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Get PROPOSAL FORM FOR PURCHASE OF LAND Page One

Of well construction/ services: Proposed construction/ services start date: Anticipated date when discharge will begin: Estimated length of discharge: Hours Days List streams or waterways that may be affected by discharge: Distance to nearest waterway or conveyance: Feet Amount of discharge anticipated: GPM GPD or Total Volume of Well Location Information: County: GPS Location: Latitude: PLS: Section gallons for project Longitude: Section in UTM coordinates Township: Range: E.

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