I-S - Geological Survey of · PDF fileCharacter ,t.;.I-~~~::: ... Sketch ; map, analysIS ... Saction Township Ranga ---or: o?~ AJ . It'" Distance and direction from nearest town,

• •

I-S UNITED STATES

DEPARTMENT OF THE INTERIOR GEOLOGICAL SURVEY

WATER RESOURCES DIYISION

Spring Schedulo \

Auiu;t:i~50

; "Date iQ_::I~:_:,)__5_= ._ , 19 _ .. ,. ) '. .: - .'. ./Field No. _,__~_, ,_ ,

Record by _j/[;.-:_!~[ . . . . _ -/ -.. - :",Office No. ~~~---------

.. 1'1 / .... / },I. LocatlOn~ Slate __LL_!..__,_.~ ~~________________ County !-..:.. -' .1._-I- _ ,J. / {IQuadrangle ":l_u_i~.i1. ~--- _

<) -.' -- ~ N E )~t o~-?er ~~~?~~"~f~~~:~~~~~~~~_:.~::~~~::~~_~ ---;~;;~-~~- _~-_~_~~~~_-~~~~_-_._-~~~_...-_-:_-_-_~- w

Name L __L .c L.__. ._~ __ ._~ .:_~'".:__ ~_: "_ _

S. Topo{Jraphy _.l:~__~_._:~------.c::.J~-,------------.-.-.----

4. Altitude ~,El~L ft. ~~f;---{L~-::-:-&~-----6. Kind of rock _.r l:e.r_:!..:. !.:: .__. _

I} I, -L. ' . ,j6. Structure .!. .!.. __:~_.:;n __• • '"_____________

_.1.:£' ;':_1l_s..._' __::__l: .. n • .n._ •

1. Openings: Number __:L,_\.::.c._ Character

,t.;.I-~~~:::J~~~~~~=~i~~~~~~==~~~~~~~~~~~~~~~~~=~~~~~~~~=~:--~~~~-~~~~~~~~==~~~~~~~~~~=~ 8. Improvements, accommod,ttions __.Ll.r..:..._'- ~ • ._ _ 11

-f '

9. }'ield . ~;:.5... ._ Gal. Min. . M!:!.s., Rept.

~ ~- ~ ~----.-----..---- --------- ------ -...--------- .. -- -----------... ----..------------..,,--------------------- -_.. ------FluctUlltion • "- _~ .: ~ .J:!:':_:':_L~:: •.:_ ~

D ependabUitr "_~ __~ ~~. .~ ~~ ._.__:_~

10. Use: Dom., Stock, Irr., l\1ed., Bath, Bottling Quantity ._.

11. Quality: Good, Cair, bad ..f.L~.J.{L. ~.!_"

;'-' '. Taste, odor, color Temp. (0F.) .--:.__.:.=.. .: Gases: Quantity _.-:._~'__.:..... Unfit Cor • Banitation ._c .. .

12. Deposits: Kinds L , Features

.~: c~S~~__ L__. .

. __•__._______ . • • .•

. .

C , :~ • _

._. . . .__ __ ;--:~':_. . . •

._. . _.. ._ . _

.___________ Sample 'kc: . _

. ~. J_C~ • ._ __ • _

._ . .. •__ • _ Character . . . _

. __ ._..• ._. ... . __ ._.__..

. . __ . __ .

• backSketch map, analysIS -----.-.--.---.---------.-----.-.-----.-- on pa;:e

U. I. c:.vrRNME:tfT PRIHTlftfG (lrFlcr H,---~,2:;O;......1

• .__ Quantity

t, j .____L,

........ j,

_ !~ , ,i '):' I _ ~ I I.

I

i'

., .·.·-------- .........-·......-- IlL.. ~ F,:tI : t: Ii

• • __~ _

II _ II

'i xT

~ ,. . _._ . __. ._. ._. _ I

I ---.. ------------------- i;

i

-----------.----

~.

~".,; ~,.(;~~~, ,~ ~'~:'

,4t.~~~~ , ,-:~~:~~~,~:

Estimated depth

/t:>tl.

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

DNa o .acteriolo",'cal o Chemical

o Ala 6eol. Surv. o Ala Health Dept.

c:::::J Test well

Dla~r of well

o Turb. 0 Subm. 0 Jet 0 Cyl:; Other: I depth H.P. Yield

Completion date: report depthl below '" round level

AnalYlis by:

Water analylil obtained? (check)

Si",ned:

o Open hole o Screened o Slotted pipe

'nterulll) screened: to

to ; to

Packerll) .et at and

Screen: dlam.

CJ 'ndustrlal

lupply

Completion Det. _

Other: _

Other: _

Description of cuttings

Cabla tool Rotary Jetted Bored

c=J Irri",ation

ction fro 'It!t'ETttlrn,

g c,;;J lupply lupply

Intervel

Drillin", method: (check)

'.-,!

·Pipe: Black; PVC; 6alv.; Other:

Othar: _

·For d.eper well plea.e attach continuation sheet.

I I I I~•::I

0

WELL WILL BE USED FOR:

~;m~7f "art'n", date

Toter Dellth _

:1 I I I I I

I I I I I ~ I .Couplln",1: Threaded a Coupled (TACI Welded (WI Threaded a coupled a welded (TCaWI

Telted by: 0 pumpin", 0 ilr 11ft 0 bailer 0 none

Maalured Static Water Level c« ~ ,,"'V./),. . gr? ft. after

.1-'ITt'~~~tyeit'~ hrs.pumpln", Lfi' ",pm

Development time prior to telt'.", /

._j".i>.~}>'. ,''"J:;'"."'" ;"'~'~>,~::;~"'~"i>;

~o]

3.6: s 2t<.J Section 1/. Section Township Renge - --or:

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

WELL WILL BE USED FOR: ~ g c::::::J CJ~ Indu.trial T... .upply supply supply w.1I

c=J Oth.r: _Irri9ation

iL-,g_F?f' Drillin9 m.thod: VCabl. tool ~# ~~ K' __::lu _•..hol E..im.(ch.ck) I' Rotary

startin9 d.ptJ.tted d.t. Bor.d

Oth.r: A44/ ffi~L,

SIGNATURE of Drilling Contrector

Totel Dep+h J'~SP~__ Completion Date 1/-~ 0=-1£ Inter- Description of cuttings Inter- Description of cuttings Completion date: r.port d.pth. b.low 9round lev.1 vel vel

~OU8, , 1'~1.J ~ ~yP.: o Turb. o Subm. o J.t o Cyl:: Oth.r:

5:5"'jfiJ. l' I. ~ ~ ., :;;'~.O ::I Intake H.P..... d.pth Yi.ld 9pm

fI ~ T....d by: o pumpin9 Jf air lift o b.lI.r o non.

~ Mea.ur.d Static Wat.r L.v.1 ft. .;:;it M.asur.d pumpin9 l.v.1 ft. aft.r OJ

0 hr•. pumpin9 9pm

D.v.lopm.nt tim. prior to te"in9 hrs.

~ Open hole 0 Scr••ned o Slott.d pipe o Grav.1 pk.

• Intervall.) .cr••n.d: to ft·.... CJ t ..c..

~ , . 'c to ; to ft. .-r.f. ::c i.i:

~ '_.J C.::I;; Pack.rlsl ••t at and ft . W ,.

.J '!::. V) l' 1I Scr••n: diam. ; Size op.nin9'

~.<rc..:) Interval Diam. "Typ. -Type Int.rval

~(.Oa '>.i' c ca••d IInch.s) DiD. couplinos \lrout.d-iJ ....: - 0: ~().u-I~ ,/ IPY{,~

t .....J (I- ft-

C '-' "';:,:c -.t:."" 01

C.;; .. "CoUplin9S: Thruded I Coupled (TICI W.ld.d (W)0 Threaded I coupl.d I w.ld.d (TCIW)

Other:

·Pipe: Black; PVC; Galv.; Oth.r:

Wat.r analysis o No obtain.d? (ch.ckl o B.et.rioI09ical

o Ch.mical

~ OJ ::I Analysis by: o Ala G.ol. Surv. o U.S. G.ol. Surv.0 o AI. Health D.pt. o Private lab.

Si9ned:

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

REPORT OF DRILLED WELL

Distance and direction from

WELL WILL BE USED FOR: r-\o-, r=::J c::::::::J~ Ipubl,iC I Industrial Tast supply supply supply well

c:::::J Other: _Irri9ation

Drillin9 method: Cabla tool D.amkr Jo: wall I.Rna(d(check) Rotary

Jetted Bored ~..., ~lYlc~

SIGNATURE of Drilling Contractor

Total DePth--lI'-L../~O::::...._ _ Completion Date I J -I7-? ¥ Description of cuttings

rvw~ 1-f'VA:n U.L.v'Ynl A1"n- JJ..J:J 9pm

hrs.

o Gravel pk.

ft; -r-ft.

~;-...... ft. ..... ~ !t' - ... ii::i Interval

grouted ...... ,

~ c..o , -..

a:

~

Surv.

'For deeper well please attach continuation sheet.

Inter- Inter- Description of cuttings Completion date: report depths below 9round level v.1 val

/110 a. ype: o Turb. o Subm. o Jet o Cyl:: Other:E

}O :s Intake depth H.P. YieldI>.

Tested by: o pumpin9 Jf air lift o bailer o none

~ Measured Static Water Leve. ft. 'u.. Mea,ured pumpin9 level ft. aftera... 0 hrs. pumpln9 9pm

Development time prior to testln9

o Open hole o Screened ~ Slotted pipe

llJ Interval lsI scr••ned: to

0 -a ;:; I~- 'c to ; to

~ u:: 2 I ..... Packerlsl ,et at and

CO

-1i:: V> Screen: dlam. : SI.e openln9s

~~ c:.:> Interval Dlam. 'Type 'Type c:.:>V>10 cased llnchesl "ipe • couplings

::J I< 1- £ ...... IJ

l:U i= c.:> r-

UI

-;.. 'COUplin9S: Threaded & Coupled (T&CI Welded IWl0 Threaded & coupled & welded (TC&Wl

Other:

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

Water analys', o No obtained? (checkl o Bacterlol091cal

o Chemical

~ .. :s Analy,is by: o Ala Geol. Surv. o U.S. Geol. 0- o Ala Health Dept. o Private lab.

Si9ned:

S3 REPORT OF DRILLED WELL

--, 1.1"" l.{/VllU).C..lC.? . I 1"1. 7IUL/.;C.&.~ C/\,Ll.(JILWl'-=? ~v~Zh 1J.-J9-7J1.

WELL WILL BE USED FOR: c::::::::J c=:J~ Industrial Test lupply lupply lupply well

c=J Other: _Irri'ilatlon

lJ-19-14 Drillin'il method: \i Ca ble tool " II 1Ul Estimated blameter of well -Estimated(check) )\ Rotarystarlln'il depthJetted date Bored

Other: jI(,Jed Me Ct:>vmeu:.i~


Total Depth I d 0 Completion Date/:J- /9- 7¥

l:ttl

Inter- Description of cuttings Inter- Description of cuttings Completion date: report depthl below 'ilround level val val

1/0(') - ,iJ II'/- /I /J_ L. a- D Subm.E

ype: o Turb. o Jet o Cyl:: Other:

~n Ou. /1:_." .-IA " " a- Intake depth H.P. Yield 'ilpm V Tested by: o pumpin'il JQ air lift o bailer o none

>- Mealured Static Water Level ft....'u.. Mealured pumpin'il level ft. aftera.. 0 hrs. pumpin'il 'ilpm

Development time prior to testin'il hrs.

o Open hole o Screened .x Slotted pipe o Sravel pk.

Intervallil scr.ened: to tt: ...s::..

> -= .~ to ; to ft. r->. r- LI:

> c::: . Packerlll let at and ft •- -:::» 0 e;;t: Scre.n: dlam. ; Size openin'ill

"~W.,. tl'\ Interval Dlam. ·Type 'Type Interval ct<~ c:1 caled IInchell oioe couplinGS Grouted

";:;tno UJ fA lA-nan ::l ::;: , P -I C".,l

Ul

P 0 ~ c

';;; - .. ·Couplin'ilS: Threaded I Coupled (TIC) Welded (WI0 Threaded I coupled I welded (TCIWI

Other:

·Pipe: Black; PVC; Salv.: Other:

Water analysil o No obtained? (checkl o Bacteriolo'ilical

o Chemical

~ .. " Analysis by: o Ala Seol. Surv. o U.S. Seol. Surv.G

O Ala Health Dept. o Private lab.

Si'ilned :


--

~~

~bA ~£'i Zip CodI Data

~s z:..~ ~ ~ WELL LOCATION Saction Township Ranga ---or:c;.tv Jct~~:.o?~ AJ It'"

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

w

WELL WILL BE USED FOR: r=J c::JIp"aSJ IP~bIICI Indu.trial Test .upply .upply .upply well

r:=::::J Oth.r:, -- _Irrivatlon

~/I ~' Drillinv method: C.ble tool~ Diameter of well Estlm.ted(check) ,k-Rot.rystartlnv depthJetted dete

)2lored

~." ~~L~ .. iGNATURE ofi Contractor

Total O.pth Completion Date~ &'hy/ Inter- Inter- Completion d.te: report depth. below vround level Description of cutti~g. Oe.cription of cuttingsval val

~/_A, /~ /7~A. E~yp.: o Turb. o Subm. o J.t o Cyl:; Other: :::0 .... Int.ke depth H.P. Yield vpm

Tested by: o pumplnv fit .Ir 11ft o bailer o none

"'e••ured St.tlc W.ter Lavel ft.~

"'ea.ur.d pumplnv level ft••fter 'ua.• 0• hrs. pumplnv vpm

Development time prior to teO+lnv hrs.

Ik<! Open hole o Scre.n.d o Slotted pip. o Gr.vel pk. >- ~ ....

Interv.II.) scr••ned: to ft::;::

=S -5

to ; to ft.'c....,;~ Li:

P.ck.rI.' •ri .t and ft .on&&J~ '" Scr••n: di.m. ; SI.. op.ninvs4l(4C~ .... ,:=U>C Interval Q

Interv.1 Dlam. 'Typ.DID.

'Typ.

,v coupllna. \lrout.dc••ed IInch.sl~ en

a .... c C) .at:)

-;0

0• 'Coupllnv.: Thre.d.d I Coupl.d (TICI W.ld.d (WI Thre.d.d I coupl.d I w.ld.d ITCIW)

Other:

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

Water .n.lysl. o No obt.in.d? Ich.ck) o l.cter;olovlc• 1

o Ch.mic.1

I•:::0 An.lysls by: o AI. Geol. Surv. o U.S. &.o/. Surv.() o AI. Health D.pt. o Prlv.t. I.b.

SiVn• d :

,

'For d••per w.1I pl•••• att.ch contlnu.tlon .heat.

51

9"N Renge ---or:

Zip Code

Township

.;j IJ~ SectionWELL LOCATION

1.

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

WELL WILL BE USEO FOR: [=::J [=::JcoProv.t. ~ Indultri.1 T.1t .upply .upply .upply w.1I

c:J Oth.r: _Irri9.tion

at.rtln9 d.t.

~~/ Orlllln9 m.thod: lch.ck)

C.bl. tool ~Rot.ry

J.tted 80r.d ~.."

~/" /tfd bi.m.t...., w.i1 Eatlm.t.d

~ .. L '

r SIGNATURE ofDfiIII9CO/\trector

Totel Oepth ~' Completion Oete _

Inter- Oescription of cuttings Inter- Oescription of cuttings Compl.tion d.t.: r.port d.pth. b.low 9round I.val vel vel

ETyp.: o Turb. o Subm. o J.t o Cyl:; Oth.r:

"" Int.ka d.pth H.P. Yi.ld 9pm

T.at.d by: o pumpin9 ~.Ir 11ft o b.i1.r o non.

~ M•••ur.d St.tlc W.t.r L.v.1 ft. 'u

> ::r :t Mea.ur.d pumpin9 l.v.1 ft.•fter

- OJ

:;:: a:: .. 0 h... pumpin9 9pm

~ a ~ O.v.lopm.nt tim. prior to t.atin9 hr•.

tl)LU~ - ~. o Op.n hoi. o Scr••n.d o Slott.d pip. o Grav.1 pk. ~:;~ 0 >~:;;= 0') !!

Int.rv.II.) scr••ned: to ft;-:;

Z ~ 'c to ; to ft.

0 i.i: Q -. P.ck.rl.1 ••t .t .nd ft.

C; Q a: Scr••n: di.m. : Size openinQI

~ Int.rv.1 Olam. ·Typ. ·Typ. Int.rvel c•••d llnch•• l Dip. coupllno. orout.d

01.; OJ

·Couplln91: Thr••d.d I Coupl.d (TlCl W.ld.d IW)0 Thr••d.d I coupl.d I w.ld.d ITCIWl

Oth.r:

·Pip.: 81.ck; PVC; G.lv.; Oth.r:

W.t.r .naly.l. o No obt.in.d? lch.ck) o 8.ct.rioI09IC.1

o Ch.mlc.1

~ OJ

" An.ly.l. by: o AI. G.ol. Surv. o U.S. G.ol. Surv.C)D AI. H.alth O.pt. o Prlvat. I.b.

Si9n.d:

·For d••p.r w.1I pi•••••tt.ch contlnu.tion .h••t.

--


Distence end directi1 from

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

c::=J Other: _Irrllllation

Drillinlll methOd: " Cable tool6=-..'"x- ~ ~~I'EstImated (checkl ,. Rotarystartlnlll Jetted ~ dete Bored

Other: ~1Ik~)


Tote I Depth Completion Date'/IJ # S:-Pl"· 16"" Inter Inter Completion date: report depths below IIIround level vel

Description of cuttings Description of cuttingsvel

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

... Iintake depth H.P. Yield III pm

fJA7~ " oAu ,,-tlI\}JH' j Tested by: 0 pumpinlll ~air 11ft 0 bailer 0 none

~ Measured Statlc Water Level ft.o " I I I I I1 Measured pumpinlll level ft. after

e o hrl. pumpinlll III pm

Development time prior to testln9 ,hrl.

Open hole 0 Screened )( Slotted pipe o Grevel pk .

..s:: Intervalls) scr.ened: to 'ft: ..'c to ; to ft.

u:: r:Packerlsl set at and ft.

Screen: diam. ; Size openlnllls _

,-Type ---"'ype Interval cased

Interval Dlam. coupllnas aroutedIinches) ...I"e

" ---,-yji .J

rl-----+---+----j-----+-------l I I • __ L_ul I~

Other: _

-Pipe: Black: PVC; Galv.; Other: ... ..!J.a.. .ii,

Water analYlis o NoSt"" ·V a I lUll obtained? (check) o Bacteriololllical

o Chemical

Analysis by: o Ala Seol. Surv. o U.S. &eol. Surv. o Ala Health Dept. o Private lab.I I as: If

Silllned:

·For deeper well please attach continuation sheet.

REPORT OF DRII.LED WELL

WELL WILL BE USED FOR: l,ltJ supply

~ supply

Section

c=J Industrial

supply

Ren;e ---or:

Zip Code

Townsllip s

c=J Test will

or other reference point

~ Other:I..illation

7-}Q-?6" Drilllnll method: >yCable tool Eltlmated (checkl rRotarystartlnll Jetted date Bored

Other:

Tote I Depth / IJ ()Ii Inter

val Description

It'd I r of cuttings

"IlA /1LJ

Interval

VI."'"


"I I I

.04.' , .. f" '7 ~w\J

r l \l.'.1 ..", \I ....

.. '.'

""~ n"~ l\U. \\ 0: ',\ 'J "~ \ " I"~ ) ,., ~.,n

•• • •, '\ ,.; -\') 'J "':\ .,; 7\;:.1 .

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

_ ,/'

biamefer of well

~ y}1 (J., 4rumr:u0 SIGNATURE of Drilling Contrector

Completion Date 1-/ '1- ?6

Completion date: report depths bel_ llround level

EType: o Turb. o Subm. o Jet o Cyl:: Other:

Intake depth H.'. Yield IIpm

Tested by: o pumpinll A airlift o ballar o none

"'ealured Static Water level ft.

Iolealured pumpinll level ft. atter

hrs. pumplnll IIpm

Devalopment time prior to testlnq hrs.

o Open hole o Screened KSlotted pipe o Gravel pk.

Interva II I) Jcr••ned: to ft;

: to ft.

and ft.

; SI.e openlnlll

Interval Grouted

:s....

'u~ .. a....

0

..t::..'c il:

Ul ...C.. 0

:E.. :s

C)

to

'ackerlll let at

Scraen: diam.

Interval caled

Dlam. linch.. ,

·Type olpe

·Type couplinG'

.iJ~J IwI. ~, PJt'~ p

·CouplinGS: Threaded a Coupled (YaCI Welded (WI Threaded a coupled a welded lTCaW'

Other:

·Pipe: Black; PVC; Galv.: Other:

Water analYlis o No obtained? lcheckl o BacterioloGical

o Chemical

Analy,l, by: o Ala Geol. Surv. o U.S. Gaol. Surv. o Ala Health Dept. o 'rlvate lab .

Sillned:

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

10J:J. A .... .U A. ype: o Turb. o Subm. o Jet o Cyl:: Other:E,I()IU, I Do" ~~ :::I.... Intake depth H.P. Yield gpm-,

Testad by: o pumpin9 If air 11ft o bailer o none

.l' Measured Static Water Level ft. 'u '" Mea.ured pumping level ft. afterA.

'"0 h... pumping gpm

Development time prior to testing h...

itJ Open hole o Screened o Slotted pipe o Gravel pk. ~ Intervallsl Ie;r••nld: to ft:

~ .~ to : to ft. LL

Packer 1./ set at and ft.

Screen: dlam. : Size openings

Interval Dlam. "Type "Type Interval cased (lnchesl ""'e couplinas arouted

IJIfU 1'/1 r¥~,.. Do

1 ~ c

4l: .. '" I

--I 0 'Couplings: Threaded & Coupled ITiCI Welded {WI

.j Threaded & c"upled & welded ITCIWI

:t..... W Other:

lflft I 'Pipe: Black; PVC; Galv.: Other:

a .. Water analysis o No

~ ~ -A obtelned? Icheckl o Bacteriological

o Chemical

• - '," . . ~ '" :::I

G- Analyll, by: o Ala Geol. Surv. o U.S. Geo/. Surv. o Ala Health Dept. o Private lab.

Signed:

Range ---or:

.- ... -~)~,,.,.. ,. ~.......\

Zip Code

9-1d.2 Township 3

t=J T.st well

reference point

Dia~e~~ well

.. ~' ~,~;jljli<- ~,':. "';'·"'·:-:-¥)t"

c:::::J Industrial

supply

Completion Dete _

r;.."~~,jgri~i:Y:.i.:;~.,.,\"',!r,,.... '~~

IPubUc , supply

Estl"",e pth

Other: 'j.kLkd {/1$~

SIGNATURE 0 Dr,lI,ng Contractor

Other: _ c=J Irrigation

Cable tool ) Rotary

Jetted Bored

~,;>-_ A~."'''''~ ., '~.9..:... ........",~~"~,,,~~,~ ••~.:'

Drilling method: Icheckl

, j!,:,l"<,~'

·For d••per Will pl.a•• attach continuation .h••t.

10 D f/,"-------

end direction from

WELL WILL BE USED FOR: ~ ~ supply

~-~)-1' tlmated

starting dete

Total Depth

..':' ~~F:-;:;;·~

~

--


2.W Range ---or:

WELL WILL BE USED FOR: c,;;J c:J Privlte Test supply supply well

[=::J Other: _

'rri9ation

&-I(p~7!L Drillln9 metho.(.;. ... Cable tool (p /oD

Estlmatea biamet.r of w.1I Estimated(check) ~Rotary startln9 depthJetted <:' date Bored

Other: ~t-be ~tl!:J) ~SIGNATURE~ng Contra~or

~() /~-/6-.?e5-Completion Date ---=-- _

Inter Completion date: report depths below 9round level val


Q. ~ype,' o Turb. e-s-ubm. 0 Jet 0 Cyl:; Other: I - .,4'

4 /?~ I'ntake depth ?O H.P. Yield U

bailer 0 noneTested by: ~n9

Measured pump'n9 level ;><rr ft. after•l~;;1 :Z:~~lr''''''dS'''' W.k"••"

). 3 hrs. pumpln9 ,/..5'- 9pm ~

Developmant tim. prior to testln9 -Z-- hrs.

o Open hole o Screened

'~ I~ I"k""'" .......,, ~ ".. ~'

______to __~~ou ~ ~ ~ Packerls) set at and I

Screen, diam. _

g' I I I I I I I I I I 'wo I ·Couplln9S: Threaded a Coupled ITlC) Welded (WI

Threaded a coupled a welded ITCaW)

Other: _

·Pipe, Black: PVC; Galv.: Other:

Water analysls o No obtained7 Icheck) o Bacterlol091cal

o Chemical

I I I I I!.. ()o o Ala Geol. Surv. '" Analysis by: o U.S. Geol. Surv.

o Ala Health Dept. o Private lab.

Sl9nad:

·For deeper well please attach continuation sheet.

j,

...... REPORT OF DRILLED WELL 19~

~- 9- 7j ..J Date

PROPERTY OWNER Zip Code

(2~ ;21 T3~ ~9.~ WELL LOCATION

~ reference point

c=J rest well

c::::J Other: _Irri9ation

9 ... "41,5/ &17Drillin9 method: ~OOI biameter~ wellE.tim.ted l'iil'1mIcheck) Rotar ... rtln9 depth

.I d d.te Bored Other: l

~~eJ.' e ;;;274 <<44 , Total Oepth_L.L...J()IL..!oOL- _ Completion Date 9 - /3 - 7 (<r-'

Inter- Description of cuttings Inter- Description of cuttings Completion d.te: report depth. below 9round level val val

~ .. '0 ~ ."tfI_ ~_ ~ IType: o Turb. ~m. o Jet o Cyl:: Other:

,-W...... .0 // ~ AJ100 .. ?!C H.P. / Z(J0 Int.ke depth Yield 9pm

::::;t>- ~D P--l~ ,~ ~ ~. iJn ~ ~ ~~ II ~pin9 ~lIftTe..ed by: o b.ner o none

-~'-.(Ib I_ V ~- .l' Mea.ured St.tlc Water Level \3 9 ft. ,~.. •~I'l " '.J..1o ~ ~ - ,,'-7/ - - , 'u "I-lib ~ ~- -'l / L ff[) ..L -' /,L.

.. Me••ured pumpln9 level , ft.•ftera... ;;$ h... pumpin9 20 11-'}0 ~~nA~ /., )--/-i ~ . ~L'~ .L 0 9pm

W-J?b M /~ # .,L~ ~ Development time prior to te"1n9 ,::5 h...

~ ~-OA /~... ~/ ....-.II _. Jl o Open hole D Screened ~ted pipe ~elpk.

"n-/8J. L/ , Interval(.) .creened: to ft; ~ 'r: to : to ft. LL

~-J' /_. 7.: '.J :z __ A./ _~_ _ h.J Packer (.) .et at and ft.

t / Screen: diam. : Size openin9.

c:. ,i::9~ A .-7 ~-oJ. ~

~/, Interval Dlam. °Type Interval

~ ~< ca.ed Iinche.) oj ... 'lIrouted

:::: "'Ct: I":) ~~ ~ PJ?P.. ~ -,,2/J--. ....:

.J j.:: V) '" J . /

::;::::0 01

;'-')9 '-'J -; c:z:

.. °Coupltn9.: Threaded a Coupled (TaC) Welded (WIJ <t. czo"') 0

'J Thre.ded a coupled a welded (TCaW)

- -- ~ Other:

·Pip.: BI.ck; PVC: G.lv.; Other:

Wolter .n.ly.i. D No obt.ined? Icheck) D Bacteriolo9lcal

o Chemical

~ .... An.lyll. by: o AI. Geol. Surv. o U.S. Geol. Surv. G O AI. Health Dept. o Private I.b.

Si9ned:

'For deeper well plea.e .tt.ch continuation .heet.

'Type couplinG.

7#' .77

-c . ~~mtt:j ~::> b ::y1dr--L·..IA.,,:&:!l(H~ , 17__ 7fLU.L.L OJ ~ _ Z'"

I!l aJ.. Q'1J Section 1,4 Section Town'ship Renge - --or:

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

WELL WILL BE USED FOR: cb c::::J Prlvat, ~ Industrial ~ .upply .upply .upply Will

c::=J Oth.r: _Irri",.tion

.l.LiIaQ-'7.r Drlllln", m.thod: .vC.bll tool C?1~~ Di.m'.r/:' w.1I(ch.ck) }lRotery

st.rtln", ~ J.ttedd.t. lor.d

Oth.r: ikOk/Il!&H.m"r4 Totel Depth 100 -¢

Inter· Description of cuttingsvel wnv&. __ A

0. IA:..!. lIl..

Inter· vel

-v..



~-+2..1.&-C---Completion Date

Compl.tion d.t.: r.port d.pth. b.low ",round l.v.1

~ IrYPI: o Turb. o Subm. o J.t o Cyl:: Oth.r: :s

Int.k. YI.ldA. d.pth H.P. 9pm

T.stld by: 0 pumPin9L~ .Ir 11ft o b.lllr o non.

1:'u.. A...

0

M.asur.d St.tlc W.t.r L II

M•••ur.d pumpln", I.vel

hrs. pumpln",

ft.

ft.•ft.r

9pm

Dlvlloomlnt tim. prior to tl.tln9

t)( Op.n hoi. o Scr••n.d o Slott.d pIp.

h...

o Grev.1 pk.

> c::a ~ ::c St :;; -:!:!......0 ;:;c.oc:a ~ .c ~ :::! ~ -

\I't ~• ~

,8 ~

4lilIiiI'

~ S;

!..

..,..'c iL

III c -e;;..

0

Int.rv.1 (.1 scr••ned: to

to ; to

Peck.r h) ••t .t .nd

Ser••n: dl.m. : 51.. op.nln9'

Int.rv.1 DI.m. ·TYPI 'Typ. "•••d (Inches I 010. cau""n",

......A I'!J 7' ~ , ·Couplln",.: Thread.d" Coupl.d lrac) W.ld.d (WI Thread.d " coupl.d " w.ld.d ITC"W)

Intlrv'. I arout.d

ft:

ft.

ft.

Oth.r:

• Pi... : II.ck: pVC; ••Iv.: Oth.r:

W.t.r .n.ly.l. obt.in.d? (ch.ck)

o No o l.et.rlola",lc.1 o Ch.mlc.1

~ .. :s

0 Analy.i. by: o AI. G.ol. Surv. o AI. H•• lth D.pt.

o U.S. &,01. Surv. o Privet. I.b.

Si9n.d:

·For d••p.r w.1I pl•••••tt.ch contlnu.tion .h••t.

..

020

.r

"n. o Gr.vel

o U.S. Geol. Surv. o Private I.b.

__~ to _

o No o B.cterioIOlllc.1 o Chemicel

ownshlp

o AI. Geol. Surv. o AI. Health Dept.

c=J Ted well

o Screened

Interv.1 cased

An.IYIII by:

Water .n.lylil obt.ined? (checkl

Silined :

Development time prior to tedino

P.ckerlal let .t •.nd --'

.. Slotted pipe

'nterv.lll) Icreened: to _

Screen: di.m. _

o Open hole

r=:=J Indudri.1

lupply

6, II

"i ~ I to

i ~ype: 0 Turb. 0 Subm. 0 Jet 0 Cyl:: Other: I

... Ilnt.ke depth H.P. Yield

1/. Section

Completion Date I l£ ,> r~@

road junction or other reference point

Ipublici lupply

Other: _

Othtr: _

Description of cuttingsInterval

c=:J Irrill.tion

Drilling m.thod: C.ble tool (check) ~ot.ry

Jetted Bored

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

"":::r' > -...... 0::

:0 : :: ~11) ....

...... .,q; 0 ~~CD en n-""Q~ :z3 .... c"C'ooI0 - ...W C; "='.,

Distance and direction from

',' WELL WILL BE USED FOR: ck:J Privete lupply

·Plpe: BI.ck; PVC: G.lv.: Other:

Other: --- _

WELL LOCATION

D

•d.rtl nil d.te

Intervel

1::

Tote I Depth 1ti/5"'/

~

I I I I~

g'1--------+---+----+----+------l

I I I I I~ ·Coupllnlli: Threaded I Coupled (TICI Welded " . Thre.ded I coupled I welded (TCIWI

1

,{)7

o Gravel

Other: I

E.timated depth

7r

Yield

~ wesl-Range --_r:

o U.S. Geol. Surv. o PrIvate lab.

______to ,

Zip Code

'"61/1Code

H.P.

o Ala Geol. Surv. o Ala Health Dept.

~ "

3 SOld th Township

o Screened

D,ameter 01 well

o Turb. 0 Subm. 0 Jet 0 Cyl:;

depth

Completion date: report depth. below lIround level

Open hole

0 No (check) 0 Bacteriolo",lcal

o Chemical

Packerl.l ,et at and ,

o Slotted pipe '\ Interval I.) .creened: to ,

0. jType:

~ Iintake

~/~ 73

,,):l,~. ~J,


Description of cuttingsInterval


or other reference point

c::::::::J Test well

Interval

_

Black; PVC; Galv.; Other:

Screen: diam. _

I I I I I

Threaded I Coupled ITlCI Welded (WI coupled I welded ITCIWI

Tested by: 0 pumplnll "alr lift 0 bailer 0 none

jS''" 1 ""ea.ured StatIC. Water Level ft.: ""ea.ured pumplnll level ft. after

hr•• pumpin9 9pm

Development time prior to te.tln", hr•.

- .;"...4----------j1 ~ I tofl 1=======1~· I .r

t a /6<:y--l If. WELL LOCATION County Section '/. Section

----1 m/leS ,y,rfl./'C 'yAIA"Distance and direction from nearest tow , community, road junction

WELL WILL BE USED FOR: IVl c:J c:=J ~ Public Industrial .upply .upply .upply

c=J Irrillation Other: _

So. Ig-Estimatd .tartln", date

7...3 Drillinll method: (check)

Cable tool R~y J'eiled Bored Other: _

Total Depth b'S F += Completion Date

3 /. ~l" L ,'Of e 1:5 __ a e. -----------------1 0

Interval cased

: I

I I I I I ~ I .Couplin",,, Threaded I

Other:

·Pipe:

Water analy.1s obtainad7

I I I I I~.. ::I Analy.l, by: 0

Sillned'

·for d••per well plea.e attach continuation sh••t.

hrs.

o Gravel

o U.S. Geol. Surv. o Private I.b.

Size openin"'" _

Zip Code

_ to _

o No o 8.cterlolo",lc.' o Chemic.1


CJ Test well

o Screened

Int.rval c.I.d

W.ter .n.IYlil obtained? (check)

Analysis by:

Development time prior to testin",

o Slotted pipe

Intorv.1l11 Icreened: to _

P.ckerlll let .t .nd ....;

Screen: di.m. _

lit Open hole

.c=J Industrl.1

supply

.<.. f"~, ".~.,

Completion d.te: repori depthl below ",round level

i ~ype: 0 Turb. 0 Subm. 0 Jet 0 Cyl:: Other: I

.... Ilnt.h depth H.P. Yield

1/4 Section

SIGNATURE of Drill~ontractor

Completion Date 8dst. "S

roed junction or other reference point

IpUbl,ic l

supply

(. II 7.r bi.meter 01 well Estlm.ted

"'0" ~~~

Other: _

REPORT OF DRILLED WELL V .J.8

il!;J. A~. ~ ~ Jdv/'.s-Addreu Zip Code Det.

Addreu (meiling)


7' ..

I~el supply

[==:J Irri",.tion

C.ble tool ARot.ry

Jetted 80red

Interval

Drillin\! method: [check)


------;---1 I ~1~I_to_

Other: _


~' ~

It.rtin", d.te

·Pipe: 81.ck; pvc: G.lv.; Other:

< .. •

Interval

Tote I Depth 3.5-.;;.

I I I I I~•::I

Go

iCl'l-----t-~-_+-:---.+----_+-----_l

I I I I 13

rested by: 0 pumpin", ~ .Ir lift 0 b.i1er 0 none

1& ~ 64i S1iJ. 1 ,:S Me.lured St.tic W.ter Level ft.

--L..l~lfIIl_IIIIIG.._ If: : Me.lured pumpin", level ft.•fter

•o hrs. pumpln", ",pm

Si",ned:

·For d ••p.r w.lI pl•••• attach continuation sh••t.

~G>

Zip Code

~ e..a.Jsfion 1/4 Saction Township Range - --or:

nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: c=J c=J~ Industri.1 Tilt lupply lupply well

c=J Other: _Irri9ation

.1./- t~?( ,~'Drilll n9 method: Cable tool

Estimated biameter of well Icheckl ~ RotaryItartln9 Jetted date Bored

Other: --#:.ikkJ;:lIIIII!!!::K~"""'~c... ~) SIGNAmE of Drilling Contractor

Total Depth Completion Date(;,0 -# * 9-- I') 0Inter- Oelcription of cuttings Inter- Description of cuttings Completion date: report depthl below 9round level val val

~n/.J. D.iN.,.-lILa. ~ Type: o Turb. o Subm. o Jet o Cyl:; Other:

UIJ. I¥_ "~A.,. ~ :> depth.... Intake H.P. Yield 9pm . ~

Tested by: o PUmpin9 1J air 11ft o bailer o none

~ Mealured Static Water Level ft. .;:;.. Mealured pumpln9 level ft. after 0...

0 hrs. pumpin9 9pm

Development time prior to teltln9 hrs.

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

Intervellil .cr••ned: to ft; .z:..';: to ; to ft. LL:

Packerlsl let at and ft.

Screen: diam. ; SI.e open;n91

Interval Dlam. -Type Type Interval ca.ed (lnche.) "ir.e c"u"lInell Clrouted

h j}J/(!"

1JI I: ';;..

-Couplln9S: Threaded I Coupled ITICI Welded (WI0

~1m: Threaded I coupled I welded ITCIWI

Other:

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

CI UN UJ "" " .. ......,. Water analYll1 o No -_. r .... ~. VI -. obtained? Icheckl o Bacteriol091cal

o Chemical

;;Oll'ton C'" Itu", .. .. ..

3 ~,. ... :> AnalYl1s by: DAle Geol. Surv. o U.S. Geol. Surv. , () o Ala Health Dept. o Private lab. ,.. y "n11\:11ft

Si9ned:

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

v

and direction from

ffi- '"' VI roo., v J< '---

4/REPORT OF DRILLED WELL

~ 9 RouTl::. ~ hJ~"9hToN S6"~4" /.2-I'-?,LI Licen.e Number Addre... Zip Code Date T

__u a T(, tV .sTo... /1 .sT jus~u mb/14 3661y Addre.. (mailing) Zip Code

ee:tion '/. Saction

nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: ~ c:J c::::::::J c:J Privata Public Indu.trial Ta.t ,upply ,upply ,upply wall

c:=:J Other:, _Irrillation

L 'f Orillinll mathod: Cable tool ~Ia·,'·'J4

Estimatad ~ E.tlmated(check) Rotarystartlnll depthJetted data Bored

Other: ~ tJ Rd~c/J SIGNATURE of Drilling Contractor

I.A-=-~ _ Completion Date _Total Depth

I

Interval

I

De,cription of cutting,Interval

De,cription of cutting,

I I

o Grevel

Other:

Yield

o u.s. &eol. Surv. o Private lab.

_ to _

H.P.

o Ala &eol. Surv. o Ala Health Oept.

o Screened


depth

Completion date: report depth, below IIround level

Open hole

Analysl. by:

Water analy,l. 0 No obtained? (check) 0 Bacteriolollical

o Chemical

Other: _

Sillned:


Packerl.1 .et at and _

o Slotted pipe

Intervall,) .cr..ned: to _

Tested by: 0 pumpinll

Q. [Type:

~ Iintake

-cI~I to_

Scr..n: dlam. _

Interval c..ed

I~.. :>

I ()

~1----+----+---+------1I------

I J I-:-::---::-~::____:_~_=___:__:_:_:~:_:_:_::__:_:____:__.,_~-------J

air lift 0 bailer 0 nOne

I:E Mmured Static Water Lev~1 '" ft.

~ Mea,ured pumpinll level ft. after .. o hr•. pumpinll IIpm

I Development time prior to testlnll hr•.

-1

I I I I

I I

I

I

I

I

I

I

I I

1 ..:J1ol- t ,l. ;)

I I

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

t

5q

Zip Code Dete

e:c.J Township Range ---or:

point

'I. Section

road junction or other referenceDistance

WELL LOCATION

WELL WILL BE USED FOR: l;};atJ c::J c::::::::J c::::J PubI/c• Industrial Test

lupply lupply lupply well

c=:J other: _Irri",ation

" 3f:1Drillln", method: Cable tool:L6Ji biamf of well EstimatedIcheck) '" Rotary

st..tln", Jettad date Bored ~.." YW ~. ,.;'~'

SI&NATU·:4T·"··....'A I Total Depth / dt2 Completion Date ..., ~ ('

Inter- Description of cuttings Inter-Description of cuttings Completion date: report depthl below ",round leval

vel val

.~c-'r/~ Q. ype: o Turb. o Subm. o Jolt o Cyl:; Other: E

!JLtr~r ~f J :> 0 Intake depth H.P. Yield

Tested by: o pumpln", "t air lift o bailer o none

~ Mealured Static Water Lave I ft. 'u• Mealured pumpln", level ft. afterQ.

•- : 0 h... pumpln", IIpm,..,. ~ a:: .. Development time prior to testin h...

0 ~ Iu. Open hole o Scruned o Slotted pipe o Graval

&&lUi - a <l'<l' 0

Interval II) scr••ned: to ... > ~

;; r~ ...... 0') !" 'c to : to L[

c: 3 ~ Packerlll let at and

0 -' "" Scr••n: diam. : Size openinGS

t:) 0 ~ J

Interval DJam. °Type Ofype Interval Coiled IInchel) 011'01 couplin"'l ",routad

~h W~

Ot .~

• °Couplin",l: Threaded I Coupled (TIC) Welded IW)0 Threaded I coupled I welded (TCIWI

other:

·Pipe: Black; PVC; Galv.: Other:

Water analYl1s o No obtained? Icheck) o Bacteriolollical

o Chemical

~ •:> Analysll by: o Ala Geol. Surv. o U.S. Geol. Surv.0 o Ala Health Dept. o Private lab.

Si",..d:

",pm

pk.

ft·

ft.

ft.

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

"'~~r7

J: REPORT OF DRILLED WELL

Zip Code

I~ ,3 9 j. County Sec:tion 1/4 Sec:tion Township Range ---or:

nd direc:tion from nearest town, c:ommunity, road junc:tion or other referenc:e point

WELL WILL BE USED FOR: I;KatJ IPubUc I c:=J CJ Industrial Telt

lupply lupply lupply well

c:=:J Other: _Irri9ation

~ J//, ·&~2~ Drillin9 method: V Cable toolEstimated (check) I' Rotary startin9 Jetteddate Bored

other: ~ fYl !~

SIGNATURE of Drilling Contrac:tor

Total Depth s-u Completion Date ~ - /() - 7.6 Inter-

vel Desc:ription of c:uttings Inter

val

I){) H, (J fLc>u.." 'I ~!/·HJ'.~g I OJL;P- ..RJ.IY\\. (J_ ~ ft

CI

Desc:ription of c:uttings Completion date: report depthl below 9round level

0. ype: o Turb. o Subm. o Jet o Cyl:; Other: E ::> .... Intake depth H.P. Yield

Tested by: o pumpin9 j2I air lift o bailer o none

9pm

~ ';;.. 0...

0

"'",ured Static Water Lavel

"'easured pumpin9 leva I

hrs. pumpin9

ft.

ft. after

9pm

Development time prior to teltln9 hrs.

;;( Open hole o Screened o Slotted pipe o Gravel pk.

~ ';;: u:::

Interval I,) screened:

to

Packer I,) let at

;

to

and

to

ft·

ft.

ft.

Screen: diam. : Size openin91

Interval caled

.S:;tJ1~ V

Dlam. IInchel) ~,

"Type Dlpe

PV~

"Type couplin",

Interval orouted

0'

-;.. 0 "COUplin9S: Threaded I Coupled (TICI Welded (WI

Threaded I coupled I welded ITCIWI

other:

·Pipe: Black; PVC; Galv.; Other:

Water analysis o No obtained? (check) o BacterlD1091cai

o Chemica'

>.:;.. ::> () Analysis by: o Ala Geol. Surv.

o Ala Health Dept. o U.S. Geol. Surv. o Private lab.

Si9ned:

·For deeper well pleale attach continuation she.t.

County

IJ)~S(&ro{>;~)?J

.:.~~:~i'J..• ,.:.-.... ~:...~)..' -,lOti· " ,".~ ...>:r:-: '10 ",:.,.,:, "';,,, '.1'''''-s: REPORT OF DRILLED WELL J

1_'19, __dL ~ oC~ ~~"f Ip 0 e

4-IQ-~

..364, (" b Zip Code

3 trw '/4 Section Township Rllnge ---or:

d direction from nell rest town, community, rOlld junction or other reference point

CJ c:::::J Indultrial Telt

lupply well

c=J Other: _Irri;ation

WELL WILL BE USED FOR: • r1rI CJ ~ Public lupply lupply

!:15~'ll I:z"Drillin; method: Cable tool Eltlmated (check! Rotary I<-"' Itart'n; Jetted date

Bored Other: iIUkI-- ff) £ ~

SIGNATURE of Drilling Contrllctor

Completion Dllte _Totlll Depth ~---

-For deeper well pleale attach continuation Iheet.

Inter- Description of cuttings Inter- Description of cuttings Completion date: report depthl belo~ ;round level VIII VIII

sa. ~ "e_ ... A_ .. 0 ~ :rype: o :rurb. o Subm. o Jet o Cyl:; Other:

can ,,,, I. ___ .. ~r&. ~ ... '" a- Intake depth H.P. Yield ;pm. :rested by: 0 pumpin; -,-air lift o baner o none

~ Mealured Static Water Level ft. 'u• Mealured pumpin; level ft. afterQ.

•0 hrs. pumpln; ;pm 'Ii -, Development time prior to testin') hrs.

o Open hole o Screened ~ Slotted pipe o 6ravel pk.

Intervallil screened: to ft; ~ 'c to ; to ft. u::

Packerll) let at and ft.

Screen: diam. : S/.e openln;1

Interval D/am. -Type -Type Interval caled Iinches) D/pe couplinas Grouted

.IrC,u 11.8 " IJY("~, gl

• c ';;• -Couplln;l: Threaded A Coupled (TIle! Welded (WI

c::lO 0

>:: r- Threaded A coupled A welded (TCAW! 0 ".

> ~ :E: Other:

= ~ ~ -·.~cn f:t. ?: -Pipe: Black; PVC; Galv.; Other:

4CC:; ~ U Water analylil o No

1_"' cnC • obtained? (check) o Baderiolo;ica'

o Chemica'

~ oCt r-: ~ <:) :::! ';:lIO •- '" AnalYll1 by: o Ala Geol. Surv. o U.S. 6eol. Surv.C) :iii: 0 o Ala Health Dept. o 'r/vate lab.

Si;ned:

,~ ~":rirp

REPORT OF DRILLED WELL (3 ()

. .3r~~ 72-7(, Zip Code Date

3%' #1, Zip Code

WELL WILL BE USED FOR: c=J c:::::JCJb •Pu I,IC Industrial Test supply supply well

c:=J Other: _Irrigation

A:f I.Drilling method: Cable tool (check) 'I Rotary ~stiml"ed

depthJetted Bored

Other: ~ikk/Ill j


. . c

! Interval Description of cuttings

IJ &lj ()J~;, "-", IllJ (JIt.' PI ':'..0 11.--:

'7

Inter-vel

Description of cuttings Completion date: report depths below ground level

~ ~ype: o Turb. o Subm. o Jet o Cyl:; Other: ::l

a- Intake depth H.P. Yield

Tested by: o pumping j(J air Hft o bailer o none

",pm

~ Measured Static Water Level 'uX. Measured pumping 'eve I .. 0 hrs. pumping

ft.

ft. after

gpm

Development time prior to testing

o Open hole o Screened 12 Slotted pipe

hrs.

o Grave' pk.

~ .. '"

'1i 'c u::.

Intervallsl scr••ned:

to

Packer lsI set at

:

to

and

to

ft·

ft.

ft.

:

, ~-- -..;.

~ :'~ c:>

J .. ~ L.. __ •

.. '

,

-~

0

" '.',,, ~

. , "J

"" '

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

~.~A-

CI I'

l!

\'.. Ul C....

0

Screen: diam. : Size openings

Interval Diam. ·Type ·Type cased (Inches) Dipe coupHnos

hOU 1.11 Pl/(I t

·COUpHnllS: Threaded I Coupled ITIC) Welded (W) Threaded I coupled I welded ITCIWI

Interval ",routed

Other:

·Pipe: Black: PVC; Galv.; Other:

Water analysis obtained? lcheck)

o No o Bacteriological o Chemical

~ .. ::l

0 AnalYsis by: o Ala Geol. Surv. o Ala Health Dept.

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

Signed:


Scr••n: di.m. ; Siz. op.nin;. _

Interv.1 ;routed

hr.., ;pm

ft.

o U.S. &.01. Surv. o 'rlvate I.b.

~~:.. '

"Typ. coupling.

·Type oipe

1 ,

c=J Test well

o Scr••n.d

DI.m. IInche.)

II,... / J

Compl.tion d.t.: r.port d.pth. b.low ;round l.v.1

Int.rv.1 ca••d

An.ly.i. by: 0 AI. G.ol. Surv. l\ 0 AI. He.lth De~.

W.ter .n.ly.i. ~ obt.ined? (check) 0 B.cteri%;ic.'

o Chemic. I

Si9ned\OJO 0 (T,_ \ J~·t

',Ib I

p.ck.rr.l ••t .t .nd ft.

'nt.rv.II.) . 0 Slott.d PlplJIC1:/'.cr••n.d: ,~r.vel pk. ______ to ft·

o Op.n hoi.

c::J Indu.tri.1

.upply

..

c:::J 'ubllc .upply

.,.-,......~~_."

~DI iamet.r of w.11 Estlm.ted0--. d.pth

Oth.r:-W'i Ah_ J~ /SI~rftling Contr.ctor

Completion Date /;) / f - /1 7 7

Oth.r: _


C.~ Rot.ry J.tted Bor.d

"rhi .upply

c::=J Irri;.tion

Drillln; method: (check)

Description of cuttings I Intelr-A ~, va

~~ l I I~ ~ype: 0 Turb. 0 Subm. 0 J.t 0 Cyl:: Oth.r: I ~r V tf. I'nt.k. d.pth H.P. Yi.ld ;pm

I i r-

~--.::l;

C ".1._ ... Ll

~~~ r-i ;:,

en u CJ)o (.

:z u II( C.

-J C"..J

0 C..,)

~

I'E1ftl · I I I I~ IM.asur.d pumpin; I.vel ft.•ft.r o hrs. pump)n; ~5 ~

Developm.nt tim. prior to t••tin;

Interval

10 1

·For d••p.r w.1I pl•••••tt.ch continu.tion .h.et.

,~i'.-.'~<.,?~


Total Depth ZlJ I

I I I t lj I to ; to ft.1

1'-ltr~/117 Estimated st.rtln; d.te

T••t.d by: 0 pumping 0 .ir 11ft er 0 non.

1----jr--;~~~.s.:"'F::..-~:r.Jjf-~d_-_J-_+----------------...l± Mu.ured St.tlc W.ter L.v.1 U C u

I I I I Ii0

~

A ~ REPORT OF DRILLED WELL

t 1'14/,:O)JrtllU'!'?, .J 'jq '2fhdj. iii( or~ 3(,)~' '1'-<i(/-'.L'

Zip Code

~ ~ fluJut'I. Section Township Renge - --or:

st town, community, roed junction or other reference point

WELL WILL BE USED FOR: CJ CJIp~atJ ~ Industrial Test lupply lupply lupply well

c=J Other: _

~

Irri9ation

Drillin9 method: Cable' tool Estimated biameter 01 well(checkl 1 Rotary

~; ~R#

startln9 depthJetted date Bored


- •r '", '''=' IJ

Inter- Description of cuttings Inter- Description of cuttingl Completion date: report depthl below 9round level vel vel

0. ype: o Turb. o Subm. o Jet o Cyl:; Other: E

IJO F~ ~. V .. / fihu " Intake depth H.P. Yield.... 9Pm t' Tested by: 0 pumpin9 ,air lift o bailer D none

/2. FE I(,'- ~ l''hN ~ ~ Mealured Static Water Level ft. 'u

OJ Mealured pumpin9 level ft. after0. OJ

0 hrs. pumpin9 9pm

Development time prior to testin9 hrs.

o Open hole o Screened Jt( Slotted pipe o Gravel pk. ~

! ~ Interval III scr••ned: to ft·

• -:;

:! ~ 'c to : to ft. u:

ID Packer III let at and ft.... -i=~ 0 Screen: diam. ; Size openin91

4 1:0 m Interval Dlam. 'Type 'Type Interval

• iii: caled IInchell "Ipe couplinGI arouted ... - I. II ILihd III .i:: .-

UI

.~ OJ

'Couplin9S: Threaded lr Coupled ITlCI Welded IWI0 Threaded lr coupled lr welded ITClrWI

Other:

·Pip.: Black: PVC: Galv.: Other:

Water analYlil D No obtained? (checkl o Baeteriol091cal

o Chemical

~ OJ

" AnalYlis by: o Ala Geol. Surv. o U.S. Geol. Surv.G-O Ala Health Dept. o Private lab.

Si9ned:

"For duper well plean attach continuation Iheet.


/f.Y . - II 7 Jr~q("..~ a . iJ ,. .Y4 "t -0(7·'/JJ.'~.~ ....

Zip Coele

/t ~ tJuL Section '/4 Section Township R,uge - --or:

town, community, roael junction or other reference point

WELL WILL BE USED FOR: cXJ CJ c=J PriYlt. IPublic I Industrial Tilt supply supply supply w.1I

c::::::J Oth.r: _Irrillation

(,"~ Drillinll mathod: " Cabl' toolEstimatad Olemafer of wail lchack) " Rohryshrtlnll Jattad date Bored

Other: ilkl YlJ~t..m1C~ SIGNATURE of Drilling Contractor

. - - C'.

I Inter- Inter- Complation def.: report d.pths b.low Ilround I.v.'Description of cuttings Description of cuttingsval val

e- ~yp.: o Turb. o Subm. o J.t o Cyl:; Other: :::I.,vItV~II..t..~ D 'nhk. d.pth H.P. Yi.ld Ilpm.. I ,

Test.d by: o pumplnll 'XJ air 11ft o bailer o non.

M.asured Static Water L.vel ft.~ 'u.. M.asured pumpinll l.v.1 ft. aft.rQ...

hrs. pumplnll Ilpm0

D.v.lopment tim. prior to tlltln", hrs.

o Op.n hoi. o Scre.n.d ,)€ Slott.d pip. o Gravel pk.

Intervolls) Icr••ned: to ft:

.-~ 'c to : to ft. LL

Packerlsl set at and ft.?:': 0 r-Scr..n: dlam. : Siz. op.nlnlls~ ~ ~...

·Type Intervel·Typ.Interval Dlam.=- 2 Dip. ~ couollnos orout.dllnch.s)-;plU) ~ cas.d Ah~Ol).h LN_.C~;: ~.

//l.:::""0 '. ,~".

~ :c CD VI

~ .... .~..g ·Coupllnll" Thread.d a Coupl.d ITaC) W.ld.d IWI Thread.d & coupl.d & w.ld.d ITC&W)

0~

Other:

• Pipe: Black; PVC; Galv.: Other:

Water a..lysis o No obhin.d7 Ich.ck) o Bactoriolollical

o Chomical

~ .. :::I Analys's by: o Alo G.ol. Surv. o U.S. G.ol. Surv.0 o Ala H.alth D.pt. o Prlvat. lab.

Silln.d:

·For d..por w.1I pl.... attach continuation sh..t.

REPORT OF DRII.LED WELL ~. IS-f(~, c2. 30-'4'- "-1- 'l£

Addre.. Zip Code, Date

Zip Code

q~~ 1/4 Section Township Range ---or:

road junction or other reference point

WELL WILL BE USED FOR: Industrial

supply supply supply OCat~ ~ c=J

c=J Other:: _Irrillation

, .1-_"~ Drillin9 method: Cable tool Estimated (checkl l Rotary <~f'R startlnll depthJetted date Other: ..--......._Bored

#Uk/ t!JG ~/. SIGNATURE of Drilling Contractor

c::::::::J Test well

Diamtr ~: well

1- _

F ~~

<.., ,

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

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

~ frype: o Turb. o Subm. o Jet o Cyl:: Other: r~. .n~ nO,. .. -- _J) "... Intake depth H.P. Yield' llpm

J() r~ IJM M." I. -ht/I ~ Tested by: o pumpln9 ~ air lift o bailer o none

~ Measured Static Water Level ft. 'u.. Me..ured pumplnll level ft. aftera... 0 hrs. pumplnll llpm

~evelopment time prior to testlnt,l hrs.

~ Open hole o Screened o Slotted pipe o Srave' pk.

Intervallsl screened: to ft; -5

'" to : to ft. u::

Packerlsl set at and ft.

Screen: dlam. : SI.e openlnlls

Interval OJam, "Type 'Type Interval cased IInchesl "I"e coupllnas aroutad

A • ./-1 L,.A' N_' U/

~ / .. a: .. - Ul, 0 ex: c

';;

i!)UJ &;g

.. "COUplinllS: Threaded a Coupled (raC) Welded (W)

"' 0

':! '::.-.t r-. Threaded a coupled a welded lTCaW)

"'::.~ 0") Other:

X -•

"PIpe: Black; PVC: Salv.: Other:

C) 5 Water' analysis o No

" obtained? (checkl o Bacteriol091cal

o Chemical

~ .. " Analysis by: o Ala Seol. Surv. o U.S. 6eol. Surv.0 o AI. Health Dept. o Pr'vate lab.

Si9ned:

\~':'-

~ 16/REPORT OF DRILLED WELL

Zip Code

/6 '/. Section

31 Township

9&) Renge ---or:

Distence end direction from nearest town, cO unity, road junction or other reference point

WELL WII.L BE USED FOR: r:t-l ~

c::J Public

CJ Indultrial

c::::::::J T.d

.upply .upply .upply w.1I

c=J Irri9ation Oth.r: _

1/)~~-75' EltlmT.d .tartln9 date

Drillin9 m.thod: (ch.ck)

\I Cabl. tool " Rotary

J.tt.d

h... N Rd.#

EltlJlH;t.d d.pth

Bor.d Oth.r: ik.J;uJUJC~


Total Depth I?IJ# Completion Date L/) - ,;}.J, -1.r ,I

Interval


"¥JUr - I.L.U~

JIJbr ~f6. NM " A "L"I~ }I

Interval

.... (f

Description of cuttings Compl.tlon dat.: r.port d.pth. b.low 9round l.v.1

~ ~yP.: o Turb. o Subm. o J.t o Cyl:; Oth.r: ::l

H.P."- Intak. d.pth Yi.ld

T.It.d by: o pumplnq l£ air lift o bail.r o non.

9pm

~ .......ur.d Static Wat.r L.v.l 'yX. .....a.ur.d pumpin9 l.v.1 ..

0 hrl. pumpin9

ft .

ft. aft.r

9pm

D.v.lopm.nt tim. prior to t••tln9 hrs.

o Op.n hoi. o Scr••n.d "Slott.d pip. o Grav.' Pk.

~.. 'i: Li:

Int.rvall sl scr••ned:

to

Pack.rl.l ••t at

:

to

and

to

It:

ft.

ft.

Scre.n: diam. : Size openings

Int.rval eased

'lOU-P

Dlam. Iinche.)

/,11

·Typ.

"I". PV~

·Typ. couplincu

Interval arout.d

.... '"'=l'O U;;J"

0'c:.;;..

0 'COUplin9S: Thr.ad.d & Coupled (TIC) W.ld.d (W) Thr.ad.d I coupl.d I w.ld.d ITCIWI

Oth.r:

·Pip.: Black; PVC; Galv.: Oth.r:

.... ,... (" I \.\\1 '!1" 'd :l L."

-...,,~, ('\' G'd~G'd ~;~\ S

.• ,,;'":\\1~\ ,k:1 1\0'\

1 ~~t.r analy.iI obtain.d7 (ch.ck)

>

~ \0 G- Analy." by:

0\rf'l'"::''''

Si9n• d :

o No o Bact.riol09ical o Ch.mical

o Ala &.01. Surv. o Ala H.alth D.pt.

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

'For d••p.r w.1I pl.a•• attach continuation sh••t.

""'\:''1(p~

'1 REPORT OF DRILLED WELL

_fY\ (!. COY' fnQ.Jck /19 'Rouk )J ei 9J.aON j5t41a I~ - II, -?J./~ DRILLING CONTRACTOR Lic:ense Number Address' Zip Code Date

j!) i ke.Thoma. s 'RouTe. oAlt::- S he-f-p:e...Jcl., (}J /J PROPERTY OWNER Address (mailing) Zip Code

..3 .s~(JTb ~tU 1/. Sec:tion Township Range ---or:

road junc:tion or other referenc:e point

WELL WILL BE USED FOR: ut:J c::=J c=JIpubliclPrivate Industrial Test supply supply .upply well

c:=J Other: _Irri9ation

('"1.~-./~-14 Drilling method: Cable to21 L4D biameter of well Estimated(check) Rotary 1\

startln9 depthJetted date Bored

Other: ~1lUJd-mg SIGNATURE of Drilling Contrac:tor

Total Oepth---.l Completion Oete _I 0 ¢ _ Inter- Inter- Completion date: report depth. below ground level vel

Oesc:ription of c:uttings Description of cuttingsval

0. Type: o Turb. o Subm. o Jet o Cyl::It/O ~~(J~IJ..M. E.:,) () 'II, .-. U\7'rLA It'!' D- Intake depth H.P. Yield'" Tested by: o pumping ~ air 11ft o bailer

Mea.ured Static Water Lavel~ .;;.. Measured pumping level ft. after0...

hro. pumpln9 0

Development time prior to te.tlng

o Open hole o Screened r1f Slotted pipe

Intervalls) scr••ned: to ...c..'c to : to iL

Packerls' •et at and

Screen: diam. ; SI.e opening.

"Type cased

"TypeInterval Dlam. coupllnasaipeIInches'

fA HIK IA/

17'

'w..c·Couplln9S: Threaded I Coupled ITIC) Welded (W'0n~J. 1':)"'-." Threaded I coupled I welded ITCIW)

Other:

·Pipe: Black; PVC; Galv,; Other: ,.... '£.6 i'lli VTT,j TiT J.in

hi I •

Water analy.l. o No abtained? Icheck) o Bacterlalagical

o Chemical

n~,.' ~-,fr' ., ... ~- ~ .;:;v;yynv /I 0 ..

'" Analysis by: o Ala Geol. Surv. o U.S. 6eol. Surv.01J..3MJf1 I~- -1\1:.) "n ,., ., ~ _ o Ala Health Dept. o Private 'J .. ""

Signed:

Other:

9pm

o none

ft.

9pm

hrs.

o Grave' pk.

ft·

ft.

ft.

Interva' ",routed

lab.

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

<;I pm

<;I pm

hrs.

o Gravel pk.

ft·

ft.

.ft.

Interval Qrouted

Other: _

Yield

Renge ---or: 9/</

Zip Code

3S'

H.P.

Zip Code

3 Townlhip

CJ Test well

til Diameter of weil


depth

Completion dete: report depths below <;Iround level

Other: _

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

~Open hole 0 Screened 0 Slotted pipe

Interval Is) screened: to _

CJ Industrial

supply

Q. [Type:

~ Iintake

~I to ; to u:

Packerls) set at and

Scre.n: diam. : Size openinfjll

Type couplings

Water analysis o No obtained? lcheck) o Baeteriolo<;lical

o Chemical

~ .. 0.1 Analysis by: o Ala Geol. Surv. o U.S. Geol. Surv.

o Ala Health Dept. o Private lab.

Si<;lned:

1/. Section

Completion Date/:J-) 'j- 2~

IPublic I supply

1£

Other: iIUJuI 02 ~ ~


Other: _


neared town, community, roed junction or other reference point

Delcription of cuttinglInterval

Drillin9 method: Cable tool (checkl t Rotary

Jetted Bored

c=J 'rri<;lation

Diltence end di~ction from

WELL WILL BE USED FOR: ~ ~ supply

'7)

"For deeper well please attach continuation sheet.

'';''J'>';.,~~.

Development time prior to testin4

~.t- tJ.J.';'" ~d~ n

Delcription of cuttingl

IYt1)'A ('~ ~ )

~-I."'?"Estimated startin<;l dete

..::: t'-_ ~ _.-.

'" r . -.:::::a

..... J> f- C"J I.LJ

>.:.> <; J LJ

.-.", C,.j-, ,-, ... r <-:::) c::

: ;1 0 ~r~:_:5

~ ..

Interval

Total Depth J(1()-tt=

Tested by: 0 pumpin<;l jq air lift 0 bailer 0 none

~ Measured Static Water Level ft.

I I I I I '~ Meesured pumpin<;l level • ft. after

U hrs. pump'n<;l ,

.,'~~' .-"»':-::'J,.,4...i.J'.!",,, ..._ ~<"",'I<., ~ ..J.,.,,: .• , _»._ ~~p.~>.-o '.,>':. ~};.. ----~~ ~.""'...;'~ 1/'-"~.;.A~ .....,.~).,~_~;.~' -;;,":~~. -~.~:tI<';';';'''''''-""~""''''''''''''V .,. REPORT OF DRILLED WELL 1;).0

JJrJ~ r1fj ,., fiN.c:il t6....u~ 10<-;:)-1,

~ Range ---or:

Distance and direction from nearest town,

WELL WILL BE USED FOR: cX:J II c=J [:=J PrivIt. "Pu'biJC' Indudrill T.d .upply .upply .upply w.1I

c:=J Oth.r:: _Irrl9atlon

~ If

fI~Drillln9 m.thod: Cabl. tool,~ -,~·1'ltimat.d (ch.ekl ., Rotary

startln9 d.pthJ.tteddate Bor.d

Oth.r: ~1IJuitJ1/

• ,"'" .~I ~ I ".., ..

I Inter- Inter Compl.tlon dat.: r.port d.pth. b.low 9round I.velDescription of cuttings Description of cuttings

val

)(~~I ('P....., _ "Wl, ~ ~yp.: o Turb. o Subm. o J.t o Cyl:; Oth.r:

10 l 'jJ. h 'v-.. tf'1:·~ 14. (')

-val

." (

.... Intak. d.pth H.P. YI.ld 9pm" ~' r.st.d by: 0 pumpin9 f air 11ft o ball.r o non.

M.a.ur.d Static Wat.r Lev.1 ft. 'u ~

III M...ur.d pumpin9 I.vel ft. aft.r ..Q.

0 hrs. pumpln9 9pm

Dev.lopm.nt tim. prior to t.stln9 hr•.

, ~,op.n hoi. 0 Scr••n.d o Slott.d pip. o Grav.1 pk.

In .rvall.) .cr••n.d: to ft; ~

to ; to ft. u:::

Pack.rl.1 ••t at and ft •

Scr••n: dlam. : SI.. op.nln9.

'c

Dlam. IInch••1

·Typ."i';.

"Typ. couplln".

It" ,y~.

Int.rval ca••d

Int.rval orout.d

10./-A/1

QI

'w;..c

·Couplln9.: Thr.ad.d I Coupl.d (TIC) W.ld.d IW) Thr••d.d I coupl.d I w.ld.d ITCIW)

0

Oth.r:

, t ". *Pi.pe: Black; PVC; Galv.; Oth.r:-

-~

.. Wat.r analy.l. o No .. " obtaln.d? (ch.ck) o Bact.rlol09ical f..:, .. o Ch.mlcal .. - <

b "J

" £') U III"...

- t-" " Analy.l. by: o Ala G.ol. Surv. O U.S. 6.01. Surv.GI J. . ' o Ala H.alth D.pt. o Prlvat. lab . ,~. ;~: " -.. - «-~

.~ .1 "" Si9n.d:r-,:: "

·F~r !I••p.r w.1I pi.... attach continuation .h••t.

1: )°9REPORT OF DRILLED WELL

m~&turno.J 119 {(~~ .3 06 Y.b /1-Q!l.. Jjj-DRILLING CONTRACTOR Number Zip Code Date

6to Zip Code

nearest town, community, junction or other reference point

WELL WILL BE USED FOR: c=J~ IpUbUcl Test .upply .upply well

c:::J Other:: _Irrigation

II-dl" '/.5' Drilling method: ~"eable tool ~ II '(1:.#E.timated lcheck) ~Rotary biameter of we' i depth.tarting Jetted date Bored

C»her: ~~OUki SIGNATURE of Drilling Contractor

,......", U ><~

~'

/J

c:=J Indu.trial

.upply

Inter- D ,~ f • Inter- Description of cuttings Completion date: report depth. below ground level val

escrlptlon 0 cuttings val

'1~ I!-tH (I-L. .. l>. ype: o Turb. o Subm. o Jet o Cyl:; Other:E

~r~ IhhYJ A'1. :hi ) ::J Intake depth H.P. Yield.... gpm

I /) Te.ted by: o pumping A air lift o bailer o none

~ Mea.ured Static Water Level ft. 'u.. Measured pumping 'evel ft. afterl>...

0 hrs. pumping gpm

CO Development time prior to te.ting hr•.- "IU - ~ Open hole" - o Screened o Slotted pipe o Gravel pk..

." .. .-::'.,:

Ii) ,. C.J Intervall.) screened: to ft; . II ~ ]f_. C :::. 'c to : to ft..,.,.,. ~ .,.."" - ii:

.~ :_ L; (() c.. Packerl.l .et at and ft.

e '. c - ,.~ Serean: diam. : Size openings

I"'; -Interval Diam. 'Type 'Type Interval

U - ,.,~

ea.ed IInehe.) Dipe coupling. groutedC) ..:..-. I~~LT- ill J'/G

I

Ol C

'w;.. 'Couplings: Threaded I Coupled lTIC) Welded (WI0 Threaded I coupled I welded lTCIW)

Other:

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

Water analy.i. o No obtained? lcheck) o Bacteriolo;ical

o Chemical

>:!: .. ::J Analy.i. by: o Ala Geol. Surv. o U.S. Geol. Surv.0 o Ala Health Dept. o Private lab.

Signed:

·For d.eper well plea.e attach continuation .h••t.

~ /c~

;;L -p- ')6

3JJ.. Township

Distance and direction from reference point

WELL WILL BE USED FOR: ~ c::::::::J ~ IPublic I Test supply supply well

c=J Industrial

supply

c=J Other: _Irrillatlon

t //J~-i-?6 Drilllnll method: V Cable tool Estimated D,ameter of well Lef!#Icheck) "RotaryItartlnq depthJetted d.te Bored

Other: ih/edIJl!!-4an~


Total Depth /~ tJU- Completion Date I Q2.. - ,?-1S

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

"OU /}{ I'~A~ ~ ~ype: o Turb. o Subm. o Jet o Cyl:; Other:

4ol//~~ IhA'V'oiJ ",Uti> " ~ Intake depth H.P. Yield Ilpm

If Ii Tested by: o pumpinll )(air lift o bailer o none

l' Measured Static Water Level ft. .;; ~ Measured pumpinll level ft. after ..

U hrs. pumplnq Ilpm

Development time prior to teltinll hrs.

j.( Open hole o Screened o Slotted pipe o Gravel pk. r,""

lfJ C r-- Intervalls) scr••ned: to ft· ... ~ - 'c to ; to ft. " .....~ -"' u:: ~ CO

-.. Packerls) let at and ft.0

-1z~V) ~ ~ Scr.en: dlam. : Size openin91

( :0 , ...... W Interval Diam. "Type "Type Int.rval c. :VJCl W cased (Inchel) Dipe couplinlls \lrouted-;P' .. -..: - .... M1.r 7;JI 7lfi" t· == ~

tI .... a=...

=z: 01

-;.. "Couplinqs: Threaded A Coupled (TAC) Welded (WIU Threaded A coupled A welded (TCAW)

Other:

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

Water analysis o No obtained? (check) o Bacteriolollical

o Chemical

~ .. " AnalYlls by: o Ala Geol. Surv. o U.S. Geol. Surv.0 o Ala Health Dept. o Private lab.

Sillned:

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

- - E :::I

0 Intllke depth H.P. Yield

Tested by: o PUmpin9 .. lIir lift o bailer

Measured Static Water Level~ 'u.. Mea lured pumpin9 level ft. afterQ...

0 hrl. pumpln9

[)avelopment time prior to testln9

~ Open hole o Screened o Slotted pipe

Intervalll' Icreened: to ~ ';: to ; to LL

Packerll' let at and

Screen: diam. ; Size openin91i 'Type

cased 'TypeInterval Dlam. Dlpe coupllnoslInches)

W-L,'

UI

.~.. 'Couplln9S: Threaded & Coupled IT&CI Welded (W)

Threaded & coupled & welded ITC&WI 0

Other:


Water analysis o No obtained? (check) o Bacteriol091cal

o Chemical

l.. :::I Analysis by: o Ala Geol. Surv. o U.S.G

O Ala Health Dept. o Private lab.

Si9ned:

,.--~",o/

i

WELL LOCATION ~ eton 1/. Section Township

JS Rllnge ---or: ~w

9Pm

pk.

ft;

ft.

ft.

aq

Zip CodeAddress (mlliling'

Distllnce end direction from nee rest town, community,

WELL WILL BE USED FOR: Iprf:J g lupply lupply

c:::=J Othu:Irri911tion

Drillln9 method: Cllble tool ~ (check) .l'R.oterystertln9 Jetted dete Bored ,..."

-

// Inter-of cuttings Description of cuttingsVIII

Inter-VIII

Description

I~"IYW' I~,"'Y /~ f ...

-::r liaa e .. 1& :! :=: M. CO -

('f\..t"':~ .... a.=" en

a» 'z- ..... W ::;

~-

rOlld junctio'!. or other reference point

c::::::::J c::::::::J Industrilll Test

lupply well

_

d..." /~~., depth

~~J c, ~

SIGNATURE~U;;aContrllct

,'...... , ,,.... Completion dllte: report depthl below 9round level

Q. ype: o Turb. o Subm. o Jet o Cyl:; Other:

o none

ft.

9pm

• hrs.

o Gravel

Interval orouted

Geol. Surv.

'For deeper well please attach continuation sheet.

~,~--::;--.-"-_... ~



c:::=:J l"i9ation

cb 'ri"at. .upply

Oth.r:

{'UbIJC I .upply

~ 'ndultr'a'

.upply

_

~ Te.t w.1I

~-I?-2fItfmted .tart'n9 d.t.

Drlllin9 m.thod: (check) JCabl. tool

Rot.ry J.tted lor.d

Other:

~ depth

~M

-Mded z?2a.~

Total O.pth J~ (J.f'" SIGNATURE of Orilling Contractor

Compl.tion Oat. &, - /?- '1<5: Int.r· O.scription of cuttings lnt.r· O.scription of cuttings Compl.tion d.t.: r.port d.pth. b.low 9round l.y.1 v.l val

Q. Typ.: o Turb. o Subm. o J.t o Cyl:: oth.r: E..

Int.k. depth Yi.,d.... H.P. 9pm .Ili\ I,. /IIA .... ,a..n 1 _ ,_ ro Test.d by: o pumpin; J!!I-alr 11ft o ball.r a non. fGflH- I. '.-4.. ''-'J'- ..

f ~ M•••ur.d St.tic W.t.r L.y.1 ft. 'u '" Mu.ur.d pumpin9 I.y.l ft.•fterQ.

'"0 hrs. pumpln9 ;pm

D.velopm.nt tim. prior to t ••tlnll hr•.

a Op.n hoi. o Scr••ned )lSlott.d pip. o Gr.y.1 pk.

Int.ry.11s1 screened: to ft· ..c..

I..t"') ';: to ; to ft. u:

~ .. Pad.r I.) ••t At .nd ft.

~ = Scr.en: di.m. : Size openin4jls

CO

.~~ ;:.. lnt.rul DI.m. 'Type -Type lnt.rya' c•••d Iinch.s) ..i... couplln... arout.d

... 0 0') .nn.JJ. &,• I,.,v,,~

'; .

IJ ~

41; ..-Ul

.: . ;: ::! c ';;

-, '" ·Couplin;.: Thr.-d.d A Coupl.d ITAC) W.ld.d IW)0 Thrud.d A coupl.d A w.ld.d fTCAW)

Oth.r:

·Plp.: II.ck; PVC; 6.ly.; Oth.r:

W.t.r .n.lysls o No obt.lnod? (check) a l.eterlolo;lc.1

o Ch.mlc.1

l '".. An.lysls by; o AI. G.ol. Sury. a u.s. G.oI. Sury.0 o AI. Hult~ Dept. o Pr'y.te I.b.

Si;n.d:

'For d••p.r w.1I pl•••••tt.ch continu.tion .hu'.

!J)~,.(mlJJl4d3

-'i~ .-~,~-. ~...;I\(


Lice!s:l.,(

lotJO '1'J

8County Section

:t.J 9td'I. Section Township Range ---or:

'stence and direction from ne.,est town, community, roed junction or other reference point

WELL WILL BE USED FOR: r\f--1 rI r:::::J CJ~ 'PWbiiC Industrial Teot supply lupply lupply w.1I

CJ Other: _IrrlQetlon

Drlllln; m.thod: (ch.ckl

~_:JI-7' startlnQ date

'1~#Total Depth

Inter. Inter·Description of cuttingsvel vel

61;11 I~,J.. .... .A.I 6. "I ~

" 0""1.7"

I:;"; 0 :-

I~ ~ ~ ~ ~ .....

tUU) ~ i..~~Q

~

'\All~V)O

~ r-.

- ~ .... ~ ~ .s

'"

-For deeper well ple••e attic" ~tlOI\ ,he.t.

---~• -

Cabl. tool ~ J I ~U Rotary ~ Diam.i.r of w.i1 Eotlm. J.tted

Ior.d Oth.r:

dep'

~ 112 £~

SIGNATURE 0' Drilling Contractor _ Completion Dete (, - ;;}) -~

Description of cuttings Compl.tion dAt.: r.port d.pth. b.,ow ground l.v.1

0.. yp.: o Turb. o Subm. o J.t o Cyl:: Oth.r: e a- Intake d.pth H.P. Yiald Qpm

Tutad by: o pumpln; ~irlift o ball.r o nona

'u~

"

M...ur.d Stltlc Wat.r L.v.1 ft.

.. M.a.ur.d pumping I.vel ft. ofter 0....

hrl. pumpinQ Qpm

D.velopm.nt tim. prior to t••tln; hn.

0

o Open hoi. o Scr....d o Slott.d pip. o 6rav.' pk.

Int.rn' (II .c.reened: to ft· -5

to ; to ft.'c i.i:

'ack.rfs! .et at and ft.

Scr••n: diam. : 51z. op.nln;.

--Typ.·Typ. IntervalInt.rval Diem. couplinGI Qrout.dc.s.d IInch.l) "Ip.

PJ/i!.....t.1tD! 7 ""

-;0'

.. 'Couplings: Thre.d.d & Couplad IUCI W.ld.d {WI Thr.adad a coupl.d • waldad ITC.WI

0

Ot"'er~

·Ptpa: lIack; pVC; G.lv.: Oth.r:

o No obtainad? Ich.ck) W.t.r an.IYII. o Bact.rioloQlcal

o Ch.mical

~ .. Anely.is by: o AI. G.ol. 5urv. o U.S. G.oI. Surv.0-" o Ala H••lth D.pt. o Prlvat. lab.

SiQnad:

~~.«~~'-# ~~cf(J-?P

I

~mJ

Dete

/OZ) / Estlmeted

depth

Renge ---or:

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

1.2-4J 7K

o No o Bacteriolo91cal o Chemical


Zip Code

c::::::::J T.st well

L .. , ~

.3S60~ Zip Code

Completion date: report depths below llround level

Analysis by:

Water enalysls obtained? Icheckl

Other: _

Si9ned:

"P;pe: Black; PVC; Galv.; Other:

"Couplln9s: Threaded & Coupled lraCI Welded IWI Threaded I coupled I welded ITCIWI

c::::::::J Industrial

supply

o Open hole o Screened o Slotted pipe

Interval lsI Icreened: to

~I to : to u::

Packerlsl set et and

Screen: diem.

~ r.ype :

o Turb. e-s'iibm. o Jet o Cyl:; Other:

rf. Intake depth ¥.5'" H.P.~ Yield ---'.P Tasted by: 2I1'1lmpin9 D"'I11' lift o bailer o none

~ "'easured Static Water Level ~ ft. u ----.. "'easured pumpln9 level ft. aft.ra... ;2 /~0 hrs. pumpln9 llpm

Development time prior to testin9 I hrs.

Completion Date 1.2 - 21 ;7£

~ supply

Other: _

Other:' _



~ Private supply

c=J Irrillation

Inter· val

Drillinll method: Cable tool Icheck) ~

Jetted Bored

O"'~'·':i·t~""~~~""';'l~,~~..i;.~-,~ ;~:-.:4t,.---';;:

~

-<


WV)


CI

<'Ct

-.:VlO

"For deeper well please attach continuation sheet.

o

4CI~O

'::;. ~ "-l

/.:1-$.. J% Estimated "artl nil dete

VI I I I I I II:;· ~. I I I·~-->:: - 0

Total Depth 'l'£

I I I I I~.. ::I

0

');1'''

_..... ~'; :r-t.lI

li

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\\ ,\TI:H J.!.'-<)\'j(I'I:S 111\ ISIO:,\,~ '.~ ~..c.:"" f';>r;n>! Sd,,'d,,10'-"':"";'*:~

'Oate _, /-_:..L..:: __=-_.:'_=:.:_.__ . ._., 19______ Field No. -'----'," '------c--"'>;~ , ,~ Rcc,ord by !l::__:/ .___________________________ __ Office No. __ - ! . _ ,.;,~

£1 / ' (' , , .," 1. Location: St~te C.f..L:'_L. L-. __ .• . County .:...!.i__•__ <~.: ._ "1 ,j Qt;adrangl0 _l:Ll;;;_~:.l~.Y..._.[2;:_/_,J ._..'1

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'Name ~~_.....1I.o_'.=".r_. • _

{I.e, I.~ J., Yc /,; " ,- ;:: I ~,.;.3, • 71opograph y __c'.Li_._,_[~.-----....,,--'-.------ _:.L.I. • _ . K;"'- VoJ

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6. Structure ._..:_~.: ._: :_:.__ ~:. ..:.__.:.._" ::::__

,..il,.__ ~· ..__~ .:: ~ ..::..:: ~:.. ._~ '_,,-: ~~.:!

,·,··-71---

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-...--- ----

• ~ ... __.. .:. __ _ .bt

__ ..:. .. ...

7. Opcnin~.8: Numbcr __.:1 .______ Character J::..!.l!:-'-<:.::.';..;.!L4 C'.L~ __:~_.1"~ :~_L._:-~ I

Source -J__L_l • ':' ••__ • • ..:.. _c J..._"_. _I~: .~_._'_, : ~ :. . . I . ,. , ~

...: __:...:.!.. __ ~.::. ..i-_:_---'----- ..---- ----- ----- _ ------ --- _ ..... ---"------ -------.:--... - .... _ ---..-- ---- -------------- --- I :18. Impro"ements, accommodations _d..;.~t;,;.!;.!.<:...::klc-.ll;-':~_J:f:._'.c.r_'::.':_L._..1!~,":.C:iJ..__ ':.

..QJ:.;:;._._ef.__tLf. .:..~.j:.-,.-;:.-.,;.-L:.;.;:-.~·---!-f..-..>.!1_c_".:.~,:.".:.._. __.:.. •__• •• • r9. Yield .J.P..f-J?_. : Gal. ~fin. __•.f.Ltj~ci_, ___:_L_. .__ Meas., Rcpt. it,

Flud untion _1.Cl:.!._::L:.._I:=__ c 1.1.._._"-c:~ _1;.:1.:1. fc __ ::Lf._f..i..~ :t..L:. : "t._:'c__ J:. • Dcpcl1dabiiit y _••i, __1L : • .. .._. • • . •__:_

10. Use: D-W., S~, Irr., Mcd., Bath, Bottling . __. . _

Quantity .2_;;:__-!--.'--",_--__.._::.;..:..__~ :.'__ L. _• .if.: ..:lu_: :----."-",: ---I'- -.-r'-' -- " l. f.tJ-.11. Quality: Good, fair, bad •__5.:.._"'-:___________________________ Sample ~ .. _ ,"

, ,~

Taste, odor. color _._.•J!: ~_._._. . '-_:'.:.:_L {.L__ C~c....;_Y..._. __ • . •• _ Tern p. eF.) __£_~~~ . . . . ._. . . ._. Gases: Quantity ../.:..::... __:~ • .________ Charactcr • • . _ .f.

Un6 ~ for •• .• •__ • • • . . . __ __. _. _

Sanita tion •__• ._._ . •• . • . . _

12. Deposits: Kinds _. L:_~ .__._._________ Quan tity . . . ._.

FCJ.turcB __•. ._. .__ . _". __ ". . . •__ . • . . _ . __

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Documents

I-S - Geological Survey of · PDF fileCharacter ,t.;.I-~~~::: ... Sketch ; map, analysIS ... Saction Township Ranga ---or: o?~ AJ . It'" Distance and direction from nearest town,