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:    2357  

Quarters    NW-NW-NW   Section    03   Township    04N   Range    08EC  
Latitude    36.848625   Longitude    -102.193118  

Date collected(latitude and longitude), if different from date the well was drilled:      01/08/1998  
Method latitude and longitude was collected:      Interpolation from PLSS  



County    Cimarron   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    U S Department of the Interior   Phone                
Address/City/State    PO Box 911  Amarillo  TX   Zip           
Finding Location    Three and one-half miles north east of keyes ok  
Well Name            Water Rights #:    19580367  
TYPE OF WORK:    Groundwater Well   USE OF WELL:    Industrial  
 
NEW WELL CONSTRUCTION DATA
Date Well or Boring Was Completed    06/04/1959  
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    30   inches  to a depth of   282   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    16   inches Casing From      ft to   282   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    363   gpm First water zone    170  ft
 
LITHOLOGY DESCRIPTION
MATERIAL ENCOUNTERED SATURATED
FROM
(ft.)
TO
(ft.)
top soil 0 3 N
caliche and clay 3 15 N
red sand 15 37 N
red clay w/strips of sand 37 62 N
fine to medium sand 62 77 N
sandy clay 77 119 N
sandy clay, layer of sandstone 119 140 N
hard layers of sandstone&clay 140 145 N
sandy clay 145 154 N
fine sand & gravel streak 154 173 N
sandy clay 173 182 N
sand and gravel 182 209 N
clay 209 210 N
sand & gravel 210 213 N
sand & gravel,some layers of 213 234 N
sandy clay & sand 234 248 N
red clay & sandstone 248 262 N
sandy red clay 262 282 N
 
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    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    HENKLE   D/PC No.       
Operator Name        OP No.       
Date    n/a  
Comments:  n/a

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