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1{'orm E (Rev. ) DIEDRICH #27 <br /> STATE OF COLORADO <br /> DIVISION OF WATER RESOURCES <br /> OFFICE OF THE STATE ENGINEER <br /> MAY -195;,� <br /> PDWDr _!1 GROUND WATER SECTION <br /> Use :1 - CGLittr. . <br /> Rogmtered s ,5 ' LOG AND HISTORY OF WELL STATE ENUNELh <br /> Cards Typed =�1-_S PERMIT NO. 2" -F <br /> Lie. <br /> Drilled by La e-W Co. No. 162 WELL LOCATION <br /> Owner `�• Go. Lake County, <br /> Address P.C.Box , Leadvilla, Co1o. P•IE 4 of SW Hof Sect.? <br /> Tenant Twp. qS , Rge. 80K , 6 PM <br /> Used for Industrial_ LOCATE WELL ACCURATELY <br /> IN THE SMALL SQUARES REP- <br /> on or by PRESENTING 40 ACRES <br /> (description of site or land) <br /> Date Started December 3 19 5$ N <br /> Date Completed February 11 , 19_ I I <br /> f � <br /> Date Tested February 19J9 - -T -" ----�-- _ <br /> AYield 1$0 ! <br /> 1 <br /> gpm - _ _cfs W 1 I E <br /> Pump type Submersible Outlet Size 4 k <br /> I <br /> Driven by 40 HP @ RPM h3 00 <br /> Depth to Water 34 Ft. Draw down 9 5 Ft. I I <br /> Depth to Inlet 450 Ft.; Bowl Ft. 5 <br /> Size and Kind of Casing: If the above is not applicable <br /> fill in: <br /> From- 0 to lb Type .12" Wt. 32- <br /> From 0 to 173Type j-5 $wt. -9 ` n,2 Tow or Subdivision <br /> From 0 to 477 Type 7-5 $Wt. 26 <br /> Street Address or Lot & Block <br /> Perforations: Size and Type <br /> Froml6l to 4L Typ(!� orch Size 1/$11 Gxound elevation 1.0,4.00_Approxi-nat,ely <br /> (if known) <br /> From to Type Size How Drilled: Cable Tool to 173 <br /> From to Type Size <br /> Rotary to 477 <br /> Well description: Total Depth 477 Ft. <br /> REMARKS <br /> (from 0 to 16 , 12-3A4 in. <br /> Hole ( Cementing, Packing, Type of <br /> (from 16 to 173 9-5/8 in• Shut-off, Depth to Shut-off, etc. <br /> Diam,( PUT LOG OF WELL ON RE- <br /> (from 173 to 477 8-3/4 in. VERSE SIDE <br /> O BE MADE QUT UA RUPLIC TE: Or, r inal Hue and;; licate Green to <br />