Laserfiche WebLink
FORM NO. <br />GWS -31 <br />0412005 <br />WELL CONSTRUCTION AND TEST REPORT <br />STATE OF COLORADO, OFFICE OF THE STATE ENGINEER <br />1313 Sherman St., Room 818, Denver, CO 80203 <br />Phone — Info (303) 866 -3587 Main (303) 866 -3581 <br />Fax 303 866 -3589 http://www.water.state.co.us <br />For Office Use Only <br />1. WELL PERMIT NUMBER: <br />2. WELL OWNER INFORMATION <br />NAME OF WELL OWNER: Colorado Coal Resources, LLC <br />MAILING ADDRESS: 701 Market St STE 700 <br />CITY: St. Louis STATE: MO ZIP CODE: 63101 <br />TELEPHONE NUMBER: 314 342 -3400 <br />3. WELL LOCATION AS DRILLED: NE1 /4, NE1 /4, Sec. 9, Twp. 05 ® N or ❑ S, Range 87 ❑ E or ® W <br />DISTANCES FROM SEC. LINES: 797 ft. from E Nor ❑ S section line and 1177 ft. from ® E or L] W section line. <br />SUBDIVISION: LOT , BLOCK , FILING (UNIT) <br />Optional GPS Location: GPS Unit must use the following settings: Format must be UTM, Units Owner's Well Designation: 23CO <br />must be meters, Datum must be NAD83, Unit must be set to true N, ❑ Zone 12 or ® Zone 13 Easting: 317730 <br />STREET ADDRESS AT WELL LOCATION: Northing: 4475531 <br />4. GROUND SURFACE ELEVATION 6737 feet DRILLING METHOD MUD <br />DATE COMPLETED 11/3/2008 TOTAL DEPTH 1206 feet DEPTH COMPLETED 1204 feet <br />5. GEOLOGIC LOG: <br />6. HOLE DIAM (in.) From ft To ft <br />Depth <br />Type <br />Grain Size <br />Color <br />Water Loc. <br />11 0 40 <br />6.25 40 1206 <br />0 SHALE <br />CLAY <br />D GRAY <br />198 COAL <br />BLACK <br />204 SHALE <br />CLAY <br />D GRAY <br />7. PLAIN CASING: <br />OD (in) Kind Wall Size (in) From (ft) To (ft) <br />8.625 STEEL .188 0 40 <br />2.375 STEEL .190 0 1197 <br />PERFORATED CASING: Screen Slot Size (in): .025 <br />4.5 S. Steel Muni -Pak 1197 1204 <br />222 COAL <br />BLACK <br />228 SANDSTONE <br />VF SAND <br />GRAY <br />476 SHALE <br />CLAY <br />D BROWN <br />481 SANDSTONE <br />F SAND <br />GRAY <br />594 SHALE <br />CLAY <br />D GRAY <br />1141 SANDSTONE <br />F SAND <br />D GRAY <br />1144 <br />COAL <br />BLACK <br />1149 SHALE <br />CLAY <br />D BROWN <br />1154 <br />SANDSTONE <br />VF SAND <br />GRAY <br />1158 <br />SHALE <br />CLAY <br />D GRAY <br />1160 <br />SANDSTONE <br />VF SAND <br />GRAY <br />8. FILTER PACK: <br />Material Silica Snd <br />Size 10120 <br />Interval 1197 -1204 <br />9. PACKER PLACEMENT: <br />Type Bentonite pellets <br />318 inch <br />Depth 1193 -1197 <br />1177 <br />SHALE <br />CLAY <br />D GRAY <br />1183 <br />SANDSTONE <br />VF SAND <br />GRAY <br />1192 <br />SHALE <br />CLAY <br />D BROWN <br />1195 <br />COAL <br />BLACK <br />10. GROUTING RECORD <br />Material Amount Density Interval Placement <br />Cement 1830 GL 13 lb 1193 Tremie <br />1204 <br />SHALE <br />CLAY <br />D BROWN <br />Remarks: <br />11. DISINFECTION: Type Amt. Used <br />12. WELL TEST DATA: ❑ Check box if Test Data is submitted on Form Number GWS 39 Supplemental Well Test. <br />TESTING METHOD <br />Static Level ft. Date/Time measured: Production Rate gpm. <br />Pumping Level ft. Date/Time measured Test Length (hrs) <br />Remarks: <br />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 <br />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 <br />section 37 -91 -108 1 e , C.R.S., and is punishable by fines up to $5000 and /or revocation of the contracting license. <br />Company Name: <br />Western American Drilling, Inc. <br />Phone: <br />(970)824-3410 <br />License Number: <br />1448 <br />Mailing Address: P.O. Box 750, Craig, CO 81626 <br />Signature: <br />Print Name and Title <br />Mark S. Whitney, P.G. Consulting Geologist <br />Date <br />