other: description of cuttings - gsa.state.al.usdescription of cuttings inter- delcription of...

"';i:~ ><"'~'~~_:j,·" ..·~1IV:~1 ,,'~

'1~'''~J~,.:;.,>i ! 0'. J~'~'"I,~~ ,J~'d<l_;· '" ~ "'l~''.!'I, •• BNOTIFICATION OF INTENT TO DRILL A WATER WELL

5~o( AND CERTIFICATION OF COMPLETION

'10 :1-1 3/:J-b!cJ7 Licen§e Number Date

Addr6§ (mailin7# Zip Code

114 Section

......"..• WELL TO BE USED FOR: ~ 0 0 0 0

Private Public Industrial Test Monitoring supply supply supply well well

o Irrigation Other:

$CJU , L':'?ATlON OF WELL: Latitude Longitude ==\ Diamfl(. of well Estimated depth

3/"- '¥/07 Drilling Method:O Cable tool Estimated "tf Rotary starting 0 Jetted date i 0 Bored o Other: _

!l1jlD !-IIdo7Total Depth Completion Date

'Completion date: report depths below ground level

2.()

Interval Description of cuttings

Other _<:.and t:,1"t!!'8n C~~ Yield $ "t> gpm

" I"," AI~ o none ;0 7

-~.. itIDD r ;JI'i- '"" - ft. after

~ 'ttl - -t/If) ,.

~penhole o Screened 1:1 Slotted pipe 1:1 Gravel pk.~ G~c7~ 2L1lJ Ie/II it 7.~~nil

Inerval(s) screened: tQ it;I~ ¢f> ~ I to : to ft.I-i9"l'k,

~ ~jhr) Packer(s) set at and It.

IJ nre-Poc/t .,MJ 7 Screen: diam. ; Sjz<!' openings

30tJ Interval Diam. Interval

7 '1)'''' I 'Type(Inches. ppe couplings grouted<ased:J.C

p~2--7>1 -V zoI/tJ 7 "Eo !All 7 r""Tw J.~rd A-oc~

)

3 ~~1J1} ~,-r:..e..;'} ~n7

'Couplings: Threaded & CO~'pled~ Wtfded(W)zo Threaded & coupled & weld;;.t (lc&Wl

$Ot;P ShJn e'!'tJ Other: _

.".- *Pipe: Black; PCV; Galv.; Other:

Water analysis _. ~

obtainedl (check) 1:1 Bacteriologica' .~ o Chemical.. 0

Analysis by: 1:1 Ala Gool. Su... o U.S. Geo!. Surv. o Ala Health Dept. o Private lab.

! I Si7):.f~~ \

• For deeper well please attach continuation sheet. 77" V Send WHITE copy to: Send YELLOW andfiNK copi6 to: Retain GOLD copy for your Records

ALABAMA GEOLOGICAL SURVEY ADEM DRINKING WATER BRANCH P.O. BOX 869999 P.O. BOX 301463

- ADEM FORM 60 S/02 TUSCALOOSA, AL 35486 MONTGOMERY, AL 36130·1463

t REPORT OF DRILLED WELL

WELL LOCATION

Addreu

Section NLJ

If. Section

Zip Code

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

WELL WILL BE USED FOR: CJ CJ CJ~ Public Industrial Te.t .upply .upply .upply w.1I

~ Other: _Irrigation

~II 3¢<:?/6-1-?7 Drilling method: E.timatedE.timated (check)

depthstartin; Othe~: _date

------Total Depth 'S Lf () ,.. r Completion Date " - ¥ - f7;?

Inter. Description of cuttings Inter- Delcri ption of cuttingl Completion date: report depth. below ground level val val

10 ~~O /Iv ~~. 7'-,- APt It ~ ~ype: D Turb. ,a-subm. D J.t D Cyl:; Other:

).t? ~~r: c. ~ I+-II" II?",. I. " depth I). 0 H.P. I Yield I b... Intake gpm

~() nI .... J ""'-1.1 .. L Tested by: D pumping pi! air lift D bailer D none

LID ~ Mea.ur.d Static Water Level ~ )" ft.

~I 'u Measured pumping level / ~ /'2. after•

(I Q.

¢ hn. pumping 7 7 ~ ~ gpm•0., I L ~ () Development time prior to- testin hrs.

( 111' Open hole D Screened D Slotted pipe D 6rave' pk. Ill,,)

,,0 Intervall.) .cre.ned: to ft·

~

I, (J 'c to ; to ft. Ll:

l11 Packerl.l .et at and ft.

I S'I Scr••n: diam. : Size openin41

l f{t . " i_ f) L..c..1e IJ#' til' ,~~

Interval Dlam. "Type ype Interval L4t cued Iinches) Dipe coupling. grouted

" o /Sl...Ar+ ",LIAV 1,1 ... .?NJ ~A £) tr,. '>tIL".~ /Vt.J , .....A, :J.I'J ~A ........ ..-,/-,/ I f I ~

<)~() I .~•

"lIn 0 "Couplings: Threaded a Coupled ITiCI Welded IWI

"",,'J Threaded a coupled a welded ITCaWI

~ ~O Other:

I) L(-n

')~ 0 "Pipe: Black: PVC; 6alv.; Other:

'),~1) Water analy.;' I"No

)1{} obtained? Icheck I D Bacteriological o Chemical

;)~ () i a~ a ,

• J ()I () " Analysi. by: o Ala 6eol. Surv. o U.S. 6eol. Surv. . L.A:...J"~ J ~. D_'JJ_ G

'JlO Ls..k _. "f.t l. .. Ik .Jl c 1-11..o Ala H.alth Dept. o Private lab.

~')....r;> Signed: ~ /ZZL p a .heet.p

ADEM Form 60 1/83

, WELL LOCATION Section '/. Section


WELL WILL BE USED FOR: ~ c:::J c=J CJ Private Public Induslri.1 Tesl supply supply supply well

C::::J Other: _Irrig.ation

)...$CJ It;~- ~-91 Drilling method: C tool :11D'amete7f;/ .Estimated EstimaTeaIcheck I atar

~

starting depthe ed date Bored a.

Totel Depth ). L( IJ f I t - s: - 7'?Completion Date

Inter. Oelcription of cuttingl Inter- Oelcription of cuttingl Completion date: report depths b.low 9round level vel vel , (') IlI.I ,.. I", / :- ~ype: o Turb. [): Subm. o Jet o Cyl:; Other:

~() A ad r .P' ::s (be) I Ifa- Intake depth H.P. Yield 9pm '~r? n L ..... ~ ",,-4;- I Tested by: o pumpin9 If air lift o b.i1er o none

lJ.o I ~ Measured Static Water Level so ft.

CO I 'u / /?t~ I :. M•••"r.d pumpin9 t.vel ft. after{", e .. :::b T~~ ~ ';t; I 0 hr>. pumping 9pm

~ I Development time prior to- testin9 hrs.

(41. ~pan hole o Screened o Slotted pipe o Gravel pk. (t9 1

"0 Interval Is) screened: to ft·

~

J ) cJ 'c to ; to ft. Li:

I JO Packerls) set at and ft.

I ~() Scr••n: diam. : Size Open;"9'

I ~" 'nterval Diam. "Type "Type Interval

I ~& cased IInches) "h'e couplinGs Grouted

hn -1/ IJ~/rv 4-" I'V/ ~,L"...L~'T ~'d~JI-

"to ....,..k~''t..L L"JkJ'<r,,~ ;Ct 0 CJl

rJ~ c.;;..

iO 0 "Couplings: Threaded A Coupled ITAC) Welded (W)

"l"'lo.V Threaded A coupled A welded (TCAW)

;,,0 Other:

A-cfO -i ...., "Pipe: Black; PVC; Galv.; Other:

Water analysis EJ No obtained? ICheck) o Bacteriological

o Chemical

~ .. ::s

C)- Analysil by: o Ala Geol. Surv. o U.S. Geol. Surv. o Ala Health Dept. o Private lab.

Signed: 7/__ //Z.~~

.. v v

ADEM Form 60 1/83

REPORT OF DRILLED WELL 112 ~::=.;'''.!'; '-b•.fft .';:....'::! ' ';Y I "1. ff= .. '! c..!+ rl l K "'6 Z?J.~:') Q. Jf.?~¢. I ~ __ 2fT. 7 ~

l=k) eu7 ,

Zip Code

r,ge ~ :2~ 7)/ '-IEWELL LOCATION Section 1/4 Section Township Range - --or:

{[17 He Cease W b';h.~~ {:ru/t,be.(!f. pA.".,J IiJ -4 M.~) 1 ..it p."~ JU It Hll 1} L,ff ..211.1

WELL WI LL BE USED FOR: l~etJ c:::::;J c::=J c=J

~

Publ)c Indultriel Ttlt lupply Ivpply .upply well

c=J Oth.r: _Irri9atlon

tl4 •11-2.1- ?? Orillln", method: Cebl. tool 2· d IJeotlmet.d (ch.ek) Rotary X Diam.t.r of w.1I estimet.d••ertln", J.tt.d d.pthdet. Oth.r: _Bor.d

27fk,n,,~ _._ ... ~ _.

Total Depth :2 g 0 Completion Date I " - 2. &f- '2 7

Inter- Inter-Description of cuttings Compl.tion det.: r.port d.pth. b.low ",round lev.1 De.cription of cuttingsval val

0. ~yp.: o Turb. )(l Subm. o J.t o Cyl:; Oth.r:E

Q. Intak. d.pth 14-b H.p.3...n. YI.ld [5 ",pm" Te.t.d by: ~ pumpin", o eir lift o bell.r o non.

M• .,ur.d Static Wehr L.vel JOc. ft.~ ';;.. M...ur.d pump;n", I.vel j =6 S ft. eft.r ..0.

0 ~hr •. pumpln", 15 ",pm .• O.velopment tim. prior to teotl.", hrs.

..~ Op.n hoi. 0 Scr....d o Slott.d pip. o Grev.' pk.

Int.rv.Il.) Itr••n.d: to ft· ~

to ; to ft.'c u::

P.ckerl.1 I.t .t ..d ft.

Sereen: di.m. ; Sizi oP1nin91

°Type Interv.1 >- - u ••d Iinche.) DID. couplina. Grout.d

'TypeInterv.1 Ol.m.

~ ..r;.. CC L,J.. W ~Pllr.., I. " --_. "

tICl:2 ~, ... i:j-V) ~

--....{ .=:r '" .~oo<:f ' ... (~ ::: .. °Couplin",,, Thr••d.d I Coupl.d (TICI W.ld.d (WI0p?q UJ uf...'> Thr••d.d I coupl.d I w.ld.d ITCIWI

C) - .... c:: C) -l Oth.r:

Cl':.:> ~ --.. °Pip.: II.ek: pvc; Gelv.: Oth.r:

W.t.r ...ly.l. ~NO obt.in.d? (ch.ek) lect.rlolo",ic.1

o Ch.mlcal

> ~ ..

Anely.i. by: DAle G.ol. Surv. o U.S. G.ol. Surv.0-" o Ala H.elth O.pt. o Prlvat. I.b.

Silln.d: A-. l-l'l ~'A i 1..1 I .. .. .. .. rt . . ,

I'

REPORT OF DRILLED WELL

b'I. SectionSection

/~~

WELL LOCATION


WELL WILL BE USED FOR: ~ Q CJ CJPr(v.t. Indu.+rr.1 T••t .upply .upply .upply w.1I

c::::J Oth.r: _Irri9.tion

,..1(71/1m.thod.. C.bl. tool K!.DrJllln9 ~~t~qK _fL~~i Estlm.t.d(ch.ck) -.r.tt;d

st.rtln9 d.pth d.t. Oth.r: _Bor.d

~(JQ f""Total Depth '""'\ Completion Date -, ..... -- ~ I .....

Inte,r. Description of cuttings Intelr. Description of cuttings Compl.tion d.t.: r.port d.pth. b.low 9round l.v.1 va va

Jf) /r J,. ~ ~ yp.: 0 Turb. J(jubm. 0 J.t 0 Cyl:: Oth.r: 1

~ fl~ - u ' rf. Int.k. d.pth l..1tl H.P. V:;' Yi.ld a 9Pm

~, D ~,,,,,, d - '/ Test.d by: ~ pumpln9 0 .ir lift 0 b.lI.r O' non. lfO ,,~... I?\. UP I .... -'"

.. A , ~ __ L ~ .......ur.d St.tic W.t.r L.vel oo.c;...-: ft. ~ V /,.. .1'7'1 .6-0. .- I ~ ~"A ...... _, ~ ...... Iur.d pumpln9 l.v.1 .l~ ft.•ft.r

(J () :JA.. __ (; 0 ~ hrs. pumpln9 J- 9pm

) C. -"'il J ~ .Jt7_--'- D.velopm.nt tim. prior to t.stln9 (/, hrs.

II. //? ~ -- '7 ~ Op.n hoi. 0 Scr••ned 0 Slott.d pip. 0 Gr.vel pk.1. AilI . .. .... ~

I j ~"....-..,..,. ~ j Int.rv.IIII Icr••n.d: to ft:

'" ~ .._ ~H 1.,_ .r to : to ft.

I () .. -...... V Pack.rl.1 I.t .t and ft.

',F1J ~ _... - 0 Scre.n: di.m. : 51•• op.nln9. _

l :tJ ,~ I ,.• .1 "'::" Int.rval DI.m. "Type --Type Interv.1

I fa U 'It i"-..... '" .- c•••d llnch.s) olD. couplinns orout.d

1-"" ...., '_......... A'~ 8-1t;.S lI--" PVc. 7J ...-.or NIU'4.. ~" "-.L.' It .A

't ltd ~ .J.. j()~ f----+-----l---+---+-------1DO

?/Ji!'. J,__ A J .~ o "Couplln9': Threaded" Coupl.d ITlrC) W.ld.d (W) 1---+-------------+---+---------------.4 Thr••d.d" coupl.d" welded ITC"WI

Oth.r: _

·Pi.p.: BI.ck: PVC: G.lv.: Oth.r:

W.t.r .n.lysl. 0 No obt.in.d? (ch.ck) 0 B.ct.rloI09Ic• 1 r

o Ch.mlc.1 I

,....----1---------+---+-----------l!•f---+-------------t---+---------------lO Analysis by: 0 AI. G.ol. Surv. 0 U.S. 6.01. Surv. o AI. H••lth D.pt. 0 Prlvat. I.b.

Si9ned: "/.A. _0" 1 ..<" .. For d••p.r w.1I pl•••••tt.oh continu.tlon .heet.

6 REPORT OF DRILLED WELL

. .:1..M... rrefl~ ~ 1?t4BDX?K o"!lli' ;.se,. 3t33a 4-1 l. .. t--a DRILLING CONTRACTOR License Number Addreu ' Zip Code Date

f? 4S e- S'b ;·u...... {j~'1IL. west t{!b.s~ :O..ti&...::~~~_=--=---:--__ PR~ERTY OWNER ~Addreu (mailingl my Zip Code

CDff'-e.-e.. 5 7 tJ 2..1 E. WELL LOCATION rL cou"!:te.rl Section

ht R ·"aJ ~ 82.. h BwJ,1M. Distance and direction from nearest town, community,

WELL WILL BE USED FOR: CXJ CJ c=Jc::J· Private PubIlc Industrial Tilt supply supply supply well

c=J Other: _IrriCiiation

~ -/7-1", Drillin'il method: Cable tool ~ .2. b 0 IIlmeted Estimated(check) Rotery X

stertinv depthJetted dete Other: _Bored

-# '\12NAT~~9 Contractor

Total Depth ;l. I 0 Completion Date 4 -I '1-&'0 Inter

val Description of cuttings Inter

val Description of cuttings

~ ~ype: :>

Intake....

Completion date: report depths below 'ilround level

o Turb. 111 Subm. o Jet o Cyl:; Other:

J ,tt H.P. --t= , iJdepth Yield vpm

Tuted by: ppumplnv o air 11ft o bailer o none

~ ';:;.. Q...

0

Measured Static Water Level

M..sured pumpin'il level

2-4 hrl. pumpln'il

I' '5' flf

I b

ft.

ft. after

'ilpm

Development time prior to tutlnv hrl.

~Open hole o Screened o Slotted plpa o Gravel pk.

"5 'c u::

Intervallsl scr••ned:

to

Packer lsi set at

;

to

and

to

ft'

ft.

ft.

Screen: diam. ; Size open;nCilI

Interval cased

/"'.l.. "

Dlam. Iinches)

4

·Type oipe

fiVe

--Type couplinGs

/,J

Interval Grouted

.:2--17

-

01 c

' .... 0 ·Couplln'il" Threaded I Coupled (TICI W"lded

Threaded I coupled I welded (TCIW) (W)

~ ..... ~

c::

!; 0

1)l&J .A

oCl~ U)~

~ ...J0

Ie; Q

c;::cJ

s:-. t.:::: . -e-I.-s:

C -

~ .. :>

0

Other:

·Pip,,: Black; PVC; Galv.; Other:

Water analysis !NO obtatned? lcheckl Bacteriolo'ilical

o Chemical

Analysis by: o Ala Geol. Surv. o Ala Health Dept.

~i9ned: J}:l:'i'n, 7JL ~ 7f. -'I ~

o U.S. Geol. Surv. o Private lab.


(M.L. Addreu (mailing)

~.", .. ~u"ff..v.1D.-. S e .3b3 3 u Addreu Zip Code Date

We-rt f!-(J'h S+, t]) ,tJ..J-!I44Il..:.·~Y-----=:c---:,........,.... _ Zip Code

5

WELL WILL BE USED FOR: Ip~atJ ,upply

[=::::Jb'Pu Ije supply

c=J Induatrial

supply

[=::::JTeat well

c:=:::J Irrit,lation Other: _

~-/7a-g()Elfmat startint,l dete

Drillint,l method: Icheekl

Cable tool Rotary)( Jetted Bored Other: _

~ Estimated depth

~tro\

tbm,P~__ ~GNATURE ~TDriIiirl9CUtractor

Total Depth ;;2." L0 Completion Date .4 /8 -8'11

Interval

Description of cuttings Inter· val

Description of cuttings Completion date: report depth. below t,lround lever

E~ype: o Turb. ~ Subm. o Jet o Cyl:; Other: :> '2-D H.P.-!= '7)0 Intake depth Yield

Te.ted by: J[ pumpint,l o air lift o bailer o none

~ Mea.ured Static Weter Level J DL... ft . .;; J 15: Measured pumpinQ level ft. after .. ",4 I"0 hrs. pumpint,l t,lpm

t,lpm

Development time prior to te.tint,l hrs.

lJr Open hole o Screened o Slotted pipe o Gravel pk.

..c..'c u::

Interval (il scr••ned:

to

Packerl.) .et at

;

to

and

to

ft·

ft.

ft.

Scre.n: diam. ; Si.e openlnt,l.

Interval ca.ed ,~

Diam. (Inches)

4

-Type "ip8

IPIlL

-Type couplint,l.

W

Interval qrouted

.Ln

0

-;.. 0 ·Couplint,l" Threaded" Coupled ITICI Welded

Threaded" coupled" welded (TC"W) IW)

c:;:) Other:

~ ~ ~

Ir: ~ ~ CX)

~:; .... ~

z-. 0

~

ro en

N ti

:::li=

>

.... i.. :>

C)

·Pipe: Black; PVC; Gelv.; Other:

Water analysis ! No obtained? (check) Bacterioloqlcal

o Chemical

Analy.ls by: o Ala 6eol. Surv. o Ala Health Dept.

L1...h1 P"A D~.Sit,lned: ~ ~

o U.S. 6eol. Surv. o PrIvate lab.


Oat. 3b.3~n Zip Cod.

Township

C

CJ T.st w.lI

CJ Indultri.'

lupply

g lupply

,•..,... II - ·umb.r

, N-4 ~S~ <5Ch. I ~l La aJ 3/,,3d. ~ Addr.n (m.i1ing4 J ~ Zip Cod.

11'1

WELL WILL BE USED FOR:

Oth..' _

E~;;tLq-~1 bi.m.,.?6':.11 ~I Estim.t.d

It.rtfn, d.pth dolt. Oth.r: _

__~( em« Ef?A.Lo U/~ ~NATURE of Drilling Contr.ritiF

Tot. I D.pth .3. f? s: I Compl.tion Dolt. «? -~ Ol-8/.

C:I Irrl,.tion

Dr""n, m.thod: ~I (ch.ckl

• Bor.d

Int.r- Description of cuttings Int.r D.scription of cuttings Compl.tion dolt.: r.port d.pthl b.low ,round I.velnl v.l

a. Typ., o Turb. 1;ubm. 0 Jolt 0 Cyl:: Oth.r:E :>

Int.k• d.pth '10 H.P. f' Yi.ld J~ ,pm.... T.st.d by, A pumpln, 0 .Ir lift 0 b.i1.r o non.

~ "'••Iur.d St.tlc W.t.r L.v.l , () ft. u 90• "'ulur.d pumpin, l.v.l ft.•fter a.

U :> f./,. hrs. pumpln, J-. ,pm

Developm.nt tlmo prior to t.stln, ,

hrs.

rJ. Op.n hole o Scr••n.d o Slott.d pip. o Gr.v.t pk.

Int.rvolh) acr••ned: to tt: ..a::.. 'i: to ; to ft. ~

P.ck.rlil I.t .t .nd ft.

Screen: dl.m. : Size openinVI

Interv.l DI.m. "Type "Typo Int.rv.l Colloid (Inch•• ) "Ip. coupllnas arout.d

~qrr tL 1Q.1l' t.u ~n I

go c:.;• "Couplln,,, Thrud.d I Coupl.d ITIC) Weld.d (WI0

Thrud.d I coupl.d I w.ld.d ITCIWI

Oth.r:

"Pip.: II.ck; PVC: G.lv.; Oth.r:

W.t.r .n.ly.l. ~NO obt.in.d? lch.ckl l.ct.riolo,ic.1

o Ch.mic.l

~ •:> AnalY111 by, o AI. &.01. Surv. o U.S. &.01. Surv. 0 o AI. H••lth D.pt. o Prlvot. I.b.

\\. rn I (\-Jftl./\ PI LSi,n.d: nL..l ~ ",,,,8II"J[T"D-. __ "I I~_•• "7~D'

~.. ".,~ .. ~ ~


Range ---or:own'ship'I. Section

PROPERTY or.qNER ~......, Address (ma"i1ina) n / Zip Code

N ~/E-WELL LOCATION

Distance and direction from nearest town, .t:ommunity, road junction or other reference point

WELL WILL BE USED FOR: ~ c::=J c::::::::JIPublic IPrivate Industrial Test supply supply supply well

[=::J Other:, _Irrillation

/30/~_S:--"ldtO Drillinll method: ~toolStfmated Estimated

startlnll depth(check) r

e eddate Bored other: ."\

Total Depth 12 :2 rr- Completion Date v r - (, - 7 g

"For deeper well ple..e attach continuation sheet.

Inter- Description of cuttings Inter- Description of cuttings Completion date: report depths below IIround level val val

It} ~. ,," ~ ~ype: o Turb. III Subm. o Jet 0 Cyl:; Other:

!1..p ,~. A~ -L~ :> Intake depth i¥ H.P. 1/.... Yield 1.5.... IIpm

~D . ~ # Tested by: I!! pumpinc; o air lift o bailer

flO ~~ -. ..... ~ o none

JEt) 4 1: Measured Static Water Level ~ ft.

~ - 'u ,-.'6 11l..... ~ .. Measured pumpinll level ft. afterQ... .:l: If

"1f} r-.e. --..._1 0 hrs. pumpinll IIpm

." "II :,. A. ~ Development time prior to testinll y= hrs.

.~ lI!.£. ~ d ,/ ~ Open hole o Screened o Slotted pipe o Gravel pk.

;Ab .. 'lA- P Interval is) screened: to ft' ~~ .~L L-f ..c.. , "lI ,"} ~I' Ii ~ 'c to ; to ft.

..II u:: . ~.::l"" A-.. L~. ~. IJ. '"AAA Packerls' set et and ft.

I· , , Screen: diam. : Size openinljJs

Interval Diam. "Type ·Type Interval cased llnches) "iI'e couplinlls arouted

/J_ JrJll f.S.1( /}(,/ IJ ..~ fl'" h- ta-

'" c';;..

"CoUplinIlS: Threaded I: Coupled ITIC) Welded (WI0 Threaded I coupled I: welded ITC&W/

other:

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

Water analysis ~o obtained? (check) o BatteriolOlllcel

o Chemical

>:!: .. :>

C) Analysis by: o Ala Geol. Surv. o U.S. Geol. Surv. o Ala Health Dept. o Private lab.

/c' ~ jA LaSillned: -...

Date

Range ---or:

L?-?d

Zip Code

/'I. Section Township

Distance and direct;o;;:rearest town, community,

WELL WILL BE USED FOR: CJ CJ CJ Private Public Industrial T.st supply supply supply w.1I

[=::J Oth.r: _Irri9ation

Drillin9 m.thod: Cabl. tool.. _II. ... ~-/?-?! irrf.9/Icheck) ,:ciotory$

startin9 d.pthJ.tt.ddate Bor.d Oth.r: ~

:::::~ i "7""

Total Depth _ Completion

road junction or other reference point

Inter Inter Compl.tion dat.: r.port d.pths b.low 9round l.v.1 Description of cuttings Description of cuttingsval val

~ ~yp.: D Turb. !l1ubm. D J.t D Cyl:; Oth.r:

... Iintak. d.pth I. ("7J H.P. I Yi.ld ~ 9pm

T.st.d by: ~pin9 tJl""'i'fr lift D bailer D non.

:f Measur.d Static Wat.r L.v.1 Lc!fi 0 ft.

. :t Measur.d pumpin9 l.v.1 tti!Jc eft. aft.r

I----1-------------1----1----------------1I I I l0 e5'l- hrs. pumpin9 I Q 9pm

D.v.lopment tim. prior to t.sti.9 hrs.

IEr't1p.n hoi. D Scr••n.d D Slott.d pip. D Grav.1 pk.

Int.rvalls) scr••ned: to ft·

~I to : to ft. iL

Pack.rls) s.t at and ft.

Scre.n: diam. : Siz. op.nin9s

Int.rval Int.rval cas.d

Dlam. °Typ. I *Typ. .....IP.• _ couplinGs 9rout.dIInch.sl

7. r/') if VJ,.J..i/P l/..... --,-----z

.[1 I I I I I .. o I "Couplin9S: Thr.ad.d I Coupl.d (TIC) W.ld.d (W)I I I I I Thread.d I coupl.d I w.ld.d (TCIW)

Oth.r: _

"Pipe: Black: PVC; Galv.; Oth.'·

Wat.r analysis ~o obtain.d? lch.ck) D Bacteriol09ical

o Ch.mlcal

I.. AnalY'/} o AI. G.ol. surv.A0 U.S. G.~~Surv.0. o Ala Health D€L 0 Private)?P'

siIr;;;::~~=:¥<,LtJ.77/?~ ./~~ "For d••p.r w.1I pleas. attach continuation ,h••t. ~ 0 · a c>

2/E

~.l~,;,<-:::,~:",~


~

Address (mailing) Zip Code

711/WELL LOCATION ~unty '-'- 1/. Section Township Range ---or:


WELL WILL BE USED FOR: c:::::J c:::J~J ~ Indultrlll Tlst supply supply lupply will

c:::J Other:: _Irrl.,atlon

1.J //Drlllln., mathod: Cabla tool'l;-l£.-7f (f£.d/

Eitmar. if..leheekl )Clotary"artln., depthJetteddate Othar: ~Borad

Tote I Depth 11£/ Completion Date t-U - zR Inter-

vel

d-JIJ Jh-l/~ IW-/7/J I'JO~/~~

11Hl~J)(

Description of cuttings

ro.,'/ .,. /~ "J ?/u.~ "",';"./ lnil /J.,

1fu " ....,,0 "./

L ..... .... 1"' .."


~ ::I

A.

~ 'u.. A...

0

Complatlon data: raport dapth. balow .,round level

Type: o Turb. II' Subm. o Jet o Cyl:; Other:

Intake depth kg' H.P. Y7 Ir-YIeld

Tested by: o pumpln., o air 11ft o bailer III none

Measured Statle Water Level /£' ft.

Mea.ured pumpln., tevel ft. after

hr.. pumpln., .,pm

.,pm

Development time prior to te,tI• ., hrs.

Dr Open hole o Sereened o Slotted pIpe o 6rnel pt.

...c..'c L&:

Interval Isl 'ereened:

to

Paekerlal let at

;

to

and

to

ft;

ft.

ft.

I C)

.;(.. a.::: Sereen: dlam.

Interval Dlam. ea,ed Ilnehe'l

*Type "I"e

; Size openIn."

'Type eoupllnG ,

Interval arouted

'i:f4 ;::. -!!!

== "C

~ ::f-

.... -. --

........--... I: ;: c.. C

Ul c.;;..

0 *Couplln.,s: Threaded I CouPled" Welded (WI Threaded I eoupled I welded (TCI

~/ud.Other:

*Plpe: Bleek; ak: 6alv.; Other:

Water analy,l, o..talned? leheekl

IlII No o "cterlolo\lieal o Chemleal

l.. ::I

C) AnalYl1I by: o Ala 6eol. Surv. o AI. Health Dept.

o U.S. 6101. Surv. o Prlv.te I....

SI\lned: ~_ :#". qt/,. ~

I

Date

Range -

Zip COd~ ,.IE'=:IV

TownshipII. Section --or:

WELL Will BE USED FOR: ~ g c=J ~ Private Industrial Telt supply supply supply w.1I

c:=:J Oth.r: _Irrillation

d .),?- '2f Drillinll m.thod: CabI. toolT:&tlmated lchackl Rotary

startlnll J.tteddate Oth.r: I _Bor.d

~ > ~

Total Depth eP:--c{O I 0+---~~


Inter. val

Description of cuttings Inter. val Description of cuttings Completion dat.: r.port d.pths b.low IIround l.v.1

~ Irype : o Turb. ~bm. 0 J.t 0 Cyl:; Oth.r: ::J

Intak. d.pth Lr-n H.P. I Yi.ld / II?"'

T.st.d by: ~pumpinll ~ir 11ft 0 ball.r 0 non.

~ lII.asur.d Static Wat.r L.vel 1m ft. u OJ III..S"3: pump!nll l.v.1 ft. aft.rA. OJ

0 hrs. pumpinll 10 IIpm(

Development tim. prior to testtnll hrs.

IIpm

I~.n hoi. o Scr••n.d o Slott.d pip. o Grav.1 pk.

-5'c LL

Int.rvalls) scr••ned:

to

Pack.rls) I.t at

;

to

and

to

ft·

ft.

ft.

Scr••n: dlam. : Siz. openinQI

Interval '-a..d

C~O

Dlam. "Type "Typ. llnches) .....Ip. <ouplinas

<L ~I7 L

Interval IIrout.d

VI .~ OJ

0 "CoUplinlls: Thread.d I Coupl.d ITIC) W.ld.d IWI Thr.ad.d I coupl.d I w.ld.d ITCIWI

Oth.r:

·Pip.: Black; PVC: Salv.; Oth.r·

Wat.r analysis obtain.d? lch.ck)

~o o Bact.rlolollical o Ch.mical

~ OJ ::J

0 AnalY~ o Ala G.ol. su:-~ U.S. S.ol. Surv. o AI;, H.alth D.. 0 Prlvat. I~

st::,c;:;rt'fL- 7 ~JJ)~/? --" II

"' ~ , ~ \.

·Pipe: Black; PVC; Salv.: Other:

9pm

Interval arouted

J:5

c>0<O / Estimated

depth

Zip Code

Renge - --or:

Cfr".

°Type l "Type Dipe ,coupllnal

IP-vev

~ Towlfship

'<"';'~;iiffl" ''''.~'~''!I'~''';'

c=:J Test well

7

Dlam. (lnchel) (,l

o Turb. ~ubm. 0 Jet 0 Cyl:: Ot~

depth /2/ H.P. ..3/sr Yield.1L

Completion dateyrt depthl below 9round level

Interval e~nd

AnaIY~y: 0 Ala Geol. SuA 0 u.s. Geol. Surv. ./ J 0 }'a Healt~. 0 Pr'va~ab.

Water analYlil ~o obtained? (check) 0 Bacteriol09ical

o Chemical

\V. '1 - --0---'f'~'){(J;f7'JJlj;;1o/J ~~

____to : to ft.1

Packer(l) set at and ft.1

Screen: diam. ; SI.e openin91 _

ilGf7'J

F hole 0 Screaned 0 Slotted pipe 0 Gravel pk.

Interval/I) screened: to ft:

c::=J Indultrial

lupply

D.. ~ype:

~ Iintake

'I. Section

community, roed junction or other reference point

Ipublicl

lupply

{Other: } ;a: ;' ~_

Other: _


'..,j)( ,.,~, '0; ~ ~-4 ,.." , t~::';'~>l(,,,,!~ '.

direction from nee rest town,

~ Private lupply

Intervel

'~'''''

c=J Irri9ation

Drillin9 method: Cable tool (check) ~farY'S)

'~tted Bored

~''"'''' • Je



Itartln9 date

!-::~:?/

Intervel

·For deeper well plea Ie attach continuatil.n Iheet.

Other: _

Totel Depth ~<{.Q I

I I ',I I;;.. " 0

g' I I I I I I I I I I 1-; ., 0 I °Couphn9S: Threaded I Coupled (TIC) Welded (WI

Threaded I coupled I welded ITCIW)

Tested by: ~mpin9 ~ lift 0 baHer 0 none

I I I I ~ Mealured Static Water Level /~ ft.

! Measuredpumpin9 level II,~ ft. after

I I I I I0 C><, h... pumpin9 9pm

Development time prior to testin9 hrl.

I I I I I~

~ _ •.~..~.,~ ..,~ .•",,'''''''''''';:''-~'~ "'..tv/;..... 1:,0· ,. '~"h'-._~i."'-- '''''Ii'~ ;"" ..,;,._.].~~~, <i~~~'~"

'/. SectionSection


WELL LOCATION

$6J':j>l) 11- ?-/}'1 Zip Code Date

Zip Code

eR) .1:Township Range - --or:


WELL WILL BE USED FOR: ~ c::::J c:::JPrint, Indultrlll Tilt supply supply supply wall -c:::J Other: _

Irrlvatlon

J)-fJ~'J'l e.ble tool 4- .., - -~bb4{'Drllllnv method: Estlm..-a lcheckl Rotary ~ biameter of well ~l'mit;6 startlnv Jetted depth date Bored Other: _

Total Depth Completion DateQl.. ¥'() / /1.- $J./ -7?

"For deeper well pleese ettech continuetlon she.t.

Inter- Description of cuttlngs Inter- Description of cuttings Completion date: raport depths below lIround level val val

-JtJ nJl.A /1.,., I t Type: o Turb. o Subm. o Jet 0 Cyl:: Other:

'~.....:1 IJ)~ 'r,. ,.f/11 ., " A- Intake depth H.P. Yield vpm

"'r -;: ',) n OJJI. 'I Tested by: o pumplnll a air 11ft o bailer /)~~ /V

o nOne '( ~ I ,

,.,f >D IJ.J1. 0 0 ~ Measured StatIc Water Leval ft. 1:1_ ......._;'1 'u

0 ;~:.,. ~ /JAIL _ ~O • Mealured pumplnv level ft. efter ,I. O J A A.

• f'J_t 4J V rJA" .11 .l'\A l :V J. ~AA IJ V/J 0 hrs. pumplnv lIpm

'11 LU

1_ ln~. (J ""/.. 0 / Development time prior to testlnv hrs.

it.: 2 , 3 ivt IL.I h f) 'll. ~ I tiA IJ" .<.. ~1J) Vu "'.0/1 o Open hole o Screened o Slotted pipe o &revel pk.

3 J!j 0 I /'I"'A n A () U I u ) '?o 'f ~ OA~1 ~ . I JO".A J /2u"""" ~D

Intervellsl screened: to ft: l I -"..

I I~, I. ,C; ,/Y'\." J. .1 JI ';: to : to ft u::

~ ) ... '1 I'" jlJl.,J.A1l fl_" II... /'I .. A_ /IJ Peckerlll set at ud ft.

61 ) _.2 (lh V.L/nO A Screen: dlam. : Size openlnlls

Infarvel Dlam. "Type "Type Interval cased IInchesl "'"e coupllnas Grouted

'" I:

~ .;;

e- I • "Coupllnvs: Threaded a Coupled ITiCI Welded (WI)0 n 0.. Threaded a coupled a welded ITCaWI > :< ~

~ ~ 0 Other:\

LLl ,-"', -.. >

..:t. 4 .... ..... "Pipe: Black: PVC; &elv.: Other: e.::> r'"'> U

-;; (/)0 ~ Weter analysIs o No

C < C"V"' obtained? (check) o Becterlolovical

o Chemlcel C -' CO ~ ~ '-" r.:t: •" Analysis by: DAle &eol. Surv. o U.S. &eol. Sur•.C)

O Ala H.alth Dept. o Prlvete leb.

Siv ned :

---

..~~~'::;--~;.~?~ ;...~~ "'" ,~?\'"","".• ·.P~?~'Jti ...~",,~"1, ••,~#'.),..:;"';;;' _~_<::-.-,~~"~i;r,


~ Rang. - --or:

/- Cj-?~ 0....

Zip Cod.

'/. S.ctionS.ctionWELL LOCATION

Distanc. and dlr.ction from n.ar.st town, community, road junction or oth.r r.f.r.nc. point

WELL WILL BE USED FOR: c=:J c:Jlfrtt ~ Indultrlll Telt supply supply supply wan

c::::J othar:: _'rrl,atlon

J-I{)-1f ~ 'IDrl"'", mathod: Cabl. tool (f!:~/

EStlmataa Ichackl Rotary~ nat.r of w.1I startl", d.pthJatteddata Borad othar: _

Total O.ptfl _ Compl.tion Oat. / -. /tf:- ,77' Int.r Inter. Compl.tlon dat.: r.port d.pth. balow ,round 1...1O.scrlption of cuttings D.scriptlon of cuttingsval val

A:::l /~ R_ J /'7,. YP.: o Turb. 0 Subm. 0 Jat 0 Cyl:: Oth.r: I ~-I/.", ~/7 It

;

tl. EIntak. d.pth H.P. YI.ld ,pm, .., ,:or:L' ? <""' R_ J.-4... 11 T....d bY:- 0 pumpln, [:] .Ir n~O balI.r o non.

:~~=t?~; It:::::: ::::.::,'_".1__ft. af:~ I~ ~..J.u;;m f:-,J'A,J 0 hr•. pumpln, ,pm

. /~ ~ / ~ A ..kLt ~~ ~ 7 "j- ~y~m.JILtlm.~ to ta"I~9 .hr•.

~--:;r:.. ~;; h ~ ......7/ ~- o Op.n hoi. o Scr••n.d o Slott.d pip. o Grav.1 pk.17 PL..-L _ / ~ ;:;:;::uo: IL

Int.rval fa I Icreened: to tt;Ii.~ ':X:6_ ,/~ i.7.... _ /?...:J'.7,:).1

to : to ft r / dA _ "1 ~,., "1-. ~J" .J-RA1=~ ~ '4 -AlA _ ., ? A A ~_'.... "'.1; ~--t?

h?kJ"/ ,~ Pack.rl.1 ••t at ,lind ft•

-p Scr••n: diem. ; 51.. op.nln,.

~~- ~U7j AZ -;1:.1 I ...,., A_(J "Typa

7 I' .. ca••d ,.. Int.rval Dlam.

Ilnch••1 "i".---;7

6' 'I ~ 7_1 7 .... LIIJ _ ::1 ,-<.'71 :z ---rv;{~ ... --;j

1~1b~' IJ~~-------l .. oth.r: _-~ /PLfJiA

.,...~~ g ~ ·Pip.: Black: PVC; Galv.: Othar: ~ -

-n:r ~ ;:; uJ Wat.r analy.1s o No

1;1:1 obtain.d? [chackl o Bact.riolo,lcalID o Ch.mical

l ,I I I I~0. I Analy.1s by: o Ala 6.01. Sur.. 0 U.S. Gaol. Surv. o Ala Hulth Dapt. 0 Prlvat. lab.

SI,nad:

·For d••par w.1I pl.a•• attach continuation .h••t.

/

,hr•.

o Gravel

~/~

Other: .... It?Yield

Range ---or:

o o Bacteriolollical o Chemical

ownship

CJ T.st well

Water analy,is obtained? (check)

Oevelopment time prior to te,tin9

Tested by:

~ hole 0 Screened 0 Slotted pipe

Section

r:::=J Industri.1

,upply

0.. e tf. Iintake

~

Interval I,) scr••ned: to

~ I to ; to

it Peckerl,) ,et at and

Screen: diam. : Size openlnll'

" ::s ()


'PUbl,;" ,upply

~ I Other: _ JM'" --?

Other: _

Description of cuttingsInterval

r lift 0 bailer 0 none

~ Mea,ured Static Water Level / /0 ft.

'0..2 Mea,ur~Pin9 level 'j"1 C ..... ft. after r r'" ~

I I I U hr•. pumpin9 9pm

Orllllnll method: Cable tool (check) C~DJ

netted Bored

CJ Irrillatlon

·Pipe: Black; PVC; Galv.; Othe,"

Other: _

Distance anC! direction from nearest town, community,

~ Priv.t, ,upply

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



WELL LOCATION

J::iQ;-2; startinll date

Interval

Total Depth ~ /

011 + +-__----,1 -+ -1

I I I I I~ I


~b3~o 3-R,;~~ Licenle Number Zip Code Dete

'\""Po ~''ko; & ..d:;...J.R It ...w~, GLl 3L~a~KI,----__ J Addreu (meiling) 'p Code

3~ WELL LOCATION

WELL WILL BE USED FOR: r::::::J c::::::::JIPublici~ Industrial Test lupply lupply lupply weH

c::=J Other: _Irri ...ation

.Jf."Drillln9 method:-i.;t-i'~ .c:um' (checkl otciIo01

Ita;tln9 iI Other: _,clate Bored

--S~I'tn. ewu..1,*:;Tote I Depth J, 0 I Com!ll~ion Dete .3-10 -f:i:l

Intervel

Delcription of cuttin'l1 Intervel

Delcription of cuttingl Completion date: report depthl below 9round lev.1

~ type:

rl. Intake

D Turb.

depth

rX'Subm. D Jet

?D H.P.

D Cyt:; Other:

-'s.. Yield --.J..;J. Tested by: !1"pumpin9 o air hft o bailer D none

~ 'u:t

Measured Static Water Level

Mealured pumpln9 level

4.1 1 .stD

ft.

ft. after

i) ;;).y. hu. pumpin9 I~ 9pm

Development time prior to t.stln9 I hu.

f1.. Open hole D Scruned D Slotted pipe D Gravel

Interval Is) Icreened: to '

I I ______ to J:_!~I_to~

'

Packerhl litt at and ---"

Screen: diam. _ Si.e openin9s _

I I I 1.[1 I I 1 I I ..o l'couPlln9s: Threaded I Coupled (TICI Welded IWI I 1 I I Threeded I coupled I welded (TCIW)

, Other: _

'Pipe: 8lack; PVC; Galv.; Other:

Water analYlis III No obtained? (check) ~~ 8acterlol091..1

D Chemical

I I I 1 I~.. :> AnalYlls by: D Ala Geol. Surv. D U.S. Geol. Surv.

1 I 1 1 10 D Ala Health Dept. D Private lab.

Sl9ned:

'For deeper well' plea Ie attach continuation lheet.

-;·"?i'i:~.iit~~~1i ."(I:"i

<',-.'-..oRT OF DRuiD 'wa.i ' fJ

OR

PROPERTY OWNER

Lic.ns. Numb.r

Zip Cod.

ll..f, Rang. ---or:

point

WELL WILL BE USED FOR: c:::J c:::::JIp!t~ ~ Industrial Tilt lupply lupply lupply well

c=J Other: _Irrigetion

3-1£.- "B Drlllln9 method: Ceble tool ~" Estlmeted ~(check) Rotary X Itertln9 Jetted dete Other: --::-__Bored

Contractor

Total O.pth If=qO\ Compl.tion Oat.,--=3"--.....:J.2>=~-_7L'...L _

Town'ship r

1..Hf:<ff~t WELL LOCATION

Int.r val

O.scription of cuttings Int.r· val

O.scription of cuttings Completion date: report depthl below 9round level

~ Type: o Turb. BI Subm. o Jet 0 Cyl:: Other: :::I... Intake depth;L70 , H.P. I Jos. Yield IS 9pm

Tested by: at pumpin9 o air 11ft o bailer o none

.l'';;.. lL..

0

Mealured Static Water Level ~ ;).50Mealured pumpin9 level

0..'+ I~hra. pumpin9

ft.

ft. after

9pm

Development time prior to testin9 1 hra.

I:i\ Open hole o Screened o Slotted pipe o Sravel pt.

-5'c

Interval II) Icreened:

to ;

to

to

ft·

ft. L[;

Packerh) let at and ft.

~

~t-.,~~

!!!• a -,;"

"

Scre.n: dlam.

Interval Dlam. caled llnchel)

4-~" 4>"

·Type Dlpe

,S't'@(1\

: Size openin\lill

·Type coualinDI

-rott'"

Interval arouted

.::1.0'

~.

iii

~1:11 III S

CO

-..... '.

'1;

,',

" l:Jl c:

'.... 0 ·Coupllngl: Threlded I Coupled ITICI Welded (WI

Threaded & coupled & welded ITC&W)

~ .. Other:

·Plpe: Black: PVC; Salv.; Other:

Water analYlil obtained? (check)

~ NoBacteriol09ical

o Chemical

~ .... 0 Analyall by: o Ala Seol. Surv.

o Ala Heelth Dept. o U.S. Seol. Surv. o Prlvete lab.

Si9ned: C\. ,1n 1', _.n ,

Range ---or:Township

3j;,3~tJ

l/Y road iunction or other reference point

License

REPORT OF DRILLED WELL _\

ILL//VG

PROPERTY OWNER

'/. Section

]'j-- /"

WELL WILL BE USED FOR: c:::J c::::::J~ Indu••rt.1 T.at supply supply w.1I

¢jx ~ Ir,i'ill.tion Oth.r: _

Drillin'ill m.thod: C.bl. tool lch.ck) Rot.ry

st.rtln'ill d.te ~ Oth.r: _~

Total Depth Completionkiv

[EfPrlv.ta supply

·For dup.r w.1I pl••s••tt.ch continuation sh••t.

Inter- Description of cuttings Intar- Description of cuttings Compl.tion d.t.: ~port d.pths b.low 'iIIround I.vel val val

~ !Type: D Turb. ~bm. D J.t D Cyl:; Oth.r: :::I

Int.k. H.P.a.. depth YI.ld 'ill pm

T.sted by: rp4umpln'ill o .ir lift D b.ller D non•

~ .....sur.d St. tic W.t.r L.v.1 ft. 'u :. .....sur.d pumpin'ill lev. I ft., .ft.r ..

0 hrs. pumpln'ill 'ill pm

Develo(ment tim. prior to testln'ill hrs.

CC) I~p.n hoi. D Scr••n.d o Slott.d pip. D Gr.vel pk.

~ 9 ~ Int.rv.lls) Jcr••ned: to ft; ..q ::a:: ~

IJ CD - 'c to ; to ft. a Li:

-i=~ ::: ;; P.ck.rls) s.t at .nd ft.

C ;:::0 c=t .... Screen: di.m. : Siz. op.nin'ills

(·-"e i&.I Interval Di.m. ·Type ·Typ. Interv.1

-e ~ - cased llnches) oloe couplinas Grouted-~ = ..... US

'" .;.. ·Couplln'ills: Thr••d.d I Coupl.d lraC) W.ld.d (W)0 Thr••d.d I coupl.d I w.ld.d ITCIWI

Oth.r:

·Pip.: BI.ck; PVC; 6.lv.; Oth.r:

W.t.r .n.lysls o No obt.in.d? lch.ck) o B.ct.riolo'illlc.1

o Ch.mic.1 I

!.. :::I An.lysls by: o AI. 6.01. Surv. ~

o U.S. 6.01. Su,v. o AI. H••lth D.pt. o Prlvat. I.b.

SI'illn.d:

N Township'/4 SectionWELL LOCATION

~:.~%~/~~{;23 _. - .

nearest town, community, road junction or other reference point

~J-/7Ode

Zip Code

c2/b Range ---'_..

Distance and direct;o::i

WELL WILL BE USED FOR: CJ c::::::::J Private ~ Industria' Test supply lupply lupply w.lI

~ Oth.r: _Irri.;.tion

Drillin.; m.thod: ~Cabl. tool Ich.ck) --mJ;d

~/.¢-71 startln.; dolt. Bor.d Oth.r: ' I

}. ~ ~ p>.

/'

Total D.pth c?60 Interval

D.scription of cutting I Interv,,1 Description of cuttings

"Pip.: Black; PVC; G.lv.: OtMr:

hrs.

o Gr.v.l

o none

51•• op.nln.;I _

_____~to-----_

o Scr••n.d

D.v.lopm.nt tim. prior to t.stintl

o Slott.d pip.

Int.rvallsl Icr••n.d: to _

Peck.rlll s.t at and _

~p.n hoi.

Scr••n: dlam. .....-_

Compl.tion dat.: r.port d.pthl b.low .;round l.vel

T.st.d by:

... ~YP.:

~ lintak.

~ MUlur.d St.tlc W.t.r L.v.l ( / ~ ft.1M••lur.bumPin.; l.v.l I ,17£:t..ft.r

I 0 hrs. pumpln.; .;pm

Oth.r: _

~1-------f----+----+----+----0. U 'Couplln';l: Thread.d I Coupl.d (TIC) W.ld.d

I Thr••d.d I eoupl.d I w.ld.d ITCIW)

~I~I to __

--1

I I I

I=I--~-I

I I I I

o o B.et.riolo.;ie.1 o Ch.mle.l

W.t.r .n.IYli. obt.ln.d? (eh.ek)

Ii0I I I I

"For d••p.r w.lI pl••s••tt.eh eontinu.tion sh••t.

1/. SectionWELL LOCATION

'"~

~ ~ 'h33o J~ -:J-/f¢,

Zip Code Date

Zip Code

G Renge ---or:

Distence end direction from neerest town, community, roed junction or other reference point

WELL WILL BE USED FOR: I'tI rI c=J c=J ~ "PuDiit Industrial Tast supply supply supply w.1I

[=:::J Irrlvatlon Oth.r:: ~ _

I~ .. 3~1'1 Estlmat.d startlnv date

Drllllnv m.thod: (ch.ck)

Cabl. tool Rotary ;( J.tted Bor.d Oth.r:

Totel Depth eltJO~ Completion Dete ~ _

..

5 - ~* Inter Inter Compl.tlon dat.: r.port d.pths b.low lIround lev.IDescription of cuttings Description of cuttings vII vII

~o ~~ I I~ yp.: 0 Turb. Subm. 0 J.t-s= Cyl:; Oth.r:

I~J5 ~~~ ~ Intak. d.pth H.P."il:' YI.ld I:J-. vpme' ~~ -I I 1 ::Flrest• d by: 0 pumP7.ill 0 .Ir Ii@ 0 ball.r 0 non. illlI ,.,/to ;I;;;; ii/~~;~ i b4~~l:asur.d StatIc Wat.r Lev.1Ji'JLJj)("M;c~ , "" ~ -----. ft./lJII 0 .asur.d pump;nll lev.1 ft. aft.r~ ?h~ ____hn. pumplnll _ lIpm

D.velopm.nt'tlm. prior to t.stin9 ,hn. ~ A

111/,.-1 °11 tL AM/JA7 ]M'op.n hoi. 0 Scr••n.d 0 Slotted pip. o Gravel pk. JIU J ul./\ h;:'A~ :JdiA~.. .A _______ to _

'nt.rvalls) Jcr••ned: ft,JdJl..I.!1DIJ 7 ~. ______to _to ; ft.~Iu:: , --aa..d _Pack.rls) s.t at ft.

_________ ; SI•• op.nlnll. _Scr••n: dlam. - ~ype Int.rvalInt.rval Dlam. I -Typ.

U"') arout.dcoupllnllsIIncll.s) pl~ecas.d..-lUI --c- ... JlIi!: lit I~)I IDe........ -::II::' I' I'0::1 ~ CI:

- -.:s ~ ti'l W

~ (,.) tEl

c::::J Oth.r: _ =" .q ....... a:

~'::::' ·Pip.: Ilack; PVC;. Galv.; Oth.r::i-Water analysis q No obtained? Ich.ck) .m lact.riololllcal

o Ch.mical

I I I I I~ '" :::I

() Analy.is by: .g Ala 6.01. Surv. ~ Ala H.alth D.pt.

o U.S. &.01. Surv. o Privata lab.

Silln.d:

·For d••p.r w.1I pi.... attach continuation .h•••.

o Ala G.ol. Surv. 0 U.S. G.ol. Surv. il Ala H..lth D.pt. 0 Privet. lab.

Analy.i. by:

SI9n.d:

'" 0-

hr•.

o Grav.1

9pm

Range ---or:

320 ft.

21 E

1/37 8/31/73

Date

Zip Code

o Slott.d pip.

______to ,

o No ~ laet.riol09ical o Ch.mica'

Zip Code

36081

Township

~.

4 in.

CJ Test well

o Scre.n.d

-:~"';~-

o Turb. :il Subm. 0 Jet 0 Cyl:; Oth.r: I

d.pth H.P. 1 Yi.ld

Completion date: report depth. below 9round level

(ch.ck)

_

Ilack; PVC; Galv.; Oth.r:

D.velopment tim. prior to t.stin9

.cr.en.d: to 1

at and 1

dlam. _

Q. ~yp.:

~ Iintak.

AL. 33360


biameter of wail Estlmar... deptht:/A.AA)

---~S~I~~~:::i~U:-:R::E~O:::f=-=-D-ri;;.,~~n.Jg~cr..::!=~aO:::c:zto:J:r~~--9/6/73

Interval

or other reference point


..

• .,r

·to __

~1-----.f----I----+-----+-------4

f--:-:,...--."...----!:----:---.1....,......--:---:::I:-:~_:_:_-,JL------_1

mi g--~ rock I I ,.,h"" 0 ••m.'.. 0 .,,,.. ill' 0 .0..

I~ "....... "'".W.h.Lo••'---'~~ •. :. M.a.ur.d pumpin9 I.vel Ittl ft. aft.r a. hrs. pumpln9 /D

-,.,~ _


~JOHN D. HUGHES & SON 167 RT.l, ENTERPRISE, DRILLING CONTRACTOR License Number Addre..

SHELLY ZIGLAR RTe 2,TROY,AL. PROPERTY OWNER Addre.. (mailing)

COFFEE ~:L. W~LL LOCATION County Section 'I. Section

CLOWERS BRIDGE COMMUNITY Distance and direction from nearest town, community, road junction

WELL WILL BE USED FOR: 'p;at1 ~ c=J

Industria' .upply .upply .upply

c=J Irri9ation

Other: _

8/3 1/73 estimated

Drillin9 method: [check)

Cabla tool Rotary X

startln9 Jetted date

lored Other:

Total Oepth 320 ft e Completion Date

1-5 : BOrt marl : :-5 gray rook

o

III Op.n hole

Int.rvall.,

l~1 Pack.rl., ••t

Scr••n:

Int.rval ca••d

I ~

Oth.r:

·Pip.:

Wat.r analy.1s obtaln.d?

I~I _ I' - 1

~2:;~;!:--J_~--tu, I

" i iN I ;::;: ,-; ;. _, I I

·For daap.r w.1I pi.... attach continuation .h••t. _.

• REPORT OF DRILLED WELL,.

'v 39" •t JOHN D. HUGHES & SON 1~ RT.l, ENTERPRISE, AL. 36330 ~/31/73i2-DRILLING CONTRACTOR _ Lic:ense Number Addre.. Zip Code Det.

GRADY ZIGLAR RT.l, JACK, AL. PROPERTY OWNER Addr... (meilingl Zip Code

COFFEE 1 5 1....li 21 E WELL LOCATION County Sec:tion '/4 Sec:tion Town.hip Renge ---or:

COFFEE BOUNTY ROIB 78 Distenc:e end diree:tion from neerest town, c:ommunity, roed junc:tion or other referenc:e point

WELL WILL BE USED FOR: co CJ c=J Privat. IPublic I Industrial T.st supply supply supply w.1I

c:=JIrrivation Oth.r: _

gil 173 4 in. 320 ft.Drilllnv m.thod: Cabl. top1

Estlmat.d D.am.t.r of w.11 t:lflmat.d(ch.ckl Rotary X startlnv d.pthJ.tteddate Bor.d Oth.r: _

Tote1 Depth 260 ft. Completion Dete - ':it 0/ (J

Inter- Description of cuttings Inter- Description of cuttings Compl.tion dat.: r.port d.pths b.low vround lev.Ivel vel

0-1 red olay 0 ~yp.: o Turb. o Subm. o J.t 0 Cyl:: Oth.r:E0-.01 yellow sand rf. Intak. d.pth H.P. Yi.ld vpm

"0-" marl Test.d by: o pumplnv o air 11ft o bail.r o non.

-' yellow sandy 0 av ft.i6 .l' M.asur.d Static Wat.r L.v.1

marl 'u -7 layers of marl ~ & ~ ray rook

or M.asur.d pumplnv lev.1 ft. after0..

'0-91 marl 0 hrs. pumplnv vpm

~7- 10 fine white aand D.v.lopment tim. prior to t.stlnv hrs.

10 18 soft yellmw ~lay ..p Op.n hoi. D Scr••n.d D Slott.d pip. o Gravel pk.1B 25 marl

Int.rvallsl scr••n.d: to ft;25 127 rook ~

27 145 soft marl .~ to ; to ft• i.L

45 170 white sand Pack.rlsl s.t at and ft

0 175 lignite Scr••n: diam. : 51.. op.nlnvs

r5 184 sand Int.rval Dlam. ·Typ. "Typ. Int.rval 34 187 lignite ca••d Ilnch••1 pip. couplinv. vrouted

7 200 brown saaa 14 in blk t.&c )00-"!60 limestone

UI .~..

·Coupllnv" Thread.d I Coupl.d (TICI W.ld.d (WI0 Thr.ad.d I coupl.d I w.ld.d (TCIWI

Oth.r:

"Pip.: Black; PVC; Galv.: Oth.r:

Wat.r enalysls o No

~.. !!.dI ~ ..~ obtain.d? Ich.ckl ~ Bact.rlolovlcal

o Ch.mical

,,'. -~ .. ::I

~ Analy.l. by: o Ala 6.01. Surv. o U.S. 6.01. Surv. Xl Ala H.alth D.pt. o Prlvat. lab.

.~." Sivn.d:

"For d••per w.1I pi.... attach continuation .h••t.~ ,

G Range ---or:'Township1/4 Section

•

WELL LOCATION

'Ii


WELL WILL B~ USED FOR: LE:J c::=J c=JIPublic IPrivate 'ndultrlal Test lupply lupply lupply well

c=J Other:: _Irrigation

-'73 cilfQ/Drilling method: ebl 01 (checkl Ro r~d depthe

Bored Other: .Ir'_~ ..........

IGNATURE of Orillin

Total Depth ~ 80/ &'- a-'-'2 ~ Inter

val Oe,cription of cutting, Inter·

val Oe,cription of cutting,

Q. ype:E :>

0 Intake

Completion date: report depthl below ground level

o Turb...llO(Subm. 0 Jet 0:YI:; Other:

depth d3 C H.P. 03 JL YleldsJ gpm

Tested by: lZI-1S"umpin9 0 air lift 0 bailer o none

~ Mealured Static Water Level dl£ ft. .y

~YQ• Mealured pumping level ft. afterQ.

• / hn. pumping ,y-O gpm/ c.

Development time prior to testing hn.

~n hole o Screened o Slotted pipe o Gravel pk.

f!.. :A .1-.

"

.•~ .

'ntervalll) scr••ned: to ~ 'c to ; to u:::

Packer III let at and

Screen: diam. ; SI.e openingI

'nterval Dlam. ·Type Type -"ased. IInches) lliDe couplinGS

1"-.-5.~b Lf- L~.I.-"~. --rt'-~ ~ I

Ul c:.;;• ·Couplings: Threaded I Coupled ITICI Welded (WI0

Threaded I coupled I welded ITCIWI

Interval Qrouted

tt:

ft

ft.

Other:

·Pipe: Black; PVC; Garv.; Other:

Water analysis obtained? (checkl

~o o Bacteriological o Chemical

~ 0; :>

C) o Ala Geo\1I1Analysis by:

p::;) o Ala Health t.

SigrA:: ~.L I "il/~~

o U.S. Geol. Surv. o Prlva~ lab.

//. -'/

.. . .. f?" ~~/bl8- V'S-P HUGHES BON 36330 8/15/73

DRILLING CONTRACTOR Zip Code Date

WILLLARD SMITH RT.l,JACK,AL. • Zip Code PROPERTY OWNER Address (mailing..

35 ..COFFEE 7 21 WELL LOCATiON County Section W '14 Section Township Range ---or:

1 Didance and direction from neared town, c .. nity, road junction or other reference point

WELL WILL BE USED FOR: ~ Q CJ c=J Privete Industriel Test .upply .upply .upply well

~ Irri",ation Other: _

8/15/73 4 in. 225 ft.Drlllln", method: C.bl. tool

Estimated D,ameter of weil Estimeted(check) Rotary X Itartln", depthJ.tt.d date Bored Other: _

Total Depth 253 ft. Completion Date - O{ I P/ ( J

Address ENTERPRISE.AL.

Inter- Inter- Completion dete: report depth. below ",round level Description of cuttings Description of cuttings val val 10 red clay D. ~ype: o Turb. ~ Subm. o Jet o Cyl:: Other:

E 1 1210 0 18 white .......... l.'1~ I Ii" a Int.ke depth H.P. Yield" 18 0 25 vellow san Ii T••ted by: XJ pumpin", o eir lift o beiler o non.

25 o 30 I clav 100tolee.ur.d Static Water level ft.~ ~O t( 55 ~rav sand 'u 120

tol..lur.d pumpln", I.vel ft. afterD. '" 0 108 sandy mar55 2 12 . hrs. pump;n", ",pm0uo 0 111 white roc~

1 1 Developm.nt tim. prior to t ••tl"", hrs.0 144 marl 44 10 145 gray rock .;~ Op.n hal. o Scr••n.d C'I Slott.d pip. o Grav.1 45 1 0 152 marl Int.rvalll) .cr••n.d: to

..<:152 to 155 white ro ~k .. to : to'ii:55 1 0 180 marl u::

Peck.rll) I.t at and180 to 25 3 limesto e Scr••n: diam. ; Size op.nin"'ln n

'Typ. Int.rvel cel.d (Inch••)

"Typ.Diem.Int.rval pIp. orout.dcouplin"'l

t.,.t.nhlk41n168 ft

gl

'w0::

"Couplln",1: Thr.ad.d a Coupl.d (TaC) W.ld.d (WI Thr.ad.d a coupl.d a w.ld.d ITcaWI

0'"

Oth.r:

"Pip.: Black; PVC; Galv.; Oth.r:

Wat.r analy.1s o No obtain.d? (ch.ckl ~ Baet.riolo",ical

o Ch.mical

~ ()'"" Analy.11 by: o Ala G.ol. Surv. o U.S. G.ol. Surv.

XJ Ala H..lth D.pt. o Prlvat. lab.

Si",n.d:

",pm

pk.

ft:

ft.

ft.

"For d••p.r w.1I pi.... attech continuetion .h••t.

obtain.d?

Oth.r:

·Pip.:

Int.tvallsl

Packedsl

iP"6Pen

De tf. IIntak.

r.sted by:

Description of cuttings Interval

• I I o


Scr••n:

I I - I I I~.. ::I

0-

I ) I I ~_I~I

I I I I I ~ M

X. loI..sur. .. o

,.-.>1IJI'''

Range - --or:

~ ~ r

~iPcode

Zip Code

;/ WELL LOCATION 'I. Section own'ship

Distance and direct;onprarest town, community, road junction or other reference point

WELL WILL BE USED FOR: , II c=J c=J Privata ~ Industrial Tast supply supply supply well

c=J Other: _Irrl9atlon

Drlllln9 m.thod:~ /O;;;/ma2d-2~ ~OOI(ch.ck) ot

" startln9 Jetted dete Bor.d Oth.r:

Total Depth eX. {)O /

..sured Static Wat.r Level ft.

umpin9 I.val ---.......---.'-p..J-hrs. pumpln9 9pm

Development tim. prior to testln9' ,hrs.

hoi. o Scraen.d o Slott.d pipe o Grev.1

scr••n.d: to '

______to , to_

set at and l

dlam. _

g'1----+---+----I-----+------1 I "; f-=-::-.-~----:~:1_=_----:~~:::_:_~':'""'"'"':""~:__--____I

·Couphn9S: Thr..ded I Coupled (TIC) Welded Thr.aded I coupl.d I w.ld.d (TCIW)

_

Black; PVC; G.lv.; Oth.r:

Wat.r analyds o (ch.ck) o Beet.riolo9lcal

D Ch.mical

o non.

cSTImet.d d.pth

~~o~ P_.I.!

Completion Date .' b<' « - 'I(

~'L , 1 •

·For d.ep.r w.1I pl.... attach continuation sheet.

·Plpe: Black; PYC: Galv.: Other:

Other: _

9pm

hr••

o Greve I pk.

.ft;

ft.

.ft.

Intervel arouted

cS6o/ ~2t~1 ?~,.

Itlmeted depth

·Type aiDe

~;~--;;'.'::;"-

~ well

o Screened

Diem. IInche. I

Intervel ca.ed

Water enely,l, lJr'"O obtained? lcheck) 0 Becteriol09ieel

o ChamleeI

·Couplln9s: Threaded I Coupled· (TIC) Welded (W) Threaded a coupled a welded lTCaW)

~n hole

~ 0 ... 0 L7

c::::::J Indultrlel

supply

Completion dete: report depth, below \Iround level

~ ~ype: 0 Turb. ~m. 0 J-:9:YI:: Other;.·-"-- _

tf.llntake depth bW H.P.;;Jtd.. Yield (; 9pm

Intetvall'l screened:

~I to :u:: Peckerlsl set et

Screen: diem.

I~ Section

roed junction or other reference point

'~~

"c ~ ~Other: , 7 ~ >

Other:' _


~

Ceble tool

~Je Bored

[==:J Irrigetlon

Inter. vel

i~ ,

Drlllln9 method: lcheck)

·For deeper well pl..se ettach contlnuetion ,heet.

Distence end direction from neerest town, community,

WELL WILL BE USED FOR: ~ 1'1 Privete 'PiibiJC' supply supply


~ 1° '123 1;3 E$ik ITt'- q I I I I I';

o

WELL LOCATiON

p / J( V='" ¥ -4 j , "VU"f.k:1 l(~4./ I....., I ~r: I ~ ./

I

Inter· vel

"0 I::::;r?r--n . i.l I~-r~

~7iI:;:2cj stertln9 dete

Tot•• D.pth ~ 6f2.~

Teated by: ilifi)umpln9 0 0 none

I I I I I ~ "'..sured Static Weter Level ft.

-----11-------------- '! "'ee,ured pumpln9 level ft. efter

o c::>2.. hr,. pumpln\l__.....""" ,

~evelopment time prior to teatln9

.hrl.

o &revel

p

ft.

Other: I

GYield

~rmig depth

Rllnge ---or:

Dllte

Ot-,

baUer 0 none

Zip Code

VI)..! 7-6-7J

*Type IDe

~ o lacteriolo'llicel o Chemical

c=J Ted well

o Screened

~code

c%~.2.-~

·" .....'i.ijjll"'" ~, ..">,.1""J!'.,;Ji""

Weter enelYlii obtelned? (check)

Development time prior to tedln9

Intervelll) Icreened: _

Peckerlll let et -'

Screen: dlam. _

[)('Open hole

CJ Indudrlal

lupply

A. ~ype: 0 Turb.

~ Iintake depth

Completion dete: report depthI below 'lIround level

1/4 Section

S\GNATURE of Drillin~ontr.ctor

Completion.Dllte 7-6 - 2~

c,;;J lupply

Other: ~tJ ?-:t ~~ ....

Other: _

Delcription of cutting I

ca-Prlvete lupply

c=J Irrlgetlon

~I ~

Bored

Interval

Drillln9 method: (check!

Distllnce lind direction from nllllrllst town, community, rOlld junction or other rllfllrllnclI point

Dlllcription of cutting I

dartln9 dete

WELL LOCATION


2-::~-2J

InterVIII

Totlll Depth c::::R;30

*Pipe: Ilack; PVC; &elv.; Other:

Other: _

Tested by: iB""J'umpln9 0 air 11ft 0

~ Mealured Static Weter Level 1001 Mealured pumpln'll level 13....7 ft. efter

I I I I I 0 / h... pumpln9 'lIpm

~I-----r----I----+----+-------t

I I I I I~

I I I I .z;I ~ I to

I I I I I~.. :0

Go

I [,. I I I I 1--·-r:::::>'25F=.......,A<A.../( vv.c""~.4/~ j I [' -For d••per well pl•••• attach conttnuAtlon .h••t.

,,..,..,......, , - ""_'~""'''''-''''''''''"v.:''.'0'i:.. .-.,."... "",,%>;.,--1",;.... "" 'I'::';-i~~' 'i -"o.

• llo _ "

REPORT OF DRILLED WELL ~~7~jOH--' DRILLING CONTRACTOR

DORCAS BAPTIST CHllRQR RT.l , JACK, ALA. PROPI!!kTY OWNER Address (mailing I Zip Code

COFFEE 21+ ,.WELL LOCATION Section I~ Section Town-Inlp Range ---or:CHESTNUT GROVE CountyoOMM!INTTY


WELL WILL BE USED FOR: lTI II c::=J CJ.a 'J,.'.-U Priv.t. ~ Industri.1 Test supply ••pply ••pply well

c::::J other: _Irri'll.tion

7/12/73 Drillin'll method: C.ble tool 4 in 260ft. Estlm.t.d Estim.ted(ch.ck) Rot.ry Xst.rtln'll depthJettedd.te other: _Bored

SIGNATURE of Drilling Contractor

Total Depth 242 ft. Completion Dote 7/1 3/73 Interval Description of cuttings Inter. Description of cuttingsv.1

Completion d.te: report depths below 'IIro.nd level

10 20 ;0 J<O )0 60 70

red clay yellow clay blue clay " " II "

marl

Q. ype: D T.rb. lJ(Subm. D J.t D Cyl:: other:E ::I

Int.k. d.pth H.P. Yi.ldD. 'IIpm

T••t.d by: all p.mpin'll a .lr lift o b.i1.r o non.

90 ~ M••••r.d St.tic W.t.r L.v.1 ft. 'u

M••••r.d p.mpln'll l.v.1 100• ft.•fterQ.

<3 2 hra. pumpln'll 12 'IIpm

1j0 yellow clay Development tim. prior to t••ti~'11 hr•.

90 100 110 !20

" II

aand I "

soft marl

JO Op.n hoi. D Slott.d pip.D Scr••n.d D &r.v.1 pk.

Int.rv.1 hi .cr••n.d: to tt: ~'., to : to ft. .c

130 " " P.cker 1.1 s.t .t and ft

1Li 0 p::ray sand Screen: diam. : 51.. op.nln'll' p: 0 1t 0

" black marl

Int.rv.1 DI.m. ·Typ. "Typ. Interv.1 c•••d IInches) DIDe COUplin!1I X C1routed

170 180

" rock

«+~no DolK. lI~C

caseQ 1 ~~ r 11 •

1190 VI

200 12 0 ~~u

sand gray sand .ume aT-one

.~•0 OCo.plin'llS: Thre.ded I Coupl.d (TIC) W.ld.d IW)

Thr••d.d I co.pl.d I w.ld.d ITCIW)

230 oth.r: 1242

°Pipe: BI.ck: PVC; &.Iv.: oth.r:

W.t.r .n.ly.h o No obt.in.d? [ch.ckl JtJ B.eteriolo'llic.1

D Ch.mlc.1

~-. ::I An.lysl. by: D AI. &,01. Surv. D U.S. &'01. Surv. 0 j(AI. H..lth Dept. D Prlv.t. I.b.

Si'lln.d:

°For d.eper w.1I pl•••••tt.ch contln••tlon .h••t. t. .

*Type *TYPe ...I"e couplinas

-r"J-O

Inter- Description of cuttings Inter- DlIscription of cuttings Completion dete:~eport depthl below oround level val VIII

~ !Type: o TUrj~bm. 0 Jet ;f1';L:: Other: :> "- Inteke depth -l I----- H.P. Yield 10 opm,

Tested by: iII-1>umplno 0 elr lift 0 beiler 0 none

~ Iilulured Stetic Weter Level / a r ft. u

Iilulured pumpino level 7/ 0 ft. efter•Go

/ hrs. pumplno ~ /0 opm•0Development time prior to testlno hrs.

~n hole o Screened o Slotted pipe o 6r..el pk.

Intervel (II scr••ned: to ft; -5'c to ; to ft. u::

Peckerhl let et and ft.

Scr••n: diem. ; Size openlnOI

Intervel Dlam. Interval celed IInches) arouted

.::l//1 c.C

.'J It, CWO L - DO

-na r -.-. c.;; , . • *Couplinos: Thruded l Coupled (raC) Welded (W)0

Threeded l coupled. l welded ITClW)

Other:

·Pipe: Black; PVC; Gelv.: Other:

Weter enelYlis ~o obteined7 (cheek) o 8eeterioiooIcei

o Chemical

~ •:>

AnAl/): DAle Geol. SU;~pU.S. Geol. Surv. 0 o Ala Heelth D t _ 0 Prlve~b•

Siv -, .7'\. .iA ,( I}) tf/?- _V r ../ .. ~

Other: _

c:J-f0 / Estlmeted

depth

CJ Test well

CJ Indultriel

lupply

II. SlIetion

Completion DlIte I -,;: a' - , esJ

rOlld junction or othllr refllrence point

O*her: ~ )

Drillino method: <S'I (check) ary

e Bored

c=J Irrloellon

Distllncll lind dirllction from nllllrllst town, community,

WELL WILL BE USED FOR: ~ II Prjvete "'Pu"biIc' lupply lupply

WELL LOCATION

CI'I~ -23/~tiilI~st..tlno date

Totlll DlIpth ~ <fO )

c .. ,\ ..

REPORT OF DRILLED WELL ~J3S-& .

JOS> D. HUGHES 167 RT.ON~,~NT~RPRISE,AL. 36330 7L.!0L7D DRILLING. CONTRACTOR License Number Address Zip Code Date

T.J CAPE RT.ONE,BOX 210,JACK,AL.36346 PROPERTY OWN ER Address (mailing) Zip Code

COFFEE 12 7 21


Inter. Description of cuttings Inter· Descri ption of cuttings Compl.tlon dat.: report d.pth. b.low 9round I.vel val val

10 sandy soil 310 limestone Ill. ITyP.: o Turb. ot Subm. o J.t 0 Cyl:: Oth.r: E

20 red clay 320 ::I d.pth H.P. Yi.ldDo. Intak. 9pm

30 yellow sand & 330 rest.d by: IX pumpln9 o air 11ft o b.i1.. o non. clay 34a> " 90

~ M...ur.d St.tic W.t.r L.vel ft. 40 sandy marl 'u 102.. M...ur.d pumpln9 I.vel ft.•fter50 " " A... 2 1260 0 hr•. pumpln9 9pm

70 p::ray rock D.velopment tim. prior to t.stin9 hr•.

80 I2:ray sand &: she 1 IXI Op.n hoi. o Scre.n.d o Slott.d pip. o 6rav.1 pk.rock Int.rvall.) .cr••n.d: to ft;

90 blue marl ~

roo fine p:ray sand 'c to ; to ft. L.i:

110 " Pack.rl.1 ••t at and ft.

120 " Screen: diam. : Size openinQI

130 marl Int.rval Dlam. "Typ. ·Typ. Interval 140 sandy marl ca••d (Inch••) pipe couplln9' arout.d

150 " 2~'t 4 in. blk T &: C 160 li~nite

170 Ul

180 " c

'w.. 190 II 0 ·Couplin9S: Thr..d.d A Coupled lYACI Weld.d (WI

200 Thr.ad.d A coupl.d A w.ld.d ITCAW)

210 II Oth.r:

220 II

230 soft mar~ ·Plp.: Black; PVC; 6alv.; Oth.r:

240 " " W.t.r an.ly.l. o No

250 obtaln.d? (check) JtI Baet.rloI09Ic.1

o Ch.mlcal

260 rine sana ~ 270 ..

::I Analy.i. by: o Ala 6.01. Surv. o U.S. 6.01. Surv.2 ~O .. G

Xl Ala H..lth D.pt. o Prlvat. lab. C'-)U .lJ.me 8'tOne ",OU Si9n• d :

245 ft. E.tlmat.d

d.pth

Range ---or:

4 in.

Township

c::::::::J Te.twell"•••••

biam.t.r of w.1f

c:::::::J Indudrlal

.upply

If. Section

Q•upply

Oth.r:' _

BY:

Cabl. tool Rotary J.tted Bor.d Oth.r: J

c!:J Private .upply

c:::::J Irri9atlon

County Section

COMMUNITY

Drlllln9 m.thod: lch.ck)

"For d••p.r w.II pi•••••tt.ch continu.tion .h••t.


7/25/73 E.tlmat.d startln9 data

WELL LOCATION

CHESTNUT GROVE

Total Depth 341 ft.

°Plp.: Black; PVC; Galv.: Oth.r:

Interval arouted

Dete

~o/ Estlmat.d

pth

Zip Code

hrs.

o Slott.d pip. o Grav.1 pk.

to ft;

to ft.

Ind ft.

; 51.. op.nln'll"

point

"

°Typ. I °Type olDe. coupllnas

~KI'""1iZ e--l

o Ala &eol. ~ 0 U.S. 6»01. Surv. o Ala Het"'hpt, 0 Pr~e lab.

v Dlam.

IInchesl Interval caled

~ J '/,\ ,-.

Ana'/]:

Wat.r analYlil ~o obtain.d7 (ch.ck) 0 lact.riolo'llical

o Chem'ca'

~7.lj,}/&L~f/~,L

Scr••n: diam. _

[Af'V)

Compl.tion dat.: r.port d.pthl b.,ow 'IIround I.val

~ ~y".: 0 T~m. O?~'W"I:; Oth';_

a..llntak. d.pt ,H.:l\ YI.'d~'II"m

rOld

l

i~f\other r_ference /'~

/ [==:J Indultrlll ,/ Test - w.II

1/4 Section

Oth.r: sf__ --J

Other:, _


from nee rest town, community,

~ cr lupply lupplV

Interv.1

Drillln'll m.thod: Cabl. tool (ch.ck) ~

• d lor.d

c=J Irri'llation



Ita rtl n'll date

"

WELL LOCATION

Interv.1

I~".n hoi. 0 Scr••n.d

Int.tvalll) Icr••n.d: _

Oth.r:_---------------------

Packer III let at ,

1-('u2~2J

Tote I Depth 860 /

°For d••p.r w.1I pl.al. attach continuation Ih••t.

I I I I I~•~

()o

T.st.d by: 0 pumpin'll 0 0 non.

I I I I I~ M....... ".fl, w_ ~••, •i M,,"u~mpln'll I.val ft. aft.r

o hrs. pumpln'll 'IIpm

D.valopm.nt tim. prior to t.stln'll

h...

o Gravel

1(pC.,,$

Range ---or:

Cyl:: Other' ~ I YI.ld 0

?

Siz. op.nln~.------

o Slott.d pip.

______to _

'0

o .act.rioloGlcal o Ch.mlcal

Township

c:::J Tilt w.1I

I ---"7 L-7

o Scr••n.d

Compl.tion dolt.: r.port d.pth. b.low Ground lev.I

'p.n hoi.

Wat.r .n.ly.l. obtaln.d? Ich.ck)

Int.rv.II.) .cr••n.d: to _

[).velopm.nt tim. prior to t.stln9

Pack.rl.1 ••t at and ,

Scr••n: dl.m. _

c:J Indllstrlal

.upply

0. [TYP.:

~ I.ntak.

~ Section


Other: ~ I•

Oth.r: _


c:=J Irrl~.tlon

~Ol • d

Bor.d

Inter. val

Drlllln~ m.thod: (ch.ckl

Distance and direction from nearest town, community,

WELL WILL BE USED FOR: ~ II ~ 'PuDilC .upply .upply

Descr; ption of cuttings

/- Z-, Z..J Estlm.t.d .t.rtln~

d.t.

Interval

Total Depth &-~I'

fl------!----/----+-----+------t

I I I I~ ·Couplln~1: Thread.d & Coupl.d (raCI , ' , ' Thr••ded & coupl.d & weld.d (TC&WI

Oth.r: _

·Pip.: Black: PV,C: G.lv.: Oth.r:

·For d••p.r w.1I pl•••• att.ch continu.tlon .heet.

T d by: ~mpln~ [J air Ii" 0 ball.r 0 non.

~ N. ~.", W ..., .....0 ~5i .. •~ M ur.d pumpln~ lev.1 ~ ft. aft.r

I I I I I 0 /A. hrs. pumpinG ~pm

I I I I I~•::I

I I I 10

I~=fl=~~I=±~=~=I ~I~ I to

~::-~"-... ~, ~.,~ ....

liB

/-b-~ Zip Code Dollte

Zip Code

,;V c2-/~ 1/4 Section Township Range ---or:

Distance end direct;on;rnellre.. town, community, road junction or other reference point

WELL WILL BE USED FOR: II c::::J c::::JPrivate "PuDijC Industrial Test supply supply supply w.1I

c::J Othar: _Irri,.tlon

/-0--iJ ri~QIDrillln, m.thod: Estlm.t.d ~IIch.ck)st.rtln, ~ d.t. Bor.d Oth.r: ~

II

Total Depth ~~ Completion Date 1- 1(;/ -- 2, C Inter- Description of cuttings Inter- Description of cuttings Completion d.te: report d.pths b.low ,round lev.1

val val Q, yp.: o Tur~:., ~m. 0 J.t t~ Cyl:: Oth.r:E ::r d.pth f_ H.P. -3 'l/ Yi.ld (,A Int.k. ",pm

T.sted by: Ill" pumpln, 0 .ir lift ~I.r 0 non.

~ M•••ur.d St.tlc W.ter L.v.1 d A ft.J<'u

Mea.ur.d pumpln, l.v.1 ~ ft.•ftarIII Q, III

0 cJ-O hrs. pumpln,' ,pm

~.velopm.nt tim. prior to t••tl_, hr•.

~p.n hoi. o Scr••n.d o Slott.d pip. o Gr.vel pk.

Int.r.... II.) scr••ned: to ft: ~..'c to : to ft. L£:

Pack.rlll s.t .t and ft.

Scr••n: dl.m. : SI.. op.nln,s

Int.rv.1 DI.m. *Typ. *Typ. Int.r....1 c•••d Ilnches) 010. couplina. ,rout.d

I-::l C1 d 1,o7L} 1~.L/1./- ..... ~ V /

lJI c:'.III *Couplin,1: Thrud.d" Coupled IT&C) W.ld.d IW)0

Thread.d a coupl.d a w.ld.d (TCaW)

Oth.r:

*Pipe: BI.ck: PVC: G.lv.; Oth.r·

W.tar .nalysl. ~o obt.in.d? (ch.ck) o Ilactarlolo,lc.1

o Ch.mic.1

~ III ::r

An.IY~0 o AI. &.01. S~ 0 U.S. &.01. Sur.... o AI. Health D 0 Prl....t. I~

s~Jlr':;>(('t'2;-.A -/~$ .7~ - ~~/ -

Other: _

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

I 0 I °Coupllngs: Threaded I Coupled (TICI Welded IW)

-----1t------------I031\13~39 I Threaded I coupled I welded ITCIW)

gpm

Interval arouted

hrs.

gpm

ft .

eYo/ Estlmeted

depth

Zip Code

~/E Range ---or:

°Type I *Type Dip. couplin41

17i51/~

Town'lhip

o Slotted pipe 0 Gravel pk'l

________ to ft;

I _______to ft.

o Ala Geol. surv.~ U.S. Geol. Surv. o ~tlealth D-€L. 0 Private I?J

c=J Test well

o Screened

________--"and ft.

lL

Diem. Iinches)

_________ ; Size openings _

Interval cased

Anal~

~ 0.... Z5 ~"C

Water analysis ~o obtained? (check) 0 Bacteriological

o Chemical

J~/1

°Pipe: Black; PVC; Galv.; Other:

~7" IJJ)~~(_./

Development time prior to testing,

~pen hole

c:::J Induotriel

supply

Completion date: report depths below ground level

~ ~ype: 0 TU:Vbm. 0 Je~YI:; Othb"

D- Iintake depth I. H.P. Yield,

Interval Is) scr••ned:

~I to ;u:

Packer Is) set at

Ser••n: dlam.

V4 Section

GNATURE of Drilling Coni

Completion Date 11- V - 2 yC


c:::::JPublIc lupply

Other: __ ,I;, --r-

Other: _

Delcription of cuttingl

r'll '1Jn 01 U""Q

Interval

c::::::=J IrriQation

Drilling method: c5:t' Icheckl R ar

d Bored

Diltance and direction from nearelt town, community,

~ Private supply

111. pul 65 0

·For d••per well please attach continuation ,h••t.


Delcription of cuttingl

/1::- Cj~ 1 (jEstimeted ' starting dete

Internl

Total Depth a/O/'

I I TI:,OVY1~~ ~Q I~ k~dJn ~:J I 10 9

Tested by: ~umping 0 air 11ft 0 beiler 0 none

I I I I I l' Measured Static Water Level ,/((12 •~ Measured pumping level. ,1/£ ft. after

o 2--- hrs. pump'ng __--->Y2"""'_

R.ange - --or:Town'ship'/4 Section

fiR.'OPER.1

WELL LOCATION

Distance and direction from Ilea rest town. community, road junction or other reference point

WELL WILL BE USED FOR.: ~ II CJ c::::::::J Pri.ate "PubiiC' Industrlel Test lupply lupply lupply well

c=J Other: _Irrl9ation

~;:ZO/ Orlllln9 method: ~Ceble tool/ -:./!~ 2,'1

~lTImetedIcheck! ~ stertln9 depth dete Bored Other: r I

___ ,C --

HSNATUR.E of Drilling

Total Depth ~ / Completion Oat. 7-11Inter.al

I I

I I


I I

I I


o TU~ 0 J~ 0 Cyl:: Oth, I

dePth~H.P. " ,< Yield h 9pm

Completion date:)'port depthl below 9round le.el

A. ~ype:

~ Iintake

Tested by: ~mpin9 0 none

I ~ "'ealured Static Water Level ft. 'u:t "'''lur~mPln9 level ft. after

I 0 hrl. pumpln9 9pm

hrl.

o Greve' pk.

_____ft.

_________ft:

_______ft.

Oe.eloplllent time prior to testln9,

lct-6pen hole 0 Screened 0 Slotted pipe

Inter.alll) Icreened: to

~I to : to u::

Packerll! let at and

Scr••n: diam. ; Size openlnVI

Wer.al arouted

Type couoUnal

'Type o.loe

IJPI7e~

OJem. Ilnchel)

cL

Inter.al caled

I"'"' l;::l ~ t'

~I I I I I I

I

·"""all I I

Other: ---

I ~ I 'Couplln9&: Threaded I Coupled (TIC! Welded (WI Threaded I coupled I welded ITCIWI

·PJpe: Black: PVC: Gal•. ; Other:

Water analysll ~o obtained? (check) 0 Baeterlol09ical

PJ a lJlf rn I'"' ,,1 __

IVal ""i o Chemical

Anal~lls: 0 Ala Gaol. S~. 0 U.S. Gaol. Sur•.~E===:i:~if~!!=~~~':f6 o Ala Health e t. 0 Prl.ataAb.n / __ 7T

S~"1?}"l1/J~--/~ :~ ·For d••per we" pl•••• attach continuation ,fr••t. c::..J 0 0 C;

6

4 in. DlOm.t.r of w.1I

REPORT OF DRILLED WELL v-- d01 JOHN D.HUGHES & SON 167 RT.one,ENTERPRISE,AL. 36330 9/19/74 ~6CONTRACTOR Licen.e Number Addre.S' Zip Code Date

DON CORBIT RT.ONE.JACK,AL. PROPERTY OWNER Addre.. (mailing) Zip Code

COFFEE 22 7N 21 E.

WELL LOCATION County Section II. Section Town.hip Range - --or:


WELL WILL BE USED FOR: [X] CJ CJ D Private Public Industrial T••t

1 .upply .upply .upply w.1I -::r

> C) ...W ~ '"..

r..:: ....- c=J Oth.r:' _.a: Irri",ation:-.,;) o UJ

4 ('.J . >.-.-. Drlll1n", m"l!'J'd: Cabl. tool Ich.ckG Rotary X

loU J.ttedC')

Oth.r: _a:: Bor.d """ r- -l

o E;

Total Depth '=1'::..160 M Completion Date , ~ ,Jr

Inter Inter Compl.tion dot., r.port d.pth. b.low ",round l.v.1De.cription of cutting. De.cription of cutting.val

! val

Oth.r: _Q. ~yp., o Turb. III Subm. 0 J.t 0 Cyl:;

..... ..I" AA..I.I 0-..1< I 1" /U¥

~ Iintak• d.pth H.P. Yi.ld ",pm IA H Ie AA.o ... " II, Test.d by: 0 pumpin", 0 air lift 0 ball.r 0 non.

~ ~ ~ M...ur.d Static Water L.vel ft.

---I#'~ ~ M...ur.d pumpin", lev.l • ft. aft.r~, I'UC __~ U h... pumpln", ",pm

~T ~...,.,. An,} Davelopm.nt tim. prior to tastinCJ .h...D ~ L<11.. lbO ' .Nl'UT.4L o Opan hoi. o Scre.n.d o Slott.d pip. o Grov.1 pk.

b4 nA~1" n n"fPJ _______ to ft· ~ g{J, , __ 11- - 0 Int.rvall.) scr••ned:

______to ft.~I to ;u... jj~ ;'J>t ~~ A..h/II i.L ________-Oand ft.Pack.rls) ••t at~<.~ I AIt1£A-' _________ : Si•• op.nln"'. _Screen: dlam.~~#iJ Llh.L, ~ l/LA __ ~g

c:1M ... J V .......... A A ·Typ. I Int.rval cas.d

Intarval IDiom. ·Typ. couplinCII GUlut.dllnch.s) pip. ~a---. a ~1-"':-~IiJ.~ I p/)~

Ip IIIS:'~ b "L~__ I/)-A~J ~ ISLJ-Ilt;'U , ~.-~

IJ!!:Ll ...l-in/J /. 4';;. ~~} /) 1, ~ . -'v

~ IJ·A'fI4A1. Co"""" "~,,.,. Co..,,, ,..c, W."" 'WI ~~ :2u.C A A ~~ Thr..d.d a coupl.d a w.ld.d (TCaW)

Oth.r: _i"iJlJ I~ OAA~:l IJ11Aj(),

~stJ 1 2..."-~A " A~ 1. ~ 'Pipa: Block; PVC; Galv.: Oth.r:l~ 11.~q -L~~"".A'7;J,~ ..

I~ 4;A. M_9~ .,. A ..... ~ Wat.r analysl. o No obtain.d? (chock) o Bact.riolo",lcal

I~-fC:;J.~ I n -, j~ n "'~M II ~ .e Ch.mlcal

o Ala G.ol. Surv. 0 U.S.•'01. Surv. ~ Ala H..lth D.pt. 0 Prlvat. lob.

~ ~ 111 A••,,,,,.,,

Si",n.d:

'For d••per w.1I pI.... attach continuation .h••t.

("

Date

Renge ---or:

Si.e openin'ils _

6'.-'-6--76'

_ to ,

o o Baeteriolo'ilical o Chemical

~"

CJ Test well

Water analy.i. obtained? (check)

Other: _

Interval(.) screened: to ,

Packerlsl set at and 1

Screen:., diam. _

~n hole 0 Screened 0 Slotted pipe 0 Gravel

Section

c:::J Industrial

supply

Completion date: report depths below 9round level

~ ~ype: 0 Turb. I1t'Siibm. 0 Jet 0 Cyl:: Other~

~ Iintake depth ./9-r?t H.P. I Yield

IPubllc I supply

Other: ;r ,» ,

Other: _


:;;,;;~

~ Private supply

Interval

c=J Irri'ilation

Drillin9 method~'Ca e tool (check)

d Bored

Diltance and direction from nearest town, community, roed junction or other reference point


Description of cutting I

·For deeper well plea.e attach continuation sheet.

I I I I~.. "

I I I 10

Itartln'il date

·Pipe: Black; PVC: Galv.; Othe"

1=----= ~~~==..c--IJ ' to_

go I 1 I I I I

~ :;; ::0:1 I 1JI ·Couplin'ilS: Threaded & Coupled InCI Welded (W) Threeded & coupled & welded ITC&WI

WELL LOCATION

8-d6-1b

Interval

Tested by: ~mpin9 ~lift~ bailer

1 1 I I l: Measured Static Water Level / LO ft.'! Measured 7in9 level I '?£ft. after

_I I I I0 .;t~ hrs. pumpin9 K.- 9pm

Development time prior to te.tin'il hr•.

Total Depth ff/O

[50

Range ---or: -:LLF-

Township

[=:J Telt well

2 11

II

bjamitr of well

,"".,..., \, .....-:.,-. ~""".,L:~...;.,.~ ....,,.W";:"«,,.

c::::J Industrial

lupply

1/4 Section

>:;":;;"'~:~"

'PUblici lupply

Section

Other: _

Other:, _


~"',-:'--,.- .. ""'~ '-<,~:)#e--.~~ --',....".~.,,-, ~

Cable ~o~1 Rotlry X Jetted Bored

[X] Private lupply

c=J IrriQation

County

Orlllln\l method: (checkl


.... ..' ."


q-<. 1- '7{, Estlmlted Itartln\l dlte

DRILLING COtilTRACTOR \J License Number Addre..

JIb. R~ ,M£P1ACCHl1QJJ &11 L c/1C-?4J Al .. ' ,PROPERTY NER Addre.. (mliling) ZiP Code

~&-u... :27 WELL LOCATION

Total Depth Il 5 Inter- Description of cuttings Inter- Description of cutting I Completion date: report depthl below \lround level

VII val A. ype: o Turb. !XI Subm. 0 Jet o Cyl:: Other: E ::> qLJ. I H.P. ± Yield /2Q. Intlke depth \lpm

Tested by: Dl1 pumpin\l o air lift o bailer o none

~ Mealured Static Wlter Level 20 ft. 'u sr£.. Mealured pumpin\l level ft. afterA... 2t) 15"0 h... pumpln\l \lpm

, Development time prior to testln\l hrs.- -'. ,. ~ Open hole0 o Screened o Slotted pipe o 6rlvel pk.

:. ~ , , c.'

~ Intervelll) Jcreened: to ft; --. .. Lt, lu -:;

.' I 'c to : to ft. , . Li:

- ,-,'J • -. !{ ,-=--) Peckerlll let It and ft.

1-' --- c.:: Screen: dllm. ; Sh~e openinQJ

, C·,,!.-- . Interval Oiam. ·Type ·Type Intervil ...:,) 0;.,.,] c..ed (Inchel) oipe coupllnol Grouted

"~.~. 1<J l!- Plrt- W "L...."O

01 c ';;..

·Couplin\ll: Threaded I Coupled (raCI Welded (W)0 Threaded I coupled I welded ITCIW)

Other:

·Pipe: Blick; PVC; Gllv.; Other:

Wlter InllYl1s ~ No obtlined? lcheck) Bicteriolo\licil

o Chemicil

~ .. ::> () AnllYlil by: o All 6eol. Surv. o U.S. 6eol. Surv.

o All Hellth Dept. o Prlvlte lib.

/), Lr'n 00.7"11Si\lned:

iio'~"-"';"""

3' .2C

r-/j~ Dete

Zip Code

.:2Jt Renge ---or:

;!b~fd Zip Code

TownshipI~ SectionSection


~

WELL LOCATION

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

WELL WILL BE USED FOR: ~ CJ c:::JIpublicl

lupply lupply lupply well Private Industrial Telt

c=:J Other:: _Irrivation

f- )lJ-1/P Drlllin9 method: Cable tool Eltimated (check) RoteryLItartln9 Jetteddate Bored Other:

_Tote' Depth 162 ft.

Inter Completion date: report depthl below 9round level Description of cuttings vel Q. [Type: o Turb. ~ubm. 0 Jet 0 Cyl:: Other:--__

~ Iintake depth H.P. Yleld~ Tested by: 0 pumpin9 0 air 11ft 0 bailer 0 none


50- marl ~ MUlured Static Water Level ft. ~ ---~S; yel~ow sa d I I ~I. Measured pumpln9 level ft. efter

o hrs. pumpln9 9pm

Development time prior to testln'} hrs.

biameter of wellL/"

Completion Dete -

_

11 i~-li ~g l!~~~~h~r-:

o Open hole o Screened o Slotted pipe o Gravel

Interval (I) Icreened: to ,

I 'ackerlll

IJI let at

to __

______to

and,

_

,

Screen: diam. _ Size open;n91 _

c

([

l

I

If-- L u

<::>

'L

:_C)

!; -t' . f

')

.1 ..'......

I

~"-f! (

--

.10

lJ n,,:

I- I

r-- I I ::

o U.S. Geol. Surv• o Private lab.

o No 21 Bacterlol09ical o Chemical

o Ala Geol. Surv. .IZI Ala Health Dept.

Water anelylil obtained? (check)

AnelY11s by:

Sl9ned:

·Pipe: Black; PVC; Galv.: Other:

, Other: _

I~~0

I'" I I I I I aI ·Couplin9" Threaded Ir Coupled ITIrCI Welded 'Wl Threaded Ir coupled Ir welded (TCIrWI

"'For d••p.r well pl•••••ttach continuation ,h••t.

I

,.

hif.rval rout.d

.hrl.

o Gr.v.1

(WI

Date

R.nge ---or:

Si.e op.nln;I _

ip Code ~/-.L-.J

to _-----

port d.pthl b.low ;round lev. I

o o B.ct.riolo;lc.1 o Ch.mic.'

Township

c::::::J T.st w.1I

7,11/

,_-," '", ~i~ -,~,:, - ~_: '

IGNATURE of Drilling C

Date c2. -O{~ 'L 27

Wat.r analYll1 obtain.d.l Ich.ckl

O.velopm.nt tim. prior to t.atln9

Int.rvalll) Icr••n.d: to _

~n hole 0 Screen.d 0 Slotted pipe

Pack.rll) -I.t .t .nd _

Scre.n: di.m. _

Section

CJ Industrial

lupply

~ ~YP.: 0 Turb. I!!I"Subm. 0 J.t 0 Cyt:; Oth.r: I tf. Ilnt.k. d.pth L? l{- H.P, I YI.ld

.., ~ I to_~

Completion


" \J

IPublic I lupply

Oth.r: ~'" ---,

Oth.r: _

Description of cuttingl

'v,,'·"

Interval

, '.. '.:;,..

CJ 1"I;atlon

Orlllln; m.thod:~.tool Icheck) otar

• d Bor.d

.~~

Distanca and direction from nearest town, community,

~ PrIvata lupply

-$"~



"artln; det.

WELL LOCATION

Oth.r: _

·Plp.: Black; PVC; Galv.; Other:

Interval

~~U-2?

Tot. I Depth ~(Q I

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

I II I " ,"i I . I I I I I . 0 l·couPlln;l: Thr••ded I Coupl.d ITlC) W.lded

Thr••d.d I coupl.d I w.ld.d ITCIWI

I I I I I:E.. 0.

T d by: iIJ'15llmpln; lIr"il6.f~ b.n.r 0 non.

~ Iur.d Static Water L.vel ft.

'! IUr. umpin; l.v.1 ~ft.•ft.r

1 I I I I~ h... pumpln; I ;pm

,I'

.hrs.

o Gravel

o none

to _

; I

Date

Rang-e ---or:

?5 ~~.~ .. ~.

-10- /j

Slle openin"'" _

':~~,

"Type ipe

o o Baeteriolo",lcal o Chemical

ownship

..;.. -,',\ .,"

CJ Test well

ATURE of Drilling Contftor

d --/o--??

'~.,.-,.

Completion date: report depths below ",round level

.

Water analysll obtained? (check)

Development time prior to testln9

rested by:

Interval III Icreened: to _

~en hole 0 Screened 0 Slotted pipe

Packerll) let at and _

Screen: diam. _

CJ Industrial

supply

Q. l'ype:

~ I'ntake

-<:

~ I to -

'/4 Section

Completion

IPublic I supply

Other: R" I, .,I~ > '"I ..

Other:: _

nearest town, community, roed junction or other reference point


CEfPrivate supply

c:=J Irri",ation

cJ5abl 01

ar d

Bored

Intervel

"~i.~,~~~:iii.-'::':"'7',,'

Drillln", method: (checkl

Description of cuttingsInterval

WELL LOCATiON


::J -(0,,- 7fLI) Est,mated

startln", dete

·Pipe: Black; PVC; Galv.; Other:

Other: _

Total Depth c$.od

·For de.per well pleale attach continuation Iheet.

I I I I I~.. '"

I I I I ,0

r~rbailer ~ Me..ured Static Water Level ft.

I I I I 11 Mealured pumpin", level '7 0 ft. after

U ~ hrs. pumpln", Id.... ",pm

I I I I' I"r I I I I: U ·CoupUn",l: Threaded I Coupled (TICI Welded IWI Threaded I coupled I welded ITCIWI

~~r ·:;-''':T~;:


&~P..rt~<' '14 tri 4- Eo)( ?f :1tj'3a 4· -77 Addren Zip Code Dete

-b:hI&-,-dW co: ft I- ? l.? ;MJ Addren (mailing) Zip Code

3"$ fJIJ ::L.1=f:

WELL WILL BE USED FOR: [XJ c::::::::J c::::::::JIPublic I supply supply supply well Private Industrial Test

c:::J Other: _Irrililation

4.-1 ~ -2,-1]2 3....U.Drillinlil method: Cable tool

.timated D.ameter of well Estimatedlcheck) Rotary y.Itartlnlil depthJetted date Other: _Bored

Contractor

Total Depth 1iOl!!!:/~.J.L--i.9c.....:::f) _ Completion Date /.:f- - 2. - '7 7 Interval



I>. ype: D Turb. I! Subm. D JetE " 12.0 H.P..... Intake depth

Tested by: ;D pumpinlil o air lift

~ Mealured Static Water Level 'y

I ,,.0.. Mealured pumpinlil level I>... 20 hrs. pumpinlil

Development time prior to teltinlil

IJ1' Open hole D Screened D

Interval III screened:

~ <: to ;

u:: Packorll) lot at

Ser.en: diam. :

Intorval DIem. ·Type caled Iinchesl ,,;'.e

J:z I. 4 PV,

UI

.~.. ·Couplinlils:0 Threaded A coupled A welded

Other:

·Pipe: Black; PVC: Galv.; Other:

Water analysis il No obtained? (checkl D

o Chemical

l.. "() Analysis by: o Ala Geol.

o Ala Health Dept.

Silil ned : ~rn p. A

Completion date: report depthl below IiIround level

D Cyl:; Other:

4; Yield I'L,. IiIpm

o bailer o none

SIO ft.

ft. after

iii pm

/ hrs.

Slotted pipe D Gravel pk.

to ft·

to ft.

and ft.

Si.. oponinlill

I +

·Type Interval couplln'ls 'lrouted

W ~D

Threaded A Coupled (TAC) Welded (TCAW)

.acteriololilical

Surv.

(W)

o U.S. 6eol. Surv. o Private lab.

O.

oistence end direction from nee rest town, community, roed junction or other reference point

Range ---or:

c2/ I: Zip Code

1 Township

CJ Tilt w.lI

, .m.t.r of _II ~ "

CJ Indultrial

aupply

'/4 Section

~ aupply

Section .EI

3$&4 EstinVifed

d.pth

,..." ~fi~ SiGTUiiEOfI)J.~ontractor

Completion Date 4/12/77

Cabl. tool Rotary tJ.tted Bor.d

~ Private aupply

CJIrri9ation Oth.r: _

Drillin9 m.thod: (ch.ck)


~-h./J/} tlmat.d

atartln9 dolt.

WELL LOCATION

Inter- Description of cuttingl Inter oelcription of cuttihgl Compl.tion dolt.: r.port d.ptha b.low 9round l.v.lval val

>-2'5 vellow sand ~ h'YP.: o Turb. Ii!!!' Subm. 0 J~/D Cyl:: Oth.r:

)'5-4 marl ::I Intak.a.. d.pth H.P. Yi.ld 9pm

-3-71 vellow sand Testoid by: o pumpin9 o air 11ft' o bail.r o non. 74_ 12 ma]"'l

~ Meaaur.d Static Wat.r L.vel ft. 11 ? 114 rook 'u

114 18 sand .. M.aaur.d pumpin9 l.v.l ft. afterD...

118 19 rook 0 hra. pumpln9 9pm

119, 124 marl D.velopm.nt tim. prior to t.stin9 hra·.

124 125 rook r1l Op.n hoi. o Scr••n.d o Slott.d pip. o Grav.l pk.

12'5 132 fine sand 1'32 172 lavers of lPook &: marl Int.rvallal acr••n.d: to ft:

-:; 1 7 b-178 sandy marU ·c to : to ft.

u::: 178 ~180 rook Pack.rlal a.t at and ft.

180 1-181 sand Scr••n: diam. : Siz. op.ninQs

181 1-18 marl Interval Dlam. "Type "Typ. Int.rvallee ~24 fine sand caa.d Iinch.a) "i". coupllnao arout.d

241 ~2~ lignite 1_-'5")" 111 II IJJJC AI H

24· ~2 ") sand 10 27~ 1-21'3 marl 170

28, 1-317 sand .~.. 317 1-320 soft marl O':?A'"" I,., .... 0 ·CoUplin9" Threa.d.d a Coupl.d ITaCI W.ld.d IWI

320 1-353 sabd ' ... Thr••d.d a coupl.d a w.ld.d ITCaW)

353 I- limestone Oth.r:

r 1 r 'll r_ "Pip.: Ilack: PVC: Galv.: Oth.r: ...... l." _I.: Q ~1 J.:m Wat.r analyoll o "0 obtain.d? (ch.ckl a lact.rlolO9lcal

o Ch.mical r ., ,'.,

f', ~ ";0 ,,; l i'; v 110.11; - I'·' , _ ..

::I

.,\ ::... '~I~:f n~ '- ... 0 Analyala by: o Ala G.ol. Surv. o U.S. 6.01. Surv. ""'! ~('1 . ~ I" - .a Ala Health D.pt. o Prlvat. lab.

IV,U::JJ

Si9n.d:

Total Depth 353 ft.

_"~-....._....~,11t-r" /,,,~.1":". -.:,." _.:".'- .' ",'" ,~",~·.:_~.::.;·L3Pi~ji{~, r ,,""" ~ _..:;. .....}.....~.P~~''''' ,~~~."'--.'~~....,.,..~,- 'M~':"o>..... "',~ ......~:,. ,~~'f4li_... ';

REPORT OF DRILLED WELL ~. () 4-S..,?7

Date

·For d••p.r weft pl•••• affach continuation sh••t.

Completion Date ..............'" " ?

)

~/ Estimated

dapth

• rc",•• i)ellFt~_'A ~," 3~-g

6-/Zip Code

ZiP~,lte

CJ Telt well

Diame~:1i

..." .....,. ...:i·~"

c::=:J IndustrIal

.upply

'/4 Section


IPubliel .upply

, ~Other: ,; A /

Other: _


~ Irrl9ation

Cabla tool

'¥if Bored

Drillln9 method: (chackl

Distance and direction from nearest town, community,

~ Private .upply


"artln9 date

~-2.'7?e.liJ2:L.

,.,

Inter- Description of cuttings Inter- Description of cuttings COMpletion date.: ~eport depth. below 9round level val val

Q. ype: o Tur'!l:F' 0 Je:~ Cyl:: Oth~e :>... 'ntde depthH.P. /'~ Yield 9pm

Te.ted by: ~umpin9 ~Ift 0 bailer 0 none

.l' Mea.ured Static Water Leveli.fO ft . 'u Mea~ pumpin9 level • /'~ ft. after..

Q.

0 h... pump,n9 9pm

Development time prior to testln9 h...

~en hole o Screened o Slotted pipe o Gravel pk.

. Intervall.) screened: to It; ~..'c to ; to ft. u:::

Packerl.1 •et at and ft •

Screen: dlam. ; Size openin9'

In'erval Dlam. ·Type - -Type Interval ca.ed IInche.) Dlpe couplinG' 9routed

~/1-=:7 7.L Wi/fl 1/ I £

'".!.. ·CoUplin91: Threaded a Coupled (TICI Welded (WI: 0 Threaded a coupled a welded (TCaW)

Other:

·Plpa: Black: PVC; Galv.; Other:

Water analy.l. ~o obta'ned7 (check) o Bacteriol09ical

o Chemical

~ .. :>

Ana;:?) o Ala Geol. ,S;;K 0 u.~. Surv.0 o ~Ia Health t. 0 Prlv ~b.

1,sr9n~"'" fJ"".d/ / J'4/ " _f/., -..4 '\....L/..-"

;:L ~ , Tota' Depth fa

""',oqr....

456\ 1J -/~-~

Date

Zip Code

LI€ Township·WELL LOCATION Section 'I. Renge - --or:

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

WELL WILL BE USED FOR: lET CJ [=::J c::::::::J Private Public Industrial Test supply supply supply well

[:=J Other: _Irri4ation

4d~~5'JC L&2Drillin" method: ~OOIestimated 1 Estimated(checkl ~ depthstartin" Jetted date Bored Other: .<;L'\

Tote I Depth Completion DateIg() , t./- - / .2 ,- <5'4Inter-vel Description of cuttings Inter

val Descri ption of cuttings

A. E :s

D

~ 'u•A.•0

Completion date: report depths below "round level

ype: D TUrj''!Jr:;;ubm. D Jet~ Cyl:; Other: <

depth rQ H.P l'~ Yield JIntete

Tested by: (iYpumpin", I!f air lift D bailer D none

Measured Stetlc Water Lave' 110 ft.

//£Measured pump;n" level ft. efter

\cI hrs. pumpin" "pm

"'

Development time prior to- testin", hrs.

~en hole D Screened D Slotted pipe D Gravel "k.

~..'c; L£:

Intervel hI scr••ned:

to

Packer hi set at

:

to

and

to

tt;

ft.

ft.

Screen: diam. : Size open'n"s

Interval .-.e<l.

16Vw

Diem. IInche.1

l/

·Type olDe

I~Nl!.-

ype couDlinos

JfJV~~ r

'nterval orouted

VI .~

•0 ·Couplin",,, Threaded I

Threaded I Coupled ITICI Welded (WI coupled I welded ITCIWI

Other:

·Pipe: Ilack; PVC; Gelv.: Other:

Weter analysis obtained? Ichecll ~acteriolo"lcal

D Chemical

l•:s 0 Analysis by: D Ala 6eo:~v. D U.S. 6eol. Surv.

..".0) ~H,.I apt. 9,Prlva~lab.

Si",ned~./ Ikit 6'r1!-n ,..,y"'J1 .J ~

.., ....

ADEM Form 60 1/83

REPORT OF DRILLED WELL / C1--/7-JI",p......4311#

ZiD Code O.t.

Zip Code

'11/ .:lIE WELL LOCATION Section Township Rllnge - --or:

Distllnce lind direction from nell rest town, community, ro.d junction or other reference point

WELL WILL BE USED FOR: Ck:t c::::::::J c:::::JQPrivate Indu,trial T.,t ,upply lupply ,upply w.1I

c::=J Oth.r: _Irri~ation

$~ Drillin9 m.thod: C.bl. tool (ch.ck)

st. rtin 9 ~ date Bored Other: L <"\

~O' elhmat.d

d.pth

Tot.' Depth Completion~O / O.te ~ :j (-<tr= Inter- Inter· Compl.tion ~.y.port d.pthl b.low 9round l.v.1

vel Description of cuttings Description of cuttings

v.1

~ lTyP.: o Tur/4 iJ'bm. 0 J.t 0 Cyl:: Oth.r:

...:0 Intat• d.pth H.P. I Yi.ld / b 9pm

T.st.d by: fP'1'"Umpin9 (f' .i~i1.r 0 non.

"'..Iur.d Static Wat.r L....S / ft.~ 'u 'II "'..sur.d pumpin9 1•••1 13a ft. aft.rQ. 'II 1,= h... pumpln9 /")..- 9pm

D.v.lopm.nt tim. prior to- t.stln9 h...

0

.,(()pen hoi. o Scr••n.d o Slott.d pip. o Grav.1 pt.

Int.rvallsl scr••ned: to ft; ~

to : to ft.'c u::.

Pack.r III I.t at and ft.

Scr••n: diam. : Size openJn91

Dlam. "typ. IInches)

L1 I

DID.

1.,..,('"

Int.rva' couplinos "Typ.Int.r.al

orout.dcas.d Ptl~L:2 1,-.:1,.

gl

.~ 'II .Couplln9S: Thr.ad.d I Coupl.d (TICI W.ld.d IWI0

Thr.ad.d I coupl.d I w.ld.d lTCIWI

Oth.r:

.Plp.: Black; PVC; Gal•. : Oth.r:

Wat.r analysts ~o .. obtain.d? Ich.ck) o Bact.rooI09"a'

o Ch.mical

..~:0 o U.S. &.01. Sur•.o Ala G.OI .•~ A/!::):0 o Ala H..lth pt. o Prlv:'! I.b. ....

Si9ned:- / L1 ~ ~/~,r.l';'~~~/ -{./ )7} ""( , I )

I ___ ~ ....... _ .......... : .. 11 ..+:""....h•• t."

• ADEM Form 60 1/83

It~PoItT 01= DRILLED WELL

~L

Lis'/

and direction from

I II -.--,""'! -

WELL WILL BE USED FOR: r¥-1 ~ supplv

S~/~S 0330 b-i-tJ,Cf? Address Zip Code Oat.

~ Cod•

.;lip '1rv a.-/ e-Section Town.hip Range - --or:

Id-~ junction or other reference point

CJ c=J CJPublic Industrial Test supplv supplV well

c=J Olhe" _Irrigatron

b~'6_7~ !ilt .;) 00 IDdlling melhod: C.ble 1001 Estim.led (check) (Glary> Es~ starting Jelled deplh d.l. Bored Olher: _

Total Depth ~..;t.(:) I Completion Date b - J:J. - '9'~ Int.r vel Description of cuttings Inter-

Descriptionval

of cuttings Compl.lion dat.: r.porl d.plh. b.low ground l.v.1

Q. VP.: o Turb. MSubm. 0 J.I o CVI:: Oth.r:E ::l

d.pth Icj.a H.P. I Yi.ld let gpmD Int.k.

Tested by: JCl pumping o .ir lift o b.i1.r o none

90~ M...ur.d St. tic W.I.r L.v.1 It. ·u /10.. M•••ur.d pumping I.v.' ft.•ft.rQ... c::l t/ hrl. pumping l<t0 gpm

ID.velopm.nt tim. prior te>- t.sting hrl.

[)\{ Op.n hoi. o Ser••n.d o Slott.d pip. o Gr.v.1 pk.

Int.rvell.1 scr••ned: to ft; ~ ·c to : to ft. u:

Pack.rI.1 ••1 .t • nd ft .

Scr••n: diam. : Sire openinQI

Interv.1 Di.m. "Typ. "Typ. Int.rval c...d (Inch•• ) Dip. eouplinos orout.d

lSI' 'I" rllG ~ 20

C7'

-;.. "Couplings: Throed.d I Coupl.d (TICI W.ld.d IWI0 Thr••d.d I coupl.d I w.ld.d (TCIW)

Oth.r:

"Pip.: tI.d; PVC; G.lv.; Oth.r:

Water analysis ~NO obt.in.d? (ch.ck) B.ct.riologic.l

o Ch.mic.l

>~ ..

::l An.lv.is by: o AI. G.ol. Surv. o U.S. G.ol. Surv.0 -0 AI. H•• lth D.pt. o Priv.l. I.b.

Sign.d:

"For d••p.r w.1I pl•••••tt.ch conlinuation .h••t.

ADEM Form 60 1/83

8 • .>'

------J REPORT OF DRILLED WELL

G

Date

Zip Code

'I. Section

Addra.. (mailing)

WELL LOCATION


WELL WILL BE USED FOR: l~tJ lupply

c:=I Irrigation Other:

c=J Public lupply

CJ Indultrial

lupply

_

[==:J Te.t w.11

E.timat.d starting date

Drilling method: Icheck)

Cable tool ~

Bor.d

Other: _&vu... t. -tiL6~LA=_ SI~ of Drill~tractor

1:~ E~m~9 d.pth

Total Depth ;;l 30 Completion Date _

Inter. Inter Compl.tion dat.: r.port d.pth, b.lo.. ground I.vel val

Description of cuttings Description of cuttingsval

a. ype: o Turb. .J2'Subm. o J.t o Cyl:; Other:1) E ::0P. 11 r JA.A.A/ D3"~ Intak. depth I/O H.P. I Yi.ld /0 gpm

&;n- P.1J~ ~fJ I. T.,t.d by: o pumping o air lift o bailer o none{,_. mA) 1 Iol.alur.d Static Water Lev.1 ft.

"') q., 'u~

()~,J,'4 '- .. Iolealured pumping I.vel ft. after ..a.

hrl. pumping gpm

Dev.lopm.nt tim. prior to- testing hrs.

0

o Open hoi. o Scr.ened o Slott.d pip. o Grlvel pk.

Icreened: to tt:ll'···~·,,·, to ; to ft.

at and ft.

: Size openinfJl

Pack.rl,) I.t

Scre.n: di.m.

Interur ca.ed

In- II () 'W

'Typ. Interval linch•• )

"TypeDiem. ..i... couplina• arouted

DvrLJ. r...l,r

IJl

.;;.. ~

"Couplings: Thr.eded I Coupled ITICI W.lded (W) Threaded I coupl.d I ...Id.d ITCIWI

0

Other:

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

o NoI Weter Inelysl. o Bect.riological~ obtained? lcheck) o Chemical

.. ::0 Analysis by: o Ala G.ol. Surv. o U.S. Geol. Surv.0

"0 All Health D.pt. o Prlut. lab.

Sign.d:

'For d••per ... 11 pleaI. Ittach continuation sh••t.

ADEM Form 60 1/83

eREPORT OF DRILLED WELL

WELL LOCATION 'I. Section Township

Address (mailing)

Date

Zip Code

cJtE-Range - --or:


WELL WILL BE USED FOR: ~ CJ c=J CJPrivate Public Industrial Test supply supply supply well

c=J Other: _Irri9ation

Drillin9 method: ~OOI :lSQK!-q~Estimated IcheekJ Estimated startin9 Jetted depth

Bored

Other:

date

l. ..;/ l,.........------S-,~.I D,,,~+ ..;r;.

Total Depth jJ ct.....;:L;;o:= _ Completion Oate _

Interval

{)J<lJ.o-

U. ,&:.

!JU


~,(J /'iA....v L .0 u

~ .... "J. --., - 16n~~

Inter-vel Description of cuttings

Q.

E ""

~ .;:;.. Q...

0

Completion date: report depth. below 9round level

rrype: o Turb. I5(Subm. o Jet o Cyl:; Other:

/70 , 10Illtake depth H.P. Yield

Tested by: o pumpin9 ¥air 11ft o bailer o none

"'e..ured Static Water Level ft.

"'e..ured pumpin9 level ft. after

hrs. pumpin9 9pm

9pm

Dev.lopm.nt tim. prior te> t.stin9 hrs.

~p.n hoi. o Scre.n.d o Slotted pip. o Gravel pk.

...... ';:u::

Interval 1.1 scr••ned:

to

Peckerhl .et at

;

to

ond

to

ft·

ft.

ft.

Scr••n: diam. : Size openin91

Int.rval ca.ed

11-/7'_

Diem. Ilnch••1

.t_

"Type olpe

DIi'L

"Typ. couplinas

"""'''''C Illt.rvel arouted

DI c:.;..

0 "Couplin9': Thruded I

Thread.d I Coupled ITICI W.lded IWI coupl.d I w.ld.d (TCIWI

Other:

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

W.ter .naly.i. o No obtain.d? (ch.ckl o lacterlol091cal

o Chemical

~ .. "C) Anely.i. by: o Ala

-0 Ala G.ol. Surv. H••lth D.pt.

O U.S. 6.01. Surv. o Private lab.

Si9n• d :

'For deeper w.1I pi.... att.ch continuation .heet.

ADEM Form 60 1/83

~

r¥. Private supply

o Irrigation

NOTIFICATION OF INTENT TO DRILL A WATER WELL AND CERTIFICATION OF COMPLETION

3- SJ-O Date

1/4 Section

WELL TO BE USED FOR: o o o oPublic Industrial Test Monitoringsupply supply well well

Other: _

LOCATION OF WELL: Latitude Longitude D~(? -/0 -aJ Drilling Method,q cab,Ie tool Estimated' JO Rotary

·---~tarti~g - -.---"- . ---'0 Jetted' date 0 Bored

o Other: _

-~ ~ Total Depth 130

Completion Date 3-IO-O~

~ ,l.' .'

Send WHITE copy to: Send YELLOW and PINK copies to, 'y ALABAMA GEOLOGICAL SURVEY P.O. BOX 869999 I

ADEM FORM 60 5/02 TUSCALOOSA, AL 35486 I•

ADEM DRINKING WATER BRANCH P.O. BOX 301463 MONTGOMERY, AI. 36130-1463

',1..""-:':",'1 1

,( Interval :' Description of cuttings Completion date: report depths below ground level 1'\ _ I <:; ( .Ia~

Q. Type: o Turb. .(,Subm. DIet o Cyl Other - 'I , § go L Yield ...L.IL. gpm

0- H.P.Intake depth,It.5 - fir.,. -')() "" ~ \I r II") V Tested by: J( pumping )(air lift 0 bailer o none

e • I , Lll"\.,J,. 6 '1 .,,'1 ........ d Measured Static Water Le\'el J.L .s-= ft.t-

Measured pumping level ~ S.~ ft. after,

i{,. ., ..... '7,- -fY\1A. I" L u hrs. pumping gpm ... Development time prior to testing hr•.

7~"':"/7, .... '- ; fr'le ('-,.. ~ JI< I~open hole o Screened o Slotted pipe o Gravel pk. ~ , -

; lnerval(s) screened: to It;

j i to to ft.tE!

Packer(s) set at and ft.

Screen: diam. ; Size openings:~" ..... _,- --~. ~-_.'--- -

Inle",al oiam. 'TyPe co~~gs Interval

; -

cased (Inches) pfpe grouted

IO-~d £I r"G Pu-r l.2c-O, 1

~ .~ 'Couplings: Threaded &Coupled (T&C) Welded (W) U Threaded & coupled &welded (TC&W)

Other: "-

'Pipe: Black; PCV: Gal•.: Other:

Water analysis ~NO

:t- obtained! (check) o Bacteriological

~ o Chemical :> c-

Analysis by: o Ala Geol. Sur>. o U.S. Geol. Sur>. o Ala Health Dept. o Pri..te lab.

Signed Certification:

~n •• ~ -t/.--i.- ., ~-

.. ..

1

\. ';;;"" ,,'

NOTIFICATION dF INTENT TO DRILL A WATER WELL ) AND CERTIFICATION OF COMPLETION 13 '1

.~1rJ::"-6~

Date ,,"-:';,... ~\ &".

lip Code ••' .1' '~Nf"$:~~,;;~tPl~,~~iE<;\~/'".> ? s 'i

WEll LOCATION ,~:

:2 M; t{;~ s · /'16 'y;!lP o-f J ,. c.grO·R r1+' c1tic I' c.. J,.. ~4 CR~ I () .,i

•~ . Distance and diredion from nearest town, community, road junction. or other reference Point k,;

WELL TO BE USED FOR: ~ O. o o oPrivate Public Industrial Test Monitoringsupply supply supply well well

o Irrigation Other: _ fir 3'S-tJ I

.I.PCAJION OF WELL: Latitude Longitude Diameter of well Estimated depth

Drilling Method:O Cable tool .t!.;~3., . , , ...,)!!('.~ary ,J, . /. .t.., ._._ ,.\. .j, .•. ,1_ 1_ ". .. , .. ~I;~, ... '0 Jetted • ~ ~- fstarting

....." .....~~_._ .. O-BorM-.."'0 Other:~'_''-'.",--- _

.~~ N ... .c.,,,1i' >\,'" ""

I 1'<),~. "'''_h

~i2o j=:rTotidDepth

.....

, ..1, .:.• ,

~~ ,

t .......~.--. }o. ~, .-(~

I I

ae; .....1

Completion Date h - )"5'~") Interval Description of cuttings Completion date: report depths below ground level

'LP V .-&--U~ '- t:" l.~ Type: 0 Turb. • Subm. 0 Jet 0 Cyl Other _ J"ii-i} =k t-~ '"....-.V Intake depth /lf1) H.P. I YIeld...LS:-llP'" ...'~

'."" ~

/..' IJ . 7i k""";' ii... _z.. --,,'. , . ,. .-..t~lI by: 0 pUl11Ping,· • air lift 0 bO\iler-- 0 noneWJ "'~,

"" ,III ',. ") J,,' 'Measured Static Water leveJ f .$' fL...,IA114J . , :i'i Measured pumping '\e~~1 I d- i) ., ft. after~L_.( ..........,Io}~o \ u r hIS. pumping , II IlIlmII "A !+0 AL A tDevelopment time prior to testing hI'S.(" L~w' 8If",;, \

111.> A. ~~e.-Ic '$' -!.- / • Open hole o Screened o Slotted pipe 0 Gra~el pk..J ~I1L*C-j(, ~- .- -/~o Ine~al(s) screened: to It;I, ~'L/) ,i'J '-,...e.-- fc. r-. ~f'p

----~

:§ I to ; to ft.'1 #0 lJ l...: r...( I:--."-.A-'"i T,),0.-11 c u:-.J... ,,~ L..-- t...,,...f... 5'A--.-:::' Packer(s) set at and ft.( "'5i 0 ~l...~j-~ $1 ......-...-7 ~l-<Screen: diam•

...~,.L,.U.· ..... .lnten:'~;--_ _.1 L _1..; e •. . _ -:7JOV ..;:':l..... ~;.~.\ - J rr~'~: ~,:.~::,~"";.,, ...~'"!/ :-~., .••-... ",,1" , _. \,.' '" ...... ~ ..."'1~' '--used-~~ ~ ·(In""..) ~.1; " " ......-',,/ '

t.f" PV'LI ~z::&if "J..4pTo-).ets

.., ·Coupling" Threaded & Coupled (T&C) Welded (w)~ Threaded & coupled & welded (TC&W)

Other: ~ I

·Pipe: Black; PCV; Galv,; OIlier; Water analysis .. No

obtainedl (check) 0 Bacteriological .~,iii o Chemical

.6 Analy>i. by: Q Ala Geol. Surv. o U.s. Geo': Su~.

o Ala Health Dept. Q Pri~ate lab.

I Signed Certification:

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

;4. 7

Send YELLOW and PINK copies to:

.. I r J/

'L!1 ----Retain GOLD copy for your Records ALABAM.4GEOLOGICAL SURVEY ADEM DRINKING WATER BRANCH P.O. 80X~69999 P.O. BOX 301463 "

ADt'M FOIlM 60 5/02 TUSCALdOSA, AL , 354B6 MONTGOMERY, AL 36130-1463

I,


WELL LOCATION Section '/, Section

5--/~--1'6-Date


WELL WILL BE USED FOR: 02:J c::=J CJ CJ Private Public Indu.trial Te.t .upply .upply .upply well

c::=:J Oth.r: _Irrigation

l../.. II 3//CJ ./5- J..:LqS Drilling method: Cable tool E.timated biameter of well E.timatedIcheckl RotaryV

Jettedstarting depth date Bored Other: _

'13 if ./ 5-)h 16Total Depth Completion Date

Inter- Description of cuttings Inter- Description of cuttings Compl.tion dat.: r.port d.pth. b.low ground l.v.1 val val

Il. ~f) ./1.A lh /I{)ALu fl.;!},l -;)~~, ~A P ~ ~yp.: o Turb. ~bm. o J.t I Cyl:; Oth.r:

J Q ; Intak. d.pth ,pmH.P. Yi.ld

~ Do. 3D .Il.-. J) ~1J.~,- a36_ /.' - ,.. .... ..c: ....U'tI u T••t.d by: 8' pumping o air lift o bail.r o non.

I p , "

~ io' 40 (' Oh. A" -1;;1,""_ ~ lJ.l 'tht:J.A.£. ~ "'ea.ur.d Static Wat.r L.v.1 ft. 'u :2.92• It ....uur.d pump;n, l.v.1 ft. aft.r

nh L... 55 /)A J) :;LH_ 5~ /. '- b /l.... .J). '+M ... ~ rfJ. h... pumping ,pm

/ D.v.IODm.nt tim. prior to t.oting hrs.

55r 7P 11ft A",A "tn... ~ ~h~-~fLj. 'h-\A ~ 0 4 s,._ ,v I~p.n hal. o Scr••n.d o Slott.d pip. o Grav.1 pk. ~ (J . Int.rvall.! .cr••n.d: ft·

'JC ...,5 11£J,f'JR.J It> .M >A. "

to -!ii

Q / , 'c to ; to ft.

Li: .'18 If.. 'tnll"'{)J ~<tu :!J'SC 5 - /J IV .A.J~ J.. _'" UJ. Peck.rlll ••t at and ft. , I Scr••n: diam. : Size openinVI

~ ItlJ· 11,.,., ""'" tV l~fS- I~~O WhA~ Int.rva' Diam. °Typ. --'Typ. Int.rval ca••d linch•• ! DiD. couplin,s orout.d

n~ -/~J (I~ 1~2D R~LJ -\ II .~3~/ 4' 7JfH.... -rJ.-c.. . \~ _13~ Ai'> J) go

c•• as 11~ ~A'hO

• °Couplin,s: Thread.d I Coupl.d ITICI W.ld.d IWI0 Thr.ad.d I coupl.d I w.ld.d (TCIW)

11< _ \tt < 11 .... ~_ AI Oth.r:

I I

ltili J44~11A.L °Pip.: Black; PVC; Galv.; Oth.r:

Wat.r analysis DNa

Iq~ -~ID /),,_ . .1) obtain.d7 Ich.ck! o Bact.riolo,ica' o Ch.mical

I

l':tV. -~\\ /11),1'.6,) •::0 Analysis by: o Ala G.ol. Surv. o U.S. G.ol. Surv.0

.~~l> /)A ........ ,u o AI. Health D.pt. o Private lab.

l~ Si,n.d:

°For d••p.r w.1I plea•• attach continuation sh••t.

ADEM Form 60 1/83


WELL LOCATION Section '/. Section

Zip Code

Range

J()-I- CIS Date

F - --or:


WELL WILL BE USED FOR: ~ c::::::;J CJ CJ Private Public Indu,trial T.. t .upply .upply .upply well

~ Other:I rriQatlon

llt.:J - qs Drilling method: Cable tool It, . ~S//,.Estimat.d [ch.ck) Rotary V.tartin", depthJetted date Bored Oth.r: _

Totel Depth qO.#: Completion Date /12-~ oJ rs , Inter. Inter· Compl.tion dat.: r.port d.pth. b.low ",round l.v.1 Description of cuttings Description of cuttings

valval '"5'~ ....._,/ ... ~yp.: o Turb. kr1'ubm. 0 J.t 0 Cyl:; Oth.r: IA1~

~ Iintak. d.pth H.P. Yi.ld ",pm f)1t A.o.ID~ A.. nJJ A T••t.d by: o pumpin", o .ir lift 0 beil.r o non.-;u t ~ Itoteasur.d St.tic W.t.r L.v.1 ft.3".;:;..sa/b~ tot.e.ur.d pumpin", l.v.1 ft .•ft.r.....

_______hrs. pumpin", ",pmo\1'h::tA 0 D.v.lopm.nt tim. prior ter t ••tin",. hrs.

u!) llQ .J1"",,~D-'" /n... II l~.n hoi. 0 Scr••n.d o Slott.d pip. o Gr.v.1 pk.'T

_____ft:,

'thaAf} , ft.

I 'ft./~/r-r.. /I In.... IJA:i:

~ I Int.rvalDi.m. .~ --.;'yp.Int.rvel arout.dIInchatl pip. I couplinascas.dI" ~' 7/C.J-4I1 A"1. /IA

I v , 317 III /I I(()/)~ IP II t. --,

.r f-----+----+------if-----+------.. o

I I I I I

Oth.r: _

·"ip.: II.ck: PVC; G.lv.: Oth.r:

W.t.r .n.ly.i. o No obt.in.d? Ich.ckl o l.ct.riolo",ic.1

o Ch.mic.1

~

I, I I I I~ An.ly.i. by: o AI. G.ol. Surv. o U.S. G.ol. Surv. '0 AI. H•• lth D.pt, o "rlv.t. I.b.

Si",n.d:

"For d••p.r w." pl•••••tt.ch continu.tion .h••t.

ADEM Form 60 1/83 ~

g REPORT OF DRILLED WELL

License Number

~~tJ.eJ~~t) DS

4~1 Dete

3Cc3tf(o Zip Code

WELL LOCATION County Co-\{e.e..

Section :J-~

'I. Section 7t"

Township Range ---or: 6l'£


WELL WILL BE USED FOR: CJ C=:J c=JIpr;)SJ Public Industrial Te.t .upply .upply .upply well

c::::::J Other: _Irrigation

4" Drillinq method:L.O..:..:2

E.timeted ~Ol Diameter of well E.tim.ted[check) starting depthJetted dete Other: _Bored

~!DA~~g Contractor

Totel Depth '± lj- 'D Completion Dete 7 - ~b-------- '0 Inter

lIel Description of cuttings Inter- Description

lIal of cuttings Completion dete: report depth. below 9round level

E/TYPe: o Turb. t;l(Subm. 0 Jet 0 Cyl:; Other: :I

depth ::bb1) H.P. \ 'h- Yield)~.... Inteke 9pm

Te.tld by: ~ pumpin9 o eir lift o beillr o nonl

;:1-J)'t}~ Moe.urld Stetic Weter LIVII tt. "u b'tO~ Mle.urld pumpin9 Ilvll ft. eftlr .. 3-,,* \:10 hr•. pumpin9 9pm

Devllopment timl prior to'testi"9 0 hrs.

I$. Opln hole o Screlnld o Siottid pipi o Grevil pk.

Intervell.1 Icr••ned: to tt: ..I:..'" to ; to tt. u:

Pecklrl.1 .It et and ft.

Ser••n: diem. ; Sizi oplninql

Intervel Diem. ·Type ·TYPI Intervel ce.ed IInche.J Dipe coupJin9' 9routed

~d,.\: -l1lf ()Vc... P1lu

Ul

".." .. ·COUpJin9S: Throeded I Coupled IraC) Welded IWI0 Threeded I coupled I welded ITCIWI

Other:

·Pipe: Bleck: PVC; Gelv.: Other:

Weter e..ly.is _No obteined? (check I o Becteriol09icel

o Chemicel

>:;.. :I Anely.1s by: DAle Geol. Surv. o U.S. Geol. Surv.0 00 Ale Heelth Dept. o Privete leb.

Si9ned:

·For deeper well pi.... ettech continuetion .heet.

ADEM Form 60 1/83

- --------


~

WELL LOCATION Section '/. Section

Zip Code

-1:J-"7


WELL WILL BE USED FOR: C1J c=J CJ c= Private Public Industrial Test supply supply supply well

~ Other:Irritiatlon

4.-J3-97 II Drilling m.thod: Cable tool 1.J . . " ~i!!RP~nlmat.d Ich.ckl Rotary ~

startin; d.pthJ.tt.d d.t. Bored Oth.r:

Total Depth Completion Date ~ LJiJff 9 - I 'j. - 'Y7 /

Inter Inter Compl.tion d.t.: r.port d.pths b.low IIround l.v.1Description of cuttings Description of cuttingsval val

/l .... _lJ, 7fU"..~~ ~ (Typ.: o Turb. f:f'Subm. 0 J.t 0 Cyl:; Oth.r: ID..!1"1 ,.I 7 ... Int.k. d.pth H.P. Yi.ld IIpm/lA~})

T.st.d by: 0 PUmpinli o .ir lift 0 b.i1.r o non• A~ •

.....sur.d ".Upump;nll ...l.v.1, ~Q' ft.•ft.r•:e= ~~;4J Ir··..N

' 151' _______hrs. pumpinll II pm

O.v.to;.m.nt tim. prior to t.stinOJ hrs.

op.n hoi. 0 Scr••n.d o Slott.d pip. o Gr.v.1 pk.~~ 1'jZb#+¢ fIL4' fB ~ Int.rv.lls) scr••n.d: to ft;

Iw:- j ~~ ,k>Am.1l \:if.1 ~_t ~"A 0 I I I~ P.ck.rl,1 ,.tto.t ; and to ::E

Scr••n: di.m. ; Si•• op.ninll' _

nit. Ao...... /\ ... LU *Typ. Int.rval"Typ.Int.rv.1 Df.m."T

niDe)~ (Ju couplinQs arout.dc.,.d llnch.,'

I~~I"'Yh- ... 0

11"=ava "'.M')IO~ rl-----I----+----f------I-------l I I I I I '; 1-::---...J,,----,1--.,......,-=l-:----L.---~o "Couplinll" Thread.d I Coupl.d (TIC) W.ld.d

Thr••d.d I coupl.d I w.ld.d ITCIWI

Oth.r: _

·Pip.: B1.ck; PVC; G.lv.; Oth.r:

W.t.r .n.ly,i. 0 No obt.in.d? (ch.ckl 0 Bact.riolollic.'

o Ch.mic.1

I I I I~..,. An.ly.is by: o AI. G.ol. Surv. o U.S. G.ol. Surv.0

-0 AI. H••lth D.pt. o Prlv.t. I.b.

Silln.d:

_

'For d••p.r w.1I pl.....tt.ch continu.tion .h••t.

ADEM Form 60 1/83 \


~ '7 L P Code

'I. S-rood

Secti01 \

LLl e eN.... junction or other reference point

':Iff ~~ip

Zip Code

~/c. Ron'le - --or:

WELL WILL BE USED FOR: ~ supply

c::=:J Public lugply

I==:J Industri.1

JUpply

CJ T.. t well

-t.t~t!d1-q'1 st.rtinQ d.t.

OrillinQ method: (chock)

c:::I Irri9ation

C.blo tool

~ollod Bor.d

Othor:

Othor:

G

3S0' E,tim'Tec

ciepth

L(lf DI.meter of ..... ell

J.lATURE 01 Drilling Controctor

~ y ()~.n.~~

Totol Depth 31?D ( Compl.tion Dote \ l-:Lo ~ VJ Int.r.Inter. Completion d.t.: report depths b.lo ..... 9found le ... elD..cription of cuttings D.scription of cutti·ngs

vol

ElTypo: o Turb. p_ Subm. 0 Jot o Cyl:; Othor:

vol

Int.k • dopth Ibc H.P. J~ Yiold .;l'C Qpm

Tostod by: o pumplnQ o olr lilt o b.i1or o non.

M•• sur.d St.tic W.t.r Le ... el 110 It.

...:>

'u ~ .. 1.3.r:.

Measured pumpin9 I..... ' It. .ftor ..Q.

~()() ~'f hr,. pumpinQ Qpm

Development tim. prior to' hstinq / hrs.

Kopon holo o Scr••ned o Siollod pi po o Grovol pk.

Interv.1 IsJ scr••ned: to It; ~

to : to ft.'c u:

',ck.rl,1 ,.t .t .nd II. I

Scr••n: di.rn. ; Size op.nir'lq~ I

·Type 'nt.,.... 1 cand

Int.rv.l Di.m.IIncho.1

Lf. J'

'Typooipo

;p((' couplinqs "routod

::LaIJ..~~~ .<..

-;'" .. ·CouplinQs: Thr..dod & Couplod ITiCI Woldod IWI

Thr..dod & couplod & "'oldod ITC&WI ()

Other:

·Pipe: BI.ck; PVC; G.lv.; Othor:

W.t.r .",Iyli, ~No obt.lnod? (chock) o l.et.rioIOQic.1

o Chomicol

~ .. :> An.lysi, by: o A'. Gool. Surv. o U.S. Gool. Surv.()

·0 Alo H.. lth Dopt. o Priv.t. I.b.

SiQ"ed;

-For d•• per well pl •• ,. '''.ch continu.tion ,h•• t,

ADEM Form 60 1/83

Renge - --or:Township'I. SectionSection

REl'oRT O~ DRILLED WELL

CountyWELL LOCATION

tlh$e-S We.'1 Up·, '[.'t\,~ vi) ~ L. ~'h l ,ljhl;':It IL~Cc:.-lh)('1 O(,y(' d-Jlt:"1t?1*

Oistence end direction from nee rest town, community,

WELL WILL BE USED FOR: CQ( Private .upply

CJ Public .upply

c::=:J I r ri9ation Other:

roed junction

CJ Industrial

.upply

_

or other reference point

c=:J Te.t well

~ - \ -'1SJ Estimated startin; dete

Drilling method: Icheckl

~Ol

Jetted Bored Other:

o:ame~ ~I well ~

E.timated depth

Totel Depth d .? ~ f Completion Oete :J- :!O-q k

_

Inter- Description of cuttingsvel

01~ I '':\Q~ C::;~l2.1,

"O r> .0 "

(nC; ~-'\ l(..l~. Mo..... I l~.,- ~I'\_.l

lCZ"h marl 1..2,).,'1 1 ,.. me.. ~ i\t"Jc

Inter-vel

Description of cuttings Compl.tion dat.: r.port d.pth. b.low caround lev.1

Q. ~yp.: o Turb. ~bm. 0 J.t 0 Cyl:; Oth.r: E

d.pth /f:J() (H.P. I Yi.ld I ()::l Do Intek.

o oir lift T••t.d by: o pumpinca o boil.r o non.

:5'1 Mea.ur.d Stetic Wot.r L.v.1 ft.

/30~ M•• lur.d pumpin; lev.' ft. oft.r .. o h... pumpinca gpm

D.v.lopm.nt tim. pcior to't.stinca h...

capm

o Op.n hoi. o Scr....d o Slott.d pip. o Grev.' pk.

~ 'cu::

Int.rvoll.l scr••ned:

to

Pock.r 1.1 ••t ot

;

to

ond

to

ft;

ft.

ft .

Scr••n: diom. : Sile openinQI

Intervol co••d

In-/~2

Di.m. llnch•• l Ll'f

·Typ. Dip.

PJ/6

·Typ. couplinqs

PVc,

Int.rvol carout.d

C7'

.~.. 0 ·Couplincas: Thr.od.d I Coupled lTI~~~lWI

Thr.od.d I coupl.d I w.ld.d ITCIWI

Other:

·Pip.: .lock:~Golv.; Oth.r:

Wat.r onoly.is obhin.d? Ich.ckl

~o o .oct.riolocaicol o Ch.micol

;;.. ::l

C) Anoly.i. by: o Alo G.ol. Surv. -0 Alo Health D.pt.

o U.S. G.ol. Surv. o Prlvot. lob.

Sican•d :

·For d••p.r w.1I pl.... attoch continuation .h.et.

ADEM Form 60 1/83

R~PORT OF DRILLED WELL

IbS .3h.3~'O ~-..,)J"""-~ Date

rbrJl '" ,ddren

-----=----:---$ :~ / '7 1'1 dIG WELL LOCATION County I !~ Section '/. Section Township Range ---or:

Id-S +e IPt.M.cc4--L~ ?R-- J() ~ W-Lio thv ~ Distance and direction from nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: cJtl CJ c::::::::J CJPrivate Public Industrial Test supply supply supply well

c::::::J Other: _Irrigation

tL If~-~98'" Drilling method: ~tool .;).00 1 Estimated {check) ttl;( Estimated

~startinq Jetted depthdate Bored

Other: ~~ ~l 'O\J

1~"I.a.Tlln~ _ .......".'\ I vn.a; 0; urilling Contractor

Total Depth / 8:0 ' Completion Date ~ - d -9 t Inter· Description of cuttings

vel Inter.

vel Description of cuttings Completion date: report depths below ground le.el

E!Type: D Turb. rifSubm. D Jet D Cyl:: Other:

" Intake depth I~C> H.P. C). Yield ~OD. gpm

Tested by: 9ll.. pumping o air lift D bailer D none

7'S""~ Measured Static Water Le.el ft. 'u je'D.. Measured pumping le.el ft. aftereL..

~Y: d-.'C0 hrs. pumping gpm

IDevelopment tim. prior to- t.stinllil hrs.

!)It Open hole o Screened D Slotted pipe D Gra.el pk.

Inter.allsl Icr••nld: to ft: ~ 'c to : to ft. u:

Packer lsi set at and ft.

Scr••n: diam. : Sill openinqs

Interval Diam. 'Type Type Inter.al cased Iinchesl pipe couplings grouted

/3.')/ v.." .pOe.... Hb ~

l7'.;.. 'Couplings: Threaded I Coupled (TICI Welded (WI0 Threaded I coupled I welded ITCIWI

Other:

'Pipe: Black; PVC; Gal•. ; Other:

Wat.r analysis ~ No obtained? (check I Bacteriological

o Chemical

± .. " Analy.is by: D Ala Geol. Sur•. D U.S. Geol. Sur•.C)

o D AI. He.lth Dept. o Private lab.

Signed:

"'For d••per WIll pl•••1 attach continuation sh••t.

ADEM Form 60 1/83

15 7

License Number ~4-

Address 3~310

Zip Code

~~'()

J--'~~ D.te

;~ III • ... its.Usas Sk £ a ........ "-,,WEt,. - ""', .."• .REPORT OF DRILLED WELL

___--=-=-:-:------~lc.......offe.e.. .'-S 7~ "'-\£ WELL LOCATION \' County Section II. Section Township Renge - --or:

\;2..." ~'COJ!) a24:q\t '1, 01' 50 6c'{ floc$\ o~~ b~,"", on \?2 ~ Il,\\ Dn l-.&.." k~""\' Dist.nce .nd direction from ne.rest town, community, ro.d junction or other reference point

WELL WILL BE USED FOR: ~ l ~ 'riv.t. I'ublic Indu.tri.1 ~ .upply .upply .upply w.1I

~ Oth.r: _Irrit.tion

J2.: \b-,\2- Drillin\l m.thod: C.bl. tool ~ ~()l) E.tim.t.d E.tim.t.d(ch.ck' ~ .tartlnt d.pth"'""J:tr.d d.t. Oth.r: _Bor.d

tor

TotelOepth f-O 0 Completion Dete //1,--/7- 9.i. Inter. vel

Description of cuttings Inter. vel

Description of cuttj-ng. Compl.tion d.t.: r.port d.pth. b.low \lround l.v.1

~ Ioryp.: o Turb. ~ Subm. 0 J.t 0 Cyl:; Oth.r: ::I

A Int.k. d.pth ,I 0 H.P. I YI.ld 13 tPlll

Te.t.d by: ~pumpin, o .lr 11ft o b.ller o non.

~ ......ur.d St.tlc Wat.r L.v.1 lilt> ft. u•G.•0

It-I)......ur.d pump;nt l.v.1

'Z.V 1'1hr•. pumpln\l

ft.•fter

\lpm

D.velopment tim. prIor to- t••tln- J h...

sI(Op.n hoi. o Scr••n.d o Slott.d pip. o &r.vel pk.

...c.. 'c u::

Int.rvall.t scr••ned:

to ;

to

to

ft:

ft.

P.ck.rlsl ••t .t .nd ft•

Scre.n: di.m. : SI.. op.nlnt.

Interv.I 01.111. ·Typ. ·Typ. Interv.I CI••d IInche.1 DID' couolina. Grout.d

~ll II J)tI( ll~ LD

III c:'w•0 ·Coupllnt" Thr.ad.d I Coupled (TICI W.ld.d (WI

Thr••d.d I coupl.d I w.ld.d (TCIWI

Oth.r:

·Plp.: II.ck: PVC; &.Iv.; Oth.r:

W.t.r .n.ly.i. obt.in.d? (ch.ckl

o No o Bect.rlolo\llcal o Ch.mical

~ •::I G- An.ly.l. by: o A'a G.oI. Surv.

o A'a H..lth D.pt. o U.S. &.01. Surv. o Prlvat. I.b.

Sitned:

·For d••p.r well pi.... attach continuation .he.t.

ADEM Form 60 1/83

~,

•• •

Rang. ---or:


II. Section Township

Zip Code

JG"

\ \,

Distance and direction from near.st town, community, road junction or other refer.nc. point

WELL WILL BE USED FOR: ~ CJ CJ CJ Private Public Induslrial Test .upply .upply supply w.1I

~ Other: _I rriqatlon

3t!'d ,.,/-/B-9Jj. 4-~ Drilling method: Cable tool

po ...... Diameter of well tstimatedIch.ckl Rotary Vstarting d.pthJ.tt.d date Bor.d Oth.r:

Total D.pth tJ. ~ tJ " Compl.tion Oat. 1- /$ - ~¢

_

Int.r. Int.r Compl.tion d.t.: r.~t d.pth. b.low 9round lev. ID.scription of cuttings D.scription of cuttingsval val

b- a.(I UAu yp.: o Turb. ~bm. o J.t 0 Cyl:; Oth.r:L~ E "}( ...:> Int.ke d.pth H.P. Yi.ld;La:; LlA -.Jl T••t.d by: @'1>umpin9 o .ir lift o b.i1.r o non.l5

"'••••r.d St.tic W.t.r Lev. I ft.~"U.. __~ ~ "Das" -",~ 'u.. "'....r.d p.mpin9 l.v.1 ft.•ft.r0 ..a.

hr<. p.mpln9 9pm0/)A_ IV ~_ .....'J:J.ItIJ D.velopm.nt tim. prior to t.stln9 hrs.". "f'M." 0_-~5 ~n hoi. o Scr••n.d o SIott.d pip• ~av.1," . Int.rv.II.1 scr••ned: to <: - _II4'1 ii1$5. . 'c to : to

u::: P.cker 1.1 ••t .t andJ!J./.) ~lll\ Scr••n: di.m. : 51.. op.nln9'"

nA JJ~ ... l~~ Typ. Int.rv.1"Typ.Int.rval Di.m.~ co.pling,Dip. 9ro.t.dlinch.,)c.s.d

fJiJ{r.1'111' PIJe"YY\AAJI..,"'!iJ:i) ...

->VJ~ .- Jf_~"'Lrl VII ~~ ..*= ·Co.plin9S: Thr••d.d a eo.pl.d ITiCI W.ld.d (WI Thr••d.d a co.pl.d a w.ld.d ITCaW)

0

Oth.r:

·Pip.: BI.ck; pVC; S.lv.; Oth.r:

W.t.r an.ry,i. o No Dbt.in.d? (ch.ckl o B.ct.rIDI09ical

o Ch.mical

~ .. :>

C) An.ly,i, by: o AI. S.ol. S.rv. o U.S. S.DI. S.rv. o AI. H•• lth D.pt. o Prlvat. I.b.

Si9n.d:

9pm

.-"

pk.

ft·

ft.

ft.

·FDr d••p.r w.1I pl•••••tt.ch cDntin••tion ,h••t.

ADEM Form 60 1/83

~""

~ REPORT OF DRILLED WELL

fJ~n1>le¥ tAlO DILLING CO. TRAC'~R

/.f!O; '7 licen.e Number

W rpqS<L f:J£ ACldre..

s..3lea6~ Zip Code

/1-8-70Ode

Addre.. (PROPERTY ('D~ ((X1awe.l (

=--------:---::--.,....,...--__---"C=-=of\~e.l=_.:~=_____ __=_15 7 N .2..1 EWELL LOCATION County Section 'I. Section Town.hip Renge ---or:

E f\"'(,,(~"{'\~1l.- \67 N ri on 71> L on g;z... w~\\ on 1-.. Di.tence end direction {rom ne.re.t town, community, ro.d junction or other reference poin,t

WELL WILL BE USED FOR: g c::J c::J Indudri.1 T.,t

,upply ,upply w.1I

c=::J Oth.r: -- _Irrig.tion

l.fllU.-~, "'1D ~DDrillinv m.thod: eOOI lch.ckl 0 .r biamet.r 0' well E,tim.t.d

,t.rtinv d.pth• .dd.t. Oth.r: _Bor.d

~f!\?~ C\..,)Cj SIGNATURE of Drilli~~~-r--

Tot.I Oepth ;;LbD Completion Ode /1-8 -Cj0 Inter. nl Oe.cription of cutting. Inter·

vel Oe.criptlon of cutting. Compl.tion d.t.: r.port d.pth, b.low vround I.vel

CL Typ.: D Turb'l;u~r D J.tu.;YI:: Oth.r:E :II a Int.k. d.pth ·t H.P." Yi.ld If

T....d by: ~ pumpinv a .ir 11ft f b.ller 0 non.

VIM"

~ 'u I

0•

M••,ur.d St.tlc W.t.r Lev.1

M••,ur.d.:tmPinv I.v.'

,.;:;} hrs. pumplnv

J '-f D I <I

ft.

ft.•ft.r

vpm

D.v.lopm.nt tim. prior to- t.,tln~ I hrs.

I~.open hoi. D Scr••n.d D S/ott.d pip. D Srev.1 pk.

J:;..'c i.t

Int.rv.II,1 ,cr••n.d:

to ;

to

to

ft,

ft.

P.ck.rhl ,.t .t And ft.

Scr••n: di.m. ; Siz. op.nlnv,

Int.rv.' Diem, °Typ. 'Type Int.rv.' ca,.d

I.~I linch••)lJU

AIP8_

we couollnv,

l.::Sr J

arouted Ol.U

'" '" ';0

•0 °CouplinVI: Thr••d.d I Coupl.d (TiCI W.ld.d (WI Thr..d.d I coupl.d I w.ld.d ITCIWI

Oth.r:

·Pip.:. BI.ck; PVC; S.lv.: pther:

W.t.r .n.ly,i, obt.in.d7 Ich.ckl ~o.ct.riolovlc• 1

D Ch.mlc.1

~ •:II Q- An.ly,is by: D AI. G.ol. Surv.

D AI. H..lth D.pt. D U.S. S.ol. Surv. D Prlv.t. I.b.

Silln.<\'" I (h ( l~ 11 J.tJ I'L_ U... ,

ADEM Form 60 1/83 .~

oil

\~;;/ ,:,; 'l>"'~; '.< ,1£4, #~"j' ••.g,(, .XL'O'I"kJ it,;' z.. y , :1- k. :' f",\l"~'\/~!i.-?l· .:.\fA)~~~; fl~; .';J'." ,~. ..,.,. T" ',,···.;c';· "f;~";'" ~,:;{::~:_/::;:>71:}~::i '>~':~ {: ',,1"'!:!

-",r~,::,~:r,. c.;

NOTIFICATION OF INTENT TO ORin A WATER WELL "" AND CERTIFICATION OF COMPLETION 15

t " WEll LOCATION ~

36 :J/{,

Section

Zip Code

7- S-()<t-Date

1/4 Section

" Distance and direction from nearest town, community, road junction or other reference point·,('

WELL TO BE USED FOR: o 0 0 0 0Private Public Industrial Test Monitoringsupply supply well well

o Irrigation Other:_ ~~

f{~ ~ f?fJ LOCATION OF WELL: Latitude Longitude Diameter of well Estimated 4Ir!pth 7- I0- () ~g Method:O Cable tool

Estimated ~Rotary starting 0 Jetted

. ,ibte "'"~---' j ,- ~ -Boted '",. ""!'_,"o,-.~."",,-,, .,,1,11'o Other: _

Total Depth 1-f i(-02-Completion Date

l ~, '.' ~: tf· ~ . .> !-.

"~ ......

,- ,'"r~

_i

----_fl">-'

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

""'... <~,'"-


o nooe

Other _

Y"'ld~8Pm

Development time prior to testing

Type: Q Turb, ksubm, Q let 0 Cyl

Intake depth I(/.[) H.P. ~ Tested by: l(pumping

Measured Static Water Level it.

Measured pumping level it. after

I hrs. pumping Rpm

hrs.

c. E :>...

!

...~? Interval Description of cuttings

o Gravel pI<.o Slotted pipe

; Size openings

"'Type I *Type Interval pipe couplings grouted

~~<£1' ~~'J2o -b

o Screenedf<,openhole

Screen: diam.

P;l!ker(s) set at and it.

I to ; to ft.

Inerval(s) screened: to it;

Interval I I Oiam. \ I cased " (Inches)

.. c 'i(j '-Couplings: Threaded & Coupled (T&C) Welded IWl U Threaded & coupled & welded (TC&W)

i if - • ,.• <Ill ",_, " .

~, t.• .. . ~ c· 1! , • i \ ... , -''''.. ." \!'. ~,.. "

, "'* . "'" PI..-,'"..""....- ~.". "q' ·-r ,I", ... , \!- .Jlil... ez.r. ,

'.

-l!., ~ - ~.' ..~..-, ,~ ~~.~,.,'....,..

, ...• ,.".,"""

'1'''0<'' ", 7'. -

Other: _

-Pipe: Black; PCV; Galv.; Other:

Water analysis J{ No

obtained? (check) r.1 Bacteriological o Chemical.~

& Analysis by: o Ala Geol. Su... U U,S. Geol. SU".

o Ala Health Dept. o Private lab.


(\.J\rl.u '-. ti~LA /

'For aeeper welf please attach continuaa sheet. Send WH ITE copy to: Send YELLOW and PINK CO~D copy for your Records

ADEM FORM 60 SIOZ

ALABAMA GEOLOGICAL SURVEY P.O. BOX 869999 TUSCALOOSA, AL 35486

ADEM DRINKING WATER BRANCH P.O. BOX 301463 MONTGOMERY, AL 36130·1463

..

.Oat,

i t~ SectiOti

Zip ,Colle

section1'0 "'2:()

jUnction (it other reference point

TtlWnsbip

711.

'I-

Distance and direction from 'nea~ town, community, to .

;

·f>.· ~$o~.~ \1.i*J,\SF<~'''P.·

NOTIFICATiON Of INTENT TO DRILL A WATER WELL

,'t~:i'~

/

AND CERTIFICATION OF COMPLETION .,

~b~1.

'"~ ' •. :. '.' - . . ~ fI,"'5·.,

WELL TO BE USED FOR: 0 0 o o o Private Public Industrial Test Monitoring supply supply supply well well

0 Irrigation Other:

~~ LOCATION OF WELL: Latilude Longilude Diameler of well

.. ~t~~. ~,:,:.~~ p .~•• .,~- ... "~""L":,;.. ',._ "_' .,J. ~ _', .. ,. +._" ., ..... '. date 0 Bored o Other: _

_310 P-l'Total Depth Completion Date

1JInlerval Description of cuttings Completion date: report depths below ground level

c." ("liA . ..19~/7i~'Q. IType: 0 Turb.. )4..Subm.' 0 Jet. 0 Cyr o.lher----l

'II'·:"·· .~.~ .l-:~:":" If ~ . Inla1<e dej>/h I (,Q IV. .[I{k Yield. N .liP,",n,':J,7_ ~. •11\~ . Tesled bFl!a pumping Q air Iili I.;l ball", ,0 npM,':';r·,,'.; '

.';~'>!);,; lliIeasure(ISlatic Waler Level l~ 0 '. ·ft.: ..:i ~')...;.u z: mAli] '.".~~r Measured pumping. level . It. after ~::j '1 I

0 V hrs. pumping gpm~,.~ U S-'J) 7. ".i,,-'7_~.1 f'.I~,,- ""

Development time prior to testing hrs.If d If Open hole 0 Screened Q Sioued pipe 0 Gr.vel pk.I'In _ JIQ I~n 7' 1..117 L~ ~_~.A ~~... 7. K

".-~ Inerval(s) screened: to it;1I' It!f_ J'J) I ~ ~ :ii 10 : 10 ft.1

if .~./;:JQ -l~i:l fh n--;;J~~~, Packeri.) sel al and ft.

Screen: diam. ; Si~ openings1IJ5_S-~'7lj~ t :..K- '~j I·. I· i,

',~.•~ Interval .-j biml. ~'I ....yPO I Inte..01 _ ,,"po ~ OOllplil)8l lItouled.1~, ....d· 'I IlnC!'<'l~ -"," ·'W'! r j' j r

In-~Iq I' 14' Pi/Go I PiI" I~.ll.:.;)t' [11;"7 ~~~I ::P. it":' :-r~ T

~". " ..",~.;",' ,If.',~,,

,.~., ,',"- ","".1.""".... If I.7 .'.,'."'"-;'\ fIk"-;

..~~t; - ~Gl 'Yh;LA]T-I--X'.: ,7Jt",,' .#c,~ -"""'""T ..,..... 'lO't_ f:.;¢

", •• -">11'

'Couplings: Threaded & Coupled (f&Cl Welded (W)~ ~ 1\":-0. ~ Threaded & coupled & welded (fC&W)...- f'~-fL-~t~1 ""*

Other: I

'Pipe: Black;' PCV; Galv.; Other: ,,l-; •

Waler analysi~ ~o ~

'~>{oblainedl, (chedl Q Bact~iologkal

!:. , .~ ~ <. Q Chemical'"11 ~,.', ~. ,. .'~

"j Anai,Y5i~ W. 0, u.s:h~i;s~",.Q Ala Gool 'Surv.t Q Ala Heallh DepL o Privale lab.[f':

:::'. .

~==+====---======11SignedCertificali~ B. 1J~.1~

'For deeper well please attac'h continuation sheet. Send WHITE copy to: Send YELLOW and PINK copies to: 0 Retain GOLD cop; f:r YCI Records

ALABAMA GEOLOGICAL SURVEY ADEM DRINKING WATER BRANCH P.O. BOX 869999 P.O. BOX 301463

ADEM FORM 60 5/02 TUSCALOOSA, AL 35486 MONTGOMERY, AL 36130-1463

d

~i ..n,

WELL LOCATION

5",i.ik,'(3I¥eZU\!;;1J';;·"·"9" "":\"'. ,'l.,;••~;;;' '.' ,. ,,"~, ~'.L::.~>. ,.:i)$SEi\iE6Ji Aif!tt,JdE. ,:.~; if:;)~b"~'i~.!e.e4MJ*!?d!.,

,.... ';. :

NOTIFICATION OF INTPNt TO DRII.L A WATER WELL 1$ AND CERTIFICATION OF COMPLETION

....S&'~ ~31Der 3v/)1

I £::) e..Address (mailing) Zip Code

Township 1/4 Section

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

WELL TO BE USED FOR: 0 0 0 0~e Public Industrial Test Monitoring supply supply supply well well

o 1 11 Irrigation Other: d:?O'

CAT N OF WELL: Latitude Longitude Diameter of well ·tstimated depth

0, Drilling MethodS Cable tool E ima ~otary ~ starting 0 Jetted date 0 Bored

o Other: _

2. t(()l g- /<l~ f)Z-,.Total Depth ComDletion Oat, ."

I ,/

.--'

rjiat;.

"

Interval -- J ~ . Description of cuttings

I/I'j- I (!J J<pd r 1I!L.U 17D-':( r /' J..- L9.r1? I ~ <:,",. _,0 -c;;: ~ArJ) .I ... ~ n-/'7r.. /Yf~ /21 z. _~'~N /,f '-/J ?iJl9 . /' //1 \I..J.rfr1 bl·me.c;Mn~- ,

c. e ::l..

€.. c... U


Type: Q Turb. . ft.~bm. Q let I Q Cyl Other

Yield .-!.Z. gpmIntake depth /42 0 H.P.

Tested by: IJ pumping Q air lift IJ bailer ~one

jL,l.OMeasured Static Water Level It.

Measured pumping level ft. after

hrs. pumping gpm

. Development time prior to testing ~,

, )iC.Ppen hole o Screened

Inerval(s) screened:

IJ Slo«ed pipe

to

Q Gravel pi<.

It;

~ cu:

Packer(s)

to

set at and

to ft.

It.

,. ~.

Screen: diam.

Interval cased

O'/'ffO

Diam. (Inches)

LJ

; Size openings

'TyPO 007;l:gs"'... YVC.. (,{)

Interval srouted

ItI-ZlD

.. .~ U

'Couplings: Threaded & Coupled (T&Q Welded (WI

Threaded &coupled &welded (TC&W)

Other:

r

.

.£ "iii ::l 0'

'Pipe: Black; PCV, Galv., Other:

Water analysis ~:cteriOIOgiCalobtainedl (check)

Q Chemical

.Analysis by: IJ Ala Geo'. Surv. Q Ala Health Dept.

Q

Q

U.S. Geol. Su!". Private lab.

,

.. .n .. ~ .. ,~ - -"-~ _. _A!_

•. _L __ -,,

Si77A' fyry'{/)

~. ...... xv~ , . Send WHITE copy to: Send YELLOW and PINK copies to: Retain GOLD copy for your Records

ALABAMA GEOLOGICAL SURVEY ADEM DRINKING WATER BRANCH

ADEM FORM 60 5102

P.O. 80X 869999 TUSCALOOSA, AL 35486

P.O. BOX 301463 MONTGOMERY, AL 36130·1463, '<'"

"";'F'{7'·)·_~·;"'·'C;t',:>, ...""",,,~:~.~~:;;r~~~{S""'~'ifi ",,';"'''~'j'!i~~?ji·· ..'"'itV....!~t'i;~9~·-·';'t,o·~::-~''l':-{~r~'lIl'.""r.·.~:·;f'-;-'lJ",,;'T"'i "~',I-\·IT.> ,,,~.~"';';T~~'~:;'~': '

NOTIFICATION OF lNTE~T TO DRILL A WATER WELL ~ AND CERTIFICATION OF COMPLETION

WELL TO BE USED FOR: ~ 0 0 o Pri~ate Public Industrial Test supply supply supply well

~ other:AI..lt:J IIP/2ece /)N 1/ • 34 490' AI,f$· ITOl!7 r fi:' ~20'

LOCATION OF WELL: Latitude Longitude Diameter of well Estimated depth 6" -) '-1- oV DrillingMethod:~ool Estimated Cl Rotary starting Cl Jetted date Cl Bored

Cl Other: _

2?a ) 0- lif-DC/Total Depth Completion Date

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

-------,;J'.,....."' --.c:::: A Aizj

S'-7Jj (!LJD_ 11.F"lUol!..~.4./)[).I>/J SA:A Inu\,.- Lo 1\1\ ..... a!., -" hLJ.- '70 <'XiV ()VI IYh~ 12-1 -' -71)- R'r YV\ A OJ ' I~--QD (;:::::Jk:lA /liJ t.J6i- os:-A-tJ aQtlo - q, MAfl,L

7'r-/U.., ..I Ibl ('_/~ II ilL) - -}J.. /b fV\.4..Y)

JZL.> - j~ b SA-I\! Ou N\4ILL---70"- 1:'& I Y\'" (2--'_- '.

la~ - /nc

''"1f - 7.71) U /k.e~7{) ft/e.

Q. Type: Q Turb. ~ Q Jel Q Cyt Other--l ~

A. Inlake depth YielM.-gpm1f?9 H.P. -----.3. Tested by: Q pumping Q air lift Q ba,er D none

Measured Slatic Water level ) ft.fI'I

~

Measure~ Pjmping level . / ~ ft. after ! I '-f- hrs. pumpIng ? gpm

Development time prior to testing hrs.:z-Q Open hole Q Screened Gf..5' It d pipe ~Ipk.

Inerval(s) screened: t0220 It;/goI

to , 10 ft.~ c u: I

Packer!s) set at and It.

,02D

0-1

·1 u

'Couplings: Threaded & Coupled (T&C) Welded (W)

Threaded & coupled & welded (TC&W)

Other: I

..€ ~ 0'

'Pipe: Black; PCV; Galv.; Other:

Water analysis ~o

obtained! (check) 0 'Bacteriological

Q Chemical

Analysis by: Q Ala Geol. Surr.

~lthDepl.

Q

Q

1

U.S. Geol. Surr. Private lab.

--I I c::::;:;;'" --=:::::;;;0>"For deeper well please attach continuation sheet.

ADEM FORM 60 5/02

Send WHITE copy to: AlABAMA GEOLOGICAL SURVEY P.O. BOX 869999 TUSCALOOSA, AL 35486

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

Retain GOLD copy for your Records ;, 'f:,.."",',

'"~it: iiiIoil

Township Range Section

y\~ J-..ef.-t Of\. ..:It>\ 'oN e...\\ of'\ f"-\. ;:L.- '? f'r\\\~)

•_.:;- Q2... Date

1/4 Section

Zip Code 3{,oi'\

~

Address Zip Code

.;Llf Address (mailing)

W

,."u)o I '-tl ~

NOTIFICATION OF INTENT TO DRILL A WATER WELL

1 .,;2..\~GR"10"1 %'??Jo

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

WELL TO BE USED FOR: o o o o o Private Public Industrial Test Monitoring supply supply supply well well

o Other: _Irrigation

If- .2t:JJ Diameter of well Estimated depth

LJ-5 o ;l... Drilling Method:c;l Cable tool Estimated )Q Rotary starting o Jetted date o Bored o Other: _

I~O Lt--~- 0:2-Total DeDth c letion Dati e

Interval

.:2..0 40 1..", 9,.0 \t)1)

~()

I-.IJ)

bt) 9,'f:j


o '("DJ\o...~ Sont\. 'P>\\\e.. S-c

I I I' " 1\

5hfL\\ 'Rb~ I \ ,.

J..', rt\t.. 'Rfl~ ,\ 1\


... E ::I ~

.~ v.......

U


Type: 1;1 Turb. ';.. Subm. 1;1 Jet 1;1 Cyl Other_

\ Yield~8PmIntake depth pta H.P.

Tested by: 1;1 pumping 'i. air lift 1;1 bailer r:I none

1\5Measured Static Water level ft.

12$Measured pumping level It. after

2-.H I~hr.. pumping gpm

Development time prior to testing \ hr>.

'Open hole 1;1 Screened 1;1 Slotted pipe 1;1 Gra.eI pi<.

Inerva/lsl screened: to It;

i c

tl: to

Packer(s) set at and

to ft.

It.

Screen: diam.

Interva.l cased

l J;J;

Dlam. (Inches)

If

; Size openings

'1)'1'" CC:;Cpptpe

f" (.. '91E.

Interval lP'ouled

.:2J)

DO

.~ U

'Couplings: Threaded & Coupled (T&C) Welded (W)

Threaded & coupled & welded (TC&W)

Other.

'Pipe: Black; PCV; Ga/v.; Other:

Water analysis ~~o obtainedl (check) 1;1 Bacteriological

1;1 Chemical

.~.. ::I a Analysis by: 1;1 Ala Geol. Surr.

1;1 Ala Health Dept. 1;1

1;1

U.S. Geol. Surr. Private lab.

-Signed: ~ ('{'\ ~ f'0n~n.\.

n


P.O. BOX 869999 P.O. BOX 301463 ADEM FORM 60 2/02 TUSCALOOSA, AL 35486 MONTGOMERY, AL 36130-1463

I

BNOTIFICATION OF INTENT TO DRILL A WATER WELL

dJ,'c Lr-r 2.. DRILLING CONTRACTOR J license Number Address Zip Code Date

(/.o.rl-eJ VDW'I"ry Address (mailing) Zip Code

ZAI ~/e WEll LOCATION County Township Range Section 1/4 Section "

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

WEll TO BE USED FOR: o o o o~vate Public Industrial Test Monitoring supply supply supply well well

o Irrigation Other: _

'::L" ~' Diameter of well

Drilling Method: 0 Cable tool Estimated o Rotary starting o Jetted date o Bored

'1- /1. ... 0L

o Other: _ <~ SIGNATURE of Drilling Contractor

Total DeDlh 207 c leli olale Y-L 9'-0 'L Inter-

Description of cuttings Inter- Description of cuttings Completion date: report depths below ground levelval val

11'1_1() ~ 1,.,11. ... Type: o Turb. ." Subm. o Jet o Cyl Other_

~6-1r. <M~J E

" Intake depth I '- ~, 2. Yield .2.C gpm... H.P. 111.01 c..t../1. Tested by: o pumping o air lift o bailer )II none 1C-V': n .. ,"4"/ 11& ./" r,~..1

Measured Static Water Level ft. ~

IL#./. !J- ~JriH C'-e/l, .~ Measured pumping level It. after.....

11'71'.2., ;] 1/#f'II!!.FI.-.,. u hrs. pumping gpm

Development time prior to testing hrs.

o Open hole o Screened ~ Slotted pipe o Gravel pk.

I kp 2.t- JInervaHs) screened: to ft;

..c It..1II to . to

.5 "

17r'Packerls) set at and ft.

Screen: diam. L ; Size openings .bl) Interval Diam. 'Type

~;J:p Intervaf cased (Inches) pope srouted

I)-Ikl L/ PI/c. (~ () ...]()

DOr:: .~ ·Couplings: Threaded & Coupled (T&C) Welded (W)U Threaded &coupled & welded (TC&W)

Other:

'Pipe: Black; PCV; Galv.; Other:

Water analysis ~No 1 obtainedl (check) o Bacteriological

o Chemical

.~.. " Analysis by: o Ala Geol. Surv. o U.S. Geol. Surv.C1

o Ala Health Dept. o Private lab.

~ 5i.....:

·For deeper well please attach continuation sheet. send WHITE copy to:

ALABAMA GEOLOGICAL SURVEY P.O. BOX 869999

ADEM FORM 60 2/02 TUSCALOOSA, AL 35486

Send YEllOW and PINK copies to: Retain GOLD copy for Records ADEM DRINKING WATER BRANCH P.O. BOX 301463 MONTGOMERY, AL 36130-1463

,."':'~7;~I'~P;-'.< ,;,~:,"~"~.., .,..:\'" ""i;" ,.)

. i<<,~ '"

NOTIFICATION OF INT:fN.'t ro'DRILl A WATER WELL BAND CERTIFICATION OF COMPLETION

# 7b33 ..J"6';SLZJ

Zip Code

Date

0 0 0 0 Public Industrial Test Monitoring supply supply well well

Other:

~ 3Dl)

J'5..... Private supply

o Irrigation

WELL TO BE USED FOR:

Latitude Longitude Diameter of well Estimated depth

Drilling Method: 0 Cable tool ~ary

o letted o Bored o Other: _

.300 /,-/;o/tJ~Total Deoth c letion Oat,e ,~


2.-6 (;.\'"C' c.ltt"l c. Type: a T~rb. w's~bm. a Jet 4'./-0 E

::l Intake depth IbO /0 H.P.

bO Tested by: ',Tpumping a air lilt o bailergO Measured Static Water level /13100 h~ ~t("ci I clav .~ I:J-S

(3lu~ c.:.,otU) ~e. <oJ

IMeasured pumping level2-D '" c. 2.-¥ hrs. pumping .. I")...lj.() '-t'<'''li~ \.J .

"0 W" \'\.e., c..\tw Development time prior to testing / go U~\\nl il ~()CL I L.trn e ~penhole o Screened a

:;uJ() LV hi ~ 12.0<'''= I c.lav LC>

, Inerval(s) screened:

~ i 10 . M, if

Packer(s) set at and .. kt>

300 Screen: diam. ; Size openings

Interval Diam. 'Typecased (Inches) pope

')...OS'" . If pVc.

DO c

'Couplings: Threaded & Coupled (T&C) Welded (W)'ilj \.J Threaded & coupled & welded (TC&W)

Other:

'Pipe: Black; PCV; Galv.; other:

IWater analysis liil'"l\Io

~ obtained! (check) a Bacteriological

a Chemical ::l

I Analysis by: 0'

a Ala Geo!. Surv. a Ala Health Dept.

caert1l7, p~~~~" *J=nr dppnpr wpll nJp;alii.p OlottOloch continnOltion ~hppt. ~ //

aCyl

Slotted pipe

co~~Cgs

Ae

Other

Yield /2- gpm

o none

It.

It. alter

gpm

hrs.

a Gravel pk.

10 It;

to ft.

ft.

Interval grouted

z..v

a U.S. Geol. Surv. a Private lab.

-Send WHITE copy


P.O. BOX 869999 P.O. BOX 301463

ADEM FORM 605/02 TUSCALOOSA, AL 35486 MONTGOMERY, AL 36130-1463

~-.,

_'~,;;;,~;5'ft,,¥'r-"" '''"'i'', /' -,,....-'~~;"i'.,"~"~''''''','5''-f;

'S~'-;~"

''-:l:~'

NOTIFICATION OF INTENT TO DRILL A WATER WELL 8AND CERTIFICATION OF COMPLETION

1..3D:1 Co. Rd. '31.. c~ (; Me t' /Io-{' 31.a '3 I L ~- 4.f -0 l,., Address Zip Code Date ~

t<.d 1107: $~~ .' PROPERTY OWNtK <-Address (mam", Zip CodeCo +..c • "jrI Jlf£ 1'1

,WELL LOLA'IUN County Township !lange S~ t/4Section ,;t"~o . f~ t.,;

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

WEL~.TO BE USED FOR: ~ o o o o Private Public Industrial Test Monitoring supply supply supply well well

o Irrigation Other: _

47(\<.. h.. ~ 10 .p t LOCATION OF WELL: Latitude Longitude Diameter of well Estimated depth

J - 7- 0 Ie Drilling Method: 0 Cable tool Estimat~ ~ Rotary Stai1ili~'. ,~ ~. " -~ Jetted ~--

date ',' 0 Bored o Other: _

Total DeDth ~ '35 .C--\ c letion Oat, e ~- 7-oCp

:I

i ',,:, ", ,

l f

1,_

,:"

t,

'For deeper well please attach continuation sheet.


t)-q ~£l ... ..4.11 C.lCL" . c. Type: o Turb. r(Subm. o Jet o Cyl Other. E ::l '00. Intake dept~ H.P. I Yield~gpm

q-JU Vt!. !In 1.\ r.I£.\J Tested by: o pumping o air lift, o 'bailer o none. • Measured Static Water Level 3~i

.&.lo - :tl'l R.....A. 4..",- 1 •. t':_1 t:!.. " It.

p , 'i Measured pumping level ft. after

30-~ 'IeHow l'At::.\J u hrs. pumping gpm

Development time prior to testing hr>.

~la - 1". G>t'G\.I iMll. If"- I (1,/" U .oJ'" ~Openhole o Screened o Siolted pipe o Gravel pk,

• '.t. J. - ff,). StU.. A. ...c. ... " V. ,.~"" ~0-, Inerval(s) screened: to ft;

\

i to . to ft.... .. l:

Q) ... '\0 \Ie fir.. ..'l°-r./,.. u i.i:

Packer(s) set at and ft.. 'ld- lOCll Cv. .1 (.laY.

Screen: diam. ; Size openings

, 0 ~nteryi\.1 • Diam• ...l- ,,'~ c:J.,~p I"tenal • ~ -"'/ ".,

V cased '1 <lrichesr-- ll"ooitlld·,

b-IS~ q -PVc:.,.. PV6 c,-~to,,", ''-''\1 ' SQ. ... A , • ..

\~d. - t<d M.d. ... I ,'. ", . ~ t- .., .~ 'Couplings: Threaded &Coupled (f&C) Welded (w)

l~~-nO "- ~ m.c;-6 t-D 1\ ~ U Threaded &coupled &welded (fC&Wl .., -'.. 1'10-~ ~ C'l".... <'A A

Other:

t "'Pipe: Black; pev; Galv.; Ot~er:

'.kn .. ~ t...~~ 5~ - Wat~r analysis ~NO

E obtainedl (~heck) o Bacteriological ,. o Chernical

::l Cl

A.nalysis by: o Ala Geol. Surv. r:J u..S. Ceol. Sur'\'.

o Ala Health Dept. o Privale lab.


----

Send WHITE copy to: Send YELLOW and PINK copies to: Retain GOLD copy for your Records


P.O. BOX 869999 P.O. BOX 301463 ADEM FORM GO 5/02 TUSCALOOSA, AL 354B6 MONTGOMERY, AL 36130-1463

other: description of cuttings - gsa.state.al.usdescription of cuttings inter- delcription of...

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