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2023-05-08_HYDROLOGY - M2001046
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2023-05-08_HYDROLOGY - M2001046
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Last modified
5/11/2023 8:27:29 AM
Creation date
5/8/2023 9:39:08 AM
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Template:
DRMS Permit Index
Permit No
M2001046
IBM Index Class Name
Hydrology
Doc Date
5/8/2023
Doc Name
Water Monitoring - Groundwater
From
Brannan Sand and Gravel CO
To
DRMS
Email Name
ECS
MAC
Media Type
D
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No
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WELL CONSTRUCTION AND YIELD ESTIMATE REPORT For Office Use Only <br /> Form No. State of Colorado, Office of the State Engineer <br /> GWS-31 1313 Sherman St., Room 821, Denver, CO 80203 303.866.3581 <br /> 02/2017 www.water.state.co.us and dwrpermitsontine@state.co.us <br /> 1. Well Permit Number: MH-059597 Receipt Number: <br /> 2. Owner's Well Designation:RMCC-MW-7(Nix-RMCC-Mon 7) <br /> 3.Well Owner Name:Ready Mixed Concrete Company <br /> 4. Well Location Street Address:13505 County Road 19, Platteville, CO 80651 <br /> 5. As Built GPS Well Location (required): Zone 12 [E]Zone 13 Easting: 509697.0 Northing:4449696 <br /> 6. Legal Well Location: SE 1/4, NE 1/4, Sec., 28 Twp.3 • N or S[=, Range 67 E or WE], 6 P.M. <br /> County: Weld <br /> Subdivision: Lot , Block , Filing(Unit) <br /> 7. Ground Surface Elevation:4811 feet Date Completed: 06/21/2019 Drilling Method: Hollow Stem Auger <br /> 8. Completed Aquifer Name : Alluvial Total Depth: 33 feet Depth Completed: 33 feet <br /> 9. Advance Notification: Was Notification Required Prior to Construction? Ej Yes []No, Date Notification Given: 05/10/2019 <br /> 10. Aquifer Type: OType I (One Confining Layer) ❑Type I (Multiple Confining Layers) Laramie-Fox Hills <br /> (Check one) ❑Type II (Not overlain by Type III) OType II (Overlain by Type III) QType III (alluvial/colluvial) <br /> 11. Geologic Log: 12. Hole Diameter(in.) From (ft) To(ft) <br /> Depth Type Grain Size Color Water Loc. 8 0 33 <br /> 0-3 sandy clay Brown <br /> 3-6 silty sand tan 13. Plain Casing <br /> OD (in) Kind Wall Size (in) From(ft) To (ft) <br /> 6-12 sandy clay brown 2 PVC Sch 40 23 2.5 ag <br /> 12-32 sand and gravel tan 12.8 <br /> 32-33 claystone tan-grey Perforated Casing Screen Slot Size (in): 0.010 <br /> OD (in) Kind Wall Size(in) From(ft) To (ft) <br /> 2 PVC Sch 40 33 23 <br /> 14. Filter Pack: 15. Packer Placement: <br /> Material Native Type NA <br /> Size <br /> Interval 33-5 Depth <br /> 16. Grouting Record <br /> Material Amount Density Interval Method <br /> Remarks: Bentonite 100 lbs 5-1 place a hydrate <br /> water measured below ground on 6-21-19 approx. 6 <br /> hours after drilling cement 1 sack 1-0 place a trowel <br /> 17. Disinfection: Type NA Amt. Used NA <br /> 18. Well Yield Estimate Data: Check box if Test Data is submitted on Form Number GWS-39, Well Yield Test Report <br /> Well Yield Estimate Method: NA <br /> Static Level: Estimated Yield (gpm) NA <br /> Date/Time measured: Estimate Length (hrs) NA <br /> Remarks: <br /> 19. 1 have read the statements made herein and know the contents thereof,and they are true to my knowledge. This document is signed(or name entered if <br /> filing online)and certified in accordance with Rule 17.4 of the Water Well Construction Rules,2 CCR 402 2. The filing of a document that contains false <br /> statements is a violation of section 37 91 108(1)(e),C.R.S.,and is punishable by fines up to$1,000 and/or revocation of the contracting license. If filing online <br /> the State Engineer considers the entry of the licensed contractor's name to be compliance with Rule 17.4. <br /> Company Name: Email: Phone w/area code: License Number: <br /> Civil Resources, LLC gary@civilresources.com (720)684-7221 NA <br /> Mailing Address:P. 0. Box 680 Frederick, CO 80530 <br /> Sign (or enter name if filing online) Print Name and Title Date: <br /> Gary Linden Gary Linden Sr Engineering Geologist 06/21/2019 <br />
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