HomeMy WebLinkAbout971852.tiff Form E (Fey. ) STATE OF COLORADO
9-57 DIVISION OF WATER RESOURCES
OFFICE OF THE STATE ENGINEER
GROUND WATER SECTION
LOG AND HISTORY OF WELL
PERMIT NO. 10;36
Lic.
Drilled by off,,.; rt. ;,r.;1 ,The ,;, No._66_ WELL LOCATION
Owner kr,rinret' It+' 1,.:1.,14 i..1d County
-23
Address E,,.. 1,-.1,L, -. ;•„1,,, S:. , of 3k. ',of Sect. D.la
Tenant Twp. (2:: , Rge. 98-,; , PM
Used for 1,.r-.' r'-`•d LOCATE WELL ACCURATELY
IN THE SMALL SQUARES REP-
on or by PRESENTING 40 ACRES
(description of site or land)
Date Started October , 19 61 N
I '
Date Completed Oct-t :r , 19 61
Date Tested II-,f1•,._ t 'te,',, Oct. , 19 61 T
I I
Yield 20 gpm cfs W ; I E
` Outlet Size 11' I I
Pump type �'.t-' �
1
Driven byl: :aeetric HPCRPM "--'�- ---- �—
X I I
Depth to Water ;1'0 Ft. Draw down > A Ft. I I
I i
S
Depth to Inlet ,7040 Ft.; Bowl Ft.
If the above is not applicable
Size and Kind of Casing: j:"_;.._-c1
fill in:
From 0 to 1#1 Type ate:1 Wt.
From 400 to 1076 Type Oily. Wt. Town or Subdivision
From to Type Wt. Street Address or Lot & Block
Perforations: Size and Type
Ground elevation
From C.".0to t70 Type ^cr2.Size r';
(if known)
From 10000 107E Type perf.Size •"
How Drilled:
From to Type Size ,of ry
Well description: Total Depth 1076 Ft.
REMARK 971852
(from 0 to 1076 , 5 in.
Hole ( Cementing, Packing, Type of
(from to , in. Shut-off, Depth to Shut- f etc
Diam.( PUT LOG OF WELL 0 Dann
(from to , in. VERSE SIDE
TO BE MADE OUT IN QUADRUPLICATE: Original Blue and Duplicate G I 14
State Engineer's Office, White copy to Owner, and Yellow copy to Drill\r USA_ - 11SO
till STATE OF COLORADO
DWSN OF WATER RRROURCC$
OTTICR 01 TIE STATE ENGINEER. GROUND WATER SECTION
Pawl TO USE GROUND WATER
This p•raN to lees' M the yPllaat at lie Sew sheers below aslb.rtalq the
see of greed weer to Si reset. her the see as ledketed n/at the beetles Sirys In
the eAlisetlas, see m e/ rs lsltledos daft @hws.
Form CtRer. 1 STATE OF COLORADO
4-5118M APPLICATION POO CSR or GROUND WATER
(Gee ldellll• ► 1t aw Trne•rlter)
} !'
ApRtlta r Gill ..,_.._,.
st
LOCATION OF WELL
` duty MIA _4‘;',45 . - 1
P.'$t, Address Mn. War k .0
Q,aaMI applied Tot SFs or - _&J.— V. Sect. --. Twp.
AF Sonde
A 416.-2-1-v— P. M. 011
U.S for alISILUS- Porpoise a
on, at ii knot Lases or tot i Block No.
(Tiget 3saer*iron of-land Ole) a
fl Tees or Rlsbdlr7elee
Total acreage irrigated and other rte. 1
i 1.1TIIMATE9 DA A OF WELL. M _
Hole .Ise: +ft_In to t. MR. I '
Ia. (t.
St Casing Plata In. frost to R. I - E, •
;, ;r. In. fro b well la
II s or la. Woow ` s g sere
Ia. fr (eeealll
Pt'14P ' St.
DA T A: T)i•.. Lid . R1 AINS....., j - I as rwr
- as pomade.
•
Use Initiation data ihmitilt,1•
(tr S 31 '
Woe Supplemental paean _T
538. 00 far received 'dor uses other
Tiiii lePPL7l'ATTin Cl tit Shea tbse.11t or Unstuck.
I
10736 •sash LSttleriell
PI-NWT NV. Mflt�tF
—.--
MUM:D: 'D--20 - AS•nt or
mAlEy;l3 1g _ I._ rall•r Kwalt Jr111ia_Ce. No. 66
- Address R. R, 3 rt•r11at. Ccleredo
NOTE - SATISFACTORY Cx/11tPLiTKQ1 mix man FOR APPROVAL Or APPLICA1ION
0%'. I se S r 40 a ....a P•. • e• cage♦tr.. f/•V e top itINSWINIer s - • _-e
iN► ARC A4PLIcAl nil a ' `•
INDICATED.
•
ERAS 0
we Tel�rb7 --- 97-1852
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