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

Pump Make Reda
Type Submersible
veered by Electric Motor HP 12.5
~p Serial No: 2FHBD42478
Motor Serial No. 1cHan423ez
Date InstalleD 5/11/aa
Pump Intake Depth 530'
Remarks
WELL TEST DATA WITH PERMANENT PUMP
Date Tested 5 16 8$____-_ .. __ __
Static Water Level Prior to Test _3Q9'__
Length of Test __ 23 ~__._ Hours
~ ctained yield (Meteredl~lQ.B____ GPM
ping Water Level 520' _._ ___
Remarks Pump ran continuously
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WATER
w W TABLE
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CONE OF
DEPRESSION
CONTRACTORS STATEMENT
The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or
pump installation described hereon; that he has read the statement made hereon; knows the content
thereof, and that the me s true of is own knowledge.
Signature ~ .-~ _ .._ _-_- License No.
State of C6lorado, County of ' _ _ - SS
Subscribed and sworn to before me this
My Commission expires:
day of _----' 19 -- .
_ 19~
Notary Public
FORM TO 9E MADE OUT IN OUAOR UP~ICATE: WMI TE FORM mu+s b~ a.n or~q~nal copy on born ude+ and signetl.
WHITE ANO GREEN co0~~s mutt be Irted mro me Sl.m Engmeu. PINK COPY n las the Ownu snd VELL0IY COPY a Ips Ib Oudv.