· •• l J-'5'""" WlD I"". (0lI) "dl 10. J-~ i ~ Aprll 19M, #;~/ ~ WEll SCHEDULE : U. S. DEPT....

••

l

WlD I"". (0lI) "dl 10.J-'5'""" J-~Aprll 19M,i ~ #;~/

~ WEll SCHEDULE U. S. DEPT. 0" THE INTERIOR GEOLOGICAL SURVEY WATER RESOURCES DIVISION:

!. 1

"'W R ~RJJP~:h.-c:.,R./.6~) (3-1o:J.-44) CO. H'9t~~ .,,",,'f; ()1.F: ","" :;"~:. PnM::r ,,,. '~ocla fill -]"',

3.,4. i;r' 0';",." , !~

: : ! 1•• : i : : :.J : : ! ! ! J ~me: ~oQ~ ~ 1KhO(){

or name: Idd:o:c!it,q:{J :8:1): :£1 ZJ :u!cl Address: ;V~=ti"MA/9l'i? 56 61 66 ~ ~ (C) ') (F) (H) (N) (P) (S) (W)

~~~Fed Gov't, City, Corp or Co, Private, State Agency, Water Dist ___

number:

l.' t I ! D~ iii iii i

ey:

"-5

'"'' I}j!!J I <? V. I~) w liE]~:

La. -litll acc\.Ir

Local we I I

Local

Owner

~

(A) (B) (C) (D) (E) (F) /(H)l(I) (M) (N) (P) (R) Uae of Air cond, Bottling, Comm, Devater, Paver, Fir~lrr. Med, Ind, P S, Ree, ~ (S) (T) (U) (V) (W) (X) (Y) (oft) ••ri7'I

Stock, In.tit, Unused, Repres8ure, Recharge. Desal-P 5, Dessl-other, Otber LlJtJ Uae of (A) (D) (G) (H) (,) (P) (R) (T) (U) /. .(W) '" (X) (ll) we 11: Anode, Drain, Seismic, Heat Bes, Obs j Oil-gss, Recharge, Test, un~sed~dr",Waste, Destroyed ..~

720DATA AVAILABLE: Well dataD Freq. WIL meas.: ~ Field aquifer char. 717.

730"yd. lab. data: _

7·DQual. vater data; .!I2.!:

Freq. sampling: o Pumpage inventory: Y::, period: 760

75 yes 77t 0 l Aperture cards: -;:...._:==

\1V Log da ta: --;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;- _ I ; I 7. 7.

\J [\) WEL L-DESCR IP liON CARD I

1\ ISAME AS ON MASTER CARD IDepth well: //0 ft I 26~'i.~ ". accuracy r-:m

::l h~Pth caaed: 70" I i 'i 7;0 I ~ V)~ (hrst perf.) ft •• H Dism. Lf in~

(t) (P) (S) (ll) rvl(H) ~T) (W)t});)., po~~~s gram w. horl.z. open perf., screen j s • pt., shore j p~~...~~~~-- __ L~.J~: concrete, (perf.), end,U ~ other 31(HD (J),~ Method (A) (B) (C) (D) (P) (R) (T) (V) (W) (ll) ri71

Drilled: air bored, cable, du , hyd. etted, air reverse trenching, driven, drive WJro QJ ---- rot, rot percussion, rotary, wash, --o="f"'h""e"'r:----- 3

J-..Q Date / ~ Drilled: cr~;:L I ... ~ 'e::- ''""': .. I Pump intake setting: _ ____ft I ! ; I

36 3.t- -/() Driller: ....:.. -,,-,=,-__,- '

~ aQ(JressLift name) (L) (H)f0 ---- (A) (B) (C) /P) ultiple multi Ie (N) (P) (R) (S) (T) (ll) [1J Deep 1.5 I ~: air, bucket, centt2:t, (cent.)' (turC .. )' nOlle, pi.ton, rot. submer&, turb J other Shallow

39

Trans. or~ ~ nat LP ,/ ~ meter no. _ '" .!.!.I.2.!2.: diesel, elec, gas, gasoline, hand, gas, wind; !.a!. '1:;;'~ --- ~' ~ Descrip. HP ~ E- 5f=f j o. 6{) ft ::~: SD. Alt. HPTC>P .;;: :."''1 I Accuracy: r;::;"1L~: - I I I /:/ :U ~ .7L.1LJ

., .2 .. ~ ...f"j:t1

~:~:~ ~O« 6-0 f LSD I ; !21 ~ l'::A::cc:;ur::ac::Y.;..:;;;!,N1::;t:C:::·;:C%;;;<C.:::;"J:'--;;;;hc;;\ .rl..J•• Sl _ f'I

~:~:: , -/3-='7 • Yield: gpaIi! : i I ~ined D-I 56 60

~: ft [.: ; IAccuracy: D::r~~g hr..L.Ll..J QUALITY OF D" 0 .. 0 WATER DATA: Iron Sulfate Chloride OHard. 72

Sp. Conduct ppa K '::0&0 Temp.PZO ::1 : 7:61 ~:d &,7~/3{lpa I L ;, iz I 73 7. 76 "' 7'

Taste, colorL etc.

f ~

~

~ -<

,, C-.

~

HYDROGEOLOGIC CAR 0 " I

I Phy.loi\rophlc ,. A.::> ....7s{ p/.-... ~ SAME AS O~ HASTER ~: ~~.... 1;;'11'1 ~~:CARDI

rM1 ~~alnage ""1""d,"b.~J;e~1l II::; :411· ,1

U:::J Bas!n: LL D14Je h..2 : ~:

~ well .ite:

MAJOR AQIlIFER,

LitholoGY'

!I ;

11 t:::.. 23 (0)

dep[~•• lont

(,)

Itream

(p)

(C) thann~l,

(8)

(E) dune.)

(F) (Il) flat. hillto

(T) r. (U)

p.

)

(It)

link, Ivamp. (L)

(V) offshore, pediment, hill.ide, terr.ce~ul.tl~valleyflat

/ ,2=::0 well open35 11

=ER: system

Lithology:

Ii: ·1 ~:~r~p~~ S 1 53

Intervals --,~

,KC -J-/c:;p'5!C2

0 ..

r;n J7~

~'*tdYj . 6".~e~ It~l A)paciJfi~oEr::::tsn ~ /'I J ~ n1 r71 Aquifer

-±7ae-A:r $a~ ~~: anne ~ Thickness: 1::2-0 ft

ILellr· 1h o~ L :))1 Depth [to i , ] to: LLO 31: :P OJ ~: ..i....-:..it ft-I- ,. .3

• I : I I : I

~: LV 10 ""LV

Depth to consolidated rock:

~::~e~~:

series". .5 aquifer, formation, group 46.7

to:

n 11\

Surficial I I ~: 1llCJ::L. JC saa::;:L Coefficient

~: gpd/ft Coefficient 2

[ : J D Aquifer .....J.... Orls>n: .0 Thickness: ft

ft I ; : I~::t:f~o ft I ; ; S4 56 57 59

[ ! i i ] 0 ft 60: ! I 61 Source of data: u

ft I 63

l : ; ISource of data: 690

Ai [ :z.: c::::J Infiltration r-. 7'r:::;'l ~ characteristics: Calr ~I : : ICoefficient -<-....."'"'-'--------;C==:;:::=..;;==J

, 7:1 • • 70S ' Storage: 76~71

~: gpd/ft ; ~:

Iii) IJ S r:::..

fJ~ ;,

M D

~k~/£ . '1 C'~~l~~ \

gpm/ft; Number of geologic cards: _0 79

, i

: : I ---T-- -+---~---

I I I I I i I '---J.--tf--!I ~---

I I I i I

01 I I --- r----I---..1--

I I I I I i I i I

i I

~~

GPO 857-700

::l fi" 2 ~ :~

J?

1 t ! i

I r ~

\L: \~j l

Other: I

Ld"lJ

Yield

o U.S. &eol. Sury. o Prly.te 'ab.

~f)s~ at

H.P.

o o Baeteriol09le.1 o Chemic.'

11....,jZiP Code 'W

~H

h

Town'ship Range ---or:

o AI. Geol. Sury. o AI. He.lth D.pt.

c:J Test well

pumpln9

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

Analysil by:

Si9ned:

W.ter .nely,;' obtained? (check)

Other: _

·Pipe: BI.ek; Q G.ly.; Other:

relted by:

Int.k. depth

c=J Industrial

lupply

Completion date: report depthl below 9round leyei

o Open hole o Screened o Slotted pipe o Gravel

'nterulll) scr••ned: to

~I to : to u::

P.ck.rll) let .t .nd

Sere.n: di.m. ; Si.e openin91

~ [Type:

=...

v.. Section

SIGNATURE of Drilling Contractor r ~

Completion Date / 2.. J ." 7 3

road junction or other reference point 0

JpUbl1cl lupply

Other: _

Delcr; ption of cuttings

C5J Priyate lupply

[=::J Irr;9atlon

C.ble too' ~ J.ttod Bored

County

Inter. val

Address

Qh~MtJ

Drillln9 method: Icheck)

L~..o·

"For deeper well ple.,e .tt.eh eonlinu.tlon sheet.

WELL WILL BE USED FOR:

(Jt ,· 30 .. 1 ~ mated ./

ltartln9 date

g' I I I I I I

\ II':;". I I I 0: . 0 I ·Couplln91: Thre.ded" Coupled ITlC) Welded (W)

Thre.ded .. coupled" w.lded (TCaW)

I I ~ I I~.. = ~

o air~ 0 bail.. 0 none

1-'- \{ I~ so: !/{J..k ~ I~ s;E I~ Me....ed St.tle W.ter LenI 35: ft.

: Me.lured pumpin9 lenl 4-3 ft.•fter

.. A 0I 10") I'~ .d ~CL P ~ ~ 10 hrs. pumpln9 I 9pm

Denlopment time prior to teltin9;;J.. hrl.

Oth.r: _

·Plp.: Black; ~Gal •.: Otlulf:

vpm,

}JnJ'i~

1ilta.....i arout.d

ft.

Date

/'11Range ---or:

o U.S. 6.01. Su... o Prlvat. lib.

.:J-~/~-1

--w"'-YP. couplln'"

Zip Code

o Slott.d pip. o 6r".1 pt.

to ft"

to ft.

Ind ft. : Siz. op.nln,1

OYyp. DID.

b.IA_

Zip Co~e

3'23dl

LL " ~

I'ld Township

o AI. 6.01. Surv. o Ala H.alth O.pt.

c:::::J T.st ",.11

~s-

Compl.tion dat.: report d.pths b.low ,round 1...1

lllt.r..•1 I Olam. c...d linch•• I

Anlly.11 by:

Z;;~ , I v-',

Wat.r Inllylls ~ obt.ln.d? Ich~k) 0 B.ct.riolo,ical

o Ch.mlcal

Slvud:

Packerhl I.t .t j

~Op.1l' hoi. 0 Scr••n.d

Int....I111 .cr.en.d: __~ _

c:::J Indutrlll

lupply

Completion Date "2... -I y.;i Y

• eommunity, road junction or other referenee point

c,;;J lupply

/$0 ' Eatlmat.a

d.pth

Oth.r: ;::2.. /.4d.e.' ~ ,£~ L

SI6NATURE of Drilling Contractor

Other: _

Deseription of eutting.

Cabl. tool

tIP Bor.d

r:=::J Irri,ation

Inter. val

Orlllln, m.thod: (ch.ck)

<I-. dJ~

·For d••p.r w.n pl.....tt.ch continuation Ih••t.

Istance and direetjon

WELL WILL BE USED FOR: r:1J Prlvat. .upply

Deseription of euttings

I Sf a~ i ~4or\f' myp·: 0 Turb. g$u~m. ;;;1.tJ&;YI:: Oth.r: ~ .... Intak. d.pth . a H.P. Yi.ld, S

7Tli

")..·1 V.. 7 LJ elf/mite 7 Itartlno d.t.

DRILLIN6 CONTRACTOR License Number L r . "Acfd~•.

~_ll~~ JU-:I '~ ~ ~ Addre.. (mailing) I.

ChdiT'~:-W~E:":"L-:-L-L~O:::-C=-A~T1:":O:-::N-:------- County Section~. '14 Section

,... Inter· ve'

Scr••n: dlam.' _

...-v

Tota' Depth I £10 '

W:J I~~: .. ~;:jf' ,~~ Z, III N ,

r.lt.d by: umpin9 r::r-tr 11ft 0 b.i1.r - 0 nOn•

...,r-~..-+-....r7c::---::-~--~ .....c-+._---+_---------------_l1: Iur.d St.llc Wat.r L.nl '!a $I ~oE...,.~-.v-~----L,j~~~-.r!-......I_--~f_---------------_l·i Iu...d pumpln, 1•••1 +3 ft. after

I-:,.....,=+_~""::I.__-__:::----_i_,:+___.-"r=_'"T------------_l0 i:!JiA.. h... pumpln, 10 ' opm

_ ~.velopm.nt tim. prior to t••tln'll / Y... hn.

:'1----~I_--_4---~I_---~I_-~--___I

I I I I (: I-=---.-~::---:-:-:~--:--:--='=':::~":-:-:'-:=------I U

,;""'1f?'"

d I I I If

"1 I I I I

Lk Range ---or:

Zip Code

IJ!J1 Township

CJ Tast wall

reference point

~!'lJI"~

IPublic I supply

REPORT OF DRILLED WELL

~ supply

.. (!J/rC K.(!;]?_e:rcr q /CI<1:d~ ~'K.- I~'~ I"":l .) '{UJ' 3c-'S:J'~

WELL WILl: BE USED FOR: CJ Industri.1

supply

c::::::::J Other: _Irrillation

/.s2J ~J -- 2'0 _~u Drillinll mathod: ~~toolEstimatad (chack) "artinll ~ Othar: _data Bored

Total Depth I 2.. 6 ( Completion Date .2 - 3 / - ~ 2 -a

ADPH-F-AWWSB·1/Rev. 7·81

Inter- Description of cuYings Inter. Description of cuttings Completion date: raport dapths below IIround laval val val

n JO eJ()..~ ., I Q. o Turb. o S.bm. e{Jat 0 Cyl:: Othar:E

ypa:

In /.2....0 _/~-- l1.. ::> H.P. I Yiald'£. 0 Intake depth 9pm

~n U~ .::::::.1.. ...,.ht 0=;"'" ~ /I~.J h. Tastad by: Z pumpinll 0 air lift 0 bailar o nona , J,t;" d.,,, .:::::.~ '"' .r. ,r{ I ~ U~L J". J,

Ma...red 5 atic Watar Lavel I 0 ~11 I~ ~ J_ ti. I(~

-, ~ ft. 0 ..,

';;0 ,.. Measurad pumpinll lavel ft. aftar

Q... ..2..u hrs. pumpinll 9pm

Davelopmant tima prior to tastinll .3 hrs.

¥...opan hola o Scraanad o Siottad pipe o Gravel pk.

Intarvalls' scr.ened: to , ft: ~ 'c to ; to ft. u:

Packer Is' set at and ft.

Scr••n: diam. ; Size openinos

Interval Diam, °Type °Type Interval casad llnchasl oi ..a couplinas oroutad

{l-,7 (ill -0, /, .,.-47 #lJEYJC'Z.. { ,

0'

.~ ~.. °CoupH_lIs: Thraadad I Couplad (TICI ~alded (Vj)U Threaded I coupled I welded ITCIW) -

Othar:

tf?eJe.°Pipa: Black; PVC; Galv.; Othar:

Water analysis ~NOobtainad? (chack) o Bacteriolo9ical

. 0 Chamical

>:!: . .. ::> () Analysis by: o Ala Geol. Surv. o U.S. Gaol. Surv.

o Ala Health Dept. o Private I.b.

Sillnad:

'For daapar wall 1'1.... attach continuation shaat.

Zip Code

LW WELL LOCATION ,. C::ounty Renge ---or:

point

WELL WILL BE USED FOR: g CJ c:::JIpr&+J Indul+rial T.1t lupply lupply lupply well

c:::J Other: _'rrl'ilatlon

Drillin'il method: Cable tool(.~t2t biamf!.fo;:ail ~ )(check).tartln'il ~ date lored Other:___________ ~

~~

SlGNA'TUROfDriIling Contr.c:tor, Tot.1 Depth t 2::0 Completion Dete //-,~ ?~

Inter. Completion date: report de~elow 'ilround level Intelr. I Description of cuttings Description of cuttingsve • vel

I(r4\ ~ vI ••

ll. ~ype: D Turb. D Subm. ~et D Cyl:; Other: I

I~ <"""I o I ,,:J S (£"fa~ "- f:~ u.:;

~ Iintake depth riJt? 'H.P. ~ Yield ~ 'ilpm

rItj t;fj al~ltWd.;?< J~ ::::N:'...~';..:::."~·''';"~b.'' .. ~.~. ~ "'e..ured pumpln'il level liL ft. after

o d--: Iehn. pumpln'il 'ilpm

1-1---+1---------+1--+1----------11 5Development time prl.,.. to teatin'il hra.

~Open hole D Screened D Slotted pipe D Grave' pk.

Interyelfl) Icreened: to ft;,....I I 1 1------------[~ IPeckerll1 : to :::le:oat and

Screen: dlam. : SI.e openin'il" _

Interval---,;;;s;;;;I

routedr-a::W - -~

o ii c --a:r --

CC\"",I 'ilJ~41 C"<I -- ---cD '0

e-....... ---s....

Water analYl1a B""f'io obtained? (check) D laeterlolo'il'ca'

D Chemical

I I I I I!•

Analyall by: D Ala Geol. Surv. D U.S. 6eol. Sun. I I I I 10. D Ala Health Dept. D Private lab.

SI'ilned:

·For deeper well plea Ie attach continuation Iheet.

1/4 SectionSectlon


WEll lOCATION

Zip'Code

Zip Code

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

WELL WILL BE USED FOR: c=J CJ Prlv\t. IPubUe I Industrial rest luppty lupply lupply well

[==:J Other: _Irri9tdion , /1/0/11.-/9- ?f Drillin9 method: ~I

biami of well EstimatedIcheckl startln9 depthJetted date Other: _Bored

of Drilflng Contractor

Tota' Depth / Completion DateI

lot) I' $a-o ..---';;2

'For deeper well plea,e attach continuation sheet.

Inter· Delcription of cuttingl Inter. Deler; ption of cuttingl Completion date: report depth~ow 9round level vel val

1)-If) (\Jlb~~ a.. ype: o Turb. 0 Subm. -~ 0 Cyl:; Other: E

OA :I Intake depth 60 H.P. I Yield 60. 9pm

/fJ- .« .s ~ .NiJ Te,ted by: o pumpin9 o air lift D bailer D none

A ... l' Measured Static Water Level is' ft.

!J5 t,~ ~1J1J 'u -::2.;:)....... Measured pumpin9 level ft. after a... A ... .. cZl=hrs. pumpin9

/C)b5 - J..70 ~'r IJ .6!loIfk1 AII. ... I • 0 9pm

- Development time prior to testin .:5D hrs.

Lj'/}- 11LJn ~ii1) ._

'"Open hole o Screened o Slotted pipe o Gravel pk.,., ... 1'\

IJUf\ ~J Wi\ .J:. A _A j .11 ~A \I (\ ld-J'i1 LtJ.) In ervall') screened: to ft:

~

rJ ·c to ; to ft. LL

Packerll) set at and ft.

Scre.n: diam. : Sixe openinGs

Interval Dlam. 'Type TypenaJ' Interval cased IInchesl Dipe couDlin 9routtil-

H~ i.JF7 ---pTff~ tt/ ,,I

til c ';;..

'COUplin91: Threaded I Coupled (TICI W.lded IWI0 Threaded & coupled & welded ITC&WI

Other:

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

Water analysis ~.. obtained? fcheckl o aacterlol091cal

o Chemical

~ .. :I Analysis by: o Ala Geol. Surv. o U.S. Geol. Surv.0 o Ala Health Dept. o PrIvate lab.

Si9ned:

lr~(? I

d.pth

Zip Code

point

;"(''"!\

l/.tll , W

~~'

c:J T.lt w.1I

c:J IndustrIal

lupply

!!!

OF DRII.LED WELL

Oth.r: _

~ lupply

a..-.I

C,.un~ty

OiJ4<dAddre..

LEll

[=:J 'rrio·tlon

Drililno m.thod: C.bl. tool (ch.ck' ~

J.tt.d


It. rtl no

1k.({-7'

WELL LOCATION

Oth.r:d.t. Bor.d

,. To'" Depth :; 8 D Completion Date 11- ~ - Za'

of Drilling Contractor

_

I~:r- I De.cription o~ cutting. I I~:r- I I I De.cription of cuttingl Compl.tlon d.t'7ort d.pthl b.low oround l.v.1

I £'llk C!~ I, I l}typ·: 0 Turb. [Y~" 0 J.t #}::: 016" / ~ " rl .c. t:l ,~ A. Int.k. d.pth I H.P. st Yi.ld opm

T.st.dbY' 0 pumpin9----o.lr 11ft 0 b.lI.. 0 nOn'

=5 Me..ured St.tlc W.ter Level ft.1''' f-f..lo!~~-..L~~L-...AIII~:q,..ll!!"4!o!o~=+---+---------------~:l Menured mp;no level _ ft.•fter

~4-........,--'-.....o<...J~~---<I'oo!"L.!:+-ooII:;.III ~ opm....---+---------------~0 hrl. pumplno Dev.lopment time prior to testi_o hr••

~ ~J: ~~~ 1~.::.~.~~::..~:< •...: 0 so,": "'~ 0 '::~ 0 ....,

P.ck.. ls) J.t "t "nd ft'l

Scr..n: di.m. : 51.. opuin91 _

l "Typ. "Typ. I InterViV,Int ' DI.m. coupHn9plDe Gro.»H1Jc d IInches)

--;7Pe/G fA J/6/ ' I (/" -vv

I I I I ,·r' 'I I I I t o I °Couplin91: Thr..ded I Coupled ITICI Welded IWI

Thre.ded I coupled I weld.d (TCIWI

Oth..: _

°Pipe: BI"ck; PVC; &"Iv.; Ot""r:

W.ter .nalylls ~o obt.ined? (checkl 0 Baeterloloolc.1

o Chemic. I

I I I I I~0. I AnalY11s by: o AI. &eol. Surv. 0 U.S. &eol. Surv. o AI. He.lth Dept. 0 Prlv.te I.b.

Si9ned:

°For deep.. well pie. Ie .tt.ch contlnu.tlon Iheet.

WELL WILL BE USED FOR: ~ Privlte ~ .upply .upply

c:::J Oth.r::Irrl91tlon

~ ... A~7r Drlllln9 m.thod: C.bl. tool &tlm.t.d (check) ....tln9 ~.. Oth.r:d.t. Bor.d

Total Depth / 5"72 '

o Grlvel

o U.S. Q.ol. Surv. o Prlvat. lab.

SI•• op.nin9. _

Zip Cod.

o Slott.d pipe

___~__to _

'th.r:

No o 'acteriolofillcal o Chemical

o Ala Geol. Surv. o Ala Health D.pt.

CJ Ttst will

o Scre.ned

.cr.en.d: to _

Compl.tion d.t.: report d.pth. b.low 9round l.v.1

W.t.r In.ly," obt.in.d? lch.ck!

Analy.i, by:

Si9n.d:

·Plp.: lIeck:

P.ck.rI.1 ,.t .t Ind, '

Screen: drem. _

d.// tf.=i

c::::J '"dudrlll

.upply

~ t.YP .:

o Turb. 0 Subm. rYJet 0 Cyl:; ·Oth.r:

,:, Int.k. d.pth 4<J H.P. ~ Yi.ld ...sTe,t.d by: ii"pumpln9 o .Ir 11ft

{Oler o none-~ M•••ur.d St.tlc W.t.r L.v.1 ft.

'u iii?/.. M...ur.d pumpin9 lev.I ft. ofter a... a. '00 h... pumpln9 9pm

D.v.l.pment tim. prior to J.stln9 ;;;A. h...

Completion Date :3 = :2- s=- 7 r:

road junction or oth.r reference point C\

_

~

Description of cuttings

{mailingl

.M.1 ~N ~ '/4 Section Township Range ---or:

Intervel

·For d••p.r well pi.... attach continuation .he.t.


Oth.r: _

WELL LOCATiON

rf----+---+---+----+------.-1

I I /; I I j~ ·Couplin91: Thre.d.d .. Coupl.d (TlCI W.ld.d IWI

1-.--••-------::.----1,.---1.1-.--~.•tllA1l..fl..OMIIllIr------: Threaded .. coupl.d .. welded ITCaWI

1'.Wj ~: ~ h:>:'::::1:, I ~ J I~I to

I I I a~!:: 1~

,nt.r- Oelcriptionvel

0 LLJI

t..J,f/. I".CJ.I

'" 10 f)

) 0 cJ 140 ~

.@

C ;a

,

~o.

-9.. IC

! :::!• -

of cuttingl Inter D!,cription of cuttingl Completion date: report depths below 9round level val -

t"Jb ...... -LL 1fII ... _ -::r ~ ~ype: o Turbo 8Cibm. ifJet 0 Cy':; Other:

I ::J... Intaka depth HoP . .3/+ Yield " 9pm <.. L..;"~ ~~ ~4.:\:... A Tested by: 0 pumping 0 air 11ft 0 bailer 0 none

Mealured Static W.ter Level J;; {} ft. _.e: h" I I'J

~ ~ 'u

Mealured pumpln9 level lJ~ ft. aftere Q. o hrso pump;n9 J~ 9pm e c...,.. <'" 7,r <' l\h L, 0 - 1 Development time prior to test'n 7s... hrs.

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

Intervallil scr••ned: to tt; ~ ';: to ; to ft. ii:

Packer Is} let at and ft.

Screen: diam. : SI.e openln9s ..... ~

Intervol Dlam. *Type ·Typ. Interval .. caled ('nchel) olpe coupllnol vrautad

;S ~L~ V" Y5v~ " ) IJDAlF

..-..... Do

~ .~ e 0 ·Couplln",l: Threaded I Coupled ITIC) Welded IWI

::;;.: Threaded I coupled I welded (TCaW)

.I- Other:

·Pipe: alack:~ 6alvo: Other:

Wat.r .nalYIII (io"fl'"o obtaln.d? Ich.ck) o aact.riol09lca l

o Chemical

£.. ::J

G- Analylls by: o Ala 6.01. Surv. o U.S. 6.01. Surv. o Ala He.lth Dept. o PrIvate lab.

Si9ned:

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

Rang- ---or:

Contractor

l~

c=l Test well

. 'I (,;5'0"~ dlmatod

m.....~-1.I~ ,

~ Indultrlal

lupply

1/. Section

road junction or oth.r reference point

Completion Data ' , - ,,() - '1.$

c,;;J lupply

ection

~

Other: ~

Other: _

Cable tool ~ .?It.d Bored

IpriJJ lupply

[==:J Irrillation

Drillinll method: (cheek)

/1, 2-73 Estimated st.. rtlnll dete

WELL LOCATION fA..:!


Total Depth Il./ 0 '

~.

£~~~7 Oat.

Zip Code

CJ1 fHJwJ _12c IJt-V '-.1LTown'ship Range ---or:

Distanc. and direction from n....sf t, point

WELL WILL BE USED FOR.: r--)(l c:J~ Indudrl.'*~ ~ ''\' supply supply .upply

c:::::=I Oth.r: _Irrl91tlon

Drlllln9 m.thod: Cabl. tool§:;t.f V· 7' ~

..........~:II fE.,',Ich.ckl stertln9 det. Bor.d

00." •. ~ b~2 SIGNATURE of Nm!9~

Tot. I Depth • Completion Oete11. D I 5-,:t!:;:·t- 7 C/

CJ Ttlt w.1I

Inter.! De.crlp't'Ion 0 f cutt'Ing. I Int.,· I I I . .. b.Iow 9round l.v.1 vII vel 0" f'cuttingsescrlptlon 0 Compl.tlon dlt.: r.port ..~hs

-ttl '1-! t'_]!:";)-~ J0., "'~- f1lry~ 0 Turb. 0,su~~lfII""J.t ~I:: Oth.r:_ .:J ~ ~ Q ,.., tL. . <;,: .... ~ ,f IIntlkl dlpth flo H.P, ~ YI.ld ..s: 9pm

T.stld by:~umpln9 [] air 11ft oblTl.r 0 non.

:5 M.a.ur.d Static Wat.r LiveI ~? ft.

~~~T~~~=-.......01L:~~"_o::4.-lft-~~!p--~6~---- --------l X. M...ur.d pumpin9 l.v.1 ~ ft. aft.r

~'7:;;:--r--~::_a"::--~~-....!oI~~~!l.Ill~~--::--~~=::JO....!il --....;...~ 0 .;s hn. pumpln9 dO 9pm

Developm.nt tim. "rlor to tutln9 ~ hn. -o Screlnld o Slott.d pil'l o Grlvel pk·1~o~

Intlrvll lsI .cr.lnld: to ft;'

~I to ; to ft. L[

Plck.r f.1 ••t at ·nd ft, =::r

Scr••n: diam. : Size openl"91Ir,i to-Q

>_ 0tr: •~ -et Int.rv. I

-~ oe; ,

....(1)"talcp S cu.d

C

~=O m,-ChQ C) = ::;..: U"'t

,0 == .. gr Q

Oth.r: _

"Pip.: Ilack; pl:O&alv.: Otpr:

W.t.r ...Iysl. ii""No obtllnld? 'chick) 0 Boct.rlololllc.1

o Ch.micil

I I I I I~.. ::I An.lysl. by: o AI. G.ol. Surv. o U.S. 6.01. Surv. ~

o AI. HI.lth Dlpt. o Privet. I.b,

SI9n.d:

"For d••p.r w.1I pl•••••tt.ch contlnu.tion sh••t.

-,.... ~'* ,5,$ , .<"........,... "~"~- \-.,--'"8' -H-REPORT OF DRILLED WELL J++

NZiP Code ) .yJ Township Range ---or:

point

WELL WILL BE USED FOR: C$Jp', CJ c:::::J rlVlte ~ Industri.1 Test

.upply .upply .upply well

c::J Oth.r: _Irrl11.tlon

11 "LJJ:l1~ /~7JDrllllnll m.thod: Cable tool Estlmat.d iili- Eiilmat.dIcheck)st.rtlnll depth~ dolt. Bored

~." 4~!~,

S GNATURE of Ori'"ng Contractor

Total Depth ) ;L 0 ' Completion Date / - 2.. t/ 75--P

Inter· Description of cuttings Inter· Description of cuttings Completion date: r.port depth. below IIround level val VII

0 1.).. (l .D f', - A. rrype: o Turb·fosUbm. ~et~YI:; Other:E ~ l Q c..L...~ ,. ~-r 1C...Ytl~/X " A- Intake depth' H.P. I Yleld.s- IIpm u.'~. - ,~ ~hh ~ l 0 T.sted by: ~mpln9 o .Ir 11ft o b.ller o none

1Q ~ " c:.."t"'c:. 1'\ -..1 'f ~().""§n - 51c::;'e::: t t-n ~"f r. t ~ n 1\ • <. ~-. .... -d. ~ M•••ur.d St.tlc Water L.vel ft. 'u

" J () 12..0 (ke I) • .. Mealur.d pumplnll l.v.l ft.•fterA... ;;J h... pumplnll ID0 IIpm

15D.v.lopm.nt tim. Drlor to t.ltlnll hrs.

rA.~'. o Screen.d o Slotted pipe o Gravel pk.

Int.rv.l hi scr••ned: to ft;.....';: to ; to ft. u::

U"ll Packerhl ••t .It .nd ft.

e ~ Scr••n: dl.m. ; Size op.nlnll'

0< :c Interv.l DI.m. *Typ. -Typ. 'nt.rv.1 iii - c•••d (Inch.sl "r... couplino. ocaut.d

t=~ ~ JLj-tL I l)" live. II J .' ",/

;:. "" ,...~

at

*C ~ '" ';

E ..

*CoupllnllS: Thr••d.d I Coupled (TICI W.ld.d IWIL • 0

Threaded' coupl.d • w.lded /TC.W) -.;

Oth.r:

*Plpa: Black: 6@G.,v.; Oth.r:

Wolter .naly.i. l!f"'No obt.lned? (ch.ck) o a.ct.riolollical

o Ch.mlc.l

~ .. " o AI. G.ol. Surv.0 An.ly.Is by: o U.S. 6.01. Surv,

o AI. H••,th D.pt. o 'rlv.ta I.b.

Silln.d:

*For d••per w.1I pl•••••tt.ch contlnu.tlon .h••t.

Inter. Description of cuttings Inter- Description of cuttings Completion d.te: report d~. below ,round level va' val

ft J'7 ('Ja~~ Q. ype: o Turb. ~b,m. iitJet ~; Other:

1e "... Intak• d.pth H,P. YI.ld oS 9pm

It -r ~\l ~~b"J Ii Tested by: I!l" pumpl_, a .Ir lift o b.i1.r o none I ,

'" . ~Q ft. ., t I ~((" c.JCt....... ..L.. ti IA--. l"'I ~ M•••ured St.tlc Wid.r L•••I 'u

-. 0 :, Me••ured pumpinQ le.el b ft.•ft.r

• ~ /0~Cl ~ -~J. 6.7. 0 hrs. pumpinQ ,pm.

~ Dev.lopment time prior to t••tinQ hrs.

'f"'7 MJ .L"~.... ~ ~ ~~ ~N ~ Op.n hoi. 0 Scr.en.d o Slott.d pip. o 6r•••1 pk. I

I.ta' ')0 ~Jtb I. 'Int.r•• ll,1 .cr.en.d: to ft:

~ 'jO to ; to ft. il:

I~O 110 -<+ ~o. bh....4II ~--- ?L P.ck.rl.l ..t .t .nd ft.

Scr••n: di.m. ; Siz. op.nln,.

JIO 12-0 ~J;;.nIla ~

Inter••1 DI.m. 'Type 'Type Interv.1 c.,.d (Inches) oipe coupllnQs 411'out.d

6 '-' un ~"J. W NDne,

~ -::r Ot

au ~ .. .;• :5 • ·Couplln,.: Thr••d.d a Coupl.d [TaCI W.ld.d IWIoc: ~ 0

«I). co I:l Thr••d.d a coupl.d a w.lded ITcaw/

......... ~ ~, Oth.r:

<.:It- U t"I"\ ,

:" .~, IJ 'Plpe: BI.ck; ~.I•. ; Oth.r:

~, "II; ("'f"') W.ter .n.ly,is if"'No-. UL ;no

obt.in.d? lcheckl o B.ct.rlolo,lc.1 CB' o Ch.mic.'

at· ~.. ::J An.ly.is by: o AI. 6.01. Sun. o U.S. 6.01. Sun.G O AI. H••lth D.pt. o Prl••t. I.b.

Si,ned:

Data

/0';;'

Range - --or:

ip Code

point

J1" ;;1ir

ttl ~I Township

c:::=J Test well

CJ Indultri.1

supply ~ .upply

Estlm.ted

,..." ~ r:h ,if SIGNATURE of Ofiiii1l9COnTractor

Completion Date ~ - .1..' -7 '-I

Other: - __

REPORT OF DRILLED WELV'

k-~

~OOI ted

Bored

00 .upply

[=::J Irri,.tion

DrilllnQ method: (checkl

~lo-~


.f,:.6"· 7'1 st.rtln, d.te

Tota' Depth /2..0 '

'For d••p.r w.1I pl•••••tt.ch continuation .h••t.

",..... --. · ~ REPORT OF DRILLED WELL 7-~c: I i '--IN L:- GC. ./:II}'CI -' ';v-flS (/t(k /9.4-1-7-1( 7\.,0

DRIL.L.IN\; l;UNIRAl;TO Licen.e Number Addre.. D_te

/..Ita,' LV. £, ~M jPROPERTY OWNER Addre.. (meiling) Zip Code , CI-h(7~ L Flt"!,qC.,q

Renge ---or:

roed iunction reference point

[=:JCJ Industrial TIlt

lupply well

_

nodDiametol well Eltlmated

m depth ~ "_.~ ~

SIGNATURE of Drilling Contractor

Completion Date 16- #I'~ ?e, Complotion date: report depthl bolow ground levol

Q. [Type: o Turb.,,~Subm. It 0 Cyl:; Other:4IIP I Iintake doPth~H.P. K Yield--l-

IITestOd by: none~UmPin\l 0-.:J,O blilor 0"....~,~, •w..., ~.., Mell,d pumping level Y • ft. Ifter

h... pumping gpm2 Development time prior to testing hrs.

,It'<'Pen hole o Screened o Slotted pipe o Srovel

IntervIIII' Icreened: to , ______to '

to Plckedll let It ond '

Screen: dllm. _ 51'0 openln91 _

WELL LOCATION County Section '/4

Di,tonce and direction from neere,t town, community,

WELL WILL BE USED FOR: G:r CJPrivete Public lupply lupply

~ other::Irrigotion

;). 1-t<-<£lf?. 7 'r Drilling method: ClbletoolEstimated Icheckl Rohry(.../Itartlng date Jetted

Borod Other:

Inter De,cription of cutting,val

~r- ~.". ~

•. I~~ I Ii~: ::' 1-- - ~ .,

~I" I ~&I I

-=r~~'i~;~=i~~==*==t=~=======~~C\I

I a;wa""" ~~ I I .[ r---+----t---I----~------l .. t-;:;::--;;---!:;;----:--:-~:_""7'"~:;!:_'::7'"~_:__-...L...-----~I : ~ - I I I(J ·Coupl.in\ll: Throoded I Ccupled ITIC) Welded

o ~ Threoded .. coupled I welded ITCIW)

I

"'For d••per well pl•••• attach continuation ......t.

Other:

·Pipe: BlIck: PVC; Sllv.; Other:

_

Wlter InllYll1 0 No

I I I ,~.. " 0 Geol. Surv.

Hoolth Dept. AnllYlil by:

obtlined? (check) 0 Blcteriolol/icl' o ChemicII

Si9ned: .L

o U.S. &eol. Surv. o Privlte '"b.

--

"2

Estlmat.d d.pth

~'

R.nge - --or:

O.te

77.--'" ..__---. ~ za

~'o-J4Jd Zip Code

Zip Code

1+r.J ~ Township

/Ir"

c=J rert wall

junction or other reference point

r:=J Industri"

lupply

'I. Section

SIGNATURE of Drilling Contra

Completion O.te f..- ,;z, 1- 7tf

IPubl1c I supply

Other: /

Oth.r: _

Bor.d

Cabla tool

~

lpri!fal

lupply

c:J 'rr;,atlon

Drlllln, m.thod: (chackl


~> '1:.°,,7 II Eltlmatld '/ startln9 date

WELL LOCATION

•

I

101.1 DePth~ Inter. Inter Complatlon date: report d.pths b.low ,roond levalDescription of cuttings Description of cuttingsv,l val

~~ /0 cl~ rIf,ypa: 0 Turb. ir?ub~. 0 Jat ..~ Cyl:; other: I IlJ J. ~ A.. 'ntak. dapth 84- H.P. '" YI.,d 9pm

t.sted by: DPu.mplii9-- 0 air 11ft 0 ballar 0 non.

~UL-l-...J~.!!iL--.....:1.;!!:!lIJi~!f_-_+_---+_--------------~Maasur.d Static Wat.r L.val ft.~ "3 ) ~1:..;='-l..!!!l-=IIt-~"''''-- Musur.d pump)n, l.y.1 ft. after....~~~..._.s---+---------------~·i 4-a.

•o ~ hrs. pumpln9 9pm

Developm.nt tlma prior to tastin9 hrs.

o Op.n hoia Il Scr••n.d 0 Slott.d pipa 0 Grev.1 pk.i

'ntarYall.I Icreanad: I S 7 to I It .3 ft:

Itt I IJI ; toto . ft. Packarlll lit at and ft.

Scraan: dlam. ;t.' ; Si.a op.nln,1 J 'Z.. ';)1" WarnI"Typ. '"TYP.InterYal Diam.

"::r ..I.... aroutedcouplinG• Ilnch'll..... c.".d>- I"lL.J'u"> 0:: .. Vfj' ..,. ..... oj ,t1.",,£.' Pvc,.~ 0

-~

.c IU) I I~§; ~ IJ IJ .~.."~,, n_."~".'IT~' W",."W,Q _ Thr.ad.d Ir coupl.d Ir waldad (TClrWI

Other: _Q .... ~~C) :::»

-;J 'Pipe: Brack: ~GaIY.: Other:

Water analy.ls o No obtalnad7 (checkl o Bacterio/09lcal

o Ch.mical

t I I I I{()o Analy.1s by: o Ala G.ol. Sury. o U.S. 6.01. Sury.

o Ala Hulth D.pt. o Privata lab.

SiGn.d:

'For d.ap.r wall pl.... attach continuatIon .ha.t.

/&41''£'Date

PROPI ___...

WELL LOCATION '/. Sectio,,",o

.a,....Jc...u:c.-Oistence and direction from nurest to ro.d junction or other ref.renc. point

WELL WILL BE USED FOR: rfrl r-----, c=J c:J ~ liibi1C Industrial hst lupply lupply lupply well

[::::=J Oth.r:: _Irrivation

Id - ..2 {(,JV Drillln, m.thod: Cabl. toolEltlmat.d Ich.ck)atartlnv ~ Oth.r: _date Bor.d

Totel Depth /:l 0 ' Compl.tion O.t. ,/ a -~ /- r-J

'For d.ep.r well pl.... attach continuation Ih.at.

Inter- Description of cuttings Inter- Description of cutti'ngl Compl.tion dat.: r.port da?" b.low 'ilround 1•••1v.1 v.1 /) J(} ljp:. Q. TyP.: D Turb. D Subm. ~.t D Cyl:; Oth.r:

/n ~fJ (' ,A ". . -5tL d ~ E

d.pth ,if" H.P. ~/U Yi.ld >:> Intak.~ ,pm

...1" ~ < I!i (}.J ./ Teat.d by: D pumpinv o air lift D ballar D non• ,-r1J 7R <"h-1d if • 'f (J. IlIJ j?"'1/ 9'() SAIfl.L , ~ M.alur.d Static Wat.r L...I ft.

';;

00 (2d~ ~6~_ sf YkLL .. M.alur.d pump;nv I•••' ft. aft.r

I (}.J Q... d"= hra. pumpin'il 1).-=J ')S J.;JO 5"~~ < ~ 71 /":"~~ 0 'ilpm

Developm.nt tim. prior to taatin .~ hr•.

r)(opan hoi. D Scr••n.d D Slott.d pip. D &r...' pk.

[nt.r.allil Icr••ned: to tt;-:;'e to ; to ft. it:

Packerlll let at and ft.

Scr... : di.m, : Size openinql

Intar.al DI.m. -Typa 'Typa I::::d c...d IInch.11 oioe coupll....1 ar

JUI ~" fJ6I, ~.

IA/ ./' /I ,

Ul

.~.. -Couplln,s: Thr.ad.d I Coupled ITIC) W.ld.d (WI0 Thr.ad.d I coupl.d I w.ld.d (TCIWI

Other:

-Pip.: Black; PVC; &al•. : Ot..... :

Wat.r a"'yaJl ~:ct.rioloVicalobtain.d? lch.ck) D Ch.mical

>~ .. "C)- AnalYlis by: D Ala G.ol. Sur•. D U.S. &.01. Su...

D Ala H.alth Dept. o Prlvat. lab.

SiVn• d : ADPH.F-AWWSB-l/Rev. 7-81

:r REPORT OF DRILLED WELL

Zip Cod.

WelL LOCATION

I Lk11

R.ng. - --or: I...W.

r.f.r'nc. point

Orillln9 m.thod: (ch.ckl

V.3


§.-i E.tim.t.d .t.rtln9 dolt.

, Tot.1 D. pth :z. S?

Iprr'tJ.upply

~OOI

J.tt.d Bor.d

c:::=J 'rri9.tion

~"

Other:

c:::Jr.st w.1I

c::::J Industri.,

.upply

Compl.tion Oat. ~..3'-R3

3~ h'me er 0 Estimat.d

4-~ ~~

SIGNATURE 0 ;illing'Contractor

_

Int.r Int.rD.lcription of cuttingl Compl.tion dolt.: r.port d.pth. b.low IJround 1•••1O.lcri ption of cutti'ngl vel val-' fJ Go ~yp.: o Turb. 0 Subm. ~t j Cyl:; Oth.r:J (J C?.1~ I

~ Sl Q.Or~ 4 t:::t-+-... a-In ~ I'"t.k. d.pth ,;)0' H.P. I Yi.ld S- 9pm

T.ot.d by: 0 pumpin9 0 .ir lift 0 b.i1.r 0 non.

~ t.lu.ur.d St.tic W.t.r L•••I ft.71t.lu.ur.d::Pln9 1•••1 10ft. •ft.r

h... pumpin9 IIpmI I I I IU liZ-O•••lopm.nt tim. prior to t."i"9- ~ hr•.

o Open hoi. ~Scr••n.d 0 Slott.d pip. 0 Gr•••1 pk.

I I I I [~ (t.r••"'1 1C::ened:: to ::to

Peck.rl.1 ,.t .t .nd ft.

Scr••n: di.m. ¥-" ~ I ; Si•• op.nln9#. I 'l...--{

Inhr••1 Typ."Typ. l"te...1 c•••d

Ol.m, couplincu orout.dolp.linch••}

t711 AJ()~2~ Pvc. .u

~\-----+---+----II------+----~

I I ':I I IU 'Couplin9O: Thr••d.d. Coupl.d ,TICI W.ld.d 'WI

Thri~·d~ c;u:lbl;:;tIT~ l/~

OthV: ".. of....., S,...p- r 2.- IV e- £i...L ·Pip.: BI.ck: PVC; G.I•. : Ot~.

W.t.r .".ly,1s I!!f"No obt.in.d? Ich.ck 1 o 8.ct.rioI09;<.1

o Ch.mlc.l

An.ly.h by: o AI. G.ol. Sur•. o U.S. G.ol. Sur•.I I I I 11 o AI. H.. lth O.pt. o Prl••t. I.b.

~\I I I I I I Si9".d: Il' -" "'N' •••" ~M""'''' "N'. ADPH-F·AWWS.."Rw. ,."

r

hn.

o eravel

o none

Other:_-, I

£.

round level

L.W

S':2--2/Data

Range ---or:

Size openinCJI _

Zip Code

o Slotted pipe

______to _

c:::J Till w.1I

Lk...b

..3938 / Zip Coda

a1wnshiP

other reference point

o Turb. 0 Subm.

d'Pth.6.t2. '

Mu.ured pumpin9 lev.1 • -cA--"'"

~r•. pumpln9 ~/);: 9Pm

Developm.nt time prior to te.tin

Pack.rI.) .et at and ,

Scr••n: diam. _

~ Op.n hoi. 0 Scr..n.d

Interval I.) .cr..n.d: to _

c:=J Industrial

.upply

T..t.d by: 0 pumpin9

Wet.r an,ly.i. ~o

obtain.d? [ch.ck) o Baet.riol09ical o Ch.mlcal

I

i.. 0.1 Analy.h by: o Ala eeol. Surv. o U.S. e.ol. Surv.

o Ala H.alth O.pt. o !'rlvat. lab.

Si9ned:

II. [TYPO:

£Iintak.

~ IMea.ured Static Water Lev.1 e r tt. .;;.. 0.

U

Completion Date ~- 10'" 7 ?

CJPublIc .upply

Other: _

Oth.r: _


r=:t:I Privall .upply

Cabl. tool

IIZ!0 J.tted Bored

c:::J Irrililation

Drlllin9 m.thod: (ch.ck)


WELL LOCATION


'For d••p.r w.1I plea•• attach continuation .h••t.

'Pipe: Black; PYC; G,'v.; Other:

Oth.r: _

PROPERTY OWNER

,IS: 9-1~ Estimat.d .tartln9 date

Total Depth / fI /) ,

I I I I I~I I I I I I . ~ I 'Couplin9S: Thread.d I Coupl.d (TICI Welded (WI

Thr.aded I coupled I weld.d ITCIW)

I I 1 =----=I ~ __ I~I to -

Oat.

point

21-d.r; ...... )~Jd.?ri•Zip Cod.


CJ~ liN \W WELL LOCATION. 1/ County Section, V. Section Township Rang. --_r:

WEll WILL BE USED FOR: IpAStJ .upply

~ .upply

c:J Industr!.1

supply

CJ Ttlt well

c:::J Irri9·tion Oth.r: _

Ldl:'te1tJ -.t.rtln9 det.

} y Drlllln9 m.thod: (ch.ckl

C.ble tool

~ Bor.d

Oth.r:

(L't

r*

~~

I~-t) I Estlm.t.d

d.pth

~ SIGNAT~of Drilling Contr.ctor

Tote I O.pth /7'/) , Completion Oat. I z.... - / D - 9 t/

'For d.eper w.1I pl•••••tt.ch contlnu.tion .h••t.

Int.r O.scription of cuttings Inter O.scription of cuttings Completion d.t.: r.port d.pth. b.low 9round l.v.1 val v.1

(J I¥ t?/CL-t. cL 5~ ... rL Q. Type: o Turb. 0 SUb,"'. ~.t F. Cyl:; Other:eFf< Ur' .~ tA~~. >I- II ~.~ ~ 57 " Int.ke d.pth J.C H.P. b-- Yield .s- 9pm... 4-::;' ~cJ. <; -r $ e-.-...... .Iv ""';1_ .. -'.•

r.st.d by: rJr'pumpln9 0 .Ir 11ft t!:tbailar 0 non. ilu "iI~ leo r-i< I

~e:- /00 Sh..n () 1 ~ lote.sur.d St.tlc Wet.r Lev.1 ft. 'u

lot..sured pumpin9 I.vel /5 I ft.•fterItLn <,,. ,~ _ rI " 5l4tU.o

.. 100 Q.

I <1 d-. hrs. pumpln9 j 0 9pm r ;;;J....

Developm.nt time prior to te.tl09 h...

~~ole o Scre.n.d o Slott.d pipe o Gr.v.1 pk.

Int.rv.lIsl .c.eened: to ft: -'".. 'c to : to ft. il:

PaCker Is) ..t at and ft.

Sc.e.n: dl.m. : Size op.nln9'

Interval DI.m. 'Type ·Typ. Interval cased IInche'l DIDe couollno. artluted

.!2.. q ( {7't 77i7e 7LI ..... ,.

10' c:

'iii.. 'Couplln91: Thre.ded & Coupled InCI W.lded (WI0

fJ':I AI :J'I~U Thr••ded & coupl.d & weld.d ITC&WI

Oth.r:

'Pipe: BI.ck: Q 6.lv.: Oth.r:

- - Water analyll. -~o

rl, 111 "C O ~ I "';;U obt.ln.d? IcheckI o B.ct••loI09Ic • 1 o Chemical

? ~, ~ - - -, ..

.,~.-rv " Analysis by: o AI. 6eol. Su.v. o U.S. 6eol. Surv.,",u \01 '" ..,", '': 0 o AI. Health D.pt. o Prlv.t. lab.

I'" :n~"'" ~~-;'Clr'\"r'\;1l\ SI9n.d:

Lic:en,e Number Address Zip Code Date

~~ PROPERTY OWNER

Ir3b tI~ IV-, Addre" (ma;ngl ~

I C1L(I ,3GPOy.

Zip Code

~c;. 23 /1 'I)} 8.1 W Townlhip Range - --or:

or other referenc:e point

~,

Rl:fIORT OF DRILLED WELL

't53 ~/(J/ 367~~ 7/z¥lo~~~

WELL WILL BE USED FOR: IPublic I~ lupply .upply

c::J Other:IrriCj1ation

Orillin9 method:~ (check)startin9 dlte

Other:

Total Depth 7:z,O Inter. Inter-Delcription of cuttingl Delc:ri ption of cutting,

velval c:::.. ...... ~. r'Ub10-.'" "'~. 'IV V-"'2..1 ra..~.05

.,; • 1.../0 •

·/'or deeper well pleue Ittlch continultion .heet.

ADEM FORM 60 12/99

\

CJ CJ Industrial Telt

.upply welt

_

ti~dDiamet01 weH depth

?<J.RJh4IJ-A ~C2~~~r_

~RE of Drilling Contractor

Completion Oat. 7k~S' Completion d.te: r.port depthl below ground 1••0111

A. ~ype: D Turb.tlt. subm. D r Cyl:; Other:E Q.." Intlke depth 0 H.P. 2..:..-Vl.ld 10 gpm

Tested by: D pumping o lir lift D b.lI.r D non•

q8MOI,ured St.tlc W.t.r L••el ft..?:'u e M•••ur.d pum ping 1011.01 ft. aft.rA. e

0 hrs. pumping gpm

De.elopment time prior to teltlng h...

o Opon hoi. p(scr.ened o Slotted pip. ~Grl.el pk.

Intor,"lls! scr••ned: to ft: ..IC..

to ; to ft.'c L.L

Peckerll) let It Ind ft.

l.f'{ .Q2-0Scroen: dilm. ; 511. opent"91

·Typo Interval c•••d IInchel)

·TypeInter,"1 Diem. coupling. groutedDIDe

4-\{1(')- Jtln Pile,....

lJl

·i e

0 'Couplings: Thr.ld.d I Coupled (TICI Welded (WI Thr..ded I coupled I welded ITCIWI

Other:

'Plpe: BIlek: PVC; Ge'•. : Other:

Wlter Inlly.11 o No obt.in.d? (checkl o .Icteriological

o ChemicI'

£ e

AnllYII, by: o All Geol. Sun. o U.S. Gool. Sur•." 0 o All H..lth Dept. o Private I.b.

5PI ,/-(; oa'Signed:;i!l.fl

T


Address (mailing) , / Zip Code

WELL LOCATION se!*::' 'I. Sectionef!.u9Fi~ TO!~n Ra!~ Distance and direction from nearest town, community, road junction or other reference point

WELL WILL BE USED FOR: Q c::::::::J c::::::::J Indu.lrial Te'l ~

,upply .upply .upply well

c::::J Olher: ---'__Irrigation

Drilling melhod: ~Ol~iZ~;~ ~/ (check) ar

.Iarling e ed date Bored Olher:

E.limaled depth

Contractor

DiaZo':au

~

Tota' Depth 33 I Completion Date ~~/6' .-~

Internl Description of cuttings Inter.

val Description of cuttings Completlen dale: report dePI~elow ",round level

C)

/7

~/")

/ '7_

.-30 ,

~~

('Jt:L<.-. p

r nrl..l A

~h Q fl~

II .~

, a-,.~

:- ~ype: o Tur~subm. ~~ 0 Cyl:; Other; .. ~ Intake depth' H.'. ~ Yiald..5

Tested by: 0 pumpln", 0 air I~ bailer 0 nona

.l' hlealured Static Waler Leve'''': ft . 'u

hlaalured pumpln", level.:z:;:i: ft. after.. Q... OJ h... pump;n", /t1 ",pm0

",pm

..c.. 'c Li:

Oavelopment time prior to- testln", h...

o Open hole 5!fcreened ? Slotted pipe j Gr..el pk.

Interval III Icreened: ~ '? to.3 / ft:

to ; to 1 ft

cd 10' ft.'ackerlll .et at

~ Screen: diam. ilI( PUie openin-SILL <"I~ I ~ , -

Interval Olam, "Type 'Type Interve~ ca.ed Ilnche.1 al_ couplino. V oroute

j1~' AI1 PV,. /.1./ ~ -.. 7 Gl..';;.. 0 "Couplin",,, Threaded a Coupled lraCI Welded (WI

Threaded a coupled a welded ITCaWI

h U-A/I~Other: J - .LI Y?. II I?c.JV

L -~ II' 4.~YJA i -I-UIII /Xf.-Pip.: .ck: I 6.lv.: r: ,.

10 -Water analy.i. obtained? (check) g-:terlolo",ical

o Chemical

~ .... G AnalYl1s by: o Ala 'Geol. Surv.

o Ala Health Dept. o U.S. Geol. Surv. o 'rlvate lab.

Siened:

"For deeper well pleale attach continuation Iheel.

ADEM Form 60 1/83

nearest.

--;; .£:~f"(f' Date

Zip Code


Address (mailing)

'~: ' )I! .'i!I ,,.. " """'" - """'" "" "'"

/1.11_4-===-------"'''''::''-=-.L~CU<.J

Township Range ---or:WELL LOCATION C~ Distance and direction from reference point

WELL WILL BE USED FOR: c::::::::J c::::::::J c:=J~ Public Industrial Test supplv supplv supplV w.1I

c=J Other: _Irrigation

$-- 3 CJ-~r Drilling m.thod: Cable tool Estimated (ch.ckl ~ starting Jetted

Other:date Bored

Total Depth t ;{,O ( Completion Date 5" - 3 () - g--V

_

Inter- Description of cuttings Inter-Oescri ption of cuttings Compl.tion dat.: r.port d.p~ow 9round I.vel

val val

() If) () Ph, ~ ~yp.: D Turb. r:J Subm. l!f1.t? Cvl:: Oth.r:

I D lc;< ~ or.1'A'" ~ - ~ ~

d.pth /!::/J I H.P. Yi.ld .5:A- Intake 9pm,'" ~D ""'>L a..L< ~. - Sa-,I,-,,(L restad by: D PUmpin9 o air lift D bailer D non.

dO .:>'"""'D ~ t... e.-.lLt -.=,; 7 I Ie: /Lr,.h ~ Measured Static Wat.r Lev.1 /7 ft.

sn ;I'D 5, c:;-p...,c 1.-1 ~ltc. L 'u ~ " 2...0 Shr.:o o. I • M.asur.d pumpin9 l.y.1 ft. after

ito Q.

• ;;;i?:==: hrs. pumpin9 ,~

0 9pm

3D.yelopment tim. prior to't."in9 h...

~.op.n hoi. D Scr••n.d D Slott.d pip. D Grav.1 pk.

nt.rvalls) scr••n.d: to ft· ~ 'c to ; to ft. u:::

Packer lsI s.t at and ft.

Scr••n: diam. : Size openinlill

Int.rval Dlam. 'Typ. 'Typ. Int.rval cas.d Iinch.s) "i"•• couplinasl araM'd

7J-"7 I TDI PI7~ /AJ ./

UI

.~

• 'COUplin9S: Thr.ad.d' Coupl.d IUCI W.ld.d IWI0 Thr.ad.d , coupl.d , w.ld.d ITC'W)

Oth.r:

'Pipe: Black; PVC; Galv.: Oth -:

• 4 , , I 11 Wat.r analVlil ~o '1'

.1 " -I I J,I' ,LJ ~ ;;'0 ra-tJ obtain.d? Ich.ckl D act.roo 091cal D Ch.mical

;)'CA ~ 7 V \:7'

~ 1/ •~

C)- AnalVlil by: D Ala G.ol. Sun. D U.S. G.ol. Surv. D Ala Health D.pt. D Prlvat. lab.

Si9ned:

"'For d••per well pl•••••tt.ch continLl.tion ,h••t.

ADEM Form 60 1/83

1 JREPORT OF DRILLED WELL ~5

0/ ijJZip Code Date

Zip Code

~ ~ ltr n 1-WWELL LOCATION _ County setion~ 'I. SectiAl'l Township Range - --or:

or other reference point

WELL WILL BE USED FOR: CJ CJ CJ Public Indultri.1 Telt lupply lupply w.1I

liQ lupply

c=::::J Oth.r: _I rrivation

/g_;{1_D,j Orillin9 m.thod: C.bl. toole..imilit{ 0 't

Ich.ckl .....,t.rtin 9 Jett.d d.t. Oth.r: _lored

, Totel Depth /06 Completion Date g -a 0 - g tf

Inter- Description of cuttings 'nter- Description of cutting. Compl.tion d.t.: r.port d.P~ b.low ",round l.y.1vel val

0 ~O ('~lo-. ~ " - , D. o Turb. ¥;:;. lt1'.t o Cyl:; Oth.r: E

yp.:

~b ~n ~ .... 4b. ::I r~ Yi.ld r ",pmA. Int.k. d.pth H.P.

."':\ 0 ~ L<' 1 ,.. (JLJ ~ ~ 1 \.Co h L +-~_ i

T....d by: o pumpln", o .ir lift o ball.r o non.

S'D ~O .§+ c::::: - ...J"I ~\.U ,.-0 10 '20 1\;)1) .sh. Cl lll2.'

~ hI..lur.d Static Wat.r Lev.1 ft. 'v

I~• hI...ur.d pumpin", l.y.1 ft. after D.• Chrl. pumpin", /~0 ",pm

Developm.nt tim. prior to' te"ln", hrs.

M. Open hoi. o Scr••n.d o Slott.d pip. o Gray.1 pk.

Int.rvelll) Icr••ned: to ft: J:..'c to : to ft. LL

Peck.rlll I.t at and ft.

Scre.n: dlam. : Size op.nln"'l

Int.ryal Dlam. °Type oT:%nal

Inter..' ee••d IInch.l) "I". cou in arout.d ~, Uti r",~" (/V /"

I

VI 0:

';;;• °Couplin",&: Threaded I Coupl.d ITIC) W.ld.d IWI0

Thr.ad.d I coupl.d I w.ld.d ITCIWI

Oth.r:

°Pip.: Ilack; PVC; GaIY.: Other:

Wat.r analYltl ~°ct.riolo"'icalobtain.d? (ch.ck) o Ch.mieel

~ •::I AnalYll1 by: o Ala G.ol. Sury. o U.S. 6.01. Sury.0 o Ala H.arth D.pt. o PrJ..t. rab.

SI",n.d:

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

ADEM Form 60 1/83

Estimated d.pth

0' -~.•~ ~..ft, LU ssq ".,.l,t<;." 'r" 1""0'11-$ .. :... , i\t.t-, <t'fllR.. )~? '?J .su ,r:l+$)f'? A ,,}P; ~9tiJ \ .;:: 4,4,.,·- t .PjS ., "II!!! ... . ',' ~.~ "

t REPORT OF DRILLED ~ELL -1f ( ~ fhe",Der>-ttJ-c9- Y- Ah...Lt ~ lIt) ~ e:.- kh S 3t;'lfll ).).HtI

DRILLING CONTRACTOR License Numb;r Addreu T Zip Code Dete

~~j~lh~ ~/ZI=:::I=f:-1 PH M2-~ .ater •

..~~

PRO,

roed junction or other reference point

WELL WILL BE USED FOR; CJ c:::::::J CJ~ Public Industrial Test supply supply supply ... 11

CJ Oth.r: _I rriCJation

/ _~3~k #0 1 Drilling m.thod: Cabl. tool

Estimat.d (ch.cklstartinQ dat. Other: _lored =

Tote I Depth 100 I Completion Oete I - ;Z 1- g h Inter- Description of cuttings Inter- Description of cuttings Compl.tion dat.: r.port d.p~b.lo.. ground l.v.1

vel vel

0 cj r j/('J ~ Q. yP.: o Turb. ~m. 8-1.t 0 Cyl:; Oth.r:e J t ' / ~ J..aJ.L ::1.... Intak. d.pth H.P....~Yi.ld .5 gpm

3/ , C, /,,__ .-1-7,

T.st.d by: o pumping o air lift o b.i1.r o non.

~e:, t.t';;). ,~ tt.. 6....O-t~ hI...ur.d Static Wat.r L.v.1 /Z-. ft.

42 -rj~ r5"+ so.-. d\j c :h a fL./ 'u //~"l.. /DO S '" tth

, • hI.a,ur.d pumping l.v.1 ft. aft.rQ.

r hro. pumping ~ lZ•0 gpm

D.y.lopm.nt tim. prior to't.,tin hro.

fop.n hoi. o Scr••n.d o Slott.d piP. o Grav.1 pk.

Int.rvell,) ,cr••n.d: to ft: "5i'c to ; to ft. LL

Pack.rhl ,.t at .nd ft.

Scr••n: diam. : Size openinCJI

Int.rv.1 Oiam. °Typ. 'Typ. I:~ca,.d llnch.,l Dio. couDlieeli J ar

lJ-/J ' 7l" TVe b/ ./ I I

VI .~• °Coupling" Thr..d.d I Coupl.d ITICI W.ld.d IW)0

Thr.ad.d I coupl.d I ...Id.d ITCIW)

Oth.r:

°Pip.: Ilack; PVC; 6alv.; Oth.r:

Wat.r analy,l, .g-:°ct.riOI09icelobtain.d? (ch.ck) o Ch.mical

~ •::1 () Analy,i, by: o Ala 6.01. Surv. o U.S. 6.01. Surv.

o Ala H.alth D.pt . o Private lab.

. Sign.d:

°For d••p.r ...11 pl.... attach continuation ,h••t.

ADEM Form 60 1/83

'II:::~-~--:::r;~ ~.~w~_'i" :,~':.. ~ ~~"~f~~"'·';>.~ -- Aj ,.,::,~,' :';;·>~·itI"",,1.rr:'1,·r:'lf;:"i)~~""'''''i ,'. .':j''' ,,*"""'. .'-.. -1)'-;;


1 fhc/)t/hc.1cQCf J~ j;;;,.,./ /8J ~J, f/775 5c;~/ 4.(5


DrillinQ method: Icheckl

st.rtinfJ dete

~;..~ -%b

en Private supply

Coble tool

~ Jett.d Bored

C=:J Irrioation

~ Public supply

Other:

Other:

c=J Industriol

supply

~ T.st well

c:J/'S-/LL'l £

I:st,mot.d

~- ..~. ,. ~~

_

Tot.1 Depth. ;;.. s:7) I Completion Ode "'f - 23 -%C, Inter- Description of cuttings fnter- Description of cutHngs Completion dete: report depths bel_ Qround level v.1 v.1 -!) ~IJ U(L.-. Q, ~ype: o Turb. 0 Subm. ~ 0 Cyl:; Other:

E 3t> ~n ~hg1. oS tt s I'~ rJ ::s

d.pth P / H.P. / Yield'£... Intete tpm

~t"'l J) 0 ,'t.....o.J........... re"ed by: 0 pumpinQ 0 elr 11ft 0 beller 0 none

Ij ~" j =3 D ~ ..... -,,,, ..s 1.0• ..J Musured Stetlc Weter Level "3 !?' ft.

I

~ j.3 '0 ~OD Ps J." c. J) • 'u

Meesured pumplnQ level ~y- ft. efter .,:J I~ ~~ -' •

~/')O I Q, >= hrs. pumpinQ r /.-2 Qpm• Pl/!t' .23J" ."3h-P "

0

Development time prior to te"lnt .3 ~ hr•.~ 'J< J \./ S- en', .AJ .,~1-0. _I

...~C/:r .;L..rD ~hl\L ~ KOpen hdle 0 Screened o Slotted pipe o 6revel pt.

ntervells} screened: to ft· t 1;

'c to : to ft. u::

Pocter Is) set et end ft.

Screen: diem. : SI.e openlnQs

Intervel Diem. "Type "Type Interv~ cosed llnche.' DIDe co""linGs/ Groute,,,/.I UI' IJUI'_ IA/ ~ , I ,

ell c.;;• "CouplinQS: Threeded I Coupled (TICI Welded (W)0

Thruded I coupled I welded ITCIW)

Other:

"Pipe: Bleck: PVC; EO.'v.; Other:

Weter enelysis ~terloloticelobteined? lcheckl o Chemlcol

;;•::s Anelysis by: o Ale 6eol. Surv. o U.S. 6eol. Surv.0

DAle Heelth Dept. o Prlvete leb.

Sitned:

"For de.per well pleese ettech continuotion sheet.

ADEM Form 60 1/83

Distance and direction from nearest town. community.

WEll WIll BE USED FOR: c::::::JPubloc .upply

Other:

Oth.r:_--I'' __--:-

IpAl .upply

Cable tool ~ "!:'i't.d Bored

CJ Irri9.t ion

Drillinll method: Icheckl

'L~A,./ ~

.tartlnll date

road junction or

[::=J Indu.trial

.upply

;"'~

_

other reference point

c=:J hst well

K' ~ ~.t'" a='6D Estimated

depth

{i'

Tot. I Depth

"\

c:< 8 () , Completion D.t. '/7 / 'II

.. m1 OF'DRIlLED W;LL . "

~ Nd.e ~ aeu.~ //4'1S ;3'¢iJ/ b~-'1/ mber Address ~;> Zip Code D-:3hflt

gl U Zip 'Code{!kjizell 3j, Ittll IW

WELL LOCATION County Section 'I. Section Township Range - --or:

I"::r- I Description of cuttings I In::r- I I I 7 '

Description of cuttings Completion dat.: r, dapth. b.low IIround laval

; yp.: 0 Turb. Oth.r: I

,f Intaka d.pth Yi.ld Ipm11'" r....d by: 0 pumplnl 0 air IIf 0 ball.r 0 non•

.l' M.a,ur.d Static Wat.r L•••I ~ 2 ft.

1 MII,ur.d pumpinl I••el ~. ft. after

~Ll.J4-....II!l..lS.'-C.L----:~~:&.!~f-i-'-.z:~~Q~""'---------~ 0 ..,........h... pump'nll ~ IIPm

Oavalopm.nt tim. prior t... ta"lna ~ h...

~pen hoi. 0 Scr••n.d 0 Slott.d pip. 0 Grav.1 Pk'l

Int.rval hi ,cr••n.d: to ft;

I I I I I~ I to to: ft. Pack.rI,1 ,.t at ud ft.

Sct••n: dlam. : SlIa openlnl' _

Int.rval Diem. ~ ·fyp~ J lnt.rva~ 01... • COUOIUlG' GrAMa'IInch.,1cas.d

~1Ar~ LA/I/JA:/' 7£71, ,.. 7

rl-----!----+----+-----+-----...., II I I I': .o ·CoupllnlS: Thr.ad.d a Coupl.d ITACI W.lded

Thr.aded a,coupled a w.ld.d ITcaWI

Other: :- _

·Plp.: Black: PVC; Galv.: Oth..............

t=j I f------

I Wat.r analy,l, obtain.d? (ch.ckl

~..10. I Analy,l, by:

l:1"No 0 ..ct.rlololica' o Ch.mica'

o Ala G.ol. Sur•. o Ala Haalth D.pt.

o U.S. 6.01. Sur•. o Privata lab.

Slln.d:

·For d••p.r w.1I pl.a,. attach continuation ,h••t.

ADEM Form 60 1/83

tJl

REPORT OF DRILLED WELL ("

Clute.z;;::;eu (meilin~) - /' I Jt

!It -lIlIII!!II!I ........ \AiSii." . j '* .41 $( ...... ~ JII ac:, '.: ¥41' lIII'l"""lI! 'II;;;~

d~ Date

Zip Code LJ& WELL LOCATION County sectl 'I. Seetion Towns~p n Range - --or:

Di.tenee lind direction from nellrest town, eommunity, roed junction or other referenee point

WELL WILL BE USED FOR: rV--1 c:::J CJ CJ~ Public Induslrial T.st supply supply supply well

c=J Other: _Irriqation

6.,~).. 7~f(t' Orillin9 method: Cable tool Estimated (check) ~ startinq -':rrfr.d

Other:d.t. Bored

Totlll Depth Completion Dllte1.2.. '0 /' ,,_::z 7- £,f'" Inter Inter Completion d.te: report depth. below 9round level Deseription of euttings Deseription of euttings

~vlll vIII

,0 I /.tl ('jl~ 0. ~yP.: d Turb. WUb;. ,~D Cyl:: Oth?

J~ I ~~ .?.....A.--O -'~ depth ~ H.P. y.,.....yi.ld ....... __ lJpm~ lint••• ~~

8 in b.i1er 0 non. - 0:5- ~:4/~~~: /iA.2 IT••t.d by: ~ pump 9 0 .ir lift 0

~ .L.:J-d _ ===='=_h_ .~ M•••ur.d St.t,C W.t.r L.V..q ft .

•~ Mea.ur.d pumpinlJ l.v.1 Jl ft.•ft.r

------------ 0 r-= hr•. pumplnlJ ~ 9pm

O.v.lopm.nt tim. prior to't.stinlJ £ hrs.

[op.n hal. 0 Scr.en.d o Slott.d pip. o Grev.1 pk.

Int.rv.II.. .cr••ned: _ ft·

0- to ft._11 1 to . --

to

P.ck.r 1.1 ••t .t ;Ind ft.

Screen: di.m. _ : Size openin91

yp. Int.rv.1 .c...d

°Typ.Interv.1 Dl.m. "'ina coupli.as arout~fin_die')

2J,;j 7 7flT v,.. ---z;::7] ~ -,7I

rl-----+----I----+-----+-------l I I I I '; f--:,,__--.l-__-..L.__---1. -L- ~tJ o ·CoupllnlJ': Thread.d a Coupl.d (TaC) W.lded

Thre.d.d a coupl.d a w.,d.d (TCaW)

Other: _

·Pip.: II.ck; PVC; G.lv.; Oth.·· ~

W.t.r .n.ly.i. ~ No obt.in.d? (ch.ck) 0 l.ct.riololJic• 1

o Ch.mic.1

I I I I I!.. 0-" An.lysi•. by: o AI. G8OI. Surv. o U.S. G.ol. Surv.

o AI. He.lth O.pt. o Prlv.te I.b.

SilJfted:

"For d.eper w.1I pl•••••tt.ch contlnu.tion .h••t.

ADEM Form 60 1/83

_

I'

--

REPORT OF DRILLED WELL V"42.7 ~ rn ~ D~~&~ ~k.c /JfJ ~~ . ", S 39301 4uJ'>

DRILltNG CONTRACWR /7__ --J.License Number •• Address' Zip Code Date

tLt-e.A;f AU 1//l.l¢tl "vl/ ~~ , Y.Q~~ U M t

PROPERTY OWNER Address (mailing) Zip Code

Cit e-cTa--J lk Itt /1 U1LWELL LOCATION County '.u:J- s;;on (J~_~~J. aJ.. Township Range ---or:

or other reference point

WELL WILL BE USED FOR: c=J CJ CJ~ Public Indu.trial Tut .upply .upply .upply well

c=J Othar: _Irri9ation

Lit, /p2j) /'·Lf.-!$ ./1[' ......Orillin'il mathod: Cabla tool D,ame ii70T ~5'l'1m.t.dIchack)

startin9 ~ depthJetted data Other: _Bored

Totel Depth 12. 0 Completion Date 1(- ;A Ii' -t.r Inter

val

D In 1ft 'Is 70

Description of cuttings Inter· Description of cuttingsval

10 eJtL-,./'[( _~~d-

4S .~+ <:~d.- I . 70 ...... haJ~ Si~ 114- "-' f" 1« 0 .<:+ .~~ .~ .\/ V SJ.,,12 UJ..

(

CL E

"...

~ 'u.. CL..

0

Complation dat.: raport dapth. b.low 'ilround laval

ypo: D Turb. D Subm. ~t D Cyl:; Othar:

d.pth 80 H.p. / Yi.ld.s:Intak•

To.t.d by: D pumping o air lift D bailer D nona

M...ur.d Static Wat.r L.v.1 105ft.

OloMeasured pumpino level ft. aft.r

a h... pumpinG 10 gpm

gpm

D.v.lopment tim. prior to- t.sting ~ h...

r;f'6po n holo D Scroonod D Siottod pipo o Gravol pk.

~ ' .. ii:

Int.rvall.) screened:

to

"eckorl.) .ot at

:

to

end

to

ft'

ft.

ft.

Scroon: diam. : Size openinQs

Intorvel ca••d

!JV t I

Diem. IInchO'1

{f"

'Type Dipo

7JI/L

'Typ. couplin\l'

W

Intorval \lrout.d ~ 11t"'.~

ill' c';;.. 0 'CouplinGS:

Throadod I Thr..d.d I Couplod (TICI Woldod (WI couplod I woldod (TCIW)

Othar:

'''ipo: Black; "VC; Galv,; Othor' \

Wat.r analy.i. obtainod? (chackl ~a°etoriOI09ical

o Chomica'

!.. "C) Analy.i. by: o A'a '0001. Surv.

o Ala Hoalth O.pt. o U.S. 6.01. Surv. o "rivato lab.

Signod:

'For doepar woll pi.... attach continuation .hoot.

C/o I u£IL ~O' 7a..J5-o-~ADEM Form 60 1/83

••

-

vJ~A ~ ~[~

J-~l ':

',; .. , ~',.'.; FORM 9-1642 Well No.--- (1-681

WELL SCHEDULE U. S. DEPT. OF' THE INTERIOR GEOLOGICAL SURVEY WATER RESOURCES D~

""-' ::":~;s/.Iku'Record k~, J" ;zA,'O~ ,." N·/7· ?'L &, : ,'0' '_0) ii'/ :z'Lat-l.,~g., ., sec r.7I'

II_

S Longitude •..If):_1 A / ~ uI Sequent ial 0

12 degree. ; [ ~:_MO,,, ; LLIl <dlet:. o 3~.:.J '$ min ' sec ,. I

~ R W. Sec • t, t. t 8 & M ,~ 1 '.:]Other

Ii : J : ; : : : i : i : :~:_~ _.~I.l. H\lnIU~~; L 21 I ; ,1 ! 2:; I • • • 30 ,,31 ?bllln eJF . - Iii , i , , ,; Owner • / .....

Lucal l!se: I...., " I ,. , or name:pcaO'OfCt2u

Owner or name:

(C) Ownt'rship: County J

(A) (8) (C) (D) (E) (F) (H) (I) (M) (N) d) (R) Use of Air cond, Bottling, Comm. ~water. Power, Fire, Dom, Irr, Hed, Ind, P S. Ree,water":

(S) (T) (u) (V) (W) (X) (Y) (~)

Stock, Inatit. Unused. Repres8ure. Recharge. Desat-P S. DesaI-other, Other ---_..~ Use of (A) (D) (G) (H) (CI) (P) (R) (T) (U) ~ (X) (I) ••r;:7Iwell: Anode. Drain. Seismic, Heat Res, Oba, 011-a8a, Recharge, Test, Unvsed. With raw, Waste, Destroyed. LLIJ

IJATA AVAILABLE: Well daraD freq. W/L meas.: D Field aquifer char. nO Hyd. lab. data: 1110 130 Qual. water data;~: Parl,aL Oheo'l,@L 4/?a/f~J5 14~ F'req. sampling: Ell Pumpage inventory: y::. period:

160 yes 770Aperrqre cards:

Log data: Dr/LLt:rs foe Ia I:!: 7' 7. WEt L-DESCRIP liON CARD

I SAME AS ON MASTER CARol Depthwell: t/Il ft I : :..t: 01 ::::. 2'~ 1 19 20 2:J accuracyI (~m~ ~:~~~j 3() ft I 2>: : -': tl ~~g .s/~ e L ;~. /2 in I ,(: ?I

(Cl (Fl (H) (~) (P) (T) (W) (X) [(;JtI!\ (5) (il:) porous grave w. gra~ w. horiz. open perf., screen, sd. pt., shored, open L!!.

~: concrete, (perf.) • (scree-n) , Rallery, end, hole, ofher ~

Method (A) (8) (C) (D) I!l'\ (J) (p) (R) (T) (V) (Ii) (ll) ri:1I ~d: air bored, cable, dURo ~ jetted. air. reverse trenching, driven, drive ~J f...--- rot, rot" percussl.on, T'ltary, wash, --"'o."tn"'e"'r;:---- 3 ...

z o~:~~led: 03-()1-;8 19;"!81 Pump intake ft i : : Isetting:

// 3] lS 36 n

~: /bne Oni/plr & , RJ ter EaLLs~ IIIiT «

Lift name (L) (M) all re~ CD ~ [QI---- (A) (B) (C) (J) multiple multi Ie (N) (P) (a) (5) (i!) ~ ~: air, bucket, cent, jet, (cenL)' (turb.)' none, platon, rot, subme'E'&, t , other JiP Shallow 40

!2!.!! nat LP ~ Trans. or ~: diesel.~ga8, gasoline, hand, gas, Wind; .!!.a!. ~ meter no. _

above Descr1p. MP ft below LSD , Alt. MP _

~LSD: I ; : : : I ~: nO 42 .. .:Ii

Water Z. above above ~ I ! ! ! ~ 0 Level ft ~MP; Ft below ~ : ; : L.J ~: '

~:::: ~ 07- v8 ..IX t:: 81" lli!!!: •• :~[!;;: I ~ined 0 '6 60 J

~~: ft [., 1 ! IAccuracy: 0 ::r~~g huL.U..

QUALI rY OF [?lJ" ~ .. [4] r;;:;'lWATER DATA: Iron eJ. fP~ Sulfate 7 Chloride 5 Hard. 8 Lt;:7-J

ppm. ppt- 1 ppm ppm I Sp. Conduct K X 10 temp.

6 0 'FI:! I~IedtJ~-t'9- c:;;e I~! ~ If? 73 7. 76 .r s,c:.

Taste, color, etc.

... "- .....! TO . . I I 11' . .. toSTATE DEPARTMENT OF Pl.-IBLICHEALTH \

OF . I

ALAB~A I ~\t Application is hereby made for a Permit ' .•~ 1

ITO USE A WELL AS A SOURCE OF PUBLIC WATER SUPPLY" '1' 'I ame of community to be serv~Jennin.gtD_~,_._Aiabama~ Wel~__ H-__l &._L 1-..:.--·--i

~=~::n~:~~~~ti~uesting penni: for use &:~an -=-t--.. ::n-:a-t-tt:1 ddress correspondence to Acme Drj 1] jng Company..._ P...O......Box....88_._Ri.v..er-.Falls+ ' .......3.~4.l6..:..&-Bo.x._5_3[L

: i '-r' Selma, Ala 'erm,It to construct well was granted on: date . . -.---_-.--:-------..-, 19 .. :P nnit.NO.t-..------.-

, t I·'

e following data are submitted: '. . . . . . " . 1

(a). TYPE OF WELL: With gravel wall y.e.s ,....~_. ... . Without gravel wall. L_. :.L~_

. . . I ~

(b). RECORD OF WELL COtiSTRUCTION: Static water level_.__. .___ __.__...:,....-__._---.• • ' I •

Date begunJ.tHU.~~ .__ ---- Date completed-1LZL~~__ -_.--J . '. Size of hole, surface__..12~_t.1A--€J1.----- botlom_U"_..~ __ Iotal depthll-~_

. ~, I I

(e). SURFACE CASING: Size 12" & ~ ._..Depth....2.Q!..J .... ' _"'j

Material_.S~~il.-- . ,1.'hickness .4~' ~_ . Type jo ._I-u __._{Length_-2.0.!:_..&.__30?_ Thickness of eement wall around casing_-3.!!..--. . . . '1 ' _._, Method of sealing casing at bottom in absence of cement wall _.__ --L __~__.J.•'__"

! . ,

-----_._- - ~~ ---~, .Remarks __ _.

I "1 --~-~-------~---~;~-~-.~~~--& .~. M te "l'--;~~e~ & Steel'! .1' -:._-_.--<-

.-Tnh~ekr ca:::' :~~Type -f-:-: tsa ;1: '~-..-~.--~--& ~~-.._------- --·~--I-· :

IC ne~ .__~;_; ... & + 3~ •~~m "'-'C~~~'-'i: 5j) . . -'+---r--'.-:--.--:--.-. Depth t~ top ._._ -_ Lengtb.-:: .. G _-..---..--..---,- D tan~e innercasmg laps m,to

• t; .~ . I; I '.surfaee casmg .2.0__.&.~ _h .-:- ..:... ' . _.. _ . Remarks . ._!. •__- ----.-.-• " 1/' I --_.

•

• I.',:" ',•

I,Is ;'!'De I,

T& C

T ,. C

.'

.-.

Matalal

Stainless Steel

Stainless Steel

~

10'

10'

·L.......

4

4"

liz.

-------.----••--~-- iJ -----------------. -----+-...--+---.....-.-...-~ ..-_.-.-- . d). GRAVEL WALL. , . ' 4tt . .----4" I.ength ...- ._. .10' f gJ"avelj,_L Surface__._....._._ ..~ ..Thickness, & 10'" .__. Depth to top .. _

~::::_of_~_av_~:~ section...::l2_Lll. ~~~~:.~~~--=~:t~l.·-~-~=~~ ------------------i-i--- ~ I .' '

I D.ptIa to Top

. 20'.015

30'.015 ..

•

. D;.r..~:t' "/' . • ...t... T1IIckMu z-aBtued

F-.UoaThldmeu

0:2~

"

I,DYfJ.':'C:t Stut_

E_tel'ed

•

Dr.... DoWD (F..tl

!

I

For_Uoa

,See Log Attached

Draw down should be measured at three differen~ pumping rates.

f Static 5~a.ter .Level II 1.(

). ~L.TEST:

h), Results of (:hemical analysis of sample attached. by .OrlandoLaboratories ~ I'

i).

1,ans an .

,g). LOG OF WELL:

'I'lme Wen p-petl ~ O. P. II. I ""-- .....,0I ......: !'e. "'ped

I Il '. .1 j'

: See pumping ~esL I II I '1 .I-+-'---+---

I i I I:

_

Results of bacteriologic~l exarnJnation of saIllple attached, wilI be submitted aft r insta~lation of · 'f' t' . ' t d' stall ti Dermanent pump,ing equi ment 'I' . ' d specl lca Ions on pumPing equlpmen an In a ons attacned, S D Id M 11' f Pit A1'-ee ana s or enn ng on,

:timated cost $...~4.,.20o._.o.0---_._. __ ..._-_...__.._. 't'! I ' e (I). in making this application, state that the "Sanitary Specifications and Constructi' n fd.:_ Wat+' Wells" of u,;, .

,tate Department of Public Health have been abided by in all pertinent points.: I ' , , I '

" I

ale:._.._w.2.L~_. .19~ . . Signed:'" .'. L I . r· "

" Organization ...~~P'!!l1.!!!.&'f.~~~~t---_._._'-

Individual _h~f'< Y-Xl-1J--._'. •

~

i:

I

,

•

I .

I

Ioff' , II'"

I(]~ J I'I

i J"

I I

, I I .t

,I d<e."

I I I I j

I I, I I , ,

,II- Y ,T,'

.

I

i

-,

,

-, •

~

.

/

"~"

'.=~

...... ,.

I~ •. ~.:r . I~

~ J,

I I

(I

I '/

1r~~. ,\ I ,

I -ef I ..

" "

,I I ,

- - I 'C I '.

+J I

/--# (fJ'(n,

· ~-~.

Orlando Labo~.~to:ries,.~.~c.. ---.

P. O. Box 20254 • Orlando. Florida 32814 • 305 424-5606'

WATER ANALYSIS REPORT ANALYTICAL lABORATORY DIVISION

Appearance:::~eO" to;:~~:~~~ &JL=u_ -= A4r

Sampled by- ~~r Sample Number:_~4.3S.- 2. ' --- ---------- IdentiJicalion: W~~,It2.

IbiA~r~f4.METHODS This water was analyzed using methods adapted from "Standard Method, for the Examination of Water and Wastewater," Twelfth Ed':or, 1?65, APHA, AWWA and WPCF.

RESULTS D.termin.tion p,p.m, Determin.tion p p.m,

Total Dissolved Solids, @ 105: C JlS--_._~ - .. - -_. Sulfate. as SO, 7

Total Hardness, as CaCO" _8.~ Fluorides, as F 42 Calcium Hardness, as CaCO" 3 Silica, as SiOe If Magnesium Hardness, as CaCO" S- _._- Copper, as Cu ()

Calcium, as Ca /'2---- Phosphate (Total), as PO, /,1Magnesium, as Mg /'2 Color, Standard Platinum Cobalt Scale ~

Alkalinity (Phenolphthalein), as CaCO" _0._ Odor "Alkalinity (Totall. as CaCO.: 2 pH (Laboratory) s.~

Carbonate Alkalinity, as CaCO, () pHs 10,3

Bicarbonate Alkalinity, as CaCO" ~ Stability Index 1.1:3_ Hydrox ides, as OH o - Saturat ,on Index -Soo Carbon Dioxide, as cae Turbidity, Silica Scale o Carbonates, as CO: __9 __Bicarbonates. as HCO" ~<Chlorides, as CI ~Iron, as Fe 4~'"

()Mang"\l'(,~,C, .,5 M"

>i9n"d ~~ (To (onve!.J pplll tn qr"il\s p •. , <jdllon. dl ..·idp pprll II; 1/ I) \~

I"'Sf'f(TIO"'~; "N;,liSI'.. "lIfllllV (lltJI~(JI ~1~oI/H'(t1 ,. l'\VII<,i'MIr-JI IIJ 1,~I(~l)liI<d(j(d. 1\I("IiIMI'./~( ,. (1111/.lsr~(

.. ..

.' . STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

BUREAU OF ENVIRONMENTAL HEALTH

CHEMICAL ANALYSIS OF WATER

Geographical Location ~nn1n~tQn (O,loctm,,)city, name of stream, or other designation)

Date collected 3/5/68

Sample collected from Tr'~'l J il2 Collected by ~ea. (we I number or location, point on distribution system, stream, etc.)'

D.ate analysi s completed 3/6168 An aly si s by R!']]s & E.JW Lab. No. 1714

Mi" igrams pH Value 5.8 Per Liter

. Alkalinity, Phenolphthalein, as CaCO .

3

4.0Alkalinity, Total (Methyl Orange) as CaCO 3

Acidity, Total Mineral (Methyl Orange) as CaCO 3 ..

Carbon Dioxide, Free or Uncombined, as CO 7.0 2

Iron, Total (Phenanthroline Method) as Fe 0.02

Manganese (Persulfate Method) as Mn 0.0

Nitrate Nitrogen (Phenoldisulfonic Method) as N ..

Chloride (Mohr Method) as CI ..

Sulfate (GraVimetric Method) as SO ~ .

Fluoride (Scott·Sanchis Method) as F- .

Calcium (EDTA) as Ca++ .

Magnesium (Photometric Method) as Mg++ .

Sodium as Na .

Hardness (Calculated) as CaCO .. 3

Hardness (Compleximetric Method) as CaCO 3

........................................................................................................................................................n ••••••••••••••••••Color

Turbidity ....................................................................................................................................................................

Total Residue on Evaporation .

Loss on Ignition at 600' C ...............................................................................................................................-.

Total Fixed Residue ..

............................................................................................................................. \t CC; Hr. l;ealSan.-W-l

Hr. Hills

- .....4_....... __... " rll.Il1&Iiil· ,.....····..,.... i· ............ ~ ...... .. ......;:~._.~ ........-.•.... ~ .. _~. _~~:....:c. ....,'_'_' ., .._.~~ .......__.. _--.~;- •• ..· ili""" • ......'.............. ..... " .. ,.... "-..__..... ,·,:.;... ...... ••-.-_-.--,-_-_--.-.-.---------

IrlJ';11I1I1J " irll"I'N/It)(,I\I 'i,')',JI'I\f(/rlil,1 III '/rJI'Nd"IJ>\I" 'J 11),lVI','j,"-------,----r---.--.------~----~~...:......:....:.:.:....:...:.-:." ):;;,~~Ic.:f

J:....'):,,:)~AJ IIVIl!'....:..:...::.:..::..:....:...:.:..:.,--:'~' ";I~; \ t':r'VSNOi J Hd$NI -

.J ,.... " ., ... ~..

• \. ~ I""... , '"

'( .. <

" ••,.... • ....~ '-'''I ~ ..,".... . ., . '.'~~ . _... !, ' t~',' ... .. !'" I• ..... I" •." ,

:

[I. I

r.'·'. I .. ~·!."i",~"'·lOT. " I . f.:',...;~., .... ~': ''''''''', ~ I'" -I ~#- ...... "" I,6a 98

aj~~ ,{[N~S£::8 (f ..:ijll'1 ~ ~ ~ p~~S00 .... '., " IOJ.,.

09 0-' ':/M. Itl'1J ,. ',

Q£ ,

P."! l'S h-vr~

.~......,....... ' ... _...,.. .. ~ ."fIJr-"'_.~.t .. - ...',.,., , o .

, , 'ff , . "

~.......~...... .. ' ... ,_ ....... .,.~

n......__--l·-···

iJiI7 ..... J-1><'-- - .,. J -+ '"L:,l, FORM 9-1642 Well No. , /1-68/

WELL SCHEDULE U. S. DJ,;PT. OF' THE INTBRIOR GEOLO(;ICAL SURVEY WATER RESOURCJ,;S DIVISION

cw:F1MASTER CARD

Sourct! *~ .. , ,,r .... " 1~''''' ." r

Record 'bV!!.!.!1 " of dat8 r ·,~~. .L.._:lnate :::·1-1' ~ ·'~fM8P

," I .... i 'I SOUn'lY 1: ='---------;:I=::;';=:::; Stale - .. I I I.' -- .~-, ' • ,.'. - .)

I ! r " ..... ~""- .. , lL 1[:0. L L.J. O~' ~..'U"e: II 1I i; I 1 I ) 1 ~:,~.

aegrclCs- --,.- a mIn sec ,tI' \ . ~. \

T Otber ----;B~I>-,.,..M---")

, ;). ~:I'0 \~1 'l"J ,- .. :. I' /Owner,I. '; ) : iJ omame: .:. ..~ '':';' , .

! ,I' ." Owner or name:5. i /):/-:J?: ,.I~: ,... .....~L t',' " i'. (,) I "r}, l: ,'. : .

(A) (B) (C) (D) (E) (F) (H) (1) (M) (N) (p) (R) Use of Air cond, Bottling, COrrlll. Dewater, Power, Fire, Dom. Irr, Med, Ind" P S. Ree. water: ..(5) (T) (U) (,V) (101) (X) (Y) (-&) ,.1 01Stock, Instlt. Unused. Repre~8ureJ ~echarge. Desal-P S, Desal-other, Other

Use of (A) (D) (G) (H) (Cl) (P) (R) (T) (U) .(11) (X) (II) .1::iiJ well: Anode, Drain, Seismic. Heat Res, Ob., 011-gss, Recharge, Test, Unused, Withdraw, Waste, De.t~oyed. 6

720DATA AVAILABLE: Well dataD Freq. W/L meas;: Field aquifer char.--_.Q70 ,,0

lYd. lebo data: , ~

r',', '. / 1 " 1:'. 7'[]]. Iual.,waterdat4i.!l.P.!.: /~, '/1'/,1.- f.</i (/7.'1'':',. /. ~/,'l'/:·

yes@] ,req. sampl1ng: ~ _ Pumpage inventory: no' period:

'.on"," """ 75 ,,0

[.In .: I''',~ ":"., ,.. ,,01"-['--;-,Log data:

71 7'

WEll-OESCRIPTION CARD

I SAME AS ON MASTER CARD IDepth well: 3(J ft I ; i. q: ~ I::a:. ~.~ 1 19 20 . 7.3 P accuracy .. .'Depth cased, " Iii :', I Casing r ..../· .-. [ ,(first perf.S /·'0 ft ~ .... ~: .... / r'~ / ;~. i .. .in

( .21.5 11 ~3

(C) (f) «;) (H) (ill) (P) (5) fr> (W) (X) Ce)porolls grave'l w. gravel v. hortz. open perf., screen, s • pt., shored, ~~,~ _~~~~ _ r/31

Finish: concrete, (perL) (screen) , gallery, end, L',j"JII other

Method (A) (B) (C) (0) (Ii) (J) (P) (R) (T) (V) (Ii) (e) r;:Jl ~d: air bored, cable, dug, h)'d jetted, air reverse trenching, driven, drive L.~iJ ------- rot, rot., percussion, r"ltary. wash, other 31

Date _ /;, f,' 1~-.: .;:-! ,~~'I ft I : ; IDr !lIed: .;.-~ ". -; -, Pump, intake setting:

,33 35 ------------- ,. ..r; / .., . (1 " ' ..Q.!:!.!.!!.r: ~. ",//, ..." ./ ." l '" . '2 . c· 1;-'; L.::..L :I • I: {,;.f

LIft name (L) (M) aaJress (P) (R) (5) (1'1 (e)

~: air, bucket, cent, jet, (cent.)' (turb.)' none, piaton, rot, subme~a, t~, other L...i..J 5ha 11011 • -- (A) (B) (C) (J) multiple multiple (N) r:;::] '-~~V OJ',

39 '0

P~er nat LP Trans~[2](type): diesel,~ gas, gasoline,. hand, gas, Wind; ~, meter no.

above " Descrip. MP ft below LSD. Alt. MP _

~: j C [:;:: I Iiliilii: ..0 42 • .5 CD

Water ." above above I!! 1 --I n Level / ft j\'';loW)MP; Ft below ~B' : ; : _.~: 17 ,

~:~:: 0_=5-£'7- Cl~ "I ~.'; ,.;.I.S~IH~:" :~l 1 ! : i I ~inedD 56 60

[ ! .... ! "'1 ~ Pumping [i : ] ~: Z.o ft " I .(..: (j Accuracy: L-:u period hrs ,~..

QUAL! TY or rT1" r71 " r!l ' rTI WATER DATA: Iron 0 oc. L..L...JSulfate j;/ LLJ Chloride /,S YHard. /(') l./'J

ppm 69 0 ppm 70 I IDat~pm 1 ppm I .~, .... ~116 ; : -- rl'lfl. ..... "'\ ,', ... ~ I' : e-Sp. Conduct K x 10 Temp. eF i j sampled ..... ,. . ". ~.,,_. ":: --j ..I

73 7' 76 71 ,i

Ta8te~ etc.

Pl'l f(1raUo!l in ca~;j,,~~ ~h0Ili7rF" n·p'.'(I,·(lllli'.1I'1' SCI (:( il"

f.... ~

f, TJ.

\

. 'n - ....------..~_.-." --- ,-, ~~ -m ",..

TC I ~... t o !STATEIJr~PAHT.MENT CJ:" J'('I.\1,IC rl['~.r\L·I'JT

\OF \' /

. \ I

IVALABi\1V1A ~ 'ltV

. Application is hereby made for a Permit \J'J ' TO USE A WELL AS A SOURCE OJ!' PUBLIC WATEn SUPPLY

Name of community to be scrved.. P clln-ingLl1n, A1'lh<11"11 He] 1 t!@ E, f.1 2

) Name of person or organization retlllcsting permit for use Anl1~~.1)r1J U.llS:.Compnny

..- . '. .. . .. .. .. ... lJon:Jld ~fll:

d. Address correspondence to...Acnle.. n.r.i.lllng_C.omp<1ny~ .. P.O. Box 88 ,.River ..falls ,.1I.1<1 ....J6~.76 ..&..Box 5311. . . Selma, Ala.

1. Permit to construct well was gr,antecl on: date._._.,_ _.. "'" _ __ __ ._ , 19.. Permit No._.__ .._.. __ _.

1, The follo~ing data are submitted:

(a). TYPE OF WELL: With gravel walL ...Yes __. . . Without 'gFavel walL. .. __ . . .. _.. __ .._.

(b). RECO:RD OF WELL CO:NSTRUCTION: Static water level, __ . _._._ . .. __ _ _. __ _ _.

Date begun U.39/~8 __.,....._.. ._.._ Date completcd .3D /6~ __ ..__ __ _.. __ ._ _.,.--, Size of hole, surface .... 1.2.1!.•/.&......12.~~ __. ... __~ .. bottom('12 '!) &. _ J 2'~ .... _.... total. depth/! t::3Q·!__ ..t~4 ..~4.0.~_. .....~

.

, ----- " .. (c) . SURFACE CASING: Size..!._12.',~...&._12 ~.' .....__..__ .. ..._Depth._..20.~_.. &. 3.Q_! ... ._...._. __ . ...=._~. . ... .... _ ....,..

MateriaL. S t~_~;J, _ __ ._ __ .. . Thickness._ 4,5/( _._ __ ._._ Type joints .T ..~ Q._ _ ._._. _

Length ..·.2.0_~._ .. &..30 '.... Thickness of cement wall around casing.. 3 '~. ..

Method of sealing casing at bottom iu'absence of cement wall _._

Remarks

- --- .. - .... __ ... _-.----_.. __ ._--_._--~---_._-_._~-_._- --------._,._-.... .---- -. -..... ----_..

Inner casing: Size ,(j'.' &;_ ;__6"__... .... _. __ .. Material ...... S.t.ee.L_. __ ..~._ .. ~.t~.~J:. __..__.__ __. .._...._._. . .. __.

ThickneUJIf....&... ..'!-O/l Type of jointsI & C .. &_ :r...~ __Q _.._ _ _ _._ .. _. __ _ .__.. _ _..

Depth to top ...±2 I .. &. ...±:?' Leng1;h__31- ?~'._ .... f._.Al.·5~· .; .. "_"'_"_ Distance inner casing laps in.to

surface casing _2.Q~ __: __ & __.3O. ~.._.__... ._.. _~ " . ._..._ _ . .._. ._.. ._. .__ ..._...._.._.. . .. ._...._...... ._. ....

Remarks . ! _ _.. .. .•... _. __ _ . _ _ _.._.. • __ ..__ . . _." . •. .. ._. __.. • _..

. . , 4" & 4" 10~ & 10' Surface(d). GRAVEL WALL: Thlckness .. Length._ - _ Depth to top of graveL __ ._. . .

Diameter of graveled section._.'_.'J 2 .&) 2. Method of closing strainer bottom. .~~.tJ..gg~<!_. . .. __ . I •

Remarks .._ _ _ _ __.._.. .. . __ ._ .

----'. -_._.. --" -------------------------------------------_. -- .. _--- --_._-...---. -.0 -~. ----. ._ . .-. --r.----- . . ._. . ;"... __...... __.__ .-------~---------. _

(e). SCREENS:

r-!e~h--r--~~~o I ~~ngl-h-r M~~"rin-l--'--------1'--- -·-----·~;~-;~i~la---- .. -.- --- ---I ~~·;~~~o Top

~l~r---~~ ---1~' I Stainle:~ S. ~~::.]---... ---- .. --./ .. -----.;-:-~--_._-.----._-- ·--r··-;~~---

------ --..-.- .. ----.-.. - ·-·---------r .. .---·----··~--·------·---

fI2 .015 4:' 10' Stainlpss SU~el T & C . -T 30' ,1 u u u u

1 i

: ,-----·--·--r------·- -r' -- .. :-.---- -- _.----. - ------.------ -1------ i---.---- • • • -- '. .-.-.

1-------·--··----- -- --'---r' ----.--- .. --.---.-------~- --..---\ LL I I . i ,~ i -------r ) . i

·----p·:;-f;~~~~jO'li~;~;;:;-;~;;~<"1:;~h~:.~~l~);-ll~l~~;::l·;·~:· SC;~L~:~-l~':---- -. --.- .. -----.---------------.------.--- ~

", . . ..."." e'I"~·'-·.'r. 1 e' "~>, '" I ' .r . ' - - - - • • U ' (f,)', :,nIL'TEST: \,- (~. _

_ • _ ~. • ._ •• _ ' :'" J I

G. }', .M. . I Drnw TJown O',wll I Tlm~ w,:u (',"npoel II G, 1'. M. I Dr,IW lh)WR !l'oo" \ Time ~~II "U"""d-' --.--- -.--- I .-- --- -----.--.. ii I --------. --1'S('-l~PtlmPillr, ·1I;cst-.- .-.. - -----··1 - --- I

. II I ._~~. --- ,-r- -.--.. -------~~~:.~- T_~~·_~·_-··~~~--._--_~.-~~~ __t __=_·~_J __-~=~.~ =~~====~~_-~: _

Draw down :should be measured (It three different pumping rates.

(g), LOG OF WELL:

Dci'lhlif--i--'-'--F-or:D~on~--------11 --Form'a-uon---.:~t~f~\'---l-~~~~kn::~--Il----'------ WhichStratum ThickncGs

Eneounl"r"d I Encountered1-----1-.1[-----------T-~. ---1 ~- - I

See Log Attached -------i-I---

-----~ i 'RI. ~. ..---~. --i--1-7--~-_ r : -,-- l~

..._-- -I-I~~ I i

-----r-i . II ----- --I !

---- ~- I '1~11 - I I I ~ -I .

'I ' I III------1 'I ,I

------------.-------~--_._---- -------~----

(h). Results of chemical analysis of sample attached. by Orlando Laboratories

(i). Results of bacteriological examination of sample attached. v:ill be submit ted af ter ins talla tion of · 'f' t' .. t d' t 11 . permanen.t pumping equipment

6, PIans and spec] lca IOns on pumpmg eqUlpmcn an inS a ahorts attached. S D ld '1 f .'. - ee ona Mll s . or Pennlngton,Al~

7, Estimated cost $...1.4,200.00

8, We (I), ill making this application, state that the "Sanitary Spccifie-alions and Construction for Water Wells" of the

State Department of Public HeaHh have been abided by in aU pertinent points.

Date: 3/12/68 _.. __ .. __ , 19. __ Signed: Ol'rrani7,ation Acme J?ti~li.ng Comp<tnyn - .. '. ... - ... *.~ -_.~_.-

~ '. ..... ""-'r .Ii lL Individual .C~...... LL_J~ __ - ..-....,.-.--- ... ·lL-l....:......

Title ,Secre tary & Bookl(C'eper

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Or.lando Labora"toJ:'9ies, .J.: nc. . .. :..::~...;"..-.:.=..:.:.:.:.:.::=~-;:.~..=. :..::::._- --,_. --. . .

P. O. Box 20254 • Orl;wtlo, FlorirlJ 32814 305 424·5606 •

WATER ANALYSIS REPORT ANALYTICAL LABORATORY DIVISION

Repo" '0, .~!,.,e. e&~ dJ . App.", ,,,,,. #V-Dale: _~a«L .. f? 11~t9... .... .. S,mpled by, t't!'daf' Sample Number:__Jc33~ L _.. "'___ Identification: IAI,tt #-L

'hI, ...., ....0.1".d 0"0' mo,hod'"d"'.d ".0 "',"od"d M",..~':o~~~'. ..mIO"'OO 01 ~~~~~,,!~: .. "" ....A. AWWA and WPCF. •

RESULTS

D.'.rmin.'ion p.p.m. Determin.,ion p p.m

5'1.. __ 1'1Total Dissolved Solids, (ii' 105' C Sulfate, as Sal

/9 /),2Total Hardness, as CaCO.: Fluorides, ilS F

_7._._ ',.JCalcium Hardness, as CaCO.: Silicil, as SiO~

Magnesium Hardness, as CaCO" _.1.'< _ Copper, as Cu o Calcium, as Ca ~e_' Phosphate (Total), as PO, ~,3J:'

Magnesium, as Mg ~9_. Color, Standard Platinum Cobalt Scale o o oAlkalinity (Phenolphthalein), as CaCO" --_ ... _-._.- Odor

/1/ $,zAlkalinity (Total), as CaCO.: pH (Laboratory)~_.~

o 9,7Carbonate Alkalinity. as CaCO: pHs

-.1':1_ II,/, ZBicarbonate Alkalinity, as CaCO t Stability Index

o -~J_Hydrox ides, as OH Saturation Index

Carbon Dioxide, as CO~ - Turbidity, Silicd xille '. I' _0 .. f'\.,1._oCarbonates, as CO: -,.- --- _._- ;\6 rt()C

Bicarbonates. as HCO" e,S ~//

as CI .IJ.. _Chlorides, ~,,.{

Iron, as Fe ().06 \J()-c oMangal1f'Sl', ,1S Mn

S'(jn"c1 :. c?b~e~~a/ (/'1 ol'II ..... ·" 1'1'"1 1" ojf.P.l·. r'" ".JlI"I(. ,l,\"d. "f"" 1"., II I~

fN:-'I·I(r'~\N~. ·\N·\l'~·!· {.'P.,!/.., (/ 1 '111.'1'1 '·'1"1\'·"" ,". IIIV"III'MIUl It, ~}ItJ·I,HI',I(J(,·( ,u,,' ''''/1','''( 1',. 'fUf/l',II ('

..... .~\ '::'..

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.. .. ..,-. ~T.~\ I L ('I' I' ."I;I,I,li,

;.. "' . DEPARTMEtH OF IJUBLIC .IIEALTH. . . .

BUI~EAU OF Et~VIROHJ,\ENTAL HEALTH

CHEMICAL ANALYSIS OF WATER

Geographical Location Pc:rmill.;tr.~:L_. ._.(Chf.1r~L1~:·._C;OUQt.v) Date collected -31-5-168-(City, nallie of sllcal1l, or oIlier dcsigilallonr

Sample collected Irom \!.~.:I,L2J.__. ..__ Collected by -Uol.aar.ll,.--(wellllulllbcr or location, point on distributioll system, stream, etc.)

Date analysis completed 2J?SIfa----:- Analysis by -F..~J Lab. No. 1713

Milligrams pH Value 5.3 Per Liter

Alkalinity, Phenolphthalein, a; CaGO ~ : .. . J

Alkalinity, Total (Melhyl Orange) as CaGa 3 2

Acidity, Total Mineral (Melhyl Orange) as GaCO .. , 3

Carbon Dioxide, Free or Uncombined, as CO . 2 • 16

Iron, Tolal (Phenanlhroline Method) as Fe 0.01

Man'ganese (Persulfate Melhod) as Mn 0.00

Nilrate Nitrogen (Phenoldisullonic Method) as N

Chloride (Mohr Method) as GI .

Sulfate (Gravimetric Method) as SO~ .

Fluoride (Scolt·Sanchis Method) as F - .

Calcium (EDTA) as Ca~'+ ..

Magnesium (Photometric Method) as MgH . L~t.",r....' >'

Sodium as Na .

Hardness (Calculated) as GaGO ., ••• •••• ••• ••••••••••••••••••••••••• 9 u~ .

3

Hardness (Compleximetric Method) as GaCa . J

Color , , ..

Turbidity , .

Total Residue on Evaporation , ..

loss on Ignition at 600· C .

Tolal Fixed Residue , .

L.,San.-W-l CC: H{,'.nry lk'il jj;.:·npld "Il:\}; iJ.

"!",' ~--.:.. ~~;;.-....:*~... '•.~..... -~ ·4, f$.$A~.."

....... . s-9-..R,. ... ..~ ~ ~ ~ . . IL

fl (-- .c" .,;:. - l- _

Pennington, Alabama

1-30-68 Test Hell iH

6

12-12 Sand 7-19 Clay

11-30 Block ~lay w/1ignite 12' clay 3""--~-62, Clay - rock 6" mud

13-75 Muddy sand shale \ 76 Rock 8" 14-90 Clay - soft 19-109 Clay

Rock 2" 11-120 Clay 20-180 '.l_... Clay

198 Clay wls Stk. 6-204 Clay

15-219 Clay 26-245 Clay

2-247 Sandy clay 2-250 Rock 2'

25-275 Clay - rock 2" 2-277 Clay

278 Rock 16-294 Clay

1-295 Rock 6-301 Clay

': 1';; \<; \.\1 ~ \A.)' -..,.. c- ! I '-t--l +N ~ ','\ .._,-..~

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· •• l J-'5'""" WlD I"". (0lI) "dl 10. J-~ i ~ Aprll 19M, #;~/ ~ WEll SCHEDULE : U. S. DEPT....

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Transcript of · •• l J-'5'""" WlD I"". (0lI) "dl 10. J-~ i ~ Aprll 19M, #;~/ ~ WEll SCHEDULE : U. S. DEPT....