upr000286 227

Under P erm it ........... PR O O F O F A PPLIC A TIO N O F W A T E R TO B E N E F IC IA L U S & . IP i ^ W M i v m DEPO SITIO N O F P E R M IT T E E IL , <S> I f Note Questions 1 to 12, inclusive, must be answered regardless of the purpose for which your permi^t^or water has,-beea granted. If this proof is made for irrigation purposes, a cultural map showing actual boundaries of land irrigated? fidgethir with classes of culture, etc., must accompany same, unless such map has already been filed. (See Sec. 69, Chapter 140,'Stmlftes 1913.) Question 1. W h at is your nam e, occupation, and posj-office address?# A n s w e r & • » M $ » . Question 2. A re you actin g in behalf of a corporation? I f so, sta te its nam e, place of business, and your au th ority fo r actin g in its behalf. ^ A n s w e r :? ? ? ? ........... i W p i p f y t*» l i S T S d e , j y g g g Question 3. W h at is th e num ber of th e perm it under which this proof is m ade? A n s w e i T ? ? ? ? ........ Question 4. F ro m w hat source do you obtain you r w ater supply ? Answer-: I — 1 8 » i a . Question 5. W h at is th e nam e of th e canal, conduit, or other works by which w ater is conducted to its place of use ? A n sw er: * * * * * * * * * * ! * • » . . Question 6. A re you th e person to whom th e p erm it was issued ? I f not, sta te how you obtained it, giving th e succession of title. ................. . . . . . .................... ' ........................... .................. . . ............. (I f assignments of title are not on file in the office of the State Engineer, "the certificate will issue to the original applicant.) Question 7. F o r w hat purpose are you using th e w ater fo r which you are now m aking proof? Question 8. How m any cubic feet p er second of w ater, or fraction thereof, have you actually diverted and beneficially used fo r th e purpose fo r which th is proof is m ade ? (Actual measurement of water shall be given. 40 miners’ inches equals 1 cubic foot per second. 1 miners’ inch equals 11.21 gallons per minute. 448.83 gallons,per minute equals 1 cubic foot per second.) A nsw er: W * * * * $ * » * » ) Question 9. S ta te th e period during the*year when w ater has been beneficially used. A nsw er- W om m sSSm t 3 1 , f m r . Question 10. Do you divert and use m ore w ater a t periods than granted in th e perm it fo r which proof is made ? I f so, m ake proper explanation. A nsw er: ...._____ ___ .............................. ____ ......................................... .......... Question 11. Give date when w ater m easurem ents were taken, th e point a t which such m easurem ents were taken and the nam e and address’of persons who made the m easurem ents SfV* % t Sgii if A* U * ' M 0®. M St., Las 0 n e I M * Siting fe e m u s t accompany affidavit A n sw er: