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WJR~•2ti.77 ~ <br />.1, ~ a ':,~; COLORADO [~IWISION OF WATER RESOURCES J~ '+~~~,~~~fI~1 <br />THIS FbfiM.fituST @E SUHMiTTEd 1313 Sherman Street -Room 818 /J , `Y ~ Y '~° <br />WITHIN 60 DAYS aF COMPLETION Denver, Colorado 80243 ~f ll~~ ~ 19~Q <br />OF THE WORK DESCRIBED HE}iE• ~ r `rir~v Q~N£r~ <br />•.bNtiTYPE bf~ PRINT IN BLACK WELL CDMPLETIdN AND PUMP INSTALLATIpN REPORT r f <br />INK. PERMtTiVUh'IBI:Rc~~.~ 7~ y~ <br />WELL OWNER l7 -~ i~4 ~ ~ lnCx ~~7,~'c~ ~ y __.~ _~-'/a of theme Y. of Sec. , <br />,.33.33 (~ u~6~e~7'.,~'ur7"~ f~a~ ~ <br />AD D R ESS ~ ea ~t-~ ~.t e 1Zf n„ i~_' . ~-~ 't- y '7 T, ~ .. ' V R . ~~. ~L~ , ..~,_,.52~. ~ P. M. <br />PATE C(?MPLETED ~ mss., ~ - , 19 ~..~ HQLE DIAMETER <br />WELL LOG ~ in, from Q_ to ~+~.. ft. <br />Prom Ta Type and Color of Material <br />_ -„ <br />r.;. ":~ <br />.:~ .~ , <br />-- ~ <br />' ~ TOTAL DEPTH Jx °'S <br />'CJse additiagal'p~gQS necessary to complete lag, <br />Loc, <br />~' <br />in. from to ft. <br />.n, from to ft. ' <br />dRILLING METWOD .~o~C'/I~rr~4 {' <br />CASING REG[3FtD: ?twin Casing <br />Siz --y` ~ ~ ~~! ~ Pram ~~._ to ~ <br />F7(4&kind .~ft. <br />Size .._...- &kind from to «.~ ft. <br />Size .,..~__. &kind r.,.........,....._.from ~,~_ to ~, ft, <br />Parfarated Casing <br />~~, r <br />Size.~.~ &kind / s from ~ ~ to °~ ~ #t. <br />Size &kind from to ft. <br />Size , _..._._ &kind - -- - --,....from to ft. <br />GRQUTING fiECORD <br />Materialc~^r~ 3'Jd ~; ~/~a cd ~ <br />Intervals-~ Gl/?~~ ~ ~~ ~d /~ <br />7F <br />Placement Method ~ ~~'~ T `S ~~~ ~l3 <br />GRAVEL PACK: Size,~.~~ ~ ~"/ ~~f' ~ <br />I nterva! ~~'~c~' l.c ~ - ~ ~' P <br />3f ~~ <br />f S <br />PEST DATA <br />Date Tested ~f-~ ~~ % %~' '~. , 19 ~. <br />Static Water Level Prior to Test _.._~_ ......-._ ft. <br />Type of Test Pump <br />Length of Test <br />Sustained Yield iMetered} <br />Final Pumping Water Level <br />MR-16 7-5.3 Revised 11/07 <br />