HomeMy WebLinkAboutWEC Well Report / Log - 12/23/1992 1
FileOriginal and First Copy with WATaER WELL REIPORT Start Card No.
Co )t
Department tote Ecology 1
g.
Second py Owner's Copv $
Third Go Dr(Iler'a COP M tar Right Permit No.
rrfla ,rSe �r Sf yMt �fA 0����
(2) LOCy &AIn OF WELL: county _ ♦ A Sege T._1N.R^.la1W W.M.
(2a) (or nearest address) ♦�
(3) PROPOSED USE .wna�r�s�DTomestic Industrial tl Municipal❑ (1'O) WELL LOG or AB�AND M MENT PROCEDURE DESCRpPaTION
r � pn Irrigation 'v aw .'s
` Y.Dewater Test Well ❑ Other ❑ Foimallon ylDescribb by color, eherpeter size of material,end at•r(�cture„antl show
.i x::.,:ra� lhickneaa of egwlere-end the kingandnavt'ure of the material in each stratum penetrated.
Owneea number of well with al least pne enlryToreech chenpe otimformation.
(4) TYPEFtOF.WORK r-.- - FROM TO
++� (d morethanone) MATERIAL
Abandoned U New well ve Method: Dug 0 Bored 0
Deepdned ❑ Cable 0 Dri'ven ❑
A k#X:,ditioned 0 Rotary% Jetted 0
r1
(5) DIMENSA10 DlaRieter of well h inches.
Drilled{ yvr' feet. Depth of completed well iIt_ N. /T
(6) CONS4ki1 ON DETAILS:
. ! JI &
Casing Insttillad: �_ DiemJrom ft.
Welded Diem.Iron ti.to ft.
Tmermatallad� t
Diam.from ft. o R.
Tnreegea LLLLLLJJ�
PertoratiOns: Yea NoC Typel ped
Oor'ato.ur' see (airs ) C l is l4 . 7 '1'
slit of yedoratidne' in.by in. I
perforations from ft.to ft. / `
perforations from It.to It.
Ver.
periorationelrom ft.to h. /� / Lj rIT ,l ... Nom kI of. aName �Type Model:No /Diem�r S�ol'eize from ft to It. - Eta _f J ___
Dit m of�aize Irom ft.to ft L U (n.
6-ravalpeiad ;ap Noy Sizeol gravel _ - `' )
• ,..._. ft.to N.
G,e el plecd'imnt a /.♦�k
f 1 * ;o whet eevmT 1$ n. , - /P
Surface seal. Vee,® No �,o what
Met seal�y�^ A� _c (_'I..._
Da(eny%atrata contain unusable water? yea❑ No�a '.
x
.i3�pelol water? Depth of Sirela wis ' ✓' n r!
-•.„Mel oE`(tol�aetilinp strata off
(7) 'IPl7MP .Menuledturer'e Nema ♦ r
TYPey - HIPz:: . � -
1 �La d-a daosalevation V1 !) .
8 WATiER UEYELS .- �"-� n.
( ) ( aLi ' 4 ' ,a fl level � •
Stele le,tvael ft.below top 0f well Date
Artea n pr�eszs m Iba.per square inch Date ..
ti 'YAnea en wateois controlled by
... _C_-_ (Cap, l t )
TRl4 a Work(atenee ' t9 Com le d* .te�.
(9). LL_TESTS: Dr eo�nyla emounLwate,le el a lo'ww'erect befo.:!tart(level ar- -
Was a pump teatJmed4 Mes No o N yea bywhom? WELAL CONSTRUCTOR CER`T)IFICATION
Y eld., gal Imin., dh it drawtlown alter hr s. •} r
I constructed and/or acceptTresponstbthty for dgns ,ction of this welg
and,#its compliance with all Whshtngton welll,tconstructton standards.
Materials used and the information reported above are true to mybeat
Recovery ate(time taken fie zero when pump turned olt)(.water level•measured knowledge and belief• :"
Irompell top t water le eDY2l - )• .y ' ,
♦ $ e. Water Level "ime Wner Leval . .N'AME t " 3r!•l r
(PfiRSON IRM•OR CORPORATION) ( R OTR,-YPRINT)
t y
—t r— l�krlf�n :Dateol test
F (Signed) Wa1 L"icense Non .
Bmler teat pel�;mm.with fh drawdown:efter his, ,t!•y (WEb DRILLER) �.`
,' 1p.008ClOrsa
At��`at.IV pal./min,with Stem Set al -sue It for��hra Reglstre�ien.
,�e. ,. No Date 19_
T"o�mp t r 'pf water 'Wass chemical anelyais:medaT Yea❑ No❑ t
(uSE ADDITIONAL SNE TS I� NI SSAI Yrya