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<br />COLORADO DIVISION OF WATER RESOURCES <br />.S FORM MUST BE SUBMITTED 1313 Sherman Street -Room 818 <br />NITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 <br />OF THE WORK DESCRIBED HERE• <br />ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT <br />INK. <br />PERMIT NUMBER <br />WELL OWNER i'urrrt of Coal Crse k 1Pr! '/. of the M~ y. of Sec. l2 <br /> <br />ADDRESS p- O. Rox~96 Coal Creek. Colo. 81221 T, 20 3 R.~ W 6 P <br />DATE COMPLETED <br />WELL LOG <br />19_ <br /> <br />From <br />To <br />Type and Color of Material Water <br />Loc. <br />0 5 Topsoil <br />g 26 Sandstone <br />26 27 Fireolay <br />27 33 esffiatene <br />33 34 rireolay <br />34 60 sandstone <br />60 63 ooal <br />63 68 slate-rirselsy-sandston®-s <br /> miz <br />68 69 ooal <br />69 14S eLts-rireolay-asndatone-eha <br /> tale <br />14g 161 sandstone <br />161 166 open bels(tdns shaft) wa <br /> ~ <br /> TOTAL DEPTH <br /> Use a dditional pages necessary to complete log. <br />rH~O.LsE~°DIAMETER <br />7 7/8 in. from ~- to ~~ ft. <br />_ 6 in. from ~_ to 161 ft. <br />in. from to ft. <br />DRILLING METHOD Air preonseion <br />CASING RECORD: Plain Casing <br />Size b & kind Stesl from 0 to ~- <br />Size 4 1 Z& kind plastic from ~ to 110 <br />Size & kind from to -~ <br />Perforated Casing <br />Size 4 1/2& kind atto from l~ to l66 <br />Size & kind from to <br />Size & kind from to <br />GROUTING RECORD <br />Material Dement <br />Intervals <br />0 to 15 <br />e Placement Method <br />GRAVEL PACK: Size <br />Interval N/A <br />.~.~ <br />.r.. <br />TEST DATA <br />Date Tested , 19 _ <br />Static Water Level Prior to Test 160 <br />Type of Test Pump 3 ~ ~bmaraable <br />Length of Test <br />2 era <br />Sustained Yield (Metered) <br />~ H9m <br />Final Pumping Water Level 161 <br />