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
       
       
x      
       
       
       
       
       
       
       
       
       
       
       
       
       
«——— One Mile ———»
Each square is 10-acres
WELL ID NUMBER:    8313  

Quarters    NW-SW-NW   Section    06   Township    10N   Range    01EI  
Latitude    35.372656   Longitude    -97.247101  

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    Cleveland   Variance Request No. (if applicable)    n/a  
WELL OWNER - NAME AND ADDRESS
Well Owner    Dwight Jeffries   Phone    (405) 672-1296  
Address/City/State    1404 SE 39th  Oklahoma City  OK   Zip    73129  
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    05/21/1984  
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    6.75   inches  to a depth of   100   ft.
 
CASING INFORMATION  *Note: If surface casing is used please indicate that on the appropriate well casing information line.
Surface Pipe Material:    PVC / Plastic      Surface Pipe Diameter    6   inches  Surface Pipe From        ft to   10   ft
1)  Well Casing Material    PVC   Casing Diameter    4   inches Casing From      ft to   100   ft
 
SCREEN OR PERFORATION INFORMATION
Type of Screen:    PVC      Type of Slots or Openings:    Hand Slotted    From    80   ft to   100   ft.
 

FILTER PACK INFORMATION
Filter Pack Material:      
WELL SEAL INFORMATION
Type of Surface Seal    Cement Grout   Surface Seal Interval: From    n/a   ft to   10   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.)
sandy dirt 0 5 N
br dirt 5 13 N
clay 13 18 N
rd shale 18 25 Y
red sand 25 26 Y
red dirt 26 32 N
br clay 32 36 N
shale 36 39 Y
wtr sand 39 41 Y
br shale 41 49 N
br clay 49 54 N
rock 54 59 N
shale 59 67 Y
wtr sand 67 70 Y
br shale 70 80 N
lt brown shale 80 86 N
wtr sand 86 89 Y
shale 89 100 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    RON STREET   D/PC No.       
Operator Name        OP No.       
Date    n/a  
Comments:  n/a

IMPORTANT NOTE:
This site has been redesigned using Cascading Style Sheets (CSS). If you are seeing this message you are using an older browser which lacks support for CSS. Please upgrade your browser to the latest version of Internet Explorer, Netscape or other CSS compatible browser to view this page properly.