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				|  | Application: S 84669 |  
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					|  |  | Staff Person Responsible: no caseworker currently assigned |  
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					|  |  | Received: 3/1/2001 |  
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					|  |  | Signature: 10/17/2002 |  
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 | CBU Received | 7/24/2003 |  | DUANE W KIRBY |  | Completion Date [C Date] | 10/1/2006 |  |  |  | Certificate Issued | 2/6/2015 |  | BRIAN CREUTZBURG | 
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					|  |  | Staff Person Responsible: no caseworker currently assigned |  
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					|  |  | Signature: 2/6/2015 |  
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					|  |  | Type: Original |  
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				|  | Related Documents |  
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				|  | Status: Non-Cancelled |  
			
				|  | County: Douglas |  
			
				|  | Basin: Umpqua |  
			
				|  | File Folder Location: Salem |  
			
				|  | Contract: WD 204 |  | 
                 
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					|  |  | Description |  
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						|  |  |  | T-R-S-QQ: 28.00S-7.00W-34-NW NW; DLC: 52 |  
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						|  |  |  | | Location Description: 620 FEET SOUTH AND 725 FEET EAST FROM NW CORNER, SECTION 34 |  | 
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					|  |  | POD Rate |  
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 | 3/1/2001 |  |  | 106.0 | 0.0(est) |  | 1/80 | 2.50000 | 3/1 | 10/31 |  | 
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					|  |  | Description |  
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						|  |  |  | Name: BEN IRVING RESERVOIR |  
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						|  |  |  | T-R-S-QQ: 29.00S-7.00W-20-SE NW |  
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						|  |  |  | | Location Description: 944 FEET NORTH AND 266 FEET W FROM C1/4 SEC 20 |  | 
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					|  |  | POD Rate |  
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 | 3/1/2001 |  |  | 106.0 | 106.0(est) |  | 1/80 | 2.50000 | 3/1 | 10/31 |  | 
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