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07/27/2005 15:05 FA% 0097219298 GREYSTOIVE <br />•JUl-2T-05 11,SA FROM-DIVISION OF WATER RESOURCES <br />8098602223 <br />~ 000 <br />T-B28 P.02/05 F-000 <br />~~~~~ N14P <br />w~Fzss. ~; <br />~.• i ~ 'y"~' GQLaRApO DIVISI4N QF WATER RESOURCES Fi~C~+~',/rS3 <br />~'liLS FoiIATMWrafiaufaMlTTiD 7313 Spelmin Ssreor -Room B19 <br />YOITHINfatpATe000i~InPLEriOn• ' Qerh'er,Colefeae80203 ~~~~•~-3i5a~ <br />4F +hpiiK.hE6CRiaEe dP.n6 <br />on-Eaq PRrnr it eLnex WELL CONIPLEf10N AND PUMP If~fALLA~71~oaNrREPORT wn7ea ntswates <br />INx. PERMfT NtA1BER i3A26LzJL*~-f S{AtE•tgGI1QER <br />waq. <br />WELL OWNER.![ar r•-,•^^ °•'°^''~ .~, u of tlm 986 of lief. P~ <br />AODRESSJ~Shton 8oed BrSslrtoa. CO }}0601 'f,~__.•$_„ R.~-_g_,. ~~ P.Ai~ <br />GATE COMPLETED April 13 _ ,19¢,~ <br />WELL L00 <br /> <br />Pmm <br />T <br />Typs anA Cgler Of Malaria Waaa. <br />I.nc <br /> .r.,- - <br /> • 160' <br /> ~ . •: 98E A17ACB~ 8$JTS'1 08 •TO <br /> ~' ALTATHG 1:APOBMATIf11~,o <br />, MAN~~ <br /> M <br /> <br />J 640' <br /> <br /> TOTAL DEI'TN ~+e' <br /> Ua. s dtl{ iena p nefalaarv r0 <br />LADLE 61AMETER <br />~.., 7~ in, hom ~_ M .,.W._. fL <br />9 7 in. from 81 m Bfil tr. <br />in. Iron to • fL <br />RAILJ.IItlG MFsT110sB0TAiiT <br />CASIN6 REfdiRp: Plan Catirg <br />Slze.:-&kind from t0 ft. <br />S7ze ~ & kind from - to h <br />Slz®= dl kind '-- .from - m - ft. <br />*+~ f'LE4Sf: SP.E ATTACdTlD 688BT Fob laTFO8HAT20W. <br />Perinrat~ CoieY <br />Size .... & kind _ from - to - h. <br />S~ze.~_.&kind - from - to ft <br />Size=_. & klnd '° from - m h. <br />GROUTING RECORD <br />Matetl8l . ~T CFI~T • <br />.:Jpt6Nil2 105 Te 4..wFnwn <br />Placarnens Method B)>1s~ TbrouBE Trimmie Tube. <br />GRAVEL PACK: Size .., ~P: 12-. <br />Igfervel lb9' to fi61' <br />TEST DATA <br />Deep TLWAd ~.~ 13 .19 g5 <br />Stssie Water L.erel Prim m Teas 58' ft, <br />Type of Teat Pump ~~~D.->1. ~1R ~ _ <br />Lsngtn of Test 4 ~~ <br />Suspirted YIBId tMeprredi 39.9 cPlt <br />pillal Pumping water Lsvpl X44' <br />