2024-06-10_PERMIT FILE - M2024027

• Permit No: M2024027
• IBM Index Class Name: Permit File
• Doc Date: 6/10/2024
• Doc Name: Application
• From: Castle Rock Construction Company of Colorado, LLC
• To: DRMS
• Email Name: JR2
• Email Name: AME
• Email Name: SMS
• Email Name: EL1
• Media Type: D
• Archive: No

41111111'
LOG AND HISTORY ,
WELL LOG WELL DATA
Ground Elevation Date Started May 2, 1968 - —
Type Drilling Rotary atandard Date Completed May 22, 1968
Water Hole Diameter;
From To Type of Material • Loc, Perf. 7 in. from 0 ft. to 132 ft.
- .- .•___ in::from ft. to ft.
in. from ft. to ft.
0 3 Top
3 77 Fine sand _, CASING RECORD
77 9 Sand & gravel Cement4d from
90 106 Fine sand & quicksand Plain Casing
106 .1SpQ.I y-& fine sand Size J , kind plas from 0 ft. to ft.
110 43 •-Shsa18- .
- Size_ , kind from ft. to ft.
. • _ Size , kind from ---ft. to ft.
'Perforated Casin
Sized , kind nlAs from 88 ft. to_.1.a0 ft.
Size , kind from ft. to ft.
Size , kind from ft. to ft.
TEST DATA
Date Tested Ma4r 22, 196
Type of Pump hai 1 ed
Length of Test 3 hre_
Constant Yield 5'1 'g gprn
Drawdown 7 t
PUMP DATA (To be filled in)
Type of Pump Unknown
Outlet Size .
Driven by
- - Horsepower
Use additional paper-
,
if necessary to complete
UEPH �.'OWA & 631
log and attach.
_ __ _ _ WELL DRILLERS STATEMENT �'OT DEF�,�
State of Colorado `"
County of ) ss , __.• _
it I-tartl d F:_ Canfi pia beik.dill 's*otn 4eposes and
says: he is the driller of the above described well; he has read the above 'ie.rr,,k
d statrl. _knows the
content thereof, and the same is true of his own knowledge. Canf' d Dri g .0 J- _ 2/4,
y gf,;•-leet -
V ce P .-
resident' " - - _ • =
License No. 7 '''r z - ';.:'
Subscribed and sworn to before me this . l day of -- . , 19_4_.Z. .
II
My Commission expires , 192/. �- 44,.. /4--- " .— -
Notary Public
,
FORM TO BE MADE OUT IN QUADRUPLICATE;
Original WHITE (both sides) C Triplicate GREEN Copy must be filed with the State Engineer within 30-days after well is completed.
Duplicate FINK copy is for the Owner &YELLOW copy for the Driller. WHITE FORM MUST BE AN ORIGINAL COPY ON BOTH
SIDES AND SIGNED.