Well ID: 114732

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




			x

«——— One Mile ———»
Each square is 10-acres

WELL ID NUMBER: 114732
Quarters SE-SE-NE	Section 13	Township 08S	Range 23EI

Latitude 33.8601667	Longitude -94.8453333
Date collected(latitude and longitude), if different from date the well was drilled: 10/22/2007
Method latitude and longitude was collected: GPS - uncorrected data

County McCurtain

Variance Request No. (if applicable) n/a

WELL OWNER - NAME AND ADDRESS

Well Owner McCurtain County Landfill

Phone

Address/City/State 4105 S. Seminole Idabel OK

Zip 74745

Finding Location

Well Name

Water Rights #:

TYPE OF WORK: Monitoring Well

USE OF WELL: Water Quality

NEW WELL CONSTRUCTION DATA

Date Well or Boring Was Completed 10/22/2007

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)

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

FILTER PACK INFORMATION

Filter Pack Material:

WELL SEAL INFORMATION

Type of Surface Seal n/a

Surface Seal Interval: From n/a ft to n/a 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:

HYDROLOGIC INFORMATION

Depth to water at time of drilling ft

Estimated yield of well gpm

First water zone ft

LITHOLOGY DESCRIPTION

MATERIAL	ENCOUNTERED		SATURATED
MATERIAL	FROM (ft.)	TO (ft.)	SATURATED
no lithological description obtained

WELL LOCATION TO POTENTIAL SOURCES OF POLLUTION

Has this well been disinfected after completion of work? n/a

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 10/22/2007

Total Depth of well being plugged 25 ft.

Was the well contaminated or was it plugged as though it was contaminated? Yes

If the well or boring was plugged as if it was contaminated, was the casing removed or perforated? Yes

Was the grout tremied? No

Backfilled with Native Materials

Backfilled from 0 ft. to 4 ft.

Grouted with Bentonite/Cement Grout

Grouted from 4 ft. to 14 ft.

Grouted with Cement

Grouted from 14 ft. to 25 ft.

Firm Name Geo Systems Engineering, Inc. dba Kleinfelder

D/PC No. DPC-0558

Operator Name PAUL VAN SICKLE

OP No. OP-1274

Date 01/24/2008

Comments: n/a