Ala · Packer. h) s.t at and . ft. Scr••n: dl.m.d' I . I, I~: Siz. ... a~vba $'~ 0" ',0 . I{()...

-:~

..jIb

v reference point

WELL WILL BE USED FOR: CJ CJ CJ >

Private Public Indu.trial GL -U'") .upply .upply .upply ~ ><au ..r mt1;;.A,.Q well 1c:::=J> ec ::z:: Irrigation Other:~ ~ a:< --e a -~ 0 1~7SDrllllngl:hod: Cable tool ____1 I ..._Ii

s'l!JOI~ estfmotedIn ICh....

depth ~ eIUIp 00 U ~d Bored~c ::l Other: " o:z: U")

...J ~ C) -I W - ~

~:6 ~I

Inter Compl.tion dat.:- r.port d.pth. b.low ground level De.cription of cuttingsvel

o Turb. o Subm. o J.t o Cyl:; Oth.r:EI.YP.: , t? Intak. d.pth H.P. YI.ld gpm

rest.d by: D pumping o air lift D bali.r D non.

M.asured Static Wat.r L.vel ft.... ~

M.a.ur.d pumping l.v.1 ft. aftera.• 0• hra. pumping gpm

D.v.lopm.nt tim. prior to t.sting hra.

o Op.n hole o Scr••n.d o Slott.d pipe o 6rav.1 pk.

Wd~J ~:j~:~tl:~~~r Ij \,ntervall.l ______to ~.c::ened: to ft.

Pack.r'.) .et at ..d ft.

Scr••n: diam. _

"Couplings: Thr.ad.d I Coupl.d ITICI W.ld.d 'WI Thr..d.d I coupl.d I w.ld.d ITCIWI

Oth.r: _

"Pip.: Black; PVC; 6alv.; Other:

Wat.r analy.i. 0 No obtaIned? (check) 0 lacteriolo"llical

o Ch.mical

~. \?'h n JL-, I~ -= ~ '~l~' ~ ~ tlfk.~~- ~ 0. Analy.is by: 0 Ala 6.01. Surv. 0 U.S. 6.01. Surv

o Ala H.alth D.pt. 0 Prlvat. lab.

'For d••p.r w.1I pi.... attach continuation .h••t.

-Type "Typa nipe couplinas .- - 7'4.~

d.~ 3~ County Section

H fh "tee e V;Jt.;¢Pcu......

?,LARG(El~-~REPORT OF DRII.LED WELL (

Address Zip Code

$0lid WELL LOCATION 1/4 Section Township Range - -..(Ir:

WELL WILL BE USED FOR: CJ r:;;;J CJ CJ Private Industria' Tast supply supply supply wall

c=:J Irrillatlon Other: c.Pc..U4d ~

300Drlllln\l mathod:-tLlJ.{7J 4 It

~Ol Dlam.t.r 0# well £stlmatad startlnll dapth

(check) ~

data Borad Othar: _.11,,=-----_rI ~ [)

SIGNAT~Contra"Tor

IUTa. loIepTn - - - ,"",ompl8Tlon ua'8 ""'d

Inter- Description of cuttings Inter-Description of cuttings Completion data: raport depths below 9round level

val val

I ~ 1.1 .. 111.11. ~ ~. ... ypa: o Turb. 0 Subm. ~Jat 0 Cyl:: Othar:E

1lU.. , :> Intake depth Itl-it f H.p. I Yield Ie.... IIpm, . Tested by: 0 pumpln9 )( air lift 0 bailer D none

~1. U.II... ,(.c.....J) Q ~ Maasurad Static Watar Laval '72- ft.

';; Measured pumpin9 leval S' { ft. after

'13 rh. I\l..l......e.. .. Q... 3 uS-hrs. pump!nll 0 Ilpm

3I ~ &.- 1&.f4I.'oNJ<, hrs.Devalopment tima prior to testin9

IJK'Open hole D Screenad o Slotted pipa D Gravel pk.

lCiO ~... h"t2~ Internlls) scr••ned: to ft:

A .....1 ,. n ~

.aID ,.. 'c to : to ft. u:::

~~ , Packerls) set at and ft.

Scraen: diam. ; Size openlnlls

"'0 Il. sJ..JJ. ..~ .... s-.~

Intarval Dlam. Internl, cased f 'nches) arouted

I~}(I ~I.... ~ .. a.t: fI' # (l-J.. Q_'s L

01

I "'''k ~~ ... u. I:.;;

~ ~. \ ..

-Couplinlls: Threaded I Coupled ITICI Welded IW)0 Thraadad I couplad I weldad ITCIWI

5'19 f' .11J. c:c...1]~ Othar:

U~~"D.

" I, I) Water analysis !NO-Pipe: Black; PVC; Garv.; Other:

5'" obtained? (check) Bacteriolollrca' o Chemical

~ .. :>

G- Analysis by: o Ala Geol. Surv. D U.S. Geol. Surv.

'" 'tI' o Ala Hearth Dept. o Privata lab.

i~ P A .4.Sillnad:

"For deepar well plea a attach continuation shaat. 1 -

~~

I,.

\lpm

hrs.

400' Estimated

depth

U.S. Geol. Surv. Private lab.

Date

Range - --or:

730

-

x-¢LL ::-

Zip Code

/IN

o acteriolo\lical

o Chemical

Township

CJ rest well

pumpin\l

o Turb. ll. Subm. 0 Jet 0 Cyl:: Other: I

depth /57 H.P. 3 Yield 4~

Completion date: report depths below \lround level

Water analysis obtained? (ched)

Other: _

·Pipe: Blad; PVC; Galv.; Other:

Measured pumpin\l level - ft. after

Development time prior to testin",

Tested by:

I~I supply

... Ilype:

~ Iintake

o Open hole fJ Screened 0 Slotted pipe 0 Gravel pk.

Intervalls) screened: :t. 04' to 2. I Cf ' tt:

] I to ; to ft.

Packerls) set at - and ft.

4 " J 1)0' I IScreen: diam. : Size openinQI

± .. :I

0

road junction or other reference point

illing Contractor

Completion Date ' "/2 Z/geJ~ I

CJ Publlc supply

Other: P/:k!l • II

Other:, _

Descripti'on of cuttings-Inter. val

cuttings

"'For d••per well please attach continuation sh••t.

4If!I Z If'

WELL WILL BE USED FOR: CJ Private

~ • • supply

;;. Z. . c:::::J (::11.5 • f.JIpff"-1 wdf I,d,."••

~O Dri/lln\l method: ~OOI Esti at (check) Jetted startin\l Boreddate

Total Depth

o air 11ft 0 bailer 0 none

~ IMeasured Static Water Level .:z. .s= ft.

~ltte~~ IV I Il~~ ~L 0 I = hrs. pump;n\l - \lpm

~ I I I I I I

l2PZ~ 1 ~qS; ~'U;.~ 44c~t:' • I ,I ~ I .Couplin\ls: Threaded I Coupled InCI Welded (WI Threaded & coupled & welded ITC&WI

vpm

~.

X I

"9..

0/

Interval routed

~

o nOn.

'7S'

35'0 1

Eltlm.t.d d.pth

o Cyl:: Oth.r: I Yi.ld 02.3

Zip Code

x:-~~

~ Town'ship Range ---or:

SIGNATURE of Drilling Contr..~tor

Compl.tlon dolt.: r.port d.pthl b.low ground I.vel

D..te

W.t.r .n.IYlis obtaln.d? (ch.ck)

"Pip.:

Intak•

Tett.d by:

Packerh) s.t at and ft. Scr••n: dl.m.d' I I, I~ : Siz. op.nlnvs-4b;,.z. _

~ [TYP.:

" ....

Oth.r: ;.... 1

IPUblici ,QI g ~1iIlIIIl=:~:;~U"~~Q~'@~'~.::.....'l=uppty~... ,..~~

~L_-~ofw.1I

REPORT

ne. r.st town./~ommunity. ro..d junction or other referen~e point

Addre.. (m.i1ingll

/28 )L£ Section ~ 'I~ Se~tion

Des~ription of ~uttings

Other, ..

c=J Irrigation

CJ Privet. lupply

~ tool

ota d

Bor.d

Interval

"For d••p.r _II plUl••tt.ch continuation lh••t.

u t

WELL WILL BE USED FOR:

J'1JS-Drilling m.thod: .. ~:: J ~ =". (ch.ck)

t=j a~vba $'~ 0" ',0 I{() I Analysis by:

.Ir 11ft 0 ta".r ~ MUlur.d St.tic W.t.r L.v.l· ~ 0 ft•

•~ M.alur.d pumplnv I.vel s10 ft. after

o If hrt. pumplnv /00 vpm I I I I I ~ I).velopm.nt tim. prior to t.ltlnV hrs.

g'1------+----+----+-----+------; I I I I I~

o Op.n hoi. ,)l;(scr••n.d 0 Slott.d pip. 0 Grav.l pt.

~ Int.rvel (s) lcr••n.d: 6 :2 to "7 / ft'l I I I I I~ I to : to ft.

~~""'D Estimat.d

d.pth

o U.S. 6.0/. SUN. o PrIvate lab.

6eol. Surv. H..lth Dept.

.hrs.

o Slotted pipe o Grav.' pk.

"' ft;'

---... ft-Ind ft.

____ ; Sill op.nlnvs

No Bacterlolovlcal

o Ch.mlcal

~

CJ T.lt w.1I

hrs. pumplnv ~ vpm

I'

Diam::!. of well

Completion dat.: r.port d.pthl below vround '.vel

Water analysll obtaln.d? lch.ckl

Analysil by:

Other: --' _

Slvned:

·Pip.: Black; PVC: G.lv.; Other:

Development tim. prIor to t.stin

Pack.rll) let at --'

Sc...n: diam.

CJ Indultrial

lupply

~

Completion

Q lupply

Other: ~.. tI~f?d'" ~~__ SIGNATURE of Dr ling Contractor

Date sIt( (~7-J-V- -

Oth.r:, _

REPORT OF DRILLED WELL

Description of cuttings

~ Irriv·tlon

~ a tool at.

•Bored

Interval

o\IJ . >iii', (.)IIJ , ~:::.

Drflllnv m.thod: (ch.ck)

'For dllper well pl..l. attach continuation shllt.

,,

Distance and direction from

WELL WILL BE USED FOR: ~ ~ lupply

WELL LOCATION

t."f-f.~ma .. ....in:: :::c .... 0 -=. :;) OJ C/)UJ ~ -II-C/) 0 c:c:<t UI-C) ·....,cno

Total D.~----S -I

~ yp,: 0 Turb. t Subm. 0 Jet 0 Cyl:: Other:

- - rf. Intak. depth ,.... H.P. fa.-. Yield Jc- v.....1 ... '.. ~.. .._ n ~

T,st.d by: 0 pumplnv ",air 11ft 0 bail.r 0 non.

~ _ • _ _ __ _ ~ Iur.d St.tic W.ter Level .,.. ft.

* Iu..d pumplnv level , "- f ft.•lftr

I _:a 1 A k JO.... I 1 - 10 t/

Open hole 0 Scrllned

I 1 I 1 I \lnt.Nallll sc...-ne!.!di!.ii..;~:!===;;;;;;]t~o~;;;;~.:OZ:::: - ..c r-'- .2:

.~ to : to LL

I I I 1.[ .. f-:-:-----.,----!:----..J...---,."L~-....,._-..J...-----_l o

1----+1--------+1--+-1-------------il

X I

'"8. 1

'IIpm

Interval arouted

ft.

o none

Date

?4?~ E.tlmated

depth

~ Range ---or:

~o o Bacteriolo'llical o Chemical

Bt1L Township

c=J Telt well

r1... "

D.] TJI>/O suaJet..J>Cyl:; Other:

LUt? .111 Yield

Completion date: report depth. below 'IIround le.el

V ADPH-F-AWWSB-I/Rev. 7-81

Analy.i. by: 0 Ala Geol. Sur.. 0 U.S. &eol. Sur•. o Ala Health D.pt..... ~ Private lab.

-. ,,_ F-'A" J

W.ter analYlh obtained? (check)

Si'lln.~~~ • ~'-'--Cio"

Packerl.1 .et at and ft.

Screen: diam. oS" : Si.e openin'll' ' OIl/)

o Open hole 0 Screened ~tt.d pipe 0 Gravel pk.

Intervall.J .creened: I'" to .;23/' tt:

c=J Industrial

.upply

Q. ~ype:

~ Iinteke

'I. Section

t:fIaa?'A'd/1.;Jt>' IV

orJZ/t2'~

Addre"

6/18 bh~V///~

Completion Date f";;l/-J1'~

IpubHcl .upply

JL Section

Othe~ ...........'7 -=

Other: a1h~lLsf$J~r

REPORT OF DRILLED WELL ~o, pr~lVer I

,,/~ ~/1'1$.


c::=J Private .upply

c=J Irrivation

County eM~W

Interval

--,

Drillin'll method: ~Ol

(checkl ~

Bored

Distance and direction from nearest town, community, road junction or other reference point


·For d••per well pl•• ,e .attach continuation sh••t.

I I I I .:E.. :> ()

WELL LOCATION

DRILLING CONTRACTOR ._. - - yIlt' PROPERTY OWNER

GJIIJe!'tt?rPn

De.elopment time prior to te.tin'll hr•.


i.ed.Se" ,I/o, / c.Af;hn tl'SeyoS /-/0

3721 ~,2()"J'3 E.timated .tartln'll date

r<J.!- /OS aha//(, Irodr

Other: _

~ I-.A>~ ~/7A/k

Intervel

°Pipe: Black: PVC; Gal•. ; Other:

I I I 1.[ I I I I I I .. o 10COUPlin'll" Threaded I Coupled ITICI Welded (WII I I I Threaded I coupled I welded ITCIWI

~~/4-~ eh.:l7/k.~ .r1'r~,.')k~;

~'-~/s1

Total Depth (l8ZJ

Te.ted by: 0 pumpinq lir"eir lift 0 ,ailer

~~~Y:~~~~~~~tJ~~"--::--+-7-.;-;-+------------------j]:Mea.ured Static Water Le.el IS' 'uW~~~"::"!'~~~~t.Jl~U.Z,4~~Itj~~+7.T:-=-=----:;r--------j .. Mea.ured pumpin'llle.el ft. after

4:~:.J~U~-'ij~:d.~~~~~.e.~~?J.~p.L~~~~---------1J hrs. pumpin'll 7() 'II pm

I I I I IJI to : to ft.

~ // _".....,_. 'l-"'-"'

~/ Br//1er /)r//j,'Ag $erv/C'e ~ .z;,G,

#0'

• -ii;''<;

.(t/I


~ IrriQation

•.,:,t

6-/9..9/

.~

~

~ ~

l ~ Drillin9 mathod:

Ichackl abl I

Estimated D,ameter of well Estimated oar

startin9 ~ depthed

~ date Bored Other: ,I. ..... , "". Y' rt

~ "~ Tot.1 Depth Completion D.te4tJt2 ' 6 -2/-P/ "",

Inter• Description of cuttings Inte r• Description of cutHngs Complation data: raport dapths below 9round laval l l~ ~g I? - ///J ,,--;/IR', - ,c:;oncV ~ Type:/b Tu~i~j~~O~YI:: Ot/lI:h-/UI

A. Int~jJ:h. " f/]#A..IJV,J'/~pm J J/) - / ~O ?T7iFJ J/ Tested by: 0 pumpln9 It'-ir 11ft 0 bailer 0 nona ~ /~1.7 _ /.~/J a<;r;rn-d.J ~ t.4...urad Static Watar Lavel EUl«l(f!;l ft.

X. t.4..sured pumpln9 'evaI ft. efter

L &:"'1i'J _ / h/J ~Ht1I/ 0 hrs. pumpln9 9tr 9pm

17 I Development time prior to- testin9 ..7~ hrs.

/6, () - ,;,-r- ..<;,t:Jnd /~ 0 Open hole ~reened 0 Slotted pl,,- p,Prave' pk.

-;). - _ ."on 1"'!.,'aI7. 7r~ -:; 'ntervellsl screened: /99' t~ ft:

, , :!: : ft.to to

I---+------------+---+---------------...j ..... '.ck.rls) I.t .t and ft.

Screen: dlam. /f/t ; SI.e apenin9S Lb/O Interyal Di.m. "Type 'Type Interval cased Iinchesl ..i"e couplinas arouted

IW' Q.lf·P Yt'- ~1I"li~R#-l__--1

I----t-------------+---+---------------...j .r 1-----t----iI----+------1-------l

•U "CoUplin9S: Threaded a Coupled ITlCI Welded fWII----t-------------+---+---------------...j Threaded a coupled a walded ITCaWI

Othar: _

·Pipe: Ilack: PVC: 6alv.: Ot~:

Water analysis ~o obtained? (check! 0 ~acteriol09ical

o Chemical

1----+---------+--t-----------1~---+------------+---+----------------10.

...Analylis by: 0 Ala 6eol. Surv. 0 U.S. 6eol. Surv.

..... 0 Ala Health Dept. 0 Pr'vate job.

Si9n.... ' J'ViJ. / - 7. R I'fi4'J///.//1

ADEM Form 60 1/83

.

.' x- 08' NOTIFICATION OF INTENT TO DRILL A WATER WELL

AND CERTIFICATION OF COMPLETION ~-2-t75"

from nearest town, community, road junction or other reference point

Address <fnaili,.., /lAI 3V -z.. Date

1/4 Section

Zip Code

flb-r./t

SectionRangeTownship

l JtJ tn~;~ } r+ S'v; f~ A~b "So-c.k..tc" , fJi?de

15ror)et5 J"7 ~ J?/ f1Lse/Je-St>,nifl&//v/J

WELL LOCATION

o Monitoring well

~~-o

o Test well

~

o Industrial supply

Other: r.iJ J'tAr!/) V I /

o Public supply

o Irrigation

o Private supply

WELL TO BE USED FOR:

LOCATION OF WELL: Latitude Longitude Diameter of well

if-.3 - O~ Drilling Method.QJ;able tool

~otaryEstimated 0 Jetted starting 0 Bored

date 0 Other: _

Total Depth c lef Oate

Estimated depth

Interval Description of cuttings Completion date: report depths below ground level

\"'/i",tL Q.0- 2" Type: IJ TU~ IJ Jet IJ Cyl Other----;;;;;;:--E ::l.;-C.Ll

l c...16..V "" Intake depth H.P, 71 r Yield g:; gpm

...J-~~' ~_J - 7tJ " rl'J c.Jl .J.- 11 .1'-'1 Tested by: o pumping o air lift o bailer r:l none 1, ~ - 7_'411 ('l J;. oJ' ..... L1:J. c'AJJ. 117Measured Static Water level ft.Pt,.!#> SYJ.A ....,O - 1.3'(1t .~ /32.Measured pumping level ft, after ..Q...f2. WI (C)_ 5'6..-J"L1- "O-31~ "" ~,.J

u ~ hr" pumping 10 (J gpmA .. n~ (\ 112 \ JJ Development time prior to testing Ll hrs./' IJ Open hole XScreened IJ Slolled pipe IJ Gravel pk,

Inerval(s) scl"eened: to ft;

-5i to 10 ft.

l7d 3/12 'c u::

Packer(,) set at and ft,

Screen: diam. ~; Size openings .0/11 Interval grouted

Interval cased

fJ- Z7fJ

Diam. (Inches)

"'Type ,"po CO"'~~gS

q AlG PtH~ 1J-2fJ

.., c'ilj 'Couplings: Threaded &Coupled (T&C) Welded (w) U Threaded &coupled &welded (TC&WI

Other:

*Pipe: Black; PCVi Galv.; Otller:

Water analysis IJ No obtainedl (check) o Bacteriological :E 1:1. Chemkal1

CI Analysis by: IJ Ala Geol. Surv. 1:1. u.s. Giio~ Surv.

IJ Ala Health Dept: IJ. Pri~~le I;)b.'",.,' "

Signed Certification:

'For deeper well please attach continuation sheet. Send WHITE copy to:

ALABAMA GEOLOGICAL SURVEY P.O. BOX 869999

ADEM FORM 60 5/02 TUSCALOOSA, AL 35486

'"

Send YELLOW and PINK copies to: ADEM DRINKING WATER BRANCH P.O. BOX 301463 MONTGOMERY, AL 36130-1463

,.~ ,;

J' ,..' . ~~

,.j

:~

Retllin GOLD copy for your Records

-:' .. ,', lI', II!I \II1II .1JlIII!IIIIII!!" _--d.' 4 j

... C>~ REPORT OF DRILLED WELL LATC..6,e \tJB1J.-.X Griner Drilling Service, Inc. 155 P.O. Drawer 825, Columbia, Ms. 39429 7-28-88

DRILLING CONTRACTOR License Number Addre.. Zip Code Date

Chesley Pruet Drilling Company, P.O. Box 324, Laurel, Ms. 39440 Zip CodePROPERTY OWNER Addre.. (mailing)

Toxie Choctaw 7 413 1S &2024 1 E of NW/cor 11N 3W County Section '/. Section Township Range ---or:WELL LOCATION

Silas! take 17 North, Toxie, turn left @road equipment, cross railroad tracks, location Distance and direction from nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: CJ CJ c:::::::J c::::::::J Pri..t. Public Indu.tri.1 Te.t .upply .upply supply w.1IPelto Oil Company

Lease: No. 1 Hutchinson c=J Oilfield rig supplyIrriQation Oth.r:7-3

7-29-88 Drillin9 m.thod: C.bl. tool 3" SOO 1 Estim.t.d Rotary bi.m.t.r of w.1I Estim.t.d(ch.d) .t.rtin9 J.tt.d R d.pth d.t. Bor.d Other: otary ~

]5(jUWt:s= :;. «

IGNATURE of Drilling Contractor

Total Depth Completion DateStJ'f / R -/-R R Inter· Description of cuttings Inter· Descri ptionval val

~ - -:J,.:)S ,,/..:J 1/17-~C-, ~. r;-"-d/SK c:::J~ .,~

of cutti-ngs Completion d.t.: r.port d.pth. b.low 9round l.v.1

Q. ~YP.~ITur~)J.ubm.'-'p Jat )):1;.... -fl#: I I " E Inta pth "//)'I'f7J.P~ ~ /tIV~.l.J::J

A.

T.st.d by: 0 pumpin9 'Ii!"".ir mbail.r o non•

..:l5"J ~

3/d

.3h' .,

-3/~

- ;-(b 7

- "-O!;

I

~/,; )//. ....~C/G 7 7

~OI /V7;£ J

<::;/ 'OJ 1/ I ~d#t:T" ,

~ .....sur.d St.tlc W.t.r Lev.1 it) ft. .;;• ......ur.d pumpin9 l.v.1 -;;;J.rQ.

SOC 9pm•0 hrs. pumpln9

S-6 hrs.D.v.lopm.nt tim. prior to t.stln9

o Op.n hoi. 0 Ser..n.d r.d pip. ~ Gr.v.1

.II: 'nt.rv.llsl .cr••n.d: e:;J7. to J. OC,;o

· ';< to : to LL

P.ck.rlsl ••t .t and

~JI : Si•• op.nlo9' ,t2/1!JScr••n: di.m. -..

pk.

ft:

ft.

ft.

Int.rv.1 c...d

1,;)73'

DI.m. IInches)

~"

·Type "i".

'Typ. couplina.

T..JG

Int.rv.1 arouted

~I"::I

0' c:•••0 ·Couplln9S: Thr••d.d a Coupl.d ITaCI W.ld.d IWI

Thr••d.d a coupl.d a w.ld.d ITcaWI

Oth.r:

·Pip.: BI.ck: pvc: 6.lv.; Oth.r:

W.t.r .n.lysls If No obt.in.d? lch.ck) o B.ct.rioI09Ic• 1

o Ch.mic.l

>~ •::J () An.ly.ls by: o AI. 6.01. Surv. o U.S.••01. Surv.

- o ~. H.~D.pt...... q Prlv•., I.b.

Si9n• d.I"'\IJ"r'45 -;. ~'~.JII" "~/I• ~V" w.r 4

ADEM Form 60 1/83

Range - --or:

• REPORT OF DRILLED WELL

3u/

.. II! ~ -

Distance and -direction from nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: CJ c:=J Privati ~ In~1 Tell lupply lupply lupply well

c=J 12, ~«aP/yIrriCJation Other:

4:!.'Drillin9 method: Cable tool ~timat.dEstimated Icheckl Rotary

depthIt..tin9 Jetted date Borad

Othar: ~~g.

Tot.l D.pth ......- _ Completion Oat. ljIt*t2

Description of cuttings Description of cutti-ngs Completion date: report depth I below 9round level 1"::1" /I .J. ;- ype: 0 Turb. 0 Subm. 0 Jet 0 Cyl:: Other: ~l,Ljt.....a:;~1

~ ~ ~-.... Intake depth H.P. <' Yield 20 ,pm

rested by: 0 pumpln9 air Iift----r::Jballer 0 none

:5 Mu.ured Static Water Level &0 ft. .",,~\' ~~~-l--J~~~l(..------.L+---_+----------------~ Mellured pumpln9 level ~ .,tt"~ ft. after

~tJ~-1-~~~~--~..,.-_r--_+---_+----------------_l 0 h... pumpin9 .~ 9pm JP

DevelQPment time prior to'te.tl_9 h...

J1)01 -- V i 1.// ~pen hote 0 Screened CJ Slotted pipe 0 Gravel pk. -J J <?\ Z"M~ I-_J~ ~ ..."

Intarvatlsl Icr..ned: ;1.QI} to g&,(J ft,II fit!~ I I~ ::=:::.,.::m.~ iw".:·:~.,:-.-::! Intervel aroutad

/'J - ~/J~'r# I I I I I I I Ij 1-=--:-:--=----:--:-:'~~:7:-::-------;

7/

Other: _

"Pipe: Black: PVC; Galv.: Other: el/~ Water analy.i. o No obtained? ICheck) o Becterlolotical

o Chemical

(

I I I I~•0. I Analy.1I by:

I I I I I

ADEM Form 60 1/83

L Sitned:

"For deeper well plea.e attach continuation .heet.

7i-,~1 ~I ~&I~t"1f ~ n"t t(/pr/i.

'7fC1Ut2 o Ala Geol. Sury. 0 U.S. Geol. Surv. o Ala Health Dept. 0 Prlvete lab.

'1/~d' J,~t w#l(fd

~

LARGE WELL X D.t. r,l!lfl

~ 1)&)1,

Zip Code

LlA1 3ud 'I. Section Township Renge - --or:

roed junction or other reference point

Z;p c~12t -3Sf~2

(meiling)


320 !U --

Number

(;) 2/)6~ 7U~

WELL WILL BE USED FOR: CJ c=J c:::=J c::::J Private Public Indudrial Te,t .upply ,upply .upply well

c=:::J I rriqation Other: ~~~

(' "lOt)Drilling method:

E,tim.ted(check) ~ depthJetted Bored "'... &d{{~ r

SIGNA RE of Drilling Contrector

Tote I Depth ft? tJ Completion Dete ¢~I' Intelr. Description of cuttings Intelr. Description of cuttin"'s Completion d.te: report depth, below 9round level

va va ~

Ih - q ...:- ...,'1 ~ ~ype: 0 Turb. 'lit Subm. 0 Jet 0 Cyl:; Other: ----I

Ig -II,) r ~ flU ~ tf. Int.ke depth :J-'7~ H.P.;{' Yield 9pm

(0.- Z/I n, '''- (J Te,ted by: 0 pumpin9 'Il"r eir -lift 0 b.i1er 0 none '~2~ AU ~~A

_ _., , n _ ~ "'e.,ur~d St.tic W.joat Level I~v ft. -, on- T" () I jl'~ 'u ~j"l,r..g. ~A. /J~ _~ J,J- ~'-, _"".A..;~p ~ el ..., Yq it:. .fter.. ~.. f.t ,,~'/!'A .... 0 h... pumpin9 9pm

If Development time prior to'teO+ln9 h...

o Open hole ~creened ~ I ~ruel pk.

Intervell,l ,creened: 290 to 3zf ft: ~

t----+---------+--+-------------1 ,~ to ; to ft.

r----+-------------+---+-----------------li.i: hckerl,l ,et .t and ft.

Screen: dl.m. ¥ :SI.e openin9' ,0/0

Intervel Diem. ·Type ·Type Intervel co,ed IInches) oipe couplina, arouted

~- ,2..9 D ~ 7ii7 I'"II.A Y' 0 - ZO

r---+-------------t---+---------------I .r 1-----1-------11----+-----+-------1 ..o ·COUplin9S: Thre.ded a Coupled (TlCI Welded (WI

r-----t-------------+---+----------------l Threeded a coupled a welded (TCaW)

Other: _

·Pipe: BI.ck; PVC: Gelv.; Other:

Weter e..ly,i, ~ No . . obteined7 Icheckl 0 S.cte.,olo9'col

o Chemicel

---+------------+---+----------------1 j>-

Anely,is by: crAI~ ~~Su I. 0 ~. Geol. Surv.

/1 /f}/".1 Hni~~t. V"rlvete leb.

Si9ned: ~ f/~/~ For d••per well pl••Ie attach continuation ,h••t.

ADEM Form 60 1/83

REPORT OFA'2W~a~ere<X 'ArU~E ~ CO/UA?~aJ~S. ~ ~

Zip Code

3W Reng. ---or:

or other reference point

WELL WILL BE USED FOR: c:J CJ c:::J PubUc Indultrial Tilt lupply lupply well

Otherp!l.,f1dt£S(,gJ1y /-1,7-9/ d/I 69>J

Dri/llnll method: ~blet.Estimated Diameter 01 well EstimatedIcheckl aryItertlnll date Bored

"'0"

rf1

~7.~ , SATURE of Drilling Contractor

Totel Depth Completion Dete$0 r Z9-8/

[:=J Privata lupply

[=:J Irri9ation

Inter Inter· Completion date: report depthl below IIround level Description of cuttings, Description of cuttingsvel val C3A irl~ ~ ~ype: 0 Turb. 0 Subm. J( Jet 0 Cyl:; Other:

~ Iintake depth H.P. Yield 9pm

7'!5 1- ..s;s;O e::-tdUt----:rnrJf SO

Telted by: 0 pumplnll t'< air 11ft 0 bailer 0 nOne

~ Mealured Static Water Level ----- ft. 'u :. Mealured pumpin9 level ft. after

I I I 0 hrs. pumping ~zj:. 9pm

Development time prior to testinG -- hrs.

~open hole 0 Screened 4iiIIi lip; ~ Gravel pk.

Interval III Icreened: to ft;

I I I I I~ I to ; to ft. Packerlll let at and ft.

Scr..n: diam. ; Size openlnlll _

Intervel routed

-CFa#/

I I I I !JI--=---::---~~~~ Other: _

·Pi~.: Ilack; PVC; Galv.; Other:

Water IInalYl1s ~No obtained? (check) tj-B.eteriolo..,ical

o Chemical

\ I I I I~ AnalYlis by: o Ala 6eol. Surv. o U.S. Geol. Surv.0 o Ala Health Dept. o Prlvete lab.

.Z;~._ ~4~Sillned:C~~ +: ~4. ·For deeper well pleaIII attach continuation .heet. "

'Zop

" l1li

REPORT OF DRILLED WELL ~J-',~t.~ Yl::.12.tl /,.}6JM--1 Dp.~. 3 /4 LAUl?~L US

License Number A~en

:J.!'1 hi eaP/TIJL S7;,~A1S S!2(J1 Addren (mailing) Zip Code

CH-()(; rA W' "30 lIN 3 HI WELL LOCATION County Section '/. Sectioll' Township Range - --or:

Diltance and direction from neared town, community, road junction or other reference point

WELL WILL BE USED FOR: CJ CJ CJ Priv.t. Public TestI~I ,upply ,upply ,upply well

c=:J Other: _Irri;.tion

3-II:l-c;/ Dri/lin" method: Cable tool Estimated lcheck) ~ ,tartin" "Jeit.'d date Bored Other:

Total Depth U I Completion Date .3ktJ/'1' I,

~ A

zoo' EStimated

depth

I I1"::[" I Description of cuttings I '"::[" I Description of cuttings

~

rf

~ oII2~R~C.lGU~~X,...bl1!~IJIt..U_-~~---+_------------....:---~ 'u:.

--:l-~~;,Qw~fA~tlJC!....----_l_---_t-----------------...j0:

"' ... _ _ A;77

JI::

~~~,..,.4~:J.4',f---__t_---.j.....-------------_l-i ~~-_-------__+---+--------------_lLL

Completion date: report depth' below 'llround level

ype: 0 Turb. Subm. 0 Jet 0 Cyl:; Other: _

Intake depth H.P. I Yield :z.s= "pm

T.st.d by: pumpin" 0 air 11ft 0 bail.r 0 non.

Iolea,ur.d Stat'c Wat.r L...., -I ft.

Iol.a,ur.d pumpin" I.vel ft. aftar

hr,. pumpl", ,pm

D.velopm.nt tim. prior to't.lt'n ,hn.

0 Op.n hoi. ~ Scr••n.d o Slott.d pip. 0 6r....' pk.

Int.rvall'I ,cr••n.d: 6:r to zoe ft:11

to to ft'lIti J Pack.r 1,1 ,.t at and

,/)o? ft.

Scr••n: dlam. JI" : 5'.. op.nln",

Int.rval~yp.Int.rval Dlam. DID;' I couDlinCII "rout.dIlnch••1~ ~h-l ' ca,.d u bl-r......:i'"IJ?-~.r In-In'

.[ 1---+---+-----11---+-----1 1 1 1 1o ·CoupUn'llS: Thr.ad.d I Coupl.d (TICI Weld.d IWI

I I I I I Thread.d a coupl.d a weld.d I"CaWI

Oth.r: _

·Pipe: .Iack: PVC: 6alv.: Oth.r:

Water analy." -:l!\No obtain.d? (ch.ckl 0 'act.riolo"lcal

o Ch.mlcal

I I I I~..•() Analy",' by, 0 Ala ~. 0 U.S. 6.01. Surv.

~ 0 AI~lalth DlPt. /0 Prlvat. I.b.

~ ~• For d••per w.1I pl.... attach continuation .h••t.

ADEM Form 60 1/83

o Gravel

Range - --or:

SI.e openlnlll _

Zip COd

3W

,,;2.412 ' Eltimated

f /~ePth

Date

, 3'

point

______to _

o o lacteriololilcal o Chemicel

liN

4-"

CJT..t well

3q~(),

MtWil,b,.

o Screened

biameter of well

Open hole

Water analYl1s obtained? (check)

Sillned:

"Pipe: Ilack; PVC; Galv.: Other:

Other: _

Packerlll let at and, _

o Slotted pipe

Intervelll) Icreened: to _

Screen: dlam. _

CJ Indudrial

lupply

Completion dete: report depthl below lIround level

~ ~ype: 0 Turb. 0 Subm. [g"J~Cyl:: Other:

tf Iintake depth 60 H.P. Yleld---.h.

SIGNATURE VDrilling Contractor

3-~";L-/.3Completion Dete' _

IPUblici Iupply

Other: _

Other: _


/gO REPORT OF DRILLED WELL

License Number

-e+~J

Intervel

c=J Irrillation

Drllllnll method: ~ble tool (checkl tfRotary

Jetted Bored

Distence and direction from nearest town, com

czJ Private lupply

~3S'

"For deeper well please attach continuation sheet.

WELL WILL Be USED FOR:

K' -1'1-73 Eltlmated de rtl nil date

Address (meiling)

dlod-lMJ-------------WELL LOCATION S ~ Ea

~\----+----f---+------1I------l

J I I I I '; I-:-::~::-.-.l:.---:-~-=---:-~:-:::-_:_:_:_:~__:L_:__--...,......_\o "Couphnll" Threaded l Coupled ITlC} Welded Threaded l coupled l welded ITClW)

1-+-1----I I \11 Analysis by:

fedad by: ~umplnll 0 air 11ft j bailer 0 nonef.i.i ~ I I~ ~.~~'.wm.'m' 4 I fi. ._P ~ , ss: fi ,

. a 0 ~ hn. pumplnll a lIpm

- - - - ~avalopment time prior to ted;_l1 / '="' hn.

1==+1===-~==±=I I ~ ______~I ~ I to

----

_-------====::=::;;;:;;;;;;~.......iliiiiiliiliiiilliiiiiiiliiiiiiiiiiiiiiiiiiiiiiiiiii* REPORT OF DRILLED WELL

1~.:1tJ/ ItJ.-.3Det.

Address

_____--=~z....=:;.=.~~-4 Un;;5 W WELL LOCATION County Section If. Section Town'ship Renge ---or:

Distence end direction from nee rest town. community. roe'd junction or other reference point

WELL WILL BE USED FOR: ~ [Pubu) CJ

Industrlol 9 supply .upply supply woll

c::::J Irrl9atlon

Other: _

/Q _/.r?f Drillln9 method: Coblo tool ¥.-" d7~-V .. H _. '"_ j

Estimated (cheek) I§ii:>startln9 date

Jetted Borod

Other: _

Totel Depth :J. ..2 0 ,. Completion Dete J I - /1:l- - >?a.-. Inter. lnt.r· Completion doto: roport depths bolow 9round lovolDescription of cuttings Description of cuttings vel val

":J I L-O --- 7-. ~ ~ype: 0 Turb. ~. 0 Jet J) Cyl:; Other:

~ b [Lo ~ /.. ~ t?., I ./ ,£ llnleke depth ~ ( H.P. ~ Yiold !>"" 9pm

14',., I' 67> .sf- .s 0.-1 L Tested by: 0 pumpln-II O-oir Ifft- 0 bollor 0 nono

/1,/6 ft.

Is-/1 ft. efter

~m3.Developmont tlmo prior to tostln9, ,hra.

~olo o Screonod o Slotted pipe o Gravel pk.

_______ to tt:'ntervol rsl Jcr••ned:

~, ______10 ft. to :u::

' -"".d ft.;Packerlsl ,et 01

________ : Size openl09s _Se-r••n: diem.

Iilte-rve' used

Interval I-Diem. "Type I "Typo J ..IDe ";upllMIi arouted ~{Inche.'

Ipl7clllO'J " ~ 7""fl7'" C"!

IJ!~ ~

- Other: _

·Plpe: Black: PVC: Galv.; Other:

Weter ..ely.is ~ obtolned 1 IChock I 0 aecteriolo9icel

D Chtmicol

Anely.l. by: o Alo &eol. SurY. o U.S. &eol. Surv. o Alo Heollh Depl. o Prlvoto leb.I' 1 I· I Ii

Sl9nod:

!IIFor d••per well pl•••••ttaeh continuatfol'l .h••t.

I

C.ble tool Estlm.ted stert'n" dete

Icheck) ~ Bored

other: __~ _

Tot.. I Depth ,;; 2-0' Completion O..te s- 3/ - 2 v

d1?-nl~ N.;tss (meiling)

I

d£J~1 Zip Cod. .5;.J~~ Oeta •

Zip Code

~~~~~"",-,-=~l:t /I N 3 w WELL LOCATION County Section 'I. Section Township Renge ---or:

Distence end direction from neere.t town, community, roed junction or other reference point

WELL WILL BE USED FOR: CJ CJ~ ~ Indu.triel Te.t .upply supply supply well

c=J other: _Irri,,"tion

~II~ ?-..i! 7r'Drllllno method:

·For d••per well pl•••• attach c.ontlnuatlon ,h••t.

Inter- Description of cuttings Inter. O".cription of cuttings Completion d.te: report depths below "round levelvel val

1'l In /7/".. ..J 'h_ d. A ype: o Turb. ~m. 0 Jet 0 Cyl:: other:E, 0' :J

depth /hll 'H.,. t;.?-= Yield _ 5A- Intoke opm

,n. /ID ~~--J"V rested by: 0 pumplnll 0 .ir lift 0 bailer 0 none I'

I

, I Me.sured St.tlc W.t.. Level 1#7 ft.

IU'.J Iflr ,~ L. .; r .~ IA,h ~ ~ 'u

Meuured pumplno level 1£(,,/ ft.•fters '" A

~ hrs. pumpinll /CJ IIpm'" lett("" ~ ,,;L..V t-r I' ~/I~.JI~~ ..,;.; . .-J 0 ~--

pevelopment time prior to testino :5 hrs., -~open hole o Screened o Slotted pipe o 6revel pk.

Intervells) screened: to ft; ~..'c to : to ft. iL

Packerls) set et and ft.

Scr••n: dIem. : Size openlnlls

Intervel P'am. "Type 'Type Interv.1 caJed Ilnche.) .DiDe co:;;nosl orouted

/9/' ~', 'YtA-~ / -'./ -VI

'"';; '" "Coupllnos: Thre.ded a Coupled ITaC) Welded (W)0

Threeded a coupled a welded ITCaW)

other:

"Pipe: Bleck~ 6elv.; Other:

W.ter .n.'~ ~ obteined? (check) o aecter/oiooicei

o Chemicel

l '" :J Anelysls by: DAle 6eol. Surv. o U.S. 6801. SUrY.0

DAle Heelth Dept. o Prlvete leb.

S'o·ed:

""''>::';'v·,....,..~, ,.,. ".,,~'4 .. .~·--..~.4 __,_'·, .~~.-4Ji,..,., .i:-~""":~_~_,~'"

tV

depth

t.ts"

Range ---or:

o U.S. 6.01. SUN. D Prlv.t. lab.

Zip Code

I'

o o ••eterlolovleal o Ch.mlca'

o AI. 6801. S.rv. o AI. H••lth D.pt.

CJ Test well

o Scr.en.d

lam.ter 0 wef

.n hoi.

W.t.. en.ly,11 obtaln.d? leheck)

Analysll by:

Oth.r: _

Int.rVlII.) Icr••n.d: _

c::J Industria'

,upply

~ ~yp.: 0 Turb. ~Ui

.t. I,nteke depth../:i5...

II. Section


sw

Other: \

~\6~~~::L~.u~:af:tl4+~-.,..~4~"Yt1--..--~TURE of Drilling Contractor

Completion Date 3 - 3. o~· '11

Other: _


Oeser; ption of cuttings

on Irom nearest town, community,

~ Ipubll) ,upply ,upply

CJ Irrlvltlon

~Ol

~ Bor.d

Interval

Drillinv method: lcheckl

V'I----+-----i~---+----+------I

i 'I I IJ~~---L------I-------J.----; en

WEll Will BE USED FOR:

Scr.en: dlam. _

:l-/CJ-77Estlmat.d st.rt'nv dlt.

Total Depth _

I I I I I] I to _

Pack.rhl I.t at -'

~

t , I I IJ

T.st.d by: 0 pumplnv ~:iS liail.r 0 none

Iw~ I I 1:5 M.alured StatIc Wat.r Level ft.

~, , , ~ M....r.d pumpin9 I.v.' ft. after

I 0 hra. pumplnv -..__

D.v.'opm.nt tIm. prior to t.stlnv

'For d••p.r well pl.al. attach contin••tlon Ih.et.

REPORT OF DRILLED WELL~ 1Z:/c,.@

- Date

Zip Code

point

~ 'LiCtIM"

Distance and direction from nearest towl

lh <:... DcD-, o.1d ""DRILLIN& CONTRACTOR

I

WELL LOCATION f/r '\...-.

CJ Tost well

WELL WILL BE USED FOR: l~ CJ 'rlv.te I'ublic Industri.1 supply .upply supply

c=J Other: _Irri9.tion

-tD LI'/ /6ZJ /'Drillinll method: C.ble tool?E;;rn.t!;Z ~ Estirn.ted(check)

st.rtlnll depthS·d.te Other: _

80red

Totel Depth I 2.... 0 / Completion Date ~ - ,... ...

Inter· Delcription of cuttingl Int"r. Delcr; ption of cutting. Completion d... : r"port dopths below Ilround 10.01 vel vel

I) ~ -(l~ iLL.. E~YP,,: o Turb. 0 Subrn. ~t 0 Cyl:: Other:

0 I " depth Gpl H.P. I Yield.s-A. 'nl.ke II pm f,( ~O rc" _IJ -+ :>X7: -~7

7 To,ted by: 0 pumpin9 0 .Ir 11ft ~.Il"r 0 none

~ Mo.sured St.tlc Weter Level..6 ft. 4(0 }O S ~-I- .: ) A_. oJ"", 'u

M"..ured pumping l"v,,1 I::? ft.•fter" I 0

f tJ 5" J J 0 ('l "I'.. AI I~ ,,:: ... 7 rl 0 6 ... pumpin9 /P- 9prn

....... I Developmont limo prior to te.tlnll ..3 hrs.

110 11.- 0 h~ .. 0 ~~_ ..J7 ~ Open holo o Screened o Slotted pipe o Grevel pk.

'ntervalls' scr••ned: 1o tt: ~ 'c to : to ft. u:::

P.ckerfsl ,et et and ft.

Ser••n: di«m. : SIze opening.

I.terv.' Ol.m. 'Typo 'Type ,ntervo"I..--c.,ed IInchll' "i"" coupllnas oroute

'7" ' ¢u /I(/C-I I~/ ~

'" c ";;

" 'Couplin91: Thre.ded I Coupled ITICI Weidod IW) 0 Thre.ded I coupled I welded (TCIWI

Other:

·Plpe: 81.ck; PVC; 6.lv.; Othor:

W.lor .n.'ylls DNa obl.ined? (check) o 8.cterloI09'col

o Chemic. I

~ Ii " Anoly,is by: o AI. 6eol. 5urv. o U.S. Geol. Surv. 0 o AI. He.lth Dept. o Prlvete I.b.

5i9ned:

·For d••per well pl•••••tt.ch continuation sh••t.

REPORT OF DRILLED WELL \\9

..$73 er

Addrell

Zip Cocle

Imailing) Zip Code

-----:-::::-=-:-;------~ sein loLl1/; ~CountyWELL LOCATION 'I. Section Range --

Distence and direction from ne..est town, community. road junction or other reference point

WELL WILL BE USED FOR: CJ c:::J QPublJc Industrial supply, supply supply well

c:=J Other: _

~ IrriVlItion

t

11-/9-1/ I ' ~~()Drlllln; method: Estimeted • b,iame't. of well EstlmetedlchecklstertlnQ depth' dete Bored

Other: _ ~ ~ _ ~~ ---~~D;rmn;"tftt::tOr

Total Depth ;; ~ lJ I Completion Date II- ~ /,21

Inter- Description of cuttings Inter. Description of cuttings Completion dete: r.p~rt depths below lIround level

vel .... val

f)-I r,., (\ ~ IJA. I.A 'I .hA"", ~) lL yp.: o Turb. ~m. 0 J.t 0 Cyl:: Oth.r:eJ1 " Ia -~ Intoke depth H.P. Yi.ld S. lIpm

IJ~-" :~ "'.VI ,. V It o air 11ft o ball..T.sted by: o pumpin9 o non.

• ~ M...ur.d Static Wat.r L.vel /7f;;) / ft . IJ./IJ·J )1) ~ .. IE. Clt Irt" '/IJ J 'u 3S-~t. afterI' ~ Iot ...ured pumpinv l.v.1 ,... A .. a-= I.P-::r7A"l ~ J Lf,. // ",,,j I-.A........ J 0 hrs. pumpinv vpm

5 1tj... , D.v.lopment time prior to testin; hrs.-JClJ ~ /Ci'lJ r/T1IJ l\tJ hI1\. .".J.J ~open hoi. 0 Screened o Slotted pi pe o Gravel p,k.

I

ILVn I- ';:)D1'J 11 ~/~ lAot ~1 Inte,valls) screened: to ft:

..c.., ~ 'c to ; to It. A LL

I,.::} 1\ I !oj,} ~/J l'\ "AlP It A ,JLc., ...o..t\tl U~ Peckerlsl set at end ft.

(f -- Scre.n: diam. ; Size op.ninQI

fnterval Diem. "Typa 'Type Infernl cased lInchesl. Dio. eouolin;s, IIIrouted -~ lJ " MJI\. /A/ ---,

VI <:

'iii.. "Couplinvs: Thr.aded" Coupled (nC) W.ld.d IW), 0 Thread.d " coupl.d " welded ITC"W)

Oth.r:

"Pip.: Black: PVC; Ga/v.; Oth.r· -

Wat.r analysis '~o

obtain.d? lch.ck) o Beet.ri%vica/ o Ch.mical

;;.... " Ana/ysls by: DAle 6eol, ,Surv. o U.S. 6.01. Surv.G O Ala Health D.pt, o PrIvate Job.

Si9n.d:

·For d.eper well pl.... attach continuation ,h••t.

~,-"

REPORT OF DRILLED WELL ~

Sb' ,7w 'I. Section Range ---or:

Distanceand' directi'" fro road junction or other reference point

WELL WILL BE USED FOR: ~ CJ CJ~ Industrial TOIt supply supply w.1I

c:::::J Oth.r: _Irrigation

Drilling m.thod: ~OOI4.~m~1-71 JJt.(1dbiam'l:: of w.1I(ch.ckl Ro stertlng d.pth.d date Bored Oth.r: •. '"

l1J.~vVATURE of Drilling Contractor

t6#.... Completion Date/t:> -10 ..... 71 Inter Description of cuttings

val

".r.tl; oIJl--fl ..A -.L.I... ( 1G_ ~~ 10'''' 4U I I

I I I I

I I I

Compl.tion date: r.port d.pths below ground l.v.1

... ~yp.: o Turb. ~u

~ Ilnt.k. d.pth --li..JJ. T.st.d by: 0 pumping

~ M.a.ur.d SI.tic W.t.r L.v.I' 5«"0 fl. 'u' "VI : Me.sured pumpin; 'eve' ft .•fter

"'hrs.l

o hrs. pumping 9pm I ,

D.v.lopm.nl tim. prior 10 t.sting,

o Grav.1o Slott.d pip.•,l;rtS'pen hoi. 0 Scre.n.d

______10 _

Interv.l(s) scre.ned: to _

Pack.rlsl s.t at and -'

.c: I .~ Iu::: to -

Si•• op.nings _ Scr••n: di.m. _

I I I 1.[ I ) I I I I I

o 'Couplings: Thr••d.d I Coupl.d ITlC) W.ld.d IWI"'I .I I I I , Thr••d.d I coupl.d I w.ld.d ITCIWI

Oth.r: _

·Pip.: Black:/l'VC( G.lv.; Other:

W.t.r an.ly.is ~ No obt.ined? (ch.ck) 0 B.ct.riological

o Ch.mic.1

Analy.is by: o AI. G.ol. Surv. o U.S. G.ol. Surv.H I I 11 o AI. H••lth Dept. o Prlvat. I.b .

., 'For d.ep.r w.1I pl•••••ttach continuation .h••t.

Ii",

!4JR,XU# Jt" REPORT OF DRILLED WELL

)0( ~ i'rl' License Number n_. Address Zip Code Date

DA. • ~ LX. r2 j-fl I /3 ttl 1'-1719"2..-~~4 alL' ~u Im.i1,".,,1 ZIp C....

~ L~ (I tv ~ YfL..WELL LOCATION County Se,Stign '/'L Seetiojl .. Townsbip Renge ---or:

idence en C1iree+ion from nearest town, commun'

~'@ W1LtB USED FOR: CJ CJ~ 'Publici Industriel Test ~~. ~ supply supply supply well::a 0 IIiiiiIif

-~- Q c=J Other: _Irrioation

S~ Drllllngl!'hod: Cable too,

.......-0-

... .-~

Diameter of wen(ch.

~:!:l ~ ~ other: _BoredS'e O :I

ToteI Depth Completion Oete:3 yo f ':1 - / 1- 7 [( Int.r- Description of cut+iJl!!s lnter- Description of cuttin!!s Completion date: report depths below ground level vel val

n.. ~n r J f.LL 1.0 01- ~,.j;> t Type: o Turb. ~b". 0 Jet ~ Cyl:; Other:

~ J If ::I depth 150 H.P. 3 ~ Yield 6a- Intake 9pm

~ F'J -, L"\ ~j 'J J L <;r c.y"L ..... Tuted by: 0 pumpinq 0 air lift 0 b.lIer 0 none

. .. • UJI ~ t.4usured St.tlc W.ter Lever I .-J~ /) ft....., -~ q l'J (~ Q1 -....: -=>rl £t. Y 0/-- 'u

t.4usured pumpIng 'eve' !l:j'l'1 ft. after.. Q. r hrs. pumplno I r;J gpm ..

(A n I/)n- L.,. T/i ,,, /--z.:3 - ~4?1ri 0

l '" _ - Development time prior to tellln\l ;j' hrs.

DO I~J ~ e-1.. c: L<h J1, (/L ./ Kopen hole o Screened o Slotted pipe o Gravel pk. .. 1

5« LID <+ ~ I ~ <:" 4"'VI rI Interval I.) .cr..ned: to ft,

AI J:..

• .... 'c to ; to ft• u:

"'"'l / lD l.~ _"'5r~// IIJ .~.,.. H~ I If!:. .,i Packerhl sat at end ft.

Screen: dlam. ; Size openln91

"),,\ '} 7/ln <,. 1- .V~ ~ .... Interval Dlam. 'Type 'Type Interval . ca.ed (lnchesl olDe coupli.nas I Grouted

JoSn J "3 ~ 7) .:51 ( "- OCJ ~~O <L:.t-. rI ~ .:l ~'I (J' UdL..~ IA/ ..... , ,

r=c;~ ") sfl a ] ~ .-. .. I ~ fl..."rl~ 01 I • c

"; , ..

'Coupling.: Threaded. Coupled IrAC) Welded (WI 0 Thre.dad • coupled a weldad (TCaW)

other:

·Pipe: Black:~Galv.; Other:

Water .nalys...... ~ obtained? (check) o Bacteriolooicai

o Chemical

if.. ::I Analy.1a by: o Ala Geol. Surv. o U.S. &aol. Surv. 0

DAle Heelth Dept. o Private lab.

Signed:

'For deeper well pluse attach contlnuotion .hut.

-""""",,'.h _ '" ...".114 :::;34il4 412 • U.:U a: i$,L$£ Wt &iSM. JU.WU.2LL ..da ;dtU

CJ Te.t well

CJ Industrial

lupply


i.tance and direction from nearest tow,

WELL WILL BE USED FOR: ~ Prl t. IUp Iy

WELL LOCATION

CJ Oth.r: _\rrl9atlon ti;,r EB'Drillln9 method: ~tool

(check) depthd

Bored Other: :d~~.

~lJ I Total Depth ~a Completion Date " , - rI

'nte,r. Description of c:utting, Inte,r. be.c:ription of c:utting. Completion date: report depth, below 9round le.el va va

• t rV --UA.~ -. / t Type: 0 Turb. 0 Subm. 0 J.t 0 Cyl:; Other:

I ~ 4Lt ~IJ"" lI§ar C-7iT_ -1./ rf. Intake depth- H.P. • Yield 9Piii

~ • I C- L ~- t '.. ~ ~ / Telted by: 0 pumpln9 0 .Ir 11ft !,flier 0 none lIe- J".1 'L fl."1- • - - z... ~ L, J~I"'L "& ,,,» ..:l!lI ~. r'i I :5 M.a.ured Static Wet.r Lev.' ft. ":..: ___

7"1) "'t. _~ Ii ... ~ ... '.. #1!:I'__.~ ~ M.alur.d pumpln9 'e.e' .-_ ft. af"~C! ""''Y U .~.!. V L _ .. ~ _ 0 ~ pumpln9 9pm ~

~ :'R I.~ ., ~.. ~ • I ) Development tim. prior to teltin9 - hr••

;,?I" 411 i n ~ ...... t,/ ~F ~.II.. ./ 1tI"'Jr't:l .. I. it. L. • 1.0''' .~ II;: Op.n hoi. 0 Scr.en.d 0 Slotted plpo 0 &r••el pk.

'iI~ I ~C f' t!J ~~ ..,j TI ~.. •. ~ Int.r.alll) ocr••n.d: to tt:

I--__+ -l- +-_I ---l ~ to ; to ft.=-- F

Pockerl.l ••t at and ft.

Scr••n: dlam. : 51.. openln9' _

Inter.al Dlam. "Typ. yp. Inter.al . ca••d linch.. , DI.... couplllll!l' C1rDut.d

IA 1'77·' IA/,

~l-----+---t------1r------+------l

0';; I-:-.C=0-u-p-:-lI-;-n-9.-:~Th-;-r-e-ad":'e-d~.Lco"....u-p-:-I.-d"'"""ITJ,.-:C,-1"':W-e'-d-.-dlJ.W-I------I~--+------------+---~--------------lThread.d • coupled' w.ld.d ITCaWI

, :-: Oth.r: / -y!?/v CdLfJ ~'_ ~ ·PIp.: l,ackAc)6al•.: Oth.r:

~;. -~ Water analysl. ~ L/), . ~ ::;00 obt.in.d? (ch.ckl 0 8oct.rlol09ical _ " ' ':~.;;. 0 Chemica'

...-t "':.. .. -.'" U l: _.' ..... _. tJ"'J C:'\ c:: ~

<" ~'" u-, 0- Analy.1s by: 0 Ala &.01, Sur.. 0 U,S. &.01. Surv. .. ~ . 0 Ala H.alth Dept. 0 Prl.ate lab.

• . _..l "

,('.. 0.. c.'r!J Si9ned:

·For d.ep.r well pl.....ttach contlnu.tlon .h••t.

r~ .....~".,-..,. ...._ .... .........,_"',." ........".,.'-".,


Zip Cod.

3..w R.nge ---0':

point

WELL WILL BE USED FOR: c:::J c:J~ Indu.triol To.t .upply lupply woll

c=J Other:: _Irrlgotion

td~-7~ Drilling mothod: ~ E~DI.m.Y;'w.1I(check) Ro .. ·tortlng d.pthd doto Borod

Total O.pth 9.31

",pm

pk.

ft;

H.

H.

,

For d••p.r w.1I pi.... ottach contlnuotion .h••t.

Int.r- O.scription of cuttings Int.,- O.scription of cuttings Compl.tlon dot.: r.port dopth. bolow ground lovol val val

"1-1 ~~ :7 JOj 0;- Typo: o Turb. ~bm. 0 Cyl:: Othor:

~- '! .A;' '1J ~~. ~ Intoko dopth J ~ H.P. Ylold L....

,,- ... .A;, q,. r Tostod by: 0 pumping p;cr~O ball.r o nono

IiLI ...., ... "" .':.L:L. -l1 .. 1~ "I' .... "" ... '" ± M.asur.d StatIc Wot.r L.v.1 ft.

eI :. M••lur.d pumpinCJ level ft. ofter ..

0 hrs. pumpln", ",pm

D.velopm.nt tim. prior to t.stln J .... hrs.

~hOI' o Scr.on.d o Slott.d pip. o Grov.1

Int.rvol( .1 Ic;r••ned: to J:..'c to : to u::

Pack.rls) ••t ot And

Scr••n: dl.m. ; 51.. op.nlng.

Intorvol Dlom. "Typo 'Typ. Int.rvol c..... (lnch.s) ...... couplln•• .rout.d

-~ LJ, AJ~ ~V~, "., 17

-- -!! l:I'

I c:0;;

I :I I

.. "Couplings: Thrud.d I Coupl.d {TiCI Woldod (WI 0

•.- Throod.d I coupl.d I w.ld.d ITCIW)

;!:: Oth.r:

-IIi ~ "Pip.: "lck;QGIIV.; Oth.r:

!II til .-- Wot.r onlly.1I obtaln.dl Ich.ck) ~.riOIOglCal

I

---o Ch.mical

~ .. " Anolysis by: o Alo '0.01. Surv. o U.S. &.01. Surv.0- o Alo ~.olth D.pt. o Prlvot. lob.

Slgn.d: i211J~ ~ T~ /Z_

i

, ;,'~~~"Ti,...,

hn.

o 6rav.1

Oth.r: I

6.

o U.S. 6.01. Sur•. a 'rl.lt. lIb.

o Slott.d pip.

______to _

·0

o Bacterlologlca' o Ch.mlcal

IL If

~

o All 6.01. Sun. a AI. Hllith D.pt.

CJ TOlt w.1I

o Scr..n.d

o Turb.

Open hoi.

AnolYll1 by:

Water .nalysls obtained? (ch,ck)

Si9ft.d:

DI••lopm.nt tim. prior to t.stin9

Inter.allil lerlln.d: to _

Intok. d.pth

c:::J Industrial

lupply

t [TYP': ::0

0.

Compl.tion dot.: r.port dopthl b.low 9round 1•••1

£•" 0

Completion O.te 11- jtJ.-73

IPublici lupply

oth.r: ~

Oth.r: _

REPORT OF DRILLED WELL ,...

Oe.criptlon of cutting.

I

~ lupply

c=J Irrl9atlon

Packer III lIt at Ind _

·Plpe: Black; PVC; SII•. : Other:

otho" _

Scr..n: dlam. _

DrilUn'll m.thod: C.bl. tool (chock) amar

Jott.d Bor.d

03~'

·For d••p.r w.1I pili"' Ittlch contlnuotlon Ih••t.


-'""",~~

atort'n9 dot.

t~,~._2 _1c1

T....d by: O-pumpln9 d .lrlHt a-bIller a non.

I~g II I " Q ~ ~ ~n. I I' jo.()~ _ _ _ • • Z' Mlliurod StltlC W.ter L•••I -e ft.

1 M...urod pumplft9 1,••1 ~o I Jt::ft,r

Ie "!.. ~ I " .... _~"""'. I 1 • d-= /,o hn. pumpln; ;pm

·z

~I----+---If----+----+------l ";0

•o I ~ Ci X I I I

1.31 0 I 3t.f() .:>-r i- c.N,...i :>q.11 (JL 111 to Li: -- --

_,4 '~'••~''ll'. ..,. .'-'..-,,~-~~ ~.,~:W-§1.-c,o-~... ,.4 .M"".·$$ ," 1 tLstULJ, ..w,$']UL,1 I£UIL~ '._.," REPORT OF DRILLED WELL

~hC D CJ1@ ... /lc.(L k/ 1M /1U14i<t:~ ....... ,!Jt?,:1 .,-x/j (I /O-~y,3? DRIL~ING, C0fj,TRACTQR , Lic:ense Number Addre..? Zip Code Date

/f...:n:.L'ri. { L, JJ ...:'te .... PROPERTY OWNER Addre.. (mailing) Zip Code

Cl.-e-tj;;;) lib. 1.W County tMiin Township Range - --or:WELL •.d.. 11 '.4

~--.a~/CL6---:.:1:.LOiltanc:e and direc:tion from neare road junction or other referenc:e point

WELL WILL BE USED FOR: IprltJ r:::J CJ~ Indudrlal Tad lupply lupply lupply wall

r:=J Other: _Irrl9atlon

/0 . h b·, If( Orlllln9 method: Cable tool Eltlmated {cheekl ~ It.rtln9 Jetted Oth.r:d.te Bored

Total Depth .3 qc I Compl.tion Dete / (" --.) c -},.J

~ _

Inter- Inter-Oelcription of cuttingl Oelcription of cuttinglval vel

~ '~ (~ ( ..Itt..·_ 0 '-J '2.- ...; (~;:..... d "j;"l:Ji.~ ~L:-Ckj "-"

,'j 'ttJ.·L ¥"; L', J I {" i; IC-<'r,/' ~,l~ 'j CJI" ",' /I 'r1/1r'J .l''<t f:' /']0 /21'(.1: w# Ai!.~ 'u" J

Q."J (J ~ 0 ( .. 51 5'"~'k I d 0'). i' C 51.1;'((in()

] 4.' j 3 (. .5 0 .. . «:l .' "'Lye' S I; (1 ('~. ,.i oS <t:.

~~.,VCi' .l.-~1' d,:.sC('l $f 5 '~('C ':</ '}- ,~,a f', !..-. ~

"c:31') ,

'J '-J C " "t C;' /; [.01'1 ct.· .I ?5h'(~t u::

EI lJl c: ';;

0•

..-=1 >~ ~ •::0

0

"For de.per ......11 pl.... ettach continuation Ihe...

Completion date: report depth. below 9round lev.1 ./

[rype: o Turb. a-subm. 0 J.t%.-CYI:: Other:

'ntate d.pth ;)00' H.P. YI.,d 6 9pm

Tested by: 0 pumpin9 (] air 11ft 0 bailer 0 none

M.a.ured Static W.ter L.vel I' (~ .::1' ft.

M.alur.d pumpin9 lev.1 j1'f' ft. Ifter•• d-: hra. pumpln9 (.)- 9pm

Development tIm. prior to t.dln9 3 ~ hn•

r¥ Open hoi. o Scre.n.d o Slotted pipe o Gravel pk.

Intervallil Icr••ned: to ft:

to : to ft

Packerll) let at end ft.

Screen: diam. : Si.. openln91

Int.rv.1

,7 (I'''' .

Diem. "Type "Type pipe cOIIPllnGI

r'lf·> /1)

Int.rval ca••d IInchel) Grout.d

/..t .' -·Couplln9S: Threed.d I Coupled ITICI W.lded (WI Thr.aded I coupled I ......Id.d ITCIWI

Other:

"Pipe: Black; PVC; Galv.: Other:

Water analy.1I d:No obtain.d 7 Ich.ck) o Bect.riol09lcel

o Chemieel

Analylr. by: o Ala G.ol. Surv. o U.S. 6.01. Surv. o AI. H..'th O.pt. o 'rlvat. lab.

SI9n.d:

)i-r-w~ 3~ 1% X =ta...REPOR'r OF DRILLED WELL

lIlt c !k,a.L t2, .f Wtitv- /CV 111"""" J,w, n,~r= j ~)",I ? "L3-73. R LLING CONTRACTOR License Number Address Zip Code Dete

S~ PROPERTY OWNER

r)~\C>J.~ Address

c'h&~.d 1IN Zip Code

3W WELLlChrON

JO~ County Section

A~ o..-.'~ II. Section Township Renge - --or:

Distence end direMn from nee rest town, community, roed junction or other reference point

WELL WILL BE USED FOR: CD Q c=J c;;:JPrivate Industrial supply supply supply well

Other: _Irri;ation

,'.,. ."""""'.... ,:~; ••C • .,I. +00'_'. <..":i";: :.", ..,' "f~.•'t d.

CJ ...j ~JI''''L~.;'. '.. . . .'. " .~'J~.',, . " " .

/~'t,( 10,," •"'~..",.\",. _.'. , .....: /II ~ . .

Totel Depth .3 30 · Completion Dete 1- Z 3- 73 Inter- Description of cuttings Inter· Description of cuttings Completion dat~ report depths below ;round level vel vel

In If (' Vo...-. : !Type: a Turb. _~ubm. a Je~Cyt:; Other:

",~ I IC;-O ~ ,)0 ~ (. /{~ ~t k-.. J ~ :> A- Intake depth .;2. 7~' H.P. Yield + ;pm

i<n. .,r~ ~-i (' -"' • . ~ t:..r:~ .J Tested by: a pumpln", o air lift a baUer a none 'J?ot::"~ Jill )_ Sf,., a...A.-

~ Measured Static Water Level J '5 '-\ ft.I" \: ..,n,,_ .C'-. « .. ~A r~ ·u Measured pump;n", level ~ ~ S ft. after

1;2 00 2' ~"'A.' ..

~,. Q. a. hrs. pumpln", 8' ",pm

r1..1'S"": ::l S-O, -;'1 <!.-..c.. 'SOl-~d 0

~ "'l...~ ~'l",1')_ S ~ .. I. Development time prior to testln; hrs.

~'c:)10 J.Sro. bl _ A. ~ I~A- Lt:L IJlOpen hole a Screened a Slotted pipe a Gravel pk.

2Uu _ ~ ,"- <:, L.. a ~,t. )~ d- r.d A .......... S"~l..A...l

Interval lsi screened: to ft: J:..'c to ; to ft. Li:- Packerls) set at ..d ft •

Screen: diam. : SI.e openln",s

Inter::1 Dram. -Type 'Type Interval ca•• IInches) "l"e couollnas arouted

.-...10.. ~O.1: LZ'" IbVl" v.J NONE l_ , .

- 01 -. c

';; II

-Couplln",s: Threaded I Coupled ITICI Welded IWI0 Threaded I coupled I welded (TCIWI

Other:

"P~e: Ilack: ~Galv.: Oth,r:

Water analysis li"fio obtained' lcheck) a lacteriolo",lcal

a Chemical

!.. :>

0 Analysis by: a Ala Geol. Surv. a u.s. Geol. Surv. ,. a Ala Healt':.Dept; a Private lab.

6tL 7, IAt.11Si",ned: (7M;l177n

"For deeper well pluse .Itt.

l~ ..,'t, ~REPORT OF DRILLED WELL

Ode

Zip Code

LLJJ $w_ WELL LOCATION I;' Section Township Range --_r:

~ t ~

road junc:tion or other referenc:e point

WELL WILL BE USED FOR: [AJ Q CJ CJ Provate Industria' Test supply supply supply wa"

c=J Other: _Irri",atlon

II

'k1'~-7j Drillin", method: Cable tool t:~.:Estlmatl . biameteft well(check) ~ stertln", depthJetted date Bored Other: ~

SIGNATURE of Drilling Contrector

12-0' Completion Dete 9 - )'i - ') 3 Inter Completion date: report depths below ",round InelDescription of cuttingsvel

~ ~ype: 0 Turb. 0 Subm. IlifJet 0 Cyl:: Other: I

~ I'ntake depth 4-0 H.P. J3 Yield .s= Tested by: 0 pumpln; 0 air lift c:Jballer 0 none

~ Measured Static Water Lnel / 2-- ft.1Measure?;:,pln", level ~ / ft. aft..

I I I I 1---i~------------.,---__1-------------_1. I hro. pumpln", 10 ",pm0 ~

Development tIme prior to testlnC) L:i;. hra.

Pi.Open hole 0 Screened 0 Slotted pipe o Grav.1

Intervalls) scr....d: to ,

______to , to _

Pack.rls) ut at and , __--I I IJ'.c

--.~-.~~~_, 0",-,-,' , 'Scr••n: diam. _

I I I I I.r .1-,-"....'"""":,---~-.....,~c_--....,..".....,,----L.------_1

I I I I /0

Oth.r: _

'Pipe: Black: ~Galv.: Oth.r:

Wat.r an.ly.ls o obtaln.d? Ich.ck) o Baet.rlolo",lcal

o Chemical

I I I I I'; e

Go'"

Si",ned:

·For d••per well pl••se attach continuation sh••t.

~.. -i.. 7~

t L(.

point

AI

,A, gUM * iQJJt£3£ $ , """I

REPORT OFDRJLLED WELL

WELL LOCATION.::2. ..

WELL WILL BE USED FOR: CJ CJIprt!,J ~ Indultrial Telt lupply lupply lupply well

c:::::J Other: _IrrIgation

J / f,

Drilling method: tJ!lJ'4:.-t.. ?~ ~Ol :iFir -_ ..Eltlm..a (checkl ar

_~

"artlng d depth date Bored

~her: ~~~ SIGNATUR of Drilling Contractor

Total D.pth 1.1..0 # 1-/ - 7... 7.rCompl.tion Oat.

"For de.per ....11 pl•••••tt.ch continuation Iheet.

Inter- De.cription of cutting. Inter- Oe.cription of .cutting. Completion date: report d?thl below ground level val val

f' II ~fA.. "" et. ... .. f Q. ypl: o Turb. 0 Subm. !it'Jet /7. Cyl::e J J1 'J,.. p-" ,-Ie ~ ~A I .. '" Inteke depth 5 11' H.P. V;z... Yield...

11'... I'L.G ('I.1) h ...... Mllo- • . I"Il T••ted by: [JI" pumpIng 0 elr lift 0 b1r

~ Me..ured Stetl~Leve'~' M. ",;

Meuured pumping level t It.•lter.. Q...

U ~ hrs. pumpIng /0 · d/Development time prior to teltl.g~rs.

- ~O~ o Screened o Slotted pipe ..... r

~ :IC Intervelll) Icreened: to

1 iii

S - "., to ; to u:

UiI. ~ P.ckerlll .et .t 'nd

4I(~ .-... j Screen: diam. ; Size openlngl

'U.8 w- Internl DI.m. "Type "Typ. ~

..,.., Clled llnchell 01_ coupllnal

.... -s: ~, .,,, -nUt' 1.11 0

VI cOw..

"Couplings: Threaded a Coupl.d ITICI Welded (WIU Thre.ded a coupled a ....Id.d (TcaW!

~her:

G.lv.: oji(.'~:"Pipe: tI.ek:

Weter ...IYIII -rgNo

obt.lned? Icheckl o "cteriotoalc.' o Chemic. I

£.. '" o AI. Geol. Surv. C) An.IYlll by: o U.S. &eol. Surv.

o Ala He.lth Dept. o Prlv.te I.b.

Signed:

Other:

5-" 9ptIl

0 none

gpm

o Gr.ve' pt.

ft·

ft.

It.

Interv.1 arQutad ~/~~

:1JM Ranga - --or:

point

Un

CJ T.,t ....11

K'U; /'f ____ I .. __ u

" . CJ

'ndustrial lupply

ADPH-F.AWWSB-1/Rev. 7·81

SIGNATURE 0

Completion Date 3 - <.. s" - J/ <..

g lupply

Oth.r: _

oth.r: ~ _


~ lupply

c:::::J 'rr;9ation

Cabl. tool ~ J.II.d Bor.d

~:;)SI

"'For d••per well pie••••tt.ch continuation ,h••t.

WELL LOCATION


3 -:1$- JifI ~Drillin9 m.lhod: E,llmal.d Ichock) startln9 dale

Total Depth ...3.:l 0 r

Inter- Description of cuttings Inter- Description of cutHngs Compl.tion dal.'yporl d.plh, b.lo,., 9round lov.1 val val

b I (,., c..Jlev.. q... '\~A G yp.: o Turb. ~b'l' 0 J.t ~JtlYI:: Oth.r:E Il- KS<! ~In.&J 1 D :>

'nlak. d.plh H.P. 3 Yi.ld 6"D 9pm

"~~ "'A <' ..,~ ..5 ~~ Tost.d by: o pumpin9 o air 11ft o boilo, o non.

I ... s: '''10 r. 10 01 6 h.&. A..,'./ M.alur.d Slatic Wot.r L•••I 1 ~?;

1'7 n '2(J~ :sJ cJJ. ~ t ..,~ rl. ~ fl. 'u

~O~ ,< /!AI .. Moolurod pumpin9 l.v.1 f, !i ft. aft.r

~ t J ,... J Q...

1.1 tl ~ :2 c.....L..n ott::L. _A () a--. hrs. pumpin9 / 9pm

O.v.lopm.nl tim. prior to t.,tin9 LJ,:El-t:-n .~ I') 0 _"'" L &. ~1 -/ hrs.

~"':\ n l'l .~ 7. M <:£ ...J ~~p.n hoi. o Scr..~.d o Slott.d pip. o Gravol p'k.

Int.rval (,) Icroon.d: to ft· ~ 'c to ; to ft. u:

Pad.rI.} ••t .t and ft.

Scr••n: diem. ; Size openirlll;ll

(nt.rval Dlam. "Typ. Ofyp. Int.rvar ca,ed "nch.sl "ip. couplinos, orouiN'

2S2.! un PVCL IA/ t,...-, ...s::.....

"Couplings: Throod.d I Coupl.d ITICl W.ld.d (WI0 Threaded & coupl.d & .... Id.d ITC&WI

Other:

"~·Pip.: Block; PVC; Gal•. ; Oth

Wat.r ..alysll 1QAi'l0 obtain.d? (ch.d) o Bacl.riol09ical

o Ch.micol

!.. :J "'narysis by: o "'Ia G.ol. Surv. o U.S. Gool. Surv.0 o AI. Hoolth O.pl. o Prlvat. lob.

Sign.d:

CJ T.at w.1I

c:::J Indudrlal

.upply ~ .upply


c::::::J IrriVatlon

~Ol

J.tt.d lor.d

Oth.r: _

1-lb~2i 150DrJlIlnv ....thod: Estlm.t.d Oi.mlJ::, w.1I .tlm.t.d(ch.cklat.rtlnv d.pth

Oth.r: d.t. lJlJlJJ~

SIGNATURE of Drilling Contr.ctor

Tot. I Depth Completion D.tei5L ?!- /7- 7 55'

·For d••p.r w.1I pl.....tt.ch continu.f1on .h••t.

Inter· Description of cutting. Inter· Oe.cription of cutting. Compl.tlon d.t.: r.port d.pth. b.low vround 1•••1 VIII VIII

",,_11\ -'" !/ Q. yp.: o T~~~~ Oth.r: '<;_~ C> YUI~~ ~

E "

- _ ....,,1( G- Intak. d.pt~ :;.z. .P. YI.ld ",pm

~_l. ...,. II.. II, _" reat.d by: D pumpinv 7-s bailer D non.

1'1.. ...~ ~ .. 11

~ ft........ur.d St.tic W.ter Level u.. ....•••ur.d pumplnv 1•••1 't.•fterQ... I hrs. pumplnv I/-:Q0 vpm

De••lopm••t tim. prior to testln 7 hr•.

~n hoi. D Scr••n.d o Slott.d pip. o Grev.1 pk.

Interval 1.1 .cre.ned: to tt: ~ 'c to : to ft. LI:

Pack.r III .et at and 't.

Sct••n: dlam. : SI.. op.ninv.

Int.rval DI.m. "Typ. ype Interv.1 c•••d IInch.,1 Dlpe couplinG' Grouted - ~ ilO -1k1 LIt IJ'lV P. DI/~

~ a:: .. ~ -!! 0 CI: ."

Ull&l~ .. c:- '0;

~~:;C N' ..

"CoupllnVI: Thread.d A Coupled ITt.C) W.lded (WI0

~'::: «1 Thr••d.d A coupled A welded ITCAW)

~ "'= __ a Oth.r: ;;::; ..I

·Plp.: .lec~6al•• : Other: ~ 0 :i- W.t.r .n.ly.i, .l!tR"0 obtained? (ch.ckl o lact.rloI091.. I

D Ch.mlcal

£.... An.ly,l, by: o AI. G.ol. Surv. D U.S. Gaol. Surv. 0 o AI. H••lth D.pt. D Prlv.t. I.b.

Siv::,JT~:-1." I /1. ~ ~ .... ./

r;/l.REPORT OFDRILLEO WELL

1J).~.Ar.r1?«+ JIc-<b.. ~110 hU~.~,,111urg~rJoI ~..-¢?t:f'

WELL LOCATION

WELL WILL BI; USED FOR: CJ~ ~ Talt lupply lupply wall

CJ Industrial

lupply

/

hrs.

o Grav.l

o U.S. &eol. Surv. o Prlvete lab.

______to _

o o Bactariolo,'cal o Ch,mlca'

o Ala &'01. Surv. o Ala H..'th Dept.

o Screened

o Turb. 0 Su.l'm. ~.t ~ Cyl:; other:

depth KZJ H.P. Yield S

Compl.tion dol.: r.port depths b.low ,round level

Open hole

Analysis by:

Water a..ly~

obt.ined? (check)

Si,ned:

Other: _,

"Pipe:

Development time prior to t"tln,.

Packerrsl let .t and !

Q. rype:

~ hntake

Completion Date '1- /2- 7R

_

o Slotted 1'11"

I~ r-",.."" ":'"" '" Scre.n: diam. _

~I I I I I I

I ~ I .Couplin,,, Threaded I Coupled (TlCI W,lded (WI Thread'd I coupled I welded lTCIWI

Tutedby: 0 pump;n., (] air Ilf~ bailer 0 none

I ~ Mealured Static Water Level 7 ft . .- .s-¥' :. M..sured pump;n, level ft. efter

I 0 d-= hrs. pump;n, /;2., ,pm

.?

I~•"

I ()

j

I

I

CJ other' _Irrl,atlon

DrJllln, method: Cable tool~t.-1"78' AIDD(chack)stut'n, Jetted other' __~data Bored

Tot.' Depth / J I ~

I _ ... I =-- " I ... :& .-..L... Ia I L ~ •

I. _..., I - I a .... L ': IIi I

___CdJ_4;' ISiZ -ret

~

~ t·k I

I I'

I I I

·For d••p.r well pl..se ettech continuation Iheel.

,hr••

o C;r.v.1

~.e9 d.pth

o u.s. 6.01. Surv. o Prlv.t. I.b.

,

______to ,

o lad.riolo'llical o Ch.mlcal

Zip Cod.

//It/ 3.. W

o AI. 6.01. Surv. o AI. H.alth O.pt.

Township Rang. ---or:

c::J Test well

r.f.r.nc. point

Diem.t.ft;w.1I

An.ly.1s by:

Wat.r ..aly.ts obtain.d? (check)

Oth.r: _

-Pip.:

SI9ne

Menur.d pumpln'll l.v.1 ft. after

_ 0 Scr••n.d 0 Slott.d pIp.

Int.rvall.) scr••n.d: to ,

Pack.rI.) ••t at and ,

Scr••n: dlam. _

CJ Industria'

supply

t [TYP': .:. "nlak. d.pth

T.st.d by:

~ supply

Other: J . --I&C-'C!~~~·Z~/~~~t~:4~..~~~~....,......~--

SIGNATURE of Drilling Contrac:tor

Compl.tion Oat. 3. d.,(J - 71

Oth.r: _

~~~~~WM ~

_/6-'" Zip Cod. Oat.


from n.ar.st town.

eta-Prlvat. supply

CJ Irrl'lletlon

Inter· val

Drlllin'll m.thod: (ch.ckl

-For d••p.r w.1I pl•••• ettach continuation sh••t.

lJ9.o

.. ,.~> H' ".'"",V""~... ,-...,1' .........,. .• ',.••


___I j .cl~ I to -

~m~;71 atertln'll date

~ I I 111.......d ...".W~M'".' I"ll n.

o I hrs. pumpln'll 'lIpm

1..

I~I I ~ • 0I I I

I II I

g'f-----+----!-----+-----+-------i

I ....~;r - ,I I !~ -Couplin'llS: Thread.d a Coupl.d (TaC) W.ld.d (WI, :.:;: iii" ,. . Thread.d It coupl.d It w.ld.d ITCltWI

~t5D/ Silmoted depth

Zip Cod.

~ Range ---or:

or oth.r r.f.r.nc. point

Q w.1I

CJ Industria' ..pply

~ supply

other: ~ _

.R,fPORT OF bRI..LEt~waL'

.upply 00

2 tool

J.tted Bor.d

c=J Irrlgltlon

Addre.. (mailing)

ck~tJ.J €I

Drilling m.thod: Icheck)

'_'S'~i'~,~3Mi!-MA Ji, j SUSS

WELL WILL 8E USED FOR:

;I,le19 Estimated storilnll dote

oth.r: ~..

, Tote I Depth J kO Compl.tion O.t. .2- ~ r

~ ~.

"For de.per w.1I pi.... ottach continuotlon she.t.

Inter· O.scription of cuttings Inter- Description of cuttings Compl.tion date: repori depths b,row IIround leve' val val

n A <.!A )~- ... yp.: o Turb. h Subm. ~1 Cyl:: other:E J. ~/'. c,n 0 ... v~ riJt ILlli ::s.... Intake depth 0 H.P. Yi.,d.s= IIpm

e' IIJ ~.O .'1" ". . c. ~ ,J Te.t.d by: ij7pumpinll 0 air lift 2::lIer 0 none.. Measured Static Water Lnel ~ ft . ,~

u M.ul/r.d pumping leve' 3£ ft. after..

0.... ..3 hra. pumping 1/ IIpm0

~Dne'opment time prior to testing hra.

'r)( Open hore o Screened o Slott.d pipe o Grovel pk.

Int.rvollsl .creened: to ft; ..Ii!:..'c to ; to ft. u::

Packer lsi set It end ft.

Scr..n: diam. ; SI.a op.nlngs

Intervel Dlam, ':~pI 'Typ. Intervol co.ed lInches' . pe coupllna. IIrout.d

Jil ~, lJ 'f P7C.V /1/ lilt• ...

Do

" ';;

F ..

'Coupllnlll: Threaded I Coupled ITlCI Weldod IWI U t-- • Threadod I coupled I welded ITCIWI

t---

I oth.r:

~~ -. .... 'Plpe: Block: PVC: Garv.; Oth.·· .......... Water onalysls cr:o • I •.... obtained? (check) o acteroo Olloca'

o Chemica'

tt=a ~ ... ::s

Go Analysis by: o Ala 6.01. Surv. o U.S. &.01. Su... o Ala Hellth Dept. o 'rlvat. lob.

Sillned:

..3f!dl ~"tJ'-fLJ Zip Code Date

Zip Code

J~,


Address

LI'f1 3Jtl WELL LOCATION Township Range ---or:

"or other reference point

WELL WILL BE USED FOR: c=J CJ~ ~ Industrial Tilt lupply lupply lupply w.1I

c::::::::J Oth.r: _IrriQation

II. 2.~..._ 'Ii 0 Drillln9 method: Cabl. tool eltlmat. (ch.ckl ~ Itart'n9 Jett.ddata Oth.r:Bored

Total Depth J (j S ' Completion Date/:I. - ~ .80

County

{

~ 5

// '/ ~

_

Irt.::r- I Description of cuttings I Irt.::r- I

~ ~ 2.. ;xr~ "1\.$9 CL ~ 2 9' ' 3 j, ~

Description of cuttings I I

WyP.:

~ Intake

Compl.tion date: r.port depthl below 9round l.v.1

0 Turb. ~i' 0 J.t -D"Cyl:; Other~ depth ~ H.P. .Jo/y Yi.ld.s

I ,pm

T.It.d by: 0 pumpin\! 0 non.

~ M...ur.d Static Wat.r L.v.1 ft.

F-~:.Ioi4.......UU~-=-..!II!~!:l-.!!!o.6L..£__1__1'--_+_----------------1 'u:. Mealur.d pumpin9 I.vel ------=-'fL-:::...~

r.:...II!~rl-~7~~---o'~,._l;r_--~:.L.:LJ!!C:~~::t_=-~/_-----------~ ;;)-== 9pm0 hrs. pumpin\!

- Deyelopm.nt time prior to teltin9 h...

i( Open hoi. 0 Scr••n.d o SIott.d pip. o GraYel pk.

'nt.rval III Icre.n.d: _ to ft·

~ to ft.I I I-I I~\ ~ ;Pack.rlll I.t at _ and ft.

Scr••n: diam. _ : Size openinljll

OType ·Typ, Y Interval ea••d

"'t.rval I Dlam. couPlfnq. \!rout~DID.(lnche.)

---PUc: 7.1 .71 ~~7"'1 U 'f ....

I I I I 1.[' I I I I I .. o I°CouPllng" Threaded I Coupl.d (TICI Welded (WII I I I I Thread.d I coupl.d I w.ld.d ITCIWI

Oth.r: _

·Pip.: Black; PVC; GaIY.; Oth.r:

Water ana'YIII ~o obt.ined? Ich.ck) 0 Bact.rioloqical

o Chemicel

I I I I I';.. ::s

G AnalYI" by: o Ala G.ol. Surv. o Ala Health D.pt.

o U.S. Geol. Sury. o Private lab.

Si9ned:

·For deep.r well pl.... attach continuation Ih••t.


Zip Code

WELL LOCATION, ~

$ SecTIon ,.,. ~

7~~,,~. CA.(( '/4 Section

Iln Township Range -

~ --or:

t t/wn, tommunity, road junction or other reference point

WELL WILL BE USED FOR: CJ c::J CJ~ PubUc; Industrial Test lupply lupply lupply well

c:::::J Other: _Irri;atlon

IL /f' ISZ/ItJ:-;'"~r-l(J Drillln9 method: Cable tool (eheekl ttli-c Eitlmated

Itartln; _ A'~ depth Boreddate

Other:--------/P~ ~.

z ContractorSIGNA~rillin9 Total Depth /2- Q Completion Date /0 - :3 0 - 6" ()

Inte. Description of cuttings Inter- Description of cuttings Completion date: report depthl below 9round level val val

0 In (1J'~ " ype: D Turb. D Subm. ~ D Cyl:; Other:E

In 100 8& ~~ 'C¥'--~ J r'In ~~ " depth 412 H.P. ,~ Yield S.... Intake 9pm

hHJ J':!. () <-+ -n,..., L Ad c~rl Talted by: o pumpln", o air 11ft o bailer o none

.t' Mealured Statl< Water Le.el I ft. 'u 8':• Mealured pumpin9 le.el ft. aftera.• ~ hrs. pump;n", Ir0 9Pm

.3 'Ik-De.elopment time prior to testin; hrl.

~ Open hole D Screened o Slotted pipe o Gra.el pk.

Inter.allil scr••ned: to ft, ~ 'c to ; to ft. u:

Paeker/I) let at and ft.

Scr••n: diam. i Size oplnlnVI

Inte••al Diam. ·Type 'Type Inte:=caled Iinehel) ol"e eouol"nal arog ~-i I tJ .. ,~{/C /A/ ../

0c'w• 'Couplln91: Threaded I< Couplad IlItCI Welded (WI0

Threaded I< eoupled I< welded (TCI<Wl

Other:

·Pipe: Blaek; PVC; &al•. ; Othe.:

Wate. analYlis ~ obtained? 'eheekl o Ba<le.lolo;l<aI

o Chemlea'

:E•" ()o Analysll by: D Ala Seol. Sur•. o U.S. &eol. Sur•. o Ala Health Dept. o Prl.ate lab.

Si9ntd:

·For d••p.r Will pl•••• attach continulIJtion sh••t.

V' . r . REPORT OF DRIL:ED WELL

7~2-R~ ; Date

a(

other reference point

~~(/[)d?1d4J)lM ~ 1&2~!h4 DRLLIN~CONTRACTOR Licen.e Number Addre..

W supply

c:=J Irri9ation


-fo Drlllin9 method: ~ tool lcheck) ~~

Jetted Bored

Total Depth F2-2r 0

c::JIPubUc' Indu.trlal supply .upply

Other: _

Other: _

CJ Tut ';'ell

'~{r dl..5ZJ /' • _ •• __ • - -.I

SIGNATURE'"6f ortll rng Contractor

Completion Date 1- 3 0 ~O

·For deeper well plea,e attach continuation .heet.

Int.r. Descriptionlof cuttings Inter- Description of cuttings Completion dote: ~ depths below \lround le.elvel v.1

/P f VIL eI'rype: o Turb. ~bm. p Jet ~YI:: Other:

.# ,

A ./ ::J

Inta" depth /t6RH.P. ?- Yield S.... 9pm

1"6' IJJ" 5'174J .,.., Test.d by: 0 pump;n\l a air lift 0 boiler o none

I / /1 l14ea.ur.d Static Wat.r le••1 I y£

/)1' ~ (] .5 t77J. ~ c..IV ~ ft. 'v

/S3ft.•fterv I .. Measur.d pump;n\l I••el

'" D..

I A .. c:9=wr.. pumpin\l /,;r 9pm~(') b{) LAn.L/ y.- -.!f> , ../ U

V ~ Development time prior to te.ting ;;;"~..n.

,,e, () ,LI ~~L-../ ",,- ~.

_J' ~pen hole 0 Scr.ened o Slotted pipe o Gra••1 pk.

l ..V l~ I ~ In r••II,) 'creened: to ft:'her /7K '~--N/ ~,-:.: ,nh IO' ..c:.. I 'c to : 10 ft.

u: n~ "?_ .2--0 .e:::.+ '/ 0 ~.A_'; .:::; a.-... c¥ ./ Packer lsI .et at and ft•

I Screen: diam. ; SI.e openln9s

Inter.al Dlam. ·Type ·Type Interval casell lInchesl plge COUpliD\lS 'lIroute.d--'

lj !2f ~l, PVc. /~/ .....I -

'" .~.. ·CoupHn9S: Threaded I Coupled (TICI Welded (WIU Threaded I coupled a welded (TCaWI

Other:

·Pipe: Black: PVC: G'i1•• ; Other' .--

Water an.lysis W!"0 obtatned? (ch.ck) o Bacteriol09/cal

o Chemical

J.. ::J

C) Analysis by: o Ala 6.01. Sur•. o U.S. 6eol. Sur•. o Ala He.lth Oept. o Prl.ate lob.

Signed:


1!ffi..UlAMcfJ/#0d#1Gl ... .~rn¥ £rJ? ;5'f?o.' r2L-t!2J

lJ1! :l.JAL WELL LOCATION Townlhip Range ---or: o

point

WELL WILL BE USED FOR: c:J CJ c::::::J~ Publ,le Indultrial Telt lupply lupply lupply wellC)

>- 0 ~ I=:J Othar:; _"rl9atlon

o lJJ 3.2-fjDrlllln93Dethod: Cable tool\;i-to ~

EstrmatedI~"""'l

Bored ~.. ;: "u.s ~~

5 ~ ,...... ~." ~ c£~ o..J - ~rillin9 Contractor uJ - ~

Totel Oep'fi: 0 ~.O' Completion Date t' ... L./ - g 0 Inter-

Description of cuttin91 Inter- Oelcription of cuttings Completion date: report depthl below 9round level vel vel . D 2~ r Iii-.. ~ .c..~r'\rl ~ E~ype: o Turb. ~bm. o Jet 0 Cyl:; other:

" #-. If '" Intake depth a</tJ H.P. .1-/y: Yield 5Do 9pm

:C'\ a flO I/A-'L "4 ~M A1I1 ~ Te.ted by: 0 pumpin9 0 aIr lift I 07ailer 0 none

I

'7D q, ,C;'1 ~~r'\~ ~ Me..u,ed Statl~ Water Level 0 ft. ',;

Ma..ured pump;n9 level / J"1 ft. ofter- lD Q. lD d-= hrs. pump;n9 / ~ 9pm

~6 170 T/- L .J- .c.11 t:Lb 0

Development time prior-to testln9 &',1..-. hrs .

170 'J /) ~ S1 ~; .-. ( - ~ Op~n hole o S~reened o Slotted pipe o Gravel pk.

~/) l .::J 2-lJ ~""6 JL~ Int.rvillfl} 1c.r••ned: to ttl

..".., - 'c to ; to ft. I u:::

!2.2..lJ AUn b~ ~~hd._ Pa~kerl.l let at end ft.

I I . Screen: diem. : Size openin9s

:Jur ::LkS ~ 1\ ~ IlJl,,', Interval Diem. "Type "Type II Int:~ r J caud (lnchel) "I"e cou..rtnal aro

1!2K~ ":lo ('"" ~~,...I ... .,{f~ '1-Tik' il" PVt" /A/ .v/'- -, I~/)<;' ~ .0 .C\ If 1'..1. ( ,

GO I I c:- ... .;;

'"r;J,IlD .~ ~ n (~""t" L' .CI c.'~tL/ 0 "Couplin91: Threaded l Coupled (TlCl Welded (WI , Threaded & ~oupled & welded ITC&Wl

other:

"P1.pe: Bla~k; PVC; Galv.; Other:

Water analylil ~0~terioI09i~alobtained? l~he~k) o Cheml~al

~ ... :>

C)- Analysll by: o Ala Geol. Surv. o U.S. Gaol. Surv. o Ala Health Dept. o Private I.b.

Si9ned:

·For d••per well pl•••• attach continuation sh••t.

• REPORT OF DRILLED WELL

Zip Code

U' 3-W WELL LOCATION County • Section R..nge - --or:I v

Distence end direction from ne .. rest town, community, point

WEtWILL BE USED FOR: r-Yl II CJ Cl Indu.tri.. , TlSt0 ,,· l.luJ C~ ~ ~C~ lJ &&.. U .upply .upply .upply well

c:::J Other: _IrriQation

Orilllnll method: C~ool lcheck!

i-::_.._~1, 79 ~ .t.. rtlnll J.tted Other:d.t. Bor.d

_

Totel Depth 2..1 () , Completion D.. te f: - I r - 2 9

'For deeper well pl....e ..tt.. ch continu..tlon .heet.

Inter- Description of cuttings Inter~escription of cuttings Completion date: r~t depths below Qround l.v.1

val v .. 1

n 20 Glo ~ $~ rt..,.. cL ~ ~YP.: o Turb. ~m. 0 Jet&;,YI:: Other:

A(j IAn ..-Sp!;CIi <.f 41 ~~i .sa.. J.... ::I.... 'nt.. ke d.pth ,$ ,H.P. h Yield.5 9pm

0 FI~ < 11 d.J, .. f-U,_L" rlSt.d by: 0 pumpinll 0 .ir lift 1 b.. iler 0 non.

'S" ,-, " .<"ec.- f '1.~ M....ur.d St.. tic Water Lovel 1}.;.tJ 7 ft.

J 'If .:J / fJ ~_L aL -~ A,; II ./ 'u 'Il ;i.l.O ~+- l~ £;1.-. J/ • M....U~t~ lev.I 1;9 ft...fte'III Q.

.. 2( -:2~n I"'d [,.1 ... ~ ~. ~4-rl.-.J' 0 hr•. pumplnll ~ 9pm

• O.velopment tim. prior to t••tinll 7J'? hr•.

..Open hole o Scre.ned o Slotted pipe o Gr..vel pk.

Int.rval II} Icr••ned: to ft· ~ 'c to : to ft. Li:

P..ckerl.l .et .t .nd ft.

Ser••n: di.m. ; SIlO op.nin9'

Int.rv.1 Dr.m. "Type "Type Interval c....d (lnch..l ..ipe couplinQ' Qrouted

~~---;sI C/ " J/},,'/ r -/;/./ ....--IJI c ';;• 'Couplln9S: Thre.ded a Coupl.d ITiCI Welded (WI ()

Thre.ded a coupled a welded (TCaWI

Other:

'Pipe: BI.ck: PVC; G.lv.; Other:

Weter enely.i. ~eriololliC'"obt.ined? (checkl o Chemic.. l

± "'i

::I C) An.ly.is by: o AI.. &eol. Surv. o U.S. &eol. Surv.

o AI. He.lth Oept. o Private 1..10.

Sl9 ned:


Zip Code

ll!1 LlM WELL LOCATION Township Range - --or:'I. Sat

d junction or other r.ference point

WELL WILL BE USED FOR: c:::::J c:::J Industrlel Ted

.upply ,upply well ~ c:::::J Other: _

Irri~etion

1-31-VV Drillinll m.thod: Cebl. tool dS2J r Edimeted stertino; dete

(checkl m:r Bor.d

<0""

Estlmeted

~~ SIGNAT~ing Contrac:tor

Total Depth .t yo I Completion Date 11 - / :..• ~ l)

-For' d••per well pl•••• attach continuation ,h••t.

Inter O.scription of. cu+tings Inter- Oescription of cuttings Completion dete: r.~t d.pth, below o;round l.v.1 vel vel l

1) ItJ r~lt~ ~ ~ Jt..-. rt ~ ~ype: o Turb. ~m. 0 J.t y;:;: Oth.r:

j I " • ::l Intek. d.pth tff) H.I'!. . Yi.ld ~a. 9pm

If) LlO :-:\1" ~rl I' f' 1'\ 1~a..,.,,(1 q.. ~"( lLi TOIted by: 0 pumpin9 0 eir liff,:!! beiler o non.

D un ~'On DA'r-4 -J. ,hflD, ~ Meesur.d Stetlc Wet.r Lev.1 ft.

.;:; cA:?• X t-t •••ured pumpino l.v.1 ft. eft.r ~ I .. t:7-= hrs. pumpinll

;;,~l}1) :;} I D ~Cl-~bA ~D LAII.- .")~ r1 0 9pm

.-. U . Development time prior to tOltln9 a hr••

.:2JC :Jun .<:1 +¥~ • ~~n rOpen hoi. 0 Scr..ned o Slotted pip. r

o Grovel pk.

'ntervells) .cr..ned: to It; j

to to ft.c: :u: Peckerl'l lOt et and ft.

Scr••n: diem. : SilO openln9'

'ntervel Diem. 'Typo 'Typ. Int....~ celOd (lncho,) 0100 coupj(n~1I/ C11'041

Ji') (/fr .al_ IA/ ~

010;.. 'Couplin91: Thr..ded I Coupl.d ITICI Welded (WI0 Threeded I coupled I woldod (TCIWI

Other:

'Pipe: .'ack; ~Gelv.: Other:

Weter enelysl, ~OctorioloO;iC.1obtainod? [chock) o Chemice'

> ~ .. ::l Anely,i, by: DAle Geol. Surv. o U.S. Geol. Surv.().

DAle H..lth Dept. o Prlveto leb.

Sillned:

D.t.

Zip Code

'01 /tJ~,-g/

other reference pointDistance and direction from nearest to

WELL LOCATION J

"" REPORT OF DRILLED WELL

WELL WILL BE USED FOR: riT1 1\ CJ~ ~ TOit .upply .upply well

c:=J othor: _Irrigation

dQ:J / Drilling method: ~~tOOI P_.f__ .L_ j~S~?::tl [8 J Diamote!/, ~~Ii(chock)

starting f.ft.:d othor: _dato Bored

Total Depth Completion Oat.,p. tf0 I I 0 ....r:...Jj

CJ Indultrial

.upply

°For deeper woll pl...e attach continuation shoet.

Inter- Description of cuttings Inter· Description of cuttings Complotion date: report depths below ground levol VIII vel

0 ~K CA~CI ,CL-. ti. e~ype: o Turb.~m. 0 Jot 0 Cyl:: Other:

'b I~ r Sh~ " D- Intako dopth Q' H.P. Y':>--Yield cr- 9pm

,S; 910 /, .sA CAL £7 ,

A 5't- , .. rested by: 0 pumping 0 eir ~ 0 b.ller 0 none ~ 0 I L.;:" ~u-c-lUs 'f. ~,., 1 1/

J ).., 1S1J ,"5 J, euu...- ~ Me.sured Static Water Level ~ ft. ';:;

lSi) ,<;~ 5'1 ...shCAJ I'L.. Measured pumping level 9 ft. oftor

.1. 00 ..... a=: hrs. pumping =J- gpm;too ,.;I.~'b COCUAn so- --.G 0

"~t. ~LL'Q .tIv() W"f' SLt .rLl. ,<',.-1 9CL-v~ Development time prior to testing ?f5...-.. hrs.

I~ Open hole o Screoned o Slotted pipe o Sravel pk.

Intervall.) screoned: to ft: ~

.!! c: to : to ft.

Li: Packerl.I sot at and ft.

Screen: dlam. : SI.e openings

Interv.1 Dlam. "Type -'Typo Interva' c.·ed (lnche.) ...,10. couolings/ 9rou~

1 (J 0' , , II VI/V IA/ ----~ f

01 c:

';;;.. ·Couplings: Threaded I Coupled ITICI Welded (WJ0 Throaded I coupled l welded ITClW)

other:

°Plpe: Black; PVC; reoalv.; Otlo'l':

Wator analysis tfNo obtained? {checkl o Bacterlologic.1

o Chemical

~ -;;; '"() Analysis by: o Ala reoeol. Surv. o U.S. &eol. Surv,

o Ala Health Dept. o 'rl.ate lab.

Signed:

Iiltervel routed

hrl.

o Grevel

Other: I £LYield

o U.S. 6eol. Surv. o Prlvete leb.

Cyl:;

Size op.n'nll _

Zip Cod.

_______to _

AOPH-F·AWWSB·l/Rev. 7·81

o o lecteriolo9ice' o Chemicel

DAle 6eol. Surv. o Ale H.elth Dept.

CJ T.lt w.1I

d.pth

Completion dde: report depth. below Iround I.vel

~~hiP

Weter enelylll obteined? (check I

AnelYll1 by:

S/ln.d:

Development tim. pdor to tutinl

Pee••rlil let et end _

¥pe,n hole 0 Screen.d 0 Slott.d pip.

Int.rvalh) Icreened: to _

Scr.en: diem. _

iunction or other r.ferene.· point

CJ Inclullriel

lupply

'~ /'vpe:

.t. Ilnte.e

~~ /?zs 3f1,/~r3 ,!-ddrelS Zip Code Oet.

Completion Det.

biemete7t~~, f.i~/ d.pth

Oth.r: _

;>:: .s::--tf.~~ _

Oth.r: _



)l J/J..I L /{((J Lie.n.e Numb.r • i c-

Inter· vel

Drllllni method: Ceble tool (ch.c.' ~

Jetted Bored

c::J Irrilletion

"For d.eper well pl.... ettech contlnuetlon Ih••t.

Oistenee end dir.ction from n.erest town, communI

WELL WILL BE USED FOR: ~ c--1 ~ "PUDiJ'e I'upply lupply

st.rtlnl det.

.&FK)

Other: __-- _

·Plp.: Ileck: PVC: Gelv.; Othe"

WELL LOCATION

PROPERTY OWNER

Totel O.pth .2 2- 0 I

'I I!Je- 0 Ob J ,jl RILLING CONTRACTOR

I I I , r!.. " 0

I I I I Ir l I I I I IJ I 'CoupllnlS: Threeded I Coupled (TIC) W.lded IWI Threeded I coupl.d I w.ld.d ITCIWI

T.lted by: 0 pumplnll 0 eir lift 0 befl.r 0 non.

~ loIulured Stetlc Weter Lev.1 ¥ 0 ft.1$11 ~r .J;?:;:[t;V4A~ t'i MUlured pump/nllevel hD ft. eft.r

- 0 c2l hrs. pumpinl II Ipm

-3

r y~ I < ok - oJr r:r -, ---- " IJ I to _

REPORT OF DRILLED WELL ( ,.

~. Addre.. (mlliling)

$;cJ /Jt If (1 :2 W WELL LOC~.ON. Co",ty Section If. Se~io} Township RlInge ---or:

.f ~.#j~ ~J p,.. ~~, _A.Clj Distance lind direction from n..1J town, ~ommu~lty~ad1unctlon or other reference point

WELL WILL BE USED FOR: rvl II c:::J c=J 'Hl':iiI ~ Industrial Test I.pply lupply lupply w.II

c::J Oth.r: _Irri9atlon

,~J-.g} Drlllln9 m.thod: ~OOI , i~~1 iEtfEitm.ted Icheckl ot• D I 0 depth...rtln9 J.tted Othtr: _lor.dd.t. A;~_:£7;/7) SIGNATURE of {frilling Contractor

Total Depth Completion D.tec::::? ~ 0 ' .5:; 7'-- f:l :3 Compl.tion d.t.: r.port depth. btlow 9round le••1

_

Inter- I Description of cuttings I Inter- Description of cuttingsval vel yp~~ cL~ y I$~ m·: 0 Turb. r:;t,m. 0 J.~YI:; Oth.r:

/..is ? ~ S" J, t1 h. 7 <;; t1--. (\ rf. Int.b d.plh j <fO' H.P. Yi.ld S==:9pm

~l!V~~1~*W iT ,,",,~, 0 ..•••• D.;.rlffi ob.H.r onon.170 " :f M....r.d Static Water Le'el I tJ 51' ft.

I V... :t. M.osur.d pumpin9 ,•••1 La.. 15 ft. after

/1f __~_~_ 0_ _ . ~ "I- q 0 a. h... pumpln9· /1 9pm--------4De.tlopment tim. prior to t."'n- h..,

fMOpen hoI. 0 Ser••n.d 0 Slott.d pip. 0 Gra.er·pk.~'_ .. Inl.r••II.) .cr••n.d: to ft,

~

I I I If--------I ~ 1... .) l.tIO.1 : ..d 10 :: Chri

Scr.tn: di.m. ; Size optnin9. _

"Type Inter••1 ca.ad

°1ypeInt.rval I-Dlam. oipe oro.tedlInche,) eou/?linQ'

-~,..,..c.'/ ,_ £.' Id " 1PiJe- (lJ

~1----+---+---+----+-----1 I I I I I .; 1---,.--._I.-_..J.__--...J... .l.-. -l

o 'Coupllngs: Threaded" Coupled IT&C) W.ld.d Thr.ad.d & coupl.d I wtld.d ITClW)

Oth.r: _

°Pipe: 8lack: PVC; G.,•. ; Other·

Wat.r ...Iysl. ~o obt.in.d? (checkl 0 Ioct.riolovic.'

o Ch.mic.'

t=j I I I~ An.ly," by: o AI. Geol. Sur•. o U.S. Gtol. Surv.0 a AI. He.lth Dept. o Prlv.te I.b.

Signed:

ADPH·F·AWWSB·1/Rev. 7·81• For deeper w.1I pl.... .tt.ch contlnu.tlon .h.et.

VIII

,. REPORT OF DRILLED WELL

~ k~/if) /J ..

Y..h. ~ WELL LOCATiON Township Rllnge ---or:


WELL WILL BE USED FOR: ~ IPublic I CJ

Indu.trial CJ

Test .upply .upply .upply well

Drillinll method: (ched)

l- (,,, g"Eltlmated .tartlnll date

Totlll Depth :; C/o(

c:J Irri;ation

Cable tool ~

Jetted Bored

Other:

Other:

..3Od ' -j,-~

Completion Dllte /,.. 2-RcP

Eiii'm.TWU

~ ~ ~4t!:; ~.

--~,t/.:""-SiNATURE of Drillirfg Contrllctor

_

lamete'" of will

Inter. Completion date: r~ePths below IIround level

I

~I~ L!1.A

tL'":J ~ VII

<h. .<1..Description of cuttings I In. telr. D,scription of cuttings

... ~ype: o Turb. ~mi 0 Jet ~:: Other:

\,Ir7, I l_.r <£I~-6~ ~ ~ Iintake depth l@ H.P. ~ Yield ,~ II pm

~ I q 0 ~ J. a....L.v I(f). ~ ~ Telted by: 0 pump;nll 0 0 none

Mea.ured Static Water Level --:---I-~?---

Measured pump;nll level ----+~~fl!_--

0--- hrs. pumplnll ....L._"""-----:r-__;i~}O~~~~un~=:~~~_ Development time prior to testln; rs •

• r}( Open hole 0 Screened 0 Slotted pipe 0 Grevel pk.

Interval Is) .cr..ned: to ft·

~ I to ; to ft.I I I I--- u... Packerl.l set at and ft.

, Interval I Dlam. caJed (Jnche.I

/kr IU"

Sere.n: diam.

·Type ]lip.e

p~

:

'" 1../

"Type couplinau

Sizi oplninQI

Interval oroute6-"""

.-/'

_

I

I

I

I

I

I

I

I

1.[ I I I I I .. o I ·CouplinIlS: Threaded I Coupled (TICI Welded (WII Thr..ded I coupled I welded ITCIWI

t

Other: _

·Pipe: Black: PVC; Galv.: Other:

Water analysis ~ obtained? (checkl 0 Bacteriolollical

o Chemica'

I : I I:E.. ::I Analy.is by: o Ala Geol. Surv. o U.S. Geol. Surv.()o o Ala Health Dept. o Private lab.

Sillned:

·For d••per Will pl•••1 attach continuation ,h••t. ADPH.F·AWWSB·l/Rev. 7-81


, Date

6-)4

Zip Code

WELL LOCAT

and direction from nearest town, co

WELL WILL BE USED FOR: r;tI PrlVat. lupply

c=J Industri.1

lupply

CJ Teat wall

c:::J Othar: _Irrigation

6 ...J -R/ ,.;Jc!J-O'Drillln", mathod: C.bla tool Estimated lamata 0 wei E.tim.tad(chack) "'otar"Y"""Itartlng Jalt. d.t. Bor.d

00..' ~~ KiGNATUAlof Drilling Contractor

Total Depth ..2.. I Q f Completion Date t:, ~ «- f",L Compl.tion d.ta: r.port dapthl b.low \lround lav.1 Description of cuttings

~ ~yp.: D Turb. ~bm .... D J.~YI:: Oth.r:_

.... I,nt.k. d.pth ~ H.P. Yi.,d-2

'''N' >" 0 ,.m,;., 0 ." "~:.".. 0 ....:S M••,ur.d St.tlc W.ter Lev.1 ~'i?-- ft.

~ M•• ,ur.d pumpln", I.va' :If:·-aft.r

o 2-=- hrs. pumpin\l ~ ~~;n--.~,.-:;

I I I I I Developm.nt tim. prior to testin",7~ hr•.

Op.n hoi. D Scr••n.d D Slott.d pip. D Gr.v.1

Int.rv.II,) scre.ned: to

~I to ; to LI:

Packerl., I.t .t .nd

Scr••n: di.m.

0'\------+---+---+----+------..,

I I I I I~ Oth.r: _

°Plpa: Black; PVC; G.,v.: Oth.r:

W.t.r .n.lylis obt.in.d? (ch.ck) Bact.riolo",ic.1

o Ch.mical

I I I I ,.;.. :::I "n.ly.i. by: o Ala G.ol. Surv. o U.S. G.ol. Surv.() o Ala Health D.pt. o Priv.t. I.b.

Si",n.d:

°For d••p.r w.1I pl•••••tt.ch continuation .h••t.

IC'1".

point

.

•.\.W,.\"''<it,

REPORT OF DRII.LED WEL

WELL LOCATION

DRILL}N

~~

'I'm(,. w- ~

.r:-}-~~7 Date

Zip Coda

? W Range ---or:

WELL WILL BE USED FOR: ~ c:::J c=:J Privat. ~ Industrial T.st .upply supply supply w.It

c::::J Other:, _Irri",atlon

~,rf, J. L-.7t/ Drlllln", method: Cabl. toolE.tlmat.d J(check)"artln", d.pth date

'£1' Bor.d Oth.r: -/J

Total Dapth~ Completion Oda S - .2 3 ? V IInter- I 0 • t' f tt' I Inter- I 0" f' I I . d th bescrlp Ion 0 CU Ings I aSCription 0 cuttings Comp .t,on dat.: r.port .p • .Iow ",round I.vel

vaI • va

~ t/. Sf c.:r,,;;] -.(-: ~ ~~ Pi IItyp·: 0 Turb. ~bm. ~et f Cyl:; Other:_ .J if L- • • ~, II; I . .... Intake d.pth H.P. YI.ld ",pm7

T••t.d by: pumpln9 0 aIr Itft 0 ball.r 0 non.

~-""--+--=~_Jl!lL-----.:~..:.Ju.~!Iooo!~~ ~ ft.......~+~~t'll,.C'.60.d!:looL...:::~~~£L-_I M.a.ur.d Static Wat.r L.vel '01M...ur.d P"J1'"9 l.vel~ ft. aft.r

~:1:+--LT:~;::;;---~~'rj~_+~~____:;;;'1l:4:Oiin~JL.:-:____l a~. pumpln", ",pm0 ~ ~ev.lopm.nt tim. prior to testln:=I~ hr••

o I Ilt Op.n hoi. _ 0 Scr••n.d 0 Slott.d pip. 0 Grev.1 pk.

Int.rveH.) .cr..n.d: to ft·

'c to ; to ft.I I I I I~iC Ipack.rI., ••t at and ft.

Scr••n: diam. ; Sf•• op.nin9. _

I~ -::r

Int.rvalInt.rval Dlam.! '~ arout.d(Inch•• jcas.d C/"'41)," CD

~ Ia'-I"" VI to

C!O;eg U)

4( c-r1§ , Q z

Oth.r: _ ~

·Ptp.: Ilack; G Galv.: Oth.r:

Wat.r anely.l. ~o obtain.d? (ch.ckl 0 Bact.riolo",ical

• 0 Ch.mlca'

I I I I I~.. ::0 Anely.is by: o Ale &.01. Surv. o U.S. &.01. Surv. G o Ale H.elth D.pt. o Privet. leb.

Si",n.d:

·For d••p.r w.It pi.... ettech contlnuetlon .h••t.

SIGNATURE of Drilling Contractor

Tota' Depth Completion Dete/11 9-;..-- 7?

"For deeper w.1I pl.... attach continuation sheet.

Inter Desc.iption of cuttings Inter- Description of cuttings Compl,tion date: report d.pths below 9round leve' vel val

'J-J ~ __ f

Eh"ype: o TUrbi(Ubm. ~ 0 Cyl:; Other:

•.10 - 11 :> Intakell. depth l") H.P. I Yield /0 ~pm

't"..H.Il 7'." Tested by: D pumpin9 J;Y'fr litt o baile. D none ~~ /' Jb1.. 1000 .J gO :l' Me..ured Static Water Level ft .

'u ~ Me..ured pumpin'il level ft. alte. G

0 hrs. pumpin9 9pm

I~.v.lopm.nt time prior to testinq hrs.

D Open hole ~ened D Slotted pipe D Gravel pk.

Inte.valls) 'sc.eened: / ~'t to J Y'I II: ~ 'c to : to It. Li:

Packerlsl ..t at US I and II.

Screln: diam. J. ,/ : Size openinljJl /0 Interval Diem. "Typ. °Type Intervel cased IInchesl "ipe couplinas arout.d

1A-1/9' U. AI",' ill,,"

rTX_fu --:t fIJtIVJ' I 'AI..! I-.,.s:

en .;:

r .. "Couplings: Th.ead.d & Coupled ITlC) Welded IWIQ 0 Threaded. coupl.d • welded tTC.Wl

-e fa Othe.:.. :8

"PI".: Black~alv.: Other:• ..... .- Waler analysis ~teriol09lcal tIIC Z obtained? (ch.ck)

D Chemical

i :4 ... >..• C5 ...

:> Analysis by: o Ala Geol. Surv. o U.S. Geol. Surv. 0 o Ala Health Dept. o Private lab.

SI9ned:AA. / ¢~ '~/I.~ ,~- A

'!;::'-~T-" - ~(..,. '


lIN

reference point

WELL WILL BE USED FOR: Q CJ c=J Industrial Tesl

supply supply w.1I

Other: _

OJo.-(,·'-'lj Y::..Drlllin9 method: ~toolEstimated (check) 0 a startln'il e ed date Bored

Other:q;ztJ~,PJ ld/~.~~

Township

Ckr' Private supply

c=J Irrl'ilatlon

?-

Range - --0':

l.oo ':stlmated

depth

/I

CJ Test well

CJ Industrial

supply

If.. Section


c:::::Jb ' Pu Ilc supply


County • Section

GJ&d:::Jmailin


__ !r'!~.~QO"h~LD~ f4# ~ jlv !?J.uu/lL----""$ 3930/ §-~~ . .. _.. Date

c:J Irri",ltion Oth.r:__ _~

~~ ;JtJ~ ~l) ~s'7!JDrillin", m.thod: Cabl. tool K' • ~~ ... ,_ • I~ E.timlt.d leh.ck)

dartin9 "C> Oth.r: _d.t. Bor.d

~

Total Depth cR va f Completion Date ~r'.J ~g cJ

·For d ••per well pl•• I. att.ch continuation ,h••t.

Inter. Description of cuttings Inter. Description of cuttings Compl.tion dlt.: r~ort d.pth. b.low ",round l.v.1 val val

D Lin r'I4.AA r.t .,; -I~ ETyp.: o Turb. ~m. 0 J.t ~YI:; Oth.r: , g " Intak• d.pth /ci?/} ~.P. I:~Yi.ld..£ ",pm.... '10 ~O c;A/J. , t1 ~

T••t.d by: 0 pumping 0 Ilr 1i~,0' b.i1.r 0 non.

' .. , I I- ~ M• .,urad Static Wltar L.v.1 'l.., ft.

~n JlD S~N_t -~" p~ A/ 'u M....ur.d pump;n", l.v.1 / t) ~ ft. aftar, ..

I Q... ~ hro. pump;n", /~~ ",pmJ I U J_~n or Lof. -;"?'L 0

Dav.lopm.nt time prior to talting ~ /.- ro.I' ~

1740, I lU Olln,~ ~ ~op.n hoI.

:' o Scr••n.d o Siottad pipa o Gr.val pk.

'--'0 IKO .5~cL Intervil II) Icr••ned: to ft;

..c .!!!

0::: to : to ft. I u:

'V/) ~O(J .'\ h __ Jil/ Plck.rl s I lat at .nd ft.

/ Ser••n: dllm. : SiJ. openin9'

aan ,.;j (//') J... .......... - ' h~~II AJ I '.<;.,.. C A'1l..I ... ~ "., .... -- Int.rval Oiam. ·Typ. ·Typ. Int.r••1 cal.d IInch.s) ....11". coullli!J6s ,/ orouteA.--

"h/' d f , ~c.. , (A/ ......,

DO 0::: ';;..

·Couplin",s: Thr.ld.d I Coupl.d (TlCI Waldad {WI0 Thraad.d I couplad I wald.d (TCIWI

Oth.r:

·Pipe: Blick: PVC: Gllv.; Othar:

Wlt.r Inlly,i, ~ obtain.d? (chackl o BlctarioloQ;c.1

o Chamical

l.. " Anllysls by: o AI. Geol. Surv. o U.S. Gaol. Surv.0 o AI. He.lth Dept .. o Prlvat. lib,

Si",n.d:

Zip Code

~;;;)m;i; U11 2W WELL LOCATION County Section '/. Section Renge ---or:

Diltence end direction from neerelt town, community, roed junction or other reference point

WELL WILL BE USED FOR: r--tI-, CJ~ PubUc lupply lupply

c:::::J Olhar:Irrivation

.J_g,92.Drillln'll malhod: alool

Ellimelad (chadl Rot. Ilertln'll ~da dala Borad -"

Tote I Depth I }I ~ r

Complalion d.la: raporl dapI!.. balow ~round lavalof cutti-ngl

A. rypa : o Turb. ~bm. 0 Jat 0 Cyl:; Othar:

~ I'nt.ka daplh 1{f(J1 H.P. ~/st" Yiald-L...!1ri '~~ ~ ,...."" 0 .,,,met....'.. 0 ~ o ,oM...,.S" r S' ~ Maelurad Sletlc W.lar Laval 5 fl.t I =~cm~ l;:, •S L h<L IJ"..."~.,, .. ,..., /0'/ "on" hrs. pum,ln, r-> 'llpm

c:::::::J CJ IndUllri.1 Tast

lupply wall

_

Diamala7tw:'; ~Ii?/ '~~

SiGNATUROfDrifiing Contrector

Completion Ode ..J - 9. .!f2")

Davalopmant tima prior tei ,astlll ,hr•.

o Opan hola 'Vscraonod 0 Siottod pipa ~ Gravo'

Inlarv.lll) Icraanad: /70' 10 /f~ tI'

______to , .c. I I~I_ -toI I I P.Ckerll) lat •

I

I I

I

W.tar .n.IYlil o No obtai..d? Ichackl o Bactariolo'll iC.1

o Chamic.1

" An.IYIII by: o AI. Gaol. Surv" o AI. Ho.lth Dapt.

Shilnad:

.t_=,.- --,.,-__

1./'( -/(J ,Scr••n: diam.

~I I I I

I I~

I I :E.. 0 o U.S. Gaol. Surv.

o Privata I.b.

I I

I

"For dupar wall pl..la .tt.ch continu.tlon Ihaot. ADPH.F·AWWSB-1/Rev.7-81

I

Zip Code

",/U

~

l1J 3\N Township Range ---or:

CJ T.st w.II


CJ Industrl.1

.upply

Completion Date 7 - 7 - 24'

Ipublicl .upply

366 ' Estlmat.d

d.pth

~h.r: ~~


Oth.r:: _

REPORT OF DRILLED WELL r--.

.,'l'''''7

Ip~J .upply

c=J Irri9atlon

Drillin9 m.thod: Cabl. tool (oheck) Gitf

J.tted Bor.d


2-f.,-Jl Estlmat.d "artln9 date

Tota' O.pth ;z n ' Inter.

Description of cuttings Inter- Description of cutting, Compl.tlon d.t.:.?rt d.pth. b.low ;round I.velval v.1 . n 57) rJ4A... cI / .~~ ~ ~yp.: o Turb. ~bm" 0 J.t 0 Cyl:: Oth.r:.

0 ::II depth ~ H.P. I Yi.ld G.... Intak• 9pm

l'JIJ tiK ~1..16 or:; ~ , 1 . ~ Test.d by: 0 pumpin; 0 .Ir IIft;£.?r 0 non.

_"'fTc" 41) CLio. D~ .. .:t'u

M.a.ur.d Static Wat.r L.v.1 ~ ft .

- • M.a.ur.d pumpin9 l.v.1 3 ft. afterA. a--= hr•. pumpinQ /q;l.. Qpm ..

Cj(/l /30 ~A -I s. _ C"A .tI .SF p~,~) 0 , D.v.lopment tim. prior to teltinQ .3 hro.

~ -:r£l ,La ~4I ~ i Op.n hoI. o Ser••n.d o Slott.d pip. o Grav.' pk. , Int.rvall.1 .er••n.d: ft:IJLO ~UO ."'5£41 Id.-V

.5~ r __ ,I :>

to ..c..- r I "c to : to ft. L£:

,.If ,rl "2. ..) ~ JJ,A IF, Pack.rl.I ••t .t .nd ft.

I ~ Scre.n: di.m. : Siz. op.nln9.

L:I.~ :J.1!V .~.,..... Ic:y-) ~It. c..'~ ---IJ IlJ • Int.rval DI.m• ·Typ. 'Typ. Int.rval

ca,ed ((noh.,l DIDe OOUpUrN' Qrout.d

l..:lu7' eLI' "A1Lii" Ii J, ''-''"

Ul

.~.. ·CouplinQ.: Thr••d.d I Coupled ITICI W.lded IWI0 Thr.ad.d I coupled I w.ld.d ITCIW)

~h..:

·Pip.: Black; h"J. Galv.: Oth.r:

Water analy,'lf' -rzji7 obt.in.d? leh.ck) o laet.rioloQle.1

o Chem!o.'

~ .. ::II

0 An.ly.l, by: o AI. G.ol. Surv. o U.S. G.ol. Surv. o AI. H••lth D.pt. o Prlvat. I.b.

SiQn.d:

·For de. per well pl•••• att.oh oontlnu.tlon .h••t.

___

/hs )~. Zip Code Date

J?pZip C"i W----,--__--"{!_'Avda==-=--'0<.....::...1.-=-~-=-:A""--dd-r.-u·~1~·~' --- / WELL LOCATiON County ~ Section '/. Section fr:: Township Rang. - --or:

ez- AJ',&..r /Vne~ ~ O'/49.s

WELL WILL BE USED FOR; ~ CJ CJ CJ Private Public Industri.1 Test supply supply supply well

c::::J Other: _Irrigation

Drilling method: C.ble 1001&&?-~ Di.meter6 :e" ~4~~ (check)

st.rting depth~ d.te Other: _Bored


Tote' Depth .t<. 0 0 Compl.tion Oat. ,,3r til?--tJ>2 > :.;;»

Int.r. D.scription of cuHings Int.r O.scription of cuttingsvel val

n ~() (' P/1.A. .I I<;'~cI,£.A" J ~ f"l 7:/ jwlL./ ~<LI~ t7L

I ~(I 'U, C. 0 "'j~ -" <:-A <'~ cL.. '/'1/1. /, ~ <)~C ,tJ )7)' I~~ " "; LA ilL ~ I 1'10 III 0 t! <J "\ ra 'c/' S /, t'L/~,.~

,I

Completion d.te: report depthl below vround le.el

~ iType: o Turb. ~bm. 0 Jet ,g Cyl:; Other: ::I

depth S- H.P. ~ Yleld.s-.... Int.ke Vpm

Te.ted by: 0 pumpinv 0 .ir II~~ b.i1er 0 none

l' t.4..lured St.tic W.ter Le.el / ft. 'u

t.4e.lured pumpinv le.el A '3 ft••fter•Q.

;;- hrs. pumplnv /F vpm•U

:3De.elopment time prior to'testinv hrs.

lj(bpen hole o Screened o Slotted pipe o 6r••el pk.

Inter••11.1 .creened: to ft: ~ 'c to ; to ft. L[

P.cker lsi let .t • nd ft .

Scr••n: di.m. : Size openinCJI

Inter••1 DI.m. "Type 'Type 'nter••1 I-ca..d Iinchel) DiDe coupll991 arouted...__"

~ 7J7' ~~.

LA/ ~

Il' .~

• 'Couplinvs: Thre.ded I Coupled (TICI Welded (WI 0 Threaded I coupled I welded ITCIW)

Other:

I

'Pipe: II.ck; PVC; 6.1•. ; Other:

W.ter .n.lysis ~o obt.ined? (checkl o l.cterlolovlc• 1

o Chemic. I

~ •::I An.lysil by: o AI. 6eol. Sur•. o U.S. &eol. Sur•.0 o A'a Health Dept. o 'rl.ate I.b.

·For d••per well pl•••••tt.ch continu.tion sh••t.

SIVned:

ADEM Form 60 1/83

/1 tJ

~/lJI!:~cf.-~.rro ~~,~ 1f7/91

~S(:;inj) /34)

WELL LOCATION ~oun~ Section Township Range - --or:

1!;z.~~~4~ on or other reference point

WELL WILL BE USED FOR: l~g.1 CJ CJ CJ ~ubloc Industrial T.,t

,upply .upply ,upply w.1I

c=J Other: _Irri9ation

¢: II ~oDrillinv m.thod: l5'i:imeter of well ~lTlm.t.dIch.ck)t/¥I-L

d.pth,t..tinV Oth.r: -=data

~

Tot. I Depth < Completion Dde'?8l.f I II/g

I/9/

Int.r- Inter Compl.tion date :yport d.pth, b.low vround l.v.1 D.scription of cutting" D.scription of cuttl'ngs...1 val

&;5 -iP U~.J.J /1 ~~~ . ~ lryP.: o Turb. ~ubm. o J.t o Cyl:: Oth.r:

~ ..." 19

/' Intak. d.pth /2-&> H.~ . //?k Yi.ld tr vpmql9 .L"1 ..K .,. J,~ • .~- Test.d by: o pumpinV o .ir lift o bail.r o non.

tol...ur.d Static Wat.r L.v.1 7J~ ft. q~-

~ ,~100 - ~.A~ U~~ I..:; 11A

'u < tol..,ur.d pumpinv l.v.1 ft. aft.r94?•A.t.

O• ~rs. pumpinv <3<::> vpm::J:l'l_ c;;; A_ .1/ ~-'-I"

~

JI s.; fhi!) ~ .... < D.v.lopm.nt tim. prior to- t.stlnv h...,...

~J:AL U~ '~"'~- ;ij~ - ~l.J{.~'8 o Op.n hoi. ~n.d o Slott.d pip. o Grav.1 pk. ~ ~ Int.rvell.l ,crun.d: 37~ to .38¥ ft;......_..n S,,.A.~:;v; ,~,}h• .:;;J .....~'O

to to ft.'c ,..... u:: ~ack.rl,1 ,.t at ,;J~ end ft._VA~-=?7k, -~f<.q.- - Scr.an: diam. £.. : Siz. op.ninV'. (;II V

"Typ. Int.rval ca,.d

"Typ.Int.rval Dlam. QrDut.d

-=?::J.'~- 4

Dip.Ilnch.,1 couDlirl.fiI'

PVc.~" ]tn' -/A/--:::l " "

lJI c 'iii• "CouplinVS: Thr.ad.d I Coupl.d ITICI W.ld.d (WI

Thrud.d I coupl.d I w.ld.d fTCIW) 0

Oth.r:

"~ip.: .'eck: PVC; &alv.: Oth•.

Wat.r analysl, IQ-"Ro obtein.d? lch.ckl o .aet.riolofillcel

o Ch.mical

>~ •

Analy.i. by: o Ala &.01. Surv. o U.S. &.01. Surv. D Ala H.alth D.pt. o Prlvat. lab.

C)-"

Slvn.d:

"For d••p.r w.1I pi.... attach continuation ,h••t.

ADEM Form 60 1/83

lIlJII!I IJlIlIIIII" IJ! !JIII!!I!IJIII

REPORT OF DRILLED WELL ~

I~ fh.5 AddS"dv1 oJ~e

Zip Code

3" \,y TownlhiP "'RInge ---or:WELL LOCATION

.r reference point

WELL WILL BE USED FOR: c=J c=J Industrial Test~

supply supply w.1I

c=J Oth.r: _Irri~ation

~ Drillinll m.thod: ~OOI Estimlt.d fch.ckl{~~yO%1

~p'hJ.tt.d Oth.r: _dlt. Bored

SIGNATU

I Tote I Depth AGO C••p,.Ii., D... 10 '~ 1Jj

~ Public supply

Completion dlte: report depthl b.low ~nd I.velInt.r- I D.scription of cuttings I Int.r- D.scription of cuttings vel • vII

~ +l 3'5£f.~. I~ p..., 0 ..... 0 ...... 0 , .. 0 """ "".., I IIpm..., n / ~_ 0 / ~ c::::" L. ~ d~ a. Ilntlk. d.pth H.P. Yield

.r- if~'

il Te.t.d by: 0 pumpin9 0 Ilr lJJt 0 blil.r 0 non.

ft.~_ ~~ ~ =__ !1Ah' 0'5~ e.,., ~:5 MUlur.d StltlC. Wlter L.v.1 J b '--_"""""=_::::;,:::'%"'--_--4_ _ __ S _:- MUlur.d pump,nll lev.1 ft. Ifter

S 0 hrl. pump;nll IIpm '---"~'-':''-----'''''-.--'

~ .2.1At1 1"/1 ,~~ Developm.nt tim. prior too teltlntJ .hrl.

o Op.n hoi. ~ Scr••ned 0 Slott.d pipe o 6revel pk.

I I I I I~ 1'""''''' ..: ...." M M ::

Plcklrhl I.t It Ind ~

Screen: dllm. t.f rl / a ~ Sl.e openinlls .j2 Int.rvII . Dllm. Intlrvel'Type r "'-y...

DIDe . couplinGI Grout.dctsed IInchel) '"j~ J/f.lCJ"rL -z- Ip;A:J;~J

I I I I :'1-----i---+----+----+-----""1

I~ 'Coupllnts: Thrud.d I Coupl.d (TaCI W.lded (WI Thrud.d I coupl.d a w.ld.d ITCaWI

Oth.r:/-~ I{blh:b~ U~ I - d Y.2 Of/v ~ /. ' I

'Pipe: .lltkrpV~ 61Iv.: cfth.r:

Wlt.r In.IYIII obtlin.d? Ich.ck!

o No o Itct.rlol09lctl o Ch.mlcll

I I I I

I I I I

l!•::I

1° AnllYlil by: o All 6.01. SUfv.

o All Hellth Dept. o U.S. 6.01. Surv. o Prlvlt. lIb.

"For d.....r well plul. Ittlch continultlon Ih••t.

Sitned:

ADEM Form 60 1/83


r frJ:5 ~-/7-11''I (JJ (l QOha.1 cJ cI L/. ~k /Ih ~d'l4.r.-Address 'Date~••".. ki, NDRllLICO"TeTOR Zip Code

~'h 4/tA1h~ ~K~. Zip CodePROPERTY OWNER Address (mailing) 77

CMJ«JAl 1d TO~WELL LOCATION County SectIon ~ 'I. S.ction

/ ,A." k-. E/Is~~ /lJk.ec./ Distance'and direction from nearest town, community, II'd junction or other reference point

WELL WILL BE USED FOR: c=J CJ c=J[;;g] Public Industri.r Tast supply supply supply well

c=JIrriv.tion Other: _

l:sTlm.ted

5 j /'I.,if- .. Drillinv method: ~ol (check) ~

II -.......-.,....-1-,...-."..-

~/ Lft?~

Edim.ted

/

st.rtlnv Jetted depth d.te Borod Other: _

Tot. I Depth ::2 V0 /' Completion Date 6' - / 9 fj Y Completion d.t.: report depths below vround levelInte,r- I Description of cuttings I 'nte,r- Description of cuttings .v.. •

A. jType: o TU~ 0 J.t 0 Cyl:: Oth.r: I/'? I ~ (1 Ua-. ~ v..

<:ad I~ n I I <' <.- • dL :d ~. ~ Ilnt.ke d.Pth~H.". ~i.ld ..r- ,pm

I S jf ';1., I n J, "'"' b w j\]I ,,--("J.. L... Sf.5/A- <::{.

I~

6~E 02,. 2. r s I'\~ I 9 rested by: ~ pumplnv 0 .ir lift 0 b.i1er 0 non•

. ::z:2: _ 2.. 'I 0 __C6 a.A.d! ' s tJ..-v_ :S "'e..ured St.hc W.ter Level ft.

l "'easured pumpinv level ---~~+--J.~

o d':::=hrs. pumpinv vpm

Dev.lopm.nt tim. prior to- t.stinv hrs.

o Op.n hole ~re.n.d 9 Slott.d pip. ~ jJ ~r.v.1 pk.

Int.rv.lls) ler••ned: ~() to alf:!:2. ft;

I I I I I~ I,,-.ck.rl-') If); i~:-r-;'1.:O.t

Scr••n: di.m. i'/' : Si•• op.ninvl/t'SW

lnt.rv.1 c...d

1'7 ~"

Dl.m. IInch.sJ 77fj 7

·Typ. DiD. ~

'TYP~ C int.r~ coupllnos orou ~ zt71 ~

I

I I

I

I I

I

I I

I

I I

rl-----1f----+----+-----+-------1

IJ 'Coupllnvi: Thre.ded I Coupl.d ITICI W.ld.d IWI Thr••d.d I coupl.d I w.ld.d ITCIWI ,~~,.... & '~.;J. I' A'~ ~~'b-c.. V-..-o"'!l Oth.r:,-_"""":::'='E"7"""":::=-_.:.r~....,....,:_::--...,....---:;o-___,r

'''i!Bi:ck:~l"tOtfV~j)~ W.t.r .nalysls ~ obt.in.d? Ich.ck) 0 ••ct.riolovical

o Ch.mical

Il IJ I Analysi. by: o AI. &.01. Surv. 0 U.S. &.01. Surv.

o AI. Health D.pt. 0 "rlv.t. I.b.

·For deep.r w.1I pl•••••tt.ch continu.tlon .h••t. Siln.d:

DEM form 60 1{83


"Od- Addren (meiling) Zip Code

~ c1d 'I. Section To!YJ 19~WELL LOCATION


WELL WILL BE USED FOR: ri"I c::=J c:J c::=J ~ Public Industrial Test supply supply supply well

c=J Other: _I rriqation

¢:/f '#1# I'Drillin9 method: Cabl. tool~aG-K1 Estimat.dIch.ckl ~

starting d.pthJ.tt.d date Oth.r: _Bor.d

S

Total Depth J 2.k f Completion Date ~ -2 - cf'? Inter-

Description of ~uttings Inter~.scription of cuttings Compl.tion dat.: r.port d.pth. b.low 9round lev.1

val val -0 ~OCJ/t:LL ~ ... <::". Cl Q. yp.: D Turb~bm. D J.~YI:: Oth.r:E .~,C II c- ,"5' h n .Ii ,:>- "- Intak. d.pth H.P. Yi.ld .s- 9pm..,4;: 0/0 ~ r <".- IIL/ S7 VOLI/L T.st.d by: D pumpin9 o air lift D baner D non.

,';; loe ~l.,., <' l.- III /J, ~ W...ur.d Static Wat.r L.v.1 f2..' ft.t L ~ ""7 v' <,A;... ,.J 'u

I'Y:.-"' ~;';.- -AA / <A~'~~ {-t-. ( A4t. c:L .. W...ur.d pumpin9 l.v.1 3L ft. aft.r r.. i.oL Q.

A~ ~ hrs. pumpln9 ;. {~r- ..::t ~s- .5 Ln~. . 9pm

l'i I.. ,r . 'w'O S"a-r '(, r D.v.lopm.nt tim. prior to' t.stin9 J hrs .

~~rl.i ...,; '/0 ~"ttr~,~ ""'_ 4~ f a.,cJ srea:K I~ I () , ~. Sh~ 17.1 V

D Op.n hoi. D Scr••n.d D Slott.d pip. D Grav.1 pk.

Int.rvall.) scr••n.d: to ft: ..c.. ';: to : to ft. L[

Pack.r hi ••t at and ft.

Scr..n: diam. : Si.. op.nin9'

Int.rval Dlam. "Type "Typ. Int.rval ca••d IIncha.) DID. couplina. I arou~

~JL", / H.IJ14YC-I M/ "., r-7 7

'" '".;;.. U "Cauplin91: Thr.ad.d I Caupl.d (TICI W.ld.d (WI

Thr.ad.d I coupl.d I w.ld.d (TCIW)

Oth.r:

"Pip.: Ilack: PVC: Galv.: Oth.r· ~

Wat.r analysl. ~o obtain.d? (ch.ckl D lact.riol09lcal

D Ch.mical

~ .. :> Analy.i. by: D Ala &.01. Surv. D U.S. &.01. Surv. ()

D Ala H.alth D.pt. D Prlvat. lab.

Si9n• d:

"For d••p.r w.1I pi.... attach continuation .h••t.

ADEM Form 60 1/83

1

liS 5 $ : ; 2 2 C 51

REPORT OF DRILLED WELL ,. - .Kme .5:J..J-f~

-_ - Date

WELL LOCATION

WELL WILL BE USED FOR: c=J c=J Public Test

supply supply well

Other: _

00

6:,/l~%6 X/IDrilling method:

Estimated EstimatedIcheckl Other: ~Diametoowell dOl) I starting date

4~ SIGNATUR~f DriTling Contrector

Tote I D.pth I 'ItJ I ~Completion Dete a::l?- Y'b

~ IrriCjlation

Cable tool ,rg;;;;>Jetted Bored

Int.r 'nter Completion date: report depths below ground levelDe5cription of cutting5 De5cription of cutting5vel .

,() !Jc.J -~

vel

CFI .. <'a-.cJ.::: i type: 0 Turb. ~m.. 0 Jet~YI:: Other:

I,§L/ 1,,°,. 7:>~_ ~<J. a.A.. _I

... Intake depth /61 H.P. Yield t5" /lIpm

Ibn <"-r-l ~ J1t2.L~.L .<,.1/-'70 Tested by: 0 pumpinOJ 0 air i 0 bailer 0 none

~ "'easured Static Water Level ft.ffJlt2 I I I I I1 "'euured pump;n.., level 17ft. after

•o hrs. pumpin/ll /lIpm

Development time prior to'testin/ll hrs.

o Open hole {screened 0 Slotted pipe ~ Gravel pk.

I I I I ~ Iintervalls) screened: /7d/ to & / ft;

s:: to ; to ft.

I I I I ILL Paderls) set at~ - and ft... 1- _L.V~.I Screen: diam.'"-fl - ~ 0 ~ Size Openin/llp;..,tz.".$~.. D{)6

/I' Interval I Dlam. 'Type I Type Interval ca.ed Iinche.l pipe couplings. orouted

....... I I. ~ I lA/I" .-." -J"7L'J' 1,1" IPVU!""!"·/.} J/

, I I ,

>

Si/llned:

I I I I~•0. Analysis by: o Ala Geol. Surv. o U.S. Geol. Surv.

o Ala Health Dept. o Private lab.

'For deeper well please attach continuation sheet.

~OEM Form 60 1/83

~-. .,' .. !!!l!!I I":"" ',''-,.::-:;-1....:,~.t..;tl. ~,f;.LA,*.,"4L~~a,a•. ;~,-. , '" VI.,J,t,4a)Jt(4, ei "'1~,.... , l ',..l Sf:' ,,;;.£ J.... 4, if'",

REPORT OF DRILLED WELL 4J6.L{;'IL(

d-JJ~

Range ---or: >'~

Zip Code

1U1 Township

reference point

WELL LOCATION


WELL WILL BE USED FOR: r\tl ~

;frvA->t~ ,!::::l [::::;J c::=J CJ Public Indu.trial Test lupply .upply well

Oth.r: _

d"If.-j.-K{o J.lflJ ' Drilling m.thod: Cabl. tool ~ estimat.d(ch'ckl.tarting ~ d.pthJ.tt.d date Oth.r: _Bor.d

J,.. (3 0 ( tf- if -abTote I Depth Completion Oete

Inter- Description of cuttings Inter- Description of cuttingsvel vel

D ;to UCL.e.-... ~ f::) VO 51~ d..C1 5"1 ~" aJll

It.I n Lt? ~A.l4. ~ :A.... roI ~~ LJ_ L~

~ 'S1 r&1n o eJ~.L .? ,", '/J L.c.._ j~o ~/"ln ~~CJe /

::l~1"'l .<;"1 C nlu <:/h.. rI")t\n .. D

il..l-l ~ ..3n E.. c ~_d"

Compl.tion dat.: 7rt d.pthl b.low ... round I.vel

:- ~yp.: o Turb. f1'!ubm. o J'j~&tYI:: 5: " d.pth ~A. Intak. H.P. Vi.1 ...pm

Telt.d by: 0 pumpln... 0 air 11ft <l3 bail.r 0 non•

~ .....Iur.d Static Wat.r L'V'I~ <.f ft. 'u• .....Iur.d pumpin... l.v.1 r 7 ft. aftarA. ,• /:¥=0 r·hrl. pumpin... IIpm

D.velopm.nt tim. prior to- t.atin... hn.

o Op.n hoi. t)(Scr••n'd 0 Slott.d pip. 0 Grav.1 pk.

Int.rvelll) Icr••n.d: t:?htz" to d3Q' ft: ..0::·'c to : to ft. L&:

!'ack.rhl ".~ and ft.0' ; Si.. op.nln....# I lo-Scr••n: dla .

/" ~ -~ VV

CJ

Int.rval Dlam. "Typ. 'Typ. I~:;}-'"cal.d IInch,") DID' coupJinlll / <lIr I~/') /? / 77/( ~I--/~ ./,

'" c.;;• "Couplln..." Thr.ad.d a Coupl.d ITlCI W.ld.d IWI0

Thr.ad.d a coupl.d a w.ldld ITCawl

Other: / - L ' ,h /'~ L 1M .I. ~. ~ {Jill '

/ - V Y 2- ., I'vc.. /:J~\·Pip.: .'ack; PVC; Galv.: Other: ~

Water analYlla ~ obtain.d? (ch.ck! o .acterlolo... lcal

o Ch.mlcal

>~ •::t C> AnalYlil by: o Ala 6.01. Surv. o U.S. &101. Surv.

o Ala H.alth D.pt. o !'rlvat. lab.

Si...n.d:

"For d••per w.1I pl.al. attach continuation Ih••t.

ADEM Form 60 1/83

Township

junction or other reference

'I. Sec~0'h <..<...It.o. ,

Distance end direction from neerest to

WELL LOCATION

#tfLREPORT OF DRILLED WELL

'f. '3 () 1 --;)-ktZZip Code Date

Zip Code

Range ---or:

point

WELL WILL BE USED FOR: r\f1 c:=J c:::=JQ~ Industrial T.st supply supply supply w.1I

~ Oth.r: _ 6l2:J /Irrit;lation

tf/ .z&~-Jf.!(, Drillin9 m.thod: Cabl. tool Estimated Diam.t.r of w." Estim.tedIcheckl sta rtin9 d.pth~ d.te lored Other: ~~

~~~~~-~ ~of Dfffiing ContreetorSIGNATU

~-r- ..,...-, I Totel Depth 17' 0 ~~ Completion Dete ~r- ~2-f'.&

Inter· Description of cuttings Inter· Description of cuttingsvel vel () 10 GL~ COoI--S ~q,.

10 90 S1Jl~ Sfl of. 5Tqo /30 /, ~ ~t ~;I 5-r ~.-A

t3l> 170 ,'!S.t. dJlL

1"1(1 ~ fA /') ,~+ 5~ »-ad .:J hlJ S ~.:JL,70 -11 () .::J t> 0 Sis 6 ~ 'l'a... rllA Sr ~OtJ ?l2.-6 e....,,-; ...... ~ .. ISt4.~ :51~1.

I~ ;1..0 ~ (£{) ....~P. L:I. .. v

~JA - ... -;",,. 1'0 .. <: Jl. U.1 ~.3." ~ ;c.. 0,..1_ i (t,. ~P

Completion dat.: ~ d.pths b.low 9round level

a- Typ.: o Turb. ~m. 0 J.t~ Cyl:; Oth.r:E ::J

d.pth Clt?d H.P. ~ Yi.ld s-=ilL. Intake .pm T.st.d by: 0 pumpln9 0 air lift 0 baU.r 0 non.

~ M.asur.d Statfc Wat.r L.v.1 j.ft ~ ft. 'u

M.asur.d pumpin9 lev.1 /5-' ft. aft.r•a- a hrs. pumpin9 ' /0 9pm•0

'<D.velopm.nt tim. prior to' t.stfnft hn.

('OP.n hoi. 0 Scr••n.d o Slott.d pip. o &r...1 pk. /l

Int.rvallsl scr••n.d: to ft; ~ 'c to ; to ft. LL:

Pack.r Is) s.t at .nd ft.

Ser••n: diam. : Sile openlnql

)

Int.rval Diam. ·Typ. "Typ. Interval cas.d Iinch.sl DiD. c§uplinas ~ Grouted

IJM ~- <...ftt PtIL hI')/.1/ ~ , r7 I ...".'"

IJI I;; 0 ( (jH I've-, 8...&M..\1:1/ ./'"

.~ ' , .... • "Couplin9S: Thr.ad.d I Coupl.d ITIC) W.ld.d IWI0

Thr.ad.d I coupl.d I weld.d ITCIWI

Oth.r:

- ·Pip.: Ilack; PVC; Galv.; Oth.r:

Wat.r analysis ~.rjOI09iCalobtain.d? Ich.ckl o Ch.mlcal

>~ •::J C) Analysis by: o Ala G.ol. Surv. o U.S. &.01. Surv.

o Ala Health D.pt. o Prlvat. lab.

Si9n.d:

'For d••p.r w.1I pl.... attach continuation sh••t.

ADEM Form 60 1/83

(mailing)

vt.D=~ I ..J S;ounty Section

~~ REPORT OF DRILLED WELL x /YJ V D~ cJ...42 +- ~ ~. /.RtJ ~- vns"3q3011-~I!:J?/ License Number • U. ~ Addren 4ip Code Date ~~"..DRILLING CONTRACTOR

::r,f: E:J.~.~. Zip CodePROPERTY OWNER

1111 J k1LWELL LOCATION n .-.':"",~ec~ion Township Range - --or:

~ ,a.lcv munity, road junction or other ref.rence point

WEll Will BE USED FOR: CJ c::::::::J c:=JIpr~tJ Public Indudrial TI.t .upply .upply .upply ","II

c=J Othlr: _Irri9dtion

Cf - -2 (. -8'' Drillin9 mothod: Cabll tool E.timatod Ichock' ~ startin9 1:n:d d.to Othlr:80rld _

/'

Tote I O.pth 3/:,o t Compl.tion Oet. 9 -l.-5', Int.r. Description of cuttings Inter· Description

vel vel V :J..l'J cJt/t.-.

,AO ~q S]:;.,~

3" ~cL ~ .- . tI!'_. J luu 17,., IUJIL~.IIII .~ _I: ~

~ 7n .2. "n ~J... ~~- IICT ~- -I

.2t-. 3.30 ~LI!2 , -~3C:: _~ .s-:r srs-' ~.~

"'\ 1 __ $' _ ...

of cuttings Compl.tion et.t.: rlport d.pth. b.low 9round l.v.1 -

IlL rrypo: D Turb. ~m." D Jlt D Cyl:: Othlr:E :0

d.pth ;2~ H.P. :i/a Yi.ld .s:CL Intake

Tod.d by: D pumpin9 0 .ir lift D bail.r D non•

......ur.d Static W.t.r L.v.1 I,~ ft.~ 'u

......ur.d pumpin9 l.v.1 /y~ ft. aftor.. IlL d hrs. pumpin9 7.::J.-.. 9pm ..

0

D.v.lopm.nt tim. prior to- t.stln9 "3l hr•.

9pm

~Opln hoi. D Scrlln.d D Siottid pip. D Grov.1 pk.

~ 'cu::

Int.rv.II.' .cr••n.d:

to

P.ck.rI.' ••t at

:

to

and

to

tt:

ft.

ft.

Ser••n: di.m. : SIz. openin91

Intlrval ca••d

.JJLLI

DJam. flnch••1

ill',

"Typ. ..i ...

181J_

yp. couPIin.a. J

/A/

Int:~~ aro

./

gl

.~ .. 0 "COUplin9S: Thr..d.d a Coupl.d ITaC) W.ld.d IWI

Thr..d.d a coupl.d a ",.Idod ITCaWI

Oth.r:

_A" Iv J fI

1" v

"""' ....... (

(~- ~ .. :0

<>

"PiP.: II.ck; PVC: 6.lv.: Oth ~

Wat.r .n.ly.h s@(No obtain.d? Ich.cU D l.et.rioI09Ic.'

D Ch.mic.1

An.ly.i. by: D AI. 6.01. Surv. D AI. H..lth D.pt.

D U.S. 6.01. Surv. D Priv.t. l.b.

Si9n.d:

·For d••per well pl•••• attach continuation .h••t.

~ADEM Form 60 1/83

~'x REPORT OF DRILLED WELL

> I \ IILv VI7n""o.l(JL~ Ik--!J..t ,lAd; /XV ,~~) rrti:\ Y 7J,O,YJ /~"l="-tC

Address lmaifingl/ / Zip Code

T.llJJ ,;(,.~ other reference point


supply ~ CJ

Public supply

CJ Industri.1

supply

CJ Test well

~:£: startinQ d.t.

Jr Drillin", method: Icheck)

c::::J Irrigation

~too'

~ Jett.d lored

Other:

Oth.r:

_

" 02/t) /' .....-:'."'m:":e7t+-o:-z-"'w':;el"1 Eltim.ted

~ d.pth

. . ~ SIGNATURE 0 Ordllng Contractor

Total O.pth c:<. () 0 I Compl.tion Oat. 7 - 2 _11:r-


WELL LOCATlON.:< • ~ S.tt 'i.S.d;"

Intar. "al

n ~ ~{/

:/Ifd /.1'0

I'q"

O.scription oj cuttings Inter· O.scription"al

~ (",fCu , III I"~~ r.e ~ C/".L ,.J

:2,'"1 <;*J. t""j ~ "C' - ~ .I'

L. ~t1 P-...f,." c::71Q...J. j'(~O ('_"n~ # ~. ;.,. "I OA. fJ 0 ,~y.- ...L1. - ,~1!Ie-. f.lt./-

of cuttings Compl.tion d.t.: r.port d.pth~.IOW ",round I.vel

A. ~yp.: o Turb~ubm. ~~; Oth.r:E :l

A Int.k. d.pth ~~ H.P. -Yi.ld .L T.st.d by: 0 pumpln", 0 .i~ nOn.

~ 'u

...••sur.d St•.tic W.t.r Lev.1 ft.

• .....sur.d pumpin", l.v.1 ft.•ft.rA.

~• a0 hrs. pumpin", ",pm

;>~D.v.lopm.nt tim. prior to- t.stin- Ion.

",pm

t.op.n hoi. 0 Scr••n.d

~ nt.rv."s) scr••n.d: .II:..'c to ;u:

P.ck.rls) s.t .t

o Slott.d pip.

to

to

.nd

o Gr.vel pk.

ft,

ft.

ft.

Scr••n: dl.m. ; Si.. op.nln,s

Int.rv.1 c..s.d

~L"

DI..m. IInch.sl

/Lfl T

"Typ. 'TYpe.",,I'DiD. co~AItin

LJtA- tA/

Int.rv~ ,rout.

",

III II:'w• ·Couplin",s:0

I Thr..d.d I Thr..d.d I Coupl.d ITICI W.ld.d IWI coupl.d I w.ld.d ITCIW)

Oth.r:

"Pipe: II..ck; PVC; G.. lv.; Oth.·'--

W..t.r .....lysis obt..in.d7 (ch.ck)

~o o l ..ct.rioI091","1 o Ch.mic..1

l•::0

G An.lysis by: o AI.. &.01. Surv. o AI.. H••'th D.pt.

o U.S. &.01. Surv. o Prlut. I..b.

Si9n.d:

·For d••p.r w.1I pl......tt.ch continu.tion sh••t.

ADEM Form 60 1/83

, ,2.4 ;. t IIbIIIlI IIII! ,.... ... ~45Lf REPORT OF DRILLED WELLx Il2t OttnJ.cf Y- M.11 /k,/ ~~[fb5.39J1J/

DRIl.L1NG CONTRACTOR .. -..: License Num'ber Addreu I Zip Code Date

<?& ,..

Add".. Im.m.,> Zip Cod.

-~'k3 fin ~ k1l WELL LOCATION County Section 'I. Section Townshio anae ---or:

community, road junction or other reference point

c::::::J Indu.trial

.upply

c::::::J Te.t well

6-/~-gJ,./ Drillin9 method: Estimated (checkl sta rtin9 date

c=J Irriqation

.~OOI

~~ Bored

~.."

Other:

'r ItJ / Diamf)er of well e-stimated

depth

~~ SIGN REOfDrilling Contractor

_

Tote' Depth 3 7S ' Completion Date ~- /9 ~sf:'s-

WELL WILL BE USED FOR; c::::::J Public .upply

Completion d.t7"0rt depths below 9round le.erIntel'· I Desc,iption of cuttings I Inte,'. Desc,iption of cuni'ngsv. ~ va

o Turb. ~hm. 0 J:1;0 Cyt:: Other:

... Ilnt.ke depth ,La.,. if!r= Yield ~ 9pm~ '1-rM~~1qas---- IP-'Tested by: o pumpin9 o air 11ft b bailer 0 none

, ~ :. Me.SMred pumpon9 I..el ~i£ ft.•ft:;I~31'~ I~ ""'~'~~'.W.'~'" · '$ 9pm

hrs.=5 -?..-r- l:y;\= ~T-g;;z<1 o_••?:::::::::,. o Gr••el pk.o ?!o=~ii ~ - I ~Open hole 0 Screened 0 Slotted pipe

~: ~~ =-===:"2=~U?i;V •~ ,..~."., K"....'. • ft;1 = 3? S- 'f ti..h~ ~ to • to ft·1 Packer lsI .et at andl ft.1

Sc,een: diam. : Si.e openin9. _

Tiiter.-ar /' c.sed

"Type 'Tvpe'nter••1 I DI.m. DiM co/pUn9s I arout.,.....-IInches)

_IA../P-t/(~ ~o'l {/'~ ~

"'I----'----+---I----j-----t--------i

J "Couplln9S: Threaded' Coupled IT.CI Welded IWI .. -. - ~-~- . Thre.ded • coupled. welded ITC'WI

OAf, II/V' Other: _t I 7J ~trr ~~. $ I

f'JJ'" .•J Tr ·Pipe: II.ck: ·PVC; G.I•. : Ot~~IJTV

Id' W.ter .n.lysls l('No F obt.ined? (check) o l.cterioI09iC.'

o Chemic.1

o "'I. Geol. Sur.. 0 u.s. &eol. Su...S I I /1, -''';'~' D "',. He.lth Dept. 0 Prl••te I.b.

Si9ned:

·For deeper weU ple.se .tt.ch continuation sheet.

ADEM Form 60 1/83

I

-~ -_....

J9!b Zip Code Date

Zip Code

WELL LOCATION

REPORT OF DRILLED WE~

II. Section Township Range - --or:


WELL WILL BE USED FOR: 00 CJ c=J c=J Prlvat. Public Industrial Te.t .upply .upply .upply w.1I

c=JIrrigation Oth.r: --__

c2m/Drilling m.thod: c!ftJ00I E.tim.t.d<:L2:(~-c9 Ich.ck) ohr

st.rting ••d d.pth d.t. Bor.d Oth.r: _

Tote I Depth .:JA...O"--' _ LL/-/.yr-?2Completion Oete 7'

Inter- Description -of cuttings Inter. Descriptionnl val

~ ~O ;<JLA_ HII J'.AdJ.-#- tt!/ - ./J ~-~

J,(b r~ .f'A& ./ V AD /10 3) L';~

/0., I«or ... L~' 1..& ~ 'rS'AG/Lc-S AAld

l«r /qb S6IA~E /tk 'J&LJ ~;AJ~ .rAu. V.

of cutHngs Compl.tion d.t.: r.port d.pths b.low ground I.vel

A. yPll' o Turb. ~m. 0 J.t 0 Cyl:: Oth.r:E

d.pth L~/H.P: 2''l.-yi.ld ~::I A- Intak. 'llpm

r.st.d by: o pumpin'll o .ir lift o b.lI.r o non.

~ M•••ur.d St.tlc W.t.r L.v.1 /. 'Z5" ft. 'u 7:2-' ft.•ft.r• M•••ur.d pumpia'll l.v.1 A.• 'Z--- hrs. pumping ~2-u gpm

DeYeloom.nt tim. prior to' t.sting hrs.

K.Open hoi. o Scr••n.d o Slott.d pip. o Gr.v.1 pk.

.c.. '£: LL

Int.rv.II.1 scr••ned:

to

P.ck.rls) s.t .t

:

.

to

.nd

to

ft:

ft.

fi.

Ser••n: di.m. : Size open1"91

'nt.rv.1 -ased

/EY-'

DI.m. IInches)aN --,

·Typ. DID.

fJVIt

yp. couplinclS ,

LA../

Interval Grouted

~ -

01 lC:.;;•U ·Couplin'll"

Thr••d.d I Thr••d.d I Coupled ITICI Welded (WI coupl.d I w.ld.d ITCIWI

Oth.r:

·Pipe: BI.ck; PVC; G.lv.; Other:

W.t.r .n.lysis obt.in.d? (ch.ckl ~°ct.riOI09iC.1

o Chemical

I•::I C) An.lysls by: o AI. G.ol. Surv.

o AI. H••lthD.pt. o U.S. G.ol. Surv. o Prlv.t. I.b.

Sign.d,

·For d••p.r w.1I pl•••••tt.ch continu.tion sh••t.

ADEM Form 60 1/83 ~,

<7'/.'''''-"J;;

I'V\ I '7'\.\

t

rn t. fJ/La ~ CY,/It.dk-, IltJ j.-02SDRILLING CONTRACTOR License Number Dete

~ AdClress (m.i1ing)

WELL LOCATION

WELL WILL BE USED FOR: c:J c:::Jl,iSJ IPublic I Indu.trl.1 T.st .upply .upply .upply w.1I

c=J OtIl.r: _Irrlll8tlon

~/~-7r Drlllln, m.thod: Cabl. tool <-Sr! :__~" ...:!17JJK' __Eitlm.t. E.tl"'.t.dIch.ckl

.t.rtln, d.pth~ Oth.r:d.t. Bor.d _

Totel Depth 3 " C> ' Completion Dete q - .::L I - 2.c Intelr. I Description of cuttinllS I Intelr. I Description of cuttinlls Compl.tion d.t.: r.port d.pths b.low ,round I.vel va • _ ve •

I ,/

~. f liP t~. - ICJ~ ~ ~yP.: - 0 Turb. lE"'Subm. 0 J.t 0 Cyl:; Oth.r: I 1) n .. " . <Ci J. S T" e:1 e.-".. C:l. t? Ilnt.k. d.pth ;;;()() ( H.P. 2/4- YI.ld ~ ,pm

T.'t.d by: !B"Pumpin; 0 a~ Oberl.r 0 non.

I =S hI.asur.d St.tlc W.t.r Lev.1 ft.f 'L7 f-L......JiI!~~L¥-;..!o=::....--....::l..:~-~4_..!!:!:::!=~4_-......::L.£~I!::]~t-------~:t t.4.asur.d

k mpin, l.vel8'.5 ft.•ft.r

f-tI....!II~~~¥~:-----:~~~~...jl!!!Ie..~lf-------------...: ,;).;:,-. h... pumping /0 gpm0 O.v.J(lpm.nt tim. prior to t.stina ;;.. hrs.

I~.., l) I _~ J D ~ J... U.. 1_. ~Op.n hoi. 0 S.r..n.d 0 Slott.d pip. o Qrev.1 pk. I~//)T~~n-~ ~~ ~~~ Int.rv.II.1 .cr••n.d: to 'ft,

.z:

I I 1 1-------1J IPeck.rl.1 ••tt° ; .nd to ::1 ot

Scre.n: dl.m. : 51•• op.nln'. _

Intarval"Typ.Diem.Int.rval -"'YP. pIp• couplin,. ,routed(Inch••)••••d)000 •

Th~A(I" 7Ye:. 7lJg: ere r:: I.:J..JV·!am Ii l""ifl!...

("'C := ..0 ---

-'00 ClO

;Z g: Oth.r: _

~ "PI.p.: BI.ck; ~ Q.lv.; Otjlar:-.s W.t.r ....Iysh I!fNo obt.in.d? Ich.ck) 0 B.ct.riologlca'

o Ch.mleel

I I I I If0. I An.ly.l. by: o AI. Q.ol. Surv. 0 U.S. Qaol. Surv. o AI. H••lth D.pt. 0 'rlv.t. I.b.

Si,n.d:

"For d••p.r w.1I pl•••••tt.ch continuetlon sh••t.

Dlame


~

Townsllip

point

R".ng. ---or:

c::J Te,t ..ell

WELL WILL BE USED FOR: [::=J CJClJPrlvat. Public 'ndu,tri.1 ,upply 'upply ,upply

c=J Other: _Irrivation

LJ -JO-g ,/ <La 367)'Drillinq method: C.ble tool7-~.. .. ~ trr01(checkl Em:>starting Jetted

date Other: _lored

SI

Tot. I Depth ~~ 0 ' Completion Date if ;;, <;/ -I? y Inter I I IDescription of cuttings In::r- Description of cutHngs Completion date:.;eport depthl belOW qround level v.1

<I"~ (/C{ C-Iafj~ .se-f I Iltype: 0 Turb. ~bm. 0 Jet ECyl:; Other: I SG" S~ Cl \/ rf. Intake depth;;J.<{<J H.P. ~ Yield S- 9pm

~-=:....-l---=;::....!!.---'-~~-=::::,....---l~.:p....;::.=T__F~..:.:...c.:::...:;(.;,.~---------_1Tested by: PUmpin9 0 air lift 0 bailer 0 none

i---!~L+--.!.....:.~---!J<....!~d..:::::....::~~..p..!::l..~=t_------------____i hlealured Static Water Level ft.~ ~" 0 'v ~/O1--..::.L~.j.....:L.:L_---',.}..~~~.k:.._+_~-+------------____i it hlealured pumpin9 I..el ft. after

I--....:....~.J-,:~:..=...----=~:..k.~..,....:----:=-~~-='+------------____i ;;; /0U hrl. pumpln9 9pm

Development time prior to' testinCJ ...3 hrs.

ffi-i L. <- 'i oS T S ~cLj I I Ir&' Open h~ 0 Screened o Slotted pipe o Gr..el pk.

l..!l "" .3 /0 .5 ""- ttJ.JZ..3/0 I.}.;-l) ..jr~ IS~t ljl,ntervellilicreened: to ft:

'3 SO :3 '" 0 S J... a... lor<- .!: : to ft.to1 ----------_ .... Packerl,1 ,et at and ft.1 Screen: dlam. ; Size openln91 _

Ull-----+-----+-----I-----+--------i

I I I I ,j Other: _

·Pipe: Ilack; PVC; Galv.; Other:

W.ter analYlil ~ obtained? (check) o lacteriol091cel

o Chemical

I I I I 1';.. " AnelYlil by: o Ala 6eol. Surv. 0 U.S. 6eol. Surv.

I I I 10- o Ala Health Dept. 0 Private lab.

Si9ned:

"For deeper ..ell pleale attach continuation 'heet.

ADEM Form 60 1/83

.' ~

~ ~ REPORT OF DRILLED WELL I ~

~D<mol~'-~hL /l!tJ~-~$ 3~301 /tJ.-J~~L DRILLING. C.ON Number f Address lip Code Date r .. TRACTO~"liCense ';;f~ ~ Rr.-H./ h~ W~iJ ~d

t7 lip Code

fin JYv WELL LOCATION • County Township~ Section .,

I

junction or other reference point

WELL WILL BE USED FOR: lY=J [:=J CJ [:=J Private Public Industrial Test supply supply supply we"

c=J Other: _Irriqation

l(~('(-gv Drillinv method: ~tOOI D,amet1'o,':e" 4:e~ IIcheckl Cltar

startinv depthJet ed date Bored Other: ~

W;ATUttott-.jE=&-~j50S0""-"'V~ Total Depth if"0 I Completion Date It) -~£ -EV

Inter- Description of cuttings Inter. DlKcription of cuttings Completion date: report depths below 'ilround level

val val

0 ~f) rJIlL-.. f:::/ ~ tL-v4 ,L... ~ ~ Q. ype: o Turb. ffiubm. 0 Jet~ Cyl:: Other:E

-~f) Nfl I I ,';".,6f. sf" Qh Sf )i£" rI " A- Intake depth e;u;:t? H.P. Yield S 'ilpm ~ D' In ~ I"L- d Tested by: 0 pumpln'il 0 air Immiler 0 none 1ft) IA" 5' I!J.--. d. 1.1 ~ V--d IfoO ~J~ IJr~u ~ Si.h J. ,~ Sa.-c:l ~ Weasured Static Water Level I ft.

'u Weasured pumpin'il level 1.112 ft. after

G/le .:2~O Sz...",O ..

.1 Q... d hrs. pumpin'il LO 'ilpmb1?'>O .r.2. cS--Z::> <?A. ...1_\ It 0

Development time prior to'testin'il' ...:3 hrs • ~j'" ,J.-,O C",..~.... ~ ... , ~~~- <~~d ... t LJ_ L./

l,..t 7 () .'300 I'J-o(,fc ~ ~ t.. Uc.. ~ Open hole o Screened o Slotted pipe o Gravel pk. l":lon ~ LO C;-'- .....". . ~ rJ-1':'=l2-11 1..,/ l..--O I:Lc.. .J. -I-

Interval fs) screened: to tt:l6 Aa..i J:.

II.IUJ tkJ.!j ~.;.. r"'. <L2.-. 'c to : to ft. u::

'¥(f~ ~ '.'/£.,,,,,, r /'l',-~~ IL C ... do. Packerfsl set at And ft.

-. Screen: diam. : Size openinVI

Interval Diem. °Type 'Type Interval cased IInchesl pipe couplinvs Gcouted

..;z ...t I) , l£. It PI/c. _ IA} L/OJ1~

IlJ' c.;;..

°Couplin'ils: Threaded a Coupled (TAC) Welded (WI0 Threaded a coupled a welded (TCaW)

Other:

°Pipe: Black: PVC; 6alv.: Other: .-

Weter analysis l5':a°cteriOlO'iliCalobtained? Icheck) o Chemical

..- ... - ~ ~-.t -F /7/-' 1-1 2 ..rTQ ~ ..

" Analysis by: o Ala 6eol. Surv. o U.S. 6eol. Surv.

"" II U' () o Ala Health Dept. o Private lab.

SI'ilned:

°For deepar wen please attach continuation sheet.

ADEM Form 60 1/83

'EStimated depth

DI. ter 0 well

_

12.1

Range - --or: 342

Townlhip/I;V

, or other reference point

WELL LOCATION

"pr/ ~P.t~ '"t:/~ I ~~.. ~ 3~30S- 311i/9{:,

WELL WILL BE USED FOR: ~ c::::::::J c::=J c::::::::JPrivdite Public 'ndustr-iclJll Test supply supply supply "'ell

c=J Oth.r: _'r"ri9ation

O,.illing method: Coble tool "" /9.0lcheck} Rotory

Jetted Other:Bored

Total DePth_-t/~~%?"""-Date

.... _ Completion 3/1S-j9{>1

Inter-Delcription of cuttingl Inter-

Delcri ption of cuttingl Compl.tion dat.: r.port d.Pth.~w 'ilround l.v.1val val

- A. ~yp.: o Turb. 0 Subm. ~ 0 Cyl:; Other:E

~- ·~O )0 p.., I- "'"-...: \. j :I Intak. d.pth lft? H.P. / Yi.ld Laa.. 'ilpm

/ T.st.d by: o pumpin9 o air lift 9 bail.r o non.ILEt) 'Jf; _<:" D ;c:> /8~ ""'''.ur.d Static Wat.r L.v.1 ft.

'u 3'0I?S'1-//J7J c". J _-vJ /n . .. ""'.a.ur.d pumpin9 l.v.1 ft. aft.rA... .:::J:=- hrs. pumpin9 ~S--/ 0 9pm

Dev.lopm.nt tim. prior t~.stin9 ~IJ/JO- I.~l) < /I ,,, hrs.

o Op.n hoi. ~r..n.d 0 Slott.d pip. ~.I pk. I/r~ I- Jf(I/') - C II

Int.rvall.1 .cr••n.d: /80 to /91!> tt:, ..II: •.. /5ln Jq/l - c:::::::: .V ~. OJ¢'

"~ to ; to ft. u:

Pack.rl.1 ••t at and ft.

f .blEScr••n: diam. : Size openin91

fntarval Diam. "Typ. "Typ. Intarval ca••d IIncha.) pip. couplina. arouted----'

Ig~ q..4 ~e.. //1/' ,. . Ul C

";;;.. "CoUplin9S: Thr.ad.d I Couplad ITICI W.ld.d IWI0

Thr..d.d I coupl.d I w.,d.d ITCIW)

Oth.r:

"Pip.: lIack: PVC; Galv.; Oth.r:

Water .naIYli, ~'I'obt.in.d? (ch.ck) o act."o 09,col o Ch.mical

I.. :I Analy.i. by: o Ala G.ol. Surv. o U.S. G.ol. Surv.()

'0 Ala H..lth D.pt. o Private lab.

Si9n.d:

"For d••p.r w.1I pi.... attach continuation .h••t.

ADEM Form 60 1/83

x •


PROI>ERTY OWNER V 0 . Addresl"lmailing> I Zip Code

,

~ 2.8 TI/N f(3W WELL ...LOCATION.. County Section 'I. Section Township Renge - --or:

community, roed junction or other reference point

WELL WILL BE USED FOR: ~ CJ CJ CJ Private Public Indu,trial Test ,upply ,upply ,upply ..ell

c=J Other: _I rriqation

!:tIl I 1n" TOO

~_. , .......

:2..60"'2-1 '8 Drillinq method:

t:nlmated startinq E.tinlated Icheckl

depth date Other: ---=-_

n~~~' ( SIGNATURE of Drillin9 Contrector

Totel Depth 2-60.# C.m,'.H., D... ?-,kj., , Inter. D • t' f +t' Inter. D" f • Cit' d d h bidvel escrlp Ion 0 cu ,n9s vel escrlptoon 0 cutton9s omp. 10. at.: r.port .pt I • ow ... rou. I.vel

12 c::;;:~ ~ ~ I'U... Q. ~yp.: 0 Turb. 4~Subm. 0 j 0 Cyl:: Oth.r: 1

4fi ""' loot~ PI'I,. 'IV -'I ~ ~ I.tak. d.pth /"};O H.P. ~ Yi.ld IQ ...pm

l,.'1.JD fI':: 'l-i4.4. II' Test.d by: 0 pumpi.... 0 air I~ 0 b.iler 0 .0•• '7-JI..c.;> .~ III <20

... ," . -'t-. ~ "'u.ur.d Static Wat.r L.vel Q ft. ~ ~~ r r~ 'u

(/ ~ ..... ,ur.d pumpin... l.v.1 ft.•ft.r

o hrs. pumpi.... ...pm

I----+----------+--+-----------~ D.v.lopment tim. prior to- t••tin... hrs.

o Op.. hoi. "f-- Scre•••d 0 Slott.d pip. ~ Gr.v.1 pk.

Int.rv.II.) scr••n.d: 'k(O to 2-~b: ft; ..I:

f---+----------+----+-------------I .~ to ; to ft.

f----+-------------+---+-------------------1 u:: P.ck.rI.1 ••t at end ft.

Scr••n: diam. "f= II ; Size op•• i ..... • 0 10

I I.terval Di.m. ·Typ. 'Type l.t.rv.1 cas.d II.ch•• ) Dip. couplin.... qrout.d

o·~/o ~,( f) Ie- ' I1Cfb-2t'.a 7J:11 Ii,e"...

f-----+-------------+---+----------------1 .r I-----+---+----t-----+------i .. o ·Coupli...." Thrud.d I Coupl.d ITICI W.ld.d IWI Thr.ad.d I coupl.d I ...Id.d ITCIWI

Oth.r: _

·Pip.: BI.ck; PVC; Galv.: Oth.r:

Wat.r analYl1s 0 No obtai••d? lch.ck) 0 Bact.riolo... ic.1

o Ch.mical

f------+-------------+---+----------------1~

0...

A•• ly.i. by: 0 Ala G.ol. Surv. 0 U.S. G.ol. Surv. f----+-------------+---+----------------1 '0 Ala H.alth D.pt. 0 Private I.b.

Si.....d:

'For d••p.r w.1l pl.as. att.ch co.ti.u.tio••h••t.

ADEM Form 60 1/83

til &it ilK t.t b J2i.S£t.Lh .... '"'eX ••,._)$ .qs. i, it f! ".,.,. .• "'t::


/.11) 3' \IV Township Renge - --or:'I. Section

.,

Ad"re..

~WELL LOCATION

Distence and direction from nearest town, community, road junction or other reference point

)( WELL WILL BE USED FOR: rYt c::::::::J c::=J c=:J~ Public Industrial Test

.upply .upply .upply well

CJ Othe" _Irriqation

Drillinll method: ~tOOI~~L¥l9l/ EO~" ., 36~' E.timeted(check)

startinq depth.tted det. Bor.d Oth.r: ----

3 b~tf~/- _ /;J. / 7J;? ~/Total Depth Completion Date

I /

.~.-'.1

Inter..a I /)

1.,Uv-J Ilj

I t;:--t;;'

J~" 7.,.(j

~/AA "'l6L'

?~C oJ#,

Description of cuttin9S Inter- Description of cuttin9s ..a I {(S'( r Ja-. ""{ < .-:.......rt

<\L-U,I.II ,..

I.-r- I . " 5 ' -""" T. Sf 12- 0 C. lAG

.01 " <:&...,... O.. J. "') ) ,'" c:':1~ d.-

"'/ArJ hv .<.t.-a.P1l-!)V~ J?" /J <;'/ -f

Q.,. c <L,../J

-::;1-/!. I f /" ~ <::~cl <"-f IOn...L_ 7

I 7J

Do E ::I

A

~ 'u•Do•0

..c:..'c Lt

Compl.tion det.:.:eport d.pths b.low IIround 1•••1

ype: D Turb. er'5ubm. D J.t D Cyl:: Other:

d.pth IU g-// Yi.ldIntek. H.P. 9pm

Tested by: o pumplnll o eir 11ft . 0 bell.. o non.

M..sur.d Stetlc Wet.r L•••I /I? ..... ft.•/..fbM..sur.d pumpinll 1•••1 ft. eft.r

~ hrs. pumpinll e...s:--= IIpm

Dev.lopment time prior to- testinll C?:>, hrs.

o Open hole j(J Scre.n.d o Slotted pipe o &revel pk.

Inter..II.) screened: to ' A ........ .... .. -:3 ~ 0 -<(J ::> ""¥4.

Peckerl.) .et et ={) ~ rJ!. I.... _/.6 ..

~ r" LJtLt;.;; ... ' - ...:> I (!jI.J£Scr••n: dram.· Size openinqlI

Inter.el cased

~A' ~~,.

Dlam. (Inches) /~N

~'II

·Type ype olDe couplin.s

tt/ J•PVc. .... IA/

Inte~.:;... arout

~----./

go 0:.;;•0 ·CoUplinlll: Thr.aded I Coupled (TICI Weld.d (WI

Thr..ded I coupled I welded ITCIWI

/ ... ;Z ,r JlAI _ ~ LJ.I. ,. t./~Other:

.PiPe/lla;k: Pv/(X f::: ~h 6~<;;,e~ W.ter analysis obteined? (check)

~o o lecteriolollical D Chemical

~ •::I I> Anelysis by: DAle &.01. Sur•.

o Ale Health Dept. o U.S. &eol. Sur•. o Prl.et. leb.

Silln.d:

"For deep.r well pi.... ettech contInuation sheet.

ADEM Form 60 1/83

a au .Jt& p n 4) ,it ...

112~/~ OR"ILLING CONTRACTOR License Number£ ' Address. - Zip Code Ofte I

'~4'1~ ,?', /?nrv-ZZZI ~,t~ .?~9LI PROPERTY OWNER Addren (mailing) Z,p Code

~ ~ UP :aid WELL LOCATION County Section If. Section Township Range ---or:

'A Distance and direction from nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: c=J CJ c:=JG Public Indu.tri.1 Test .upply lupply .upply w.1I

c=J Irritation Oth.r:

Drillin, m.thod: C.ble tool /s?JDlamfl::w.11 e.timat.d(ch.ck) Rotary

d.pthJ.tt.d -~

Bor.d Other:

Total Depth Completion Date/0--- 1;12.7 I/Q3

Inter- DescriptllHl of cutti"ts Inter· Description of cuttings Completion d.te: repOrt dePt~ow ,round levelvel val

I/)-J~ ·c-'O.A of < l ~ !Type: D Turb·l:ubm. ~tlJ.r':yl :; Other: & '" CL. 'nt.k. depth ~ H.P. ,--- Yield ~,pm

/',,1:} ,3.S- /,/ ~ e.//. /h .J -/1 J '-...l Te"ed by: D pumpin, 0 .ir lift IItJ b.i1er D nOne

~ Me..ured St.t;c W.t.r Level e:fill ft. .':i.t,":. I Z" _ ~.J!. f).. ~rz..,.-;( ~:;;I-- 'u .30I· .. MUlured pumpin, 'evel ft.•fter

Il... ..z..-.. hrl. pump;n, ZDJ.:J..o 12~C; < JJ_ sJ. ~ 0 ,pm

.z....::::Development time prior to- testin, hrs.

/2~ J I.j ~- ' ~ ~. '-../ ~hole D Screened D Slotted pipe D Grovel pk...., 'nternlll) scr••ned: to ft;

~ 'iC to ; to ft. L&:

P.ckerlll let .t and ft.

Screen: di.m. ; Size openin,.

Interv.1 Dlam. "Type "type I~:::r-c..ed Iinche.l DiDe couplinas ar a

I rIJ:; 7L 71',. /L/ /' ~

,

DO

.~.. °Couplin,s: Thruded I Coupled ITICI Welded IWI 0 Thruded I coupled I welded (TCIWI

Other:

°Plpe: BI.ck: PVC; 6.lv.: Other:

W.ter ...Iysls ~o obt.ined? (check) o l.eteriolo,IClI

o Chemic. I

i.. '" G- An.lysis by: o AI. 6eol. Surv. o U.S. 6eol. Surv.

o AI. Hulth Dept. o Prlv.te I.b.

SI,ned:

°For deeper well pluse .tt.ch continu.tion sheet.

ADEM Form 60 1/83

J, IIII!!I!!II!III • ..c'" - • • ?--B

Date

point

c=J Test

,I11S 59Jbl r Zip Code

c=J Industrial

c::::::::J Public

REPORT OF DRILLED WE,LL

~ Address

~/!b License Number. .

~

clJ Private


WELL LOCATION

supply supply supply well

~ Other: _Irrigation

4-;;5:.%10 _

'f R?711 /'Drilling method: • Cable tool

Estimated(checkl depth~

Other:Bored

Total Depth Completion Date 9 - ~ ,,.gb42 (0 ' Inter InterDelcription of cuttings Description of cuttings Completion date: report depths below IIround level

val val

:- ype: 0 Turb. ubm. 0 Jet J;J Cyl:; Other:

,r. Intake depth,;;lta? H.p. ,*;y Yield ...s;-- IIpm

Tested by: 0 pump;nll 0 air lift 0 bailer 0 none

r .- /?t2~~~~!t~+=~:~~~~~~=~~~~::=~=~~~~=~!==~~~~:t~:~~~:========================J1:i

I LOft.Mea.ured Static Water Level

f-!~~Y-:*~~~-..J~~~~:f!l~&:::....~i}~o...~::""T'"----------J 2Measured pumplnll level ft. eftero ~hrs. pumpln9 /0 IIpm

Development time prior to'testln:.3 hrs.

~Open hole 0 Screened o Slotted pipe o Grevel pk.

to ft·I , I I j~ sc::ened: ----;~~~~~~~~~=---l:erveIlS) to ft.

'ackerhl set at -' Ind ft.1

Screen: diam. _ ; Size openin91

InternlInterval OJam.IInchell

·Type DiD.

'"TypecouPIinQS/ Qroute~caled

'ail II ~,Nlpa;. 7A7 ~ ..}~..~f.')l~~'

~f-----l----f----+-----+-------I ';.. o

Other: _

·Pipe: lIack: PVC; Galv.; Other:

Water analysis ~o obtained? (check) o aaeteriol09;cal

o Chemical

I I I I I;;.. Analysis by: o Ala Geol. Surv. o U.S. Geol. Surv.

I I I I to o Ala Health Dept. o Pr'vate lab.

Sl9ned:

"For deeper well please attach continuation .heet.

ADEM Form 60 1/83

V 5?J5REPORT OF DRILLED WELL

Date

Zip Code

3W ir.nge - --or:

point

J.LeI ~ 0-: J n-, 5 J '7 - '" Zip Code

, County

c1c~relS

g-WELL LOCATION

t.I...u. ,6-" J(\ / //c--_Llgna,J{) 'f ~ _- - - .".

WELL WILL BE USED FOR: LtJ CJ c::::J CJ Privale Public Indu.lrial Te.I .upply .upply .upply well

c=J Olher: _Irrigation

I 0 - :J.. -ffJo DrillinlJ melhod: Cable 1001 eSTimated (chec.1 .-a"arlinlJ Jetted date Other:Bored _

~/' ----e-.limatad

deplh

Tote' Depth a " 0 ' Completion Dde / tJ.. .3 - kl-z

Inte,'. Desc,iption of cuttings Intel'· Desc,iption of cutHngs Completion date: report depth. below lJround level ve ve _

D ~.C;- c1cv.-.... ~ ype: 0 ~m. 0 Jet _Q.. Cyl:: Other:-=Turb.

.a ~ ~ 0 < l- /141'10". I~"'" 1 ~ rf. Inta" depth ~ H.P.Y~ Yield.s- fJlpm

un ~ .. ;;, --- - - -- I.. _< '-= -.I Te.led by: 0 pumpinlJ 0 air lift 0 bailer 0 none

I.i r , ... a fJ 0 (...k.... ~~ - In .. / ~OI; (!:) A..U t:> 15.,..." 1':Ir.._ i :S M ured Static Water Level ft.

~ If I' A' «' .~ L _ •. ~ M ured pumpinlJ level /29: ft. after

2. .., ! "'!.., c.. D • £.1 0 ..::?-=hrs. pumpin9 /d-- 9pm

"'I '1 ~ ft'"O ,,1... I.l ~ Developmenl time prior to'te.II"9 .3 hrs.

~ ... or n r" .-:. t. n. D..II c:; ~cl (/ ~;- .vOpen hole 0 Screened 0 Slotted pipe 0 Grevel pk.

~ 0 ~ (_ ..... ~ C 100... ~ ( I ~ L. .... If .... '" . -, ..c Intervell.) .creened: to ft:

f----t----------+----f-....L..-----------1 .~ to : to ft.

I---+------------+---+----------------jil: Paderl., .et at and ft.

Scr••n: di.",. : Size openinv. _

'nterval Dlam. "Type 'Type Interval ~

ca.ed Iinches) ..i"e coupliJ,flll o,outecL..,,;"""

-!f '- J' U..." DI/r C-<./ ~ - , rl-----1----+----/-----1-------!

I---+-------------+---+----------------j 0'w I-=-.C:::"0-u-p-Ii"-n-9.-:--=Th"-r-e-ad-ed-...J,L-eo-u-p-le-d-IT..L'-C-I-W-e-ld-e-d-lIW-I-------l

Threaded' coupled' welded ITC'WI

Other: _

" ·Pipe: Ilad: PVC; Galv.: Other:

.5 ~ i/?~" ~ -I"lA Water aRelyais tr No obtained? (chec.' 0 lacteriol09icel

I / o Chemical

, ~

I---+------------+---+----------------j 0-• Analysis by: 0 Ala Geol. Surv. 0 U.S. &eol. Surv. o Ala Health Dept. 0 Prlvete 'ab.

Si9ned:

·For deeper well please attach continuation sheet.

ADEM Form 60 1/83

I

~1i~,..".i!J"""","<," ,$ S....,w's;" .Q,'..o .....~4;q;;1iJ $Sa: aw IF" t #,,&I;;;:w: 4 -C.\"....-..,... ,

.OR x

RTY OWNER

WELL LOCATION

WELL WILL BE USED FOR: ~ Prh'ete .upply

Q aupply

CJ Induatrie'

aupply

c=J Te.. well

c:::::::::J Other: _IrrhJ.tion'

,/ I(6~l.J;,g7 method: ~'Drillin'll ~ Eatimeted{check) ~Ier

depth"ertln'll Je ed dete Bored Other:

tot.I D.pth 3 (p 0A

b, -"' /1-8:1-,Compl.tion O.t.

In::r I D••cription of cutting. I I"::r I D••~ription of.' ~utti'ng. I I Compl.tlon det.: ~.d.ptha b.low 'lIround lev. I

yp~. ~ Cl~ y E3 d m·: 0 Turb. ~i riJ.t-»:: "Oth.r:

I, ~ < t,.,.I'1r. • (J 3 I .:. Intek. d.pth H.P. lIIpme3- Yi.'otL ~ q u. p~rr.:--.L--T<"L" ~ .. " Y'I' 0 =.,·s-F '. .r.ated.b : OPilmplnlll 0 elrllf.----cfbeU.r 0 non. o T~ S~ ~ .u........u ..." •••, :z.. l S- "..?l£2t

=l J _ '. ~ M..aur.d pump,n"'lI leY. I ~ ft. efter

'":;; -, -? ,,= =;~; h 5 ~ jJ~ ....;::':::t:"., 3 ':<

~/ ~»-'Lh=~£:a;f~ _. lIop• n hoi. 0 pip. 0 &revelOScr••n.d Slott.d pt.

l,nT.

Scr... : drem. : Si.. op.nlnllll _

Int.rv.1

"7Z" c...d

Int.rv.1 .-ryp. I "Typ.Dlelft. ..,.. coupllnllla • ..rout.~Unche.'\.

H I I I I I ~.l..a 'lo DUL? ~7...." glf----_+---+--:---I----~_+----__l

I 1 I I I~ i-=----~~_____:__....L..--------I Oth••: _

·pipe: Ileck: pVC; &elv.:, Othe.·

Wet•• en<ilYth ~ obt.,••d7 (ch.dl . 0 lect••iolotlcel

o Ch.mlce'

I I., 'I I ' IiG I An.lylla by: DAle &.01. Surv. 0 U.S. &.01. Surv. DAle H..rth D.pt. 0 ,.Ivet. leb.

-----

SI'lIned:

·Fo. d••pe. w.1I 'pl.... ettech contlnuetlon ah••t.

ADEM Form 60 1/83

~ Irriqation

Cabl. tool

x~ REPORT OF DRILLED WELL ~

Zip Code

-- <l I[ n 3" W-WelL LOCATION SectioD '4 ;h.iolt lP...,..hip Range ---or:

Distance and direction from nearest town, comm point

WELL WILL BE USED FOR; r---Y1 c:::::J c:::::J ~ 'ndu..rial T••t .upply .upply w.1I

Oth.r: _

//if /./i'O I1_~"H ~-ul'(~. .. I Drillin\! m.thod: E..imat.d(ch.ck) h-

d.pth Oth.r: _

Total Depth ".2-0 { Completion Date ~- J.j - t67

~ ~~

Bored

Inter- Description of cuttings Inte'· D!scription of cuttingsnl val

FJ 10 (,117f. <:~-~'Lr,N ,_cr - . J'r-. lIn k'~ ) ~ ;;:.. ~VJI9 fin "

. ,~ ..... a

lin 1'/ h (I ;('\ A A-L 0-, ~a _I r -

Completion d.t.: ~po't d.pth. b.low ,round level

E~yp.: o Turb. ~~ J.t? Cyl:: Other: ::I... Intak• d.pth I. H.'. Yi.ld ,pm

T....d by: 0 pumpin\! 0 air lift 0 bail.r 0 non•

.......ur.d St.tic Water Le••1 'r ft . ~ 'u• .......ur.d pumpin, 1•••lg ft. aft.rGo• ~... pumpln, ~ ,pm0

D•••lopm.nt tim. prior to t...=3 h...rOp.n hoi. 0 Scr••n.d o Slott.d pip. o &r...1 pk.

'nt.rvall.1 .cr..n.d: to ft· ~ '0; to ; to ft. u:

reck.r 1.1 ••t at and ft.

Scr••n: dlam. : Size op.nln,.

Int....1 DI.m. ·Typ. .TY~~, ~~ c•••d flnch••1 01.... coupl • J ~., UI' ~ t;o VV' ..,,, , .~

.,...Ow• ·Couplln,1: Thr..d.d I Coupl.d (TICI W.lded (WI0

Thr••d.d I coupl.d I w.ld.d ITCIW)

Oth.r:

·'Ip.: II.ck; rye; &al•. ; IItL W.t.r analy.1s ~o obtain.d? Ich.ck) o l.ct.riolo,lcal

o Ch.mic.1

~ •::I An.ly.l. by: o AI. &.01. Sur•. o U.S. &.01. Sur•.G O Ala H••lth D.pt., o 'rl.at. I.b.

·For daap.r w.1I pl•••• attach continuation .h••t.

Si,ned:

ADEM Form 60 1/83

Di'tance end direction from neere,t town, community,

WELL WILL BE USED FOR: uz:r Priyat. supplv

CJ Public ,upply

!/_Q-Y7Estim.tod It.rtinQ d.to

Drillin9 mothod: (chock)

c=:J IrriQation

C.blo tool

~ Jotted Bored

Othor:

Othor:

roed junction or

CJ Industri.1

supplv

_


CJ T.st woll

UtI 3~d/ - .. . .

Tote I D.pth 3 L/ tJ' Completion Det. II / / - t'7

_

rdor

\ / REP~~T OF DRILLED WELL

Zip Code

'/. SectionWELL LOCATION

4 f!J e ~ o'"h.. ~ qL ~ ~. ~t»v jkhS..... _. - - . - . - - -

D.scription of cuttingsIrt.::t I D.scription of cuttin!s I Irt.::t I I I Complotion d.t~t d.pth, b.low 9round lov.1

vP~ 'ti1- f1;fikiffi IS?b1? W.: 0 TU~ 0 J.t py. Oth.r: I . (1 <; ~ 'nt.k. d.pth H.P. Y,.ld .s-= 9pm

Test.d by: 0 p.mpln9 a .Ir 11ft 0 ~ 0 non.

~ ..... '.r.d St.tlc W.t.r Lov.I-=="T-r'' ft. 'u~:.....£.~L---':iil~!2::.J2.- ......,£~"_!_:l:t_.&L""";1~~~...::L.!!:::::::l.c:::::!:.-------.., : ......ur. umpin9 ley.I __.-;.....:+~_ ft.•ft.r

•O· ~•. p.mp'n9 9pm

~t..-=~--.::r:=~~:......t.L-_+..::;:2..~::::!~L~k:.....-------_l DOY.lo~lm. proor to t.stln9 .hn.

~p.n hoi. 0 Scr••n.d 0 Slott.d pip. o 6r.y.I pk... ______ft;

~I Int.ry.II.1 ,er••n.d: to

_____'ft.to ; to it _______'ft.'.ck.rhl ,.t .t and

Scr••n: dl.m. : 51.. op.nln9'

'nt.ry.I I Diem. ~ ·Typ. If Int.ry.1 ~ ~... cO.DII.., aroadMlf"'"c.,.d t Inch.,)

~7,,7 I lJ,1I " f!J?' lA.:Jl :7

g'1-----l----+----+-----+-------i I I I I ~ I-=,..-..,.,.....-=-----:-.....,....,~____:---:-=_=_:_:~----:~,.._---__;

Oth.r: _

·"P.: Ileck: PVC; 6.ly.: Oth.r: --

W.t.r .n.lysl, ~ obt.in.d? Ich.ck) 0 l.ct.rloI09Ic• 1

o Chemic.1

I I I I II•

An.ly,l, by: o AI. 6.01. Sury. o U.S. 6801. Sury. I I I I 1° o AI. H..lth D.pt. o 'rly.t. I.b.

SI9n.d:

'For d••per w.1I pi..,••tt.ch eontinu.tlon ,h••t.

ADEM Form 60 1/83

'r·

REPORT OF DRII.LED WELL '

Zip Code

,,"£J -C.w?~£ if ' Q' dJ Address

C-AIP6/duJ 7L/N .~3wWELL LOCATION County Section 'I; Section Township Range - --or:


WELL WILL BE USED FOR: g CJ c=JJ;Kl Indu.trial Te.t .upply .upply .upply well

c=J Other: _Irriq.tion ,. #// Jm!9Drillinll method: ~!~~OOI Diameter of well depth

Bored

[checkl ~ aJ:1Y~

Other: ~ -< 1~- _:r~ SIGNATUR?:>f Drilling Contractor

Totel Depth S rJ:O / /"IC.dl3 ~ .e :/Completion Date

1"::1" Description of cuttingsI Description of cuttings I l:t:1" I I I Completio. d.te: report de~.low llround level

ype~~ eltt 4 'A~ ~ : 0 Turb. ~. l(t.t~ Other: I I') ~ ~ / ~A.4 L r P"".t

m 6'r£. Int.ke depth _ H.P. iald IIpm

T....d by: 0 pl.1I 0 .Ir lift 0 .o.e

~ Me••ured St.tic W.t.r L.vel ft.

f-"r.....:E:l~t_"u:;~L.-----';;It Mea.ured pumpi.1I level -------.t..,C--.......~lZCQiL..IUf----+_----------------__l

o ~... pumpl.1I IIpm

DeveloPllle.t ti",e prior tote..i. h...

o Op... hop .0 Scree.ed ~ed pipe 0 Gravel pk.

J: '"ter".~{s! 'scraened: 3~1'_ to..3JilJ I ft:

I I I I I·:: ••..•J .'" , 'to,,: to ft. :,}~;,·:/·..t~ ".'. ,..

Pack,fti~.·, .. at and ft.I I I I I ~,;:, ,

Scree.: 'dI!Y"" ' : SI.e ope.;.I1. _

r~""""-.::J:jOL.--J-..~:.-~-I:.':..l..[£_+_"7~~.____I___++.."...-.~

I I I I I Jk~L~~~wa~~~f2I:#-~-Other: _

"Pip.: Ilack: PVC: Galv.: ~. . .' 7 _~"/'9 YP1l/ Wat.r a.aly." 'Ei" No

-, obtai.ed? ldl.ckl 0 lact.riolollicalf I o Ch.mical

A••lyol. by: o Ala G.ol. Surv. o U.S. G.ol, Surv. o Ala H.alth Dept . o Private lab. F4 I I&-~;;»

./ Silln.d:

-For d••per well pl•••• attach continuation .h••t.

1-jSff /fIcI{tJ ,A/..k: ,fqf~M/(~ P/II'e-ADEM Form 60 1/83

WELL LOCATION County

~~J!VJ5/klL-tff Zip Code Dete

Zip Code

'/. Section '\ TOW~ R~ge~-or: Distence end direction from nee rest town, community, roed junction Qr other reference point

WELL Will BE USED FOR: r--h CJ CJ c=J ~ Public Industrial Test supply supply sliPply well

[::=::J Other: _Irric;ation

_

Ir r?*t2 ,/Drillin; method:I-t?::-y# 1~1 well EI~:;~ed(check)

Itertin, ~ :Jetted dete Bor.d Other:____________ ~

t~i~~ Totel Depth ~ 2- () , I~... ~.s'*',..g P?Completion Dete

Inter Completion dete:.?" depthl below ,round levelIntelr- I Description of cuttings Description of cutti'ngsve vel

,....,1 / (j raJA

/i~ Go ~ype: D TU~ D J~:: Other: I :H?I ~ ~ ~ ..;10-...<::£ SF ~ oc.-(K ~ Iinteke dePth~H.P. r ,p",Yield

-,~ == 0 ,I relted by: '0 pumPi.-,,' 0 eTrTfftjiD,be none~o~E----Sa.....lJ-~ r 0 - -- '~_O 0 ~ -1)__ S ~;;:;L , ~ M..lured Stetlc Weter Leve' ft.

'S S~d....-·-L--=.J...~2..=--=O i Meelured pumpin, level r ft. efter .J~ ----- -------""""'- 0 ? hrl. pumpln'__........_ ,p",

Develop",ent,time prior to' testlnlJ ,hrs.3..! Open hole 0 Screened D Slotted pipe D Gruel pk.

S I I Il/;ervelll' Ic::ened:; to -t-o==========::

Peckerlol let et end ft.l

Screen: diem. ; Si.e openin,1 _

Dfe",. "TypeOfyp. v~~e.r~couplin6.IInche. ) i7~tun ftb :-1-------4----1-----+----+------1

I I I I IJ

Oth.r: _

.P1p.: I'eck; PVC; 6elv.: Oth.r:

I I I I I~•:I o

Wet.r enely.i. obtein.d? Ich.ckl

Anely.i. by:

~ o lect.riolo,i.., D Ch.",i..1

DAle 6.01. Surv. DAle H..lth Dept.

D D

U.S. 6.01. Su",. Privet. leb.

·For de.p.r w.n pI.... ettech continuetlon .h••t.

Si,n.d:

ADEM Form 60 1/83

REPORT OF DRILLED WELL ,'/. /?1c j)~td~~ tJ:u.L~ §P ~ ~s .1133/ k'..-?rr DRILLING CONTRACTOR License Number Address Det.

PROPERTY OWNER

WELL LOCATION ~ Distence end direction from neerest town, community,

WEll Will BE USED FOR: ~ Q CJ Indu.lrial Te.1

.upply .upply .upply w.1I

c=J Olh.r: _Irri9ation

Drillinll m.thod: OI??-ff a '" 41:11 ., rf(~/

r._ ... ~I:lnmated Ich.ck) "arfin9 deplhJ.tt.d date Other: _lored

Tote I Depth 1/:.2.0 I Compl.tion Det. £L--iT _

.

$

Inter- D.scription of cuttings Int.r- D.scription of cuttings Completion dat.: r~ d.pth. b.low IIround I.vel vel vel

0 ~O UA...-t t ~ype: o Turb. )f!:J!jbm. 0 JV~YI:; Oth.r:

'.:It) ..! .r S"h.n If 5rj ~..J. ::I... lntak• d.pth ~ H.P. Yi.ld ..r 'lIpml..r _ I I- 1', ~_L .... 5 k .... (lJ. T.st.d by: o pumpinll o air lift o bail.. o none '7,_ ,. ..2 .S-.r S"a...h, sr ~a-.~

~ M.a.ur.d Static Wal.r Lev.1 j.f (:) fl. b; s-s- ~.J,...O .5hD.1 'u 13 2. (., U 2., 0 sf-q \I shALt • Musur.d pumplnll l.v.1 ft. aft.r7-. N Q.

• ~fI. pumplnll /r0I IIpm

Developm.nt tim. prior tote.tinll 3 hrs.

o Op.n hoi. o Screened ~Io"ed pip. o Grev.1 pk.

Int.rvall.) scr••n.d: 10 ~;~

100:;&11 DVC( . .. '0: to LC

. , f

Peckerhl ••t al And tt.

Scr••n: diam. : Slle openinllJl

Interval Diem. "Typ. "Typ. lntervel cued IInche.' DiD. couDiinv Clroute~

~ gJl' 4ft ----pfJi5 LP , ".- .-' JUn~ ..:::1..-11 .LA J- /A/ ....-

gI c:-;;• "CoUplinlll: Thr.ad.d a Coupl.d lraC) W.lded IWI0

Thr.ad.d a coupl.d a w.ld.d ITCaW I cJ)• ..", I _L' C O~ ~ (.) -

Oth.r: f 1! ~ . :4::' ~/-y'lL..... , .. ¥.~

"Pipe: Ilack; PVC; Gelv.: Oth.r· .......

Wat.r analy.is ~o obtain.d? (check) o laeteriolollleel

o Ch.mieel

~ •::I <> Analysis by: DAle Geol. Surv. o U.S. G.ol. Surv.

o A'a Hulth Dept. o 'rlvat. 'ab.

Sillned:

"For deeper well pl.a•• attach continuation .h••t.

ADEM Form 60 1/83

lJPI -: 21 Pi if¥ L i",; "'. t . 2 tt, $$ ,S .• , = 4I{,;;q;;;:p '" ,$. ,. 1j:U ; .:.;en'" " \ "1\.'''' " ''1 ... ;~.''~ _J . ',." .

REPORT OF DRILLED WELL . , x Lbc DIh,wf....c.{) e:J-. 4~L"~ ~~ J k!'-S k-;J/""~ DRILLING CONTRACTOR Liceflse ~rnOer.. ~ Address Zip Co~e Date

Zip Code

WELL LOCATION 'I. Section

Distance and direction from neerest town, community, road junction or other reference point

WELL WILL BE USED FOR: CJ c::::J CJI;gJ Public Industrial T.lt supply supply supply well

c:=J Other: _Irriqation

/(ID ,~3-~~ oY/o/Drill;ntj m.thod: _L_--'

~am't.--,------oJ w.-II- EstimaTeaEstim.ted (ch.ck)startin9 J.tt.d

Bored

~OOI

~ ---,..d.t. Oth.r: ~ _ WU~

S NATU RE df'Dritf.ng ContractorXi Total Depth ~ I0 ( ~ - :<!/-£Q.!ooL-__Completion Date--....:;;,..-----

Compl.tion dat.: r.port d.pth. b.low tjround l.v.1 val • val

yp

Inter- I Description of cuttings I I"ter- Description of cuttings

~ 1ZJ (, Q 111 .' 51 s~§L: m·: 0 Turb'J)};i W":t Cyl:; Oth.?

U" .~ L....o. _... of Intak. d.pth ~ H.P. Yi.ld----1.2....- tjpm

T••t.d by: 0 pump;ntj 0 .ir lift 0 b.i1.r 0 nOn.

~r....~":-l!ll'::---Ir~,...---lI.L--_::::;:_"_t---.4~""'''+~..I,,;J;-'...,.jf_----------~=S ur.d St.tic W.t.r L.v.1 I~Q ft.

~ ur.d pump;ntj l.v.1 #~. aft.r

1-~~7t=s~-___:~L~'-...,;~--_==::1=?-I--=.::b~7~~~~:::SiII!::'--..::::IL.J:2:=-.,...J~1. d-=: hrs. pumpintj ~ tjpm

D.v.lopm.nt tim. prior to't.st;ntj, hrs.

#p.n hoi. 0 Scr••n.d 0 Slott.d pip. o Gr.v.1 pk.

Int.rvell.) .cr••n.d: to ft;

I I I I IJIPeck.rlsl ••tto.t ; .nd to ::1 Scr••n: diam. ; Size openinvl _

Int.rv.1 Dlam. ~c...... Iinch•• l

-TU7 crt "T7I '

I I I I I.r .. 1-:-~-,__-.!:-:--..,....__::1---,__~_,_-.,....-...!_:.,....---- ..... o ·Coupllntjs: Thr..d.d I Coupl.d ITIC) W.ld.d

I I I I I Thr..d.d I coupl.d I'w.ld.d ITCIW)

Oth.r: _

·Pip.: BI.ck; PVC; Selv.; Oth.r:

Wet.r .nely.i. ~ obt.in.d? (ch.ckJ 0 "ct.riolotjic.1

o Ch.mic.1

1 An.ly.1s by: DAle S.ol. Surv. o U.S. S.ol. Surv. I I I· I 1 o AI. Hulth D.pt. o 'rlv.t. leb.

Si9••d:

·For d••p.r w.1I pl•••• e".ch continu.tion .h••t.

ADEM Form 60 1/83


XA~e-/)~~ ¥M~ /{IJ ~~/ms ]£3o( '7-/O~U DRILLING CONTRACTOR f } _ License Number / / Address I Zip Code Dete

~ lid ~ rI~V,./i~ aL ~

WELL LOCATION

Distence end direction from nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: ~ c:::J

Public CJ

Industrial c=J

T.st .upply .upply .upply w.1I

c::=J Ir"rit·tion

Oth.r: _

1-ls-ggEstimat.d

Drillin\l m.thod: (ch.ck)

Cabl. tool ~

,: /tft)/

_ .. ~ ..I

starti'nQ ~~ date Bored

Oth.r: _

Total Dapth ! (j'0 f Completion Date Z-IK-8'? Inter. Description of cuttings '~:r- I D,sc:ription of cutHngs I I Compl.tion dat.: r.port d.pth.~ II round l.v.1val o :2 0 CIf1:::J 1§~c:1; - I ~ ~yp.: q Cyl:; I0 Turb. Eu:m. ~ Oth.r:

~o I I " ./ ~~~ . A. Iintak. d.pth H.P. / Yi.ld..b" IIpm

; I " 11¥0 .(teJ ~ I s-zr;;:;: §>: I Tut.d by: 0 0 air lift. 0 0 non.pumpin\l bail.r"" .. __ ..------------'-: ~ Measur.d Static Wat.r L.v.'..:3 ft. __________----J '1 MNsur.d pumpinll I.vel /;;1- ft. aft.r

I ----------- 0 3 h... pumpi.1I I d-- IIpmq;D.velopment tim. prior too t.sti.- .h...

~p.n hoi. 0 Scr••••d o Slott.d pip. o Grev.1 Pk'

Int.rvall.) .cr••n.d: _ to ft:l

I to :-----to ftI I I I l~ Peck.rl.1 ••t et ,Ind ft.

Scr... : diem.

I.terve' ce••d ~2. r

Diem. llnch.s)

I.£1T 7

: Si.. op.ninlls_

·Typ. I ·Typ. DiD. coupllpli'

PVIf~ UV -,.

Int.rval IIrout.~

~

I

I

I

I

I

I

I

I

I.r •o

I 'Couplinlll: Thr.ed.d I

Oth.r:

Thr.ed.d I Coupl.d ITICI W.ld.d IW) coupl.d I w.ld.d ITCIW)

_

·Pip.: tlack; PVC; Gelv.; Oth.r:

Wet.r e.ely.i. ~ obtei••d? (ch.ckl 0 teet.riolollicel

o Ch.mical

I I I I l~•" A.ely.is by: DAle G.ol. Surv. o U.S. G.ol. Surv.

I I I I 10- DAle H.elth D.pt. o Privet. leb.

Sill·.d:

'For d••p.r w.1I pl.es. ettech co.tinuetio••h••t.

ADEM Form 60 1/83

_

_

/"

REPORT OF DRILLED WELL x Zip Code

(2A~ ~{p II tl 3V1L-- Section 'I. Section Township Range - --or:

II I ~ !JUY\~ '1/ ,N-:<.M .. IfI/LeL4vLr~~1 rrjc/, J 7J\r .o .....

WELL LOCATION

;r8tY


WELL WILL BE USED FOR: rJt"l [=::::J ~ c=J ~ Public Indu,tri.1 Test supply .upply .upply w.1I

~ Oth.r:Irri9ation

~..,.~-g~ Drillin'll m.thod: Cabl. tool (ch.ck)

Itartinv ~ Oth.r:d.t. j lor.d

Total Depth ::< 0 ,.. Completion D.te A .-~-' Sf Compl.tion dat.: r.port d.pth. b.low 'llround l.v.1

o Turb.ITyp·: u,... 0 J~: Oth.:r

Intak. d.pth H.P. Yi.ld 9pm

o non.T••t.d by: 0 pumpin9

~ ......ur.d Static Water L.vel ft.

11 Mu.ur.d pump;n'll '.vel . H. aft.r 0 ~umPln'll 'llpm

Deve'opm.nt lim. prior 10- te.tin'll_ h...

p.n hoi. o Scr••n.d o Slott.d pip. o Grav.1 pt'l

Int.rvall,1 .cr••n.d: _ to ft·

to H._I~I-to-~ ~ IPackerl.1 ••t al --',nd ft.

Ser... : diam. _ Size opanin91

~ .. A.


I I

rl~ {_ti YQIY=:lf E r6jP -

I

1

, I I I

I I

j.[1 1 1 I 1 I o I 'Couplin'll" Thr.ad.d a Coupl.d (raCI Weld.d (WI

Thread.d a coupl.d a w.ld.d ITCaWI j I

Oth.r: _

'Pipe: Ifack; pVC; Ga'v.; Oth.r·

Wat.r a..ly.is o obtain.d? lcheck) o lact.riolo'llical

o Ch.mical

,~l'•

Anarysl. by: o Ara G.ol. Surv. o U.S. S.o/. Surv.10. o Ala H.alth D.pt. o Print. lab.

Si9n.d:

•For d..per well plu" .tt.ch continu.tlon ,h..t.


'5ii"':1

Date

Range -'--or:

Zip Cod~

II. SactionWELL LOCATION

i

Distance and direction from nearest town, community, road iunction or othar r.ferellca point

WELL WILL BE USED FOR: c=J c::::::JIpublici Indu5trill Telt lupply lupply lupply wall W c=J'

Oth.r: -:- _IrriQ.tion it' ,I'f:;)()ff .:J ~t)

~Drillin\l method: Cable tool Eltimat.d (chad) "artin9 ~ date Oth.r:Bored

" , Totli!1 Depth '. 2~, , Completion Date ~;I-ff

Inter. Intar Compl.tlo'n data: r.~rt d.pthl b.low \Iround Iev.1 Delcription of cuttingl Delcription of cutHngl , ~valnl

J IA ~ 1,/11 ~o ;- ~y<P8: o TU~ 0 J.tj('I:: Qllyr: I ~_ rl Iintak. d.Pth~H.P. y::: YialL ,pm

T.st.d by: 0 pumpin, 0 air l.ift 0 bailar 0 non.

--4 .~ A ---;JfI1 kf <k.-. rl

""rf1 a~ lJ """ k>JL < It 1n1i ~ ur.d Static Wat.r L.v.1 ~ ft.

~/~.I !li; ~t~~~----J-'...,.....----------11 J ,;s::..'~::." ..Pf7/i.........1£ ~ ~., "" "I? 1A' ~ D.v.lopm.nt tim. prior to' t••ti~.? ' hrs.~ r o Opan hoi. ~,'Scr••n.d I Slotted pip. xraY81 pk.

I I I I IJ:. Intarvalill .cr.,an.d: ~ to ~ 'ft:

:~ to : I to ft;

I I I I I LL. Pack.rI.1 let at tIlO and ft.

Scr••n: dlam. 4£." :51•• open'n,c2Il s;lA7

i._.t.r of we'

_

• A ;~~.

III I----+-----If----+--'---+-----!

' I~ i' ~ ....~'.." "'..... A 00._ ITA" W....... 'W,__~ _ ,Thr..d.d A coupl.d A w.ld.d (TCAW)

/TLi. 77a.4J~ M=-~ O~~. Oth.r:! -..?; "h~~~I I ~7 7( I ...... //11'2.." vc-- 6"".-;- '·Plp.: .lacl<~ .•VC:;~alv.: Ot r: ~~

Wat.r na'yol. ~ obtained? {ch.ckl 0 'aet.riol09ical

o 'CIl.mical

Analy.i. by: o AI. 6801. Sur.., o U.S. GeoL. Surv. o A'ia H.alth Dept. o 'rlvata lab.~ I I It Si,nad:

• t:or d••per wen pl.... .tt.ch continu.tion .II••t.

Form 60 1/83

;44 aw ttu : Qt 'ita· 'Lk,,"i tt au. j a; A. $ ;: $$ .sa 1 $J ~ ~

REPORT OF DRillED WEll

H Number

___..llooC~.-=---_AQ#(kS:dH tT I it7j( Iff ,8(/7~ /7-L -- Addre.. (m.i1ing) Zip Code

e!it&<: £d<,t / WELL LOCATION

WELL WILL BE USED FOR: CB- c:::J c::::::::J [::=:J Private Public Industri.1 Tost supply supply supply well

~ Other: _Irri91tion

!~ll- <10 Lf- Joo Drillin9 method:

bi.meter of w.U Estim.tedEltim.ted (checkl c.".~ .4 # depthst. rtin9 d.te ....~L-- M,v..f:fu~. _.'

,.u.. "'••" Dr. InG Contrtclored _1lw"4. 'II'

Tot. I D.pth ~c:J Compl.tion D.t. 1-Ii- PO Illteir. D.lcriptioll of cuttingl Intelr. D.icription of cutti·ngl Completion d.te: report depthl b.low 9round level v. v. ,/,(/ C-t15' I N~ ~ ~ype: 0 Turb. DSubm. 0 Jet 0 Cyl:: Other: ;:H/~

Jfro 1:2 J -L" oJ _.... ~-f ..~ tl. Int.ke depth H.P. Yield 2-0 ,pm

J£/LJ ~f ~ T" T....d by: 0 pumpln, IhAl"r Ii!, .p b.lI.r 0 none

'2-W &1'hi GL· .r..A '"'" pt y ~ fs:,~LJ <.r7~ _ ~ -120'1'// 1~1:5 WUlured St.tic W.ter Level ft.

';11 j~V- ~ We.lured pump;n9 level ft.•fter

t---+-----------t---+----4\4"=--,,-.J.l..........------l 0 h... pumpln9 9pm

(I .I tJ Development tIme prior to- teltln, h...

t---+-----------t---+,(~\_l!l1'1t(i!-"--'l".L-J---------l ~pen hole 0 Screened 0 Slotted pipe 0 6revel pk.

1-----t-------------+---+---lTtL'''-'"..J.'v&t----,.....-------I... Intervells) Icreened: to ft:.r ~ to : to ft.

1----+-------------+---+---...:......:...-----------1 Packer'll let .t .nd ft.

Scr.en: dlam. : SI.e openln91 _

Int.rval DI.m. "Typ. '"Type Int.rve' c.sed (lnch.l) ..I". couplin,s arouted

/tNJ I.J.. vvC- 7.'J . r

g'1----+---+---+------I------IOw

r----+-------------+---+----------------l U ·Coupl1n91: Thr••ded I Coupled fTIC) W.ld.d IW) Threaded I coupled I welded ITCIWI

Other: _

-Pipe: Ilack: PVC: 6alv.: Other:

Water enelysll 0 No obtained? Icheck} 0 laeterlol091col

o Chemical

I--+--------t--+------------l~1----+-------------+---+----------------1

...0. Analysis by: 0 Ala 6eol. Sur.. 0 U.S. &eol. Sur•.

o Ala He.lth Dept. 0 Prlvete lab.

Sl9ned: M 11../JIn~ ~~.

eper well pleale att.ch contlnu.tlon sheet.

ADEM Form 60 1/83

WELL Section

() E Bc/741?< n.arest town, community,

Clfoe~

Oi,tence end direction from

LOCATION County

I 17MtI<E. S" I rcfi.r7t1 'I. Section Township

(ltV $-/7 Renge ---or:

WELL WILL BE USED FOR: Q:3 Pri••t. ,upply

g ,upply

CJ Indu,tri.1

,upply

c=J T.,t w.1I

Zip Code

Oete

I7c 36foZ

~b7~f 0'/7

' cFl- /V

PC/)C I f£ (meiling)Address

Licens

f/Yf'-dl?

tI

c=J Oth.r: "'- _Irritation

6-=- Li-' rc:J Drillin\! m.thod: C.bl. tool ~ .]d"O E,tim.t.d Estim.t.dIch.ck) Rot.ryL.-,t.rtinv d.pthJ.tt.d d.t. Bor.d Oth.r: :;:-

Totel O.pth a-Lfi) Compl.tio" Det. ~d-"'" 1cJ '"t.r '"t.r Compl.tion d.t.: r.port d.pth, b.low vround 1•••1D.scription of cuttings O.scription of cuttingsvel vel

~ ~yp.: o Turb. ~ 0 J.t o Cyl:; Oth.r:Cn-S "M t:-l.:lw ( /r..1.uJ,:; ilL" Int.k. d.pth H.P. Yi.ld vpm

T....d by: o pumplnv ~rllft o b.U.r o non. ..... /O~-.....'ur.d St.llc W.t.r L•••I ft.~

".0> '0;• .....'ur.d pumplnv 1•••1 ft••fter

0 A.•.iJ 1... hrs. pumplnv Uti?.- ltJ 61O"""'vpm .IV'

t-\DeYeloomant tim. prior to- t...ln hrs.,!'0' ~L~ o Op.n hoi. ~.ned o Slott.d pip. o 6r•••1 pk.

\' (,f j.~Int.r••II,1 ,cr••n.d: to ~ ft, ~\I!' .. 'i to ; to ft.'{ elY it

P.ck.rl,1 ,.t .t ud ft.J 1\ Scr••n: dl.m. ¥- : 511. op.nlnv, It>

'\. IJ ,,'"

('\\

ype-Typ. IntervelDiem,'nt.rv.1 \ \)\ DID. couDUna, arout.dc.,ed IInch.,1

t:,LvtCI)j..,20 f/ifLlI-

II'.. ';;

0• -CoupllnVI: Thr••d.d a Coupl.d ITlCI W.ld.d (WI Thr..d.d a coupl.d a w.ld.d (TCaWI

Oth.r:

-Pipe: lI.ck; pvc: 6.1•. : Oth.r:

W.t.r .n.'y,l, o No obt.in.d7 lch.ckl o B.ct.rlolD9lc.1

o Ch.mlc.1

!•

An.ly,l, by: o AI. 6.01. Sur•. o U.S. &.01. Sur•• 0" o AI. H..lth D.pt. o Prl••t. I.b.

SIVn• d: "7J7j AI ,:fL, ~; ,v

-For d••p.r w.1I pi..,••tt.ch conllnu.llon ,h••t.

ADEM Form 60 1/83

~,


r 'fJ11 eIJ tLn A tJ C::tf #c..!J> ~ ~ ~./CM) . YJ1,S 3<fB 6I 1'i'!?,!3t?- DRILLING CONTRACT~~ f\ rlic.ns. Numb.r • Addr." F Zip Ca:..../J

(ll\Jtvv\\ ~-LJ-., ~I)" &J£2/Cf J:l.r.u~ u.t' PRfiE1TY OWNER' ~~ddr.u Imailin1 I _Zip Cod. W-

d - - - - - -'k (11- 7I/. S T.ctlon • .dion owns Ip Rana. - --or:

Distanc. and dir.ction from near.st town, community, road junction or oth.r r.f.r.nc. point

WelL WILL BE USED FOR: ~ c::::::::J Public

r:=J Indu.trial

c::::::::J T••t

supply supply supply w.1I

c=J IrriVdtion

Oth.r: _

-)&tb Drillinll m.thod: Ich.ck!

Cabl. tool ~ Gin';d

., .7': ~: ,:]¢t!) Estimat.d

d.pth date Bor.d Oth.r: ~_.."

Total Depth 3 -sv I Completion Date ~tR,Q.tP Description of cutti-ngsI"::r I Description of cuttings /'''::r I I I Compl.tion dat.: ~d.Pth. b.low IIround lev.1

@30 c..I:a:: I I ffiyp·: 0 Turb. 4i!I""fubm 0 J.t 0 Cyl:: Oth.r:i~ q,~ '" J ,'t, Intak. d.Pth~H.P. '/JI. Yi.ld 7 IIpm

I

T••t.d by: 0 pumplnll 0 bail.r 0 non.

~~~~.....4~~~-?;lLJ-:::!:lI<-:-:::....._t'.LL--I.!Iof_.lL...!o!::..!..~~-----------_1 ~ M.asur.d Static Wat.r Lev.' ft.

f--~=-~f__~Lz..!:!.--'::l..~.R!l.!lO:S;.::::~---_t---...,.------------...j'i M...ur.d pump;nll l.v.1 aft.r

~~L...:~f__JI!5...It.!::.JI.L--~..M'"'~!:.lI:.....~i2..L-~~!:2:30.0...::!il~_:_---- ~ IIpm....-----...j 0 pumpinll

D.v.lopm.nt tim. prior to- t.stin hrs.

~inl -2<'"'n ,.. -~- c::::.~ rJ _-I- P.. _~./ o Op.n hoi. ~cr••n.d 0 Slott.d pip. 0 yraY.1 pk., ft·

\--------1 I I I~ I,nt.rvalh) .c::..~: I~{)~~to/:2it ~" .- T- Tt7' "'7 ., ft.

u.. Pack.rlsl ••t a' la~~ ft.

Scr••n: diam. ~ /0 -: sIz. op.nin\ls _

Dla.... ca••d

'nt.rval (Inch.sl

~/I'> 7 J~ :L otJd~ b\/I ~

g'1-----+---+----+------+------.1 ~ "Couplin\lS: Thr.ad.d I Coupl.d (TICI W.ld.d IWII I I I I- Thr..d.dj_C0"l...I~d/;/;;;;:IW;~~

Oth.r: I--~

"Pip.: BIL-:/Ic: ~v~;t:.f~ ;:::=::;::::0 Wat.r analysis ~o obtain.d? Ich.ckl 0 Bact.riolo\lical

o Ch.mical

I I I I I~.. ::s Analysis by: o Ala G.ol. Surv. o U.S. G.ol. Surv.

o Ala H.alth D.pt. o Prlvat. lab.I I I I 1°

Silln.d:

"For d••p.r w.II pl.... attach continuation .h••t.

ADEM Form 60 1/83


/30 RlJ,8-f.-I· License Number Zip cote Dete

/*'--( I~u. LJijtM7~7 t.,. t:Jfd?!4< 7~ Addreu (meiling) Zip Code

OfF ffi It ~ P~7 /:h.l.-L-~~ Section ,; Se~tiOII Township Renge ---or:WELL LOCATION ounty

tr,Q2 / Distance and dir.ction road junction or other ref.rence point

WELL WILL BE USED FOR: ua-- CJ c:::::J CJ Private Public Ind••trial Ttlt .upply ••pply ••pply w.1I

c=::J Oth.r: _Irri,ation

]tilJ'-1-£0 Orillin9 m.thod: C.bl. !ooy Di.m.~w.1iEst,mat.d Estim.t.d(ch.ckl Rot.ryVst.rtln9 d.pth

J.tt.d Oth.r:d.t. Bor.d

Total D.pth ;3 ~ Compl.tion Oat. 7- ;;.r::: 70 'nt.r I"t.r Compl.tion d.t.: r.port d.pths b.low 9ro."d l.v.1D.scriptio" of cutti"gs D.scription of cutti"gsv.1 v.1

I ~ CJ:£16l#L I I ... 1;- ~ype: 0 Turb. 0 S.bm. 0 J.t 0 Cyl:; Oth.r: I t,X-D j?~ ,,-/lou/ IJ) . XV .:. Ilnt.k. d.pth H.P. YI.ld "pm

T.st.d by: 0 p.mpln9 ~ 0 b.lI.r 0 non.

~ .....s.r.d St.tlc W.t.r L.v.1 12.¢ ft,

~~;'=~f-~~!::::::!:::::Jt?ir---T~--_+---_+-----"""t~'-___:flrrL-----__j 'ul .....s.r.d p.mpin9 l.v.I ,ft.•ft.r

~~~~f.....fI,ld.~;...~a';J(.~bll:~~lj_---_+----~~J--.L,~l!....-----_l 0 hrs. I>IImplnG _ 9pm

De....lopm.nt tim. prior to' t.stln hrs.7t ~.'i .. (\"\S'.~ o Op.n hoi• o Scr••n.d o Slott.d pip. o Grav.1 pk.

.V .,\\ Int.rv.lhl scr••n.d: _ ft,I I· I I(~. ~ ~ -

to

.A I~_to:P.ck.rlsl s.t .t -'

to ft'l Ind ft.

Scr••n: dl..... _ ; 51.. op.nln"s

~ "Typ.Int.rval Olam. *TY~~co.plln9s Gro.t.dDID.cas.d IInch.sl

L/ . ..-,j:.t/c-Ud ~ , ". ...' "...

:1 I I I I 1

I I I I I ~ I "Co.plln95: Thr••d.d I Co.pl.d (TICI W.ld.d (WI Thr••d.d I co.pl.d I w.ld.d ITCIWI

l

. Oth.r: _

"Pip.: BI.ck; PVC: G.lv;; Oth.r:

W.t.r .n.lysls o No obt.in.d? Ich.ck I o Bact.rloI09Ic.1

o Ch.mic.l

1 I 1 I I~•

0-'" An.lysis by: 0 AI. 60801. S.rv. o U.S. &.01. S.rv. o AI. H.alth O.pt. o Prlv.t. I.b.

SI"n.d: 1r7 djd,MJ _ ~h. v"For d••per w.1I pl••s••tt.ch contln••tlon sh••t,

ADEM Form 60 1/83

REPOR"r OF DRILLED WELL

WELL LOCATION

IIe17lW County '/, Section

Oistence end direction from nee rest town, community, roed junction or other reference point

WELL WILL BE USED FOR: c::::J C=:J =:J Public Industrial Tast ~

supply ,upply supply w.11

~ Oth.r: _Irri,ation

~~'~~ /4 ~rilling Cabl. tool LLf/

~t.dm.thod: ~ ~ (ch.ck) ~

d.pth~ date - ,Bor.d Oth.r: >

SIGNATURE of

I I -, ,~ - ,I,...,.. ........- ' r ..I

/ Inter.

Description of cuttings Inter. Description of cuttings Compl.tion dat.: r~rt d.pth, b.low \Iround l.v.1

val vel

t) 51' U~ " 1<" t/If.--,..1eL l>. ype: D Turb. ~m. D J.~:: Oth.r:

I~ 1"'2.-0 ~ £/.... ~.... ~'--' S1-' E

t;;o ::II Inteke d.pth I 80 I' H.P. I. Yi.ld ~pm~

J "-(~ ,5"0 <:'l.-..~ ! Test.d by: D pumping 0 air lift D bail.r D non.

100 ,t:fo ~ ~ c:l. t.~ r ~ M.asur.d Static Wat.r L.v.1 L~k ft.

lQo :J-..2..0 S-t LJ, 1P' <: ~ ...... 'u 17-P2-..$7) r 0;' ~-- j

.. M.esur.d pumpin\l l.v.1 ft. aft.r 2.1-0 Q... z....:: h... pumpin\l ;:fa~<7J ., ., ~ .~L _~..L 0 \Ipm

J'"7<' ~/t> <"~d.. ls-r -bi bOl - /' Dev.lopment tim. prior to'testin\l z,........-- h...

~Jf} :ld£) J1:1.- ./ -+ 51,0.~ D Op.n hoi. ~Scr.en.d D Slotted pip. D Grav.1 pk.

~4D " f7)

""i'~ C:~T- ~ .- L./ Int.rvallsl screen.d: p:t'P to .s-tii?tJ ft;

~SO ~e;O .e tie,K -' Sho...A. :.c..... ~

IcYqO "'f"+' C.04 <~.J.. 'c to ; to ft.

5;'2.0 UD i.i: 'ackerl,1 ,.t at and ft.

30; ,Size openin\lhz-.Scr.en: diam. "'2 " Interval Diam. ·Typ. ·Type Int:~ ca,.d IInche'l ".... couplina.( oro

't?=:d Ll ..",-g~ Vf/ ~ -711'0 :.1.... D#I, IA/ 1""'"v'"

Ol

"";;.. ·Couplin\ll: Thread.d I Coupl.d (TICI W.lded IWI0 Thread.d I coupl.d I w.ld.d (TCIWI

Oth.r: / ~;J. " P~ £)/"1 I ~ A.I.

1- tXZ- S~~ • Pipe: Ilack; C; Galv.: Other:

W.ter analYlh -t:J""'To obtained? (ch.ckl D .act.riolo\lica'

D Chemical

~ .. ::I

0 Analy,is by: o Ala G.ol. Surv. o U.S. G.ol. Surv. D Ala Health D.pt. D Private lab.

Si\ln.d:

"For d••plr Will pl•••• attach continuation .h••t.

ADEM Form 60 1/83

---

/rlC/ L;I~ - • .11 .tI'n «..¥ Y70 'Ph"J,,- ':3go, ~/!Jz.., /P7.e./9'~.. """'.A " ILlING CONTRACTOR Li~ense Number Addre'Ss

n I?YttU If) ,..J I fk AA .~ Ud-I B~ .:J.r() A W~dit~ / PROnRTY OWNER I Addre" (mailing) Zip Code

C6~) ~ 3W WELL LOCATION County Seetion~ 'I. Se~tion T4J'Ip Range ---or:owns

Distan~e and dire~tion from nearest town, ~omrKunity. road iun~tion or other referen~e point

WELL WILL BE USED FOR: c=J c=J c=J~ Public Industrial Test lupply lupply lupply well

c=J IrriCJ.tion Other:

t;'/~~/9V Drillin9 method: C.ble tool Di.meter~~ ~Oellfim.ted ( ltifMt.dIcheckl ~ It.rtinCJ depthetted date lored Other: .---->

~L J '"-1-1 ~ /' SIGNATURE of Drilling cont

, o Totel Depth Completion Date":<60 I¢ 1ft?<.

I Inte'· Del~,iption of ~uttingl Inte'· Del~,iption of ~uttingl Completion dato')"'ort depthl below 9round level".1 val t? /Ie rJla. 00( <...... rI A. Type: o Turb. []iI"'!ubm. 0 Jet 0 Cyl:: Other:

E (,,0 1/9 <; L,. ,0. '" Intake depth 1'f0 H.P. IJ~ Yield 6'... 9pm

~V 110 ~eo.-.-d.(£ SO'" ,eO ~Ic::.... Tested by: 0 pumpin9 0 air IIf~ bailer 0 none

IIJI) I~.r :d:- I-z... <' ~ J

IJ ~r I L" ., J. ~ 'D l' loIea,ured Static Water Level(f) ft. ';;

loIealured pumpin9 level /~ ft. after S4.....:c::l ~I <I..,. S'~ DJI~

•J ,., ..AI"

A.• :i h". pumpln9.z, 9pm

..J. l.·n .2. ao <-t- h -' .1 0

Develo:nt time prior to- testin9 ~ h.......:J/Jn .:J /~ ..... ..J::t... V I"~ <;,,,,,,, _N . Kopen hole 0 Screened o Slotted pipe o Gravel pk.

Interval lsi Icreened: to ft: ..c· ';: to : to ft, a:

'acker " I .et at and ft.

Scr••n: dlam. ; Size openin91

Interval Dlam. "Type 'Type Interval cued t1n'ehes) Dlpe couPlin.s arouted

/I~ Q.- .-.11_ ~ ----

Dl ~

';;;• "Couplin91: Threaded a Coupled ITiCI Welded IW)0

Threaded a coupled a welded ITCaW)

Other:

"Pipe: Ilack: PVC: Gelv.: Other:

Weter anelYl1s obtained? Icheckl ~riol09ical

o Chemical

~ •'" Analy,is by: o Ala Geol. Surv. o U.S. Geol. Surv.0- o Ala Health Dept. o 'rlvate lab.

Si9ned:

"For deeper well plea Ie attach continuation Iheet.

ADEM Form 60 1/83

V REPORT OF DRILLED WELL

q /he D(h,~cfl ¥ IL~ 'lifo ~~, ~s 3t:i30/ '/P3/9'!DRlttlNG c"ONTRACTOR . License Number Address Zip Code

;:;'2110 <:+-~~ P,O,BN 2..7~ ~ LqL· PROPERTY OWNER v , Address (mailing) r Zip Code

WELL LOCATION C-!::n~ Section'; 5 '/. Section TolLi!' R~e ~-or: Distance and direction from nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: c=J c::=:J C:J00 Public Industrial Te.t supply supply supply well

~ Other:Irri9atlon

f;/~_" ¥6~A! .1. __

Estimated0"",., .....,. "' ~4.f =". ~<oo, ~ -r depth

Bored"'0<" "' "'••" ?/h?->~ SIGNATURE of Drilling Contractor)

Total Depth f4-fJ 0 Compl,,;,. D.<, 03 rrJf.. "I' Inter Inter Completion detert depths below 9round level Description of cuttings Descri ption of cuttingsval val

I:> I :J..)- ~,,--~ A. ~ype: o Turb. ~ubm. 0 Jet 0 Cyl:; Other: I .25' Ius S~.... f ~1 f J/t.t C~ I'nteke depth H.P. Yield 9pm

Tested by: 0 pumpi~ir lift AJ ~r 0 none

r'""~-=::t-~:-::-::------'~!....-----':~~=t~=::-:+--=-------------...J ~ "'euured Stetic Weter Level 1""1-' ft.

---:-:~~:t-....L:-'t:::IL-_---!~~-7"-~=--=t!....--i"L!~~~~:::...._---------...J·i"'eesured pumpin9 level a..p ft. efter

in1"::~~T"""'~~~~--"":;~~'7~f---+--------------...J0 I 3- 9 /.s=-:hrs. pump 9pm Development time prior to'testin9 ~ hrs.

Ijq31 32-0 ~~ ~h....t~ <& (,.0...4- o Open hole 0 Screened ¥Slotted pipe 0 Gravel pk. 11:\., hi ~., ("\ ,<;.h ...... (LAI I'"

Intervell,) 'creened: 32# to ~Q ft· 31., °CCoo- S:t: SE~ [1 15> hoJ.lI. to ; to ft'

l

Peckerl'l let at i N -'"~J': ~

Screen: diam. 90 .. Z; s~pe~ Interval Diam. cased IInche'l ?::p2-!!.11:;1 t?dol'

t=j I I IJI-=-.C=o-u-p-::n-n,-,-:~T::-h-re-a-'d:-e""'d-::IJ..Co'="""u-p-:-le-d:-::IT:l:I-::C:":')-::W-:-:-:el-::d-ed-:--:-IW!-::-:-)-----Threeded I coupled I welded ITCIW) _ II

1- ~)(l." ~S".Qa....{ Other: ~

I - d ,( lJdGL JVfi.J... V~ ·Pipe: Black; PVC; Gelv.; Other:

1;ijIfo1ll'0Water enelysis o Bacteriol09icalobtained? Icheck) o Chemical

\ I I 0. I Anelysis by: DAle Geol. Surv. 0 U.S. Geol. Surv.I \~o Ala Health Dept. 0 Private lab.

Si9ned:

"'For d••per well pl•••••tt.ch continu.tion ,h••t.

ADEM Form 60 1/83 "-----.,

WELL LOCATION


d~ Range - --or:

point

WELL WILL BE USED FOR: [:=Jc=J c:=J Public Industrial TestSsupply supply supply well

c=J Oth.r: _Irri4i'ation

If ~" Drilling method: Cable tool 3S?:>'

(check! Rotary Estimated depthJetted

Bored Oth.r: /~

./e SIGNATURE of Drilling Contractor

Tote' Depth 3 ~e> C.m.'''''' D." LI/¥jif Int.r lnt.r Compl.tion dat.:rt d.pth. b.low ground I.velDescription of cuttings Description of cuttingsvel vel

<J'~_ -v ... ~yP.: o Turb. ~bm. 0 J.t 0 Cyl:: Oth.r: It> -j t(.t.{ ,..L -- 7 ~ Iintak. d.pth .:lit " H.P. 7/1l Yi.ld S gpm

c..p:r::] ~-~ <: - ~ T••t.d by: 0 pumping 0 air lift 0 bail.r 0 non.

~ I c:: ~ ~ - I~ " ~. ~... w••",..., ;tIL .. .;-~~->~; ? ."=~~- l " ~..-.;." ..., .a..3~...".. ~ C 0 ~•. pump,ng 2-D gpm

0- -1rr_' ~

D.v.lopm.nt tim. prior to- t.sting. h...

<:::'90-17~' --u o Op.n hoi. 0 Screen.d ~PiP. 0 Gravel pk.

il130-~~-Ft [("N'"'' ":...., ,d-9~h ~s-o :' J?to J~g_ ..... _ __ Pachrl., ••t at and ft.

Scr••n: diam. : Size openin91 _

IJ:1k...J. l?l~- ~~A ~ 1s::::7_I7.. Int.rval Diam. 1 ·Typ.' ·Typ. I Int.rval 1 c...d lInch••1 pip. I cOUlOlinat arout.ct--"'I - ..,A ~I fl5.":[~Z (l _ <;'J- - ~

If~ Ul?Jt...tl..L310- SJ.. J"-P. s: c

";;;

.310+ (3SfJ L' gao W 0 "Couplings: Thr.ad.d a Coupl.d (TICI W.ld.d1

- -r--'-..,..-"""-...-"----,T...., «J " ...~ ; Thrud.d a coupl.d a w.ld.d (TCaW) 1

Oth.r: _

"Pip.: Black: PVC; Galv.: Oth.r:

Wat.r analysi. ~o obtain.d? (ch.ck) o Bact.riological

o Ch.mical

I I I I l~,...

Analy.i. by: o Ala G.ol. Surv. 0 U.S. G.ol. Surv.

I I I I I () o Ala H.alth D.pt. 0 Prlvat. lab.

Sign.d:

"For d ••p.r w.II pi.... attach continuation .h••t.

ADEM Form 60 1/83

REPORT OF DRILLED WELL ... ~ h-..S

WELL LOCATION

Dist.nce .nd direction from

WELL WILL BE USED FOR: cu PriVdt. supply

c=J Irrigdtion

Drillin9 method: Cable tool (checkl _~

~ Bored Other:

Tot.1 Depth ,Q Cil --~-

ne.rest town, community,

c::::::J Public supply

Other:

ro.d junction

r=J Industrial

supply

_


CJ Test well

".4./1 .. S-p-p>

Estimated depth

7"

Completion Dote 3 ) 3 I '7 .s- I

T/ Inter-

Description of cuttings Inter-Description of cuttings Compl.tion d.t.: ~pths b.low 'ilround l.v.1

vel v.1 (;) ...~ 2 CRfL- tl.<\Ia~~ ~ ~yp.: o Turb. ff"$ubm. o J.t 0 Cyl:; Oth.r:

<3""..:l --2 _<:. " t.L ••0 .. ..t. .~ ::I IXD H.P. ;,7d Yi.ld \~-'ilpm" 'nt.k. d.pthfl. ~ q RocK. " Tuted by: o pumpin'il o .ir lift o bail.r o non. ~, 10 '''_l!...U S dL

......ur.d St.tic W.t.r L.v.1 J 03 'S'b 5 k«..tL

~ ft. Uft 'u

......ur.d pumpin'il l.v.1 /2=7I.J"D "',,~ ~~q

• ft. aft.r -e::.'t 0.. r=' hrs. pumpin'il; / 2-=•

:Lur -:3"0 r ~I... nL , 0 'ilpm

G/tJ~.,o ~ If.') c~ •• -. COl'".. ~.- ~u(,..k... D.v.lopm.nt time prior t... t.dln'il hrs.

~/O CJ. ,-r " 'A'- It-' ( <' lh o Op.n hoi. )('Scr..n.d 0 Slotted 1'11'. 0 Grav.1 pk. u..,~ U q~ t"'A .... "'" "'" /I. -<.~ e.J

Int.rv.II.1 scr••n.d: ~? to #7 ft: ~ 'c to : to ft. Le

Pack.rl.1 ••t at .nd ft.

Ser••n: dl.m. : Size openin91

Int.rv.1 Di.m, ·Typ. 'Typ. Int.~~ cased Iinch.s) "ip. cOUpJ,tOCII J arout

~2..I· 11 11 /1,1, 1... ~ /' ---~I "$" t?V~ '" .'0' .. ~ - 1_- rJ',II"/ .",. .#I#A ..

.~ (;XV 74--_ '. --. ... -• 'Couplin'ilS: Thr..d.d I Coupl.d (TIC) W.ld.d (WI0 Thr••d.d I coupl.d I w.ld.d ITCIWI

Oth.r: 1-.:1.. hpkLf::!it;.;; C-~/1 lit-·Pip.: BI.~k:~v~Jhthor: ~ W.t.r on.ly.i. ~o obt.inod? (ch.ck) o B.ctoriolo9iC.1

o Ch.micol

>:;•::I o Alo G.ol. Surv.() Anoly.i. by: o U.S. G.ol. Surv.

o Ala H.alth D.pt. o Prlvat. lab.

Si9nod :

'For d••p.r w.1I 1'1.....tt.ch continu.tion .h••t.

ADEM Form 60 1/83

" ~;~,,,-.'

;j. ":,'

WELL TO BE USED FOR: 0 0 0 0 0 Private Public Industrial Test Monitoring supply supply supply well well

f1r;/JIJIrrigatIon Other: o .

tJ%2 sw LOCATION OF WELL: Latitude Longitude Diameter of well Estimated depth

Drilling Method:O Estimated starting aiite '

Total Depth ~Y:Q c letion Dat e Wo-o~

. \. R.ltlfJ

t

&1MJ7),u /

J

~ 1V'tf~

\

~hAt"; (

, , Id-..

For deeper well please attach continuation sheet. Send WHITE copy to: Send YELLOW and PINK copies to: Retain GOLD copy for your Records

ALABAMA GEOLOGICAL SURVEY ADEM DRINKING WATER BRANCH

Interval Description of cuttings Completion date~;depths below ground level

n-7.n I"J/..<:1- Cl. e.. Type: 0 Turb'

/j cKbm. 0 Jet 0 Cyl Other=-- '" I Intake depth '1dJ H.P. cit Yield~m"

"f') 0 -I ;)( ~,Jt A-f'O f1~J<:: Tested by: Q pumping Q air lift /bailer Q none

• -. IOf) -1 "J.-f SJa.AAI.) • J nR-C.P Measured Static Water Level 0 ft.

.~- --. u Measured pumping level ft. after.. Cl.

~ hrs. pumping lJ~u'U - IftJf) SItR'CP ..

gpm

Development time prior ~~ing J:..L" hrs.1\~

lid) ...;NY ~AALJ I ~~A¥b. . C'Ll ... All .r-/- o Open hole ~creened 0 ~otted pipe 0 Gravel pk. I I

IneNaHs) screened: ~ 0 S-- to ~ '3 ~ ft;'.;I.rY> ~,;< ( 'IQ..A JTJ - 7)/LJ ... J i to to ft.

c

.:l~~ r2ry; ~/NJOIA K /f'Itckerls) set at and It., 1 / r,

Screen: diam. ~ C , ; Size open;":? , lh . ri~ ;.)..7n - ~Jl Sl1A-e..l 1Ur?.kl " , { \I=. t ' . v' 11

f Interval Diam. ~. co*J~~gs

Interval\ '/'j \ . ("-. cased. (lflches) grouted

~ In.- ~ '2 n I/Af7Jc /JA ,n...} C r,""'.J '-1m ~ V\ff JI' , ( loh ;;J... 'P t/l ..... ~'UJ-~ rJ 'I/IA.-I"; - . n~sr- c.;,A.AI/J ,{'-I-

. , , .. (i

.;""\ ... c

:> lJr> ... .;-' W~ ~YJ IV, , IK 'iij 'Couplings: Threaded & Coupled (T&Cl Welded (W) U Threaded & coupled & welded ITC&W)

Other:

,:Pipe: Black; PCV; Calv.; Other:

·Water analysis o No

.~ obtainedl (check) o Bacteriological .. o Chemical

" CI Analysis by: o Ala Geol. SUN. o U.S. Geol. SUN.

o Ala Health Dept. o Private ,lab. A

".~ Signed Certifi

~nN- I ... '10/;" 1./~

. " "

P.O. BOX 869999 P.O. BOX 301463

ADEM FORM 60 5/02 TUSCALOOSA, AL 35486 MONTGOMERY, AL 36130-1463

WELL LOCATION

X /Vte1/0I/ItJ !1A( ... ¥Il;o/ b"/5 -OS-' . A • '~90~

Zip Code

1/4 Section

,. • ",', , 14; .$ 1$ AiQO St ISH _ at s ii4 .~"" -

~open holo 0 Scroonod o Siottod pipo o Gr••ol pk.

Intorv.t hI .croonod: .....__ to ft·

to ft.I~ I to ; I t I ..cP.dorl., .ot .t •lnd ft.

Sc..on: di.m. _ ; Sile openingJ

·Typo J'fvpoIntor••1 DI,m. Intorv~ Dl_ DroutcouAlinG.,c,.od Ilnella.)

-p7,1;/1 ~ViIC1877 7J7 "7

I I I I I IJ1----.1.------,oL...,---------L-...l....---~

REPORT IOF DRILLED WELL

111 c-.DO"rt 01.& l-\

DRILLING CONTRACTOR l

PRO

WELL LOCATION

point

WELL WILL BE USED FOR: c:::::=J c:::::=J~ Industri,l To.t supply supply well

c=J Othor:~f-- _IrriQ.tiort

t2?fr?//~~( -17 L/"Drillin9 method: C.bl. tool I ..,,-or. Estim.ted(checkl

depth~ Borod

oo.."lf-----I ~II~ !

Totel Dopth dOD Complotion Deto I-J. 2-. -~ ? I"::r I Doscription of... cuttint,ls I In::t I Doscription pf cuttint,ls I

WI Comp,lotion d.to: report dopth. bolow IlIround 1••01

ypom!J. ~~ ~ : DTurb~ o Jot DCyl:: Othor: I 1/-7 J r ~(h: 'ntoko dopth H.P. &:?== Yield..s- gpm

~./!r. c~~~ I I ~

D't ~ ~=;: • ·f "".~. _'" ,..., . ft••~; o hr.. pump,ng gpma--

Do.olopment tl",o prior .... to"ln- hr•.

Other: _

·Pipo: .',ck: PVC; G,I•. ;

W,tor ,n,lv.l. No ----~- 'obt.inod? Ichock! 0 ••ctorlolo'll<ol

o Chomic.1

I I I I!.. :0 Anolv,1s bv: o AI. 6eol. Surv. o U.S. 6eol. Surv.

I I I 10- o Alo Hoolth Dopt. o Pri••to I.b.

Sigaod:

·For deepor _II ploo.o .ttoch continu.tion .hoot.

ADEM Form 60 1/83

I

Ala · Packer. h) s.t at and . ft. Scr••n: dl.m.d' I . I, I~: Siz. ... a~vba $'~ 0" ',0 . I{()...

Documents

Transcript of Ala · Packer. h) s.t at and . ft. Scr••n: dl.m.d' I . I, I~: Siz. ... a~vba $'~ 0" ',0 . I{()...