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g-ca Aws <br /> . I~'azrn�F (Rev.) STATE OF COLORADO uu v <br /> DIVISION OF WATER RESOURCES MAR 28196(1 <br /> OFFICE OF THE STATE ENGINEER, GROUND WATER SECTION (�[/� <br /> • ` GROUND WATER SECT. <br /> REGISTRATION NO. WELL- COLORADO <br /> eg J X5 ! Date � Y:M� <br /> f@iGl�EER <br /> Ristrant � _ ltoo <br /> P.O. Address r4L1_" Colo. <br /> WELL LOCATION <br /> WELL DATA ! County ,[� e- a-- 6 S <br /> Depth O ft. Diameter. in. �' <br /> - �,i—„ Section <br /> Casing :��p ft. Plain; O ft. Perfor. <br /> Tti'ti'P• Rge. ..5� �h�M <br /> Static Water Level G`? ft. from top <br /> Yield�>�DO .(gpm)(99 from / ft. N <br /> r i <br /> Used for on/at 1 <br /> (legal description bf land or site) 1 I <br /> W I E <br /> Water conveyed by 1:2e , size <br /> PU P DATA I <br /> Type /r, YL;»-e— Size_? I <br /> ---�{— -- -t— — <br /> Driven by r1 �,►� at 2-D G(5 RPM ) I <br /> I I <br /> Well was first used �3" A9 19 S <br /> cfs <br /> for 2srr .T to n using Z:E Q 4 gpm WELL TO BE LOCATED AS ACCUR- <br /> ATELY AS POSSIBLE WITHIN A <br /> Well enlarged 'VC' r7 -e- 1.9_ to SMALL SQUARE WHICH REPRESENTS <br /> deepened 40 ACRES; OR IF IN A TOWN OR <br /> �n (gpm)(cfs)(ft) SUBDIVISION FILL IN THE FOLLOW- <br /> ING: <br /> LOG SHOULD BE GIVEN ON REVERSE <br /> SIDE IF AVAILABLE Town or Su 'vision <br /> Street address or Lot and Block <br /> The above well (has) (has not) been registered in the Office of the State Engineer prior <br /> to May 1, 1957. If Registered give Filing No. /06 <br /> If NOT Registered prior to May 1, 1957, a $5.00 filing fee accompanies this form. <br /> The above statements are true and correct to t of my knowledge and belief. <br /> Subscribed and Sworn before me <br /> day of <br /> MVW co n expires <br /> " ^ - Notary u lie <br /> r� FOR STATXENGINEER'S USE <br /> '11ocst4'!n -( district, County fo <br /> Registration No. --� in Z -' (� on 19w1b <br />