Laserfiche WebLink
MW-Sun3 <br /> FORM NO <br /> WELL CONSTRUCTION AND TEST REPORT For Office Use Only <br /> GWS-31 STATE OF COLORADO,OFFICE OF THE STATE ENGINEER <br /> 4/2012 1313 Sherman St.,Ste 821,Denver,CO 80203 <br /> Main 303 866-3581 Fax 303 866-3589 www—water.state,co us RECEIVE[ <br /> 1.WELL PERMIT NUMBER: <br /> 2.WELL OWNER INFORMATION AUG 12202 <br /> NAME OF WELL OWNER: Energy Fuels Resources USA Inc. <br /> MAILING ADDRESS:225 Union Blvd.Suite 600 STATE ENG ENGINEER <br /> CITY: Lakewood STATE. Colorado ZIP CODE:80228 CO►-O <br /> TELEPHONE NUMBER w/area code: <br /> . WELL LOCATION AS DRILLED: SW 1/4, sSW 114, Sec., 14 Twp 44 ix 1 N or S, f 1 Range-0_, ❑ E or W O <br /> DISTANCES FROM SEC.LINES: 660 ft.from I N or Fx S section line and 1050 ft.from ❑ E or E W section line <br /> SUBDIVISION: , LOT , BLOCK . FILING(UNIT) <br /> 's Well Designation: <br /> Owner <br /> Optional GPS Location:GPS Unit must use the following settings: Format must be UTM, Units Owner':W� 0 <br /> must be meters,Datum must be HAM,Unit must be set to true N, rl Zone 12 or I I Zone 13 <br /> STREET ADDRESS AT WELL LOCATION: Northing.465893 <br /> 4. GROUND SURFACE ELEVATION 6020 feet DRILLING METHOD (LL l tv G <br /> DATE COMPLETED TOTAL DEPTH 600 feet DEPTH COMPLETED 570 feet <br /> . GEOLOGIC LOG: S. HOLE D1AM in. From ft To ft <br /> Depth Type Grain Size Color Water Loc. 5 118" 0 600 <br /> 0-240 Mudstone reen/red <br /> 240-266 Conglomerate various <br /> 266-397 Mudstone green 7. PLAIN CASING. <br /> 397-490 Siltstone very fine red OD(in) Kind Wall Size(in) From(ft) To(ft) <br /> 490-570 Sandstone fine-med whitelgray ^ SC, .al 8 7 42 5 7D <br /> 570 Mudstone red <br /> PERFORATED CASING: Screen Slot Size(in): .©;LO <br /> 7 �._0 _ _ <br /> S. FILTER PACK. 9. PACKER PLACE ENT: <br /> Material 256(h _ Type <br /> Size /.0&o <br /> Interval 801 <br /> 0. GROUTING RECORD $ea 9 <br /> Material Amount DPnQ1r�-cK Interval �P(lacerpent <br /> Remarks: ((a�a(1�`} :�f S q ' 3 . 1'�er+n�� 0-0 <br /> � <br /> ' -3 1. <br /> 11. DISINFECTION: Type Amt Used to OU Cs PA1 W,) <br /> 12. WELL TEST DATA: []ChecVbox if Test Data is submitted on Form Number GV1(S 39 Supplemental Well Test. <br /> TESTING METHOD Well development using a piston pump over multiple visits <br /> Static Level 544.82 ft Date/Time measured: July 26. 2013/1042 Production Rate 0.213 gpm. <br /> Pumping Level 560 ft Date/Time measured July 26, 201311218 Test Length(hrs) 58 min. <br /> Remarks. Well has slow recovery. Pumping d and allowed to recover for 3 to 7 da s,then pumped aqain. <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(or <br /> name entered if filing online)and certified in accordance with Rule 17.4 of the Water Well Construction Rules,2 CCR 402-2. The filing of a <br /> document that contains false statements is a violation of section 37-91-108(1)(e),C.R.S.,and Is punishable by fines up W$5W0 and/or revocation <br /> of the contracting license. If filing online the State Eponew considers entering of Ilcensed contractor name to be com liance with Rule 17.4 <br /> Company Name. Phone w/area code. License Number. <br /> -r1, ti�`LII O <br /> Mailinq Address d X 9 7 co `g/55a <br /> Sign (or enter na if filin online Print Name a d Tid ` <br />