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X if X if Pg x it x it x it re.qu i cement I NH <br /> not in RWD # more info cmnts waived (Class <br /> RWO sufficient needed attch d III only) <br /> 2. Name and address of owner of each well indicated in #1 <br /> 3. well information, where available, for each water well in V. <br /> Should include but not be limited to: <br /> a. total depth of well <br /> b: diameter of casing at ground surface and total depth <br /> c. type of well construction (cable-tool, rotary, etc.) <br /> d. depth and type of perforations <br /> e. name and address of well driller <br /> f. year of well construction <br /> g. use of well (ag, domestic, stock watering, etc.) <br /> h. depth and type of seals <br /> i. lithologic, geophysical, and other types of well In,I <br /> j. water levels, pump tests, water quality, and other oell <br /> data <br /> 4. Current land use within I mile of the perimeter of the <br /> including: <br /> a. types of land use <br /> b. types of crops <br /> c. types of livestock <br /> d. number and location of dwelling units <br /> 5. Current and estimated future use of ground water within <br /> one mile of the perimeter of the WMU <br /> i <br />