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W RJ~36~73 <br />.COLORADO DIVISION OF WATER RESOURCES RECENE~ <br />7RIS FORM MUST BE SUBMITTED 300 Columbine Bldg.. 1fi4$ Sherman Sl. A <br />WITHIN fi0 DAYS OF COMPLETION Denver, (;OlOfadO 60203 ~ p IIIL ']1'76 <br />OF THE WORK DESCRIBED HERE (~~ (S/ .)ll C. <br />TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMnP INSTpALL,A/TION^REPORT t` 1ER R~~. <br />/ ,/~- /~ PERMIT N/UMBER 7~ ~ O ~`~` ~~`1 ~.1att ENWNtI:R <br />WELL OWNER ~d N ~J/ i'" E.J e ~ h /Q' L°- ~~ <br />ADDRESS~a~~- Si~d~It° ~~•~ ~;,f/i A B~ ~. <br />. •_ -•- g <br />DATE COMPLETED -' ~ _ ~~ , 19~(a <br />WELL LOG <br /> <br />From :- <br />To ~ y ~ <br />- ~ - -Type and Color of Material ~ Water <br />Loc. <br />o ~ ~~ ,~~~,o~e.r. s u,; rh <br />/ <br />I <br /> H ~ <br />E <br />d ' ~ <br /> ~' ~ f? <br />/ <br />[~~ ~ ~ <br />r -. _ <br /> ~J~T~~.~b~~~~,~ <br />-~ <br /> ~ro~t.;a 8' .~ <br /> _..~.. - _ <br /> i <br /> :'i <br />S~ <br />~ <br /> <br />i <br /> TOTAL DEPTH <br />Use additional pages necessary to complete log. <br />,~ / ~ „l0. <br />'/. of the ~ Q~ Y. of Sec. ~~ _ <br />HOLE DIAMETER <br />S in, from ~ to ~~ ft. <br />in. from ~ to ~ft. <br />in, from ~~to~ ft._ / <br />DRILLING METHOD E oo .S <br />CASING RECORD: Plain Gsing <br />~7 i/ <br />Size _L & kind a ~- from ~ to ~fl <br />ri <br />Size ~ & kind S ~-~ from ~ to ~ ft <br />Size & kind from to ft <br />. Perforated Casing <br />d <br />Size ~ & kind Tec from a~o2 to ~ ft <br />Size & kind from to ft <br />Size & kind from to ft <br />GROUTING RECORD <br />Material ~~ ~r° . -N ~- ~1~ T <br />Iritervals ~/ _ ~~ / <br />Placement Method 1./ ~iY~ - <br />GRAVEL PACK: Size <br />y i/ <br />a <br />Interval ~~ / - ~~ / - _ <br />TEST DATA ~ ~- ~~ <br />Date Tested ~ - ~S , 19 L[a <br />Static Water Level <br />Type of Test Pum <br />Prior to Test / / ft. <br />p ,~~i ~~d <br />Length of Test ~ ~l o G( L~ _S <br />Igo ~~.~::;:1 ;.:~.,..::.-.:. t t o v ~. ~ o?a G.P. ,>,L• <br />Sustained Yield { <br />Final Pumping Water Level ~~ <br />