| OCR Text |
Show .-h „- -. Form 103 5-53 2M Application No..<£:. Application to Appropriate Water for Miscellaneous Purposes STATE OF UTAH Bo not fill out this blank until you have read carefully and thoroughly understand the Rules and Regulations on the back hereof and all notes in the body of it, as well as the rules and regulations in pamphlet form promulgated by the State Engineer. This blank not to be used if the main purpose is for Irrigation, Power, Mining, Stock"Watering or Domestic Purposes. For the purpose of acquiring the right to use a portion of the unappropriated water of the State of Utah, for.Jli-§£.zl\Mk?.9.U£. purposes, application is hereby made to the state engineer, based upon the following showing of facts, submitted in accordance with the requirements of the Laws of Utah. Note.--The information given in the following blanks ahould be free from explanatory matter, but when necessary & complete supplementary statement should be made on the following page under the heading "Explanatory." 1. The name of the applicant is JJJ__to..Jl[ifttftj:..mdJEfiKei:._30j^ ._, 2. The post office address of the applicant is.. i . L i . S t i r £ e J ? j^ and 3. The quantity of water to be appropriated is.....».~vQ- ,- . second-feet-&r.3.9&QQ acre-feet liiTiited^to max, r a t e of olv. of 50 S.F. f o r both (see note on page .) o~~ ^v-i 4. ft#W« *mWh year from...A*™*W.A to SSS3&SL.SX incl, ^ (Month) (Day) (Month) (Day) and stored each year (if stored) from MY.„&be.i:..l to ....J\m&...lQ incl., Of the following year (Month) (Day) (Month) (Day) 5. The drainage area to which the direct source of suppy belongs is Y._:_!__HL._^Y._..l (Leave blank) 6. The direct source of supply isf 9.KJ^^.^-...9.^^. _ (Name of stream or other source) which is tributary .o.-...Y.4__gin„.River > tributary to Cfili_xado..iU.¥fir. tNote.-Where, water is to be diverted from a well, a tunnel, or drain, the source should be designated as "Underground Water" in the first space and the remaining spaces should be left blank. If the source is a stream, a spring, a spring area, or a drain, so indicate in the first space, giving its name, if named, and in the remaining spaces, designate the stream channels to which it is tributary, even though the water may sink, evaporate, or be diverted before reaching said channels. If water from a spring flows in a natural surface channel before being diverted, the direct source should be designated as a stream and not a spring. (See note on page 4.) 7 The point of diversion from stream, 4 ^ y p q r a ^ ) _ r a ^ f!*"-1k- wor«1i not need*.) **--- w in .tan county, XftggfrflKJTt^rofflt* _^...k£.-^..:...-_M X.J3..s.j..&.l&.&i..§£MM * Note. -The point of diversion must be located definitely by course and distance or by giving the distances north or south, and east or west with reference to a United States land survey corner or United States mineral monument, if within a distance of six miles of either, or if at a greater distance, to some prominent and permanent natural object. (Also see note on page 4.) No Application will be received in which the point of diversion is not described definitely. Any change made in this description after Application is received and before approved will bring down the priority of Application to the date when the amendment is made of record in the state engineer's office. 8. The diverting and carrying works will consist of roU,<^..earth^.^J^QK^t ^^...^^...JM^a.. ____?.P.-.._-j.._t.^^ 9. The cross section of the diverting channel will be | | \ / O (Strike ones not _<"«»_.d) 10. The diverting works and diverting channel will be constructed of earth, wood, iron, concrete. (Strike words not ne_d«_; 11. The length of the diverting channel, exclusive of laterals, will be ._.?.§.x9.QQ~ feet 12. The top width of the diverting channel will be (if a ditch) _f_-__*___._i___ feet 13. The bottom width of the diverting channel will be (if a ditch) 2..*H&..2& feet 14. The depth of water in the diverting channel will be (if a ditch) .!....._:_!..__. feet 15. The width of the diverting channel will be (if a flume) l...t.9...ZS>. feet 16. The depth of water in the diverting channel will be (if a flume) !_L__5?._,5 feet 17. The diameter of the diverting channel will be (if a pipe) i§____3L._£ inches 18. The grade of the diverting channel will be i..1iS-._?.Q__ ...feet per thousand 19. The purposes for which the water is to be used are ..i^XX%^.iWj...$m&&$A&4..2Qyi$K. i n d u ^ r i ^ This will consume.....5.9. second^fl/ujtne water and.. Kft. . second-feet will he returned to the natural streant"or source at a point described as follows: (See note under No. 7) ... |
