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Haldorson 9703236851 p.5 <br /> <br />~:' <br /> <br />~. ~l118L COIV67W1C.11DW M+D 7ESr <br />~ STATE OF COLOFL4D0, QFFt .('E OF THE STATE ENf~Nl~4 ~« office u,a ~ <br /> <br />r <br /> <br />,, <br />wet Peter ~tse~ 25'-~~ S5 . <br />a r 1wNECl r,~NEls} 1 s n ta.r~ d S n 5 ~riE____ <br />s <br />cay, st zip ) •O ~ <br /> (97D) 32 - R <br />3 WEIl LOCATION A4 DRII ~ ~: ,~,~_,14 Al ~ V4, Sec. ~'-f Twp. ''~'~ ~ , Range~~ _V~- <br />DISTANCES FRDM SEC. ~ <br />5(o Q n. ~nrn sec. raga. aew 3(~ ~. from sec. erne. oR <br />SUBDMSON: LOT 6LOCK FILING(tltgT} <br />STREET ADDS AT WEII LdCA110I~t <br />d. GROUt~~ACE ELEt1ATiON ft DWCLNG METHOD ~rr ~D'~"ar~-, <br />DATE COMPtET~ - 0 .TOTAL DEPTH ~c N' R DEPTH CONIPLETEfl a ' h. <br />6. GEDtOGIC tAG: <br />oeoe~ 0®wlatimr d tAemiel p'ype, sa., oalor.'IVffier tne~fon) & HOLE DU1M. (m.} From ~} To (~ <br />A " ___.Q__ 3, S , <br />~ ' ~_ ..ESL <br />O - 3 , re <br /> <br />3.f5'- SM` ~-n~t.l-Sa~- [a6L1ts. 7.PCAINCASING <br /> 00 (m) ICetd Wall S¢e Prompt) To(!ti <br /> <br /> <br /> <br /> <br />•7 PERF. CJSSING: Screen Sbt SizE: . O ~ 0 <br /> a„ Pvc .aao ly, <br /> <br /> <br /> <br /> ' <br /> 8 RLTER PACK 9 PACl2R PfACF3+IFJdt <br />: <br /> MaleYal Pea~~ave.l Type <br /> Side 3(1r <br /> lrue+val r a to (o ~ ' ~ <br /> <br /> tQ C~tOUTNiG RECORIY <br /> Notarial Anwunt Detrily ttterrral Placematt <br />RETMRf(S: - ~.~-able- <br />.., . ~-m/ ..,. e~.a w ~..... J ...+ h / J L rte, '~/= r unPnt ~~t /fica / Q~ o r <br />,. <br />, [.1t51NFECRON: Type Amt Used <br />r <br />~t <br />YVE1L TEST DATA Ch[ck box ~ Test Data is subrr~ted on Fomt No. (aYVS 39 SCI Wall Test <br />7E517NG AOEiHDD .4,:~ - (t ~!- - <br />3tatie CoutN G~ • tt Daae~Ttme rrres~ued /- !(` b ~ . P-o Ra[e ~ gpm. <br />Pump'a+g krN ft Dale~Tmre measured . Test length (fvs_) <br />Aetperl~ cek' -O /-alt " a ~ ee <br />3 f tmnre reed theAdanwnh male lwe{n and Imow rite oardv4 gourd and UiR fury an tme to mr tnarMeap~. p•weuwam Section 2n-aaoa (t3) <br />GRS. Teo mMiq dldaa aMAnrb he~aii ooiglifidm PAY fe tfw seoud dgga. and is putid.eiak as a da¢ t mctletoea'ror,j <br />COPTTRACT'OR Dom. " l.' i S.rc Phase (9T o) 45 f. -t. SR 3 tic- No. ~3~ <br />Nei' Atkhaas p s r ~ t <br />N~nBJrige ~PIeeE6 type m pTirfa) <br />13•'tf (}. 1e••SSnei (Presri(u+f~ Sigrmture <br />~• """'-" Date <br />t -~~~ <br />