Laserfiche WebLink
l.lirv{.l'trY V.Y1J. V1~J. ...~. r.. ..rJV V......r ••^•. .. <br />THIS FORM MUST BE SUBMITTED 1313 Sherman $treel - fioom f31B ~'~/1s( Q 4 1982 <br />WITHIN fi0 OAVS OF COMPLETION Denver, Colorado 80203 t <br />OF THE WORK DESCRIBED HERE yIATER gESUURCFS <br />ON. TYPE OR PRINT IN BLACK WELL COMPLETION ANO PUMP INSTALLATION RETORT. BATE ENBINEfi <br />INK. -}I P/ERMIT NUMBER /:Z / y S3 f~ <br />~LL OWNER ~E(~Y/h ~ nQ((T'_r ~~nf.r ~ f_ % of tt;e S U / '6 of Sec. ~ . <br />ADDRESS StOI f ~~ f~r~1'O ~Gn ~< ~7~w{_ T. -T .~_. R._~~_, ~, lA P. A:". <br />DATE COMPLETED y '.~C) , 19 <br />WELL LOG <br /> <br />From <br />To <br />Type and Color of Material Water <br />Loc. <br />0 6 ou~,rburdE:n <br />6 /~ 8tnurn ScLT1c~ 51"cni <br />/ ~ - y ~~~ s~.t.~ s~r~ ~~ <br />f q ss (yra.~j 5a„d SI•~„~ S~utd~ ~ <br />V <br />SS yD Gr:: <br />~ ~~d STtn~ <br />90 99 RI ~~. (fray Sartl Stcnr/ s Ital.r: <br />q9 16Y bce.~ ~4,f1C1 S1"cn~. <br />16Y /85~ irr4y Sc.t~c~ Sf'nt; SjwLc&1s, ~ 16 <br /> TOTAL DEPTH /8.S <br />Use additional pages necessary to complete log. <br />HOLE DIAMETER <br />_~~ in. from _~ to ~~ ft. <br />i~ <br />in. from ~~ to ~~ft. <br />__ In. from to It. <br />DRILLING METHOD Ro]~G.~r-1 <br />CASING RECORD: %ain Casirp <br />Size fi~ & kind STFE C from r/ to ~~ ft <br />Size <br />& kind from to ft <br />___ <br />Size & kind from to 1t <br /> <br /> Perforated Gsing <br />Size <br />& kind QfL2f:_ from to fi <br />~. <br />_ _ <br />Size <br />& kind from to ft. <br />.__ _ <br />Size __ & kind from to ft. <br />GROUTING RECORD <br />Material Cf'nt n'/ r .~~ <br />Intervals ~~~~ r~r~ /9 <br />Placement Method <br />GRAVE( PACK: Size <br />Interval gyp(:. <br />TEST DATA <br />Date Tested y " cls/ , 19 t~ie'_ <br />Static Water Level Prior to Test / ~D ft. <br />TvFe of Test Pump ~3 o z ~E ~' <br />Length of Teet d~~S• <br />Sustained Yield (Metered) / ~1 ~ /~ /17 <br />Final Pumping Water Level /,~n r <br />