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W.114128' -h' - <br />T S FORM MUST BE SuBMITTEb <br />WITHIN 60 DAYS OF COMPLETION <br />OF THE WORK DESCRIBED HERE- <br />ON. TYPE OR PRINT IN BLACK <br />INK. <br />WELL OWNER Walter Mayer <br />ADDRESS <br />COLORADO DIVISION OF WATER RESOURCES <br />1313 Sherman Street - Room 818 <br />Denver, Colorado 80203 <br />WELL COMPLETION AND PUMP INSTALLATION REPORT <br />PERMIT NUMCIER ,,,,_R-15 7A9,: -...RF <br />f JY r <br />RECEIVED <br />AUG 1 5 1989 <br />stret <br />Kw, DIGIffit4 <br />OWL <br />__NW _._'h of the NE V. of Sec......13._..__...__. . <br />97Q4 Hw, fS 1?latteviLle. Co. 81651 T. 3 N , R 67 <br />DATE COMPLETED <br />WELL LOG <br />6-27 , 19 19 HOLE DIAMETER <br />9,. ,- in, from 0 to <br />From <br />To <br />Type and Color of Material <br />Water <br />Loc. <br />0 <br />81 <br />151 <br />201 <br />26 <br />27 <br />31 <br />33 <br />39 <br />52 <br />81 <br />151 <br />20# <br />26 <br />27 <br />31 <br />33 <br />39 <br />52 <br />53 <br />Use <br />Top Sand <br />Coarse sand to 2" gtz .l inx <br />Frim brown clay <br />Coer5e sand to 1" grace.1 niix <br />Brown clay <br />Sand <br />Cts sand to 1" gravel prix <br />Firm licfrit brtHn clay <br />Pea gtcvel Hiss <br />1123ted hum S.S. <br />TOTAL DEPTH 5 3 <br />additional pages necessary to complete log. <br />in. from <br />_ in. from <br />DRILLING METHOD <br />CASING RECORD: <br />to <br />W � <br />5 3 ft <br />ft <br />to ft <br />Reverse Rotary <br />Plain Casing <br />P.M <br />Size . 1b" . & kind feel from t_,__ to it. <br />Size .. & kind from , _;, to _ , tr• <br />Size ._,__ & kind _ .. _. _._ _.,___ from __ to _._.___ . ft <br />Perforated Casing <br />Size t6.'.1 & kind _HSS _ from 33_, to _53 ft <br />Size & kind _. _ __. _ from .._ to .. _ ft. <br />Size & kind <br />from <br />tel --•_—. ft, <br />GROUTING RECORD <br />Material _ rzmlbnt <br />Intervals _Q.::1.°. _________ .. _.. <br />Placement Method _. , poured <br />GRAVEL PACK: Size <br />Interval 10-5 3 <br />TEST DATA <br />Date Tested <br />3/8'1 <br />not tP4tpr7 <br />,.•est$tic Watit•evel Prior to Test <br />�r __ <br />_ ~ .:7 ;Tyy+e of- ed..F5Jmp <br />LiTigth s tTest- <br />,. ust?-ined•Yiel¢•(Metered) <br />Final Pumping Water Level <br />1 01 6" <br />19... <br />ft <br />