60
* - - - - - - - - - - ^ . I « OW 2 T >»T Approved Stock Pa. •-—StMo PubUanlnj Co, Helena, Montana—*ui: - lgggfr a ', I \ File No.. T«&£^..... Itib£. .'. > „., DUPLICATE MONTANA WATER RESOURCES BOARD CovtotyXM&&&Zts^. { ' TOO RECEIVED STATE OF MONTANA ; t ADMINISTEATOE OF GROUNDWATEB CODE i i | Top of Ground JUN 2 6 1969 OFFICE OF STATE ENCKHEEB | " (Eiev. above sea \w&oLjki±L...) Noliw of Completion of Groundwater ' ~~ Appropriation by Means of Well I ' - DEVELOPED AFTER JANUARY 1, 1962 . \ ! (Under Chapter 237, Montana Session Laws, 1961) < I 0 v & I - Driller t&jCXOnA^. Mdress~^fi.jS«fe«fc!k* I Date of Notice of appropriation < ' <?round\vatcr. ; W __ Date well started...<a...-.7..-~..^../ Date completed._.«_rX.JT..^;.^. ; I ft P/9 it Jj i I - Type of wdL_#CLds*S^5^. Equipment raeA^LeS^£AJj^Se^- i B (Dng. Driven, bond or drilled) (Qinrn drill, rotary or other) ! I /> j 0' A Water use: Domestic B^Mtmicipal D Stock Q Irrigation H""~ I ~ <2Jh n ' cu ** A ' * t * M *~***' Industrial D Drainage D Other I j /] j/. -J- „•/: A Indicate on the diagram the character and thickness of the different strata I V J&ffJiA*** ^&>A^a~ met ^itjj ja arilling, such as soil, clay, shale, gravel, rock or sand, etc. Show I / ^ASKSAA**'"*" depth at which water is encountered, thickness and character of water-bearing ; I >*">•'' strata and height to which the water rises in the weVL ; I ~ £ £ I XZ. 5S I (F^O ««FO«At.ON. turn KMi JEM j *m TZ I &*&«+**«' fi***»jl <*£ N Static Water Level for non-flowing well I N - / Ifa"'dc^U^^u I j I I 1 feet. J J - ! -1 Shut-in Pressure for Flowing "Well It _ J* A ' /<2 **** ' ! "j Pumping Water Level .«£/__ .feet w | I g at gal. per min ate. < !• _ ! ! Discharge in gal. per min. of ftawiax well W I j How Tested—. ~ <£&. ?- *o -</ -' % ' —'— l Length Tcst Remarks: (Gravelpacking,cementing,pack- AfrU. 3 / .... _y 4 _ See J^.Tj^r K( ?^ e«,typeofshutoff) _ /7 dj. u /) Indicate location of well and •— PL&QJLAJ-AJ**'• &c*»v!*- place of use, if possible. Each ~ J /t i~- smtilX square represents 40 " | &-4<tZ*iC'*r**. acres. - (Continue on reverse side) USE—If used for irrigation, industrial, drainage or other.- Explain, state number of acres and location or other date (i.e,: l^ot, Block and Addi- tion). •-•. - • - >\ ~ . .-J&&LZ*&**-J^^ & s'/j ' Y/e^u^^,J^L>^^^.jL£bi^^Z. L^MI Stow exact depth of bottom. , ...... ... .... ,., , This form to be prepared by driller, and three copies to be ffled by the\owner with the Zy"^~"T""~ '""—" 1 County Clerk and Recorder in the county in which the wen Mlocated, t^sue copy to be Driller s License Number retained by driller. . i \ j . ; Please answer all questions. H not applicable, so state, otherwise the form will be \/\~#=z:...)f..>..!...c.zxrzzzz. returned. Driller's Signature

I XZ. - mediaserver.dnrc.mt.govmediaserver.dnrc.mt.gov/archive/ground_water/choteau/T24N_R8E_THRU... · I - Driller t&jCXOnA^. Mdress~^fi.jS«fe«fc!k* I Date of Notice of appropriation

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— — * - - - - - - - — - • • • • - • — — - • • — ^ .

I « OW 2 T >»T Approved Stock Pa. •-—StMo PubUanlnj Co, Helena, Montana—*ui: - lgggfr a ',

I \ File No.. T«&£^.....Itib£. .'. > „.,

D U P L I C A T E MONTANA WATER RESOURCES BOARD CovtotyXM&&&Zts^. { '• T O O R E C E I V E D STATE OF MONTANA ;t ADMINISTEATOE OF GROUNDWATEB CODE i• i | Top of Ground JUN 2 6 1969 OFFICE OF STATE ENCKHEEB |

" (Eiev. above sea \w&oLjki±L...) Nol iw of Completion of Groundwater '~~ Appropriation by Means of Well I

' - DEVELOPED AFTER JANUARY 1, 1962 . \

! — (Under Chapter 237, Montana Session Laws, 1961) <

I 0 v &I - Driller t&jCXOnA^. Mdress~^fi.jS«fe«fc!k*

I Date of Notice of appropriation < ' <?round\vatcr. ;

W __ Date well started...<a...-.7..-~..^../ Date completed._.«_rX.JT..^;.^. ;I ft • P/9 it Jj iI - Type of wdL_#CLds*S^5 . Equipment raeA^LeS^£AJj^Se^- iB (Dng. Driven, bond or drilled) (Qinrn drill, rotary or other) !

I /> j 0' A Water use: Domestic B^Mtmicipal D Stock Q Irrigation H""~I ~ <2Jhn'cu**A' * t*M*~***' Industrial D Drainage D Other •I — j /] j / . -J- „•/: A Indicate on the diagram the character and thickness of the different strataI V J&ffJiA*** ^&>A^a~ m e t ^itjj ja arilling, such as soil, clay, shale, gravel, rock or sand, etc. ShowI — / ^ASKSAA**'"*" depth at which water is encountered, thickness and character of water-bearing ;I >*">•'' strata and height to which the water rises in the weVL ;

I ~ £ £ I XZ. 5 S I (F O ««FO«At.ON.• turn K M i JEM j * m TZ

I — &*&«+**«' fi***»jl <*£ N Static Water Level for non-flowing well

I N - / I fa"' dc^U^^u I j I I 1 feet.• — J J -! -1 Shut-in Pressure for Flowing "WellIt _ J*A' / < 2 **** ' ! "j Pumping Water Level .«£/__ .feet• w | I g at gal. per min ate. <! • _ ! ! Discharge in gal. per min. of ftawiax well

W I j How Tested—. ~

<£&. ?- *o -</ -' % — ' — ' — l — Length o£ Tcst

Remarks: (Gravelpacking,cementing,pack-

AfrU. 3 / . . . ._y4_S e eJ^.Tj^rK (?^ e«,typeofshutoff) _— /7 dj. u /) Indicate location of well and •—

PL&QJLAJ-AJ**'• &c*»v!*- place of use, if possible. Each~ J /t i~- smtilX square represents 40 "

| &-4<tZ*iC'*r**. acres.- — (Continue on reverse side)

USE—If used for irrigation, industrial, drainage or other.- Explain, state— number of acres and location or other date (i.e,: l^ot, Block and Addi-

tion). •-•. - • - >\

~ . .-J&&LZ*&**-J^^

& s'/j ' Y/e^u^^,J^L>^^^.jL£bi^^Z.L ^ M I S t o w exact dep th of bottom. , . . . . . . ... • . . . . , . , ,

This form to be prepared by driller, and three copies to be ffled by the\owner with the Zy"^~"T""~ '""—"

1County Clerk and Recorder in the county in which the wen Mlocated, t^sue copy to be Driller s License Number

retained by driller. . i \ j . ;Please answer all questions. H not applicable, so state, otherwise the form will be \/\~#=z:...)f..>..!...c.—zxrzzzz.returned. Driller's Signature

_ • • . . • - • - •.••• • • • • • • — " : - i f i - •-. .'"•a^rv^rr^~™<^®::-' '-••:- - ~ • * ^ . ; r ^ ^ r ? * y i r ^ ! & £ ? ^ : 3 ™ & ^ : ^ ^ ~ Z $ . W

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^ K ; i t ' - > ; V ':->- ; • i • ' . : _ . : ' . .... . . •"•"!i : •«•'>* : •-•*>•« ; - . - t e » w i . - - • • • .- . •• •;-::.:,v •^ • j ' . " - a £ : V . ' - . ' •• • ; .,-;• « ' i v r e , ' : w ^ i . ' i , , » ! • ; • • • . . • • . ••••-•••.;, H

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IH —*- Vif.—•• 3 6 - ^ 69 - • • • ii-asB I

• "*^^^ **»» dup I• • / / - / / >. /-) Oi«r ««£• I

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W ^ : ^ <

H Fae N6. . vA.4Jc...,s~8:£..—.....H DUPLICATE County.............. ..............

I STATE OF MONTANA ^ ^ - . ^• ADMINISTRATOR OF GROUNDWATER CODl"-< D IH OFFICE OF STATE ENGINEER " U JAN1? 1964 ]

H DECLARATION OF VESTED GRouNDwAi^|^flaortiR8Ut,£R^ B (Under Chapter 237, Montana Session Laws, 1961)

H 1 J.^.J^.Sotooatww... ~ *f ?9* B . ?«?*..?«S*«» i^ B (Name of Appropriates) (Address) (Town)

H County of ..P.bouiMBn, State of ...)Q*taa*jnji&^ f l have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:

^ ^ L 2. The beneficial use on which the claim is based^BH I I I [ Tyyi oatA ott and wfenaTr m t i 1

H i ^ ^ «• .«•»- »*-.«.«.. . . . .^ H 3. Date or approximate date of earliest beneficial use; and how con-^ B tinuous the use has been ..Jjm»..1953....SftJCfe.79.W...*«riagH | n ^ j T o * . a»ij8ation^ ^ | „, E .

^ H 4. The amount of groundwater claimed (in miner's inches or gallons^ H per minute) .3Q..ealloiui..pwt. mlnxrU

^ H ) 5. If used for irrigation, give the acreage and description of the lands^^R Lot 19 la Block 48 of Staoal t 0 wtt^c^ water has been applied and name of the owner thereofHj "oura l t Kdition ofjft Bjpton.B l o o k ^ Afi.te g<<flPW> tfw>nffywtt. BflAWnn Ar> &.+-T qf ?nrt-

H ^ c T o f u T i f V ^ ^ E a ^ s m a 1 1 6. The means of withdrawing such water from the ground and &e loca-H square represent* 10 acres. tion of each weU or other means of withdrawal^^B 2, inch, ^ X ^ M * TVMHW _ , .^ ^ ^ H ....TV..ra«*JaB>l-.— l l l l U • II .1 • M ' " ^-" • — - — — - - - - - — - - • — — « L11 • • • • l _ l l l . . . H . M . . . . . . .

^ H N 7. The date of commencement and completion of the construction of the well, wells, or other works for wifh-BB drawal of groundwater ...IXUBS-1993- • -

^ B 8. The depth of water table VL£*9t^ H 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other^ B works for the withdrawal of groundwater ...J)ug.-W»ll..threo foo*-«a«iBg-aa-f«e*--d««^ -

^ H 10. The estimated amount of groundwater withdrawn each year .....6SQQQQ-^allona

I ^ K 11- The l o6 c f formations encountered in the drilling of each well if available ..£ug....«ll..by..hABd^ B *9£.»i l .«^. . j?^.;rjrjat . l2. iWt. .«a^^

^B 77" 7T77777"7^ H 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including^ ^ 1 reference to book and page of any county record —

H :pg ••j7"-y^ H Signature of Qym&^/....&^fc<^&&&Z3Zzi^^

• ^ V Date./.^."^..-.^.j:..™..^ K Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is^ B j located.^ H Please answer all questions. If not applicable, so state, otherwise the form will be returned.:^ B Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines^ B and Quadruplicate for the Appropriator.

HI

fe-^S^f^i^ •'. "g }' \ •) 4, I M ': \ "I •=. !'i ; • : I i ' - - £ 1, :l 4 •'''''•-.

; : p > ; t ; l l ^ i : " l , : ; ! M i § . : ; \ • \ : i %":: • \% •'.•>• I i I . •# t * f - : M : % : T g - s J : : i i i -Z -k \ : ' • . * ' * • * • \ \ •'- • • • ' : * i-, "• :•J ^ J ^ ^ ^ : . 4 ^ v.i. i-li ; i ; > .f•! : M ; ^ i : : -? : : i T .$. .".

• ' i l i i ^ i H ^ l f i ' M • j I i : : ^ j M M : : * - ; | ; ; ;.,; .. i .; :•

5 c 8 . " i ^ ; | ^ t ; 1 1 M I \ \ \ 1 i i M M .fs ; ; ; •* ; M "•! ; '•$ X

t i i t f t i f ! i i V : i i v i i i ; ; M - n ; a ; ; ; n = •> t

__^_; , ._ _.._.. i

H i ;"o"; i —~~—-——=—-=- -7-flftm • - i > s .<- < , - - •, s~\£lW

• A M '?' \ DUPLICATE County^ ^ • ' , -' 'Uo'ii 19/J STATE OF MONTANA• • A AD3ONISTRAT0B OF GBOUNDWATER CODE• • • , » MC .TA . \ C J V 7 w .7 OF NA-US OFFICE OF STATE ENGINEER

HMV> I Top of Ground n - i j"CES A1D C0S3HQUVTIC" v J

^ H [ ~ (Eiev above sea levsi _ _ ) Notice of Completion of Grdundwate*r .'**• B ; \ ~ Appropriation by Means of Well \ >„fiVM ', (Under Chapter 237, Montana Session Laws,1961) ' ? \ | :

• H E i */'Jj • i£f isT u O _A. ';;

B H j - t^&*£&&z»:.j!i!^ __ :;^ H ! ~ Druler..«^3W?^5l^ ^^t^frstftS^ddtess:.: .''. ..:'.' .. - II^H i - •• / • • • • • . '—; V _ ^ -{J34 y ^ J T l '•''^ ^ S > Date of Notice of Appropriation o£ GroundwatesS^?^*?/...**.i«...i!...'.i^S5?^' |

^ ^ H ' 0 1 ^ * D a t e w e l 1 stttrted.isi^fe4?.../4j...^JH)ate Compi«tedSS^^:.^/ ;.-.^S^;%

J^Ht ! \ ~ ^ J-ype of well....^fe^*!sfe»r^.... , Bq\jipment Used.rf&«M!^..^*^**?**i:^ ^ ^ ^ F : _ (dug, driven, bored or (Churn, drill, rotary or ' :^•H drilled) other)

^ ^ ^ M j I Water Use: Domestic l&T Municipal Q Other • Irrigation Q j;^ ^ H ~ <2>~II ,&/ Industrial • Drainage Q Stock n i

Hi . (C, Z f - y S ° £S Indicate on the diagram the character and thickness of the different :^ H H ~ £ strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc.^ ^ B H Cj^Jr t"i Show depth at -which -water is encountered, thickness and character of -water-^ H ^ B bearing strata and height to -which water rises in the well.

^ ^ H ^ B : — SIzeotf Sluand From .To *' inji>i7nDA<nniufl

^EB Dim«I UeWltot (F«l) *«t) i >™F0«AT10WgH ^ K — H o I ° . , CMto» 09' H™1 From T°

• V I N i I i i : I I j ' I '• m - . ..MBH . - . ! ! ! !.—-'- Shut-in Pressure for Flowing Wei] .•rTrX^bei^-r. ..:.

• S i ' i <! 1 i jjj fi '| H B 1 j i 1 j Pumping Water Level jf.Tf.. feet at..tf**LQ gal. per minute.HB !' !" ! I | Discharge in gal. per min. o£ flowing well <ZZ%e<0rx!«&*n>i :9 | H B '• w — | — \ — • — ' — | — - . E• • I - ; I ! i j | How Tested .Length of Test..-

B H B ! I ! I ', j -vKemarks: (Gravel packing, cementing, packers, type of shutoff, loca-^ ^ | H — ! ' ! i ! j tion of place of use of groundwater if not at well, and any• H O i ! ! .! i I other similar pertinent information, including number of

^ H H _ I 'it 1^7- -pri—4—jipZi acres irrigated, if used for irrigation)<<J**s*«(l^***f*«/r..

mM - .....y4 Se€.f^S 'y&g. **£D .^..aJt....^?x&r.. e/....<3*LLt**,• • t _ Indicate location df%eU s^mTP^^~ • 7} / /B H H place of use, if possible. Each _H^Hj — small square represents 10 acres.

H H J ^mmm Show exact depth of bottom. ••• •

H ^ H ^driller's LicenA Number

| H (JjCUw'£/a«na**tHSJ • •' ' • miller's SjjhaKirfe

H ^ H This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder

H ^ H i n t h e c o u n t y i n w h i c h t h e - w e l l i s l o c a t e d . ••••••**• .

• B M P l e a s e a n s w e r a l l q u e s t i o n s . I f n o t a p p l i c a b l e , s o s t a t e , o t h e r w i s e t h e f o r m w i l l b e r e t u r n e d . ; ,•• ' .

B^Hj Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of *^ ^ H Mines and Geology and Quadruplicate for the Appropriates.

^ H '.• . • vYv::'.':.' v : .. ': ' < .'. ' l 5 ^ ^ 7 ^ , \\

• ^ . _ . .

^ ^ B ^ i p § l i i = S ^ ' ' ' •'-'• '•''•'•: • • S^~ "';• ' •• d ' - ^ iV'* :*:•":'•.'-; •iB'irk-3&''':- >.'•'•>••}. ~h • . \ W U J T ; A - >« ••?.••#&;.TU\->)KQ\ 'IUO ••'.••.:'•.•. ;-..'''-.^Ss;v V->.:;f';%-•

M . ; • ••-•• •; i

^ H 8TATE OF MONTANA, Tgg. ,;.

^^M COUNTY OF CHOUTEAU.).

H -^.' JUW29 1973; 10

^^^m —~^ ~Coiuityviak""' . i

^ ^ B By—r Deputy

— — ~ - .

I FfieN* T..J&MJL....S.&

I DUPLICATE GowitfJLU&.&&£&!£Z>-

I STATE OF MONTANA Ulf^^Jl V ->I ADMINISTRATOR OF GROUNDWATER CODE J/\l\l * •ll^j)I OFFICE OF STATE ENGINEER STAT ^4 JJ

I DECLARATION O F V E S T E D GROUNDWATER R I G H T S / y ^ nI (Under Chapter 237, Montana Session Laws, 1961) "

I i &Su£±±p^L , of r ^&- r_I (Name o/ Appropriator) (Address) (Town)

I County of QJli^AiJlAA^.. State of ZJ4^t^d^!^^. _._I have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:

I N 2. Thebeneficial use on which the claim is hase<^C(U>.'7f4GjA*i/Og--fm i j 5..1ft^.j^^H..j<5«j^^.<^^^!i5^ri^

I j 3. Date or approximate date of earliest beneficial use; and how con-I j tinuous die use has been ...dkb&^.)..+..l.$.HQ.....H)2!s;.I 1 .&*&}&. J^eJ2i2...+....C^W^iA«=kfe^..jUrfWL_.• uu E .

I 4. The amount of groundwater claimed (in miner's inches or gallonsI T_ • I per minute) .tt...-fr.lLxJutt<^....lSlJkto..!xto^^^I _ JJMMA I I „ ...I LL• *K ) 5. If used for irrigation, give the acreage and description of the landsK to which water has been applied and name of the owner thereof

I ^ . . .y 4 .5W.5sec^l .T^k^ ja*uJt&*L£*itaj*ii& . ^ f e . . k ^ ^ £ - j t _ _ i _ j g

I SfcTof uXif°pSeP_adb^nall 6" Themean8 of ^ ^ " ^ S s ^ ^ t e r *"»» *•» " " j andfteloca-I square represents 10 acres. tion o f <*& w e l 1 o r o t h e r m e « » o f withdrawal ..^&a*eZ&u&....I ...fe**^....<M...ju!dJk...k!LHuL!^

I 7. The date of commencement and completion of the construction of the well, wells, or other works for with-• \ drawal of groundwater .JhjM>lL.....aI..J..3..!l..~..

I 8. The depdi of water table &iP. JJD-.M&fe**'. .'.

I 9. So far as it may be available, the type, size and depthof each well or the general specifications of any other

I .QrJ>f$!**ite.tL..i/&..J£3^...-U&^

I ZZIIIZZZIIZZZZZIIIIIIIIZZIIIIZZZZZIIZZI 10. The estimated amount of groundwater withdrawn each year ....J.k.(?j.Pr1£@..8r.kMJlk£*$.

I 11. The log of formations encountered in the drilling of each well if available ih&z<aL/.^L

I 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, includingI reference to book and page of any county record - ••^c^nrfuj .T;

I ;ZZZZZZZZZZZZZZZZZZZZZZZZZ!'ZZZZZZZZZZZI Signature of Owner (2^^KJ^S±^^£pt^.• Date..X.^./ifc.V^--3• Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well isI located.• 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 School of MinesI and Quadruplicate for the Appropriator. f

| H__

H | § | S | § ^ ! •i-;;. :•• i•,':. | ; r | . . v;

^ ^ H •?^:?,;;?^itelf:f^3t),.r;«J«!b: |65 u tesi •^• ; ,r- ; . v i •.••';.•• ,a'''!,---:!-:!: :•••' • •• .-• : .c ' L_ j^ . ' j j L _ J " ;

^ ^ ^ H '. • ' • • A i i ' ^ i - J . i i j S K B i b • i - W W . o - • i r f . S te • > £ > ' - • J ' : > . • • • . ! 1 « i > . • j = ;_•; ' . - c i ' V ' ; • : •••;: ' l p i •• '

H ig^4§^^-!-.. :.~~:.:. : t-.i.- -:. •• ..I ;>;>T x^h^m

^ ^ K :;v. ' • ' - • . . , . „ _ - . C i . . . v . ' . 1 . . ' V > > • * . . . • . ,\ • • ' .-t- '

^ ^ ^ H • . . - . . • - • • • • - • • ' • • ..•.'•• . . £ ' . . . ' • • : . . . . . • ' • • : - . . . - ; J I : . ' • • • ! . ' . { '••<,! ' ; ; v / c : i b

H ;.; r'.'.Jl. ': -" -:•.' ,-\\ * < " ' .:-i, i,r™:-!':ii'r>.-..a .3

^ H •• ; > . . . . , ) :•• . . > • , . . . V \ . , ; i ) • > . . . . . . . ; , . . . > 1 ! ; , . , , , ; , , , ; . ' V T ,

^ B •. . ! > b . \ V ' .. t - . • '[> •' , . „ • : . . , . : , : . . , • , . . „ , , „ = . • • . , , . , , , , i . , , , , ^ , , n T .01

^ H | S t t i h i l l y l i i J - u s - . i ' i i ; « ' v y i h H ; T I ; I'. • •.::>',.••• •••'. . •. -.,;•;-. , . ; i : ; ; i - ; i t , . , • . : „ ; . , . v / i ' . f i . - . v i l i c r J - j u - - ; S f

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^ ^ H • m—-—• — • • • - . .

^ H C \ STATE W A T E R CONSERVATION BOARD ? Of) <7 <£\^ H File No. .. T..._..™_XjR. L^ H JAK 17 19fifi /) A ^ -^ H DUPLICATE B,! M c D ^ , _ ; C""^ - ^M&t&fcSfi:

^ B Co J U T M ^ ~ " S T A T E OF MONTANA

^ H oar,,,, - . S B M I N I S H U T O R OF GROUNDWATER CODE

^ M OFFICE OF STATE ENGINEER

^ H DECLARATION OF VESTED GROUNDWATER RIGHTS^ ^ H (Under Chapter 237, Montana Session Laws, 1961)

^ H j Cless ie B. Welsh o f 107 Fairmont Ave Va l l e jo ,

^ ^ H (Name of Appropriator) (Address) (Town)

H County of Solano State of C?±H?™±!^ ^ H have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:

^ ^ H N 2. The beneficial use on which the claim is based

^ ^ H 1 y?s4 f:9jf. §£?.ste555 ^.om.s^^^F 3. Date or approximate date of earliest beneficial use; and how con-^ ^ ^ B tinuous the use has been 19ZQ

^ ^ ^ 1 , w E „| ^ B fe W

(B ~^ ^ H ~ 4. The amount of groundwater claimed (in miner's inches or gallons^ H per minute) W3Lth...a..sas...motpr.s..will...B.ump.^ ^ H ^O^Ga^n^ns^a^mijnute^ ^ H j 5. If used! for irrigation, give the acreage and description of the lands^ ^ ^ | s to which water has been applied and name of the owner thereof

^ ^ | Indicate point of appropriation and "" ""T"" " "* " ~ . '" " "'' . . .^ H place of use, if possibk. Each small 6" T h e m e a n s o f W l t h d r a w l ne 8Uch w a t e r f r o m * • B">md and' the loca-^ H square represents 10 acres. tion o f ^^ w e U o r ^ ^ m e a n s o f withdrawal^ H WindmUI..and.a..Ga?...jPv«BE

^ H | 7. The date of commencement and completion of the construction of the well, wells, or other works for with-j ^ ^ H drawal of groundwater .l.?.?P. ~.

^ ^ B 8. The depth of water table .?.0Q.. Ft.

^ ^ H 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other^M works for the withdrawal of groundwater .....WindmUI^.also. used..a ..gas., motor...... Has., a^ ^ H .9.2.?.in.S 3ELA..?...i5£b_P.iP.e.Jl

H : :::;r::H :zi-Z'~i™~iizzzzzz.." .:...: z'._zzi-^ H 10. The estimated amount of groundwater withdrawn each year ....3.5.,000..tp..36.s00.0..£al.sJ,...B.er..^ear

^ ^ H 11. The log of formations encountered in the drilling of each well if available None

^ ^ B 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including^Hj reference to book and page of any county record Unknown

•H • Signature of Owner .ChJ^.^^...../l..M^.i^..L...'.^ H Tia\6...J.Jk&,..l3..'.A$~. „..i^Hl Three copies to bo filed by the owner with the County Clerk and Recorder of the county in which the well isHH located.^ H Please answer all questions. If not applicable, so state, otherwise the form will be returned.

^ ^ B Original to the County Clerk arid Recorder; duplicate to the State Engineer; Triplicate to the School of Minesfl^H and Quadruplicate for the Appropriator. / . gQ

^^^B "|§l|ll|il^ '• • ' .-•••: ; / v • • ' ' : ) . • 1 ; : ; ' ; 1" :^ •• ; ' ' !

^ ^ ^ | i •;':l;:':%fe1.;0« )o woHnajHuaq^ IBTSIKJIS oil w ''•-v«-' ristn-Vi [fjqf»h bur, wh ,ntr<J aril ,»(d.tt;isvs oii yBih ii'^a lEt t»S M

^ ^ • 1 ;*;:;^.^.;--.-.,;..-.-..w---- ••• - --• , trfvrWHiXttW&l'iii:""*'" ""^ ^ B ^w:;.;i.:..^...^..;.-...-- -.-• aowixyjarcwo-urKAyJ**:

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H Fae IJL* T_18t JL * jr:

W DUPLICATE County. 92^*?.

• H STATE OF MONTANA P O ^ E I V j£ HTj•H ADMINISTRATOR OF GROUNDWATER CODEULJ J A N ? ^ ^JU ^ OFFICE OF STATE ENGINEER

Mm DECLARATION OF VESTED GROUNDWATER RIGHTS ^ c ! \ ;H fl (Under Chapter 237, Montana Session Laws, 1961)

^ H 1 _Jbtherliif..LiS^ASl!S» , of 3F«t?«Aott»...MRa*?».^ ^ 1 (Name of Appropriator) (Address) (Town)

H (Wy of ...P.^.??* State of . . . * ^ »^ ^ B have appropriated groundwator according to the Montana laws in effect prior to January 1,1962, as follows:

J^H N 2. The beneficial use on which the claim is based ..£*•?.•.?*?.?!?„•K 1—|—I ...an.d..hou8ehold

H^^H 3. Date or approximate date of earliest beneficial use; and how con-WM X tinuous the use has been 1900~..M«* JSS^iSS^S^L.^ H jaiaca..thLRt...timft-s...uaBd...y.ear...er.Q)MxA^^^^fl i, E . . . . . .

^ ^ H 4. The amount of groundwater claimed (in miner's inches or gallons^ H per minute) 3...gal.8..per..mlnttte

H | 1 5. If used1 for irrigation, give the acreage and description of the land;^ ^ H s to which water has been applied and name of the owner thereof

H ..HWj/4....IWiecJiQ... T...2AR..J4. -~?~- ~~~

H SacTof u Z i f i S K r s m a U 6" ^ means of * » * * * ^ **<*>water f r°m ** V0™****.*llw*-^ B square represents 10 acres. tion o f " ^ w e l 1 ° r o**™ m e a n 8 o f wiflidrawal ......1».«!?_..f. PMi ^ * Eli5LCi;jdfts;:l/4..1s.«*..E.ipe

^ ^ H 7. The date of commencement and completion of flie construction of the well, wells, or other works for with-• . drawal of groimdwater ......19Q0-... Cased. Wel l . -- . .««. . caBing- -^^B

^ ^ B 8. The depth of water toble 140- f««t-^Um 9. So far as it may be available, the type, size and depth of each well or the general specifications of any otherWM works for the withdrawal of groundwater X S U - I d J 8 Q . J3LjSSSB==dS!LSSS^L « « B ~ .^ H ElBOtelc..P.ump..3A-.infdi..pijx«--

^ ^ B 10. The estimated amount of groundwater withdrawn each year .7.<.~.?. .??...?...?.?.....?.

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

* B

^ ^ B 12. Snch other information of a similar nature as may be useful in carrying out the policy of this act, including^ ^ ^ B reference to book and page of any county record

| B ~ )/-fi^--J- ' ^-7* ' • / -UU Signature of 0wner5...-^.:it^^^*ri^l_&fe^.-A=t^s^ ....

^ 1 Date ?.*•«?«#?*" 2ll ^r}^ ^ H Three copies to be filed by She owner with the County Clerk and Recorder of the county in which die well is^ ^ H located.

j^H Pleaa answer all questions. If not applicable, so state, otherwise the form will be returned.

j^H Ordinal to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines^ ^ H and Quadruplicate for the Appropriator.

| ^ " ^ - ' ^ i i - " i ^ ^ ^ M t - f e J i ' . i j « . T < V ' * » J B - h f j j « i n U : c w < j « i ' . - i f f . ' " * J 8 f l ' . C ' • : • • - ; • - •- • ?: .-r- - - i - - - - . - J - ' " - - . - > - " / - J ; — : . . '

^ ^ ^ ^ ^ 0 Z ^ 0 ^ . . -.,.u<U w i * » » j»H : >J IAh- ' • • .- -j - !• - •.; • [-'. f. ••••>- 4?fc ;.W^s^M^-^M-^^-^^'-k0^^M''•'• •••-;••••! . :-|--:-! i i;.,-,:

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I File No.... _„ KLd%M$M®M$m? II DUPLICATE County....GhiftBrtifl^..;...;:^ I

I STATE OF MONTANA j ^ ' ' ^ ^ & | f V " II ADMINISTRATOR OF GROUNDWATER CODE " L ! JAN 7 JJJM -H/ II OFHCE OF STATE ENGINEER I• §ll\]l fcMtUNEER II DECLARATION OF VESTED GROUNDWATER RIGHTS n II (Under Chapter 237, Montana Session Laws, 1961) I

I ! Pa**^...^.??^.^.^ , of F.ert.Benton I• (Name of Appropriator) (Acfdress) (Town) I

I County of .Chft«S.eaM State of *>ntana I• have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows: I

1 N 2. The beneficial use on which the claim is based I

H I I I j —Livestock. II j 3. Date or approximate date of earliest beneficial use; and how con- MI 1 tinuous the use has been ...,..A9.3«kr...B««d ..§1*5.?. *b?t I• , _ time— year around " 1• w __ __ __ __ ___ __ E .jS. ....„.....„„.„„. .._ I

B _ 4. The amount of groundwater claimed (in miner's inches or gallons II per minute) 2..&.l»...per..gLnut.e: I

I _J 5. If used1 for irrigation, give the acreage and description of the lands I• s to which water has been applied and name of the owner thereof I

I .S]BiVi-...SBkec..3.P.. T_...?^L.ft.. ""*•'•"' '' I• Indicate point of appropriation and ™ """"~" [ ~ ~" , " l1"1" " - -- • — II place of use, if possible. Each small 6. The means of w.thdrawmg such water from the ground andAeloca- I

I s ^ presents 10 acres. ^ £ 1 ? ^ ^

• 7. The date of commencement and completion of the construction of the well, wells, or other works for with-I dtawal of groundwater i?.?.?

I 8. The depth of water table ......!5.Q..£fc.«fc

• 9. So far as it may be available, the type, size and depth of each well or the general specifications of any otherI works for the withdrawal of groundwater ......Cased. W . ^ l - - . 8 . . i n c h . s t e e l , c a s i n g - -

• ?9.9. .^..d?eE-?.....H^£.P.V!^^

• 10. The estimated amount of groundwater withdrawn each year ....?.59.j£P9....g*ls..£?r.jr?a*L

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

I 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including• reference to book and page of any county record ".?.??. —

H

I Signature of 0ymei^^^^Uuti/ti^xn^...iS^i3^*aKM^!^^ii.

I Date P.!^**1.®?...?.?..!..!?^• Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well isI 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 School of MinesI and Quadruplicate for the Appropriator.

I *V*7

^ ^ H ^tjTq^- ^gfrft"1*^1 '** J^r*** *<-^***—jr^T'y'y;r**<^. t*r' '^ '^^*T*"'^>""t*'*"* "**—*'* * " * " > ' * " "***** J " 3 *---•-• . . . , . . ' . _ . ' . j ' ..;. '....•.'.,(.•,.. -L . : . ' . . I . , i . ; j . _ : u , ^ ' : ' ' . : : . ' . . . ' : • . , :

^ H ; ;; .-..•-. ::::':-A. ia1i>v/innrinSj Jo [uvrfelb '

I ';• *::±1-:SE;. :>[<!« v:is-do fhnsh^rr .S IJ[ ". TOillrt Y « B l o ui:wjj'.oiij:.":i<i>t 'i'i:>n.l>;.; -Ai n o f,'-iv !!.)«'• t o li jq.sb lirii; ?x\i . ' K ; ; - ) MI; ; , s i i ! !h :v : ; srf v E . i i . j j s m s l ^ 8 . 0 I

WM '• '••• , _".".T;i_:.£=:V.?; ^P'-- '•'•%?':?••.-.i. rr.-h.':\~$. -:. •'•?..>V.'::.' ...... ViiK7/hfi;.;i;-...T! I n Inwmbl i l rA 1 a l i i -«) l «I'IOW

H ['.'•• • ' • . - . . . .« . . ; ' ^ ; i y v L - ' ' ' . : V ; I . , . - : * 3 ; . ( ^ ' r ' t 0 ? . - .. -i .»•>.; ii-.it-i ,iv.- ivi j . -hiv/ r , l , 7 7 b : : ! - ' . R :•. l u r o : ; ; : , !. . ; , ;u i iwo oil'l.' . 0 £

| H ! '• .".'..."..... •ji<j:.ii!;r :; ii !!••>•/.• l i ' t v U> y/ii i i- . i!) w i l iii !i-::-i'a:'<ri:-:'. . . i<. . i i i :min] i o ^ 0 ! s i H ' . I f

^ H j g u i i n i L j i i i ,t->c airf) "io v t i i i oq miJ 3in.> ^:>i•n-iH:.' n i h i V : , i , ••<: / s m ':i: •.•i,-Ji:n •aiin."'':•. •: k i i;:.-ij.'-.-.---i!;'i!ii i ; i ; l ]e e^-j'rc: . S [

• ; : 4^*&663^m - :'••. ... «T»r t Of IWWASA., I *

• . ••• • ^ . . . . . V : , - . ).= ....:::.:....,.•• •:• ;•• . , ' ,-:v,:) ..., , . • : ; • ; ; - , « J)tO 26 1963 „ _

• ; .mi,,^,-.:^^ ,,* MtISZI^- -^«• •: " * ! ! * " ; i I " ' i l i ' " r j i m ' ]!- l f - • ' : 1; ••••-• - ^ ^ ^ 1 ^ 0 ^ ^ : ^

^ B ;•••:••!•-• ' o : . . - • : . • - . ; ? • . . . ; . . . . . . . 1 _ * ~ $ ~ y ^ , . r J _ : P m A •• "• '• ' . • • • • '

^m File No.: T._J8fc£LjLJL. ....1Z '

• DBkKAra rsj»fctrveuT—•^m STATE OF MONTANA . Inj jj]^ H ADMINISTRATOR OF GROUNDWATER COD1 J A N 7 1964 !• OI^CE OF STATE ENGINEER S J A | t tWolW tER

^ B DECLARATION OF VESTED GROUNDWATER RIGHTS^ ^ B (Under Chapter 237, Montana Session Laws, 1961)

^ H 1 ??*™?!!™?.? k « & n g * 5 n . , of I??!*?*?*??.^ H l (Name of Appropriator) (Address) (Town)^ B Ohoutetfu^ H County of State of ...Montana __ _^ ^ H have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows: i

^ ^ H N 2. The beneficial use on which the claim is based^ H 1—i I ...Itiy.9st.oek

^ ^ H ^ 3. Date or approximate date of earliest beneficial use; and how con-l^M tinuous the use has been M?.9^...uaed..COnt±nttQUaly

^ • | ..since. t^t . . tM?.~...??.^...^.4..*^^?£..£?i3!^ ^ H w E

^ ^ H 4. The amount of groundwater claimed (in miner's inches or gallons^M per minute) ...A..S?1.!L£» .!9^»*!>

^Hfl I 5. If used1 for irrigation, give the acreage and description of the lands^^^H s to which water has been applied and name of the owner thereof

H *LM*& Sec2.1... TJ4 H_t I f lBt .......1 ^ 1 Indicate point of appropriation and ™ "'"""'" \ ~ "' ™~ " " ' ' , , '• place of use, if possible. Each small 6" raeans o f » ^ « ™ 8 su<* w a t « r *™ * • ^ ^ l 1 1 * ^ 1 0 0 8 -• Square represented acres. * » of each well or other means of withdrawal J S S S L S H S L - .^ ^ B .wi$.k.J§cl?...^d..««^^i>tsr..JL.^.8&_E*E8L

^ ^ B 7. The date of commencement and completion of the construction of the well, wells, or other works for with-^ ^ H drawal of groundwater .A93.9.?" -

1 ^ 1 8. The depth of water table i.7...**

^ ^ B 9. So far as it may be available, the type, size and depth of each well or the general specifications of any otherj^H works for the withdrawal of groundwater .QUg..W.ell--..C.cm.QXB.t.e..LiJ3l8.<l....--..2P...f$...deep.....• • 2 inch pipe and pump

H zz:_7._ziz..zzzi"zr...'. izzz^Bj 10. The estimated amount of groundwater withdrawn each year ....l5.°.ji.9P0..S?.l?...O?..^*e.r..I?er y e a r

• ^ H 11. The log of formations encountered in the drilling of each well if available ™.?n.9

^ ^ B 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, includingHH reference to book and page of any county record ifons.

^ ^ H .. Signature of OvmerC^/!i^^u£i?^ki^^^.^^iirS^^i^^^^S^L^ H rjate P.?.9.§5^f^..23j, 1963

^^M Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is^ ^ H located.^ H Please answer all questions. If not applicable, so state, otherwise the form will be returned.

^^m Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines^^M and Quadruplicate for the Appropriator.

I IB '^

^M L^ftdil^BlBwilqHwfalw"^-"" » l " l 5 B » ' " ( "" o l " v " l f L^L-i—

• ^V^U' _ - .-^°* - 8«^T *":*? f^tf #»| ^ H f ^ r».^'—> .—— - - " ~ [me nortBiiqoimH Jo Jotoq'jJ&»f»iJl^^m ^ °-florf <H{*'TrtrB b m i o i s o f 5 1 ' « « ^ 1 - ) t r " t > i i b a < " r t r - * l f t " * l J " ' "" " r f "* I l w i » r f a i i j l i W i w o t f i i a a i ' i o s a o f q

^ H ' "'™^' ** "fi. j ^ , ' i <• — ^ " ' » ( i ''"• A t

^ B " i w « a * h - w i . i i o w " > ' " " < ' " ' " " • ' i " « " > ^ 1 f . . . . I q « i c , U i . ; i i 3 - n . i i M o 1 . f h «IL T^^^H ~ ~ fv» ' j 1 no .\ li liWii!

^ H L ' ' ,i n ! O b ,1! 3

H B h r , n ) , ( M 1 » t l l u v n 1 . . ^ . i ' . » i ; j "•• '" • . d' ' , " , , " " , : • ' " " C

^ ^ H 3 t - < if* v ^ < • t ~ " '^ " ~ > ' " > u * 1 i i ' i l v cti uit j D «

^ H t ^ v r <• ** » - i 0 ' 1 i l r . , w; i t . i tj > W r

^ | H - - - > f t | , , I | , t o i l l l ' l I J I l i -> i r < n l I f

^ H ' g l t a b u f v i l ,1 « I>{1 t> M l * M ' W » ' ' ' " ' ' " ' ' ' t < ' ,"' ' . I " 1 1 , ^ / l "F

^ ^ H ' _ OTATF OF VOVf 4\> )^ ^ H -OUNTY ui (.JUULILAL (•*•

^ K ( w—nrc 9 r nfia „

• ' « -^ ' *^&Z^^| H '» I'1' ' ' ' , " ^ County uirjT1 • £?U4SJh, Q^^v ,MM - - i -^£l£_2

_ _ B > : ' f / * \ • • © • • j r p - - - ' • • • • ' • • 4 1

^ ^ ^ ^ H | , ' V"' ' »TAT*PUtLUM1MO COMPANY • • ' • " • " . " , . . , !

^ H : • H s V ' . • . '. STATE OF MONTANA . ' ^ ' ^ W J : ' ';DWUB*'S IO0^ B ^ ! ADMINISTRATOR OFrORbUNDWATER CODE , . , . , . „ r . , r ^ . . . . i _ . , J n d i c ^ ,he character, color. tWdc^ B • • . . . • • § :. :• . . MONTANA WATER .RESOURCES BOARD M ^ ; j - ^ ^ g . ^ ^ r f strata such as soil, day, sand, i-^ H I NOTICE OF COMPLETION OF GROUNDWATER " " • " " ' ^ f e l , shale, andstone, etc. Shew___• ' $ APPOrkPOI&TinM DY MEAMC AC UfCII depth at which water is 1ound and^ H « - . . • . APPROPRIATION BY; MEANS OF WELL height to which water rise* in well.^ ^ • ' I Developed aftorJamiary 1, 1962^ ^ H \ (Under Chapter 237 Mont«n» > m l o n law., 1961, a* amended) Top of Ground mia. .bovc m. iwti)

^ ^ H ; This form to be prepared by driller, and three copies to be filed § « • To^ ^ ^ R i by the owner with the County Clerk and Recorder In the county in ' y M 0

^^•j ; which the well is located, last copy to be retained by driller. .^_ ^ _ _ _ - . _ - . _ i _ _ . J^ ^ H ' Please answer all questions. If not applicable, so state, otherwise the _D8L WOOL liK'fft:f*i *4<|f *^IW ' '^ • ^ 1 form may be returned. ' _ .,____—_—_————o—

•^•^•M Owner -ftVv-jpc-WMWHWK-'HMl'— For Administrator's Use "YTB E S T i M f f j S T j E 3 S i 5 f i 3 ^ ?

^ H Arirt"««^^f55&«x File <*!/te?-Z%~ ——' : "—1

^^m Date well started «n*Tt1ff GW 1 $:.CGJ.a/^ ~ — ;

^ ^ H Type of well ....^brltltA. — —^ ^ ^ ^ | : (Uug, driven, bored or drilled) _ _ _ _ _ _ _ _ _ _ • '

^ ^ H Equipment used MftMML - ;

^ ^ ^ ^ H (Cbura drill, rotary or other) _____________ ;

^ ^ H . Water Use-. Domestic D Municipal Q Stock • Irrigation Q * • -—•—;

^ ^ H Industrial D Drainage D Other Q* Garden/lswri £ "—I

^ ^ ^ H ; USE: If used for irrigation, industrial, drainage or other. Explain, ••^ ^ ^ H state number of acres and loc«fion or other data (i.e. Lot, Block ~ ~ ~" ——— — __-—.—.

^ ^ B and Addition) L ~ ' _ -

^ ^ H ESTIAAATED ANNUAL WITHDRAWAL , - —-.

^ H SS.S % f f S S JS* ^ORATIONS T T ' " " "^ ^ ^ H Holt of Culm : —_.— .——•• — — . — — — — — — — _ — -•^H Kind i From To -^^^H \ Sha (Ptet) (FMO •_ l ^ l ^ l ^ l ^ l ^ _ r 4_^l_h _ C | B ^^L^^^^^^^k^^^^^ - ^ _ ^ ^ ^ ^ > ^ u u |A A^^^^f^^^LAb^^ L 4_MflA__M_.__^MB L ^ t f f l lB_MU_MM_l ^^^^^^_i__^^^^^_V^_^^^^^^^^_i A_~_- ^P^_A«^HHB^_^_P^_VV_P_-r_^_l_W_n

^^^^K • 5 " wBB-WB I __MI i. w P W I w l l W i k wiB~ra^ _ _ — •

I . 1 4T=H^ ^ H J ? I j I Static water level J£ ft.*^ ^ ^ H ! | Pumping water level .]£ .ft.* ;^^^H j | at SL gallons per minute.^ ^ ^ B ; i • measured .^..minutes after pumping^ ^ ^ ^ K ; 1 began. ___________ ________________________^ ^ ^ H w j i B *Measured from ground level.^ ^ H | ; Well developed by ~ ~ ~^ ^ ^ B 1 j for hours.^ ^ H j j Power....<jj.t>,... Pump ^tk- HP^ ^ ^ H I I Remarks: (Gravel packing, cementing,j ^ ^ ^ B packers, type of shutoff) __;

H | M.»».*!*. c*r...i** *w«iii*M.M:iy;.!tf:i^:i^ —4 " ~ ^^ H i£#Jr^<Q*.&M.....£& 1 1^^H s w I -H^B INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. :

^•H EACH SMALL SQUARE REPRESENTS 40 ACRES.

^ ^ J l , Driller's Signature : ; '

^ ^ ^ D Driller's Address ' ' : :

^ H LICENSE NO - - - • S h o w eXact d e p t h Of b 0 t i 0 m

^ B _T_Cfc7

*

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§» ? • • * * u u M U a ^ 13/J ADMINISTEATOE OF OEOUNDWATEE CODE

" H ' - I P S ! I ° P < f Qr0TOd ^OTASA DEPART:. OF NATO- * " " W A T E » OOHBEBVATIOW BOABD \

^ B j • £ (EW. above Seaiev&^±£)C0MS™|«totiee of Completion of Groundwater \,., *^H 1 t~ Appropriation by Means of Well

\% I ^ H . | ~ DEVELOPED AFTEB JAHTJARY 1, 1963^ • t f c i B ^ B ; | *£- (Under Chapter 237 Montana Session Laws, 1961, as amended)

"' | ^ B 1 JL. C/aV 0wner.O.paJ.J^-E^ftJ^x.I5^dreHs....J±o.rX.^^V^.v%. ^

^ H I -^ Drmer._iU.CU J..tW..BsM)«i! Address «. .<i '

^ ^ • B ; ,, Date o£ Notice o£ appropriation of gronndwater. _.

'-"^ ^ ^ ^ ; JL£_ S"7/e/-^^> Date weU starte«^$,.|a.*.v.l......l.^ ^..^Date completed.^L.fe.e.J.i.,...!^.^..

^ ^ H \ -I* ' Type of well tj.+.-i.Jj.-fe.v^ JEquipment used ^.k.L!L..«^..£.4SSr_1 ^ ^ ^ B / o ^>, . (Dug, driven) bored or drilled) (Churn drill, rotary or other)

^^M c<-OOf*- W f t t e r u s e . Dom«Hc D Municipal D Stock Q Irrigation g]: ^ ^ H " ^ IndOlWal • Drainage Q Other Q^ ^ ^ R •/-/ Indloato on Ijis diagram the character and thickness of the different strataj ^ H H , , met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show

;, j ^ ^ H . depth at which water is encountered, thickness and character of water-bearing' ^ ^ H JM- if u>a,T*f k*< *•* 4 strata and height to which the water rises in the well.^^^H *fo / i ht.vt.1 Sbeof I Sheud From T* PERFORATIONS^^M - f I n <. Dialed Wdiht (F«O (Pert) raRFOHATlowg• ^ H , . < Hole of Cailiw Kind From To

• - 4 ' ^ c ' ^i/i s*^ rfUp

f.t., i. " S ^ H w Static Water Level for non-flowing well

.:• ^ ^ H N ~ ! ! W Jeet.^^B " ~ j \ Shut-in Pressure for Plowing "WelL^Zi....

;:; '•^^^B — | ! Pumping Water Level. ..j.L feet' * ^ ^ H (~> | w ! * ! E at ./.S gal. per minute.

| ^ ^ H t ! Discharge in gal. per min. of flowing well

^ H je' j^JJ;^^ —I -1— -^A^ B _ S»ndp^A+ [ | How Tested .1?...^.^.......^^H \ ' ' '-^ Length of Test £>..k.r..&^ ^ ^ ^ 6 - " 3-/ /6 <^1&A Eemarks: (Gravel packing, cementing, pack-

^ m 2 . ......%l..sec T £ L E & ^ era> type of shutoff)

^ ^ H ^ Indicate location of well and' 4 ^ ^ B — p l a c e o f u s e ' ^ possible. Each

^ ^ ^ H small square represents 40^ ^ ^ B acres.

^ ^ B .....^...(Continue eji revcrso sldo)^ ^ H USE—If used for irrigation, industrial, drainage or other. Explain, state^ ^ H number of acres and location or other dtta (i.e.: Lot, Block and Add!-^ H — j - tion-)- • • -*• | _ * * Et.f.:*-M•t.M.n..^o.x.i,JSAA,.t.e.n..rr..:7.-..3 iudhS-U*^ H I \ Show eraot depth of bottom. ...:...-,,,.mm, ^ -..M..Ls>.afc..g.±

^ ^ H This form to be prepared by driller, and three copies to be filed by the owner with the .—.................. „.. _^ H County Clerk and Recorder in the county in which the well iB located, tissue copy to be Driller s License Number•^H retained by driller.

^ ^ H Please answer all questions. If not applicable, so state, otherwise the form will be ^-yO*rJl/-&£~*~d'<tS«K£S!J(3MS>i&~-^ ^ H returned. Driller's Signature.

B I;

^ ^ ^ K - J ; ; ^ v / : • ; • . ; - v - • ' • ' . . ' . G'1'-1'^^' D :w-iu~-,i'' n h-:-oi>>\tsni • • ' - . " ^ • • ' • ' • ' • • • • / • • • • • ' : : - ; - ^ > : : - - : ^ u ^

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| r^H Fa«No. . T i l.i .:..............

• DUPLICATE • C o ^ . r _ _ ^ j

•'{ ^ H STATE OF MONTANA ,-K It M IL U W IL | • •^ H ADMINISTRATOR OF GROUNDWATER CODE U U JftN ? ^ ll)j^H OFFICE OF STATE ENGINEER

~ ^^B DECLARATION OF VESTED GROUNDWATEtJttfehff^^^^& ^^M j - . Epjjjftp r- ( U n d e r Chapter 237, Montana Session Laws, 1961)

? H i. JIEJUMJSLJL-EL&M. of EiUZZJlJEUtJjzM^ | H (Name of Appropriator) (Address) (Town)

H County of .C.M..L.T£.AM. State of ..AAMZAMA.^ ^ H have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:

u~ * ^ ^ H N 2. The beneficial use on which, the claim is based ..S2^drrse^^cck^j.

9 | ^ ^ ^ inY/ \f) JrJr I &a&^£ix^*Sax&».jz&!££St^^

\ "^^^T IP • P^" ~ n 3. Date or approximate date of earliest beneficial use; and how con-

••• ^ ^ H — r- ^-7 — /T tinuousthe use has been .^y.v..fe«Hi/«r.ftta; j5cfefcnnf.T.-<T.„, ^M A^vkY-T?— -JUJLk

\ ^ ^ B ^ y -*14. vu L-<X w*- "^ B> -_ E ».«.

"• :; H ^ B I -^Ik. „ 4. The amount of groundwater claimed (in miner's inches or gallons' ^ ^ B __L— =i-J ^ Q a— per minute) 5L.& &..'....J?t./ti..:

~V' '^^^H r? "W * & *"*1*1 * Ni ^ .. .. ., .. ,,r , .,,,,, , , ,.

".""" ; ^ ^ H I 5. If used1 for irrigation, give the acreage and description of the lands^ | H s to which water has been applied and name of the owner thereof• • «6jj «S>>r GMJ$*r £ -3.1/-r-^-7' W~ t^-t£H ^7 t^iSoTatf BJLa£l£A^M£JaJk rctiMtofFfitrt^ H pUeTfli \MTH poslaklWhiinan 6r T'1P ?aeai18 ° f w i & d r a w i l l6 mdl water from ** 8round "^ *• loca-I^B square iw>ri«irt8 10 awe*. »*«» •* «*3f«n «£**« n168119 o f withdrawal

I ^ ^ H 7. The date of commencement and completion of the construction of the well, wells, or other works for with-j ^ ^ O drawal of groundwater 2..J?....£L-&- ~.i ^ ^ -^ . „ . . . . . . .

Jj^H ••••••-z? • y ^r"fl B 8. The depth of water table LJ>.......^£Aid.|fl^B 9. So far as it may be available, the type, sjze and depth of each well or the general specifications of any othert ^ ^ H w o r k g for A e ^tjfljjgynji of groundwater .....„<?=, . - ^ .£S....;™ ..y. - j ^ .^^m _ &^....^.£Z£JL ^c..5T....^&«Ic.«Id5Z.

' B | z~rzrizzzzzzrir™Zizi~rzi3i^z;zzzzr.zi:•: ^ ^ H 10. Tte estimated amount of groundwater withdrawn each year ...<?.(=di3^.....:^£?a*fcG*£rT.

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

^ H 12. Such other information of a simUar m\m tt» Wtt* I)P W^"1 i n t r y i n g out the poUcy of this act, includbg^ H *efe«m«* to beek mi page of any mnftrecord -

^ ^ ^ B . Signature of Owner. .^S^cSdS^u^^^^.:lzZ..^!~exx^:.....

^ H 0 I) not Jb'fc>J/,/9£<J'^ ^ B Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is^ ^ H located.^ ^ H Please answer all questions. If not applicable, so state, otherwise the form will be returned.^^m Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines^ ^ H and Quadruplicate for the Appropriator.

• ^37°

• f i f | | M t e ^ ^ ' 1 ; ^ 1 1 1 ' i?" ii'fl'' ' l i r / i "Iil{ '1!^i' '!"i(!v! "' " • ' • • ' • • •^ ^ ^ H . • ; & , % - ! ? < - ' ; ; ' ' . S i i . , ' ' - ' \ ' : • • • . . ' - • • : , ' » . \ . i f l ' • V • •• . " ' V . . . • .. •, • . . . , . ' - ' . • ,

^ H ^ ;7v^>^..!;^^....'-^v^ ^..-^.>--1-,....: -•.•••-•..... -..;,...^^^^^T / : ' ' ^ ' y , ; ; , . ; ' . . • . ^ - , . ^ - v \ ^ ' . - • - • - - - ' " ' » - "

^ ^ H ',;"'..•„.:. • . ; . . . . • " • • . . " . . • • • • • - • . . . . .- - •••• ••• • • ' • • • • • . . . . • • " . t : . Y / £ " i ! . ' « ' > i V i ' •> ! - i V / 3 - i i >

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^ ^ B | ' « . - . . . • • — - ' " ' •• •• . ' ' • • • • •' ' ' ' • ' r ' . ' ! , . " ' W ' : ' ' - ; > • > . ! : • , . . - . : " • • • • ' ' • • : ; i i J c i > - i u ' i . 0 1

^ ^ M . „ „ , « , . . „ . . . . , . . . . . . - - . . - • ' . , . , , . ••"•••••.•.• , f . i : , i . ; ^ ' ! ; i l i ' V : i , i ;,•:!-;;..:•;,.,., . . ^ i W . " . ' 2 ; , „ , . , _ . , | T . t f

^ ^ H t . . ^ J J w i b m ^ « J i i ' * 1 U - ( J . f o ' t " 3 * )!i<v ; ; . , i ':•!'-••' -'•' l ' '-!r.>... ..,J - / C ' ' - : -••:••!];>« - j . i i i i ' 1 : :. v , ,.,;, . . « n o 1 « ! r , , ! j .> y . -ufe . " (

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^ ^ B • ' • • . •• • . • • • - , . • B y ^ r ^ ~ ~ — — — — — r ~ — • ~ - r — ^ ? u u . : • '

^ ^ H ' ... ;i- • : ' ' r * . -^ 5^£_.""i'1. '

^B i^fc|;^^^ : .' ' _ _ ; • ..M.',v;... . .v .^ .^^wg^j

B B t | I S ^ ; - ~ •• ! :WU!-No^»-"- ''• • • ' ••: • ; - ; 7 ' \ : v ^ C ^ v : ' ; ' ' - ^ l l p l f i i ""I^^K^l^-v '•• ' •••• . - : ^ | | « i ; i . , '^ •^:V:^•6i>unty::^iiai^^l-.:•.-~~4~~%li• *^ • r fS ; :y • ; '*•«••-•" B T A T B ' o r ' M O i r r A i M f c ^ ; ^ / ; : ••-•• . ••;. ; . K : ^ ' # ;| ^ K i ADMIOTBTBATOB or oBjotnrpyl|gt oop» ? :;^ ^ K : " •"••".••'.; '•- ••"••-•••-- ' OrriOB O F S T A T O , B H O U N E K b " , : 1 ; ... . - ' . v . . v > ^ i /

• p i (ZlfiSuaiSS Notice of mpletib^^oj^^r I IH K ! h I AUG2 19/: Appropriation by Meant of Well^ ^ K ;V 1 1 1 - " (Under Chapter 237, Montana Session Laws, 1961)^ ^ K ' i I I wnfaapjWJ'fM'v nT/>n"""".T OF ?'••*"'•-'""- iH I r I S R C E S A K D C C N S E W / V T ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ddres._..fe.I*.J.«)*.flB*.M9.»tfiBS— j

^ B I V- I J Driller ...XoflJ.SagBn .Addi~- lM*JMte«*. .SBlf t«fc^ ||^ ^ ^ B S L i ^^Ucr i• • ' 1 1 1 Date of Notice f Appropriation o! 6roundwater...June..29,. 1973 . i^ • • . % I I is ,!^ m % I I Date well started July-9,• 19?0-..Date Completed....Jtily.lV.a97D - .';^ 1 H W I I deoeaGcd Tractor >dth f.| H ^ I U I Type of well «.„ Equipment UKd-pfr8t-driver •-_ i|MT I. I i (duK, driven, boSd or (Churn, drill. roUry or :^ B | h I drilled) o t h e r )

;l^ H « p I Water Use: Domestic S Municipal D Other O Irrigation D =^•j S L I Industrial • Drainage Q Stock D •^ H ! - I - ^ , bleats on the diagram the character and thickness of the different i^M V L I s t r a t a met with in drilling, such as soil, clay, shale, gravel rock or sand, etc.^ H ? I I 3 7 / ^ ^ S show depth at which water is encountered, thickness and character of water- ;| | ^ l >.;• f~ I bearinB strata and height to which water rises in the welL :

^M ? T I C P^'7o .1^ ^ H I 1 , 81,,« IU.BU1 '""» T» 1 KBF09A.TI0NS

• |. f < / "^- •» -asr ~ - -=—~=—zT^ ^ H | 1— I 2" o.d. 2°/ . i'

^ H . I [~ I ^ p ; l a ' z c d ° 22 (l/ft. psrforated V;^ H fr | I ' pipe) j '

• • I I ' N Static Water Level for non-flowing Well....aT?prax. 12 f ee t - f

^ ^ H •- L I ! ! i I —| Shut-in Pressure for Flowing WeU. dan^t-iaiow ;•" f

^ B V U I i 1 i I—j lumping Water Level 22 ••&« at 20 gal. per minute. !

^ ^ B . v r~ I : j '; |—-j Discharge in gal. per min. of flowing well aono .

^ B y F I " —i j 1 j i I " now Tcsted..£iiioa..oon.taiaer..Iiength of Test...on&.aimbe

^ H L . I —;•—; — ": | ; j uemarks: (Gravel packing, cementing, packers, type of shutoff, loca-WKk I ....! : 1 :—i •—- tion of place of use of groundwater if not at weU, and any

^ H r I '''• 'i •— '• ' '•— other 8imilar pertineiit information' w^&w number ot

^ H R r~ I I ! : I i i i I acres irrigated, if used for irrigation) jU>ts-3--and-U,-Blk. j ,

• n I I y4 Sec T & ^ H * ^ ^ " .9, . . .Towisite-of-Fort •Beator.. \H S H I I Indicate location of well and• E H ; "" I pla(je of use, if possible. Each :H ^ H ' . I small square represents 10 acres. j

^ ^ B I ghow exact depth of bottom. .^ ^ H • U ^ ^ ^ Driller'R License Number '••

| ^ H ' /e/ -Louise...V.-.Sagan. .-for- [^ ^ H ^ _ Driller's Signature , '

• T h i B form to be prepared by driller, and three copies to be ^ d by the owner « t » feaIgKcorder ;•;

^ B i to the county « ^ ich the well is located. j

H L ple8se answer aU questions. If not applicable, so state, otherwise the form will be returned. | j -

• 0 ^ t 0 the County Clerk and Recorder; duplicate to the State ^gineer ; Triplicate to the Montana Bureau of J;^m J S S M S I Oology and Quadruplicate for the Appropnator. ^ ( > 3 ? ? [j

B .• - „ " ^ • , • • ' • • • ' • ' • - • ' » • ' • • • . - . • ' • • • • • • • - ' . . • • • • • " . . " • • • . ' . • • . • •i

. • . • . • . . • • • . • • . ' • • . • ' . • . • • ' • • . . ' ' • . - '

^ K . • ' . / ' . _ i . • . . . ' : • » • • . ' • . • • . . ' . ' - . ' • • ' ^ . • ' ' • • " • ' • • • • • . • • • • . . . . • . ; • • . • • • ; • ; ; . • • . • • . . - • • • • ; •

„•.' - . . I ; ••..-.:/.• . _ . : . r . . . - '. -''...I.:. " . ~ ";. .;£.; " : ; ; ; . ; 'J •

rj^^| | i | f l^:^;r . . . \ . . . • •' . ••'....'. •^,vfy'i

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

>. ; - i ? ; : : ' ; : : ' • • • • • ; • • • ' " • •

• . / l i , ; ^ . • • : . - •

V :.:' : •

• -

X I fly. Coiwty-jggj.y

i C e e f c ^ ^ - ' -Deputy (

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i

! p^ . .L ^ - - » t f W . . . . , • . . • - .

: vaem............... TA ...Jt.5! :...-.........,. !

DUPLICATE [8#eiEf 'flff--K-'-.'STATE OF MONTANA UU JftN ? 1964 ^

I A D M I N I S T R A T O R O F G R O U N D W A T E R C O D E ' i o w . . • . - . .

I OFFICE OF STATE ENGINEER STA11 tNvalrttER I

I - DECLARATION OF VESTED GROUNDWATER RIGHTSI (Under Chapter 237, Montana Session Laws, 1961) I

I l. •IMtiU&o^E.jSje^fifcjr. , of J..£j&.fa*^J(JLLh£T^.Jzhj^&%&^ jI (Name of Appropriate) (Address) (Town) |

I County of Qjau^A^M, State of ...^M^p^.^r jI have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows: I

m. N 2. The beneficial use on which the claim is based jI — j r j ..&u*.B4*^-'#J«'-'&-4-7bU>*s*. jI : 3. Date or approximate date of earliest beneficial use; and how con- JI tinuous the use has been fffif.fTrr ,fj^tpm iWiif IT rc'rfei <**,' jI jdEjfe/Z-v*,. U**,I w E I

I 4. The amount of groundwater claimed (in miner's inches or gallons II per minute)

I ) 5. If used' for irrigation, give the acreage and description of the lands jI / / ,S ^ c J-O .L to which water has been applied and name of the owner thereof I

J ^ S ^ & M a f o r *^**S-I Sa^ofSsTifV^S^Each^mall 6. The means of withdrawing such water from the ground and'the loca-I square represents 10 acres. tion of eachwell or ttther means of wiflidrawalI ^V"?t: ^ r / c fttUyiqft.* .--..-_-_.........._.„._

I N 7. The date of commencement and completion of the construction of the well,wel!lsy or other works for with-I drawal of groundwater l%^.a~.4&..€U**4mr?£tJ*«t^&&

I •~—-^~ • • ^I 8. The depth of water table .o't#..:.V-«i-A-*/. (

I 9. So far as it may be available, the type, size and depth of each well or the general gratifications of anyj>therI works for the withdrawal of groundwater jf •fji tf-f". f/»<. rrt J^UUtejO^t-

I i• iI 10. The estimated amount of groundwater withdrawn' each year ..././.Oraauo—.&-Aj(-4Ce-t9~<x*'~*4f-a'*K.Kr :• 11. The log of formations encountered in the drilling of each well if available :..

I 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, includingI reference to book and page of any county record

I Signature of Owner //f &," <~ -ff l*^TV_j/f/

I Date../3*.C:...^^../7jgj(sr3™-

I Three copies to be filed by the owner with the County Clerk and Recorder of the county >a which the well isI located.I Please answer all questions. If not applicable, so state, otherwise the form will be returned.

I Original to the County Clerk arid Recorder; duplicate to the State Engineer; Triplicate to the School of MinesI and Quadruplicate ior the Appropriator.

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I - * , ' !© B? if* KM H ?•? iT5i ' i—.I, i 0 W 2 l lU ( i W & . U V fcj lij!' Approved Stock Form-Stale Publishing Co., Helena, Montan»-S0551 > < g £ ° 3

I ^ j F a e N ° - - : juN^Vi/ ' r Tln.iLA £lpe?It.~.I ; 1 DUPLICATE . M0-,uNA Dr?.UT!,-.';!T C7 N-TJr.U County....£Vfof725*^- ! :

I tttSWWCtS AUD CO^iWfttlOU STATE OF MONTANAADMINIBTRATOR OF GROUNDWATER CODE

I J I Top of Ground STATE WATER OONSEBVATION BOARD s

; ~ (Eiev. above sea ieveL.1 ) Notice of Completion of Groundwater1 Appropriation by Means of WellI — DEVELOPED AFTER JANUARY 1, 1962

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

I i Owner.Z)^ffv^/<^&fc^

I | - •^ndai^M.lU.iaMK'JL*,. Address 'J. .......::i . j

I ; Date of Notice of appropriation of groundwater .«.~.&>...~.Z.*n i

W | Date weU started..^..T:/Xr.?..X .Date completed.....Zr_X^..r:.7..?s...~. \

I j - Type of weU...Prf*.i.A'.*'.«: .Equipment usedAjrJfefe.:Aifc«!e.&^A*J iI (Dug, driven, bored or drilled) (Churn drill, rotary or other)I Water use: Domestic O Municipal Q Stock • Irrigation P" :

I — Industrial • Drainage D Other • :I Indicate on the diagram the character and thickness of the different strataI met wit'n in drilling, such as soil, clay, shale, gravel, rock or sand, etc. ShowI — depth at which water is encountered, thickness and character of water-bearingI strata and height to which the water rises in the well.

B Sin ol SUe and From To BnEnskTinNaI Drilled Weight (Feel) (Fert) PERFORATIONSI Hole otCMtac Kind From To

I ; — Pe«'f

I / N Static Water Level for non-flowing wellI - j-cofs??- j j j i 1 ipj ieet

I — j \ Shut-in Pressure for Flowing Well.• — I i Pumping Water Level ./..3». feetI w \ '; E at * 3 . gal. per minute.I , ! j Discharge in gal. per min. of flowini; well• r i !

1 _ ! i How Tested J?UMj)£xf....

I ' '• ' ! Length of 1&sk./Ti.AiT..&f.Mf..SttjisXit.vr...I aLH 3 7 o-^T" Remarks: (Gravelpacking, cementing, pack-I • ~ ^"T,1 L f»rT. ft*^^-ct rr ers, type of shutoff)..22^.4..Jb*WA?..7JaI ~ Sd ate loc^roWfnf ^Md...AWJL^..^..M.^.L....• « — P laoe o f u8e> U P0S8>ble- Each £ Qfovfk S.StJ.i J^J.^T. <?ifi. ^OMfJ• 7 small square represents 40• x acres.

I (ConUnao on reverse side)I USE—If used for irrigation, industrial, drainage or other. Explain, stato• — number of acres and locatU//) Of other data (i.e.: Lot, Block and Addi-• tion).I _ $ktd.&Jr..lp*l6»JtoM...&rUp.CUAJ..M.&**4f+*Ji

I | \ Show exact depth of bottom. '_'

I This form to be prepared by driller, and three copias to be filed by the owner -with the1 County Clerk and Recorder in the county in which the -well is located, tissue copy to be i»riUer s uicense NumberI retained by driller.

I Please answer all questions. If not applicable, so state, otherwise the form will be - - ~ , .I returned. Driller's Signature.

LL

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^ H ' '••'; ,,pgrA., JsL^i^, T ^ z . ^ to 7 ?

^ H ^ —iJ^^^^2^.WMia^:'':i'''' ; '";;;:;;;: . . .• • • ll^ ^ H ~ 7 County Cleric ^2T^ | R B y . — . . D e p u t y ' ' - • • • • • • • • • - • < : '-; . . -A _ _

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^ ^ H ^ ^ | ' .•!•••-. :v.'

iff / GROUNDWftTER INDEX P a9e -Z - o f -Z_ i i f l B B B I

I ;1. I County ™~tif*,*. TwP. _^n Rge. _s£ . ^ ^ ^ ^ S

Wt Sec. Name of Appropriate* Type of Form File No. Remarks - t ^ ^ ^ ^ ^

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H £_ •. , ,N^H \ FileNto. T2-^-.-R-X-fc. •

I^^^B ' DUPLICATE County....^^^**C.....

ffiJI^H ' • S T A T E O F MONTANA -'[ " '- 0 U IkHfH ADMINISTRATOR OF Gl««WDWATER CODE -> U J f l N ^ ; i \\J)ffi§^H OFFICE OF STATOENGINEER " ^

KfH DECLARATION OF VESTED GBl9fc|NBW*TER W < W W ^ 61N£E RfilJ^H , (Under Chapter 237, Montana Session Laws, 1961)Hiyl^^B 0 "7*'/l—-r"^ / - .'. ^ 7""^? ••>!•• -•HHi^^a 1. j^^/...j2f/..kZZlii3W(ftdft?S?ife^^enKt?sr; , of /.^^....^^3f^^!!*^.......:.m.....^P^^H ^ " ^ (Name of Xppropriator) , (Address) (Town)

^'^H I County of ..£*M&i£e£i*L State of JM&zZz&iU.§S i^^M . have appropriated grovmdwater according to the Montana laws in effect prior to January 1,1962, as follows:

'^ ' 'i^P ' N 2. The beneficial use on which the claim is based ^dd*^...W/KSy\ , H ' I f I ../tAOfka^n.j ^ ^ H 3. Date or 'approximate date of earliest beneficial use; and tow con-

^ H _ tinuous the use has been ..../.#J.&...£&!^..<^.£{**i£*=.....

H «A . I— .. (....!....• ; *w IT ILJ_. '.."

, ^ ^ H ' 4. The amount of groundwater claimed (in miner's inches or gallons• • •;'' - M per minute) .M..Q..Q..Q..^£....UUi^..:

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

' H £f$juyji£i*^'^'aJIL ••••• • — — -

H r S f c T o f u Z H ^ S k S d b ^ a U 6. The m«^s of withoxawing such water from the ground and the loca.| H . square wpresente 10 acres. tion o f « * w e l 1 o r lo the r m e a n 8 o f wi&drawal C.^^...fezzf3 -

^ ^ B N 7. The dfcte of commencement and completion of the construction of the well, wells, or other works for with-^ B drawal of groundwater ....^M.--^dS^^Gsrx^...Bjl

•H 8. The depth of water table ..-//£.<£x!».^^M 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other^ H ' woiks for the withdrawal of groundwater .M.dfc£&&**4z**

^ ^ 1 10. The estimated amount of groundwater withdrawn e«uh year 3.jb..^...£l£.&...y3p*..;.

*^^B 11. The log of formations encountered in the drilling of each well if available X.^£^..£fc^...iL.^^.fc«!t^

mM £&*JL..: -

^ ^ B 12. Such other information of a sbulfc, ^! ' i&may be useful in carrying out the policy of this act, including^ | B reference to book and page of any «JMIM vW*d

| H Signature of O w n e r i 5 ^ ! ^ . x 2 ^ ^ 3 1 ^ ^ ? ^ 5 3 B ^ .? ^H t Date./^ZiJ//^-i

^^B Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is• r ' < ^ H located.

'-A y^^m Please answer all questions. If not applicable, so state, otherwise the form will be returned.*U& ^ ^ H Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Minesy& ^ ^ H and Quadruplicate for the Appropriator.

I I '^T* .

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I "± — —— - ^^ • | FfleNto. T. .?.?L....R....9.^ H DUPLICATE County......Qfe«»1;»*U

H STATE OF MONTANA [ D ) E C E H V E f i f l^ H ADMINISTRATOR OF GROUNDWATER CODE j j y . |JJJ^ H OFFICE OF STATE ENGINEER J A N ** K"«

^ H DECLARATION OF VESflfkOGROUNDWAT^RMfeh^^^EH^ ^ H (Under Chapter 237, UniiHw' Session Laws, 1961)

^ H 1. yU3.*.»ft.«.«..A..KilWii.«..A«...QJMf.tw«i«to-t, of Jtnr.t..»ettt9n.^ ^ H (Name of Appropriator) (Address) (Town)

^ ^ 1 County of .WtMmfce.ftM. State of Montana ...^ ^ H have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:

^ ^ ^ • k ., 2. The beneficial use on which the claim is based^^^H i | ........ At fiLdcwB-tflir «..-.-.-......«..„....„«...„-.,««„..„«..„„.-..««

M ^ H 3. Date or approximate date of earliest beneficial use; and how con-^ ^ ^ B tinuous the use has been^ ^ f l .«BP.£.9.S.4S*lLftiX.. ISftQ _.H w ZLLXl p* E

^ ^ H 4. The amount of groundwater claimed (in miner's inches or gallons^^M per minute) 5..^*X1«U«. .BSX.mAjautft

^ ^ ^ B 5. If used1 for irrigation, give the acreage and description of the lands^ ^ ^ B s to which water has been applied and name of the owner thereof

H SE^M.. Sec5......TgA.R..a. Jnat..*B8UMblt

H pkcTof uTif°pStePEaSlnaU 6" means of wMM»«inB 8Uch water b°m * e 8 tound ™&4e lo«l-^ H square represents 10 acres. tion o f ^ ^ w e U o r * * « m e a n 8 o { wiAdrawal^ ^ 1 .•fewo...)«»aJ.8...wi.tti..ftl»Qtrio..53«ii»a

^ ^ | N 7. The date of commencement and completion of the construction of the well, wells, or other works for with-^H£ drawal of groundwater \9fk9. —

^ H 8. The depth of water table i*.fl»1<...35i.X«a.t

^ ^ B 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other^^M works for the withdrawal of groundwater .t.VA...li.?...AUUlfiolxita..dri.VAiL..ahQnt•VH 25 feetH :::tzzzzzzzzzzzz '. :.^ ^ H 10. The estimated amount of groundwater withdrawn each year ..2O.,j0OO~£aXl«a«

^ ^ B 11. The log of formations encountered in the drilling of each well if available^ ^ H ao- t -avni iBMe

j ^ ^ B 12. Such other information of a similar nature as may be useful in carrying oat the policy of this act, including^ ^ H reference to book and page of any county record

• :zzzzzzzzzzzzz^*l!S^^^ ^ B Signature of 0wner.../.2<l.i a«wufeS /I. Jp.M*aj5u*ZA~&fadz:...

^M Date...D*AA..JU&»...19/a

^^m Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is^ ^ H located.^ ^ | Please answer all questions. If not applicable, BO state, otherwise the form will be returned.

^^M Original to the County Clerk aud Recorder) duplicate to the State Engineer; Triplicate to the School of Mines^ ^ H and Quadruplicate for the Appropriator. ^

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^ B ' File No... . T ^ y JL ?

H DUPLICATE CoUBty....^kfi..tA.'|:^S*.^^ H . . • • . i~-> . . . • " •

^ H STATE OF MONTANA / Uj.':;, C Jg j[~ ~ ^^ B ADMITOSTRA.TOR OF GROUNDWATER CODE ' ^ i D(r *"*. ^ ^jlj]^ H OFFICE OF STATE ENGINEER r ^# /853 J i /

^M DECLARATION OF VESTED GROUNDWATER RlGHTilu//V£f O•H . (Under Chapter 23t, MontSim Session W S f 1961) Cf»

^ B l. .^.^.../x:L.....<J^£.£.L»** , of cdt^^h^::.^ H -.'•• ,0ame of AppropriatSr) (Aiddress) (Town)

^ H County of .v,,, State of Z..l~.»..iZZ<

^ H have appropriated groundvrt*er according to the Montana laws in effect priori* January 1,1962,«»follows:

^m N _ * IJ^ec^L^^hich **claini is based ^ ^ ~ ^ -

^ H " 3. Date or approximate date ofc^aiflia* beneficitUusejAgdiiow con-^ ^ H tinuous the use has been .A.

^tm w E

^ H 4. The amtnnt of igriUnd^teK <iMmed (in miner's inches or gallons• ^ H 1 per minute)

^ H I I 5. If used for irrigation, give the acreage and description of the lands^ ^ | , c < _ l<> which water has been applied and name of the owner thereof

• ^M£.Z... Sec/.?.. t2h£ 1^^M Indicate point of appropriation and "' " *~ "™~ "*"'"•"""'•'• • —| H place of use, if possible. Each small 6. The meaiis of vathdrawkg such water from the ^ g d ^ ^ l o g i .• • square represents 10 acres. ^ ^ ^ ^ ^ ^ ^ ^ M ^ ^ , ~

^^M N 7. The date of commencement nd/coontletion of the construction of the well, wells, or other works for with-^ ^ B drawal of groundwater :„.!?.

^ H 8. Thedepth. of watertable .".^..'.

^ ^ B 9. So far as it may be available, the type, size a^djdepjfi^ft eg&jgg^&r ^3^ e B? r a i^?S i f ' ^ fef i f^AsS**^^"^ ^ H w?r)tfcSo5/'iie ^HflSSS^ °^ 8roundwater ..:. 4?- £...!. .I™h™^!^™^ ..

JH 10. The estimated amount of groundvater withdrawn each year ^ .yS^i.........^.j)

^tj^M 11. The log of formations encountered in the drilling of each well if available JL „....„!!_'"*

^ ^ B 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 .*

• Suture of O^ne^ / ^^^EH^W^

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

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

^^M Original to the County Clerk and Recorder; duplicate to iSie State Engineer; Triplicate to the School of Mines^ ^ H and Quadruplicate for the Appropriator. .n

m (°°~~ * ^ —

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•••• : : W"3<f^A/ ' • ' • " " ' •ffrATE OF MONTANA. ( _

COUNTT OF-CHOUTKAC. I **

PT" .,,.. * — / / -1O.. o'd^ . MM-e^sf W f f l l t u ^ y .,,i.y

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I File No. .. .... T:.8.4...U......JL...a..a. I

£ DUPLICATE Connty......;OJibutaaa. I

I STATE OF MONTANA 0 ? V * ^ ^ fifl II ADMINISTRATOR OF GROUNDWATER CODE ^ AUG 271963 ^ II OFFICE OF STATE ENGINEER I

I DECLARATION OF VESTED GROUNDWATER RIGHTS "'^EtR II (Under Chapter 237, Montana Session Laws, 1961) I

I 1. .....?..v..!L»...?i?3£9£.!ffl4. ..—, of .Eor.t..3ett.toa~ II (Name of Appropriator) (Address) (Tovm) I

I County of S33SSi§S5i. State of Jilsmtsna. II have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows: I

L N 2. The beneficial use on which the claim is based II 1—i—[ j j .bp.y.B.g...«si.8J'j...AQa8ftttijR..uasja I

I ® 3. Date or approximate date of earliest beneficial use; and tow con- II tinuous the use has been .193A..fiQftkiXlU&US...slUfi.e jI t jaai—data „ „. II IT II 4. The amount of groundwater claimed (in miner's inches or gallons II per minute) .25...SftH.«Tl.a..P.fir...81.l.TUJLta I

I j 5. If used! for irrigation, give the acreage and description of the lands II s to which water has been applied and name of the owner thereof I

I m vF*- sec 24 T24 R9 —JBi-aaaUaaELa II Indicate point of appropriation and "" " , . "" "~ ~ " ' ' [""'.,'"' I• . , r . , S, w j . _ , ii 6. The means of withdrawing such water from the ground and the loca- I• place of use, if possible. Each small , , „ . . . . . . II square represents 10 acres. tion of each well or other means of withdrawal II " i f .....wiMfflA.il I

I 7. The date of commencement and completion of the construction of the well, wells, or other works for with- II V drawal of groundwater . ?.2lQ...Si3inple.ttad..r.Qr...hom£t3tead.-U8«. I

I 8. The depth of water table .?AB^1t®.ea...Sfi.aft. J

I 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other II works for the withdrawal of groundwater I

I aot-ava^iafele I

I 10. The estimated amount of groundwater withdrawn' each year ...33.,.O0i2..i:allana I

• 11. The log of formations encountered in the drilling of each well if available II .Tii?.H...ftXa.il&bl.S JI ....Mli..M§_.4.^...la..boaejaLaaS...2.^.s..4ia3...t>.a-.-t.a^ J

I 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including II reference to book and page of any county record ..- I

I Signature of Owner. .- I

I Date..Aug*...g&,...196.3I Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is II located. II Please answer all questions. If not applicable, so state, otherwise the form will be returned. II Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines jI and Quadruplicate for the Appropriator. '• I

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H FiieNb..... T-^L^IL-44 --...B DUPLICATE C . m - r - J ^ ^ r -H STATE OF MONTANA J D I E C E I VE["jTjH | ADMINISTRATOR OF GROUNDWATER CODKJIJ j f tN 7 |gg4 i->^ B OFFICE OF STATE ENGINEER

H DECLARATION OF VESTED GROUNDWATER RIGHTS1

^ ^ H (Under Chapter 237, Montana Session Laws, 1961)

Hj ! .r&<d #?- A..,Sfctekt.. , of r^t^7.§^SE^r.....^ ^ B (NameQif Appropriator) (Address) (Town)

^ M County of fi^&fe^. State of lAkb&£&^*?.^ ^ H have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:

^ • _ N 2. The fceneficial use on .which the claim is based ...6%£*$M**!r......

^m —TTT 1— -4*Ju&x±& ..........^ ^ B 3. Date or approximate date of earliest beneficial use; and how con-^ ^ H — H tinuous the use has been ./.Jr./..!?.

^ ^ H j w E

^ ^ H 4. The amount of groundwater daimed (in miner's inches or gallons

^ H per minute) ...y./^...^iUj2:f{^^.../^..^i^m^.

^ ^ H 5. If used1 for irrigation, give the acreage and description of the landsj ^ ^ B to which water has been applied and name of the owner thereof

• SSCJAM s«asL rigty* -&&***J±4£M<> ^ ^ j - — —H ScTof uT i f °pSe P Each smaU 6" The means of ^ ^ " ^ B 8uch water from *• 6 round *** *•lo^'

| ^ | 7. The date of commencement and completion of the construction of the well, wells, or 'other works for with-H^P^ N drawal of groundwater ffi.J.3. - ,

P A V 8. The depth of water table .,!£.£>..1&*J^Z..^ ^ H 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other^ H works for the withdrawal of groundwater -^yy^y^^-g-^-

^ H 10. The estimated amount of groundwater withdrawn each year /4&/..&3&...iH.i3jiJ£:i>z}*s£.

^ ^ ^ 11. The log of formations encountered in the drilling of each well if availableH^H ^ez&tCtt.djC*- •

^^M 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including^ ^ Q reference to book and page of any county record ,^^B ^ ^ 4 ( 4 ; ^ -

^ B Signature of 0wner../^J]£^C?^^.. /2^S.4^^^^.4^L... j^m ~yfhate l!t/M/d>£-^ 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.

W^M Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines jj ^ H and Quadruplicate for the Appropriator.

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I

I ~~^t—^ H File No T. J£.5L$1:&:&!._^H v ' ^-Q n''\M&:'^ H DUPLICATE Co\mty..£tS&*fQ£Z&&#J.._ _ _ _l * I r\ i ifo,«.^ H STATE OF MONTANA / n < * -Kt\?Tr>r-^^ H ADMINISTRATOB OF GROUNDWATEE CODE ^ J/j^ ' jj)^ B , OFFICE OF STATE ENGINEER o » $>4 J i /

BB Notice of Completion of Groundwater Appropriation Wilhoul W e 1 1 i V ^ ^

^ ^ B (Under Chapter 237 Montana Session Laws, 1961)

^Hfl Date of Appropriation of Groundwater /..9!!3:..jr..

^ H Owner Ks...C.t....failpS.... Addre3s..51P5t..B<»Btpfl,..Montana

^ H ^ Contractor (if any) .•«£•.

^^M Address of Contractor .?55f.

^ H Date Started..ynta»S™!» Date Completed. . . .Mnej i .

^ ^ B N Describe means of obtaining groundwater without a well "as by

^ ^ H ____________________ sub-irrigation and other natural processes". Include depth to

^ H — water when applicable H*1pr!^...«IP»ing...Bil>M...i»*«...

^ H 1 ...task . ;

I ffl^f : - '• ••••••'

^ ^ | I Quantity of water developed and used with explanation of meth-^ ^ H od used to measure or estimate such amount. If use is intermit-

_ ^ H * ?- .y4-5?isec...?li. T.?SPR .9 ? tent estimate approximate lengths of periods of use

• [ Indicate point of appropriation Swo..AaiOM..P.**..5imU*#....«»JMJMftfl^^•B and place of use, if possible.

• ZIIZIIIZ^^ H Signature of Owners J!\.J...L^A. ^../t^pf^^L...

^^H Date .?k?".?!?r.!!(3..

^ ^ H This form to be prepared by contractor (if any), otherwise by the owner.

^ ^ H Three copies of this notice are to be filed w i t the County Clerk and Recorder of the county in

^ ^ H which the works are located.

^ ^ H 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 theH ^ H School of Mines and Quadruplicate for the Appropriator.

I •:••?,• • fH%^

H :;••"•.••-•••• • - ^ A Z S S T ^ ^ ^ :

^^H *Mjm^UK(R^^^K^^ • County.. (ZJfa}i**zL)L.&iM?..

^^B TXBS^^^T STATE OF MONTANA^ ^ 1 ^ B ^ ^ ^ ^ ADMINISTRATOR OF GROUNDWATER CODAQ^ ^ (P ]P [T y IT, r->.^ H ^ ^ OFFICE OF STATE ENGINEER I fl" f] I• UL JAN 7 J9B4 Jy •• • Notice of Completion of Gronndwaler Appropriation ^UjljQu^^ell

^ ^ H (Under Chapter 237 Montana Session Laws, 1961)

^ H Date of Appropriation of Groundwater £&£*£&£ 3Q ,/g&~3^

^ ^ H Owner..?. ...fl... Taylsjf Address..J?QK'.ft..B«nliOB« .Hcataaa

^ H H Contractor (if any) .$989.

^ ^ B Address of Contractor ...M°$*. „'.

^ H D a t e started...MmOTO HfitA'Completed.. tokn.«)||

^ H N Describe means of obtaining groundw^f WittaUt a well *te %| H | • . . , , . , slib-ifriantion anH other natural processes". Include dcgfe ft^ ^ H • watey' when appJte(rtjlg;... - -^ H ,_ _ 8]^l^ J i^ . . t io . .dfpth. . ;s^. . f :o^^

^ H 7" 71 -l.«ri.aTity...fl«ir. _ _.

j ^ ^ H Quantity of water developed and used with explanation of meth-^ ^ ^ H l-! ' ; od used to measure or estimate such amount. If use is intermit-

^ ^ H ??...%..?W3sec...?5. T.§||.SR...9...B t e n t estimate approximate lengths of periods of use ......

^ H Indicate point of appropriation ^JBSSUbSS^mk^SSLS^^W^^L and place of use, if possible.

^ H " ...o«n»fwuat..««i!

^ H '••"' .--g-f-.g ~™jp, ^ ^ ^ ^W^M Signature of Owner.....!: JA.x.J^U.J^.d^^^S^'Z....^

Wk Date ^T^M...^ ^ H This form to be prepared by contractor (if any), otherwise by the owner.

| ^ ^ l Three copies of this notice are to be filed with the County Clerk and Recorder of t ' ' aunty in

^ ^ H which the works are located.

j ^ ^ H 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^ ^ H School of Mines and Quadruplicate for the Appropriator.

I n^ B FileNo.:.!. . T S^fajM&J. _

H DUPLICATE ' - Countypmij i^^.^^ H STATE OF MONTANA l i l j H J '.^ H ADMINISTRATOR OF GROUNDWATER CODE ? 1964 - ^

^ H OFFICE OF STATE ENGINEER S JA I fc •. lu

H Notice ol Completion at Gronndwaier Apfnpiation WUhoni Well

^ ^ B (Uncle* Chapter 237 Montana Session Law*, 1961)

^ H Date of Appropriation of Groundwater _**8HS*._3!!!A_.1SS.?...

^ H Owner..JKs...O •.. *«aftSP.._.l...i Addwss..?.«f.* ..g.fRtff»«'.. «ont«a»

^ ^ T Contractor (if any) .J*5!?.iBL I^IB.

^ H Address of Contractor .....MIOBi!*.

flfl j^Started..j8s3fisl!9!Sa^DateCompleted:....^30s^

^ H N De»flba means of obWBfrg ground>/ater without a well "as by

I ^ O _____ ^ sub-i)rf]g8ti@n gfid other natural processes". Include depth to

Wk — ~4-; L-L , - water when applicable ^^mJSSL^tS^LMOL^ H __¥• i ' , _i

WM ~^*\ 1 T

I trnijt iziiiizizzzzii:^KM Quantity of water developed and used with explanation of meth-^ ^ H j od used to measure or estimate such amount. If use is intermit-

^ ^ H 3W i/4 HW«Sec...?j5. T..?tl?R9. S *(in* Estimate approximate lengths of periods of use

t^M Indicate point of appropriation V«rlabl« wi th t|M w«ath«»r tod uniM»5UP»bl«^ ^ H %- and place of use, if possible. " """

Hi ™>~;r....^y .:^r ..y,

•H Signature of O^neT.J..../ju...i^y...S^<d^^^!!^l...

HI Date i?r.?9.Ss3:

^ ^ H This form to be prepared by contractor (if any), otherwise by the owner.

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

< ^ ^ H which thn works are located.

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

^^m Original to the County Clerk andfkecorder; duplicate to the State Engineer; Triplicate to the

^u*'-,' . ^ P ^ ? | ^ f e . ' ; f e ; ? j S : ^ . ' ' ! . ' : ' ; : > t - . t f •./,:"'; • > " • : • • • 4 • • - • ' ; ' ' : v ? ; : ; - ' - ' ' ' " i . ~ ' ' , : - V ; ' • • . • . ' : ) ' • • ' . • • • ; - S ^ ' • • ; ' • •:•/''•.!'

i ^ ^ & K : : . : - - 1 ; : v . - ' i 7 . - • • . • : . . - . A . ; > : • • \ . : - • • • • • • • • . . . • . . . ; • • • . .•••••• . • • . : , . . • ; . • . . , . . /

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^ H FileNa -..-•„„,—,<«, T 24-g-R 9-B

IH DUPflfcATE County...C»wvt«tttt.....v,w»»»i

• . . ^ OFMONTANA T ^ C E l f M^t^M ADMINISTRATOR OF GROUNDWATER CODE jX ^jjj^ H OFFICE OF STATE ENGINEER U " JftN ? 1964

H ~ STML-ENUiNEER• WT1CEOFCOMPIHIONOFGROUNDWATER APPW)PRIATmNWTrHOUT WELL^ H ; • j •• . • .. /

^ H (Under Chapter 237 Montana Session Laws, 1961)

^ ^ H Date of Appropriation of Groundwater -—•OM9|ibMll"30|'-^1963:

^ 9 _ Owner...jC«-Il»-.R«rsP3r-»-•t»l —

gj Addre8S...st».ii9V,.af^t-?«n»>-l!oirt«a»

^ | H Contractor (if any) Ontenwrn

^ ^ H Address of Contractor _

^ ^ B N Date Started....l92Q. Date Completed....-3t920

^ ^ H Describe means of obtaining groundwater without a well "as by^ ^ H sub-irrigation and other natural processes". Include depth to

^^m water when applicable..SpriBS..op«ft«4~ditpfc«*--t©-—

^ H ...jmtiBr...the. .year.-around. i>ut- in -4ry. y«a»»- T«ry

^ H ...JLioUbad*.

| ^ H / c c C * Quantity of water developed and used with explanation of meth-^ ^ H n I ^.....^.^..^rSecJUlfl. XPMp^B- od used to measure or estimate such amount If use is intermit-

^ H N Indicate pomt of appropriafion teM estimate approximate lenglhs of psrioda of use^ ^ H N and place of use, if possible. °

• • ..and..ao«B...yeac».^or-wlnt«F-u«i-*o*»

• IIZIIZZI^ZZZII^ H Signature of Omw......£.^.;.L.i2±Zt:.

jjH Va.U,..A%&.Jj.jL.L^3., ^ ^ H This form to be prepared by contractor (If any), otherwise by the owner.

^ ^ H Three copies of this notice axe to be filed with the County Clerk and Recorder of the county in

^ ^ H whidj the works are located.

J ^ H PleeM uswer all questions. If not applicable, so state, otherwise the form will be returned.

j^^K (Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the^ ^ H School of Mines and Quadruplicate for the Appropriator.

Wt ant?

••^^•HHH^H^I^^HHiiHIHHiHHHHHHHHHHHHHHHHHi

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B | ;-.%;•?•;•:•• ' r i i d ncr R1 1963 _ « ^^ ^ H ':%t'-••"• l t ^ ' , o/i ^ i«k—.S-*

^ ^ H ,' • " V - - ' y J Causxi pferJi

^ ^ 1 ' By • U = t ' u t l (

I File No S^/y • T M ^ ^ ;

', ! DUPLICATE ' 7 County Choteatr \STATE OF MONTANE^ IE" / p TC> n * / nj. r—\ , !

' . ADMINISTRATOR OP GROUNDWaTEK CODE1 V * * M | \ '' is *pJ2-' f t>PT3«> i l

£^ay s? 1 1 gmwel * houldewr OFFICE OF STATE ENGBfljgSR.,. „ „ |JJj .

I • • " • • • (Eiev abwe sea Wei ^ ,. i ~ « ,, Notice oi Completion of Gnmndv/aler '

; 1 7 ^ * ? • » ^ / % f t r W « ^ . * . | B a i « Appropr ia l iJ by HMM^TOflHlGINEER : iI (Under Chapter 237, Montana Session Laws, 1961) i . 1

i •) - Owner GfllM®.....aMS* Addiess.J™!*?!*}-™.*.*^. ! j

J ' • ~ . „ ,. Driller ^,.&..I1'..-..BiilliBg. Address.F.?**.^*??3r...¥5E??. ! i• j 4J5 - 40 grey ahaie f aanujr anale t • • i

'• * Date of Notice of Appropriation of Groundwater ;

I'HO - 40 YCBXS. B r i t « e stole, chert S. iron pyrites f/50/52 R^,,Cn ''

• - Date well started .*d3*B|-. Date Completed j/lzJZ. jHa- 150 grew sgal&, aaagy-ahaleTchert .!: ,

Tia*d Ben*. & ny*ites T y p e o f w e l l driUesl Equipment Used .«?:!»*£ \'• — (dug, driven, bored or (Churn, drill, rotary or ; <

e 5Q - 40' med. Hard l4. g r e y saad, . aaac^i l led) other) •_ ^ w a t e r Use: Domestic E Municipal D Stock D Irrigation fi •',

< 40 - 1 )00 grey s h a l e , T^en^oBert p y r i t e s e f e . Industrial Q Drainage Q Other D ;#*i T ±<~ a ®" Indicate on the diagram the character and thickness of the different :

3 000 - 1110 a e d . eof* I t . g r ey sand ^ ^ m e t w i t h -n d r i l l i n g ) s u c h a s s o i l | clay> sha le> gr a v e l > r o c k o r s a n d i \_ sandy- s h a l e , o n e r t t c s h o w d e p t h a t w h i c h w a t e r i s encountered, thickness and character of

] 110 - 1220 g r e y sftale, t e n t . & • a e ^ W e r - b e a r i n g strata and height to which the water rises in the well.] 220 • .244 med. soft I t , grey sand sandy shale streaks otiert

Size Stae and From Toof Wolght of (Feet) (Feet) PERFORATIONS !

3 284- 137« grey Black shale ^en* Dtiuta oAs^i/on 0« 1558' Kma From TOstreaks oner* 7 7%

e« 2§f df 9 / S 1558« 2022' **" (FMt> (FM" i6 3/4" e 2 ' anrfao)... slot 1975 2022 •

: 378 1492 soft sand s i l t y sftale $± # 4^1 0 . 1 .I _ 'Bent chert 2022• easinp )I : T\$2 1635 red snale (kootenai) greyI _ shale pyrites ohertI ' £35 1660 shale bent, hard sitstone,sone chert •I x ' _ N Static Water Level for non-flowing Well .feet.I .660 L670 btiale,. <sh r*f bird satedyj lime ^ _- . ,I - __1 _f Shut-in Pressure for Flowing Well 1O9..5.*...S>..I,...E3,HS• &10 • 1730 h&£dsharp lanfl^iitp nashy o-lay (third oat e r e* )I s t r 'iSSTa SIjiltfrT Ees IT JEi et Pumping Water Level ieet at gal. per minute.• _30 1875 gray alajk ihaie, hard tan Discharge in gal, per min. of flowing well 7...&«..P.«..M.».I lime (-top a f t e r rislsn)I rett t o l l e same t e n t .I - __!._ L_ How Tested Length of TestI L875 190C f ike ifeibe ianl» 3haLe S: hentI "j (' Remarks: (Gravel packing, cementing, packers, type of shutoff, loca-I [900 198^ -hard-- 14a 8-0 lea? Sr~ s&a L-e- S: bent tion of place of use of groundwater if not at well, and anyI '__ 1 other similar pertinent information, including number ofI L984 2022 30ft fine ^Laok sand (top of swift)I ~ onu«e soft'Black sand -ires irrigated, if used for irrigation)I — SE^'A Sec...28. T..24-. R...3S Larkin Fig- '/ 21 casing- anchor paoker set at1 Indicate location of well andI ~ place jf use, if possible. Each 1973'I small square represents 10 acres.I 2022 to ta l depth6m L_—_t Show exact depth of bottom. egB Driltey's LigejiseoNumbeE|j Driiler' otgnature tr\ This iorm to be prepared by driller, and three copies i : '.• riled by the owner with the County Clerk and Re-

I coMer 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 Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of MinesI and Quadruplicate for the Appropriator.5 5>5AS-

R < ' n S ^ ' ^ A ^ i ^1

^ " . • - ' ' ' , ' • / • ' • • • ' •' ' ^ W ' " • • ' • • • • ' ' • ' • • • •'

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• mm-——.- T...M^.JS-..9-&. / -* I^m DUPLICATE Comty...&A?J..fJe.±M. I

H STATE OF MONTANA ftOEGEI VEHTl I^ B . ADMINISTRATOR OF GROUNDWATER CODE f) I ' I• • • WU in|\l M «QOJ. UJ Ij ^ B OFFICE OF STATE ENGINEER JHl* « • * * *^ I

H DECLARATION OF VESTED GROUNDWATC^ teh^ iNEER I^ B (Under Chapter 237, Montana Session Laws, 1961) I

H i. ...J^e?£^k..Mu.5h:&ltl. , of ^.B..1...S.^MPM...... I^ H (Name of Appropriate*) (Address) (Town) I

H County of (LkMlL.aU State of M#.#fe^k . „ I^ H have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows: I

. ^ K , N 2. The beneficial use on which theclaim is based .Sl&y$*&~*e- . I

[f | r ...A^...$n^j.M6JZy.:. . IBfl 3. Date dr approximate date of earliest beneficial use; and how con- J^ H tinuous the use has been 2.^.Jtk.tj....l^.xlP.. 1^ H .....&.f>.X..D.ja.iL 1>M.£...U.&£L.. ...... 1^^M w E ; . ..„ I^ H 4- The amount of groundwater claimed (in miners inches or gallons I^ H - a w o / l per minute) ....£.d^LMt*^..J^...'Zk(*(*!fMA!$&. I

^ ^ B I 5. If used' for irrigation, give the acreage and description of the lands I^ H H t<> which water ha3 been applied and name of the owner thereof . I

| ^ | H Indicate point of appropriation and " ' "" ——...., _^ H place of use, if possible. Each small 6< T h e m e a n s o f withdrawing such water from the ground and the loca-^ H square represents 10 acres. tion o f Jf^ ^ o r o t n e r means of withdrawal

^ H ^Jg&&iA^../&*±Z}£&...

| H H 7. The date of commencement and completion of the construction of the well, wells, or other works for with-W^H drawal of groundwater %L^.%tAaAMx*M...l..f...L%.TQHBH ».....«™.^ H 8. The dep& of water table .vO?^*± „.„^ ^ f l 9. So far as it may be available, the type, size and depth of each well or the general specifications of any other^ ^ B works for the withdrawal of groundwater —ZZU!C?£?£5T?.

HH^B * * "ir*>,* j"/f * *""*^ ^ | 10. The estimated amount of groundwater withdrawn' each year $..7?+.:$^^.£k&4-X&?Zz!?.f H 11. The log of formations encountered in the drilling of each well if available .....TI!Ktr.^..?Sr.

^ ^ H 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including^_^H reference to book and page of any county record - .^R-..^..• • • . *"'-*•—t/i>f.,, _

^ H Signature of t^s^^JiJ^XZQJl^

wm /i D*te..J.?Au&3. _...HwjE Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is^VM 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 School of Mines^ | and Quadruplicate for the Appropriator.

^ ^ ^ H 6 v ' V w t H i ' > v ^ S s K * ' - ? ' ' ' 1 ^ ' ' - ^ - ' 1 ^ 5 1 " • • • ' : • • • ' ! \ ••••••..'.'•••' • : - ; - 1 : - - ." : : ' •. •• • .•••-". • • . • • • ' j - - : ' t • ' • • ; • • • • • ' • . - - j " • ; ! ; - . - ' ' • ' . ! • ] ' • • • ' . ' > : ' • - • ' . ' • ••

^ ^ B ^ V M ? $ f ^ ^ .•••'. . '.;^--^-4-.^^,.,;j;,^;w-V; • •^ ^ H (^jy^l^lS^^^^^iJwi:^^^ " .•• : - - - ^ - : - - L ; - | ' - ' ; - v - ' - - - f - ~ 4 : - - ' v ' - - - - ' - • ' ' ' • ' ' '•'•| ^ B f^||}^^^^^I^Sfe#^^^y|^^ • • H n u o w - - * - --f-'-rJ.--- t .^ . | ; . ^ J •:. J , j . ; . v - r " '^ ^ ^ ^ B ^ S ^ S S i V J r ' ^ ^ S S i / ; 1 . ? . ' ^ " ' " : ^ ' ' : - " - v : ," ; - - " • • . ' " • '••'"•:•.'•• • \ ' . ' : '• { ^ - i ' t I • " i: ' .!'• ' ' •• •• • • ••

^ ^ ^ • . 0Mff^^0^t^^^f^>^:'bti^i^y(rib ^HlOTig ^loiBijJrwifoliyfei H'..c -' ! ".'i ,i_: L_J_.--.lL^_U.J_:' ' •• •••' '

^ ^ ^ B !:S*v.y^^^">""""""""''~"""''';'"''"'" -•---•—.——---- —-vr--.—- . ^ .^ ^ ^ H K;i'^:l^^|w:'«3..:a^'lfiw-''rw5Jci1 'to ,sfl.w--,5iv>'«- ?,&i 5D• «or^irnfera>o sill So qioitolqmtin hun JiKM.rrjiia/risn^:) "io aSivi> atlT . t

j^^^H •'-••• •'• . '••••A y •>->:-.vi-.ri.-..A.L;\..:'.:s lo l r .wi j . ' iuoi^ l o EuwBib

^ ^ B - \:::-S'^2.- -.Ifiut •-.Jn-H lo ,1+q-L ,-,^1"" .8

^ ^ ^ H •"-".'-"r~"?..•-:.•*."":.-— •y.'iiwhnua'.-n io iii-vsnbi'ilir ;.•!(: iol: .-;;how

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^ | ^ H gnfbjil c t ,<>(. rldt lo / lit ' | jiiS ino <2irt{i-i::;; :•; JU'I-.JHM id /f..r,' if; :^;jl,-.i; iM!.r;.\ 1; •,,) o iJ tuunsi ; ! •'-.w.'.lu ;i.\»|2 .£1

H '. ::::^H^^:;T:TIWI'P" '•"""""!" ' ^ i f t ^ "*"^ ^ ^ 1 i JJTATE OF MONTANA." j^ ^ H - • : : COUNTY OF CHOUXEAU.- ( ' *

• vv ,:U,-.,:.:, ^..-.....w) -N. ^ . ^ W 3 0 1963 ,T

^ ^ H i • • • • • • ' . ! • - . , • . - • . ' ; . • • : ; : - ! • , . - . • - . , - • • . . • , : . • ; • . • • • • • ' . • O . -B

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^ ? » * . • • . :1BH^HHHinH^iHBHH

• _ • File No T**~.Xl.JRZ

• ' DUPLICATE C o u n t y . . { 2 » ^ i ^ ^ '

^ H STATE OF MONTANA UjJ n r n - fi IJ-J^ B DEC 181963 ->j^B ADMINISTRATOR OF GROUNDWATER CODE^ H , OFFICE OF STATE ENGINEER *lPJt EiV U f N EER

H NOTICE OF COMPIfTION OF GROUNDWATER APPROPRIATION WITHOUT WEU

_ • _ • (Under Chapter 237 Montana Session Laws, 1961)

^ ^ H Date of Appropriation of GroundVater ... ••'•':

^H^ Owna^^^krSs c^r^?-4.i^^h^-sSr.^ • ^ Add ..L...>^4 .' ^&^r „. _ ;• A V J Contractor (if any)

j H H l Address of Contracior „ _ _

j ^ l ' N Date Sterted../...I...!=^..^?. Date Completed....0...4?..'whrn.

H H H Describe means of obtaining grouridtaater without a well "as byKWH sub-imgation and other natural processes". Include depth to

^ B —: water when appUcable.. .!m^... .Mi>?^^^

^M w . *._j&[£!!±£±X^^

• -~rr Zjz A.^.A^...:....d^^.llZL^L^ ^ H y$UU MuJ StU' 8 *\d a Q'18111*^ ° * w a t e r developed and used with explanation of meth-VAvJ . .%... Sec3.Q T^S-.J R.../. G& used to measure or estimate such amount If use is irtennit-

• N 'SSilAiSSSSt^ ^ ^ ^ ^ o ^ t « ^ ^ Pods of use...,^ B . Jj^&a&z 2>...!^^<^.M..^^ai^^^^.:.-m

H : Signature of Om^klQg&^Z 2 ^ ^ - ^jt*VO-

< ^ ^ H This form to be prepared by contractor (if any), otherwise by the owner.

^ ^ H Three copies of this notice are to be filed with the County Clerk and Recorder of the county in• K B which the works are located.

• • • Please answer all questions. If not applicable, so state, otherwise the form will be returned.H K B• • • Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the• • • School of Mines and Quadruplicate for the Appropriator.

I

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I . . , ,-., • >[ , -cl T. sb-i LI DUPLICATE O i r J t e S a S

I STATE OF MONTANA j~D E C EH "V ^1^1I ADMINISTRATOR OF GROUNDWATER CODE U U jj\fi ^ ^gg^ DI OFFICE OF STATE ENGINEER

I DECLARATION OF VESTED GROUNDWATER KIGHTS ~I (Under Chapter 237, Montana Session Laws, 1961)

I 1. .ga^*rtw>..j'«!!!*.?.|tfc.<»». , of *^ . . ? .^? . ! !? . .I jName of Appropriator) (Address) (Town)I Choutoon o r MontanaI Coniy of .Y."?.™.™. State ofI hove appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:W N 2. The beneficial use on which the claim is based .™T?.?™.??.

I ! 3. Date or approximate date of earliest beneficial use; and how con-I tinuous the use has been L96Qe...U8&(L.yS&.£..&S.QM8&.

• w E _

I 4. The amount of groundwater claimed (in miner's inches or gallonsI _: 1 I per minute) ...lQ...gals.joer.minute

• lit ,i | i \__ 5. If used1 for irrigation, give the acreage and description of the landsI s to which water has been applied and name of the owner thereof

I 8&kJ&h»JSL T. J& R.9-. * » •I Indicate point of appropriation and " 7""Tj ." r T""7 It i J »u iI i ( '.t imiriitti Twili mall 6. Tne means of withdrawing such water from the ground and the loca-I l ^ e r ^ e « i S r i c r e 8 . ticn of each well or other means of withdrawal ..B3.B.ft1iEl.fi...PjSBPI l?!...pi.p«.

I s - 7, The date of commencement afld completion of the construction of the well, wells, or other works for with-I drswd of jpioundwater .....Wife

I 8. lho depth of watof ««Ue ...5...Ct.A -I 9. So far as it may be avwlable, the type, size and-depth of each well or the general specifications.of inv otherI works for the withdrawal of groundwater . . . . § | ?? l . . e .a sed . . .> fe l l~ . . f^ . . in<:he8 i n . . t t J W f c g ^I l?. . .?*. . . .deep». , . .Eleetric j>w$: . .yAt>h.l^. .BlBe

I 10. The estimated amount of groundwater withdrawn each year ...?5Q.i£SP_.£3ikS...'R«L3Hfi*...,.v

• 11. The log of formations encountered in the drilling of each well if available .None — —

• 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including• reference to book and page of any county record HSDft

I Signature of ^>wnei..K-^l.t^4d^d^<=Am..I>^^^^<s^^2^I DBt« SS2*«L.?*jLJgELI Three copies to be filed by the owner witfe fte Couu^ Clerk anc toortf^er of the county in which the well isI L. .>led.I Please answer all questions. If not applicable, so state, otherwise theiujui *21 *» retnnued.I Original to the County Clerk a?i(t Recorder; duplicate to th« Stfle Engineer; Triplicate to tibe Seb f MinesI and Qiladfttplicat* for the Appropriator.

^ ^ B A / / * ^ ^ ! ! * ! ^ ..•'x;:;i^liu^_..-4J4^^ :

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^ ^ M ' " ' " ; • • • • • • ' • , • ' • • • i . - . . . - ••' • • • ' •" • . „ . , » .. . : , ; ' - v :'•• ; > " . l i / u i : . - . i i ' . 0 !

B ^ B M . . | S , , . ' t i • ; . . . , ';:, • . , , ! ! : | K -, •' : i i i < V > . . l . l ! ! ( V l ! l : l i i l i i i j l i . t l ' J i ' 1 1 i O V . ' ' i l l ' l ' ' f

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W^H .'XALTE OK MONTANA... ( ^B ^ B ) COUNft'OF Ot'OUTEAU.!"1

• • ^ DEC 2 6 1963• I ' ; '"""' • ' ' :«t:' y/^d_,-dode £f*

^ ^ H . . BT •-. .. , , Xmeif'

^ ^ B . i , . • : • : ' • • • • ' •.•••••• ••.'•'• ' • • : • . • • • • • W w t _ _ _ _ _ _ _ l L t i w " ' " : "

^H; . _ --_ ., ,t

H / IDUPIICATE cow»y..c.^^.?H.^ H STATE OF MONTANA [jDJECEI V ^ ! " ^^ H ADMINISrRATOROFGROUNDWATERCODEull J f tN ? ^ J^ H OFFICE OF STATE ENGINEER

^ H DECLARATION OF VESTED GROUNDWATER RIGHTS1'* *~^ ^ H (Under Chapter 237, Montana Session Laws, 1961)

^ H L **tog!iggU«£*££& of .?S**_?..™*55: ...• ^ ^ P (Name of Appropriator) (Address) (Town)

•H Comity ©i JS8g8&»SL State of **?*$.«*?.^ ^ ^ H have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows:

^ H 2. The beneficial use on which the claim is based ...?.?.!*?.?^?M^ ^ H 1 r 1 f S M . M Y . ? . ? . * ? . . ^

^ ^ ^ H 3. Date or approximate date of earliest, beneficial jwe:aadjMgt,gon=j^ ^ ^ H tinuous the use has been .„/?*. .".

-HIIIIIH t»i E

^ ^ ^ ^ ^ ^ ^ _ W . ^ m m r n M M — ^ p ^ ~ — — » . . - . — ^ ^ - " ~ ™ " " " " ~ ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

^ ^ ^ B 4. The amount of groundwater claimed (in miner's inches or gallons^ H I per minute) »lJ&**JBS£JS*£2&L^ ^ H | * I S. K usedi for irrigation, give the acreage and description of the lands^ ^ ^ H s _, to which water has been applied and name of the owner thereof

• nkjtM*s*- IJRJL JM*——-^rrzzz:—

H sVawwpraJtolOac . tgjea^weU or er m*m <A withdrawal a ^ f g ^ S ?

^ ^ H 7. The &t» of commencement and completion of die construction of the well. weBs, or other worlts for with-^^M drawal oK groundwater ..-kS^l. - - „ ~

^^M » 1Bhe»'«Pth,<ftlwtertable..l?-f1.

• • i^"il «5i~?I?.?M?...9.?...?.^f^iiy?-..?1^'-

• I 10. The estimated amount of jroundwater withdrawn each year .....3$5jOOO..galf...P«..year

•Hi 11. The log of formations encountered in the drilling of each well if available ..A?...?* ...9.L.4?.£!.""| ^ H 6 f t %r g rave l a n i sand

v^i .r......™".".'.'.""'..". "".".".z"Z" .'".zzzzzz^ | l 12. Such other information of a similar nature as may be useful in carrying out the policy of ifais act, including^ ^ H reference to Hook and page of any county record -?.?— - -

^ B Z7ZZZIZZZZZZZZZZZIZZZZZZZZZZZZZIZZ^ H Signature of O w n w ^ C l ^ — C t ^ f e s f e f e f c s f e r . ^ ^ f e i .^ B Date.J?.*w^er..26?/2L963...^ ^ H Three copies to be filed by the owner with the County Clerk and Recorder of th? Jaunty in which the well is^ ^ ^ B 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 School of Mines^ ^ H and Quadruplicate for the Appropriator.

^ ^ ^ B ! * ^ & < i - * ' i u ^ v i • ; f e ' . ' 1 . ' ' ' . . ' . ' l : : . ' 1 - 1 ? : - . - ' - - 1 . ' 1 : . . - - . . . 1 ' : \ ••• ' - •• • . . ' . ' • . : " • • •• • • ' ! _ ! • -; . . • i . • ' . ! ' • • . , " • • - : . ' - ' - - - : -

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File No T...MMK.S&-.

DUPLICATE County . K.*^*£'.'.

STATE OF MONTANA flT) " T . I " i? fiTlADMINISTRATOR OF GROUNDWATER C O D 4 | \ J J f tN -_, ] J j

OFFICE OF STATE ENGINEER

STAR -.NtiiNEERN Q n a OF &MPLETION OF GROUNDWATER APPROPRIATION WITHOUT WELL

(Under Chapter 237 Montana Session Laws, 1961)

Date of Appropriation of Groundwater ...s££?.£..../.7.5?J.

Owner B&OXJff* 5i.Cjfti ....Addiress fo.KT.3.£.^I9..^.M^.TMA...Contractor (if any) Md....A.\.k$£Z -..

Address of Contractor &$I.3.MI^4..W°»T»?!*

N Date Started s!V_#?..& Date Completed....&£...>T.....

s ft- -«-j *k ' Describe means of obtaining ground!water without a well "as by

_ _. ^ub-irrigation and other natural processes". Include depth to

water when applicable 2.£sL?.$L^.g..*l<i......

w • .^....W£^.!r.....i^*..^..r...^M/l/.!?..^/f?....^......f..^i?'

\^±Mz....(!.h...^XJ?llJ^A.....%liC^?S^:.

s Quantity of water developed and used with explanation of meth-h)bly±]i£r Sec??.. T.^^RJ?.^?. cud used to measure or estimate such amount If use is intermit-

N Indicate pomt of appropriation iaA e g ^ f e approxSmate lengths of periods of use .and place of use, if possible. T ? —o-~ r

„. y t

...j?yj±L*.k.{§r.

Signature of <)^^}^£<Cr^?2JU

VtelJj.&J..U..J..h.3..This form to be prepared by contractor (if any), otherwise by the owner.

Three copies of this notice are to be filed with the County Clerk and Recorder of the county inwhich the works are 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 theSchool of Mines and Quadruplicate for the Appropriates.

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