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WBJ -26-72 <br />- <br />Type and Color of Material <br />Water <br />Loc. <br />p <br />COLORADO DIVISION OF WATER RESOURCES <br />THIS FORM MUST BE SUBMITTED <br />300 Columbine Bldg., 1845 Sherman St. <br />WITHIN 60 DAYS OF COMPLETION <br />Denver, Colorado 80203 <br />OF THE WORK DESCRIBED HERE- <br />ON. TYPE OR PRINT IN BACK <br />WELL COMPLETION AND PUMP INSTALLATION REPORT <br />INK. <br />74900 <br />/ fq <br />PERMIT NUMBER <br />WELLOWNER Robert W. Ackerman <br />334.6 Brady Blvd. <br />ADDRESS Colorado 'Springs, Colorado <br />80909 <br />DATE COMPLETED April 12 ,197 <br />WELL LOG <br />From <br />To <br />Type and Color of Material <br />Water <br />Loc. <br />p <br />j <br />61,fC/1 0, �t ", r a <br />Le , J 4 AV —C% J3oc Ldap5 <br />3 <br />l0 <br />1,94f Cs 4y <br />/ fq <br />oz 7 <br />a� <br />A// <br />q9 <br />/ao <br />TOTAL DEPTH 120 ft. <br />Use additional <br />pages necessary to complete log. ' <br />P� BR� <br />EER <br />SW I/ of the N6Y % of Sec. 24 , <br />T. 13 _ _ S R. 72 W 6 P.M. <br />HOLE DIAMETER <br />6 in. from 0 to 1_ 20 ft. <br />in. from to ft. <br />in. from to ft. <br />DRILLING METHOD Air <br />CASING RECORD: Plain Casing <br />Size 6" & kind steel from 0 to 15 ft. <br />Size 4" & kind _$1_— from 15 to F30 — ft. <br />Size 4" & kind pl from 100 — to 120— ft. <br />Perforated Casing <br />Size 4" & kind pl from _ SO_ —to 100 _ ft. <br />Size —& kind from to ft. <br />Size __ & kind from to ft. <br />GROUTING RECORD <br />Material �Pw^ <br />Intervals a <br />Placement Method `c. H. kvn <br />GRAVEL PACK: Size <br />Interval <br />TEST DATA <br />Date Tested April 17 19 _73 <br />Static Water Level Prior to Test P/ ft. <br />Type of Test Pump Air <br />Length of Test Al h '4 S <br />Sustained Yield (Metered) 3 C' .0o r� <br />Piiial'Pumping Water Level, Q <br />