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

SEP 2 2 1964
Form E (Rev.) ~)E(. 3 164
sez NOV_y3-~0 X1965
~ Index No.....!~./ .............. ~~'7~
w ~9
Driller.
Owner
STATE OF COLORADO
DIVISION OF WATER RESOURCES
OFFICE OF THE STATE ENGINEER
GROUND WATER SECTION
LOG AND HISTORY OF WELL
PERMIT NO ~3
:. No .~ G 7
~~c~od~®
MAY 111964
GROUND WATER SECT.
coLOfi;:DO
MATE ENGINEER
WELL LOCATION
Tenant~Q
Use of Water ~ -j~~-- n
On or B~1 7• ~ ~ l,~~r~l~ "r<es
(dncriprion Hof rte or land) ~ /
Date Started ~ ~ 1910 `N
Date Completed ~ ~ 19~
Yield , ~ GPM or CFS
WELL DESCRIPTION: ~~ //,,II
Depth to Water ~ 3 ft. Total Depth~ft.
(manured from ground rurfece.},~
from.~_fr. to ~ fr., 1~in.
~le ~ from ft. to ft., in.
meter
from ft. to fr., in.
TEST DATA:
How Tested PumpJiBailed
Date Tested~_ G 19 Length '~ tirs.
Rate ~~ ~- GPM Drawn Down a ~ fr.
PUMP DATA:
Pump Type Outlet Size~~_in.
Driven by a HP
CASING RECORD:
-.} Plain Casing
Size Kind~L~iY from /~ - ft. to.,i~ff.
Size ,Kind from ft. to ft.
Size ,Kind from ft, to ft.
Perforated Casing
~e ~`s-p~-~yr KindQ~d6d_from~_ft. tom 3-ft
Size ,Kind from ft. to ft.
Size Kind ~ from ft. to ft.
Nerrh
Wnt
I
I
i
i
___.Nw.~__ .___NEi~____
i

~ ~
i ~
---sw~va---•
~ •--yl~p>t----
~
i
~ i
~
r _. ~
South
~~6
Eger
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. Sfreet
city or T ,
er iiii////
Lot~_,
Subdivision
(include filing or number)
TO BE MADE OUT IN QUADRUPLICATE:
Original Blue and Duplicate Green Copy
must be filed with the State Engineer within
30 days afrer well is completed. White
copy is for the Owner and Yellow copy for
the Driller.
FOR WELL LOG USE REVERSE SIDE