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:    113422  

Quarters    SE-SW-SW   Section    27   Township    04S   Range    03EI  
Latitude    34.17353   Longitude    -96.9829  

Date collected(latitude and longitude), if different from date the well was drilled:      08/24/2007  
Method latitude and longitude was collected:      GPS - corrected data (WAAS)  



County    Carter   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    Danny McCurry   Phone    (580) 226-8058  
Address/City/State    167 Willard Rd.  Ardmore  OK   Zip    73401  
Finding Location    hwy 199 to Dickson rd. South 1 mile to willard east .2 miles north side of rd  
Well Name            Water Rights #:        
TYPE OF WORK:    Groundwater Test Hole   USE OF WELL:    Water Location  
 
NEW WELL CONSTRUCTION DATA
Date Well or Boring Was Completed    08/24/2007  
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    4.5   inches  to a depth of   180   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
 
SCREEN OR PERFORATION INFORMATION
Type of Screen:    PVC      Type of Slots or Openings:    Factory Slotted - 30 slot (0.030 inch)    From    130   ft to   140   ft.
 

FILTER PACK INFORMATION
Filter Pack Material:    Fine Gravel  
Filter Pack Interval:     From    12   ft to   100  
    From    100   ft to   140  
WELL SEAL INFORMATION
Type of Surface Seal    Cement Grout   Surface Seal Interval: From    0   ft to   12   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    0   ft Estimated yield of well    0   gpm First water zone    0  ft
 
LITHOLOGY DESCRIPTION
MATERIAL ENCOUNTERED SATURATED
FROM
(ft.)		 TO
(ft.)
clay 0 25 N
sandy shale 25 50 N
red clay 50 180 N
 
WELL LOCATION TO POTENTIAL SOURCES OF POLLUTION
Has this well been disinfected after completion of work?    No  
Are than any potential sources of pollution or wastewater lagoons within 300 ft. of the well?    n/a  
Distance of Well is    n/a   from possible source.  Type of possible source:    n/a  
 
PLUGGING INFORMATION
Date Well or Boring Was Plugged    08/24/2007   Total Depth of well being plugged    180   ft.
Was the well contaminated or was it plugged as though it was contaminated?    No  
If the well or boring was plugged as if it was contaminated, was the casing removed or perforated?    No  
Was the grout tremied?    No  
Backfilled with    Drill Cuttings   Backfilled from    14   ft. to    180   ft.
Grouted with    n/a   Grouted from        ft. to        ft.
Grouted with    Cement    Grouted from    4   ft. to    14   ft.
 
Firm Name    Newman Water Well Drilling   D/PC No.    DPC-0573  
Operator Name    HAROLD NEWMAN   OP No.    OP-1247  
Date    11/19/2007  
Comments:  n/a

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