DWR_1087501.pdf
PDF 41 KB Posted
- Attached to
- Sedgwick - Well Drilling
- Solicitation number
- 22137
- Issued by
- Rio Grande County, Colorado
About this file
This document is a Well Construction and Test Report filed with the State of Colorado, Office of the State Engineer, for a water well permit (Number 252646-A) issued to James E. Burnside. The well was drilled on April 16, 2004, by Twiss & Wilson Drilling, Inc. using a rotary drilling method, reaching a total depth of 60 feet in the NW1/4 of Section 29, Township 11 N, Range 46 W. The geological log indicates layers of top soil, sand and gravel, and clay, with a well casing configuration including steel and PVC pipes.
The well construction details include a 5-inch steel casing from 1-20 feet, a 5-inch PVC casing from 20-40 feet, and a perforated 5-inch PVC casing from 40-60 feet with a .016 screen slot size. A gravel filter pack was placed from 35-60 feet, and the well was disinfected using 12 ounces of chlorine. The well test data shows a static water level of 39 feet and a pumping level of 59 feet, with a production rate of 4 gallons per minute during a 1-hour test. The well was completed for the property owner at 24760 Jones Rd in Calhan, Colorado.
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Text version
FORM 10. WELL CONSTRUCTION AND TEST REPORT For Ofloe use only.:;
cus-3t
STATE OF COLORADO, OFFICE OF THE STATE ENGINEER
11/90 t1PR r n 2004
WAT:. :--=CJ3CES
casra
WELL PERMIT NUMBER:
252646-A. ` cCto
GWS31-92-02V
OWNER NAME(S) JAMES E BURNSIDE
Mailing Address 24760 JONES RD
City, St. Zip CALHAN, CO 80808
Phone: -
WFf T LOCATION AS nRTT.T.Rn: N%/4 NW1/4,Sec.' 29 Twp. 11 N, Range 46 W
DISTANCES FROM SECTION LINES:
163 ft. from NORTISec. line 263ft. from WEST Sec. line.
0 0 0
GROUND SURFACE ELEVATION 0 FT. DRILLING METHOD: ROTARY
DATE COMPLETED: 04/16/04 TOTAL DEPTH: 60 ft. DEPTH COMPLETED: 60
GEOLOGIC Lam: HOLE DIAM. (in) FROM (ft) R) ft.
9 0 60
0 2 TOP SOIL 0 0 0
2 15 SAND GRAVEL LAYERS 0 0 0
15 30 CLAY PLAIN CASING:
30 60 CLAY
OD KIND WALL SIZE FROM(ft) TO
5 STEEL . 188 # 1 20
5 PVC . 250 20 40
0 0 0
0 0 0
PERF. CASING: Screen Slot Size: . 016
5 PVC . 250 40 60
0 0 0
0 0 0
0 0 0
FILTER PACK: PACKER PLACEMENT:
Mat. GRAVEL NONE
Size 1
Interval 35-60 0
GRO TIM RECORD:
Material Amount Density Interval Placement
CEMENT 8Sr14v 56WS'9.. 0-35 P"K 0
0 0 0
0 0 0
DISINFECTION TYPE: CHLORINE AMOUNT USED, 12 OUNCES
WELL TEST DATA:
Checc box if Test Data is submitted on Supplemental Form.
L
SUBMERSIBLETesting Method:
Static Level: 39 ft. Date/Time- 04/16/04/2 00 Production Rate 4 gpm.
Pumping Level: 59 ft. Date/Time 04/16/04/3 00 Test Length (hrs) 1
13. 1 have read the statements made herein and Wm the eordsrlh dweof, and OW 9" a true to M imq ge. (Punuant to Section 24-4•104 (10)(a) CAS., the makin of take "emems herein owwftAm perjury in the eewm degree and Is punlehebN w a dese 1 mhderrnenor.l
CONTRACTOR Twiss & Wilson Drilling, Inc. Phone(970)332-5834 Uc.No.985
MailingAddres3 36611 Hwy 585 Wray. Co 8n75R
Name/ Title (Please type or print) Signature. Date
Raymond L. Twiss - President Z7-0
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