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Well Construction ReportWeston Water Wells Ltd.Well Closure Report 7779 Hwy 24
Well Alteration Report Lone Butte BC, VOK 1X2250 - 593 - 4307
Ministry Well ID Plate Number:
Ministry Well Tag Number.
Confirmation/alternative specs. attached
Original well construction report attached
Red lettering indicates minimum mandatory information. See reverse for notes & definitions of abbreviations.
( or i
ROT)
Town
Street no. Street name
Lot Plan D L Block Sec.
land)
mand) orin
air rotary cable tool mud rotary auger driving jetting excav
Prov
Town
Twp R9
ating other (specify)
vertical horizontal Ground elevation: ft (asl) Method (see note 4)
Postal Code
Land District
Water supply wells: indicate intended water use: private domestic water supply system t i irrigation [. .! commercial or industrial other (specify):
Lithologic description (see notes 1-14) or closure description (see notes is and 16) Watepbeamgl-
l Ul l l l U Fit=.' l i=l Li VU L; Ul U U l Material uescrlptloll (use recommended terms on reverse. Estimated nuw uuseivauons leg. lractureu. weathered.ft (bg!) ft (bg!) Hardness List in order of decreasing amount, if applicable) (USgpm) well sorted. silty wash). closure details
Casing details WallFrom To Casing Material / Open Hole Thickness Driveft (bg!) ft (bgl) in in Shoe
Surface sealr Type: Depth
Method of installation: Poured Pumped Thickness: lil
Backfill' Type' Depth ft
Liner PVC Other (specify)
Diameter: lfl Thickness: in
From. ft (bg!) To: ft (bg!) Perforated From ft (bg!) To ft (bg!)
Developed by:
Air lifting Surging Jetting Pumping Bailing
Other (specify) Total duration: hrs
Notes:
Well yield estimated by:Pumping Air lifting Bailing i' I Other (specify):
Rate: USgpm Duration: hrs
SWL before lest. ft (bloc) Pumping water level: ft ibtoc ]
Obvious water quality characteristics:Fresh Salty Clear Cloudy Sediment Gas
Colour/odour: Water sample collected: LWell driller (print clearly);
Registration no. (see note 20):
Consultant (if applicable; name and company):
DECLARATION: Well construction. well alteration or well closure. as the case may be.has been done in accordance with the requirements in the Water/ict and the GroundWater Protection Regulation.
Screen detailsFrom
ft (bg!)To Dia Type (see note 18)
ft lbs!) l fl
Slot Size
iIntake =
L. I Screen !,i Open bottom t Uncased hole
Screen typet Telescope Pipe size
Screen material: Stainless steel L Plastic ,1 Other (specify);
Screen opening: l ! Continuous slot L i Slotted Perforated pipe
Screen bottom; Bail Plug t Plate i Other (specify):
Filter pack; From; ft To; ft Thickness:
Type and size of material:
Final well completion data:Total depth drilled Finished well depth -
Final stick up; ln Depth lo bedrock:
SWL ft (bloc) Estimated well yield
ID
ft (bg!)
ft (bgl)
USgpm
Artesian flow: USgpm. orArtesian pressuret
Type of weil cap. Well disinfected Ti Yes'
No
Where well ID plate is attached:
Well closure information:Reason for closure:
Method of closure: I . Poured L . Pumped
Sealanl material; Backfill material:
Details of closure (see note i 7)1
Date of work (YYYYlMM/DD).
Comments:
PLEASE NOTE: The information recorded in this well report describes the works and hydrogeologic conditions at the tinle of construction
'
white: Customer copyalteration or closure. as the case may be. Well yield. well performance and water quality are not guaranteed as they are influenced by a caOaFYi Dfillef cOpY Sheet ofnumber offactors, including natural variability, human activities and condition of the works. which may change over time. pink: Ministry copy ,