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Home My WebLink About941666.tiff •DEPARTMENT OF PLANNING SERVICES RECORDED EXEMPTION ADMINISTRATIVE REVIEW Applicant: Jarrald A. and Faye L. Jamison Case No: Amended RE-302 Legal Description: Part of the S2 SW4 of Section 10, T1N, R66W of the 6th P.M. , Weld County, Colorado. Larger Lot Size: 14.8 acres, ± Smaller Lot Size: 3.02 acres, ± Criteria Check List Meets Criteria Yes No X 1. Conformance with the Weld County Comprehensive Plan and any adopted municipal plan. X 2. Compatible with the existing surrounding land uses. X 3. Consistent with the intent of the zone district. X 4. Consistent with efficient and orderly development. X 5. Complies with Recorded Exemption standards in Section 11.8 of the Weld County Subdivision Ordinance. APPROVED WITH CONDITIONS The Department of Planning Services has determined through the review that the standards of Sections 11.5.1 through 11.5.6 of the Weld County Subdivision Ordinance have been met. This Recorded Exemption is approved with the following conditions in accordance with information submitted in the application and the policies of the County. The applicant shall submit a mylar plat to the Department of Planning Services to be recorded in the office of the Weld County Clerk and Recorder. The plat shall be prepared in accordance with the requirements of Section 11.7 of the Weld County Subdivision Ordinance. The plat shall be submitted within sixty (60) days from the date of approval by the Department of Planning Services. The applicant shall be responsible for paying the recording fees. By 4,L Date June 2, 1994 Gloria Dunn, Current Planner I RE3oa . . ,- a *op Ran &-3OZ • ' DEPARTMENT OF PLANNING SERVICES WI I D PHONE (303) 3533845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 140C. GREELEY, N. 17THO AVENUE COLORADO 80631 COLORADO April 26, 1994 Jarrald A. and Faye L. Jamison 15721 Weld County Road 10 Fort Lupton, CO 80621 Subject: AM RE-302, part of the S2 SW4 of Section 10, T1N, R66W of the 6th P.M. , Weld County, Colorado. Dear Mr. and Mrs. Jamison: Your recorded exemption application is complete and in order and will be processed on or before May 26, 1994. If it is determined that the application meets the approval criteria of the Weld County Subdivision Ordinance, you will be notified that the recorded exemption is approved. If the staff determines that the application does not meet the approval criteria, you will be notified and asked to appear before the Board of County Commissioners at a public hearing. You will be informed of the hearing date prior to the hearing. The Board of County Commissioners will then consider your application and make a final decision on the recorded exemption. It is the policy of Weld County to refer an application of this nature to any town or municipality lying within three miles of the property in question or if the property under consideration is located within the comprehensive planning area of a town or municipality. Therefore, our office has forwarded a copy of the submitted materials to the Fort Lupton Planning Commission for its review and comments. It is recommended that you and/or a representative be in attendance at the Fort Lupton Planning Commission meeting to answer any questions the Commission members may have with respect to your application. Please call Dave Yamada, at 356-9225, for further details regarding the date, time, and place of this meeting. If you have any questions concerning this matter, please call me. Sincerely, Glo is Dunn Current Planner • I RECORDED EXEMPTION FIELD CHECK CASE NUMBER: AM RE-302 DATE OF INSPECTION: May 20, 1994 APPLICANT'S NAME: Jarrald A. and Faye L. Jamison LEGAL DESCRIPTION: Part of the 52 SW4 SE4 of Section 10, T1N, R66W of the 6th P.M. , Weld County, Colorado. LOCATION: North of and adjacent to Weld County Road 10 and approximately 1/2 mile east of Weld County Road 31. LAND USE: N: Residence, pasture, agricultural ground E: Agricultural ground, residence S: Weld County Road 10, feedlot, pasture W: Private road, agricultural ground, Brighton Lateral Ditch ZONING: N A E A S A W A Road ADT Date Accidents Date Road ADT Date Accidents Date UNSAFE CONDITIONS: Inadequate sight distance (500' clear view @ 55 mph) Setbacks/structure from access Bridge location from access (less than 200' ) Weeds Landscaping Inadequate distance from road intersection or railroad crossing None observed at time of inspection TOTAL # ACCESSES IN MILE Weld County Road Weld County Road Weld County Road Residences Residences Residences Other structures Other structures Other structures Agricultural Agricultural Agricultural Commercial Commercial Commercial ROAD SURFACE Paved K Gravel Unimproved Requested Engineering to inspect site - Y N x Date: COMMENTS: Access to both lots is from Weld County Road 10, a gravel County local road. The proposed boundary exchange includes pasture ground. One dwelling exists on each lot. Gloria Dunn Cy rent Planner • ADMINISTRATIVE REVIEW FLOW SHEET 41I / CASE # RE -?(9,)- ... APPLICANT:Jet rr&(..(r/ -4 , I� ye L.; 3 lam. Cr S Cl-�. REQUEST: // .L � ..-<K1Fj. ee 6 / LEGAL: PE S LQ. .JcoV '.c>r 7 C- I- &6, LOCATION: Or//2-4 Ji Hof fl/ h /P t ceCft t /C ; 3/ /0 () Date By Application received `Z C/V/ (4.-2Application complete L/ " /('/ 621) Letter to applicant drafted V---RS / �A'- -9/ C) /Referrals listed _ _ � 61) `4/ ali (14 is File assembled ' Letter to applicant mailed 7 t) _(((_1 i f c Vicinity map prepared �� ,T �_-4�l _ 1c f Referrals mailed / Chaindexed Field check by DPS staff �� 72-tp_'1. .�---- V--/ i � Administrative Review decision: History card completed �'iq K �` , _i \ Date By COMMISSIONERS HEARING DATE: . Air photo and maps prepared i CC Action: CC Resolution received History card completed 1- I61 -1 Recorded on maps and filed\ ► , ��777��777 f1-50 APPLICATION FOR RECORDED EXEMPTION 0 C lmi `'� PHONE: (303) 353-6100, Ext. 3540 Department of Planning Services, 1400 N. 17th Avenue, Greeley, lot"- -244 !i IS FOR PLANNING DEPAKTMENT USE ONLY: W�reldcalmly Pliiij* APPL. FEE \1W 1- CASE NO. RECORDING FEE- ZONING DISTRICT RECEIPT NO.S DATE APPL, CHECKED BY TO BE COMPLETED BY APPLICANT: (Print or type only except for required signatures) I (we) , the undersigned hereby request that the following described property be designated a recorded exemption by the Weld County Board of County Commissioners. LEGAL DESCRIPTION: a parcel of land 424 ' north and south and 208 ' east and west joined on the south boundary by the Knodel property at this time; a part of Parcel "A" of Recorded Exemption 1471-10-4-RE 302 , recorded Feb. 10 , 1978 , in Book 822 as reception #1744256 , Weld Co. XXCoX7KK R&:Records , being part of the SZSW4tSec. 10 , Twp lN,Rge 66W c—rs ; /7. uc• of the 6th P.M. Has this property been divided from or had divided from it any other property since August 30, 1972? Yes v No Is this parcel of land under consideration the total contiguous land owned by the applicant? Yes # No FEE OWNERS OF PROPERTY: Name: JArrald A. Jamison Addressl5771 WCR 10 . Ft. Lupton, Co . Phone: 654-0205 Name: Faye L. Jamison Address: 15771 wrn 10 , Ft . Lupton . Co. Phone: 654-0205 WATER SOURCE: Larger Parcel well Smaller Parcel well TYPE OF SEWER: Larger Parcel septic Smaller Parcel septic PROPOSED USE: Larger Parcel pasture pasture Smaller Parcel pasture ACREAGE: Larger Parcel 1�. 8 acres Smaller Parc" 2. 02 acres EXISTING DWELLINGS: (Yes o o) yes (Yes or No) yes I hereby depose and state under the penalties of perjury that all statements, proposals, and/or plans submitted with or contained within t s application are true and correct to the best of my knowledg: . COUNTY OF WELD ) ,' STATE OF COLORADO ) Sig ature: Owner or Authorized Agent /' � � Subscribed and sworn to before me this ,j'/'Si day of �/Ll�� , 19L5'. (SEAL) "tellet: , d Cary Public o_,:ayi My Commission Expires 4/41760 REVISED: March 1994 4 3ca IR7x 2_, CORDED EXEMPTION QUESTIONNAIRE �� 1. Explain the reason for the proposed recorded exemption and how each proposed lot will be used. Purchaser wishes to buy 2+ acres of pasture land from Jamison so his daughters will have some space for 4-H calves . This parcel to be cut off from about 15 acres of pasture . 2. Describe the location, size and present use of the area where each proposed new lot will be created. The use will remain the same . Pasture cut off from pasture . The 2+ acres being cut off will still leave 13 acres of pasture . 3. Explain how the proposal is consistent with the Weld County Comprehensive Plan and any adopted municipal plan, if applicable. Since the use of the parcel will remain the same , we believe this action would be neutral concerning the Weld County Comprehensive Plan. 4. Explain how the uses permitted will be compatible with existing uses surrounding the proposed recorded exemption. North of subject property is a house on 10+ acres . West is a 160 acre wheat field . South is a 320 acre dairy . East is pasture ground . 5. Explain how the proposal is consistent with the intent of the zoning district it is located within. Everything surrounding this parcel is zoned agriculture . 6. Explain how the proposal is consistent with efficient and orderly development. This action makes the buyers present 1 acre property into more usable agricultural property . 7. Explain how adequate provision for the protection of the health, safety, and welfare of the inhabitants of the neighborhood and the County will be accomplished. No change as far as the health, safety or welfare of the neigh- borhood . It will allow some youngsters the chance to engage in a worthwhile activity namely 4-H work. This division will square up the Jamison property. 0 REFERRAL LIST gill NAME: Jarrald A. and Faye L. Jamison CASE NUMBER: AM RE-3O2 REFERRALS SENT: April 26, 1994 REFERRALS TO BE RECEIVED BY: May 12, 1994 COUNTY TOWNS and CITIES Attorney Ault _ X Health Department Brighton _Extension Service _Broomfield _Emergency Management Office _Dacono _Sheriff's Office _Eaton X Engineering Erie Housing Authority Evans _ Airport Authority Firestone _Building Inspection X Fort Lupton Frederick STATE Garden City X Division of Water Resources Gilcrest _Geological Survey _Greeley Department of Health Grover _Department of Transportation _Hudson Historical Society _Johnstown _ Water Conservation Board Keenesburg _ Oil and Gas Conservation Commission Kersey _ La Salle FIRE DISTRICTS Lochbuie Ault F-1 _Longmont _ _Berthoud F-2 _Mead Briggsdale F-24 _Milliken Brighton F-3 New Raymer _ _Eaton F-4 _Northglenn _Fort Lupton F-5 Nunn Galeton F-6 ____Pierce _Hudson F-7 _Platteville Johnstown F-8 _Severance _ La Salle F-9 _Thornton _Mountain View F-10 _Windsor Milliken F-11 _ Nunn F-12 COUNTIES _ _Pawnee F-22 _Adams _Platteville F-13 _Boulder _Platte Valley F-14 _Larimer Poudre Valley F-15 Raymer F-2 FEDERAL GOVERNMENT AGENCIES Southeast Weld F-16 ____US Army Corps of Engineers _Windsor/Severance F-17 _USDA-APHIS Veterinary Service _Wiggins F-18 _Federal Aviation Administration Western Hills F-20 _Federal Communication Commission OTHER SOIL CONSERVATION DISTRICTS Central Colo. Water Conservancy Dist. _Brighton _ Panhandle Eastern Pipe Line Co. _Fort Collins _ Tri-Area Planning Commission _Greeley Longmont West Adams COMMISSION/BOARD MEMBER (` • r 'RECEIVED ApR 2 6 7994 DEPARTMENT OF PLANNING SERVICE: PHONE (303)353-3345, EXT. 3541 WELD COUNTY ADMINISTRATIVE OFFICE: EY, O OTH AVENUE GREELEY, COLORADO8063 COLORADO 1 MAY J 1994 !ctfaln Pnunf9 Planning April 26, 1994 CASE NUMBER: AM RE-302 TO WHOM IT MAY CONCERN: Enclosed is an application from Jarrald A. and Faye L. Jamison for an Amended Recorded Exemption. The parcel of land is described as part of the S2 SW4 of Section 10, T1N, R66W of the 6th P.M. , Weld County, Colorado. The location of the parcel of land for which this application has been submitted is northeast of the intersection of Weld County Roads 31 and 10. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by May 12, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. We have reviewed the request and find p6 conflicts with our interests. X1/O A/EFLJ 4C ,E55 O4/ vdciz .3 ( 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. � Signed: 91ricC,t°i��/l etnGL //// �Agency: 1`, G Date: 04-29 —c • RECORDED EXEMPTION FIELD CHECK CASE NUMBER: A M 2E - 30 Z DATE OF INSPECTION: APPLICANT'S NAME: J AMiho^I } LEGAL DESCRIPTION: 6 g SW�_ 'SEC io T N 12(0601AI LOCATION: tciCIZ 3 i / 10 LAND USE: N: E: S: W: ZONING: N E S W Road 5 I ADT 4 Date Accidents Date Road b ADT fS 000o Date Ci/c1 l Accidents d- Date UNSAFE CONDITIONS: Inadequate sight distance (500' clear view @ 55 mph) Setbacks/structure from access Bridge location from access (less than 200' ) Weeds Landscaping Inadequate distance from road intersection or railroad crossing None observed at time of inspection TOTAL # ACCESSES IN MILE Weld County Road Weld County Road Weld County Road Residences Residences Residences Other structures Other structures Other structures Agricultural Agricultural Agricultural Commercial Commercial Commercial ROAD SURFACE Paved K Gravel Unimproved Requested Engineering to inspect site - Y N Date: COMMENTS: Current Planner lisrfrH4° • DEPARTMENT OF PLANNING SERVICES PHONE (303) 353-3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES IN IBC. 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 COLORADO 7�R 2 April 26, 1994 CASE NUMBER: AM RE-302 TO WHOM IT MAY CONCERN: Enclosed is an application from Jarrald A. and Faye L. Jamison for an Amended Recorded Exemption. The parcel of land is described as part of the S2 SW4 of Section 10, T1N, R66W of the 6th P.M. , Weld County, Colorado. The location of the parcel of land for which this application has been submitted is northeast of the intersection of Weld County Roads 31 and 10. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by May 12, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3, x We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. ry Signed: /�vylI" :�'If(i1 , Agency: �{;�� ayt Date: S/10i iO (_7 707 I\ . MAY 1 3 1994 'Mob!rnp,hy Planning , r ,/,.:.. , , • S .,._ k• 411451 DEPARTMENT OF PLANNING SERVICE .. PHONE (303) 353-3845, EXT. 354 WELD COUNTY ADMINISTRATIVE OFFICE t ^ 1400 N. 17THAVENU ,, .: O GREELEY, COLORADO 806: COLORADO April 26, 1994 CASE NUMBER: AM RE-3O2 TO WHOM IT MAY CONCERN: Enclosed is an application from Jarrald A. and Faye L. Jamison for an Amended Recorded Exemption. The parcel of land is described as part of the S2 SW4 of Section 10, T1N, R66W of the 6th P.M. , Weld County, Colorado. The location of the parcel of land for which this application has been submitted is northeast of the intersection of Weld County Roads 31 and 10. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would_ be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by May 12, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. r We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please e refer to the enclosed letter. Signed: 2LL�, a; Y, //fit c /._. Agency: City of Fort Lupton Planning Commission Date: 5/12/94 i MAY 1 ' • STATE OF COLORADO OFFICE OF THE STATE ENGINEER of coy Division of Natural Resources �� o?\ Department of Natural Resources ;IX1 1313 Sherman Street,Room 818 Denver,Colorado 80203 « Y Phone(3031 866-3581 \ tgj6. FAX(303)866-3589 Roy Romer Governor James S.Lochhead Executive Director May 16, 1994 Hal D.Simpson State Engineer Ms. Gloria Dunn, Current Planner Weld County Planning Department 1400 N. 17TH AVE. Greeley, CO 80631 Re: Jamison Amended Recorded Eexmpt,AM-RE-302 SW 1/4, Sec. 10, T1N, R66W, 6TH PM W. Division 1, W. District 2 Dear Ms. Dunn: We have reviewed the above referenced proposal to reconfigure the boundary line between two lots. Each lot is served by a well, parcel " A" with Permit No. 76928 and Parcel "B" with Permit No. 99097, each permitted for domestic use. We have no objection to the proposal. If you have any questions please contact me. Sincerely, \ sca4,44 John Schurer, P.E. Senior Water Resource Engineer JS/jamison cc: Alan Berryman, Division Engineer Water Supply Branch \L it sg,"' MAY 1 8 1994 a-•.ir,Planing �.. 1. 1 (e 111 a n I. •� lI I • + ..V`� n x° a • n •F . x, 22 VJ ,. 1\f` x. 1 •° , x, ]O : x, 21 R x{ 2.]° I x, x.'1 27 xa fix, ._ ax » a. I 35N. ,{ >I >3 ll 35 >{ O ( ax 11 5. ,5 I /- — .-- - - - I I 7:11._r_r. .____ 1 I I; I • °II IN. 1 I ! _ J ARISTOCRATI 1 J RIrvC,IE TTES ! b -z.,1 [ I ,0% i •2\ '.., . • • .31• m _¢ O�• .•` • A IA KEENNEY VPG•I •• —1 . 'r° • • _ P P i •I' __� -',—•.—,• ss >. 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RD 10 -Fl- - PCZESENY CoNr16URAT1o1v — ytl g S 4 fa rii 1, ° 89 ' fl -N, Cry iR tAk e-e 11N IT" VYELL. Pv2WI rT 4:1- 76928 N tN2/38HAL____ SAPN ct I GO IQ O Il�f 5/D E'NC• Ct `� Kao, WCLL P�'r� c�iiQe4¢98097 q rot ON v u/k Y — — V _ _ PRO POSED CON 1=)GUR4r,ON ScRc.E It.-.- • COLORADO DIVISION OF WATER RESOD RCES 40 + =E OR PRINT IN BLACK INK 818 Centennial Bldg., 1313 Sherman St. b COPY OF ACCEPTED Denver, Colorado 80203 (.1 Olken W STATEMENT MAILED ON REQUEST. STATE OF COLORADO L /� A ' +itytQ COUNTY OF ,QG N (i e /f i SS ctt se. \ s`- STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD hp 76101 (9- � �a � &rEP LATE REGISTRATION WELL PERMIT NUMBER LOCATION OF WELL THE AFFIANT(S) I• RT R.C.13 I P ) S County LU E lr1) whose mailing — '/1 t.YY, E Xy address is rK R'Lt4 `.vJ/AIryN &Oa I T \, /. of me '/., Section . City hr• LLi \ I (JIV\ � tLCILU - L'fcl T,.o N Rng � w P Ietssrl Izlel 'N On s: — it on WIC being duly sworn upon oath, deposes and says that he (they) is (are) the owner(s) of the well described hereon, the well is located as described above, at distances of 2 Li feet from the Sou )`ri section line and 14'0 0 feet from the t to`• r section line; water from this well was first applied to a beneficial use for the purpose(s) described herein on the'T 'EAST On WC." day of U tJ L , 191C; the maximum sustained pumping rate of the well is l O gallons per minute, the pumpinc rate claimed hereby is - 0 gallons per minute; the total depth of the well is 1 I a feet; the average annual amoun. of water to be diverted is I acre-feet; for which claim is hereby made for D ct�- purpose(s); the legal description of the lond on which the water from this well is used i5 of whicl acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed it compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; h4 (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his (their) knowledge (COMPLETE REVERSE SIDE OF THIS FORM) Signatures s) ,, s_ V<, .A Subscribed and sworn FOR OFFICE USE ONLY to before me on this d o- day of NOV f= /A r�� 19 -77 Court Case No. My Commission expires: My Commission Expires Feb.22,1981 —••- /)„A _ t AV- itarra-etc, ms. Day Yr Cry. ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: Sec Well Use Dist. — Basin Mon, Ds. JATE STATE ENGINEER BY PUMP INSTALLATION Ilet • , ' Pump Make Rod) Sadit.12_k- r t. 0 Type S0 :...e.. .. z Powered by E\G-C-•'�- HP i ;r, . ,_ Pump Serial No. •h ili W N _ WATER Motor Serial No. it : W TABLE 4044 Date InstalleD r *•• Pump Intake Depth fM4 :;g+. F ,1 Remarks s : i • \ x 3f� WELL TEST DATA WITH PERMANENT PUMP d C t P • 1. Date Tested a s ' CONE OF ` ' "'"DirriESSION Static Water Level Prior to Test F „. ‘,..•/,,;‘ '• Length of Test Hours r; Sustained yield (Metered) GPM :', Pumping Water Level h. • ‘.'s Remarks ',fY • CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the is true of his Signature License No�dr� State of Colorado, County of SS Subscribed and sworn to betore-me this day of :0 0..1 - , 19 _Z5, My Committee expires: � �w:,... „a:0,-, i ,~' ,, *flay,M k Notary Public C/ ' Ot" ' pT �• .. FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and Sind. WHITE AND GREEN copies must be filed with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Driller. • At• itilirtADebimaitrew WATER RESiCES THIS FORM MUST BE SUBMITTED 1313 Sherman Street • Room 818 WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRIBED HERE- ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT C s> INK. PERMIT NUMBER arc(o'y WELL OWNER G<eci at s .) %ofthe Se i of Sec. 1 3 ADDRESS V`-j") 3i i.4 , Stt\L bt Lw'1LC\ T. R._.}[. ti, F DATE COMPLETED 4 ^ ,19 c HOLE DIAMETERR, qJ�� ti WELL LOj.,G� , to 'fnWt1. - "10 4tL :r' IC�1 *! .;;'�%1 WS/ '; '�s 7.y"„ " e t � 1.j �' -.q•+ aX'.arn tet From To Type and Cofer of Material Lot ' f1i —m a `9 V V DRILLING METHOD try. CASING RECORO� Rhin 6i4 . itrt i 70 ` SI�e�j"--& kind O . so atQ lac 5� ar: Itar cE Skc 1� Size & kind from to att a„ici% LAS— Size & kind from to Mit' t Perforated Cada., Size & kind a ,, tvafrom 'LLfl to 31,10_ Size & kind from to Size & kind ' from To GROUTING RECORD Material Cluyit(t Intervals QED Placement Method p-us qa GRAVEL PACK: Size tiehr Interval 0 - $ U • Writ 1 TEST DATA Date Tested LKL 19 Static Water Level Prior to Test 160 Type of Test Pump pi C Les101 �. 2b+e t A �— Sustained ield etered) TOTAL DEPTH 3t..1(} Use additional pages necessary to complete log. Final Pumping Water Level aks0 Hello