W II IIWIIW I • • • • • • • • • M M M — M — •

• . __ .. ^~T „_ . I•H C '—Helena Independent Record ^ ^ j ^ , f B

• 'V M ' I• • File No „... T :..::: R ::::. 1| U DUPLICATE County .U*...."., L, I| 9 STATE OF MONTANA 1H ADMINISTRATOR OF GROUNDWATSR CODE M I§ | OFFICE OF STATE ENGINEER i \ ''} I

B Declaration of Vested Sroondwaler Ilighis , r II ; - -=== .— - »M ! 1 lfr» * I4r$r A. W-V«m BrwneR , of 4Elte,JL H*i«t» ~ IH ; (Name of Appropriator) (Address) (Town) IIH ; County oi...yyljdl..&..etetfE State of tfawrt-«w __ _ IB i have appropriated groundwater according to 'the Montana laws in effect prior to January 1, 1962, as fol- flHB lows: mI I• 1 ; 1—j ;—i 2. The beneficial use OH which the claim is based. Hflttsehald..& ... ^ 0Wm : i i I I I -It tr ig»t l«a fflI H i i ' : • i B^R [ I i I I ! I 3. Date or approximate date of eaiJiesi beneficial use; and how con- HHH I ! ! i i j tinuous the use has been .^Tl!t--wl?«-4$>6b MH i i i I j~ j --tOO£.-«ontSaM0u* •I i * u I r~n~~' - 1H , '" | i I 4. The amount of grcundwater claimed On miner's inches or gallons W,M —; j — | — per minute) .JO-.^-^-.S*!, -Per-Klaute. •H i L—1 5. If used for irrigation, £iv<: the acreage and d e s c i i p t i d of the •H (K ^ j f E . 1 % "* 4r 1 lands to which water has bee* applied and name.of tlie owner I• (Sao. 7, ) thereof 1 Aor* Lot 4 tiook <m« firytnt &ib Clrt.-»l«x\ I• y4 Sec .7. T..tOnF,..> .lto.±.Kto.*,.U.Zu*.Jmmm •H Indicate point of appropriation HH and place of use, if possible. 6. The means of withdrawing such water from the ground and the HD Each small square represents 10 location of each well or other means of withdrawal ..mwttelo. I• acres- ...P«Bp...ln...ba»«o«»t - •

I IB 7. The date of commencement and completion of the construction of the well, wells, or other works for with- •• drawal of groundwater ... April 27- th , \9&l •

B 8. The depth of water table * | | H I H . IS-fmrt-trm-******* • fl

H 9. So far as it may be available, the type, size and depth of each well or the general specifications of any •H other works for the withdrawal of groundwater .. &-laoh o&aed- well 5fJ Poet *eep»- • I

H ' HH 10. The estsnted amount of groundwater withdrawn eanh year ....>A..M13,lion Cftllom H

H 11. The log of formations encountered in the drilling of each well if available ....©-to- ?• Pt» rr4W??:W--t»-1tf I

• ^•-FtV"«em«^--grftv»lr"!^"^"-"^--^"K»'-«l«aM"*«^''as^"-^Mr«l%* «]

I I• 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including •I reference to book and page of any county record...|jo^....^pp.^eftp.je.i •H flOTT.... ^ H

I i Signature of O^f^^^^Msj^r^^U - **.* f *^- I

I j , Date a../.afi / 62 I• ; Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is H

• located. H

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

• Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Mines . H

I ' , O p p 4 \ ' • . . . • • , ;;,'.-v. .:.;::;:^.^V-:^. IH '. * T A T E o r y i o r !TAN«i , ; • . .. ''. • ••• / . , •; ";.•••. : ••:' • - - . : . ; . •B • B O U T I T Y o r L E W I ; : i I . - - . - K ^ S . . ' • • . . . ' • '•••• r ' ' . - ' ,.•'•; • :/ ' ; :

: •

B ' . ' I h e r e b y c e r t i f y ' l h a ! i1.-. .vithin'Jo- " ; i ; • V. • ..... * ; :.L:, .'• " • •. • . - flK ; Strunjent was filed in pi^oftfo on ' : -. • i . •• . -. -1. , - ' fl1 w s £ 4 * - _^- 8 i / * & - . . : , . '. •:.•; -• . • . ; • > . : : r - : - ; - : ; ; ; : ; : ; • •B • '"' A.D, l9JbJk-.zh&r.f. rr,;n. pas'i, ' ' . . , ' ' , . ' . . . . ' :"•.• '• -; : ' •

B , f > y l ? " ' ' n " i s n f ' A t h f ( t ^ f t r l r V . . . ' ,' . . ... ' ?'•;'> •' ' ••••• .j7?. ... :, : . , ' . : I

I ^"^^^^l\^^L^JL : •• :: : :v-f,:;,;Yv:rNi::;.:lI S " ^ * ' County i>c^»f_ ^ - , ; ; •• : ' , • . . • ' • • • • • • . . . • ' . . • - • ! • • . ' •' • • • • • • • < • . : ; . • • : : : - : • • • • , . • . • > • ; • • . ' • - • ; . ; •

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I - "V 1^ 9 G . ; i-v Appro-. 1 Slock Form—State Publishing Co., Hcltna, Mont*na—386S7 a). *> 3 fl

H File No.- ' T. IU R~ ::..! I

• DUPLICATE > County....£vl_... I• STATE OF MONTANA tVT> ;_y> (p •%, ,. •,. t ,__, I9 ADMINISTRATOR OF GROUNDWATER CODE jni^ ^'"'~' ' ' N [)) I• OFFICE OP STATE ENGINEER J {JjJ I

• Declaration of Vested Ground water Righ^ r t NG i f £FP IH (Under Chapter 237, Montana Session Laws, 1961) 1• K I• ! ..I^L^X-MA .^l£k2l^x^. of Zt:5r..<r^S: £?... j!^^=dt±^r.l^ 1I CJ (Name of Approprh&ort A (Address) (Town) •• County of._^«K-6fc^Sapt..ViM«4*x=fk %. .State (,i....-.&#gdtx*^^i^.^.. - IH have appropriated ground water according to the Montana laws in effect prior to January 1, 1962, as follows: a

I , , . . . " , , , . . . I^ft ' * ! ! ' ' 2. The beneficial use on which the claim is based - M

M ; j i ! 1 1 ^JTr^h^^r. > _ IH • | ; \ ' \ \ 3. Date or approximate date of earliest beneficial use; and how con.- <fl

H > > ; 1 ! — | tinuous tfec jfse has been jtf _.* '.ja?L./.."!!:...«._.?rs. _ I

I w —j—i—|—»—:—I—I— E ll..^I^^IIIIIII"]IZZZZ"~ZIZZ"I*Z'IZ I_ . j , , , j ^ ^ ^ amount of ground water claimed (in miner's inches or gallons I• .! j • ; i j — per minute) ^\^^3t^..t.^^^r^.~._^>a?mfcs»r!!*««3ft I

• i I i I I ! ! I 5. If used for irrigation, give the acreage and description of the lands IH 8 to which water has been applied and name of the owner thereof •

I Sc. ViM^c-y- VJ.Q.. nJ>$ ~ -•• - — • II Indicate pobt of appropriation *"~ " " ~ " ~ II and place of use, if possibl?. _, , .^ . » . * » * » . ^ ^ II Bnch fimall square represents 10 G. Tfee means o£ withdrawing such water from the ground and the •I acres. location of each well cr other trans of withdrawal ... II ^^J^^SL ..: II 7. The date of commencement and completion of the construftion jof the igll, welk, oc other Wjrlw forjjgth- B• drawal of groundwater # .tr._/A~rsr.(at.tr. z&>~***tt3tt.£r&t*<i*&^ m• ^ U « ^ #r1£.A^....L.^...~ LI {L I• / *» /•£- m• 8. The depth of water table J.Jt.^^Z. •

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

M «/. £...J^..&...JJ^...J&A«£J!2x*nfc #. X fl^ ^ B » , * » . . * • • • • • • " t < • - I \l0. ' - • • • - - • - • • - . . . . . . . . . . . . ^ „ , , . . . I . . „( ,•• «.>.il,.......l,i.k,... •••••.•••.il..ti ..*.••»••_-_.«••>.•••••»•••• ^ H

I 10. The estimated amount of groundwater withdrawn each year ^»^?A../..£l..<l.. ....,rt.-^(#fe^fc3fc*««LM... •

I "^ jL * 0 *) A*.' I• 11. The.log of formations encountered in the drilling of eaclyweU if ayUailo....^.<^^.rfflW!^i:...C^*ftr!L.... y •• .<^« iU»^^-<^n»r fe r^ . . j ^ fl• .fiJU*,..gprdl«>*^J^ Jj

I 12. Such other information of a similar natnre as may be useful in carrying out the policy of this act, including flI reference to book and page of any county record fl

I (7 :~ 1. I• Signature of Owuer^JW?a<a*aa^.../!Cit^<wi^^^ I

I UDate !±Z.3j£khmL II Three copies to be filed by the owner with the County Clerk and Recorder of the county it wltkh tfec well in I

I located. I

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

I Original to the County Clerk and HecovHer; duplicate to the State Engineer; Triplicate to the Montana Bureau flI of Mines and Geology, and QuadruplicttUi for the Appropriate. •

^ M I

ft •'• . • M - « T £ O F M O N T A N A ) M ' ' : • • • • ••'• ' • i ' ' . -, i |v • ¥ • ; • • ~ . v ; - ' • . • . ; 7 ..•• • % • • ' . ; •

I . , »oiiSfivoF^DWs & CU«K [»•.• ; . • •.. . } ••. ..-.. •,; . ; :•;;; '-..;,:,:;:,,, - v v r 1• "•• | he reby certify that tho within trv , ' . ' : • •. . .-••. : : , ; . . . . . : • - < . ? • ; : , ; • , . ' . . ; . / V : : ' , H

• • a ^ u m w r t w a s filed ln>toy office on ' • . • A ' ' • ; . > • - : • • ! • • ; • • • • ; • ' •

I I •• ^~SSlL.zt.~3^-^. part , , ; - . : . . . . ; r , ,.: ; / , , , : > , - , , : . . . •:.,:,,,: • •

I " — - — —^ B G W Z Approved Stock Fovra—5iat> Publishing Co, Helens. Mrnurui—J9318 JpgS^^f S

B Pile No _ T-JLQJHLMJL 3..West.; _ 1

I DUPLICATE c°H^IJ"©&JjMftJ$fn>1 Ifl STATE OF MONTANA)"}) | | I Ifl ADMttNISTBATOR OF GROUNDvH.tt^d^D^ iQft} ZJ 1• | Top of around OFFICE OF STATE ENGINEER |

• " (ser. above sea levd. „) Notice of Completion of ferSondfefefW £•£R IB ~ Appropriation by Means of Well 1B - 0-5 f t . topsotl & Gravel r r r '- 1• (Under Chapter 237, Montaaa Session Laws, 1«?51) •

B — . Owner .John-Milkens -Address .4E22..K^..Hontana. I

B 5 to 21 f t . - gravel Driller Prj£e..&..Lln4.s<sy.._ Address.__.Cliancy.»..Moffltaoa. 9

IH Date of Notice of Appropriation of Grotmdwater flB Sta t ic Level •W - Wl f t . to 36 f t . Clay Bate well started ..May..12.,... 1961 Date Completed JKay •lA-,-4.963 •B Type of welL Drilled Equipment Used..- _ __. I^B — (dug, driven, bored or (Churn, drill, rotary or VB drilled) other) •B "Water Use: Domestic Q Municipal • Other • Irrigation Q •H ••- Industri:U Q Drainage D Stock Q fl

B 36 ft to 40 ^53 Indicate on the diagram the character and thickness of the different IB ~ Hardpan strata met with in drilling, such as soil, clay, shale, gravel, rock or sard, etc. QB — Show depth at which water is encountered, thickness and character of water- HB _ bearing strata and height to which water rises in the well. 9

B 8l»of Strand From To j tnmmat.'rtmaa ""• I

B t~ Hole C-to« Khd Frw. To •• - 40 ft. to 41 ft. *• «** **=• Im _ clean gravel 6k id 17 1b 0 41 •• N O N E •

• __ J Static Water Level for non-flowing Well W,J£. feet. •

tm - ...-'; : : .• ; ; — Shut>in Pressure for Flomjpg Well > fl

I! —'; — ;---';• —-';—!-*."! Pompiug Water Level .?SS?^3 feet at.....lft.._. gal. per mimute. •B l ** • ! ' '; ! *• ' HH !""*! !""" ! '; ; "" Discharge in gal per min. of flowing well BM - w '• ' ' L-J—L_J— E •: I• - : i i : • : How Tested Bailftt. Len|tth of Test .<L.hftWCJ». . •

• : • • • : j ; HcmarkB: (Gravel packing, cementing, packers, type of shutoff, loca- HH - , * " ; :""" *:""""• 'j tion of place of use of jjroundwater if not a t well, and any HH i j !_„.. L..J ; other similar pertinent information, including number of ] H

H — I • •-—-——•" '• i. I acres irrigated, if used for irrigation) •• Lot 3 Phillip8sSubdivislcr! V• — ......VA See? T.10.. R....3.. _ •H _ Indicate location of well and flH place of use, if possible. Bach _ _ Hfl small square represents 10 acres. fl

• LMMJ B h o w e x a c t dePth of bottom. flH 38...... ^MB Driller's License Number H

I ..S^^tlL4...^6^^id^!f^.^ I• Driller's Signature / •• This form to be prepared by driller, and three copies to be filed by the owner with the County Clerk and Recorder fl• in the county in which the well in located. fl

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

• Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau of HI Minos ami Qo.olopry nnd Quadruplicate for the Appropriates. , , a ^H

L I

I hereby certify that the within m. <' : •strument was nicd In nw Offi0« on •t f r t s s$5L.d3y ofjSd£:d^__ "; •A D ^ ^ - a t _ ^ « e = m | n , M !C . " M

\ — R c - ^ r b s of LewrJs & C l . ^ i " # • •:• • . , ; ••. : : • fl| County, S t e U ^ f Montana, ^ t ^ ^ 9

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I 1B CKOt'NDWATER iflDET^ P3Se _ l ~ P f J L _ " "

I County , 5 ^ 1 TwP- -JJLM——- R9e- - J j ^

I r-r- , nssr-T- 1• See. Name of ApproprUtor Type of Farm I File No. Remarks

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• ' ' — I •• • • • • »

• • ^1 IB s^gfc.3Gv/2 s.tvis«3 i9C( Countyr>X.^-/<S—1 L,-j.B:£j^- fl

• ™.—, •• / P / U ~ _ ? O IH STATE OF MONTANA DMUETS LOG •

I : 'Tssxszsszsr _s___rrA__: I• ... NOTICE OF COMPUTION OF GROUNDWATER sravf'' * * • . " • ' * • • •*• j * " " ' I• , ; APPROPRIATION BY MEANS OF WEU. * j * » 3 S « " ~ " 1• Developed after January 1, 1962 1• (Under Chapter 237 Monttn* Swtion laws, 1961, as amended) Trp of Ground qa-. n-,-.,«» fcrtQ SH This form to be prepared by driller, and three copies to be filed \r*m T« •• by the owner with the County Oerk and Recorder in the county in <p*t>) (F*" ) • •• which the well is located, last copy to be retained by driller. \j£ _JC /T(P /~ ^C" ./. A -.— Iflf Please aifSwer all questions. If not applicable, so state, otherwise the I I• form may be returned; •_ "^&3,„.&A'##S~/_ K,,&1&%— I

I cwfizss: .^^^^r^^^grgn ^tt—jux£=—=2 I1 *66re*BjEAy££M£&h.-M«£3&2A [HI _3_L Z ^ l A g l Z I• - _ J 2 L & L I ^ ^ |*a. £/- Z S Z L ^ ^ — - . • II Date well started fatj$J22& GW 1 L^^Tl ^ 5g- ±&W££,±uX&2ZE II comP1eted^<:-^../y>..7.g>.J&L' ZZ ZZ . ~L II Type o* well ZD.A?3?.A£..£sJl.. ZZ ZZZZZZZZZZT-^ I^m , (Dug. drivtn, bored or Jrflied) . «««—«^ , H

• Equipment used ...Cti.^jSj.if... „ — I^m <Cbnra drill, rotuy««her) _ _ _ _ _ _ _ _ _ • • ' ' H

• Water Use: Domestic Kf Municipal • Stock Of Irrigation Q """ " *~" ~~" " I

• Industrial Q Drainage D Other Q* Garien/Lawn |g' " - — —: — - — — - — " - * — — - H

H *Describf» „.,„, ._.-.«._.-._...___.«._.-«.-._._.--.—._._—.—.-.« BH USE: If used for irrigation, irdujVlal, drainage or other. £xp!sir. j •BJ slate number of acres and location or oihsr data (i.e. Lot, Block ——— — — - — - . . — — . — — — — — » — — •H and Addition) .«,_.-, - .-...-._»_.-._—.-.——.—.——»—_-. fl

I ESTIMATED ANNUAL WITHDRAWAL <&.......$&&... * _. , . •

B SSW T«W? <K5) o t t f T l PCTFORMIONS " *~ ! ' : I£ I • ,A M _ i _ h _ A tf**__\__a • b__b^_K__H .. - ^ • — — M i _ _ • a a m_•i _ _ • ^ _ _ _ — _ _ • _ _ • _ _ • • _ • • M_«tf> '' B _ _ l• • no™ DC VMINS " " " " ' • " ' ] i i • i " ' " " " • • " • - • —i ~ ™ w ^ ^ -- • • - • " — - • • . BH

B KM Pr«M To _ _ _ _ _ ^ _ _ _ _ _ _ _ _ _ _ _ _ . - • " •

• £ " iiij? ° //f "" iPm) *w0 Z Z Z Z Z Z 1 «-_..—«_-•• 1I /is>7UL' zz^zzzzzzzzzzzzr I

I ^ZIZZZI^ II -—•• »•• ' . y-~ ^__.____..- I• J j " I } I Static water level //&. ft.* __«_«-«-_-___-_, «__ IH 1 I Pumping water level . . * ^«£ ft.* mmm _,_,_,_._._,_»_,-»_,_._._ - IH ......J . . I - . at ....a?..Q. gallons per minuto, IV ! ; measured minute* after pumping'._,_,__,_,_,. ,_,_,_,_,_,_,_,«__,_,_,—-._>_,_, I• • w ' ' ' . »t b e 9 8 n ' — - , «• ) ! ^ ~ | *Me«sured from groupd level. # JH• i J w-'" devej&ped by 42&J.A.&M..... ""** " VH —*—J ..w.- -L for j.ZJ?..... ..hours. y . fl• j . J PowerL./2l^. Pump Y.S^. HP ' ' " " •I ! i Remarks; (Gravel packing, cementing, _____ _,__ ._,_,___,.__,._.__> _ IH > ' iU_ / packers, type of shutoff) •p«-—~— -»->- --»->-.„_»-._.- H

1 ...i..'iiAs« c:..i : zzzzizzzzzzzzzzzi , : • 9• T /£...0?.....a ./j&. > n• INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. . J fl• EACH SMALL SQUAPc REPRESENTS ,40 ACRES. ,-_ 1 . 1 •

• * Q Jp , n +( •_. _.. •I Drlller't Si9nature L^.^^h^y .±±^*±f.... 4- f ~— M

I Drllier's Address CiJ^^r^J fkSa*&*rx^ C Z —. __,' W

I LICENSE NO It 2~J Show e;cBCt deP1h of ^ I

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331526

COUNT* of ix.ws .". - ^ ^ , •• »-~—~~~.yJ

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1•B GW Approved Stock Fc»»—Site PoMistot; Co, Hslea, Mont*n»—S0S51 <^9»>Y I

• ^ ^ T £;:..;; R_..3.^:- _.ji_ I• DOTUCAT15 ^ . Connty... _ y * i S _ i : C I « * _ _ 1I . ., ^Ofe STATE OF MOHYAHA I• ' ADHTOISTRATOB OF GROUJTDWATER CODE I• I • • ^ p of Qnraad STATE WATER CONSERVATION BOARD I

• ~~ rsiev. »bovB wa lertL.. ....... ) Notice of Completion of Groundwater IH ^ t Appropriation by Means of Wei! IH "~ • *••••**• ^ ••:*; DEVELOPED AFTER JANUARY 1, 1962 I

j H . . = « , ; (Ur'Ier Chapter 237 Montana Session Laws, 1961, as amended) •

Wm Chra«r.—Hi* .jftiJl?*f|«... £ ddrc»^MJSi!iM?Mi!lJ^i8l_...«----' I

• ~ *rt.%*Urt. > Miter J « » _ AMr^^m,J^^^.^... 1S — clay & Gmvwt '''' ' - ' ' I^K * ' • Date of Notice of appropriation of grotrndwater _. ... . . •

• ., Date well started...|***.^.A?^._. Date complet^id„J^?!*^Ji?^_ I

• _ 24 F4. to&tU - ^ of - ^ J K B ^ ..Equipment « e d J * ! l ^ L - k ~ 1B __ (Dag, drrren, bored w drflled) (Churn dtffl, ro*arj- or oth«r) •• Ci»jr Water nse: Domestic S Municipal Q Stock Q Irrigation f ] I• — ' ' Industrial Q Dram-ge O Other Q flH Stt Ft to 49 Ft Indicate on the diagram the character and thickness of tie different strata •I riitv mJ « l t * met-mth in drilling, snch as soil, clay, shale, gravel, rock or gand, etc. Show •• v»y m « « depth at wbich water is encountered, thickness and character of Trater-bearing •• ' strata and height to which the water riw? in the well. flH • —• • . , . . 8Ut«t • SkcMi Tnm T» tm^ntm^nkmrn ' ; •• j nntted wttau <f*tn «p««) • "w r w** 1 T < w a ' _ „ • •

• - 49rt toMFt - - * - - ^ ^ II ~ «-_ V ^. ^ . 6<l Wlfc • . 0 S4 |

I : _ "II• " Static Water Level for non-flowing Well •

I ' ** i j ; .i»._.....Jeet. ' 9H ™~* . . . . .J . \ Bhut-Sn Presrore for n o ^ f a g Well „....,..,.. fl

• — j « l^mpinR Water X*i%L...JNL..MM,MMW..<.fe«t •H —- * ——J L. K »fc.....~...?fi. ...gal. per minute. I• — j ! DiwhArgc in gal. per min. o£ flowing well fl

| B • i How Tested..«Kt»ljMWL.......H,—.„.„„»»._.....„..._.„ ^ |

• _ "'""""' """» J Length of T«it....._aj«iW».... . . ._ •

• "fKeA&vr* STStt ACM-* *~?7 j r flp'A' ' R«aark«! {Omvel packing, cetaenting, pack- I

I L »*« • ' «ii.^8«,a.....T.j«it.B.»_ ^ l y p c of :<*"trf*) — — • I• Indffcte locatitni of w<tU and • • •• — ........™4-~™ ,....„..„. •fl -~ place of me, if possible. Each fljH Bmtll *qt>are reprowait* 40 """ " " *" —»-..-.-........»...« ^mHj -— tcr«s. , .....,./.... H

• ~" \ ~" • • ' •"* H• . - ..—,.....«......_.......... , ......~—(Continue on rovcrne aide) HjH tTSE—If tt«ed for irrigation, industrial, drainage or other. Extrtain, state B• number of acres and location or other data (i.e.: Lot, Block and Addi- fl• — tton). •I _ lrrl«iw;torawm garden. ,. II 9• \mmmmm. Sho-W ejDWt depth Ot bottODL ' ' " "" •

I Jj ' ~ I• TW» form to I* prepared by drilltir, and three coptc* to be ffled by the owner with the •""""* "•""•"•'r- • • •• - — B]• County Clerk and Recorder In th« cotmty In which th« well ii located. ti«roe copy to U Driller s liieetwe Number flj• retained by MVliitt. / f) D » C\ •I Uo^-^J^ 3-A-'C-J6*MW iflj• Please a»8«"T ait quwtions. H mot applicable, so »Ute, otherwite the form will b« .••.-, 1. .l~.. «MI returned. DriUert Signature. ^ jM

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I •• - - S < • " I• I G W Approved Stock Form—State Publtshinc Co.. Helena. Montana—4223* *^SL. •3 w I

H File No.. T_. /J " Jt ^• >; >• DUPLICATE County .C^L:*Lir^:_• STATE OF MONTANA ;B ADMISISTBATOB. OF GROUNDWATER CODE U ;

R OFFICE OF STATE ENGINEER l ? u - v

Hf • — — — ^ — _ _ _ _ — — — ^ o . ',

I Declaration of Vested Groundwater Rightsn' ~ ~j • J :

• (Under Chapter 237, Montana Session Laws, 1961)

I ! (LJL3JS£*£L , <A..lM£^^.M^l^./L^^H (Name of AppropriatOT) (Address) (Town)H County of....Z£.^_^~...:^C*.diSj*C .State of Wj*jZL?Jl.&L&m.B have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as follows:

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H ; ; : ! ; ! 2. The beneficial use on which the claim is hc:sA../^MJ-jf..Hs-f.-^...R -—:..--.: j -.: ;....!— ..^...y*$J>..d.O^j?.<Q.'F™ .m i i I i i |_9 ! i i ! • ! 3. Date or approximate date of earliest beneficial use; and how continu-• j — j i 1----!—j— ous the-use has been S$£T.£.rr:..J£.$.?!f..€/jKM.jz.!££.H W ; : ; J * 1 ! E

H i : i i j I i. The amount of groundwater claimed (in miner's inches or gallons• • ---;---•: : I-—:.....:-... perminnte) ^O...jg£.*l...Jatz#.K2rjiZK. .„. .

• I '• • ' I ' ! : I 5. If tised for irrigation, give the acreage and description of the lands• s to which water has been applied and name of the owner thereof• lot 16, <t act* Snet) . ._.. .„...„ _..„..„ I• Vi ...s<&*sm..%m&.',.....J> IH Indicate point of appropriation ' ' " V"'" "—* • •• - H• and place of use, if possible. Each ( mm smtdl square represents 10 acres. 6. The means of withdrawing such water from the- ground and the loca- •I tion of each well or other means of witiidrawaL... *Xj!5r.c.irj«K./<Jsr ! •• ...-JZUOA£. „ ._.........._i.':...... .... •

• "*• The date of commeaeement and completion of the construction of the well, wells, or other \rorka for with- :; ffi• drawal of groundwater -/.f.-S^. „ ..„ ^ B

• 8. The depth of water table /.f?....*:A€.T. •

• 9. So far an it may be available, the type, size and depth of each well or the general specifications of any other II works for the withdrawal of ground-water & . . / i V t . C i y . . ^ ^ . ^ 1^.jf..../f.J.....Jt.Ajc^ •

H 10. The estimated amount of grotmdwater withdrawn each year *Jt£7£>....Gi/a.0 .$*?*£&.KZZ: •

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

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

I Si/nature of Ot^er..w^^fej*p<aM£L_«--(rr: •

Dato../'T?-*i/.r.^5> I

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

Please answer al! questions. If not applicable, so state, otherwise the form will be returned. ' I

Original to the County Clerk and Recorder; Duplicate to the State Engineer; Triplicate to the Montana Bureau of •Mines and Ofejlofry, and Quadruplicate for the Approprintor. _ a •

V* A A 3 •

• ; vi*IE OF MONTANA ' | M •• : .'> • " .-.'.••:. ;'. •' ' " H ' ^ - ^ ? ^ " ' T ^ • ' ^ . v . •'•••••• •• ,:C-UNTY OF LEWIS'& CLARK fc55- : ... . .': . . . . .C .., :...:..'.:.. •.:. ^:: ,.^..J-^^-fk^i•-'••;fii^: ''::', - " , " ' . - •

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• File No . . . .. v - • V; T /i2.il_.R....^iia...._.._^l 1• DUPLICATE : . . A , , • } County-^! 1 *?:^.?^!* .™ „_. |

• LOG ; K V. 1969 STATS OP MONTANA I• ADMINISTRATOR OF GROUNDWATEB. CODE 1• I I Top of Ground - - - r STATE WATER CONSERVATION BOARD I

• ~ (EIBT. above sea leroL^^^^^,.j)~—Notice of Completion of Groundwater |Jfl ~ Appropriation by Means of Well Ij» — 0 to 6 It. DEVELOPED AFTER JANUARY 1, 1962 I

H top t o i l tod GlttTOl (Under Chapter 237 Montana Session Laws, 1961, as amended) I

• — 19 Pwmli—d DrStg IB __ OymerMm ******* _ J^ddress.JMa?...?^"!?. 1I _ 6 ft. t*»It,. Driner_ JLtadtif _ Addreg8 Cl««y. «««•«» I• Clay aad enrol flflj) Date of Notice of appropriation of groundwater „ I

H Date well started..*llX.M........A$!&..I>ate completed£jfoJ8iLJlft&. •

flj •— Type of well « u Equipment used . HH (Dug, diiven, bored or drilled) (Cham drill, rotary or other) •H Water use: Domestic Kl Municipal Q Stock Q Irrigation g] •H — Industrial Q Drainage • Other D IH — e » i » * Indicate on the diagram the character and thickness of the different strata •H WUJ m e t ^ ^ ^ grilling, such as soil, clay, shale, gravel, rock or sand, etc Show I IH depth at which water is encountered, thickness and character of water-bearing MH strata and height to which the water rises in the well. •^B — Sin of SUe an! From To nmnwiTinM fl

flj ___ Hok OCCMIBK Kind mm T o fl0 Site (Feet) (Feel) •

I ~_ fc« Jt7tt © 88 Noat 1I 44 ft. to 51 Ft. I

• ~ iui^siu I

B ** Static Water Level for non-flowing well fl

• - 51ft. to 5»rt. I j i ; i ..„ * _ i e e t IH - — •Btifti•••d Mud j . . . . . . ... j . ^ Shut-in Pressure for Plowing Well flj

H — ! ; Pumping Water LevelHr. feel fl

H _ _ w •) \ E at £&.... gal. per minute. fl

H _ ! i Discharge in gal. per min. of flowing well fl

fl ..._i... . ....J»J_ ._ , fl• j j How Tested ??.7~?£ •S ~~ ^ " — ' ' , . ', l ' Length of Test. 2..M*a •

• Remarks: (Gravel packing, cementing, pack- , H

I H wkn«*m+JkULTM~*L^ ^^^w I• ' Indicate location of well and ••••• • - fl]• , place of use, if possible. Each . V• small square represents 40 " ~ flj• . acres. „ flj

• _____ _ w ..(Continue on reverse aide) flj

• USE—If used for irrigation, industrial, drainage or other. Explain, state flj1 number of acres and location or other data (i.e.: Lot, Block and Addi- flj• tion). •I _ , tos!kmm.mL3&JB!Ste^ - II UMMJI Show eraot depth of bottom. ""' * * ' ' """ ' * ' *""" flj

I ~" ' ~TT. ' " II This form to be prepared by driller, and three copies to be filed by the owner with the '"•""J"","""T" ^" "" fl|I Ck»unty Clerk and Recorder In the county in which the well ia located, tlaiue copy to be Driller s License Number HI retained by driller. / D ~ r ^ • [\ II Plcaso answer sll queitions. If not applicable, so state, otherwise the form will be —— " 7 ••—•—• .•-»/•••• HI returned. Driller's Signature. *J fljj

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I ^^.Lfw*c2«"^19W ^ E €? I£ 1 V S_ £>*' County.ie3!i±a-&-Clat-x - - -

• - STATE OF MONTANA « ,. r r v DRILLER'S LOG \JI V ADMINISTRATOR OF GROUNDWATER CODE1 ^ ^ L / ^ .ndicate the character, color, thick- l>

1 , i ? MONTANA WATER RESOURCES BO.ARD,,, ^ - . j , - . , - 0 F HATURAi : n e s s o f s t r a t a s u c h as soi1, c I a y , s a n d ,

• w 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 W A T E R P CDf-JSESVATIO:i grave!, shale, sandstone, etc Show

• APPROPRWTION BY MEANS OF WEU . £ * £ - J 5_-J_?• Developed after Janoary 1 , 1962• (Under Chapter 237 Montana Session laws, 1961, as amended) Top of Ground (Ber. above «e» level)

H • This form to be prepared by driller, and three copies to be filed *•«"» ToH ; by the owner with the County Clerk and Recorder in the county in <F**° ( F w 0 *• I which the well is located, last copy to be retained by driller. 0 6___Top.3OXl__&_JLJ___,_ ;• ; Please answer all questions. If not applicable, so state, otherwise the &~ 1 8 C l a y & (Travel• • form roay be returned _ _ _ _ 38 IJ^_&l_LJ_^_-I_-_U_a__ "• ££&*vfc/ ^J< *&ms&£>£C' 38 50 S i l t ft sand "

I ! Owner^Paulsen. I For Administrator's U^"] - ^ - . 5 1 - J ^ m l — : " I

I j Address 8..aeavarhead- r\\e$$.3M.££.JL#r2p%&t • • — — [ I

I ! -Helena,.-Montana Jd/M&Atrn ;- '•''. 9

• : Date well started .Qci—.27-y-l-96.5.GW 1 • • — — * M

I I completed .Qct....2.9-y.-l-96-5. • — •—• ~ •

I ' Type of well Drilled • • — — - T: I• ' (Dug, driven, bored or drilled) . ^ _ — T H

• Equipment used ...Ciaorii — — ~ ——_——.——.__« .—.—.—.— ; •H ~ (Churn drOl, rotuy or other) - ^ - _ _ _ _ _ _ _ _ _ - _ - _ _ - _ - _ _ _ _ _ — _ - _ _ _ _ _ - - — _ — — T 9I Water Use: Domestic [J Municipal • Stock Q Irrigation • • — "———— • ""— """""""•_; I

I Industrial D Drainage Q Other Q* Garden/Lawn EJ — — — '.-•—-•———-——-- — — — _1 •

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

• and Addition). . _ _ _ ... _ — - > _ « . » _ _ - , . S

• ESTIMATED ANNUAL WITHDRAWAL . J . 0 . * . 0 . _ _ _ . . . ; —-__-_- . :> • / \ \' I

I M M WdSt* 1 ^ ^ S ) PERFORATIONS """ ~ " • . •.•- ' . '^ V I• Kind From To • •' ? • •• si i * ( red) (Tt««) ; - - : , . : . • • • . . . ; j •

I ., 6" 17 lb 0 52 — — - — • .- . . — - - ..^: H

I ' N 0 H S — - - - - - - - • ~ ~ - •;.. A

• _. I „ i, _J ... ' ^ I „ Static webr level 22- ..ft.* * " """"" ' " *"""" ———"" •

I ?n ! 111 V : m n l f r V ° f PumP'n9 Wat6r level 4 - ft.- • I• Lo 11 ' i n B lodk , ^ 3 f 8 t 2 Q _ gallons per minute, . ; !• •I T r i c t ]AW, f re^sure meosUred O-minutes after pumping _T . . ' - II j? l t f . lCre!.V 1^!_LfwLS & began. —— -__ ; - , - . — .— ; H• »fl. i r l t 9.dUWiy, ^©ntoai* *Measured from ground level. _ _ _ . . _ . . . . ; _ _ _ , ; •m i j I Well developed by ..&oi-ley ' ' ' """* II J - —-J for .....2..... hours. mimm „—.__... 1 •• j ! Power^le-o-t— Pump..l/.2. HP . • . . ; • • . . ; •m ! ! Remarks: (Gravel packing, cementing, _____ _ _ _ , . _ _ _ _ _ _ « . _ _ _ _ _ _ _ _ _ _ I• packers, type of shutoff) _________ . • • **"" ' H

I $fc J9>/<i* -. D.,-T) • ....-._ ; • 1 I• VA 1/4 Sec 8 *#•_& .;• a• T../QM....@)R 3.W.. & • . _ . _ •I s <® . _________ZZ__ •I INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. • •• EACH SMALL SQUARE REPRESENTS 40 ACRES. •I Driller's Signature L^...~-^rr^r 3?Jr-^?r±^. I_ • • _ # ^ J ^ l Jf A •___>»»_«i _ _ • _ • • _ • _ •«MM_i__i__><__-M»__.a_»4_->__<a_»__t__<____i__< " _ H

I Driller's Address ^Z^rr^r^i. V?yVz*~*+^ -L- 1 • i I

I LICENSE NO....JL£ :_£L=L_ Show exact depth of bottom ; M

I ' • " V>1 . ........... "*f)»'r ' I

H ' . . ' • " ;"":""1' »•:-'-•«:.-i-m . ^ ^ - . ^ . i s . j t B j , * ; ^ ^ , ^ ^ ^ ^ Bj

I i * 323426 _ 2 — - W A ; 4'. I• * * . i |««tf«dl VJSL v 5 ^ «I • •'•• -' • ' • °«!?£*LJ3x1 ; ; v f c l | i ^• ( STATE OF MONTANA » ' :''*&K:M:y:.: fl• COUNTY OF LEWIS 4 CXARK > »J > i? ,,fc ' •• ; • • • • • * - ' • ^^:H*%.f&- : f lB I hereby certify that the within In > ' > % / ? " ' SB i jtrunujnt was filed in ©yofHce On • ^'M^^W^ k'i | f lB • ' • • • . •' jnis * ^ \ Hf*y " f t * ^ ^ - ^ • • .:.'"i.-.'i :i::'.:i:ii;/..f.'r ' ' f l jI ; A.O. 1° 7-^ft ^ ? l n l " PW . . , ;•. ''•%'•'•,, ' $ : $ " . B JB ; y/? n'fiwiijyM, and record- ' •:-h^~^'f£^. •• B jB • ; 9f_ /fe>mniji of LvMisMT • • '':k^^-:'f5Vf.::4r\ • •

I ! ' A - I

U •' ' Water Use: Domestic Qf ^ u n ' c ' P " ' ^ J ^ ^ l w i ^ @ : ^ ^ | J j » ^ m ^ i a s ^ . . __ • f""~""~~~i ' ' 1

fc Industrial D Drainage Q Other • * Garden/Lawn E :—^-Z^S£mazr*Mmu,Ss^vm~- — | •

• US6 If used for irrigation, industrial, drainage or other. Explain, """~"~~ ; •• state number of acres and location or other data (i.e. Lot, Block _.«.— . — — . — — — — . — — « — — — — ^ •

• and Addition) _ — . ! I

• ESTIMATED ANNUAL WITHDRAWAL „.?!?..'. . ._. j M

I £Sl3 **&$ (FSB (P«) reRFORATlONS "" " — j I• : • . KhK From T» _. • •• ; Site (Fed) (F«0 ——— --. ; •

I ::;; : ' : : 6" 17 l b 0 52 ~ " " "" *""* "I •• i ' • J

1 '..: • ' • ' . . ; N 0 H 2 1""""- ~'. ' I I

I :; ' . - - <-— j I• ' «- C TI I T T T T ] I Static water level 2-3— ft.* "H Z f II Jh l ! ^ 3 t 9c 1/3 feet Of p ,ngwa,er level .....^..... ft.* _ . ; _ ! II i La, l l i i ng lodk j . . 3f a t . . . 2 o gallons c r minute.'" I I1 i TriCt ^A' f, 'Treajsure measured ^0-minutes after pumping~H 1 i II • l St.ite Acres, ir^ LewLs & began. '" — ~ • • t •I ; (W. trie OouR^Vs ijorifcaiS. *Measurod from ground level. ZHZ . . , | M• < j Well developed by . - t o i l e r Z i |

] J for %..... hours. • , _ _ _ _ , I mj j Power-^ie-o-,... Pump..l/2. HP_ | •

• ; • Remarks: (Gravel packing, cementing, __.—.__ -.- I I• « — - B ^ — • packers, type of shutoff) • . : I

I ^ ^ f e H V 4 S e c ^ >V i : . J I

I : • . • • • ' . ; ^ ^ - ! w _ "** ^ L ^ * " 1 ^ ^ . BI INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. I1 EACH SMALL SQUARE REPRESENTS 40 ACRES. •

I I Driller's Signature _ . . l ^ . . ^ ^ J J a£L^A±?rX I

I ; Drills Address J^A^X^J^ ^!»£*<~J~~l ' "~ II LICENSE NO .!.£ ^ l i k _ Show exact depth of bottom I

[•":--':'--.:- Q .. . • • , _ - _ „ . -„,..,.-..,.,.. HV9/ I

H | GT" Approved Sto;k Form—State Publishing Co_ Hthraa. Mcntaaa—51921 <» =>3 '•«: I

H Pile No.. T.KMoxOM JWest

H DUPLICATE County. .XflMftS and d a r k

H STATE OF MONTANAH ADMINISTBATOR OF GEOUNDWATEB, CODE

Hj OFFICE OF STATE ENGINEER f j ^ E C E 1 V 'P P**i

• Declaration of Vested Groundwater Righw'-' JAN g jg$4 iUH (Under Chapter 237, Montana Session Laws, 1961)• SfATE ENGINEER II l.mSOS.HBOHK - , of ...1315..ll!Wgejr.JLaBe Hftlaaa. IH (Name of Appropriator) (Address) (Town) •H County af....Lm±S...aa(l..G3ftXk. State of.-MOBtaaa. I^ 1 have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as follows: •

H ~~9C ! I ! ! i 2. The beneficial use on which the claim is based.. JLs &QU&S&JUr...\l£& fl

• —..: i L._ : : !_... and i r r !^ i« .<m. t r^ •H - j , , , j , ^ Date or approximate date of earliest beneficial use; and how continu- •• ..-.!„„:.....;.... ;....; i-.. ous the use has been...JH ...lafe#..lS!53#..JapW»tibM(l».* %H ; ; ; ; : ' Q M since Mjd date has been e^dmoiui tbroag}ioa& •m w —\—!—I—'—I—:—!— B i^.i^..*^...i«^./»i»..fejS 1H " • ; ; • I ; 4. The amount of groundwater claimed (in miner's inches or gallons IH ;....:.....; •. . . . : .„-.; . . . . pernainute)-25..^8ai«M!..per..ldairtri. .._ •

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

• Indicate point nf appropriation i n COffiAflll* ~ ) ~~ ¥ " ' fl• and place of use, if possible. Each „ ^, - . . , . , . , , , . - fl• small square represents 10 acres. 6- T h e means of withdrawing such water from the ground and the, loo* , •• Set more partlcwlar draovSptiou on tion of each well or other means of wifedrawal...lBaftJfeP8fafeMfc^ fl• rwerae Jwroat, ' veil which i s locatod oo prwdjeo d«&5rlb«a on iWigi» •• , . jfefisfii—— —.—' . 3ZI flH 7. The date of commencement and completion of the construction of the well, wells, or other works for with- flH drawal of groundwater AppX"OSUwt»3y.!KBy.Xat#..1553i« fl

• 8. The depth of water table.AbOKfc ja.i>?«A.A«..of..*to«...4l^.ft..lW^^ I

H 9. So far as it may be available, the type, size and depth of each well or the gtmeral specifications of any other H• works for the withdrawal of groundwat«r A..fauX.jilCh..<JtetI^ •

I 10. The estimated amount of groundwater withdrawn eiich year &oti..VxUMD*. .» H

fl 11. The log of formations encountered in the drilling of each well if available.. . *Wt *MiX«M.f ,o •

• 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including M• reference to book and page of any county record ..W^-OTS4Jl*teli» H

I Signature of OwnerX^ /J*C*£<fir*t/.. fSsfjhPrrVCf'r'ri**' «

I Date ..fiOO«B*K»ir 1 ^ 1 ^ 1 9 6 3 •

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

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

I Original to the County Clerk and Itecorder; Duplicate to tho State Engineer; Triplicate to the Montana Bureau of HI Mines nnd Geology, and Quadruplicate for the Appropriator. ,- H

I 11*1 ' •

• Wilson Broun s I

• is I

H 16th December 63. |

• Heleaa, Montana I

W February 2nd, 66. fe

I More partijoolar description of property; A paoewfl. of land l a the 3tf$£ffc of Section ; I• 8, Tonnship ID Serth, Range 3 W«st, Montana Principal Meridian, Lotda and Clark '• mM County, Montana described as folio*** BesSzming at a pedtat OCP251 SMb a dLstaae* •• of 12i feet aid Borth 3 8 ^ ' East a dlataaca of 457 f««fc free tbs Hortian^ •• of said 3»3tlm Si th» placai of begfaidag} thttow 8oath OCftt5T Baat « «SJtetn6» of ~ •• Horth 88°3(i« Bast a dUtance of illllWIIIHflBggnEpaBHimilUtJlUmiHIIIUIIHl I• 279*2 f*et to a point j tbanoe Hor6h O0°25V * « * a distaiioe of 302 f*^ to a point} •• thonoe Sooth 88«36» W«st a distanoa of 2ft»2 feat to thai place of b^Bnlng, coo- •

I :( ' I

I

I

I •- I• - " ""•->} • I• File No T •?.# .R .:-:Z7. ;*„ 1B DUPLICATE County ;£..?:....£:. IB STATE OF MONTANA . ^ I• ADMINISTRATOR OF GROUNDWATER CODE ! lJ ) % J K I ", IB OFFICE OF STATE ENGINEER j j \ j ^ ^ ; I

Bn ' IB Declaration oi Vested Gronndwater Righte T A ] > cmrMv, IB (Under Chapter 237, Montana Session Laws, 1961)** 5" - ' ' - IB !. CaaiHir..?.JBada „ t of. *?5*»_A Jf?^.1??. IH (Name of Appropriatorj (Address) (Town) IB County of. LeKLa..&..C.lMk .'..' ....State of... Montana _„ I•H have appropriated groundwater according to the Montana laws in effect prior to January 1, 1962, as iol- 9• lows: 9H N •• l p—I r— s 1—;—1 2. The beneficial use on which the claim is based •B | I | I [ ..luaaB u»a ..aai. ..izxiMtlon _ •B -r—1 - "*. Date or approjrimate date of earliest beneficial use; and how con- 1B _j j j tinuous the use has been ......J«waijr..25JK..s..flOn1^<»»B..... •WM ~~ r since, tbftn. „ flB w—J— LJL E * I•I ---- - 4 The amount of groundwater claimed (in miner's inches or gallons I• J — I . — . per minute) .unkriXJMn _ .,..„ I

• |__ ; _ „... „ ......„..._.._ •H -J I 5. If used for irrigation, give the acreage and description of the WH s lands to which water has been applied and name of the owner BH thereof .2...<W»**«.«..!H*!i.£W...i*^^ •H WtivJStik Sec B T !L0 R 3 R<H) ..4j .lMPM>...gllt...fi.lW.Alltl ..1C«...fc.JBi3l ^ . H

H Indicate point of appropriation flH __ and place of use, if possible. 6. The means of withdrawing such water from the ground and the 9I ocr h S m a U S q U a r e r e p r e S e n t S 1 0 location of each well or other means of withdrawal .,.,_........... i 1

• joortii...-.jCH»..oaly. „_...... ,:..,.,..,:..„.....„ fl

I 7. The date of commencement and completion of the construction of the well, wells, or other works fot with- •H drawal of groundwater 4&11 1?55 • ;, •

I 8. The depth of water table .as.Wa»....t.O...bfi...»ftrial>l!B .........„..;........ .', •

H 9. So far as it may be available, the type, size and depth of each well or the general specifications of any " •• other works for the withdrawal of groundwater .. .U»l*th. of . .m11.hZ* >.„ •

• 10. The estimated amount of groundwater withdrawn each year unknown- - • > —• •

• 11. The log of formations encountered in the drilling of each well if available nofe- known - I

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

• ; Signature of Owner...^/r»»«t<T»i»:t^.3^...ZT./.^^rf^p-— fl

I ^"^ Date dfU& &#,>../..2.J.J.... IThree copies to be filed by the owner with the County Clerk and Recorder of the county in which the well is fl

jg located. fl

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

I Original to the County Clerk and Recorder; duplicate to the State Engineer; Triplicate to the School of Wines H• and Quadruplicate for the Appropriator. , <-" B

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BB G W 2 Approved Stock Form—Sane Publishing Co, Helen*. Monun*—5OS51 HJj^fr i H

Bs I• FUe N° --- T L:.:.i R....^..U2 /!.._. •I DUPLICATE r :; ; : ; " ; • D a i m t y _ I « | j L * J B l M * . _ , j L . . IH LOG ^ ^ STATE OP MONTANA IM 7 q o ADMOHIBTRATOK OP GROTJNDW.I.TBR CODE I• I _ • Top of Ground * --fK ' * J STATE WATEB CONSERVATION BOARD •

• ~ (Eiw. above »ea iev»i ;;;_;; ; j ~ Notice of Completion of Groundwater II «t«stt "-— '" -~ -Appropriation by Means of. Well •' 1I ~~ T c p M i l ««d f l « f « l DEVELOPED AFTER JAKUABY 1, 1962 I

H (Under Chapter 237 Montana Session Laws, 1961, ea amended) I

I ~_ Oxrn>rJ»L«?*«L. ^M^mJ^m^MS^L^^- I• __ 5 f t . to 29 Ft. DrmerJll»*iJL.Ui!l!iJ......_ ^AiSn^.J^^*.J!9^SL. ..„ I• — Cmol arfCla? •

B B Date of Notice of appropriation of groundwater , _. H

• Date-weU started. ..£ftk:..6.1167. Date <^pleted_J^lJLJ^L . fl

H ~ 'JVve of well .„..„. ....... Equipment used_ . . .„, ._ . I• (Dug, drhrea, boml or drOled) (Churn drfU, rotary or other) •I Witt t«a©ft. Water use: Domestic ft Municipal Q Stock Q Irrigation Ot •H ~~ v U y M a i S l i t Indnstri.il D Drainage O Other Q •B — Indicate on the diagrnin the character and thickness of the different strata I• __ met-with in drying, TOCII as soii, «lay, shale, gravel, r<>ck cr «i,tid, etc. Show •• depth at -which -rater is encountered, taickness end character of -sretcrbeariag •BJ strata and height to which the water rises in the well. VJWi — Slwor S\ttm>» fivm i* M*FORAiri«N« ' ~ •Bff • • • " * « - ^ . . _. Ota* w«jw (pcen (p«o r ^ 7 1 T O W * •

I — siuyswi *" ink o a Sl" vm ff*"' I

I ! .; • ! • • . ' . ; > • ' » * ; • • ••.;' • • ' : I

I * , Static Water Level for non-flowing well H

I - ••• mwu.^mwi. i I j I - _ M t J-fect. 1• """ ,_^. . - , * n^ tu i -.*.J... j . . . . . . . Shut-in Presirare for Jlowing WeU— I• — ; : | Pumping Water Level—10.... ...... ..tett •I — w 1 1 * ftt.....39... ..gal. p«r mintite. •H j ; Disciiar^c in gal. per mis. of Cowing veil H

• _ j j H(<w Tested ami Iftlttl ••- I• *"' ' 1 ' iJ Length of Test.—lilfcrf,.^ „.„ II Beaiaft*: (dravel packing, cementing, pack- I

I H fM-«M%M^MJL.TJMLBJL. cw'typc o£ ****** " • - : — I• tndteftfe location of well and - — -. •• — pl*ce of a»e, ii possible. Bach •• small square r«prc«ent« 40 "' "* " ..-.......<-»*..— — H•J -~- , acrcw. t n

• _^_ ....„ .„ (Continue un t w e m side) H• _ tJBE—If twed for irrigation, industrial, drainage or other. Explain, state I• cumber of acres and location or other data (i.c.: lx>t, Block and Addi- H

I __ Irctwf yard m l Bard—., ^ „..„.,_ II L M M Show exact depth of bottom. " " '" " "" '"" —~~ •

I This form to b« prefmni by driller, and thrwi capics to be fll«id fcjr th« owner "*itli JTu ,"" '.V'""""V**. "".............«,...»,.. ...... • •I County Clerk KBA Recorder tn the eotmty in which the well ii located, Ustw. copy to U l\~n),r a Lijcmc Number B JI rctalnwl by dnCer. / Q . / D r\ • •I Please Mt*wer all quetUon*. If not applicable, »o ttet*, otkerxlM the form will b« ••--* •/ »- -j— • •I returned- DrillerV Signkturc. \ J B l

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I "— —1I ; ; . .. ; • ^ IviH ; ^ W . , |• = ^ ^ > 3 GW 2 Revised 1969 ,- V ,1, • ^ .,.,-. ^ v & 1 - C o u n t y . M ^ ^ h ^ . . ^ r r r S ^ ^ ^ — IH ST*T£ PUBLISHING COMPANY _—-j •

I STATE OF MONTANA r ; •:;70 DRILLER'S LOG N> I• ADMINISTRATOR OF GROUNDWATER CODE Indicate ihe character, color, th ick-P 1

I ^ MONTANA WATER RESOURCES BOARD- 7 ; : r : T rf - : ^ S s o f 5trata such as . L daC. sand. I

I H NOTICE OF COMPLETION OF GRO'JNDV/ATER 3 r a v e l ' shal«- sandstone, etc jihow II i i APPROPR.ATION BY MEANS OF Will S t ^ S I ^ M I• ;•-; Developed after January 1, 1962 1

I (Under Chapter 237 Montana Session Laws, 1963, as amended) Top of Ground qaCT. above sn level) I• This form to be prepared by driller, and three copies to be filed From To •• by the owner with the County Clerk and Recorder in the county in (Fttt) ^"^ • • " ' ' I• which the we!! is located, last copy to be retained by driller. __£ £ _"J^pO*^_^_ eyte**X _ _ I• Please answer all questions. If not applicable, so state, otherwise the _ _ , f I

I fcrmmayb^re^rned^y, ' ._£, JJl, ._.ffi_3.*&-lJ^g^L-.^--^—- I

I Owner Z&L&L. -I For Administrato T f *4*H-M***^^L^- - -2 II Address JM^^^Xi^f ... File..Jgg&Jt</L -M- - . ____J-?-*-i \ I

I ^J^^^^ L^lUjj^. II Date well started W^..JJ!..-.2X..... GW 1 .. .c?<?..4,,m.» -SU.&JL $3££«fL |

I completed MK.J.H..:J..2. .„. I •- : 1

I ; (T-./? ' : ' | _ ; s 1• Type of well j&vUKM. . IB j , <X*>%, flriven, bored or drilled) _ _ „ _ - • 9

I Equipment used .^fe^fetvC — — , - — - . — ;— IH (Churn drill, routy or other) _ „ — _ ___»________„»«._—_____— •

• Water Use: Domestic ]g| Municipal D Stock Q Irrigation D """"" " " ' * •

B ; Industrial Q Drainage Q Other Q* Garden/Lawn fg • •——:—" • : •

I *Descrit>e - — — , II USE: If used for irrigation, industrial, drainage or other. Explain, """"" ~" I •• stote number of acres and location or other data (i.e. Lot, Block — — — — — — — — — — - — - — . - •• and Addition) ^».-.— — - . . . - . — . — - . - . _ — . — - — . — _ 9

I ESTIMATED ANNUAL WITHDRAWAL ......,.^.Pyggg „ —_ \ I

I nm& 'wdffi? (PS5 <jrZt> PERFORATIONS ~ ~ ~ \ I• , Hole of c«tot . • . : _ _ — . — . — — , — -»«.—_-——,_.-.— , •• - Kl«4 Fran To ' , •

1 6 ^ ^ " ~ IH . - ~~t iwxf-— ' [——• —:- ——.——-———————-.. ' •

I I \ I j I Static water level .Jk?. ft.* "* !"" ' ' " "*""*""~*! •*" I• ! j ' Pumping waier livel H.5. .ft.* _______ „ _ _ _ , _ _>»__„__«»«._«,___„ •I -•!-.-..-. ^. at «P... gallons per minute. ^ flK, ! j ' measured .if?...minutes after pumping _,——. _ _ . _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I• i > began. }*""_** "" :*" I• ! ! *Measured from grouad level. __ I• ; . . ! * * { Well developed by 6B*4v. .*** "] "* * ' ~ * "" • \ M• i ' '. ——i -J for . A hours. ___J I ; . : .____. ', 1• ! ; Power...£*iCr..... Pump . fcr. HP . ; I• j j Remarks: (Gravel packing, cementing, ._.___ — . _ _—-. I

• ' packers, type of shutoff) _ R

I N£ VA 5 ..% &*C...X rrrziiiriziiizzz;"' •""• i 1I s" (® ZZZZZIZZIIIZZZZZZ I• INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. I

• EACH SMALL SQUARE REPRESENTS 40 ACRES. I

I Driller's Signature Uj...^^J/±ri . fe rrfi<*-fy. ; I

I Driller's Address .C^s^v^y^t. httc^*???-' I -*--—^— II LICENSE NO Alt. ^~^- Show exact depth of bottom 9

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1• ^^zfmJc^y969' IT. 12 C E_ I V E_ D com&f.L^LM^.^jkJlJja^ut. 1• STATE OF MONTANA ( f , m DRIUER'S LOO A I

• NOTICE OF COMPLETION OF GROUNDWATER A.1I1 uhoirwATtSr"51- !helf- »"dston^ f- •**" II :X APPROPRIATION BY MEANS OF Wai X t - S i IZ 5_T?J_: I• Developed after January 1, 1962 1

I (UiKbr Chapter 237 Montane Sewion laws, 19fel, *» amended) Top of Ground < _ < - . » b o r e « . i t » d ) IH T h i s f o r m t o b e p r e p a r e d b y d r i l l e r , a n d t h r e e c o p i e s t o b e f i l e d * » • T o ' • ' . . . •• by the owner with the County Clerk and Recorder in the county in <Feet) (F««) ; ____. ( •H which the well is located, last copy to be retained by driller. 6 ____l_f___j__§_ia]i-—e* .—— IH Please answer all questions. If not applicable, so state, otherwise the ' I• form may be returned 6__2_ XE__-_JL&.j:la. _. 1

I Owr*-JWsAwLJUJZmaMx. I far AdmM»W.li£~1 - - ^ - -x-I-^^-^ad——-----— ; I

• k Address ..U5.5.2 .Beavei;Oe.ad..Drive File££M/K3. --A5--50.-. .-S-Uid_£_.&il_- . _ - 1 I

W Jislfina.,..^gnjtana %k><dj£J.?22.MWa,,7)> -^--_L_-x-a5O-t^_*n_--_ —— . .[ I

• Date well started .HP.vJl...5,.197l GW 1 • ~ • — • ———~ i' 1

• completed .&QYJ....?.JL.97.1 . ~ — . - . — - - — - . - — - , 1

• Type of well .BKlUesi „ . . - - : — . ——- —•—- IH (Dog. drt»en, bored or drilled) _ _ _ _ _ _ _ _ _ _ _ • ' i •

• Equipment used Ch.VLT.t» „ • • —• ;— • • t IH (Chum drill, rotiiy or othet) _ _ _ _ _ _ _ _ _ _ _ _ : ; M

H Water Use: Domeofic __ Municipal • Stock • Irrigation D — ' — —~——— •—•—-——— \. UH • _ — — — _ • - • • • ' - • • . . •; fl

H Indusnial D Drainage Q Other Q* Garden/Lawn B " " " " " ' "*" — — — - — - • I

_ H * r \ *_*#r lKo _______ ___________ .___-___.___.___.___.___.___v_i_»i_-__^___i-_-»_-«___w* ^_-.__ fl^ H 1/©5W i'>~ ••'•-••-••-----••-•-»--••••••---•-••.•.-•-....---_•-••.•-*--....*....-...»«,._.......»........ „. . . . —•_• •_ • • - - -_* •__•__• * . • . . • ^M

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

• and Addition). ____; _«,,_»___._.•_. 1

I ESTIMATED ANNUAL WITHDRAWAL 80,0.0.0 , __,_._._.«-.«._.; I

• w n i S 8 w d S « 5 S ) (FJM) P E R F O R A T I O N S ~ ~~~ " ••... •. ••••. • " 1^ H ' • HOW Of C t t l t a S —• - '•"•"—•---.. -—• . •„ ._ . . . ,..„_. .._„„__, •m^mmtmm »•--__••_.- - » - _ • I I - •**••_>•_••_••—•••-»*- . ^ H• • . • • K i n d F r a n T o ' • ' • ' • • • . . . ' . ' '•• '. • • .: • •

1 6" 171b. 0 52 ™ *"• _„ ______ -J -j I• ' None ____. _ , • . - _ _ - ! ' ••• ' i AI _ _ _ —— 1I ——" "—- • •_ I II -. - . F-'- ' - Im j j I i I Static water level .L8 ft.* . .'. : II ! j Pumping water level 35. ft.* _ _ _ _ _ — _ _ . . __„—«.— « • •; •H ] ——! ai 3.Q.. gallons per nlnute. I II ! i ' mea:ured 6Cv...minutes after puwp'f>9.____ _«__.._____._»___»____«._._»___._.___. B• I 1 i tee8"- • • UZZI "* """""' • i II I j * Measured from ground level. ___. ._—_——____—»—_-_«_. I• ; I Well developed by ...hailer. • — , -• ->-- — -•— •I - \ 1 for 2 hours. * _'___ m m __# ; •• j ! Power el«c.». Pump .%. HP^ — _ — : MI i • ! Remarks: (Gravel phsklng, cementing, _ _ , _ , _ _ _ _ _ . _ — _ , — _ — _ — _ « „ _ _ IH ' — packers, type of shutoff) ' • ' . •

I &£...% su J/A sec. ZZIZIZZZIIZZIZ p1 ' ~~ ' ""-"•-" I• J..J.H... <g!R 3: E „• __. .___ II INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. I• EACH SMALL SQUARE REPRESENTS 40 ACRES. I

I Driller's Signature \&.j*±Z*y. !&>TT^^y........ T — : I• A if ' —_•__._« IH Driller's Address . ~r^*r^r^r. Ttk?y?~£**?±r. -L- 1 I

I LICENSE NO J . ^ . T^*"-2- Show exact depth of bottom I

I &%»& I

* • ' _ . _ . ' |

1• 1.lli:.1. '• • ! i r hereby c e r t i f y ' t h a t the W t t h t n h * ' ., ., •. - , ; ; . , : , : • V • •; •; ., ^::-^.::^,;ip 1

I . I " ' S T 2 S S T 3 l S a a •--.:. - . y - - . \ v \ / - , • v l l l iHI '• ' . . . ;.Qt BOO** • .'. '' ''. ' • ' •••' '••'• . ' ; ••'•' ' ':'.''- ! - •• " "' '"'•':-,'1. ' . 'S.-l l- '.' ' •

• : - • . • • • : ' i . - t J r t t e c o « f f l ; ^ ^ ^ 5 ^ •• •' V " ' • • • ' ; : I : ' • • - • • ' '• • ' • • " ' " ' . • ? • . • • • • " , • • - . ••••: ^ - r ' ' ^ • • ' • : ' : ' 0 ; r ' : J

I ' ' \ ' J ^ ^ i ^ ^ & ^ ^ - : - S . •••• ••:••, ^ : j - ' : . i ^ ^ ? # ; ^ ^ |

I . • ' • ' v - ? ' Y $ . t n r r : ' \ • : ; ; . • ' . : ' • • • • • . • ' • . . . . • : :-: • ; ; . '• :: " ' : ; . . ' ' • . . . . ' • •• ; ^ ' ^ ; ' K ' - ^ y J

j ::v. .: I • • '•;;:; < i ' : y : ; c i : ^ . • •• ;T;^^ : i : i} lSl

• ' • • • . • • • • • • • • • . • ' ' :

• • • • • » * ^ , y ' . , : • : • • • • • • • • • •

^ ^ ^ ^ " " I ' B | ' ] I ' ' ' * ' ' M " I I I I I I I I > I ' * I I I > I M ' I I M * 1 1 * 1 ^ ^

• - ' * • ' • ' . ... / / ?••<: -•' i } /) \./l M• **•*> . ;.;• • -C- ; • • >, ;- J 7 -—-. : Wj• =^ j«3GW IRevlstd 196J Ckuntyjfi+v^?^ tj-3?£ty?..-. •_. I^K »T*TC PUBUCHmG COMPANY ., : " * j ^ T •

• STATE OF MONTANA ' DRILLER'S LOG / \ II ADMINIST&ajOR OF GROUNDWATER CODE • ..-taHir-to. th* rhar: ir tPT. w tWrl/ I

I . NOTICE OF COMPLETION OF GROUNDWATER &""'• sl"'?- -nd*™. «*• *•»- II ~. APPROPRIATION BY MEANS OF WRl * & - " * * , £ H ^ t ^ I• ' Develop*- »frer January 1, 1962 I

I (Under Chapter 237 Montana Session Uws, 1961, as amended) Top of Ground (Eiev. above se» lever) I• This form to be prepared by driller, and three copies 1o be filed **«n» To •• by the owner with the County Clerk and Recorder in the county in ^"^ ^^. . . j - /? • , I• which the well is located, last copy to be retained by driller. _ _ J? _ _ _ ^ _ 5 _ _ _ _ _ _ ^ _ _ _ _ _ _ _ _ _ 1• Please answer all questions. If not applicable, so state, otherwise the 7y f? I

• form may be returned L <£_ /_f ^ ^ ~ I

- k-±T. I For Administrator's Use~1 = Z £ ^ ^ " ^ 7 " ^ I

I Address ds^j^A^L. K\£2¥£SyQpM/2%. -2A. M-. iSka^fegi^—..—— I^B /^ •—.^»_~ VI . |M .. . , ...|n . •

B Date well started Q&&?...LzJ..2r. GW 1 j£2d.£2#- - ^SSt i f t ^ ^ - ——— • •

I or: i—.—n— _ _ 1• completed Jat&zl..yL.~..j3 _ — • — — I

I Type of well hAfM£. - - . — - — ~ I• A (Dug. driven, bored or drilled) _ _ _ _ _ _ _ _ _ _ _ • •

I Equipment used Q&t^^C^. _,___—_. _______ ____________ IB (Churn drill, roury or other) _ _ _ _ _ _ _ _ _ _ ' • ' '-' I

• Water Use: Domestic Q3 Municipal • Stock • Irrigation • ~ — - — — — — — — — — •

B Industrial • Drainage Q 'Other D* Garden/Lawn & • — — - — ._—_—>—. I

• *Describe »______. ._»__-_________—.-___- ._- II USEt If used for irrigation, industrial, drainage or other. Explain, I I• state number of acres and location or other data (i.e. Lot, Block — — — . — — — — » — — — — . — - _ — _ - — . •I and Addition) . , . __._ I

• ESTIMATED ANNUAL WITHDRAWAL &Q/..<??^Q.. ._, , ;«._ _, ' I

I ~ M ^K? ^ ^ re«F0RAT,0N8 " " ~ — I• •. Rote of Cmtng , —-——.-.-»—. -—__- . ._—_—.—. -—»-— •• •B y s-jj Kind From j To • •

I ; : izizzzzz • 1I ——._ _ .._..: II _-b:---_ I——_. I_B . • • B

I • ga====g" * : Z = ~ I ;-. - . " v I• I j T" j I Static water level f.sk. -ft.* • 1• ! j Pumping water level ..._5/. ft.* . « . _ _ _ _ _ _ _ _ _ I• : -j -I at 2zQ. gallons per minute, •• I• ' ! measured JR/?..minutes after pumping .^,__^ _ _ _ . . _ _ _ _ _ _ _ _ _ _ _ _ . » _ _ _ \ IM- ', j j began. ____»______________. ^ • IH w ! I B *Measured from ground lerfel. __ __ __ 1• ! ! W e " developed by &**$$„ - • — ,_. _ _ - — - , -H j . j . . . . . . for ?3. ...hours. __ ____ ..-' j• • ! i Power. 4dtr... . . Pump.™"^. H P — fI i i Remarks: (Gravel packing, cementing, _ _ _ _ _ _ _ , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I• ^ packers, type of shutoff) ~ _ , _ - H

H s.}.t!;.K&M/.,vk S6c..£ "Z. Z...Z..ZLJ. ' " — r II T..../-5 _^R -5 E I

I I INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. I• : EACH SMALL SQUARE REPRESENTS 40 ACRES. I^ B : " , . • . A , , ! _ • -»•_•_•_••.• •M»---feH-» -— , - - , n , , •• „ „ , H , mm , , . _,t I, _ ,,__ l)ml ,„_,, J t ' •

I Driller's Signature l ...-.r *rdr7. 5±r^^frf^rT. • I• /) \ & _________________________ II Driller'* Address ^r^^^J. V^±^^t. -—L 1 — II LICENSE NO...JL£ -^--- _ Show exact depth of bottom I

*»-——-_-_-_-——-_-_-——.• : •

I ,.-~,: ... ^...^^..^sfsms^mii!

I ' 2 2 4 6 7 1 , . . . . - . • • . , : .-.,•.;• :: • ; ^,

I • • I rf^rr^}" •.-; •• ; ;i i • -; ' J :lm\

I •;,.."..•• . • ; :: ; , • , '.: •. ••,••• • ' : ; v ' . " " ; , r : • • T V 1 I - ; \ K : ^ ' ' y i - ' f I I :

• , • - , • : \ .. • •'• • , . , : • • _ • • • . ; . . ; ; - i - . : i ; ; ; •••;•• ; r / ; • ; . \ ; :' •: i . ; ; y ; : j - ^ t ^ l 5 T f f - ^

;: : • : • • . . • . = • • . • • : • • ' " • ' ' : : ' ; : -.' ' ' - : • ] ' ' • • - - • • . ' . ' / . ^ - t l i - :

:. • • • > • " . . • • . ' . • • • "• . " • ' ' • ' ' " • • ' • • ' ' • •' • ; • • . . •

: ' • ' ^ ' • : } 3 4 :

: . . i

: , ! ; : : - - ; : : : , , : • . . ; • • : \ . . . • ; . • ; : : • o • • • • • . , • ; , M t j ; :

I - ' - lo^- 3UJ > , |• =^_^.3GW 2 Revised 19« - -.. V\ : \ ;! •••',; ;-•;. • ["} OOKinMfSJ^/!<:«'?....f~...£./&£/£—• I• rr»T£ ru»u«Mino coMf »VY . . . . . . . . - /~i _

I STATE OF MONTANA • . DRILLER'S LOG 0 I• V* ADMINISTRATOR OF OROUNDWATER CODE , n d i c a t e ^ c h a r a c t e r ^ , h k k / II - : MONTANA WATER RESOURCES BOARD : ^ . . . „ _ _ , _ , s u c h a s c l a y , s a n d > I

I NOTICE OF COMPLETION OF GRQUNOWATER a'8*?1- shale' »"***«' etc Show |I C APPROPRIATION BY MEANS OF WELL {_& ^ 2 2 , "se^vS I• '** Developed after January 1, 1962 1

B (Under Chapter 237 Montxt* Session Uws, 1961, as amended) Top of Ground tier. atow s«* i*«n I• This form to be prepared by driller, and three copies to be filed ft** To 1H by the owner with the County Clerk and Recorder in the county in (Fwo <r«n I• which the well is located, last copy to be retained by driller. _jQ _£_,_ j£&A$JL£L/.jl^Gzt£V£m[m _ ; I• Please answer all questions, if not applicable, so state, otherwise the __ _.. ___ II form may be returned. _£_ g£JJSc&^jU-±j£U*g-~-—± I

I o^^ZLasj^gL.! Pcr Administrator, N f 5 ^ ^ = E z E r I

I / ^ ^ ^ ^ . . / ^ ^ . ^ ^ 9,:oQ.a,m, j-Z^-g.' ZZHklj£- —r- II Date well started/^.5r...^l./.Z.?!l?:. GW 1 -• J

I completed/ i.../ ./ . ] |ZZ „ _ - ; I

I Type of well ZR.tr/.//^ „ — -——— • * —— IH (Dog. driven, bond ot flrilled) ___________.______._____________»_____»_«_______ I• Equipment used ...Cr.A.&Zt'.T?.. _ * • —~——•—.—-——• I• (Orarn drill, roury or other) .. ______ • ; ' •

• Water Use: Domestic • Municipal [_] Stock Q Irrigation j ^ -.—-.— . i I

• Industrial Q Drainage Q Other Q* Garden/Lawn n " " """*—' I

• *Describe »—-__. —-—.«. - . - . . - . - ._- - .__- - - . - - - - - - - - . - .—_- . - . •

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

I and Addition). «?..<2...<*^/.*-» , .1 -_JZI II ; I• ESTIMATED ANNUAL WITHDRAWAL - ^ <^«?! ...<2!<?? <?. _»i.__-_ — , - .« . '.. II ^BM ^ J M SS?) S i ) " PERFORATIONS "" ~ I• • ! Kind From To • . • •

I JO" £&fo O /oo I —-.—~ I

I Jp W ^ ^ ' — -~— 1

I I j j j I Static water level jeH.^f:. ft.*' ."**" '"*.*? ' • — - i |• ! ! Pumping water level .J8j<?. ..ft.* _ _ _ _ , _ . _ «-____«. _ _ . — _ - . II j~ J at «jgg?.<g...........ciallom per minute.'"" I_L ' ! measured <2 , mBu)M after puwplng__________,_.,_____„.___»._».»_____ I• j 1 began. _»__««, . , ' I• • w j • * *Mea»ured from ground level. _» _ _ _,_, I• ! i W e " developed by J^/.jtt. .1 1 \ "".. "* : I• J 2L..J for ." ... ...hours. - . .—.- .J- . - . -—. «. ,_.—-», " I• i j Power4E/«5?>... Pump../.<3. HP . ' ' . 1 :. I• ! ! Remarks: (Gravel packing, cementing, _ _ _ . . « _ _ _ . ._«_«.__»____«._._„._«__ aB ' packers, type of shutoff) >..... . . : I

E MI*/.v*$<&A$et.8, ZZIZZZ1I~ZZZZZ2~~'\ "r~~ "• ~~ J1 T/^^.....<fijR.-a.j^.. E ; 1

I s <$j —_.— _ — : I• INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. I• EACH SMALL SQUARE REPRESENTS 40 ACRES. r ^ I• 1)9 -W" A • II Driller'i Signature .^...r.^."^/^ '£ . S.ff T.... I• 0 4 •&— .«-—._._«_, - _-_—._ _ . . . _ _ _ _ _ I• Drillers Address T^rz... ..Zr. ...J. r......w^..,. ,.... ' '' I

I ucENSE NO i £ ^~ Sh°W eXeCi depth Of bo1tom I

I : : , : . • ' •• " ' • . " , • • • • '•?• • > : ' ; ' • ' ^ ^ ^ ^ ' • '• ' -

I • • • • • • . • . ••••' . " " * " ' • * » ] ' • •

IH GW 2 Anproved Stock Form—b.v- publishing Co. Helena. Monuo-45642 j ^ ^ 3 •

I Me No...- ^,,.T__ ^ l..._./^L..._R _Ja2 -A- I

I LOG **-•• * STATE OF MOSTANA I• «i:» ADMINISTRATOR OF GBOTJNDWATER CODE I• PJ. | Top of Ground c* — P ^ ^ 5 5 0 F STATE SSTGHTEEE B

I ~ (Hev. above sea leveL fet^oLIII^0*'ce-^t&n™ple*ion of Ground water I• ~~ "Appropriation by Means of Well I1 ~ DEVELOrZD AFTER JANUARY 1, 1962 I• — O " Z> T' (Under Chapter 237, Montana Session Laws, 1961) I

• Date of Notice of appropriation of groundwfltffir . _. I

V _ . . 5 * - ^ / "To 5 3 V5/- D a t e w e U 8tartedjsJ*/^.-J^4^_Date eampletedj££^*~-/$£*„.. I

I _ Q-t>*ue i <+ S**d Type o{ weii.J?^.iZ<!k«£. p^; rm,Pt^ C*"*» 1• • (Dug, driven, bored or tolled) (Cimrn drill, rotary or other) •

I mmK~ ST*"7"'^ ^ e m e - *+. Water use: Domest ic^ Municipal Q Stock G Irrigation Q i 1• & r»'**"rt Indtistrial D Drainafrc D Othei" Q . : I• Indicate on the diagram the character ntd thickness of the different strata : I• met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show I• — depth at which water is encountered, thickness and character of water-bearin? ! I• strata and height to which the water rises ia the welL I

I - <£" f7"*- o *e. II - 4." >*"*• : : II . - 3&-f». T. Jf-S-ft, . . I

I ' L ^»w stir _ ^ ^ j . I• — w Static Water Ijevel for non-flowing well ; •

I - ] ! " " • • • • • j{f. ?.....,-...Jeet • ; • : ; I

I — ^ $ r» <+* •&' \ -S Shat-in Prewrare for Flowing W U . . ™ . - . . ; IB _ i ! j Pamping Water Jjevd...>^?.SL.—.—feet II _ Si***' •&+ + * * ' . ^ i l l tt at.™.J?ia?. > L per atante; . ' • . . " , . : I• i > Discharge in gal. per min. of flowing well 8

I ~* j | HowTe»ted-...>Ot.? ....... ....-....»......... II ~ J ^—L 1 J Length of Test. J&J&£JSl*L» ..... II ';• . ~~ AW*/* ***+ & / Remarks: (Gravel packing, cementing, pack- II - % Jfcc T E

5H^^tvpeofshutoff) • ^ ^ - r - ^ _ • ' IH .—.74......occ........ 1......... ri......... n• ; —. . Indicate location of well and • ••• - •• place of use, if possible. Each II "~ small square represents 40 ' "'""""•»•••"""••••"- •• acres. .„.. \ ;„„„ :„„ MmmM •

• - ' — —.- (Continue on reverse side) •

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

• t 5 o t i ^ - ^, M

• ' -mi..;..! Show exact depth of bottom. I

I 'JIB I• This form to be prepared by driller, and thre« coplei. to b« filed by the owner with tbe " * —«~» — •

• Ctmnty Clerk a»d Recorder in th« county Jn which tV» well it located, UMWC copy to be Dnllor n License Number •

I «*-!,««• ( U ^ C J ^ f . ' P . . . l• Please aiwww all quesUom. If not applicable, BO BUIC, otberwiw tins form wtll He —• — «J • *^J- . II returned. Driller's Signntiiro. •

I 5 m'. I m^3 -T^-f ^ •- " ]B : COUNTY OF LC'.YJS A CL/.W f SS ;' • ' l j- ;; !\.. , . . , -' > . ^ ;;:/.-.-. ' I

I ' -. ' ' hereby ccrt'ry ;«]-* y-e wrtMi Jiii,' • , • -I'V '••' •' « f ^ ; ! . ' ' >*::^ .v!£\" ; '. I

I-:-1.:..--:- - • S:!fc-;;:3^' -•, |SaSr7^./^. • - •^^•^.1I •"••••''• : . '?• f - ~ & ^ ' c ^ / r * * ; ^ C F ^ : t 9 i r * * i » r f . ^ J j . . ' , • ••• .'•'•-.-.^••.-••• I

1 ;

• . . - . ' , • • • • • • ' . ""; • «••• S . : : - , > - / • ' • • V • J . - . ' " ' ' • ' • , • ' • " ' " • , 4 . • ^ - ^ i * < • • • I

I °<§i**>3 GW 2 r-.t«d i»» ^ ^ j r r - ? ^ Counry./. jW/A—UTT. £•].(*£JcL.

m «»«««»-«-«-.»« ^P 'Ce-^ ^ ^ fl• STATi OF MONTANA L l DRILLER'S LOG \I AI^INISTRATOR OF GROUNDWATER CODE J 3 - , n d i c a t e the dmr_t1*r, color, thick- 'I MONTAHA WATER RESOURCES BOARD r_ r f strata such *s soil, day. sand.

I - NOTICE OF COMPLETION OF GROUNDV/ATBR D : r" ^ i S ^ 1 ' shalf' Jarvdstone- «*• ^Z APPROPRIATION BY MEANS OF ******** "» * * ' S & £ ^ ^ J E

Developed after January I , 1962

(Under Chapter 237 Montane Session I m , 1961, » amended) Top of Ground (ElCT. »bo« « . fc«nThis form to be prepared by driller, and three copies to be filed **«• TOby the owner whh the County Clerk and Recorder in the county in q w ° ff*")

which the well is located, last copy to be retained by driller. _<2_ -&.— ..JLJ2/?..J^l/. .t~~.. 9.K&/Z9SPlease answer all questions. If not applicable, so state, otherwise the I 'form may be returned. I & \ t <b j jfrptu^/ #- *&***

Owner •&»<% Jf j^/fatf 1 , A . . : -TTT . Ugl Z3L jSAfc,. ,..*T. .££^-$1—ffiffi nSjtZZttyarpsr'--''- for Administrator's Use *~ ~f ^ ' ^ ^

Mdr^A&&~Jta&..:. m*&\zs&&3a<. 1.3.73... p2u 5 Z „ J ffngLj — ;i___4_&& SJusfJ&st .inLa&^ax -^-~ i/X' »_^L£a«?*/ .Date well started .Mty^lZ-..Z<^T..CW 1 <3.3.-g.S34 •—

completed .M*f.jiT.7..?:....... • •

Type of well /Jlj/^.d. • •*-_ (Dot, 6ti*a*. bored or ditne 0 _ « ^ « _ — _ _ _ ^ _ _ _ _ _ _ _ _ _ _ — _ _ ^ ^ _ _ _ _

/ * / 'Equipment used }-*r/mf.£r. —— — — — _ _ - — — , — —.—_

(Ctarn 4-111, rotujr at oOitr) ^ _ _ _ . _ _ _ _ _ _ - _ » _ _ _ _ _ ^ » » « _ - _ » » — _ _ _ _ _ _ _ _ _

Water Use: Domestic p£ AAunidpal D Stock Q Irrigaiion • j — — ; — i

Industrial Q Drainage Q Other Q* Garden/Uvn Pf ' —

T" | \ K ^ • • • < • LkMh ___i A^^^ ___h _ ^ f e fc ^^M_«»fcfc*»^» HHM> ___fc tek d H k b te> kHHt ___h »HM> «^^b ^ ^ ^ ___t BHH> AkK»Al

—fffVCtl tt76 . . „ . . . * . . : * - . . iH-->. i , . . . ._ , t* . . .MM,.M«.. .M_> 4 W 1 , . „ ..»*.*.„. -»---l---»__. -_->_-.->->• ~ ; •

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

tf and Addition) „_. . ._. _,

I eSTIMATED ANNUAL WITHDRAWAL ^^/}.OP/^0_^ofl(>pr ^__,_^ „_II m_t ^ ItlC* ____! !<%___• Ttt ' " " _-_-____-—• -M--__«_W_« |«M_|_«M___WIIHMMMM-«-«MMWM---M«--MMi

• D%S WrfSl (VST) ( M ) PdtnmATIONS^H ,• HMw ^n CBBllH — — - • • -.—-..... . ...— —. i .....-••.•..—- n.imi.ir i—---««_i<_i ! « • _ • • • • • • _•*_*»«_• in is n_iiMaa___i ___>«•_.___•__« aa_><_-»«__>«i_»««»

I ^^ /7/^- £> H ™ ^ „ J

I • ' '"- w ,* nr -I I j I j I Static water level /,/ZJh,* 'I j j Pumping water level * -*«"" -*.«.«._._._._.«,»._»«•«..-_»__._._.«._._._._»_»_»I . . . . . . . ! . . — .-..,„.; at ^LK. gallon* per minute.I • ! measured ...,....minutei after pumping ______,.__._»_._.._,„._»«.«._»«..__—«.«.—«._ II ' j _ i > ; began. . . •B ;""~~2 * i "AAeaiured from ground lev^L ____ ____ ____I ! ! w * " <fcvelop«d by ..J&£U..fe.£l*... *"""" 'I J J for j_fc .hour*. 1/ L _ .I j ; Power.-itMC... Pump^..Z«fe. HP I »___________________.I ' ! I Rcmarki: (Gr»vel packing, cementing, _____ _ _ _ . -__-.—.—_.__»-»-»«._,_«. _«.I • 1 ' ' packers, type of *hutoft) """"~ ' ,—--—~»— . —

I £MIM £&* SK.,3. ____«I T...JM )R -£-~«L :—I INDICATE LOCATION OF W&L AND PLACE OF USE, IF POSSIBLE.I EACH SMALL SQUARE REPRESENTS 40 ACRES. 1 —I / fj - \ J 4 - ^ — • • * • • _ - . • _ • -__ . • •_ ._• • _ • « • •_•» «>_» M__> _ w •__,_«_>•__• «__••_* *__•__> • _ . _ _ • «__•*

I Driller's Signature L^-.^^rSr af rvr-J /sy.....

I Driller', Addrei. ^A^c^; Jb^^r-- M T

I ; LICENSE NO. _?.!? 5 L _ L _ S"0* •>»-» d«Pth of hoMom

____________ ...

I -s 233534 .-—- I• r ft«*rt** jfa flI foy"8 vr~' flH SlAr't OF MONTANA I fl• CMiNTY OF LEWIS & CLARK > S i <•

H > h»f»Dy cvnTy that the v.imvi Kv - fl^H rtruntfnt *u« ftted lojfihglflce on • • ^M

fl VO. 19^s^,-«t^O_ftrtn. pMl ' fll• / & orvvk ^ M • : nH , K*;orcii! of U'vti & ctart - - • !H Cwumy, 5*«i»i o> Wonuna. ", - - f l

" ^JM gQVMJf /w - - _ ' - I^ . utunty KworUMB ^H

H ' » -j .rT /\*-<^-*^L0>''«s — "C' fl• / 7 OwiK ;- fl• , . u^f^Jy . j m

• Fa*No ~ »*£ : , ; E V ' E C T — L ^ - ^ - - B - ^ • ^ - • - - - - ^ - - IH DUPLICATE "* , ._ Cknusty_.^5*L*J?l5*l-L>.yL I^m •- - err Q -f>r0 . - - • •• - - „ r t b J '> '° STATE OP MONTANA IS B ' ADMINISTRATOR 01' QEOTJNDWATTP. OODE Im — - T o p Q r w m d ^ STATE WATER OONBERVATIOH BOATID i

fin "~ (nm. •*«*« IMML. :Z)?" Notice of Completion of Groundwater IM ~~ ~ • . , ; Appropriation by Means of Well IM ~" 0 t o ft f t . ' ' - * . ' ' DEVELOPED AFTER JANUARY 1, 1962 II S ~ taaSGil Md'BnVftl ^ (Under Chapter 237 Montana Session Laws, 1961, as amended) I

II __ .••...: ,: owner_....^*« *?*?*». -_^ddress...JteUaiVriiiffl*iiWL I

H - Dnller. .»J^«*»i: .. ..........._Address.?l««J. ««««*»«^ I

I B Date of Notice of appropriation of groundwater _ .. HII - s n . t o 2 o r t . ' . , . • . • • • '"4 1| B .. City * 9tS«*l Date well started..aMft-a..Wte..™.....Date completedit«ilJl..3raW* - M

I! — Type of w d l J ^ i S S i • —..Equipment used.J^5*?. I• B ' (Dug, driven, bored or drilled) (Churn drill, rotary or other) BH Water use: Domestic ®t Municipal Q Stock Q Irrigations1 •M t ~ 20 f t . 3 * 46 P t . Indnstrial D Drainage D Other Q ••I —- Clay Md S i l t Indicate on the diagram the character and thickness of the different strata B• • ' v met with in drilling, such aa soil, flay, shale, gravel, rock or sand, etc. Show •n — depth at which water is countered, thickness and character of -water-bearing •^K • strata and height to which the water rises in the well. fl

HI Stat~oi Slxeaod From To PKttHMlATlONS I• Drilled Wtltht CF««) (F««l) PERFORAT1OWS H• H ,. Hole nfCasliK Kind Fwm To •• I Site (F«et) {FecO •

• ~ 6W itib o «r II ™ *« 1H — C r a w l tnd Saad I• : : _ • ; •••i11- .. • ' / 1 •

• " , ' N •.-... Static "Water Level for non-flowing well W• ; - ...;•••; •• '• r~\ T — j — ^ J B L i*. IH " ...„.] ......J Shut-in Pressure for Plowing WelL MlH — . ! i Pumping Water LeveL . ^ . „ .feet M• ___ w | . . • '•' . K at 20.-..gal. per minute. [ IH i ! Discharge in gsl. per rain, of flowing well 9m Doc. tte.^2£i£/j&2L- i ! K• — Fiied for record / • ! -;-«— mI _ Ws.^c^dayfc£L4^^ ! ! How Tested..S*lillt •• A, D. 19^za- . at-,. //a-t> *. L ! ' ~ Length of Test 4..M*. •B "*~ o'clock fP' M. RcmarH: (Gravel packbtt, cementing, pack- HH ~~ . . : . ' . ' • • . . • , . «. „ «. .^ „ w ere, type of shutoff) - H• J indicate location of well and - HH . „ place of use, if pos'siblii. Bach ^ HH small square represents 40 "" " "' HH aces. ^M

H i ......(Continue on reverBC aide) HH USE—If used for irrigation, industrial, drainoge or other. Explain, state ^M• — number of acres and location or other data (i.c.: Lot, Block and Addk H• tion). •I _ Irriffatic yard. „.... „... •

• | I Show exact deptb o2 bottom. " * *""' S

I " IF" ••"•"'• I• ThU form to be prepared by driller, and three copies to »c ffled by the owner with the ^ " V i T I X " ^ ^ ^ ^ ™ ' ^ " ' fl• County Clerk and Recorder in the county in which the well is located, tissue cojty to be Driller s License Number H• retained by driller. / f ) U> .' () „ . M• Plcaso answer all questions. If not applicable, so state, otherwise the form will be —•—• "—T " •"••»cH— ^mI returned. Driller's Signature, / ' j j •

• J

• • • • • . • : • : • • • •• , . • £ = . : , , ™ • • ,,•. • • • ; » - : • • . ,. v M / : . , W ; . • • . • . • • • • ' * : , - f t p . ' • - . . - . • " •.-" ' . : ; ; . > : - . ; . & B f e r , ^ . r a > ' : v ; . . : ; W

H . i , .:•. - . •> : m S S y £ ^ - * j f & t £ & ? H •• •••• : : > • • * • • • . • • • • •• •..•.' i - ^ - - • • •••-•• : • • v . , ^ v ; ; # ^ f c 0 : / - fl

H I . ' ' . " • . • , . . . / / * ? t & W c k J ^ — L M ' '• ^ ' ^ ' ' ' ' ' ' ' • ' • " ' ' ' : • ' • • ' • ''•'- :'' • . . ' ' - • ; • „ . ' • • > ; ^ > - i ; ' ' i : : : . - ' ' : " : : ' * : H |

I ' . ' '•• "' j » f i » n e o r d 5 o f L a w t * j d y ; * ' • •'• . • • • ' • . ,: • .• '. ';..•.•• • ;" -.". ^ '• . . • • . ' • • ; s " ' . ':• > v . " " S i ! i S - v " % v ' = ^ B

B . • • • • • • . . S ^ v - . f - " ' "' :. • ' • ' \ i r - w ' .".. • • ' i 1 ' • • • ' : . . - M . ••: '•"',_ " • " • ( 1 - » ^ - ! j ; ' ' w j . » ' ? » J l ^ i * 1 • ' • ^ • ' S - i S i : ' . 1 * ' ' , ' . ' • . ' S i •.:••'• •' ':. • ' " v " ' ^ ' ^ • • • : . • ? ! v H J

• • r : • • • . • ; ' ' : ' " 1 !-'"• , w - - C i t > •'"• • ' ' • - , - • • ' I ' * ' * • • • • ' • • > ' * • " > • ' ' • • • $ ' - . • - > ' • « * " i . , • ' • , » % $ & ' & < • ' • ' • - ' • ' • • '• •. .: : . ':-:. .T:.1 • • • ' • • • ' • • ' ' . . - J ' ^ |

• . ; ' ' • • • ' • e a . S ' 1 . - s ; S f f J ; « : • • £ . » • • ••.;, "'.•••.. . . , p ;• < | • • ^ ; J ; . . - S i V , i | ' f c ; • £ • - £ • • i - 1 * ? ' " • ' * • " ' • • ' ••i': : • • ; l i : | ~ ^ : v ; . ' i ; v * : ' B l9 | j • • • * ' " • • f r - i w i , ™ * - • ; ' • ' • • v

:- ' • • 8 * . - '. ; • • ' • £ • ' • ;• •• -• > . ; • i - j , ' , • - . « « ; • < • y , " S •:-. - . • . • • • • • • < • " • \ : v ; - .

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w' - fl|

B • ' I • / • • ,. : ^ t . i > - v , f ' n " r • * . • • . • ' * " • .'•" • " i ' 3 " 1 • • : . ; " •••':•:. 'r:, S ' • ' £ ' • ! ] ' . ; ! • - „ . • • , , , . . . : . . , . - . : . . • „ ' . /:. . ^ I S ^ i i l S i ? : : B f

• i • ' i t ,.: . • • ? ' : ' r - * ; i fis ; . y » .••'• •,,. ' •'.• ,"'•' ' i • ' i i . 1 . > ! -. • « ' • ;.:* ? • . . 5 - 5 . £ ' I * . ' l ' ; s ' S ; • • • • ) * * , . ' ••• ! . t v ' '*}'?£::?£ ^ B g

I • ' • ,' 11 ••• 1 .1^'-" ^ '^' ' w 1 ' ^ ' ' " 1 ^^ -^ r S ^ S ' - I t ; ' •'•'•• ' : '. '^••" ^ ^ • ; M * 1 " " . ^ ^ j1' • . ; , ' ; f ^-.;••'••.. ' .' ; ) r ^ i : ^ - ^ : | L J ; ^ H

V • • • ^ ' ' * * ' •• ' ^ • * • ' • ; ' • W * • .' t V f i . • • - • • • • < ? ' ' • • * !* • , ', •'• • ' - - • ' . • £ £ ' " •. • A p ^ . - r i V , i • ; • > > . ' ' ^ ' J . % ' " 5 S . " V ' V •• - • ' " • ^ i ••• ' • ' • ' ' ••'•'•• ' " • ' • " • • ^ " ' T . - . j ^ ' i v ! ' - " ^ ^ . ' - ^ ^ H

I -' ? " •• ' • S j : ' ' H ^ ***** . : ^ - 1 ' ; ^ : r 4 • . - J ^ ' . . . > ; • ; ; | . * ^ .• '^ l i J i - | • • .'.; : ^ , - . i - _'/• • •'• , l'y'']^};f:;^r '^M

M ' • • • ; • ; •" • • " • • • . ' ' j w; ' . . • . . • : • . - , * ; • ^ - : - . . . . ; • • • ; ~ - ^ ' ;.' •• ! ' • i f ? - . • g " 5 f : ? • ' ; •

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; • ' ' : ! t J i j - ~ r * P - - ' j i } ' ' ~ W M

H '-. . • / - / • / •• ,\u) ^ •• I

B | <s ,3GW2Re<-lsed 1969 Counry.£££fA6....«;.. fr^XMJArr...- I^ ^ B »T»TS PUILIIMISO » • « « » • V ~ * XJL H

H STATE OF MONTANA / : DRILLER'S LOG Q I• , ADMINISTRATOR OF GRGUNDWATER CODE , n d i c a t e | h e c h a r a c l e r , c o I o r / t h i c £ IB i ; MONTANA WATER RESOURCES BOARD ness of strata such as soil, clay, sand. I

• NOTICE OF COMPLETION OF GROUNDWATER T"?' ^t- .sandsJon!' f c .Show. 1_ H >.' . - . - . - . -*- . - . • . . . . . - . . . • - . » 0 - . . 1 - #%.-• «»•»> depth at which water is found and •• ^ APPROPRIATION BY MEANS OF WELL height to which water rises in well. 1H '5 Developed after January 1, 1962 •H (Under Chapter 237 Montan* Sesfion Laws, 1961, as amended) Top of Ground me*. »t»« sea i«ei) I

B | This form to be prepared by driller, and three copies to be filed From To •• by the owner with the County Clerk and Recorder in the county in ( F t t 0 (F~*) _ •WE which the well is located, last copy to be retained by driller. _<__.. ._ -£_; ___^222-i----__^2£2i---t£«-- — I|H Please answer ad questions. If not applicable, so state, otherwise *he I^m form may be returned. __^ _ ._ j<tf_ _2_2_<_i--_.-.—. _ _ — > „ _ _ _ i M

K ; o^liUkW j ForAdrninistrat0,sUse i U ^ A J U ^ J ^ ^ 1 IM Address m 4 ^ : . ^ : i / f e ^ . . . . File «&?.£&$:&. ^jk. £&..—G&Lfr-^ r—-r- I

I iJj^^^M^t, ^tjs/9nM^. V^--^.^L^^^^^--------- |• Date well started Jfd^...^..yX±l.^ GW 1 - ^ - • ^ 1 — ^ 2 & ! i S £ _ - ? - _ - I

• completed ^JLd^.J.tiT.]±?.^. • —' —— ~ ~ — I

H Type of well ...M^dildi'.. • —r I^ H n (Dug. driven, bored or drilled) | : B

H Equipment used .....GJLfeMCtt. „ \ — • —• '—* ~" I^ H . (Cburn drill, roUry or other) _ _ _ _ _ _ _ _ ' H j

H Water Use: Domestic ^ AAunicipal Q Stock Q Irrigation • .—~ T—^I •

H Industrial Q Drainage Q Other Q* Garden/Lawn El ' " '—" "~"~"—*""""^ IW I ••: • : — -; • •| £ 'Describe :—• ~1 •H USE: If used for irrigation, industrial, drainage or other. Explain, ~~" I j fl|• state number of acres and location or other data (i.e. Lot, Block — — ~"— "~~" " • •' •

H and Addition) ._, . _ _ _ _ . . _ _ _ _ « . » . « - . , _ _ _ _ — — — ^ B

• ESTKWATED ANNUAL WITHDRAWAL <&.Q.i&&£ . - ' ": \ •

M D%M • % ? ? " " J ^ < ^ PERFORATIONS " " ~ " "~^ " •| H . Role of Cwtni —. ____.—.__,__—._--«—._—-—.——.— . HIB /a i K") eJ & KlBd F""" T» ' •n 6 / 7 / / ^ f j Ste« <p«« <*«« •

B ** 7T ; . . _ . • • • : •m I ""I j j I Static water level H ft.* «______ •H ! j Pumping water level .. JtST. ft.* — — ^ _«,«.«» H| v .. i — J at £-.$. gallons per minute. HH ' ! measured .6!o..minutes after pumping _ _ _ _ _ _ _ _ _ _ . _ - _ « _ _ _ _ _ _ _ _ — — _ — . — . _ __|• i I ! E beg8"- UZZL-IZ •__f ! ! *Measured from ground level. __,_». _______ _______«___________—. ^ _ |B J j i Well developed by jStoutuZ ' " —i- — HB . .?.„ ] j . . for .?2 hours. , . , HB • | Power...£fiucZ... Pump....± HP •B ! ' Remarks: (Gravel packing, cementing, _____ ____. ________»__»»_«._______„. • _B • packers, type of shutoff) ' ^M

I ltJ]xk3.&>k sec...£ 7IZ1IIZZ~~"ZZ"" """• •• T.../C? <§)R.....^. ^ . ,__ •• INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. fl

• EACH SMALL SQUARE REPRESENTS 40 ACRES. •

I Driller's Signature . ( r ^ . . . - r r ^ - ^ ^ . &L<rdL*r*?p. I

I Driller's Address <?J^VX**i. ffl^fefcvt.. '~~\ f " ' [' MI t ncENSENO $.£.. ^ ^ Show exact depth of bottom H

I : Z _ ty* IL — — I

I i-> *** site I• STA I^ OF MONTANA 1 i s < ' ^J \ ' . flI -COUNTY OF°LDiW* * CL»H J ; _ -WB j ^ ^ »K,« the wiwln In" • '- 'HiI v. ^ ^ ^ : ^ - 1

I "'"—' •^ B GW 2 Approved Stock Form—State Publishing Co-, Helena. Montana—46805 mjj^^»i3 •

• M e No STATE WATSR COUSEWATW* B O M T ^ / _ . . _ J U L ^ ^ I

I DUPLICATE MAY 1 5 1967 C * u n * j U ^ ^ I

• '•• Toa fc" — T^T—~ wnoiinBuii ..f-' ' IB MH» Buu;. • . . . . - — -• ""HSfifflnSTRATOEOP GaOUNDWATBE CODE I• _ T o p o f Q r w m d g ^ V ^ ^ Z I ^ ^ WATER CONSEBVATIOH BOARD I

• ~ (Her. above sea ievei!l!!^ZIZ) NotfcT"5f Completion of Ground water IH ~ Appropriation by Means of Well I• - DEVELOPED AFTEB JANUARY 1, 1962 I^B — (Under Chapter 237 Montana Session Laws, 1961, as amended) •

H Owner....r./..«J.»~...j£.j£»«*A^ I^m //a/jit,, Ai«^r, •

WM _ Driller £&Jj*: „„ .._.„._Address. . . . •

^ B r. Date of Notice of appropriation of grotmdwater...jX.*js.t./. (J^.LLr.3 .... •

H Date well started. J.«AJ/^#/..7..__-..Date completed.J)t-^X5.r..?ijO I

^m j _ Type of weU~_.r_£./.te.jd.*»- Eqxiipment used.AiU*_iE. <££V_jaci£?__ VH | (Dug, driven, bored or drilled) (Churn drill, rotary or other) •H Water use: Domestic D Municipal Q Stock jfi Irrigation Q IH c _ Industrial • Drainage Q Other • •^M Indicate on the diagram the character and thickness of the different strata ( H^ 1 met with in drilling, such as soil, clay, shale, gravel, rock or sand, etc. Show •^M — depth at which water is encountered, thickness and character of water-bearing •H strata and height to which the water rises in the well. •^ B S»«* 8be«rt From To PEPROBATIOMS ' H

• ; Hole of Cariai Kind Fraa To •^M — StM (F«H) (FccO •

•• i _ \ I 1 I ..„ feet. ! •H __ ! i Shut-in Pressure for Flowing 'WelL..........—.. ? •H .; . , "i—*"" , " " ' — • , • ;• •

H _ < ! Pumping Water Level...... .......feet flH \ *L ' • w ', ' * B a t —...gal. per minute. '••>. •H i ; Discharge in gal. per min. of flowing well i •

H ' J j How Tested ._. H• "" < ' > 1 Length of Test IH — Remarks: (Gravel packing, cementing, puck- H

H - SE%NE y Se(J 8 T 10 R 3 e»» type of shutoff) AfQ.....nt:.<.u.nf±%... . •• - - indicate" location of "weu"ard T*.*.??....****.*&.*. lM£.J.L.J.t •• place of use, if possible. Each /':*• $•**/ *«^7"*" A*+H M• - small aquaro represents 40 —-•«- ^f^eC^iMUA^MM^lA •• _ acres. JJ£~JE&&JZ. . ....._. M

H >«« .- (Continue on reverse side) HH . • ~" USE—If used for irrigation, industrial, drainage or other. Explain, state ' H• _ number of acres and location or other data (i.c.: Lot, Block and Addi- O

I .P n _ j _ _ ^z^.... \ II UMMJ Show exact depth of bottom. H

B This form to be yrepared by driller, and three copies to be filed by the owner with the '-"-""",""1". * "1* r "* H• County Clerk and Recorder in the county in which the well ii located, tissue copy to be Driller s License Number H• retained by driller. ^\ * V^ V V I• Please answer all questions. IX not applicable, so state, otherwise the form will bo AsU«a&.H3Sr-.»wW.t.....»!!lSD!l?.....U.at».... B |• returned. Driller's Signature. ^ H

^ i — » . . J

• I Mm*m3i ^sZfV«J!« ' ! |E,«' r «roww» I • .. -.-.-J.;.^ B• C S S ^ 1 ^ • * ~ ? ^ c # t f O W * r ! ' " ' r ^ * V l ' 3 * c o w ' 1 " f 5 * • • : • • • - - .'•••;- •••: . - . • • . , • . . • . • •

• ' • ~ " " " " " T ? " " * " - ^ - : ' M ^ . - • • • • '• ' • • • • • ' • " • ' : • „ ; . ' , ' ' • - • • • ; : ' • ' • • • " • • • • " • • • • • I I

• .• : • . •• • •• ••••;-; ' : . ;V; ^ - ' g r ; 5 ^ : * p " « 3 ^ , : { ' • ' • " • • • . . . • . . ,'. ' • . - . . - • . • ' ".'•• : , ! ' ! . l f ; : :" I

B < • • / • • . • . • ' • • . . ' , . • — • : . ' • ' . , . • • ' ••••' : ; 4 ^ ' ' • ' •

• ' • ' : • • • • • • • • . • ' • • • ' ' • s ". • ' • • • . ; , | : • • • ' " ; ^ H

I • ' ' , , '•• ' _ . . • , " * : , • \ " . . • ' • • . . - • : ; - . . . - '' • • • ' . ' • ' • . • . . ' • • • • ' . . • • :

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: . ' . :•' • •

I •I / If I^ H %. Approved &ock Fora—State Publishine Co, Hclcsi. Moaun*—40876 <». 4 * . 3 / * \ •

• Fiiexo _ ^ ^ r T-_^>Lji_^r: —(3/ IH DUPLICATE CoimtT Iflj STATE OF MONTANA •B ADMINISTRATOR OF GROUNDWATER CODE f^\ £ C E ! ' V E PT) IH OFFICE OF STATE ENGINEER I fl I *"' I• UUNOV 41G63 -^ I• Declaration of Vested Groundwater Rights. AT ^ IH (Under Chapter 237, Montana Session Laws, 1961) ^ > l A ( t E N u l N E E R •

I • y """" .Lr' ~~~; r>^ •' '' ' I• \JS^£&g^L=-^%^ o L _ . , . S ^ % ^ ^ I• JNaTne f ApproDnatoij. (Address) '— (Town) fl• County oi-uJ^.'^^4..LJ^Jr:/S.. State of.._.2,.l:^kc'r_:..^lr.?:t^c_. : fl^m have appropriated groundwater according to the Montana laws in effect prior to Jannary 1, 1962, as follows": •

J ' , . . . " . , • , , J S : I^m i | ! ! i i 2- Ttie'beneficial u/e on which the claim is ?msed_^/^*?j2^^3>fe^_ fl

fl —S—j—S j—j—i— ^^V.£<^Jx.._:^.£s;^ l^_ •H | l i i l l 3 ' D a t e o r aPP r o x i m a t e date ofcarliest beneficial use; and how con- MH j ! i j j --- j tinnous the use has been_.^2^«i,-1i,_^^.^:./. : fl

• j w ; j \ ' j 1 r B "ZZmZZ"^ „ ZZ"TT ~1~II fl^ B I ! j ; i I *' ^^e a m o t l I l t °^ groundwater claimed (in miner's inches or gallons 9H • j 1 1 ' i ! j per minute) 4L£.JJLJC£.> i2^<^..:,,;^^g^*<—;- , flH , | | | j ; j w ~ • ; mH J i 1 S3=4*—'• • • ' S" K a s e 4 f o r irrigRtion, give the acreage and description of the lands fl• 7A, , nzAe $flW /Ce,^U>cf _ to which water has been applied and name of the owner thereof \ •

• ^£7fl^4+4&4itf.*3 ..^^*^t^...^«^j^^ : fl^m : ^ZLZXLl ..~ Sec» T R.. . .•cdl_..-<sl2&i^f£rf'.2fei3fcsi „ iL c., „„ „ VH Indicate point of appropriation ^F-,y^&.mjLJ^3i£i~j:. •H , »nd place of use, if possible. . . . fl^m Each small square represents 10 *• The means of withdrawing such water from the ground and the - 9H acres. location of each well or other means of withdrawal . j fl

B !iz"~iii«zziiiiiizziziziziii!ziziiziiiizr"z • flH -., : 7. The date of commencement an,d completion-of tho construction of the'VclV, wplLi, or/>ther works for with- f fl• drawal of groundwater vrAt^£a9ka-JC.^&.J^/. *-^^&£&.^..jLfeZ»Z£/.. ^ i fl

B 8. The depth of water Uble._j^Jii^iC - — . . ' I• ; ft ~ : •H 9. So far as it may be available, the type, size and deDth of each well or the general specification* of any other \ flH •' works for the withdrawal of groundwater ^fe..^fe. _.., \ H

^ H . . . . . . . . . . . . H . » . , M . . . . . . . . . M*.M^»^^,.H .1 H .M , 4 ^^m

H 10. The estimated amount of groundwater withdrawn each yenr <3£$.rj£.£.£...>..!^ML iS^ZlJc^^i^f... J B

fl H. The log of formations encountered in the drilling of each ,wcll if yMriitibl" j/.... Y,j(. ..^^.^...JZ "'• H

I & """"/•" ^" "•••""•"i i I• 12. Such other information of a similar nature as may be useful in carrying out the policy of this act, including \ fl|H reference to book and page of any county record .. . .„..„.. „ .~™.... „ ~..^....M«. ; ^H

• Signature of Own^K^^fe^^...^..^^^5f^r?<=:. B

I Date^^L^iiZi \ fl• Three copies to be filed by the owner with the County Clerk and Recorder of the county in which the well ii fl• located. . . ^M• • — ' • •• ' •' '• ' - ' . • , ; •

• Please answer all questions. If not applicable, BO state, otherwise the form trill be returned. H

I °.riF3?al *c t h e C°xaty Clerk and Recorder; duplicate to the State Engineer; Triplicate to the Montana Bureau H• of Mines and Geology, and Quadruplicate for the Appropriates. - • > . / / . ^ |I .••,•,•:•,". •, ..; ,. ; •;'• V - - ! ' ; - : ^ J : ^ £ ^ . V - 7 - ^ • • ; - • • • • ' • : . • *:•'•••' : ' * * * & * * ^ * l • H

H ***" •••• — • • • - • : . — - » •• -•••» •• • • - , •. . . _ . . . . , . . . , ._,M.Min^'(<<^c>9Msn£ieRNM9n>Mi^^

• STATE OF V(WI ANA I : • •• ; COUNTY or LEWIS 5. CLARK | SS, : •

B ! I hertty certify that i'-'f -A-ithin to- HB ] rtrum^jt ^,'s filed In ou olfjee on . ~Bj• ••• ihis-J3£»-tf.>v ,f o z « 5 r : . _ ••••"•.•• •;•...:•.•• •B - j , . AD. i q ^ J at / » * " . min past * ' fl

• : ^ fic^or-Js c^Lfcgjy^aafk .••., . ' \ ' . fl

B ; • ' • . ' • JWSMy, SJate of MstiiiSr m M ' •• ' . , ;i f ; . . fl

B V ^ CoonlyJIecortor ^^^ fl

• • , • V. D«poty fl

• . ,<*\ . . , ., *%-. . ' 1fl G w * Approved Stocfc Farm—Stttt PoMisJring COL. Brian, Mont«n»—SOS51 if$F)l

I Ffle No —, _ T /Ofttjt ' ?jfJ fl

• DUPLICATE ; " . f l : .v . COTmty U r t « » C l M k ^

• - L 0 0 a *~ U lr I,!^ «r jr-, STATE OF MONTANA

• ~ ADMINISTRATOR OF OROUNDWATER CODE• I | Top of Ground \-, STATE WATER OONBERVATIOH BOARD

I ~ (Eiev. above sea i^]_...t:..lz:._r Notice of Completion of Groundwater• __ :/^ir^.._J^''J7T Appropriation by Means of Well• — 0 to 6 Ft . . ..; ~~~~"—•-.._ DEVELOPED AFTER JANUARY X 1962 I• POpSOU vm BfHW vUnder Chapter 237 Montana Session Laura, 1961, as amended) I• - US •wwiatii Driw I

• OwnerJ^^J!1!*1. A«MT~» •>!—»• »•>**» I

I - • DriUer__.y?*?^._ _ AH,W.««** »**»« I

I * **• ** ** **• Date of Notice of appropriation of groundwater. . ^ ,. , ...„.., >.' •

M - Chy nd 6m«l 1W Date well frtarted.j|«U..2&Jfl!fiB_™.J)ate completeoLAt*_?MLJMHSL..._. 9I — Slt tJB Type of wlll_l3rtMSi _.JB^nipment used._J®«a__.___._ I• (Dug, driven, bored or drilled) (Clrarn drill, rotary or other) •I Water ase: Domestic ft Municipal Q Stock Q Irrigations n• — 29 Ft. to 38 Ft. lndtwtrial Q Drainage • Other Q J •• -— Cl»» fbi«rf) Indicate on tie diagram the character and thickness of the different strata 9H ^ ^ * «B1»# met with in drilling, such as soil, clay, shale, gravel, rook or sand, etc. Show IH ~~ depth at which water is enwuntered, tiickness and character of-water-bearing •• strata and height to which the water rises in the w^U. : •

• . " " • • • M M **** VF«I) • (MB ' n t W > * A ™ W S • ' •• ' , ' • *** *cmt* . • • . aST i I S * : t*T ; : •

I _ «• mk © tt I

I ~"~ s e n . t« sort. ittwi E• ~ f ctay Md sin I I

I BO Ft t * S8 f t W Static Water Ijevel for non-flowing veil?^ fl

I ;. _ . «MftI Md t M i j j Shut-in Preswire for Flowing 'WetL.^.,.^ I

• — I j Pniaping Water keveLJWL. ™.-....fect •I ;: .;' • ' : w '' j t at.—.JMl.-._....,...gaL per minute. , \';i •I __ ! i Dincharge in gal. i>er min. of flowing well II : __ - - i ... .J... . . . " ' ...-.,.«..».,M ..u..™.,.. . I

I __ i I How 'reirt*(i Iftlltr ~— i»-—«. II ' < •——• * Length of 'T«*.....;..^-4Hhir*-— • •- flI Remarks: (Oravcl packing,cementing, pack- I

I L r»«t «r a« -*-***- T « » B.A^ crBt type of ^«ff)................_. L. IK Indicate location of well and — »«• • -. •• •I , — place of wo, if ponible. Bach II small square rcprenentu 40 *" " " * •••—•••;•• «HI —— acred. , B

I —.«.» .......^_..« „. „.. „„-„—^...(Continue on reverse aide) UI USE—If u«cd for irrigation, industrial, draiuagc or other. Explain, state fl1 number of acre* and location or other data (i.e.: Lot, Block and Adcli- fl

I __ „ Izrl^t* TUA sad saxiM ....„ » II LMMBI Show exact depth of bottom. " " ' ""' " " "" " I

"Jt ~~~ II ThU form to b« prepared by driller, and thrw copies to bo filed by t l» owner with th« ........—..._...-. ...^........m „ _I County Oerk and B«cord«r m the connty in which the w«ll i> iocatod, t i m e copy to b« Dnl ler • License Number HI Mtainod by driller. / f) C> » A fl

I U3 L+Xx** njc^^Ji^A^i flI Please u m n r aM quwtiont. K not applicable, so state, ciW*$»« th« form will be - —-#••»«..*—• - «- •*—. ^ BI returned. Driller'* Sigiatare. *=/ •

^ 1 • • - • • - . > v . ^ r V ' • . • ~i . ' . ' . ' . ' ' : . . ' * , r ' : : ^ : ~ : : , ^ : c - - ^ : : i ^ ; : : , P : - : ' - : > i ^ : ' ' r ^ ' ' _ ^ |

• • • . * * • * • * - V * i r - • • * ' & " '• :• : • • • • ¥ • S • • • • ^ • • . . . ' C - ^ . . • . . . \ ' • ' • / . : & & & • • • ! $ : • + W

I • ' ^ ^ ^ . ^ S ^ •.•*•£ • • -*."£ . #. . ' V . . — ' : ' '• .,; » ? # ^ - - r fl• • • . • . • • A Q M I M O F M O * T M « * 4 w ^ • >&• 3 , : • . • • • ' • • * * ^ i : ' • • " • .•••^.•"•^••^"r":-'- •

I - ' • ^ S ^ o w 0 * " ^ ^ T?% • . ; f ; - - - • ' • ;: f •:••.•: - : ; : . : | f ;-V:; •• '.' • M W c*m* ^ ^ > « I * I * » - % ' '•• . . S ; ' $ : '• • ':'•• • ' f . . £ S . ;; ' ;• ,•. - | | ; ~ l § ^ - . ; : V ^ : a •• . > *,JZz^*$J££***& ... •.• •.^..•- ,. *s. . •.-.•.. , •,.•:• ••-•: - : : i ^ ? ; ; ; - ^ ^ «• • • ti j«._^^-i^££2!^!a.e*«w • • . : . • \ " . • . • . . •v"---";:;:-'^ •^ m • • " Q ^ ~ I L ' J W J I L L ' L - i l f i i t i • '^ • j i ' • c • , ' • •'•••' • : - • • ' • • • • • , ^ H

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& * * - ' . ' . • • • . • . • ' • . : • • • . • • ' • • • • - • • ' • • • • • ' / • • , - - S - . . / • ; • • ' ; - • • : . • ' •

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_ ' . ' " - , ' ' * ; • • . 'u • § : - j s . j S l t ' , J • ; , v " ; : ? i : : S s . . • ' ^ i • ' • . ., . J ' ^ l « ~£ : ^ l i l i ' l * - ' '. i ; • • £ : ; ; : : v : ^ , - v ' ' 1 '••••• ^ • . ' • • • r - i ^ V ' l ^ |

H ' ' • • . : ' • ' : • ' - ' & ' ? , . ' "• ! : ' ' " ' • ! « * • " V ^ • • ' ; . ! . ' « - ^ . ' ' ; - * v • • ' ' ^ ^ I " * " ' ' " " " • - d V i ^ ' t ' ' ' ; V ' : - l | - « ': ' ^ , ' > ' ' , ' i l l * " ' • l 1 ' 1 ' ' • ^ •' • ' V '~ * ^ ^ |• . ' , • • • . . x . • ' ? . q ^

J> , : ( » • - V * • . : . : " . - S i t ' i X ; s * ,•,;•*•• ' ^ u . - r ' - •.. '-• , • ; . * ! • T ' • • ' • - - * H . , ' • • - • ^ ^ H

^ ^ H CW 2 , . - Approved Stock Fora.—State PubKdnng Co- Hcicaa. Monlioi—SR53, JtiiA&l ^ HH , . ^ f > .. . ••• ' - • " " • " •

• Hie No *' \ T__1P X 3 _^~ fl^ H DUPLICATE J - „, - County— Ii£}?ls..A-5i!S.Ek_.. .jk H

I W>O —- STATE OF MOHTANA ^ •H ^ * _ ^^ASBQHISTKATOE OF GBOT7NDWATER CODE •• j — i Top of around _ _ ~ - - STATE WATEE COHSEEVATION BOAED •

I ~ (Her. abm «ea level ) Notice of Completion of Ground water IH ~ & / J+* Appropriation by Means of Well •• - " " fr T* DEVELOPED AFTER JAKPAEY 1, 1962 •

^m — *jfc n i ( - JP-J Q*JCKJK+J>J) (Under Chapter 237 Montana Session Laws, 1961, as amended) H

^ B # y ^ r / i 4 & Ajf~ "Date of Notice of appropriation of groundwatcr •_ .„ ~_ H

H ; ^T /) Date wdl stertedJl*!ify^..™J^-Z_Date compkte&&#!2^fczZ~j!. •

^ H _ \ i Type of well i£C.£3lJ=£!dii5r ^Eqmpment used.. ; -. •^ H C7 (Dug, driven, bored or driBed) (Cbon drill, wbury or other) H| H ~~ Water use: Domestic g f Ktmivipal Q Stock D IrrigationJj^ B9 B _ Industrial Q Drainage Q Other D H^ H Indicate on the diagram the character and thickness of the different strata H^ B met with in drillbg, srach as soil, clay, shale, gravel, rock or sand, etc Show H^ B — depth at which water is pneountcred, thickness and character of water-bearing ^ |^m # / ^> strata and height to which the water rises in the well. H

• ' - s &A+J& */J> '*T --—^- • • • ' •: •• . - ' V, MM WMIH <F«0 ITWO " * W m * T W W 1; M

• ;-.••"* ^ ^ ^ £" tjf£ C 4 3-: • •» «*"»•. I • • -» •

I ..• • • • _ •' : . • ' . • ' ' / W v ~ t , • '. '• '; •

I ; - $&'^rJs.ir*-fir _•• J _•, j 1I — P*ULf 4 -4*"^^ w Static Water Level for non-flowing well H

B — i • Shot-in Pressure for FlowingWclL..........-...". H

H _ < ; l*nmping Water Level... .mXJ*. feet ; ^M

H w : | - "'••' K at ..™..-ji»»l?...-...giil. per minute. ; ^ |

B _ . <ft C" 1 *£p* \ ! * Discharge Sn gal. per min. of flowing well : ^ |

• : k JS. n • '—"5""— j* • «•- —•, H

I • "" c^^^aJP^-*^* i i H«wftrt _«&g*J=2r- ..- j •M - # L : L.—1 J L«ngth of TeBU........»...... td5sA*R •B • . — Remark*: {Gravel packing, cementing, pmrik '•, ^M

I •-• ^.^feecJJ..T^fiR..3... ^tyPe^^^ff).. •B — Indic*t« locatica of well and •- - •••— • ..^.»......^.....™.. — ^ 1B place of UM, if possible. Each H• ••: — small square represents 40 "' ' ' •"""" ' ^ H• acres. .„„ .. _.„ ^H

• »..... „.—,..H .—(Continue oa reverse side) ^ B

I ~ USE—If used for irrigation, industrial, drainage or other. Kxplnln, state H• - number of acres and location or other data (Lo.: Lot, Block and Addi- ^M

I - tion); J^^^ I• L B ^ M I Show exact depth of I>ottom. ^M

I 3? I• Thii form to be prepared by driller, and three copies tc be filed by the owner with the ~"7,""*« "*V" »V \"'" "' ^ B• County Clerk and Recorder In the county in which Uw well ii located, titsoe copy to be Driller •» License Number ^M• rvtalned by driller. / f) J~). « H• Please »nimrer all questions If not applicable, BO date, otherwise the form vill b« •*K »..—......../ *#.. . ..—......j.. ^ H• returned. Drilicr'li Signnturo. XT" ^ H

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STA'fE-O.1 MONTANA f | <—-*> ' ICOUNTY OFi-DtflS & CLA,« | s t > ' H

; I h«raty^oe«iry ih.n m e within In- •rtrumgntwas fi>ed In m y of net «n . . 1

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HJ G W 2 Approved Stock Form—StMe Publishing Co.. Helena, Monuua*—45642 ; J ^ > 3 •

I ^ ^ STATE WATER ro^-nVATPN BOARS T j f i ^ 2 \ N L g - . . 1I DUPLICATE MAR6 19P7 Connty.i.l.S:.. ..„_!..... I• ] L O O STATE OP MOKTANA ^ I ]• u w • • B' .._ _. ADMBHISTBATOR OP QBOIJNDWATEB CODE 1• i i Top of Ground C- ~ O F F I 0 E 0 F S T A T E E M G E N E B B I

I ~ (Eiev .above sea level -g^:y Notke-of-Comp.etion of Ground water 1• ~ , " Appropriation by Means of Well 1• - jL DEVEL0PE1' AFTEB JAMJABY 1, 1962 fl• — & ~" <7*~ , (Under Chapter 237, Montana Session Laws, 1961) ffl

1 1 OJ^^Mr^f^ O w n e i J * ? ^ II . - Drme --**? ! ^ 9

flj , *} C~~ih C? / QntJ^v-- Date of Notice of appropriation of groundwater—T* .*T.~«s-"!!!!...s?..jfe>_ •

• . __ Date weU started_-..4» .™.^A™i^..l.....Date comple ted . .4^ .^ . rA. .^ . •

H _ Type of welL..I&3^fefe«*L .Equipment y&^iJ^*S^J^^^£ . «H (Dag, driven, boxed or drilled) (Churn drill, rotary or other) •H "~ "Water use: Domestic ,31 Municipal Q Stock O^ Irrigation D : •H : _ Industrial Q Drainage • Other Q . •H : Indicate on the diagram the character and thickness of the different strata •H met with in drilling, such as soil, ciay, shale, gravel, rock or sand, etc. Show . I• ; — depth at which water is encountered, thiekness and character of water-bearing - MH ; strata and height to which the water rises in the well. •

H • Sluot S k t a a From To MtBPntt/LiinKn : fl

• • Hole otCadns tthrt FKNH TO B• : — Sbc (Feel) (F«() < •

• I .; . -•• r j r r~~ i I^..^.AWX. \ flH '; __ j ! Shut-in Pressure for Flowing "Well | • |

H f _ I j. Pumping "Water Level JSL.0... foet ;• • fl

H l _ w ',' 1 E •ttt— • ' .gal. per aiinute. . •H i i ! Discharge in gal. per tnin. of flowing xreli \ H

• I __'- "• t • . i- i - - " " ' /? ^ • : 9• t ! Xl How Tested....4*fa£££p.K:ji:. : 9I • } . • — • ' . L 1 JL—£±i—_J Length of Tcst..../ .«rfrf»».*. „ : fl• l> • • • • ' . • • . Remarks : (Gmvcl packing, cementing, pack* • B

E - frtsSL&.. T.4jOR.3.y^er8>typcof8hutof£) ; IH — Indicate location of well and • - - —• H• : place of use, if possible. Each ; BH • • — • • . • small square represents 40 "'*" """" , fl• __ acres. „...„ ; •

H .—7- - (Continue on reverse side) flH USB—If used for irrigation, industrial, drainage or other. Explain, state ' flfl _ number of acres and location or other data (i.e.: Lot, Block and Addi- • flfl _ * tion)- fl

fl LMMJ Show exa«t depth of bottom. fl

• ' This form to be prepared by driller, and three copies to be filed by the owner with iho "r .7" ,"""»"."' *T'"""v fl• i County Clork and Becordev In the county hv which the well ia located, tissue copy to be Dr i l l e r s LmCAsc Number •

• retained by driller. / i&^*W Jf^ s/} / J/ flB : Please Answer all questions. If not applicable, so state, otherwise the form will be *^aZXHL3cs5!rfir..y....«—\£z.Kx ss3y!d....... Hfl returned. Driller's Signature. B

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I T O G STATE OF MONTANA I• ADKUNISTRATOR OF (JEOTJNDWATEE CODE I• i -I TOp of Ground - - _ , . .—. . , STATE WATER CONSERVATION BOARD I

I ~ (Eiev. above sea level......... .....) Notice of Completion of Groundwater II Appropriation by Means of Well Im — . . . . ; DEVELOPED AFTER JANUARY 1, 1962 I

H ~~~ '.'••• * (Under Chapter 237 Montana Session Laws, 1961, as amended) I

• - topwil aad awral 116 atmrethmfl Brh* I• ___ 0wner....El«IHMl..^ll»r8^ - Addre8sJsteia^.i.B(nrtail!*... I

• — DriilerJH«ftttjr-J--i ~ _.Address....ClaV»lta«ftlWL I

• ' ' Date of Notice of appropriation of groundwater _ _. fl9 — tft. to is rt. 1m — Cl»y «Wl gi»»l • Date well started-.e«t^.l2,.,.l%a.....Date completed—Oet*iJUU_1968_.... 1

I — Type of we1L™Sflii.^--™_ -Equipment used .585I3L 1H (Bog, driven, bored or drilled) (Churn drill, rotary or other) M• Water use: Domestic £] Municipal Q Stock n Irrigation £ , •H — , , v . Industrial Q Drainage Q Other O I

H — Indicate on the diagram the character and thickness of the different strata I• io'«* • «a. •> met with in drilling, such as soil, clay, shale, gravel, rock or saad, etc. Show •H ~~ . l ) J , . I t « ;M.wr t» . depth at which water is encountered, thickness and character of water-bearing •H _ _ strata and height to which the water rises in the well. •• ... .:" ~~ . . ..tef#M- ' , ; ' • - ' ' ' • . •• , ••• IMIM Wt*M (P«0 (Fe««) reRFORATIONS V

• _ _ »«>»• o» C K N S Wnd tWrni To M

• Size (Fed) (P«O •

I ~ «" rrib o 48 , I• • • / : " - ; ' ^ - . ' : - : • • . . . . . • • • ' ; '• • • ' • • • " • • • . . • feat I

• — »rt . t«45Ft, PI — 8i»d8Bi«ilt 4

I 4B'••iti %O <ft Pt* W Static "Water Level for non-flowing well I

I "~ CJiiy «rt Mtid I I w feet- I• . ^ . . . . . j . \.i.... Shut-in Pressure for Plowing Well •• — ' ! Pumping Water LeveL 85 M....feet •H . , ;, 5 , w ; ' E at....2ft... .. ..gal. per minute. •H ..... 4T f%» t o 48 W%» 1 ' Discharge in gal. pet min. of flowing well I

I | _ Clwutgnvol -—\~—-~—i—— a• __ . • ! ! How Tested flfelMMK I• •'"'"'—'"••—•r-——'• ' Length of Test -2"Hr» * I9 Remarks: (Gravel packing, cementing, pack- I

I ~ . ^ of m ....^...seca^T.»,R.JI... crs'type0f8hut0ff) I• Indicate location of well and -• • — •V _ place of use, if possible. Each •• small square represents 40 ""' II acres. •

• _ _ . - - (Continue on reverse side) I

• USE—If nscd for irrigation, industrial, drainage or other. Explain, state I• number of acres and location or other data (i.e.: Lot, Block and Addi- MM ___ tion). •

I _ hn&gaia JITA xrd iM*iM* ......„.„..„..„. ...... 1I ' ' : ' ' ' ' • I• L C M M Show exact dept'ti of bottom. " ""' ""' " ' ' •

I "'" "" '" ' "77 ~~ I• Tt.l» form to be prepared by driller, and three, copies to be filed by the owner with ihe ~^'"I"'"",""". ""'• '". '" * '" •i County Cittk and Recorder in ';he county in which the well is located, ti«Me copy to be Driller s Incense Number •I retained by driller. I 0 W •> f) I

• Pleaao answer all question*. Jf not applicable, BO state, otherwise the form will be -..-.... .y.. ..„ X...... •I retvinccd. Driller's Signature. r?<J I

1^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ — M i l l i g ^ ^ n ^ ^ g ^ ^ M M M i — i ^ ^ ] ^ ^ ^ . ^ _ ^ _ ^ _ ^^m

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H ; STATE OF MONTANA ;vQV' f 1Q7| DRILLER'S LOG I• < ADMINISTRATOR OF OROUNDWATER CODE ~ " • » , n d i c a t e , h e character, color, t h i ® I

• ' MONTANA WATER RESOURCES BOARD ness of strata such as soil, day. samft, I

I NOTICE OF COMPLETION OF GROUNDWATER gravel, shale, sandsior*, ^ Sho^ I

I APPROPRIATION BY MEANS OF WELL g * £ ^ l ^ J S I• Developed after January 1 , 1962 •

H (Under Chapter 237 Montana Session Uws, 1961, a* amended) Top of Ground (Her. rtove s« iCTa> 1H This form to be prepared by driller, and three copies to be filed From To I• by the owner with the County Clerk and Recorder in the county in (F«o <F«rt •• which the well is located, last copy to be retained by driller. n 5_ !IlttriSX>3.3- § G r a v e l •• Please answer all questions. If not applicable, so state, otherwise the ___________ ________________________________ •• form may be returned^ ._5 J^i-G«#»l-4-Cl«y I

I Owner. John-J Herbalich 1 For Administrator's Use I * ° — - M - -CA«y-j-S-4*- — - ~ I

• fe Address ._U14-Beawexhe«d~nr.. File «?..«?/.„-•?.£.£ *& 4S SiJ.-.-f>-_a*ul— Im ^ / o - J ? o - 7 - / : : — ; —i •

• S©_«M4~M©»taa* ^.fcK.../?..^b...- Aa— -5J.- -Xl_-j_.I-i<a_-a, . ; I• Date well started ....June...2.2.,...J.9.6 E»W 1 —H I

• completed Jun^-24-, -19-6S-I — — " •

• Type of well Or-i-ll-ed _ — — — ^ IH CDug, driven, bored or drilled) I '; •

I Equipment used Chu-m ~ "" — *~ - — — . — — - •H (Churn drm, rot»rr or other) _ _ _ _ _ _ _ _ _ _ _ _ ' ' ' ' •

B Water Use: Domestic KJC Municipal D Stock D Irrigation • —; • —"—— I

• Industrial Q Drainage • Other Q * Garden/Lawn Q9X : •-" — «— —: •

! • ' * r \ A * « . . . : U H _ _ . . ^ _ _ . _ _ _ _ _ _ _ «_«.^^«____t«_>M>«M»M«M_>__>__>W_>« _ •

^m uescrioe -——.— _ _ — . .—«_—«•_•_—_•_._••_——_._._ ._- _H . USE: If used for irrigation, industrial, drainage or other. Explain, * "T" : I• state number of acres and location or other data (i.e. Lot, Block _ _ — . — _ — — — — — •

• and Addition) ~ . .: « . - .__— : I

• ; EST ATED ANNUAL WITHDRAWAL o . . . f l f l f t , _ ; — . I

• SSkd "wdjw § S ) OS«) PERFORAnoNS " " IB .' Role of CMIIIK -—, , . __.«,_,_.«__,,__._.__,._,___.—_—.—_.— ;. H• I •• Kind From To , • ... •

R 6W 171b 0 51ft None — 1

I » E:zizzizzzj : I• I T*~~l ! I Static water level 19- ft.* I• i j Pumping water level 3-S ft.* . . «__«,«,«. . IB J . . . ^ at ..-2©. .gallons per minute. flH ! j • measured minutes after pumping.____ _ _ _ _ _ . _ _ _ _ — ^ . _ _ _ _ — _ _ _ _ _ B• .;, ! I ! began.. „ ZZZ ; - ' I• r T " ! *Measured from ground level. ___4____ __. .___________«._ ,_ . IB ] j Well developed by .Bo-i-1-er— - j — - : mB ....„.].... j for 2 hours. _„._ „___.__. •B j ! Power...ELec .. Pumpl/.2 HP \"m •I] *l J Remarks: (Gravel packing, cementing, ____.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ •

• (Lot 9 5 Ibhe if. 7ji/2'r»ck»ri, typeof shutoff) ZZ IZZZ IB cw of,.-ii,Qf. 10 Block 2!) BB T UQ N R....T . _ • •I ; * » I• INDICATE LOCATION OF WELL AND PLACE OF USE, IF POSSIBLE. •

I EACH SAAALL SQUARE REPRESENTS 40 ACRES. I

I filler-. Signature ^...^^S^. S^^^f.. 1

I DrlHer's Address . . . . . ^ ^ . ^ ± 7 , .^^T^Tr.. '"""• » "~' ^ II ucENSE NO-..JL:S! _ Show exact depth of beW.rmV I

[_________ I

I STATE OF MONTAMA i •I OOUKn OF J^WIS A CLARK } ^ •I i twraby certify that «»• «rtthtn *n- fl

• A.D, 19.7i/ " •••jaML-ijnin. pun IB

H E GW2 '•. Appr<"«f Stock Fonn—Stole PntBjpiBI C6_ Hdea*. Mo«w»»—«5W2 ^ j g ^ s I

m P Q c N o . 1 " ^ ^ ,... • - , . ^ - < :) T J..LtLR~.S.LU vn_ I

B DUPLICATE S E C E ^ f S P (Wy-_ U»*» «rJP.l** 4>- ; I• L 0 Q . _, STATE OP MONTANA I• " ADMINISTRATOR OF OROPNDWATER CODS 1R I J Top of Qrotmd " OFFICE OP STATE ENttLhiSJSK 1

I o <&<*-aboTO «* levd~ »—X-JNoticeuof-Completion of Groundwater II ~~ Appropriation by Means of Well I• - DEVELOPED AFTER JANUARY 1, 1962 I

H — (Under Chapter 237, MonKna Session Laws, 1961) I

• _ OvneT...*9^*J!**«*~ ..Address.*litWI#._lllM*il!. .^* I

I - DriUer AJ.P...IrfL«A.__ -^ddrcss-.?^*??------ _ _ _ . I

H Date of Notice of appropriation of ground-water. . .„.„__._. •

V _ Date well stapted.3fe9ts~~tt. . .Date'completedSffitJ^Ui^fc I

I — Type of well.J&JEilil<i&. Bqtupmerit useddS&lilLJtaliL —_1 I• (Dug, driven, tored or drilled) (Gharn drill, rotary OT other) V• "Water tise: Domestic C Municipal D Stock • Irrigation Q •B - Industrial • Drainage Q Other Q 1H Indicate on the diagram the character and thickness cf the different strata SH if met -with in drilling, snch as soil, clay, shale, gravel, rock or sand, etc Show •• * |— •—- depth a t which -water i s encountered, thickness and character of water-bearing •• 'y Sand strata and height to which the water rises in the welL M^ H - . — • m , • . ' , • • . • • " - • • • • ' • • ' S

I ftMkVMY «•»•»" «M^>~ SwS ~ To lOTKBUTIffim •• !-•• ,. . Sole • » & « ' KM'' • , """""£«; j 15 :• •

I _ 17 V* ° * 3 •••**••• I

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

• . — j I Shut-in Pressure for Plowing WdlXfft~.~~~'.. I

• r !l' ' i I PumpJng Water Jjcvel..:lO'"-— •• **«et

• i w ; | E a:u3JCL.~..t—..—.gal. per minute.B _ j i Discharge In gal. per min. of flawing wellH • ; _.„ j ..^ » J — . . . . .....J|^..................

I P j I HowTcstcd-ljaUa^ ••-• • • • " )I P I ! J • Length of Tcst.fc.JfcL....... |

I h~ 1*£ASl>f?& STitfc AZflBs isTig" S^^as^k'- (Gravel packing, cementing, pack-

I (•" P«n«t.J(|.....Sec.a....T...lfllR.A... «".«n"°£rfmto!f)., - . . .- . . . . . . . . . . . . . :I — Indicate location of well and ..."• place of two, if possible. Each• — small square represents 40 " " " '"*" ""' "'"" <• . acres. ,.., „

I ~ ; JSa,....lL.:........M l l . . _ . .I ! - - — ...(Continue on reverse side)I ~~ ' USB—If used for irrigation, industrial, drainage or other. Explain, »tateI --. : number of acres and location or other data (i.e.: Lot, Block and Addi-• : ___'T" : t i o n ) . • .-, • -• . •• .. /

I & «attr • - • •-" -•-.. 1I LaMMi Show exact depth of bottom •""'

I 'jriiSa form to be prepared by driller, and three c»ple» to be filed by the owner with the ...i««. ~H County Oerk and Recorder in the county in whkh the well in loented, tissue cojvy *o be Drillers IJcenne NumberI retained by driller. _ ^ .

I l'lea»« answer all questions. If not applicable, so «at«, otherwise the form will be C*£x....^pK..L..kX.x£'!G<tC(E5mK.I returned. Driller's Signature.

I / r - ^ A «T

L J

H • • • • • • • • • • • • , » • •••••-• ^•••™v?*^,--^'*-v'>?^'^^<^~'"^

I • 1 e- zejtfpr- - • •""• " """••": ;:•••;;.-..• v . - ; ; ; P g 1

I ' S T A T E O f M O N T A N A | „ , . . . . ' • . • • ."•.":% • • . - ' •;• ' , , . ^ ^ •/..:. •• -OUNTY OF LEW5S * CURK { « l • i fl

K ' '' • '' t mi»*t>y certify that the wRWn In- , ' , '•'. . - & " \ '' •'•• ' ' /;V:'';;.'-'Vr.. " IH . ' : /*•• «Twmtntj*M fited In tmLCffto On \ " • ' . • • ft,,-'-;.'-;;::;'y H• I • : ••/&''. •!« <37T riav n» *ffdUS^ • • • . • • • . . , . . ; • ^ ' ^ v W , •I I • . ' f : -i l^^^-st-Jli^eCjWoOW* . • . ' • ' • ' "'• •'"'.'•'*'":•':•" •I I '•., ' . ^ I _ x i ' c t o c K « % _ M . : . •'.. • ' •• ' '. ; 7 ; '•• .... fl

I •::,.- ... •.•• • . ; •-• . .jfLCZ. ' ^ ; -^ ;.::-: , . ; £ § ; • •

M • ' • X ' . ' 'JV . . . " • . . ' . . C ^ • J l - ' ^ . j ! '••.' .*:^ • ..' .- '•:: .--•'•: , - f ' ;V ' . I f l

I . . . ' . • ' • i i , ! ' l T ' " " * " * ' • < ' • • ' . . • • ' ' ' • • " . ' • •' • ' ' ' ' ' . ' ' ' - ^ |

I File No ,.,.;-.;,. . r : r ,-..-,,-...-,, ^ . p T Z.I::..1..R. ..^ii^i : I^ B • .""••• f t - .•-*. ---• • t * p*> S**-. . •

• DUPLICATE ' .. •. <•; t S» :»rf. :,; I \? fek £*> • County™JLesii.fiu£iatk_ I

• TAG - -q^csq STATE OP MOHTAHA. ^ I• '" " ADMINISTRATOR OP GROUNBWATEB OGDE f) •• p — | T o p rf G r o u n d - - - . — • STATE WATEE OOHSERVATIOy BOABP J I

I " (tto «h«w i rf ) Notice of Completion of Groundwater IH ~~ . Appropriation by Means of Well II ~ HI t»S«?t . DEVELOPED ATTBE JAWTARY 1, 1962 •H *»p»w* (Under Chapter 237 Montana Session Laws, 1961, as amended) I

• Owner-life^ <t#tfcy - - • Mdr«^4jtt-*m»tt*tf •««•--- I• 5 Ft. t« IB Ft. , . , Btlffl*, ft*at*m IB ~ e — o Driller-.. JUtafcaj -Addres8...4iliw r.-*ftteU**- 1W ww* w •

H ; Date of Nbtice of uppropriation of gronndwater _ B

H D'rte weU started.Oftt*...?Bl.l^S. _Dat© completed-S!fJt.«_23t.JS!W.- _ M

• - - i B f J 4 . r, - ' Type of -welL—J Jteil l«d Equipment used ^tiktt».UbeUl •• * ° *** * • "*» r i * • (Dug, driren, bored or drffled) IChntn drill, tofauy or other) •H Cl*y WMl Qrt f e l Water use: Domestic 5^ Municipal D Stock Q Irrigation Jg •H — Industrial £3 Drainage D Other Q •Hi ' ' ' - ' ' '' ' ' ' H• J -—- Indicate on the diagram tne character and thickness of the different strata •H met \rith in drilling, stich a« »oi], clay, shakt gravel, rock or sand, etc. Show •D — 86 f t . t o 15 Fi» deptibi at trhich water is enfsr«ntered, thickness and cha»"acter <>! •water-bearing •mm : S l l l ted SftSd 'strata and height^o whicli the water rises in the well. S• : •• . 4ft f t . tO 81 f t . She I OP«CO <F«cO •

I 2. «ti*W*f«4. tf» l*i» O f t * I

| 1B w Static Water Level for non-flowing we31 fljI - 5 I " I ...a- -...feet 1H — j ^ _ J Shut-fc: Pre*wire for Flowing Well dB — '. '; Pumping Water Level .gfci feet IH ^ . w j •' - K at....j^. .„„. gal. per tnbut«. IH __ 1 • Discharge in gal. per mis. of ttowing well •

H _ ! 1 How T«*t«d"»'>|rtltw"* II ' • ' _ ' • ' 1 " Length of T««t«...».ttri •B " Remarks: (Gravel packing, eetftettting, pack- fl

• __ ^^^^/V^rtSj^J^fcT^B,^ _ _._.._......_......,._ I• place of UM, if poiisible. Bach Mi• small square rcprcnentB 40 " ~" " —....«"... »..».. v• -— , acreii i ...'. '..'• S

H to. „ ,_ .„„„.. ^ .. „...,...(CoTitinuc on reverse side) Q9 U B S - I f used for irrigation, industrial, drainage or other1. Explain, state flB — number of Acres and location or other data ( i t . •. Lot, Block and Addi- H• tion). •

• — --"lRllipkt»-'4iM-Mi«fMiM» - — ~ . IH . . „...„.„... „ » „.. ,„ .,...„.. .......... fl• \ 1 Bbow exact depth <if bottom. M

I "' ' jj~~'~ " I• ThU f«tm to b« prepwed by driller, and thrw cople* to be filed by the ow»er with the „............„„.., . «• County d«rk and Kecorder In th* county to which the weU ia located, (J.tue copy to bi DnUer 8 License Number B

| —.*«» 6o^Av fiJsu, I• pi»4«. ttimwer tU quwtlons. If not atiplkable, to «teU, otherwiae th« form will be — —••/' —••** ——~Z- •• i-etmtied. Driller's Signaitare, ^ •

*— I

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I • • c f £ ^ J " ' : ; : ' * v - : •' • •••-=£•••••• ^ * | 3 ^ : . - ' s £ i

I ' :' • ,'•. • • J W ! P * I ' l ^ 3 :-- : ' • .* . " •••'• •'••••••.:• '^•^•: • : : ^ : . \ ' . ^ W . / W :

I ' ' S I W E C h c M O N 1 A N A • ! „ • ' ' ' • ' • • " • • • • : . • • • . : . , • • • • • ; • • • • :;; . . ; ' • ' : . • • . . V - ; : ' ' ' 'I : O O K T Y O F ^ S W t S & C U k R K J « ? » ^ , _ ^ _ • ; • • • • ; ; v : ... ' , : ; , o ; : .;.

B • t « « r i ^ y » - t r » * f - . . S t a t . t J v ; i * l i M n , l r > - ' • . . ' • • ' , \ ' ' . ' • . ' ' . ' .,' . • • • • • , . ' • • ' ' • 0 ? ;: - - v .'•'••:.: •!

• . . • 0 ^ . * H r _ 1 r t j j 6 J J Z - i i ' « « n . . » * r t c . ' ' . ; : r . T : ••;'• . . • • ; ; . -••• • | 1 ; - s •' i •.• • • < - -• • . A / f - y - - ' . . • . , . ; .

I i . . . - ^ . . . ^ W l ^ M , . • ^ / \ ; '••:•, 7 ' 5 ;;;:• ?: ' . ; „ . ' I ^ ' I i ^ : . „ . ' , •;*•'••• ,' • . . : X * ' ; ; . ! - \ ; ; i1 ; : , "'

I •• O 0 l * r t * ? / ? ? . " J f * r * " « 1 ^ t 3 \ k « •• « , • J 1 : • • • ! „ -^ ' * ; S - ' ' ' S ' E ! ' v ' ?'• i*•*'•••'•• • • • • ^ ^ ; H - - - - : \ ^ ; i > s v - a

I . • » frvir-5^^ari^WWi^c~~" ; • . ' ! ; . . • • ' • > : ' • ••-•• - , , , : ^ . % ; S ' ^ : " - . . , . . . . . ; ;: . - . , : . ; , . ^ v . • • ; ' ^ . • . . ; ' ; ! : : : : : : ^ ' J j

I • \ J L $ 2 & l ' ; - 4 t J . ; ; : - ' ;:: •-•.••• '•"; • ^ ; i £ : I f ' I f f I i ; 1 ^ : : ' : ; ^ - S S S S I I

• , .... .-,! .;•;;_ ;^v. [ y ^ . v " i "" !• i , • • • ^" , • ; ; £ . ' - * 4 - j 4 • • • ; . ? , " £ -^:-'.^ • X 1 - ^ ? , 1 ' . : : . ' . - • • \'-?•',-'••'•''••]\:';'/" ••**.• S

B • • ! - : S ? • • - • ! • • - • • , ' • • ! ; £ • . • * ' . • * ; • ' ., . • * ; : - • ' ^ ^ " ^ i ' " ' ;! • , " - . « 1 ^ , ' • '. • " • ' . • • • • - ! . ; : • • > ' . ; • : ; ; . - . ' T B I

H . K . . . - . A 4 _ ' , " • > r * ' . y ' ; " - j i * w i V , . ft: ( f j l i . " . , • • • • ^ - . ; ^ \ i y" , - ,; • - . ' t i f t . " • • • • • • • • •• '•• •• . ' : J 9

B ' • , - . ' . ' " , , . 1 ' * - . ? « " i . - , . " . , t ' £ \ . j l s j "1 . , ) ( ' • ' • • ' v ' - • ' " W '*

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H GV Approved S:ock Fc-rra—Siate PuWi>;i!-p Co., H t lm . KomajK—4G87G n^^^i '?•, •

I File No _ T lCj}L =3.H '' I• DUP.TJCATE County.... :J.t !^L •I STATE OF MONTANA I• ADMINISTRATOR OF GROUND WATER CODE I• OFFICE OF STATE ENGINEER ' , ; ! I

I u '*-' JAN r( 1SK54 '' II Df "laration of Vested Groundwater Rights' fl• (Under Chapter 237, Montana Session Laws, 1963) S ! A I L t IV \3 h'! .;' ! I

I i j^W^^2^^£&^bb^. , oL^^.A^.^^.^M^^^Zy±. I• (NameAR^ppromatorV-T^ (Addresfi j ^ (town) I• County nf ffi&^Cff**' Y <J3k*^Q. gt«te ot.^^Z^^^^tr^.. I• have appropriated grotradwater aeerm'.uip to the Montana laws in effec*. prior to January 1, 1962, as follows: •I , . " . . . . £ IA • ; ! i l l 2. The beneficial us(!«on which thf/claim is basedLJ!!?r.f?**?."*5 I

I ZLUZZJZuZ " --°^~-^^- ----- — - I• i i '. ! ! ! 3- Da' (e o r approximate date of earliest beneficial use; and how con- IH i ; ! i 1 -—i tinapias the pse has bixn^^^k!sc!&e^..£^^JL.'l.^,^ •• : ; i j i ! ...L*&=3£A22±<2«^ „._ I• w ' ; *——; ; ; E DI 1 i ! i i ! i- The amotmt of groundwater dainftd (in miner's inches or gallons I

I —S—I—i i—i—i— p e r k m e ) ^ ^ ^ ^ I

B 1 1 I . ! I '< ' ! 1 5. If used for irrigatim gi\c the acreage and description, of the lands I• s towhica water has been appliedfand name of the owner, thereof •

I M*b0l*!fbeJL.. rF/£:4tR3j& JB^^^^^^dx^^laJ^J^^^.^^.. „..:'!. 1• Indicate point of uippropriation ~jx~r^ia&ci-&~ . -. *^- sn /**?-£^wprJR«.:i.".. _. ... . .„„ „ <•• and place of ns«. if possible. „ _ * . . . . . ^ . III Bach small nquere repren^nte 10 6 T^c means of withdrawing snch water from the ground and the •• acres. looyjonjofe eachygU or o*hti- jpanf of wUhdrawal^..^^^ „..„ I

I Btn£^S£JS^r^^^^^ III 7 The date of commencement and completion of the cojnstrnction of the well wfiU, or other works for with- •H drawal of groundwater ^S^&i^^.^..J.f/..<S.X .„ fl

I "~ "jjjTZ^^ 1I 8. The depth of water table. -M- !Z~Z.~~ - — - HI. . . . / ~...i. £ ~.££?«f' IH 9. So far as it may be available, the type< B'ze JMJid d«jj^of eajh weU n» »ie general np«cificatJ^nii of any other m• worb for the withdrawal of gMundwater.^^*^^!^fL.i!!^«.^^^r/sL . . ^ ^ j s f ^ ^ & r ^ " . ......^.. I

I S • / S> J*" II 10. The erttiwited atnonnt of irrrondwatcr withdrawn eanh y^r..^^^/^,^^J^^^4t^^..,/^r:^^^ H

• It. The log of f rmatiotM encountered in the drilling; of each well if available ..^ . ™ „.....„,.,,,v.« I

I —' - - — ~ — — pptiS^-A^c^^^x^^ I

I 12. Such other inforaation of a sitdlar b.tture is may b« useful \n carrying out the policy of this ant, including I• reference to book and page of any CO«J 'y vecord .„..„ „... •

I -— - "-— •^S^£i^i^^^^.Q^M<ft^>t.»y^\ •I jy/yf*^ 1• Signtturc of Owner .„»„... ^Z^^^.i-Vrf^^CrT fl

I x^&zzL&3.» „. IH Three copieii to be ifilf<J by the owner with the County Clerk and Recorder of the county ia uliich the wit n fl

I located. •

3 Plwwe an*wer all qnestionn. If not applicable, HO Rtut«, <"/therwi«;n the form will be returned. H

I OrfcLat t« 1h flonnly rif>rk and Recorder? dnpliratit 1o vhc 8»ntf iuiciricer: Triplicale to the MonBumft Uurcati HI of Mines and Geolojry, and (Quadruplicate for the Amiropriator. - L M