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FORM NO WELL CONSTRUCTION AND TEST REPORT owst For Office Use only STATE OF COLORADO OFFICE OF THE STATE ENGINEER i C11H Ei WELL PERMIT NUMBER e r rtrtr MAY 1214 2 OWNER NAME S David Mailing Address City St Zip Phone Marcia Wethergfield Circlefwal11090 Titusville Jones Fl 32780 WELL LOCATION AS DRILLED SW SW 114 Sec Twp S Range W DISTANCES FROM SEC LINES ft from SUBDIVISION South Doucflass See line and line OR Wes LOT 42 Ranch BLOCK FILING UNIT STREET ADDRESS AT WELL LOCATION GROUND SURFACE...

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What is well construction and test?

Well construction and test refers to the process of building and testing a well to ensure it meets safety and regulatory standards.

Who is required to file well construction and test?

Those who are responsible for constructing and testing a well are required to file the completion report.

How to fill out well construction and test?

The completion report for a well construction and test can be filled out online or submitted through mail to the appropriate regulatory agency.

What is the purpose of well construction and test?

The purpose of well construction and test is to ensure that wells are properly built and tested to prevent environmental contamination and ensure safety.

What information must be reported on well construction and test?

The completion report must include details on the well construction process, testing results, and any remediation efforts.

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