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wJ a~26r ] ] <br />' ~ ~ COLORADO DIVISION OF WATER RESOURCES <br />THIS FORM MUST BE SUBMITTED 1313 Sherman Street -Room 878 <br />WITHIN fi0 DA V$ OF COMPLETION Denver, Colorado 80203 <br />OF THE WORK DESCRIBED HERE- <br />ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT wl11 ft~R~-13 <br />INK. PERMIT NUMBER 172285 <br />WELL OWNER P1Lts<hYrah L i~11llriy Ctul illetaq Lo SE Y. of the NE % of Sec. 10 , <br />ADDRESS 1120 5. 8llllile! 3t I~Itltlr~ CO• i1o422 T. -_~N R. ~y 6th P.M. <br />DATE COMPLETED flctOblr ~~ .t9 $3 HOLE DIAMETER <br />WELL LOG -_1L in. from ~__ to ~~ ft. <br /> <br />From <br />To <br />Type and Color of Material Water <br />Loc <br />d 27 brarnlth-9 shll• <br /> (lawlt 3M1~ <br />27 29 twl <br />29 92 Lt. pny !!ldsta! w/ <br /> 1!tlrOaWW lFul! (K6) <br />92 196 t~cerbldQlld lt. ywly la,ltl. <br /> fllbtoa! !od tludstOrl! <br />196 365 it. yrty. t1M-wd. 9ralned X <br /> !ladstoa! (Trlstyatl! 33.) <br /> TOTAL DEPTH 366 tt. <br /> Use a dditional pages necessary to complete log. <br />_~_ In. from ~_ to ~- ft. <br />~_ in. from ~~~ to ~_ T[. <br />DRILLING METHOD~~~ ro~rY <br />CASING RECORD: Plain Casing <br />Size a.ii~'& kind E1hltgllflrom _~- to ~~ ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />Wc!!!d frog 194 to 765 ft. <br />Perforated Casing <br />Size W~A & kind ~~ from to ft. <br />Size & kind from to ft. <br />Size __ & kind <br />GROUTING RECORD <br />Material FlrLll~ ~!~` <br />Intervals 0 ~ 194 tt• <br />from to ft. <br />Placement Method~I~~t11D!!1 well-fin ~liplle!• <br />GRAVEL PACK: Size ~A <br />Interval ~~~ <br />TEST DATA <br />Date Tested <br />Static Water Level Prior to Test <br />Type of Test Pump <br />Length of Test <br />Sustained Yield (Metered)- <br />Final Pumping Water Level <br />,19 <br />f t. <br />