2011-11-09_PERMIT FILE - C1981012A ‎(3)‎

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

COLORADO DIVISION OF WATER RESOURCES ~ `9~~f2131415/S'
THIS FORM MUST BE SUBMITTED ~j 11 j
101 Columbine Bldg., 1845 Sherman St. ~ T y
WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 ~ /y
OF THE WORK CESCRIBED HERE- ~ gYJg o
ON; TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT lam-, d ~I~C~/~tV L
PERMIT NUMBER lof~5~33 h ~7f FN O~~CfS L
~" Cp~D rN(~ "'~
V LOWNER JAi1'les fl. ~~LL-RIP 11 ~'/. of the N~ 'G $ec.`,~_,
57-0' e. W.9 e.` f~ L ft ~. fJ-
A RESS WP_ c rnT n L ~ / O ~J T. ~.LL_ ~~, R. ~ ~_,~ P.M
DATE COMPLETED ,'/ Ail 'S/ , 19 Z/~ HOLE DIAMETER
.i
WELL LOG -~ in. from ~ to _.,,~~ ft.
Water
in. from to ft.
Fr11om To Type and Color of M/a~terial Loc.
~Tt. ~9ft r~0 C J($ ~/!lD ul,RA-~C.` ~`J~' in. from to ft.
'9ft155~~7Zo +c.fCs R~/o C~.Rr~ue
~S~t 57~ S h_9~e
CASING RECORD: Plain Casing
Size fL" & kind Teel from _~to ~ ft.
Size & kind from to ft.
Size & kind from to ft.
Perforated Casing
~~ & kind ~e.L from to
Size ~~ ~~. ft.
Size & kind from to ft.
Size & kind from to ft.
GROUTING RECORD
Material C O /V ~ R P_ Te.
Intervals 1
Placement Method $ L~ h A // 1~ '7
GRAVEL PACK: Size Ni4 f u K /4L 7",4r'.~E'
Interval
TEST DATA
Date Tested M ~ ~J ~ , 19 Z'
Static Water Level Prior to Test '~ ~ ft.
Tyne of Test Pump W// /E ~. ~ B i4 ~ L e.T?
- ~ Length of Test ~ /'l ~ l~ R
f ~ Sustained Yield~~Metered) ~ ~ L'. ~L ~
TOTAL DEPTH ~ L1.
Use additional pages necessary to complete log. Final Pumping Water Level ~ 0 T L
... .....c ., ~~_ .~ . ._