Laserfiche WebLink
07/10/2006 16:34 1192751715 CtJNST_SERVICES BLDG PAGE 03 <br />i :~ <br /> zy~.;~i1O' <br />~ WELL CONST6(TIOM AND TEST REPORT TT <br />~"~0f Otfite use only <br /> ~~ <br />" STATE OF COLORADO, OFFICe OF THE STATE ENGINEER <br /> 1• WELL PERMIT NUMBER MH-16367 <br /> 2. OWNER NAME(S) Alton DMIIInp, Inc <br /> Melting Address Pout ORkv Box 198 <br /> Cilx SI. Ztp ialrplay, Colorado QOdsO <br /> Phone tip 818.2872 <br />3. NfELLLOCATIONASDRILLED' SE t/4 SW 1/4,sec. tt twp. 10 South ,rangy 77 West <br />DISTANCES FROM SEC. LINES: <br />800 ft. from South Sec. line, ~^nd 2200 ft. trom West Sec. fine, OR <br />(north or south) (east orvreat) <br />SUBDIVISION: N/A Lol 81 Fling(undj <br />STREET ADDRESS AT WELL LOCATIOtJ: 44580 State Ffvvy 9 <br />4. GROUND SURFACE ELEVATION ~ R DRILLING METHOb Alc Rotary <br />GATE COMPLETED 8128!08 .Total De th 20 ft. D ih C eted 20 fl. <br />5. GEOLOGIC LOG: e. HOLE DIAM. (in.) From (tt} TO iffy <br />Depth DeecrlpUon a eAatRlai (TVps. 3lza, Cewr, Wager l.owtlon) 9 7/8 0 20 <br />0 - 20 Sand & Gravel Alhivlal <br />7. PLAIN CASING <br />OD (in) Kind Wall Size Frtnn(II) To(ft) <br />Morritorin Hob At4 7 Steel 188 +1 18 <br />Static Leval -1.1'8' <br />PERT CASING: Screen Slot Slze: .032 <br />7 Stsel 188 18 20 <br />8. FILTER PACK 9. PACKER PLACEMENT: <br />Material NIA Type <br />Size ; <br />_____, Interval D ih <br />10. GROUTING RECORD; <br />Material Amount Densiry interval Placement <br />REMARKS: Cement 8cf 15 0.16 Pouted/ <br />Vibrated <br />Hi Early t% <br />11. DISINFECTION: T e: Amt. Used: <br />112. WELL TEST DATA: Check box N're9t Data IS aubmltted on Form No. GWS 39 Supplemental WeM Tess. <br /> TESTING METHOD NIA <br /> Static Level 14'8" ft. Dete~me ~neeeured 6/28/08, ,Production Rats gpm <br /> Pumping Level N/A fl. Dete/Tlme measured ,Test Length (hrS_) _ <br /> RemerKs <br />_ <br />13. t !rase read l~s atatemsnta made ftereln and know the eonterw Uteneof, and Mat any era trw to ^tY knowlWps. IPunurrt to Seetlon 24-~-i0a (13) <br />(a7 <br />G.H.S., Ne maWnO Oi R7IOB embmenro nafaln cOnetltulaa paqury M (M aeoond degrts aM W DUnIDIraDle aB a gees i Inf64811193nOt) <br />CONTRACTOR Albn Drill~ilr g B ExcaveWra Ca o~anv tric. Phone R18183fr2672 - Lic. No. T83 <br />M®Illn Address Poet Office B x 98 Fei I I. <br />3lgnature <br />A <br />Nemttyf:0e (Please type or print) Date <br />~ <br />~~ <br />i <br />Jack Alkn / Prosident I f~`/ 8128106 <br />-- ~- - <br />