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COLORADO DIVISION OF WATER RESOURCES f.LI+LIYLU <br />THIS FOr:M MUST BE SUBMITTED 101 Columbine Bldg., 1845 Sherman St. / , <br />WITHIN so DAYS OF COMPLETION Denver, Colorado $0203 ~~ G'- JUN 19 73 <br />OF THE WORK DESCRIBED HERE <br />ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PU/M/P INSTALLATION REPORT WATER NESGU~GLi <br />PERMIT NUMBER _C09„//~ StAiE ENGINEER <br />~? A,, G~aL0. <br />!L OWNER `~` ~ e~ ~• ,,l i~L ~ e 1Z _S rr/ v. of the /V t y. of Sec. 3 d <br />~oX Y~ ~ ~/ <br />ADDRESS N p/ _S7'~, C o)"'O ~~~~ T 33 ~ R.~82-1~.~- P.M <br />DATE COMPLETED f~ ~E 7 , 19 ~ HOLE DIAMETER <br />WELL LOG ~in.from_~Zto~~? ft. <br />From To Type and Color of Material Loc. <br />DAL' 0l5' l~ot,Ks fyND (L.e9/~L- ~'S <br />2Sf~' S3f /ZOCr /<5 RhD G,RR/GL <br />53,{f-slaf Sh~~e <br />c. <br />I TOTAL DEPTH <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 S % e eL from ~ to ~~ ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />Perforated Casing <br />Size 8~ & kind S i .e.~ from ~ to ~Z ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />GROUTING RECORD <br />Material e o w c ,~~. re <br />Intervals °~ <br />Placement Method ~ ~ ~ AN1~ <br />GRAVEL PACK: <br />Interval <br />TEST DATA <br />Size IVfITu yes / 1~- A ~. /< <br />Date Tested . J Gt N F ~7 , 19 ~ <br />Static Water Level Prior to Test ~ y ft. <br />Type~ofi Test Pump l~~P ~ ~ F~ A i L e ~ <br />Length of Test ~ H D u~le/- n <br />Sustained'Yield (Metered) ~a L S <br />Final Pumping Water Level 3 ~ ~f <br />