2010-07-27_PERMIT FILE - M2009076 ‎(19)‎

• Permit No: M2009076
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/27/2010
• Doc Name: Adequacy Responses- Well Permit
• From: Venture Resources
• To: DRMS
• Email Name: ACS
• Media Type: D
• Archive: No

FORMNO.
SOLORADO, OFFICE OF THE STATE ENGINEER
GWS1313 Sherman St., Room 818, Denver, CO 80203
04!200.5 phone- info [phone] Main [phone]
a
NAME OF WELL OWNER: V u)e6-
/rte
CITY: - `/ S STATE: CO ZIP CODE: OV J
TELEPHONE NUMBER: 303 - ?3 ? E or tJ W
WELL LOCATION AS DRILLED:.S? 114, -5W U4, Sea . ?, Twp. ? N or Lc??, Range
O ft. from ? N or 014 section tine and ?
DISTANCES FROM SEC. ONES: _.XL 1,- 607 ft from E or ®'@0 section fine.
LOT BLOCK FILING (UNIT)
SUBDMSION: Owner's Z%?rTn:
MOptional GPS Location: GPS Unit must use the following setfings: Format must be UTM, Units Easting: must be meters, Datum must be NAD83, Unit must be set to bue N. ? Zane 12 or (done
13 JI?QdS??
. 7
STREET ADDRESS AT WELL LOCATION: Northing-
?
GROUND SURFACE ELEVATION -S60 feet DRILLING METHOD
TnTAI_ DEPTH ;?00 feet DEPTH COMPLETED feet
ao,
GEOLOGIC LOG:
th T Grain Size Color Water Loa ?g
-/? 1H?97?.GRiW ¢LY s°
it d o T. PLAIN CASING:
'Kind wall S ? (in) From (ft) To (ft)
RFORATEDP? G? t 3(?n) 4?-O
8. FILTER PACK 9. PACKER PLACEMENT :
Material Type
Size
0. GROUTING RECORD
Material Amount Density Interval Placement
.....
i s 1614 /'?JNfTd/l?islG 'W? r?o!I fl =
-? ,..ter,, /PA92 41/I17-
on
TESTING METHOD Production Rate gpm.
Static Level fL Date/Time measured: Test Length (tvs) ft Datefrffne Puffing ?.r--- measured
r v?na/?svAr { 1LI?!IT?iQ?/?( OA)
ead the ststerr nis made hetem and Ivtowthe contents thereof, SrK! they are mW t0 my KrKVae09C. rrw ................. ---- of
of a document that contains false statements is a violation
vAh Rum 17.4 of fie water V" Co'trodion Rides. 2 ( R 402 2 I f -•?.... fioer>se I
..-- .-- ......, earxrn .nrrkfr revinratiDri of the wrruaw.
Pnone: 6 3 a 3 N
?? /? rl1C , //`'C ( 503 )
© ?oX / 971 W1106s ca' (130 SAS),--
P - Name and Title ? 4?- yar l c? Pte.
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