2010-08-20_PERMIT FILE - C2009087 (4)

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FORM NO. GWS-31 0412005 WELL CONSTRUCTION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1313 Sherman St_, Room 818, Denver, CO 80203 Phone — Info (303) 866 -3587 Main (303) 866 -3581 Fax 303 866 -3589 http://www.water.state.Go.us For Office Use Only 1. WELL PERMIT NUMBER: 277247 2. WELL OWNER INFORMATION NAME OF WELL OWNER: Colorado Coal Resources LLC MAILING ADDRESS: 701 Market Street STE 700 CITY: St. Louis STATE: MO ZIP CODE: 63101 TELEPHONE NUMBER: 314 342 -3400 3. WELL LOCATION AS DRILLED: NE114, SW1 14, Sec. 15, Twp. 05 ® N or D S, Range 87 ❑ E or Z W DISTANCES FROM SEC. LINES: 1422 ft. from E] N or Z S section line and 2050 ft. from ❑ E or Z W section line, SUBDIVISION: , LOT , BLOCK . FILING (UNIT) Optional GPS Location: GPS Unit must use the following settings: Format must be UTM, Units Owner's Well Designafion: CWU14 must be meters, Datum must be NAD83, Unit must be set to true N, ❑ Zone 12 or (@ zone 13 Easting: 318637 STREET ADDRESS AT WELL LOCATION: Northing: 4472994 4. GROUND SURFACE ELEVATION 6982 feet DRILLING METHOD MUD DATE COMPLETED 8/5/2008 TOTAL DEPTH 1112 feet DEPTH COMPLETED 1112 feet 5. GEOLOGIC LOG: 6. HOLE DIAM in. From ft To ft Depth _T ype Grain Size Color Water Loc, 8.75 0 40 5.625 40 1112 0 SAND TONE VF SAND TAN 12 COAL BLACK 16 SANDSTONE VF SAND GRAY 7. PLAIN CASING: OD (in) Kind Wall Size (in) From (ft) To (ft) 6.625 STEEL .188 0 40 2.375 STEEL .190 0 12T PERFORATED CASING: Screen Slot Size (in)..025 4.5 S. Steel Muni -Pak 1051 1111 232 SANDSTONE F SAND GRAY 393 SHALE CLAY D GRAY 951 SANDSTONE VF SAND GRAY 956 CQ L BLACK 961 SANDSTONE VF SAND GRAY 990 SHALE CLAY D GRAY 998 _SANDSTONE VFSAND GRAY 1009 SHALE CLAY D BROWN 1013 COAL BLACK 1023 SHALE CLAY D BROWN 1027 CO BLACK 8. FILTER PACK: Material Silica Snd Size 10120 Interval 1042 -1112 9. PACKER PLACEMENT: Type Bentonite Pellets 3/8 in. Depth 1037 -1042 1030 SHALE CLAY D BROWN 1031 SANDSTONE VF SAND GRAY 1038 SHALE CLAY D GRAY 1053 SANDSTONE VF SAND GRAY 10. GROUTING RECORD Material Amount Density Interval Placement CEMENT 350 GAL 11.6 LB 245 FT TREMIE CEMENT ZOO GAL 10.8 LB 492 FT TREMIE CEMENT 426 GAL 10.5 LB 300 FT TREMIE Remarks: 11. DISINFECTION: TyRe I Amt. Used 12. WELL TEST DATA: El Check box if Test Data is spbmitted on Form dumber GWS 39 Supplemental Well Test. TESTING METHOD Static Level it. Date/Time measured: Production Rate gpm. Pumping Level ft. DatelTime measured Test Length (hrs) Remarks: 13. 1 have read the statements made herein and know the contents thereof, and they are true to my knowledge. This document is signed and certified in accordance with Rule 17.4 of the Water Well Construction Rules, 2 CCR 402 -2. [The filing of a document that contains false statements is a violation of section 37 -91 -108 7 e , C.R.S_, and is punishable by fines up to $5000 and/or revocation of the contracting license. Company Name: Western American Ddllin , Inc. Phone: 970 824 -9579 License Number Mailin Addres 50 rai , Colorado 81626 Signature: Print Name and Title Mark S. Whitney, P.G. Consulting Geologist Date I 9/20/2008