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Question 12. S tate, if you know, th e norm al num ber of cubic feet per second flowing in th e source a t you r point of diversion. A n sw er: T h l 8 w « X l f l o w e d 2 3 6 0 s a l f t ^ p e r m i a . { 5 * 2 & c * X ^ s ^ ) w h e n i ,i r s t L - seeuis to be in creasing. Question 13. Upon how m any acres have you beneficially used w ater? drilled ^ h e ' f o l l o w i n g : A n s w e r :.............................................................................. Question 14. Give th e number of acres in each legal subdivision. .acres in th e ............... n f S e c . T. , R. .......... E . acres in th e ............... o f S e c . T........... , R E . acres in th e ............... ....................o f Sec........... T. , R E . acres in th e............... o f S e c . T ........... , R. E . acres in th e ............... n f S e c . T. , R E acres in th e _______ __________o f Sec______ T. ; R E. a te only th e land upon w h ich w a te r h as been actu ally used.) Question 15. H ave you installed a headgate and w eir a t your point of diversion, as required by the term s of youi* p erm it? Give approxim ate dimensions of headgate. A n sw er: ....................................................................................."......... ..................... .. Question 16. Do you use th e rotation system fo r irrig atin g ? A n s w e r :....................................................................................................................... Question 17. W h at is th e ch a ra cte r of th e soil irrigated ? A n s w e r :..... ........................ ...................... ....................................1......................... I F W A T E R IS U SED FO R STO CK -W A TERIN G OR DOMESTIC PU R PO SES A N SW E R T H E FO LLOW IN G Question 18. Give detailed description of works of diversion and m anner by which w ater is stored fo r beneficial use, em bracing approxim ate dimensions of dam a t source, size and length of pipe, and size and number of tanks or troughs. If troughs are not used sta te exactly how w ater is stored fo r beneficial use. A nsw er: .— ........... ...................... I............................................ Question 19. Give approxim ate number and kind of animals watered. A n sw er: ..................................................... ................................................................................................................................................ I F W A T E R IS U SED FO R P O W E R OR MINING AND M ILLIN G PU R PO SES A N SW E R T H E FO LLO W IN G : Question 20. W h at are th e dimensions of th e diversion headgate and carryin g capacity of th e conduit in cubic feet p er second? Is w ater diverted b y ditch, pipe or flume? A n sw er: Question 21. W h at are th e dimensions of th e cross-section of th e pipe, flume, ditch or other conduit a t each change in cross-section, and the length of each portion of th e sam e size? A n sw er: .......... __________________ MjHHHR.......I .... ............................... I_____ _________ Question 22. W h at is th e average grade or difference in elevation between th e term ini of th e conduit ? Give th e grades of th e different sections of conduit as shown above. A n s w e r :................................................................................................................................ ........................................................ ............... Question 23. Give any inform ation concerning diversion and use of w ater fo r power or mining not covered above. A n sw er: .........................................................................................................................M l ............... M...... .................... R em ark s: I F W A T E R IS U SED FO R A N Y P U R P O S E NOT H E R E T O FO R E N AM ED D E S C R IB E F U L L Y U N D ER R EM A R K S : (Give all information relative to the method of use of water and any other matters you deem important.) The m ap m ade in substantiation of th e claims herein, prepared under m y instructions and authority, shows th e actual conditions on th e prem ises. Signed: I hereby certify th a t th e foregoing testim ony w as read to th e above subscriber before its signing, and I believe him to be th e person he represents him self to be, and th a t said testim ony w as subscribed and sworn to before me a t m y office in........................................................ , County of....................................................... , S tate of. , on this day of. , A . D. 192.....