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COLORADO DIVISION OF WATER RESOURCES ~ KtI,tIVtU <br />THIS FORM MUST BE SUBMITTED 101 Columbine Bldg., 1845 Sherman St. 74q <br />WITHIN Bo DAYS OF COMPlET10N Denver, Colorado 80203 JUN 1 9 rI V <br />OF THE WORK DESCRIBED HERE-~ ~~ <br />ON. TYPE OR PRINTIN BLACK WELL COMPLETION AND PUM,P IOoNS//TALLATION REPORT WATER RESOURCQ <br />PERMIT NUMBER 1~-L11~~~ fTAiE ERGWE~ - <br />,~/ ` CaL4 <br />~L OWNER ~/¢ ~ L_ R. I/AL D E.i'i S ~ '/. of theme'/. of Sec. 30 .. <br />9ay,DftLT: iYl oRe <br />.ADDRESS T f~~ /I(/ nA 11 L~ /]L a g/OR~.Z T.~ s R.~~,~tL p,M. <br />DATE COMPLETED M A ~ / ~ ~ , 19 ~ HOLE DIAMETER <br />WELL LOG ~ in. from ~ to ~~ ft. <br />From To Type and Color of Material L«. <br />opt ~s- 7Zo e/<s ~yo ~R~v~L. ~s <br />25ft X8f /~i0 'LK$ /9/3'D~ RR'/G L <br />j~ftsl~. shg~e <br />II i I TOTAL DEPTH ~ ~ {t. <br />Use additional pages necessary to complete log. <br />in. from to ft. <br />in. from to ft. <br />CASING RECORD: Plain Casing <br />Size .~ ~~ & kind ~a.L from _~ to 2 S ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />Perforated Casing <br />Size ~~~ & kind ~T~e, L from ~~ to ~S~ ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />GROUTING RECORD <br />Material ~ 2// ~ /? P. Ti' <br />Intervals ~. <br />Placement Method b I~ ~/ ~ <br />GRAVEL PACK: Size /YATiz R /SL ~~g.n. ~ <br />Interval <br />TEST DATA <br />Date Tested %f'1 A y -~ S( , 19 Z <br />Static Water Level Prior to Test ~ S ft. <br />....: ..Type of Test Pump /Gt/E.L L ~ A i ~L, e. ? <br />Length of Test J ~ ~'t <br />'Sustained Yield (Metered) 3l ~ A~ 5 <br />Final Pumping Water Level ~f~ <br />