PERMFILE114585

• Permit No: M2005080
• IBM Index Class Name: Permit File
• Doc Date: 5/4/2006
• Doc Name: Response to April 25 2006 Adequacy Review
• From: EAI
• To: DMG
• Media Type: D
• Archive: No

~ ='"'--T--~ FNELL CONSTRUCTION AND TEST REPORT

''~'" STATE CF COLORADO, OFFICE: CF THc S?ATE ENGINEER Fcr Offca Use Oniy
UM6ER MH et6101 ~- _
1~ '. ~,'~ELL PERMIT N
_
2. ! C°rlNER NAME(S) AJlert Drilling, irtc
I ~ MaiSng AGOress Post Office Box 398
Ci,y. St. Zip Falrplay, Colorado 8ft440
!
L
Phcne (719} 836•ZS72
_
3~~-UtJcLt LOCATION AS DRILLED: NE 1i4 NW' 1/4, sec. t4 twp. 10 South ,range 77 rPles'. ~
DISTANCES FROM SEC. LINES: ~ ~
Sec: line, and 2635 ft. frorn West Sec. line; OR ~
t32v ft. from
North
_
__
- (north o; south) (east or west)
SL1$DfvlSiON: N1A Lot 8; Filing(u,nit)
!
S''~'EETADORESSAT WELL LOCATION'
L
_
T~RI)ilND SURFACE ELEVATION ft. DRILLING METHOD Air Rotary
GATE COMP!_ETEO .Total De th 2t ft. Depth Completed 21 ft.
~
I
S. G~.OLOGIC LOG - 8. HOLE DIAA4. (in.) From (ft) TO (ft)
Cepth Caarip!ion of Uatadaf (Type. Size, Cclnr.:Nate: Locatio .j 9 7~d ~ 21
I_ u^ - 2 ; -Sand 3 Graoel Alluvia! _-_
_
~ 7. PLAIN CASING
~`-_ --- -
_
_
__ Monitoring Note ~2 ~ I OD (in) Kind UVall Size From(ft) To(ft)
~
_
I
-__ Static Levv31- 21 Ft _~ I 7 Steel 188 ~t t b
(
f ~ s -------i
I
_ __ _
r----- ~--4~ PERF CASING: Screen Slot Size: .032
___.___
.___ -_
r
.
7 Stee: 138
to' 21
_
~
_
l
'
Il
'
_._..-~._._..____ __. -_ -_ ~ -_-. ~._.
r--
-
8. FILTER PACK: 9. PACKER PLACEMENT '
faterial NIA Ty,;,e NiA
~_-._ ~_.-------- Size
_.~_-.__-..__
v In^.erval_ Depth
i
~ tQ. GROUTING RECORD:
_ Material Amount Density Interval F!auerient
. ftcM.+,RK=..--_--------_---- -. ~ Cemen! 9c' 15 0-16 Poured! !
Vierater;
H'. Cari1' 1 °ia
J:SdJFct_LOrd: T pe: on't. User,:'
---------Y---_____-------------- ------------
L"rFt,',-_=E~~ C~TA ^ Check oox ~f'T=St Da!a s submit.ec or corm No. G+.NS 39 Supp!emertal N/aiI Test.
7L'S ~L. VG 1,1?THOT _Ivi' __ _ _
Static Level _... 21 _ ft. Da-e/Tire neesured ____ -_ ~-, PreducUcn Rate fhA_ gprr
Pu:-;pmo Leal !_ _ fi. Date. i ime rneasLred ~ - _ .Test Length (hrs.1 _Wa_
-:erlarks
... ! hav?. reac i^E s:atsr,~er.!s rnad5 oaroir. aro kara.:he ~:crtenG thar~f, and That t•ixy are true :c ny know1edya. (pursaant to Sectix 24>-104 (1?I
l~l
'J.'t S..:ce rna~~r3 ~ False siatenencs Herein cautitutes Fir'=rY .r the staronC oag;ee and is nun ;have s a c!2ss t risCarnearcu.i
COh!TR.=:~.TOF Ailag+Drarg&Excavati~.c~Co~l2anylncInc. __ P';one'7~8~6-2072 Lic.Na_703
Na~r.e;Tit!e (Pleasa rjpe or print) ! Signature „ Gata
Ja.k Altars : Pr~'sider•c ~ ~~ ! ~~ 10r1l00