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N~~ ~r . <br /> <br />~ , <br />'' <br />- COLORADO DIVISION OF WATER RESOURCES <br />THIS FORM MUST BE SUBMII'TiED <br />WITHIN fi0 D <br />Y <br />OF <br />P 1313 Sherman Street -Room 818 ~~ - . ~p(~ <br />I U JU <br />~l~I <br />A <br />S <br />COM <br />LETION Denver, Colorado 80203 . <br />. <br />OF THE WORK OESCR19E0 HERE- <br /> <br />ON. TvPE OR PRINT IH BLACK <br />WELL COMPLETION AND PUMP INSTALLATION REPORT _ <br />~ ~ ~ - <br />K. <br />B <br />Di ~ <br />i <br />l PERMIT NUMBER 155111 <br />~ <br />~ - <br />nh <br />c <br />rnT <br />ELL OWNER fnnf <br />% of the % of See. 29 <br />ADDRESS 1220A Vinnna G4 A Er AlTntzio 3~ N.M. T,~_ $ R. (~ W ({h p.~. <br /> 8112 <br />DATE COMPLETED , 19 ~ HOLE DIAMETER <br /> in. from to.T_ft. <br /> in. from to tt. <br /> in. from to ft. <br /> DRILLING METHOD <br /> CASING RECORD: Plain Casing <br /> Size & kind from to fl. <br /> <br /> Size & kind from to fl. <br /> <br /> Size & kind from to f;. <br /> <br /> Pe rforated Casing <br /> Size & kind from to fi. <br /> <br />1 Size & kind from to fi. <br /> Size & kind ~ =from to fl. <br />GROUTING RECORD <br />Material <br />Intervals <br />Placement Method <br />GRAVEL PACK: Size <br />Interval <br />TEST DATA <br />Date Tested <br />Static Water Level Prior to Test <br />Type of Test Pump <br />Length of Test <br />Sustained Yield (Metered). <br />Final Pumping Water Level <br />19 - <br />_ ft. <br />