2011-09-26_PERMIT FILE - C1981012A ‎(4)‎

• Permit No: C1981012A
• IBM Index Class Name: Permit File
• Doc Date: 9/26/2011
• Section_Exhibit Name: EXHIBIT 11 WATER WELL INFO PART 3
• Media Type: D
• Archive: Yes

WR136-0Z ~: .' ~ .
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; ~eCOLORADO DIVISION OF WATER RESOURCES RECEN~fl
_
Tres FORM MUST eE SueMITTED~ 300 Columbine Bldg., 1845 Sherman St.

KITHIN 60 DAYS 6F•COrttPEETION -~ ~
rHE WORK'OESCRIBED
HERE-
DenVef, Colorado 80203 --- - - ~-~ ----- ---
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IYPE~OR PRI~p(Bl:'ACK-- WELL COMPLETION AND PUMP INSTALLATION REPORT
ER RESOURCES
~_ .. . '- _-._... ~ _ ~-PERMIT NUMBER ~ ~'~ C-z v NPT
EPSE EIIGINEER
i n S
CO>•Q
pp
WELL OWNER /`'OBU'r '~ ~ '~~~"''r ~ '~• ~'~`~ '/. of the Y. o}Sec. ,
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ADD~ESS. J'7']'iC .e,s- ~6~t.7C a,~,Gi7t:1. GC i/•9~ R .
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DATE CO
PLETE
b
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HOLE DIAMETER
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Iti = WELL LOG i in. from " -
to h.

From ~

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1 T' - ~aYPe and Coloi ofTAaterial', - ' Water

-Loc-
i -"'in, from - ~ - "to --
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--~-Et. .. _
~s '~ i ~ in'frOm -- -to -ft.
~, , a ~ i'~ i ' ~ gRILLING METHOD
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~ = ~ - BASING RECORD: Plain Casing

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~w
Size &kind
from
to ft.
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is I
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' = Size &kind from to,., ft.
,
r 1 ly
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J :° Size &kind from to ft
to:: I .:
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- _ -. - ~-Perforated Casings '. - _ ..
&kind from to~,_ft.
2,~Orl __..---. __-_.-.. - ., .
& kind from to ft.
& kind from to ft.
RECORD -- - - -- - -..... -
Method
PACK: Size
Interval
.~ ~ y ccn.:l.:v:.,:l.:.,
t : ~~9W. ~ ~: 'O 1•.: ~:.. ...J -. '. i. 9•^. ?Ef:; s' ca 1iflE ? .• .IUi: SC:v e~ir:.... _..c ..+. _-. - _
o`TE$T DATA
_ci)ate~Tested • a:.:.- - - sr: '- ' t.- - -,'19 -
. , - . _ _ '~ --Static Water. Level Prior to Test-- ft.
-_Type of Test Pump. ~,-.~ •,ts-c'~ , .. -
_ ~cvsLengthof~Test -'= o: r:,;r•xhne
TOTAL DEPTH
:~' a Sustained Yield SMetered)'~
Use additional pages necessary to complete log. _.._ .. -. ~ . Final.Pumping Water Level
,. .. ,
--- _-- - - :I _