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WR126.72 ~' <br />' ~ COLORADO DIVISION OF WATER RESOURCES{' RECEIVED <br />THIS FORM MUST 8E SUBMITjED <br />WITHIN 60 DAYS OF COMPLETION ~ -~ <br />~ 300 Columbine Bldg., 845 Sherman St. r L~ <br />l <br />d <br />D <br />C <br />802 <br />{1 <br />(]V~ <br />O 7v <br />, enVer, <br />ora <br />o o <br />03 - -- - ~ - ---- <br />~ <br />. <br />r" THE WORK DESCRIeEDHERE- _. .-~ 7i <br />rVPE OR PRINT IN eL'iCCK'~ ~~ WELL COMPLETION AND PUMP~INSTALLATION REPORT q~]ER ftFSW~' <br />- - -: ' _' _ -- - - -- - PERMIT NUMBER ~3 ~ 2 Q ~~~ ~~ <br /> ~ <br />9 <br />WELL OWNER ~n'BB ~f'~ ~ L L.f ~l II~P /f ~'f a / L ~ y, of the ~LLY. of Sec. 3 <br />dJoReV•!~oszp h 5A i N -= SroA'B wf}~/,, . <br />(/ <br />ADDRESS I41 •S=Tn N. 0.O L d, ~ O ~J l ~ Q_T T <br />j~ <br />/i~ lS ~L <br />~ P <br />M <br />5 R <br /> _ . <br />_~ <br />, <br />. <br />. <br />f <br />1 <br />~ <br />~ / <br />DATECOMPLETEU.J~ <br />~ <br />/ a , 19 ~ HOLE DIAMETER <br />.s - <br />~r" ~_ ' p~ ~j~~~ <br />~in.from <br />~toL+Zff. <br />WELL.LOG _ <br /> <br />From '- <br />- To ti' .~ ;~' ~:~~ ~ ~ I <br />~ - ~yae and Color otYUlateriall - - - Water <br />Uoo, .. <br />in. from to ~ ~~ ft. <br />i <br /> <br />of <br />3 ~ 4e' ~ <br />,I~~Q~} i/~L, ~ <br />~ ~Tn, from -to ' - - tt- <br /> '~3f ~ ~ e r ~ ~ <br />I <br />'' DRILLING METHOD ~ -~" ~ L f° / OD ~-- <br /> _ <br />~ae ~s - ~ <br />~ ~ <br />.. 1 <br />CASING RECORD: Plain Casing <br /> <br />' = ~ <br />' I <br /> <br />iW ~ <br />~ ~ ~ // ` <br />~ to / S" ft. <br />Size ~ & kind from <br /> . <br />G <br /> <br />~ <br />Y <br />. _ <br /> <br />' <br /> y <br />f X -.~' r <br />_~_ ...,..._„_.. D <br />;yy '~ <br />i~ <br />Size & kind .from.. to ft. <br /> .. p ~ - ..r r'-._ .. _ . <br /> !'-' Size & kind from to ft. <br /> ' f <br /> ~ "J F- ~ .~ b <br />J ~,~/ Perforated Casing. , _ <br /> <br />I ',_~ i ~ I~ Size 1GZ- & kind _ST. P.I from ~ to ~ ft. <br /> <br />~~ ~ ~. ~ <br />' I i <br />Size <br />& kind _ ~k from ~.i <br />to ~~~ ft. <br />,t I _~ <br />. <br />`~:: ~~ I Size & kind from to ft. <br />~.- ~ I I - - <br />~~ - ! ~ GROUTING RECORD <br />~ ~ <br />-~ ! <br />~ Material ~ <br />~ <br />~ ~N / <br />. <br />_ <br />i ~ <br />. <br />I <br /> <br />~~ ~ ! _-. -" _ <br />-- --- - - - - - <br />~e_-'.l ~ ~ <br />to <br />l <br />tervals <br />I i <br />I <br />I <br />~ ~RND <br />~ <br /> V <br />Placement Method <br /> <br />~ <br />I II <br />• <br />~/ <br />----- _-_ ~ / <br />_GRAVEL PACK: _SiZe <br />/VC N...__ .. <br />-- ` -, Interval ~ ~~ <br /> <br />='' -' `- " EST DATA "'" <br />_ ~ ~ 19Z <br />D <br />T <br />d ~ ~ ~-~' ~ <br /> ~_ <br />ate <br />este <br />CL" , <br /> ~ <br />- o ft. <br />Static,Water Level Prior to Test ~ ' <br /> .Type of Test Pump J. _2~ -= L_ •'~/a- / ~~'.)c <br />td _ _ c . _ Length of Test ~' y'~ ~- ~ ~ - _ <br />I TOTAL DEPTH I Sustained Yield (Metered) J ~/' ~ •p • ~C~ <br />Use additional pages necessary to complete log..- Final PUmpln9 Water Level CP ~ ~G <br />