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WJe-26-]] <br />COLORADO DIVISION OF WATER RESOURCES <br />THIS FORM MUST BE SUBMITTED 1313 Sherman Street - Rooln $18 <br />WITHIN fi0 DAYS OF COMPLETION Denver, Colo/ado 80203 <br />OF THE WORK DESCRIBED HER E~ <br />ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT I+ell FfiR~12~A <br />INK. PERMIT NUMBER ~i7)s.~~ <br />WELL OWNER ~ '/. of the ~ % of Sec. lb , <br />ADDRESS von c o~~~..~s r T._~- __, R._~~ ~ P.M. <br />DATE COMPLETED , 19 ~ HOLE DIAMETER <br />WELL LOG ~___ in. from _~ to ~_ (t. <br /> <br />Erom <br />To <br />Type and Color of Material Water <br />Loc. <br />0 2.5 art bror» c14y <br />2.5 12 laterbedded ahal• and <br /> alltstoeei Cwly at top <br />12 T2 lt. grey, tSAe-yralatd x <br /> sandatoue (IG6 SS.) <br />72 174 faterpedded lt. grey <br /> aaadatotw awsl grey stale <br />374 320 lt. t0 alad. grey. tiM LD Y <br /> sod. gr~taad saiWata~a. <br /> ahaly at `eat (Twsty~ile 5 ) <br /> aza fc. <br /> TOTAL DEPTH <br /> Use a dditional pages necessary to complete log. <br />_~ in. from ~ to 77~ ft. <br />__~_ in. from ~~ to ~- ft. <br />DRILLING METHOD air/J11dsOtagt <br />CASING RECORD: Plain Casing <br />Size 4~f3~` kind~~}aXafrom _~ to ~d4- ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />ueluad fret li4 to 32d ft. <br />Perforated Casing <br />Size ii/~ & kind ~A from to ft. <br />Size & kind from to ft. <br />Size __ & kind from to ft. <br />GROUTING RECORD <br />Material ie~tlled eeeut <br />Intervals 0 ~ ]54 it. <br />Placement Method GQpwstlosal bow-bole diaplaa <br />GRAVEL PACK: Size N/A <br />Interval N/A <br />TEST DATA <br />Date Tested <br />19 <br />Static Water Level Prior to Test fla+ioa ft. <br />Type of Test Pump <br />Length of Test <br />Sustained Yield (Metered) ai~DIVIt. 1 1iA0 i ar. level <br />Final Pumping Water Level <br />