57
! i|§. GROUNOViATER'Tfe Tage of ll&ii^ ^B [ M County Iff KB Twp. ALh\ Rge. $p u/ . lllllf •'•- : ''.« I Sec. Name of Appropriator Type of Form File No. Remarks . ijjlfip I I § -J3- &?.<//. Million l*z£2agi'cB f. tyi/i //pyPA^-- |J| I n | 5 " ~~ "~ " _ ' I H i\ \ ' ~ 7 ? ^ % ^ ^ 1 . ^V *•• ^^ ••••. *^H|HR^- ^ •**• ' « i ^B - /^ ; 7 ~ 3 i ^ ' " v*®9B^K^^B^H^K^^^^^^Di.->- ( i JWBPW^ c ^ " •—~ •••* a - I ; —• iBfflrlHiir g "^fflfflHHBBMI^r^ —:— I - ^ - : : j ^ ^ i

JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

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Page 1: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

!

i|§. GROUNOViATER'Tfe Tage of ll&ii^ ^ B

[M County Iff KB Twp. ALh\ Rge. $p u / . l l l l l f •'•-:''.«I Sec. Name of Appropriator Type of Form File No. Remarks . ijjlfip I

• I § -J3- &?.<//. Million l*z£2agi'cB f. tyi/i //pyPA^-- | J | I

n | 5 " ~~ "~ " • _ ' I

H i\ \ ' ~ 7 ? ^ % ^ ^ 1 • .^ V *•• ^ ^ ••••. * ^ H | H R ^ - ^ — •**• ' « i

^B - / ; 7 ~ 3 i ^ ' " v*®9B^K^^B^H^K^^^^^^Di.->- •• ( i JWBPW^ c ^ " •—~ •••*

a - I ; —• iBfflrlHiirg "^fflfflHHBBMI^r^ —:—I — - ^ - : : j ^ ^ i

Page 2: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

; - •* A m

. :. 0 W 2 ' Approved Stock Form—Stats Publishing Co, Helem, Montana—4232V ^ 3 * » » 3 M B

File No r T 2.6s . R .2QK •

DUPLICATE IXiIT/i,,')V/\TE:;r '.'r.';cu?r.:., ,3 County-Xaka fl

~ . LOG' R ' Z C E P i E D STATE OP MONTANA - ' •ADMmHSTEATOR OF GROUNDWATER CODE ! •

I | (Ton of Ground ' " ' !~£B , ,r. OFFICE, OF TATE^NGQIEER •

I ~~ (Eiev. above sea ieveL.?.9?5i:_.-)—- -Notice-OT Completion of Groundwater •I ' ~ Formations Log* . 3jkpgTOP"a*'O" ty MlttllS of Well 1I - DEVELOPED AFTER JANUARY 1, 1962 \ •I _ O » 1% Black d i r t (XIXLAZT C h a p t e r 237, Montana Session Laws, 1961) ' •• I « gra*rel* • ^HI ~ I 136- 9 Tan c l a y , Wi l l i am H. & Sylvan Dr ive j HI I c o b b l e s t o n e s 0wnerCAari:s.B.;.£.»....B.tt8h. AaaressBA&..Ectr.k.,."..Mo;nt.ajia. J flI & b o u l d e r s . ' B• - 9 . . 78 Ligh t g r a y Drmeiil).!^.ty...nrtlJUUiXg..X.Q.*. ..Addre8sMijsfljanlai...Mon.tana...... •B _ rock. (Hard) •

W ; 78 . 552 Gray g reen ®&te o f Notice of appropriation of groundwntcr....Kone...£iled ' S

B _ »nt«r in« a ' »e l l : D a t e w e U startocL...lS/A7/fij8 .Date coinpleted....lO./&a/.68. fl

• — fc „„__« 4 _ Type of •well....nr.ll.l.e.d Equipment usedAir..Jlotary. flj• * SZ?M~ _ ._ iJOugjjDriveiu bored or drilled) (Churn drill, rotary or other) •I — ro-h. f r o m 5%7 «o ^ 5 2 r o o t . . . _ , , . . , , _ , _. , _ T . . _ •• Wa.ter -use: Domestic B Municipal • Stock • Imgation • : •I - Industrial • Drainage Q Other D I• — Indicate on tie diagram the character and thickness of the different strata •H met mth in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show 9• , — depth at -which water is encountered, thickness and character of water-bearing H• strata and height to which the water rises in the well. fljB SUoo! j Size and From To j PTRFORATtnNS I• ~ Drllkd W«Bht (F«» (Feet) | PERFOBATIONS H• : RolB ofCuInii Kind From To I• ~ SUo (Feel) (Fed) •

• - 6" 6 5/8" I• ' _ 0 0 ac H" - 0 - 13 N O N E I• W a t e r r i s e s i n . t h e w e l l : ' • '.^ - : ' " ' •

" " " " " " " _ — _ :• ~ N Static "Water Level for non-flowing well •M - j j I j I ..........49..... .feet. IH — j j Shut-in Pressure for Flowing "WeUJtoamf... \ MB _ ! j Pumping "Water Level .2.6.0.. .feet IH w I i E at 5.9. gal. per minute. • IH _ ! ; Discharge in gal. per nun. of flowing woll ' •H \ -; No-n-sT-lowlag : I• i j HowTestod....Air..~X,i£t...BMmp. IH ~ I '• 1 ! Length of Test....IWft...b.oUrA 1• — One h a l f o f lo% B & l o t Cftemarks: (Gravel packing, cementing, pack- 1

• ~ L O t 3 iv

X O O ; " 6 S #T

8 a m i d i r orS,tyPeofshutoff)...Anuular...SJ«ee... I

tM place of use, if possible. Each fron s i x f e e t below su r face . J

I small square represents 40 to""ttl±TtB«n""£e».fc'i""""JCl't""'i|fatOT j1 acres. en.terixLS...nrell~fr.ou.i«xacks-aad II ?.?3B^.A^...S?SKSE9B..P.M...^°...^3..S?**.f.. W®lXs...in...thia I

^m area can be depended""upon'tei"pro^duceV'cieax sandi• J £«»ee—watef-y«a-F— -after--yea-r—ae .(Continue on reverse side)H T USE—If used for irrigation, industrial, drainage or other. Explain, state•J — number of acres and location or other data (i.e.: Lot, Block and Addi-B tion)..^B Apjir.ox»....3i...Acx.e.8.«.H L u a J Show exaot depth of bottom.' .• Bottom of h o l e 552• "

HI S2^m This form to be prepared by driller, and three copies to be filed by the owner with the •"•""•"•""•• . "" ""• County Clerk and Itocorder in the county in which the well iB located, tissue copy to be Driller s License Number

• retained by driller. \ v \ (VC ^ K" l C \ \• Please answer all questions. If not applicable, so state, otherwise the form will be \^-.V^,L&(y^^Ta..^A&Hl!vAcS-• returned. Driller's Signature

" i • •

Page 3: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

I ~:ki'<'m^W&^£$^':^%^'''%&>'1-' : '.-. : -..' -...:.„; :.,.-..• :.:li..r:k^:.J..^:.X: : l ^ ' ^ ^ M

I ' • / £ . - | ^ f p ^ : ^ ' ^ f ^ ^ » a v ^ i ^ : ; o f p 6 f t o w - •• • • - • •• • • " ' " • '. . '"" . ' • . , ••• ' ' r •;,... ••'"'"• •";'•":/•:•• •.... • - . : :•• . . .• - - - . i s ^ B

I - $ V • $ & . $ & 3 S p : ; S : ' : ; , ; - . - ; > ••••: . v " ••• ' -;' • •-• •-• - - • • — ••••-•••• •• • . " •-• - .- r " ^ ; ^ - ^ - ' "V".^i ••/,•.,. ••; B

I f ^ \ | S ^ | | ? : ; B : : : : " . •• • -,'. - •-•-*xK.Vrr-:r-vv***r: • ••••: , - - . - ..-....::::;.:.! • - - ' •

p • ^ : v f ? S % S : ^ S A : ' . ••"•. •••:.•.•.• ' ; •••••'• . ' • a s j i i ' - h ;«-•>••': .•.-"« j - : 1 ^ ! 1 ! ^ - ^ - ' " i ' ^ r f ^ ' T H i * , . ,.-.j, . . - i « ^ r ^ . ^ ^ v s t i i r - ^ s :. • • ; H

K ' . ' • • . ' S ; . V " • f e r t ^ v ' 7 • • • • , • . • • • . jv-?\A*»- •^.^•^e*j-\-?-Ai<^'-^'iE-$>"fi«*:-SiPi84T&". «•'•.«••••'••-'••'•(•;• ,;H'j;iii;;«--<iir .Ar ; i - )^ ; ; .&bi . ' "'"> . . !' . :^H

I ' f p y s ^ s : : ! i | - l ; ; S -r:-: ':•' "• •••'•• wvii.,';.:-'-' ..'• . . r i7irx-<f^'"""^-'-t ' $ : ' ' 0 j > ^ $ % $ $ ^ 0 ^ \ . • ': S

•-••;',•• ' l - r k r ^ ' u . / . ,'' '• i?.1':t.f"li .'••':•!:"' H ! . , ! " : ; ' ; i ' y ..•:''!:;< ^.- .^ ^ ^ ^ ^ • : ' - ^ ' 5 y : ^ ' - - ' > « ! ! @ ^ ; W ; ' ' ? - i ] \' •

I | ^ - ^ | ;.,.•.:• .. ::;.: ; : ' ~ -U ^ ^ ' T ^ ;'-'-' 5'.*f 'M>'••--.•••' ^ , ^ < ^ ^ ^ ^ \ ; •

lift'" •l :-ii^li :• ! I 3faBg^atf itte'jr are-riicrt;*overpiiHiped» i . e . , they should be pumped at rates H

I ! ^ " " ^ L ' ^ ^ - , s S ' • • • - | i ^ i s 3 • - • • • • • • • • •'•••• •:> I

• I tV ' ^ ^^i. ? 5 - N l ^ f f N v •••••• : E ^ ' « l v r 4 u j \ o , - - < . • • • • • • • • •

• -^ "^ ^S N§ / ^ ^ fe°? ri f j ^ I

Page 4: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

4! I \ Sec . Name of A p p r o p r i a t o r Type of Form F i l e No. I Remarks lOgx •

I I _S A f t i a r ^ ^ ^ . . , ^ f CUA>«.P. £^VM ?> Uonigff -r Urn, fl|.y- I ^ (^t.^^^w^xc.-^n, ^\M 5i \uaqrRft T^ . ;3a| •

.• .-. •!.• •• 'IJ;.' ...^ VXo^Vr^cx-^ (C,MNJ "^ h o TO) -^_ . ,jgg II ]! -IS ^^.LOvs1tsX.^CB>A'Al.f (vAy)drR g . \AY ^ 5 0 1 0 ^ 5 "T . '||§ •

| I 3 l-^^L^W.^^ ;c, & \M »J \U^O^+- g | •I ; I ] JH- L*«WC.*n , W * ^ -T ^VAJ ?l \(fl^O^O|- | | | •I I i ^ i ~-^J^Wlr]~

r<r^t.Ak.^. ^SAJ -a. igus<in - ; ^ 5 9

I I 1 3> (^.^Wk^y^aw^^A. (C\M a iqo' \3, -- 3 '-\ •

f I I ^ _ VI^^NW^.L. c-vvy -a isiwa 4- •; ->' I

H I I ^ t^^grj e.s.. C=,\fij ^ atom)to -- . : I •/ I| | I I A—'v^«»«A1i0Lfti.-Ae>^v.f tow\^^ &\AJ-& ^^»5t(oO" ; i ' 1

I j ] ^ U^WAfv<t.()'R6ApV NV.V tkUfJ NK, C-VA/ 3 5Qgl-H? 4" ' I

I | | I | iQ o ^ v ^ b."5. c w a i g>yy^ - - • 1 II | | - I I )M ^u^A-jNj.rw ^ r l a - : CTVA/S, nllOfo?.! ' I • }' • |

I 0 I ' ! . \% Br^-.A*^, G. A. (=,\AJ -a aot,->sg -j* j -I ^ I I 1ST ru.o>^*&^1*Te:v:l'<» NA. ' C*-\A! <-/ IYt?Uo7 -|- •, j ,

I |f | i n T ; ^ , . . ^ . i:-rW a lao^iq -f f

• If! Ij i I*H ftr^wM^tvMxr^ I C^vvf ^ nya.-\\ 4-• if || i [ h ^u \ ;> . ^^rvy ^ W ^ — n y a - i o 4- jI W | j L i l _ Bscais^JAsiJ^L PrW "^ ( g?i1g1 j jI #; I ! JfL Vu TP , —— '« ^^ - ^ . ^ r-rW i^a,gQi+: . ''• :|I 1 i ^ S^r^ -JLU^rU C^W?, tfa^^S - i• W^ I \ ft ^ - f ^ «A.I».^ iriu*« ftw ^ — i ^ i p g -z (• til 1 ^ - i . ^ g^/,^-Q-. f L^'VU. <^^< ^ ito^qqg -- j

Page 5: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

^ H i - '~$v--.':""••••••'I ' • ' " ' • ' ' ^ >

B ^ I H ' '^v' .'- ••if i?ift

•BH I ! I I . ^* £^e. \ J/^ _ .. I <^-^N I U l c t6"T —-1 K

Page 6: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

d? f G W 3 Approved Stock Form—State Publishing Co, Helena, Montnim-39318 V * 5 ^ ^ » ? ^ 6 ^ ' fl

' MeNo -L9 &. . T... ?>...£ iV-l—l/ l IDUPLICATE Co^tQ.ga^l.^^C^ , I

At)/ ' STATE OP MONTANA j j Q n, i r 01 « 6 3 '~^ ' IZ\l / / ADMINI8TBAT0R OP 0BOTJNDWATER CODE ^U t l "l ' I

' / / / OJPPIOE OP STATE ENQINEEE S T A T E ENGINEER I

Notice of Completion of Groundwater Appropriation IWithout Well I

(Under Chapter 237 Montana Session La-ws, 1961) I

Date of Appropriation of Groundwater.. JuCC -30 r ISfdO IJames P. Anderson and Agnes C. Aaderson I

Owner A d d r e S 8 ac . s agrsKK,-Mdnt. IContractor (if any) XUXae • • .... |

Address of Contractor I

Date Started....Jvne-30/6O- Date Completed June..-1962 I

JSI Describe means o£ obtaining groundwater without a well "as by I

. , ; 1—__—. . 1 . sub-irrigation and other natural processes". Include depth to I

7>^...1—.L........:.....;.—.!.... water when applicable.....%j4ng..^lowlttg..«pp3paaa.aa-t«ly j

....uNj.....;.'. i- • : s .?OQ...S^.»...Ee.?..l^.t;.?t...MM...1f?5;..4offl?.s^ and 1

i T\ i i | | irrigation, and inland to use,-for traiier 1-—|—I--V-! - j—i—i— .....Goart. _ I

- w ; 1 V 1 ! ; E

: ; !• '; 1 i Quantity of water developed and used with explanation, of method ; Ij — ;----!• — ~i ; i used to measure or estimate such amount. If use is intermittent j

MWiNWi S estimate approximate lengths of periods of use. „„„. '

y* S e o - 2 - T.&SHR1&.. W . f f lonjtaimflua..l.uGi...1^t.fiQEidomM.tia...u^Indicate point of appropriation I

i ; and place of use, if possible. .n.efidad..fjw...ijsriga.ti.on...and...ljoiu;iali...aour.t ..;..

^4iMd^£Qadj££iM3^ .....Signature w. 0wi^«K:^^~-.vK^^..Q^..\A^\:^Me^t--<3^v'—'

I ( / • • ' • •

Date.....AttgttB.t.l4,...a9.63

I This form to be prepared by contractor (if any), otherwise by tht owner.

I Three copies of this notice are to b« filed with the County Cleik and Recorder of the county in which the

I works are 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 MontanaI Bureau of Mines and Geology and Quadruplicate for the Apptopriator.

Page 7: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

ilia-: ; K't* mmmimmimiisim I

I ' > •— • & ' ^ r

Page 8: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

! • ; . : . • ' • • ' ' •

I' ' •

{ • : • ' • : ' • • • • • ' ' ' • • • - - - - !

j ; ; .** . r > - - ; • ;, ^ u/ ^^^a !• File No T. *» JR / / "'

DUPLICATE ' County.^3TK>^fC

S ? A T E OF M O N T A I E 1 1 F ((BIRJI ff IE. lTnADMINISTRATOR OF GBOUNDWagfEB^OBE u ^

? ; •-•"••=' '•••• '•• . . • ' _ , O F F I C E O F S T A T E E N G I N E E R ,. J J /

: r - " - I , Top o£ Ground ••. f EB 10 1964! f^t(Elev. above sea level J M ) NoilM oi Completion Of GnUlWalp[ F 1 Appropriation by MeansSgAWfllENGINEERI " • " , ' • I * j \ •''. (Under Chapter 237, Montana Session Laws, 1961)

i - I T Owne^^t^^J-4^!^^ '',' ~ I -i, • Driller.^.«J^....4**<*<*«*^-- Address^*«--T*<n (jfd-JjS^ \

I- I »•• Date of Notice of Appropriation of Groundwater

— I ^ P '•' Date well started"!^.^<r*^?^•JDate Completed!7l<ud'*l t*jiS9<.

~ I rJ •"•'•• Type of well..<tftuJt^<£_ Equipment Used (Lfkivn dLXi^t— | £-•- (dug, driven, bored or (Churn, drill, rotary or

I drilled) other)-Sj^tP"-'- > Water Use: Domestic i B ^ Municipal • Stock • Irrigation fi*

• * • ' . Industrial n Drainage Q Other n '* i

_^ | ' t "®S Indicate on the diagram the character and thickness of the different •.KSS^WJ strata met with in drilling, such as soil, clay, shale?-gravel,' rock or sand,

— I'*i '^~y etc. Show depth at which water is encountered, thickness and character of '_ ^ I- ' • - water-bearing strata and height to which the water rises in the well. . i

~ • &lze Size and \ From Toof • Walgbt of \ (Feet) (Feet) PEKFOItATIONS

— ^.-.. . ' DMUed ; Casing , Kind From To

_ i?^/. H-i£ 4%:0$. <> / / / ' S1" CF"" CF"t} :j * — \ • , - '••-•••• • \ f>tbf^lft' ' . . . • . , • • • • ' , -• ••;!

. _ " s ; . ' • ' • , . / • • • ^ • • • ' • • • " • • • •

: < & • ' " • - : • ; • '

K ~i '" N Static Water Level for non-flowing Well ieet. •,'.

I A I •• I 1 f ' • j?& • "• — I I Shut-in Pressure for Flowing Well • -^ .

• I —j ' 1 Pumping Water LeveLj..«: feet at gal. per minute. :1 - I —1 —1__ ©- /£• I | | l Discharge in gal, per min. of flowing well Z

I - I __j J . -Iflilf How Tested^St-sfr^Lsfcr. Length of Test...'.^'^!^^^

• I j i l i o Ml Remarks: (Gravel packing, cementing, packers, type of shutoff, loca-• ~ I —• i ~Jwt H tion'of place of use of groundwater if not at well, and any 'I 1 : 1 l^w^i 'yjfl other similar pertinent information, including number of •!

I — I \J'/). Sty'/y S acres irrigated, if used for irrigation) •••.•/•••tffi- ~'l... .'.I - .,.a#tv¥Sec..A.T..^.R./l• _ Inmctte "location of well and• ~ • place of use, if possible. Each ...-' : ..I -^r ** small square represents 10 acres. •• •

I k s ^ £/#•> • • - :- •• - --— •• I [ftfrM'Jifiiin.iTiu* iiriitii of bottom. . :!I y:..A.^2y• • , Driller's Licefise*Nufflfier

• L •. Dr- . ,

B ; This form to be prepared by driller, and three, copies to be filed by the owner with the County Clerk and Re-• corder 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. y

• Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines iB and Quadruplicate for the Appropriator. ;

Page 9: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

. ,;v • . • • - • • • - • ; • • • - r - y - • , ^

H I - • • • • • ' • ' ' • " ' ; '••

t •

. ' . . , „ , , » . , . - , - — - " • * ' " • • • • ' " • " ' • ' " • • • • " ' ; ' " ' • .;• - . . * . • ;•:.:• w ^ l i C ' ^ - ^ i - - . H

0 $ ? ; : ; , :: - ' . ; • . • • .-.. ; l ; f . - • • . ••••''• •;•• ' . , . • • •;. - •-.•••• ? • - . - v i y ; ; - . & • • - , v ; . . v - ^ • ' • ^ f e . ; . • 5 > i ' ^

li:::;;•:•: IT rn v ; • :;| ' :i£.?f^ ; % ; ;;=^|>|I -;: : : i l | - ' - : ! ]B : • • • ? - , • • • ; • , ; ' v : . - ' v ' " .•• .; ; : • - • • ; • • } . ? • - . . '-~ a •'. ' - ; • • . „ . • • ! • . . :

IV • . : . : ; . ; . • • , . • ; - ," / • • y r . / • • . - , . •• v " - .? . ' • : -• •••• ^ . _ . O v ^ g ; :. % . . . g . • • . y .

| - . - , ; - v l •; * : . •.• . , • • • • • •••. •:• • " . . $ * '•• ;: • • • • ; • ' . ; " V " t ! . : ! • . . - J i I I I • ' . ! ? V

i^%'\:^W ;• ' > ^ ^ ' • %*:-- ;••• : ; :'.: ^ 1 W l . | . | . . ' ^ . ; : ' 1 - J . ;

( • • . • • % . : ^ ;.: ' •• " ' : ' • • - ; . ' • E - :•• • , •:. ' " " ^ v H 4 i ' - ^ \ ^ ' ^ - v : & v 3 ••'••:t " ' • , f v • • . o • •• • • • • • . . . . ' I ' . " • .. . . . . : . • . • - . ; • . • • • • . ; ; ; ; • • { ; ? . ; . : • ; , • • - • : r . U - - • / } ' • -

K . . ' "•::• ;:- •••• . ••• > • • • , : x ' - ^ - . - y -\-~- • \ . . ± ^ " : • • • : • ; • - i . • • > ' - . • • * • * . •:

•'• . • • • • £ . . - . • - . ' - '; r ; • ••: : •'• f ? • • • ' / - i

1 ;-

: ^ . •

5- ' -

i- / £ :

::

=^ v

;* • - • • " ; • '

v

:.. - " i » ' •*... ;• = . . . . . ^ . : •••,.: ••., . y •-. i , ; ^ ; - > ^ v " . - / ^ » ^ ^ . M ; " ^ : ^ ?; • ;

1 * ; STATE OF MONTANA) ^t . -:- ', '•:• ••• '.". County of Lafc, [ v ,V I - { . ffeJ oh^^lLdax, of- •fl?0Z- •

; .; . """CountsgtyimnJ Recorder

-. "ii :"' " / ' ; • :-.?''- j j ' - • • •'/•• . : ': ' % • ' < * $ • . •• V j b r i ^ l ' '

i it-.: • " , :':> - • ; - / , •-> , . ;, : / £ , ^ v ^ r ^ t ~ ' 1

I . |>. ;; •i:-:. >- _ . ... .. ,. . -~4—:;; ' v—- — - "" ^ •- ' ' \ $ ... :: ^ ^

. 1 - .

; t •

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•••••• fl| - . Ef - - ~" V T ^"^^i-^pF^t^W^.BBSS' 0 W 2 _ „ f __ Approved Stock Form—Sill!!" Publishing Co.,.'jUjii, Mamanof -4853;! ..!<§J^>3. :. ; i i j

^ ^ B ' '• • f F i l e N o ' *'•' *«^^ifc&a^^?§^i^i iS^l : ' i

^ ^ R DUPLICATE * ' ' ^ g Q • !£ i _ Countj^p^j^|radj<!!iS^^; >;, HH TAO ^ ' " ' STATE OF MOMTAHAl i Ev^/- : ' : ' : l f t ? ! :

• S V M " ••"• f)p7 2 r l .b J ADMHTCSTBATOK, OF GEOinroM|LTHi^Cl6pE ^ •^ B [ r — - I Top of Ground :s ' STATE WATEU OONSE^VATipN 2 K)^;; : ;

| ^ | i ~ aaev. above sea iev6L.i?i!^ ) Notice of Completion uof Gr^w^Mg^rv/'^^^J ^ H [ ~ i&Sf^l *'• Appropriation by Means of Well^ ^ B I - *C&y"**~^ DEVELOPED AFTER JAN1JAEY lijijBs(y J^ ^ ^ B — J>£f~9is~*jj{ (Undey Chapter 237 Montana Session ]jaws, 1961,'as'amended) ^;

~"*M. ; i < r 7 ^ o^MriM^ ..^ess^^^ipi^ ^ ^ ^ H ' ^ • • • - • ' . • ' .

jjt ^ ^ ^ H yy^i^K Date of Notice of appropriation of groundwater. j

>f j ^ H r ! ^ Date well started .^•..^•..^-'^....Date completed..^Z.^-™P:.?. >\

^ .jHB !;..,._ 5»>-w«. (A#J>~- Type of w e l l . . i < = ^ ! * ^ ^ . .Equipment used...-^^«fe>S2i;. !j ^ ^ ^ H ; j — •vgjy (Dug, driven, bored or drilled) (Churn drill, rotary or other) ,J ^ ^ ^ H i Water use: Domestic |{] Municipal • Stock D Irrigation JjB !^ ^ H | [/ _ Industrial • Drainage D Otter D j

' ^ ^ ^ H \ '•' Indicate on the diagrr.m the character and thickness of the different strata i^ ^ ^ 1 |; * met with in drilling, such as soil, clay,'shale, gravel, rock or Band, etc. Show ;

^ ^ ^ B | { — depth at which water is encountered, thickness and character of water-bearing :• H ^ H I strata and height to which the water rises in the well. ;•^•H I • « u Q dLtSh SUe of Size and From To PEBBOBATIONS '

HB / » "» '» • / jH»'«^ . *CMID» tfj^f Kta"" From To

. • |;•&• _ _ — _ ; j •^ ^ ^ B t •— w Static "Water Level for non-flowing well j

' ^ H I _ I i 1 j I ...GJB!?.. feet. I^ ^ H B f: -J- j . . . ! Shut-in Pressure for Mowing Well ••'j ^ ^ B j j _ , i "• i Pumping Water Level—^rJU,. .feet |H J B J t ' w ! i E at.^4a> gal- Per minute. jB H H . • | I Discharge in gal. per min. of flowing well ••• {

^ H I •. ~ * ] j I^ ^ H I ~ . ^*^}L j j How Tested..J«^lt38&*Sftr. \^ ^ H i ; . ~ L ! 1 ! Length of Te3t.-3jL4fcyaaf.ai |^ • R B I — I Lnft Remarla: (Gravel packing, cementing, pack- |

H I - I SO.*44^..._.Sec..^..TA^^/S^CrSltyPeOfShUtOa) - |• • B M | — '7 Indicate location of well and - j

t ^ ^ H B i • place of use, if possible. Each • :

\ I ^ ^ ^ H l" ~ small square represents 40 : ; ;

^ & " , • • • I' — • ^ ^ ••" •• "';'cW-'J-"-r' ^^H^HjV Y ' ' - - _..... j

• j ^ ^ ^ a ; . (Continue on reverse side) j-i - ^ ^ ^ R ; , 'T3;SE—-If used for irrigation, industrial, drainage or other. Explain, state ,„!

• J B H ' — / T£> &3v '-f-i nipnber of acres and location or other data (i.e.: Lot, Block and Addi- I- ' • " B ^ H i ; ' "' ~ ' ' t i o n ) . . • ' . '•••••-•• ••.• - J

• j j - 6 * , 2k**«^ :.., L I•ftvfl ! L » J Show escan depth of bottom. M^ • ]• h^y t ~~"~'7 "^ ~ " iH H H l I .This form to be prepared by driller, and three copies to be filed by the owner with the ^ ™ " "^T^\ ~ i• • L County Clerk and Recorder in the county in which the well i<f located, tissue copy to be ' DriUers License dumber ^ . - i^ ^ H ^./'retained by driller . | ., . ' ^ . •• ' :' j,^ ^ H | !.. Please answer-all questions. If not applicable, so state, otherwise the form will be igTtSag^MegSty—^Z^q^pt^Oy^;-- .^ • • B : returned. ' t Driller's Signature. ' .'.

• . ' I ' ; • ; . •,.••••• ; / " : - . ^ ^ • q s y 7 H - - ..;,:;!

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^ H B >; • ' • • • • ' • : • ' ' • ' • ' • * ' ' ^ B

• B ••••••• , , . , , , , . . ^ « a ^ . ^

MB? r a •- y I4fr$%l- r — r - r — • • - • v " " 7 " " T " 7 " ' ! r ' - ^ - ! ' "•"}' ''-'::': ' ' ' '"- .• '•". '"-X .

• • H " J- &-/;/7V ./ .. ..•• -. /. • , . • -••"•.- '. « ^ . •HR| i - ; v > • • ' ' • ; - " ' '••:.'•••.•'.• : •• '• ;• - • '''"^

^ H ' : WEU.BBPt»T ; ,;" .. '• "'.

^^M 6 L B I HOOSTMS

BB THE PUBLIC

^ H H ' - t 1 " - "• '•' •'""• ^ '"' T; - ; :' "•• " ' • • l * • • • ' •

H ' : ': i ^ M v M l , '''••, - :/ . - : " : U ^ .,'•>"• ^ . ; - H i ^ ^ ' i

H I ^ . ^ S t S & i ^ ^ - • • ? "'• : - - ^ " . ' r :. - ^ H I ? i

H i i * • & > - i - ' • ; l-" '•••'••• ./ " :.. : :' 5 . . . v . _

^ . _j

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I ' • 111

H H K f c . « ^ ( » 3 p W ; . J R t v i K d i 9 6 9 ••..•••:.•• • • • • . • , M O N T A H A W A T c H R t S O U R C E S ' B ' O A R n C o u n t y . * » A . ' . / ! & < _ .

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

• " : A^O^ION _Y MEANS OF*___ f S ^ r T 1S?JS ,"^^M •'•,'.; Developed after January 1 , 196S^i...: . ! ^ — " — - — ^

^ H (Under Chapter 237 Montana Session Uws , .1961, W^manded) Top of Ground <EICV. above >ea i«ei>

^ ^ H This f o r m to be prepared by driller, and three copies to be filed I From TO • . . ,>H H : by the owner with trie County Clerk and Recorder in the county in (F^O, (F«O . . . . . . . . . . -J^ff<••HH which the well Is located, last copy to be retained by driller. JjJ {if •^tygf^f^^^tiSt'-fJt'^S^ •" 'H H : Please answer all questions. If not applicable, so state, otherwise the I • / & • y&' :- •(r

<H^'1iTiPri£_'' '•• •^~~iii^f^r' ^• B '-.'. form rrjay be returned. _______________ ~i>2a- £ • £ ' '•(7^~ljfi*«'\\: •*±&P

• ^3° "^^sSi^^F^^" se ( —j—f ——•^ H /m* • . A I > I S}o-v**r,i&U. /?/??/ —

• H J : .CcZjK1.'- J[ C.iA-.iS&r' ' /.'S3 &O3 — : ——— -

^Hj Date wetl started .~ff»k&..t7.Z... GW 1 — •

^ H completed '*...£>./...:.//...

• B Type of •well .-.JkhtlJtsMJkSt- _.*rf: :HH| (Dug. driven, bored or drilled) _^—r. _ _ - - _ ^ — — — - .

^ H Equipment used ..„ j£#4g/3At. f- -.H H H (Churn drLl, toury or other) 'HH. Water Use-. Domestic j j Municipal • Stock • Irrigation'_JP» • 1^ H '; Industrial Q Drainage • Other • * Garden/Lawn f>5 : '

^ ^ ^ B , "Describe , . _ _ _ . _ _ _ . . _ _ _ . — _ _ — — — — — . -

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

^ ^ 1 and Addition) _

| ^ H ESTIMATED ANNUAL WITHDRAWAL ....j/!<?:.0.«<?..SO. •4&**.^..^ ^ ^ ^ | Slz«s of SUe and From To ' — — -—-—— —. ———-—----_-_---———-_—_—.• • • DrtUed V.'dght (feet) (Feet) PERFOnATIONS^ ^ ^ ^ H Hole o! Catips. —— .—__.__•_-.._._-_.,_.-—--.——.—---—.---—-——---.--.—-—•^ ^ ^ V _fc St S & ^ \ • y Kind Prom To .•H ' -? •»& <*'> O * » o Slie (Fctt) (FMt)

H .2-/7X ^7^r>^A ... -—-__] 2 1

H| : ^ j-^^^ ^ H I j I j Static water level•*..*..*..._. .ft.*Hi ! I PumpincL water level ...ji3.SK.. .ft.*.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _^^^ft \—-- 4 at ..r.St. gallons per minute,^ ^ ^ B ! | medsured minutes after pumping^ ^ ^ H ; ! ' began. _______________________________^ ^ H k , w j j E *Measured from ground level.^ • 1 I ' • 1 Well developed by 4M*£r**&. ~ ~ ~ ~^ ^ H \ J for .....X ft .-hours.HHJ j | Powerl£-fr-t.i?!waifr Pump...y.g^.... HPH^H j<f j I Remarks: (Gravel packing, cementing,^ ^ H | s~~~~~ packers, type of shutoff) ^<?Ssr?S«*..

| H „ „ „ _ * _»y.vft see....*. zzzrzizz"rziZ-"z.".r" i• T |R-L* f r:zz±zzzzzzzj===^ 'HH INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. :^^M E A C H SMALL SQUARE REPRESENTS 4 0 ACRES.

H Driller's Signature . , « ^ f S ^ > * ^ ^ T I ,^ ^ ^ ^ ^ ^ H ^ ^ ^ ' . w _ _ » ^ H_H- .M n _ ___a__>v^<v>.—~^«u__—>•-—•_—>«_•__ •

^ H Driller's Address m?.J^^J_* > : ^AX^ > . - ' , ' >» ; •

H . ^%J^OULSJtL ...*£*$././...... LICENSE NO:i__?_3.. • • 6 ' : 6 - ^ Show exact depth of bottom

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^ H , STATE OF MOOTANA 1 " ' -~ ^ H^ H Count; of t -|I,P f *» / , • •U Filed onrtl-i /_iLa=yof_i)a*i!A_ ' " •, ' ^ R

ffl ^ ^ ^ 5 ^ :> ;. •IH • , . c"" ' i ty Clerk and ffecordi? ~ ' ' J ' ^ |

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• . OW V - ^ Approved Stock Form—Stale Publishing Co., Helena, Montana—4J23« *t£^ •' AS Mm

I _,/ K .Q •I File No T .2*P--B .)..}.-.. :—-. •I DUPLICATE Comity : •I STATE OP MONTANA [TT\ fp [ft fp [1M C PRY •1 ••• ADMINISTRATOR OF OROUNDWATEB CODE -. \'rM H?./^ f " " ^ - HI HI OPFJOE OP STATE ENGINEER - JAM 6 ' 1 9 6 4 ^ •

I Declaration of Vested Groundwater Rights-rr CM pi we CD I1 (Under Chapter 237, Montana Session Laws, 1961) ^ l r t l t t l N b l l i t t n H j

I ' /Niufieof/^ppropriator) t*ddreEa) / ' -jfyrifTWrA ' H J

I have appreciated ground-water according to the Montana laws in effect prior to January 1, 1962, as follows: H J

ML j • r | I i j 2. The beneficial use on which the claim is based-.^ftfttfaaexC-... flj

I lt£Ti3IlItI ""; """^ "" 1H ! ; ! ! ' ! 3. Date or approximate datej^f earliest Jienefjcial use; and how continn- ^MH ;„..;.....; ;..„! 1 ous the use hasheen &£+^**^ ^f s^fg^^. ^ ^&££ M• | i | I i i Jikte*4*....riL&«A.* jizl.. I3z: " B• w ! r—-, 1 i j i E jrf s-L y... .??....„ •_ , , , ^ ^ , ^ ^ ^ amount of groundwater claimed (in miner's inches or gallons H^M ; ; ; — ; — ! 1— per minute) „ ^M

B I '• •• ; I I ! ! I 5. If used for irrigation, give the acreage and description of the lands UH j(_ o -fg I > "> "ft/? /J( j g ; to which water has been applied and name of the owner thereof H

I vSs Ms't, A TM.. nil ziiziiiizzzzzizzizzzziziz::: IH Indicate point of appropriation ' " •• and place of use, if possible. Each BH small square represents 10 acres. 6- The means of withdrawing such water from theygraund and the loea- I B

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

• 8. The depth of water table J^....^L%F?r /ZAifc&Up. ^ . . . ^^ . . . . ^^^K^t feuTr .

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

H J . . v**ry " ~/X -A /•

H | 10. The estimated amount of groundwater withdrawn each year -yf-j*-^ ~~Q- ./.-,,*..,, f...

H J 11. The log of formations encountered in the drilling of each well if available fj..^H , :j_ _ *

• ZZIZ:Z:Z.Z;ZIZZIZZ:Z:::Z:IZZ:ZZZIZ^ZZZ^ZIIIZZZIH j 12, Such other information of a similar nature as may be useful in carrying out the policy of this act, including I^ H reference to book and page of any county record . .* , S

^H """" * *

HJ Signature of Q^r^r/^!t^^hLt!C^^--h/^.....)^S!l?Skc^f

H Da.te.../3i^aS^0».'!^~^:../^.(^i^

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

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

HJ Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau ofB Mines and Geology, and Quadruplicate for the Appropriiitor.

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I .TPOFMONT/lNAU I

I

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- ' JW 3 Approved Stock Form—Stole Publishing Co., Helena, Montana—4J262 n(gffi>i» G""^ , H J

File No .ir.....!Z-U-R. \Z\ •

..'- DUPLICATE Comity...I^.E..(p_I£.LMK.En^ I

I STATE OP MONTANA . , j | • ' U j j •I ADMINISTRATOR OF GROTJNDWATER CODE JAN 6 1964 flI OFFICE OF STATE ENGINEER ,\ • .' j II ^ - .'STATE ENGINEER 1I Notice of Completion of Groundwater Appropriation II Without Well \ 1• (Under Chapter 237 Montana Session Laws, 1961) .- ;, I

I Date of Appropriation of GToun^ater^J4JK£^xjr^...^r.MeJ> H

I Contractor \fi£ any) . ^ g ^ r j A ^ - s~ M

I Address o£ Contractor : fl

H Date Started Date Completed H

H N Describe means of obtaining groundwater without a well "as by IB| . i : 1 : : ; • 1 sub-irrigation and othwrf'na.taral processes". Include depth to- flIB • i ' ' i i fsS iS * * ^* ^*\ nff BB• i ; '. .! '; ; — water when applicableJ L<^BU6©....«*!<!«^ . Sr..../G#fe«!E<Cf!» •

• « T-p-j ; I j \ ' ' - ^ ^ 4 ^ ^ , , ^ JLtOaaJLJL i

B ': ! : : i • —•• ••••• "•••••• • I

H ' • ' : ' : \ ' : Quantity of water developed and used with explanation of method •H —I — ; — ; ; | , we^ t o m e a s u r e o r estimate such, amount. If use is intermittent. .

H >/ J f s estimate approximate lengths of periods of use ;

Hr Indicate point of appropriationB and place of use, if possible.

• /\ ./). .yiq.....

• Signature of Owner/ffW^S!*^...!^)^?. Sj~£&LfzJc*........

H This form co 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 which the

H 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 the Montana^M Bureau of Mines and Geology and Quadruplicate for the Appropriator.

I -

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I O 1 ~h •'•'•if-? L V . **' ' * •

-H Coun<J.a/"Lafje. • L o - ' / .; r • ,- • . ;, - . . : • fl

H A.Q;ML3.ad&2£:o'sk>ck.--%Jvi - - • .-• . : ' : : : , : • I^ B r Giiaqftl Qfrfer?ni^ Recorder • . . r I

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,- ». N^. , ^ • M ***•:• T_ii. . . .R_/.. l2 r S

___ •• !2o1S58 <^r-L&keH5oiarty I______^T ~ STATE OF MONTANA • •

SBBUNISTRATOB OF GKOUNDWATER CODE •I I — I Top of Ground A r , r T . r t ^ OFFICE OF STATE ENGINEER _ H• ^ A y P i G5C» . i— ii. .ii V j • .— . — - • •

I ~ (Eiev. above sea ievei3.?<M ) Notice of Completion of Groundwater •I ~ Appropriation By Means of Well UJI TOP Of g r o u n d t O (Under Chapter 237, Montana Session Laws, 1961) «

I ~ ii^I?*1* c l a y a n d Henry .I. Leach or Route #1 1I ' ~ grave x . oWoAnn...&r....I,eaGfa •AddressB.ig.f.opfc-.-Moiita-na" •I ~ Driii<Raher..t....W.,... H.-udson-...Addres^waii...i,a.k«"i: OB:ba:,B-a •I - Viater b e a r i n g ' •• g r a v e l tO 1 2 g ' D a t e °*Notice of Appropriation of Groundwater...QQ.^Q.g)\g.p...^.p...J.^^rj B

I - Date well start©C-t-.-9-»-l-967 D a t e GompletedQ^^ Hy-^-gf •

W ~ tba^4afeet°C Type of welU-dP-iXle4 Equipment Used .-piU...... •• • _ J (dug, driven, bored or (Churn, drill, rotary or , H• drilled) other) •I Water fse: Domestic • Mvinicipal • Other • Irrigation • H• " W a t e r & g r a v e l Industrial • Drainage Q Stock Q '*" •• _ to 39 feet. •• ° £S Indicate on the diagram the character and thickness of the different H• " strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. fl• — Show depth at which water is encountered, thickness and character of water- HH bearing strata and height to which water rises in the well. HI I Size of SHc and From To vroi>ni>i.TUiira H• I DrlllM Wtlnhlol (F«t) <F««l) PEMORATlONg ^ HH — I Hole Culm Kind From To H

t Slie (Fee<) (Pcct) •

6 7/8" 15 lb. 0 ft.ji9ft. 5" 1O.D. per f t . t D.D. '4« 39' I

I M .-; \EM 1 «* Static Water Level for non-flowing Well 1.2--f-©et •-feet' ! •

— !-—!.—.':-.. .! i .1— Shiit-in Pressure for Flowing Well .Q^.....f..].0.^.|.g.g : I

_ ; 1 j j 1 ! Pumping Water Level.5 feet atlj-Q gal. per minute. ; •

B ""*, i i I i j Discharge in gal. per min. of flowing welUlO-t—•f.-l^wijft-g I

H _ I j I '; • ': How Test&y....Sas....pUKj.p Length of Te@J4_...^.(jy.pS. : 1

H ! ! I ! ! ! Eemarks: (Gravel packing, cementing, packers, type of shutoff, loca- ' IH _ \ ] i I i ! tion. of place of use of groundwater if not at well, and any IH j i .': • ! i_ other similar pertinent information, including number of Iy fkl, l»j 9-' ] " : : : ' acres irrigated, if used for irrigation2.Q....ae.r.eg 1

>j(h...>k s£...!.2<£ i% : IIndicate location of well and J |place of use, if possible. Each ; Ismall square represents 10 acres. I

Show exact depth of botto3.9 f e e t 1^ B Driller's License Number MU\ Driller's Signature 'H This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder

H in the county in which the well is located.

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

H Original to the County Clerk and Eecorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of IH Mines and Geology and Quadruplicate for the Appropriator. I•^- —

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K STATE OF MONTANA ICounty ofLake f K a o . • .

1 FSedontha^a-day^-I^r

ft f> TO f X**I13'7 o'r.lnrl<v?_-METHEL M. HASPING

>CXounty Clerk aolOiecorder '

^ - Depu^ <

.

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• v Pile No. X> , 0 ^ A N A •'•'""•••'< «tsuuK'Jtaa^R T......Sl4...R.....Z..£ '.C™ - fl

• Vti-. •:,,- :, , . r, 0 County ....Irfake-C'Outt-fcj H• r^-iY?n1Of?Q- STATE OF MONTANA H• * l J U Q ADMINISTRATOR OP GROUNDWATER OODE H In Top of Ground - — I Z H Z I L _ J I I ' OPFIOE OPSTAT ENGINEER •

(Eiev. atoTe8eaieve|a^°f..! )- Notfcer of Completion of Groundwater i •_ Appropriation by Means of Well •B - k r e e t Of Open ho le (Under C h a p t e r 237i Montana Session Laws, 1961) I

I ~ Henry I . Leach, or Route #1 > I• " Own&Q.Ma..B.*..liaaail : Addres©i.gfoarij£>:..js6»&atta I H

H o lay & gravel to 11* ErUifi&b.erfc...W.,...HuilHaa AddiesSwaa-Lete-e-a-Moatea-a- ' •

• - w a t e r bearing g raye l D a t e ot Notiee °£ APPr°Priatlon o£ GroundWater....0o.1l<)ber..3......i9^ •H t O 1 2 ^ f e e t ' Date well starteSttt,--3,-1967 •D a t e Completed.^oi; t}1jBp....5rt^ • HH ~ Type of well...cijL£.l.l . Equipment Used xtPiH" ••— H• » - c l a y and gjauMi rook l%&*fim> bored or (c*«n, arm, rotary or | •H _ t o 29 feet ' 6 ° e !j •^ | _ "Water Use: DomestiKD Municipal • Other • Irrigation Q. ' i S^ B Industrial • Drainage Q Stock Q '•] HH i water & gravel to 34^' *^S Indicate on the diagram the character and thickness of the different 1 HHJ ~ . strata met with in drilling, such as soil, clay, shale, gravel, rock or sand; etc HH I Show depth at which water is encountered, thickness and character of water- HJWm O l a y 34^8 t o 3 7 f f e e t hearing strata and height to which water rises in the well. HHH — SUe of Size and From To pcnnDiitnix fll•B DriUcd WelgWot (F«l) (FM!> PEKFORATIONS «H H — Hole Cailne Kind From To ! H• • Size (FM« (Fed) i •]

H ~ 6'"7/^" 1;5 lb A ft. 3J- f t . auae I

I I I . I I ; -JL IJ^.^. ' :H H _ ! i | .; | .] Shxit-in Pressure for Plowing "Well aofe-f-lOvrfbttg • H

• M A U"'; '; i ~'i ; '; Pumping "Water Lovel-84 ••••fect a t l6- 6a*- Per minite. B

• ~ - - p - - | - - | \ \ \ Discharge in gal. per minx^r^^^well j g - ^ - ™ ™ - ^ ^ - ) I

I - w ;____;_j I...I.-L.." How Terte*ar-*Hiiw Length of ^-Bouft" •"" ; IH^B i i ', ', ! i Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- ! •H J l _ ': i i i i ', tion of place of use of groundwater if not at well, and any HHS 1 ; _J j ; i .'; other similar pertinent information, including number of U

H H _ rPaf- N -^—'' : ! ' . acres irrigated, if used for irrigation) H

[ ^ — Jv v2?...% &e 26 If ....H^B _ Indicate location of well andHfl | place of use, if possible. Each _ .H^H — I small square represents 10 acres.

^ H I I Show exact depth of bottcrjj^ f e e tB^B bffiISS License Number

• • J Driller's Signature

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

H ^ l in the county in which the well is located.

H H Please answer all questions. If not applicable, so state, otherwise the form will be return?^.

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

• 4*,M' \

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:• i• : • • : • • • ' ' • . : i

• • • . • •• • i

? - • • ' ; • • • M

• • • ' ' i

• • i• !

'• • • ' ' ' ' • • I

STATE OF MONTANA ) jCounty of Lake ' • "~^Ot » i 1 » i

Filed on Vcx^sLi=A«i^ -^ti) '

" J-~ County ClerK antTftecorder I

^^T l " ' Deputy

iji

Page 22: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

j ; v I T » T » - u . L i . m « o C O M M - . , * 1 . • ' • • • ^,. .. : • • • ^/jy : .«•, gj jT ^ , . * .

| - . / STATE OF MONTANA r ' <? 3 7 0 , . , DRILLER'S LOO•'" ADMINISTRATOR OF GROUNDWATER COOH'TA^ „ . . „ • . ' ' - i n j , - , . - t h o ,h»r»rtar r«lor thick

( • .. ; . , MONTANA WATER RESOURCES BOARD ^ . f f f f i ^ „,• - & ^ ^ f f i £ &

!. NOTICE OF COMPLETION OF GROUNDWATER "" C o - ' : « ! ^ 7 3 r a v e 1 ' shalf; «n d s t o n e ' ^ ; s h o v £I,- ; APPROPRIATION BY MliANS OF WELL •_-- S r ^ ^ ^ SJT&S1 ' • Developed after January 1, 1962 , l_t

j (Under Chapter 237 Montana Sewlqn Uw», 1961, n amended) Tofr of Ground ' g a » - b < » . , . » i « ^ _ _ _ l _

This -forrn.to be prepared by driller, «nd three copies to be filed i*— ToI by the owner with the County Clerk and Recorder in the county in *? " " (P«o jj> _ • _ *J ' which the well is located, last copy to be retained by driller.' '• Q__ ~J£ \(ffffifl* ^^UfK. ''IFTflfffitfj

! • Please answer all questions. If not applicable, so state, otherwise the ' ,, • . ~jJr_ff "ifiS——: ^ t l 4 | ^ " ': form may be returned.- fV? J£}4£\ rSTiSlSrXu^^^i^^l^Lt.

I Own4^Wg-ieAg*qia^-j For Administrator's Use~l ^ gg; j$-% ^ S f f ^ ^ ^ ^ g a g f e ^ "

j Addressu48>^../.<( r>j r4^File^r/^^^ ' y ^ ^ l 4 ^ r 7 " g ^ t " S ^ « ^ ^ "

I. . i^ijSfe**'^^* "T —; s-r —r—I Type of well .'j&JS^U&L^JL. * ! _ . - W " ~ — - - - - - — • — . - — ~ -

'.' ' Equipment used €SK^J^k^....^M^!^.. .SS._, 1Q4_ SlLt.^CX^-^U&.J-.-\ . (Churn drill, rotary or oiher) ' "; "' -'A l>'

i Water Use: Domestic \ j ^ Municipal Q "stock Q Irrigation D ; ~ f | f " c l a T T c ^ m ^ ^ ^ " " " " " " " "

I Industrial D Drainage • Other D* Garden/Lawn Q .." - - ^ - ^ - ? " ^ " ^ w a t ' • R - a n ^ " ' - ~ - ^ ~ '

I *Describe i/Af./.e. rf4.Jftlh.....#.&..ud$.fL<£&**. -——--——r _i-__—r---f-!'i USE: If used for irrigation, industrial, 'drainage or other. Explain, : \ ~1 state1 number of acres and location or other data (i.e. Lot, Block —: "—: ; "r~~~~-r—

i I and Addition). _ ; ; ' '! }' ' 1 • ;. •' . ' , ! •I j . ESTIMATED ANNUAL WITHDRAWAL . ; _ . ,

v as w 'Sa (FT ) m « u ^ — — ' • .• • t ^ • ^ * » j » l » j * ^ ^ ^ ^ ^ ^ ^ ^ ^^H ^ ^ B ^ ^ ^ ^^M ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^M ^m ^ ^ ^ ^m w^m m• S* •*' V-»Mjy — .11— ••.... 1— — • _ . ™»^""»-"" >m~t*m.^ • • " " • • ^ .t - ^ — . — . .

:' • •Jita*. *»'•• -. > A Jfr&- ' 4- K i n a F r o m T o ' ' • -'• .'•

• <&j& .*&€&• ,0 /fa si" (FKt) tFM0 1 'i r ^ - :

' •• • i . . ^ ' ; . '

I ' • I ; ; ' •! •'

\ \ : ' . ' ' • - • • • " ' y^/ — - — — '..•'-'•'

I ]• \ [~ j j ., Static water leveV..^?::.^: ft.* ;f, ••, ! , I Pumping water level . y . i . . .ft.* i • • \ ; ' •.••','1 . J : - , . . . .; aj/.®!.....^,.^ gallons per minute, . •! I I K«*~*S measurecjJft.T?...minutes after pumpingv • « J I '>,/* E j . beg^. _ L ;. " " " ' ; 1~~ . . " " " • •, • •

T •/[ y / 'Measured from ground les^el. _• _ ; _1 j LaZ*^ W%" developed ty@4U)M&*£Z* •- ! " • " ' ~ ' .

i .„—J fdj£ hours . • _. _ _i ! WrvwjfftjBMf..... Pum|9K5C!r.'... HPI ! Remarks: (Gravel packing, cementing, . .

J - — — . packers, type of shutof^5fti?fV^.,.... m •• ;

j .MS-V* &£~-V* Secftr. : •;( !....%& N R 1$. Vg : : . . ; ; •!i. $ $ ; •• • : •. ;

\\- "' INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE.|: EACH SMALL SQUARE REPRESENTS 40 ACRES. — —

[% Driller's Signature ..^/^^\^^u>i1^.^^.:^tpt^^[^S^^X^ ;—•

; • Driller's Address ^ t 1 ^ g k ^ ^ : ^ ^ ^ ^ ^ i S > f ^ e . ^ "T . T \ __»

•-• ;.....; •-•_. •• .•: LICENSE N O / & & : V f f i - ^ S h o w e x a c t dsP'h o f b o t t o m •.. •

fe^&_..; i : : •• : :'. ^m'-ii

Page 23: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

' • ' • • • • • ' • • • - • ' . ; J ' •

i p R I ! •! i |f:; !• i: i i i f IW % * s * • w :•iir-fffif--•;"•;:•••'.• • ; • ! . : - ! - , . s - ( • s : ,••• •• : : • i ' ' . •.'•• ' , ' : , » , . y _ - . , ^ • - # 2 G 3 6 o o . , -

f : f - : : f | - ' ••!••; ^ - U : • -:.-•• • - • ; ; : %:-';%M' j$?r . G R A O E A . L I N N - i

illrri.1-&l;.; W \ r; : il: # # 1 -^"S ; . ' • •» " i , | ; . v - ' 4 d - : ~ - - - . ! ' • - » . - . , ' . . : . . . : . : . • ' ; . . . . . . . . . • . -. . . . . , . . - " > i •'• • • " ' - • : • ! . ' • • . i: K M V ' - ; ' ; i : U ! ^ , ; •; :,. L • : : • m-a\ .:•*,-. • , v : .• • T O '

j f f ^ i ^ T v r - ' t :' ; • • ' • • . "' ' • ; e - •;'.,- •-^ " !,•'• ' • " ' • • . it $ ; ; : j v ; 5 - h r i I V :•• \ -y'•'••'• • • i : I v ; : •-%• vi ^ ;; T H E P U B L I C !

• • ! . . , <••' : • • - f . . . . ' • ' . • " V * ' • ' < • . •• - . . . !

• . " ' : / -" '•r'-u-.iZi - J-'.. " ' ' ..". • . • . . ' • . >

• • " • - \ -: .>'' ':,; ': ? ' s ? : ' • • i f ' • .'•'" •• • ' • ' , ."•'

• • ' V ' v . ^ . *• • - "' " ' ' • t'• ' v " ' • ; '

• I", " ' ;."" "' '." ' . ' : ' : • y , \ •

: '•' . ' ; - ' ' •••• ' • • . . • » ^ - - 1 , ' ' • '

• " . • ' • • • • • ; : * " ' '• ' - • • : • . • ' •

> /; • • • • • • . . . . • . , • , . % . . v >

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

t ^ - / : t ' ^ ¥ v ^ r & k , ••••. • ; ; : ' i•••'••'• '.•• • . • ' • • : ' " - " : * , Vif i : • C4 - ' . ' ' ^ S T A T F - 0 F MONTANA ) ' •• j

; ' • : • • ; > . • •:;••• ' '• * T ' . ' " :<• . > ' : , _ • * . . ' • - . ' -. Courty of'Lake f K

Couniy Clerk and ' l^d i?"- /

•• Deputy ^ i :

: • ' * » * -

' ' S S S ^ i i S J i S ? ^ - - " 1 " - " - - ' • • • • • • • • • • • • • • • • • - ' • • • . . • • • . » * •

S •

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K / • > S13? .. ^ V a 5 ; * '0 W 2 . |RT^ Approved Slock Form—Sluto Publishing Co., Helena, Monunn—483-. Kjj jp ia -,••

'' IStoNo.- rr-i • Tj^^i^_B4^.:i.^-...lL...... J

! DUPLICATE t ,< Ca^~/^jKC-&#&M~|. ' L 0 O STATE OF MONTANAi.i ADMINISTRATOR OF GROUNDWATEB CODE,t ^ ' Top of around STATE WATER CONSERVATION BOARD .'

I h I vaJ. aftve sea maJQ£&£j Notice of Completion of Groundwatsr, \~ \-r- : '-„# Appropriation by Means of We\Y-• h '$*¥>$**" ' . DEVELOPED AFTER JANUARY 1,-1-962 "'

• •. \— * ^ P ~ V $ * (Under Chapter 237 Montana Session Laws, 1961, as amended) .:

' _ ^~~~~T QmwXMM&SMtoSfa. Ad^sMtMh.l^^m^.^.....M. !

i T~ Date of Notice of appropriation of gronndwater ''

k ; S&'^ D a t e w e U started.4?.~.ol/.~..^L...J3ate comg\ctei.^!.....S..^'.....v^.....

1 — >/ J-!*~J2 '^ypeofwell / y i w C t X w i Equipment usod..X«efl{A««5isr_; ^ e S ^ . ^ ^ * ^ - (Dug, drivfn,Wed or drilled) (Churn drill, rotary or other)| ' , JC Water use: Domestic O Municipal Q Stock • Irrigation •! ~ f\GQf\ Industrial Q Drainago D Other •; * >— Indicate on the diagram the character and thickness of the different strata

I /i\ met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Showi — 1 ^y depth at which water is encountered, thickness and character of water -bear ingi • I a* M strata and height to which the water rises in the well.

_ ' - ^ - Steeof Slieiod ¥na Tc PERFORATIONS

i tS«*^r H«J« »' CMIHB Kind Fran TeI : — - ,_ S, yff Ste (F«*) (Fert)

\ - ^ y • ••- . .. • i

; I / f ^ ' ;— <^>*~*\ . N Static Water Level for non-flowing well

- #«**/*&+. r i i 'i—i _ - ^ i * :

/ l ^ j _ _ _ ! Shut-in Pressure for Plowing "Well~«^—n......_ / ^^*_^» j i Pumping Water Level....^/?.gl— feet :

L /fu^fci w ! ' 1 E at-^4 gal^er m i n u t °-l_ /sY2^-*~<Jf ' ' Discharge in gal. per min. of flowing well :

~ &> ' | j How Tested...y(!£!Me^L~«rr.

~ I '• 1 ! Length of Test ^.yiC-^c— Remarks: (Gravel packing, cementing, pack-

/*/-r *H#W-**-±- T-/«- BJ^- m> typfi of shntoff)

— indicate location of well andplace of use, if possible. Each

— small sqnaro represents 40acres. , _ „

(Continue on reverse side)

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

I , tion).

- \/rc I:IIIIZZZZIZ:ZIIIIZII:IZZZL^BMJI show exact depth of bottom."

sagThis form to be prepared by driller, and three copies to be filed by the owner with the Z"7,'. ,"T. ','County Clerk and Recorder in the county in v. hich the well is located, tissue copy to be Driller s License Number

1 retained by driller. .

Please answer all questions. If not applicable, so state, otherwise the form will be y{ . . . \^^*~^~—^iSSswifeajK^OS!^returned. Driller's Signature.

Page 25: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

• * - , . ,:

- , • • • . • • • ' • • • • ' . . • ' • • - . . v - y < ^ ^ |

. ' . ' • ' ;i :

- ' ' ' ' • • • • • ' ' . . • • . • ' ' • • - M ' ^ ^ H

• : . • ? r : n " . ' ' . . • ' ^ ^ |

ii • ^ H

; ; ^ f : ; l > ? -;.""; .'•': :: ; :! m - | : •_• f > a a « . > ; : ' - % : . , •

;" J ';: ..-, ; ' s - 7 " ; •'•: • ^ " ;•• ;;; ; : " ' Z -r. . .;•.: IBGf lURf i ( t S S B & X f t '•; > | * ' ::• J •

: | i" ' • ' - i > i : '•'- : - " '• ^ ^ " M i l f11-^ - • ' .• ^ " ' i :' ' ' ' •• • " ' ^ - " * . ^ . v > ' " . " - • ' .! V H

I '!'• : •'.'! .-.-.•-; ' ; i . ; ' S o : y < = ; ' " " •••• \K' ":-: -'•' '• "'•' '•--: -^ " ; '"' :-ii I

I i } • [i •' ; c*.-W-.*.'-': > v - ^ ; 3 '• 1 r :-': •••• : : ?'C - ^ ' fl

;• . S»TE OF MOWTANA i • ; I

i ' ' ' Ooutrty of Lake f • * | ^ . fl

: ^ i Filed on t h e i i Z L _ d a ^ o f ^ M ^ | I

: . ' ''•:•''•• ,•:-• . y ••" - • ,'• ••-• • (; F0|Jn.'y Cle;kand R g £ a d e f ~ 7 • •

W •• - -; •••••• "^ ••'" '• ' - '••" • •- : / H t f ,^jP'f ft PC-P.JE2C&/.

r ' " • * _ > • -;,-• , - " . _ ' •- '. . — >., ; r, ,- . - - ' ,.• - • . . . . • • - • • • • t \ y r r '. ••'•• •' - ^ • . v ^ -.

: \ - • •:• • . « » W S ; : • • ; ; . _ ^ ^

I .,,._,,;,,..,,;..,:, . . . . ._ ~'~ "~"~,,,. ".. "v:: :

Page 26: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

F ^File No ow4 T 2 ^ ' R. ^ ^ ' "' - H l J

STATE WATER CONSCRVATION 0 O M O " "• " , ^HH

m E C E l V E r | Conntjr.....i &A3fe. - ...... I flftllu AUG13 1965 liy STATE OP MONTANA ^ H

ADMTNISTRATOE OF GROUNDWATER CODE ' | H•BaaUUPIO ., OFFICE OP STATE ENGINEER v ^ H

Declaration of Vested Groundwater Rights ' ^ |! (Under Chapter 237, Montana Session Laws, 1961) : , ^ H

: . . • , . . • ' • . • • • • ' • • • • • :'••••:•'•'• • • \ - : ' : ; H |

'. . . . 1Rby-l.yiia.H.lRfl;in&-.M»d.Mai>.J&rieIon&.HlgRiM-, of .?.9M«..l. .?ijs£«ffj5i_~ . H H; ., ' ( N a m e of A p p r o p r i a t e ) " ' • " ( A d d r e s s ) ( T o w n ) ,.:'."!.':.'; H Hi C o u n t y o f _ _ _ ~ . X a k a S t a t e o l .Montana : : " i ^ HI have appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows: ( ^ H

i « • • • -| H! ! i i l l 2. The beneficial use on which the claim is based ! ^ ^ H

— j — T — ! ; — I ! — l.Ho.usehoia...aad..garden...iifl9 8..w8.tar..iccc..guaat...oahiii H |

' ! ! ! I ! ! 3. Bate or approximate date of earliest beneficial use; and how eon- ^ ^ H|C—I ; 1 1 1 1 tinuous the use has been ^ H

w I i I I i ! i „ l«May,-1946, Con t inuous -use . ^ Hi l l i ! ! 2'June.,...194.7......SuinmBr..M.aB...QDly* ^ H

] ! ! ! ! ! 4. The amount of groundwater claimed (in miner's inches or gallons ^ ^ 1i ! 1 ! i \— per minute)..l«.8..j8Sll0na.JBSX..minul;ft. • •! ; ! j : i ?»....i..gallon..ij.er..!ninute ^ H

i ' ' i I i I 5. If USed for irrigation, give the acreage and description of the lands ^ HB , s to which water has been applied and name of the owner thereof ^ HI 5 oLeyui. TfeT/1 P*- 1'.irriga.te..gsr.den^...apiiro3:lma.t.ely...ona..halC..jacr.a. jH1 Oj- .SH..itfn&.. Sec.5 T...S6Nli..l.9W ...aeseription..8a[n.e,..owner..8.ame. M• T j - i - i . i l • i.- 2.no.t..uaed..f.or...iEr.lge.tion ! •• Indicate point of appropriation ^ HI and place of use, if possible. HI• Each small square represents 10 6- The means of withdrawing such water from the ground and the • •• acres. location of each well or other means of withdrawal J HI ikf.?l9.?.*r.iS...P!BRP. ^ |I ?• J???A.J!™plL..r.".^."..... ". ~L .'.. ' H• 7. The date of commencement and completion of the construction of the well, wells, or other works for with- • ^ HI drawal of groundwater..ltL..May...l.94.5. ^ |• 5,...3;une..l?47 j •

I 8. The depth of water table._,,.6..£efit ; J H

H 9. So far as it may be available;" the type, size and depth of each well or the general specifications of any other H |• works for the withdrawal o£ groundwatfir*All..s.em9Et...aoas*ru.C.taia» 8.!jca!...at...tOp,...wl.th..lEft. H• ..opneret.curbina. Total., .depth..!?...!.* •

• 2,...8BndDpinti..driyen aDproxtasteij 9 feet, H

I 10. The estimated amount of groundwater withdrawn each year..75&t^(^..g^.]^aB...?.«...1*000..gallons. HJ

I •• 11. The log of formations encountered in the drilling oi! each well if available .nB.t...BT.8jtlsl>l». HJ

ft ::::::::::::::::::::::::::::::::::::::::::::::::::: IH j 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including HH reference to book and page of any county Tecord.....MM/.M6£A.'.. .ffl55l?.?.5..2..S9ll..i.8..800....'...south... H• .....of..nunjbfir..l..wells •

H Signature of Owner.^K^. o£sfc#Jfl&«...//~^9...:££?.• 'yy?<t\i <$--* a>z—l ^ ^ ^ r = .Ht Date-Juis^fciiosaiift^.^/..../.^.^..^,.

H j Three copies to be filed by the OWM with the County Clerk and Eeeorder of the county in which the well is

H j located.

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

H Original to the County Clerk and Reoorder; duplicate to the State Engineer; Triplicate to the Montana BureauHJ nf Minos nnrt Opnlninr. nrrt Oiindrnnliep.te for the Amironriator.

L_

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• • • • • • • ^ • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ^ • • • • • • • • • • • • • • • • • • • • • I B B B B B B B H B B B

'; •, '• ' a f l a

NfeaM»*>^. ,^-«-«««w^ . :- —1 •

ii ^^"fc4- Ijj ^^ = I

^* ^ ^ • • ^ H

• t ?' ' = fl-: ' ' • •• ij, • - _ . - . • • . ' .. • H

t " ' • • • • ' ' • ' . :• • '; H

f \ ' •' :. .••*.. • • • . . •! I

i :; •' •' -, ••<> - .• I

S B ' . re < ••• -: H

•t CTATE OF W°»TANft \ SS. •,: , . i _ ,; •

•••('' '' H

• • K 1 • ' B

• a H : ^

Page 28: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

- - ° ' . ' Approved Stock Form—Stnte Publishing Co , Helena, MonUna—39089 <^_ >>9 - « ^ " „ Hfl

"•'< F i l e N o . .:.. . - • - . ' T , 2 4 H i / ? * * " * •DUPLICATE " County...}!pJS4 • •

STATE OP MONTANA r-pi m p — _ B.••'' '•' " ADMENISTRATOE OF GROTJNDWATER CODE j 'n i j I l l I

OFFICE OF STATE ENGINEER ' b i l l J | j i . S - ing-. U i / H

Declaration of Vested Groundwater Ri$fATE ENGINEER I(Under Chapter 237, Montana Session Laws, 1961) ^ f l

; ••; ; ^ — — — •

ij&**adlj^.&^^ of.....^fe#^v^....l..: ..:.:te£hf.:. I(Name ofjA'ppropriator) (Address) - (Town) \ H J

County of. .jSsfffLt. .State of...... 3%Z>e£T*Zi<l.:. ... . . 1 H Jhave appropriated groundwater according to the Montana laws in effect prior to January 1,1962, as follows: : H J

I i: N * / ' IL I ,-• I ! I 2. The benefiatal use on which the claim is baaeo^Bfcfef.iJJ^feiifef. g[

| '".""•" ~ j ~ \~ |—|—]— ..^4^..jC«^--^%^<^<j»» .^^s^flk^ius*,... , wjI ; ,\ ! ! ! 3 - ;Date or approximate date of earliest beneficial use; a n d i o w con- U

I -—i ; ! j tinuous the use ias been J.J^L3L.Y~ ^^...^tatA^i- H

I * —H—- - 1 1 | E 'zz~izztzzzzziizzzzzzizizzii II i i I ! 4. The amount of groundwater claimed (in miner's inches or gallons ^ S

I 1 j 1 1 per minute) ^ .<2... ^t .....jO^^ yCer«^t : fl• j ! , j | | .._ Z. _.....„.' H

• : I 1 I ' I ! I 5. If used for irrigation, give the acreage and "description of the lands H• g to which, water has been applied and name of the owner thereof SB

I wi^*5& Ki 3 'i±t RJ9 ^tfY:. fr^^^ziz. z I^B . . . . . . . . ' 7^11 . . . . . . OGl%.> |0#.. X jm* " Xv.*.^.. , . -. _ —....———...—.......—.......—..•• . . . . . - . - . . . . . . . . . . . . . . . . . . . . . . . . . . . -—». . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ^ _ |

B Indicate poiiit of appropriation ! H• and p lace of use, if possible. . . - . , . , » t , , t H• Each s m a l l square represents 10 6- The means of withdrawing such, water from the ground a n d the •H acres. location of each wjell oi o the r means of withdrawal : •H ^&t>e£?u^.^.^3i^t ; 9

I 7. The date of commencement and completion of the construction of the well^wells, or other works for with- U• , drawal of groundwater......,, .JJ*<t.....J&uC/. /..%X$ .^s&...../.f..J..'/- - •

H 8. The depth of water table ^A-JU^Ja... I

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

I :'N \ IH 10. The estimated amount of ground.wa.ter witHdrawu each year J:.&.j.~2..Q..fk I

tm 11. The log of formations enaountered in the driHiug of each well if available 4 ||^B . . . f / Sltf -"* * -"** JPT**-* **_j<g JKLifcitrttfL-r. .... I• z... _ „.....:... ., 1

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

H Signature of ^^^^^^^^..{Sr^./^M^^)^ I

• n*.te...JLc**u...../d. J$A3..BM Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is

• J located.

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

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

HL- . , -

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• I \ mt&zt9 '•• ••••• -•- :-:-' - - I

— ^M /(^^r " . • ; "J" •

^^B ' '" '~ -' ' ' I

^ H 5T/4re OF MONTANA) u . I^ ^ H County of Lake, (V /) ' • 9^ ^ H Filed on lhe-..3...dav oufei&f--- ' ' " . ' ' . I

B A-i^^^i^:^. I•H C°Wty~£$ an^ecorder •l^H EL,' (^-(-^^^2^^-=- - • • - • ; , ' • • • • ' •

H | S " 5 " " r " " " ' 5 " f i ^ . •;• •• ; ; • .. \- ' • • • ; : I^ ^ H ' ' '"" :-:-r. '• ' '. • •^ ^ H • lCl,_".' r n • •" • • . ; • ! ' •

^ ^ ^ H •• vZi r . ' ' y ^ • : . • • • . I

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I .v., F J l e N o . . " . . . ' T k<f:....S.::'...J..f . / ' , ' M

I' DUPLICATE , :: tCounty...3?»^?. | HI ' ' STATE .OF, MONTANA! - ! j HI ' , - '* ' ' ADMINISTRATOR'-OF GEOUNDWtokffi'dgfiE Tl V Iff H ^ , H

I - _ g Toro£Grouni ' ? OFFICE OF SffTE|jjjjgjfr ^ « | j ) ' •I " " ^ T (Eiev.'abW sea l e v e l - ^ ^ ) Notice of Gox^lelion|^JE*oUndwaler'v 19ui ; •I j%fr^x~r^*S&z. Appropriai^^H^tr^ ENClNEFR •

I ~ I Driller.v3k&~r* .3^ii!^^ '' •• - -Date of Notice of Appropriation of Groundwater H |

K - Date well started...«&!£.-.<"./ Date Completed.....f.~/#r:..<£?r: ; H

• i • ~ Type of well...-<d?*!*5^»r. Equipment Used.<!ll?<>rrrr.<<^*^ ; •• ;. — (dug, driven, bored or (Churn, drill, rotary or ^M

I drilled) other) H

Water Use: Domestic d< Municipal D Stockjpt Irrigation £] ; M_ Industrial Q Drainage D Other • ' ; •B ; _ . "° S Indicate on the diagram the character and. thickness of the different BJH ; ~£)* //£****&/****"• s4t—****•£ strata met with in drilling, such as soil, clay, ishale, gravel, rock or sand, r HH J— jn etc. Show depth at which water is encountered, thickness and character of • •H . m'"*'Jt •o>»'v< 6LMM~~ water-bearing strata and height to which the water rises in the well. HH . — _ ^ Size Size and From To • ; ^ HH X * 7 ' <?"/£»**f »' Weight of (Feet) (Feet) PERFORATIONS 1• J DrUlea JJaslns Kind From To i H

• ^ "i1^ &%•*$ ^ / 4 * ~ \ SIOT (Fellt) (reet) HI ; _ ^ ^ ^iJfi-rJ / • i •

I z& ***~±y:, ; IHB _ _ N .Static WaterjEevel for non-flowing Well .?*../...... .feet. : H

I ~tJJ L l l _ — ] Shut-in Pressure for Flowing Well _ •

H | ' ~~jjfMjLm'&~\ Pumping Water Level "/&.. -feet sA...jZ..&. gal. per minute. U^|B ^ ^J? ^ I .— . — --^ : Wt

^ H &&* __L Discharge in gal, per min. of flowing well ; •

H !#** _Lj _1 i J_J How Tested .-<^*r-«^r!^ Length of Test.^«?...l^*Srr»..:.. j I

HC "~ ^^j i — — - Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- \ IJ H — I I tion of place of use of ground-water if not at well, and any ; |flH ^ I I f I I o t h e r s i m i l a r pertinent information, including number of ; HH I t — I s acres irrigated, if used for irrigation) ; HB " _ 4i*»l_$«?jBecJj:...T..!&6H../.2 J lH H Indicate location of well and HB j | ~ place of use, if possible. Each HHfl — small square represents 10 acres. IIH ~/4$ s&r**~<jt*~-dl£Vall«r- IHI " 1 Show exact depth of bottom. / g> \& W5 1 S^-f/tC Drilier's License Number 1

• ^^^^^MJm... \ I• H Driller's Signature I

•J. ' ^ 5• • ' This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Re- \ I

SB corder in the county in which the well is located. i I

BJ Please answer all questions. If not applicable, so state, otherwise the form will be returned. ' 1

BJ Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines \ IH | and Quadruplicate.for the Appropriator. ., a <, -5 i 1

H i v . ^5 3 3.. ,; I

B. L I

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1 •'••• iisiP*

I : [J& £Sq, ] | / ; ; . / • • • . , " f i l l

•H ! County ofLiakt, i ;. >| v:^-»r? ' - -: ' ^ •: ."• '" '-' : " ', " '•' -i ;': " ' •

B : / % d « , * 0 k $ j & j » £ ^ a . . J , : .^ . v-^ •:: ;• M '•• ^ !; :?; " •

^ B • . . . : . £ ^ * ? E k j p f N i c K ~ A . . C . J - .-..; : - >; ••:•;•: .:- .;-- - •• »•• • •

tm ' a,,. •-•/f". kjL&ttt&~-^. '••: • • . . ; • . . -•.,:; •• " u . ' •

• p;e-^ : : ::*; :;D . :; •* ^. ' { .!.& : i• • y i - ; ' •: J : \' • • ' 1

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B ^ r rMrM m |

p " - • " • . - . - - • • • . . - - • • • • . • . • . » ^ B « V B M M t a K = * M M B H M ^ _ ^BBBBBBJ

; Y~\ ^ • ^ H' G W 2 Approved Stock Form—State Publbhlng Co.. Helena, Montana—41933 , 4 § ^ > 3 ' Bflfll

File No T J L J ^ Z . J L - Z ' C ? ..JJ. , ^ H

DOTUCATE County fifcSKLtS-. ' B ^ |I STATE OF MONTANA | D ) [P (^ Ih f( M E f rp ^ HI ADMINISTRATOR OF QBOUNBWATffiNCDSic U ^ 11 I i fl^flI . T m . , r m m , OFFICE OF STATE ENGINEHBLI nn r > . , 'IJJ BBBJ

I /frf Top of Ground • "" APR 1 3 ^ - H / • •

I ~^\ f(Eiev. atove sea level ) Notice of Completion of GKoundhvater fl|I ~ ^ Appropriation by Mean** of WefiN GIN EEfr Hft . - /fy^ (Under Chapter 237, Montana Session Laws, 1961) ' flflfl• I L-fvy / , In-r- t~£> A"/ r— JO O», ]Jr s^HB . • -/• . / Q>yn&vJ\&£LJh]JZ/&UJg^te<M^ • ^M

I ^//r Driller/.p^fc^./Zfelfli^EdA.daress.J^^ jH

I - X Date of Notice of Appropriation of Qrovmdwater. '<}. H H

• -Lti Date well started %Z.£.-.&.</.. Date Oompleted...^'.r.2.Z&AL.. '•;} ^ |

W ?r j "* Type of vt&J&~d&L<Lj(.. Equipment Xls*tf£&&*~*j£zX*6&l = f HH a*>fJ (due, driven, bored or (Chum, drill, rotary or :: H D• r drilled) other) : j ^ l^ | "3 * Water Use: Domestic $£ Municipal • Other • Irrigation • ; ^ |H ?£> Industrial • Drainage • Stock • : j^B

H ^ ^^S Indicate on the diagram the character and thickness of the different r ^M^ft | ~ v5 strata met with in drilling, such as soil, clay, shale, gravel, rook or sand, etc. , ^ |^ H — ) I Show depth at which vrater is encountered, thickness and character of water- '. ^ Hgj - I bearing strata and height to which water rises in the-well. •'•' ^ B

fll —T-s 81i« oi sin mil Ptom To _____„ ._„ , " H

• • ~Ci HoI<> -. ^C°sl"» -T s Kin* Frr.o To ; Wk

• _ ^ <- v. C%'acts" -h< ^^ SIM **• __•** •

• ^ ^~" 7 Static Water Level for non-flovring Well «L..*-?. •.._•.•„ feet. I

• B "V** • ' '• .!..—i—-J Shut-in Pressure for Plowing Well , :,...i....vr... .'...... • •

HB —i—I i— !—|—! Pumping Water Level j3^..fc feet at 0L.-&.. gal. per minute. ; I

I|BJ| I' I ; ; ! j Discharge in gal. per min. of flowing well ' I

B I H - • : i • '. i How TesteijiJ^et-rffe^oC1. Length of Test.^...^S3rsnrs?=!sr... ,

BjlBJ • : : ; ; i Kemarks: (Gravel packing, cementing, packers, type of shutoff, loca- •Bj lBJ — '• • ';""* • i '; tion of place of use of groundwater if n:rt at we'i, and a n yfljjBJ '. • '• • ; '; other similar pertinent information, including number of :

HJBj — ' '• '' • ' acres irrigated, if used for irrigation) ,

II • — vetkgy1^ii'fsec..£.. T.3^ B/ .^ .llfljlBj _ Indicate location of well and| H H place of use, if possible. EachllflH — I small square represents 10 acres.

I i n stX 7^Tz<^~<<^k.&r , • •• iI BIB | _ ^ J Show exact depth or bottom. / / 9 ^ 5IIIII Driller'8 License: Number

MlHiH . , Driller's Signature ;

H III This form to ha prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorderfll I IB in the county in which the well is located.

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

• • I l l Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of i ,II 111 Mines and Geology und Quadruplicate for the Appropriator. { t .

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^H '. ' ' • x • • ' . ' • fl• STATE OF MONTANA ) ss .. V^V •• County of Lake S /TL'U •'•" IB i F , ,edonthe_2_<layof_%^ // I

H i A D l?JlP ^iS-tl^ o'dnrkil—M • |

H j qounty'CJSfkaiW'ecorder • > . 1

H | e ? - 1 - ^ " • - : " 1

^ B / •'•• " " " " " ' • •

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•~T~: n• G Approved Slo* Form-Stale PubUshlnn Co, Helen". Mont«i«—42234 < * M > 3 } i

I .File No T.26...I«..".Jl....l923iiUI.1;.

• - ••• DOTUCATE County.....'.?*"*— I II STATE OF MONTANA ' " jI ... ADMINISTRATOR OP GfcOTODWATER CODE [r) !j° J ^ P j ^ fTT|K ' < '" OFFICE OP STATE ENOINEEE n< ^ 11]I ' " " ' ^ " I AM ft 1QM —I Declaration of Vested Oroundwater Rightsm b J0%

• (Under Chapter 237, Montana Session Laws, 1961) 3"f/\"f£ ENGINEER

I , ! >UlllaA JULbrec&t , oi **&«*:3_• (Name of Appropriator) (Address) (Town) ' • • !

I County of * » * • . State of *&&** _ |• ; have appropriated grovindwater according to the Montana laws in effect prior to January 1, 1962, as follows: :

I i •• N • ; •"'••-'•':•.:•'" • • • ' ' j:

K 1 i i I [ i I \ I 2. The beneficial use on which the claim is based...*8.~?S.?5.:.*?.§.W —-:. •: —•': —. -i. --J- - i - Hon«au»ia Tit*,

I i l l !' i | :m ! i 1 "'! I | 3. Date or approximate date of earlieaVheneficial use: and how continu-

I ...Jf..4._] I . . . .U- ou* t^Chas been..^e«.«l...«?....i?..3?..**»**H \V 1 • • i ! 1 E• • , | . , , | ^ , j ^ amount of groundwater claimed (in miner's inches or gallons

• ....: ! : :„__'; j.... pWBiii«ite).Jte8l^-.iS^^-JMEJiBife!»

I I : j i ! j i I 5. If used for irrigation, give the acreage and description of the landsB s to which water has been applied Jind jiame oi t h e . owner thereof

• U «er« situated In th« west n«ajf »? the West• .J«t.A-S*JS:...T..w.aja flt^i-SwMon-^fwMB^H;^-^^^^• Indicate point of appropriation L*9*%;5l**W*3"«0""'<N»*»^agttWByB and place of use, if possible. Each . . . . , , 3 J , ,B small square represents 10 acres. 6. The means of withdrawing such water from the ground and the loca-

B 7. The date of commencement and coinplBtipn of.Ae-.construction pi Xhe. 'weBujgBlls, or other •works for with-

IjfH 8. The depth oi water table 1?...?*5* |

fl S. So far as it may bft available, the type, 9ij» and de|rth gSeach well (»J;lie.geMral specifications fiLaoy other

10. The estimated amount of ground-water withdrawn each year....?...*?...?...?^?:^.??...!?.^.?*-? ]

11. The log of formations encountered in the drilling of each weE if available ?.???...*Y.?-*~?~r:?

,

12. Siich other information of a similar nature as may ba Jffl^ in carrying out tho policy of this act, includingreference to book and page of any county record.

Signature of O W ^ ^ ^ ^ * s - . . . f ^ ^ ^ S S £ ^ ^ ^

Date..uJL,.--....~?/: £%J£&Three copies to be filed by the owner with the County Clerk and Becorder of tho county in which the well is located.

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

Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau ofMines and Geology, and Quadruplicate for the Appropriator. di 31,

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= / f ? f ? * •'•• , - , : •:

l^ihf?' -••..• : : -, t 3 - t f •• - A ': t ' 1 ' . - ! . 1 " " ' '•/: • ' ; . " " ' • ; : ' ! . - : ' - " ' • • • •

! • - ' ' ' •'•/jV*'1'

• • ' ' • " , " • " * ; ' • ' • •

: • • -j;''x '

'. , •. . . . . . . • ' " ; !

' . . ' • • . • • ' • . • • ' ' ' . ' . . f i . * i \ ' . ; •

• • / ' ' • ' ' ' ' ; • • • : ' : -'••• ' : ' ^ y $ / v ^ ' • • '

: • " ' " - . . ; . . ' • . • > - ; i : : . - r ; - 1 " ^ '

' ' ' ' ' • " • ' " ' • - • * ? , - • . • ' ; - • ' " ' " ' • . • • * ' ' • ' ! • - • ' . ,

STATE OF MONTAMAi : •• .//'hi ' -:l/. -; •". Counts <j£i-(ifee. Jn. . •' , -.'. '..-": :>yi Filed onlhe-PJ~dav df.&K^^. •'• . :' ' v • - f "

L :.

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I i - . w{/19<J >,«!• ;. ; j j ^ - j - "HECETVED" *•*&«'< 1 ~ .H | i •': STATE OF MONTANA DRILLER'S LOO• ; ' ADMINISTRATOR Of GROUNDWATER CODE NOV 2 2 1971 indicate the character, color, thick-H , • MONTANA WATER RESOURCES BOARD ness of strata such as soil, clay, sand,

^ B I NOTICE OF COMPLETION OF GROUNDWATER 9™?"'' 8ha1^: s a n d f "<;< etc showI^IS ' I M I M I I I . I I W I « I nw n p . i , , A _ «•»••• depth at which water is found andH i APPROPRIATION BY MEANS OF WELL height to which water rises In well. ',^ ^ H Developed after January 1, 1962

^ ^ B I • (Under Chipter 237 Montana Sewion Uv/t, 1961, a t amended) Top of Ground <Eiev. above >« leve l ) -Sf iULl j

! • • ; This form to be prepared by driller, and three copies to be filed From TO^^ • H b y the ownar w ' r h t h e C o u n t y Clerk and Recorder i n t h e county in v_ v"" ••_ -, ...' j / , ..'JOT"W^M !, which the well is located, last_copy to be retained by driller. _O /£ £*/nM4r.£ZA/ £*f^~ytM*?\ '•j ^ ^ H ' Please answer all questions; If not applicable, so state, otherwise the _ ^ _ ' ' rf "• * * '^Mt \ . form may be returned; - •- .*< / _ * • - • • ' ;

Bj I Owner _*«.».»fcx../....i.V!r^..SS./. For AdminisVator's Use , . [ "~~Z~ "~. "

H I Md<e*0l$.mrA.JMm£t..F,\eJa./y.M6. .A,*?.* Y-1- %& l£b^£**2±--- .;

• : Date well started Z0=U2sU.<*H ' — -&^~-<&^J&*3*I<&*>.

I T^ofwe" **^**-is&s£tt# -• ™ -^-g-^r^-^-H Equipment used e^ .« ^ ^ . ^ . ^ . . . . . . . , j^ y^ -^^^t^^L ^

^H Water Use: Domest ic"«^ Municipal D Stock • Irrigation D • • " "•/fo2FJu^r~"- " 1

^ H : Industrial • Drainage D Other Q* Garden/Lawn Jfl • . ; — " — ~ — !

• H *Describe •—,

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

^ B H and Addition) i — ;

^ H ; ESTIMATED ANNUAL WITHDRAWAL j

H ~ M ^ S ? $% (fo PERFORATIONS ZIZZIZ . ' I^ ^ B °» ° £" Q f SO Kl"<> From To I . .' I

•M p.^TP/fVt- !mm WML} spur"-**—

•Hj N ~ ~ ~^__ j^ H I \ j i I Static water level ^f<jt. ft.* 12 Z 'BjH I j Pumping water level ...p..&. ft.* ; ; .H^B \ \w at ..yjStT.. gallons per minute.H ^ V ! | measurecj^td-minutes after pumping 'j ^H I j began.^ H | w i j "Measured from ground level. I j• • I Well developed by StluZt&hiyZ:.... T "1 ~ •H i ir^&- for < hours. ,• • I j Power jC£u& . . . Pump. OSL..... HP^ H B | I Remarks: (Gravel packing, cementing,| ^ H : ' packers, type of shutoff)^ ^ | n A/jET ' < ? ^ f/ •"•—— — — - •—•—^— ——•———————

• • U.S.Vi .v^Gy* Secfp .y<yi^anin^^>^r:.^ H T....S.B..... N R...l$. ©

^ H INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. ' ;

• • : EACH SMALL SQUARE REPRESENTS 40 ACRES. /\

HH Driller's Signature .^s£u£4rf4&!>«rri£../&j!^^ : i

H | Driller's Address ...<£~?C£d5^^ J j " ^ — .

Hj ; L,cENSE Ho/£s3. ' Sh0W 6XaCt d6pth ° f b ° " O r n i

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' • . ' v " ^ * ' - • " • . . • • • . • ' • " • • • /: • ' • • ' • . • . w •

:.

: .• ^ ^ ^ ^ ^ K

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I .' File No . T. ,Q-.-S:f......B. \l\ ' H B

County fBrv-ss ( • ^ H

STATE OP MOHTANA I f 4 ^ E E B | f IF [fT) *, WtI ADMINISTEATOR OP GROONDWATEE CODE U (j ' ^l\\\ 1 I^Ht OFFICE OP STATE ENGINEER JAM 6 |£l^j J=U [HBi • o "' '' ^ H B

I Notice of Completion of GroundwaterAppropnlitio^QjJ\i££P j ^BI Without Well 1 •I (Under Chapter 237 Montana Session Laws, 1961) ^ I ^ ^ B

I Date of ApproBfiation of Groundwater y ._ \ EH

I OvvQ0^^ .. .:.(fe«r .... K&dvess..?fcfe.A...&tt*ffi^#^., • •j Contractor (if auy) ,> ^ ^ B

I Address of Contractor i I^^B>

I ; D&te Started Date Completed t^M

I ' : • HH• . N Describe means of obtaining groundwatev without a well "as by I ^ ^ B• I 1 1 j 1 j ; ; 1 sub-irrigation and other nataral nyoccsses". Include degth to j- II^H

I .—!.....!+.if. L—| -[ wa/er when applicabl«. . .^^. . . . .^ .^^.^^. . .^^. . . .?5^*^ % .^ 1 ^ 1I -—i—i-—-1 i~~ '•—-1— <dUm&f*£.,JlJ^ -**- I SlBB8 —- -\—-i-—I ';-—':—i— ffi..3-^.(fcwtf^ %$ i 5 H

I .....L..LJ i—L-X— Wt^-d****^^ HB .. | ', ] j I ! Quantity o£ water developed and used with explanation of method •: B l• """', ! "" ! i i '; used to measure or estimate such amount. If use is intermittent ' a jg

H ! I _ ffj~ J L 8 estimate approximate lengths of periods of use..../j5???££!%.£^T....P \ loH

I KJ" « »*'^'^^?>^x,ZL....^ 1B ' Indicate poin> o£ appropriation / _ -j-~ '- / ' -fi/ } ^Haf) BfflB

K and place o£ use, if possible. \ (LfajJ /riA.~. .&??^kZ7 ^^^fi~^/-%^7tK}^*y "/..^CA^/^^ HHH

I ^i^*!!**^^ . In1 jtedL*. 4**dLM& • •S Signature of O\\^x...Z.U^U^^}C..Kc^^K... ^ . BB

I DateXW^-^-^.3 : HB^B This form to be prepared by contractor (if any), otherwise by the owner. I H H

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

•J works are located. • • H

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

^H Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana ^ 1 1H J Bureau of Mines and Geology and Quadruplicate £or the Appropriator. V M B

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I S3J^U ..-.••.:•..:•••••:::. • ' ' :' ™..| • • ; ? ' ? S K ' S S ^ ' j '

• • , A.D.I9^..aL?l?.Lo'aock.-Z:-M• H j BAZEL-KmWC*B l | Coun<v Q?Tk/®>° Recorder• • „ g (Z&U£?T^P^H I I m ~"a D < ^ ; • • • • • •

Page 40: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

I ' ' :,G%^' J Approved Stock Form—Slate Publishing Co., Helena, Mrntann—42345 < ^ g > 3 j 4 H J

| I * File N o r . « . 0 g r l - i l _ ^ ' J T.A.k..™L.K..../l.W. CLPM \ I

; "' ' i QUADRUPLICATE ?, ' „ ! ' County. L.A.K.L J| H

j .„,-'•« ^''M^'V " STATE OF MONTANA ' Hi \ iOW r l ^-rr r"' ADMINISTRATOR OF GROUNDWATER CODE > •I fc'""'"•' OFFICE OF STATE ENGINEER ' B

| ' ' 1Notice of Completion of Groundwater Appropriation , •

Without Well ; •• I Developed After January 1, 1962 • H

B ! (Under Chapter 237 Montana Session Laws, 1961) > Bfl

I ' IB ; Date of Appropriation of Groundwater ?.. i™*...!™,.2!.3.....™ _ , B JI FALPtf-M-WHI TNEV toS'?-LAtCE.-bR • BJ• 5- om^iZdfJs^f-M \ • mB* ' Contractor (if any) ;..:.... ; BJ

B ;; Addres3 of Contractor.™.,,.. '.... ...:: • H

• , Date Started .&T.JM..~..%*er. Date;Conipleted.....i:.. .". \ •

H ; », 1) Describe moans of obtaining groundwater (as by sub-irrigation, [ BJ

I i I i Wd K^ i i I developed spring, drains,' )JSUZJUdbl£ .LdBMEf" " I

I. ; i|;|;i;: i:pz nj^juc &&& m ^ . : : II i . ri'f 17Wi" • ^! • I• J i '~~Lri '• "•"(";"' i " 2) Means of withdrawing water (gi-avity, pump, canal, etc.) j B j

• •; -j-^-i \S I"" ...Q...RA±Tyr. S.1.B1M.Q, i£m£ \ 1H : —: . .V)—•——. ' ; . ?=U—i— ; I• ; i ^, • c 1 \ \\ ; 3) Depth of water table ; •BH S. ', 4) Use of the water . . ' Bj• i % Sce.i 1VM.R./.?.U/ i BJ• | • ; fl•G : Indicate point of appropriation : «•t • and place of use, if possible. g ) A m o t m t o f g r o v m d w a t e r claimed (in miner's inches, or gallons j «

I i pcrrninute)/fi..^/^./?Xri^C^£5«.i^...^/^ \ I

BM DoCi fff- fY^f'^'QJ £•&"$'•*••£ G) If used for irrigation, give number of acres and description of \ BH Filed for record * , j *„ c>/-" <• , / / u , -r-»/ ^rvV ' ID ' ihis_/2l2_aay. ofU§MJi£lL. iand_..ifo.£?. d.C.MM.S Wrt..L.T..M.£-./..S i I• 'A.P.19_^-tat?/3y IBJ a'clocK. 7.M. ; •

BftV 7) Estimate amount of water \ised each year ' I

• ; Signature of O O T e r . ^ ^ 6 a . . ^ . ^ ^ ^ ^ ^ CktoA.jo*' ; 1

B J • Date...™!..."../..*. ™..-~>. I

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

B J Three copies of this notice are to be filed with the County Clerk and Recorder of the county in. which theB t works arc located.

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

I sJ/sa \

B ^ _.- 'I

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/? ^

L - ' ' ^ R j i - • • . - - . . . • ; • ^ _ _ _ • • • • • • • • : . - • ) •

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lllife-•••:•• • ! : - ' s : t ^ ; - f | v : •. • : ;;:":ii|• W ? $ ' t i 0 \ S : : ' ' : - . S ^ ' ' ' ' ' • . . • • - • • • • • . ' • - . • • • • • • • . ' . •• • / • . • : , , : ' . ; ? : ; ? v ; J v ' : : - i i H

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L_ __ - -— |! B-0369 J II

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i S : ^ : f . •:"' t ••'{'. % ;| SMJH M. * J1UCB M. WEBOOf E, i; -.- .< ;• 0

i - B V r ' H ' •• :i ; :: «4 : ;•• I ;; -^ ! II •;;?/••• •• -[ I - , ' , -• ; : -| • • • « a t » i p a c ; ;. -. . £ ;•• ; .-. :; . . « 1

I ? '^:- ' .•;!•:••••.•!"'• ?• > • •;' : - ••'.•• S T A T E O T M O N T A N A I;: • • •••:' , : : . - S -.- '-•• v ' : 3 9

• ' : • • • ; : • • • i . i - ^ ' ' " i " ••;• : ' ;; counsy t j r ^ a k s - f s s . •;'; ' i -:.. i ;;' ^ i 3 ;S v • -i . I

t ^:-': ' ' . I . - ?; i ." ^ '• ~- • V 'Flietl on thol_LlL_(lay,oriisii5jrL_ i '.: : •? ^ • Tl' 5 'i* : •

I . \ ''''}-•'.' -H' : . r ''• '> :; •' •• S A. D. 1 3 l L > L a L 3 l l 4 o ' = l o c t ! j ( r M '"' • " • '••<'• '^ - " ' ^ ^ •"••' '•'" ^ II !V.;:. '::' ;•' ':: ,• • ;. ' v ' • -; fETHEU M._HARDING ; 1 ;";. ; ;' i •: -fi £ , •-••' 3 :•;; ' l;| IK ' : ; -C/ i •'• '': ',,' :.; ". : " • '••' ,<V County Cterkliri^iUcor;'cr""" • 0 ' " ! ';!, """' •''" I :5 '..••'. v : ;l I

P ^ ' - i 1 " : •' --' ••' > .'.'•!•.:•) - 1 > : ? K' :; *ep"ty- v .; / ' ' : - • •••• ! :': fe'"'.*. I "; ^; s '" ' • S I

I--. ;uts .: ^ ": ' ; } f ' I I •I '.• -'$L f" " '.'.'••: \ • ' HT ' • r"""• I

Page 43: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

. ' • V A n < ) ~* On 3 Approved Slock Form—Suite Publishing Co., Helena, Montana—42345 n ( j g g n 3 I flj

•M ';*' | File No TrriHE* B T&eJUL-JtjJL&L OJL&- ' I

• • ' I <^AI®p|Llfik& County. jL&ftE 1^ 53 i A q. B ' l ' - . • . • , • . . •• • j (\\}C-, *•'• ..^\y?-\. STATE OF MONTANA

: ^ H | { . ' . ' • r?N?a'Ayn,.?!,$DI5nnSTRAT0R OF GROUNDWATF.B CODE j' ' ^ ^ • ' I ^&"^3^^^'-'-y''"'': OFFICE OF STATE ENGINEEB I

^^^B ;: Notice of Completion of Groundwater Appropriation9H I Without Well i; ^ ^ H I Developed After January 1, 1962 <

; ' ^ ^ B i x (Under Chapter 237 Montana Session Laws, 1961)

; B ^ ^ H : Date of Appropriation of Groundwater. a..^Z./.^?...T....Z.P^ iJ^K i RALPH**-WfHTR&v cx/i LjiA-e-frf?...-- :i

^^^^B i Contractor (if any) ;„ 5

I^HH Address of Contractor :;

HH Date Started ..8>..~J.&....'?.*?..... Date Coinp)eied...::V........

a^^B • N 1) Describe means of obtaining groundwater (as by sub-irrigation, •"•

^Hfl ^ " ci ^ ^ > i i i developed spring, drains, ate.) SBKJJL& \

IHI ! •"4'5"T™ -g-|--|-~ _AJUI ..BP...B...E. i ;•

I i Mffifctii - - -jBH '; i i wjf/irv^j^ S9 i" |y j"" : ! \ ! !~~^ 2^ M e a n s ° f withdrawing water (gravity, pump, canal, etc.) • i

{ H ; - H i id-i--;-- £MJ..LX. MA EUJLR _ !• H ! . . . . : . ! « • . . . . ; _ •i-'&Jt:- i—- [^ H l ! i ^ i > | : Ij ; 3) Depth of water table _

MR i ^rs.. ,. , %WJ, S • 4) Use of the wtcv.h&ti.ZS.TJ.C ±JARJ.£A.TJM/

^HR Indicate point of appropriation ;

H ; a n d p l a c c o f e ' H P° s s i b l e - 5) Amount of groundwater claimed (in miner's inches, or gallons '

^ H ; V^r^nte)jA/^J..^.£/xXlMd.&£l-.^£.:./^/M \B ^ ^ R 6) If used for irrigation, give number of acres and description of j

| H por mi Hrffi?0/ SasJffi im&....£a ASJSJL1 W.tf.i..T.M.£.y.>.S,

I fS^,A± - - !• I o'clock__^-M- <\

jv ^ ^ ^ ^ B 7) Estimate amount of water used each year. • i

[ ) • • ; m MJM.^£^.JMAMl..r.ti.ts..M.LK'..... i' fl^B Signature of 0vm(!X^Sj^i)x2^.i.^f^^(A..S^xyL. \

t • • T>ztL&~.J.(e*z2£

" SHi Tl"s form to be prepared by contractor (if any), otherwise by the owner.

HI :JBKM Three copies of this notice are to be filed with the County Clerk and Recorder of the county in which the :( • • • works arc located.IHHB i Please answer all questions. If not applicable, so state, otherwise the form will be returned. j

M_i . . , '

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: '%•••""-..• • _ _ > , . w r f w , , , . ^ - . ^ . . . ^ M - - , . w»,«»!ws>!»S^gf^^; ! ; V i fl

I ®-v ; v : ; • B-3570 • • ' ?• I

5 ; g : ^ - • • • : • . v, : .. • . , : # • if I

; # < ; • • £ . ! " • • : :• • : ^ : ^ ' 7 * : ; ; • : * = ^ - : 1 . 1v ' • • • ! i : ; ' i - : p a .,•' T "•: . :; H n & a s s K B f f ;• •: . , — •••.• ••••• ; • ! l •

K .:>'• : t - * '-v -V ' •' BALPH M. & JkKtCE K. 1ECEHEX .; v " . ;; ' •« •

ft " i ; : . : : ; • h ;• :-: •; : 1 B R r S m S C •;• •-: ;•; "^s . rJ , / , - •

B ' ^ ^ ••• I " '%•• •..•• ;- ; ' - •••'• " ' • ^- ' • v ••'. '•• , ^ » , i » ft '• I IB ; •:"-.:,;•• • • : ; . i . • . •' ••• •• S T A T E O F M O N T A N A > ' ": •- i - ' :*:.' ; V'5 : i •--."•'- % •I I : , ] • . : ,-'. ~ ••• . v • County of l i k e " f s s . .• ; • j : " i£ \ ?_s ~i r- • ' iS fl

P ' • ' : : ' ! • ' •: ..;• ?V "' t ' • • ' • • '• F i I o d o n » e — l - 3 _ d ? . v o f i k i i v r •! ;-.' ! ':' S r C " i 2 s > •:. . M - II

K; -A-- - ; ' : ;;• -':"' ! ''. ' A-o-i9i2ifl-il:A>o''.,'e=k^M- ' ^ 1 ; | S i ; £ ! " 1 H ;; :? II I •;:.:;1 ' --, ' '• •'•• - •• • - • p p g u y u i A B b i N o . y '•'• [ |: ' ^ ..», ^ ; '•* JS ^ •; I 1I ' •••••!••• • ' •• V: •'•" •."".• '/> County C l e r k a « J Reorder""" •' :.• I 1- \ ~ C !>'• ^ ', ••: • "*• I

• t . U : :.: " ••••• :: :: • , • " P y > r ^ - - > - > •- -'• J J J - 1 I 1 J L _ I r - ' : i : !•'-•• ^ " '• ~': o c •• ; I

l.;.... • - - . : i . I

1 i l f l f ;'" : • : --; : 1 .;• U I

• j f e - ^ - - ' — - * • : • • • • • • ' • • • • • • • - ' • • • • • • • • • • ' " ' • • • • • • • # / . • : , - '

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I { ; i > ' . . ' . . . • ' • ' • • • • • ' • . . ' • • • • • • . . • ' .•': . '• • :• .,. , , . , , , , t , . « / : . w * i ; - * A V * ; S ^ 1 . i ' ' - ^ M

I , 1.. i..-,-ll'V-v-:.;:i.. ,,-• • . . , , . , > ; , - , , ; . , . , , „ , ; . - „ , ; , , r . ^ , ^ , , . - . . . . . , v > » ~ ' y ^ • • ' • ^ " < ' ? 1 ^ M ' ' * ' ^ 1 O T * ™ ^ ' • • . - • • • • . . • ••• .• ^ H^B

! I Department of Natural Resources and Conservation . Owner Ralph Whitney ^ T I flj ' i ^ViT> Resources Division Address fiftjq | akpn nrivp RrpWfon,' WA | .WM

, . •• Engineering Bureau Location V^fiM ^ i j j W ^ c v 4 j •i • T* 1 Groundwater Section Doc. No.J^l j /O, Zubl78 | Kj

I 'j | Sam W. Mitchell Building £ •I ; Helena, Montana 59601 ,« B j

I I • . As the Administrator of the Groundwater Code for the State of Montana, please take \ HI note of the following special instructions, in order to properly protect your ground- j H1 water right. j J H

• I • • Special Instructions: ' ^ B

I i Please provide, as indicated in red on the attached form, the date the spring H j

K development was completed; and the means or method used to develop the spring. 1 Bj

' , : !

• I *y ^ j i i ! i developed spring, drains, etc.) .....SB.K.L?f...Lr. [ H• ! ...w..* fji...^- it,.! ; ] — j H

I !••• .&^__^_..M.A.±~. ~ ^ f EILULE. ! I

H i' w I r-\—: j . ;'. '—i—-.« G&Jk%....A^...$^.e*^ '• m• I.-. : : • S=|%vy r yj " / / — C / " IH !

; iVJa i "" r\~" T"" ^ Means of withdrawing water (gravity) pump, canal, etc.) •'; H

I :"" -i-^.-.; y-i--i- jgJS'A/LL}' .AlA ..RtthB I 1B : : ....i.ifl-.....:- ^y....:.... ' ' ' ' ~ \ •• '< : i = C i i i y ' ) i '>[ i 3) Depth of water table ' H

|B ; . . . ... . ..... .... JH i ; Indicate point of appropriation ; •• !•: and place of use, if possible. 5 ) A m o n n t o f gro^dwator claimed (in miner's inches, or gallons j I

B. !':" ~ " per"«tante)7A^.A^/£iL7j«^^ I

^ • : ' 6) If used for irrigation, give number of acres and description of ! H

I : •• ^t,m.Ji^3M^MsM iand.... <2 A£.E.£S MLLJLJdJ£j&-^ d I

• : ^yw?^ ; favst ! I• : -A.O. 19S%-^^—-' ^! J• • 7) Estimate amomit of water used each year ~ ~k fl

H i Signature of Q\rcim,^^J^^^J^/.^Mf^^(A..Q^^JrsL - J V

^ P j - Date....&..T!!..../.*?._.....C'.t. < H

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

H ; Three copies of this notice arc to be filed with the County Clerk and Recorder of the county in which the ' IH -. ; worlds arc locutcd. \ I

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

I| : , | : \ hf- • . ^ ...._. . ^ m I

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!> — — —

1 , r ;••• - • • • • ' - — ; • - . ^ • • r - ; . - . — - . , •-,- - .<-,.-„- , _ , •

! v " » • ' - T- £/\ •1 i -<V 3 Approved Stock Form—Siule Publishing Co., Helena, Montana—<2345 =*gs**>- / , ' ^ |

I f ' • • • * 1 •* J ; File No f.~? tT> 1.&kM~.JRJ7-W.:. MjSjtf. "', •

' > ' _ '-a <"' V '••' tJ* ""' ' ' ! •} QUADROTLIOATE ' ^ County. LAL6., j •

f s . M ^ " ^ ,..•-•'.. STATE OF MONTANA , | •.r-.-.C.'.' ADiyx.'HSTEATOE OF GROUNDWATER CODE . | I

x:;p0^Xv-^ ' ' OFFICE OF STATE ENGINEER j

: : INotice of Completion of Groundwater Appropriation !

1 Without Well !I' Developed After January 1, 1962 1

' ^ (Under Chapter 237 Montana Session Laws, 1961) . j

t !I Date of Appropriation of Groundwater S.~.i.S_™._i?..^..,...™.

, _ RALPH'S* -VV&ITHS. H &S-/'/ t-rt:jS?£-fc>R

| •• D E C E I V E ® - 0^vMlA£.rM.r:WMJlMAt^.Mm£:.a.ToU^wAW 1I J A N 5 W 3 Contractor (if any) j

! m^ « p i ^ ^ » A ™ f Address of Contractor; 7 iI "Ji1.SUURCESf»HOCO^"-'W10.« Date Started ..Z.-J&.JA... Date &B&«^._ZZ£*=3£ \

\ ' — — IN 1) Describe moans of obtaining groundwater (as by sub-irrigation, :

• I / / j i

jE ; -! S 7 >j i | developed spring, drains, etc.) ...JS£JLL#..££ \• ; ...%.^ t',...j£ tt,.! • j •.

I ' .4^i-|-.-S--i--L-. -AAf- Bu..m...E. II i, ..^..S-lt. J. 1—I-. ilo^A^^MdZ...^^.^^^.^^ \ I• [••••• i i • s%vy^/.r/-/g-yj r / / r ^ • f -~.\ II I ; T'cij i ; \ "j j 2) Means of withdrawing water (gravity)pump, canal, etc.) -j •

I I'"" •-i-ivi--i y-i--i-" .CiKAiTy.., All E.V./1...B. i1 ; ....:.y?!....;_ .1.^.1—..;.... ' |I j : i "3; ! ^ | j \j '. 3) Depth of water table '\

I j : __x, r / s v / i . / S • 4) Use of the rh&MAI±£...*JjA/..£^.X^/ 1

• i _ "" •" "" T*• ! . Indicate point of appropriation [

• | " i a l l d P l a c e Of me'" P° s s i b l c - 0) Amount of groundwater claimed (in miner's inches, or gallons j

I ! " ~ per i n t o W i . ^ . / / ^ ^ '"*~\

H : 6) If used for irrigation, give number of acres and description of ;

I I ti<i<!.-wj.J&iS0?/-^^.^V^> tand-^iO As./£i£j..............kt:/if.i..r..^/.is..y..!s --';

• ; ^^^^^ • Aw***- _ i• ; A.D. i9^a.-,^tJ5:J« •-)^ ^ j O'cbCi; /_;.• i' , ;

R 7) Estimate amount of water used each year _..:~1

I ; /a MJM.£J&-UM£M£-teFzm&.... j ,H Signature of O\rDs-e^^J^^^/K/.^.LM^^^>^..Q^XkA.. - ;

H : - T>ate.^JS..^2...J.C?. £.;?„ i^R • This form to be prepared b y contractor (if any), otherwise by the owner. • •H . [ Three copies of this notice a r e to be filed with the County Clerk and Recorder of the county i n which the I• works five located. i

I : ~"~ — ;I*: : ' '~f- .... .. ••vmdft L ; . .'"•

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; . > :y

' • • ' • • . . • • • • / K ' • • ' ; : : • • ; • , ' " • _ ^ _ _ ^ ' - - y : ^ '

; O W ^ , •.£* . - " : • ' ^ •.-, "£ ' , 0 | ; ' i Approved Stock Fom-^tate FublUhinj Co, Helena, Montknn- 46805 ° ^ ^ > 3 , ,

•r, f ! - : S ^ - i % - ^ - t ••/.• ..'^.-- r*"M"~:i V&6M.^J&ML! D1JPIJ0ATE,.,•••. .•'•-• . _ n i i ^ u i j f c . ^ ^ u u Cotmty....Ar*!S..£$'«;.

[ • . • • • . ' : ''••'"•'£" C ••tna'&. ' - S S T A T E O F M O N T A N A|- a . rf , ; '"*:• : •,,• • ' • A D M I N I S T E A T O B O F QBOTJNDWATKB C O D E ,

r r ^ Top of awW ?: STATE WATEE CONSERVATION BOABB

^ ft-"^(EiOT/rtowBeaieveL™.-^^) Notice of Completion of Groundwaterm ^ Approprietion by Means of Well

^ ^ > J CA*« DEVELOPED AFTER JANPABY 1, 1962rF ^ y&-***~* T^-**/ (Under Chapter 237 Montana SoBaion Laws, 1961, as amended) ;

{••.•;£• ' < = ^ 7 Owner..^d^X^pfe«- k&tevJ^/ite^&LlZ^.

I I - Drmer..^Ssrf*L^./™«!<64<^-^ddresg...S^>Cfl««^^i _! Date of Notice of appropriation of groundwater

' Date weE started...../^fty..//r...^.<f..?bate completed.. jK&k#H.../...r...4...S>

! _ Type of •weSl...£/ZZfcMadLav Equipment used /GefM/liStZtiL,

t (Dug, driven, bored or drilled) (Churn drill, rotary or other)

Water use: Domestic QJ Municipal Q Stock • Irrigation ^Industrial • Drainage D Other •

• I i/("^ > J^>S indicate on the diagram the character and thickness of th? different strata: 4c^,— ~?4 tf^met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show; .1 — . ~jr" <^y, ///? depth, at which water is encountered, thickness and character of water-bearing! &£ -^^~"**2^ //i?S?j0 / strata and height to which the water rises in the well.i ' SUe of Size and From To raM>«mi>».rrA»i<r '•! - . _ Drilled M-eWt ( F M O <F«t) PERFORATIONS ,I s&£C4 _H«>« oLCMta, — K i n d From To j

i : * ^ n r i— S@O*-C C(/&<s-*~ N . _>• Static Water Level for non-flowing well

L 25T I j I \~TV ^L?...~ieet.j j _ _ . „ . . ' "I!"" Shut-in Pressure for Flowing Well.

: ZtXd \ • "I Pumping Water Level #^L............fcet/Xozy^ w ! i E at— $.. gal. per minute.

^ () \ | Discharge in gal. pe r min. of flowing well

• ~~ y^4*-^T!»^ / Q *^- v ^" ! ! How Tested ^C«£&-<*»^feI " ^ ^ ~ ' ! ' i Length of Test 8 . ^ ^ ^ - ,• > "y'Of /jfz/Z/*' Remarks: (Gravel packing, cementing, pack-

I - \%txeP»&aZ>r^ A?j|4......Sec....^.T...ftJK../«^prs'typeofshutoff)

V — I ^-jjr^- ^,0 Indicate location of Well andI I o^^^/i 'Q&Gt&kf Place °f 'use, if possible. EachI ~~ I ^Z^" £* small square represents 40H _Atm ^® {/ acres.I _ /&Y&-y'*t4 > ^ » 9 ^ ! ^ 9 5 ^ - ••- - .....• j / ~ — (Continue on reverse side)• USE—If used for irrigation, industrial, drainage or other. Explain, state• _ number of acres and location or, other data (i.e.: Lot, Block and Addi-• t ion) . ' • • i

• ySfiSlB Show exact depth of bottom. : „> "• ,

I This form to he prepared by driller, and three copies to be filed by the owner with the •, -3"^"" , '" ; ' "• County Clerk arid Recorder in the county in which the well is located, tissue copy to be Drillers License NumberI retained by driller. ,. > :

I Please answer all questions. If not applicable, BO state, otherwise the form will bo »^-3f&*!&*-^"&-—JQ£~/i^°'Co^&Alf\^.• returned. Driller's Signature.

Page 48: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

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^~~~^ "1I • File No/' - v \) " T T ^ " ^ M T C '.- I * 1I r DUPLICATE [LfT ^ <•. C o u n ty (ljjta£ - - • | I , • 9I STATE OF MONTANA ^_.J' ' o ' < . I •I , ADMINISTRATOR OF GROUNDWAjDBBffiTOjEiH^E i n V II J . T o ] ^ o £ G r o u n d e a t OFFICE OF STATE ENGlNlg^ - $+** ) [) j I

I L •- (E,ev. above sea level ^ ) Notice Of Completion^! GtOlfidWaleV ^ f , 1| i f ' .. Appropriation by Means rfSfflpffiglNJEER, IK , (Under Chapter 237, Montana' Session Laws/1961)"- "*- ^ i - . ! •• — - - .. R\sssepLl 0 ; i ,'; ^ '; j * - -'. •I - I ••- ' Owner » * M * L« Anderson Address ^tKwk^.HosnfcWw. I a • s 1• 1 I" -» ;; . . : •I ' P i Driller Boberl H\«iaon Address H^iittilUe, Jtontena ?, II ' _2f*B ® 3 5 ' , ;. Date of Notice o£ Appropriation of Groundwater 11-7/61 L •

I ~ gravel D a t e w e l 1 started-®&~%5*-39&L~. Date Completed.....H*WR!*r?».8i:196l: fl

• , ~ ^ i ^ y ' TyPe oi weli:...^ii.le4 .....:.... Equipment Used ."JxlJl j MI ! — (dug, driven, bored; or (Churn, drill, rotary or ' •B ! _ drilled) other) . 1I • _ • Water Use: Domestic Qc Municipal Q Stock • Irrigation Q '. •

I Industrial • Drainage Q Other Q '.\ I

"^aIndicate on the diagram the character and thickness of the different' \ IH . ' strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, ' , j fl• i — etc. Show depth at which water is encountered, thickness and character ot'".' j •• : _ water-bearing strata and height to which the water rises in the well. ] IH ; — Size Size and From To . i HB ol Weljm ot (Feet) (Feet) PERFORATIONS •• — DtUlea Casing Kind From To j I• ' l1010 Size (Feet) (Feet) ; •

S ; I 6 5/8 130 iron I I

B _ I N Static Water Level for non-flowing Well ...140. .feet. ; I

H — I _] Shut-in Pressure for Flowing Well none a

R _ Il26« I ' . ' . J IM " "I —j r— Pumping Water Level .63? .feet at 20. gal. per minute. .;, IBj': ^V \ *~ Discharge in gal, per min. of flowing well .rr. I

m ~Ti^f(fc> w 1 E I• - ? r t i?n J '..'.-J-. 1 - —* How Tested.Bsiler Length of Test....l!3Q...flt.» •

I J301?1 ! T " '• • ~ *1 " o —j Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- jB — I I tion of place of use of groundwater if not at well, and any i• T _ I I other similar pertinent information, including number of ;M — s acres irrigated, if used for irrigation) ;

:

a . I . KBfcNE y4 Sec.....iPT...26R..l? !H IWate: Indicate location of well andH n>6&r, jg; .place of use, if possible. EachH |-grav< L t o small square represents 10 acres.

D iw« _ \H I 11 1 \ Show exact depth of bottom. / f) \3H "" Driller's License Number i

H Driller's Signature j

• This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Re-H corder in the county in which the well is located.

• 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 MinesB and Quadruplicate for the Appropriator. 3P~ ® •

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

' .•• ' • ' . • • - • ' • . • S - * ' * . ' - I . ' •

? - ' • • . . • • ' • • ! ; ' •!! . .'j

'• ' • • - ' . . • ' " ' " ' : l

: , : : • . ' I

*'•••• ffl >W ^ < • : • ' . ; - - • ; :•.',• : . :•"'". ^ : . . f e : . i r ; ' : ^ - ^ ' " ' : V ' ' • • " " ", -:- '• • "• -:•• •• ' . :-" .••"'H:"'-C'' :• : - ' ; " ' i ^ : : ' ; : K 1 W ^ i I

\ . (l)M$f^ ' pi

; « ^ r ^ ? : i - ]'•", n S ? ^ . ..•• -IS t.' ^3**!D: { r-r^ m i. •: i j ;

4 ) — — " """" ^ ^ * • •' -: • ": " : ' : ^ ••':•' :- • " ' • $

.' STATE.OFMOT4TANA\ j- • ;; :> j

Page 51: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

G Approved Stock Form—Stale Publishing Co., Helena, Montana—40876 <*^gpl KJ

File No T 2&L&. .&.. : ; IDUPLICATE . •". County.. .'. H

; • ; ; ; • STATE OF MONTANA r ^ ' •, ' ADMINISTRATOR OF GROTJNDWATER CODE I' -'c« tt V J£ B | B

I ! . ; OFFICE OF STATE ENGINEER L L j y ^ g IQW ' -V I

I : ^ Declaration of Vested Groundwater R.gh$Sjnt4_ ti^blNEFR IR • . ' . . , ' , ' • (Under Chapter 237, Montana Session Laws, 1961) •

I ; i S-en.A,.'. PaoQe-gon . ( o t Bi^ife* JMb^am I• i •' " '••'' (Name of Appropriator) .(Address) (Town)1 II : County of Lflfee. ...State of Montana. •I | have appropriated,groundwater according to, the Montana laws in effect prior to January 1, 1962, as follows: ' BJ

•> • ! ! ! ' , ; ! 2. The beneficial use on which the claim is based... . '; H

I —i—I—': i—i—i— ..3?S.?.?.??°i4.j'....??!S iS9-5l!:95 ?£& ki.y?stock ft• | j i i i i 3- Date or approximate date of earliest beneficial use; and how con- U• ! ! 1 j j.—i tinuous the use has been. AprilJ...193i; . ... . I

• | ! I ] ! ! 4. The amount of groundwater claimed (in miner's inches or gallons• — j — i — | : — i — j — per minute) 1 5.Q0...Eal.l.ons..S.§.?...feou?. .. .

H I ' l l ' ' i I 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• • , Lavm and p.ardenI **m^.. SeciO T26. flA. IIZIIIIIIIIIIIIZJIIIIIIIIIIIZZB Indicate point of appropriation r ~ ~H and place of use, if possible.• Each small square represents 10 6- "he means of withdrawing such water from the ground and theH acres. location of each well or other means of withdrawal ... .B KL.e.fitric..BHK!P. "

B 7. '.he date of commencement and completion of the construction of the well, wells, or other varks for with-• : irawal of groundwater AP.Sll*..X93l».

• 8. Tlse depth of water table .1Q....£6..~

• 9. So far as it may be available, the type, size and depth of each well or the general specifications of any otherHj works for the withdrawal of groundwaterH pii.7ga...a.aads!?.irii. i~~l.Z™Z~'I""Z"~ZZ.

I 10. The estimated amount of groundwater withdrawn each year .li*Q.*.Q.y.y...g8A.lons

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

ft ZZZZZ!ZIZ"ZZZZ!Z!J£!xi-l!I""_"!!~""."."Z" Z'Z Z'.

H 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, iacludii.?• reference to book and pagi? of any county record •• np..ti...&Rpli,c.aal..e. |'

ft Signature of Own&v...^}J^^^.^./^^r^^r*>^^,

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

• J located.

Bj 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 Montana BureauBj of Mines and Geology, and Quadruplicate for the Appropriator.Bj 113&2-

L — • • • . _ x

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• " • • ' • ' • ' , ' •• ' ^ B

«b«p»«»™«,^ _ _ „ . _ . . , , , , , . , . ^ ^ ^ ^ . ••••• •

i l l 1-1-fl I d .- j ^ ^ : : ^ - : Ji -^ f^^W: ••::; • /y5: -fjU^ :J ? J T V ' ' . < . < > v ' . , ^ . ." i . ; ;,,•'.* 'X' ' ' • ' . ' ' • . . . - • .

f ! l ^ . l ' ^ i . • • • ' • ' • ' ' V ^ ; : - ' ; ' v ; • -• •; :•; ' ::-

i ^ r ' < = - ' .• ; • • • • ' * . : : ?:; i • •••• ; :•; -.: . . : :

r > : ' % . , . . - : ' }••• ! iTATE 0:: MONTANA I\ ••;f'-.\'""•••,;• • ' ' 3 : ::•'••• County of Lake, .A\

^ - V ' :;-A ; • . { Q I9(?S at^-.llodock.A.-M, . - . 7 ' '•'•: ' •• :... • • ' E4?i*-BIKNIC&-—--

J - • . """Couniy C/erfe/ and RtcorJcr ,

i:i | i;;;:| ; " - •'•-; :: :. ; . w •

j ' . v ' i f i - ' . - - . • • . • ; • • • • • • - • " • •

Page 53: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

1 ' . _ _ _ . . „ . _. . ,_ ., _ ... . . ,t " r * 1

- ^ - • A. j^ECEIVEm ^ 'JC^fit* 1FUeNo / / ^ «'-' ZVti^W Tgb/lji/lia*' &$$'>$ I

D0PlICAIE / STATE a i f l S K f t & i i & b - ^ ; I^ ADMINISTRATOR OF GROUNDWATER CODE !; •

f — 1 Top of Ground OFFICE OF STATE ENGINEER ,, •(Eiev. above sea level ) Notice of Completion ri Groundwaler V •

~~ C& rip Appropriation by Means of Well " •| ______ (Under Chapter 237, Montana Session Laws, 1961) , fl

. ~" ««+ , ' t± Driller tf^t- V 5jW£o~ Address *W $ L ^ * •

' f&eutyk J / / • D a t e of Notlce of Appropriation of Groundwater /t#»i«, /"-*1* •

I I Date well s t a r t ed^ f l ^-^ ' ? - ( ( ' ' l - -Da te Completed ' ^ ' M ^ - ^ - ' ^ ' * - - I

L j "" Type of well ^MJUkJ- Equipment U S e d J § 4 ^ j ! ^ ^ . . . . , 1I | — ' (dug, driven, bored or (Churn, drill, rotary or |j II : drilled) otner) •':;; •I I _ I 7^-** ^T Water Use: Domestic B Municipal D Stock D Irrigation D !; II \ I Industrial Q Drainage • Other Q ' ' .••' 9

I i — _ F"^ - y s®8 Indicate on the diagram the character and thickness of the different . 1 I1 • JjJC/~ 6 J/h t n K iAf strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, :. •I — *=+<H~<U- MdXU / d ££<• etc. Show depth at which water is encountered, thickness and character of •} •I j _ ^ ,, . ' water-bearing strata and height to which the water rises in the well. '; •H / » = ~ i ^n• ' . . . -*. j Size Size and From To * Bft U'<tCfi/LJitaJUju^\, oI W e i« h t of ' <Fl!e'> <F"'» PERFORATIONS •

I : ^ I• _ N Static Water Level for non-flowing Well vL.tl.. feet. '] I

B . , - _ | ; J Shut-in Pressure for Flowing Well ~3:t?Z>~...Mo^t±*l..:.. j 1B j u • i IH 1 Pumping Water Level $..(#• -feet at../.~L gal. per minute. ] IH — | A* • ! IH I Discharge in gal, per min. of flowing well ..'..JT^f!?^'^!?... ' I• — w — 1 1 E - . fi '•• - I J How Tested L^.^±^±>.. Length of Test St.S&^f^.. ;H — | Remarks: (Gravel packing, cementing, packers, type of shutoff, loca- !H — ! tion of place of use of groundwater if not at well, and any jH | other similar pertinent information, including number of !

B s• • — I " acres irrigated, if used for irrigation) j• _ I y4 Sec T R !

H _ I Indicate location of well and IH I ~ I place of use, if possible. EachH — I small square represents 10 acres. " ;

j|[ L _ _ J Show exact depth of bottom. 5£*

Hj Driller's License^Numbar ..

• " %i:M£<(h^^..^:^{^g^. ;H J Driller's Signature ••"' ""'-•-

H | This form to be prepared by driller, and.three copies to be filed by the owner with the County Clerk and Re-Hj corder in the county in which the well is located. . . " ;• j •• • • V ; •'..-. ''

HJ 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 Appropriated - ,

I ; I

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•*' •u'v-v--1-1 '"1 ' ' '*' '• ' ' '• '• • • ' • • ' • " •••• .'••' < ~ ^ ^ f l

s X 'l

r " . , • • . ' • ' - . - > " ' ^ ^ |

I •• •'• • - - - — -,.,.„.,._.. „ —•••'"'-y---'>':v^m::?^y"W'v*?!&

• ! STATE OF;MONTANA) :;- ? I 1 5. P : ! _ :£|£j2.^-j;:l

H • - G>K!nt# Ckrk and Recorder "'' ': "~ i i : ! :

Page 55: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

"AjltUNo. 1ft • Chg. # WaO-03-2W«-02*05-l,60ft , _ /%<• ' flG W ~ / ' ' ' ' Approved Stock Form—State Publi ^Ina Cot, Helenu Montana—41933 j^jjEjj**3 . VMV

i. . '": W* Rt. at Sta. W8»86 - - ' i -1 ' fll

Ii File No .:.; , VAtX*. JJ. « « . . | * T ? . •

DUPLICATE '<•• ; . , •; 'County Latal—.—. nTVJ, _ i B J

STATB'IOF MONTANA QJ|F(0j £ U W IE I T M W

p—j^TopofGrou^ omoB a r y < » r o f f i k NQV 1 R 1qfi4 Uj § J

""" ' (Eiev. above' M*b*dUMU8 «&»> Notice of Completion of GcqunjJwafer ! •

7 ^ c ^ ^ c ^ Appropriation by NtoaffgftHJGINEER •! , ' gswval and boulter*. (Under Chapter 237, Montana Session Laws, 3961) > B J

— ' ':; \ i n

; - .; Ownei»te^«« Hl blMflf 0«W. .Address « • * « » , *»»*>• H

f~ i; DriUei*!®tW» W«h««Jf ««««•• Address W « » | MOBtaSH ._ i •

B i _ — t 38.81 Date of Notice of Appropriation of Groundwater OetObfjP 2 2 t Mtt* H• P*rtl*Uy o««»ot«a A _ i. i« .•••h B• I L- gr#y, fln« gravftl. Date well started5e*<*«C..i*...*?f.f»..X>ate Completed «*«»•» i»9 MB* _ HB ; — •: Type of well I^AiM**..... ...3... Equipment Used (aMm * P l U . ^ •H _ (dag, driven, bored or (Churn, drill, rotary or ^m• • drilled) other) BH : "Water Use: Domestic • Municipal • Other • Irrigation n ^m• ~ Industrial • Drainage • Stock • H

F Highway Soala House Watur Supply : •"^S Indicate on tlie diagram the character and thickness, of the different '•• H

. strata met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. : B. Show depth at which water is encountered, thickness and character of water- • H

H bearing strata and height to which water rises in the well. HB — Sbool Size and From To PERFORATIONS • H• Drilled Wdjhlol O7«D (FMI) PERFORATIONS U• - H°I» Cmln» Rta,, ; „ „ To , •^ | Sin (Feet) (Feet) H• — 6" ID 6" 10 StMl 0 .0 ' U 8 . 7 * •• _ W.88 l b s . Km* •H ! JMH? fOOt - | •• »» f t . »ti«kiq> for Vclgfh Station i •H caMtraotlm f i l l , ab«r« inUtlBg •B ; — gtjatuwl UnjT Bl«v»t|ion 315 .8' : •

I = i «6»,0' , ,„ . - 9B __ Brwy OiAy. g t a t i c y^&iaT L e v e l f o r nOn-flowing WeU .*?.?.•?. feet, t •K : <- I ; 132.0*; j j i 1 !: •

t i ! :.... .!-.--: I Shut-in Pressure for Plowing WelL .TT.T.TTT. ' W

; \Va.iw iMrinaS grkv.:.. ; •-—';-—; '; — . ' . - — j - — ; Pumping Water Level...ii.8.4.a feet at....??...ft gal. per minute. | M

Bt . ^ —- i"ii»8 7*1 • ' ~ '' Discharge in gal. per min. of flowing well !

B j _ : j ~j j i \ ' How Tested.....???!??*. Length of Test ?..*???!?. 1B J ' i : i '• \ Remarks: (Gravel packing, cementing, packers, type of shutoff, loca-^ B — : rXXXXX '• ; J tion of place of use of groundwater if not at well, and anyB j . i ..'>KX3QQL ' i • other similar pertinent information, including number o£ :B » ~ """;,'""ixicxxx " i • ;B l — 3E 1/4 '' !—~ ' aorca irrigated, if used for irrigation) _..B - S?..y4 Bee*?- T_?!* IL**?_ H«fel« pH 8 .8 1B ] _ Indicate location of well and TOwioltKfflBiiln Alkalinity «'.B" ppfiT" •B j place of use, if possible. Each —-5- ?.*??*. I

U small square represents 10 acres. CSffiOj * "" I

Show ezact depth of bottom. *"Sja8*»iL..?.???.?..?!??.** 1Bj , , .Driller's lJ#nse Number

B 57aierTl^ti^3^ :Xl> ' i"" iBn8P 'B . This form to be prepared by driller, and three copias to be filed by the owner with the County ClerE and Recorder

^ B in the count}- in which the well is located.

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

H | Original to the County Clerjt-and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau ofBj Mines and Geology and Quadruplicate for the Appropriates. „ / ^ S"I

Page 56: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

^ K - - ? v ; v ! v : i ' v ^ . - : : ' • • ' • • '•••' . ' • . • M S ^ J - ' • . • • ' . , . , • • , • • ; • ; • • ; • • : ; ? ;

BS'iS'A.'^''. • $ • • • • . • ' • : • / ' ' • :

^ ^ ^ ^ C ' • " - . ' . • • • : • • . - • . - _ ; •• 1 } • • ' . . • • , . • ; • • ' •

B | : o J ' k f c ^ M z ^ " ; [ • • • ' - ' •••• '• -••",

H B \ To :.••'- \

^^^nS^E ' ' ' "• •

^ ^ ^ ^ R ^ s ' • ,p ' '

^ H | STATE OF MONTANA}. _ : r 'V • • '.^ •• ' • j ' . '

^ | H • • Counts of bake, ,\ J " i ; f ^ •I^H ; F//ed on the./&;-.J<i\} uf-JMV^m^1-^ V

HH fiAZKL JiiCOilUk- —| ^ ^ H County C§(v atw Recorder

HH ; " 4 ^ < - • , ; - ' •-•• ;•;• . • • ' • ' ^ ' : • •' •

Page 57: JWBPW• iBfflrlHiir ^fflfflHHBBMI^r^ ^^ imediaserver.dnrc.mt.gov/archive/ground_water/lake/...4! I \ Sec. Name of Appropriator Type of Form File No. I Remarks lOgx • I I _S Aftiar^^^..,^

— K •

f A- • . •- , - ^ I; _ , . . . MONTANA WATER RESOURCES BOARD *)/ A/ )4y) .< H: File >!•..., R E C E I V E D T . . J 3 C & ^ J L Z Z A Z HJ

MQV 0^1969 Omu-X*SL ' 9NUV <i a laoa g j . ^ 0 , M 0 M T A H A •

ASimnSTRATOB 07 GBOTODWATHl OODX •I——I ldp''ofGrauul 0W10B OF 8TATB KWQIHMB •

(Hw. ibon aw nv^l^A....) TsTotice of Completion of Groundwator •I /^#X% yOxvJl Appropriation by Meant of Well •

fi J • J'V (Under Chapter 237, Montana Session Laws, 1961) H

I [•.-•••'•i(Wui#s****- » I• I /? '< Date of Notice of Appropriation of Groundwater t Hj

I ! - 'tivJl" Date wel1 BUTie&A:.i.lfit.-DB.te ComP leted.!^^i§^.. Ih ': ~ y I nn . Type o« w^^S*fe£4*iaL-. Equipment Uirt23kA**3!«!9«fek«! •• - /I 0 . {fjL^^Ji' (dug, driven, bored or (Churn, drill, rotary or ?Xlv fa>' - •• /jA*%*'(r*-/y A drilled) other) .• S

I sf /— /j Water UBe: Domestic 'EL Municipal Q OtherJ& Irrigation • B• 1 **ir'r A • Industrial D Drainage Q Stock Q S

I iQ/if^jS^^^fj'^ "^3 Indicate on the diagram the character and thioknera of the different HI n strata met with in drilling, such as aoil, clay, shale, gravel, rook or sand, etc. H• — J<£Tf^L*f Show depth at which water is encountered, thickness and character of water- H• / •£> / i >^ hearing strata and height to which water rises in the well. H

I - p ^ - ^ a aa a A ~~>^— I

I . : • w ^ ^ ^ Static Water Level for non-flowing "Well X. : feet. • •

H — ;....!....j | j .1 Shut-in Pressure for Flowing Well. »u™ I

m \ i ;, i ': i gqr / / % 1

E .—-I—j—j j j ; — Pumping Water Level *...^. feet at '.. v^gal. per minute. •

.. \3\ i i : i B1 ! ! • : ! ! Discharge in gasper min. of flowing well „,....„.. •

• L W I !• i i i i " How T e . t e ^ * ± ^ . - • -Length of Test ^ M ^ . IH j ! I i i ! Remarks: (Gravel packing, cementing, packers, type of ehutoff, Iocs- IH j _ ! i ! i ! ! tion of place of use of groundwater if not at well, and any •H j I j .! ; | ! other similar pertinent information, including number of •H | _ I _ I ' i ' i ' '• '• '• 1 acres irrigated, if used for irrigation) I•V J |Tr E 1/2 of m y •• MLn |sWiy.fc.Fi/.^12 T...2I&B 19 ; 1H I I Indicate location of well and 4• £ J I place of use, if possible. Each IH i I I small square.represent8 10 acres. I

I U I . 3 dr'&M. •/%»••B L _ ^ J Show exact dtpts of bottom. / C?H j Driller's License Number /I ^ .H Driller's Signature / iH This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and B««orderH in the county in which the well is located.

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

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

• . ... . J

— . _ .