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COLORADO DIVISION OF WATER RESOURCES rr <br /> THIS FORM Mi��T BE SUBMITTED 1313 Sherman Street - Room 818 RECEItit'"� <br /> WITHIN BO DAYS OF COMPLETION Denver, Colorado 80203 FEBOF THE WORK DESCRIBED HER E• t E 2 2 1983 <br /> ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT , <br /> INK. PERMIT NUMBER `2,6 i RbglitolitillUnt <br /> WELL OWNER 4- ' s' % of the iliAer- <br /> 14 of Sec. <br /> ADDRESS r SLS'' 2• itz_ i40't A.. A , R.114 A , li __ P.M <br /> DATE COMPLETED <br /> > 19 HOLE DIAMETER <br /> WELL LOG _ in, from-..e___._to `_ ft. <br /> Water <br /> From To Type and Color of Material Lot. ---in, from to— ft. <br /> A n t5. ,.M� in, from ft. <br /> �Y 4 DRILLING METHOD <br /> rir tAPO 1 _ i CASING RECORD: Plain C ing <br /> 1 It 2-/o He r42,q, _ Size#...t& kin om L9 to 9-6D? ft. <br /> 4,00 *g u.0/44a�' <br /> h' S 4 - Size _ & kind from to_ ft. <br /> filed..... Size -_ & kind _ from to —_ ft. <br /> Perforated Casing <br /> Size#& kinetaG*rom 2S to i Ij ft. <br /> Size ._.______& kind _ from to .__ ft. <br /> Size _ & kind . from to _ ft. <br /> GROUTING RECORD <br /> Material ___ <br /> intervals 6"" /4 <br /> Placement Method /4160414 <br /> GRAVEL PACK: Size "V <br /> Interval 14 ' dd-1ih <br /> TEST DATA <br /> 41 / <br /> Date Tested i , 19e „ <br /> Static Water Level Prior to Test _ ..3,c' <br /> ►.� ___._- ft. <br /> Type of Test Pump jfaa <br /> .„..4: 41 <br /> Length of Test 444 <br /> !` Sustained Yield (Metered) �.�f _T <br /> T <br /> TOTAL DEPTH "2. � <br /> Use additional pages necessary to complete log. Final Pumping Water Level 3r _ <br />