HomeMy WebLinkAbout1980-05-21 Water Well RecordI u>l AIION 0| LI I
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WATER WE LL RECORD
Stafutei 13^4 ni /»»
ktlSsrSOTA VMQLt Wtt.L SO
foa Water Sam/tie
luDknship N«mr foMnvhip NumHrf Mjn|t NumHer Sec Imn No.
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nr or
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I rjcli«m
DttUm* afut frum N imJ lnirr»r.'lit«fum bitccl AJJicti and City uf ^4cll Location
SlM»w caacl location of «>«ll In icctMin §ml i»ii> ‘ X.“Sketch map of «cll Uicaiian.
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1 miU
AJilitMin Name
Hl«<h NumHrf
Lot Nwmhff
IS ItIMAKICS. LLLVAriON.SOUHl L Ul DATA.etc
LOCAL COPY
3 PWOPtRTY OWNtR-S NAML
K«rtho Sa«ter
Addrtai
South ftd - Orooo, Sa
4. WKLL OLPTH (completrd)
189*
Data of Cooiplation
5-21-SO
S.
lOl aMe tool
iOHoIImm rod
R..ur>
4[I]Rr«vn«
sQ Air
hOjcitrd
iDfVUen
sOUnred
vLj Power Aotar
IOGdwi
llQ
2. FORMATION LOC#COLOR HAMliNySSO)
MIMMATK jN TROM 10
ciflQf & Swiii 0 176*
SaodRCaio 176*L89*
%
♦
J. ..r. , 4. . .
j S .
\ i ■ .
«
C 're a srrmsd !14. USE
2O Irrigation
a Opu Mk Supply
sO Municipal
7Q Induttry
•Ocommcrctal
7. CASING
Hb Black dSrhreaded
M FIGHT Above/Below HOLE DIAM
2GGal».sGweldrd Surface .fl.
iG Plastic
V*
bG
176*in. to R we
fVi»*Slion7 Ym^ No
fl. Weiabl lbt./fl.4-6..UISA
in. to -__ft. Weifhl Iht m.m. in ft.
In. to __ft. Weiehl Iba./fi.in. In ft.
1 - • "I
S.0. oi»>v|4M|. 1 IW* .Hake JQ
$ln*/Gaure
Set between
t>l4. .
Length
fITTINCS
fl. and
ft. and
ft. and
ft.
fl.
». STAIK WATI K LtVLL
35*heloim CD aboiie
land surface
Date Measured
10. PUMPING lLVLL (below land surface)
35* ..... 2fl. after
ft. after
hrs. pumping
hrs. pumping
.g.p-w.
.gpjn.
II. HLLL HLADCOMPLLriON
PilIrss aJjptrf 2O Basement offset jOai lea*t l2*'at»oire
grade
12. Well grouted?
jjtDVes GN o Cu.Yds------------------------------------------------------------
IGNeat Cement 2GBenton4le sfll iLlt
r>epih: from.
from.
ft. 10
fl.lo
n.
.n.
13. Nearest sources of possible iontaminiilon
f**«
laoBg
Welt disinfected upon cumpiction?
_dhecllon
yJb noG
14. PUMP
0 Nol imt ailed
Manufaciuref Y NaiH4 _ll««d .Y«m*Ic £»I*
U4WS*I Numhee HP .3/^ Volis 230
l.enelh of dron nine
Material of drop pipe
Type (^Submersible
1** fintvnnfsmi
jGl. S.TorbiA4 sG Reciprocating
iGjer
.7365?
16 WAILR WLLl. CONTRACTOR‘SCtMTlfK AfION
This well was drilled under my furlsdlctlon and this report la true to
the best of my knowledge and beHef.
■ Ptn Sttt!ola*a MelX arillliig Co----112
Lieenue Buaneta Same Ucenaa No.
Addteta
Sigjitd
tS'lfMSi Hsy 7, Wfwisofrowtrn, 1
Dale
Authorifcd Re present a live
yrcimlc McHalicaa
Name uf Driller
S-2I»80
5/74 30M
7/76 30M
7/78 30M