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
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«——— One Mile ———»
Each square is 10-acres
WELL ID NUMBER:    51195  

Quarters    SE-NE-NW   Section    19   Township    07S   Range    09EI  
Latitude    33.936916   Longitude    -96.400272  

Date collected(latitude and longitude), if different from date the well was drilled:      06/01/2000  
Method latitude and longitude was collected:      Interpolation from PLSS  



County    Bryan   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    SOUTHEASTERN AUATION   Phone                
Address/City/State                       Zip           
Finding Location         
Well Name            Water Rights #:        
TYPE OF WORK:    Monitoring Well   USE OF WELL:    Site Assessment  
 
NEW WELL CONSTRUCTION DATA
Date Well or Boring Was Completed    05/28/1993  
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    12   inches  to a depth of   2   ft.
Hole Diameter    4.75   inches  to a depth of   15   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:      
 
HYDROLOGIC INFORMATION
Depth to water at time of drilling        ft Estimated yield of well        gpm First water zone       ft
 
LITHOLOGY DESCRIPTION
MATERIAL ENCOUNTERED SATURATED
FROM
(ft.)		 TO
(ft.)
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    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    RIVERS PUMP SERVICE   D/PC No.       
Operator Name        OP No.    OP-277  
Date    n/a  
Comments:  n/a

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