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2015-01-16_PERMIT FILE - M2015001
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2015-01-16_PERMIT FILE - M2015001
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Last modified
8/24/2016 5:56:40 PM
Creation date
1/20/2015 8:58:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2015001
IBM Index Class Name
Permit File
Doc Date
1/16/2015
Doc Name
New 112c Application- Pt.1- Cover Letter, Appl. thru Ex. P.
From
Crossfire Aggregate Services, LLC
To
DRMS
Email Name
GRM
RCO
Media Type
D
Archive
No
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•, J f tiC. ,' . . , °`"' •' $♦ rs ' . yri Jt'' J <br /> is STATE OF CO U1 ADO X <br /> k 7' DIVISION OF WATER RESOURCES OCT 3 11961 <br /> ::. �3-57 <br /> ' u No. - -.-. I OFFICE OF THE STATE ENGINEER Q WATER SECT. <br /> i,, _ ✓ GROUND WATER SECTION Sapp <br /> ��'�' ' -e 3 LOG AND HISTOR 'OF WELL <br /> Registered� �..��1 PERMIT NO. '7'l, <br /> Cards Typed - <br /> /rj ,J/ Lie.. <br /> Drilled by �1.,�•, �` No. �� WELL LOCATION .54/ . <br /> f /Owner 1%4.�us2 �_ ( (P. • County <br /> Address IS (0-1,,,,L,„.e (° 4/.11 i of .S E s of Sect. 31 <br /> Tenant Twp. ,,?3,,,ice, Rge. I 014440/I <br /> Used for 1 y _ LOCATE WELL ACCURATELY <br /> IN THE SMALL SQUARES REP- <br /> on or by f/*' �i I 3�.- p.i5�/, Qlifs. -RESENTING 40 ACRES <br /> (desc ption f site or land) •Y .P _ N ' <br /> Date Started lr,2 , 19f1 Y" <br /> L.- fff 1 <br /> Date Completed I / 191 1 e 1 I <br /> • `` I <br /> •Date Tested / / , 19 0 0 - --T "u- I -/ i 1 <br /> Yield gpm efs W 1 E <br /> s <br /> Pump type Outlet Size `. _- 1 XI <br /> i 1 <br /> Driven by A . .. HP @ RPM - <br /> Depth to Water 2.. Ft. Draw down Ft. j 1 <br /> .2 <br /> Depth to Inlet __12- Ft.; Bowl 7 Ft. S <br /> Size and Kind of Casing: If the above is not applicable <br /> fill in: <br /> From 4 to / 'ype <br /> -74.-- <br /> -Wt. ot.0 mm <br /> From toT Type Wt. Town or Subdivision <br /> From to Type Wt. Street Address or t & Block <br /> Perforations: Size and Type <br /> From to Type Size Ground elevation <br /> (if known) <br /> From to _Type Size How Drilled: <br /> From to Type Size <br /> Well description: Total Depth 3.5 Ft. <br /> REMARKS <br /> (from O to c? 5 , 6-4...,,in. <br /> Hole ( Cementing, Packing, Type of <br /> (from to , in. Shut-off, Depth to Shut-off, etc. <br /> Diam.( PUT LOG OF WELL ON RE- <br /> -- ' (from to , in. VERSE SIDE <br /> TO BE MADE OUT IN QUADRUPLICATE: Original Blue and Duplicate Green to <br /> State Engineer's Office, White copy to Owner, and Yellow copy to Driller <br />
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