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W R126~72 <br />COLORADO DIVISION OF WATER RESOURCES RE~~w <br />-HIS FORM MUST BE SUBMITTED 7p7 Columbine Bldg., 7845 Sherman St. <br />'::IThYN so DAYS OF COMPLETION Denver, Colorado 80203 ~ JL~ 1973 <br />O~ THE WORK UESCRI BED HERE- <br />YPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT ~~ <br />I~ w~rta e(?QIIaCEa <br />PERMIT NUMBER ~i~ 9 ~~/-3 '', ''/ sur~rata~ <br />WELL OWNER MRS. T. R. ha Te NE '/. of the /V l2~ y. of Sec. ~3~ <br />Box /y~o <br />ADDRESS Q_ tL 1~7~ L A 7.j c)~/2- T. ~~. ~~, R. ~~, ~~_ P.M. <br />DATE COMPLETED T!. ,dE ~ 5~ , 19'13 HOLE DIAMETER <br />WELL LOG ~ in. from ~ to SZ ft <br /> <br />From <br />To <br />Type and Color of Material Water <br />Loc. <br />Oft. ~a ~oe.Ks Ai/0 G'. RR/aL of <br />0 56 72oe,Ks ANo Ci2RVeL <br />SS~t 5'7 S h A [ e <br />I• <br /> <br /> TOTAL DEPTH S 7 ~L ' <br /> Use a dditional pages necessary to complete log. <br />in. from to ft. <br />in. from to ft <br />CASING RECORD: Plain Casing <br />Size g"_ & kind 5 % s e~ from ~ to -~ ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />Perforated Casing <br />Size ~ & kind S To eL from ~~ to ~ ft. <br />Size & kind from to ft. <br />Size & kind from to ft. <br />GROUTING RECORD <br />Material t~! O N ~_ R e i f <br />Intervals <br />Placement Method ~ li /~ /-;' N D <br />GRAVEL PACK: Size NATc, ~ /~L ~AC_~ <br />Interval <br />TEST DATA <br />Date Tested aJ i~ .f/ t ~ ~ , 19 ~ <br />Static Water Level Prior to Test / ;L_ ft. <br />I <br />.-sType of Test Pump weL L Pi o9- i L e ,e <br />length of Test ~ ~ O L( <br />-Sustained Yield (Metered) ~ ~ ~G.4 ~ S <br />Final Pumping Water Level ~ ~ T G <br />