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THIS FORM MUST aE SUEfMITTEO _ _ <br />W17HIN 60 DAYS OF COb1PLETTON <br />OF THE WORK DESCRIBED HERE- i <br />ON. TYPE OR PRINT IN BLACK ((/' / <br />11LVLIYLV <br />COLORADO DIVISION OF WATER RESOURCES <br />101 Columbine Bldg., 1845 Sherman St. JUN 7 ~~Z <br />Denver. Colorado 80203 <br />WELL COMPLETION AND PUMP INSTALLATION REPORT WATER RESOUNLEt <br />SPATE F1IGIHEEA <br />PERMIT NUMBER -~1-3/~~~-Z9 A,1~ 1 C01'0' <br />OWNER ~1-/n r> n~ ~' ~a ldwl /~ 1 " ~ '/. of the ~L~[.~'/. of Sec. ~0 <br />,.r t ~3_ s ~~L. (oT/~ <br />ADDRESS S1'Orl C WO I I PIOZZQ . VVeC Oh .C.D~O T. R. P.M.. <br />Moy I Z 81041 <br />DATE COMPLETED , 19 ~~ HOLE DIAMETER <br />WELL LOG <br />Flom) To J Type and Color of Material ~ Loc. <br />D 8 boulders and Soil <br />O 55 boulders, sond,~-~rove~ <br />55 ~, shale <br />y7 ~.P.m.-From <br />yz- S5 ~'~"• <br />'~ in, from _,~L hL to 5.'~ ft <br />S~L~ in. from ~.~6.L to ~LL2~ ft. <br />in. from to ft. <br />CASING RECORD: ~.~, Plain Casing <br />Size ~ & kind ~~ from ~ to ~ ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />Perforated Casing <br />Size ~ & kind .Sfe e ~ from ~,Z to .5`7 ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />GROUTING RECORD <br />Material ~ ~ 1~-'~° n1 P. (1~ <br />Intervals ~~ ~(. of eur face <br />Placement Method hond <br />GRAVEL PACK: Size <br />Interval <br />TEST DATA <br />Date Tested ~~~~DJ ~ Z , 19 <br />Static Water Level Prior to Test Z ~ ft. <br />Type of Test Pump hQ I ~ P (~ <br />Length of Test _~3 ~ ~• <br />I ~/ I Sustained Yield (Nletewd) ~ - M <br />TOTALOEPTH (D ~~ ~' -- <br />Use additional pages necessary to complete log. .Final. Pumping Water Level <br />