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1 i i. t I . . 1 ft i State c< Montana I County of Gailatin \ ss " "'^ Fnhmfl-'T ^ I963 nil 112 o'c!oc4__M. ^^^ CMHTtJ^ff. t RECORDER KPMTt Fee 8.00 Pd i : I ! x
Transcript
Page 1: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

1

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t

I • . . •

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State c< Montana ICounty of Gailatin \ ss"

" ' ^ Fnhmfl-'T ^ I 9 6 3

ni l 112 o'c!oc4__M.

^ ^ ^ CMHTtJ^ff. t RECORDER

KPMTt

Fee 8.00 Pdi :

I !

x

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. . / • •

G ^ Approred Stock Form—SU-e Pubioftint Co, Helena. Mont«i»—C23* «^b^* 3 *"}

File No. T...3/Y B..._ZiEr

DUPLICATE CoxaLtyj^^t^C.Cc^Zc^

STATE OF MONTANA

ADMINISTRATOR OF QROUNDWATER CODE C^ - - -- • - i ',*(

OFFICE OF STATE ENGINEER ^J ^ g 0 ^ " U

Declaration of Vested Groundwater Right , ,. ,. w o,.,,.- - -.(Under Chapter 237, Montana Session Laws, 1961) v ' ' ' " ~

1 L X M / % <;l>r -/CH!^**^*^-*^ , of j^K-jfaj^iit,,^:'^/'USame of Appropriatar) (Address) • (Town)

County «f - < / > 4.' r-^-^-^t^-* *-* State of l ^ J U ^ - ' , ~: f whave appropriated gromidwater according to the Montana laws in effect prior to January 1, 1962, as follows:

N

| T | I | j j I 2. The beneficial nse on which the claim is based—jj^-"j^-i \—'\ i— -4-7^-^-&_ ^'•-^ •• ^-'

, ,. . j ; j ^ j ^ ^ o r approximate date of earliest beneficial nse; and how eontma-. . j i . - . i?—: - •—.! I — ons the use has been^ J..&££..~jQ&n~i&^^.&tA,f*i*S

^ * f : ; ! Sw ; ' '. ' [ j — • *

.... . ...^ ; . ^ ^ amount of groundwater claimed (in miner's inches ur gaQpna

— : ...4 — : : — ; : — per minute)—tLH. O.J?.. f£.?..'..r? L-.*._*-ai.

....j...^4—i-l-j-- — - —: • • 1 i : • I 5. If used for irrigation, gire the acreage and description of the lands

j to vbich water has been applied and name of the owner thereof^ ^ , irkj2~wsH«-___ — . —

y. Sec-3? T3-/M R»Jf * - • — -Indicate point of appropriationand place of use, if possible. Each . , , . ' , , , ,small square represents 10 acres. 6. The means of withdrawing such water from the ground and the loca-

tion of each well or other means of withdrawal .^'jwt'i.mt"---f^'Yy -i^ ' T {^-^-fm*

7. The date of commencement and completion of the construction of the well, wells, or other work* for with-drawal of groundwater ..^-^rrr-^r-Jfe-.

8. The depth of water table. ^t*rftrk^^:-..^4-_?...r^ _ _

9. So far as it may be av» ble, the type, size and depth of each well or the general specifications of any otherworks for the withdrawal of groundw&ter j£LLrG~Zi~!tu ••*— .

10. The estimated amount of groundwater withdrawn each year. ..i.A.:.^.i^<P...:r:^:.'2trf.*jyjl-.it

11. The log oi formatiuos escssstsred in th<» drilling of each well if available.... sL£.:.-t*~...*.>.-i.t i-_.! -.<.

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

n - ^ " " - ' ' v '-•>";•' ''rr*0

Signature of Owner:'- H&±j*#>..&.M**±±+4r?L*^

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

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

Original to the County Clerk and Recorder-. Duplicate to the State Engineer; Triplicate to the Mcntara. Itureau ofMines and Geology, and Quadruplicate for the Appropriates:. -/X

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Start of Montana { „Cc.untv of GaBatin \

KhM^-g " **-" / - 1963

^ _ COUNTY C U K J RECORDU

By ^flft^

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/•fit, JS

.•-} ~7° * Approved Stock Fotm—State Pablistaas Co- Heteoa. Montana—G23* ^ ^ S ^ T >-

Ffle No T-3-& JL_7_£L_.

DUPLICATE C<nmty_^<^d^fci-^^'^

STATE OF MONTANA j ~ ^ T ^ r -

ADMINISTRATOR OP GROUNDWATER CODE inY ^ || j

OFFICE OF STATE ENGINEER DEC 3 0 W3 '~-

Declaration of Vested Groundwater RigSfeA.Tl I IJ a i "(Under Chapter 237, Montana Session Laws, 1961)

1 ^Jt^t/UUU/—C4-. U\^XW«»s-<t^p*t^--, of. ^J*Z4^Ud^J^fCMRme of Ajpropritfor) (Address) /) (Town) l

Comity of ~!j*gL*.^/«r tr^Ct**!*/- State of JjLf~q\iJCjL**%. 4u»*have appropriates gronndwater according to the Montana laws in effect prior to January 1, 1962, as follows:

• • • ; ! i 2. The beneficial u$e on whieh the claim is based—gg^?M fl < ^«c_ <

, t ,. j • , ^ ^ ^ ^ approximate date of earliest beneficial us&jand how continu-

--ai—: - —i— i—-i i— ous the use has been. /. ?JQ..Q. ^ ^^3t^^*rt-<»fc*-*fa-*^X

W ; •; \ ! 1 E

.... ._ ; . ^ ^ ^ ^ amoimt of groundwater claimed (in miner's inches or gallons

• - - V - - -: —•: ;-—• ;—- per minute) g+S~.?/. _

-#-•!--!-" -4—|—i—- - - ~ -: • : 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.•^*M J*-*t t _ „

VA See. T i T-3Af R_ 1F" - - — -~ -

Indicate point of appropriationand place of use, if possible. Each , , , , ,small square represents 10 acres. 6- T*16 means of withdrawing such water from the ground and tbt> loca-

tion af eaqh well or other means of withdrawal. ^ ^ X - y ^ ^ ^ J ^ y v V

7. The date of commencement and completion of the construction of the well, wells, i>r other works ior with-drawal of groundwater /.f^(?..£^^-«~yMM^ ^ v —^L^rf<^LA* -^-i^t^-c^C.-.

8. The depth of water table. ^c^^L^u^ur>r^^: „ _

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

-4-<St-9*ofl- Ci~^~ & —

~~ " T~ZTi " /10. The estimated amount of groundwater withdrawn each year — JTT^f ^C£*Tt*4X<n4<tstfL4.-

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

- T^<A-»x^-«*t>-oi^>ti>-

12. Such other information of a similar nature as may be useful in carrying out the polk-y of this act, includingreference to book and page of any county reeord

Signature of Owner. (lJU>djJu^/^-^

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

Pleaae 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. A.LO*-

Page 5: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

/o9d

y

». *

• , » •

? r 1 4t t te of Montana t• County of GaBatln \ ^ *

FilAdl$j2^ i n ^Qg

at / >Vg , _n'rinKk-ffi M.

\ ~ ~ CWSTf-CLOH. ft RECQMKIt

• • - l

i . •

i * jMm

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i ' :

Page 6: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

H ' ' Wll&lllpB• • GROUNOWATER INDEX — • * * ^ _ o f ^ . ^ ^ ^ 9

I | r— //.„..JZr, TWP. # < & R9e. IMt: i:| ^H

• • i I—i i f^^ I '=¥i:iiii':BH i sec. Ifek of App-optlator Ty -e of Form ! File No. Remarks 'ii ll S;* «

I • w—^XEJ i

Page 7: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

* 3 Approved Stock Form—Scale Pablisfcinj Co.. Heima. Mcntaaa—39318 jUffiftfr '

Pile No.-_ _ _ T B

QUADRUPLICATE County .

STATE OP MOHTANA JU E G E & V & fjj jADMESISTRATOB. OP GBOUHDWATBR CODE "Li Q^ ^ ^ ^ Uj

OFFICE OF STATE ENGINEER _

STATE ENtiiwKFHNotice of Completion of Ground water Appropriation

Without Well(Under Chapter 237 Montana Session Laws, 1961)

Date of Appropriation of Groundwater .__

Owner '. Address_J.........._.: -. ".:

Contractor (if any) _——.

Address of Contractor

Date Started Date Completed .

N Describe means of obtaining groundwater without a well "as byI ; ; . • . 1 sub-irrigation and other natural processes". Include depth to

; ; ; ; '. ', water when applicable : • '-.Is*.

' " •' ' •! i

x V 1 ; '. '. : j E

'. ; ; Quantity of water developed and used with explanation of method•""•' : , used to measure or estimate such amount. If use is intermittent

•s estimate approximate lengths of periods of use i . —

VA See- - T R.

Indicate point of appropriationand place of use, if possible.

Signature of Owner

Date

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

Three copies of this notice are to be filed with the County Clerk and Recorder of the county in which theworks are located.

IMease 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 MontanaBureau of Mines: and Geology and Quadruplicate for the Appropriator.

Page 8: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

I

I

I

\State of Montana I ^County of Gaftatin \

RiaH ^d/^V- / / . 1963

at y j ^ > " o-rinrjffl M.

COIWTY C U K K t RECORDES

By -J2A^. J ^ y^^fufx^jFee X e^-£> t f 0

N

Page 9: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

GRCUNDWATERJNDE^ '—" ""—' Pa9e __/_?f_/_ '$WS

£f 1: County _ ^ ^ k ^ ^ TwP- * % R9e - LB ^ |§8

; _ _ _ _ _ _ . . : i ^ t&

j I County ! iV _ .ff1

Sec. Name o f A p p r o p r i a t o r | Type of Form ! F i l e No . R e m a r k s - -M^l: . , 1 1 _ " - ^ " 4 /

I &I/L+£ ^^^^ I i ! -4:

: ^yzj££^± 1 __j i

i : Zf r»^j£**-''l?L«>*uC Ji . \S2-yr4 \/2Z3 ^I ztf tt^jz^Q*-^ \M"m* ^s^~/ -j-

J ^j£>^t£<*L^~' /~-><*^-^<-*~> rz . i | I

*:g**au£^LJz I . j I

JS^^^-^/^ . 1 1 || 3 6 O&lALf ft£Uf,jt (?. M / \Jt-A-4 sl^97 tI * u-A*-y .o gzL ,y i

j zr <rzzju tts^-u. ^^-v \i3.7# r

1 JS-<UJJ,-&=? d^-^^-^^-i^ I

i ^^ Q^M^^^. A- \Anr¥ ,/**^ tI 2^<^^.*&JL~A> cu^JL An-4 \//97 -•: %?~^ -?u^ fc I [ !__

i 3^ 4r^^^ .y^^t^^P . /g^f I-^W | / ^ ^ ^ i! ^cfc.^^ At'ajttUfxS 1 j\ 3C ^,2^&CL^iKs^jL-yyHL***. \/L7^^L^ U ^ ^ L ^ -f-1 ?< .^£<jiAxi^jL&, (b~y£*-*j#h.i**.. ^^yy- *f I //#. o 41 36 S / X ^ / p ^ ^ i . * \<DVY1. \a.oj3 -tv ^€Z2L~^£U&U *yh. ^-r^ i/aav 4i > ! I J ^

Page 10: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

;>t^^H^^^B ' ";'-< \''""::0i&lVyffrli• '"•"r ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ B ' '* — i i •'-'. "•' :ii^C•!]•!'•"'jlyfWi-^ "I

i f l ^ H ' • i I 1 " " ' S County . .ii/i-V^I1^!^jH ! Sec. Name of Appropriate | TyP* of For* | F i l e No. Retries ^ l l | | j

j ^ ^ B I " ^ / " I ! — •'^••^0'sA

; B I \Tr Z -^J j o & i 6-~y?~</ 1?3><J- T — •• :.-- i^r;r:^;v ?

^ H f ^f #t-£US^T fi'^Je ?rx^ w^^"-y L Z X i £ — i : '• :;:

^ H I j 14*r l ^ x 'jAff/ti- k'i^^zih 1 ^-^^ j- ttZ-— =

^H j i pr^j/r/^ 9» toUtJ*fr—L= 1 —j

^ ^ ^ H I t/— 1L I JDf* ^" <? w</ . / 3 JO I 4

^ H i ! yfr\rf..4lmf^ O^JOL ~ho &MH .~J2Ao—t ,.'^^m y.<r \PLJIUU,J*.J>1 &*" 6+ <**^- m- 6ut& 2M-JLL—,: •

H | I ^\1J£L\ (j7 ^^rcZZ—(ULJL 3^7/ _:— - j

• B I ^ bZI7^^^"'^y ^ ^^ j-^P^—f

:^^^H^K !1 I ' - —I

• • < ~i i __i .

Page 11: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

m —.':h < ^ I ^ H G W Approved Slock Fotra—Su;e Publishing Co- Helena. Measure—C23-1 HIMBII,"3 ~ S<" I

| | ^ H pae No TJU:1 J&.. j,_£ _ £4 I

^ ^ H DUPLICATE Ctouaty_r^^J±^±^. IJ • • STATE OP MONTANA r r , — ^ _ I•; : ^ f l | ADMINISTRATOR OP GEOUNDWATEB CODE!:; - I

B OFFIOE OF STATE ENQnCBKft UU j A ; - ^ j I

| ^ H Declaration of Vested Ground water Rights - I• ' ^ ^ 1 (Under Chapter- 237, Montana Session Laws, 1961) ' I

H L.._^ -^, .^jks^<=.-_ - - , o t ^ ^ ^ : ^ j _ _ _ ^ I: ; ^ ^ H ^ (Name of Appropriator) (Address) (Town) I

^ H County oL—^J^?^^7^' _JState oi^.<^£h^^^=^ I-fl^^Q have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as follows: I

• l _ " , ^ ' .. J& IjBUk """' I ',, 3 ; ; j | I i I 2. The beneficial use on which the claim is ba^d.'_c.<iS-^±i^.ffe!^^^<i' I^ ^ • ^ —ii.—L : .! ; ; ^ T ^ . ^ L d ^ j ? * : ^ ^ . . . . ^ I

^ ^ ^ ^ | ; ; , i . ! 3 Date or approxiinate date of earliest beneficial use; and how continu- I^^^R ; ; • i '• '. ous the use has been. •^jr^r..J..o..SS. : 1

^ H w —i—•—• 1—i—1— E ~ ;"" ~ I

^^^^B *"• : : •* \ : 4. The amount of erotmdwater claimed (in miner's inches or gallons 1

^ ^ H : ; '• : • ; .IL£<SJVA/, i^*r^''.. ii>\L~j^ *2**-^~yL^ |

H ^ H I '. • : I 1 : I I 5. If xised for irrigation, give the acreage and description of the lands IE^Hn s to which water has been applied and nane of the owner thereof IBig 3-<£&2<jtjJl.££2±Zi „ Ij^^H y. Sec T R ~ - — I^ ^ H Indicate point of appropriation ~ ~~ ~ I^ ^ H and place of use, if possible. Bach I^ H H small square represents 10 acres. - ^ e Qteans of withdrawing such water from the ground and the loca- I^ ^ H tion of each well or other means of withdrawal. yt<^.i'l'^^.. IB | .??^^^d^^^< ;j±..zL^LJ^&;-r_./. IBB .^<^JL--J£±JJC^^^S^.I^I^C^^^ . 1^m v ^=^r ii in 5 I^ ^ H 7. The date of commencement and completion of the construction of the well, wells, or other works for with- I^ ^ ^ B drawal of groundwater „ I

H " - y. " J^ ^ H 8. The depth, of water table k...^L^C- _„ j^ H B I^ ^ H 9. So far as it may be available, the type, si?e and depth of each well or the general specifications of any other I: • • works i o r the withdrawal of grouadwater..j£r!?^.!^fc.^.«x<£fe^£..J.r^ I^M -^£S££CJL^C^£<&£. - 1 C

^M _._i i __ _ :

^ ^ H 10. The estimated amount of groundwater withdrawn each year I

j^m 11. The log of formations encountered in the drilling of each well if available L^j^k^L , I

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

'. I " ' ' ~ ~~J ~• H B Signature of 0wner.-^^....<f/A...^i±5^^^1_ __B H Date...£:fJ^..'J.J.±

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

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

;, ,^^^B Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau of~" | ^ H Mines and Geology, and Quadruplicate for the Appropriator. ^S1% *f"

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I

j ^

I

• " > / " / / ' , , / / * * » —

?•; —-t^Vr DBPofr^

FOB S J - ^ '

\

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*»* • Approved Stock Form—Suie Publishing Co, Helens. Montana—. -9 « ^ ^ ^ > 3

File No ^ -. - T-SiA. R__«OrL_.._. ~%\~

DUPLICATE County __G4U«A5EStj£Q - STATE OP MONTANA

ADMINISTRATOB OF GBOTJNDWATER CODE— 1 Top of annmd OFFICE OP SPATE ENQIHEEB

(Her. above sea leveL ) Notice of Completion of Groundwaterh ~~ Appropriation by Means of Well!* - DEVELOPED AFTER JANUARY 1, 1962gte*l ~ — (Under Chapter 237, Montana Session Laws, 1961)Re1-! -'01 • 5** Clays, Bt.3 Box 70

mBj "581 • 721 Counted gravels. JOHH SIM; PraBSamir.H | | | i | - Dry. nrfiioi-^^ nTyy? "FTM/P1** TO*^^ BQ7TBMAH, TWffPTi

jfflmllJLI;:: ~~72' • d 3 * C l a y s * D r y . Date of Notice of appropriation of groundwater 1 = H

| ^ P ' • : _d3 ' -113' Blue Shales . Date well started-J5ar«^_3.Q/3©.._Date eompleted-^UEfilLJl/ZDL-.H f i f e 7 ^ ' £13< -Ud» Fine Sands. Little Type of weUJJrUlMi. Equipment nsed^BnfcB^tHBBPffir Vtt^iAv* (Do?» Drnrcn, bored or drilled) (Churn drill, rotary or other)BHyT"' Water use: Domestic O Municipal Q Stock • Irrigation napt -iXd1 -14O» Blue Sha les . J)ry. Industrial n Drainage D Other XI;*>,•'-"• — Indicate on the diagram the character and thickness of the different strata

J4Q' -160* C l a y s With s a n d met with in drilling, srach as soil, clay, shale, gravel, rock or sand, etc. Showi • — lenses* Wet • depth at which water is encountered, thickness and character of water-bearing

str&ta aDd height to which the water rises in the welL

WO' - 1 7 1 f Sand s t o n e , WATKU „ . . , . , » . - ^ T<> r^u^~ DrtBM W«lBM OTMO (»«<H) rmmm*w.i»wa

Bof ofCMtx 1 M 1MB j T»

T.D. 1711 Plastic _— 6i» I i« Wall 0« 17i« 1/16B U O 170»

I Slots6" steel

_ ! 17# ^ 0« 10» none

N Static W,\ter Level for non-flowing well! i j -JWWBLJGLfeet.

— \ J Shut-in Pressure for Flowing VTelfi!???_ i • Pumping Water LereL- . J ^ t Jeet

w ' ' K at sft —gal, per minute.; ; Discharge in gal. pvr min. of flawing well

~ i : How TestedJ^LM**?I : 1 i Length of Test ?_.?*•-•

•marks: ^Gravel packing, cementing, pack-

NE 1/4 NEVi-__Se« 2i.T2N_n!i_ ers« ^ e ^ s h u t o f f ^ e ^ ^ L i f— Indicate location of weU and g!Sl!^UB#C*»d jgMLJSlJs*.—

place of use. if possible. Elach 17X' «6BCasinC i s CTMted i s .— small square represents 40

DOC- Nr, ^ / V / A , m M __

— Filed for record ~ ~*:;,.- ^T ? nav r^^\jwr\J~~-' 'Continue on reverse side)A 0 \°i r} 0 -»| [LffappEft USE—If used for irrij^ation. industrial, drainage or other. Explain, state

— _, ' ^ number of acr»'s ami location or other data (Le. • Lot, Block and Addi-o'ciocK_^22Ly.. ¥*/> tion».

M B J Show exact depth of bottom.

LICB3K BO 1This form to be prepared by driller, aad three copies to be filed by the owner with tin 7ZM~J~7~- W ZCounty Clerk and Recorder in the ewmty in which the weU is located, t u n e eo?y to be Driller's Lieei^ - Nuiaber^retained by driller. ^~S s , , , —, y / n +?Please answer all question*. If not applicable, so state, otherwise the form will be "-*• - ^returned. Driller's Signature ^

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*

• • *

State of Montana > s s . .County o* GafWin <

i

i

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\ ••• - -c —• *

°>$_3»>] GW 2 Reristd t9«9 County..._fcJJ_*i-_ _..«?*?»T»TC ru«L'SHtNfi ;s«f«tr - ^ _ _ _ _ _ _ m

STATE OF MONTANA . ' DRILLERS LOG

NOTICE OF COMPtETION OF GROUNDWATER «""-• * • - • ">"*«»*• «=• a * "APPROPR.AT1ON BY MEANS OF W E U £ * - ~ J_f_*_£

Developed after January 1 , 1962

(Under Chapter 237 Montana. Session Uw», 196T, as amended) Top of Ground <Be». * < ~ «»lewoThis form to be prepared by driller, and three copies to be filed rnm Toby the owner with the County Cleric and Recorder in the county in (FwC (r**° j '.which the well is located, last copy to be retained by driller.Please answer all questions. If not applicable, so state, otherwise the »_form may be returned. IT _T H 1..JL11 ~ " _. ._,_...

JB-d-M I* a_i __«___ -L Belj-f* | _ __ ^ ][wner i For Administrator's Use "" ~ ' LJ"^~"""" """" " "

Address ..J-K.2B3 FiU^jK?--?- _

-fcimJEcatauJtartmM _ %oyty#2£ JO&Sa***,

Date well started ^ 3 * I * ^ 5rl97Q. GW 1 _ j

completed . .Sn* . . .5 r l97P

Type of well ...-JBCtSSft. — —— —————————————————(Dug. drivsn, bored or drilled) ______ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Equipment used ...Ftpt. ftrt~OT — — — — __.- .——__.——__—__(Churn drill, rooiy or nthtr) ______ _ _ _ _ _ ^ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ - _ _ _ _ _ _ _ _ - .

Water Use: Domestic Q Municipal Q Stock Q Irrigation QQ

Industrial • Drainage Q Other • * Garden/Lawn O

•Describe — — •———*——————————•-.—•-

USE: If used for irrigation, industrial, drainage or other. Explain, ' -_-_____——_____——_—— ——state numbei of acres and location or other data (i.e. Lot, Block "~ — ~ - _ — ________________

and Addition). 1*** ZL-Zt-G M** I »prtU___• |_lit±«_SH-1 F-*A* m lo* 25 I j

ESTIMATED ANNUAL WITHDRAWAL nfi.fYTI p i i wShn mt Sit* aa. j F—u ii _^___ ' • - •Drffltd WdaM *PwO CT«O PERFORATIONSHot* of C-__* : — — — — • — — • - — — - — — — - — » — — •

ftjl»m 2* 01 20* '^ <»3 «*•*>•S-Dt Feint CM-i-c i» 19' 10*

l/8« drilledvail tele

offset ^_j I __ ^ _~

w "1• I ; I Static water level JO- ft.*', • Pumping water level 14 ft-*1 ; at ..yXX gallons per minute,! ; measured .fQ.. minutes after pumping; ; began.

w j j 'Measured from ground tevel.* • ! Well developed by <_•». B_—9. "" ~ .

i . r for t*O- -hours.'; • Power tlxLtllT'""!'1 •—•>— HP• '. Remarks: (Gravel packing, cementing.

' packers, type of shutoff) ^...i_-«- Poia* «i4_ f«ot «_0-» i. [

V* •/* Sec... 2 5 1 1 , ;

T....3L N R. 4 E_ ----- 'x w j E

INDICATE LOCATION OF WELL AND PLACE OF USE. IF POSSIBLE rEACH SMALL SQUARE REPRESENTS 40 ACRES. 1

X ,"^filler's Signature ~ _* j f

Driller's Address I ' :

ltf"ENS£ MO 9O tmn* Show exact depth of bottom

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•*• > : , " . ••

! ' " . • * ' • • - ; " .

I • . ' . . ' * v ; ••" V[ • • . „ , . " : ;

I • ' ' ' • • ' } ' - "

State of Montana , *County of Gajfatjn f s s -Piled ^X*^?jfe_ 1 9 ^ ^ — *

I Car/ eL J>tuckif

4

!

|

i

i

I

[

I

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•BUS-!-. 3 GW I Re-isrf 19O County J«&lXaftu* . _J?L_.

STATE OF MONTANA DRILLER'S LOGADMINISTRATOR OF GROUMDWATER CODE ^ ^ ^ c h a ^ t h 5 c k .

MONTANA WATB RESOURCES BOARD n e s s rf ^ s u c h M ^ ^ ^

NOTICE OF COMPLETION OF GROUNDWATER 9 rave l- shale- sandstone, « c Show

APPROPMATION BY MEANS OF W H l t&l'SZ. Z'Z H^JS?.Developed after January 1, 1962

(Urufer Chapter 237 Montana Session Laws, 1961, a* amended) Top of Ground <B~. .bo-«i IO«DThis form to be prepared by driller, and three copies to be Filed £ • • Toby the owner with the County Clerk and Recorder in the county in "**"which the well is located, last copy to be retained by driller. |Please answer all questions. If not applicable, so state, otherwise the ~ " 0 * V T o P n s o i l a . ;form may be returned. _

" ~ ~ " 5 r ~ fi^m'el and oirttf\m -liifcT.

Owner _ £ i C K l ^ J L 1 fa AH • • t ^ . „ 1 f— __aX_lfflU*i_

" For Administrator s Use Mnt-.»T» 0*2 t- »w 9k t

Address JCKR^55E^JL*™? Ae...£.3S^ h r + T T flialTa. DfT ~

MigCJtJ^lSjX -~ . _ -g..--^^- - .^^Date well started J.l*/.?9.. GW 1 _.... .-SSSt-JfflS&lU

completed -j/llM | _ „ [ H I I S I -.JH» 9gB4 -PrT. .--Type of well ; * * * • * * * * » I j S Z . J ^ . _ J f t f filgya, UTT*

(Dag, driven, toted or drilled) _ _ _ _ _ _ _ _ _ _

Equipment used _ _ » ! * * _ *____!• „ L - ^ - -3Q Bly rtMiM.ntfc(CtHliriE. rootty or other) MlMt WrWf# ffW«»»

Water Use: Domestic fi Municipal • Siock U Irrigation n —-T-^r*?^--*^^!. - 'J

Industrial D Drainage D Other Q * Garden/Lawn •

•Describe ^ * ^ . . ! ^ * ^ 1 -

USE: If used for irrigation, industrial, drainage or other. t-tp!ain, Jstate number of acres and location or other data (i.e. Lot, Block — — _ _ _ - , — _ — _ — — « — . — —

and Addition) . _ _ , . .

ESTIMATED ANNUAL WITHDRAWAL

rww 3maSt 55> O M I -HUTOIIATIONS ~ ~ _ _ _ I _ ~ " ~

Mad rtom 1 T» _ _ _ ^ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _» w (Ftct) (F«O I v |

6" ^ 5/d" -j.O.D. Q 4 3 $__>»

lTl j ' tr j slots 22 2V r '.f t * i j L.

*J ____ Q«"~Z j j ; j Static water level . . ? . . . «Q ft.*

i : Pvmmog water level „ _ ? ft.*J —!- at ..**T.....^j- gallons per minute,! • measured minutes after pumping . _ _ _ .; I began. I _^____________________

; •Measured from ground level. I , , _ _ _ _ _ _ _ _ _ _j J Well qeveloped by .??*T|E*5i "_ Zj : for ...„ hours.• | Power Pump HP ^ P< ! Remarks: (Gravel packing, cementing, _

...»..% •__% see...® f^:y^^«: t ;^::g: : izr 1 :

T!..I!?._"... NR. iZ.....E • - ,

w wt _ j rINDICATE LOCATION OF WELL A N D PlACt O r USE, !F POSSIBLE. ^ 1

EACH SMALL S Q U ^ ^ E ^ ^ A ^ ^ ^ K S S Q # j [ j ~

Driller's Signature ^ = ^ . / . ^ _ ^ . ^ . . 7 . f . - / * . ^ ^ ^ r * . . f . . »

Drillers Address . "„ _. ' —

LICENSE NO ^ Show exact depth of bottom

y^3?

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• • •

itnte of Mont-—» ^ }>*unty oTpatioon J, S&" '

Filed &2*^£^ /£ ^7/at o'clock M.

Cart cjL Slucky

^ < ? ^ j r • - - - ••

* • • . . • • J

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^ ^ Approved Stcdt Form—State PnblisSins Co.. Helena. Moariaa—G23& <»iSgg*>- /"',•'

1/FOe No_ T...2. R.... JL..1..X - ~ .DUPLICATE Ckranty.-ClftllatiXl

STATE OF MONTANA

ADMIinSTEATOE, OF G&OUHDWATSB. CODE ; P

OFFICE OF STATE E&OINEER if.

Declaration of Vested Groundwater Rights(Under Chapter 237, Montana Session L a w s , 1961) < • • - • • • - - * : a • •

1 KlfBI¥Wii rl« m B I M T i f _ . of..—-.-.OQBE--3WO IttHnflBHTi(Name of Appropriator) (Address) (Town)

County <yf fitUafcltt State of.....Ji*B!fc§Ba|have appropriated grotmdwater according to the Montana laws in effect prior to January 1, 1962, as follows:

N

. \ ! ; i : 2. The beneficial use OE which the ckim is based 3&d9tK$S£&

. , , ^ ^ , ^ Y)ite or approximate date of earliest beneficial use; and how eontina-• • • — | ! ; — ons the use has been SlAGA. AdM*. ..X931L

w • \ 1 '• : 1 E _ .

: : X • X i i i ""~ ~; , :: jr: • \ : 4. The amount of groundwater claimed (in miner's inches or gallons

•---: •---: — -i :-—:.-—:—. per minute) 30Q f i 1WWH . p M L M J a g f .

• • I '• : • I 5. If used for irrigation, give the acreage and description of the landss to which water has been applied and name of the owner thereof

• o t Appllc«bl« _____JDL%SBlsSec25.... TjaL RlX... - _ _ ___Indicate point of appropriation ™ " ~ ~and place of use, if possible. Eachsmall square represents 10 acres. 6- The means of withdrawing such water from the ground and the loca-

tion of each well or other means of withdrawal Jifflf ft -.

7. The date of commencement and completion of the construction of the well, wells, or other works for with-drawal of groundwater 3 . • e l l * OOOplOfcad J a M , 1 3 5 1 ^ « 0 d U M d GQV&lXHaVHly

8. The depth of water table-100 f M t U t l l t t « d

9. So far as it may be available, the type, size and depth of each well or the general specifications of any otherworks for the withdrawal of groundwater 6 " ganrtwg; ami ^_rf» _ _ 1 1 . m » f | « fttTJMfli

_ dupt& 1SQ £*&*. _ _ __ _

10. The estimated amount of groundwater withdrawn each year .tt—kuOWO _

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

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

Signature of Owner... £-*<*jC*t*0rf^k~$6l&l&&r.

Date D*c«*er..l0»-IM3.

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

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

Original to the County Clerk and Recorder: Duplicate to the State Engineer: Triplicate to the Montana Bureau ofMines and Geology, and Quadruplicate fop the Appmpriator a cr &%<J-

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#1670

State- of Montana )County of Gaflatin )

Filed P H C 31 1963at ynrt o'clock _E_M.

ZASLJUMBM —^ coi ;<n CURK & STCCXOES

Fee $ 2-PQ

" .

N

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1 ~ — — ^ - ^ — ,.

«g_7 s GW z Re™, .*» Pi JL C C I Vr £ D Cwr>tY-J^fc£^2~LSTATf OF MONTANA , . -, - - 7 . , DWUtER'S LOG

ADMINISTRATOR OF GROUNDWATR CODE ' x ~ ' t n d ; c a | e t h e ^ ^ c o ^ , t h i d c .

MONTANA WATIR RESOURCES B O A t t O , ^ . . . £ ? - , - - - , - z, v , ^ • „ « _ of strata oych as soil, d a y . sand,

N O T I C E O F C O M P L E T I O N O F G R O U N D ^ V A i S f f - - l i e g r a v e l , shafe, sar.dstone, ^ show

APPROPRIATION BY MEANS OF WEIL . t&li^^J^^.Developed after January 1, 1962

(Under Chapter 237 Montana Session laws, 1961, as amended) Top of Grcund ffiMtotatsfcu)This form to be prepared by driller, and three copies to be filed R » j T_*Jby the owner with the County Cleric and Recorder in the county in - _which the well is located, last copy to be retained by driller. ___ __r. _ _ _ ,.. .Please answer all questions. If not applicable, so state, otherwise the ** ~^ J »•«--<form may be returned. . , _

/_>_ _ 1 /-Jk^MMM WVM^^ ,____»_-___-______»_________,

Owner £§M*!**I^*M*™9.-£Z^—J por Administrator's Use I ^XJ^BLJSX

Address jfa&ZL J23J. Fil#J-?:2-C- _ •• !

._2?4l=^__??^» fay.fy.m.jQtSSaim, ~ ^ ^ ^ —Date wel l started ^f..J.M£.. GW 1 •—•

cartiv\*\*&/j£~.CJl .

Type of well .^£P.t±r!*£?..(Du». driven, bored or drilled) _ _ _ _ _ ..

Equipment used „ —• —-—— -—"*~~- — — ~ - " ~ — •-—••"—-—•—~—j (Onus drill, r o t a r y o r other) _ _ _ _ _ _ _ _ _ _ ______________--__--__——__—————--

Water Use: Domestic __f Municipal Q Stock • Irrigation D ' ' "" ' - - - - - - - - -

Industrial Q Drainage • Other Q* Garden/Lawn • " *

•Describe . ——— —~*~"' — • " • - • - : "• — — — » - - « - ' —

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

and Addition).^JljTSU^S^^^i •hv&. Co 1 *X 7*UM'fi*A4 — ~ T

ESTIAAAT^D ANNUAL WITHDRAWAL _ . I • —StaTo» Slnad Fmi Xt, -r_«-_T—«_» ' " " - 'OrfDM Wdtkt \fHi <jr*«r) PE«FOBUTIONS . . . . . . _ . .

H * l * ofCabw P — - — • — — ~ " "~" — — « — — — - • ' - • - - • -•Ktaa Fra_ T« _._ r _^_ .She it*tO t ' « 0 I

I ^^ ^ i

r~"~~" *" ~" '"* ————•-•

N ~ ^ ~i I j I Static water level 7. ft.*

; ! Pumping water level .../..<?. ft.* _^ , • - _ ,_ . J B .••___1 i -t .T$.9..~,.- gallons per minute, _, __»______! • measured ./.ft.rninutes after pumping _ « . _ - _', j began. | _ . _

w I j K 'Measured from ground level. j ______«_,.; I Well developed by4?!J5*^sr- ~ *" [ ~1 -: for ..._^.^ .^.hogrs. / / I j . .'; '. Po«erJ&4&L... Pump.-./JI Hrj \~ ,• ! Remarks: (Gravel packing, cementing,j__ m ^

' ' packers, type of shutoff) — ! .Lot 5* Blk n/MI_U. Und CoU.MJUItJ^.XbiM.fiC-dai. I _ __

TllM N RJLJJAA£._E_ ^^^.^..Zi-M^^eoi.^^.t 1 ,S W - fr-± - L .

INDICATE LOCAHON OF WELL AND PLACE OF USE, IF POSSIBLE. •

EACH SMALL SQUAJRE REPRESENTS 40 ACRES. i 1

Driller's Signature ^.£^%^p:...jtt^^A - . "—'

Driller's Address ^1_- - *^_?C?. -— __^L " """1 u-ovicc KIX" * " *** - * i T ^ Show exact depth of bottom

. LR—tSHoc NO — V

" • 50j3W

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• • • .. . ; • ; '• •'" : •• '] : '• \[ : , ; - ' \ ; ^ ' ' : ' - ' V ; ; : : : /

1 . ' ' • : - ' •' - ~, .• - i - , - . \~ i r ~ - j t i ^ , ' ' - . . • ' -•

. ' . • • • : • • • ' ' . . • •! '

:- i

:' " • , • • '•'• '' ' A , • { • • • ' W ' • * * ' . :'.••

" ! ' . ' • ' ' ' . . . . : . • ••; ! '. i • ; . • . • • . : . , ' C : i ' ; i - " : - v r : ; • ' , ; : • % • - . : ' : '

' ' " •• • .*"' ' '. .1 • ' • ' • • " . : . : • • • • • l - ' ^ ~ $ r & t £ $ \ ; V : l

s#*3*7%. .;_. . •: :••' [. : ; § ; | | t' • • ' • • • ; ' - . ' • • • . . ' •• • ; " • • • • • ' • ' • • > • \ ' : 0 0 ^

' • '• • • • • ' • • • ' - s r T i ^ " - ' - :'.1 ; . " • ' , - : " i ' •- f~' i . \ l . •••'• 'I'

• State o f Montang i * ^?"County of GaMn r * • ' ; :

• * ! • . • . • .

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STATE OF MONTANA '.-• , - , . DRILLER'S LOGADMINISTRATOR OF GROUNDWATiR CODE i i:,V indicate the character, color, thick-

MONTANA WATER RESOURCES BOARP;^., , D E , . . . _ . , . ._ ^ ness of strata such as soil, clay, sand,

NOTICE O F COMPLETION OF GROUNE>ftA*gRA*D7:',;': : ^ ^ l , shale, sandstone, etc. Show

APPROPRIATION BY MEANS OF WELL " ' * j * « ^ ^ • * £ "Developed after January 1, 1962

(Under Chapter 237 Montana Session Laws, 1961, as amended) T o p of Ground <H«. above so. teren _

This form to be prepared by driller, and three copies to b e filed *•**•» Toby the owner with the County Clerk and Recorder in the county in — - _ - _________ .which the wel l is located, last copy to be retained by driller. _., • -Please answer all questions. If not applicable, so state, otherwise the O ? -^-**—^ ————form may be returned. __ _____ „ _.____.___._-,__ _ — . —

tfr+3vn«u EAGER _3J*"T7— "" 4st***>4*-*JZn e r — * V ^ * * r * " 7 ^ * 9 ^ ^ ^ For Administrator's Use ~ "2/ ~.j?"_S> *"~" *ZI/>»'»>?^^

Address ~££LQC..JJ._5.S~ FilefecZSL. •-.

. ^&k^ . . ^G- t ^ fed tikyJ%tf.%!..J&3.C>JUII, — - ^ ^ - ^

Date well started GW 1 jgfc•— : ^

Type of well JjfLn*!UUZ<*&zx —• * •(Dup. driven, bind or drilled) ^__^__ - _ _ — .^—_^___——-—————_—.————

Equipment used — -— _ . — — — _ _ _ — . —jf (Chum drill, roury or other) _ _ _ _ _ _ _ _ _ _ -

Water Use: Domestic f_y^ Municipal • Stock • Irrigation • ~ — — ——— — — ———•—————•-

Industrial • Drainage D Other D* Garden/Lawn _ r — '

•Describe "—" — — -USE: If used for irrigation, industrial, drainage or other. Explain,

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

6.nd Addition). Z^.<^e^^&£^&H± ,

ESTIMATED ANNUAL WITHDRAWAL

/ Slit of Sh» and I n c I To ! ,rom»-. --..>.>• • — — — • ——~—————————I Drflkd Wdtht (Fed) (F*«) PERFORATIONS; Hoi« of C-dni . —. ' ~ ~ "~j Kind From To> Six. (Feet) i/«0 "1

/ — [ _ _ .1 .

/ 1 J.7 w Z 1

j I j I Static water level 7- f t - * .! ; Pumping water level J.JO .ft.*J ; at ...$?.<?..<?. gallons per minute, ,

• measured minutes after pumping; • began.

w j | K "Measured from ground level. ^'; j Well developed by .£B*£!^Sg....""" Ii__ '.. for hours. , / I; j Powe^i_J*<>ir"Purnp...J^X™ HP)j ! Remarks: (Gravel packing, cementing,

' packers, type of shutoff) _ —lot 5» Blk Al#/

sMLbr.Land Go's fa A4ta,..B^..*otl».. T^(BJkjLM* MSI. sec. 5..... ^A^^*X.. --ITT T"7

T-2-/V. N *.A.M~*£. E _-.,, Te-~2Z y^."—-L__Xs" w ^'/-2M••«^.•Zi7^••J^k^^.-...•• _ |

INDICATE LOCATION OF WEU AND PLACE OF USE, IF POSSIBLE •

EACH SAAALL SQUARE REPRESENTS 40 ACRES. j ;

Driller's Signature .^£;iZXteaf?...J^.<ttAA _

Driller's Address l^......i±6r»?$ _. I ' •. ^mcc . ,«"" " a? <g "T^fShow exact depth of bottom_ LICcNoc NO - ~/!

5o,393

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i

I

I

I

I

II

•• > *

i ' '

! State o f Montana i 'County of GaJJgtin i s « 5 -

I Filed. -0Z&t/ s2T__. ig Piat-^^ISZIZZp'clock^M.

e.nJi.St^Lf ^C^awy Cterjj & Recorder-

r.' • r

Ii ' :-1rt

t

\

t

I

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II . . .'. _. _ __H I F i l e No- - - ONTANA WATEK KESOUKCES 3QAR T._A*ljJ.£ ... 2 f^B I DUPLICATE RECEIVED County ^Q^Zt ^ ...^Hjl o ~ . STATE OF MONTANA^H • - APf' ^ -5 it"t ) ADMINISTRATOR OF GROUNDWATER CODE• • ! • ^ . OFFICE OF STATE ENGINEER

Ground

«>ve sea le^^MajpJ^ SSice of Complelion of GroupdwaierAppropriation by Means of Well

P<^- . (Under Chapter 237, Montana Session Laws, 1961) /

0wnei&EB&^&4^.y?^K^e3s..Vfit*>422^

Driller. "YUrrUZ Address ~>Ufrr.i^£.. _ _ _.

l^\/tCwl&LWLJ D a t e of Notice of Appropriation of Groundwater &f>ldt3.2L/jfl#.-

\Sjl*K\A***f*^> Date well started4)*«*<y£jtj /%?Data Completed2&*«a6&/?4£.

Type ot well..«!KA*r^»1 Equipment Used£Wv^?-f4-/&/L*

(dug, driven, bored or (Churn, drill, rotary or"

_ _ K I -^ drilled) other)

^ ^ | B _ * Water lT«e: Domestic G Municipal G Stock D Irrigation jJS^ ^ 1 H tj Industrial G Drainage Q Other D^^H H _' ? \ ' " Indicate on the diagram, the character and thickness of the different^ ^ H H j strata met with in drilling, such as soil, clay, shale, gravel, rock or sand,^^H H — S etc. Show depth at which water is encountered, thicknass and character of \^ ^ H H J v'/ater-bearing strata and height to which the water rises in the well i^ ^ ^ | B l —^B Sl« Sin and I Praa ! • I^H H ^ \ rf W^fht of ( r«U Cr^jty P«ETOKA3nON«^H • \ - „ D r t U » d ^ Cutat 1 / * «fl#*" Kind From T.

• I h H rHH H _ J< Sutic Water Level for non-flowin.. We iM^a^^tC^^t fleet.

HI - ._: i_j ! | L_ Shut-in Pressure for Flowing Well * - 7 w / ^ ^ ^ ^ - C '

^ D I H ~ — ! 1 :— Pumping Water J^eveL. '.-^* feet a t . / i f r^ .ga l . per minute.• • • - j _ J __1_ ~ * / •^H H • : Discharge in i;al, per min. of flowing well JYlo2fc>J*<£'r***!+*4k

^ | I - | L__L.___ How Testedl7lfi*4**^<^ Length of Test I/U^-X^,

^ ^ D I B - - Remarks: (Gravel packing, cementing, packers, type of shutoff, loca-^^M H | - . • tion of place of use of groundwater if not at well, and any^ ^ • I ^ B ; S ' other similar pertinent information, including number of^B H - s acr^s irrigated, if used for irrigation) nJ&tSC. ffff 3&-TT*

• | - ^ -; **?& J^ nR ' \ fy>. X Jt W^f^^a^u&^unf

^•H Indicate location of well and ^J"j_" " M /) sT J A

• • ~ place of use. if possible. Each && I - X~Z 6jj~C%If t JULteSrtA^^•n — small squarv represents 10 acres. -, * * F W > ^ '

• I _ -m<r,LC. •^H H L M ^ J Show exact depth of bottom. OL« !£\ KJJ^I^I

• • H Drilie'-'s License Number j

^^m H Dvillei-'s Signature

HHS This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Re- :

^H H corder 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 returned.

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

• I ff.rfl

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: Jy~: ' . . . • . • , • i

• ' • • * • • • . ' i

State of Montana »i. County of Gallatin f **• '

fHIPd April ?? , 1968at_aiQCL_ o'clockJLM-

CARL L £TUCKYCounty Clerk &. Rscorcter • i

\ CNputy I F* f 1c M 5 2*00 P<* |

•• > - • " . i

— r * • j

. * i i . • •

" • ' . • • . " • • • - ~ •

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GW2 , • ^

File No T—L:i R_l£L £^

DUPLICATE QPrrP'^D C o u n t y . . . , ? ^ ^ ^ ^ ^ - ^ * ^" ^ — STATE OF MONTANA

^p.; 2, ADMINISTRATOR OF GROUND WATER CODEnf . _ , ™ ' ""' OFFICE OF STATE ENGINEER

• x ^ Top of Ground — _ _ _ _ _ _ _ _ _ _ « _ _

~<L (Eiev. abov« sea leveLM?f&j> Holiiw_of Completion of Grtrcndwalerft $ ' Appropriation by Means of Wellii = #V* 5 (Under Chapter 237, Montana Session Laws, 1961) Q&7fX}

"" £ Driller. "~~tf<&y\J(Z. J\.ddress....-"~?1-<^t-^_

t -^-/* ff^nF-Wttis. ULAJL D a t e of Notice of Appropriation of Groundwater &fp4t££$[j.J&vjf'

•<fi^J&fr*^e Date well started-^H^iy f^Date Complete^.^^T^?'

Type of welLi^a^V-^ Equipment Used^r1*rk4«.46«frt..# (dug, driven, bored or (Churn, drill, rotary OT

f, yt/~ drilled) other)

Water Use: Domestic Q Municipal Q Stock Q Irrigation f^Industrial Q Drainage • Other Q

| " fcl Indicate on the diagram the character and thickness of the differentT strata met with in drilling, such as soil, clay, shale, gravel, rock or sand,pjr* etc. Show depth at which water is encountered, thickness and character ofI T ! water-bearing strata and height to which the water rises in the well.\~V Sin SUrn and i From To j^ * of Watght of (Feet) <rt«t>. fBWrOKATlOWS

__ * Static Water Level for non-flowing Woiffi fat /^ ^ /tf Cf S f"*f

&T : ' I i i '' — v t ^ _ a' j ' I j L i Shut-in Fressure for Flowing Well ZiTfei?>ft-<i t I "

— j 1 1 I p _ Pumping Water Lev|Lj/^^jjT!. ...ieet at. JfQ* gaL per minute.

; i I ; ! i Discharge in gal, per min. of flowing well /4l4^^&*H£*rUtf.W • i • • • • i » j i . . » . i « « i - • i - • • • • • i n % 1 . ^ 1

_J 1 \ |_-L— How Teste^P^y^ C^fi Length of TcstJJ.^t*-***..._

i ( j . Remarks: (Gravel packing, cementing, packers, type of shutoff, loca-— . | | ; ; tion of place of use of gvoundwa1«r if not at well, and any

; ; ! ; ' other similar pertinent information, including number of

- s acres irrigated, if used for irrigationfW^&T dJfekJT*'.

1 S^reprS^Oa^ ^ ^ ^ ^ -7 ^ ^ ^ B ^ ^ . .**

M J Show exact depth of bottom. "~~)*L& S^L/vJ flfsDriller's license Number

Driller's Signature

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.

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

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

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It

• ' " . • • ' •'. :

• . . : . ' • \ . ' • . . • • •

: F , • ••

A •

i

State of Montana iCounty of Gallafin » ss*RI..H A p r i l 22 , 1968at ^tOS o'clock P-M.

CARL L STUCKY . !County Cterk & Recorder I

\ Deputy \ I

Ppa < 2/00 pd . I

t• \ v ' i , . •

\

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OT Approved Stock Form—Sat? Fubliihins Co.. Helen. Montana—t2T34 = % ^ , ^ V , >

Pfle No ._. T-.-2L/L JR.~i-~:

DUPLICATE QaanXyj2..tiUl!h

STATE OP MONTANA —.. _ ._ . .i —

ADMINISTRATOR OF GROTJNDWATEB CODS;

OFFICE OF STATE ENQINEEE U •- • , s )££ \

Declaration of Vested Groundwater Rights , ,(Under Chapter 237, Montana Session Laws, 1961)

1 /W S.^^es _ AJ3JOLL^£^J^£SIL(Name of Appropriator) (Address) ' (Town)

County ox tzaJJ^JjJ-} State oL.J^koJ2ll^have appropriated grosndwater according to the Montana laws in effect prior to Jcnnary 1, 1962, as follows:

N

• \ • 1 • i ! I 2. The beneficial use on which the clainc is based-J/y~J.?£/:J£.O..5L:. • ! L • ! £. crtt /~>> e/-C I &}

• I \jf\ \ \ j; ; rf^ j — ; \ I 3 JioXe or approximate date of earliest beneficial toe; and how eontinu-

. . . . . i . . . j . . . - . ; — i—J. i—- ous the use bas been.J9J~~!k-Z-£z*.n.lJGV£±\2>.

W \ 1 1 \ • ; E _ _ _

"; • ':*""" I I • 4. The amount of groundwater claimed (in miner's inches or gallon*- - - : . - - . : - - | ':—-[—•-— per minute)...JjO.^.±/:.../?SiZ..Zh.l<7,..^ —

: ' : i : • I 5. If used for irrigation, give the acreage and description of the land*s to which water has bven applied and name of the owner thereof

N£XMy^... secAT.. T M . XJJ..Indicate point of appropriationand place of use, if possible. Each•mall square represents 10 acres. *>• The means of withdrawing such water from the ground and the loca-

tion of each well or other meens of ^thdnyrtL.J>y../?*^yr*^3.~...'?r^us£//* • S£ jperTi'cf? df r/<^ *C/-'J A<*-J p r.fp *>~Ty

7. The date of commencement and completion of the construction of the well, wells, or other works for with-drawal of groundwater. .J9 S~?— _ _ _

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 otherworks for the withdrawal of groundwater ^ if.. 4.?p..7J).....£.".<.-*XAtt.J. _ _

10. The estimated amount of groundwater withdrawn each year /j£fc^*?.i\/^.£..l../?.<?e..y£±.

11. The log of formations encountered in the drilling of each well if available /V»/? C _

12. Such other information of a similar nature as may be useful in carrying out the policy of this act, indadingreference to book and page of any county rwnrn ~ g ~- r>~ */ us'z/7r. ^ ? he c c rr/c- <J \-,y j / S T ^lO^^S.sr.X—^.{^....Jxc-^J-i: „

Signature of Owner <£&L^.S.-J^.<^.^Z^^. _

Date. IX=L.3 £-6^_.

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

Plesae 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 Eiigineer; Triplicate to the Montana Bureau ofMines and Geology, and Quadruplicate for the Appropriator. A 3 ^ ^ f t

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I

:

i

i

I

I

Co'jr.ty cf Ui.-cs-n \

n>.f. /12-3J _ . 1953

at /O ', '<>_oCz-:j£M. !

^tlTFaltcn \

^ DMWXFee %2L .

i

I

Ii

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G w Approved Stiric Fora—State Publishing Co.. Helena. Montana—GI34 o ^ ^ . - o - 2 fj'

FfleNo _.__ T->L#L_B.__/.._€

DUPLICATE County -

STATE OF MONTANA

ADMINISTRATOR OF GROTJNDWATER CODE ~T~ — - —

OFFICE OF STATE ENGINEER • •' " \—————————^————^— Lj ' . . . j i

Declaration of Vested Groundwater Rights " i 6 1 8 6 4 ^(Under Chapter 237, Montana Session Laws, 1961) $ • A 1 " .- .< t ' ?.

(Name of Appropriator) (Address) (Town)

County 4L-Jk-&JU=M3ZLJbL State of. _jULhLTlhave appropriated grotmdwater according to the Montana laws in effect prior to January 1, 1962, aa follows:

, N n y -• : • I £7 A 2- /P18 beneficial, use on which, the claim, is based^fcT^^faa-iarltf^r;

: : : f ! J i ^^^fUL^, ^ ,^ |^jii'** • 3. Date or approximate date of earliest beneficial1ase; and how eontina*\—| • • : 1 ous the nse has becn.yi._.Z2^£^H <Z^:d:....-^$JzizC-

: : • 1 \ ; 4. The amount of groundwater claimed (in miner's inches or gaUpna---:----: : \—\ :—- per minute) /^ .C._£rf*^' :n£fc^ . -_ /<^

) t * * t '

: '• 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 'wner thereof

/1/£..^yA SecXil T^t^ ILlf ^nlfCdt t^uJ '.lJ<x<^Jtfk*J£^.~ -j-yis-I n d i c a t e p o i n t o f a p p r o p r i a t i o n ~ O ^ i l % F p £ ^ ~ ~ P l £ l U : t f '/? n " " A * ? / / ' / F t 'and place of use, if possible. Each <~ & /V £/f t7 £ lt> n /f & /I, .. L-l ^ Oamall square represents 10 acres. - Tf^ab means of withdrawing such water from the ground utd the loca-

tion of each well or other means of withdrawal-. - fefe ». •&.q^rifJi <?~4.2^r^ ftuJT? pL^^^y-ir^^/

7. The date of commencement and completion of the construction of the well, wells, or otber, works for with-drawal of gmnnriwatpr JJ- fJ.r^^. ^,. ^ , ^ —/-w^y- j+. a J^JLf. C'^r^-^ J; XJ r/ ff^'J*

-/i^^^&^^W-.^^

8. The depth of water table. %. ...fe^L. _ _ .

9. So far as it may be available, the type, size and depth or each well or the general specifications of any othnr,.worka for the withdrawal of grouudwater .^L---r««-£<i.W.;..£wM«>^*v<_i2 ****^^LA~ct^..jL4~jfvJi~-JL-/iP?i

C-Ll^ljt.^..- ~^-...^.i^t.jL^J.....esL:Ur^ (# .^..^•...(p.-il^ux ..h-±.*uL~ (...£..-jLflfj^J&.f.....(^r)r>^.^J1a^...j^t-... ?J?&...^trwU±/-- -- -*-

iu. The estimated amount of groundwater withdrawn each year .<^r?r^i^^j^.1.1?....t?^n..^^^...ti^?^r^

11. The log of formations encountered in the drilling of each well if available... rr'?'W 3£s<*L . _

12. Such other information of a similar nature as may be useful in carrying oat the policy of this act, includingreference to book and page of any county rtwird f-fi-^erji'' /*- _.£' j - ~ r % - ^ f-t-r^ ^p^^t^r^-^y

Signature of O^ma.^lj^^^Z.<l//J7Z^:A _

D^.J*^^_^K3.Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is located.

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

Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau o£Mines and Geology, and Quadruplicate for the Appropriator. ^ J J £ X-

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Pee i -

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• ^ ^ H K^^t&jL^-'i /f*s? j?'<7n _ . . County<i!T r!I!T!__

_ - - - - - - • / " ^ ^^/y ONTANA J ~" DRILLER'S LOG

^ H ^ ^ ^ / r ^ f _2___?S__i__r-: " :;:—;L •"*- ** * « * . «•*- ***•^ ^ H / / y 2> < — y * OF GROUNDWA7ER gravel, shale, sandstone, etc Show^ B ~?Z/ ?/ ~J --^ y MPAKK n e WEI I depth at which water is found and^ ^ M > MEAN- \Jf WfcU. h f i j g h t ^ w h f c h w a t e r n s s s l n ^ nH^^H /? inuary 1, 1962

^ ^ B " ^ S i ^ - ^ 9 €-6~-z£&2r*Z0 sion Uws, 1961, i» imwded) Top of Ground (Be» «b«e s« ic^o

fi^^B - r , and three copies to be filed Fm Tofl^^l s~ /J^~s~ Jf~— ' k a n d Recorder in the county in <r«o ^ w^ ^ H (~^t? (frr*^™0^*-^' t to be retained fay driller. , j£6t^ r4^^g. r7^[Z :»y0 t ^ » H l^ ^ ^ ^ H applicable, so state, otherwise the f~ jt ,

^ ^ B £? -~<<<^&<v' -^*3C'*—^^ . r*f<»Sj — -yez^ - ^ ^ —

^ ^ H . ^ v * . ^ a # " O^Z&Z*' ' ^ •— For Administrator's Use ~~* " ^

• • Date well startecTW*?llLLll-Z?.. GW1 _

^ ^ 9 completed . . ^ * * ! T ^ < [ „ _ |

•H Type of well J&£<*±ZL.^ B ^ ^ H (Dog. dri'TO, bered or drilled) _ _ _ _ . — — —_—_^^_—_.^_—__———

B V _ W J Equipment used .____ — — —————--— — •-——-——^^^^^H / (Omni drDl. rotary or othtt) _ _ _ _ _ _ _ _ _ _ _ _ _ _ — — _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ W ^ H Water Use: Domestic • Municipal \J Stock • Irrigntion D

^ ^ ^ B Industrial • Drainage • Other Q* Garden/Lawn D

^ ^ ^ H USE: If used for irrigat-on, indus^nal7arairjage-*or other. Explain, I^ ^ ^ ^ | state number of acres and location o/'other data 0-e. Lot, Block — — — — . — _ — » —

| ^ H andAddition/k^^^y^^ H fiii* Y-O-UV ^£rT$ ivy f^CoCftj " I^ ^ H ESTIMATED ANNUAL WITHDRAWAL „ <

^ H ^ l S o w S " « ^ ^ j *3> "^0 PERFORATIONS _ ^ ^ ^~_____^_| Kta— 7iii_i i To ___________________ r___ J_

^^pH I j I j I Static water level /.....ft.* ,^ ^ ^ ^ B j I Pumpinc water level SI*— .ft.*^ ^ ^ K -| J at ...?s.J. gallwts per minuta, ___«_-____________________.^ ^ ^ ^ H ! ; measured minutes after pumping^____BL ! '< began.v^^^^B ; ; "Measured frcrn ground level. i ___ __ _ , _ _ _ _ _H^H ; j Well developed by ..._ "J" ^_______ i J for ...JC-- ~r-hours. //_. J J_ ___ JHH I i Power±5^!L:. PumpmjC2_ HP 1^H^B • I Remarks: (Gravel packing, cementing, {

^ ^ ^ ^ K packers, type of shutoff) ___________________________

^ H •/, % sec .. r:.. z:~:^&&&^i::z\ 1• H H T....^ N R / E_ - - I =

^HH INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE•D EACH SMALL SQUARE REPRESBslTS 40 ACRES.___l ___pfl______i

• • Driller's Signature .A.f^.._..k)±M*J£^.._

|HB Driller's Address ' ^^..^rM^... _ _ ._. i- I • .

• _ - _ - _ • LICENSE NO 1/ Show exact depth o f bottom

H | SV.SVo-------------B-l ^^

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!

State of Montana iCounty of Gallatiy • 8 8 '

Cojdrtjr aerk & Recorder

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^ ^ B FHe No T « jt *E £iiL

' ^ ^ ^ B DUPLICATE Comity Ga* ***™

j^BH WQ STATE OF MONTANA<^^^H ADMINISTRATOR OF GROUNDWATER CODE

I ^ ^ B i • Top of Ground . - , , , . OFFICE OF STATE ENGINEER I

^ H | ~ (Eiw. above sea i^iM>7St ) Notice of Completion of GroundwaterB^H ~~ Appropriation by Means of Well ;^ ^ H - — DEVELOPED AFTER JANUARY 1, 1962H ^ ^ B — S«df Clay ***& (Under Chapter 237, Montana Session Laws, 1961)• • _ »«•* gravtlj^B _ 6%0, n^r***** Hignwy C — i - t a ^ ^ M — . Montana^ ^ H - «. . t TVrinAJfc^^a BigfrT Dapagfngt^^^^^^Helana, Bontaaafl^^^B Date of Notice of appropriation of groundwaterjj*?!**fc^j^jtjjjrc?.

^Hf 1 Date wett started_??!!?!!^^J^^

| ^ H | - Type of wel] ^ ^ ^ Equipment used _J5?*5L ^I^L.I ^ ^ ^ ^ D (Daff. Driven, bored or drilled) (Churn drill, rotary or other)^ ^ ^ H Water use: Domestic Q Municipal • Stock • Imgation D^ ^ ^ H - Industrial 21 Drainage D Other gj^•^B H,0f Indicate on uie cuagramthe cnaracter and tnlcKness of the different strata^ ^ ^ ^ H met with in drilling, snch as soil, clay, shale, gravel, rock or sand, etc. Showj ^ ^ ^ H | — Cmw-1 —*•* d»-r>th. at which water is encountered, thi<dmcss and cnaracter of watcv-bearing^ ^ ^ ^ B TTT" strata and height to which the water ris^s in the welL^^^^^H — fftnnlag ^^ ^ ^ ^ H Ste of [ Shend From To vwasoaxrmmI ^ H ^ K Ho" ofOutee Kbd Som j Te

H^B - ?-7/8" 6*10 0.0' 41.0*•H 18.9 lbs. . , . 1/^x 6" 18.0« 38,6*

H : -*• ten• ^ ^ ^ 1 — 2>U0 N Static Water Level for non-flowing well^ B Grw dayy j ; 1 r—i 6 # 0

^ ^ ^ H |— j ! Shut-in Pressure for Flowing "WelL5S55_™.

^ • ^ B _ ! ! Pumping Water Leve]__.._-Jl8*ft..~. feet^ ^ ^ H w I :

B at 2ft gal. per minute.^^^^B I ; Discharge in gal. per min. of flowing well

I^^HI wtMX ana i ,| ^ ^ B COfablAS Wltil i ; How Tested—^L***!*H ^ H - *"» «lflr I i 1 i Length of Test 2 J 5 S 5fl^^B Remarks: (Gravelpacking,cementing,pack-!|^^^^H| — era. type of shutoff) SOBS

H _ «ft rf . E3iS=- S & VtfiS ^ " ^ " ^ ^ i ,^ ^ ^ V place of use, if possible. Each *" 8 « 3

• • ^ B - small square represents 40 PtenAtiso2xiB~ft3kallai1tgr—i2~ppVT~^ ^ M _ Sft.O* acres. HotigJL.Qxgaffi Alt:a3inlty..?t7.....pp».... <jHB B l « oUrj OO2 ?«•^^M - tot£L nardn«s3 292 «m^ ^ ^ ^ ^ 1 __ : (Continue on reverse side;)H ^ ^ H USE—If used for irrigation, industrial, drainage or other. Explain, state^^^^^H — number of acres and location or other data (i.e.: Lot, Block and Addi-

fl^B n *0.0* tioa)-W^^m Hifdway DapartMtnt Maiatwianea Baso* wafr gqpply^ ^ ^ H L ^ M J Show exact depth of bottom.

^ ^ ^ B T ^ f o n n to •* P«P«rBd by driller, and three copies to 0e filed by the owcer with the " ^ I ^ S ? ^ " ^ ~ — ~^ ^ ^ B County Cierk asd Hewrder in the county in winch the well is located, tissue copy to be Driller's License NumberH ^ ^ B retained by dnller. -/^ fJ /S *Y I^^^^H Please answer all questions. If not applicable, so state, otherwise the form will be ^ST£L.JL _.—J£z I^ H ^ H returned. Driller's Signature I

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I M[ a

I . _ „ . . . - • - • - • •- - — • • " "

I

• S

I :. ' • - ^i :-:

j

| ' : ; ... • [

#2203 : 'fi ; •

i St2te of Mnrtfcma j » t ' :

County of Ga l la t in • .- ;;Fi!0Cj__Movember-15__. 19 68 y

I 3> g:0O o'dock_lM.

3 y • " ^ ^ ^ i p u t y ^ ••.:-

Fee f. — . : —-—•

i - • • • • • • ' . ;

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STATE OF MONTANA _ DRILLER'S LOGADMINISTRATOR OF GROUNDWATER CODE | n d i c a f e ,h e c h a r a c t e r > oo tor t h 5 c k .

MONTANA WATER RESOURCES BOARD . . . . . . . . . „ „ .. .... ; ; .. ? f ^ J u c h M ^ d a V f ^

NOTICE OF COMPLETION OF GROUNDWATfR : u- VAQmyet, shale sandstone, etc Show

APPROPRIATION BY MEANS OF WILL J j * £ < * * ^ l _ T ? - 3 ,Developed after January 1, 1962

(Unrfer Chapter 237 Montana Station I w i , 1961, as amended) Top of Ground <_t->. tbm M i m nThis form to be prepared by driller, and three copies to be filed nm T»by the owner with the County Clerk and Recorder in the county in «o | a*o _B

which the well is located, last copy to be retained by driiler. _,„.,.. ^ , Mop»B__Please answer *ll questions. If not applicable, so state, otherwise the J *gtt,, iBUfey a -.ml :uad THTflf lW*M.yCb*te««*jr^ 1 -? ~ * T ^

Owner : . : _ . . ; . . _^ . .__ .~^— For Administrator's Use "

Address _J_?2«_:*__?_ Rte ..2jJ_?._?_ '

••'cntaaaa ..9-.|lJ:iL^.Q.4?i.n3. |

Date well started -JzlLzD. GW 1 ..3.:£.a.fi...*tt.~ j r

completed £$$!&* |

Type of well ...iS*?l**.vD»t. driven, bored or drilled) I _ _ ^ _ _

Equipment used _ 5*QL**!L — \ —(Ctern drill, rotary or otha) ' _ _ _ _ _ _«________-—_______--—————————---—-

Water Use-. Domestic Q | AAunicipal Q Stock • Irrigation Q : "—-—-—--

Industrial • Drainage Q Other Q * Garden/Lawn Q * ~ —— -~ • - ..•»--. — »•

"rascribe „ _ . -

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

ard Addition) ____._._» ..-„,...,. .•,.-__...._• • —i ______ _____________________________

ESTIAAATED ANNUAL WITHDRAWAL _

M M %y? «rS ,rZo -MTO-ATIONS 3Rate . C M ' — — —-——•- - — -— — — — — — — — - — - • - —

KjBd i Fra* i T» i _ _ _ _ « _ _ - _ _ « _ _ _ _ . _ _ _ _ — — — - - .

C" i?# *i n* v "- i •"« i « -> j ___Z HT u *" L J I T 1__-Z_—

I :

1 I ——"• — —-—— —-1- " - • ' • • -—• '" ——

" i ~_I ; | Static water level .?.. ft.*i _____________,______»____________-.

; ; Pumping water level J^a. ff.'l x _.r _ _, _._ _, _._.__,.J „ ; at ?P gallons per minute.?! • measured ...minutes after pumpingj.__ . . r _ _ _ ^ .I • began. i _______________________________

w ~ ; __________ E 'nAeasured from ground level. ! _ _ _ _ _ _ _ _ _ _ _ _ _ _ _; ; Well developed by ... 'hlU.a?. l~ )J. J for I hours. ,____ , _ _ _~; ; PlTMCT Pump HPl ______________________j '. Rerrarks- (Gravel packing, cementing.: .

packers, type of shutoff) i ..«_________,

» !p.....ls«w :::::"::::::: ::.::::::.:::::l—1—-IT...? w . N R...A E - I I 1 ,

^ * 1^5 - I j ISNDiCATE LOCATKDN OF WELL AND PLACE OF USE, IF POSSIBLE. ] '*- r —EACH SMALL SQUARE REPRESENTS 40 ACRES. I ' ' ;

y • . 4 -- . . . — , t rDriller's Signature ?.__-/ *-J. - . c # i . . , / . t_. '—'. j ' ___-__——_.

Driller'i Address . ~.T-..".-......c"J.:'.-&•„ \E$ n::.-L:._ - a g '• •

J o ^ i t c %. ^ ^3,__;_-.--rJt-3St_ LICENSE UO... 7? — S h ° W e X a C t * * * * ^ b O t t O m

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1 • -- -I ..'I ' l: ' • ' * ! . ' ] . , ; • ! .

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

i . i'.< ..;.... =• '••

Stale pf M w w ^ ^

RecofMd in &fiM« ^ =, = _ - . 4 f?*<& -~

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- GW 2 , ^ H j Appnmd Stock Fora—StKe FabHUBC CO, Beta*. Monodo—4S6^p^g^s^

Ffle N o :__ ._......_ . _ .... -E:.: . r : E S eOARO* VpA/- ft / ^ - 3 ^

DUPLICATE R £ C E 1 V E D caan&jMadjjrf/Zy/LOG FEB i 3 i97O s**135 05>

MOHTAHAADMINISTRATOR OF GROUKDWATER CODE

| Top of Ground OFFICE OF STATE SBTgmJsak

(Hev. above sea levei^ ) Notice of Completion of Groundwater~ Appropriation by Means of Well— ; DEVELOPED AFTER JANUARY 1, 19C2

— /" —• /_L. ^—v(^n^er Chapter 237, Montana Session Laws, 1961}.

— . . / A * Z f c > ^ * / 2 ^ ' DtiDer-as Lfe LJl Address

/(A ^ / ' - * • « _ ^ a t e °^ ^ ° ^ c e °f sppropriatioi of groundwater

1 ' ^ - " ^ ^ y/ Date well started^ ^ >WT).te c o m p i e t r f ^ ^ ^ l L

_ Type of «-^ll^^rB»v"<~"^ Equipment xw«I(Dog, driven, bored or drilled) (Chora drill, rotary or other) , ,'•

Water use: Domestic • Municipal D Stock Q Irrigation US ;'_ Industrial • Drainage n Other •

*• . Indicate on the diagram the character and thickness of the different stratamet with in drilling, such as soil, day, shale, gravel, rock or sand, etc Show

— depth at whith water is enconntered, thickness and character of water-bearingstrata and height to which the wat*r rises in the welL

— MM W*K <r«5> <F«O " * " * * " * *

- y*y y^*-1— *• v Static Water Level for non-flowing well

! I j I feet.j j Shut-in Pressure for Flowing Well

_ j2^_^^=^— " | * • Pumping Water Level iesi

_ C C C 4 - " c " c - V^li j 1 K at. gaL per minute./ 1 A •' ^ - * p f^c . - ! ! Discharge in gaL per rain, of flowing well

":;""".-1.7.C- •-'-^- "~~~~ ] _ j •

r .-.**' | \ How Tested » ;,

"" • '• « ! Length of Test

Remarks: (Gravel packing, cementing, pack-

. J i—stJLa: x ^ BUS,. er5- *"•of shutom

— Indicate location of well and -place of use. if possible. Each

— spall square represents 40acres.- . _

- _ _ — (Continue on reverse side)

j USE—If used for irrigation, industrial, drainage or other. Explain, state a

I — number of acres and location or other data (Le.: Lot, Block and Addi-

|- L - J Show exact depth of bottom. J^ .Ut-^d^X^jMx2i^^&^

' « |I This farm to be prepared by driller, and three copies to be filed by the tmrna with the ~

Coanty Clerk and Beeorder in the county in which the well i s located, tissue copy to be • Dry}er> License Number - , / f .; retained by driller. ;. • ^Z^/' J/^7 yQ / / Jrf) X'- Please answer all questions. If not applicable, so state, otherwise th» f«m win be rtfr ndtrv ££,.Sj^^t*4Ci£JL!jiM< letmued. Driller's Signatured WM

ijtfrf0

• • £i

• "' • ¥':

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: • - . . . . ,

m

State of Montana »County of toljjtin^ SS-

Filed /zjZ&-t / ^ Y)Pa

fee £ T ^~j£d/*

1

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f " ' ' • • • - " * • '• " —

!

i

I

af

I MONTANA WATER RESOURCES BOARDGroundwater D i v i s i o n

Mitchel l B u i l d i n g[ , Helena, Montana 59601

I ; Recently a copy of a groundwater appropriation form,i

| GW 1, Notice of Appropriation of GroundwateriI X GW 2, Notice of Completion of Groundwater Appropriation byj means of Well

GW 3 , Notice of Completion of Groundwatar Appropriation without jWell |

GW 4, Declaration o£ Vested Grcundwater Rights (This form i s. obsolete and was limited by law to use only through 1965)

! was forwarded to t h i s office by the County Clerk and Recorder.

; This form i s identified by g s . 5th Ave. E. •' Owner Dean and Lyla Schedel Address Three Forks, Montana 59725 l

:

I ijLocation T. 2N., R. IE., Sec. 25 Document No. 2262

i i! The form i s complete as f i led . This Is to inform you that your GW form has i

been received and no further action i s necessary on your part.i

X The form i s incomplete. Plsase complete the enclosed copy by providing in-| formation where indicated, or as noted here and return the corrected copy to; the Montana Water Resources Board in Helena.

Please provide information concerning s tat ic water level, pumping water l e v e l ,amount of water withdrawn in gallons per minute.

Other.

i

i

f

| i County recording information is missing. Please forward t h i s information toI i the Montana Water Resources Board in Helena.

;

O r r x Jj)

f rContinue on reverse sirte) ""~'i» USE—If used for irrigation, industrial, drainage or ether. Explain, state( — nnmber of acres and location or other data (i.e.: Lot, Block and Addi-

\ | 1 Show « c t dirth of bottom. ..&^/^^^^^..J*S^^.^r._;.

"JTUM farm to be prepared by drfllw. and three copies to be Hied by the owner with the -——County O a k and Reorder in the county in which the well U located, tissue ccpy to be Dngjecls 1 teense Number ^ ^wtaiaed by driller. ^ „< jg" - .''/ J^'J $Fleaae answer all <piestioas. If not applicable, so rtate, otherwise the form -will be ^ ? ^ - ^ * * v i . ^ - C - » ^ ^ C - « ^ ^ « - « 2 f e t . ' «•;returned. DrilTlfr's SiRnatareT •*

• >;

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H B B H | K <#?' .. ..l ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ f l ^ ^ ^ H ^ ^ ^ B S > " J Appto»ol Stock. Focm—State Put>lWnn« Co, Helen*. Montana—««C «*wfr»»»

BS^^^H^Bl MvTJT.;..--. ....->. " » u ABOARD ^S^JL-L^^•^•P' R E C E I V E D C^M-I£^ZLL.I^^H^HHHi T.na hFB ; 8 1370 STATE 0F MONTANAj^^HQB ABMIKI3TBATOR OF QSOUKDWATES CODE^ ^ ^ H ^ ^ H P T O P of Ground OTFICS OF STATE ENGINEER

H B W P W ^ ^ dorr, above sea ieveL^Z4? ) ! Notice of Completion of Groundwater• P ^ ^ r~ Appropriation by Means of Well

— •. DEVELOPED AFTER JANUARY 1, 1962

— 4 /j ^(Under Chapter 237, Montana Session L&vrs. 1961}.

— . , / u 5 v ^ / 7 j M Drffi.i-_»yLfe: L' _ -JAi»»,..- - -

AA if ^ Date of Notice of appropriation of groundwater -

2_ "V * '* ''/^Date well started^^^^^/i^ZDate eompk'te*l&S.-J?^7.£^L

_ —«-<^*-t-« . T y i ? e o { njf^Jrb^c* ^ Equipment used\^ • " (Dajr. drirsa, bored or drilled) (Omrn drill, rotary or other) . '

Water use: Domestic • Municipal D Stock • Irrigation^S ;_ Industrial D Drainagf Q Other Q

- Indicate on *he diagram the character and thickness of the different stratamet with in drilling, such as soil, clay, shale, gravel, rock or sano. etc. Show

— depth at which wattr is encountered, thickness and character of water-bearingstrata and height to which the water rises in the well.

Itol. ! of Cats* | ! **+ | Fro* ) T»

; - ^ ^ ' •• A<>~*~ i ii tji — . • —

u — N . Static Water Level for non-flowing well

¥ _ I \ j j I _..2ii-..-feet.. . L . ; Shut-in I'resrore for Howlng WelU^ifenr5=-

' _ ^ JZJtJ^*-—— • ' ' l^unping Water Level &?../.. feet

_ ^ V* r" i[jsjui*if* I '• ' ' E a t f*--^-^- **r minutc-, 7 ^ ^ ? ' *~* - • • EHscharge in gal. per min. of flowing well

» '•' * *7" r D • ~n """\ ~ (<^ ; ; HowTested....6^rZ*^/.^Jt....(i

I "~ « ' 1 : Length of Tt *t t^Ccd .^*™^n*~£L. _

— Rema-ks: (Gravel packing, cementing, pack-— \ c. l i ' ^ y n / C ers. type of »hutoJ[fV. -— Indicate location of well and ^CJ.ytiL^-t—f.. . jjL*~v<r~+rr~rj.

j place of use, if possible. Each O« ~ small square represents 40'( .nnn.

i .. i Continue on reverse side)

i USE—If used for irrigation, industrial, drainage or other. Explain, statej _ number o£ acres and location or other data (i.e.: Lot. Block and Addi-

\ ~ X ?*rftf&^£*L .fat, yl&MA^.& Cfc^&x-1^.24^..^

j L _ J Show exact depth of bottom. &&'_ Arfjfc; J ife ifer*. M^t^L^.^ A

• \Thi« form to be prepared by driller, tad three copies to be filed by the owner with the r -,, • ' i•"- x- u ~ ~County Clerk *nd Recorder in the county in which the well is located, tissue copy to be .mliftlL.s License Number ^ .retained by driller. - ./ J/^ - // J^', j //

Ptemae answer all questions. If not applicable, » ftate. otherwise th* form vii: be ^-^^^Axus^^^y^^^^^tSlC^A^. £rtiamed. Driller's SienaturtfT : |

1 • t

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Form No. 18 m8-60 I

T ?N R. i f •

County r-aiiatin \ I

MONTANA BUREAU OF MINES AND GEOLOGY l ~ D l E C E I V E j U \ IButte, Montana [jj] _ p . []|J ! I

, WATER WELL LOG S T A J £ ENGINEER I

i I Owner John Smith Address Thrae "porlca^nnt. «

j X i Dri l ler Parker ^nd Lower AddresaiiTlnir nrff eV,Mnnt. •i i |9._ _ . _ Date Started Aufri|fst ?7t1Q6i Date Completed Angnpt. ?fl, 1 gfil 9

; I ! i Location: Sec, o^ T. py R. TS { sec. : I

; ' 1Type of well___pxLLlfid Equipment used Qhnra ^ _ ^ _ _ •

(Dog, Jrlv«n, oortc, or drllledj (ckurn, art l l , rotar/, otnar, fl

Water use: Domestic [ 2 Municipal [^ Stock P^| Irrigation [£J I

Industrial [^| Drainage Q Other •

Casing: p ft. to 30 ft . Type Slack Size 7n ID •

Casing: ft. to f t . Type Size M

Casing: ft. to ft. Type Size •

Perforated or Screened: Ft, 28 to f t . 5Q Ft. to f t . I

Type of screen or perforations Perforations •

Static Water level, for non-flowing well: o feet. H

Shut-in pressure, for flowing well: lb./sq. in. on: ^ I

BPumping water level 9 feet at 30_ gal. per min. •

How tested: Drilling Rig Baler I

Length of test 1 hour •

Remarks: (Gravel packing, cementing, packers, type of shut-off, depth of *flshut-off) •

(over) •

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Log of Well

Depth, feet.From To Description of Material Dr i l led .;•

!:'>- . i

jQ ^J Top sni 1 ?

• 41 2 8 ' Sand and gravel |

f. 28' 3£ | 31ue clay ?

32' 34 ' Sand and gravel :

f

i — ^ — — ^ — — — — — — ^ _ — — _ .

i -? •

— . •• . - ;

— _ — _ — _ , - — _ . . . _ j

-rj CC S. 2! « o

g y g -rg

——————— : v_ i$i>- ">" •>

_JL£LLI^ ^ 2 > , -• l

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^^^^H) G W Z Approve! S loc i . Form—State Publishing Co, Helena. Montana—1193. $£&l

^ ^ H Pfle No TV %*' B /,g (M,

^ K DUPLICATE TCR ^URCES 9Q«m C^LtALLAXUSL| K | c T p r E l V E O STATE OP MONTANA^ ^ H 0 ' i t U ADMDnSTBATOB OF GBOTJHDWATER CODE^M j 1 TopofGro^d 0CT18 1957 o m e s OP STATE EK<HHEER

^ ^ H ~ (Hev. above sea M . _^_— - — Nottgflof Completion of Groundwater^ ^ m ~~ CHII^— Appropriation by Means of Well j|HB ~ 0 t o 2 T w t (Under Chapter 237, Montana Session Laws, 1961)

^ ^ ^ H — Owner Ijl __. Address __^^M — 2 to 12 fe«t n „ Poirt* Drilling «ad DtY. EJU #l.Bo*«aBa Hontan*

^•j _ coar« <n«ta*a DnUer iddress

^ ^ ^ H Date of Xotice of Appropriation of Groundwater .. .

^ H _ totU ^Ur Lml Date weU s t^^W_2?, . .^LDa t e Completed-^^^^J??™

^ ^ V ~ Type of w e l L _ * ^ * * „ Eqxupment Used___^^?^ ^ ^ ^ H _ (dug:, drirea, bored or (Churn, drill, rotary or

^ ^ H 12 to 18 t—% d r m e d ) other)^ ^ f l 5«lld «Bd Q»wl» Water Use: Domestic Q Municipal Q Other Q Irrigation | 5^ ^ ^ H ~ Industrial D Drainage Q Stock D

^ ^ ^ H 1* *° *• *••» °^l Indicate on the diagram the character and thickness of the different^ ^ ^ ^ B — Gl«y strata met with in drilling, such as soil, day , shale, gravel, rock or send, etc^ ^ ^ ^ f l — Show depth, at which water is encountered, thickness and character of water-^ ^ ^ ^ B bearing strata and aeight to which water rises in the welL

^^m _ 27 to 29 £««t . . . J , - - • ,^ ^ H - Bob C«tet KM I M To

^ H , 17* .250 Mix <1. 39* 3/8X3* 29 27^ ^ H - 29 to U2 fMt i 20 12^^m _ Buff Shala

^ ^ | ~ hi to 1(2 f««t 1 . . .^ ^ H - Bins Simla ,^^HH ^ Static Water Level for non-flowing Well ?._ Jeet.^^^|^l — ; ; •. ' • Shut-in Pressure for Flowing Well • -• • _

^ ^ ^ ^ B — . — ; — — — , Ptanping Water Level .Tfz. Jeet at- .™ -gaL psrminate.

^ ^ ^ B """*'; :"":*'" : ; Discharge in gtL per min. of flooring well . _

^ ^ H - W ! : • I : ; C How Tested.^.^??? .Length of Test.JL?.!!

^ ^ H H : : ; . Remarks: (Gravel packing, cementing, packers, type of shutoff, locfe-^ ^ ^ H — ; • """; tion of place of use of groundwater if not at welL and a n y^ ^ ^ H : . . .: i other similar pertinent information, inclading number o f

^^^^H — ' ; • -— • acres irrigated, if used for irrigation) ..

^^^^B _ Indicate location of well and^ ^ ^ H place of use, if possible. Each __ _ _ _^ ^ ^ ^ 1 — small square represents 10 acres.^ ^ H _ Lot Twenty-Four (2^), in _^^M I I ^t^^i&i^eitL^f bottom. i e A•H B«tt«]j»n'8 Addition to Driiier^lic^srjrttmbe^^ ^ H Town of Three Forks, Gallatin County y (^-~• H B Montana -^3£4Lj£L^££JPr/l}Z£~^^BR Driller VSignature

^ ^ ^ H This form to be prep&red 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.

j^^^^l 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 of• ^ ^ H Mines and Geology and Quadruplicate for the Appropriator. • / _ / —7

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r

i ' „, „- . _- ,_ .

7 at\

» • • •

i

! State of Montana iCounty o f Gallatin • ss"

PLM/OffJ&Lcj /£ . 1967

Cotarty^Bfk & Recorder j "^rf

Fee < / ^ ~ f£y « 'i • •

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G ' Approved Stock Forrr;—State Publisliin? Co . . Helena. Monuaa—G23-* <_^^j;«>2 ' 7 ^ ^

Pfle No T_._2Jf.. JR.....U

DUPLICATE Comty^-SAUATIH

STATS OP MONTANA

ADBUNISTRATOB. OF GSOttNDWATER CODE [^T " ^ ~

OFFICE OF STATE ENGINEER [ '••l J U JAN 161964 ~J

Declaration of Vested Groundwater Rights( U n d e r C h a p t e r 2 3 7 , M o n t a n a Session l o a w s , 1961) u ' "- : '- - l ' : ' - ' ; • • -

JOHN C . HANSEN and JANEAL C. HANSEN,L-hu*ba3ad^«i«i-w4f(i-«»-j.o-ist t«naa-fca at.- •— IBKE-FOaKS^-MOffiASA

(Name of Appropriator) (Address) (Town.)p.,yji^h

<rfrlght o f surviYorglilp and not$ft_ ^?ant;s_i5 jsoamog.have appropriated grotmdwater according to the Montana laws in effect prior to January 1, 1962, as follows:

N

• • • ; ! ! 2. The beneficial use on which the claim is based-

....j ~-._.; p—;.—.| - i rr igat ion" of• -iawr,;- gardAaa-ptrea^-aitd-shrubsI : '. i '> "'' 3. Date or approximate date of earliest beneficial use; and how contina-

..-: .„ . ; .—.• ; „ „ ; — [ — Ous the use has been..... -isjg--.a^i^>a5_i»tely-l&-dftye-

: i | : ; i ye^_?

: : : i • : 1 The amount of groun-lwater claimed (in miner's inches or gallons

• • - : • " : • j"—:—i—* P61" ™ii_te) 1QQ...^allana. -^eiLJOixuite

• • I '< ' '• I 5. If -used for irrigation, give the acreage anc desciiption of the landss to -which water has been applied and nar_e of the owner' thereof

Indicate point of appropriatkra°r!cS - t ^ ^ ^ h e ^ « W _ M ^ - - T h l ^ * - I ^ ! c » } - _ ^ « « W t t « a « d ~ -and place of use, if possible. Each Joint t«n«nt» ownerssmall square represents 10 acres. 6. T h e means of withdrawing such water from the ground a n d the loca-

t ion of each well or other means of withdrawal _

2LO-~£o«t-4»*p- -«»meat«<i-up.- -and-wood-aad aett l•Cop cover

7. The date of commencement and completion of the construction of the well, wells, or other works for with-drawal of groundwater.... 19£& . _

8. The depth of water table.— X5--fMt-- - _

9. So far as it may le available, the type, size and depth of each well or the general specifications of any otherworks for the withdrawal of grotujdwater ix_»Qd 4 « | - W e l l - j - ^ - f e e ^ - fey^-^- f -S^-aq tW.-^

-2Q-£—t~4mkfrf «e-»&fc4&^Uup an-a -wod~aad-_MM**_U:--fcep-«eve--~

10. The estimated amount of groundvrater withdrawn each year...ap|>j»oxiaat»l-y----ft-fOOO-J-000™gail<mfl-~

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

— gravel- —

12. Such other information of a similar nature a s maj be Useful in carrying out t he policy of this act, inclndingreference to book and page of a n y county record UnkliO**** - —_-

Signature of Owner -<^-^^/.^/&./£*<rz-<s£-lf~r^r~..

-Date December-J1-196J...

Three copies to be filed by the owner vrith the Connty Clerk and Recorder of the county in wiuch the well is located.

Please answer all questions. If not applicable, so s*~*e. otherwise the form will be return ?d.

Original to the County Clerk and Recorder; Duplicate to the State Engineer: Triplicate to the Montana Bureau of aMine- and fJeolocy. and Quadruplicate for the Appropriator. f<t$l

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^fjfe of Montana >

: s T_l_, 1953 . -•

= y _ ^ ^ • 1

• ^ ^ - a d 2 = _ •••"'": ~ V .• :•

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ST-TC MJ«LI*HtNS COMPfcWY J ^

STATE O£.MONTANA DRILLER'S LOG

NOTICE OF COMPLETION OF GROUND WATER 9 r a v e l ' s h a l e s a n ( t t o n e ' etc- S"***

APPROPRIATION BY MEANS OF WHi. * | * " „£, ~ _ J - J_>Developed after January 1, 1962

(Under Chapter 237 Montane Session Uw«, 1961. as U M I K M ) Top of Ground (Bo. «ba« « . it^oThis form to be prepared by driller, and three copies to be filed **•• T *by the owner with the County Clerk and Recorder in the county in ***** or*"* <.which the well is located, last copy to be retained by driller. J H ^ ,/«•««< J '/j l r f l ^tr^t | _^~Please answer all questions, tf not applicable, so state, otherwise the ^5 <6 'S ~?~~~~' -"M1-**-**form may be returned. ^ j f \ 'Zj l<r*J£^^£t*A-CAt'

Owner .^U^A^^i for AdminisUaZ^T] U - i - ^ f ^ ^ —Address _if lsOL-Z3J__ File *£&&

^sksdi^zr^hi^L r3d*t*L*h*rj.%. if.}* j

Date well started jti.tS^./.^L.TLi GW 1 \

<f "completed .....^fcr..^a^:>.:f. | _.. [•

. • • — -

Type of well A&5H??3>^±1(I>ig. drhen. bond or drilled) _ _ _ _ ^ _ _ _ ^ .

Equipment used „ 1-——i—-- — — — — — — — — — — — — —

/ (taura drfll. trmn or adwr) ! _ _ — . — — _ _ — _ _ _ — _ ^ _ ^

Water Use: Domestic [ ? Municipal • Stock Q Irriganon Q •

/ \Industrial Q Drainage • Other • * Garden/Uwn XX j —

•Describe _ „... — - - . . . . . .USE; If used for irrigation, industrial, drainage or other. Explain. I

rr*te number of seres and location or other data (i-e- Lot, Block — - — — -— — . • •—————— — — — -

id, *<dimattf&.££j,£7*./^ . , ~

ESTIMATED AWNUffl. WfTHDRAWAL ".'... L^^.^TZ...Z\Z.

M M ! *ZrJ!J* aZZ <fZo nxnmKtwa It M » . of C o M t — —— • " • • •' " • • • • •'• " "

KM P m 1 T» __—__—___—>—_—_

w ^ H I ~-^! I I Static water level .X__ .ft.*|i j Pumping water level £JBLJ\.\\ --! at .. .af .X_ gallons per minute.! ,'. | measured minu?e£ after pumping! _ ^ ;j j — .__.„ — _ _ g n _ _

1 began. [ !; 'Measured from ground level. l _ — ^ . —... —•... - „ - — — — — „ • ^. — — — —

; I Well developed by i ~ Z: J for — _ . Jpurs. t . . .... ^ _ . ~; • Power^S*fefef* 'ump . / J L _ HP*. I

I '. ! Remarks: (Gravel packing, cementing, __a-._iri ^ ^ m _ — — _ — _ — — — . _' ' y^'tT, packers, type of sh-rtoff) I" _____ ___________________________

V* Vi $e^J<i£L '•-'- * fe^S? '"""II Z I "i IT ^. i_r> /._iC_D : — I ;

s w •— - - — —IINDICATE LOCATK3N OF WELL AND PLACE OF USE, IF POSSIBLE. tEACH SMALL SQUARE REHIESENTS 40 ACRES. j j j

Driller's Signature _ jl_~< ttl-Jr.^/^ 1 t 1< / p • \ —J — —_—._

Driller's Address {.&?*? <^£T*3K. ' - * - '

LICENSE NO S h c * e x a c t d e p t h °* bottom

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I

I

[

i

I

State of Mcntaruj ,County of GdOatin '' s s '

Fited V 7 ^ / 9 19 ^ /

Fee $ ^ °~ / ^ - ^ „

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STATE CJ MONTANA . . . . . > DSOUErS LOGADMINISTRATOR OF GROUNDWATE* CODE J, G £ • ~'' "=- t -Hw*. u _ - w , ^ - m lor thick-

MONTANA WATER RESOURCES BOARD h< fc l '? * " d " " * " - . . " T _ Z |„ - ' - - j : ness of strata such as sotl, day, sand.NOTICE OF COMPLETION OF GROUNDWATER V***. shale, sandstone, etc Show

APPROPRIATION BY MEANS OF WELL * J * " ' * ^ * w 8 t ^ * ^ j £

D-~lop«d after January 1. 1962 ^ * " ^ " ^ '" W e ' L

(Under Chapter 237 Montana Seaion laws, 1961, a* ciMndad) Top of Ground na«-. ,b-« «»it-nThis form to be prepared by driller, and three copies to be filed ~—• T»by the owner with the County Cleric and Recorder in the county in (r<wO (g**t| — - _which the well is located, last copy Tab* retained by driller. ^ ^ * y < ___/_ -~0 ^"^tPlease answer ail questions. If not applicable. :z state, otherwise the ->? L? * -x£~-~~ .^ij^>*-~*4form may be returned. __ ?_f_ „ *_ . ''^* lij~*'ZZl~^<:&-i/*£s'?,

Owner Q ^ < . . / ^ ^ ^ | For Administra?o^g [ X ^ l ^ g ^ d & LAddress _ ^ ^ X _ _ Z 3 3 _ . . . . File :U±%JL-. _._ I

JAi^LJjZi^JM JLl^c*.h.u../.%j£2. • j

Date well started Li?..t^^l./.^.j^ GW 1 . •

^ <f j

Type of well ^JX^^^^h^i 1 '•(Do«. tftfrca. bond at drilled) ^____ ______ _______________^__________»«_,________

Equipment used ~——- ———- - - - - - - - - — — - - • - —/ (Ctan driU. taaxy or otfett) ______ ______ _________——-_—_—_—_—--—————————_—--

Water Use-. Domestic Q Munidpal Q Stock Q Irrigation Q

Industrial Q Drainage • Other Q * Garden/lawn \X

USE: If used for irrigation, industrial, drair>»ge or othey. ^xplain, «~ , - . --———---——-—-——--—---——-state number of acre* sna ^o^^fP^l^^Sjsl^C^r L«^£4CB*^ y- Z&— 'jjfr

*r^MA\\\onT.^L.JLA.^S*S<ZL -

^^S^jJ^^^^^^^J?.'; P.—] —DrtB-i WrachV (ftrl) iFM) rOUFORATlONSHate 1 CMto| .— -,—-__ . — - — - _ _ _ _ _ _ _ _ _ « — _ — . _ -

SUmt F t * . T«

*^tc ^»a-< ^^ *« *^ f /tX-fc,* Q^-fttU^^ i I 1

fcyxjZt LKUA*T & y*v**~x.lZf Co'* i <*j J-fo^i tdft^

M*-$ u, A^*t. i r~ * T~" "

w~ ^ cm znj J i I Static water level ,.X~ ..ft.'j'• • Pumping water kvel /j3....ft.* I-; — \ at ....dt-J- gallons per minute, ____________________________! ; measured mir.utes afte pumping; i began.

W 1 * _ _ • _ • _ • _ _ _ _ _ _ • • • • ^ H B ^ _

•Measured from grov . eve!. _ _ _ J _• j Well developed by _„.! I ~ "*j J for ^.^ -ijours. y •• ; Power...£<&fC.-4, Pump /j.~ HP "j j'; • Remarks: (Gravel packing, cementing.! I

~p\ ' packers, type of shutoff) j |

(T % % s«j-£. ~:^-^B5:::::zr:::::i—i—s

/ T aZ. N R......i E - I I

C ^ ^ - - [IZJ,—i zzz:INDICATE LOCATION OF WELL ANO PLACE OF USE, IF POSSIBLE. j —EACH SAAALL SQUARE REPRESENTS 40 ACRES. •

Driller's Signature Ji^r.V tl's.J^J.^.... - . |<^T A j

Driller's Address .'...ff^'x .^feiWrC L _L ! _

LICENSE NO <=J G j$T Show exact depth of bo.'jm

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>»».. .CW Approved Stodc Form—Sofe PuSfehics Co.. Htion. Montana—Ca* «*^^_ -*3 ' 7 (^J

1/File No T 2S __B._H__ -DUPLICATE Connty—UaQj^t.ia. : -]

STATB OF MONTANA , j

ADMIN1STRAT0E OF QBOUNDWATEE CODE - ^ :o i r c 4

OFFICE OF 3TATB ENQIHEEB -

Declaration of Vested Oroundwater Rights(Under Chapter 237, Montana Session Laws, 1961)

] WTT.T.TAM -£•»-PSTBRSflM . of TJffiSE-FQRKS(Name of Appropriator) (Address) (Town)

County of GAiUTIM -State ot--—KQR5AHA- —have appropriated groundwater according to the Montana laws m effect prior to January 1, j.962, as follows:

N

• \ • I i i i j 2. The beneficial use on which the M«mi is based

- - : -: [—•—•— bouaahol^t « 4o»estie \ise aad-iarrigafciag• : : • : L l&m, , ^ j > ^ j ^ ^ approximate date of earliest beneficial use; and how continu-j ...J..-; •„..: 1 —- ous the use has been-.- -^ovaabw. 1961V -d*ily--UB«; : ; • ; : ev«r «ijac« No-r«aber,-19alr *a<i «uch-u»«

w — : ; : :: ; • — E iiov-co2Vfciaii88- - -'": : ; """"• : : 4. The amount of groundwater claimed (in miner's inches or gallons

••--"; -•-•;—-:- :—-: '—- perminute) ^^p i»< ) .X ia a | je .] .y. .^oo--g«kli-oft»--per

• ! : '< 5. K used for ir-igation, give the acreage and description of the lands, to which water has been applied and name of the owner thereof

indicate point of appropriation 3©-IlHP««-£oFfcs- r -Montana \- W t l i i a a - B . - P t . ^ e i ' M o ,and place of use, if possible. Each owner .small square represents 10 acres 6- T^e means of withdrawing such water from the around and the loca-

tion of each well or other means of withdrawal. Drivtft p i p * WBl l }pip^d Int-o w t > r - i y i t i a 4 v h o u — r a a d - q t t f i d *fauoftfr- « le»tyi«-[mmp- ~

7. The date of commencement and completion of the construction of the well, wells, or other works for with-drawal of groundwater November, 1961; - —

8. The depth of water table «pprO2lB*t«ly & f«v»t - - ~

9. So far as it may be available, the type, size and depth of enth well or the general specifications of any otherworks for the withdrawtl of groundwater DrlTea plp« W»ll~3a j > » ^ d—^-^ ^ t a e h p l p «ia grouad i pip« "eh&rpaaed" by pounding bo**e»«r^^€>g«$h«t^-*n«l-hol«»—d?ll l«4 i » pip», *nd pipe <iriT»ft 16--f««^ «l«wn into ^«t«r-•^t*r-«xe*ratlonof » i» fe*t ©if 6iarf*«% HMtt«ri«l j •aklag-22-~fe«*-^«pth-frost—aurfmce--of^-ground;s*14 pipe «*8li wae d r i « » in-base«enfe-«f -h<H*ae~»4teiaa*e€-o»—»*itl-i»o'&-Si—Block 13. of £<aid Buttelman Addition, a lectr ic pusp: water piped^into «ater

10. The estimated amcuwt of groundwater withdrawn each year J?T.9M»_in._.ngUJ»_^__|!!l^109,500 gallons

11. The log of formations encountered in the drilling of each well if available.-— ~ ea ini « a d g r a v e l - — -•

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

>isrnature of Owner L^IC •^'<S--^9<- iJy.Js'-^<^*3Lx.r^<

Date Diceirber 30T 1 9 6 3

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

Please answer all questions. \ r.n* i r r -ah!". s> •='. .'<\ otherwUc "he form wiii be returned.

Original to the County Clerk and l^wrffr: Dnplii-ntc ro the State Ensrineer: Triplicate to the Montana Bureau ofMines and Geolosry. and Qxiadrupiic-Jte *"or the Appn)pn;tri>r. . , »*» a|

Page 53: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

I

j

I

, "• • 1

i

4

\

|

/5/7

: oi Montana I g ^-.r.ty of Gailatin )

/h^^ &/ -. 1963

X

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•v.,

"** Approved Stock Form—State Publishing Co, Helena. Montana—386S7 <*_ &-^J

File No.__ _ T_2K IL..JLR

DUPLICATE County__Gallatin-

STATE OF MONTANA

ADMINISTRATOR OF GROTINDWATER CODE

OFFICE OF STATE ENGINEER r~>. Tflvii'p r \

Declaration of Vested Groundwater RlgMfiQv 22 1363 ^(Under Chapter 237, Montana Session Laws, 1961)

l-JMsirtJ^lha^j^ of JEhrs&_£orks_,(Name of Appropriator) (Address) (Town)

County of—Gsllatin—_ .state of rfcntana

have appropriated groundwater according to the Montana laws in effect prior to January 1,1962. as follows:

• • | • j ; 2. The beneficial use on which the claim is based

—i—i—; :—: 1— l^ALl^.."^^.^^*^^'• '! : i ! '. n JI«9 bushes, f l owers ^.—; ;—-; ;.—A \— « e l l §2 - O&raeja'&na domest ic .use . , .; ; ; ; ; ; <5. Date or approximate date of earliest beneficial use; and how con-

1 1 ; > ! tinuQUs the use has hgor^feU ffi - 1 9 3 ^ - r o n t i m i r n i f; ; : ; ; t2_S21fr»3aiIy in anuaaar forJ>0 days: weeklyi I ; : end domestic use.'; ; : i ; 4. The amount of groundwater claimed (in miner's inches or gallonsi 1 i i ! '; per minute)_.tfall j&U~~l6 g a l l o n s - p»F-miSt t f - } •'. I ; ' . ! ! VprT*i U9 1 jr r a l T o n s r g r gAnTitQ'• '• • ! '• ' I 5. If used for irrigation, give the acreage and description of the lands

3 to which water has been applied and name of the owner thereof1/2 eltyy fri ncy 3 of ftuttelman Addition... -

i/ o *c i»»M »,t. rhree rbrks, Uellatin OounttT Montana -—Y — Sec 6 T2N R-1S t e j ^ - t - ^ - ^ f f l n n r ^ T T R l t i J * ^ ^Indicate point of appropriation aiward-~crv-%SrtB7- r;ot-b7-"*ipaX~2r;~itllOWiKSr~ ~and place of use, if possible. ~ m, , - i . j - . * i _ J J L

Each small square represents 10 6. The means of withdrawing such water from the ground and theacres. location of each well or other means of withdrawal

^LjL-SliiHftfcftd^Q^^W Q L I steel iipe casing 5 » nana pump.

T. The date of commencement and completion of the construction of the wen, wells, or other works for with-drawal of groundwater./jjikr^wri.-.sicccApt---*«id- -w%li&--wey©---i-R~u-ge™i-n~1933

8. The depth of water tableJ«.ll..J^^..apprQXlina.tft..a.f*ftt.; WelL.J2.jqpiproyi«^tftl5L_uxiknown

9. So far &s it may be available, the type, size and depth of each well or the general specifications of any otherworks for the withdrawal of groundwater...ifell^jri-r^l{I..reat---degp.T...WQOdi8n--CASa3.-4--rft»t----muacfl-arig1 nully. .«..recasejd-jeith..«ood-ia-X959--44- inch«»-«quar*r~•l»ctri«-

e a s i n g , knpi pump T^ ^ 1 1 ^ ^ p o f i p l n ' M , - ~ .-

1) The estimated amount of groundwatev withdrawn each yearSfeU—jl -, yQQ^CXjCi ^ 1 1 qn» •Well ff2 - occasional use.

11. The log of formations encountered in the drilling of each well if available- _ _„ _ gravel _ _ _

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

_ _ - • ^ • • ^ /

Signature of Owner..-<v ^^^-^•-^••'^^•^-r'r-:^-- -

Date Aa*eaher...2Q>.JL963

Three copies to be filed by the owner with the County Clerk and Recorder uf the county in which the well islocated.

Dlease answer RU questions. If not applicable, so state, otherwise the form will be ret rned.

Orieinal to the County Clerk and Recorder; duplicate to the State Kngincer: Triplicate to the Montana Bureauof Mines and Geoloi y. and Quadruplicate for the Appropriator.

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V

State of Montana I ..-County of Gallatin \

c;,^ Morreabtr 21 . 1 Q f i ,

' - 2:00 n'docfcg M.

1 Fee$2fOO pd <

Page 56: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

<* Arptavd Stcdt Form—Scats Pu&Usfe C o ^ Helena. Mo=u=»—119ZI «^^&>3 ^ *•>'

Ffle No " T ~2H - * I E "

DUPLICATE County GALLAIIH

STATE OF MONTANA ^

ADMINISTEATOB OP GBCTOtDWATKR CODE [Q} E C E I V & 1 H i

OFFICE OP STATE E2»\ iHEER [p"x , - - 0 o 1QC1 J-J

Declaration of Vested Groundwater RfefcMr fiMQi^Frp(Under Chapter 237. Montana Session Laws, 1961) ^ " ' t> '* t L K

i. IdakJEhcapa^ juad.. Qle. Thcmpson , of - — t h r e e Forks, -(Name of Appropriator) (Address) (Town)

County of. Oa I I a t "in - State of MOB£&H$ -have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as follows:

N

I i i i j i I 2. The beneficial use on which, the claim i s b-.-:d W e l l ( S a i l d - p o i t t t )— - I — - : — - j :—--i i — #1» ir^gatinglawn .aM_gax^^

: : : : ' • point) #2, irr igat ing laid and gardens; ; .— -; :-- . 3 Date o r approximate date of earliest beneficial use; and how contmu-

.— .j .„.:.—.; •„. . :—I. . . . ous the us- has been. ¥ % H # l r L 9 4 9 r d a i l y V--day»-*-; • i : ' i week Apr i l through~S»pt«nb%r «a«b y»**j

w —;—:—;—'—;—:—i— E ¥eU~Ja^9Wr-^*Uy-Vdar»--*-i««fc-J^»l-: :...:. : i through September each y e t o , . .

: : \ : ; -L The amount of groundwater claimed (in miners menes or gallons----:---•:-—: •—.:.-...:.— per minute)-We-H # 1 T J O - g a l i < » 8 • per~«iaete i -

i : : i I : Vel - l -^Z-y-^-gal le f tS-pe^- i l t t t tW—' ; : i 5. If used, for irrigation, give the acreage and description oi the lands

s to which water has been applied and name of the owner thereofWt«~lr~2~tad.--^—Bl^ck-*.^ ~Ba*fc*laaa~ Addi-fclea

% Sec.26- T^ji-. B-is to --Xowa-of- Thr«^ "F«rk<r -l«oataaa j—IdaIndicate point of appropriation lhamp—*-*&&<&. -«»«*•«», OWaeTOand place of use, if possible. Each , . . , . , . , 3 , , ,small square represents 10 acres. 6- The means of withdrawing such water from the ground and the loca-

fiattelaian Add ^on °^ eaek we^ or ot^ier means °f w^tli<irftwaiji.g^ . f.i^S...0 .-.Three rorks * sand.-point WRII #1, ,—35 £e<it d—Pr-ceatrLgugal

pimp with e l e c t r i c mQt.oi-'r.^2^1nch..pipe smid-F^oiat^l 1/V iach out l«t ;fiftBdrpoiSinirR.^iifi>sSfid-B8in^e8f«eCe5.'tScSSowi;?x^^ *i**1 elaetrle

7. The date 01 commencement and conrpletion ot tHe constrraucm if "the'weTl, wSfi, or other works for with-drawal of groundwater 1 9 4 9 - - —

8. The depth of water table. . .We .H . . # l . appr.oxijBately. lk.Ze&*.;JielX.JZr9ama..

9. So far as it may be available, the type, size and depth of each well or the general specifications of any otherworks fov the withdrawal of groundwater Wil l # 1 , «aad~p&i&%~ pipe--, - 2-ilieh- pip»y35-

feet~de«p r-GO&trifugal p*unp witk-el««trie ««fcor 1 1 /4 inch out l e t? —Well-~#2r sancUpaint-p-ipe-i 2-ineh—^ipe, 20 f««*--deepj - centrifttgai ptaapwith e lec tr ic motor - — -

10. The estimated amount of groundwater vrithdrawn each year lf50Q».QO.O gft-JLlona

11. The log of formations encountered in the drulin^ of each well if available . -gravel.. - - - — --

12. Such other information of a similar nature as may be useful in carrying out the policy of thi3 act, includingreference to book and page of any ecunty record unknown- -

~ " " ~yr~~--p^^—--^^~

Signature of Owner£^^^*^^'^ftr-<7fr>----T^-' ...

Date Deeeaber 13, 1963

Thret copies to > ? filed by the owner with the County Clerk and Recorder of the county in which the well is located.

Please answer all questions. If not applicable, so stat». 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 Geolosry, and Quadruplicate for the Appropriator. „,/

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j _ • - " . • - : j <

I

I • * • . ' ' *'

#m -

St«te of Montana ) - ' • ' 'County of Gallatin J .

P ^ H D « C € » b « r 2 3 - 1 Q M

at 9tO7 o'clock A M.

Earl Walton

^ D E P U T f ^ . • . .. -

Fee $_2iOO_gd ;

H ? . " ' '• - -

uj • , ^

Page 58: ft - Montanamediaserver.dnrc.mt.gov/archive/ground_water/... · 12 Such other information of a similar nature as may be useful in carrying out the policy of this act, including reference

File No T.-..=^::^R lL_<L I

DUPLICATE County.. . ^ L ? ^ b ^ 5 ^ * ? $ * l ISTATE OF MONTANA I

ADMINISTRATOR OF GROUNDWATEE CODE £7" ^ IOFFICE OF STATE ENGINEER i H I

' ^ - JAi It> tS6* -'' I

Declaraiion of VestedGronndwaier Rights . . . I(Under Chapter 237, Montana Session Laws, 1961) - •'•'•'• - -I'1- -* - - - I

(•'6 (Name of Appropjfiator) (Address! (Town) ICounty Qt^-S^L^/^t^O. State of_...--_^^.<^Jr*£kzL£L~i Ihave appropriated groundwater according to t h e Montana laws in effect prior t o January 1, 1962, as fol- Ilows: 1

, . . , .—| 2. The beneficial use on which the claim is basedw£*3*£T«««<£e_**<, 1i i i i _ . _ \J mi I I | i ' ' * •

' ' I ' ! Ij i i | 1 i 3. Daxe or approximate date of earliest beneficial use; and how con- 1j ! ^ I j t inuous the use h a s been l!^Cu&.~<Z>^^JS.&..Q..-.X3>&tjcLc~ I

i i ' I ! Ij i . | , I

I ! i *• > ^ i e amount of groundwater claimed ( i n miner's inches or gallons I. j 1— p e r minute) . — Iiil i i . „ X^<?.._.....(2d.d....^2^r2^22tfext^. Ij j i p-r— J r I1 : : !—I 5. If used for irrigation, give the acreage and description of the 1

s lands to which wa te r has been applied and name of the owner 1

y ^ thereof 1.C...1 ££*^&Ak^JA....l.£^ I- VA- SecJfLc T-~ • R"/-'— . i g L * f c 6 f c ^ A ^ _ ^ IIndicate point of appropriation Iand place of use, if possible. 6. T h e means of withdrawing such w a t e r from the ground and the IEach small square represents 10 location of each well or other mean? of withdrawal _..v Ia c r e s- .jL.e.T...A..- X£jLJ%L.Z. Lb^a.!i... ....

...^X.Al.,.l..£.....: -j}.<±!rtgi*?.?T>.!:*.rXSiSl &ClcLcJ&<!<iXS> I7. The date of commencement and completion of the construction of the well, wel ls , or other works for with- I

drawal of groundwater -C .> ./xT2.L*.r*r<r?&'. „ _ „ — I

8. The depth of water table J.6....j££..* - J

9. So far as it may b e available, the type, size and depth of each well or the general specifications or any Iother works for the withdrawal of groundwater .• _ — j

S^St.a^-.^cMrt^nr^.- ^ ^ ~ - • •

10. The estimated amount of groundwater withdrawn each year 3L:.O.,.Q.Q.C?. J

11. The lnj of formations encountered in the drilling of each well if available „

^L.'^..Jlkia^.'lSjQZ. J

12. Such other 'ntcrmation of a similar nature as may be useful in carrying out the policy of this act, includingreference to book and page of any county record — _ _

.Z,<Lrff..!-. 7.Ur- -7Vf. ; j

Signature of Owner...<S^-<^£Zlxf^7...:. .-«^?if-*d^i_iy-

Date^i^-ftC'..-..^.??-,. /..9..6?3.

Three copies to be filed by the owner with t h e County Clerk and Recorder of t h e county in which the well islocated.

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

Original to the County Clerk and Recorder; duplicate to t h e State Engineer; Triplicate to the School of Minesand Quadruplicate for the Approoriator. I

3 ^ " i

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County ot>Ga;:^:in > SS*

Piled g ^ — ~ " 3 1 _ , 1963

^(JU.NTY Cl£RK 1 RECORDER

By K,A

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G W Aprn»ed Stcolc Fora—Sots Pablisiiins C».. Helena. Mostsrc—CZJi e«^gfcu_ ' ( l\~* ' '

Pfle No T 2H. ...JR._iE. '

DTJPUCATB County-.". J B A I I A T T L

STATE (MF MONTANA ;

ADMINISTBATOB <XF GROUND'WATBR CODE '~ " u .-.;•• _ ; ; : : :

OFFICE OP S T A T E ENGHSTEEE<- • :". : .. I t " . - O : • : ....

Declaration of Vested Ground water Rights(Under Chapter 237, Montana Session Laws, 1961)

] I^P.JL._J»Aj8i _ , OL !Li^je_^a5ka^J&fflifeagaA_-(Name of Appropriator) (Address) (Town)

County of. ^ M i L A T l N State of- . JKon tana .have appropriated groundwater according to the MbrJana laws in effect prior to January 1, 1962, as follows:

N

i ; ; i j j 2. The beneficial use o n which the claim is based-_Brilled-4*ftXX,~-— : - — • i ;-—:X—:— hauseiuald. usa—aad.stocktra.ter^itar^pjLdjMBlIL^.

: i • sciooijed iwe! . 1 8toclc%*ater; ';""'; I '• ! 3. Date o r approximate date of earliest beneficial use; and how continu-

—j„. . : . .„ . :— •....:—< r . . . oos the me has been_Dril led-«ell- r-1920T-daily—>x«»~: i i 1 : ! • year--ar©und:j---Seo^ed--W8-ii>-d&i-iy--u«e-yeaxr-. ; : : : ; E aro»i3ad-5iiiee~3:915• : : • • I t The amomit of gx^ouudwater claimed ( i t miner's inches o r gallons

—•; — -•—-; ;-"i—•—- p" m ^te )_ . . . .^ i 4 i € a . . 1 ( e^- . I . - - -^ ;

I '» : ' I 5. If u s e d for irrigation, give the acreage and description of t h e landss to wh ich wateiT rxas been applied and name of the owner thereof

.n^> ^•py^gjgfcS /vp

SIT.% Sec34- T.2H. RIB... " _ - -ZZ~_.__"Z1_ZZ. "'IllHE£ . . .Toalcate point of appropriation ~ ~ "and place of use, if possible. Eachsmall square represents 10 acres. 6. The means of withdrawing such water from the ground and the loca-

tion of each well o r other means of withdrawal. _ _Dri I led-MalLXt-AO^fftgt-iiflap^-.^lnjea-jfoBuel-caaed,1/2—hor e-Fx aiap^ ..Scooped~weLl,-10- feet-<ie»pfrc»n irtiich l ivestock drink direct

7. The date of commencement and completion of the construction of the well, wells, or other works for with-drawal of groundwater D r i l l e d W l l , 192^} -Seoop«d-^fel l - y -1915 ~ - ~

8. The depth of water table l t e l i ; L e 4 . . . « ^ ^ . J L 0 ^ ^ _

9. So far as it may be available, the type, size and depth of each well or the general specific tioua of any otherworks for the withdrawal of 8^Tmdmter . .D P i l l 6 < i . . w .3^ . | 4o^j^ 6 ^^4 e ^ > . M 4^ w i i M . B f e a a i .^ j a a 6 < i : j

l/2--feop-»e-p«mp;~«c««p»d,-wllT~l.Q- .faftt d*ap..fjwo---w»tch--liv*»to«lc-4i?iaalc--4irect

10. The estimated amount of groundwater withdrawn each yea->- nrJUft^ Well. t '•OPOQQOO g3*1PT18;Scooped w e l l , 200,000 gallons

11. The log of formations encountered in the drilling of each "well if available _ _- gr&vel...bass_

12. Such other information of a similar nature a s may be useful in carrying out the policy of this ac t , ii.dudingreference to book and page of any county record. *iakft©wa- ——

" ~~/\ J'r "N" "/ 7/ N. y \ \ /

X / \ I /Signature of Qvmet^j^JL^Q .y>^i..-Cy lh^LttrlL^

Da*e..Decembei_J0->~X963

Three copies to hi filed by the owner with the County Clerk a n r l Recorder of the county in which the well is located.

Pkase answer all questions. If not applicable, so state, othenwriso the ionn -will be returned.

Original to the County Clerk and Recorder-. Dup' t(> to the S.ate Engineer-. Triplicate to the llontana Burean ofMines and Geoloay. and Quadruplicate for ch-- Appropriator. a CfL4-


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