PERMFILE62861

• Permit No: C1981012
• IBM Index Class Name: Permit File
• Doc Date: 7/28/1986
• Section_Exhibit Name: EXHIBIT 11 WATER WELL INFO PART 2
• Media Type: D
• Archive: No

Index No.......1. ~ q......
D W D....~...' .a.L......... I
R e g l st a red.. /...-...`. ~.' ..~tr.
Driller

DIVISION OF WATER RESOURCES
OFFICE OF THE STATE ENGINEER
GROUND WATER SECTION
LOG AND HISTORY9OF~W~E/LL
PERMIT NO.~~.LL
U~• "-~u~UL5111~
JAN 4 - 1965 LLJJ
~:;.,(:i~D WATER $~.
COLORADO
SiAiE ENGINES

:. No. , WELL LOCATION ` ~,
w _ .t ~~~~~~w'A J County
Tenan~ rT r//Jr /~`~ r-v.
Use of Water ~L'a/J~.
- r - '~ -
On or By - - .i .cµ pw
~~ qq (d•~ iprion d rip p Ord) ~~ ~~ //
Date Started L~9 1912
Date Completed ~ - ~ ~ 19~
Yield / 7 GPM or CFS
WELL DESCRIPTION:
Depth to Water~ft. Total Depth -~`~ ft.
(rrr.sured from ground ~uri.ce)
Hole (from 7 ft. to / f'~ ft., _k~_in.
Diameter jll from~ft. to~_ft., [Tin.
from ft. to ft., in.
.TEST DATA: ' /
How Tested ~ ~ ~ ~ Pump or Y Bailed
Date TesledL.~Lr! 19~ Length ~ hrs.
J r
Rate /y GPM Drawn Down 7 ~- ft.
PUMP DATA:
Pump iyf+a Outlet Size in.
Driven by HP
CASING RECORD:
TPlain Casing
Size 7~,"•' Kinder-G r• front!r..CL<ft. to ~'~ ft.
Sizes ,Kind from / ft. to ft.
Siu ,Kind from ft. to ft.
Perforated Casing
G r.
Size Kind~from~_ft. to ' ~ ft.
• Size ,Kind from fr. to fr.
Size ,Kind from ft. to ft.
lY.~'/~ of~/ ~'/~~of Sect ~ `~
w..r
NerNr

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_ _ GYM V~. _ _
i _ _ _~.~_ _ _ _
i
i i
Ersr
SeNh
ABOVE DIAGRAM REPRESENTS ONE FULL SEC-
TION. LOCATE WELL ACCURATELY IN SMALL
SQUARE REPRESENTING 40 ACRES.
or
If the above is not applicable fill in:
No. Strwt
city « Town
or
lot ,Block
Subdivision
(includ. lilinp ar numbrr)
TO BE MADE OUT IN QUADRUPLICATE:
Orlglnsl Blue end Duplicate Green Copy
must be filed with the State Engineer within
30 days after well is completed. White
copy is for the Owner and Yellow copy for
the Driller.
FOR WEII LOG USE REVERSE SIDE