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Orono L18 X s I 23 <br />stance and Direction from Rood Intersection or Street Address and Lny of <br />)glow dart location <br />o1 well in section tread with "X - <br />N <br />I <br />-r- r <br />' ' <br />-A - <br />1 <br />Addition Name <br />1 ' <br />•-a- -1- <br />�_ �- <br />lock Number <br />r <br />W t r <br />t � E <br />Lot Number <br />r <br />-1, j <br />1 <br />F I .ak <br />2. PROPERTY OWNER'S NAME <br />Address <br />F� <br />i35 F ereditle Rd. K. <br />9. FORMA i ION LOG <br />COLOR <br />yellow clay <br />brwru <br />stand oft clay <br />�0l7t <br />clay & s&nd <br />g <br />fund & clay <br />shale & sandstone Crown, <br />white <br />scale & sandstone <br />wbite <br />Oro" <br />17. REMARKS. ELEVATION, ' 1 "DATA, etc — <br />r`d11*9 <br />LOCAL COPY <br />'ATE OPWIRN-SOTA --- EPARTME O <br />WATER WELL RECORD <br />.Ht..rLrru Slat■les 156A 01 1 <br />Section No Fraciton �. <br />36 iiM NIP !i8 <br />'ell to. 5. f <br />r�W <br />■M <br />map:x v.en vcalsln <br />UN <br />- <br />10 elmnesllc <br />10 Monitoring <br />80 Heat Pump <br />201rnptimr <br />50 Public <br />90 Induatry <br />30 Test Well <br />60 Municipal <br />100 Commercial <br />70 Air Conditioning <br />I la _ <br />m. CASING <br />Z <br />HOLE DIAM <br />10 Black <br />x HEIGHT: AbowFkbw <br />40 Threaded <br />Surface <br />_ It <br />20 (IIV. <br />50 Wtkkd <br />Drove Shor? Yes_ <br />No-- <br />30 Plastic 4 <br />60 2M <br />in. <br />to ft. Weight <br />Iba.dt <br />in. lo_J1. <br />FROM <br />TO <br />--__ <br />in. to It. Wright <br />in. to ___ h Wrtaht __.- <br />lbs./ft <br />Iba.ilt. <br />in. tal__JL <br />in. 1o____Ft. <br />0 <br />26 <br />9. SCREEN <br />Mate <br />Type <br />t), Wn hole <br />Iran_ <br />-- -- <br />It. In. it. <br />DiL - <br />., <br />26 <br />83 <br />16? <br />Slatiauu.— <br />Set betweer: <br />— <br />___ <br />.It. and __ ft. <br />lettgt <br />CGS: <br />lU <br />16% <br />192 <br />7S <br />10. NA <br />TER LEVEL <br />` it. O below O above Date Measured <br />land surface <br />M 218 11 PUMPING LEVEL ibebw land surface) <br />H. after hit. pumping _ <br />—_ ft. after _ hit. pumping <br />[2:V <br />12.AD WELL COMPLETION <br />10 Polle" adapts. manutacturer. <br />20 Basement offset 30 At lent 12" above gruund <br />40 Plastic ca=4 protection <br />13. WELL GROUTED' <br />n 0 No <br />10 Nat Cement 'Xentunite 30 <br />Grunt material .___ frnm <br />model <br />lu ft. cu. yds <br />g.p m. <br />g.p m. <br />14, NEAREST SOURCES OF POSSIBLE CONTAMINATION <br />Itet dlnclun type <br />Well disinfected upon completion? Fit O No <br />15 PUMP <br />Date installed 1►�*o _. ❑ Na lrntalled <br />Manulaciurer's name 2 <br />Model number W % HP— 12 Volts — <br />Length of drop pope apbe fl. Capacity 2.p.m. <br />Material of drop pope <br />Type I6sutsmerelW 30 L.S. Turbine 50 Reciprocating <br />20 let 40 Cemnfupl 60 <br />16 EXISTING WELLS <br />Unused well on property? O Yes � No <br />Abandoned 0 Permanent O Temporary O Na sealed <br />18 WATER WELL CONTRACTORS CERTIFICATION <br />This well was drilled under my junadiatm and this report is true to the lent of my <br />knowledge and belief. <br />-- Lowthmm, Y*ll _Ica. 100!2� <br />Lrrravr Nru • via <br />SKI <br />Repefeatalrve <br />Date <br />Name of Driller <br />453930 ?%mum <br />HE'0Ix&02(Rn to/115) fITS30M <br />F <br />-lYF HEALTH <br />.�,A'Nt•�T w°Nr10L•ELL No 453930 <br />>R <br />WEI-_ DEPTH tcumpletrdt hie of Completion <br />,, Mq 15. 1"9 <br />NRILUNG METHOD <br />10 Cable tow 40 Reverse i'O Ihrven 100Ihrg <br />2,.0Hollim rid 50 Au MO Bond <br />.KJ(T�sry 60 let id 90 Powrr auger <br />