HomeMy WebLinkAbout1989-05-15 Water Well RecordOrono L18 X s I 23
stance and Direction from Rood Intersection or Street Address and Lny of
)glow dart location
o1 well in section tread with "X -
N
I
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-A -
1
Addition Name
1 '
•-a- -1-
�_ �-
lock Number
r
W t r
t � E
Lot Number
r
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1
F I .ak
2. PROPERTY OWNER'S NAME
Address
F�
i35 F ereditle Rd. K.
9. FORMA i ION LOG
COLOR
yellow clay
brwru
stand oft clay
�0l7t
clay & s&nd
g
fund & clay
shale & sandstone Crown,
white
scale & sandstone
wbite
Oro"
17. REMARKS. ELEVATION, ' 1 "DATA, etc —
r`d11*9
LOCAL COPY
'ATE OPWIRN-SOTA --- EPARTME O
WATER WELL RECORD
.Ht..rLrru Slat■les 156A 01 1
Section No Fraciton �.
36 iiM NIP !i8
'ell to. 5. f
r�W
■M
map:x v.en vcalsln
UN
-
10 elmnesllc
10 Monitoring
80 Heat Pump
201rnptimr
50 Public
90 Induatry
30 Test Well
60 Municipal
100 Commercial
70 Air Conditioning
I la _
m. CASING
Z
HOLE DIAM
10 Black
x HEIGHT: AbowFkbw
40 Threaded
Surface
_ It
20 (IIV.
50 Wtkkd
Drove Shor? Yes_
No--
30 Plastic 4
60 2M
in.
to ft. Weight
Iba.dt
in. lo_J1.
FROM
TO
--__
in. to It. Wright
in. to ___ h Wrtaht __.-
lbs./ft
Iba.ilt.
in. tal__JL
in. 1o____Ft.
0
26
9. SCREEN
Mate
Type
t), Wn hole
Iran_
-- --
It. In. it.
DiL -
.,
26
83
16?
Slatiauu.—
Set betweer:
—
___
.It. and __ ft.
lettgt
CGS:
lU
16%
192
7S
10. NA
TER LEVEL
` it. O below O above Date Measured
land surface
M 218 11 PUMPING LEVEL ibebw land surface)
H. after hit. pumping _
—_ ft. after _ hit. pumping
[2:V
12.AD WELL COMPLETION
10 Polle" adapts. manutacturer.
20 Basement offset 30 At lent 12" above gruund
40 Plastic ca=4 protection
13. WELL GROUTED'
n 0 No
10 Nat Cement 'Xentunite 30
Grunt material .___ frnm
model
lu ft. cu. yds
g.p m.
g.p m.
14, NEAREST SOURCES OF POSSIBLE CONTAMINATION
Itet dlnclun type
Well disinfected upon completion? Fit O No
15 PUMP
Date installed 1►�*o _. ❑ Na lrntalled
Manulaciurer's name 2
Model number W % HP— 12 Volts —
Length of drop pope apbe fl. Capacity 2.p.m.
Material of drop pope
Type I6sutsmerelW 30 L.S. Turbine 50 Reciprocating
20 let 40 Cemnfupl 60
16 EXISTING WELLS
Unused well on property? O Yes � No
Abandoned 0 Permanent O Temporary O Na sealed
18 WATER WELL CONTRACTORS CERTIFICATION
This well was drilled under my junadiatm and this report is true to the lent of my
knowledge and belief.
-- Lowthmm, Y*ll _Ica. 100!2�
Lrrravr Nru • via
SKI
Repefeatalrve
Date
Name of Driller
453930 ?%mum
HE'0Ix&02(Rn to/115) fITS30M
F
-lYF HEALTH
.�,A'Nt•�T w°Nr10L•ELL No 453930
>R
WEI-_ DEPTH tcumpletrdt hie of Completion
,, Mq 15. 1"9
NRILUNG METHOD
10 Cable tow 40 Reverse i'O Ihrven 100Ihrg
2,.0Hollim rid 50 Au MO Bond
.KJ(T�sry 60 let id 90 Powrr auger