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�'�•i'- .%i�Fi•• •r :J7�•+gfLYi?S,`G'� Y..;L°_. .: ti. �:: , ?: :M�.'°.�':•t i,n �,:.r•PT�Fyc .�ti•..�' '��- �' .• Fv� A..0 <br />- ......i:�� .'�.•v, • fir•. d.i•; .� .'i�t i %4 "N,•1• �.. -... �i• ,y.�r '1 <br />e�wae4�*':a� "r;�fi;- : -ra*�: y�R::,:. �= ^Y.;a'•;k,,4x�sFi^tac�x...� „r•r : 'n"�".r°l�lN:1.`•�'i,�ii:t;i.:3 .. r. ,. <br />cnR M 10-04 .' '.r - STATE Of COLORADO <br />DIVISION OF WATER RESOURCES Q� (2 g 19�� <br />Irfdax No.•...4?- 41.... OFFICE OF THE STATE ENGINEER <br />IDWD........... !....._ GROUND WATER SECTION GROUND �r'ii�iR SECT. <br />ua....... / - - COLORADO <br />Rfgistarad. <> ' • LOG AND HISTORY � OF WELL STATE ENGINFFp <br />(For State Engineers Use) PERMIT NO- %r � ��- <br />// WELL LotanaN <br />Driller, ' � r` + v r r• (' lic. No.. ��2 5' <br />Tar, G .S _..,— County <br />Owner-._ •.° <br />Sir Jet ix' <br />qq31 <br />o��f 4 ��Sect, y._�.��. — <br />Tenant � 1ta=&F — Twp•��, Rge�-.. FPM <br />Use of Water...- •L /...p... bi r' ­4' -�- <br />o. <br />By f. ��, _.Acres �j <br />On or B �-- <br />_ �.ij- .... —�-�• <br />(deicriptio of 4141 Or lend) <br />Date Started n n.� f 46 _ 19 <br />Date Completed, ig l 1 Sl 19 <br />Yield �7 _4GPM or <br />West <br />WELL DESCRIPTIONr _ <br />Depth to Water- 4- ft. Total Depth-J-11—ft. <br />(mesivrrd fro- at-Ad 'Urfa -) ' r� <br />in. �r • from�_V__� ft. to_6.r� ft. <br />Hole <br />Diameter in, from h, t0 ft. <br />la <br />In. from ft. to ft. <br />Montt <br />, <br />1 <br />' <br />t <br />i <br />t <br />t <br />t <br />, <br />t <br />, <br />� <br />t <br />t <br />t <br />t <br />1 <br />i <br />xt <br />t <br />t <br />t <br />1 <br />1 <br />i <br />t <br />1 <br />iaoth <br />East <br />TEST DATA: <br />[� ABOVE DIAGRAM REPRESENTS ONE FULL SEC. <br />How Tesied.Lad --Pump or Bailed TION. LOCATE WELL ACCURATELY IN SMALL <br />Date Test 19length IC hrs. SQUARE REPRESENTING 40 ACRES. <br />Rate.. f 5 GPM Dre'wn Down_-.. ft, <br />or <br />If the above is not applicable fill in: <br />PUMP DATA: <br />ag Outlet Size % v in. <br />- <br />Pump Type <br />No. Street <br />Driven by - HP••- — <br />City of Town <br />CASING RECORD: <br />Plain Cafig <br />Size , Kind from_..&.. —ft, to f*. <br />Lot Block <br />Size , Kind.. --from ft. to ft. <br />{ <br />' -/ I— Subdivision <br />(include fikne or number) <br />Size , Kind—,.,from­--ft, to ft. <br />PetforaNd Caring <br />TO BE MADE OUT IN QUADRUPLICATE: <br />Original Blue (both sides) and Duplicate Green <br />Size ,Kind from, ft, to- ft• <br />Copy must be filed with the State Engineer <br />Size Kind from' ft. 10 {t, <br />within 30 days after well Is completed. White; <br />copy is for the Owner and Yellow copy for 16 <br />Size. -,T, Kind from- -.__ft. to_. , __ ft. <br />Driller. SIGN BLUE COPY <br />FOR WELL LOG USE REVERSE SIDE <br />