I 1

H | • GROUHDWAT'.'l INDEX " Page _ ^ _ p f ^ , HI

I . -E=—™- I|^H County ^^^Bf^M i Sec. Name of Appropriator Typ« of Fora File No. Remarks ^ ^ H

HI ;_ ZzT'/Z^AJL*^,***J?L^-7r>~+y+~*j' ^i! fry /£Z£JZ :: { H

•^ ^ ^ ^ • n c - Helena Independent Record s te. fffl

flfl File No .168.63 T. .23...* R..2fi.R fl^Ht B•Hjj DUPLICATE County Fergu* M^^Kgg STATE OF MONTANA B» • • ADMINISTRATOR OF GROUNDWATER CODE .— B• • • OFFICE OF STATE ENGINEER O ^ C E I V E [~F\ fl

jf^B [r j I u nfgjj Declaration cf Vested Groundwaler Rights DEC 231963 (— flfi^B (Under Chapter 237, Montana Session Laws. 1961) Q j A ^ r r h -> fl

J^Bl i Bu^ww o l UIMJ Jteiia8«roi?.at of.....Jtemmti. £99*. I*?»&#&wm H^ylflBH (Name of Appropriator) (Address) (Town) ^MM^BM County of lergua State of tfoa&aaft Hg^HB have appropriated groundwater according to thtt Montana laws in effect pn.->r to January 1, 1D62. as fol- ^ H

I'^H[ lows: •ffij|H^^& I • 1 2. The beneficial use on which the clami is based ^ H

MW^m ! ! ; ! '• ' for Uvastcck vates BIJflfl —.__4~.-.._..LH .__i_T__. mH^^^H '• • i :-— - D-te or approximats date of earliest beneficial use; and how con- ^ H^ ^ B » ; ' i '' tinuous the use has been . 1961 to pxaaent ^ ^ j

•M^H i i I ^- The amount if groundwater claimed (in miner's inches or gallons ^ H

l ^ f l ..._v_._.f.—; L.-.l ;...- per miuutr- ....All <15 ..gtl/hx) H

• -Jr— \~\-\ h I^ ^ ^ H •_ -—i ;—i—; 5. If used lor irrigation, give the acreage and description of the ^ Bfl^^H s lands to v'hich water has been applied and name of the owner ^ H

^ ^ H thereof Il/A H

| H | wtiu..m..9ni. sec».... i2an. R%m Ij^^^H Indicate point of appropriation ^ H^HH and place of use, if possible. 6. The ineans ol withdrawing such water from the ground and the | H^ H Each small square represents 10 location of eauh well or other means of withdrawal !H

^ H acres- fiaarjrt.tr flw* to..«*tcli Ixwla Wl

^B^m 7. The date of commencement and completion of the construction of the well, wells, or other works for with- fi|||HS drawal of groundwater ...tt«.Tt«4.j3/22/6a..-...eav.iBt«d..l/ia/61 jE|l

{ M M 8. The depth of water table SurfftCS .4iMba7fift afflmm mJ^B/a 9. So far as it may be available, the type, size and depth of eat:h well or the general specifications of any jgjtj^ H B other works for the withdrawal of groundwater gravity 210W irflBtt. Jur£»C* dltOharga t o XCMftk HI

^ |H 10. The estimated amount of groundwater withdrawn each year 130,000 gala* ^H

U IB^ ^ H V 11- The log of formations encountered in the drilling of each well if available aur£ac« dlaohorga froca ^ H^ H D Judith Bivwc Auaatioa In hawrlly i»*ltad araa Surfac* «Uv»tlon 3180' . H

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

^ ^ H Signature of Owner...Lc^3^-^i^fl./W.../^rfnJ^^-. H jj ^ H Distinct Manager H• H Date Dacaober 12, .1963. H9 •

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

^ ^ ^ H Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau j ^ H^ ^ ^ H of Mines and Geology end Quadruplicate for the Appropriator. , - ^ H

I 16863 1

I Sfett ,:>t Montana, \^ O "" SfI C»VJ: C'f FmfT/Ht]' H

wmmmmmmmnwmnmKmn*nMKHmi\i\ I — — — m

I GROUHOWATER INDEX. '• P a9 e >^_of^l_ fl

I County ^ j t * ^ * s Twp. _J^ Z> R9e- /$~E • I

• County SH Sec. Name of Appropriator Type of Form File No. Remarks H

I - ^ ^,,yy£,y/» <%Q.QtYky. JJ -n-V /7<T3*-- . •

9 P | ! File Nc STATE «>F MONTANA 7...ZZ& R..15E, HWMI ADMINISTRATOR OF GROUNDWATER CODE | Hffing OFFICE OF STATE ENGINEER County Fe rgus ^ H

B Declaration of Vested GroiuidwaJer Eights Jo 2 . ' Hi^K| ('-"'• tor Chapter 237, Montana Session Laws, 1961) [Jjj flflHi J A ; '3 i96f •^Bk^aS a^H• M i Bv**s..Raacfc...Go..,...C/OS. P. Wolfe , of. l'.Q.a<»x 792 S.TAlHIMng.?. Hfl^H (Name of Appropri;itor) (Address) (Townf " - ^ H9 H | County of Yellowstone . . . s^ie of Montana ^Mfl^HB have appropriated groundwater according', to th" Montana laws in effect prior to January 1, !.%2, as fol- ^ H4 h~ • 1

U M B B E J , J. Tiiv beneficial use' on which the c7a:m is based ^^M

IWKSM ' i i I i i L spring for livestock:. Tfftt«i. .usag.c | H

|HE^M| i | ] ' ; T. Dati? oi aptvoximatc c;1'.' oi earlie.-; beneficial use; and how crc - ^ H.,-. ^ ^ H L • \ ! : : L '.muous the use has be-.-u IS90. .And to pSCSft .tt date BE

MB * ~TT~, M i P" S| ^ n ' 'l '; 1 ""!""[ -i. TVt.';T -"lit ..: gro')nd'."^tr:r c.:airneti (in miner'.: Incne? or gallons B^H^ H H L.--1 .] 1.. .! ,yr y,,.. u;..; 25 gallons per mimitft ^ H• ;-H-i i [ k ' " ' " ••••• • • - • - • • " • : • • • • • • • • • • •^ ^ ^ H ! ' : 1 :— J 5. 'l \! •••••! i . i-i-lf'S't.irii, give the acreage and description of the ^ ^ S^ ^ ^ ^ B s •'•'•<•• 'o vhich w;Wr has boen applied and name, oi the owner ^ B l^ ^ B I'l'rc.f mot «4>pi,ica.ble B |

. B H S|SE..% Sec33.. T.22.NR ..15E. H^^^^K Indica'.s point of appropriation ^ ^ S^ ^ ^ | B ii'ii-i place of use, if possible fi. Tiu im ;in-; of withdrawing su.:b water from the ground ana the ^ ^ |• • "Each small squ-ire repreccr.;. 1G L-cation of «.ch weil or other mwns o! withdrawal H

• ' ^ H l l'res" apriag pipec? to tank* re*«t«oir ^ HHH 7. 'f 1 •; date of commenceineit and completion n" the eorr.iruction of the well, wells, or other works for with- ^ HflHn dv>v--ii o-fjmundwatcr aannaenccd yeas l°.9O « used continuoualy s i n c e JJ

I I ^ B «., Tiie depth >f waier table ? f«e t t o .SU.ric.&CS ^ BJ^^SI ") So far a- w may V.e available, the type, cizr and depth of nach veil or the general specifications of any j^Hj

W/Bm 10. The »*5tM.iatcd amount of groundwator withdruw1;! each y«ar 270,00.0. g a l l o n s ^ H

EHI HiH H H i!. The leg of formahfji.-s cncounierod in the drilling of vuch well if tvailable ^^M

H I ' not. ApfrUcAtU* H |

tf>d[ 12,. Such other information of a similar nature as may he u >eful in carry.'n;; oui the policy of this act, including 8 ^ 1M H B refe.-eiice Jo book and page of any county record. OJied f Ot lirefitcck. Watering UtttpofleM. J|9^ ^ H £ince fouradxng o£ Bvers Uanch < ...prior to 1390 jH

• • M Bverti Ranch Co. B lM B H Signature of Ov;ne.-?yi?-«-rf ..^'liii**-* .^.f».. . SB

flHB MlH Date.. December. 19,...1963. • •IH Hj^^H STATJ: OP MONTANA. County of YellOMatOnfi . «: l s ^ H

I H | . Eliima. S» L V C r S having first been duly >worn, dcpouiv aii'i ;iv thiS Yi^C.ol Uwtul *$r and ^ H'"; m/Bu t h k »Ptroprlator &nd rlnlmant of the order and water right mentioned in U.,r lortgoli-.y dwluratlon o» vested groundwaU-r righU k ^ |

^ ^ ^ ^ D Mid the person whose name A * subscribed thereto, as the appwprtaU." and claimant , that. She know 0 the con- ^ ^ |^ ^ ^ M t e n L s o f s a l d '«rce°in8 notice and that the matters and thlngn thtreln stated arc iru'J. ^o - fl^|^ ^ ^ H § | -.fiubscrl.'jcd and swfirn to bfiforn mi', t h U l 9 day or DftCCDlber , 1.9 6.3 —®t-a^>-«-«r^__ -&P . .•&<if-A i^*/ ^ ^ ||HR •<•"' i \*i. ;.TX--U|! ./„ V7-.;.' ^ l v<,.<.y. , NoUry Public for the Gcitte of ^ 9 1S M 9 USonUna. resldlni; a tBi l l ingS» . .MQntana My Cwnmlinion a^H

;' HRfl expires Apr i l . 2 1 , 19 64 ^ H

a I

1 COPY IK Slate of Montana, I WV-/I I •I Countu vf Fergus.]M* H

I «w M.ll.JSfil___/p__ I• at LLSS. o'dock<£..M. II «^^ MAYRATHBUN I• - ^ County Clerk and R%£tkr •

^•H File Mo. 1 4 "'••-*.;.. STATE OF MOIITAXA T. .X2N...JR L 5 £ . Ifl^H ADMINISTRATOR OF GROUXDWATER CODE 1•B OFFICE OF STATIE ENGINEER County FergttS 1

WBsm D e d a r a t i o n of V e s t e d Clrcnndwaler RigfeiJ i ' : , -':-' > IWftwln ( U n d e r C h a n t e r 237 , M o n t a n a S e s s i o n L a w s . 1561) i l l i ' IK g UIJJ.AN3 mi I

BK 1 EverS...l\uHch ..C?».....C/p C. D. Wolf J p. Q_ .Box ...7.92. S..!. A.'f £..£|ftl|$flg§. I^ ^ B H (Na-ne •>! Appropriator) (Address) (Town) ' m^ ^ H County .-.f YttllcWStoni* State of . . . MontfcttS I^H^HJ have appropriated grounohvater 5<-cnrriinc; to the Montana laws in e.'fftct prkr to January 1. 1962, as fol- M

|^HH __—. I 2 Tho beneficial u?2 on which the clai n is based aBD I ; ; I . ; I spring - for l ivestock 'tattsr S9Kjm, i.__ iXSiCXL. •'; Date or approximate date of earliest I tnaiicial us*11, :»'.:'< hovi'enn- jlflHBV1 I ; : ; "linuous the use has b^en •KHH ---—r—r- "~7---i :—• used coatiauowsly since 1B90 •

^ ^ ^ ^ B I " '""' ,"* 4. The amount of croundwater claimed (.'i miner's inches or gallons Ij ^ H B ..',..__.,. ;-.-_ !--.- per rr.inute) . . . .40 g»llpa».Jt« ;*...l!linttt« 1

^^^^H ' ' ' • '- S. II used for irrigation, give the act ;a,;c and description of the fl^ ^ ^ H s Sands to which v/dter lias l>een apph' i and name of the owner •^ ^ O thereof n;>.r..,*pi»U.cabXc M

^ ^ ^ H Indic.no point of appropriation I•I^H and place of use, if possible. •;. The nmans of withdrawing such water from the ground and the I^ ^ m Eai.ii small waare represt-nts 10 -, , ;.,ior. of e a c h , e n o r o t h c r m c a n s ol withdrawal »Rtittg..W»ter I•H| acres << comes, to surface I

^^H| 7. The date of commencement and completion oi (be CO:K;<ruction of the well, wells, \>r other works for with- aHH drawal of groundwater 1890 M

«^H 8. The depth of water tabli 1 foot to ground lCTCl for flowing 1

^HB 9. So far as it may be available, the type, size and depth of each well or the general specifications of sny I^ H | l other works for the withdrawal of p.roundwater fl

•^^B 10. The estin'3tod amount of prmndwater withdrawn oach year flouting SpX'ingS •

^ ^ ^ H 11. The IOR of formations oncouni.crv.-d :n the drilling of each well if aveiiablc %

^ ^ ^ B reference to b.vh and pa .> of any county record...<if*,ttr< boltt IU«O pr ior t o MOOtaaa I^ ^ H b««toniag a St<Kt« by members of Evers ftmily for l ivestock pt*rt>baea,. •

fl^^B Evers Ranch Co. I

^HB Signature of OwncrB;ji^o~~f Jc/^^*-t^- J?t6ft. M

^ H D Date December 19, 1963 I

•J^H STATF. OF MONTANA. County of Ye l lOMStOne . u: i f l •HHJ ElBina S» B V C T S having flnst Jxwn dul>s»-orn,'leposeK and *ayS.that «he/ori»wful sue and •fl^HB the approprUtor «nd clalmiint of the order and water rlsht tncntionetJ In the foregolr^ declaration of ve«t«d groundwater rigliU I•Hfl^ antf the person whose matt i s mbacrlbed thereto, an the appropriator and claimant , that *.he know0..tlv cou- I^ H H B tcnu at r,tiid :<ufgoing no'-.tri' a:id that thp matterf; and thing* therein sUteiJ are try. /7 /") I•H^H SulMcnbciJ andjsworn toUfote me. thU X9 day of DeCftabCX IB 63 ^J&-»r~r~»r~—4_ fj( . **&Lt*-Qsy-*r-'.'. Iflflflj /A /.i V. t 1/ y. /.. /X( < >'. i v c^ / , NoUry Public for the State of •Hi MonUna. re.itdlng »t B i l l i O g f i , . Montftn*. . My Commission •| ^ H | "cp'f« April 21, is 64 •

^ H sun of M.mtana, \ B g ? |

^ H at / ' ' : : o'ctockA-JM. |HS

1 ,gmiI G R O y t n i W l E R j N M i •" Page / o f / •

I County ^Y,.^^^y Tv/p. .,?,;? «ft. Rge. /£Lfe . II tf^ •

|| ~ I ["""" I ' County | I •HI Sec. Nane of Apprcpriator Type of Vorm Vile No. Remarks Q

I _. ----— QI ... 7 tf«£~... Y^-^- wz^^*,^ J/T?+* /ttfr<? I : I •I .. j £ . ^ » ^ ^ ' ^ ^ fa <&ir+/ &&'?—| 1I .„ 3? <9sf,,, ^,.^(1 ^ w /46Jto j •I J SAY-J.. , .>f^^> (i UTTTY /*6Z/ •I ^ £jjL- '-?<*'MJJ }/«.*J&.~*-J£ 1/ ^;yr*-/ \/6#aA ' •

^ B t M l ^ H M l l M t t H ^ ^ H g H K ^ ^ U ^ a U l ^ ^ U a ^ ^ ^ M ^ ^ I I ^ ^ ^ ^ ^ ^ ^ — ^ ^ ^ — i ^ ^ ^ m . . . . . . . y — . . .— • • • - • • - ^ ^ ^ ^ H

I ' — — -iWI, | , , —

I n . ^ 17616 *„ .£• DUPLICATE Ccnnt:yrr/?v7l/J

II STATE OF MONTANA /

H AUMINISTBATOB. OP GBOUHDWATER CODE

S OFFICE OF STATE RNGt*fl£EB i LI ; r ;1 Declaration of Vested Ground water ffclgtita "i ]; B I Under Chap te r 237, Montana Session Laws, 1961 >r* •.••-, II • • > • • ! . . . . . I

• O n n t y o f y ^ / K ^ A i f ^ - - State of f*\*i47»M#• have appropriated grqjttndwaier according to the Montana laws in effect prior io January i, 15)62, as follf..wa:

H ; ; : : • ! 2. The beneficial use on *hich the claim is based ..:%jfijifeft {V/fa/a** «f*

I ...LX.'\ '• ..L.LH : : ; -5^ : ' 3. Date or approximate date of w;rl«sl beneficial UK-; and hoiv <x itiuu-H . . . . ; . . . . ; . . . . ; . - . . : . . . . ; - - . ' . . . . ous th? tisc has been ZirAiji ,>ff^fJ". tfjfA.y..(*.&*&*4> -<*\.u*.... 1

M xv , ; I • i I i F .isjf.jt.y1L.*M.7flv.%.**,jt'' . .. S

• ; _;_ ; : " I : 4. Tl<c amount ofgroondwater oJcimed (in miner's inches me ^tillona II rg,*.- - : - '' :-•-- | X . :- per minute) We*/J 3 yjr/a »^i/*#. S^-ff/.vs^...:."j*.£..*.. I• o .^ •/ i ; : ; : : -AU/u, < I. ./ I

B : • I : 5. If nscd for irrigation, grve '..be ac."eap. and description oi t ;«, lands •K * to which water has been applied and name of the owner 'J tcreof •

1 ... ...4W* I• Jtf. .~S*.y4m>. Sec-X. T.J.£ifILl.tc - .... I• Indicate point of appropriation " Im and place of use, if possible. Ka.*h I• small nquare represent* 10 acres. 6- The means of •trithdrpwinR such water from the ground and th>' loc«^ •• tion of each well or oth.'.r meann of withdrawal J */# j/~4)M£,$u.*&J} B

I Si**.-?* s**ts+*4.*•*•'&*^-*'** f I• 7. The date of commencement and completion of the construction 'oi the weli, wells, or other works for witV •• drawal of Rroundwater Wt N 7r>TJ 3/>.#.Wf.Jk /fyJTK . A?*** / J ^ T T

• 8. Tbe depth of water table...l&.'.* ./< . V*7 SpX'*** &'

• 9. So far a* ii may be available, tbe tjrpc, sya and depth of p*ch well or the Kcneral specifications of any oiiier• wofks tor the withdrawal of groundwater w * / / SfTfr.^.ff.tAy.xf^T'....

I 10. The «wtimatcd amount of irroundwater wi hdrawn each ycar 'T*" ' fl M&.! .)* h ix I

m 11. The IOR of formations cnnounVered in the drilling of each well if available A?cT~M *f j/*./*> fa I

I 12. Such other information of a Kimilnr nature as may he useful in cnrryrijt «ut tJi'! policy of thii act, including II reference to book »nd page of any county record ."'-.U.S. I

I Si(msture of Owner i^^^/^JUJl..] ifU*ry«*0r~~*~r •

Three copiea In be filed by \X\* owner with the Oounly Clerk and Ilorordcr «.f tlir county in which t'/io well is litrntr^l I

Please answer .ill (|Ui-ntions. If nat applirnblc1, RH siriir, otbnrwW the iorm trill be rrturtied. I

Origihal to the County Clerk n7i<i TUvorder: Dujilifnic to the Stntt- Knirinccf Triplicate to the Montana Bureau oi I

1 J

H 17616^^^H Staff ,-f 'f. . . . ; , . „ ,(

^ H ^^<^^. MAY P/\THBTTM

HB c~ '—Helena Independent Pec.'*rr1 ^ * ' * !. 9

• File No.... 1 8 8 7 0 T >? » K IS E . . I

I DUPLICATE rut'y ^fergut II STATE OF MONTANA 1I ADMINISTRATOR OF GRT'UNDVTAIER W.'lf. | j y ?£ £ ' L< '' Y !i.', ^ {IH OFFICE OF STATE KNC. 1 \'KE5. I M ^ ^ _ | l j 1

I Declaration oi Vested GnnnHwgl?? Higltis ,B (Under ChsT.t.er 237. Montana Sfw.-'i Laws. I*>61) S T A T E t ' . ' IGl P« '- t A

J 9 i... Sur^>4...pf ..laiid .\'t»aas?n#!at ot' .. lJrcc»'e".flV.:? S****??*?.1.| B (Name of Approvjriator) A d d r e s s ) (7c3ra>• County of F.JKS.MP ^uv :'" Kfcttfc*tf«H h?.ve appropriated ground wa t r r accoriin-; '!c :..• ; ].'ui.-: •••,••. i,a;v.r- IJI -: fio-ct pr ior '..- Ja rmi ' .y ?., 19fi2, as= fol •H lows:

mu N

B j .: 3. Dai:/f.r aj'.vv i"' ." ;i'.« da.tif: r»t" f.\r!i*.*s;t b+Viftij-vial u.1.-?, ;>nd h«v." •.•on- •^ I i • • t.'Tiur.- is ih-•'.••.:* 1 ;.•.-• b??r, . .i*iO. £o..fir./i«#rJt . . ... I

H " ~ : r 4 Th? i.n.'our.l nt groundwater claimed (in/Tiirit-"/'. irichos or 3;aljoiw I• •„ . , . j p e t . minute) ^\1 . t «*lloB7»lJ<ji^ I

H •• ' . I '• ! 5. If used for irrigation, give the acreage and description of the IH s lar/Js to which water has been applittd and .Jiirrit; of the owner •• thc-ecf H/A SI M...V4.M. Sec.7. T.228R18E IH Indicate point of appropriation IH and place of use, if possible. 6. The means of wiiCifirawing sueii water from the ground and tlie I• JSach email square represents 10 kcalion < ich w-H or other means of withdrawal I• a c r e s - .«ntn.r,p...£lt:u..fiiB..ail»l..Mitsli..lM»iai I

I 7. The date of commencerntnit and somp'.cli -i nl the cor.»,trvii.v.bn of the well, -veils, or other works for with- IH drawal t£ groundwater 1560 •

• « Th« depth ol water table tt-\itttiOA •.tAMthax$k m

• 9, So far as it may be available, the ;ype, sire and depth oi each well or the ge:<icn.l rfpeeifvafior.s of any W• other works for the withdrawal of groundwater CW.fitJ? tl<K.from..*tt£*U#r.dlfcdMlffi;fB. .?* •• . MUch..bi«?tR wltij 290' of i r pie* to..tkeoml.«eUMtiaft.!Klt« .f .m/k..W»\.9t .V? %\w •

—

I 10. The estimated amount of groundwater withdi'tiw'r each 'tar i0Q»0flO. ga 11 asm •

• 11. The log of formations encountered in the diil.in/' (.', each well ff avjilable ..mr&um • rfliriburg*.-teawt |9• JMUH bi «|.T«r f9Vo«U(W • tnrZae« •l**jli i::x^v^wtK«if*.a^ 1S0O.'. - •

I 12. Such other information of a similar nuu-fe as rriay he n eful in crrjiin^ £••>• the policy of thij act, in -iuding •I reierence to book and page of any couwty record •

I Sigrvture of Owncr.-<^T«r<*..i..>»^l...<^/:'. .£*f^C&*x •S Miitrict Muaagcr •I Date PWMBlhK 1 2 , .136,5 •I Three copies to be filed by the owner with the County Clerk ««nd Rucorder of the county in which the well is HI located. H

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

I Origin;il to thr County Clork and Recorder; duplicate to the State Engineer; Triplicate Vo the Montana Bureau ^ |I of Minos nnd Clcolo^y and Quadruplicate for the Appropriator. s % H

'• HHBB

I * ^fefe- H

™ H ^ ^ ^ ^ ^ ™ ™ ™ ™ B ™ B ™ " ™ * * H H H H H W B W B W H H H H

I - —— — —~: 1^ ^ ^ ^ H G w ' Apr'ovcd Sloric I t.-.rm—Matr Publishinc Co.. Helena. Montana -)"?•> « % i « 3 •; U ^ ^ ^ l

I B Pile No 1 7 6 1 7 T J-2. n Jig JMfiYfl ^ *H•HBj DUPLICATE County / <^«-c«—---=— & • •fiwfl STATE OF MONTANA H H lHH ADMINISTBATOB OF GROUNDWATEB CODE F^ > < - , B3]HH OFFICE OF STATE ENGINEER [ j j j ' HH

• H Declaration of Vested Groundwater Rights " ' m& B^•Hj ( U n d e r C h a p t e r 237 , M o n t a n a Session L a w s , 1 9 6 1 ) ^ •- '• 1 t':\Kj wBRwi

H * *£~~%Bi£i&&&r~- •" u«yi) - r aWr*" - HH H H County a? .T-at-^^..^^ _ .State of. . / if .£v^g,t1 , . i i . .<—- •.- HgH8H9 have appropriated grotmiwater according to the Montana laws in effect prior to January 1, 1962, as follows: £^Hl

• i „ n (HjHWB} I | 1 | ] j : i j 2. The beneficial nse on which the claim is based.. jQ^b^^C^^^Z^ fflBflfifl^B :....: i i • ! l^Bl^HHB : : '•'" <'""i ; " ' 3. Data or approximate date of earliesi beneficial use; and how continu- JH^I• ^ ^ H H H ! ! ! ' ' i !^^^^^lMMIW — ; — ; ; —: — ' — ! — ous the use has been. . A I^^H

I D w 1 : i i I I I L_ ,. /r** C^c^^^w. «HH^HH "~\ : ; • ! | 4. The amount of grcimdwater claimed (in minT's inches or gallons ^ B H! | ^ H I ..-;....: .-..; I- — ; 1---- perminute) /& f&Jp JQ-K*. Ji*>. .^g^ •91

jj^B^K ': ' 1 : I 5. If used for irrigation, give the acreage and description of t tc lands H H B^HK^B c to which water has been applied and rame of the owner thereof H H 9« 1U*U« u II• n % sec./^..Taa.E.y/.€ mm^ ^ • H Indicate point of appropriation " jHKIBHH and place of use, if possible. Each , HI•M small square represents 10 acres. 6- The means of withdrawing such -water from the ground and the loca- W HfiSl^m tion of cich well or other menns of mthdrawal flraaEln

•KB ' ' ^ e ^fltc °* conunencement and completion of the construstion of the well, wells, or other works for with- JSHUWMHB&\ drawal of groundwater ...l.Q.ht.L |HR

H "p HIttTlH **" ^ 6 ^e^ °* watcr teDle sbA*A~ X /? 0 C- *1^" U H ljBBKJB 9. So far as it may be nvailable, the type, size and depth of each well or the general specification!) of any other HflflBfiiH works for the withdrawal of grouridwater H H B

S V V H 10. The estimated amount of groundwater withdrawn each year J t dtrT... 0w4J--*fcwM<&*~&42r. • • ! •

JW» mm9HHJ 11. The log of •formations encountered in the drilling of each well if available >. .SHB

HI k**J &~<^uu»JkJte jHB

^HHJ 12. Sucb othsr information of a similar nature ns may be useful in enrryjig out tho policy of this net, including ^ ^ H JH H B reference to book and page of any county record BHl• [ fUn*i«*r., ^ H

» J* ""' •BBB Sipmnturc of OwTer^r/U,\^grra&vxA, At /lu* i {» , * ^ ^ H

HH Date. d2jL*...3.l..l«.& £> ^ H• • HHBlUi Thrco copies to be filed by the o\vncr with the County C'.erk and Kecordor of the county in which the well is loo/itci], HHI

H W H • • . H B B^ ^ H B Please answer all questions. If not applicable, so stntc, othmvisp t!ic form will be roturnod. ^ B H I

BBS . . . HH^ H ^ H Original to the County Clerk and Recorder; Duplicate to the Siulo Kiiirinccr; Triplicate to the Moniniiu Bureau of i Hi^HHHHJ Mines und Ot'<ilopj', and Quadruplicate for the Approprintor. ^ao")" HHII k I

HHHHBBHHHHBHHHHHHHHHBfiiHH^H^^^^^^^^^^I^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ • ^ ^ ^ • • " ^^^^^^^^^^^^^^^^^^^^""^^^^B^IHH^H^H^^^^ill^^H^I^^^H^^I^^lH^^IHHfliH

I m 1

17617 IS*!* "Montana, ] V I

Conn* of Fe^}* C O P Y I

I.!?**- JQEC 3 11363 1

^- (SW. MAY BAfHBTJN IC0UntuCl^on(IRecord€r &

^ ^ ^ ^ H £ C Apptovrd Sir^-k !-•"•.> SI^IC l*uh!ishmc Co.. Helena Montana—390S9 <^ .fa>s : • ^^HH

H File No...1.66..20 T JftfasL 18..*, •HH DUPLICATE Covmty F.rpi.B ftgj^^B STATE OF MONTANA Hfl^^H ADliUNISTRATOR OF GROUNDWATER CODE I—. ^ _ BB^^H OFFICE OF 8TATE ENGINEER I D ) E C E I V E jlT) M M

^ E Declaration of Vested Ground water Rights DEc 6 15S3 " Wttk^ ^ ^ H ( U n d e r C h a p t e r 2 3 7 , M o n t a n a S e s s i o n L a w s , 1 9 6 1 ) C T A j L. L A I , - . M r r r . ; ^ H

• n o«M!r_ ciVbliMtER £MM^HB ' HBB 8 i i«sria.C*.QliMt , of....>VtaiCr«A»..itea*ftm EH^ • ^ 1 (Name of Apprcpriator) (Address) (Town) HI| H H Connty of . JP*TfU» State of JfeBfcU* | ^ H^^^H have appropriated ground water according to the Montana laws in effect prior to January 1, 1962, a3 follows: fl^H^^HH N />. i S ^ D^ ^ ^ H ^ ' i i ! ijdl¥ 2. The beneficial use on which the claim is based....£?T£&8l**i9.Q« ^ ^ H^ ^ ^ H —:—•*—;-* i—3/tr—I— .•*?^..i^*«?..*^..?toif.«*.l»..tttti «m^^BiR ! ' ! A'"' i I i 3. Date or approximate da'.e of earliest beneficial use; and how con- ^ ^ H^ ^ H i i^~i .*__!_!ft-j.*_j tinnons th(« ust has been....l8*Q.t. .O.oatljaum*. ,«ln«*..1lh**L ^ ^ H^^m i ;i 11 |x | x j x j U M H H

^ H i j I A_|JL! ! ". HI^^^^H ' Z ' X Z ' Z ' ' ^' '^ l e a l n o u n t : °r groandwater claimed, (in miner's inches or gallons Bfllfl^H 1—84—j j—ty—\ per minutfi).. ..«^nKS«^M]j...ll..Jft^s..p#r...1ldlJ^t. H

rn^rn | | ; I I : ^ H^^^^B 1 ' ^ '• 1 ! ' ' I £'• If usecl for irrigation, give the acreage and description of the lands j^HH^ H ^ E g to which water ban been applied and name of the owner thereof ^ ^ D l

B B ; •;:V4; t " T" ^ ...ite#.»..M..is..*...8»..MHMIIL : K |^D^^B Indicate point of appropriation •ErniH^H and place of use, if possible. _, . H M n^ ^ ^ H Each small square represents 10 «• T n e nieans of withdrawing such wutcr from the ground and the HOI| ^B acres. location of each well or other means of withdrawal.Jiy...li9ftWJIL..m ^ ^ B 9ffln ^.Jw.^}!kM*..3..v...mm^..mA.M.±.^^..t ftwM IHIUH| i»!f«i..MU 9Hfl^^P 7. The date of commencement and completion of the construction of the well, ^ells, or oth«r worlw for vith- ^^^f l^BH drawel of groundwatcr..ftOwiaM»ad ai>d.<fc»agLl«-t«d -in lfltO J H B

^ ^ H 8. The depth of water table Wl.ftf* 9 H

^^^^B 9. So far as it. may be available, the type, size and depth of each well or the general specificMiom of any other ^Hffl^ ^ ^ H Works for the withdrawal of groundwater PftMfl.t | H |

^Bm 10. The estimated amount of groundwater withdrawn csch year *U*...«l*^*«*.*!i...7...^.lrU^..ttll|«)t | H H

^^m p«r y«r ••1• ^ ^ H 11. The log of formations encountered in the drilling oi each well if available....*•??•..*i?*.ft?ft'j??fl! ^ ^ ^ 1

^ ^ ^ ^ B 12. Such other information of a similar nature as may be tiueful in carrying out the policy of thin i<rt, including ^ ^ ^ H•^^B reference to book and page oif any county record ^ ^ f l |

•H SijtH^turc of Owner c£L+.±l& L. L<±±^L BffiHH Date Moy mbcfr .81,.. 18W H

^ ^ ^ B Three copies to be filed by the owner with the County C.'o'k and Recorder of the county in which the well is H ^ l^ ^ ^ H located. fl^l^^^^H Please answer all questions. If not applicable, so utittc, otherwise the form will be returned. H^^B

f H Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bnrer.u H ^ l^ | ^ H of Mines and Otjclopy, and Quadmplicate for the Anptopriator. ^ ^ ^ 1HB •)")''' ^ H l

Wi v - ' f,w ^fft^-^f ^-— IH I " - -r /LSUS^^cU.J^M. I^••H County Clerk tnd Recorder M

• ' ^^ 1

|S _ __ |C',1''••'•» G W Approved Stock Form—Stair Puhhshinr Co. Helena. Montana—3*W9 < 4 ^ > H

| y File No... M ^ 2 1 T 3ML_ IL..-M IBH DUPLICATE County...?** B*i 5

HR STATE OF MONTANA fl| H ADMINISTRATOR OF GROUNDWATER CODE .—,^ v p ^ fl

g j M OFFICE OF STATE ENGINEER D 11& V & ii ' / & | j | | I

Wm Declaration of Vested Groundwater Rights DEe 6 m I'jJ9 (Under Chapter 237, Montana Session Laws, 1961) STA1E ENGINEER I

• IEM l .l«Rl«.««..Oli(|a.. ( of ?.*?*!^»..?!«*!!^ flyH (Name of Appropriator) ' (Address) (Town) flH f l County of._JElKiML State of .*•*•"•: fl•WH have appropriated groundwater according to the Montana lave in effect prior to January 1, 1962, as follows: fl

Hfl i_ 8flfng i ! i i i i 2. The beneficial use on whict- the claim is based....***ifi**'iW?* flH O T —'—!-X-: : — i — ] — «iK^..«&t«r..a^..4aM«t^_tta9« H

wm K __; J x.|»_ JLU^..-!— " flH^9 \v ! * i 7 ! . ! 3. Date or approximate date of earliest beueficial use; and how coti- IIWn& jn4 JL: !jLil_..?.iA.!....| tinuous the us- has been. 1»5W«. ..?J^JU> .M..ft .«.«!»1»....... flp i c? x is i x i x i 1 1 I *m* &mS w —;"~—i— -—i—— E 1Rgfij k ! ! ; ; j ! 4. Tiie amount cf groundwater claimed (in miner's indies or gallons wHW !—U ! —• '•—R—! per nunntc)..«aaMOdMJ(fJor..lS..M&A-.P.iK..a>^^&'* - S

m M j I i i | j . ; ; _ 2H | \ • ' ' t. ' ' ! 1 5. 1: used for irrigation, give the acreage and description of the \va>ls HHa^l u to s'hich water has been applied and name of the owner V.r eof Brm ^t^^i^t.^%io}x^u.mi^^j^^..mi^j-^i^t fl^JS VA «ec '' J "> R W S ^ i %•, t«.. l»£m..«H*. SU. ^^^ fl| K ; ; : ; : .;•.'• 2 ...Aa.j**.i»i.«..ui..i«...Mft..Mw*A flH ^ H indicate W'V.l of appropriation n |• m l a n d p l a c < o f t i s t s i f y<i.i«ible. . m. * • . . • i . . * . ^ j u fl• • • Each smai' :quai' i tpnj ite 10 '» ^"° means of withdrawing such ws;cr frrm ice ground and the SWB J H acres. location oi each well of other means of withdn!wal..\QT...*!?MW*..-m H| B | a.jtas..imU..ft*..x..f.* *qj»«i..r^^...»r.4««p.?....?5»e«i. | 0H^n Irox. »»1I ^BBBB 7. V;'s -irte of commencetneixt and completion of the coinstru "tiot. of the well, wells, or other worka for with- Hflfi| ''..VBW'VV of gK.umlwatci^.*«WMB»ilA.*M..»flTOi»M*..Aft..il«.U. •

RRjs S. Tfc-' 't'pth of water table 311. .ff!$.» fl

^^BS 9. So tiLr ex it r'yiy oe a\a i*bl!.>, tlie type, size and d^pth of each well or the general specifications of any other HB B B works for Ihi? witliJrnwuA of tfroundwater.....MW.* H

Hi 10. The estinfeied w>ow* v! ?rou»dwater withdrawn each year...*.^. M*?**^..**. . .? .-!^1 .***. .^.1 .^ fl

MB p«r v*zs* flH ^ n 11. The log of forma'-.iouti eitvoantered in the drilling of each -we'll if available *>OBi..lJJJP4.WM# JflI .== = "= I^ ^ H reference vo book and page of any county record ^fl

Hj Signnturc of Owner...^:^. .<.. <J:J...J.''...L -s /.l..^.f.'."'.V '• 9H | ^)alt. fctMjMf Il,..l?8!|i H

flH Three copies to be filed by th? owner witli the County Clerk and Recorder of the count;/ in 'ahie.h the woll is 9• Q locutcd. Hj

H H Please answer all questions. If not applicable, HO state, otherwise the form will be !•'•(*.;-,.n>d. BJ

H H Original to the County Clerk and Recorder; dupUcnin tc» the Stat; Engineer; Triplicate to the Montana Bvireau HH H of Mines and Qeology, and Quadruplicate fur the Appropriator. HJ

I T ~ • ~:^ ~~ ~z^z^z:z~7 1• I F«e NO !ft.S26 T « - *• is Hraj ^H9H DUPLICATE County JEHGUS ^ H|HH| ST. ,iJ OF MONTANA ^ Hj^Bl ADMINISTRATOR OF GROU.TDWATER CODE flHBW OFFICE OF STATE ENGINEER 1 IH

l l [r,j t . . _ !j! IBJHW Declaration of Vested Groundwater Rights j!- c -l' - " H E^Bfii (UndeT Chapter 237, Montana Session Laws, 1961) C , n I > t u • • • i -~ r> ^ ^ B^^HBn o • .'\ I L. ,> .Ill b i• * L •". i{ ^ H |H H 1.. J1A3UJWD..H....HB.UER : of WINIFREDy..MQKTANA ' | H^ ^ ^ H j (Name of Appropriator) (Address) (Town) l ^ ^ |H H County oL. lEBfiaS. State of JdQNlAliA j^B^ • ^ ^ B have, appropriated grotmdwater according to the Montana. ,aws ia effect prior to January 1, 1962, as follows: ^ ^ ^ 1

m m • . . . i . . . , . . I^ • B ; ; : i ; ; : 2. The beneficial use on which the claim is based ^^^H^ ^ D —I—:—;—'----;—;—',— Stock water L tiomesiic use at. Joousa 4Owl buil-dbgs BH^ H | i j....j i.— k-i ^ H^ ^ ^ H l ; I ! : ; 3. Date or approximate date of earliest beneficial use; and how con- ^ ^ ^ |^^^•j ! i 1 '; ! ; tinuous the use has baen ahailt £) yeaT-a «gC, US«4 — ^^fl•B w ! I ! I i ; i K coatinwously-«4a©«- v j ^ B^ ^ B H i ! ' • ' ' " ^ e a r n o u n t °f groundwater claimed (in miner's inches or gallons ^ H H^ ^ H —I—i—; i—i—i— Per minnte>••••Aboyt--2---gal-l©R«--p»r-«4a«te ^^M

^ H ^ K 1 '_ ' '• ' 1 5. If used for irrigation, give the acreage and description of the lands fl^B^HHH ~" s to which water has been applied and name of the owner thereof ^ B l

HB , Kc-irrigation UKiH | m..y4miSecJ4. T..22 n..l$ ^ B ll^^^^l Indicate point of appropriation ^ B HJ^^H and place of use, if possible. „ . , , B ^ Bj^^H Each email square represents 10 e- The means of withdrawing Buch water from the ground and the HHl ^^B acres. location of each well or other means of withdrawal ^ ^ B^ ^ B H4»d--pM^-<M^--«otdr--'driv«i"|aaap ^ H• •^ ^ ^ B 7- The data of commencement and completion of the construction of the well, wells, or other works for with- | ^ ^ |VH^H drawal of tfroundwater • ^ ^ ^ |

•B - Gw»pl«««d-to--ftbe«t""1957 ^ HB B S 8- Tne (lcPth of w<»ter taWe About-y l ^ ^ BHH ^H^ ^ ^ B ^' S° ftr as it mny be available, the type, size :ind depth of each well or th</ (.-cnerul specifications of any other ^ ^ Hfl^B works for the withdrawal of groiindwater!K«llT...dUg--Wifch 4P6g i J M y • «fe<VUtv 1 3 * d»ep-, W^k

^ H iiit l ^ with «rt»«^ crtlTert 5» d±aaHrt«r Bad 1 » l»Kg, ^ Hj ^ B ;•; ;;;;;;;;;;;;;;;;•;;;;;;;;;;;;;;;;;•.; h:"^xt^ti^:t:^. 'ZZIZZIIZIZZIIIIIIIZIIZIZ H^ | ^ B 1°- The estimated anr-unt of eroandwater withdrawn each year ahOUt.435>QO0 gaJJLOO-ft ^ ^ H

HH 11. The log of formations encountered in the drilling of ,.ach weU if available JJ

^ ^ ^ H H !"• Kurh other infoiTnatinn of a similar nature as may be useful in carrying out the policy of this act, including ^^^H

• " --^^^~^-::^E^:E:== I^ ^ ^ B Signature of Owner LiJll^i&..U*. IJLU>i4< ^ ^ B

^ H Date DECEMBER J . 1963 ^MBE . H^ ^ ^ ^ 3 Thiop copies to be filed by the owner with the County Clerk and Recorder of the county in which the well in ^ ^ H |^ ^ ^ ^ | located. ^ ^ ^ |

^^B . , . ^H^^^^H Please answer all questions. If not applicable, no state, otherwise the form will be returned. ^ ^ ^ B^ ^ • 1 Original to the County Clerk and Recorder; duplicate to the State ftugineer; Triplicate to the Montana Bureau ^ ^ ^ |

I^BHBHBIHBiHBBIHflBBBBHHHHHBII^^^M

I 16836 II c o p v <«•• I

fl^E GROUHDWATER INDEX. •' Pa9e _/_pf_/_ H

^ H ^ County ^ y w , ^ ^ ' Twp. .? A yfr Rge. / ? £ . S

^ ^ ^ H _ j . — — County :, • •^ ^ ^ H Sec. Name of Appropriates Typo of Form File No Remarks ^ H

H | ;_ 7 tf.+f«^.tT*2JL^*^ -Zn. Jf K *S /7£ /? |_ ; H^ H :_ ^?^ fji+j&^j^^L V<y-7?'s /4>3 2<.*' | B

^ H . /^yi^r^ 1 t • •:.•. •

•VAfl G W « * r r w - S i : : - H . - • •,:- J-u--''«-i-:i < Hfirr.n V.-Tan:- -••>::"•.-. « ^ £ . • I

^M FileNc, 17618 T ^^ R / ? I

^ ^ H DUPLICATE County f*-%Q**+' I^ ^ H STATS OF MONTANA I^ ^ B ADBUNISTRATOB OF GEOUNDWATEB CODE p . - ., Ifl^H OFFICE OF STATE ENGINEER j ~ •, , I

-'•^M Declaration of Vested Ground water Rights 3 i9b.y IIfL'j^^H (Under Chapter 23', Montana Session Laws, 19»>1) $ "' J - I

i ':^H 1 Ji^ir^** h... A*^f c-<~~~ , of C*J*^£*-^. I^ ^ ^ B JJisme of Appropriator/ (AdfresfO £(Town} Ifl^H County of.... . , ^ > * ^ . U-* _ State of /vfo>r iJ^ I&9fl | hare appropriated grmmdwaier acccruing to the Aiontans !awi in effect prior to January 1, ]9S2, as follows: I

« • • • N II^^^^m • • • *" : 2. The beneficial use on which the claim is based-. .:/*«;.<& . ( O « Z u «

; ^m -^--i | r-i-h- - -H ^ ^ H j , • ; I -•--;- -, , -- <j Date or approximate date of earliest beneficisl use; and how continti-HKVJ — ; — ; — ; . - '••••';—•— OOB the use has been / ? V 3

• * ~f. i*!...LLJ.J....' • ::; : v::::: ::^ ^ ^ ^ 1 : : ; jttf.; I : 4. The amount of groundwtf^r claimed (in miner's inches or gii.Uorss^ ^ ^ | ....;.. ..; !..-.:.._.:. per minutefr. A# t • . .3.f*f./kn. ***"*..£. r_ •.l ^ a • ; • : • - ; :--•--;-" ^ i**r* th**~^^^^H I : • I ' : : 1 5. It used tor irrigation, give tbc acreage and description of the lands• ^ ^ B s to which water has been applied and name of the owner thereof:^HH jLt^...,h*,m^..j/r*: .AA-*r*-«.4-Cl<l!S«*'Jf^H V* SecS T.22 RJ<1£ V 'j ^ ^ ^ H Indicate pcial v,« appropriation• ^ ^ H and place of use, if possible. Each^ ^ ^ H small square represents 10 ncrat. c ^»lC means of vnlhdrfiwing such water from the ground and the locfc- •^ H [ H tion of each well or oihsr means of withdrawal jj*>»~*r%JG- .. I

^ | ^ ^ B 7, The date of commencement and completion of the conntrurtion of the we]), wells, or other wrrk* for with- IS B clrawal of grmmdwatcr / f * J i > / f SC •

•HBV ^ ' /"h * I^ ^ H 8. The depth of water table . ^ M ^ D (_rff w_> • Q: t_Jt j I

^ ^ B B 9. So far an it may be available, Xhe, type, size and deptfi of each well or thr: general ft/>cci fixations of any other I• H works for the withdrawal of gTxra/iiwatcr *. I

^•B M*um 0L*jjf /jt Y I

^ P ^ H 10. The estimated amount of groundwatcr withdrawn each year A*-^ 6 um.. ff*» 41 -f?f I

^ ^ ^ B 11. The log of formations encountered in the drilling of oarh n-rll if Available jLo-t &~**-~»»*-*>4JZJD • -B

^ ^ ^ ^ | VI. Sucli other information of a similar nnturc AS may be useful in carrying nut the policy of this ad, ineludii j? MBMVB reference to book and page of any county record l l

^M : jUrHJlr I

^^^B Sicrifiinrr of Owncr^yL*« I^WMI cH /ff" tmjf m • >» fl

• j D.te /&L^ J/,/t<a I^^^^^B Three1 copies to b? filed by the owner with the Ooutily ('Icrk and Recorder of tin- county in which the well is lornted. fl

^^^^fl Plcanc anmvcr all (jucntions. If fot npp)ir;itilc, HO Mtiiir, oilicnviHc the form will be returned. H

^ B H I Original to the CVitity Clerk and lt<>c<)r(lrr; 1 >nj»licni«- to the Stnte Engineer; Triplicate to HIP Montani. Durenu of I^ ^ ^ H Mine* and Urology, and Quadruplicate for the Appintn inwir. iqOHl 9

17618 ii

ra.d DEC ..- i <~tYd J§

ii

i

I G ^ .. _. Approved Smrk rnr-i -Stair PliblKh.nr Co . Helrna Montana—:?-234 • » ^ ^ J » 3 I

IH File No 1.7.6.19 T . /,.'"u- ..B- - -V'Nl i DUPLICATE CountyI STATE OF MONTANAI ADMINISTRATOE OF SROUNDWATER CODE I &• J E ]<I OFFICE OF STATE ENGINEER L/IJ || _ • ^ • 3 1968 - ' 1• Declaration of Vested Groundwater Rights {V (Uuder Chapter 237, Montana Session Lavra, 1961) "• - i • u • ;Y ;. ^ _/ M

I 1 y^Z-r»r^^^...yl/...4A^-^.-<»-w---- , of / l ' \ . , ~ I• v (Name of AppropriSor) (Address) <-*-' A~*&<pf*r*~*/' IH County of •&**s+-i;ji3zsjir- - State of.. £u ^ W i^i_^ 1

|:B have appropriated (MUnawBter according to 'iie Montana laws xrrGfl&G'&ffnor 10 ffuTTuary 1, 1962, as follows: •

M I i i ! I i | j I 2. 1 h** beneficial use on which the claim is based. ,£«0*r. ..&......\ *r- I• L : : : : \__\ a"\io^*£ t*J«*-W'' •

H \ ! '. ; ! ; 3. Date or approximate date of earliest beneficial use; and how continu- "%.fl -I !—; ; — 1 !— ons the uw has besn.... t^uzt /...•-«-«—• M

B • i > ' ] ' ' T vt~'***~jt***'* 1

H ' " ; • • • j ;"' " 4. The amotuit ofLgrmndwater claimed (in miner's inches or gallons Ifl — ;....: —: ;—!•—! — per minute), ./.m *..._ ../ v. .^ Aifx^ m v ^ I

I ....;....!....;_ L.i i.... ...2^^0^d!^^.: l5X2b a.- IH : : • \ ; ! 5. If used for irrigation, give the acreage and description of the lands 9IH s to which water has been applied and name of the owner thereof I

• V qp., W T R r ^n^-i^^^--^ IR % Sec- 7 • T ^j •R-/^ t • u T7T7? III Indicate point of appropriate n nH and place of use, if possible. Ka:h aH small square represents 10 acres. 6. The means of withdrawing such water from the ground and the loca- •

B tion of each well or other means of withdrawal *-* .-..„ I

I ::: : :::::::::::::z:: IH 7. The date of commencerjient and completion of the construction of the well, wells, or other works for with- IH dlrawall of groundwater /-ftlZ I

K 8. The depth of watAjr tabb AI>*JA<TJ^ fi** /%i**l*~y /$ 'yHy COJB&lZ I

H 9. So fur as it may be available, the type, size and depth of each well or the general specifications of any other IH works for the withdrawal of groundwater .* „. fl• Mu^fta^JLfi /£!.... U OOCJZU* /.&.M...rf...ui*£»«r..... |• ju*...\njuQ Cyc f*. {fc!»~»~4> *.»4«. *l A I

H 10. Th«i estimated amount of groundwater withdrawn each year "Ic&t "€L^f^:^JtJ^JLP H

H 11. The log of formations encountered in the drilling of each well if available pt^rj- •* rf"»«- I

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

• /UTK-^ I

1 Signaturc of Owner i/b+-ek*> M A^fVL^^- II Date •^^•••Ztrrfc3 I

H Three copies 'M be filed by the owner with the County Clerk and Recorder of the county in which thr well if? located. 9

• Please answer all questions. If not applicable, so si:itp, othenvise the form will b« returned. •

H Original to th County Clerk and Kceordor; l iiplifjitp to the State Eiifrinetr: Trijtlicatc to the Moniann Bureau of •H Mines and Geology, and Quadruplicate for the AppiopriMior \ qoi ° •

I fl I

HB - Sto* of Montana, \ /"»/~\rv '^ D | • • Countvvf Fergus.!**' L-vJl I

W : ' FM. H?2i9SLjiL-.WKjt " - OLJSLUJST.. c'clcck.£k._M.

^•j County Clerk and KecotSer

I • ' 0 «* II ; _ _ . "' :-f^ • » ' j II • STATE OF MONTANA ; I• ADMINISTRATORS ^ ^ COMH.SS.ONERS IH ' > « ^ ^ f f l O ^ > . WINSTON S-. COX. CU«IB»»>I 8• NOfMJA* i BEAUDRY. ETEC SECY. /fcZ^kUl^k 525 SECUK'TIES BIOS. ••J 7 0 BOX 2<7 fflfifikSLU/^Sft f U i K K . »ONT«N« 59101 ••J NUEWH. «ONT»N» ',85oi [I IBvua^M9%\ flB „ V S E S T ^ ? ? * ' ) ALLEN ZIMMEKMAN. VICE CH»IB«HH : •• DONALD A GARRI1Y, »TTC0teY VJBSr-iiR'gjge// , 0 B o , 2 7 7 •^ P «!2 NCPTH r»^K ftVENUE >^«Dg^BMTO^ POPLAR. HONTANA S9Z5S •^^B „ T G B A L S A M ^M• JUD50N D SWZET. a 3 0 0 P r , B t •

I Slh".T.«"..o, OIL AND GAS CONSERVATION COMMISSION L V"TAU,S * "' I^ B ^ HOASKV BLOCK !• '. » fl• HERBERT 0 HAOLEV, C F O L O U S T 3 2 5 F U L L E R AVEWUE uEtENH » O N T » I » roeoi •B IS PCI ' 1«'V£ •H BIL I INCK. MOHTANl 50101 BOX 2 1 7 C J 1VERS0N •

• HhLENA. MONTANA S96O1 •

B ; December 23, 1969 fl

I I• Water Conservation Board •H Water Resources Engineer I• : Sam VV. Mitchell Bldg. 1M / Helena, Montana 59601 II ; Dear Sir: I• : Elnolosed you will find a copy of ft Asleass Agresraent for 9• ': the uti l ization of a fresh water well. •

B : Texas Pacific Oil Company I• • ' : T. I'i. Berguni I• ; Well No. 1 I• ' ': Section 8, Twp 22N Rge 19B II : I• , Yours very truly, a

I ! VV\A;J....-^ I• • Norzaan\ J . Beaudry ( •• 5 Executive Seoretary \ II I• . MJB/mhl mI ' oo: Mr. E. W. Vond 1B • Bureau of Mines and Geology •

_ _ _

I «ONTAHAVMT£R SOURCES 30ARD J

I RECEIVED I

I ' .APPR0V1O BY: \ / / \ SI ~~~-J ' I II '\ o t l «>nd gas Conservation CoomlMlon I I

I : — i ^ ^ . <^LZJ^ M - ,.: ••;:V™?z T [ II P«tr^SE Eostnaer, Geologl^'oV Executive Secretary A v C> ° I 1I . " ' • ' • »»c«dt ^ W /j? l % ^ DLC 5i 9'iLJoii I I

H f l H f l H | ^ 5 f l j J H H 5 P ^ 0F ™ STATE 0F mttrTAilA £> : c^/ '°9 -9 I

HHHHBW i l i l i S B A G R E E M E N T \£>, ' '* "- tt . •

B KNOW ALL MEN Bt THESE PRESENTS, that I, ,/• f/\ /ULSU* t^.^*" •

• of the County of WMHtPP *-n I

• the State of Montana, as the owner of the hereinafter described land upon which •

I 1• a well for oil or gas was drilled, to-wit: •I Operator «fiyr\.<i ? f»TPTfi OTL 00"" &KY 9

K Lease Name . g . m, KMT&TWl I

I Well No. 1 Sec. • , Tvp. 22 1» Rge. ?9 IU •I • ~ •I The well i s located 990 feet™ of the arwi h \^n fl

I line and 1090 fee^J of the V»et line. •

I That, in accordance with Regulation 233.6, Ozder Mo. 1-1, November 30, •

I 1953, 1 do hereby notify the Oil and Gas Conservation Cotmlssion of the State B

I of Montana of my desire to utilize said well as a fresh water we'll; a&d, that H

I if such utilisation is approved, I do hereby release and discharge the operator •

I hereinabove named froa any further work or responsibility in relation to the •

m plugging of said veil. H

I w«t«f Use: Domestic X Municipal Stock X Other fl

I Industrial Drainage Irrigation •

|fi Producing Depth 1 3 y t ° Hj-99B Producing Formation Ju^le I

A Yield of well 6fr GrK Annual Withdrawal 7«300 Mbit •

• WITNFSS my hand and seal this j£ ' **- day of (AJLA~~J &&$ S

1 ^ / Al AtM-i.** C/-**-*-"" (L.S) flH Landowner H• Address b •

• /Q^^C^ff /lU-wJ*- I

• IN THE PRESENCE OF: . •

I rJ^j^S3T^~jhd£^^ Address kfafr2* J} fy%xrft~^-t, II sSM>it'L SS s<^<.&*~ ' • ~r Address...-A'. / ?i<-(\>^<k . //10^^**^^, •

- X \ 7 ^"^ 1• ,APPROVED BV: — -~_3 y 9I Oil and gas Conservation Cowiiulon . r| .,, fl

I Petroieua Engineer, Geologielt, or Executive Secretary H

I Dated; /Tjtrc/. ,<P , 1S!£V ' '' " I

I , . . . . . . . . . . r jiv.i...'-*. * ir i j ^ H

___________H-RMIQi_B__Pv' E: D , / I^^^^^^HK^SSHH^^H^ 01L AND GAS CONSERVATION COMMISSION . I

I^^^H^^^HflflH^^IHP^ G "(969 OF THE STATE OF MONTANA I

^ H ^ ^ KNOW ALL MEN BY THESE PRESENTS, that I, ._/ M / \ L ^ , u_t^- I

l^Hra °^ ^€: County of iH?J__8S ip I

^ ^ ^ H the State of Montana, am the owner of the hereinafter described land upon which 1

____• 1|^^H| a well foz oil or gas was drilled, to-wit: 1SR___I IiMj^B Operator c r c ' '••-.QTyjfi Cr"< qo" v:v I

^^^^& Lease Name n y p.p-T -im I

^ ^ H Well No. _1 Stc. 8 , Tvp. 22 H. Rge- 19 ZU I

^ ^ ^ H The well is located J_2_L r e e t ^ o f t t i e 'puth l i n e J

^ H | line and 1090 fee t^ of ch?. 'fe?t line. 1

^ ^ ^ H That, in accordance with Regulation ?33.6, Order No. 1-1, November 30, I___• I^ ^ ^ H 1953, 1 do hereby notify the Oil and Gas Conservation Commission of the State I

____H I^ ^ ^ H of Montana of my desire to utilize said well as a fresh water well; and, thit M

^ ^ ^ H :L£ such utilization is approved, 1 do hereby release and discharge the operator I

^ ^ ^ H hereinabove named from any further work or responsibility in relation to the 1

^ ^ ^ H plugging of said well. I

^HH Water Use: Domestic _X Municir 1 Stock % Other I

^ ^ ^ B Industrial *)rain.ig<! Irrigation I

^ ^ ^ H Producing Depth *l 33" * 'to 1j_99_{_ i'».-oducing Formation . plo IIj ^ _ .__ |^ ^ K Yield o£ well £\ O'l. Annusl Withdrawal 7«300 ' i t l s 1B-H WITNESS ray hand and sea l t h i s jj U<^ day of __M_k__S_____» l^jL? M

• Y L A I^ B | .QJ- n) /<^t>f <j~**^r a.s) I^ B ^ B Landowner IM^^H Address 1

- ^ ^ B IN THE PRESENCE OF: , I

| ^ ^ H /^lejt4.".*S^t '^Cjt^JA^r^ Address ty^fa JLtfj WuXypt^^ I

i^H .-.-vYl Jt,t ,<• ./ („. . c {<-{-. . * -y- Address,-/< ;-t..»/, •( I ^ <\ , ///S x & ^ i .., |

^ ^ H APPROVED BY: ~ J 1

^ ^ ^ H Oil and Gas Conservation Commisalon a

H w^^^>. 4&' r-de-cjtcr I^^•H Petroleum Engineer, Geologist, or Executive Secretary 9SB 5 I^ ^ H Dated: y^f^-c^ yiP . 19 _V I

_ 1 ^ I

General Rules and Regulations H |Order No. 1-1, Nov. 30, 1953 HHRegulation 233.6 ^ ^ H

'ttiLLS USED FOR FRESH WATER WM

«« the well to be P l^ .^^ f^^ ral^/r/Sf H

fresh »ater{ P r o v l d e d»ut h^ t ,^!i:« " d filed with the Commission. M

tiOT. 13 secured from the l « d o ^ « ef th- work done shaJ.1 relieve | Happroval by thu Petroleum Engineer of th- w | »t?.o operator ol: further responsibility. HH

^ ^ ^ ^ ^ H ° Approved S:c-.k Fort?! — Slatr Publr-hm,: <•" . Helena. M W I I I M ••!**« <H _*>s -v"

^ H Pile No i.?..?.? T.22K. R. 19E

^ ^ H DUPLICATE County FERGUS

^ ^ B STATE OF MONTANA.^ ^ H ADMINISTRATOR OF GROUNDWATER CODE - ~\ :; <p W ;l^ ^ 5 OFFICE OF STATE ENGINEER p ^ *"""*""" Ij ',m u u N0V I_M 1 9 6 3 1 . '^ H Declaration of Vested Groundwater Rightsj^^B (Under Chapter 237, Montana Session Laxra, 1961) S T A l t LN b I N 1" '. U

^Bk l ICK...KJOEXIElt , oi &I?iIEBEJ&| ^ ^ ^ H (Name of Approprinior) (A.ldress) (Town)fl^B County of jPIuECUS- State of &QHTAKAI^^^H have appropriated grountlwater according to the Montana laws in effect prior to January 1, 1962, as follows:

H . . N . . . •H 9 ^ ^ l : ! ! ; i ! 2- The beneficial use on which the claim is basedJ H H Y —j—1~~; 1—;—j— -5-tock-..w*.t«?...«rui.-hous«...u»«.w H | H i I j •' it ! , I 3- Date or approximate date of earliest beneficial use:. and how con-j ^ ^ B _.._..! ! \ j jX.j tinnous the use has been..4-.y»ar8...«gO...OXl..lirllled...1f«ll,^ ^ H | ! i i j I ...AXUL ./!Lye&r£. agc.m^| ^ ^ B w , | . ; ; ; E ....cont,ixiu»a.ua..alnce

^^^^B I ; i l l 4. The amount of groundwater claimed (in miner's inches or gallons^ ^ H —|—!—i i—i—!— per vninute - .gallons..per..ffiimite oa...drllled well, I^ ^ H I i I i i i •l-gall<m-')p«r-niitnxte--on-dug--w%ll 1^ ^ ^ ^ B 1 ' ' i ! ' I 5. If. used for irrigation, give the acreage and description of the lands n^ ^ ^ H 9 to which water has been applied and name of the owner thereof jl

^ ^ H no irrlgsrfeion I•|H «»%-fitf Sec-25- T-22R 19 I| ^ ^ ^ | Indicate point of appropriation H^ ^ ^ H and place of use, if possible. „ «_, , - , , • • - , j , . I^ ^ ^ H Each small square rtpresentf? 10 "• The means of withdrawing such water from the ground and the •^ ^ ^ H acres. location of each well or other means of w i thd rawa l . . . 4 l rAH*d-W©H I

^ ^ H at..hoiiSA..aiarl:« ..E..ln-.Abo«» plat, iwitb4r«»m-by I^ • H hand puinpi.rtufi well.fttX...inark94 1^ i^ ^ H withdrawn by motor and/or hand pump; I^ ^ ^ H 7. The date of commencement and completion of the construction of the well, wells, or other works for with- I^^M drawal of groundwater ^^.X^l M«3Ll-«b-feo«ta»i•:"GOUpl*tm& about fOttT y««r« flgOJ^ ^ H dug w«H about 300' Eaao of^ howw»i cot^leted ottnrt tricht y»ariB ago;^ ^ ^ 1 8. The depth of water table. About, 10* t a l o w ©UTjCftCa^ ^ ^ H | 9. So far as it may be availalO , ihi; type, size and depth of each '•veil or the general specifications of any other^ ^ H workr, for the withdrawal of gronndwatcr... .Rr i l l e i J • w e l l - 6 ' 7 ' d e e p - H i t h $ " « « l 1 l i n e ; - t t t ^^ ^ H w»ll lfl» d»«jv '

^ ^ H 10. The estimated amount of gtouindwater withdrawn each ycar....a.^.Ut. .X$.»QQC..£4^LlAna..ikrOin...dX:lll«d| ^ H wall, and about 300,000 gallons from dug well

^ ^ ^ ^ B 11. Thft log of formations encountered in the drilling of each well it available

^ ^ B Sandy »h«l«, then through 4* of sand--to-«ater-<drtil«tf"««il>;• rz=====^=^=. : :=:::::::::::^ ^ ^ H 12. Such other information of a similar nature as may be useful in carrying out the policy of this net, including^ ^ ^ ^ H reference to book and page o.f any county record

B^H Signature of Owner ?®L.^0W«XEK

BH Date ttQVEKBEJi.:Lfi, 1963

^ ^ ^ H Three copies to be filed by the cunnor with the County Clerk a*.id Kccorder of the county in wLicit the well in

^ ^ ^ H located.

^^^^B Please answer all questions. If not applicable, NO state, oilier ri-c the form will be returned.

^ ^ 1 Original to the County Clerk and Recorder; duplicate' to ((;>; State Engineer; Triplicate to the Montana Bureau •^ H ^ ^ of Mines and Geology, and Qundniplicnte for the Approps-iator. - •

IH 16330• cop^I

I m — £jt-B 6 } E c . : • i".:r,-; T Li.yjL /jj£B : , : >— County.....—.<,., tj.^^—..

•H S T A T E t i^G i U £ t MONTANA BUREAU OF MINES AND GEOLOGYH Butte, Montana

I WATER WELL LOG

1 . .M | Owner .: Address

v ! i cioox*-e C« ^in . - ley I»e -,'lcto-in, ..ur:i.,.iu• i t Driller :. ." * Address

I ! ! ; DateStarted ^^^T.l°'.l*W Date CompletedJ*' *•. . .^ . ' . X : . ^• i it." _ _

H i i Location: Sec.. L.C T. ..jL>\, &.....'./. !4sec _• ' ' ' '• Irillud _ , . i&oie Tool• Typeofwell Equipment used

• (Dug. driven, bored, or drilled) (Cimm drill, rotary, other)

H Water use: Domestic t 1 Municipal | | Jiocfe 1 I Irrigation 1 1

• Industrial I | Drainage | \ Other:

• Abuvc .-jounci

• Casing:...: L.ft. to.. x ^ 2 " . . . ft. Type ±±± Size 1 l ^ l l l .I y- /fit-6f -' a - 4 * ID

• Casing: r!.±..tt. to '."?...?!. ft. Type Size _

BlH Casing: ft. to f t Type Size „• 70 106• Perforated or Screened: Ft to ft Ft to ft• .liitLm Type of screen or perforations

I 60• Static Water level, Tor non-flowing well:. feet. 'SIII Shut-in pressure, for flowing well: Ito./sq. In. on:R (date)K 10 5 2 kK Pumping water level feet at gal. per mlnm ii^-'.lin^ I

• Howtestcd: I

B Length of test •

B Remarks: (Gravel packing, cementing, packers, type of shut-off, depth at shut-off) Im ^t-vo otitc::. .-v- oot, . u o v c purfo i - i . t . ; :na ii" OL.wiri^- zoi-X&a .;ii..< a IOC I

^ ^ H Log of WeD •

j^^H Depth, feet I^ ^ ^ H — • - - - Description of Material Drilled H

^ ^ H 0 1 Topaoll •^^^^B ' i ~ '" I^^H 1 '& \ .ah&JLs roci: le , £.cs •^^^B 40 i 55 j -*.nc;.toria O.ry •

^ ^ H 69 SO' ^.iva^ta.ie .ater •

^ ^ H C-0 | 100 i aook'/ ^:u.l9 •

H ^ H 100 106 j -»aricstcr,a ..blct •

^^^H _ ___ _ __]__ _ _ •^ ^ H 106 120 > ra> :.ilfl I

^^H |_ _ __! , •^ ^ H 220 132 jrotm a ,;,1» Joc;l ot;r •

J^V .- - - - . . . ^ ^ - ^ ••. ^ •

I -:'l I ^' ->?" I

•^•^H C A Arrr.-'vci Su-c*. Fc-rrr. S;a:c Pubinhmc Co.. Hr'ma. Vnntarj - "AfiS7 <*^_ •>' ^ • •

M i ™eNo 1 7 1 3 5 T &afa.J$jE . . '' IBHIH -v 8^ • ^ • j DUPLICATE County ..-QZV-i^.*/-- 1B^H STATE OF MONTANA Ifl^H A D M I N I S T E A T O R O F G B O U N D W A T E K C O D E - - - - --- " . . I^ B B OFFICE OF STATE ENGINEER | f j< ' \ I

^ H Declaration of Vested Groundwater Rights " . I^BB (Under Chapter 237, Montana Session Laws, 1951) Q T /\ | •_ '". N ;J • > • ' -" I

^ ^ ^ H 1 ~~yi#-O*Ji&-U, <^^.>wv*H//*/ci»-'>»*v<5# of ^fL-^^t^li *«i«Ba --. I•B (Name of Appropriafor) ' (Addr**>) (Town) •^RflH County of ^jL^.As**. State of Ssfe<f>6if •^^^HJ have appropriated!gjjnunawaieT according to the Montana laws in effect prior to January 1, 1962, as follows: •

• I . , . 1 . , , , .. . . / I• • • H L ; ; : ! ; 2. The beneficial use on which the claim is hr»gi»ri •?*?• n+i't£---dLf U^^^^^r — ; , ; : ; | ^^JC/X-JIJ ^^c^tiJi^/ - •

^^^^B I i i i i ! 3. Date or approximate date of earliest beneficial use; and how cou- 9V ^ ^ B ; : ; - - - ; ;----! tinuous the use has been J..^.^T./...../S*^^tf-~/&<£~!? •

^ ^ | w : • • I : • ' L 3 / 2 •: I•HHH| 1 1 j • ; J^2^Z^U-^J. - ,nAr <*r^4*i. .*. I

^M ._.i._U; ; 'A ? . . I^ • ^ • 1 j ; ; ; ; f* ; 4. The amount of gronndwater claimed (in miner's inches or gallons •ft^^H ; ; 1 ; ; ; i er minute) ^ . ^ . , .. .*z£t. .^ /^...^^....,^y^...^>i^^/ , I^ H j i j L i_i ^r/---fr.^A»-^----^w/--7to-*v..»*ftoft»T---™.-- I• ^ • H j ', 1 : I ' • ' I 5. If used for irrigation, give the acreage and description of the lands U•JP^H g to which water ha« been applied and name of the owner thereof •

^ H V4 SeejJH1.^ K /^/r -•••••• Ifl^^H Indicate point of appropriation •

^ ^ H Each rnaU Bqua^'represc0^ l'i 6- The means of withdrawing such water frou the ground and the I^ ^ ^ H acres. location of each well or other means of withdrawal *5tez.*«d*tu.. Ifl^K ...&^^..u^^....^j'€£C......c.^^^fJ. •

^ ^ ^ H 7. The dat« <.f lommpDCOiai'nt and completion of the construction 0: :>> well , wel ls , or other works for wi th- •^ ^ H drawal vi grc-undwatcr ^A^-l-Ut^it - 1<?<S~/ ..^U-.J.. u+t/L -./..&.£'&.. 1

• ^ H 8. The depth of wst.«r tablt- TU.J-v*/Jl.- 2^1. /)~*.a .***<&... r.....«Jui 4(f., •

^ H B j 9. So far as it may he available, the type, size and depth of rach welf or tie general spfi:ifjr*ticns of any other IH B works for the withdrawal of grour.dwater ^ .. - ••I M*~J lorfdi .-«». iuu^^L.. ..du+.r I

^Hj %*..$.. ^>*L £hd£U>4A**M,' f- - I

^^^^V 11. The log of formations encountered in ihe drilling of each well if available - ~Z •

ff^^H reference to book and page of any county record —...r..rr..... •

H ^ ^ H S i g n n t u r p o f O w n e r . J A . L • J',..L'- .... .. ^•'. 1."Xi•<•'•'••>?—— •

MB Dcte.... ^ w Z A / ^ ^ 7 ^ I^ ^ B u Three copies to be filed by the owner wilh the County Clerk and Recorder of the county in which the well i* I•^H lofAted. •

^ ^ ^ 9 I'lease answer all questionn. If not applicable, HO state, otherwise the form will be returned. Aj

^ ^ ^ H Original to the County Clerk and Recorder: duplicate to the Staic Engineer; Triplicate to the Montana Bureau S^ D R H of Mines and Geology, and Quadruplicate for the Appropriator. •

r I

17135 COpY I

fi.M—J££L2JJS63 is i

Cnunfiir Clerk an{* ftwnrtir

^ I

I

^ B GW Approved Stock Finn—State Punnsninc £•«•. "icicai. Mcntsn: -*22?« "^S t - . ' 3 '; ^ ^ ^ ^ ^ B

I RhN,.......1!?.?..4 T ^ . J Jf H

IIMPLICATE County 34Er<^-6«<?.. ^ ^ B

STATE OP MONTANA _ ^ '? ^^M

ADMTNTSTRATOB OP GBOUNDWATEB CODE D ) '&• C R F '••*' < i r^\ ^ ^ B

OFFICE OF STATE ENCHNIifcR L i U • « • • « ^ H

JAW 2 1964 ^BDeclaration of Vested Groundwater Rights. ^H

(Under Chapter 237, Montana Session Laws, 1961) ** ' "" '* *->»"• i-1- A |H|I

(Name of AppropriaJor) (Address) J/rawn) I^B^B

County of £L**f&:i*d. .State oi..//7^7^>2.T.. ««

have appropriated .^ronndwater according to the Montana laws in effect prior to January lf 1962, as foHows: Mil

• i • i ; i ; ] 2. The beneficial USP on which the claim is based...rfr^f.V^L^.MT W f l H

I ! | ; i ; 3. Osto or approximate date of parlies beneficial use; and how continn- ^KI^H

;->uf.' '— -i ! !— otis the use has been J-«^(£*f / ^^yCt ^2^r5i'.^*r».i-**CM-i4, flMB

— ; Aj ; : ; ; P.... (7. ^HK | W • • • \ ; i 2 - ^ ^ ^ ^ 9

B "'I ; ; ; I ; 4. The amount of groundwater claimed (in miner's inches or gallons ^ ^ ^ HB — : —: —; :—;—:---• per minute).... . j . .Cfi^iLJ^C^r^...^iLJfy -^^u*-»^^-wC^ HSfl

BB '• • !_ l J | 5. If used for irrigation, give the acreage and description of the lanils MNH s to which water has been applied and name of the owner tht"«f ^S^mH ^ / «r M n .•ratto...wS - •HIjR 5^.^fit-*?T.flyiR.../? ^ BSSL Indicate point of appropriation """ BlBl3 | and place of use, if possib'e. Ench , , H^HSB gmall BquaT'e represents 10 att-es. 6. The ueans of withdrawing such water from the ground and the loca- IB^BtiB tion of (each well or other means of withdrawal... o£>-«u-2v.cc«- .. M^B

• ^jUte&i&p^. S H^B 7. The tlate of commencement and completion of the construction of the well, wel'u, or other -works for with- ^ ^ H ^ l9 drencnl of groundwater \r-***<Q?f...J. ffi..$.Cp I ^ H B

K / -> l' V1" ^HSB 8. The depth of water table /.yc O. .*-jlJ;,e~4.. BBB B^BB 9. So far as it may lie available, the type, size and <lc;>ih of each well or the general qM?ciffcations of any other B^BjB work« i!oir the withdrawal of groundwater. .t£**«.\....>LJuA*iLL-+*!UL< V W B I

B 10. The estimated amount of groundwatcr withdrawn each yi'jir.^^U./.?.., <z£Et£*\. ^ ^ B V

n | 11. The log of formations encountered in the drilling of each v?cll if available ^ ^ ^ HB :^2I^TJ\ <^:L^3i^kJL\T.-Lp. ^ ^ B

H 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including | ^ ^ BH reference to book and page of any county record ...<•::.)~^<ip:?.%,*}JQ. SBH

B HBH

l Signal*,, of O ^ ^ . ^ ^ ^ Wk

I BH• Throe copies to be filed by the owner with the County Clerk and Recorder of the county in which thn well is located. ^ ^ ^ B

I Pleasp answer oil questionn. If not applicable, so state, otherwise the form will bo returned. ^ ^ ^ B

I Original to the County Clork and Tlocorder; Dupliwite to the State Engineer; Triplicate to the ittontana Bureau of ^BBI Mines and Geolouyi and Quadruplicate for the Appropriator. _ . ^ ^ ^ B

^ ^ H Simte of Montana, 1 (^OPY

^RH af c£:y.&. o'cUik&Lji.

I^^^H jf i'ntintv Cfrrk mrti ttecnrder

1B ^§h»s uw 2 Rrvi« iw County .J7'._J^4rrcij-c-t-^'- 1I STATE OF MONTANA DRILLER'S LOG £ £^*~ I• ADMIN5SYRATOR OF GROUNDWATER CODE , n d i | h c h a r a c t e r c o , o r ^ t < l t . 1I MONTANA WATER RESOURCES BOARD n e s s o f s t ra ta s u c h as d a y ( s a n d / 1I NOTICE OF COMPLETION OF GROUNDWATER «ravel shale sandstone f c Shov' II APPROPRIATE BY MEANS OF WELL * & - 5 JT? J2 I• Developed after January 1 , 1962 I

• (Und.tr Chapter 237 Montana Session Uws, 1961, a* amended) Top of Ground (Eicv. abort s« seven 1

B This farm to be prepared by driller, and three copies to be filer1 »><"» To 1• by t>,e owner with the County Clerk and Recorder in the county in <Fwt) j < F t t " I / ' . - i I• which the well is located, last copy to be retained by driller. £^_ i y ^| !F) rfa J/^4 /?// . I• Please «ne>ver a!! questions, if not applicable, so state, otherwise the IB form may be returned __£1_,4__ I• /• ~ ~/~\ 7~ ' |*y"g"^ ~<f$"J} " ^ l " J I Jy C~s~n ftii- "y~$si7~L I

I Add™. LXJJ^+J$: r^mSSC (Am I

I :>a£«a&Lc_ a fflw.... 2v*« b^/r^rni^Tr-rirri^" II Date we., started tk^.7J^J.^N 1 ^T^.^^l;3g^IL I

• completed ~}Qf.<aLtJ..J&.'j3L:' 1

I Type of >H*\\^..k£iiU$.. L \ . II S~\ m (Dug. drlvtn. bored or drilled) _ _ _ _ , . ^ _ _ _ _ _ ^ _ ^ _ _ _ _ _ _ _ _ _ _ _ _ _ — — — M

I Equipment used .[\.6J5xifrQ — I^ 1 / (Churn diH!. vtrt»ry OT other) ^^^^^^ ^m. m^m^m .^.^..^-^^.^.^.^^^.^m*,^—^^**—.^—*^-. B

B Water Use-. Domestic • Municipal • Stock |gf Irrigation • I

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

• *Describe 9

• USE: If used for irrigation, industrial, drainage or other. Explain, ——— •I state number of acres and location or other data (i.e. Lot, block •

• and Addition) , I

I ESTIMATED ANNUAL WITHDRAWAL _ II — • •=•- . - . — • _ • _ = ^ - - r — H - I• Sin of I Sb» and Prom To •• Dtfll^S WHfbt (VtH) (FM) PERFORATIONS M

• /U . i±'/''s KM From To 1

• I [ j ; I Static water l»vel JjLttLHAi^a.M.* : ta I• I y | Pumping wate" level ./...ft.* M• -;- -. a\(5l4\>.jX..£iZj.&$a\\Qns per minute, _____________^_____ Im '. ; measured minutes after pumping K

ft w i 1 i K began. | 1 | IT Z I• I ; 'Measured from ground lovul. __ _ II j ! Well developed by - - 2j fl• i. ! for Sours. __ •• ! } Power. Pump HP ___._ L M• j • Remarks: (Gravel packing, cementing, fl• * ' packers, type cf shutoff) ___^_________^ «____ 9

I .KW..% vs...* secJ.^ i- -T^Me^^'^ZrZ'Z. I \~ 1I T....A-?. (N)R..../£ ,E' ixliAU* ^JH^CC^.^.^ j 1• s w LU*Lt€^c*»± :.'. '_ "; . .-.,.;•• "7- ~"""~Z1 9I INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. . I

I HACH SMALL SQUARE REPRESENTS 40 ACRES. i

| Driller's Signature Jt^ty*j(4^&LM7rrLj0fi • I

E Driller's A66,e.%z Mr^ ..//•/•^^-^^-^^^^ ' ' ' • I9 LICENSE NO../..^ y - iio^Jj „.. Show exact depth of bottom I

L ^ 3S3 1

•g lb.);)b I

I Copy 1

J H r-'co* Montana, I Hj• ^ n l y o f F e r f# 1513.72 •• . Filed___!Iill:_±_.—~ -• •

• yt&^LtL o'clock, ft u^ . I

^ B CiJUjm Clerk and Recorder HI - ^ ^ I

^ S •' GROUN WATER INDEX. •' Page _ ^ p f _ / _ j^H

^ H i County ^£^^1^. TwP- _ , 2 A ^ _ R9e- ^ £ • l H

I : "^^ .^ IH ^ H Sec. Name of Appropriator Type of Form File No. Remarks ^ ^ ^ J

•B I 'vf&.i^Ty/M*,.*? £ 7rV /7*/3 ^ |• I _ ^ / x;~A,A,*jk,riALjM<ft- Ji it a* k& ?*~*-\ : ^M

1 : f^ I 1" ^ 1

H GW • Apprcucd Sick Fr:m- Sim I'ub!:^:'.-:= Co.. Helena. Mra:..a»- : :>ll « ^ 3 i i

I File No. 1 ^ 6 1 3 T 5-K,..^ ^

• DUPLICATE County 7 ' v ; : < " - S^

I STATE OF MONTANA ' v ^

• ADBUNKTEATOE OF GBOUNDWATEB CODE | 7 P ^ ' /

H OFFICE OF STATE ENGINEER j j j j

• Declaration of Vested Ground water Rights• ( U n d e r C h a p t e r 2 3 7 , M o n t a n a S e s s i o n L a w s . 1 9 6 1 ) *" •'"• • - i _ j r u . . .

• ,. -\ , "' ~1 *"Jy - • f •• •• 1 /.'U!..-±iA 1\.:>J...:.'! •-•'^ , Of '..I-/' ^tS^ltr . ,• ($rcurfie of Appropriator) (Address^ ,-&. (Town) !I County of . ''.•..' State of.. . ^ / * i ! / ) . ! . . - ^ « - i « _-H have appropriated groundwater according to the Montana laws in effect prior to January 1, 19in2, as follows: i• N /H i : i I i • | 1 2. The beneficjal use on which the claim is based _ ; <" <• '' ^W . . . . : . . . . : :. x.:.....;.....;..... .i-i'-:-:U..^ 'V .:,_-.i_... ^ ; . ' . ^ - ^ f > r r r . - r :I : : : j ; | 3. Date or approximate date of earliest beneficial use: and how contrni- IH . . . • — • — ; ; : \— ous the use has been .'jT.''x-/frif-f—^j •

B w \ ; : ; : ! r ' >. I

• -••;--••; ; , ;••-• ^ ^ e a m o u n t oj groundwater claimed (in miner's inched or gallons H

I . . ; . - . . ; . . ; — | — : — per minute) •

H : • i j \ 5. If used for irrigation, give the acreage and description of the lands IH s ' to which water has been applied and Jiame of the owner thereof •• £:?.i£.'....j&C3&> «SL*ridL£&4. I

1 //.fc/%Af.£W£. T.- . B. O / . II Indicate point of appropriation BH and place of use, if possible. Each . , , . , . , , • , , , •H small square represents 10 acres. "• The means of withdrawing such water from the ground and the loca- •

I tion of each well or other means of withdrawal I

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

• 8. The depth of water table >.....:.' •

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

• 11. The log of formations encountered b Urn drilling of eooh well if available / I

I reference to Ixiok and ^ago of a.»/ county rc^rd •

I Signature if Owner ...//IGU'T^JI../** /^diCCi^QL^T^'ly H

I D«tc JLIJJL . <3'( / ? 6 3 II Three copies l,o \K' filci'i by the owner with the County Clvrk and Recorder of the county in which the well w located. I

I Please ammer nil cjucstions. If not applicable, so statx», othenvise tho form will be returned. fl

I Orighwil to the County Cl.rk mid Rword(>r; Duplicate to tiie Stxite Knginccr; Triplicate 1o the Monirvna Bureau of •I Mines ni'd OeoloR}', und Quadruplicate for the Appropriator. yCion^ M

H 17613 r - IIBI Slur? of Montana, [rr W | i ^ ^ H^^H^H Count" c^/Vryn5.j ^^^^H• «w L. ::.!.'.?!3-!,— •H I flL-Z-3i..i.-5: o-dock£?...M. MM

H # J 5 . ^ . MAYBATHBUN ^ B^^^B ~ County Clerk and Recorder ^ ^ H

^ ^ ^ ^ ^ H GW 1 Approved Slock Form—S:aic PuMiOiim. Cr.. HrleM. Montana—M55": jjjfi&t-i

H me N,,. 4..'£i££ RECEIVED T..._..JA.^ !*! <?J^ H DUPLICATE u£C22 1371 <3o™ty E.nl^S?.^ H inn THRU STATE OF MONTANA^ ^ 1 MONTANA DEPARTMENT OF NWranNISTRATOE OF GROUHDWATEB CODE• • _ _ T o p o f Q r o m d RESOURCES AND CQHSHNCTIgk[TB W A T g t COKSEBVATIOS EO*SD

BS ~ (Hev. above sea level ) Notice of Completion of Groundwater I• 9 — i XJ ; i Appropriation by Means of Well I•^S - 1 i o l i l t . DEVELOPED AFTER JAKUABY 1, 1962 1^^M 10 y5 -re.-.:: - . • 1^ H ^ H — - c £ Q j (Under Chapter 237 Montana Session Laws, 1961, as amended) •

^ ^ ^ | f Owner..:........-..-.: s...f.\-~^ur:.'..^ -Address . . : - ...••..._.•._»....••. :!:..:.•.-. I

^ ^ ^ H — 77 i- - '-••• Driller...ie.w--V..C. ..*»-...'-«... _Address.j*j-....—i—,..~.* — -.._... K^ B 88 110 -ai ic; ; L , . ^ . . , - . c " I^ ^ | H ~T1Q 115 H- - _ !"••-•-;". ,•••"' i t e Date of Notice of appropriation of grottndwater....».. .w.v •| ^ ^ K -115 120 bands to r i c .o r sv .n ,. •

^^^^M 12Q 150 Grtv s h a l e Date well startedk9.y.«_..r.2.jtt-.^.i..i Date conipleted..-...r.A..» «.,._..ili I^ | H ~I50 17C iaiulLtoni- , . . a t t r fl^ ^ H -170 162 d h a l c Type of welktiJ.xea_ „_ Equipment use<l...~^'».-^ _ - Ij ^ ^ ^ B (Dug, driven, bored or drilled) (Churn drill, rotary or other) J |^^^M ^ I JQ Vy'^S'fr Water use: Domestic • Municipal Q Stock £3 Irrigation • •^ H - FHed for rwwd Industrial D Drainage Q Other Q I^ ^ ^ H thie c- / riaw rtf A/Aj- -->y y6 >c< Indicate on the diagram the character and thickness of the different strata I^ ^ ^ B A n 10 7 / •* O ? ' ' " met with in drilling, such as soil, clay, shale, gravol, rock or sand, etc. Show •^ ^ ^ H _ A. D. IM,.J. 1 , m firy-vJv n depth at which water is encountered, thickness and character of water-bearing I^ ^ ^ H n'filnek,,....>? M strata and height to which the" ater rises in the well. I

B f SSJ; V<£ S£> ™ nMnrnxnon I• - 5-5/8 0 160 - ™ *"° I^ H - 4^064 id) abovt v/16"1 ICC ISO I{ • • — £^^1* lcO holes I

H | ^ H — w Static Water iAivel for non-f cwing well I•H ,_ j I I .-ifci feet. I^HH j _! Shut-in Pressure for Flowi.n|>W.jlL...2i.Qn£i... I^HS _ ; i Pumping Water Level 12.G-, feet fl^ ^ H | w I • c/ 1 / ' E at .7 Kal. per minute. I^ ^ ^ H I ' ; Discharge in gal. per min. of Cowing well I^H| ~ ] j ....toe I^ ^ H " I ; HowTested..i>MlllU£..a'AC...JU<Jili:ur<;.d Ifl^H - I ! 1 i length of Test 2tt..aixu, I^ ^ ^ H — t{ - RcmarV*: (Gravel packing, (iomeniiuff, pack- •

H - Hi mA......^£L ?2l ^r.i r*^c of 8hutoff) I^ ^ ^ B — Indicate Jo^tlon of •wd! snd 9

^ • H B p'acc of luic, <f possible. Each •|HH r— "nail square represents 40 •H ^ ^ H acrci. *S

^ ^ ^ H (Continue on reverse side) I^ ^ ^ H USE—If used for irrigation, industrial, drainage or other. Explain, state I^ ^ • 1 _ number of acres, and location or other data (i.e.: Lot, Block and Addi-^ ^ B tion).

^ ^ ^ | L » > J Show exact depth oi bottom.

• H B 19•^^B This fortn to be p/epared by driller, and three copies to be iiled by the owner *..'ith tlic 1."'.'."."'",'"'",'". \l '.'"^ ^ H County Clerk mnd Uecordcr in the county in which the well In located, twsue copy to b* imllcrR Kicrniw Numbt-r ~m^M retained by driller. U^ A ^ (J

^^HaS Please answer all questions. If not applicable, so state, otherwise the form »••••'. bo ••-** -fr- i-* ..-U.....^ •^ | ^ H returned. PrilWu Si nnturr1. / / s^T •

• •£••.. mi3LJLSL-..o'cl*.k (£:..M. II I

BBBBJ GW 2 i ','": *J p-^A^SI Appro»«l Stc.fl! Forr--S!»tr PuMirfihsK Co.. Helen*. Moa«3»—»2J2* ^t^^>- H B ^ B

HH ™**» ^ ? w - , -. 7 T *A• « - ^ ^ ^ | HH DUPLICATE , • - County Le^.y> ^ ^ B ^ BBHH TQO ~ STATE OF MONTANA ^ H l• M M * ADMINISTRATOR OP GEOUNDWATER CODE ^ ^ H• H 1 — 1 Top of Onnmot - OFFICE OF STATE ENGINEER IH

^ H ~~ (siev. above leveL ) Notice of Completion of Groundwater HBBH ~\? i5 Yel^ov c lay ? r l ? Appropriation by Means of Well |?BH - 1 6 yS io i f^y 1 *' DEVELOPED ATTA JANUABY I, 1962 •^ ^ ^ B —i© 82 GiCJ SCI.cStcne Water (Under Chapter 237, Montana Session ^ws, 1961) ^ ^ H^ ^ H _ 82 90 Variatca sl ale j^^B

^ H _ | £ | | oSj 8 sS le Owner...9th£.r..Uapy8 Addrc^i«l?re6,..Mntana ^ H

^ H "Uiol to^n^lSl* DriUer^or^eC. ainpie , ^Addres^^ijitovnt..Montana._ ^ H

^ H "JSS H I 5 ^ * Sandy 8hlO« nate of Notice of appropriation of nKmrnlwatrr »»». - HH^^H -X17 129 Bard stilus tone v/ater ^ ^ H^ ^ K 129 131 Extremely harfl Date weU starts. jMT.f.5.,.19.67 Onto eompletcd....tae3.«..ll'#?._ flHV^V — Silicate rock MKB&^ H ^ Wk J O " «»*B«8*OW«. , ftpe of well tfUM !>,nip,nont nscd RoteJOT. H^^^B 132 140 Light g r e y Hi,.rr- Sl^I^Dug, Driven, borc^or -rilW, (Churn drill, rotary or othd) ^ ^ ^ HH ^ B ~*^° ^ Brown Bhal« Water use: Domestic n 'anicipal Q Stock f] Irrigatirm ^ H ^ H^ H _14|2 150 Hard S'aale.&rey, Indastrial • Drainage D Other D H H^^^B Brown rarlated ^ ^ ^ 1^ ^ ^ H — Indicate on the diagram 'i>.e character and thickness of the different j>ii .Us ^ ^ ^ H^ ^ ^ H met vritli in drilling, rach as soil, clay, shale, pxavel, rock or sand, etc Sh ,# H ^ ^ H^ ^ ^ H — depth at -which wator is encountered. thicloKss and chara ter of watcr-beuri'.ig ^ ^ ^ Hfl^^H strata and height to which the /ratei rir in the well. ^ ^ ^ H^ ^ ^ H IM« atCMMv KM mm To ^^IB^ m - 7.7/e 0 2i - <*- ff-» •§^ H - 5-1/8 21 150 ^ H^ ^ H _ 6-5/8 on nboTe IB^H| ^ H 6i IP ground I^H^ H - 1* 21 £Mhol«i 50 140 M ^ l^ H - **CS *U belowj •

• - i - sH M. •^ ^ ^ H w ^ ^ - Static Water Level for non-flowing well ^ ^ ^ H

^ H - I : | j I SO f««t. ^ H^ ^ ^ H — ; ' . . . . . Shut-in Ptownre for Flowing Wcll......O ^ ^ ^ H^ ^ ^ B _ ' i Pumping Wat<T Ijevel X1O feet ^ ^ ^ HH^^H w '• :

K nt 4|J. gal. per minute. fl^^K

H E i i- —"—i"™;.- •H ; : HnwT(.«d..flei3.teg IHB ^ H ~ ' '• ' '• l^npXh of Test J.. hy». ^ ^ H^ ^ ^ ^ B Re marks: (GravcVjiaf king, cementing, pack- ^ ^ ^ ^ B

SH - «S *y...U^Sec.l^.. T .U. HM. ^lyPC °f "blit0ff) Hi^ ^ ^ H — Indicate location of wrll and ^ ^ ^ H^ ^ ^ ^ H place of use, if poiwible. Each M^^^B^ ^ ^ ^ 1 ~ nmall square represent* 40 " ' ^ ^ ^ K^^^^H nc.res. ^ ^ ^ ^ V^ ^ ^ ^ | (Gmtinw on reverse sklfs) ^ ^ ^ ^ B^•^•V USE—-If ujK-1 for irrieatiim, iiuhtHtrinl, drninngc or other. Explain, Ntntc • ^ B ^ H^ B ^ B B — n u m b e r <>f .'K-rt-s nti>l lor-ntioT) or <>th<r <lnt^ ( i c : Koi, Hlurk and A<i<]i- ^BBBJ

•H ~ """'' ^H•B^BJ ' I Show szast depth of bottom. ^ ^ ^ H

^ M TO- ta» U, b. I^P^d by Ml« «d «« . cop*- to b. HM br tb. ow r with Ih. - " 7 V *9~ " H |•^•1 County C'erk mad lUcortw in Uw county in wLkh the w«U U locate tiMua copy to be Dnller • Lic*yw« Number ,. • ^ • M&^BBI reUlned by driUar. ^ /I — ' ]\ ^ ^ H• ^ ^ | l'leaiMj Aniwer «U quartlon.. If not applicable, to sUte. otherwUe the form will be . . .^>C^-NJU)j^ t-A»^^^ r ^ ^ HBBBBJ returned. Drillcr'H Slrfnhturc ; / V &^B>J

H • HB I

^^^^•HBBBBBBKlBBuSBsBBBBJBB^BBBBBBBBJBBJBjBJHBJHBflflBBAY^

mmJ O 29768

^^^B ^tiite of Montana, <

^ B n«w. . i U I . l ^ J g § L _ i s . _^ H •« &*?. »'ctock£LM I

^ B O> H e l e n a !r>de;.e.-:de.-i! ^cc-.r t! . aiff* '•'*) *\ B

I « • J u j , i *" I• File No. -OiJ-iy T ... R . . . . •• DUPLICATE County •

• STATE OF MONTANA , , r _ r ^ . . - II ADMINISTRATOR OF GROUNDWATEK CODE | D ) L C £ Ji V IE I :] ' 9I OFFICE OF STATE ENGINEER j j \ ] , p . .... \JJj •

I Declaration of Vested roondwaler Righls n u r P[IT|\'PCD II (Under Chapter 237. Montana Session Laws, 1961) ° • rt • L L f * « ' «T 1 1 K W

I L Otter Lir.ms 0, ; ' i r l f"°d . IH (Name of Appropriator) (Address). (TOJVTH |• County of P*r rus . . Sl.,x o{ "ofXrr - •K have appropriated groundwater according to ihe Montana laws in effect prior to January 1, 1%2, as fo1- IH lows: ' I

H i > 2. The beneficial use on which the elahn is based . . B• , o ' ! s t i C '.:~:Q v t o eye •

H : ', 3. Date or approximate date of earliest beneficial use; and how cm- II i • ; unuous the use has,been. _ , r . . I• -(• 1—•--'- t eb i - i r ry 1 , lycO ^ortlr-uoui; •

H _.) , .....:. .. _j The amount of groundwater claimed (in miner's inches or ga/1'.Tif II 1 - - I — . . ; - per minute) 10 ,-.-1 »O^ r c r rinutte I

H — • I- 5. If used for irrigation, give the acreage ami description of ihc M• g lands to which water has hrwi applied and name of ' w? owner j jB Vhereof . I

• . .A1/V-«V4 Sec. 2£ T.22lR...£Ql'< - IH Indicate point of appropriation IHH and place of list, if possible. 6. The means of withdrawing such water from the ground and the Ml• Each stnaU square represents 10 kxation of each well or other means of withdrawal ... 1• acrcs ' iiubmeraible . Utio I

I 7. The date of commencement and completion of the construction of the trell. wells, or olh««r works for witn- IH drawal of groundwater m• .ifc.i,c..-t!irfci.v.. . ^.:.,ui.ry. ...5». l.'.-'J. .i'-.to to : . : . : l c t c^ ..r'©.bru;..^-...l* i.:v(.J 1

K 8. Tiie depth of water table (. 5 f e e t fl

• 9. So far as it may be available, the type, size and depth of each well or ths general spe\ 'ic Uions of uny •I|K other fi'rjrk*.1 for the withdrawal of groundwater MU Tyycs Urlll*dt Cable tool iit7.oi / foot to 113 ft ••5...2/1 o .lw S>&*> 1• . 113 foet tc 135 Xt.-fc .l/L li) SftS. 1

I 10. Th? estimated amount of groundwater withdrawn each year 3.U«0.\/Q..GftlloAI9. •

H M. Thr- log of formatioris encountered in the drilling of each well if available 0* %Q l ? t ' ^ * V ? f a c e . . . C l a y IM la* tt> \ri«»Brov.^..a;.iiiti:it.o..«i-l«8.t..to.3.<it-»rOMi .^?ivy..Cl^X*3lt'...tft..^**Jar«^!...%»^fi«tori«fc 1I 60» to cl^-O.roy. 3»T.a-CilJ« .i;o. .V^'-Cr.uy..-u v.j ..>J^l«^72V..to...: |-JCxiiy....Rw« SJtelt-^31 tc I• *7*-i*ow. Shale-tr-tor SoetJ-^f tQ 105 f-°W Blu* a!x>l©*lO5» to lO^'-^lue P^V^y 1I Shal#-3.O«* to 132«~-<lue Sard wtr m- lr. hfcr 117-121 •-132* to 135ltirry Sw.dy bhslt •R 12. S'ich other information of a similar nature as may b* useful hi currying out thn policy of this act, including I• reference to book and page of any county record I

I /••••»/>, I ^y, I1 Signeture of Ovm^Jt^^:/(A,y. ^A^^^y^i-tJ.... 0

I ^'i-^/fty |I Three copies to be filed by th«.' tnvner with the County Clerk ,»nd Recorder of the county ,n which the well is I

I located. I

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

I Original to the County Clerk and Recorder; dupiicate to the State Enriievr; Triplicate to the School of Min>s HI and Quadruplicate for the Appropriator. •

I 13941 MM

I c;:,.,,,,,,,, Tu HB r««»f'r of Fergus.I ^ ^ ^ H

I :«,« i?JL5i - # ? - J S - •

I !

H^B OW 2 Approved Strik Form—Sla:r fubhshini; Co.. H : ! M S , Montana—4132* jd§S5>t>3 ^ ^ |

^ H File NO ~'.:J...:..:'. STAT€ WATER CONSERVATION BOARQ T A - ? ; / < *££?•..& tx.fo/ fll

^8 DUPLICATE J U N J 9 1957 County-.^I...^..-,..r. .^. . . . H^ H IJ3fl Bi'" r •. STATE OP MONTAKA K B^ H p '. ADMUMSTEATCE OF GEOUNDWATEE CODE M^ B 1 — 1 Top of Ground £ ' —OFFICE OF STATE ENGINEER •

^ H ~ (Ew. above sea \w4L?!±l:~~r --NoticSIJol Completion of Groundwater IIH f/J JL&si cJ**j* Appropriation by Means of Well •B V^'k- 5 ^ o L £&£$*** **(.. DEVELOPED AFTER JANUARY 1, 1962 M^ H 71 '"* -^Sr^H-4^' {$&£&** t&$~ (Under Chapter 237, Montana Session Laws, 1961) • •

K |y i fj W ^ ^ 0 * « ^ - ^ Addrc^;^..^J^jatsStl. I

BI iA-tf-^^^^v^^f'*'*- ^ mmI ^ H /'•? i i i* f t t t* . t . "*•'- £l**-£* *t •• Dale of Notice of appropriation of groundwater ^ B

H P tiZJ / - X i^«^ 4K* JnM'f **"! "/"Date well started /.OTAHA Date completed..../ . ~j£:./£ •

^ H Wttfi >>'*iJt/LJ%^S i^^^^Type of well ^ m ^ 4 . lknipment used A*£S&tz£L HHH i > < f * p \ ijfJ?.7& ~4 / C (Duf, Driven, bored or drilled) (Ourn drill, rotary or other) vT ^ H

^ B l ^yky'V*"^^^**- * ^ Water use: Domestic • Municipal D Stock |Q^ Irrigation Q ^m\

1 9 fu-/rJ-]M^daLt'****&' < Industrial D Drainage Q Other Q •B ^ H L L / ' ' * " * ^ / i>y^ _ / ^ ^7 Indicate on the diagram the character and thickness of the different strata ^ H^^H ^ T ^ i £tf&:*%*^&.. Ci. met vith in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show ^ H| ^ ^ J — - V, ~~ ., *^ depth at which vater is encountered, thicknest and character of water-bearing ^ H^ ^ | ' l2rj '/ * *TfcjlCi*x4.rd. (\-r~Ul "3t •;***t'**w»ta aT»c5 height to which the water rises in the well. ^M

^ H - 3 -*v/- T;i»' »-<*» * . . _ — HB B — J ~'£&.(: &-*->W*:' /'/'/ N Static Water Level for ncm-flowing well | | |

H -.t1tojt?->*»?-^'M. #, ; T ; 2J& fort. HH i Vtfi /?> //ew.-ft-t*^1 y ^ J ; I Shtit-in Pressure for Flowing Well H^ B j ^ J ^ Jfif /&<*»+» *'<***« ^*"-***'^' *t& \ y i Pumping Water Level feet B J |

• • t$-j-lfy^—>«*»*4M.4 " j r * a t / ^ ~ - K«l-Per minute. &j| ^ H ' / ' - #~ i i Discharge hi gal. per win. of flowing well HJ

H ~> - .y* - - ..i. !_ •^ B ^/K y?'<A-*^4f • '•**»* \ I now Tostc<iry?«^^^;w.^:^^w:.. H j^ B 7$9 W-^H.'f'jt&jp^fi' ' " Lengtli of Test ^...M^^ H^ ^ B — *Js& "¥*&*• *.M~**LK (* «•• Remarks: (Gravel packing, cementing,pack- HHj

I B -in te^-ujL c'r- &*** ""sj&.vjt.^M. T-uLTuMtf cr5tyr;v^ ^-^tfh- W^ H -VI '"Jt*/- &*-/?'->•>-, 2->&~-*-U Indicate location of well and A««^Cjt»...'....C^---<»-*a.>t HI^mm ~~ •! t 1 * .k/*/* place of use, if possible. Each J • •^mW —.</<t >23L &*-** -***-***- . y 8 m n]l BqU a r c represents 40 ^ H^f l -3 •» j»-^^j--^^^'*>{y/ acrcn B• ^ S^,i"^r :S^ HB \P '''f^^ffih^^: 'Omtfcun - — side) •H ^ B O^U J&'1~ "^MA"'^Ui . ^ t ' fSE--If Used fi>r irrigation, industrial, drainage or other Explain, suite ^ ^ H^ ^ H Diii l/^'^0t4Jr.^Ui/A'T'f>'£$l "*"*>rt'*¥f>ZM^L'M1'l('r <lf »«'r|1)l ii'i'l '.oe.'ition or other data (i.e.: Lot, Mlot-k and Addi- ^ H

• \m^Wt£t$M* •^ • 1 This Torm tj Be prepared by dtiller, aw! tkree copieB to b<" filed by the owner with the ','V"-Vi""V T '• vt"" i 1 ^ 1•V County Clerk and Recorder in the county in which ttie w. ,M is I'jcated, tissue copy to be Driller s License Number ^m^ Q retainod by driller. / . Um.

^mt i-JK-il */'/r:"' « | H^ ^ H Please answer all questions. If net applicable, so stnV.s, 'Otl -rfl-ise the form will bti i.-fj^.<.^./........l...*.jCjC.wwt*.-..i-— ^MM^ H returned. DrillerV, Signature ^M

• < v; : £>tute a? Mi.r.'.ana. "). ^ ^ ^ 1• ' T~ Cornell) r,t'F*rgxis.y*' l ^ ^ ^ l

1 "- FSedr...JM.lL WfiL ^ - 9H1 ? «lt {&±S. o-cteckE V. H |

p f CountfjjCltrk and Reconipr ^ ^ ^ B

' ' . I^IH

nH GROUNUWATER INDEX "' Page _ /_pf /_ ' 1

H | County , ^UA*,^-' Twp. ,^ ,2 7C Rge- 2 / . £ •• _ ,H^^H County^HK Sec. Name of Appropriator Type of Form File No, Remarks

•B L a . . :

I ^ ^ H I 1 1 I 1 1 • • - ' - *

H GW 2 Approved Stock Knrm—Sute Pu'.iiishinj Co.. Helena. Montana—»«55T ..^ggg*>3 •

B File N« . - T££^...K£L/J£ ..j£*^ 1

• DUPLICATE County....?.?*^? II STATE CF MONTANA. S• L O * ADMINISTRATOR OF GROUNDWATER CODE I• . . T o p o f Qrotmd S T A T E WATER CONSERVATION BOARD I

I " (Eiev above sea lerei ) Notice of Completion of Ground water II ~ Appropriation by Means of Well I• 0 • 1? — Brown «andy ea»y DEVELOPED /'JTBR JANUARY 1, 1982 I

B — J7 • 68 • - Omy Bi l t cd t*ad (Under Chapter 237 Montana Session Laws, 1961, as amended) fl

I 68 • 92 — H»rd gray ••ftdttf^m tos r. .ffiLfm»..K#IUPntHMl Mdress...maLf*«^..itoafcwuL I• OaatalBB wisX+r- MB| _ Driller. ...lAt.X7..J.miilXk&. Address..L««i»to!im»...JlMlt«n».....5Sl451 IH 92 - 105 - Brtnrc s U t o d |

H •and* Oat* of Notice of appropriation of ground-water 5

• X03 — Be>tto» Date well started .$*U5*?.l Date completed .6-15*7-2. I

I _ Type of wcll..._..JDtLL\*A. -...Equipment used _*?*.%?£. I• I * (Dug. driven, bcred c r drilled) {Chucrn drill, rotary or other) fl• {*"' Wa'.crusc: Domestic 301 Municipal • Rtock H Irrigation D fj• |._ Indcistrial Q Drainae» Q Other D fflH Indicate on the diagram the character and thickness ol the different strata 1• met with in drilling, such a: soil, clay, shale, gravel, rock or sand, etc. Show gMI _ depth at which water is enm untered, thickness and character o* water-bearing MH strata and height to which t'ie water rises in the well. •I SIM or Mtt mi From To wmirnBATKWM «• — DrtUJrt Wrt«M <TtH) <r«« PERTOWATIOW8 «• Role of r.T,*.t KhKl ! Pom I T* I• — j Sh* (fttn I (Pnt) •

I ~ *" tt'OS toMh , I• _ I IO# • 1 105 Cat 60 105 I

I I :>l0t* I

• — N Static "Water Level for non-flowing well •

I _ I i 7 1 -•-* fee- IM UJ7J SE^—~-~— -' — ' Shut-in Pressure for Plowing Well 1M _ t)0C. 'NO.—Jt/^-®5 j j Pumping Water Level .70. feet I

I n »hu&r^°day *-Jf$t)g~~~" —! ' ^ -i E at-*K>^ -? ^- p^minutn- I• ta * T ^ - J ^ -* -*** * T" ! i Discharge in gal. per miu. of flowing well I

• tfetoe^—^-^* " J, -; I• • - j : Ho^v TcBlcd.....Sffl»..**SS.«ft II — I ' 1 i ,., ..jLenirth of Test l..feeB* I• — , t </£ R«m.firks: (Gravel packing, cementing, pack- I

I " /^.WifefiecJL. T..Z3%.*1. ' ""«• ^ C °f 8hUt° f f ) I• — Indicate location of well and •••••• •I place of use, if possible. Each I• — small Hpuare roprescnts 40 U• acres. I

• (Continue on reverse side) H

• JSE—If used for imputicr,, industrial, tJrainage or other. Explain, state IH __ number of acrcr. .Did location or other data (i.e.: Lnt, Biock and Add5- Kft tion). •

I ' I Show exact depth of bottom. I

• T ' l b form t o b e prs£fti*u by driller, a n d f,hwic copies to b* filed by tho o w n e r wi th the "••••""'•"","'"" —•••••— JI County Clerk nnd Recorder In t^e county in which the well is located, tissue copy to »« Driller s ijicunse Nurnlier , |I retained by driller. * . J|

I Vlcasc .inswer r.ll qucUioim. \i not apptlcubie, w ntnlc. otherwise the foi-m will be is..x.-&&^..,^.....&:t<xtl£.a!ZA/llia*. WI t-eturncd, Drillertf Sfthmtun. X 1H

I { CuUi:'7 J L 1 2 1 S 7 2I Filed ^L}^^

| _ _ _ _ _ _

H pa.K. 1.??!?..?.. T :,..,* - ' " M• H E DUPLICATE County ^^M

• n ^ HB | STATE Or MONTANA ^ H• H H ADMIN1STBAT0R OF GEOUNDWATKE COBS rT^ 7 ' :'

l; ^BiIS^H OFFICE OP STATE ENGINEER /, ~" " '" . •H» ULl JAN 3 ^ " •^ B Notice of Completion of Groundwater Appropriation - , l HH Without Well h-'xlL 'v ° l IHII ~~==~~ •• ^ ^ 1 Date of ApproprifdJon of Grorndwater .J..jjf...f. ; HI

^ ^ | OvmeT./{/&/>U/.$> fia£. Addre8s../^t .I.SX&L. ...A*.« *£.... H I

^^M -. Contractcr (if any) M&.&.'Q: HI

^ H B Addrecs of Contractor /t.^^.^. H I

• H Date Star ted<^«A>M^. . . . . Date C o m p l e t e d . ^ ^ ^ ^ . ^ ^ . . . . BHw^a ( • •^ ^ H | N Describe means of obtaining- (groundwater without a well "fts hy MH|^^^H -«-—, sub-irrigation and other natural processes". Include depth to HIH

^ ^ ^ B : ': : i ! T' U I H^ ^ ^ H j ! : : ' -; -V vater when appbcabl? fl^H

| H | .__.:—j.._.j I...| :....- <£^zzjsj7~y J~y®us d?/^ia.<>^&rmSp I H jwBm .....;...-;..—•... .;—-:—;.... ^-JI&A*. &J^^MZ&S*&4L&CIL^JB.61^&^ IH•n w . ; ; , ; 1 ; '• j - . * H 9• ^ ^ H : j : ; ; Quantity of water developed and u»ed with explanation of method ^Hfl

^ ^ ^ H •'• — • \~ • : • used to measure or estimate such amount I£ n«e is ii iermittett ^ ^ ^ 1

^ ^ ^ H s estimate approximate lengths of periods of nse.~ I ^ ^ H

H * 8eo-- ^ - ^ J?&us^j£a*& .^^..^^de- Hfl^^H Indicate point o£ appropriation «^ f ^^^M^^M and plupe of use, if possible. ^^..^:/#.<?..tti,"£? JPU^.<C.//....ta£S-&&AS---~ ^^M

^•j Al&qwi^ //Aj iJ&^d. ..ef4P4&*. ^ /^*M/ / /~&s- J^M

B t/U/ij M^ /tefSnSi #^eX "fiZp** y<2 IHH Signature of OvrneT.^ir^^l^fT^^^ ^^M

•H Dat« /^./jv/^y ^ H^ ^ ^ B This form to be prepared by contractor iif any), othenvise by the owner. ^ ^ H

' • ^ ^ H Tbren copies of this notice are to be filed with the County Clerk and Recorder of the county in which the j ^ ^ |^ ^ ^ H works are located. B ^ ^ l

I^H ^^1^ ^ H Pleane answer all questions. If not applicable, so state, otherwise the form will be returned, ^ H l

^ ^ H Ori(?;intt) to the County Clerk and flecorder; duplicate to the State Engineer; Triplicate t» the Montana ^ ^ |^^•9 Bureau of Mine» and Geology and Quadruplicate for the Appropriator. fl|H

H ; fli

• i f l l p f f ' ; • ; •-.• ' *** K£ina_ia_ SB

I MH ORQUHUWATCK INDEX. •' pa9e _^_of^/_ ^ B |

H County _^XJ£^U~A^ TwP- •*•* 7" Rge- —£~£J=~ • flflI . r^z—^ I| H Sec. Name of Appropriates Type of Form File No. Remarks ^ H l

• _ ^ X /£, y^, J. Jn*.^*^^ SJ n4 /sr 7^rs~ H |B _ ,JL T sTulyj?-y>^.^i*/ - -T - r?«cg - ^ H

;S| I

W^M File NV. . lOVGO 1.2.kji...YL.JI>-jL£. H

^ ^ H DUPLICATE CouTity..JS^v-tytA44- ^ |SH STATE OP MOHTANAJ—^ ^ ~= ~, „ T f , , , .—* H^ ^ H ADMINISTRATOR OF GROUNDwA^kwete** - J ::. \) \ H

• j r—. TOPCO™* omcE o, STATE — ^ g ^ •, m JJj •^ I B r, r- (Eier. Above sea level „.. ) Notice of Completion of Groundwater H

^M Tu YT$***& Appropriation by Memi$Wiir«iGINEER •^ ^ H | I~1C 44£fry\/Lur-->>-*- C#S<Mfl (Under Chapter 237, Montana Sea-ion Laws, 1961) ^ H

H Ts" 9i'*&^^^^4™^^ •J. JH^^^B _1 .*?•-/ ^/- ^'^''T• TW*'vlf**fSkJ' '' Dale of Xoticp of Appropriation of Groundwator KB

| H ^ : 2G% j T ^ f * ^ - » ^ rt . 4 * * y . ^ rompiH,! f-.<*T63 wm£:^^B "^V }M^Mu^J^^tJn^ TypeofweU ^^Hlfii^Ut'..Equipment Used >L*&-r# KMI^^^H _ A i f y / * * T ^ / - j/jC.j^fJ^<jL Vte> dri-ren, bored or (Churn, drill, rotary or flH

^ ^ ^ B -HiW'Alr-JI' Jf^K Water Use: Domestic D M«anicipal D Other n ^ Irrigution • ^ H^^ IB Id j 0 . Jjfj^A/LP •C^^^'m kJ- Indnstrial D J>rainage Q Stock ffij §H

^ H J I M^ ^ { > | « ^ R i ' P * v l 1 5 E r V ^ ^ Indicate on the diagram the character and Thick ness of the different •H^^IH y» l i f l •*7YLt/L /+*&***^i"^^^ k strata met with in drilling, nn*.h as soil, clay, shale, gravel, rock or sand, etc. H H^ •Bl i&l£nu * A it ti AJP ^iiiH^ CiT^^Show depth at whicli water u encouni rretl, thickness and character of water- ^^H9 H ^ B [yPi *X£*l jyW*f*f 'MiAM^M^^^KtvC!i^ strata and height to which water rises in the well. H

• i^jviv*^^^--- •• i I^ ^ H At%T.J JLJj£T!& Static "Wa.n'r I>eve1 for non-flowing Well J0J~ feet. ^ |

fl^H « ^ J .^MU^A^Yi Afn-^J^r^l^. Shut-ji PreKMjre for Flowing Well ^ _ ^ H

•H^^B -*» It '1 "J"!-s^T't . ' ' ' si ~ J4 ^ ^ 1

f f f l^H r* ^T1 *•-#; '-*; -H^l • ~~.\~" \/~JL' Pumping Water Level.../ /.£. feet .it £« gal. per minute. ^ H

H|^^B • W'/j^t£ T -rft-fsSS i Dinchargfl in gal. per min. oi flowing well 1 ^ 1

B _V> j ^ *^^f^\ • ' ' «ow t*\*&..j3<lAJkJ?... Length of T«*t....(#jki*. I

^ ^ H | V ^'^fy.\^&^tfZ^'^^^/i Hemarks: (Gravel packing, cementing, packers, type of shutoff, loca- ^ H1 j ^ ^ | B — iJl '•/"• « T"*'X^^/ / • . ^ ^ ^ <ion of place of uue of groundwater if not at well, and any ^ ^ |

• • ^ B V f^ Ufft- I^hta(ai2f !MK37yi\^<4rj# •**"* L 8 - ^ ^ * v ^ ' "•*"•»• similar pertinent information, including number of ^ ^ H

J H H 4 L*i 'Y^r "ytitai ffl* JAL~*L ^hrtriZ&J't/jEs . . . , .r . . . . , • !

WMDM - / jfal Jlf^ -MiAjF' H.'r&Q&ft£^fiffl&mZ'* , iitigat<sl, if uwu lor irrip;ation) ^ H

IH - 7 *%^uf 8e«J!2 xaa i«^ _ / .tJt^ij^ic/^....^^A-^^' -V-..6- •ffi ^ y t /tSrSSfci? <*r,,J^J^.^^Jw^^ •QE -i^'-m^I^^^.^ w/^J&.^j&.&f&&*#^&. •^^^^^H •••••• BOOT* cx£ot jupth .pf borfoBi. ^ u / '-' ^^^1^ ^ B ^ S / ) v Driller')! LircnHC N'litnlier ^ ^ H

H Mt£*Jid&~ H^ ^ ^ H Driller's Signature ^ H^ ^ ^ H Tliis form to be prepared by driller, and three copies to b<- filed by the owner with tbo County Clerk and Recorder ^ B |^^^^^H in tin county in which the well is locate.1. ^Hj^ ^ ^ ^ | I'l. JIM' answer all quoNtinr-.K. If not apvilieable, so stale, othrrwiKc the form wi'.l be returne<2. ^ ^ H^ ^ ^ H Originnl to tiie County Clerk ami Reorder; tuplicate to the Stale Rngineei ; Tripliciite to the Montana Bureau of ^ ^ |

I """ ""•• " •- I

H 15755

fl^^H >• " ' Suit <*i Montane. ! „^ ^ B Cmunty of Fergus.}' '

H «<«L jajaA Q &>l.—19—^ ^ H tut M* Q O ficivck.£Li.M.

• I *>V

H5 ow •• • ^*h BK A p r r i " C J Sl - .k K . r - - - S:.." I'uHi'.h.r:.- t ,... H-.Una V..:,•;;::.•• v, : v £££*•3 S

I File No. .. i p . i o v ; . . . T. .^^. 7 / K 5 V ^ I

I DUPLICATE Couni7'f€rfl-*£ II STATE OP MOHTAHKT M? f " " / ™= r~^ I• ADBUNISTHATOS OF GROmfDWaTEK "tSOtHSr — ! H I flI | 1 TopofGrtmad OFFICB OF STATE BKO&feJ5R_ jjjj 9

I f (Eev. above sea level ) Notice of Completion of Grpyndwater I• fc^ /&e*^ C&^ Appropriation by Meaite W w • N b F_R I• \l~W %-** <<i*~J* Y***^ W i (Under Chapter 237. Montana Session Laws, 1961) B

I Y^~^ "f^TTtA-****^' "-~"o™*vB.*/L,.rt..- ±Mr^4M.x/£3..>#A!. _ II fcfti ^fttf^t^n^Mfe** #m!?uM.[tei&.&e«i'y* IB^E I • fk & %£ & ft ft J^J * ^^U

H ms'- ImKS jf-lift' H/#l'*w**"' ' ' i M * * * ^ .Pa* <" °f Notice of Appn>priation of Groutirhvnirr . . H

• I T / / / xseLAJi Or+Jr<? $y±1» 7 ^ /« ,T.J, /^ I• tf^Wp^ ***** # Date w-U start.-.) /W,-<O^*at« Comjilrt.-il . // '*?° "T •

• n f T ? i W U i ? ^ Tv,, of.el, QhrjJML K^mnl M ..&&r4L I• jZ- r" W> ^ft* VU*«/V. (dag. driven, bored or (Chum, diiii. roUry or " •

B l£.*~ ' ^ * ' ' " ' f t j • » "Wn-cr lise: Domestic • Munit-i iul • Othor • ^ irrip&tioi. G MH f 7 ^ - / 7V 'for4*&<*-+*M*v'<g . ^Ar Industrial Q Draiua«e Q Stock ®T •

H f* ' ^ \+7> g AM^tAI **& Indicrte on the diagram'tbe character and thickness of the different HH r^*? J iC|<* ififi^ **™v^. strata met with in drilling, such ar. soil, cl».y, shale, irravel, ro:k or sand, etc. •H I5W» W^* ^^»* ^" Show depth at which vrater i onconntered, thicknisw and ohai«cter of water- •B |SjV< 5 53 * P * " * ^ l * ^ * hearini? strata and height to Inch witer risen m thp well. I

I u^a'i*'**'*^ e § - I

I B$*S£3E3L! ' -1- - —I y.T jtS J^ftfJLjiy . ^ ^ Static Water lievel for n-flowi.it; Woll feet.B > 5*J • j f. .<Mi?^| 6* M^^S^j fc^^^hut - in PresRurc for FlMnnttWeU ^ ^

• ~$!tHm&tm "THthJi | W * J K A ! J ^ ^Ir I'unipine Water Li-vcl J . - •' feet at i IF.' pal. per minute.

B 3 _ T 4 * 5 » 2 ^ '<^"VZJUL~ i "'"" ' ^T I>i«ch8rge in gal. per min. of flowing well...«V.QflUf«.«^*i»r:..fr»Jl*vv

I T i R f l x F 7 iL/' *' ; HJW Tented thfuitt*.. Lcnpth of Test S

H | • • ' • ' • . : iscmjirks: (Gravel packing, cementing, packers, type of shntoff, loca-I ._ I ; . ' ; ' " ' t!',^. ,-.* place of u«c of trrounuw»ter if not at well, and r>nyI I .! . '• >%: •....:. . .• .. other similar perticent information, including nv.«ib*r of

• ~ I '' ' ' " ' ' : '2m, i/&B — I I •' ' •' •! • ' •' ' ' acrf« irrijziiiwi, if U*H] f«r irri(tation)..^'Cw<[^S»?tr!—<"

I - JteuJift) &e^ Tjojfe*** (^ I.Q'.-^MQ' . ..(%r&^.G&a**~4 IB _ Indicate location of well t.nd ' M * a * ( // ^ ^~ *i»» / U *^ I• place of u«.. if powible. Each JLJUttXc &/ \X^^i3^>^J.\.Y...Wh*Jhtf.,. gH small twjuarf reprcHcntr. 10 «cre«. */ . '* .-j B

I _ " J^^\*.HO..iiJfi. IK I Show exact d«pth of bottom. * / / I• Driller'* Licenxp Number Bj

I £&*&(£<*«. IH Driller '» Signature H

I Thiw focrn to be p r rpa red by dri l ler , and three copies to *?•<• fiK-d by tli« oicnpr with the County Clerk and Recorder B j

• iu tlii' county m which the well is looa1<'(J. B j

• l'li'HM' annwrr «11 (jucHtidiis. If not applifahlc. NO ntstp, I'.incrwivr ill'1 f<.tm will be n-twrin-il. II

I <)ri>riiihl t " t in 1 ( ' o u n t y C h ' r k a n d H e c o r d i T : i l u p l i c i i t t ' t o t i f >>\u'<' K n c i t i f o r ; ! ' r i | i l i p u l i ' <o tb* ' M o n t m m l i n r c H u o f B J

I . " "••" " -" •- I