| Engineer | Form: (02)
400305525
08/08/2012 | 1. INJECTION IS NOT AUTHORIZED UNTIL APPROVAL OF FORMS 31 AND 33.
2. PRIOR APPROVAL OF FORM 4 IS REQUIRED FOR STEP RATE AND INJECTIVITY TESTS.
3. RETRIEVE WATER SAMPLE BEFORE STIMULATING FORMATION.
4. COMPLIANCE WITH THE MOST CURRENT REVISION OF THE NORTHWEST COLORADO NOTIFICATION POLICY IS REQUIRED.
5. THE PROPOSED SURFACE CASING IS MORE THAN 50' BELOW THE DEPTH OF THE DEEPEST WATER WELL WITHIN 1MILE OF THE SURFACE LOCATION WHEN CORRECTED FOR ELEVATION DIFFERENCES. THE DEEPEST WATER WELL WITHIN 1 MILE IS 000 FEET DEEP.
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