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I ~iAlt yr w1,OliAUV, urrict yr mt Jlglt ENGINEER <br />WELL PERMIT NUMBER 039619-H ' <br />OWNER NAME(S) Holnam lnc. <br />Mailing Address ox <br />Ciry, St. Zip a orte, <br />Phone ( 303) 462-5603 MW-q <br />WELL LOCATION AS DRILLED: SE 1/4 NE 1/a, Sec. 17 Twp. 19 S ,Range 68 W <br />DISTANCES FROM SEG, LINES: <br />2250 tt from North Sec, line. and 300 h. from East Sec. line. OR <br />oath > n,mt - (.at a rwtl <br />SU801VISION: N/A LOT BLOGK FIUNG(UNrt) <br />STREET ADORES9 AT WELL LOCATION: <br />GROUND SURFACE ELEVATION 5090.3 R. ORit1JNG METHOD Rotary Air <br />GATE COMPLETED Sept. 13, 1991 TOTAL DEPTH 73 h. DEPTH COMPLETED 73 h. <br />GEOLOGIC LOG: <br />ta,pn o..afpYOn d wsrW (ryp, star sae., w.v ta.ua+t & HOLJ= DIAM. (n.) From (h) To (h) <br />6 0 73 <br />- a careous ., gray, toe-9ratne , <br />~"'- weTT semen e . <br /> 7. PLAIN CASING <br />ray, rta a s_ i ___y_ san s one, me rum OD (n) IGnd wall 5i~e From(h) 7o(h) <br />' graine oose .y conso t ate 4 Steer 1/4" +3.5 ' <br /> <br /> <br />tandinq water at ept of 4. t. <br />elev. 5086 PERF. CASING: Screen Slot Size: 6 mesh <br /> 4 PVC Sch. 40 -2' -73' <br /> <br /> <br /> <br /> <br /> ~ FILTER PACK 9. PACKER PLACEMENT: <br />~ Material Sand Type <br /> Size 8- mes <br /> Inlerval - to -73 Depth <br /> <br /> 10. GROUTING RECORD: <br /> Material Amoum Density Interval Placement <br />EMARKS: -onttor we Cement 0-2 ft. <br /> <br /> <br /> DISINFECTION: T N/A Amt. Used <br /> WALL TEST DAT : ~ Check box if Test Data is submitted on Supplemental Form. <br />TESTING METHOD <br />Static level tL Date~me measured ,Production Rate gpm. <br />Pumping level tt Date(I'ime measured .Test length (hrs.) <br />Remarks <br />. 1 Nw rw0 Vn, m,nwo mid. hadn ~nG bar Cr mtAxm Ihsd, ~M OnC tlrrl rA tu. b Tr ~0~ IlLnuuG a 6aba1 taa.t W hsI (a1 C.0.5. Or m~Fin <br />d taYr serenr,r Ir«n aado~ parlay h Qw ,eaad 0~pn.. •fd h pamuNDb a ~ ds 1 midert,eerv.l <br />.ONTRAGTOR N/A Phone ( ) tjc. No. <br />Haling Address <br />e/frtie (Please type or print) <br />Roy L. Stienmier/Chief Geologist Signatu <br />~~~~~„~~r~ Date <br />jFjy`/ <br />