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
Type Submersible,
~vered by Electric Motor FIP 25
PGmp Serial No. 2FB8C38274
Motor Serial No. 1CBSA32599
Date InstalleD 5-10-88
Pump Intake Depth 529'
Remarks
WELL TEST DATA WITH PERMANENT PUMP
Date'iesied ._ 5-24-88 `___
Static VJa:I:r Level Prior to Test 300'
Length of Test __?4 Haurs
stained yield IMeteredl-__~4~__ GPM
1'Crnping Water Level snn __
Remarks
::
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.
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W ~

~ I .
.\`~
_ .
WATER
TABLE
CONE OF
DEPRESSION
~~~
n~~
O ~
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 th~sarprys true oihis own knowledge.
Signature
State ovColorado, Countyof __ _.
_ ._ License No.
__- SS
Subscribed and sworn to before me this - day of 19 - .
My Commission expires: ______ 19 _ .
• Notary Public _._
FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM mutt De an o.iq~nal copy on oolh s~daa and ~~gned.
WHITE ANO CREEN cop~e~ mutt G Ided with Ih~ $uu Engme~.. PINK COPY n lo. Ih~ OwrN. end YELLOW COPY n lo. IM Dndu.