1 i^oA^ ,; T:;^ra^ ^f) count,'.. ^III > j. UU n c 301968...

60
iWf'iy jf/f •••• Approved Stock Form—Stale Publishing Co., Helena, Montana—4047J "§&£ ' H j File No ...^ T i> JJ U OQ JJ ^ IB 1 i^oA^ ,; ; T :; ^ra^ CE]1¥; ^f) coun t ,'.. M8BW ^III \ :: I > j. U U n £ c 301968 STATE OP MONTANA ? I ';' i - 1 7'j ADMINISTRATOE OP GROTJNDWATER CODE : I r—I Topof Ground' ; <VTMt tNlilNEE^ OPPIOE Of STATE ENGINEER | : (Hev. above sea i6veL3i§o»._..* ..... ) Notice of Completion of Groundwatei' | I 77- .„ '>Pi> : -'- Appropriation by Means of Well ! -i •<>«• ;1 Topgoll r r r Jr" 1-14 - Saad r gt«Vril« OOBble- (Under Chapter 237, Montana Session Laws, 1961) \ ~~ ••' J^wtonoBtofl, tan olay Bt # 1 1004 Gome Bvive I _ 14 - 39 Pine alliiy wmd. ^^ Fm Boatiorsd Drilier...Lfb«r*}r..Di>llllQa-.Co-—AddressJiaaoHlay-Montona- j , - SFavaXc/. Sons , _ V&tcr. Date of Notice of Appropriation of Qroundwater....Jiona.Xil*d. \ 39-44 Taaolay»itb , „ ' , , ! -^ v - SOB* gravel Date well started .... £/14/62 Date Completea.....9/24/62 j •/ '* •• Imbedded. j •> ' « ~" 44 64 Sllty Band. Few Typeofwoll Da4H*d- Equipment Used...Cal J .l e ..% oo i B i' - i _ ••'••••• nfmiliHTOfl jcyttVUiB W U B> <Wven, boied or (Churn, drill, rotary or f ' Wat<jp# °* drilled) other) | ... .f4 «• 67" M M MBd'W* ©nW^JMhterUsc: Domestic g Municipal Q Other D Irrigation H | . Wat«P« Industrial Q Drainage D Stock IjQ ' . ' _ 67-69 Clean ooturae gravel* i . i : Good mter* °^1 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. | . Hater rises to 5'H" flfOn si] OW depth at which water is encountered, thickness and character of water- j SUftfaoS* bearing strata and height to which water rises in the well. Bluer Size and From To BrounmTiniuc Drm«I WeUhlol (Pwl) (Peel) fERFOBATlONa Hole Culm Kind From To Size (Fett) (Feel) ' 6 in 6 5/8" QD •*' 69* »«"• ! ' - X 19 # per i foot N Static Water Level for non-flowing Well g.?.JJfl feet. - ! j : .! • I— Shut-in Pressure for Flowing WelL..JJo»"fl,Olrtag | —I ;• i —!—I Pumping Water Level .... ^6 feet at.-.^O gal. per minuto. j ! I i ! ! j Discharge in gal. per min. of flowing well....H09a—flowing- - ' ' ( V ' ' ' ' ' ' E . 1 - j i • I ; j i IIow Testcd.A£r..ll£i~punp. Length of Test...2.-tea. ; ! i i ; I Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- " ' / ! i j | i tion of place of use of groundwater if not at well, and any j j | ; • I ! other similar pertinent information, including number of ; r - I ! •—— ' 1 ' ' ' ' acres irrigated, if used for irrigation)«S!ffl a < ge&«ateol - J D _?V^,« OAU driV8 Bho « wWed to the bottom of the six | ( - —%— Sec=?^. TI» R.20JT lnob.oa.iBs- Allnatw-i»«.te»4ns wail I ; j _ Indicate location of well and through the open bottom of the six inoii 5 ' " .'•• |: place of use, if possible. Each oaalBg« i / \ small square represents 10 acres. i • / ' ;• . - n . . . . ^ ^..^. Two lots irrigated (larse). ' .•'• I - lot 7 Block 1 Sohwaadt Addition. l? - * a ~ A - j • '-, tm ^ m J Show exact depth of bottom. Orohard Eomea t | MiBSOUla, Mont. DriUer^TLicense'l^Sr' | , •••••. '• Bottom of well 69'. to|o^fi»M. j Driller's Signature j : This form to be prepared b y driller, and three copies to be filed by the owner with the County Clerk and Recorder j L in the county in which the well is located. '• '> Please answer all questions. If not applicable, so state, otherwise the form will be returned. j ! 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. '

Transcript of 1 i^oA^ ,; T:;^ra^ ^f) count,'.. ^III > j. UU n c 301968...

Page 1: 1 i^oA^ ,; T:;^ra^ ^f) count,'.. ^III > j. UU n c 301968 ...mediaserver.dnrc.mt.gov/archive/ground_water/... · I GVk" Appromd Stock Form—Sute Pobllihini Co, Hdenm.Hmui-«1«

iWf'iy jf/f •••• Approved Stock Form—Stale Publishing Co., Helena, Montana—4047J "§&£ ' H

j File No ... T i> JJ U O Q JJ ^ IB

1 i^oA^ ,; ;T : ;^ra^C E ] 1 ¥ ;^f) count,'..M8BW^III \ :: I> j. U U n£c 301968 STATE OP MONTANA ? I

';' i - 1 7'j ADMINISTRATOE OP GROTJNDWATER CODE : •

I r—I Topof Ground' ; < V T M t tNlilNEE^ OPPIOE Of STATE ENGINEER | • : •(Hev. above sea i6veL3i§o»._..*.....) Notice of Completion of Groundwatei' | I

77- .„ '>Pi>:-'- • Appropriation by Means of Well !-i •<>«• ;1 Topgoll r r r •Jr" 1 - 1 4 - Saad r gt«Vril« OOBble- (Under Chapter 237, Montana Session Laws, 1961) \~~ ••' J^wtonoBtofl , tan olay Bt # 1 1004 Gome Bvive I_ 14 - 39 Pine alliiy w m d . ^ ^

F m Boatiorsd Drilier...Lfb«r*}r..Di>llllQa-.Co-—AddressJiaaoHlay-Montona- j, - SFavaXc/. Sons ,

_ V&tcr. Date of Notice of Appropriation of Qroundwater....Jiona.Xil*d. \3 9 - 4 4 Taaolay»itb , „ ' , , !

-^ v - SOB* gravel Date well started....£/14/62 Date Completea.....9/24/62 j•/ '* •• Imbedded. j

•> ' « ~" 4 4 — 64 Sllty Band. Few Typeofwoll D a 4 H * d - Equipment Used...CalJ.le..%ooiB i'-i _ ••'••••• nfmiliHTOfl jcyttVUiB W U B > <Wven, boied or (Churn, drill, rotary or f '

W a t < j p # °* drilled) other) | ....f4 «• 67" M M M B d ' W * ©nW^JMhterUsc: Domestic g Municipal Q Other D Irrigation H |. Wat«P« Industrial Q Drainage D Stock IjQ ' . '

_ 6 7 - 6 9 Clean ooturae gravel* i .i : Good mter* ° ^ 1 indicate o n the d i a g r a m the character a n d thickness of the different •

~ • strata m e t wi th in drilling, such as soil, clay, shale, gravel, rock or sand, etc. | .— Hater rises to 5 ' H " flfOn si]OW depth at which water is encountered, thickness and character of water- j

SUftfaoS* bearing strata and height to which water rises in the well.— Bluer Size and From To BrounmTiniuc

Drm«I WeUhlol (Pwl) (Peel) fERFOBATlONa— Hole Culm Kind From To

Size (Fett) (Feel) '

6 in 6 5/8" QD •*' 69* »«"• ! '- X 19 # per i

foot

N Static Water Level for non-flowing Well g.?.JJfl feet.

- ! j : .! • I— Shut-in Pressure for Flowing WelL..JJo»"fl,Olrtag

—|—I ;• i—!—I Pumping Water Level....^6 feet at.-.^O gal. per minuto.

j ! I i ! ! j Discharge in gal. per min. of flowing well....H09a—flowing- - ' '( V ' ' ' ' ' ' E . 1

- j i • I ; j i IIow Testcd.A£r..ll£i~punp. Length of Test...2.-tea.

; ! i i ; I Remarks : (Gravel packing, cementing, packers, type of shutoff, loca- " ' /• ! i j | i tion of place of use of groundwater if not at well, and any

j j | ; • I ! other similar pertinent information, including number of • ;

r - I ! •——'• 1 ' ' ' ' acres irrigated, if used for irrigation)«S!ffla<ge&«ateol - J

D _ ? V ^ , « „ O A U d r i V 8 B h o« w W e d to the bottom of the six |( - —%— Sec=? . T I » R.20JT lnob.oa.iBs- Allnatw-i»«.te»4ns wail I ;j _ Indicate location of well and through the open bottom of the six inoii 5 ' " .'••|: place of use, if possible. Each oaalBg« • i • /\ — small square represents 10 acres. i • / ';• . - n . . . . ^ ^..^. Two lots irrigated (larse). ' .•'•I - lot 7 Block 1 Sohwaadt Addition. l?- * a~A- j •'-, tm^mJ Show exact depth of bottom. Orohard Eomea t| MiBSOUla, Mont . DriUer^TLicense'l^Sr' | ,

•••••. '• Bot tom o f we l l 6 9 ' . to|o^fi»M. jDriller's Signature j

: This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder jL in the county in which the well is located. '•'> Please answer all questions. If not applicable, so state, otherwise the form will be returned. j

! 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. '

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,/•. ,• rrr—iDoc. Ho.S&S32l~ • • ' • - - - • - • • \ •

S O W I FlleQlO ££jj£5U~O*' Approved Stock IPonn—Suto PobliihlngCo, Rdctu, Mjnttm« -436«' <*gj^>3 1 I

' £ »TJPUCAtffil0Ck-£1-M' /,, |, lg? Oomi1yJ22fcfa*<U | . IT O O

U STATE OF MONTANA & •ADMtNISTEATOE OP G R O U N D W A T E B CODE ?•

i i Top of Ground OFFICE O F STATE ENGINEER ;

(Eiev. above M A ievei..2^_2. ) Notice of Completion of Groundwater |~ Appropriation by Means of Well %

D E V E L O P E D A F T E R J A N U A R Y 1, 1962 |— (Under Chapter 237, Montana Session Laws, 1961) i

— 0 - aV top soil . |_ Owner.:*lTi3..:is.i?_51i5iE55S AddressiP.3?-&ff«.J.EJXl»..L*Jte*__ ?

S - Drmer-lL.w).lS...(s«_LiSiy.n.?. Jlddress.3.£;:!t..v!DA../;.TJ*.a_aI?^ [

2 1 « 6 s m d Ic r>riv«l Date of Notice of appropriation of proundwater. •

vj Date well Btarted ^/J.OjM'. .Date complctcd....3/ir^.ulv. . . . I

— ^ . < ^ - , Typo of w e l L A x l n a Equipment used.&ibi!...±oa.l ! I

V -^ <7 (Dug, drHm, bond or drilled) (Churn drill, rotary or other) •_ o - 1 4 ; «»ha W T B : 1 Water use: Domestic Q Municipal • Stock D Irrigation D ' I

' _ w*Ti<|r, Industrial Q Drainage D Other • . I' 'n % if- Indicate o n the diagram the character and thickness of the different strata

I ' >: ^-v ' met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show• — "* i >i 4o <. t * depth at which water is encountered, thickness and character of water-bearing i• ^ 14 - 32 ssnij-fr Wft«r strata and height to which the water rises in the wcU.

I "" ^ ) SIM of i Muaad I Fran To vnvaalrmm •

• I Holt O T C M I M Kind Fran To

I ^ _ «-|v=i :7^»-to 1W? x l , 60 5SI - P»r ft.

• •••, I — .57 - i>4 s . n d 3. r;-t-tr i

• ' \ — J* Static Water Level for non-flowing well

I | - j £ j I l:...?L.9..t...tJ2Bfeet.I . ,' j _ o4 - 30 rr-.iv«l - w:t*r j j Shut-in Pressure for Flowing W c U

1 • I — I i Pumping Water Level_iL£L.?.S..iSILieet

I . 1 w ——i I E a t •"-• 8al' P c r minute.I | | Discharge in gnl. per min. of flowing well '. '- ••I - 1 JI j "" i ! HowTcstcd.....?.2!:2.?.«SSP.r.

I - I i I ! Length of Test ? . ™ ™ " . l '

I ! — Remarlts: (Gravel packing, cementing, pack-

I i - / ) ^ . y ^ e e ^ T . ; . K B ^ ^ C r S > t y P C O f S h U t O f f )

m ' — Indicate location of well and• place of use, if possible. EachI — small square represents 40• I acres. t... .. „. . .„ . . . . /• j • ; _ j y"• , ! (Continue on reverse side) | /•'

I ] USE— I f used for irrigation, industrial, drainage or other. Explain, state ;

I — number of acres and location or other data (i.e.: Lot, Block and Addi- < . -I tion). , • .

I - - ZZZZZZZZZZZZZZZZZZZZ :I | L I ^ K J Show exact depth of bottom. ;I : 00 ft. II •'• : 7i '• < ' This form to be prepared by driller, and three copies to be filed by the owner with the '^"".V,""7""T • M " " ' T '• 4 : County Clerk and Recorder in the county in which the well is located, tissue copy to be Unllers Ueense N u m b e r ( iI ! retained by driller. . / .. _ y ^-\ s; i 'I ! Please answer all questions. If not applicable, so state, otherwise the form will be .^SJ^M~!~^U. <~\..>-/Zi-C&£xc*',\ • i i returned. Driller's Signature.

L ' |

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• ' • • . . ' ' •

$mf^'^' 1 i ' ' ' ' ' ' *fc/f7 . ^ ' ' ' ' ' ' ':"i ^fe i« ? ,2 :- < f '«*««<» and a t e i r ~ 1 ' ' I

• • . ' • ! • • • , H ? - = •:

. L ., • • \ ', , • ."> C '

< . - • '":•• ; i - ' • • • - • • | -;t • ! r l - - ^ -

? .-;•: • • - . :• ^1 i r i l l !'." ' "' ""' ' " i"J " ' ' ! ' ! ^ ' - , ' ? ) '•'

• • . . " ' . i t - ' ' '

I ' , '. . . •

4 ' . . . - I

« ; i

J

Page 5: 1 i^oA^ ,; T:;^ra^ ^f) count,'.. ^III > j. UU n c 301968 ...mediaserver.dnrc.mt.gov/archive/ground_water/... · I GVk" Appromd Stock Form—Sute Pobllihini Co, Hdenm.Hmui-«1«

.. . . . . _ : _. IGVk " Appromd Stock Form—Sute Pobllihini C o , Hdenm. H m u i - « 1 « < ^ _ ^ > ! / j ^ M

! Fne No S T A T E . W ^ CONSERVATION 30**, T_J^Jbu20-*i 2? ' * ' I

i D U P L I C A T E ^ 1 "•" Conntj.._j. . s^a .r II «"• !'D:-'""STaTE OF MONTANA " •1 ^ ADjMffnSTRATOR.OF OROUKDWATER CODE •| DarlinUn 5^017108 0P-8TATE ENGINEER HI Elckert ' H

| Declaration of Vested Groundwater Rights fl| i (Under Chapter 237, Montana Session L a w s , 1961) ! I

1 i ~ I Ii.tfcfcn Bolahara-.. — -5534 °*-—-SoWi-Ar•A»»---i=5ia9e»d:»~--T 1 9

( N a m e of Appropnator) (Address) (Town) i BCounty <rt Halft « State of...JlojLtaa&» ! I

! have appropriated eroundwater according to the Montana laws in effect prioi' to January 1,1962, M follows: •N ; . I

*** ' • ' • ! { 2 . The beneficial use on which the claim is based. \ ^ |....:.—j.....;.— :.....! ! — /fe^s..;fcj?£<s. C*£SJ£~ ; •

i ....j....j. j.. I | ] g Date or approximate date of earliest beneficial ase; and h o w continu- , H. .; I ! I. . . . ! j ous the use has been.....X.Q/5JI DOBeafei*. i •

! J ! ! i i '); ^ |

w —|—j—!—'—\—\—\— « ZZZZZZIJZZZ1IZZZI"ZZIZ_ZZZI I 1j I I .; j . ^ ^ e amount of groundwater claimed (in miner's inches or gallons "

....! !—-i |—-!.—-:-•— per minute) .2D. . .G.« l . . .p« . JKUU _ \....;....; I .'; j | i

j I '• • '• I ! ';t 5. If used for irrigation, give the acreage and description of the lands •:g to which water has been applied and n a m e of the owner thereof ,

! h).-£L ii _tt 4fiQ Sfin^? T 1 1 H9D _. — _ -. 'i Indicate point of appropriation * j It and place of use, if possible. Each „ , , , . , . , IJ small square represents 10 acres. 6- T n e means of withdrawing such water from the ground and the loca- j •

tion of each well or other means of withdrawal j •„ I/? fj f> -T^tr-J ftS.iS? P /rrt . I •

I 7. The date of comment ement and completion of the construction of the well, wells, or other works for with- \drawal of eroundwater 1(1 Jl^fi. . . ~ _.„ .... ...... i

: D . v™« i . i « i . « ^ r v ^ . y . y . . . . w . . . . . . . . . «... . . . . . . i

\ tI ; 8. The depth of water table 42-ft* •- |I : 9. So far a* it m a y be available, the type, size and depth of each well or the general specifications of any other !I i works for the withdrawal of groundwater....4,..IaT WeU 40-£t»-froa-gX-OlUld- 1«ML '

I • 10. The estimated amount of groundwater withdrawn each year. 4 - 5 2 T 0 0 0 - P « r - X - © a p {I • i 'I ' 11. The log of formations encountered in the drilling of each well if a v a U a b l e . . . / d ^ . . ^ ^ ^ . . / C ^ / . - r ? . ^ . . ^ . - / c = _ . j

I 12. Such other information of a similar nature as m a y be useful in carrying out the policy of this act, including j /I reference to book and page of any county record! .AC^-^ip-^^

I • ' Signature of Qmrar...yJ^£^!^^.iJ^iSt^^^^^k^^4^..

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

I 1 Please answer all questions. If not applicable, so 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 ofI Mines and Geology, and Quadruplicate for the Appropriator. dC^^

I

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/''•[-••••£:..• .vg$V?^»-:ZP ::•','•; , - , . . .- ' , ' ' . . . . . . . . . . . . . .

,••••• ..• - P \ . f) jvsy**-

I ttctirti end {Had <U« loftnmwBt isr, ' record on ttw.Jbt % r> if* i T o / t T

, , " <rt. a?.'.f..*r...o\ioA . / Z . M . . pc rmoBOTl HJ«». ' ; • . . of M I K C U J . ' Cuunly, Siare 0 / M o n t a n a

• ' • ' ' ' . . . , Wltnec my hcui:. . , . Vcramas A . Cuuriu. CourKy Kc^ordei

.•-. '• ' •"•. • Sy.. . .^Jrir t^4j!yJ>2W*r«-*«w.. . ,C«paiy. • • ' • ' • • ' • . . ' F»« * «»»..«« - Ja ic ia« . .A_

Lfc^..._. <

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j O W l W ^ * = = ' - Approved Stoct Form—Sl.le Publiihlm C o , Httent. M o n u m — < » 3 3 <t%j#^ [ "" '

I rthihu^ T J £ J ^ _ ? , £ ^ '•DUPLICATE r Ctoim(yJSyjE.|a.|g;..JLM.jnL.rj5\

STATB OP M O N T A N A XV i£ P l& U W i£ }ADMINISTRATOR 07 GROUND WATJzij CODE U J

j——| Top of Ground OCTIOB OF 8TATB ENQINffl^ APR 29 1964 "^(Kev. above iw level. ) Not ice of C o m p l e t i o n of GiauncbivateK I», r r D

7 Appropriation by M e a n s ^ W e t F I N E E R

_1 0 to $• lit (^toaa|te^7,^on^ii|^M«io^Lawi, 1961)

'- 5« to u * oif* ft enrol owa*-5dytt*S*S2! uatm^S^^SSl '13» to 50» taMnKl, Drmer.««« ° ^ ;

• • • ' . . . • . - ' I

/, | Hitujt M M WfttoT1 Date of Notice of Appropriation of Groundwater . !

. / '^ - - 90* to 56» 8 u i , f M V » l Date well itarted...?t.?t5l -..Date Completed-...?^.™.

,' ^ : i - * W » t e T . Type of well___ftS^S* Equipment U a e d ? * ™ ™ * ? * ' . * * !: _ (dug, driTen, bored or (Churn, drill, rotary or ',

drUled) other)

• I Water Dse: Domestic fe Municipal D Other O Irrigation D !; I ~ Industrial D Drainage • Stock D j

*%SI Indicate on the diagram the character and thicknesi of the different j• "-•••• ~ strata met with in drilling, such ai soil, clay, ihale, gravel, rock or sand, ete. i

— Show depth at which water is encountered, thickness and character of water- jbearing strata and height to which water rites in the well. t

~ i

SIMM fbtM4 Fran To w m n . . t i r a nDiflM wtiiMot arm) < T M ) I W 0 R * t l 0 W > !

Bolt CMdai i5j j S S I ti iMm <F«« V M O I

i "" J" 5" * • » • 18" •*< « • ••»•• -

_ 1711»« to to5*'«4" * • •

L -_j _ = _ _ _ _ i

_ « Static W a t e r Level for non-flowing Well.._.?.?.'..*?'••..:?•.?•• .feet. |

— ; • i ! ! I Shut-in Pressure for Flowing W e l L . - . . . __„ |

~ —;—j ; j—!—! Pumping Water Level .:. ...feet at rz gal. per minute, j

—j ^ I j ^ I Discharge in gal. per min. of flowing welL...« « . . . . . » _ «

• - " " 1 M j i T ~ "' H o w Tested......?*??!?"*^ Length of Test . . . .JL?/i*?.

; i : ' ; ' • ' . R e m a r k s : (Gravel packing, cementing, packers, type:of nhutoff, loca-_ •"": j : ; j '<"" tion of place it use of groundwater if not at well, and any . I

I i :_ i ' '• other similar pertinent information, including n u m b e r of I

~ ""\x"\""\ j""i ;— I ' ' ' acres irrigated, if used for irrigation) j

......1/4...... fleeiaf T./J. B i « . l Y _^*_ -_ _ | /_ Indicate location of well and j '

place of use, if possible. Bach __ _ ! •-— small square represents 10 acres. \ ' '

. J Show exact depth of bottom. liosoot # 7 !

Driller's License Number

Driller's Signature ^r

This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorderf in the county in which the well is located. i

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 of' Mines and Geology and Quadruplicate for the Appropriator. 3^455*

Ii

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_. ' • M S ? . 1 . * - - , / - . . . . . ; . . . I

• W/l ^ *4*U*? •" I

' • ' • > : " ' J /s • 8

. ' ' I ranfvxt 3p4 UJad thte taMniimM {«/r«-o«l o» llns^iJS&ir <rf....<&eW.?»!y 'a L ^ ' / P . . . . e c J o c k . . . ^ « , |»/moiiBJit «ls«

"" oi Mlntwlo Coantir, Slatt ci Montana ' , jWffnect nir hand:HAUTIN S. BUWEK. County |gcord« '

| r«« %*f.jB<£Zv.........,...Taid . -

•I : • T .- ^ i !* • • ' • • '

i • : <?!

! • • •

I! i

I

; • • . . . . . - . / . v . . • - - ^ •

i . •

\ •

*

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I

» _ ^ . , m | M _ _ | _ _ i ^ _ ^ _ m ] ^ M M _ _ M | _ 1 ^ ^ ^ ^

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j GWS '• ' N K ) M 1 ^ W A T E R R _ » U I ^ B Q T O ' ^ * ^ P ' " ^ ^9&-' ; ^ •

raeNo RECEIVED T_J__4_J__*£&L__ 32 \ IjjomoAns MOV 16 1967 ^xmi^^t^^^*^. 1 I

TOO — — — ^ — STATE OF MONTANA < IMfflgmBTRATOB OF OBOTODWATEB OOPS ' * . ' • • •

r~~"l Top of Onmnd — — — _ — ^ — _ _ _ _ _ 0F7I0S OF STATE ENOIHKEB ) H* « ^ • _ » _ _ _ _ S ^ J

(Ktotr. «bm m h-d ) Notice of Completion of Groundwater |~~ 0 top soli Appropriation by Means of Well '~ g DEVELOPED AFTEB JANUABY 1, 1962 .~ " "™T , (Under Chapter 237, Montana Session Laws, 1961) ?_ s van ciay» sain ana f_?*« — " ^ Own»EI_3_RI..J^aiDH_B__£)_ Address. J£l2JL3UIS-£ aSX1SttS5argrarol Dr_toJ8^_i_2___ uta_--JUa_J_j_ffl*

> _ - —•••"' 1 3 1 t a n Olfly S a n d O n . Date of Notice of appropriation of groundwatcr j

I _ ? * L _ - g r a T O l Date weU startod...AtaiJL_^_2#.66.......Date completed._iiRJij.._S^__ i

_»6 water ana heaving --*, of weiL_am_ii Equipment «sed.CHU__ !;. Qfl nflpri "(Dni, Driven, bored or drilled) (Chorn drill, roUry or other) j

~AH " " _ - _ « __»__i „ M Water m e : Domestic Q t Municipal • Stock O Irrigation Q jj _»' Sar», gr-Vel ana Industrial • Drainage D Other • j

" i - - - — waxer Indicate on the diagram the character and thickness of tthe different strata imet with in drilling, snch as soil, day, shale, gravel, rock or sand, etc. Show j

~ depth at which water is encountered, thicknesi and character of water-bearing 'strata and height to wh'rh the water rises in the well. i

\ - Steal I StoMi ' r m I T. I mraBAnoim

tu. ^ Q X M _ 5 I r^ I ^ •

6ttI0 60fB0.V,i:roxmi 50»6" Ilevel I

i ~ " Static Water Level for non-flowing well

> " I i I i I s -^—feet

i — j \ Shut-in Pressure for Flowing Well __i _ i ! Pumping Water Level. 40_^~™feet| w _JL K »*—5Q gaL per minute.! _ Discharge in gnl. per mln. of flowing well

I i j | H o w Tcried..<JOB5>3M<3OOrI ! ~ I ••' ' * ' 1 Length of Test A - h O U F S - ',I ! ~" Remarks: (Gravelpacking,cementing,pack- j

I j ~ Mjfr--B»J£:rW.*SW «.*w•--»»»«)• | — Indicate location of well and 3I place of use, if possible. Each, }I , ~ small square represents 40 ~ %I f acres. „ „ I

I j - _„_„ \• 1 „ (Continue on reverse side) J _,-I ; USB—If used for Irrigation, iuiluitrial, drainage or other. Explain, stateI ; — number of acrcn anil location or other data (i.e.: Lot, Block and Addi- 3I ; tion). i

I . " I

I ' . ;I ' " L——_J Show exact depth of bottom.

I • Thli form to be prepared by driller, and three copies to be filed by the owner wtth the ^'7,7"T'7V M """151— —I • County CTerk and B-* w d w in the county In which the well Is located, tissue copy to be Driller s License NumberI * rationed by driller. .I . Please answer all quctlons. If rot applicable, so state, otherwise the form will be _~k^.i.__^^-_:_ii-rfX.<i™!*&«i—I returned. Driller's Signature

i- • , j

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T"1'

i ••

* . r * . . _ ^. _ _ - - . . . . . . . . . . . . . . . _ . . . . * ~ •• • • * • " *

" U ^ . - • O " " ' . ^ x w ; • • - - • —J "- ,»~ I recaJred aai Ulnd lhlf Inrtrnmaal tar' / i * raeard on ih:../.1r..4at cl?t*il 19 ^ ? .' ^ , ' * - ' ' » * * • r m..A'..ffp.... O'clock...Pj* , rtfraonea! « 4 »

' '* " _i o/ Mlnoula CoMff, Slate of MenioiM

^ I ^ X T " ' V*f OWQ)" H- C . OU5J• County Hfcpr J w

. L * .. r«« $.,..A-.«...» „ /ojiT

: i i !^ « ! ' !•:. i n - = : r

. O > j I ;•: m - i M *

> : S " i i : • ! I"J :: I: I . , : ..... _'...

. j 6 !.: ' . . . . . . 1• ; ' •" ,r~"

! . . . . . . . . . . . . . . . . , ; • ^ . : . : !

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j °Wl n MONTANAWATERrcSOURCSSBC^^ ^ I

{ nirN. R E C E I V E D T.J*2!LJI_J!!2» _22L BI DOPUOATK fogy jg y^j C!om.ty_Jttl!fo«l« , •

too — — — _ — STATK OF MONTANA : •' AT>HSRteTRATOB OF QttOUHPWATEB OODX •

rmmmt Top of Ground JLmirxji. OWIOE OP STATE KNGUfEEB : •

(BIT. abort m itvdJ*?!! ) Notice of Completion of Groundwater : I~ r«rm*tions L*Si Appropriation by Means of Well 9

DEVELOPED Arna JAWPABY I, twa , •— 3 I 16 OWI^X**'** (Under C h " P t e r ^ Montana Session Laws, 1961) '_ I N N gray oily Ownei«.?..:H.«L..M«MP«§.?l.™ _^ddnJtt£«S^ybJMtt«HL- '

•Isatf in* •16 - J% rim* sand. DrmeMfe?JTtX.J^lMM..^^

. •*• _ 5% - 3« C o « r « « s*n« , •gr*T«l ft Date of Notice of appropriation of groundwater. M o n « . . X X l M ,

! I 36 - 39 ? £ " " £ ! " i DatewaUrt.rted.»-«/ia/«7 Date completed... 10/l!l/«7 'Tlltr ol«y*" Typr «t weU_J>*AS»»M Equipment uiedM*lJLJB»l3lflMML.8i« '

39 - 47 r i m T s n y ««nd. (D» *h« . *«d « .*nw) (Chun, drin. »t«T «rth«) ;

~" %7 . 4f p i n * sand ft Water use: Domestic • Municipal D Stock Q Irrigation Q '— g r « Y * l * Industrial D Drainage Q Other Q_ %f • 5 8 C l « a a eearaa Indicate on the diagram the character and thickness of the different strata :

• • U i d ft g r « T « l . met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. S h o w ;j — V*tar depth at which water is encountered, thickness and character of water-bearing i! strata and height to which the water rises in the well.

Stoat Dm—* tnm T. KnHMAT»NS !I tUf dCMtas K M VNa T»i S M (Twl) OT«t)

i 6« 6 j/8» '00 x H" •6'* 56* Toroh • I

— Cut 49«7" 3**8" , IV«t«r rl««a la th« mix I

_ 7 fact free surfaea. I

1 I "i— w Static Water Level for non-flowing well |

_ _ _ X J \ S h u W n Pressure for Plowing WellJL<MlelL i; ! i Pumping Water Level %} feet ,

w j I K at . . . . . .X3O gal. per minute. JI j j Discharge in gal. per mln. of flowing well !

j j •tojR-m.fndMI | | H o w Tested hlX...Mkttt.,XXim. j

I J 1 ! 1 Length of Test.....?i»»...fe«!S}!:i. jI — Remarks: (Gravel packing, cementing, pack- j

I _ Indicate location of well and ft all w a t « r « a t « r t a g - w « l l l * i

I — o a n b a d a p a a d a d u p o n io p'roditaa al'aar iii»a""JlraaI _ w » t « r y e a r srftar y a a r - « • l e m g • * •t**y-ar«--not 1 .'I ~ ovarpuaf>ad^..l.a..,....tliey...abauld (Continue on reverse side) '.I USE—If used for irrigation, industrial, drainage or other. Explain, state ,I _ number of acres and location or other data (I.e.: Lot, Block and Addl-I tion).I — ..?ra° W H M M B B * ^ #3

I " I M M J Show exact depth of bottom.I Botton of hoi* 38'I 33I ' This form to be pnpand by driller, and three copies to be filed by the owner with the nrflTTCTir.n'L7viiiiiKTI » County CleA and Becorder ta the county in which the well it located, tluue copy to be Driller s License N u m b e rI retained by driller. v , t V s A :I PleaM answer all queitlons. If not applicable, so state, otherwise the form will be \ ^ . O ^ V V W . W - . . V r f A K ^ > V * ~ ! r .I returned. Driller's Signature.

I !

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• • • • ^ H ^ * ' •'' * ^ s y s * •• - • - M

m-

t

I •

e

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? « ! f r e , _ • ,- • ; • ' • - • . • • •• _y • •

! ' " • — • " • • • • • • • • • - • • - • • • - • ' • • • ' • • - • ' ' . ' . ' ! . ; • ' - . . . ' • - M

Apptoveu oiocw Form—SIHto I'uolislum to., ilciciia. Montana—.. . f 1 2 '^Hj

* • *J(L-JLJ2J22J& r~ I•* ORIGINAL County.-.—..»-« ~... ' - " . ' • • . ' ' H5 * o?JSf. 33<t<f<f^ STATE OF MONTANA . R E C E I V E D ! ^ I

7 ADMINISTRATOB OF GROUNDWATEE CODE . I> ~ '*0~73 OFFICE OF STATE ENGINEER •' "- " 1973 :' . • H

/f'/Cy-s?)- - ~~~ MONTANA DEPARTMENT CF NATIJRAU I, . Declaration of Vested Groundwater RignteouRCEs AND CONSERVATION :. _; • I

(Under Chapter 237, Montana Session Laws, 1961) . I

(/ (Name of Appropriator) t—•/ (Address) . (Town) vVYii*vflf HCounty o f ™ ™ ! ^ 0 [ ^ l - ! M ^ « ! w * i L Q . State of Z!^C^£»n<w^C*-sw<itfCi- ' I

A -, have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows i •

P*. " ** I | I | (" | i ["""I 2. The beneficial use on which the claim is based.—S&jfczXk&&Mxi*C. I1 ' i . j j ^ !• ;—-jr—•—•!-—!—•! ...Qs^^L A n S S W w w i - s s & r ^ L . •

I v | • j ' 1 ! | 3. Date or approximate data of earliest benoficial.ose; aad}liow continu-I ;/>," ---•! ;•—-i— j—|—j— ous the use has been .k*!fisaA-i^«*%*wk_cd[4OT~.3^

I ' - ...i..!...j 1....L L . .• ; : : ; • : 4. The amount of groundwater claimed (in miuer's J n c h w or gaDpna• •* ....; :..„.'; ,;- . . i ; . „ . perminute) JST.6 . ^ . i S w l s J L f i f c » 4 ^ » . . . ! M ^ - . ™ X 3 ^ K < ^

• . I '• ! ! I ! *"! ; I 5. If used for irrigation, give the acreage and description of the landaI s , to w h k h water has> been apnlied and name of the owner thereofI cuji/'f y _Si=jSir™_r_.U.~~. JB^.vLascJ(L .^=r~.I SJ6^**J£.'SJJb*Aj) _ . : U . © Z . _ . - . M . 4 ^ S U T ULaad^Dj^U ,-. ;.• Indicate point of appropnation ." .• and place of use, if possible. Each „ . , , . , , , j , a t , •• small square represents 10 aores. 6. The means of withdrawing such water from the ground and the loca- /

I tion of each well o? other means of withdrawal S$.:r3-<x*>*~&i. \

• • ' 7. The date of commencement and completion of the construction of the well, wells, or other works for with-

I 8. The depth of water table .•SlSZ.—JSpuiiXr.I . •'•'• 9. So far as it m a y be available, the type, size and depth of each well or the general specifications of any other - ,•'"*" •' .• . works for the withdrawal of grounxlwator. ..^p. . .. p .*Q —2 ;" .;9 | 10. The estimated amount of groundwater withdrawn each year ^.L^.^..!t.Q..yQ.Q& ^A.QfeisL&a^i^r- / '•

• I 11. The log of formations encountered in the drilling of each well if available ..^yJ^C.. ....... . , .

I ! . /M • ' 12. Such other information of a similar nature as m a y be useful in carrying out the policy of this act, including y •• ! reference to book and page of any county record. '. "

I I ZZZZZZI^^ i •'!• I Signature of 0 w n e r ^ . h ! d b y 4 ^ ™ . ^ & ^ ^ t - ^

I . j liate^^^.^g;..i2^jL ; .• ' A •! Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is located.g • '•* • i _ I• ' Pleasr. snswer all questions. If not applicable, so state, otherwise the form will be returned. '

• '" ' Originnl to tho County Clerk and Hecorf!er; Duplicate to the State Engineer; Triplicate to the Montana Bureau of• - iMr.Af *r.£ iitvlcp*, and Qunilriiplicnto lot tho Appropriutor.

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g f e & s J v :--' ••••• • • • ' - • . • ' • • • • • . . . - . • . ; • • • v • • - . • • • , • . - • - • ' • • ; • ' . • - - • . . ' • ' • ' - ' ' • • ; . . • " : •..„•• • , - • . - ^ \ I ^ H

^ ^ g ^ v : • • : : / • • • • - . ; • " ' - . • • • • - - • • . . • • r . ? . . . . . . • . • • - • • ; - • • • . x H

W m ^ W . i • : : . • • • • • ; . . • ' ; • < ' ' : • • ' • '•'•: • ' , • ' • • •. • • • • - . ' : ' ' - . • • . . • ; . • ' - ; . . ' • , . - - > • • ' - ^ B

^ l 5 | 5 ^ ; : : . ' " • • ' • ^ . : r ' • • / - • ' • • • • • " • • • > " • . • " • ' . • • • . - . . - ' • • ' . . . ^ - v . . . ' - ^ |

^^^fpll^i;:;.: . . ' . : ' . . • •; ••' " • ' ( . . ' . ' . ; , / / ; : ' . . . . . ' : • : ; : - ^ v - ' ' - . ' H

•^^^^^P^&. j j i^ 1 ' "••'"•'»"•:!'•.'• ' received and iiled this Instrument for ^ H

^^^^^Sffi^|>^5i. ' ;U; •'," rocordonthejgLSSdayofd«u^y45K5- ^ H'fflfflf«B"®S'^rS"'i: ' & • • ' "tAitfl o'clock ft, M./iermiJient (Kos ^ H* 8 H ™ B S ^ S ^ a t ^ - ' • ' * $ $ ! • • *•'• • '•' o f Mssoula Counly, State of Montana ^ Hl |^K^g®3S ;- ' t . ;<;j- ' . ; : . .!' Witness my hand: ^ B

™ ^ f f l p : ' i ; p ^ ' " • • • • ' * . • , ! ; Dotuthv L. Head , County Recorder ' ^ H

^l^$£ic^'K^'\ •••-••• •• •

:-4£$$m-$tip«fi-' -:• - • • •' ' S 0 * ; : * ; ? y ' « : ^ : ' ' ' . ' ' •"•• •• • H

! ' * & ; ' ? t ^ v ; ' ^ ; • • • ' - ' • - • • •• ' ^ B• ' . ^ 5 w V v . , • * ; , " •••,. , ; • .. • ^ H

> v - ^ • • • -.L 'i • - * . • • . - . ' ^ H

• • ' / " • • • - : - - . . ' • • • • • • • " . • i ' I

r,j ' • • ' ' . • • : " .• . . ' - • • • . . - ' • ' • • • • B

• i.'; ,-'•.;•• ; " . . • • '; ;.• : ' H

• ' . , ; • : ; " '••• > • . .•'•' ' - 7 • ' ' ' •"" ' ' ' ' . t .l *""' "" ' •

. * . ; ' • ' , . -• ' • . . . •

• t / ... ' ^ H

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i " • ' '• ' •1'"" ' ' '" '• ' ' ^ •- I; O W 4 Approved Stock Form—Sute Publishing C o , Heleni. Monttni—42234 ^ P * " ' _ ^ ^fl

\ File No. 1....aA.-..X...3r2^.. - • •DUPLICATE f imty .. i?SX)Ul;a_. ; •

STATE OP MONTAKA & j "' <L E. I! '** iiJ j j| j ' •ADMIinSTEATOE OF QEOUNDWATEE C O W . / ,^ ,, <ng4- liU { H

OFFICE OF STATE ENQDJEEE • • : I

Declaration of Vested GroundwaterL Rights1" : l ! F " ' I\ (Under Chapter 237, M o n t a n a Session L a w s , 1961) j ' I

•' I1 J...Rober-t-Maey. ... of. 372B..South..Av«nue...West. MLssoula ! •

( N a m e of Appropriator) (Address) ( T o w n ) ! •County of Misa.OUla State of.....Mfiat.a.n.a. j •have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as follows: , •

N j II j i I I I j i I 2 . T h e beneficial use on which the claim is based.. . . .h.O.U59.hold. i I

-*- ....:.....: ;.... j ; : • •

, , j , I , ^ Date or approximate date of earliest beneficial usej and h o w continu- j W—j 1 ;— | !—! ous the use has been 19&0. ' I

I * i i ! ' i | 1 ' ======^^^ | • I'""• ; • I : j 4 . T h e amount of groundwater claimed (in miner's inches or gallon* ; - •

I ; ...-• i—.; •—:—j — perminute) ISO ,0flfl..gallons ] I

--!•-!--!- 1-4-1- I. ' II ( : ! I i ; I 5. If used for irrigation, give the acreage and description of the lands ! II . .' to which water has been applied and name of the owner thereof > •I ...Not....8pplicab.l.« ; II % B*3£T/MXJL3»> j II Indicate point of appropriation j II a n d p l a c e o f u s e , i f p o s s i b l e . B a c h , » . , , . t i J ! v J J *. , •I small square represonte 10 acres. 6- T h e m c a n s o f withdrawmg such water from the ground and the loea- |I tion of each well or other means of withdrawal j ' MI Punpt...Lot...fiT..£.lojcic.-2 .of...Val...V.e.rda...Homesltes, | II I Mlasoula. CQuaty. II I 7 . T h e date of commencemen t and completion of the construction of the well, wells, or other works for with- ; II i drawal of groundwater. Not.applicable j I

I ; 8. The depth of water table Unknowa I

I •' ' II ' 9. S o far as it m a y be available, the type, size and depth of each well or the general specifications of any other .. II works for the withdrawal of groundwater Unknown ' j I

I • zzziiriiiiiziiziz II ~ZTTI : z: z: ::::::...::::..:::: :I ! • •I j 10 . T h e estimated amoun t of groundwater withdrawn each year 1 5 . 0 . , . 0 . Q f l . . . g a H O D S jS ' 11. T h e log of formations encountered in the drilling of each well if available. . .unknown. :

I i j

I I | ,.••'H I 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 None i

I ; Signature of OM^J.-SJiLtM^.J^jJC^... ;

• . . Date J3RC.omb.er...31,...1963 \

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

^ 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 M o n t a n a Bureau ofH • Mines and Geology, and Quadruplicate for the Appropriator. A0lt)Lr

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" • • • . • ' . " "r. .•'•<:".i/i". • . . . . H

:.>" v .-•'•'• ( S ^ s i ': Ii * •»» »"-««: . . . fc( . .c! . .> . t^M :

i

I • ;" -| • . - - : .

<.*•

!

I

/ r "

I • • . •

! • ' •

• ' ' . . ! *

• \ !

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1; O * Approred Stock Form-Suite PubUihtaj Co, He1auy4onuu—42234 < * t a i * > r ' B

' File No T \i It....Zri^. " I

I DUPLICATE County ^ ||. STATE OT MONTANA (^ ^ ^ p j ^ - ^ ; •j ADMimSTEATOE OFOBOUNDWATEE OODEI n'' " '"' "' |J I •

OFFICE OF STATE ENGINEER U L JAN 3 196^ —' I

Declaration of Vested Groundwater Rights. ENGINE? 3 I(Under Chapter 237, Montana Session Laws, 1961) I

(Name of Appropriator) (Address) (Town) •County aU&LSJiXSj/jLQ. State of A4.4)^Ctett^a. Ihave appropriated groundwater according to the Montana laws in effect prior lo January 1, 1962, a* follows: •

N ' I* - I | j ! I I i i I 2 . The beneficial use on which the claim is based J?k**~>ifs/}C

• - ; :--: | - - i |-~ .......U^SL^ Zi :

, j I .| ^ I ^ Date or approximate date of earliest beneficial use; and h o w eontinu- •— \ ~ \ I"™ ; - - ! — { , - ; " ous the use has been $*~^ #/*?*<** +9*O :

«» —:—i—!—'—i—i—i— « "jx """r r......i 7Z.r.r... -I : : • ! ! 4. The amount of groundwater claimed (in miners inches orgsllonsj 1 ; ;—! !-— per minute) -~.

....!....:....;_ :j.._|_J.... , ^ • O . Q . ^ ^ ^ . ^ . . . ^ ^ . . a i ^ ^ •! ! ! ! ! I 5. If used for irrigation, give tho acreage and description of theXmds *

s to which water has been applied and name of the owner thereof

^»^^*vBec«rT/3« a.aa*«». /tt&f i?/'-—ZT'~ - II i /Indicate point of appropriation \ • / . * £ . - / . <XJe.fr.f.4CX)£/^. j •I i ( and place of \ase, if possible. Bach J . . . . . , . . II : vguJl square^repreaents .i,0«acje»i—7 tL^t ^ e means of withdrawing such water from the ground and the loca- •I ^ / X ^ijt-^tj- S L W V ^ ) ^ O C < ? / t 4 tioo of each well or other means of wi thdrawaL. .^g w l 5 a f c 0£l . '

I I 7. The date of commencement and completion of the construction of the well, wells, or other works for with- :I . '• drawal of groundwater * ..,...._..... . ._ iI '• • • • • • • » • • • • • • - • • « • • . . • • • • . . . .. ... . ........ r f t A I J...F ... . . ................ .-. ........ .......... ......... )I r 7 t^ *- «— -1 : 8 . The depth of water table %..p .fr^JZ.. „ .

I 9. Ss far as it may be available, the type, size and depth of each well or the general specifications of any other \I . works for the withdrawal of groundwater _*._ - » . . . #_ .> j .t 1

^ _ c ^ ..p., PL ^ ^ Z . . . © ^ ^ , ^ . . ^ .

I -/—- :I 10. The estimated amount of groundwater withdrawn each ysar-yyfr • • r-f;if»-yi«f- •$reo0OV>~+Qs/p'£

I 12. Such other information of a similar nature as m a y be useful in carrying out the policy of this act, including ,-I reference to book and page of any county record. .««. . . / . . . ._-. ... <- „„ :

I : z = : : : : : : : : = i : : = : : = : : ^I • Signature of Owner. ^h^^^jSstJiSils^u^.

I D a t e . . . . i / . . t . . ^ . . . . ^ . / £.J

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

I - 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 ofI Mines and Geology, and Quadruplicate for the Appropriator. 1 c «J«S"A*

L _L^l

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I' ' • . ; • ' • * • . . ' * •

:: . I received and filed thlt iimtrumcnt tp\. '. • . ." • *~• • • • • ' record on ihc..y.{..dcy cf .tw&zrr 19 Y.j i; . ' •

nl£XJ33 o'rlcc'i ..-f^lL, permanent {iltt -•' ^~ ' ' -.' of u-Llijcula C- ••::il.;S?nit of Montana ''? "" • '_. . ' |

^fi>r.c.H my f):Mf t ' !£ / w _ 7 ' y EtjnttfUccorder r

By/fl/0W^....C#&(frk2rBw*ty ;Ice$...C1/IK^...... laid

i ' • * • ; • •

i • " I r

! ; : •

: o . • . . , • - - - f

I • ' - . * • !

L _ 1 . mi

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_ - — - ' - : ;.^: II ° W J Approve!) Stock Foim—Suie Publldum Co, Helena, Momma—JWh j ^ » » H

File N o T J X - I ? ! __ ^ iD U P L I C A T E . countT..../!"/A^ rr. _ I B

STATE OP MOHTAdfj)fp(^PiMJE[fr\ ' BADBUHIBTRATOE OF OROUHDViWS CODS" ! I 11 ; I

I——1 Top of Ground O m O K OF STATE BfOffW. . o c loci ^ ^ Ixop in uxvuna p£g g g 1964 j •

(Biw. above M a level ) Notice of Completion of Groundwater \ I~ Appropriation by Mea&iAolEvmGlNEER | I

0 to 3 ' fit (Under Chapter 237, Montana Session Laws, 1961) \ I

y *.?!*»» ~ U o ~ * H * § J - » - -u*mJ*SS* _.... i I: LIZ ** "~ ^ m . , . . . . . . . . . ^ ^ : I_ J O 1 ' * • 54* 0 U | * gnenl Date of Notice of Appropriation of Groundwater i I

W t. 73' *»* , « - Dfite well ^ . ? / * / * . _.....Date Completed..^5? |~ jml1 H S T _ - — -. Tirp-- «H_J5*»!§ Equipment U w J S S i * * " }_ 73 ' » 7 5 ' K M » | * M • (dug, driven, bored or (Chnrn, drill, rotary ot |

—^ y drilled) other) j• W a t e r U s e : Domestic B Municipal D Other Q Irrigation •

~ Industrial • Drainage D Stock D

' . *^EI Indicate on the diagram the character and thickness of the different j~ strata m e t with in drilling, such as soil, clay, shale, gravel, rock or sand, etc.— S h o w depth at which water is encountered, thickness and character of water- I

bearing strata and height to which water rises in the well. I

— • * • • • Sk«K4 I Fraa T» I pinnainnu II M M w ioe (tmt, Mm nmnmKtwm •••» CMln K M Wnm T. I I

— 5" 3n.B. 'n i t . J» rtoit pit

\— ..' Maalau

_ w Static Water Level for non-flowing Well •.*..!*••. .#•.?••. . . . . feet.

I ! ' i I ! i I I— I j 1. .{ Shut-in Pressure for Flowing Well™

— !_J^^_! Pumping Water Level 1.3. feet at .1.?? gal. per mismte.

! | . ' " " ! Discharge in gaU, per min. of flowing welL

— w | | : ; ' ! - Hflw ^ j J h S W M - L , Ungth ot Test.!..!^?. „.I — i i i i ' i Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- iI _ '"""i ! j ! I I tion of place of use of groundwater if not at well, and any jI j j . ,j j | ! other similar pertinent information, including number ot !I _ I ' ' ' I I i i I acres irrigated, if used for irrigation)

— A W . * . . . . . . see/2-k: T../2 K ^ 5 > * m !I _ Indicate location of well and | •'I place of use, if possible. Each ! ^I — small square represents 10 acres. ] S

I _ j , ^

I I I S h o w exact depth of bot tom. lAwnot # 7 |

I Driller's License N u m b e r f

I - • Driller's Signature A \ |

I . This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and B«corderI . ' in the county in which the well is located.

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

I . Original to the County Clerk and Eecorder; duplicate to the State Engineer; Triplicate to the Montana Bureau ofI Mines and Geology and Quadruplicate for the Appropriator.

" :

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'.y '• ! ' . . . • J i*vf•*).-• "i,c» . . . '* T ^ ' i . f \ * , • _ • • • • • | H

1 • * • • ' ' • ' - ' ' • * . ^ |

• • I F • • ^ ^ / 7 7 ^ "I' ' *'*' ' ' ' r«Mlvad O K I K M «W» tnltrummt ka . '

j . ' » « « < « tt./_JJ?..™dcir o l g i W i — » / >• - • - , «./t«ar_o«Jo«*./B...M, pvaoant lita»

' .. • ^ al MtomJt Coonlf, State of MaBtaao I1 • - MTitiMM m r hand: '

MARTIN «. BtHJWftCmtr Bweriitr :'" ' »» £j£ate*&j£2£M*teiti»«r • '••'"

/ 1 f— l,J.lftff. Paid ^ ' . .• ) ' • ' • • • '

• • i

* . . • - -

i• • | " : : . * • • • ' • •

\ . i • . . ••

I • .* : - *-

' i . • . -v '

I. :I __

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» B«r ..... •••• - I° ^ Appmrad Stock Fom-Sntt IMblWili« Cou. Hekm. M m u a a - C C M * ^ -»» •

; FOeNo. T. . . . . .v«^._. . . JcS.e.A^> I; DUPLIOATO WATER CONSERVATION BOARD Gmnty._..!23Z£ ;L**6-*w£fc^ •I STATS 07 KONTAKA •I JAN 4 £§§aR2STBATO& OF OBOUNDWATSB CODE •| me — KrDoriT:<i8moi or STATE E N O U X X B I

! ^Declarafipn^tVested Groundwater Rights II otckc.t (Dnd« O»ptBrt37, Montana Sesdon Laws, 1961) •

I j (N«m« of Ajfcropriator) (Addreai) (Town) •I j County 9 l _ ^ : ^ State rt......J&j&.^M«<&LZ»m*cy: •I ! have appropriated groundwater according to the Montana lawi in effort prior to January 1, 1962, as follow*: •

I * i . , , , : , II • ! j j ! ! ! a The beneficial u s * ^ which the claim U . based. •1 I — ! 1—-\ —j ! j— «dL_.<f3>=j! firjWfTrrT*'^ II I " " T i'""l -j—-|—-j 8. Date or approximate date of earliest benefldal use; and how contbm. • HI —•—! |— j—i—j— on* the tue hai been..>s^^Hk>!r. /'..%.-±r..Z~ '• I3 w 1 j 1 1 i 1 i r I

I ' ...L.I..J I L J "•' I• ; : : : I ; | 4. The amount of gronndwater claimed (in mlner'a inchet or gallon* • •I ; ...;....:—: ;.—j—:—. per minute) .^ . •

I ..XXX I L-br —-««-^^L-^_^^___. ; II I ' ; ; I ! .' I I 6. If tued for irrigation, give the acreage and dowription of the lands : I• i to which water has been appfrd aud name of the owner thereof : •• , ^M£*.***^.~CjC&..^..^:^ri^~r£& Vr-fr •• 5J£_%fi£_SeeJ?!»CT./3i..aa'./a fttr^uZr. <?~ I• Indicate point of appropriation ' IH and place of ute, if poaiible. Bach I• amall iqaara reprewnU 10 acre*. 6. The meant of withdrawing luch water from the ground and the loss- II tion of ugh well or/other meana of withdrawal I

i . •^*—y—r= II 7. The date of commencement and cjunpletiou of the eontteietion of the well, well*, or other work* for with- IH drawal of groundwater. SrA^auC ^-X.s£^.jL. , I• . „ , •• 8. The depth of water table «?..J. jQ. ._ „ _ : I! • f I• 9. So far a* it nuy be available, the type, die and depth of each well or the general *peeiflcttkm* of any other i IH work* for the withdrawal of groundwater. ._ _ _ . . . „ . . _ . . I

• — _ ^.....^.s£*sSiJ:.....Jte£&. ; :::.. . I• " ~ • • • • • - ; I

H 10. The ertimated amount of groundwater withdrawn each ywt..,./...d.J^/...^>^!^.. .&..£&4^xx^2**'. I

I 11. The log of formation! encountered in the drilling of^ach well if available...^.r..^../(l....^C !<«C<^..>^^^» :«^, ' I

• -*?JC-...,y.Zr- £*«**»*»**•—iJSea*^....^....^^*^. I

• .•si.:..^.-....^.^..^ £***Z*JLt.....JM«rM+C. _..£... IH | 12. Such other information of a »imllir nature a* may be uaeful in carrying out the policy of t!u* act, winding IH reference to book and page of any county xecord _.. I

H Signature of Oymn/^/<C^L w ^ . _ S ^ 2 c » * - ^ « i e - t /

• Date .r&^. . . .^ . / . . . . .ZjS^~'H| ^ Threo oopiea to be filed by the owner with the County Clerk and Baoordcr of the county in which the well i* located.

•^ m Pleats 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 Bute Engineer; Triplicate to the Montana Bureau of^ 1 Mines and Geology, and Quadruplicate for the Appropriator. a 4 Q ,

I • ' ;

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• , ., • * i S S S j S * - r > . - - * » . - i • • • • • ' • - ' • - •

' ' "* . . t i m l n d and //led tWf Xaitranwal ft>r_near* en tk*. S/dar ol 4ZU*. 19Cm!T

. ' " - • .. « . / : » • ..orfcri, / ^ F j , ptinonent ( U M^ ef Minov/a Cou. 'y, Siu c 0/ Montana

Witneft TJ" >i n 1. V w a n o t S Ciouif. Cou«r B»cord«/

Br » . . £ « ^ ^ - C k * 3 t V « « 1 o*putrr«t t <?.i«A....C JaiJ /^^ ^ <(_

I• • . ,

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' O* Apprm* Suck Fans—Sato nblWtlit Co. Hdcaa. Momua—U234 ^ ^ > V S H

F B e N o T IJ^._.R..-_..2.y...r •DTJPUGATX County . ' H

8TATB OF M O H T A H A i—N - ^ ^ IAWnKIHTEATOa 07 QEOUITOWATSB OODB I jl< \ M

omos or STATS KHOIHW* U U J^ « I

Declaration of Vested Groundwater l$gh^L Lll I(Under Chapter 237, Montana, Seeakm U r n , 1961) *""*" • I

i ^ ^ ^ ^tmrA*' -• ii-3^^^^/j6^^2^~^Jnr M&MA I(Name of Appropriat*) (Address) (Town) •

County <A^J~?tSZO.U*A. - State of. /2tJ>.7/!iJk?A* If ! hart appropriated gronndwater according to the Montana lawi in effect prior to January 1,1962, at foilowii •

i ' I IN •

I ; i j [""""• i j I 2. The bewtfkaal use on which the elalm i« baaed...Z?A/?r-eXJ5<_9k..i. I

i j j. ,. ....j ] | ^ Date or approximate date of earlkat beneficial U M J and how eonthm-I —.;....';..—•— i—-!—!~— o w the u * hat been /.2.TJZ. CaM.T..J.*r..i<?.ajUL-| • ! ! ! ! ! lti.JST.. _

w ' \ \ I ' i | t

' I : !* : i jj ; , ...^ , ; ^ , j^ MnonBt of gronndwater claimed (in miner's inehea or gallon!

i ..--I : : •—j : — per minute). . . . « 2 . £ > . . . . O 3 / . . . . Jr*jr jta.j.n..u~/.&,. . . . ; . . . . ; . . . . ; _ . . ;.—I-—';-... • ~ - I

! ! ! i ! ! 5. If uied for irrigation, ghre the acreage and deieription of the land* ^t to which water hai been applied and name of the owner thereof

. &AJC. ji.J-.JB!£.—AJK~iL-A**& SjU^JettHuuSuHkA-/^C.%..S*r^«e.i!?jrr T..'fi!*f B.!?(?V j?£.s-*.J*eA.jr..M^. « . . . . X M M . A*.&.-..CA8:M*JI**.

Indicate point of appropriationand place of m e , if possible* Kach 'tn.lf iquare repreeenU 10 acres. 6- The meant of withdrawing such water from thft ground and the loca-

tion of each well or other meant of withdrawal VScj.L....A*c.AXStk.iM.Ju.jr... je.e.t*jXAjz.z~-u2A*~-..iw*~~~.bL£-M.4J?£~i.s*i.jaJL.S-^J^-^—-J^~ X / ? . - < f e _ . 4 ? ^ A A u 4 '

7. The date of commencement and completion of the oonotructlon of the well, wells, or other works for with-drawal of groundwater /..&sS?-..- y.rr-^..f.^£.J> ji.ju* Ci.s*.A>4^}r.M...~c.t.<uxyj!.J<c.IjL4AS \

8. The depth of water table ££> J?£.fr.T. _.. '

9. So far at it m a y be arailable, the type, tin and depth of each well or the general specifications of *uj other iworks for the withdrawal of groundwater 2t.tJ.njt f^.suf. ju*. £J.'....CJ*-X*^t»4., 3A I. . . A ^ . « . / . Jiff a WA.1..C.1C 1i.4tfA.4r.JUr- BTT Jt'*~£.C-J*/C Jij*.*>.i*if^.J. J> f-j—Tj ,'

10. The estimated amount of groundwater withdrawn each year V.Q.Q.j..att& £)d/t~-JM+~.~M'*&*r. '

1L The log of forsatlont encountered in the drilling of each well if available ./Lay. ^.I..^JJ~.*,JJ.J.4T-

12. Such other information of a similar nature at m a y bo useful in carrying out the policy of this act, includingreference to book and page of any county record ^ A ^ J L - X : . . — :

Signature of Owner^^sxId^J^jLe^b^tri^. _.„

<^Date P.£G4J*.a£jii?....J3jl}rj'..9.t3

•- ' Three copies to be filed by the owner with the County Clerk and Recorder of the county in which Iht well it located. j

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

' ' 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. 3.P0

i

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' ""-"•«« * t W -'1,01111, ..i tm-i I

ot 1C *r,!a C M , - , ; , , glUm ol M o M a M •

1 ^M

* I

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4

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\ I ' . . " " " " - . - • • • • • • • - • — • - • • r m

1 G W 2 _J I ' ' '— • Ct* "^ ' ^ ^ H

- i ' Approved Slock Form—Stale Publtahlnj C o , Helena, Montana-39318 • J£»S : v • H

K I / N O „ ....-• T . . . _ 1 ^ . . . B . . . . . . . ^ 5 : ^ . . . _ . . _ ^ I

D U P L I C A T E Covnty.i2?£^.?±±Z<S?. ' I; .: • nAnorBBMBM^gv^fn^ j I

ADMimSTEATOB OF KlSpffDWATEB OODB|J - flI 1 Top of Ground OFFICE OF " ^ «flgflpB|flg- -> •

(Kiev, above sea uvei..ll._....} Notice of Completion Aofr G r o u n d wafer I7 '"' , Appropriation bf fflearhFo*1 Well I

y.- (Under Chapter 237, Montana Session Laws, 1961) • I

0 ^ 51 pit Owner...A*<JRSco£staA .AddressML*»? .?L*kH*. I

7 5 ' to 15« Heavy eand DrUler...aiaoa..ftBWP>.....TO.5...AI4!»J?...Address »«_«!?• .•*. .*«* I

£ grgvel T)ate °* Notice ° ' Appropriation of Qroundwatcr. • I

l \ > ~ 15 • to 21* U ^ i t lirowi D a t e we l1 «tarted..7/24/fiJ Date Completed....?/.??/?? •

~ ^ ^ Type of welL—.Bstllft*. Equipment Used. . . . !^?™..*^ .^- . I— BLV (dug, driven, bored or (Churn, drill, rotary or ' I

drilled) other) •— 21• to 3 2 1 Sand & gravel •_ Water Use: Domestic Q Municipal Q Other Q Irrigation Q ' I

< - 3 2 s to 56 • Fixw M B i A «at«r Industrial Q Drainage O Stock Di *' "~~

_ 5 6 ' t o 6 2 ' C l a y " ^ Indicate on the diagram the character and thickness of the different .'strata me t with in drilling, such as soil, clay, shale, gravel, rock or Band, etc.

— 6 2 * to 6 7 * Pine sead Show depth at which water is encountered, thickness and character of water-_ bearing strata and height to which water rises in the well.

, 4 w*t«r _ _ _ _ _ _ _ _ _ _ = _ _ _ ^ _ _ _ _ = _ _ _ _ ^ _ _ _ = _ ^ilMoi Stoand ] From T<> 1 PRBBOBATloNg

67* to 71* Sand,gravel ™ - *««- « - <M> ^ T^T' ^Sbt (Feel) (FM«

| - ... •; . < W M l e B 8 Otpit to

j - H l b 7l» H o . .

_ * Static W a t e r Level for non-flowing Well lSt.'...fm»...ftiiJm feet.

, — ! | ! I j | — Shut-in Pressure for Flowing Well .

I —i—j—-!— ! ]—1 P u m p i n g Water LeveI.._.£Q feet at....3fi gal. per minute. " :

I j I j ! ! • j Discharge in gal. per min . of flowing well. •I • ' W ' ' ' ' ' ' EI j _ i i i i i j How Tested__8sAl.«r.. Length of Test ?..fe?S'?SI I I 1—•, ' ! j ••

I : •! • | i | R e m a r k s : (Gravel packing, cementing, packers, type of shutoff, loca-I — ; ! ; • j | tion of place of use of groundwater if not at well, and anyI i ! ! .! .; j other similar pertinent information, including n u m b e r of i •1 •' - !——'• ' '• ' '• ! ' ' acres irrigated, if used for irrigation) | '

I - ^..y^'Be^SZ. T.I3*J-B,M<-^ %,m I -/I _ Indicate location of well and ; , /I place of use, if possible. Bach SI — small square represents 10 acres. ,..S

I ' M ~ ^ Show exact depth of bottom. Uconee # 7 j

I : Driller's License N u m b e r {

I | Driller's Signature {/ 'H j .B ' ••' • This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and RecorderK , in the county in which the well is located. , .

I Plcuse 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 of• - , Mines and Geology and Quadruplicate for the Appropriator. o->

. _ _ J

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I, Jr. " ••'• | l r<x ;;; ;~- - - ^ r — - - • • • . -r-\-T~~i > i I

' / - ; ' - ; . 1 H ' ::; ""."' " ^ ; • • • •

I ' ••' • » • • • • • ' • " . ; v ! : • ' • ••• : « '•• " ! . ; - : ' 1 J •-'

I i* — - - .. - - I I I

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W2 \ Approved Stock Form—Sule Publiihlnj Co , Hctaa. Monura—<047j^ g g £ * \ j H

File No T 1 2 ^ | £ * T' I• •-',,-, '* DUPLICATE County ^lAs.^^...^ | I

IADBUNISTEATOB OF G R O U N D W W I l0)jNJ W It 11 I I

""""I Top of around OFFICE OF 8TATE E N Q ^ B B I (JJ • H~__ (Hev. above iea ieveL. 223L_....) Notice of Completion of GroumJwafer I I

7 0 - 3 top sou Appropriation by MeaypAqfrVMilNFFP | I, 3 - 1 7 gravel & CObble stone (Under Chapter 237, Montana Session Laws, 1961) •

" 17 - 20 Gravel & saad • | •

| " 3? - II I S Irlvefa wte~JL-J*"***a> ju^JBUUtaaA I'f If " ™ C l*y &

o S r a v e l _ Driller.Harold..JI<...PijClMaia _4.ddressEta.J...I.JilaB.0Ula I,5 _ 63 - 70 water & gravel •

~^.^_ * Date of Notice of Appropriation of Groundwater.....Jtalgr..38r.£963. H(j*' | - Date well started....J.uly...-5 Date CompletedJul3r...7--X9jG.3 I

,' \ ~ Type of welL...driY.931 Equipment UsetL.O.a.'blfl......JtOjOl t I- (dug, driven, bored or (Churn, drill, rotary or I •

drilled) other) * •i. - * 'i _ W a t e r U s e : D o m e s t i c S M u n i c i p a l • O t h e r • Irr igat ion S i r I

I n d u s t r i a l Q D r a i n a g e Q S t o c k Q f I^ ' **€£! Indicate on the diagram the character and thicknesB of the different I

~ strata met with in drilling, such B B soil, clay, shale, gravel, rock or sand, etc. - Ur — Show depth at which water is encountered, thickness and character of water- . I

_ bearing strata and height to which water rises in the well. I

Hit of Sin and From li _ - _ . - . _ „ „ . ' I

»•'• C""W Mad Fiw» To ' H

• - 4 " 4" 107 78 0» 70' I*"x 70**' 65**"1 I

'' ~ BI * Static Water Level for non-flowing Well 5 0 .feet. I

f - . j j i.... .i ; 5 — - Shut-in Pressure for Flowing W e l L . _ |fc. fl

;._ —;—j ; I—!—i P u m p i n g W a t e r Leve l . . £5 fifet at....4.Q gal. per minute. >• I

m >•. ! i ! ! I |"~ Discharge in gal. per min. of flowing well ]( . . „ ' ; II ;: - • i ! I : : ' H o w Tested....aarapr.aaaflr. Length of Test..3.'Jira I

I '• j : : ; i i Remarks: (Gravel packing, cementing, packers, type of Bhutoff, loca- .' II K - ' '""; j : i i I tion of place of use of groundwater if not at well, and any - II |i ....:....• j .1 .: I other similar pertinent information, including number of ' •• I

B f, - I : :—'• \ '• '• •——' acres irrigated, if used for irrigation)^ \ I

9 ! — $(*LyiA!<vfa<!.J.£ 1/3J/ B«3£*) „ ',; ;B S:;• _ Indicate location of well and ' ' ' •• ! place of use, if possible. Bach • /• f' — small square represents 10 acres. 1 /

H . )•'.- ~ " •

• :e | _ _ J Show exact depth of bottom, 71

• !, 70 ft Dml^'aUaeiae ^wniei "' ! -

H ' Driller's-Signature I

• , This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder jH /" in the county in which the well is located. _ j

B j i Please answer all questions. If not applicable, so state, otherwise the form will be returned. !S i - • '1B . Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of iH Mines and Geology and Quadruplicate for the Appropriator. 3 j a & j - ' :

B> *

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\~~ :^ ~ " "~ ^""\ ... II O W 2 . Approved stock Ponn—Suu Publishing Co, Helm, MonUM—42329 . , ( D ) > ^M

F i l e N o . T . _ . 1 3 . . . . . ^ . . R . . . . . . ? P . . ^ . J2.S" - •

f DUPLICATE County.Mj5M9iliA.fla. , •

100 STATE OP MONTANA R M S IflO WIF ITl) ' ' IADIUNISTRATOB OF GROUNDW, \ CEXt CODE 'III •

I' I Top of Ground OFFICE OF STATE ENGIK&BK A D D I -J 1UU \±) I_ ' ' Approx. . — — — ^ — — "• X -' lyo.'i •

(Eiev. above sea ieveL32flZi_....) Notice of Completion of G i o u m l w a t e r I~ Forution Lost Appropriation by Meams'sf TOKGJNEER 5

0..* 3 Black dirt. DEVELOPED AFTEE JANUARY 1, 1962 I_ 3 *• 1' Sand* graTel. - H

Cobblestones (Under Chapter 237, Montana Session Laws, 1961) •- mixed in tan Virginia M . & I_ ••." c l a y . Owner.-5.ajn..F.«_..TJMtmpjl(An. A.ddreBsMi.».«.P.wJ,.«.»...M.P.B.t.ftnA.™ I

1 4 - 2 3 Pine silty ••and & grar«l. Drmer..liJharty..I)ri.lllnj...Ca«AddressMl».«.o.ttlA.»..JaQn.tan« I

s* Some water.• 2 3 - 4 0 G r a r e l i m b e d - Date of Notice of appropriation of groundv/atcr.Kona«XUad. j

'•'.'. ~ dod in tan., ••' sandy c lay . Date well started . 3 / 5 / 6 $ Date completed..3/8/£5~. j

4 0 - 5 6 Silty sand, t

few scattered Typo ofweU .BriJLLed.. Equipment uscd...£abilA.-Iaol« }« _ u « * B r . (Dug, Driven, bored or drilled) (Chum drill, rotary or other) 1

' 5 6 - 5 9 Clean coarse Water use: Domestic QS Municipal • Stock S Irrigations) jI — grarel. Watar* laJuairial n Drainago • Other Q !j — Indicate on the diagram the character and thickness of the different strata :j met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. S h o w :; — depth at which water is encountered, thickness and character of water-bearing j

strata and height to which the water rises in the well. >! - Driw wdnn (FM> (F«« rtrawAHQNt *: Holt o( Culm J5S I p m I xi i; — Sin <r«t) (FMO .

- 6" 6 5/8_ O D x H + 1 « 8 » 5 9 N I N E

I====== ^ = ^ a 1.,

N Static Water Level for non-flowing well! - j I XX feet. ;

- j _! Shut-in Prcssuro for Flowing W e l L J l o a - * . . j_ j j Pumping Water Level .23 fee't

w I I g at..9XX gal. per minute.I _ j j Discharge in gal. per min. of flowing well . •I J~ J J lonRt lowinc :

I ~" ii H o w TestecL-Alr-Lltt-Puarp-I I ~ I ! 1 ! ' Length of Tcst.21i.Jiaurs.I ' Remarks: (Gravelpacking,ctmenting,pack-I ' — , , - , „ _ „ _ « . era,typeofshutoff)A2JL.«a.t«r_.i«

I i £ 5 & f f W P ~ V 2 - i ? ~ ^ "tirliis well through theI — Indicate location of well and K v r a w ' K S * * ' - — — x v s n s ~ - ? ^ »•«: — JI I place of use, if possible. Each o p e n °°**om °* « * *»«»» (I .• — small square represents 40 • • • * • # * >I . acres. •} , . . /

I ! — , /I ! " (Continue on reverso side) ! S .I ' 1 USE—If used for irrigation, industrial, drainage or other. Explain, state 'I i — number of acres and location or other data (i.e.: Lot, Block and Addi- !I ! _ . tlon). :

H ' > ...Kii.«Mk...iw^»Ufc.B».««™.."".. «.•••«. H H H » . . . . . . . . . .

1 ' L . ^ J Show exact depth of bottom. __I Bottom of hole 59*m ' This form to be prepared by driller, and three copies to be filed by the owner with the _.....-........_...52~_..—.~• 4 ' County Clerk and Recorder fa the county in which the well is located, ttame copy to be Driller s License Number• retained by driller. y . A * r~ F^ ftI • Ploaae answer all questions. If not applicable, so state, otherwise the form will be . . . . W . . . W * M M v K . . . V A 5 i b M * * _I returned. Driller's Signature

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O W 2 ' Approved Slock Form—State PubUihlni C o , Helen., Montana—4193. <$%£»» ! H

TOe No ST'-T- WATER CONSERVATION BOARD T 13H p 2CW g<£ i. " ' I

\ DUPLICATE J U L 2 4 1967 OmntyJfM"*??.??:?.. ; IBine McDonnctt STATE OF MOKTAHA j IB u ' . r . : . ; n r.; M. lADMDOBTKATOIt OF QBOUHDWATER CODE •

| 1 TOP or Grow* £ £ ~ ""-^ 0 > i a C T o y 8TATB ^ o ™ ^ ; Ir y n n . . - i i n n IiU.^'/iri aaa^aaaaaa^aaa^^M^^.^^^^^^.^ | ^ H

(Kiev, above ««& level. ?!^z> Notico of Completion of Groundwater ; I~ Appropriation by Means of Well j I«*» fOP 8 o U (Under Chapter 237, Montana Session Laws, 1961) j I•*** Owner. fimadJUfeBiUi ^0OHmJ!ll2d^UtJSuaU^ j 1.27* QrtnrA i I

^ Driller J t o h a - F s r w O l _Addre»i...-.4?l«ft..M!>»* j •

_J7» d a y Date of Notice of Appropriation of Groundwater. _ j •

"' . -5?* Date well startedjul3r...6.i9£7- Date Completed..»TBlj..ll..l9.62 \ I

i _97* Gravel \ I; Type of well. Equipment Used •i -iff' (dug, driven, bored or (Chum, drill, rotary or i Ii J6» BMtvlng tend * Water " " > •*«> I

agt Water Use: DomesticE Municipal D Other D Irrigation D • IIndustrial n Drainage • Stock D

_90« A n d Water Pea Oravafl.QQ» "53 Indicate on thti diagram the character and thickness of the different

: " ^ strata met with in drilling, wieb as soil, clay, shale, gravel, rock or land, etc._ 9 1 * L a r g e Q r a v e l l« W a t e r g^ow depth at which water is encountered, thickness and character of water-

bearing strata and height to which water rises in the welLSluof Illawd h M T> mm.wiB.Tinw. IDriM W « I H <V«I) V M ) r M g 0 » A n 0 W > !Bo4a c u m E M I i^ i ^ !

! _ 5" (5">(U»t)# 0 91 "" * • amI • '

| ^ w Static Water Level for non-flowing Well \7. feet.

I - ....! i i .! ; ';.— Shut-in Presnure for Flowing Well ____

I | ~~ .—!.— :—: „..:„..;.—!... . . Pumping Water Level 30. feet at jJQ....gal. per minute.

I I I i ; " j | j" Discharge in gal. per mln. of flowing welL..._ ™ - ;

I i _ W ; j • ; i i H o w Tested l ? M . ? . r . Length of Test L.JaOOr.

I : '; i : : j i Remarks: (Gravel packing, cementing, packers, type of shutoff, loea-I | - •": : : : i l tion of place of use of groundwater if not at well, and anyI ' j : i i • i other similar pertinent information, including number of J ;

I - J t l m A m i r m j i — ' '• ' '• ' acres irrigated, if used for irrigation)• SNt8«ftSN$aWt s ;I — _.%.__ See.8i- T i3« B.Sfflf _ _ _ j .I _ Indicate location of well and ' ..I place of use, if posuible. Bach _ __ ' • '• ~ ? ^ t small square represents 10 acres. > S

I i m^J Show exact depth of bottom. jjj,

I Driller's License Number

I " ^mt^s&AAiM.I Dnller's Signature• ' _- ' This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder• ', in the county in which the well is located.

I * . ' II Please answer all questions. If not applicable, go state, otherwise the form wit] ve retu-T-ed.• Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of• r t Mines and Geology and Quadruplicate for the Appropriator. ll "*\ ) / £*

l - i

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;l t ^ ": • ' ''"£&$t<xi': » 'fftlnd and « M MtlfUnmait It, I

'fe^-/,,'-.'.: • .- ' •JjA««...rfetoel^l,.M..C«6a. lit[f>Vr.sV>fe.; ! / v o T M l M o u J a Cornify. «tai. oj Monfmia

, , V « ' ^ / - H - S % ' ': •• • W(flf»»o^;ji1:' ' ' .i : ,^r?V'V f • ' ' v ' Vwcunottfl. tyo,,, eouaty «««„)„

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_ _ _ _ _ _ _ _ _ _ 1O W 1 • Ajstm-4 Stock Form-Sun PoblUiloi Co, Hdau. Moatu_—42X!> ^pfc» - ^ H

| File No T__i_Vi. R _ A 2 . ^ -_J^- * •

• BUPXIOATE „ , t , C o m 1 y . ^ Z - & _ _ j I II rrjft • " ' STATE OF MONTANA { I

, . . ,, £71 ADMHtTfiTRATOK OF Q&OUNDWATEB CODE j •! I *" I Top of Ground ' " OFFICE OF STATE ENGINEER | H

• ~ <si«r. abort m imi ) Notice of Completion of Groundwater B

~ Appropriation by Means of Well •D E V E L O P E D AFTER J A N U A R Y 1, 1068 •

~ (Under Chapter 237, Montana Session Laws, 1961) H- I; 0 • l\ top M i l Ownor-tt&ta..tl«t& AddressHQXa___Px»..M«iU '. H

Dri_er.flBiS»iil..iU..Pl«)wu*l MdreM.3ftSA..*»*. . -M.*. .«.«toj( \ •I ; ••, _ I •

4. Date of Notice of appropriation of groundwater. ; H. A - 1*- - »\ leuM snml ' •

..••'. ' _ & «a»fi Date weU»tarted_..il/.7i!ZA_ -Date completed.«/lfl/.7i ) •

— Type of welL AxilXad Equipment uacd.__lJl4l..Aa_l. „ _ H(Dof, Driven, bored or drilled) (Churn drill, rotary or other) H

;.. ; 9 ^ - 2 8 M o d RJTlTBl Water one: Domestic B Municipal D Stock • Irrigation D i I- ft w a t « r Industrial • Drainage D Other D j I

Indicate on the diagram the character and thickness of the different strata . Hf net with Sn drilling, such as soil, day, shale, gravel, rock or sand, etc. S h o w •

— depth at which water is encountered, thickness and character of water-bearing •S S > 4 6 K H & & W » t « r rtrstattnd height to which the water rlaes in the well. •

a a I ta? I sa I JS. I - ^ ^ II ~ t i»b i ui.0. i), o aa ™ " 9tm "* ! II - 40 - 62 r«A ol«y 1A M I •

I _ no-.t« M#<* ! I

I ~ se - 78 •!_* tarattr I

I i ~ N Static Water Level for non-flowing well { •

I . ~ r8.<B(tm.Unt.t I ! \~~\ I aV__t4_M»* II j _ ! *j Shut-in Pressure for Plowing Well •

I I Ooc No. gOZO <S~F j | Pumping Water LeveLaV.*U..a*..*opfeet

I I _ Filed for record ! w*" j j • a t *° BaL per mlnnta.I | this____2__dBy nf {5Lt\t$ I I Discharge Jn gal. per min. of flowing wellI • I ~ A. D. lflj£_. tt__>._5 ] JI i ~ o'clocK—j£_M. j j n Tul ml —iirannr :

I i ~ I ' l i l Length of Test... . _.I : — Remarks: (Gravelpacking,cementing,pack-

I " MV^..BecA*:..T./M.R.*f..W '"•t™°ot**W ! '• ^ fnAifnin Inmtinn nf wr»11 nnA -..«-. .. ..—I place of use, if possible. Each• - small square represents 40 ~B acres. .......... « ........ .................

I i ....(Continue on reverse side) , •I USE—If used for irrigation, industrial, drainage or other. Explain, state •• i _ number of acr<-i and location or other data (Le.: Lot, Block and Addi-• tion).I !

I ' • * ' L « _ J Show exact depth of bottom.I 88 ft.I Q* ~~• . Thl» Jorm to be prepared by driller, and three copies to be filed br Q» owner with the ~ , , . ^.~ZZZZ• '' Cotraty Clerk and Hecorder in the county in which the well is located, tUiue copy to be DriUers Ucense Number• ', retained by driller. r - *%* jp, JI * Please answer oil question*. U not applicable, so state, otherwise the form will be GkOAi<a^j!CJEt££c<**&£-• returned. Driller's Signature

• • • " —

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1 1 1 - •-'•. 5 0 2 * ^ • ;j r .: , ./'^%if : ; . > y ' • , i * "' -. • • : . : ; •I*?** V'*'•'• 'y - •' ' I l^ur^i m d -'(i»« .all^^"J"-* 7 r ' ; ;: : > ^ > . . ; .'•;:•• • „ r r • a l ^ A d ••Jck.UiM. famm™ M . . | ;. _ . . . .

'/I.-/ ; . , ' . ' - v . ' <* ITiMoola Court-/ S.oJt ol M o w o n c ' l v •• .. .- .' • ~ , V i c . ' •••• ••'••• • ••' Wito>c» ^ T t« i ' " . V ; ;

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° * 2 STATE WATER CONSERVATION BOAR& Appre"dtadL *«"*-*«' "*»>M«S <*•. H«ie>». M O ^ M - , , , , 3 • «&>>, •

Pile No 0CT 6 1965 T <L£_B di £7 . . •D U P U 0 A X E •"• MeOetmott County *^ j_$* -1,4* , H

•*«,.* McNu«y 8 T A T B O f j , 0 H T A H A i •S L « . " ~ &!M!M*' "*.'.. ADMWI8TRA.T011 OF OBOTJHPWATKR OODB i •

' p—i «P— «» ~ OFFIOB OF 8TATB ENQ1HEEB ! HA Op OX U f W l 1 ' '•' ja aBiiWi ^ ^ _ _ * ^ H

(H«T. »boT» • « imi ) Notice of Completion of Groundwater • I~ Appropriation by Means of Well j I

0 to 1* Top M i l (Under Chapter 237, Montana 8enion Laws, 1961) ' H

j - V to 7« Sandy Cliy Owner .JXtMO.*J^*ta« . . . . . . . __^ddrea i__ .MA-S0tJ«! | I

i ~ 7» to 19* SancJ.oravBl C prilln- B^enn Cnwp 7D5 frldnrAMi*.. WlKsou l^Mont iw I

water Date of Notice of Appropriation o( Qroundwater- ' fl""" i ^M

t - 19* to 36* Sandy clay Date well »t»rted..7/.22/65 Date Completi<1....7./2J5/fi5 I

~ X * to <tl* P » graval Type of w e U - t o H I s d - - Equipment Uted..Chuxtl..drlil.. \ •_ (dnc, drircn, bond or (Churn, drill, rotary or , •

i _ win -and B 1 1 U 1 « watar '^^^ o tb"» •Water Die: Domettie (Q Municipal Q Other D Irrigation D !

kl* to V6« SIXty d a y Industrial Q Drainage D Stock D |

1 '" i>6* to 91* Sand.gravaX ^g , indie.te on the diagram the character and thieknew of the different )' i ~ strata met with in drilling, such at toil, day, ahale, gravel, rock or sand, eta. |

' W 1 ^ watat Show depth at which water it encountered, thiekneM and character of water- Ibearing ttraU and height to which water riiei in the well. !

ttmt Wtl tal O?Mt) <FW» " " * * " "

S » 5 « X . D . , . - b 0 ¥ | Q#L# " " • * • • « .

t o f t . j

; __ w Static Water Level for non-flowing Well i*.L.f !F.P"...B«k* .feet.

| - i '; : J/—; •—. Shut-in Presrare for Flowing Well —_

j — ....;....;....,.— :—.:....:.... Pumping Water Level .??. .feet at .*? ...eaL per minute.- ';''•': '; j_ '• Bailor teat M) O.P.H. Conproaaar taat lOo G.P.M.

. j.—.j ; , i- -.---• Dtaeharge in gal. per min. of flowing well - _ ™ —

I " j j j j 1 i~~ ' How T«teil$}J!?J..^?mUot™~.-±..imUZ— i : : : : J Remarks i (Gravel packing, cementing, packers, type of sbutoff, loca-

•••";—I"":"" •"": : j"" tion of place of use of groundwater if not at well, and any| • : ..: ; :.... other similar pertinent information, including number of I'

I : 1 ! 1 '——' • 1 acres irrigated, if used for irrigation) i

/tA^ilJt^tJx: T . . / ^ H..&) !Indicate location of well and •

I place of use, if possible. Bach _ _ j '\ — k small square represents 10 acres. < ,\ __ ^ fc ...w.. ' r'

I ^ J Show exact depth of bottom. Licence # 1Driller's License Number

• ; ^JLU^U.(M^,.Driller's Signature si

This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorderin 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. \JFfC /$ 3fCC ft

t

.. . _ A _ . _ :

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m

]%i: •' ' ' H

• s S ^ v " ^ • " - - • £ * • ' < 'i • « ^ ^ • * ^ 1

• 'C"'SQtt2^!'"- 'HBBK*rtWB'*w™*«"~~""^"""i - —• • • ' • . . . - - » ••*•- - ^ H

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• • ^ • ^ - • m

|j O w ? ' ^ j ? j j - ^ •• Approved Slock Pomi—Slate Publishing C o , Hsleiu, MCC'JM—39318 < J ^ ^ ° ' i | H

J^ fr.. . ^e c ^ T H. a5 ; ' Ij: • | UWLIOATE , ^ £ fo Countyi2^L*M?3*JL< ; •

,. ''"'•' U lQ/. STATE OP MONTANA \ : M:'rKl.\ /v -y ADMINISTRATOR OF OROUNDWATER CODE ! •

f—| Top of around ' ^ % ^ § ; ^ ^ > °™0E <* WACT ENGINEER ; " : •

(Eiwr. above sea leveL ) Notic^ of Completion of Groundwater •

~ Appropriation by Means of Well i. IOtoV Pit I

(Under Chapter 237, Montana Session Laws, 1961) ; •~" 3• to 5• lop soil 1?»1<>I. rtu/;lsew j v : I

Owne^^***?*!*? . - ...J^ddress_?.?.?«Msa> *£• 1 •-, _ s'toU'tao..^! n^jnj-ieatTOjfla^^ \. I

14* to 22» Clay & ; •' ( v . • • , Date of Notice of Appropriation of Groundwater. . ! H

Jr. e o V » l « » t o n O S 1i/>t/*JI nfc/tA ' I, ^ - . Date well started J.1/ .3/ . .?*. Date Completed.-?..!/.?/.?.'? i •

"- ' ' / - 22« to J1« flandar olay T y p e o f w e l L BrtllBd Equipment U«d_S»ffi3L*rtfll. I/ ", " — 3^1 to }y' Silty aaad (dug, driven, bored or (Churn, drill, rotary or ' B.V'-1 ^ _ & water Water Use: Domestic fi Municipal D Other • Irrigation • , •

' Industrial Q Drainage Q Stoek D I_ 59* to 5 7 ' Clay,grav»l . •

* ' " . ° EI Indicate on the diagram the character and thickness of the different I~ & WbtoT strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. • H

r — Show depth at which water is encountered, thickness and character of water- . I'i ' bearing strata and height to which water rises in the well. I

^ i " • • , : • 1£ £ wSUTi I SS &> ! p^^x.0^ HHolt Culm KUJ I JSS i Ti ' •

1 Sim Vftt (FMO •

I - ~ Doc. , .^</7f: 3*/<7Xi/ *• 5«I.B. 8«al>«eO.L. , . : I

I j _ A. P. 19 1-3 * ^.c;1 ! . , I

I I' tfclock___fiJK. •- . - A . ' I

I " _ N — , S t a t i e W a t e r Leve l for no-;-flowing Well ? . . ! L ? S « . O . J f . feet. ' I

I •' — ! • i .! j.—J Shut-in Pressure for Flowing Well. B1 - i i i i l l 1 2 • ' .. I

I —»g—j ; I !—! Pumping Water Level ...„ feet at &9 gal. pet'minute. •• I

I | ! j" j ! ! Discharge in gal. per min. of flowing welL j' • ; I

I I _ W ! i | I i i E Ho^Teated . .^"?£L. l .^ i f fg th of Test.....i.. .I I • i I i 5 i Remarks: (Grovel packing, cementing, packers, type of shutoff, loca- ,B _ •"••; i : i I ! tion of place of use of groundwater if not at well, and anyI ) i i .; | I other similar pertinent information, including number ofI - I : ! ! 1 '• ' ' 1 acres irrigated, if used for irrigation) |

I - 5k^^«v4...... suit T.,/3 Bja* ; II | _ Indicate location of well and ' ."•• 1H I place of use, if possible. Each • /V I — small square represents 10 acreB. /• I _ :.• I ^ ^ Show exact depth of bottom. Iiioenoe # 7B I Driller's License Number

• ' ! .^^^^J^^^y.-La^f^b. IH " " I Driller's Signature ff \I • ' 'H • This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Becorder :

H .' . in the county in which the well is located. |

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

• . • Original to the County Clerk and Becorder; duplicate to the State Engineer; Triplicate to the Montana Bureau ofH Mines and Geology and Quadruplicate for the Appropriator. ;

I S3il3o l

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!

- # 0 W '\ •-.,.....«,^../ ' I^ ^ W , n . . ' • • •. • • ' : . •* H

u, B y . — ^ g - * y tf&rtLt&tt n s I-- _.- . •

| . jJ**lSS£Zgg!w|Pc^'Dep '1-- ' . , • j : ; •

- i ' ; J' I ; ', '^M

•• - . . ' • - j ff, ^ H

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! I . ' . . . . . : • ' • ; • > r; . . •'/ .. ?• ""'' - ^ * o '}'

, 1 • - ' • • . " : •' ;•• -: .• ' ' .. * . ' : :•; : J v '(

1 ; \r... ... /.. ft : i\

- - • • . i • . ' - ' • . " ' • • • •

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. " ' ' - • •

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1 .MTlTUlLliKIMO COMf-HY ™ " *J

STATE OF M O N T A N A titf J c ^ DRIUER'S IOOADMINISTRATOR OF GROUNDWATER CODE ' M |ndicate t h e character, colcr, thick-

M O N T A N A WATER RESOURCES B O A R f l ^ g ' . m A n m m ^ ness o f i t r t f a such „ so!|, day, sand,

i ,; NOTICE OF COMPLETION OF G R O U N D W A T I K m ^mmlo^ f^wtteTfc founded I ' •

. j APPROPRIATION BY MEANS OF WELL * } * J ^ ^ ^s° t v Si Developed after January 1, 1962 i

i (Under Chapter 237 Montana Session U w i , 1961, at amended) Top of Ground <EI». itoye««imp !

This form to be prepared by driller, and three copies to be filed Frag T O Iby the ewnar with the County Clerk and Recorder in the county in L - - •which the well is located, last copy to be retained by driller. ifl_tQ_S.'_pit) 'Please answer all questions. If not applicable, so state, otherwise the f) IB Rravni ft S a n d , hraum 1form m a y be returned; ._ i

1ft AS R w « » 1 fl i»1ny '

O w n e r ^ a l p h . A . . . K l l K 0 D . ^ . . J l . I For Administrator's Use I "i

.,„>• Addressl-: ...3710...Rosecrest..Dr.. File.SHUJy331'l53.. KatelJa-XfilSO.M*Kfl •

- ; ' ; , ' Mi a a Duia , . .Mr. . . . sa80L £a^..%.BD3. -45- ._«- Stela. \f Date well started . S e p t . . . l S , . . i a 7 2 . . . . G W l . 9 - 3 . O . i ? , m | 4 9 - SflCflDd-KatM-tablfl- j

/- . completed .Noy....S,...l?.72 | | 21.- Kator-fim.31irfflPff '•

Type of well .....Drilled. ^ ^ fimvoi . n H ^ m d \ .' i ' (Dug, driven, bored or drilled) _ ^ _ "}

Equipment used ...Churn..Djlll J»J—JU-t. ~im- """ FT ~ j(Churn drlU, roury or other) BgOWTI tC BlBOfc —1

Water Use: Domestic H Municipal Q Stock D Irrigation D " e ^ » 7 ^ « ^ ^ i

74«2"_of_Matflr_lnj(fll] !Industrial • Drainage D Other D * Garden/Lawn g] ^ - ^ • • • - " « - ^

•Describe N / A . ' IUSE: If used for Irrigation, industrial, drainage or other. Explain, j ; • I

state number of acres and location or other data (i.e. Lot, Block I1 acre garden/lawn, Lots 21, 22Blk. 16 — ' I

; and Addition). Ros«land #2 j I

] ESTIMATED ANNUAL WITHDRAWAL ••••g9.Q.>0Q.Q..&all°ns ; , I

' saa tag $s> <ft> PERFORATIONS Z Z H I"8to • lc-tal —Si ^ T.

| Slic (F««) (F«0 j6" 0 92«2" 3/8" 88' 92'2" ^~"^ "ZZI. I

j _ _ — . — - _ _ _ — — — — — j

— —

I j 1 j 1 Static water level .?..?. ft.*; I Pumping water level ..?.?. ft.* , _ _ _ _ _ _ . _ _ _ _ _ _ _ — _ — _ . — [ 'j \ t\ .12-112 gallons per minute, ji j measured .12fl:ninutes afte-/ pumping \ '| X ! began. __^_ __—_ ^^—^—^^—^——^^^^

w 1 ' j " " *Measured from ground level.I I Well developed by . . . . N / A ,]. J for . . . N / A . hours. . ..>\ \ Power P u m p — 3 / 4 - - HP j / '

! | ! Remarks: (Gravel packing, cementing, j /| ' '• ' '• packers, type of shutoff) . . . . A ' . / A j rs-

I 5E...V4 yiM see....2£"... z z z z z r z z z n z z z z z ii T . . . / . . 3 ©R 3^?... E1 INDICATE LOCATION OF WELL A N D PLACE OF USE, IF POSSIBLE. j

"; EACH SMALL SQUAREREPRESENTS 40 ACRES. — ~ I

- ..•'• Qt\\WsS\gn*\w^Oc&fd^ ~ ~

4 ' ; Driller's Address .' IQi ' 1" S h o w exact depth of bottom

LICENSE N O " - ^ j

S3,,3^ !

• i

._ j

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; . / : r : i - : . ; • • • ; _ • • . - . • - ± : > . •

; ^ ^ ^ ^ ^ ^ i ; ; " > -tf*BS«sraiE:i2r':;-'U=':--^.-:^.. :-..--• • - •- • • -"-- • • - •— - -

; ' # ^ ^ | V ' : ';• 4 ^ 'I , received and (iledthi^slrun^lg

m$&$^ ^ ' ' SMiSSicoun^WtcolMonUn. _ . . .1 i ^ , S : ; ^ 1 ? S ? - ' N ' ' ' Witness my. ho:iu: n . r i r d e r ' ' : ' • • '

1Mi&?;::'-' • ' FL"saSZ23r-S« J • -. . • • . ' • • : ".ip!;::*'p•••.••••, • ; • — — r — ' — " ' • .: . •

' .1

I ' \ ' . , • i i I •

' :: "1 ;! v j l' ' • ' " !

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

• • • - • • " • • • ' : : ! i !

! - • • . ' • • ; ; ; !

- i :: •• . • i I

• • ] • • ;

O •' ' : : ' ' i ; '•- - ; - • ' •

, . L , , • • • • . . . < . • • • • • ^ • " • ;

• " . * ' • , . ' I

j

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O W 2 Tp VVATER CONSEWWWWdSSsSnim-Sitie PublWUng Co, Heleni. MmttM-«Mv <^^>3 H

File No _.m-^ w M 1 8 1956 T . . . . . . 1 3 K . . . . . . . R . . 2 C W 25.. fl

DOTUOATB BWe r N u W 0 ^ ^ County....Mi««anla ; IJjQa Buuerln „ Jf&OE OF M O N T A H A • • •

poyle A5JjHSHaiEA3W» OF QROtJHDWATER CODE •i« I Top of Ground oartinton- ^_J)FJIOa»<F STATE EMOIKEER • t •

Approx. PK*»rt—rr-7T , ;—: — . ' •(Eiev. above sea hvei?227.« ) Notice of Completion of Groundwater •

ror-.itio«f« Appropriation by Means of Well IonuuniMi! DEVELOPED AFTER JANUARY 1, 1962 j •

— 0 - 4 Dirt. (Under Chapter 237, Montane Session Laws, 1961) | I4 - 1 7 Sand* grarel . j •

. . . v v i , . * . . , , Donna Jean & / o r ' •— 1 7 - 2 9 Coarse gravel 0 w n o r " « » - n » B « « « - W « o * ^Jdressia»»oul«.t...Montana..- i •

' Sr- ' 29 - 43 Grav»l1mix«d*"" D r m e r ~ M * « g t y "Qgllllng- Cp^dcVessMi ••oni n t...Man.tana... | I

- . . - ' • i n * a n s i l * y Data of Notice of appropriation of groundwator.«©n*— •£ 11*4. i •. . ; . . ' . — eXay* ' •• H

_ 43 - 51 F in* aand It Date weU startod.4/-30/66 .Date complcted..fc/3O/-66. : •g r a r v l . ; •

— 5 1 - 5 6 T a n a i l t y c l a y Type of well 1)vlv«» Equipment uscd.WaJLi_..tai,*in*..Ri« IS o m * gravel (Dog, Driven, bored or drilled) (Churn drill, rotur# or other) | •i m b e d d e d . Water use: Domestic QJ Municipal Q Stock C Irrigation IB ! I

1 ~ I I F l n * S a n d * Industrial • Drainage Q Other D i •— me. " an « . . . -5l—.. * Indicate on the diagram the character and thickness of the different strata I

7 0 - O Z C l e a n e o a r a * met with in drilling, such as soU, clay, shale, gravei, rock or sand, etc. Show 1 •— s a n d & g r a v e l , depth at which water is encountered, thickness and character of water-bearing i . •

strata and height to which the water rises in the well. ! II _ M M of I SluMd F m I Si I vnimnATinNi 'I OriOtd WtUhl (FMI) (FM(| WBF0BAH0W• Holt alCMtaw 5 5 i i m i ibI ~ Sb. Or«l) (FMI)I ! - 6" 6 5/8"ODI _ K H« +4" 82 TorchI _ Cat 76 81

I ~ Vater riaes in the well :I - 22 feet from surface. . i

• w Static Water Level for non-flowing well

I - I I I I I —-aa- feet, jI •. — j \ Shut-in Pressure for Flowing Well. .j |o n l i (j. iI _ j j Pumping Water Level 5.3 .feet j• . w j - E at.....gQ gal. per minute. ' ... :'• _ ! I Discharge in gal. per min. of flowing well '• i Jr K o v v f l t n r l n g -I _ j I HowTested...AJ.r...i,if.t...p««p. j• I ! 1 ! 1 Length of Test...Two...jI(mra. I ,• ~ Remarks: (Gravel packing, cementing, pack- jI " w.y4......Sec..a5.T.,.3i,Raew ^ 1 n " ' t o f i l - f t r l o t t « ^• — ' indicate location of'Well and C**t-of...caaing..A«...p«rfora.t«d. >,• place of use, if possible. Each & all w a t e r enter ing we l l is •• j ~ small square represents 40 C o H n g ' " T h ^ o ¥ g ¥ " t h M e " p « r * - " " " ] ,• I — acreB> o -ra - t louw—W»X1»- tn--th±r;vrmn jI ' _ can-be—'d«pended-upon-t«L...prxMlue«-claar..Aand.JCrjaa.. : - yI ; vcatex...y.«ar...a£.tflir...y.f».»r...flff...l9.ng...ft#..(Continue on reverse side) i r

I USE—If used for irrigation, industrial, drainage or other. Explain, state j• — number of acres and location or other data (i.e.: Lot, Block and Addi-• tion). 'B • • *"**—&Bwn —•••- —

• I _ M J Show exact depth of bottom.

I ~ •- Bottom of hole 82*m 1 This form to be prepared by driller, and three copies to be filed by the owner with the ™""$2~" -••»-—•• !• 4 County Clerk and Recorder ta the county in which the well is located, tissue copy to be Dnller s License N u m b e rI retaJned ^driUer# [ \HV\\ ' v l ' t) :• ' Please answer all questions. If not applicable, so state, otherwise the form will be . \As*ilU>Aftk . X a J * « ~ S . ' ! A £ .• , returned. Driller's Signature

I

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B 0 ' • • • ' • • " " • • • " ^ • • • • " ' - • • • • • • • - • - • - * • • ' — • ' - ^ • — • • - • >. •

ifld iilaet (U« Increment <oi , .;, g fj I

ffe.. . ,^rfar&.>lA«...»6.<<v , 8» Irlock.^.*tj perrafewif '»]«• ' '• : : : g ^nuifvrttalqx/ Montana ' ( M _* C D %' " o ' • ' • * • v n * i£icti», Cmn'fjhcordi •, 0

^tl^^^: ' . ] ° oi ?Sr . ' t :• i •• \ - 3 3• # . ; . . . • St|• '•">•-'•. ? ^ n t 1 ,_ ' 0 II• * : ? ; ! • .' •' " ' " • • ' - • * " £?, s g ?

Jl '. • ^ . • ' ' • - ; Jt • * - ' ' " 2.il \

" • . • > - ; • . • B " » • i - • - r. r ' a ••

\ * s ? • • : ^ . . . • • • • : • * : i ; « ^ " ^ -

. ! t . - ! , .'-^1 .- • -• " is ! j I tf •§ •• :" ; - - : ,••• • • « r i : H ^ I

I $.:.;.{. • . Jl. U•• .-. ; • • ; : . . si ? ,^ip !

• ' ; • • i / : - • " » * ; •' ' l^i1 .

I . • • • • ' • • • H > - ' . ; •'•) ; » s - ••

I' '•• • H » 1 • : i « # if •I •.. .. , *i t¥ . • :. >: ' <-•: *I • ( . • ; . t - ; " ! • * ;.

I ' • - ' B '' " • ' '" 1 f 'TJ •

I • • • " • • • " • '•-. •"• * ' • 5

L . •• \ :

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let.- U1mr Approved Slock Foim-State PoMUhlni C o , Helen. MontiM—4H34 <^j^> 3 ^ 1

i ^-' Fne No r^.../3A/.x....Z.Q.t±l ~ •| DUPLICATE cf^E-C«-^-^-^-- ' II ' STATE OF M O N T A N A IjVj >j ! \ •1 ADMINISTEATOR OF Q&OTCTOWATEB CODE JAN 2 1S64 '^ \ I

•" OFFIOE OF STATE ENGINEER STATE ENGINEER . IDeclaration of Vested Groundwater Rights r I

(Under Chapter 237, Montana Session Laws, 1961) I

i - ^ W ^ s Sf jz?/\<&<?err ^ rf jzy/jt '^i.^/fs^^r/^t/c-^ /tyssdee.* . I(Name of Approptiator) (Address) (Town) ] I

Oountj <rf /^Zf^SjpC/J-A State al..~....^Zp.&ZZZ. ; I* have appropriated groundwater according to the Montana laws is effect prior to January 1, 1962, as follow*: ; •

I ! " • '• I| -*• i i : ; ! ! 2. The beneficial use on which the claim is based. - ; •

I —.:.—.: :.... .: :—.-j— _ _. £/<?<-<:.$ ;sr.sSa.tr.£?. ' •

i i i i ! | ! • I Ii ; "j • '; ! | 3. Date or approximate date of earliest beneficial nse; and how continn- <J •

!-—1-—i i—-! ! ous the use has been . . . . . ~?^V3 . . /«?..<?..$ 1 II w —\—i—j—I—j—•—j— E ;;;;;;; ; ;; ; ; ; \ •

I • :"""• j ! I 4. The amount of groundwater claimed (in miner's inches or gallons i II i ....; :....• :....: ;.... perminnte) 4W/f/Y±<*'.£. I

i ; i ! i i j z.: : ; II . I I '• ! ! I • ! ; I 5. If used for irrigation, give the acreage and description of the lands ' I| | g to which water has been applied and name of the owner thereof ] mI j ^&£i.?^jtf.$±.^. II | y^ g ^ j_ JJ_ „ II i Indicate point of appropriation " •I < and place of use, if possible. Each . . „ •I ; small square represent* 10. acres. . 6. The means of withdrawing such water from the ground and the loca- _ . •I //b/Srtf - * / ? + + •*r

Ct>'r^ tion of each well or other means of withdrawal. . . -5E^?..^:. - f" ' 1

I ! -7=b#es~r <//£"> *°° \ II , 7. The date of commencement and completion of the construction of the well, wells, or other works for with- \ II ; drawal of groundwater. JE.fS.0.. Z3&.& \ II 8. The depth of water table Ute&AteiiiAL - »k II : 9. So far as it m a y be available, the type, size and depth of each well or the general specifications of any other j II works for the withdrawal of groundwater. S..$..?...TX.....~. VJ/.j£kj!Z&....J?..<$Ji.f./!£&. I

I " 1• ; 10. The estimated amount of groundwater withdrawn each year. *£$.&&JL.$.$.9.. fy.lZ:*..!?.*:../.. {

I i 11. The log of formations encountered in the drilling of each well if available 4//X.£.S)f.Q..'4!.?/... ;

• 12. Such other information of a similar nature as m a y be useful in carrying, out the policy of this act, Including -• ; reference to book and page of any county TemT^..../Y^.^X.^-^.S^:£t^^^^x^Aj=^3A!^lOi£...^7*-• ^s^-JU^.J7~-sz^JEk^Sl~-£kEiit-AB£L• . / ^ .- ^ p il

I . • Signature of O w n e , . A £ ^ ± ^ l

I D£ 'M^i.H - . Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is locp.ted.

II =. 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 ofH Mines and Geology, and Quadruplicate for the Appropriator. I") U ^ ^ \I

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l£> ' I

Oyy- • I

(V M f M M t a Countr. State o/ MoiKajia : • •

C^fAHTIN. S. KOHUgX. CnMr »*<oid«. •

I • •••' •

I I

4

I

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• ^ ' ^ if I0». Arpnmd Slock Pono—Suu PaUlablni Co, Helesi. Momuu—C234 <^i»s*S XXfi " ' H

•' File No . , ., T.. . . . . . . . i l .r4.15. .^. _ : ID U P L I C A T E County !> M

STATS 07 MONTANA • •• ADMSRBTBATOK OF QKOTODWATEB CODE p ^ _ _, I

j /OFFICE OF STATE K N O I N K E Inl I'lfl 1Declaration of Vested Groundwater RightsJAN 3 fflof J = I

) (Under Chapter 237, Montana Session Laws, 1961) S T A T E E N f l N P C D M\ j,r/,/CrJ G ft*ykj , «L.3faib.-X.. 22fc2Au)a^ :

(Name of Apprtpriator}, (Address) . (Town)Oomrtr oL..—32frJSau/a . ..; State at..-..27/?/>#Ja#..<Z |

! have appropriated groundwater aeeording to the Montana lawi in effect prior to January 1, 1962, at follow* i ;

i I | j I I | i i I 2. T h e b e n r f i e i a l M e o n w ^ t h e e i a i m U b a a e d . . . . . / ^ . % f C j a ^ . ^ a aj —-• !•—.;—. .! j ;-— .Ufita—JJl'/jf.Q&JuizZl _.. _

' • ! • 1 j ; "" 8. Date or approximate date of earliest beneficial m e ; and how oontinu-i . . „ . !„„; . .„ . : !....!—I—. ooi the use hai hw^»....^Ct/£JXJter /ar./SSJZ.j j : j i i i ..C&xdi.nue>u±—since- Tfewzr-ZM/K• w — ! ! ; ' — * ! i— *•

! : : i i i | " ™ " *: • ' : : ' ; • : i. The amount of groundwater claimed (in miaer'i inehei or g&lloniI j ; ;... |—! i per minute) JiQ "yiti i"_i - - '

I '• ! ! I ! : '< I 5. If u»ed for irrigation, give the acreage and description of the land*i to which water hai been applied and name of the owner thereof

—jbr-yfcft:—^*t0*t-~VttttV"i*T"J^^rj)

Indicate point of appropriation - ^ ^ . - V i i - - . _ ^ _ ^ . ^ . A , . L . * / . . ^ , / . ^ . . . . . ^ . . . ^ t . . ^ 7 ^ » /and place of use, if possible, Each . . . . . . . J J t ,Bnall iquare repreienti 10 acres. 6. The means of withdrawing such water from the ground and the loca-

tion of each welLor other meanvof withdrawal - , . . / v~7(^/i/toW ftf /7*af af/wjscr '

7. The date of commencement and completion, of the construction of the well, wells, or > other worka forwith-drawal of groundwater. ^JauS-tatMeJ?.. 0Z.....^.J.fjt^.y...^/}jU^MT.j!>/r^..../C^JJ^.. j

8. The depth of water table../._.^_..._ fecll ..^..^.^^./^J:... .J....rr:...J^....^J:.. '

9. So far M it m a y be available, the type, ilse and depth of each well or the general specificatlons of any other jworki for the withdrawal of groundwater.....^- ,. »„.« « . . . . . . . . . . . . . . . . . y » w . . . y . ^ H . . . . . . H . . ^ . . . j

.,—..,....„ Dxiusri. w.£u....—. j6...j.#j$*j...~j.&.~jcfij/jiujfcrI .._ 6.A. .. t4e±..... Cf.cJim- -~ — - i

I " • """"" " Ia 10. The estimated amount of groundwater withdrawn each year /J.2l./i.y}..ClA!.?^L-./^./rcli:....^.oran.A

I II 11. The log of formations encountered in the drilling of each well if available Ot-W-K-M-OiAttt

I 12. Such other information of a similar nature at m a y be useful in carrying out the policy of this act, includingI reference to book and page of any county record. _..I 4/..)2l£ai/LXL23

I Signature of Owner

I Date _

I ' Three copies to be filed by the owner with the County Clerk and Recorder of 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.

I < • Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau of.I Mines and Geology, and Quadruplicate for the Appropriator. J 0 2>'

I ]

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r" •"„-•• •v''*^flJ.'^w««»lHl ' I-•""pvi^ftf'. *i%£z* ram •

j

1

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, C w l Apprond Stock Form—Suu Pubihhlnj C o , Helen.. MonUM—4I93J &** "* " ^ |

Me No j f lT^T7T£"n£ t- ^ n7g"3fr . IDUPLICATE UU SEP 2 3 1965 ISJ CountyJy^sJiMfc^Wd.. I

8TATK OF MOHTAHA II H B M I — i ADMDHBTRATOR OT OBOTTNDWATKE OODX '.' • H

I—-| Top of Ground OITIOS OF 8TATK XKOIHXEB H

"_ (mev. above sea level ) Notice of Completion of Groundwater IAppropriation by Means of Well •

_ 0 t o 5 ' S a n d & Q r a v a l ( U n d e r C h a p t e r 2 3 7 , M o n U n a S e c t i o n L a w s , 1 9 6 1 ) i •

3 « t o 1 9 * C o b b l B s t a i w a O w a e r . . J & B . r j l i J l ^ B J 8 ! K M T * * 2 2 1 1 H u m b l e j •

~ & graval DrffleiaLBimJJimp 7D5-Mftac_^ddreia--.™^0TOi!ia ijigSt_ | •

- ^ | _ 19* to 2 8 ' Silty sand Date of Notice of Appropriation of Groundwater.-. •

. . • ' ; " ' • ' • • i - S 3 * to 39» Ci ty Data well started....?./?.?./?!?. Date Corap le ted .™?/ .?^? I: ~ 39« to 57' 8«nd,QP«VSl Type of. w 9 U . . J ? H ^ . Equipment V^J*?™J**L~ ! I

- (due, driven, bored or (Churn, drill, rotary or , ••..•;.,-.. & water driU*d) othOT) ! •

• "• • — ' ' I, ; Water Die: Domestic [J Municipal Q Other D Irrigation • j I

~ Industrial D Drainage Q Stock Q •1 — I I! ""Stl Indicate on the diagram the character and thickness of the different I • I; ~ strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc ; I| — Show depth at which water is encountered, thickness and character of water- I

bearing strata and height to which water rises in the welL I

D A M WdtfKX 9nO O7«0 TtMrmATIOM j •

u . CMta. —Si—I—s—| 5 f

_ X » - 9 » B b O V B "- w « o w - o3 " 5 " I . D . j ,

O . L . U 5 8 * 1 1 " f l o w I

!: nJ L 'I _ ** Static W a t e r Level for non-flowing W « U .?:?. ieet

I i - I '; ! ! • ]— Shut-In Pressure for Flowing Well—„.._ _. „ .___ I

I i "~ ....;—-j.—.; j—-!—4—. P u m p i n g W a t e r Level.....i®. ...feet at . ? ? . gaL per minute. II | 1 ! | ;" "j j Discharge in gal. per min. of flowing well ' I

I I - W : i i • ; i * H o w Tested....fcDJnpxaM£BS Length of Test.....i..5°^.I j _ .....— : . . : :.—.;...4-... taet 75 Q.P.M. Bailer t«tt 27 Q.P.K.I J : : : : • : Remarks; (Gravel packing, cementing, packers, type of shutoff, loca-I - ; ; ; i ; j tion of place of use of groundwater if not at well, and anyI : ! : : • • other similar pertinent information, including number of

I " ":' ! i « ! 1 i II '. - ' ' L—- ' acres irrigated, if used for irrigation) =•I — c&.y«3.ttJsee..iBk. T / . . * . nSa.. __ ..''I _ Indicate location of well and "' ' "" " j . 'I place of use, if pouible. Each _ _ _ SI — small square represents 10 aerer ' ' "I — dt*-</ 5 ^~/7LA^t^t^t<^ u - - e ^ - a - ^ y „

I l_l Show exact d th of bottom _ J ^ E P ™ . # L 'I • Driller'* Iieeaie N u m b e r !

I " .*dUL*Aui..2L*&. i• Driller's Signature / 'I •' This form to be prepared by driller, and three copies tc be filed by the owner with the County Clerk and Recorder

• ' in the county in which the well is located. •

I Please answer all questions. If not applicable, no state, otherwise the form will be returned.

I Original tc the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau ofI ' Mines and Geology and Quadruplicate for the Appropriator.

L •• i

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I g> : # • . . . . . . . . . , _ •

/ I * t - - I I / a eW»td dacT /(ltd till. Ii-fr.rn.nf #<5 - •*!"»' :. ne**ntiL*e?J.4<rtotSy*'l9*A.. . . ' ' ' " •»,•- ' , o(./P.t'/>Te'clsek ifLM.. porncmenl <ite •tlj^c- at Ml«r*nla Cm.n:r. Stutt o< Mottfam . •

I I s ? ? ;v • '• . I

i *'i •

i • 4

|

Iii JI

il

l .

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• • - • " :

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a g _ £ , j G W 2 Revised 1969 • ' - ^ - ^ C o U n t y . ' a A u J..V.Vift,jL ! •ITATI PUiLllHrNO COMPANY _ • . , _ J ' I ^^M

STATE OF M O N T A N A 7 ' ,.,.. DRILLER'S LOG IADMINISTRATOR OF G R O U N D W A T E R C O D E .. ''' i j- # .u u . , •_• , H

M O N T A N A WATER RESOURCES B O A R D S , / ^ - Indicate the character color, thick- •- .\:;-" ,.,. ">- ..._, ness of strata such as soil, clay, sand, •

NOTICE O F COMPLETION O F G R O U N D W A T E R "''":"";"?'!•-.,''Bravel, shale, sandstone, etc. Show •

APPROPRIATION BY M E A N S OF WELL tTl!' whJ^ W8f.er '• fou"d a"u •D.velopcd .her J.nu.ry ., 1962 h e i g h t to w h l c h W 8 t e r "SeS '" W e l L •

(Under Chipfrr 237 Montan. Session U w s , 1961, .» .mended) Top of Ground „,„. >bon«, ,_,_, •

This form to be prepared by driller, and three copies to be filed F K U TO HI by the owner with the County Clerk and Recorder in the county in (Fw" v"° _ •

which the well is located, last copy to be retained by driller. ___ -liuCiSLz^ HPlease answer all questions. If not applicable, so state, otherwise the ' " ; - C \ J~ Z~ ~ Hform m a y be returned; ^ ^ 2_Z iiSSSlSlSXE^Jw^S.-- •

O w n e ^ ^ ^ f i ^ A . Admhl||tw T=-[ l£= 1 -l^|jL^^-=-,-~. IAddress . M f y C ^ J Q H\*&!&L32g&fa 2&i- « -Cli lLi JM^4---- I

..^r^a*J^&.?.if.^ewi.U=)....- TJid&£+J£2&. Jp . g S - S a ^ - - - . IDate well started 'i*§Lj3^lJjL GW 1 &MULOlx ^ ^ yj~ i^^j^^^y^CL^- 1

• -'" . ' C YT> /*^) - ^ — . " ^ |Type of well . i o n . v i i ^ —• H

_ (Dug, driven, bored or drilled) _____ _____ _______________________________ BO O fyAp. • . . •

Equipment used W U - W A I KhJ^\/_) i •(Churn drill, rotiry or other) _______________ ' H

I Water Use: Domestic\i Municipal Q Stock • Irrigation D II Industrial • Drainage • Other D * Garden/Lawn Q I

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

I ESTIMATED ANNUAL WITHDRAWAL I

I M I M ^JlS? ^j (^ PERFORATIONS T I• Hole oiCMlm , f . ; j. ,' . \ •• 4. , • . . - , W IXA«M • ./l "i I Kl"d From To •

H j ————— Static water level ...•&.+„..,- ft.* ______________________ IH ! I Pumpjncj water level St:?: ft.* _ _ _ . IB J i at ..::.•$: gallons per minute, IH ! | measured i_v?..mlnutes after pumping• | I began.H w I j B *Measured from groupd level. _• I I Well developed by ft.V:.->. -H j I for ..JJLA hours.B j | Power...."~^T. P u m p . . ~ HPH j | | %, Remarks: (Gravel packing, cementing, ____ _ _ _ , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _H packers, type of shutoff)

H £&....Vi .$.£..% Sec.J.fe• T 13 U R....A??. J^

I INDICATE LOCATION OF WELL A N D PLACE OF USE, IF POSSIBLE.• £ACH SMALL S Q U A R E REPRESENTS 40 ACRES.• ,V. ' ^ , ' ^_ • ' Driller's Signature . . V l _ . . . . f ~ _ . & . . : - s - « £

•j Driller's A d d r e s s . . .A.S:.si5.(?. . . . .>^te. ._.».>>.A^«iJ. . . .k. ' .V_t T^J

H , ^ . i x A ^ . . ^ v , ^ . . . LICENSE HO...^:i ^ ^ ^ S h ° W " ' ^ depfh ° f b ° t t O m

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^ < U ^ K - e d and filed this Instrument forrecord on- .he_6_day of._Q«^a-19^a-»tJJi<»-o'clock.A_M., Immanent tiles - - •ot Mlssoula County, Stale ii Montana . . . •

Witness my hand: ' •Dorothy L. Head, County RecorJor . .' . . •

I " *

I • - ^

i

I i

' * . " • . ' • • , • •

A - '• - ^ . • ' . •

> - " * •

< i

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f •*•• I• ^ ^ . 3 o w 2 neviied 1965 . VONT/VM WATER RESOURCES BOARD Countv "flt/c^a-u-uU^ ']&> . •

„„.„•.»«„ R E C E I V E D V / - "" 1STATE OF M O N T A N A DRILLER'S L O G •

ADMINISTRATOR OF G R O U N D W A T E R C O D E n n r ? 0 1971 i J- . .u u -» i «u-L IM O N T A N A W A T E R RESOURCES B O A R D A l J G A <J W l Ind'Catf * " °ha"Cter ' J?*?' * • * I

• ~ ness of strata such as soil, clay, sand, •

NOTICE O F COMPLETION O F G R O U N D W A T E R 9ravel> shale' s«ndstone, etc. Show •APPROPRIATION BY M E A N S O F WELL * £ * af wh'cl? water h. fou,nd a"d

„ , . - . . , ._ •- " ' ••"height to w h c h water rises In well.Developed after January 1, 1962(Under Chapter 237 Montan. Senior. U w s , 1961, » .mended) Top of Ground «,,„. lbon m ,„.„

This form to be prepared by driller, and three copies to be filed F*>m TO Iby the owner with the County Clerk and Recorder in the county in (Ftt" <r«f'which the well is located, last copy to be retained by driller. Q_, JJ _.t?laflR_fl!Tti _Please answer all questions. If not applicable, so state, otherwise the __form may be returned _J_J_ £t__ h y v w n rtjyt-Owner .....BQX4...LAKB.5.QK I For Adminht,.,* - •• 1 ~ — F J " -JSfflfi»SSXfik_fi9ttlft

1 For Administrators Use gt.nrn»n nwii m t . e r

Address4??.5 Y ' ^ M AVTE, File S.o&goS 57J .45JL travel nnfi "ftfrbleUZ^Zj:'5.s-j97J s tones liTitipflrtertTw

M S S . Q U L & ^ . . . K D l C k N A L...?..U.7...#.m... -tSD-ClajT

Date well started KASLS«IfiZI G W 1 ^ T 52ll _ tnn Rgnil^ficattaned—I

completed 8AX..JBJJ97.L 52.L 581—tan-clayysaHfc-afia.1 " — ™" •' • ' _ _ _ ^^^__ ffl^Vfil,

Type of well I?HILl»EC 5&'- 731 *ag.«}d.4)F9Vf»"Safia.(Dug, driven, bored nt drilled) _ ^ _ _ _ ^ _ _ fJ.nO W C T . T . 0 1 *

Equipment used 93M® Z 2 - 1 - ? a I taO- SWlfl . SOIT1Q -gPaVel—(diurn drill, roliiy or other) flWfl Wat.of1

Water Use: Domestic g X Municipal Q Stock Q Irrigation D - - Z 9 i - B X J . . - a a M g S B a J t t J - J W f l .Industrial D Drainage • Other • * Garden/Lawn • I

•Describe IUSE: If used for irrigation, industrial, drainage or other. Explain, I I

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

ESTIMATED A N N U A L W I T H D R A W A L

Drilled S W d S « d (PeS) « 5 o PERFORATIONSHow of CHIOS • ™ ^ ™ ~ ™ •^^^mmm «™«»«™^»«——^^—i«»^^^•""——••

6WI.D. 6-5/8"0D OL 81' "• ^ "«>Y, lbs.

yssr —TN ~ ^ ^

I j 1 j 1 Static water level ...6.!.8". ft.*i j Pumping water level S O . .ft.*-| —.4 at . . . . 2 5 gallons per minute, _ _ _ _ _ ^ _ _ _ _ ^ _ _ _ _! I measuredl2.Q..minutes after p u m p i n g . _ _ _ , . _ _ _ _ _ _ _ _ _ _ _ — _ . . _ _I i began. __________ __________^——————___

w j i~7 B "Measured from ground level. _ _ _ . . _ _ _ _ _ _ _ _ _ _ _ „ _ _ _ .I j Well developed by CaiapraS^:.ap.. ~ ___,i J for 9. hours.! ! PowergOS P u m p - i a S - ^ u W B tt.j ' Remarks: (Gravel packing, cementing, ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

' — packers, type of shutoff)

.A'.ify> S£....V* SecZAT /JT. @ R J.S, E

INDICATE LOCATION O F WELL A N D PLACE OF USE, IF POSSIBLE. 1 .

EACH SMALL S Q U A R E REPRESENTS 40 ACRES.

Driller's Signature .J^.:i.^.kf.^.^J.:..!:k^:.^.^^.^f.

Driller's Address 185a. . .SQ.S. tH»K. . .x£- i2Mh& T .XiL'&£.:£J- . -I - -1 i>-ckicc K,n 1 5 1 B l * Show exact depth of bottomLICcNSE N O

i

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r— • — ... _

I I nctina and ttlta UHt-Ismnunaiii '» I . UI twauaan OuM.& day wiMAO.19. 7 / •I m. ...3.111 ...oclock.R.M. nnauumi run \ ' HI s< MluoaJe Coaniv Slaw a> Mommic , HI Witnuf mv Sana ' •I Veramc* A^icusf, Caunir Aeooroit HI By .,....«f7.ja<l/S~~+-J- ^'Oon •• F M %,3..C.G.?Mxi3L.-PmA . •

l I

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i O ^ f • B; OV. Appromi Slock Form—Sute Pubiliblng C o , Heleiu. Monuot—42234 utV^ti' T , ^ - 5 H

File No. Ti. l . / l / . . i . . . . .Si?. .^. ; I

DUPLICATE CovaAs....2^J..S.LCMl3L........ \ ISTATE OF MONTANA I

| ADJONISTEATOE OF (JROUNDWATER CODE fo) E C E F ^ ' " II OFFICE OF STATE ENGINEER I n j •

Declaration of Vested Groundwater Rights 3 *** ' 1(Under Chapter 237, Montana Session Laws, 1961) o T A T E E N G U V L L R I

i \2jakttay.JtiCj££L^^ 2h./.£S-QJ<LLcL. '< I' (Name of Appropriator) (Address) (Town) ' I

County ot..-327.l£S.(2...UM.2*r. State of . . . .7^2.7«ZiLz3?. .2: •• I,<r j have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, at follows: • •

N ; Ej[ I i j ! I | i LXJ I 2. The beneficial use on which the claim isbased...^a»..»7.<5.S!Zak...:... .' I

j —-i j—-j—- ••—-;•—-i— ffo.L:Ar.....u<f.3jx.r.j.y!if. <^.//r/^i.p..a,725a^ ; ' II • ! 1 ! ' ' t ^ H

j j. .j. ., j , ^ j . ^ ^ approximate date of earliest beneficial use; and h o w continu- " I—-i—-i • i—-j—j—- ous the use has been,/£>..?..%Q..?..£J.. £?.Gr.3fcw...e.5.jCt?.a£j>r..... ' - I

j j | i ! i l / .5 .«S Ca..rhi^.n^.iCi.u.>^...JTje.cM....li^^.£jr.j.kf^....^--' '. Iw • 1 i 1 j 1 E /.trr/r.J..f..a..t:i..a.T7. ].3..£j+....Cer.:?7tt*t.lS.4>.J*J*...J....... ' H

""• *"j "i j ] ; " 4. The amount of groundwater claimed (in miner's inches or gallons I I•—:••••:—•: :-—••—:—- permkute) %>.6:.ct..i .'5^^.....^»r.».x^..fcB^.......:....... J I

I ....;....•....;_ i—i—j— ~ ' I;' I ' ' '• I ' I I I 5. If used for irrigation, give tho acreage and description of the lands ' I} g to which water has been applied and name of the owner thereof f I

I ! /ci'....y4Ait. 8ee,!k(.. T . / . 3 . Vi..%.Q - - - : / 1I Indicate point of appropriation " II ; and place of use, if possible. Each II ' small square represents 10 acres. 6- Tbe means of withdrawing such water from the ground and tho loea- II tion of each well or other means of withdrawal..Xf*!r«....<?i4.CC/i!r/c i ' I

I ' ! II i 7. The date of commencement and completion of tbo isonstruction of the woll, wolls, or other works for with- I II ; drawal of groundwater.ykr.e/r./!r. ??^ . . . - / . . - . . . . j& . /&. .^^ . . . . /^ .C< /? . . . . . . . <? .^ . . .Aa . za : .^ . . . .^<r . ( f e .< .2 i . . [ II • p.t£fr.c.b.a.u.SAclL i^.A.^....Ars^3>..-.%, - ~3..6..'..:...G.xk.%e.x:.ir?f. ^ . ^ . ^ / f ^ j F . . ^ . . . . . / . ? . . * - ^ i I

I ; 8. The depth of water table..../..^"../?/^. Z:.tr.#..r?rX.....G.t:.v:.u.Mj&. /,..CJ..kr.ej?- i I

I : 9. So far as it m a y bo available, the typo, siaj and depth of each woll or the general specifications of any other jjI ; works for the withdrawal of graundwater.. . .k£<./ !rA... .2?.«. t~...:lrk..&..."J?..rr..^^......^.S.:...!^7^.^M-X^tt-t,Cr. \• i lst*.c.JLL~ ZZ..*..x..'2* ??../?...:.:....C.£..-zn.*.7fr......C.sz.S.£.i^.^.. 3L.0....J:.±...../2..£.sg../&.. J \^H ' „ t

• ; ::..:...:.:....:: :; zzzzizz:zzzzzz:zizizizzzzzzzz. \I 10. The estimated amount of groundwoter withdrawn each year C2....6TJ2.....<3./Z.C?. Q.&.L..r. :

O : 11. The log of formations encountered in the drilling of each well if available i*^e.A^r. . . . . .TS?^' . . . - . / . i •..'• : ...t/.Ji.iCxJM.SKi/:.-}^..:. .....v ._, _ „ > -• i .....1^.i,..U, ?z..<z...,SL U-.££z S..0./J*. :..:£....££:. {Lz3uezjLl±z^U&L^Ltaa * \• ; ...Me?..i^:r.*.. ^ . . . 3 . . ^^^ . L - ...._

• ' 12. Such other information of a similar nature as m a y be useful in carrying out the policy of this act, including :

H reference to book and page of any county record 2^?.^r..3»t..<^! |

H Signature of Ovraer^l£>!b)HSM..-v^...©...t.d^^fl.AJLtL...

• T)&\&U..!2y£.jk.6-./^.tZ!..^

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

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

H Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau of 'HJ llinoB and Geology, and Quadruplicate for the Appropriator. iaoo f

I _ J

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^V; , , , . | f * ^5-1 7<T- • - - — . • , • . . , . - . ..._ I

:l recafvad aMl flfod (W/Jnel/OmauJ ;aL ••'' - I.' I mxd^tht....Ste.Jiot t/Zm-r-.:.. .!»+& ,i • •' -' •

<K..4*."...*clBtk&?..ti., ^ M O O M r i KJMT ' .v • ••• ^ , •trf Sf/dwiia Coun*f, Staf •/ Mcntaaa -. ,'. . 1

W i U u H nv ha«d: . ' . • - • : * H

Bf «53SEI!.Sl-.iUj-fiL.'.C! .'..'........ BopirtT i a"| r « i $ . . . 3 f e g ; . , f e . y a i j | , . " • , ' - . . ^ '

! . • > • • • i> V

• I . ' ' ^ -.1

! • r . * .

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; ° W I • ' • . - . - • - . ^ * -"<tiSEroWiSfft Fonrf-Sttrte Publishing Co. , Helen*. Montuu-39311 Xggfr> - w " H

ecp 22 1966 •j DTOLIOATE MlDc^« - OomrtyJfcW**-* I. • r Bills " W r N . , , « y . - STATE OF MONTANA •] . ' putter ». ,,,AJ)MraiBTRATOB OF GEOUNDWATEB CODE •j | — I Top of Ground: ^'ZZ^- C^*>---**™Z OF 8TATB ENOIHEEB ; •

' 2 . (B«r. above «a livei E!*# ""Nbfice""of Completion of Groundwater \ . II ; Appropriation by Means of Well I

_ °"7 *.!: (Under Chapter 237, Montana Session Laws, 1961) •

^ IS* Tnt ISTitan-**• •**• •*«•* ~ A d d r e s s _ _ . . « P « ^ ^ l ^ U . | I— 45-5* Clay « , . ,,.v.l Drmer fi^fl C)MW Address.jSSl^r^.™ ! I

5 4 - 7 * tfoavfitit xuirf « « M » u l a , Moilfafla •— w « « h w « « I r Date of Notice of Appropriation of Groundwatev. _ „ •

•?• '•'-' ~ 7*~*° *£*• » ~ V # I " * « » • wcl1 ^»rted..O»«,...5J...»»«l....Date Completed..O««....?»....?»!»* _ i I• ; MQmm WuXPr |.- JH

— *0-#* M*ov(n9 awitf Type ot weVL_joeXUmlt Equipment Used...<?/H«rft..J0r.MJ Ij - . . . . a»tf w a t « r (dug, drhren, bored or (Churn, drill, rotary or •j « 4 - « C Qravl and wat»r drilled) other) •

'[' ' I _ Water Use: Domestic H Municipal D Other Q Irrigation D j I•I ~ Industrial Q Drainage O Stock D I

. i: _ "^9 Indicate on the diagram the character and thickness of the different - Istrata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. I

— Show depth at which water is encountered, thickness and character of water- I-. ! bearing strata and height to which water rises in the welL I

• ~ " Sin of l U M 1 Fim i S I _ _ . _ , - . _ , _ _ . •M M ffAMK (FMI) (FM| r**>O»AT>W'> ' •

: - • * c-1^ ~E3—I—FM—I T. I_ S» 8" I.O. 7> ««• "" "** "** 1

! km low \ , I~ 15 Ib 9. L . MOtie ; 1( — i I

i i Ii ' ' •

i ' ' ' I

_ •* Static Water Level for non-flowing Well ** .™.?CSS . . . *M. . . . • / . . . f ee t |I—i j i 1 i i i i fvundattM \

I • i — ....!.....! ! ! ; . . . . . ] . — Shut-in Pressure for Flowing WelL— ....

I —i—j—:"• i—]—!— Pumping Water Level .£?. feet at .39. gal. per minute.

I *" J " } " i ! j j Discharge in gal. per min. of flowing well.I \y ' \ ' ' i ' ' • F.I - j | ; : I ; H o w Te8ted... .Co«pj>MM0.C. Length of Test l . .*O*r.I .--•! ;--•-; -; ! — ; — W»ll put out 80 QPt* wlih eo«pra««orI : ':'•'. i i i Remarks: (Gravel packing, cementing, packers, type of sbutoff, loca- I .I i — !'"•"'• : j j"""7""' tion of place of use of groundwater if not at well, and any | . II ...j • „ . . ; _ i i ; other similar pertinent information, including number of ' I

I . — I • ! ' I i I acres irrigated, if used for irrigation)

I • — xf£..y4...... Bee^L T..J.2. B.<ZO _ \I : _ Indicate location of well and ' /I place of use, if possible. Each _ S• | small square represents 10 acres.

| ; | _ _ | S h o w exact depth of bottom. Uc»n»» t 7

I : Driller's Xiicense N u m b e r '

I ' . : Ji / /$ !I ' ^^^&t4*^.UM*f&..I Driller's Signature 0lmi\9f CampI This form to be prepared by driller, and three cooieB to be filed by the owner with the County Clerk and Recorderm in the county in which the well is located. . ,I 1

• Please answer all questions. If not applicable, feo state, otherwise the form will be returned.• j• Original to the County Clerk and Recorder; dnplicate to the State Engineer; Triplicate to the Montana Bureau of 'I . ' Mines and Geology and Quadruplicate for the Appropriutor. I I O 'I• , . «^

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-••••• rfjoV'- - ' • " ' * ' .. ' • •

1 ; ^ i # W " :"•• / >v •.'•*l«R^i':?'; • ,/ „• f - - O '• ; ' . • • . « - , - . . - .-. -,.... , - . < • • » - , , ., -^ - . r* . . - .^ - ,^ . - . ..i*y.- '••:•*?>.!*". • i - i

' ' • j V y l a M ^ $ • • • ' ' ' • I«i*J«d «d«WtU»/« i«™»«»<or | • i i • . . . . . . . . . .' . S & T ' - ^ ' t ' " . naai on ll... ..«...ct<ir ( . (^£. . .10.61. . : Iv ' * ^ V ; v'"-ii-;.* - ' at..JL'«iSrro1cIoet.A...M.. permanent « U M I ' : . . .

H ' % * > * \ " ' i 5 ' "^ MIM011J7 Coonly, Slole o( Monlona • ;. ' * i i « , * - > > > •' •'' W « n » « j m y Iionl- !

-'.••'*"*!?-^- ;Si'-"-''V •' • ; • > AV«romo« B. C O M M . Coontr B«cord« '^^^/r^-'i •,..'. B ^ . , ^ . 5 * V * w * * « - C - r » ; , D f | » *

• v s v ' - ' i s • • • . " • " . , - - . ; ' . ^ . " •

^ r ; , . - - & • • •••. •• • !

• w > . ; r •• . • ;

I - "\ -• ' i •

* ' . - . . '*• ™

- ' • •.. t

•• • -t-

* ' ' '- ': i .' r.. I

rr ^ - •

^ •

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i

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_.._._. ______ IO W 2 . . ' ^)A^S^^^ Approved Stock Form—State PubUihlm Co. Helena, Montana—4JMi ^ ^ > 1 H

File N o : MONTANA WATER RESOURCES BOARD T_A* A^agS—^^ ! I

R E C E I V E D ^ |DUPLICATE " County_MlM«a* . •

MAY I '.'71 STATE OP MONTANA • IADMINISTRATOR OP OROUNDWATER CODE I •

(——•I Top of Ground OFFICE OP STATE ENGINEER '.

(Her. above m lmL ) Notice of Completion of Groundwater ;~ 9m**mA\ A,* a-_-_i Appropriation by Means of Well \

M F W " *"•' " • " * • * DEVELOPED APTEK JANUARY 1, 1982 •— «* •••••••||t---,-,--- (Under Chapter 237, Montana Session Laws, 1961) i

— Shirley G. Brogger and .•• >

' — « W • * OWWrt. OwnCT •*«"«*-*•••*••««*'• iddres«..JfcWa...fl»_.?.ttl#I«flL«.__. |- ' Driller jMMJte&Ulat MirCnn...JMMUL.Mmt, I

Jr- ~ * " '— * * * " " '" " Date of Notice of appropriation of groundwater M/A. _ _.

• - l>tt—•-•>7t——«•— Date well started...jl8t..Mi.£8 Date completed. * • ! •I

_ Type of wcll..._.....DxlUsA...... ....Equipment "*~J *^hf1Hf ^ ^ H l ^ :(Dag, drivent bored or drilled) • (Churn drill, roUiy or other) ]

• — Water use: Domestic 3 Municipal • Stock D Irrigation • j- Industrial D Drainage D Other D

. 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. Show }; — depth at which water is encountered, thickness and character of water-bearing ,\ tttrttta and height to which the water rises in the well. |

— . i ••be nr SIM ••i From To •—BimBATlnMi "i

- nmt<i wen- Jpm <F«« W R T O R A H O I W j

i — Doc. NO <£$0J?-JL£- — fiw 6 5/8 abort *• « * »•* \Filed lor record 1 7 . 0 V (Ur*)«il • jthis^a^ -day ef.r%t»**^ l«r* L I

1 - o'clock y Z - M - I

! — -' .. N Static Water Level for non-flowing well! - I j p j I . . _1* feet.I _ j \ Shut-in Pressure for Plowing yfe\L.9fA .I _ ! I Pumping Water Level . . M . feet

w ] I x at....iO. gal. per minute.I I Discharge in gal. per mln, of flowing well

: : I f--- ^ **I ; ! 1 H o w Tested JrMtP.

I ! 1 ! 1 Length of Test.. 2 . J M M X !I i ~" Remarks: (Gravel packing1, cementing, pack- [

j " ^ & . f c . . . - . S e c ^ L T y J . . . Itrf.fi. «™-tyPeof.hutott) jI j — Indicate location of well and| place of use, if possible. Each II | — small square represents 40 jI ' acres. !

! ~ , * 1 L j . ./I •• (Continue on reverse side) i /I ' USE—If used for irrigation, industrial, drainage or other. Explain, stateI - number of acres and location or other data (l.e.: Lot, Block and Addi- •I tion). '

I ' ' ' Show exact depth of bottom.

I QaUteJBXJSX'fiQLKB. '•I - This form to be prepared by driller, and three copies to be filed by the owner with the V T i T T • ••••"•"•""••• -,I County Qerk and Hecerdsr In the county in which the well is located, tissue copy to be Dnjlek- s License N u m b e r AI retained br driller. A) /)] ^Zs^r^ I) ''I Please answer all questions. If not applicable, so Btate, otherwise the form will be IZSa«ssi7. .?$%;.....I returned. Driller's Signature.

I !

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p • " . . .

0 ' .5 •

•i||,|,r; **mm^o'r?"K . . ; • . • " • • • • • - ' - • • • " " ~ ~ " • ,

^;:' ! I ... r T"• • • • • • • , : , ' •• • i J _

• - • • ; ; T . .

• ! / . • (; '...._..L.

•; - 'A I.... 1- fc v

• 1 .. :; • " 'y:i[

• •, ••: - • > . r ^ - ;

| o : • • \ _

\ . , • V ' - • ' ' - ' • • " ' ' /

t

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l'r ' Approwd Stock Form—State PublWitaj C o . Relent, Msua»-42]2fr -jtgit.3 H J

& RleNo Tl5H. R2_QV , II H : •

| w » TOT Qf ctanmd R E I* t I V t U OTTICE OF STATE 2WHNEE& HAppro*• —^^————— ; H

(w«r. ><v«. -» w,i S2iq y Ly 24 fchftice of Completion of Groundwatar ; •

"" . — ' Appropriation by Means of Well _«* I. O. • 10 Gr*v«l_ftAd jJJSVBLOPH) AFTER JAWPAHT1,1908 i •

POUllUCS ——— — in ; pi

mixed In (Under Chapter 237, Montana Sesiion Laws, 1961) , H- clay. Caroline and t •_ 1 8 - 7 0 Sllty sand oWner_JR.«WOr...8iC.o*WMU)l Addreu..]&M*Sl*Xli*.~Mm%amM~ , •

I . and ( ran i •I - mixed In DrmerJlAI?»TtX^*AiU.»X..C.9ji^ddre».Mi«#_9.«Jt«A_V«^ II _ clay. •I * ? 0 » 8 1 S l X t y s a n d Date of Notice of appropriation of groTOdwoterJB.«"«...XAlj».f!l.» •I > - and day ••• _ w i t h fair Date weU started2/i/$.9. Date completed7/3/6.S! •I srarals , •I - Mixed In. Type of wdl_J)«Ull*4 Equipment n»edjC.*ft.JLs._t..oo.if. •• 8 1 — 1 0 2 K i n * al l ty (Pv> Driven, bored or drilled) (Churn drill, rotary or other) . •I ~ s a n d y d a y . Water m e : Domestic & Municipal D Stock • Irrigation B | II - 1 0 2 - 1 0 7 C o b b l e s t o n e s Industrial D Drainage • Other D ' II — " d f ? * * 1 Indicate on the diagram the character and thieknem of the different rtraU ' I• I a i x e a in m e t ^ ^ ^ drilling, such as soil, day, shale, gravel, rock or wind, ete. Show ; •• . ! - s l l ty s a n d , depth at which water is encountered, thickness and character of water-bearing . . •• ; 1 0 7 * 1 0 9 C l e a n coarse strata and height to which the water rises in the welL j •• ' - grave l a n d • 1 II •• - ' cobblestones. SaS '££i $Z> OM> wawaAtiow i •I '•• , Water. a*. <c*i i i I £ l 5 , •• 1 ~ "» <r«o (TMO ' •

I I 6« 6 5/8" I8 00 x H" *5 108 M 0 I B 1

|: -J—I J !•H **" N Static Water Level for non-flowing well I I• . j - j j I I I ..™.XZ»5»~-.feet. 1 II j — j I Shut-in Pressure for Flowing Wellltonmf. I• ; - ' ! Pumping Water LeveL..._._.A0. feet Im I m I I ' E at—1A0. gal. per minute. ' j IH i I T 1 ' Discharge in gaL per min. of flowing well I• i i ..J SonnflAKixis I• ] ~ j ; How Tested.Alr...tlft.. Jtnmp. ! I• I ~ Vater rises In the well I ! 1 ! 1 Length of Test.aj4..hflur« • . I• { _ 1 7 • 5" from surface. • Remarks: (Gravelpacking,cementing,pack- \ II J " wsu sec2fi... u » . Baor cr«'type o{ - t o B j m j - i - t - * - ! I• ! — Indicate location of well and lug-uu.XX.JJi..t.oming-.through— '; I

• ? - ftSi^SrSL"^ «p-»-^tt«»..or...n.t!...c.u>»«— ;B \ acres. Ualls. . . ln. . .thla. .Araa.. .can.. lMi. .jde- ; ..' IH I _ paad«d..4ipAXL..ta..j>rxi.duc«...cl«iar...i>.aiiid..Xr**...iir«.tiRK..y.*.«r ,' / II ! aTtar._yaar.. .as.. .J.onx.. .«*.. .tJ>*y.. .Ar« (Continue on reverse side) ; ' IH ; USE—If used for irrigation, industrial, drainage or other. Explain, state < jH I — number of Keren and location or other data (i.e.: Lot, Block and Add)- 'H _ tion).H j^t-a4..1x^.niacJc_IsrjO._.(2l...of...Uo.ttbJLt-..r1Jl''...!l«m5>*l*.*#.»...^ H SSMM«M Show coQtot d^ptb of bottom*B Bottom of well 108 ft.M • This form to be prepared by driller, and time copies to be Oti by the owner with the f 3 n " j . T Z * L ~ ^ ~ " r " '• County-CWfe and Recorder In the county to which the well is located, tUroe copy to b« Driller s License Number• ^ retained by driller. \ \ \ l \ \ x n X V• Flean answer all questions. 11 not appUcsble, so state, otherwise the form will be \ } ^ \ ^ ^ A A ^ t f \ j ^ f i ^ j ^ J J L ,• returned. Driller's SignatureI ' 1

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ft • : I

! Gl» •

; . ** I0 ? \111

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