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Under P erm it N o..... 1Q5.0B. | 1 § ' W i t One Dollar filing /&t i m i puny affidavit- PR O O F O F A PPLIC A TIO N O F W A T E R TO B E N E F IC IA L U S E D EPO SITIO N O F P E R M IT T E E N ote—Questions 1 to 12, inclusive, must be answered regardless of the purpose for which your permit for water has been granted. If this proof is made for irrigation purposes, a cultural map showing actual boundaries of land irrigated; together with classes of culture, etc., must accompany same, unless such map has already been filed. (See Sec. 69, Chapter 140, Statutes 1913.) Question 1. W h at is you r nam e, occupation, and post-office address ? A n sw er: I t e l A A ............................... Question 2. A re you actin g in behalf of a corporation? I f so, sta te its name, place of business, and your au th ority fo r actin g in its behalf. A n sw er: ..Xsa&d. fc W a te ry .C o m p a n jr.,...X s .s ...Y e _ g a s .v..lJeY .ad a_#_ Y i . c . e - p r e s . Question 3. W h at is th e num ber of th e perm it under which this proof is m ade? Answer:...X.Q.5.QSL Question 4. F ro m w hat source do you obtain you r w ater supply? A n sw er: 1 L . , ..... .....L a s ,..Y e .g a s ...Y a .l l e x .A r rt e .s i .a n i ..B a .s i i i ..._________,........ r................................................ Question 5. W h at is th e nam e of th e canal, conduit, or other works by which w ater is conducted to its place of use ? A n s w e r :.................. I w e n t y - .f n i i r ...i .n c - h - - - e a .s .t ...i r 0 r u ; p i p a - l l n e - ................... .............................................. Question 6. A re you th e person to whom th e perm it w as issued ? If not, sta te how you obtained it, giving th e succession of title. A n s w e r :.........P .e m i.t...i.s s .u e .d ...tQ ...L a .s ..y .e g a .s ...la .n d ..a n d ---ffia -ts .r-..C -o m p a n y --................................... (If assignments of title are not on file in the office of the State Engineer, the certificate will issue to the original applicant.) Question 7. F o r w hat purpose are you using th e w ater fo r which you are now m aking proof? A n s w e r : ...... l^ M c i.p .a l...s .u p .p ly ...a n d ...d .Q m e ..a ti.c ......................................... ................................................. . Question 8. How m any cubic feet per second of w ater, or fraction thereof, have you actually diverted and beneficially used for th e purpose fo r which th is proof is made ? (Actual measurement of water shall be given. 40 miners’ inches equals 1 cubic foot per second. 1 miners’ inch equals 11.21 gallons per minute. 448.83 gallons per minute equals 1 cubic foot per second.) 1.34 c.f.s. when originally drilled which dropped to A nsw er: s. when pumped. Question 9. S ta te th e period during th e y e a r when w ater has been beneficially used. A n s w e r :.. All..year ....'.. ............... ......iX................ Question 10. Do you divert and use m ore w ater a t periods than granted in th e perm it fo r which proof is m ade? If so, m ake proper explanation. A n s w e r :..... Y e s p i P U tA O ^ ?> s p o p a g g i r e s e ^ o i r a c i c u m u l a t a d .f r o m s a m e .-,,s o u ^ » l Question 11. Give date when w ater m easurem ents were taken, th e point a t which such m easurem ents were taken and th e nam e and address of persons who made the m easurem ents. A n s w e r :........A.ugus^...31A...1.9.44.*............................... ............. .........So ......
