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W RJ~36-72 ~'C ^^ <br />~„ `'` ~!/ <br />COLORADO DIVISION OF WATER RESOURCES ~.'-' ~q FQ <br />THIS FORM MUST 6E SUBMITTED tp7 Columbine Bldg., 1845 Sherman S[. <br />WITHIN eo DAYS QF COMPLETION Denver, Colorado 80203 war 12,3 <br />OF THE WORK DESCRIBED HERE• ~O e <br />r••• TYPE OR PRiNT:N BLACK L/ryIELL COMPLETION AND PUM INSTALLATION REPORT ~J~~~F~'4~ <br />PERMIT NUMBER 4~'~~ <br />OWNER ~e V Tn S e. D L S f)• / N l ~,E' y, of the JL~ Cam'/~ of Sec. 3 0 <br />STONC. WRLL ~~, AXA 1 <br />ADDRESS we~T~~.~ nLaRAnn fl/OS~ T. 33 S R. ~8 N/ ~ G'~I P.M. <br />DATE COMPLETED ~~ ~ 17 / ~ 9 , 19 ~ HOLE DIAMETER <br />WELL LOG ~ in. from ~_ to ~~ ft. <br />From <br />~t <br />Water <br />To ~ Type and Color of Material Loc. in. from to ft. <br />~$f /~aC k5 AND :Co RAVe. ~ ~' $f in. from to ft. <br />52 ft. ?oe.kSRND (~RRVeL 52 . <br />59~ ~O G /~ S f} /y p ~c IZp yG ~, CASING RECORD: Plain Casing <br />lo~fL 5 h a ~ e Size ~~ & kind 'e ~ from ~-to ~Z ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />Perforated Casing / ~l- <br />Size ~ & kind ee from _Zto ~ ft. <br />Size & kind from to ft. <br />~ ~ Size & kind from to ft. <br />GROUTING RECORD <br />Material Co y e 2 e.Te <br />Intervals <br />• <br />I TOTAL DEPTH o ><t• <br />additional pages necessary to complete log. <br />Placement Method ~~ ~ AN D <br />GRAVEL PACK: Size IVR L LI PAL ~ C /E' <br />Interval <br />TEST DATA <br />Date Tested ~13 I~ L 4 , 19 73 <br />Static Water Level-Prior to Test ~ -S ft. <br />Type of lest Pump ~e~ ~ ~,4 r ~. e 2 <br />i <br />Length of Test ~ 2 HDGt 2 S/~ ; <br />Sustained Yield (Metered) ~ ~ ls.A-lL S <br />Final Pumping Water Level ~ ~ ~[• . <br /> <br />