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:    5294  

Quarters    SE-NW-NW   Section    01   Township    20N   Range    22WI  
Latitude    36.243582   Longitude    -99.50309  

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    Woodward   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    Robert P Lammerts   Phone                
Address/City/State    125 Park Ave  Oklahoma City  OK   Zip           
Finding Location         
Well Name            Water Rights #:        
TYPE OF WORK:    Groundwater Well   USE OF WELL:    Industrial  
 
NEW WELL CONSTRUCTION DATA
Date Well or Boring Was Completed    01/13/1976  
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    9   inches  to a depth of   295   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    PVC   Casing Diameter    5   inches Casing From      ft to   295   ft
 
SCREEN OR PERFORATION INFORMATION
Type of Screen:    PVC      Type of Slots or Openings:    Hand Slotted    From    135   ft to   295   ft.
 

FILTER PACK INFORMATION
Filter Pack Material:      
WELL SEAL INFORMATION
Type of Surface Seal    Cement Grout   Surface Seal Interval: From    n/a   ft to   5   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    150  ft
 
LITHOLOGY DESCRIPTION
MATERIAL ENCOUNTERED SATURATED
FROM
(ft.)		 TO
(ft.)
S 0 2 N
F snd strk cly 2 25 N
F wht snd 25 80 N
Lrg snd, brwn cly 80 120 N
Cal lrg snd 120 200 N
Lrg snd gray cal 200 220 N
Lrg snd gray 220 285 N
R B 285 295 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    CRAIG   D/PC No.       
Operator Name        OP No.       
Date    n/a  
Comments:  n/a

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