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:    209437  

Quarters    NE-NW-SE   Section    27   Township    20N   Range    21EI  
Latitude    36.1822222   Longitude    -95.0533333  

Date collected(latitude and longitude), if different from date the well was drilled:      07/30/2021  
Method latitude and longitude was collected:      GPS - uncorrected data  



County    Mayes   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    Chandee yang   Phone                
Address/City/State    8604 S 4468 ln  locust grove  OK   Zip    74352  
Finding Location         
Well Name            Water Rights #:        
TYPE OF WORK:    Groundwater Well   USE OF WELL:    Domestic  
 
NEW WELL CONSTRUCTION DATA
Date Well or Boring Was Completed    07/30/2021  
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    10   inches  to a depth of   103   ft.
Hole Diameter    6.25   inches  to a depth of   1020   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    H.C. Steel   Casing Diameter    6.625   inches Casing From   -2   ft to   103   ft
 
SCREEN OR PERFORATION INFORMATION
Type of Screen:    None (open hole)      Type of Slots or Openings:    Other    From    0   ft to   1   ft.
 

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    Cement Grout   Annular Seal Interval: From    3   ft to   15   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    280   ft Estimated yield of well    60   gpm First water zone    120  ft
 
LITHOLOGY DESCRIPTION
MATERIAL ENCOUNTERED SATURATED
FROM
(ft.)		 TO
(ft.)
Dirt/rock 0 80 N
limestone 80 215 N
blackshale 215 260 N
limestone 260 280 N
blueshale 280 380 N
limestone 380 460 N
green shale 460 480 N
limestone 480 530 N
redshale 530 620 N
limestone 620 1020 N
 
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?    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    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    SUMMERS WELL DRILLING   D/PC No.    DPC-0568  
Operator Name    JACOB SUMMERS   OP No.    OP-1618  
Date    11/08/2021  
Comments:  n/a

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