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:    183296  

Quarters    NW-NW-SE   Section    35   Township    12N   Range    03WI  
Latitude    35.4706333   Longitude    -97.4849333  

Date collected(latitude and longitude), if different from date the well was drilled:      10/26/2017  
Method latitude and longitude was collected:      GPS - uncorrected data  



County    Oklahoma   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    METCO   Phone    (405) 681-6737  
Address/City/State    2025 S Nicklas Ave, Suite 115  Oklahoma City  OK   Zip    73128  
Finding Location         
Well Name    OGR-17150     Water Rights #:        
TYPE OF WORK:    Geotechnical Boring   USE OF WELL:    Soil Evaluation  
 
NEW WELL CONSTRUCTION DATA
Date Well or Boring Was Completed    10/26/2017  
Number of wells or borings represented by this log    3  
*  (Borings are within the same 10 acre-tract and with the same general depths and lithologies)
Hole Diameter    4   inches  to a depth of   21.5   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
 

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:    Below Ground  
 
HYDROLOGIC INFORMATION
Depth to water at time of drilling    17   ft Estimated yield of well        gpm First water zone       ft
 
LITHOLOGY DESCRIPTION
MATERIAL ENCOUNTERED SATURATED
FROM
(ft.)
TO
(ft.)
Dark Brown Lean Clay 0 5 N
Brown Fat Clay 5 20 Y
Light Brown silty Sand 20 21.5 Y
 
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    10/26/2017   Total Depth of well being plugged    21.5   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    Bentonite - Hole Plug   Backfilled from    0   ft. to    21.5   ft.
Grouted with    n/a   Grouted from        ft. to        ft.
Grouted with    Cement    Grouted from        ft. to        ft.
 

Firm Name    MIDWEST ENGINEERING & TESTIING (METCO)   D/PC No.    DPC-0653  
Operator Name    KALYN COUCH   OP No.    OP-2051  
Date    11/03/2017  
Comments:  n/a

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