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JUN 18 in <br />i E�Aev.) STATE OF COLORADO, <br />g -g7 DIVISION OF WATER RESOURCES i <br />. �ll�N S <br />• Ind.,c Na OFFICE OF THE' STATE ENGINEER <br />WA <br />IM -1_''" ✓ GROUND WATER SECTION IM ,SM <br />Ua* � <br />br+d LOG AND HISTORY OF WELL ME ENAM <br />I CFO* Trod PERMIT NO. 3597-�F . <br />Lic. <br />Drilled by Repp is Inc. _ _ -- - No. -� jo - .� r' WELL LOCATION" 2 <br />vbwner De]bez'b HBZ Weld Cbunty r� <br />d Address 7T.5 .. 27th Ave„ Greeleyj, Gold: '_4 of 4 of Sect. +" <br />Tenant <br />'Used for IxTigation & livestock <br />on or by 5 A. of M*. of SSa Sec. 35, T6, R66 <br />(description of site or land) <br />Date Started Tioag 2j 19 62 <br />Date Completed *7 25, 19 162 - <br />Date Tested same 19 <br />%/Yield 50 gpm efs <br />Pump type centrifugal Outlet Size A_11 <br />" <br />Driven by eleo motor 3 2 HP Q& RPM 4 • <br />Depth to Water ) _Ft. Draw down 18 "Ft. <br />Depth to Inlet Ft.; Bowl Ft. <br />Size and Kind of Casing: <br />From_0__t0 2 Type 8n a v wt. b,3 <br />From Type wt. <br />From to Type Wt, <br />Perforations: Size and Type <br />From 9 to 18 Type std. Size1f16" <br />From to Type Size <br />From to Type Size <br />Well description: Total Depth _ - -_ -I8 f Ft. <br />(from p to 18 , $ in. <br />Hale (from to In. <br />Diam.( <br />(from to in. <br />Twp. 6N , Rge. 6(9 FPM <br />LOCATE WELL ACCURATELY <br />IN THE SMALL SQUARES REP - <br />PRESENTING 40 ACRES <br />N <br />I <br />I <br />� <br />� <br />I <br />l <br />1 <br />I <br />Ix <br />I <br />I <br />I <br />I <br />O � <br />S <br />If the above is not applicable <br />fill in: <br />Town or Subdivision <br />Street dress or Lot & Block <br />Ground elevation <br />(if mown) <br />How Drilled: <br />REMARKS <br />Cementing, Packing, Type of <br />Shut -off, Depth to Shut -off, etc. <br />PUT LOG OF WELL ON RE- <br />VERSE SIDE <br />