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w~n.xa-tr ~% pro7~El~iD>•s ~(/t°~~@ . <br />COLORADO DIVISION OF WATER RESOURCES ,; <br />THIS FORM MUST BE SUBMITTED 1313 Sherman Street -Boom B18 <br />WITHIN SO DAYS OF COMPlET10N Denver, Colorado 80203 JAN 1'~ 1982 <br />OF THE WORK DESCRIBED HERE• <br />oN, ryPE OR PRINT IN BLACK WELL COMPLETION ANO PUMP INSTALLATION REPORT <br />~' PERMIT NUMBER ~~rQ ~ ~ ~ F:i, t,y. <br />WELL OWNER dO~oft f~COYS f~rnt~~~n~ r'~ 1.~~lD~tWATER <br />/. of the ~ /. of See. 3 <br />ADDRESS (]~/rIn/]y ~•A 4Uy/1~ T. 3 _~. R..~L~~._~r-~j-_ P.M <br />DATE COMPLETED <br />WELL LOG <br /> <br />From <br />To <br />Type and Color of Material Water <br />Loc. <br />D ~p r tl <br />~ / 8 <br />S~ <br />^1'771(: ' /,'1t I <br />!$rl ~5 <br />•i // <br />S1tIU d. ~/7J ~1~/)L ~...t ~~l i",, -7.1t~ <br />~ <br />~ ::C Grp,-~i-r,r,~.._t>,,,:,~ <br />G. 35 `~v,~ -Tar1 <br /> <br /> , <br />1 <br />~l / <br />v `'~ t7fJ.~~ <br /> <br /> t <br /> TOTAL DEPTH _1CL_ <br /> Use a dditional pages necessary to complete log. <br /> <br />19~Q t+OLE DIAMETER <br />„//) in. from ~ to 1~L ft. <br />in. from to ft. <br />in. from to - ft. <br />DRILLING METHOD <br />CASING RECORD: Plain Casing <br />Size ~ & kind `•Fe~• 11 from ~_ to ~~_ ft <br />Size ~'S7_' & kind '" ~ from r~~ to ~'~ ft <br />Size & kind from to fi <br />Perforated Casing <br />SizeV~ 'T & kindrQyi~. ~~rc*~~ from ~~ to T/~ f.t <br />Size & kind from to ft <br />Size & kind <br />from to Tt <br />GROUTING RECORD <br />Material <br />Intervals <br />Placement Method 17-,iI. <br />GRAVEL PACK: Size /D.~1G i~~r,•>,~yi~ <br />Interval _ ~/1 ~ (j~ <br />TEST DATA <br />Date Tested , 19 _ <br />Static Water Level Prior to Test i <br />Type of Test Pump <br />v n~1 <br />Length of Test 11th <br />Sustained Yield (Metered) <br />Final Pumping Water Level <br />