Laserfiche WebLink
FORM STATE OF COLORADO <br />NG OFFICE OF THE STATE ENGINEER <br />GWS-9 818 Centennial Bldg., 1313 Sherman St.. Denver. Colorado 80203 <br />I2/9~ (303)866-3581 <br />WELL ABANDONMENT REPORT <br />(To Report Plugging and Sealing Wells) <br />PERMIT NUMBER OF PLUGGED WELL Hole No. <br />NAME: Monteomerv Watson Minine Grouo <br />Marling Address: P O Box 774018 <br />City. St., Zip: Steamboat Sorines CO 80477 <br />Phone: 970/879-6260 <br />ACTUAL WELL LOCATION: COUNTY: Routt <br />PROPERTY ADDRESS: Havden Gulch Mine. Routt Countv Road 53 <br />NW I/4SE I/4, Sec. 30 Twp. 5 ®N. ^ S., Range 88 ^ E. ® W. P.M. <br />Ft. from ^ N. or ^ S. Line, Ft. from ^ E. or ^ W. Line. <br />We report that an existing well was plugged and sealed for the following reason <br />^ The well was plugged and sealed as required under the conditions of approval of Well Permit No. <br />^ The well was not in use and was plugged and sealed. ~ n n /~ <br />®Other (please explain) Coa~wae ,re..,~..:..A ..,~I), .S,,,Qw~ p(ody..Y....Ji.-IryP~, ~,.«t,e., eE C~.~-ue l~rY/L~w d <br />M.w 3v.,~~ (puteyt.~ P <br />The well was plugged and sealed according to the Water Well Construction and Pump Installation Rules on October 6. 1998. <br />was <br />AMOUNT AND TYPE OF MATERIAL <br />7 bags ~ cemenUbentonite grout <br />mg materials placed at <br />METHOD OF PLACEMENT <br />tremie <br />from <br />from <br />from <br />from <br />from <br />from <br />from <br />0 feet to <br />feet to <br />feet to <br />feet to <br />feet to <br />feet to <br />0 teet to <br />24'2 feet. <br />feet. <br />feet <br />feet. <br />feet. <br />feet. <br />2 feet. <br />INTERVALS OF CASING REMOVED/RIPPED IN FEET <br />Cur off 2" PVC and 8" pro[ectwe casing. <br />I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. (Pursuant to Sec[ion <br />?4-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class I <br />misdemeanor. ) <br />TIM HIMES, General Manager Date: 10/13/98 <br />Himes Drilling Company, Inc. <br />?390 Hwy 6 & 50, Grand Jct CO 81505 7Tt Z <br />970/242-8893 <br />INFORMATION - It is the responsibility of the well owner to have the well properly plugged and sealed. The well construction <br />contractor is responsible for notifying the well owner of the plugging and abandotunent requirements. This form may be reproduced <br />by photocopy or word processing means. <br />