2018-03-09_PERMIT FILE - M2017049 ‎(27)‎

• Permit No: M2017049
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/9/2018
• Doc Name Note: PART 2 OF 3
• Doc Name: Adequacy Review Response
• From: Transit Mix Concrete Co.
• To: DRMS
• Permit Index Doc Type: Application Materials
• Email Name: TC1
• Email Name: ERR
• Email Name: ECS
• Email Name: WHE
• Email Name: AME
• Email Name: PSH
• Media Type: D
• Archive: No

Transit Mix Concrete Co.
444 E.Costilla Street,Colorado Springs,CO 80903 Office: [phone] Fax:[phone]
WATER QUALITY
Staining? Comments:
Particulates? Comments:
Odor? Comments:
Treatment system? Comments:
Sampled prior to treatment? Comments:
Sampling information
Access to wellhead? Depth to water:
Pumping test? Depth to water:
Flow rate: Recharge rate:
Additional Comments:
Landowner's Signature:
Inspector's Signature:
18