Form 600 - Application For Beneficial Water Use Permit - 2001 Page 2

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5.
RESERVOIR Check the boxes that pertain to your development. (See formulas below for computing capacity)
Proposed New Reservoir
Capacity
acre-feet
Name (if any)
Existing Reservoir
Capacity
acre-feet
Name (if any)
Enlargement of Existing Reservoir
Water Right #
Existing Reservoir
Capacity
acre-feet
Name (if any)
Proposed Enlarged Reservoir
Capacity
acre-feet
Drainage device will be installed
Reservoir located on the source
Reservoir located away from the source
Location of impoundment structure (dam or pit):
1/4
1/4
1/4 Section
TWP
N/S
RGE
E/W
County
PIT:
Surface Area _________________ x Maximum Depth _________________________ x 0.5 = _______________________ Acre-Feet
Acres
Feet
Capacity
DAM: Surface Area __________________ x Maximum Depth _________________________ x 0.4 = _______________________Acre-Feet
Acres
Feet
Capacity
6.
PERIOD OF APPROPRIATION (The period during the year when the water will be diverted, impounded, or withdrawn from the source.)
_________________________ to _________________________ Inclusive Each Year
Month / Day
Month / Day
7.
PROPOSED BENEFICIAL USE Check the boxes that pertain to your development.
Domestic:
Number of Homes to be Supplied ________________________
Lawn & Garden:
Maximum size in acres
Stock:
Maximum Number and Type ____________________________________________________________________________
Other:
___________________________________________________________________________________________________
Irrigation:
Sprinkler - Type ____________________
Contour Ditch
Other ____________________________________
Border Dike
Waterspreading/Spreader Dike
Crops to be grown: ________________________________________________________________________________________________
If this water will be used on land already irrigated, indicate the water right numbers applicable to the existing irrigation.
8.
PLACE OF USE
County ________________________________________ Subdivision Name ____________________________________________________
Irrigation / Lawn & Garden
New (N) or Supplemental (S)
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
Acres Lot
Block
1/4
1/4
1/4 Section
TWP
N/S RGE
E/W N-S
TOTAL ACRES

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