to water upon completion...Depth in Feet ThicJmess From To in Feet Color Typeofh ate~%Rn!auntered 0 3.9 19' Wbe Q1250hrr 19 325 306' Bad ~-h+.ptfi~~ 325 W U* EsB ESRdw E S ElG -

r' I

Form WR-23 5 ' STATE ENCiINFXR OFFICE WELL RECORD

INSTRUCIIONS: &is form should be executed in triplicate, preferably typewritten, and submitted to nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1

(Plat of 640 acres)

@&ticre S.rrior, Obl C q (A) Owner of well . - -PT Street and Number-- -

iI@bb, City State - i b r ~ ~ # I B o Well was drilled under Permit NO .-.-.-..-- &2=2 ----I-- and is located in the

SE I% Sa J4 w s* - - 1 / 4 % -__-. l/q of Section Twr, .Twr,Twr,Twr,Twr,-Twr,Twr,Twr,Twr,Twr, RI!~ - . . art* SO*. 053. oi. Uce, No (B) D r W g Contractor b97 Street and Number

W b r Inr lbdor, City -._.-__--..---_-_._..-----------------------4----------.--.-..-- State . . 7- Drllllng was commenced 19- 57 . . ' T a .

Depth in Feet ThicJmess in Feet Color Typeofh¶ate~%Rn!auntered From To

0 3.9 19' W b e Q1250hrr 19 325 306' Bad ~ - h + . p t f i ~ ~

325 W U* EsB ESRdw

E S ElG - - Depth to K T r r

L V T UI n L

Loc. No. Hydro. Survey, -

7 - - -

I Section 6 L O 6 OF WEU

I

I

going is a true and cor-

I - - - " -

Form WR-23 STATE ENGINEER OFPICE

WELL RECORD INSTRUCTIONS: ~h'is farm should be executed in triplicate, preferably typewritten, .and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1 (A) Owner of we&-...-- 0iti.r -a8 Qfl &lqpkqy

(Plat of 640 acres)

Street and Number- rPwt 97 city - l l s b b @ state ku JlacJ1~r)

L.3555 Well was drilled under Permit No and is located in the !!@-%---!%-k_.@ .... % of section---D Twp.--&& ~ ~ e . - - s - . -

. . (B) ~ r ~ g Contractor at$.* m&w OU b* ~icense NO -9? Street and Number_ -.

Wbr hrw lakdm City -._--.-...----___-_----------------.----------4---.......---------.--.- State . - 8-x 37 Drllllng was commenced 19- . . &2 57 D r i h g was completed i - - -1 - - - - - - 19

t 4380: : Elevation at top of casing in feet above sea leveL r. Tptal depth bf w&-->=- @lhalbw State whether well is shallow or artesian Depth to water upon completion *---

Section 2 PRINCIPAL WATER-BEARING STRATA

Depth in Feet Thickness in No. Description of Wbter-Bearing Formation

From To Feet

1 -- 4 4 " W r w 1 % a t W I U . - m a

2 -

3 -

4 --

5

Section 3 RECORD OF CASING

Perf orations

Section 4 RECORD OF MUDDING AND CEMENTING

Depth in Feet Diameter Tons No. Sacks of - From To Hole in in. Clay Cement

Methods Used

--

-- I

Section 5 PLUGGING RECORD

Name of Plugging Contractor ~ ! & * ~ - - ~ . & - ! - - - ~ - - ~ License No .--- Street and Number r:x city ---.-- &bh~ .-LLLL.-LLLL.LLLLLLLL- State-,.__ l & ! F ~ ~ - Tons of Clay used Tons of Roughage used Type of roughage --- Plugging method u - - - ~ ) a t e ~ lugged- IE*P -- 19 - 57

I

Date Received-

7'

d

. .-

Form WR-23 STATE ENGINEER OFFICE

WELL RECORD INSTRUCTIONS: This form should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1 (A) Owner of well ._._.._.._.

(Plat of 640 acres)

Street and Number

City :_- A State --- Well was d

----- =.--% -&R--% .$@--% of Section .... $3 -...... Twp ..----- .--- Rge ...-- ---...- (B) Drilling Contractor-

-*------------------------a

Drilling was completed

Elevation at top of casing in feet above sea level-_- ..--

State whether well is shallow or artesian

Section 2 PRINCIPAL WATER-BEARING STRATA 1

I I I -

1 Section 3 RECORD OF CASING


Depth in Feet Diameter Tons No. Sacks of From To Hole in in. Clay

Methods Used -

--

- ?.


Name of Pluggin,g Contractor License No

Street and Number City State

Tons of Clay used Tons of Roughage used .-----------.-. TTTTTTTTTTTT-TTTTTTT~pe of roughage _---__-----5555-555...55.5555-55.--

Plugging method used Date Plugged 19

Plugging approved by: Cement Plugs were placed as follows:

Depth of Plug Basin Supervisor I 1 From I To No. of Sacks Used I

FOR USE OF STATE ENGINEER ONLY

- 24r"-xx Date Received

24233

u s e d 4 -..---....---...----.---..--.....-. ~ocation NO. ,~gd?f!-e~---!!-f@ --------.- 1''

'IlaM paqpsap anoqe ayJ 30 pxo3ax p3ax -;I03 pue anq a sr 53u1oBa~oj aq 'jagaq pue aBpal~ouq sly 30 Jsaq ayq OJ '~ey~ sagrvaa llqaxay pauSls~apun am

-

.. , - Form WR-23 STATE ENGINEER OFFICE

!. - , k? WELL RECORD " ̂ ? @i@form should be executed in triplicate, preferably typewritten, and submitted to the INSTRUC?ION$:

nearest district office 'of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, oply Section 1A and Section 5 need be completed.

Section 1 (A) Owner of well .-..--__.. --- -- Street and Numbm---- - -~&&~g&~---- - - -- City ----- State ---

Well was drilled under Permit No ..... L~B$## and is located in the 1/4 JtB .--. Y4 .Y4Y4Y4Y4Y4 $.&1/4 of Section ...... a ----- T w p . w p w p ~ ~ C C ~ --.--- Rge.eee&&ghS-ghS--dp- #--

(B) Drilling contractor-.. ...- !fa* ---- @"---&-BI! I!I!I!I!I!I!I!I!I!I!I!I!-I!I! License NO. .--. &!dZ.! P 0 , ma mi? Street and Number 1 ---- f

City @Q-&& State - -P~@--&~I .P~ ~~~~~~~

(Plat of 640 acres)

Drilling was commenced !&-= s;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2ts;2t-s;2ts;2ts;2ts;2ts;2t-s;2ts;2t 19 . . mmfx m Drilling was completed 19 ------------

j4dbo Elevation at top of casing in feet above sea level Total depth of welL rrSrafZz#s State whether well is shallow or artesian Depth to water upon completion -hhhhhh-hhhhh


Depth in Feet Thickness in NO. 1

From I To Description of UPater-Bearing Formation


a / P o z d s Threads Depth 1 Feet 1 Type Shoe Perforations in. Top I Bottom I From I To


Depth in Feet Diameter Tons No. Sacks of - Hole in in. Clay Cement Methods Used From To

- --

- .

I


Name of Plugging Contractor i n No

Street and Number City State --

Tons of Clay used ons of Roughage used Type of roughage

Plugging method used _-..--- Plugged 19-


File NO Lr.L5x- use-

Basin Supervisor

1 FOR USE OF S T A ! ~ & ~ ~ oA*

i i 1 , . , , , 1 j?/jJ'> ; I - - I .,

1 1 ) - - 5 -1- J i4 i d:u/ .4 - , , . ,. n q Date Received --

'12 :2 i d 2- Ud\l [961 $4, J o L k .Sh~rw~ \n J a t ,42443

No. of Sacks Used No.

-

Depth of Plug &om To

Section 6 LOG OF WELL

Type of M a w Encountered

--

SOURCE OF ALTITUDE GIVEN Interpolated from Topo. Sheet

Determined by Inst. Leveling

Other-

I I 1 I

The undersigned hereby certifies that, to the best of his knowledge and belief, the foregoing is a true and cor- rect record of the above described well.

- Form WR-23 STATE ENGINEER OFFICE

! - FIELD EM';X. WELL RECORD

INSTRUCTIONS: This form should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1 (A) Owner of well

P. Q. Bax 86% Street and Number --a City h!! State --jj-@~--&adm Well was drilled under Permit No .-._.--_-.... L?-asf% .-s----s-sss. and is located in the --.-- z-6..- Y4 ..-BE ....-- Y4 .--.--.--....-. j/4 of Section .-_a2 ..-._.. T W ~ ---- ~ ~ e ~ ~ ~ ~ ~ ~ ~ ~ 8 u ----

. . %Dm915 (B) Drl lhg contractor __----- ~~-._.~-~._-~~!!!eb~!!!!%?! License No 215 irlbr*ay Avmuea Street and Number L ~ ~ ~ ~ ~ ~ - ~ - ~ - ~ ~ ~ ~ ~ ~ ~ L-LLLLLLLLLLL El Pansa Tens City z Z.ZZZZ..Z...Z..Z..ZZZZZ State ------_-_----__.---ZZZZZZZZZZZZZ-ZZZZ

Drilling was commenced F ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ s s s s ~ ~ s s s s s s s s s ~ 19 Drilling was completed ~ - ~ @ ~ S T _ ~ - ~ ~ - ~ - - ~ ~ ~ & ~~~~~~~~~~~~~ 19 ------------

(Plat of 640 acres)

Elevation at top of casing in feet above sea level ---------- s.%!S -----........-- Total depth of well @4..-#% State whether well is shallow or artesian s&b Depth to water upon completion_..PQB BBBBBBBBBBBBBB Section 2 PRINCIPAL WATER-BEARING STRATA

Description of Wkter-Bearing Formation



Depth in Feet -

Diameter No. Sacks of From To Hole in in. Methods Used


Name of Plugging Contractor License No ... Street and Number City State ----

Tons of Clay used Tons of Roughage used Type of roughage-

Plugging method used _--_-_- Plugged- 19_-


---- Depth of Plug No. No. of Sacks Used Basin Supervisor From To

FOR USE 'Ot ?l?dE @ S G F ONLY r , I

- 1 .1. I ,I: /

-1. LJ-,] ;; ' C . Date Receive -- - 9 17

* ..d -

iiZ :8 dd s- &v/i [g6, 442233

I L - 3 s F2 File No .._--use.-- ~ocation NO. --L3!!. iL&-%& 4- I

TTaM paqtmsap ahoqe ay? $0 ~JOSJ ?SJ -rroa pue ang e s! Zlu?oSarro$ ayl 'jaqaq prne aspalfiouy sry $0 Jsaq aw 03 'JEW sagpa3 bqa~ay pad~srrapun

L

WYoSg be;T 9 9T

n~stm ~.m %=a PaW~OJW vgem 30 ad&

113M dO 901 9 UOtJ~S

@? T xi JOT03

9%

1=dI rrl -wm

fa a OJ4

C\

'J=oJa q=ic m

STATE ENGINEER OFFICE

WELL RECORD be executed in triplicate, preferably typewritten, and submitted tb the

nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1 (A) Owner of well --.____--_ J+---JttLwfay-.&-- --- Street and Number k f i - & t Z ~ m ~ l s k x City State ---

Well was drilled under Permit NO .-._._ &~2&hJ --GG.-GGGGGGGGGGGGG an -... 2@ .... 34 ..--- Wl._Y4 Y4Y4Y4Y4Y4Y4Y4Y4Y4Y4Y4Y4Y4Y4. Y4 of Section ....... 24 -.-- Twp..----&& .-... Rgeeeeea= .--...- (B) Drilling Contractor__..@ License No ...:#$333. -_____. Street and Number-----52 .I;-

City *gwtf; Drilling was commenced @@-.;~3 19- Drilling was completed 3---1 -j,-j,--j,--j,-j,-j,-j,--j,---j,--j,-j,-j,-j,--j,-j,-j,--j,-j,-j,.-j,-j,-- 19-55 -----

(Plat of 640 acres)

Elevation at top of casing in feet above sea level--*

State whether well is shallow or artesian--_ Depth to water upon completion_-


Depth in Feet Thickness in Description of Water-Bearing Formation

-


Dia Pounds Threads in. ft. in

la

--


Depth in Feet Methods Used

--



Tons of Clay used Tons of Roughage used Type of roughage ------_.-_.Ty.TyTyTyTyTyTyTyTyTyTyTyTyTy--TyTy.TyTy

Plugging method used Date Plugged 19

Plugging approved by:

Basin Supervisor

Cement Plugs were placed as follows: u

I No. / Depth of Plug I No. of Sacks Used From I To I

Date Received

_.-----------_.Location No.

Section 6 LOG OF WELL

e of Material Encountere

--

---- --

----

---- -

--

--


--

Form WR-23

qK STATE ENGINEER OFFICE

uk . WELL RECORD INSTRUCTIONS: hik form should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed. Section 1

(A) Owner of well ------ JJ~-J;t-X&~--&-Snnr- - Street and Number - R . ~ - - City State -- ----- Well was drilled under Permit No .--- &&&? and is located in the

5 SU % ----a ----- % of Section ----- &---Twp .--- Rge.--3= (B) Drilling C o n t r a c t o r - - @ ~ ~ License No.-* -----. Street and umber S&.-H@&k3%&&2Q#k

*,

(Plat of 640 acres)

City 2 6 , ~ - .----------.-----_.-.-- State -*------- Drilling was commenced 1%

. . D r i b g was completed ------ la ----

Elevation at top of casing in feet above sea leve- ------..------ Total depth of wen-*

State whether well is shallow or artesian_fhqjcfA#C Depth to water upon comple t ion- -~- -


Description of Water-Bearing Formation


Perforations

' - 1 1 Section 4 RECORD OF MUDDING AND CEMENTING


Name of Plugging Contractor - License No

Street and Number City State ---- -- Tons of Clay used Tons of Roughage used Type of roughage

Plugging method used- D a t e Plugged- ----- 19---


Depth of Plug No. of Sacks Used

Date Received --

.- --

------------Use

No. Sacks of Cement ------

Depth in Feet Methods Used

-

Diameter Hole in in. From

--

Tons Clay TO

I

'IIaM paqtmsap amqa aqq 30 p.103aa p3a.1 any t! q Syo%axoj aq 'jagaq pm aSpa~fiouq sty p qsaq aqq oq 'qaqq sagpa3 Aqaraq pat63!saapun artT,

----

-----

--

-

R. LOG STATE ENGDNEER OFFICE WELL RECORD


Section 1 (A) Owner of we~~._-.-Gf U--U1. Street and ~umber--..-&~l%!-

City _-_------------A .-- State -----

Well was drilled under Permit N O . - _ ~ and is located in the

---- *--Y4--* ------ 34 ....-.-. ?h of Section.* Twp.-&--& ------- Rge.-3&---& ------ (B) Drilling Contractor _..- M t m License No.- --_. Street and Number -.-a City a ...-.......--.- State ---a$ll#- Drilling was commenced dm- _aSL_aSL_aSL_aSL_aSL_aSL_aSL-_aSL-_aSL_aSL---_aSL-- 19-$9-- Drilling was completed &-3% 1 9 - s ----

(Plat of 640 acres)

Elevation at top of casing in feet above sea le ---------------------Total depth of well --ma State whether well is shallow or artesian------ Depth to water upon completion

Section 2 PRINCIPAL WATER-BEARING STRATA 1 Thickness in Description of UPater-Bearing Formation

--

Section 3 RECORD OF CASING I



Name of Plugging Contractor i c e e No


Tons of Clay used Tons of Roughage used Type of roughage

Plugging method used----- D a t e Plugged- - - . 1 9 -


--- Depth of Plug No. No. of Sacks Used Basin Supervisor From To

Date Received -

Perforations Threads in

Dia in. From

Pounds ft. To

Depth

No. Sacks of Cement

Depth in Feet

Feet Top

Methods Used

--

Diameter Hole in in. From

--

Type Shoe Bottom

-

-

Tons Clay T~

I

.naM paqpasap aaoqe aq JO p~oxa I~J -203 pue an- e q BqoBaao~ a- 'jagaq pne aSpa~fiouy s!q JO ~saq aql) 09 '~eq~ sa!~~vaa Ilga~ay pauS!s~apun am

-

-

~nmr law- am@ pemayg .fot~ .re

pa=%rmo~w @!.W~W $0 ad&

113M dO

~0103

901

Gz caz

%=K m -=Pm.L

8 t

='&

7-6 m

--

692 0

=''-

9 UO!lW3

Form "-23 F[ELD LOG STATE ENGINEER OFFICE WELL RECORD


Section 1 (A) Owner of well .----_------ G T ' ~ S S - - - S L ~ ~ - ~ ~ ~ ~ , . _ C _ ~ , . -

(Plat of 640 acres)

Street and umber S _ B _ X - - ~ - - - City &&&& ._---------------------- State - -H21d--&a= ---- Well was drilled under Permit NO ...._-- k~f i l filfilfilfilfilfilfilfil-filfilfilfilfilfilfilfil and is located in the

?4 ---Xd .---- Y4 .----a@ .-... Y4 of section ----- a ~ w p . ~ - ~ -----.-- ~ge . - - - ->U ------- (B) Drilling contractor ---.--. &&is--- ~icense NO.YB-*U--- Street and Number ~ B X - -

DQ Drilling was commenced - + 19--& Drilling was completed

Elevation at top of casing in feet above sea level Total depth of well--&

State whether well is shallow or a r t e s i a d k d ? . ~ ~ e ~ t h to water upon ~ o m ~ l e t i o n - - - - 2 $ ~ ~ ~ - - ~

Section 2 PRINCIPAL WATER-BEARING STRATA -- - - - - - - --

Description of UPater-Bearing Formation



Depth in Feet Diameter Tons No. Sacks of TO Hole in in. Clay Cement

Methods Used From

-

-- I


Name of Plugging Contractor ----.-----------------------...------.----.----------.----------pp-- License No


Tons of Clay used of Roughage used Type of roughage

Plugging method used D a t e Plugged 19 ----- Plugging approved by: Cement Plugs were placed as follows:

Basin Supervisor

FOR USE OF STATE ENGINEER ONLY

* $ -I*.* # , 1 < * I j;, ;gx Date Received . d & ~ n im -- ---

File No NO. &-3Z$d~~i2

Depth of Plug No. No. of Sacks Used

From To

-

'IIaM paq!msap aboqe ayp 30 ~JOSJ paaJ -JOD pue an4 e SJ $U:O~~JOJ ayp '~agaq pue aSpa~~ouy sry 30 psaq ayp op 'qeyp sa!~!paa dqa~ay pau8rsxapun ay;G

Form WR-23 FIELD . LOG STATE ENGINEER OFFICE WELL RECORD


Section 1 (A) Owner of well -------_-_.-._- ~ ~ ~ ~ i 5 ! 5 ! ~ - s s ~ ~ P f t X P f t X ~ C _ ~ - - Street and ~u rnbe r &OK-$? --------- - City &hh& E e E e . . - - - - - - - - - - - - - - _ _ - - - - - State - ~ P L - & ~ X ~ Q - ------- Well was drilled under Permit NO .... &!!!%$2 II_II_II_II_II_II_II_II_II_II_II_II_II_II_II_II_II_-II_II_II_II_ and is located in the --------------- Y4 ---fig ------ y4 ----a$ .-... ~4 of section ..-.. ._.. 99999999 ~ge.-3= (B) Drilling ~ o n t r a c t o r ~ ~ . ~ ~ - . ~ d ~ ~ ~ ~ ~ k ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ License ~ o . . J ! l b U Street and Number $_rsXac:-md ----------------_..-dddddd-d-dddddddddddd-d-ddd-dd--dddddddd-

Drilling was commenced l9--&?-

(Plat of 640 acres) AprZl f$? Drilling was completeh ..-----...... .._ l9.@ --..

Elevation at top of casing in feet above sea leveL Total depth of well-31r.6 ----------- State whether well is shallow or artesian----s~a&~09~. -9p.9p.9p.9p.9p.9p.9p.9p.9p.~9p.9p.9p. Depth to water upon completion..2&


Description of Whter-Bearing Formation


Section 4 RECORD OF MUDDING AN^ CEMENTING Depth in Feet Diameter Tons No. Sacks of : "

From To Hole in in. Clay Cement Methods Used

-

-- I


Name of Plugging Contractor Liceme No ,------------------

Street and Number City State --------- -- Tons of Clay used Tons of Roughage used Type of roughage - - - - . - ~ ~ - ~ ~ T y p T y p - T y p - T y p - - - - ~ - -

Plugging method used - ------- D a t e Plugged- - - 19 -.-.- Plugging approved by: Cement Plugs were placed as follows:

I FOR USE OF S T A = ~ @ ONLY 3311iO IIBUISN~ 31Vl J,, Date Received ---..--,-.-I------ ------ I Depth of Plug

No. From To No. of Sacks Used

-

I E. File N O Use. ~ocation N ~ . ~jL&%?d ,--- $ 2 ~

Section 6 LOG OF WELL I

Depth in Feet Thickness From I To in Feet Color Type of Material Encountered

~ O S C % %ad

T&&8 Smut e h y brokan r l t h w d t&t&%.ngera

I 4 in, eo 2 ft. thick*

L S ElG - - .-I -- Depth to K I rc L I W ~ "

V

- Loc. No.. I

Hydro. Survey, Field C h e q -

rn

3f31RlX u k ALTITUDE GIVEN from lope. Sheet

insr. ievelrng

I I I I The undersigned hereby certifies that, to the best of his knowledge and belief, the foregoing is a true and cor- rect record of the above described well.

L - -

, . STATE ENGINEER OFFICE

WELL RECORD slJ9n #a INSTRUCTIONS: This form should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1 (A) Owner of well---_-

Street and Number--

City State

Well was drilled under Permit No ...-... b!!u ...-- .. ..and is located in the

(Plat of 640 acres)

% --.- ...--. % .-..- @# ..... v4 of ~ection..zs ......-._ Twp ..----- ----- ~ ~ e . - - - - = (B) Drilling Contractor License No @&= Street and Number

City ..-............ @&h State Drilling was commenced 6.!&..M 19..%.-

. . Drilling was completed r-rr--rr-r.---r-rrr--rrrr.rr- 19.-#d --..

9s Elevation at top of casing in feet above sea level -__---------- -_--__.----.._...-...-- Total depth of well State whether well is shallow or artesian------- 35s ...-..--.-__... Depth to water upon completion


Description of Water-Bearing Formation

I Section 3 RECORD OF CASING

Perforations

Section 4 RECORD OF MUDDING AND CEMENTING - -

Depth in Feet Diameter Tons No. Sacks of - T~ Hole in in. Clay Cement

Methods Used From

--

-

-- I


Name of Plugging Contractor i c e s No

Street and Number City State -

Tons of Clay used ons of Roughage used Type of roughage

Plugging method used----- D a t e Plugged 19.--


lla~ paq!msap anoqe aqq JO p~oaa~ 1s.1 -a03 pue an4 e q Buto3a~o$ aq '~agaq prne a8palfiouq s!q JO qsaq aq 03 'qeqq sa!gpaa Ilqa~ay pauS~s~apun ay;C

INSTRUCTIONS: This form should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possibb when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A'and Section 5 need be completed.

Section 1 (A) Owner of well - Street and umber $-0!%Q~+U&d--cf

- 3 r ) City &&&-& ; .----------------------- State Well was drilled under Permit N ~ - I Q ~ ~ S . . L I I ~ Z ~ ~ - # . . & & n the

.._-..---------- 1/4 j/q .--............ 1/4 of Section Twp .TwTwTwTwTwTwTwTw.--.----.--. Rge .----TwTwTwTwTwTwTwTwTwTw.-.--. *? (B) ~ r o n t r a c t - n s e No...$= -..----..-.

*.- . ? Street and Number ~bhs!"kt&!dda &hd&--

I ' " City Aikr_-63-? ..................... State Drilling was commenced ..... hik~ - M # W J # - - ~ ~ ~ C ? Q ~ ~ -

" + Drilling was completed t'&E 1 9 . s ..--.

(Plat of 640 acres) 3b 15 Y 56 Elevation at top of casing in feet above sea level ----.-.----.- ........-.-....--..---- Tota depth of we& state whether well is shallow or artesian Depth to water upon compl;l?@&

Section 2

Depth in Feet Thickness in No. Description of WLater-Bearing Formation

From To Feet

1 - -- - - -

2 260 2% 3 t: E4Sater %.nd 3

-- -.

4 -

5


Dia Pounds Threads Depth Perf orations Feet Type Shoe in. ft. in Top Bottom From To

- A * 1'3 0 290 290 Horn 2643 3963


Depth in Feet Diameter Tons No. Sacks of From To Hole in in. clay Cement

Methods Used

-

I


Name of Plugging Contractor ._._------------------------.----.-.------.----------------------------p-- License No .----p--- Street and Number ._-. City State


Plugging method used D a t e Plugged- 19-

Plugging apptoved by: Cement Plugs were placed as follows:

t , > t -3 , , ,. .* ,

I ENGINEER ONLY Date Received

O F F I C E C.p3 f 'hVY WAR2 i!PERVjSzR

'L-1, F' / MEA!CC

k - 3 J 0% -- File No .--_._ ~ ~ c a t i o n

Depth of Plug No.

From No. of Sacks Used

To

-

-

=ma n=~

X~J p&~@- .naM paqpsap aaoqe aql 30 p~ocmz 3cm.r -JO~ PUF! any F! q S3~oS3aro~ aq 'jagaq prne a%papouy siq JO paq aw 03 '38q sa!grl.raa Aqa~aq pau%pzapun arlT,

-

-

-

-

--

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Form WR-23 STATE ENGINEER OFFICE

E i E ~ ~ ~ G R . WELL RECORD INSTRUCTIONS: This should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. AU sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1 (A) Owner of well ------_---- %A_-&&------

-- City 9 U e c U : "P State _-E-e-A!r_ --a_---- Well was drilled under Permit No and is located in the

5?1,h . 33 rrka 333 -----% --------------- % --------------- % of Section Twp Rge (B) Drilling ~ontractor_-_.-4,--~-t~~ License NO ..-- !!@!'!222- Street and Number A%-~-~->_71k_71k_71k1s333333333333

n * City MQ-BWIZA-~ . . State --R-~+%- Drilling was commenced e3%-- -7-~ LLLL-LLLLLLL----------------~- 19--!%!- Drilling was completed iBL-_jtu-e -e-e-e-e-e-e-e-e-e-e-e-e-e----------- 19--6!$ ----

(Plat of 640 acres) 324*

Elevation at top of casing in feet above sea level Total depth of well

State whether well is shallow or artesian- # -----_-------_-Depth to water upon completion_--~f$&


Depth in Feet Thickness in No. Description of Wkter-Bearing Formation

From To Feet

1 288 -- 324 345' 1-4 2

- 3 - -- 2 ?&@Led

4 -- Taee 120 OeP& 5


Perforations


Depth in Feet - Diameter Tons No. Sacks of From To Hole in in. Clay Cement Methods Used

-- -

--

. -- -- I

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Name of Plugging Contractor License N o .



Plugging method used--- A a t e Plugged 1 9 -


- - -- - - Depth of Plug No. Basin Supervisor From To No. of Sacks Used

FOR USE OF S T A ~ w~~ ONLY \ 1 , 'i . I .

( J b ; ; - ; , " c

Date Received 1 . . I $ ! .- -- - ld' --

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i;S : I I kU Z- P,Oi"l S9&1 F1* &P 7-8-76 . 43224;L

I 03 File No .------------ U s e hcation NO. ---L l 9 3 / 3 8 . / l d 0 I

Section 6 LO6 OF WELL

Type of Materid Encountered

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- Well Driller

Form WFt-23

WELL RECORD INSTRUCTIONS: This form should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed.

Section 1 (A) Owner of welL-_- Street and Number---1flP-L

State ----- %m Well was drilled under Permit No._ is located in the

5 & 5E .---. &;----% .--. .... % of section -.-.._ S-..TW~ .------ 2&L-8 ---- ~ ~ e . . .--

(B) Drilling Contractor__-- . & - ~ - . ~ ! - ~ & i c e n s e No ..__ .-- Street and Number ----- -_= City ---- State --

Drilling

Drilling was completed (Plat of 640 acres)

Elevation at top of casing in feet above sea level _---.---_---...........-..-...----- Total depth of w e l L - - ~ - - &

State whether well is shallow or artesian--..- Depth to water upon completion



Perforations To

s4

Description of water-Bearing Formation No.

1


Depth in Feet No. Sacks of Hole in in. Cement Methods Used

A--

2

3

4

5

I Section 5

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Thickness in Feet

Depth in Feet

PLUGGING RECORD

From

Name of Plugging Contractor License No eeeeeeeeeee

To


Tons of Clay used Tons of Roughage used Type of roughage .__-._.._._TyTyTyTyTyTyTyTy-TyTyTy-TyTyTyTyTyTyTy

Plugging method used Date Plugged 19 999.9999


--...-.. --- 3

I'

INSTRUCTIONS: This form should be executed in triplicate, preferably typewritten, and submitted to the nearest district office of the State Engineer. All sections, except Section 5, shall be answered as completely and accurately as possible when any well is drilled, repaired or deepened. When this form is used as a plugging record, only Section 1A and Section 5 need be completed. Section 1

(A) Owner of we^-.._--- -*

(Plat of 640 acres)

Street and NumbeT- . ......... ......... City . State --

Well was drilled under Permit No and is located in the

. 8 T*v4- gC 7 1 / q P gv4 of section ..... *-_~wp,--&.+~ge.m--- (B) Drilling ~ o n t r a c t o r _ _ . ~ ~ ~ ~ 4 @ % License No.-E&j----

Street and umber 6kw&=t City ........... (tiL ..................................... state -&tar-rn-@- Drilling was commenced ........ . . . 9 9 9 9 . . 9 9 9 9 - 9 - 9 9 9 9 9 9 9 9 9 19_

Drilling was c o m p l e t e d .... %!?!!&9 9 9 . . 9 . 9 9 - - 19 ......

...................... Elevation at top of casing in feet above sea level Total depth of well--^ wa&&lrol State whether well is shallow or artesian Depth to water upon completion_-rn ----


Thickness in Description of Wbter-Bearing Formation

I I I I Section 3 RECORD OF CASING

Perforations


Depth in Feet Diameter Tons No. Sacks of Hole in in. Clay Cement Methods Used From To

- --

-- I


Name of Plugging Contractor License No


Tons of Clay used of Roughage used Type of roughage .--.-___--

Plugging method used..- D a t e Plugged-


Depth of Plug No. No. of Sacks Used

From To

I

Date Received - MAR 17 s$$' -

\ > I 4 t L G

~ n n ! WAI' '' f 'PER"IS0R #FJ~vE ,C$~W 2Nrsd I , , 2 1 4 2 2

File NO,^&-^= " U s e Location No. _.

C-

Aanlns 'OJP~H b43 pla!j------- 1 'ON '301

Documents

to water upon completion...Depth in Feet ThicJmess From To in Feet Color Typeofh ate~%Rn!auntered 0 3.9 19' Wbe Q1250hrr 19 325 306' Bad ~-h+.ptfi~~ 325 W U* EsB ESRdw E S ElG -