••Kv/ : ^V.^^ :; ^:-• • ; "' ^Ji^^r^^tk-^--- : i- ?J^ ; '^"^S^'#^v^-^'"^ "^'^.. it 1 --'-"'.,": : '^1<br />

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- H ? - : .^ •• '''' '''•-•''- ' ••• ' $ — ; '" •: "''<br />

V ' ^ . . p i '"' J' ; ..''••'"-.X ••""""' •?' ; ".'' 1 ..rr':'.. 1 .• •"•.-uv"-?, 1 '.-^:; •" .. ' • • ••*"""'".,•."" '-."•• . ^ " C - - V .".l':.:w/*. - : ' ^ V . ^ ' ^ " ./;•:•-•'.•. -'•,-..-•:• .... •[; :'y 'i:' 1 ' '••"~S-:::~~-' '•.;, ' - ' 4 ; ' • ' • . ' - ' ''"'• ' $ ' ..-""•• . • " . -'^ .•;


: : • . RECEIVE** ,_?*-,*._<br />

rtJSggfcj GW 2 Rcvl«.l 1969 c ' -<br />

"""" " STATE OF MONTANA l W ' "' „, DR.UER'S LOG<br />

ADMINISTRATOR OF GROUNDWATER «DE RTMENT pF NATURA^dicate the character, color, thick-<br />

MONTANA WATER RESOURCES BOAWV" ^ v,n cp •< •_' WTIO.. ness <strong>of</strong> strata such ns soil, clay, s<strong>and</strong>, ,<br />

"—^Z^..^;^...Vnn<br />

gravel, shale, s<strong>and</strong>stone etc. Show<br />

NOTICE OF COMPLETION OF GROUNDWATER ^pth at which water ls found <strong>and</strong><br />

APPROPRIATION BY MEANS OF WELL height to which water rises in well.<br />

Developed after January 1, IW<br />

(Under Chapter 237 <strong>Montana</strong> Sowion laws, 1961, as amended) Top <strong>of</strong> Ground (EI«. »b


?fe:|# ; .J|i •-••"•; I ^ : - • |||^;^jip4:|<br />

ySiV':'fc* -•ii: y..-:^s*'


I :;,;;: 5^: : piSi#. : ;v^-v:- : -:. .• :- •••^>.."; %i^M : |S-^.^..-:.^^3H8i 4 ; : ^ ••• • ;; ::7: •.^^-•. :: - -J<br />

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• ;- • ' :• •.•"-.:. ;; ^:.. . ' : '- ' ' X S ^ l ^ x ^ W" • ''•"• '• '•••'•v:'V"' x> > " : - v '.. I<br />

• ••• . ';•?•• ,;i"..'; : •"• :•, •-.' .^ ' ,^r : ; ^ % ^ y , > ? ^ •;•" .- ..'.;''' •'•% :'::S: /"v./' I<br />

I :::v: "^ :|<br />

• ' .:,;;;.v;^: • . ,' ^ . ^ ^ ^ I w S i ^ H p -C-,"^ (Address! •., -,, •,,.: " • (Town) ; • - : ! :^^. : V5--v: • • . ' I<br />

B ; : . . ' County <strong>of</strong> Siave* Bbw> si^te ;oj^^tana; "have appropiistea grouiidwater according to v- . :>^fi^^^^ : v ^ : I<br />

• .' : ';.;:•••/.;;': •'.)'• . :^k^'"*^-^^ eff^ .' : , •;; ' .'; : rW;Si^ - '-J{ 'J y ":'; ' I<br />

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' " f . ; ^ ^ '<br />

' • ' - > ' ^ • • y :<br />

i<br />

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I ; - ' ] - l . y "'/.''':. ••:•••'_'• . . ; . - - y - ; : :<br />

S ' : i : ^ ^ . . . ' . : •" • . ; :' : . • : " ^:-^y'v : --" ; :y i '-water has been applied <strong>and</strong> name <strong>of</strong> the I<br />

I '' : ^ y v 3 ^jfe'i;'^ ^ J i ^j^*?i'¥" •%$('''•" '^ i^-^ ^ - ownor I<br />

there<strong>of</strong><br />

•"' /i-'^-^-^^-^^^^^eg^^^T^^B .-yw


wmm UL. jftN 131354 "<br />

<strong>of</strong>to OF^SWTE - STATE EN'jiftEER - V "'<br />

"V. ' . ^ --'~-OP VESTED GROUHMATER RSQHK ',"'/,<br />

' ~ . , Ofcpfcer 237,<strong>Montana</strong> Session LaVs^l&lK ^ ^ _g~ > , ;,<br />

', (Name »- , ' /^ \^rfr^ l^jdresiT _" * JJSta x ><br />

r 1 , " County-<strong>of</strong> ,S£3.v^;Bo^siate <strong>of</strong> MoKfcana, have appropiiste* groundwater according j? , , ^ , (<br />

^ \>s«the MMrtMaJaas in effact"pa*i«tf to January 1, 19&2, ,as i^llowa: ^ ^ < t,' - ', ''•';'*"<br />

''/^t A \0 ,'- '2. The beneficial vise oo^tooh tte difeAffi ^ ' ^ ^<br />

\V£> >• - based / J A-***^"^^^^// S i»t/l<br />

i' 1 A lll^.- X&f ^a*^_rft 2 ^- ^*«>*: - x s S\ ;<br />

'' „ " N 3, Date or approximate da^fa <strong>of</strong>' earliest •beje- * '><br />

, —I 1 [ I I—T* 1 f fioial use; <strong>and</strong> how continuous ihe use nas^ , ;, .<br />

' "^ r | 7" 4. The amount 1 <<br />

<strong>of</strong> groundirater cla&ed (in,- ,' r)'^*;<br />

> 7""T~7 — — -^ miner 1 s inches or gallons per minute^ ,, yf.,^j»<br />

.i^Tir^^-—— » /4r J >r - jL ,/


mi & r j&'iAx ' * /<br />

^ r - • • •:"."-•,-^<br />

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1 ) '<br />

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n s<br />

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"* *"*'« " " " • • • " • • •


R '£ c E'TVE r"° oourtyjyssJSs<br />

rSTj5S 2 RCV " d "" " ^ SEP I ' ,,-« ' DRULER'S U>0<br />

NOTICE OF COMPLETION OF GROUNDWATER depth at which water is found <strong>and</strong><br />

SPROPRIASONBY MEANS OF WELL height to which water rises m well.<br />

Developed after JamKryJ^JWa<br />

form may be returned "p 22*T aanft 6 dag • •<br />

Owner Jill-. Stfife».«r I For Administrator'HisT"! 31! T^pgngy «^ 7 ^^J^<br />

Address 164.1 W.SSS?. ^~^^3S^'9>? 3^ lW+ig^^g^___-<br />

/.j.Jl..9:...&.sz2.~.. ~ 890 '1 ? n f"ffWTJfly" *»l»g—- ~<br />

Date well started SSSE?.*-« SW 1 H*: iig^^FTg^^ -<br />

completed M


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L n - '••• • • • - • : ' - . - : • - - - - : . . _ - - • • ' . . „ . . . • . •; (<br />

'. . - . • ; . • . . • _ • ; - . • - • . • " , : - . ; • • • ,<br />

- ' •• ; . ,.:. ,_.,. - ^ v._ .:./•:• " " : \ : - " - i<br />

* - * ( V ; ; : ' " " . ..•. . . . - • - • • • - • • • - . . - . . . •• • - • . „ i ? . " . : ' .v • ;:.-. '•:. : ; : v . v : . ; ; , : , , • - — • _ . , , : , - : - . • : - . .<br />

'••"=-;i/vv ' ' ' . • ' • ' • • . ' • ; . . " - . - " : . • : " - . " ' : • ' ""._ . • " •', " ; ' ' " , ' '-. ; -.:\ ;""'V '"•?•"..: .'"•••^' 1 V G : ^ ' •


IRHHHHBHBnaBnHHHBnHHn|HHHHHHHRnHnH^BmHHHM^<br />

HHBHHN^H9HHHHHHHHHHHHHHHHHH9HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHBHJHHHHHHHHHHHBHHHHHHHHHHHHBil<br />

H^HHMBBHBHBBBIBH^HI<br />

HH|^fl|^H^H|^^HHHlHHH^HI^^^^H^I^^^HHflflH^9NHHHflHfliHHKSillflfl^BI3MIIHHflHH9<br />

• '?*T SB-. - • —-—«- to ; -. - -<br />

^ M .. __ GW1, Notice <strong>of</strong> Appropriation <strong>of</strong> Groundwater • H<br />

B _ GW2) Notice <strong>of</strong> Coition <strong>of</strong> Groundwater Appropriation by M<br />

^ K - X " means <strong>of</strong> Well ', ^ H<br />

• GW3> Notice <strong>of</strong> Coition <strong>of</strong> Groundwater Appropriation without j B<br />

•^B J Well j . ^<br />

' " m m<br />

: , ' - - • | waB forwarded to tnis <strong>of</strong>fice by the County ClerU <strong>and</strong> Recorder. , - B<br />

- *• | H . 1 This form is identified by ^ ^ ^ ^ M<br />

s tj - ^^H I ftfH""-" R Vtt". <strong>Montana</strong> |^H<br />

^ - > : ^B I Owner_B_Ui_ai^ZB^ - H<br />

' '. " ! « f^^H \ w s 1S Document Nn. 7Qaqqq _ I ^^H<br />

-•: -;, I ! —zzzz^z^z^^^^' '° d ^^" I<br />

-" ' ' ^^H " ! filed- . -„ ^ H<br />

^^^B > ! enclosed form. •••• ^^^H<br />

^^H Other. Gentlemen: ^ H<br />

^ H This is nnr first experience using well wa^r, so ^ H<br />

^^B residential use for 4 persons. /? , ^ H<br />

• - MM^^- '"<br />

^H AT. ^.^etzner/ . ^H<br />

s • ^.; • •<br />

^H " 1 7": ^»' tGravel pSSrcwnartlngL J 1 — ' ' ^H<br />

^ ^ H . I I »l ! 1 packer!, type <strong>of</strong> thut<strong>of</strong>f) I J- | . ^ ^ H<br />

• ^H . o'Koefe orillins- Cons any I—-j-—f — • ^H<br />

^ H Driller's Signature f I ."*j""" ! |. ^H<br />

• - " o^Add^.^*-""''^' • . ^ J , ^ Show •«« depth <strong>of</strong> bom^n H<br />

^ H Butto, <strong>Montana</strong> UCENSEN0 ^ H<br />

• »n^- ' •<br />

m ' •• • " I


^^HH^^^HHBBH^HH|^H9HB|^^^GRbUNDWATER grth',1 whU^wa'teT'l. found <strong>and</strong><br />

^^HBHHlBHHHHPSHlATION BY MEANS OF WELL height to which water ri.e» In well. H<br />

^^HHH^HHHHHHBE^^^^"bevalopml after January 1, 1968 i: •<br />

', , . ^ H ' form may be returned •^"TflPT «*»& * c * ftV —' •<br />

! ' ^M owner J5* «• »*««•«. r p^=E^EiliI| ^^2sSE3iSiEi55S25i."<br />

i B , AddreMi>;-^- J2££2&.-,igCTTgiigggg]3:<br />

| H ' D.te wel sfrted *ugu»tl«6Wl • lia^?(J7^lf"^"^7^" -• •<br />

^ H completed r>U9l r V X«57O | : , IZX"~ 1 ,""~"^J] .J1 I<br />

|H| 5 Type <strong>of</strong> wel «*tU^ p""T j H_^ -f 9<br />

^ B J Eqwpment used . OW Sstti^^,,,-^ L""V 1 ^ ,|<br />

^ H ! Water Use Domest,c & Municipal Q Stock D Wgation O I!"T""T ""^ 'l' •<br />

^ H \ Industrial D Dr«'"»9e D Other D* Garden/Lawn • H X l " 1 """ "^ ' B<br />

'^^H ', 'Describe .. . . . - . - • _] J ——- ] H<br />

^ H | <strong>and</strong> Addition) • L*""| T " "~ !" H<br />

^^H Average Residential use. 1 \ 4 ^M<br />

^^M • flJTIMATEDANNUAL WITHDRAWAL?) •• _ • • h 1 ~1" -j | H<br />

^B - ^^ ""^ a sa «fio —H 1 -^ ; •<br />

^^B r,- e 5/«J


^ T~ 8 1 R ....?.«<br />

m IE C K i: V "E [rfi ^ 1 fe»B<br />

Uti UCT .V 1957 lJ ^<br />

m t r r MONTANA BUREAU OF MINES AND GEOLOGY<br />

STATE ENGINEER B»tte,<strong>Montana</strong><br />

WATER WELL LOG i<br />

Tl !~~ owner. MteMH AddreSS * ^ — ' \ j<br />

L?_L -!•— • _ • • • »<br />

, i . Address.— J<br />

i ' Driller. :— - ,<br />

i _ [ 7 T DateStarted...:...........**-*"*) „ Date Completed,.?**?-"^ | j<br />

""'nllJ-^-^ -JL-^LM- «UAL: — I<br />

__, ^B,^ __ _ .<br />

• „ im .Equipment used. --jS^-^SSToiiwrt<br />

Type Of well. •"^iViri^. bored, or (Wiled) (<br />

- f •:••• i»*«r« D " * * ^ otlra: -— - " — — - .<br />

,* ' ML Tvne • ..Size.... "•<br />

[ casing: —*»•«» ; *' ^"TZ".<br />

« ;. T __. .___... Size...—.————•—••—•"" •••<br />

i Casing:.- -»•*> ^ Type,~r,--- ,<br />

' .• caslns:...- ttt0 - .ft. Type..— ^ ;<br />

" perforated or Screened: Ft— :—:•••-to « •—-- ; """" ~~ S<br />

' * Type ol screen or perforations ___.-.— —rr— • ,—' t<br />

Static Water level, for non-flowing weir. <br />

Shut-tapremrMornowlngwell: lb./sq.»n.on: — --^ - ~ :- ^ , ;: .<br />

I.-/'--'.-':- . t t gatpermln— — ' :<br />

Pumping water level •- —"** i<br />

Bow tested: - - "' ;<br />

Lengthottett - ..- """ •. \<br />

j Berna^: (Oravel pacWng. cementing, pack., type * ^<br />

t t<br />

' ^ ' ^ ^ „*„>, : V _ 1 ;<br />

....v:y •••, ...jiiMi|t|^-«BMi*^- -^- — - ^""' •""" rr '~"""I '^R ' v'-.- : '<br />

•"-"• " " """* ""'"" .. • . (over) '" ''•"""•.•.•-_:•.•• •


t<br />

' 1 " ' '<br />

; •:" - , !, : :<br />

S'JATEOF-IOv ,• ' •<br />

• P? D 1!5 rOP J«-V.«BW f ss -<br />

i |


_ . ' ' . , . ' Silver Ben<br />

«^j_5» 3 GW 2 Revised 19(9 j |' fjj ,-a , County.. !7.*T._T... . . ....<br />

STATE OF MONTANA i>f-i o -r-- DRILLER'S LOG<br />

TfJf^w 2L«~,^ E L CODE l! "' """ '^«* * e < hara « e '- c °'° r •<br />

-NOTICE OF COMPLETION OF GROUNDWATER 9 ravel - shal *' s<strong>and</strong>stone < etc - Show •<br />

Developed after January 1, 1962 --r •-<br />

(I'ndar Chapter 237 <strong>Montana</strong> Session Uws, 1961, as amended) Top <strong>of</strong> Ground (Ei« above M. i.vd) jfejl<br />

This form to be prepared by driller, <strong>and</strong> three copies to be. filed From TO '$&<br />

by the owner with the County Clerk <strong>and</strong> Recorder in the county'in (F«i)


«O«S«:^VS!Kr ; . ^ 'i i$:, •#*• ... - ;.•-'•:.--• •--.••_i;.oy.;-.; ••••;•••:'•;;•.'«:• - .*i:^::.;-•-:--;•.-• S;'* i.vft>^Bt «!V >Hl»tt:-- i; ^' •-"'•-/••*••:?. -"- .•:•-:: ^..W '-£••:. ^^i-^ivi'^rfrtl^SJS^fcSa^iSKSgs^-iSiir. 1<br />

.^O^syjiiggegv^:..^ ;•• ; - ••.'•••yi-: -"•':•::••. .'v-i .•.••••••• '" ••":- V : ;.£>v'' " ...'.:" " '•? VZZ.'-Z-z'S.'S:?'.- • r T ..-: ^•,*j'tt4^ 1 Sl 't :'. r i?-_jf^ 3 ~p*S7 ;,''i;." . -j' W'E".^-^?;f^ftSyS%5|s|viT^eS#i^:;S ;<br />

.ift'Aif'fe&i,' ^'«" : §*': '"#". '•"'•' : 'A -i-. 1 '.-.^.','•••.%; 1 -:"-.". 1 .i' -^'7. A'Tv:. *V~'. : ' : i.!'r .''-'•- .-">;."4;:V'r .v"\Kv^C''-;-; : - : ' : ^'••;.;Ji ; ..-,'A.- ; ..v. ,'"c.'\v- J : ' . ... "- : '. . ' ; " i' •:'=• '.i''.; .' :. I: ".'¥-"-S ;1 V'T::~^' ! WSV?S?:.-<br />

;^^^|-% : ^ : ;^ : -ft::;~X|^:;;^ '•; • :; -'.;";' ' ^ : £j -?vj'=ft|^<br />

• • • \


MONTANAWAJERJESOURCKJOARD nessj ^ s<strong>and</strong>stone, etc. Show<br />

Developed after January 1, 1962<br />

This form to 1 - ^ ^ ^ ' - ^<br />

W<br />

^ h ~5>tSj^^^<br />

££ answer a,, questions. If not applicable, so st,te, otherw.se the [ ^ S S Z ^ ^ ^ ^ Z<br />

form may be returned. „ _-,- Vfa^KJ.f,, /l^^lu^^^^<br />

0 m.^J^yj,/c » yfl^^^^--r fc 1=nr Administrator's Use _ _j L " ____IT.<br />

^JC^IUUL.%y£L B«. ^asa^-. pp^^^^zrri:<br />

Date well started JULS/U. cklng, cementing, \ _ J<br />

I ' packers, type <strong>of</strong> shut<strong>of</strong>f) —I. j + I<br />

1 1 1<br />

IND.CATE IOCLN OF WEU AND PIAC| OF USE, IF POSSIBLE. F l B l I I I ^<br />

^ ^<br />

EASTSMAU SQUARE REPRESENTS 40 ACRES. I I j<br />

Driller's Signature &.f.M.£:es~^ J_ / • 1 —• •<br />

n jja iy?o *4* ••- —<br />

Driller's Address P.u./7-t. J- "_ y ££ show exact Japth <strong>of</strong> bottom<br />

UCENSE NO3?~./<br />

"• ' : ^ M '


• • :<br />

: • • ; . • ; - •<br />

! • -V '<br />

rT'rs OP j^o^rr.vsiA, 1<br />

- -; - C -.. 10;*£.... _-<br />

,.. ~ .... ..X/iu.'-- PJ v c'rioc-i .— X- r_ -<br />

- ''•-**sf' "•ty"'".


Pi -<br />

SgfcSl'cSSS?"" Count v S«t#»,.W<br />

STATE OF MONTANA DRILLER'S LOG<br />

NOTICE OF COMPLETION OF GROUNDWATER gravel shale ' s<strong>and</strong>stone, etc. Show<br />

APPROPRIATION BY MEANS OF WELL Jg, £ JJ* ^ ^ j£<br />

Developed after January 1, 1962<br />

(Under Chapter 237 <strong>Montana</strong> Session Laws, 1961, as amended) Top <strong>of</strong> Ground miw, aw «a i«eii<br />

This form to be prepared by driller, <strong>and</strong> three copies to be filed From TO<br />

by the owner with the County Clerk <strong>and</strong> Recorder in the county in '' ' ' ; }<br />

which the well is located, last copy to be retained by driller. s_ _3 ___fflL__>14._<br />

Please answer all questions. If not applicable, so state, otherwise the ____ ___ _______________________<br />

; form may be returned, %.___£______ $»*? ftfiMft<br />

Owner A_L&_ JUX__a I—r—A_I • • . TT, 1 -—8? _5-____!_. J__-_ i<br />

u -«*"l—MWWW For Administrators Use<br />

Address ...g..|_y_» File .p^J.(^..S!Z. ---5-—3& "^SMjS_f__L S9B Q<br />

mmsr--msmm •- CJ&JB«L -JSS. —3& -__••_. Jwi. •<<br />

Date well started •••_9MBr-


':• • ••'• '••'•y.^J\.sS-'~.' • .-.• .„,-,.i;yy:M~Tp..-»,..,.-,..—_„—,„_.,,,„ •. .. _.—M,«~«««*sfeCSB«*3is"'; : ^^i-~i r •-•J-.:'.-'-Z : ". •'.• '• '-'•' ' . • '• ^


I<br />

I<br />

; . , " J --------<br />

.®t.j 3W 2 Rcvi«d I9S9 < • Counry.....?4.$$&£-.. 1 EWi<br />

13—3M— 10/W<br />

STATE OF MONTANA ' DRILLER'S LOG<br />

ADMINISTRATOR OF GROUNDWATER CODE |ndicafe the character/ color, thick.<br />

MONTANA WATER RESOURCES BOARD<br />

NOTICE OF COMPLETION OF GROUNDWATER<br />

ness <strong>of</strong> strata such as sojl# c,ay# s<strong>and</strong>/<br />

9vel, shal T( tuwtrjuw. '<br />

i<br />

'<br />

AddreSs3M?..3..?;Mfc5r...§?..-. K\e...


^SiSl5i§iffiiSiiiiilKi^<br />

^gfiliiiifliiiliffi<br />

: :<br />

|- | ^ 5 ' | ^ : n S y .' y, • • [ ' ' • ' •::•:-._. ' ' . ' . . ; . ' ' • . : . • . • • .; '•..]':''.... : : -.-: • ' - " ;r •" '


• I ' °4^>i GW 2 R.IK^ ^^Ht BufeM*..»mtaaA....S97 S\J^U%,/<br />

- J ' ' lT ( -* I^^^H s >» ffl.._...l 5gt' aoiip; iiflf<br />

^^^^B i .J for ..-.3- hoors.<br />

^^^^H '[ | Power...... .,:... Pump it........ HP ~ "*<br />

H^^H | I Remarks: (Gravel packing, cementing,<br />

^^^^B packers, type <strong>of</strong> shut<strong>of</strong>f) •<br />

^ ^ H ...3E .V4 M..V* Sec. .A*.... '~.~ .Z'IZ.<br />

^ • | T....2 N R 7. *<br />

^ ^ ^ B INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE.<br />

^ ^ H EACH SMALL SQUARE REPRESENTS 40 ACRES.<br />

^ H Driler's Signature ....?:.*^°..


I I<br />

I m; ^_;<br />

HI ' ; ' : -' '<br />

I


?, Helena, <strong>Montana</strong> 59601<br />

: 5<br />

\ As the Administrator <strong>of</strong> the Groundwater Code for the State <strong>of</strong> <strong>Montana</strong>, please take [<br />

J note <strong>of</strong> the following special instructions, in order to properly protect your ground- $<br />

water right. &<br />

>• t<br />

Special Instructions: 5<br />

I<br />

I Please provide the county filing number for the attached form, as indicated - i<br />

in red.<br />

THank you. |<br />

' 1<br />

5 !<br />

i<br />

f<br />

'i<br />

; t<br />

? I<br />

| Equipment used ...mrr.a.Tr*?.?,.......:...;.".^<br />

(ttoni drill, rcttiy or who) |<br />

S Water Uie: Domestic £3J Municipal D Stock D Irrigationi £r , v " " '—•" ; —I !<br />

, , , • . - • • • • • • .. - . . - - : .. , - |<br />

1 Industrial Q Drainage • Other •* Garden/Lawn Q " — •—I<br />

i • ...- - -: : ,-.•;•„. ,- .. .. . . ....... . — — - • -<br />

1 'Describe -.._______-___ "., ;; , ' T:;;,';.^;.;; ' : ;,:?; ::;.•»-:>;-;;S5i/:: -,«&,.,:— — - .!<br />

6 " C S / t S " £ f l •••••;• -"••••"'•-. -.-, • i :" r ;- : . •• •.•/.""•• ; •-••-'•"'•' - " I - " -:'-. ^"~"~ """" - . — _ , - . - . — - . _ — _ . _ . - i<br />

x .230 j t « « -•• -> 'A'-::-••.•"-.•••;•. ,-,• . r : ; l — - - — : '[ <<br />

w 22 19/; ••;: ' : :> '•":'':.. ;- : ::;;;' ;• •-: •'. r '/_ _ZIIHI__- '<br />

f f i i ; i £ ' • • ' • ' " W T C F K ^ T 1 . ;-:~- ~..—.--- L -~:'-:-- ""'-.•.''-"-•. ' ": " ^ . "'- : ' •-,•--: --•• •<br />

I" '**".' 'I 11 "f " l "" I - StMk w«er levtl ....'."I -,...,,..ft.* : : ' ; " ---.-"""""*'<br />

i | Pumping water^ level -^-~^.______. ,^_,_^_,_._._., _^ __, '••'<br />

......i i i;at .;:.._S_-im_^:;.9«llor» peri-minute, T? --- ' r "~.-:""""" ' - ""* ' ;• ,<br />

. ', j -: iniaiurad ...minutei »ft«r pumping ":- ' •- ' :<br />

•; _, i i<br />

x .-•-•Ngw.-••.:•-. ••;; r " " : ~ . - r ^ " -- , . • • - • - . ,---••: ~ / I .<br />

——! -.*"'...*MMtuf«d-.from ground I««J. :|" : __ _ -^ i »<br />

; ; Well ifcveloped by. .liAlllxa.JSiJitat "iw?£ her ~ •<br />

.„,..]„„„ ......j . tor .~3.. ......Jwrt. __»_ ^__._ ___»___M___^_,_,___. '^<br />

J I .; '• .?©*«.„„„...,.„.„. ^mp.'_U._..M HP ' ' .• . --- '~~- " -"• ' - '".-•• ?.;.'.<br />

' • . • { ' . - Remtrkt: (Grtvei padcing^camenting,______ _^._, »^._^^.«__M^_»_._,_,_i,_,_,.<br />

;. * . |Mckan, typ« ol »hut<strong>of</strong>O.'. „—. , . **' *-" rr ""* - -. "•*""*•""•"*•" .<br />

-'•'"' ' .M*.% Zi&M-*ae...;.l.9-.~. ,..„„,„.....„. „;. •~ r *""T'-^' gr r"'" ""•<br />

; . • ••T.r.l,.m>...vN;R. 1 :« —.„,_.... .-.-. ,.-^,..,a, ^vr|,..;,;,;; ,_,-__;m,.,,^;^r-..,,.im:7,. ,.',„ ;•• ' -•-<br />

: Xot-32 Conftn«nt«l ^os" .-..~.,.~,-~.... —.;—_..____• r.r.V; ;: '—«__-____-_^-___. .\, • ,<br />

INWCAm IOCATION OF WEU. AND PIACS Of USE, IF POSMWJE. -.--.-.-_—_—-.-,_—.-»-,..<br />

EACH 5MAU SQUARE REPRESENTS 40 ACRES. j" •••. ••• ?-— .''•'.' ;, _ ; _ '—— r<br />

;.; .oriutrt,Ad*«» ^•i.rwH'V..'-, r"r r ""\T ~~~T" "^"-i „,.,.; -.',"",: v: :


•pi" • iissssi^ •<br />

: IK:; ^yflBL^ I


ow a MONTANA WATER RESOURCES BIMTO" 1 ««* F"- 5 ""' PuWl!l ^ s ft/* 1 " 11 ' " " " " ^ " J v ^ " 1<br />

RECEIVED T...^#....# # )V l ^<br />

Pile No " ~hf I jjl ^S^<br />

• i QUADRUPLICATE J UN 2 4 1969 ^ . ^ . U ^ * * .<br />

V — STATE OP MONTANA<br />

LOO ADMDnSTBATOB OP GROUNDWATER CODE<br />

• : 3TASE- WATER CONSERVATION BOARD<br />

r»"""l Top <strong>of</strong> Ground - . ,<br />

L | , , . Notice <strong>of</strong> Completion <strong>of</strong> Groundwater<br />

h (Elev. above sea level..-.....-) ^u^rfrffcjn by MeailS <strong>of</strong> Well<br />

_ I DEVELOPED APTER JANUARY 1, 1982<br />

—301 I'lS*^!^***!! Miwi (Under Chapter 237 <strong>Montana</strong> Session Laws, 1961, as amended)<br />

_ I X5-.40 WKBA<br />

_ I «-«S «<strong>and</strong>, •«• eUy Owner.*il«t~sya« -.^ddresBBfct*.,...»0«it«aft •-•••-<br />

, ~» *^ 7d * te J^l^x«y Drmer.«Slt^«*.-^«il^-^.-^dress.B^«»y.-|lMlt««- -<br />

P«tt ^}J J^ W t W ' **^ Date <strong>of</strong> Notice <strong>of</strong> appropriation <strong>of</strong> ^oundwater...«ay.-^i--..i«»-<br />

; " SJl«2S»!5S« DateweUstarted..^il..4lr.a««»^atecomplete*9Sil.-*,.-.M«»----<br />

_-J Water use: DomesHc Q Municipal D Stock D Irrigation •<br />

«8| Industrialfi Drainage O Other Q<br />

~ I Indiwte on lie diagram the character <strong>and</strong> thickness <strong>of</strong> the different strata<br />

H - stota <strong>and</strong> height to which the water rises in the well.<br />

.. "SS 1 -«. S S3 £. ..;<br />

r —•• • «* t" x.».<br />

_« 17 1b. 0 f«* i«tti»9 '•• ,<br />

; Jk -~ . ,»•,,..-•-w— -• • *' t A r e h n* »«j ;<br />

I;-<br />

~ N Static Water Level for non-flowing well ,<br />

"" pn—i—j—I --**-;—- feet - "<br />

~ i ' j Shut-in Pressure for Flo^ngSell^i-w~«. r<br />

~" " j " ! Pumping Water Iievel..iS5;!~^>—- ; -- ;feet<br />

j j o E at. J* 8»1- P« r »i«H* tc -<br />

— W I<br />

j ! Discharge in gal. per min. <strong>of</strong> flowing well<br />

! j How Tested... Jb*il«S<br />

i I • Length <strong>of</strong> Teat .2~hGttS* -<br />

* Bcmarta: (Gravel packing, cementing, pack-<br />

~ ere, type <strong>of</strong> shut<strong>of</strong>f) _..- •.•<br />

Indicate location <strong>of</strong> well <strong>and</strong><br />

place <strong>of</strong> use, If possible. Each , _ _.<br />

gmall square represents 40 .-_.---.-_<br />

- acres. •: :-:•:•—•" * .<br />

Place <strong>of</strong> Uaojlaw as well location j<br />

_ ._ . „ (Continue on reverse side)<br />

OBB-H used for irrigation, industrial, drainage or other.• B«pUln, »teto<br />

number <strong>of</strong> acre* <strong>and</strong> location or other data (i.e.! Lot, Block <strong>and</strong> Addl- _<br />

- tlon).<br />

- fioBWiatlci^a cn3».,.lota5.JSontlnixaftl —<br />

mmmj Show exact d«ptij <strong>of</strong> bottom. . _ „ _ —<br />

««*U«dby4riltor. .->"• ^/C


:,;#«?i€*if ;. .••• J , ^'^vj^o-i'--:-; ; .\.'^\i^-v^vv.~ :£^\r ' 'T'V / " • -.'•••••;•• . ".^; :; ^':;;vv^..:: •.-. ." .' •; \\'* •,-: .»,:j •• :;!<br />

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OW 2 Approved Stock Form—Stti- Publishing Co, Helcnn <strong>Montana</strong>—45642 H&O3<br />

MONTANA WATER RESOURCES BOARD<br />

KloKo _£ • RECEIVED T T * » 8*-<br />

QUADRUPLICATE J UN 2 4 1969 County •aiattwwlww<br />

L0O " STATE OF MONTANA<br />

~~ SBBTOHSTRATOE OF GR0UNDWA1ER CODE<br />

I ' J Top <strong>of</strong> Ground -H- __ -OFFICE OF STATE ENGINEER<br />

~ , (Eiev. above sea level 5S75* 5 Notice <strong>of</strong> Completion <strong>of</strong> Groundwater<br />

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I „,. ' N «TATE WATtR CONSERVATION BOMtO ——<br />

• " f-•% £ C P I V £• Approved Stock Form—Slato Publishing Co, Helena, <strong>Montana</strong>-423. *gg^>3<br />

I "• No W AUG 18 1965 ID T "^ R - ? - "'-<br />

I QUADRUPLICATE County<br />

I " ^ T * STATE OF MONTANA^* ^<br />

I ADMINISTRATOR OF GROUNDWATER CODE<br />

I ——. Top 0{ Grolmd OFFICE OF STATE ENGINEER<br />

I ~ (Eiev. above sea iw&SM.Q. ) Notice <strong>of</strong> Completion <strong>of</strong> Groundwater<br />

I ~ t Appropriation by Means <strong>of</strong> Well<br />

I _ - - - . ' . ' • . -••C i DEVELOPED AFTER JANUARY 1, 1962<br />

I »•'-/ i • i 1 fc u. clay (Under Chapter 237, <strong>Montana</strong> Session Laws, 1961)<br />

I Owner. Address<br />

I -- Driller. Address<br />

I _ u f uecst'e Drilling Co, 8*tf.«, "vmur,* ;<br />

K) Date <strong>of</strong> Notice <strong>of</strong> appropriation <strong>of</strong> groundwater. _ |<br />

I kl> ( -5l. r -iTiU fj.illd. Date well started .Date completed...,. ...., ..<br />

I ~ out, c*all asjunt Jvoe 15, i^>5 «*w» Itf, 1 »05<br />

I — n* a;fsr Type <strong>of</strong> well _ .Equipment used. I<br />

I (DuB, Driven, Wieali*«led) (Churn drill, rotargtaMJ*f!r)iri41<br />

I "Water use: Domestic • Municipal Q Stock • Irrigation D I<br />

I — Industrial @ Drainage • " Other •<br />

I — Indicate on the diagram the character <strong>and</strong> thickness <strong>of</strong> the different strata<br />

I met with in drilling, such as soil, clay, shale, gravel, rock or s<strong>and</strong>, etc. Show<br />

I — depth at which water is encountered, thickness <strong>and</strong> character <strong>of</strong> water-h-aring I<br />

I i strata <strong>and</strong> height to which the water rises in the well. I<br />

I _ . &)'rV *»4 ^n* •* °' c -» « 5S A .<br />

I ~ 9 ••*-.'!>' d'«y -<strong>and</strong> 19 *<br />

I ~" 95* 5-5* clay I<br />

I f^ A/ j£ T I// " Static Water Level for non-flowing well I<br />

E - • i I i I i I" ....... Jieet.<br />

I — (? Mfe_— j \ Shut-in Pressure for HowingnVeH 1<br />

I _ 20 I 2,/ I ' ! Pumping Water Level -..g.j. .feet 1<br />

1 \ w ! | E at .„. gal. per minxite. I<br />

I — ~C 1 U RiW \ ' Discharge* in gal. per min. <strong>of</strong> flowing well I<br />

I 1 I How Tested. ,. .. I<br />

! - ,1,0' f T I ! j W&X Length <strong>of</strong> TortKjf----. - I<br />

I ' Remarks: (Gravelpacking, cementing, pack- I<br />

W.r' WiSJU Sec.4..T.M..ii.7^ ers type <strong>of</strong> shut<strong>of</strong>f)<br />

'<br />

I — (*/ Indicate location <strong>of</strong> well <strong>and</strong> I<br />

I \ place <strong>of</strong> us n if possible. Each I<br />

I ~ t- •• 4 small squa.o represents 40 J<br />

I 11 f?i f acres. |<br />

I - _ (Continne on reverse side) I<br />

I W &MMX tvu&rh USE—If used for irrigation, industrial, drainage or other. Explain, state I<br />

I — , j/ja number <strong>of</strong> acres <strong>and</strong> location or other data (i.e.: Lot, Block <strong>and</strong> Addi- J<br />

- ti0 3L I<br />

/4&W ak..kj.id,. Qrvd. k.is '£»y + iov' *4t. AM^OX*» fcS.... I<br />

, • i te^fa...]hai&#^.JkH..9YW^ *. .(Mty*L J..46//&. ^Hnf\. .. I<br />

| I 1 Show exact depth <strong>of</strong> bottom. y^4M.^.f...^.^.^.M..a) I<br />

# /<br />

"*^This form to be prepared by driller, <strong>and</strong> three copies to be filed by the owner with the •""•".jjrT'U'V '^V ". I<br />

-County=ei«rb^aid-B(Ko»d»ran the county in which the -well is located, tissue copy to be DnHer s License Number ^ I<br />

retained by driller. CDs O ^/O'J^ / I<br />

Please answer all questions. H not applicable, so state, otherwise the form will ba c-^a. r. .^.s .^. •<br />

returned. Driller's Signature .. I


^iJ'J^'-r , WDS tnw it inv/<strong>of</strong>e afl to^-^V.^ \ ,,-fy i ", r:- -;^:4*^?/lm'-, ft<br />

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^ft-iw DRILLER'S LOG<br />

NOTICE OF COMPLETION OF GROUNDWATER de that which water is found <strong>and</strong><br />

IPPROPWATION BY MEANS OF WELL height to which water rises m well.<br />

Developed after January 1, 1962<br />

(Under Ch.pH, taj^***}' - — * * Top^Ground^ B L S S S SS^ S ==<br />

Please answer all questions. If not applicable, so state, otherw.se the \ I<br />

form may be returned. I I " ~<br />

Owner SUSBSBS. I For Administrators^ pUj^SlS^SII^<br />

Address .M*®*.-^^ File ..«?.£


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