owrb logo MULTI-PURPOSE WELL COMPLETION & PLUGGING REPORT

Oklahoma Water Resources Board
3800 North Classen Boulevard
Oklahoma City, OK 73118
Telephone (405) 530-8800
Legal Location
North
       
       
       
       
       
       
       
       
       
       
       
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«——— One Mile ———»
Each square is 10-acres
WELL ID NUMBER:    92334  

Quarters    SW-SW-SW   Section    30   Township    04S   Range    07WI  
Latitude    34.17332   Longitude    -97.98061  

Date collected(latitude and longitude), if different from date the well was drilled:      02/04/2005  
Method latitude and longitude was collected:      GPS - corrected data (WAAS)  



County    Jefferson   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    Chris Hunter   Phone    (580) 221-0313  
Address/City/State    311 Willard rd.  Dickson  OK   Zip    73401  
Finding Location    1 mile south on dickson rd. east on willard 1.2 miles  
Well Name            Water Rights #:        
TYPE OF WORK:    Groundwater Well   USE OF WELL:    Domestic  
 
NEW WELL CONSTRUCTION DATA
Date Well or Boring Was Completed    02/04/2005  
Number of wells or borings represented by this log    1  
*  (Borings are within the same 10 acre-tract and with the same general depths and lithologies)
Hole Diameter    8   inches  to a depth of   105   ft.
 
CASING INFORMATION  *Note: If surface casing is used please indicate that on the appropriate well casing information line.
Surface Pipe Material:          Surface Pipe Diameter        inches  Surface Pipe From        ft to       ft
1)  Well Casing Material    PVC   Casing Diameter    4.5   inches Casing From   0   ft to   105   ft
 
SCREEN OR PERFORATION INFORMATION
Type of Screen:    PVC      Type of Slots or Openings:    Factory Slotted - 20 slot (0.020 inch)    From    85   ft to   105   ft.
 

FILTER PACK INFORMATION
Filter Pack Material:    Fine Gravel  
Filter Pack Interval:     From    20   ft to   80  
    From    80   ft to   105  
WELL SEAL INFORMATION
Type of Surface Seal    Cement Grout/Bentonite   Surface Seal Interval: From    0   ft to   20   ft
Type of Annular Seal    n/a   Annular Seal Interval: From    n/a   ft to   n/a   ft
Filter Pack Seal Material    n/a   Filter Pack Seal Interval: From    n/a   ft to   n/a   ft
 
TYPE OF COMPLETION:    Above Ground  
 
HYDROLOGIC INFORMATION
Depth to water at time of drilling    20   ft Estimated yield of well    25   gpm First water zone    20  ft
 
LITHOLOGY DESCRIPTION
MATERIAL ENCOUNTERED SATURATED
FROM
(ft.)		 TO
(ft.)
clay and sand 0 22 N
water sand 22 35 Y
clay and sand 35 80 N
water sand 80 105 Y
 
WELL LOCATION TO POTENTIAL SOURCES OF POLLUTION
Has this well been disinfected after completion of work?    Yes  
Are than any potential sources of pollution or wastewater lagoons within 300 ft. of the well?    Y  
Distance of Well is    101 - 300 feet   from possible source.  Type of possible source:    House  
 
PLUGGING INFORMATION
Date Well or Boring Was Plugged    n/a   Total Depth of well being plugged       ft.
Was the well contaminated or was it plugged as though it was contaminated?    n/a  
If the well or boring was plugged as if it was contaminated, was the casing removed or perforated?    n/a  
Was the grout tremied?    n/a  
Backfilled with    n/a   Backfilled from     _   ft. to     _   ft.
Grouted with    n/a   Grouted from        ft. to        ft.
Grouted with    Cement    Grouted from        ft. to        ft.
 
Firm Name    Newman Water Well Drilling   D/PC No.    DPC-0573  
Operator Name    HAROLD NEWMAN   OP No.    OP-1247  
Date    02/24/2005  
Comments:  n/a

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