Antelope Valley Well

STATE OF NEVADA ,/,. -- OFFIPJ.Y¥1my (kJ

DIVISION OF WATER RESOURCF7~/- (:': Log-~o.--....--J..U::ZLO~--··.rtr·

T Permit-No, -'1.---,.~ ---.---, WELL DRILLER'S REPOR. ' Ba$in'_:.J£. .. ... ._

Please complete this form in Its entirety in\

accordance with NRS 534.170 and NAC 534.34Q

WHlTE-DMSION OF WATERRESOURCFS

CANARY-CLIENT'S COPY

PINK-WELL DRILLER'S COPY

PRINT OR TYPE ONLY

DO NOT WRITE ON BACK

,,' NOTICE OF INTENT NO, 53.9.3.3... .

1. OWNER_.._!J..!..~.!.._g~_Q.!Qg.t~.?J. ..~_1J.D!J~,Y__ _.. .--- ----1 ADDRESS AT WELL LOCATION __"O~L.mL. ..Jll...af; ..Ell2L ..__ .

~~-.~~~~~~~~~Qi:iti'i:~:::~~~t~i~::~.~~~~ ~:Le~~a~~=_~~~~:~~~~:~~~:~=~~~.~_~ .~.

2. LOCATION _ ~~ ..__ 1/4•.•.•.g _1/4 See 1S....1.1._ T_._.l9 . N/S R._.5..L ..E .Eur.eka .._ _ __ __ _.County

PERMIT No ..~l~_._;;}f.~·~aiir-R~·.~rc .---_tes-9-Q!!-::Q~2~ - -~!..:-·..----·-t ..-·-..-·- --- ·----..·--..·- SubdivisiiinName·· ·-- -- -- ---- ..--.

3. WORK PERFORMED 4. PROPOSED USE s. WELL TYPE

ex: New Well 0 Replace 0 Recondition 0 Domestic 0 Irrigation 0 Test 0 Cable GQ Rotary 0 RVC

o Deepen 0 Abandon 0 Other._ 0 Municipal/Industrial q{lMonitor 0 Stock 0 Air 0 Other _

6. LlTiiOLOGIC LOG

. Material Water From To

Thick,

Strata ness

Devils Gate limestone 0 140 lliO

Coarse sand, gravel.

and red clay X 140 331 191

GPS - NAD 83

8. WELL CONSTRUCTION

Depth Drilled_ ..3..1l.. Peet Peptb Cased......3.3L .....Feet

HOLE DIAMETER (BIT SIZE)

From To

____6.~25._1nches. Q. ...FeeL,.l12 .. .._Feet

__ .5.~~Jnches._.~Z2 .. ..FeeL...3.3L Feet

_lnches._, .._ .. .Peet, __~._ ,-Feet

CASING SCHEDULE

o

To

(F~)

Size O,D. WeightlFt. Wall Thickne8s

(Inches) (Pound.) (Inches)

From

(fee\)

N 39 dell'10 m L.? 9R

W 116 dell' 11 m 'U 6 Fl

2 0 PVC ~l'''"rl RO

Perforations:

Type perforation, ..F.ac.t.o.r.¥_.sl.o.L _.. _

Size perforation..Q.L.Q.2. _ .._ __..,._ -..-.- ..- _ _

From.....2.25...__ . ..__ ..feet to 3.15._. __ . .....feet

From....__._.---.------- ..-_ ..feet to., _._._._ . .feet

From__ ...-- -..-.-- ...-..-_.- __..feet to_--- -- ..._._ __ ---- ...feet

From.. .._ _ ... _ feet to...__ __..__ ._ ..__ __...._.feet

From....__..._ _.. __ feet to . ._. ..feet

Surface Seal: Kl Yes 0 No

Depth of SeaL24.6.. _ _.._ __..__

Placement Method: rJ Pumped

o Poured

Seal Type:

o Neat Cement

o Cement Grout

o Concrete Grout

Pure Gold 30% solidE

Gravel Packed: ~ Yes 0 No grout

From._.:?l!-.2.. __.. __..__ .feet to__ .1}L_ . .feet

9. WATER LEVEL

Static water level__~.2_Z. ._. .. ..._.feet beloa.aand surface

.Artesian tlow.. ... ... G.P.M. ..... P.5.1.

----------------------~--~~--~~--_4----_41Water temperature.L; ..... OF Quality ...__ . .._ ..... _

Dare started Qi.?.J.i. , 200.7..

Dare complated Ql.?J.!........•200.7..

7. WELL TEST PATA

TEST METHOD; 0 Bailer ~ Pump Qg Air Lift

DrawDQW1l

(Peet BeloWS1a,Wf'

G.P.M.

-- ...!

Air lift 2 na 1

Pump 0.6 na 07.:7 1;) (t-7 -,--, " ..

10. PRiLLER'S CERTIFICATION

This well was drilled under my supervision and the report is true to the

best of my knowledge.

Name..J?Q!!&!..~_~__K~_..tlg.Y.r~_l;:. __"..__ .. .._.__ - --_.

Contractor

Address USGS __..__ 2730 ._..__ N._ Deer __ .__Run__Rd. . ._._.._.__ --.-.--.---.

Contractor

._. .._._f~.E.~_q~.S.gY.1..._~ __.?Jl.9_L ...._. __. . . _

Nevada contractor's license number

issued by the State Contractor's Board. . .__ .. .__ .

Nev~~Il,driller' lcense pumber issued ~ the, FP-1522

DIVISlonof a Re ~rct~n-slte drillerae .. . .

..•.1".... .

S' oed. ,~ ,""'" •

18 ·..----·-By· d.,...~~-- ...,..-..Bciiiiii'(iiillliig·i;ii-SiieorconlI8Ci'or----·

Date..._.....__.....__...~!-::".?\...~-...-.....-...-...~-.---.-.--.--..---- --

la.., 12.()1) USE ADDITIONAL (0)-621 ~ SHEETS IF NECESSARY
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EXHIBIT B

USGS Monitor Well Location

N-82778

Antelope Valley Site

'a_;.4~.I._

'---._' -.-

62J9

~

Dais is published in the North American [)glum. (NAO 83). um Zone 11. metars. COntcur inlerval ~O feet 1.000 moter lPid inlBnlai.

2,000 3.000

i

Legend

o 500 1,000

N
South Devils Gate Well

DIVISIONS~:E::T:~V~OURCES ./. .~., . LOg No.__.~:ldfll8!2 :r01

WELL DRILLER'S REPORt f'~; PermitNo ...--.----.---.- ..---------- Basin...~1.S.3 .__ ._._.• .

Please complete this form in its entirety ili. .'---------------

accordance with NRS 534.170 and NAC 534.j~

.... NOTIcE OF INTENT NO.2.~.~.~...;.~ .

1. OWNER__T.l.!_$..!.g.~!?.:J:.Q.K.~~~* __~1:1:I.y.~y_._.__ __ _ _ -----1 ADDRESS AT WELL LOCATION .._~.!.L.1!tt,._.~-'- Q.LF.;!!_.r~_~S!,..tNV

MAILING ADDRESS.~.z.~Q._~_~._.P..~~.L~!!!.1_..RQ...• . _ _ _ __.1._.!!!J.!.__~__Q!l-._g9J:J_:l1),~Q9.A M.L.Q..!.9 __m.!...!..J~W_ .

.... ._.._ _ _ _g.~.~~gE....Q!!=.Y.L_~y_..~.zQ.!_.._ _ __ .. _.__._.._ __.._ __ . _ _ __. .__ ___ __ ..

2. LOCATION_..~~_ __.I/4.... __~W.__._'/•• See 3.J. T _.._ 2.Q.. .N/S R..._~.3.. ..__..E E.l1J;:.lilk~L _ __ _ _.County

PERMIT NO··~.L·?ssu!j\}~·~aie~-R~ou·ices···---t-9-Ql~·~E~~~:·········-·······t- ..·-··-·..-·····-··-···--···-- ..····..··-··subdlviSioi\-Namc·········--···--·---····· ..·······..----··--·

wm~DMmoNOFwAnR~~C~

CANARY-CLIENT'S COPY

PINK-WELL DRILLER'S COPY

PRINT OR TYPE ONLY

DO NOT WRITE ON BACK

3.

[JNew Well

o Deepen

WORK PERFORMED

o Replace 0 Recondition

o Abandon 0 Other., ..._..._ .._.__

5. WELL TYPE

o Cable IXI Rotary 0 RVC tJ Air 0 Other _

4. PROPOSED USE

o Domestic 0 Irrigation 0 Test

o Municipal/Industrial ~ Monitor 0 Stock

Malerial Water

Strata To Thick·

ness From

18 18

6. LITHOLOGIC LOG

Coarse gravel and san~ 0

D&:itls Gate limestone X 18 338 320

8. WELL CONSTRUCTION

Depth Drilled __J.JlL Feet Depth Case<L..11.6 .._Feet

HOLE DIAMETER (BIT SIZE)

Fnxn To

...l2_._~~__.Inches__ .J). ..FeeL_~ __2.L Feet

.......§....~_...lnches __.£l .Feed.3a __ Feet

.__. ..._...Jnches . _ ___.FeeL .. __ Feet

GPS - NAD 83

N 39 de2. 32m.44.3s

w 116 deg. 02m. 43.78

w Hb oY4.f'1\ NA-07)

Date started 6.1'1.1. , 2001

Date complated .1'.1.0.1 , 20Ol

7. WELL TEST DATA

G.P.M. Time (Hours) Draw Down

(Feet B~Ip\y S~tic2

TEST METHOD: 0 Bailer 0 Pump +J Air Lift

a u(., ·v· .' :'Sf II~if.7

~ ~---- __~ __---- __--_·_'~'--.=]~~~I~::~I~~.i~JL---~1

o ')

.:.

CASING SCHEDULE

Weight/Ft.

(Pounds)

Wall Thickness

(Incbes)

From

(Feet)

To

(Feel)

Size0.0.

(Inches)

2.0 PVC Sched. 80 o 338

Perforations:

Type perforation .._¥.~.~.t..Q.~.L.~JQ.t .. .__... ... .__.

Size perforation._Q__.Q2._...__...__ . .. ._..__...__ . .. .

Frorn..._._.._ _.288.. __feet to_._ ..3.28. _ _.feet

FrolD-_._._ ..__ . .__ ._._._feet to__ ..._...._ .._. . .__feet

FrolD-_._._ ..__ . .__ ..__ ._feet to_. __._._._ ..__ . . .feet

From..._... . . ....._...__feet to..__..._....._ _... ... .feet

From.; ._ _.__ .. feet to. .. . . __.. feet

Surface Seal: ~ Yes 0 No Seal Type:

Depth of Seal_?:?.~..._ ...._ ..__ .________ 0 Neat Cement

Placement Method: ltJ Pumped 0 Cement Grout

o Poured 0 Concrete Grout

Pure Gold 30% solids

Gravel Packed: !XI Yes 0 No grout

From.....__...V_'±...._..._ ...._.. .feet to..;...._.;U~ ._...__. ..feet

9. WATER LEVEL

Static water lcvel_2.5.1.__....._.__.. ._.__ .feet below land surface

Artesian 8ow__ .. G.P.M. ..._J.S.I.

Water temperature. __. ._ OF Quality..._._.__ ._. . ..

10. DRILLER'S CERTIFICATION

This well was drilled under my supervision and the report is true to the

best of my knowledge.

Name., __!l~~$;l~~.~..~._~~E~.!._ __. .._. .__ -- -

Contractor

Address.JJ.~-<1.~Ln ..?.Q._~.!_.1?~.~I ..J~·:JJ!Lg4.!.._._ .._ .....__... _

Contractor

.._ __.._.~_~.::_~.._.~~g!.:9."_~._~~J_?Q~ __ _ __ _.._ .

Nevada contractor's license number

issued by the State Contractor's Board..__ _ .._ . __ .

NeV~~.driller~'s lie e Dumber issued ~ the. FP-1522

.DIVlSIOD(0'ate ~~-Slte driller, __ .__ ._ .. ...

Signed.; __ __ _ __ .._. .__ _.._.._.._.. _

Date__._ _ _ ~i~~~::':_:~~~_~~.

(II...-. 12-(1) USE ADDmONAL (0)·627 ~ SHEETS IF NECESSARY
EXHIBIT B

USGS Monitor Well Location

N·82778

Devils Gate South Site

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jI 6105T

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6024

(i0 Wefl

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WffiTIl-DlVISION OF WATER RESOURCES

CANARY-CLlENT'S COpy

PINK-WELL DRILLER'S COPY

A..J~V I/U' (.;>(2r<..- c,

STATE OF NEVADA

DIVISION OF WATER RESOURCFS

WELL DRILLER'S REPORT

....~...:;..~~~:~~~ ..~....~~.~:~~ljl43-~

".Permit No _ _ .

'.Basin ). i.l~t .

PRINT OR TYPE ONLY

DO NOT WRITE ON BACK Please complete this Corm in its entirety in '.

accordance with NRS 534.170 and NAC 534.346·. --'

. "NoTICE OF INTENT No.J"-9$_Z ..

1. OWNER..Ul..s.•...ta.i:l.D.I.•07-./&.a.I ·<:$.l.l.l::Jl.~(--..-- ..-..1. ADDRESS AT WELL LOCATION-.Al.IA - ..--.-- ..- _..

MAIUNG ADDRESS.Z7.3" 1L._:~.~-.4?u>.~t .~.•.......·ff..'.J..'iJ..·Q.--· ..L.·· ·..···· tt---.-. . 7t;..D - J.

Z

: U .

....-.-.- ~~'S:OZJ.i' ~.'~ ;..N.V. 8.!:ZP..L..... ...--- ..- 3.t.. 2Zd~1·~ .·.L - ~.1:: - t: ~.y -

2. LOCATION .II.£ .._ I~ N.. /. See .._..~.~ T._ Z..tl fij)s R_ _.ff.e. E 5. ..f 'IlO 1.?fj37ount~

PERMIT NO .......~ ~~·bf-ta!1.e1o·ilii;es····· ..··l·()e.7...·j32;;rcei·«o:-:./2~·-··~····..···..·...··. ······..·..·..·..···..·..·········.·.s~~o;;·iii;;ij.-e..........................................................

3. WORK PERFORMED 4. PROPOSED USE 5. WELL TYPE

ESYNewWell o Replace o Recondition o Domestic o Irrigation o Test o Cable o Rotary o RYC

o Deepen o Abandon o Other............_. ......... o Municipal/Industrial ~onitor o Stock li3"Air o Other__ .._____

6. LITHOLOGIC LOG 8. WELL CONSTRUCTION

Material Water From To Thick- Depth Drilled ...../.Lt?~.6..._...Feet Depth Cased .._....!.8.l2.Jl...._Feet

Strata nC$S

A ~-•••rJ~.J..~/~ ./a HOLE DIAMETER (BIT SIZE)

From To

~~T'ov~/-.s/?dd .._B.fZ._ .._lnches_ ....e._.__ ...Feet...L~ ........Feet

~. ~.I;, ".,.... /' . .•...1.1-

.._5..yL_lnches ....l_f:Il. .._FeeLL6."-'8. ...Feet

D.'hd ~tJ;1 (,J';,» ../ J . II) 0 10 I~ ........._.Inches....._ .._...Feet, ....... ........Feet

A_A 1..- J,. J J

~"...-/ ./~. f..",,. i

CASING SCHEDULE

•.••_•.#

,,>.,.,J ~••'J..-1 ' ~

SiuO.D. Wcisht/Ft. WallThickness From To

(Inches) (Pounds) (laches) (Feet) (Feet)

_/. ~ ~/. ~ .... "

/.t:: ~:I"J. .~ 7':. ~ 1.110""

~_L_--.J tln 0 74.4-1

.~..J .~/ A ,oHI".

,

? J ~,,# -

.L_-,.J I! 0 0

' L!.a...-

.n•.•,. ....•- J ZO Z~ _e)

'~Ak-' Va/~""J .,I:';'/),.." Perforations: . ~

.." .•..- laP ...,,>.,.,} Type perforation_..s. :a.I/~ ..._._..__.__......._.._..._._..__ ._.

I/

n

../ . i w. _ ,j Z~ 40 J~ Sttrforation.- .....J2.•.I2.e..~....- ..- ........--.-.-..............-...-.-- ...........

, "511,»'/ ..:J/ L." •• ....... J FromJil- ..--.2k.J.~........... .feet to.........._...._....!J.te..•.~_. ..._feet

/'. .~ ' b~D,,~,..I"'-l+ From ... .__ .....1..0.s.•.B...._ ..feet to......J.2~_ .•..s..._._....._..._.feet

Frorn.....__........................_.........._..feet to.........._ ..._............................... feet

~",d ,,~ Ji? J .•..• ,-1 ~ 40 t:;'r; IS FrODL_.._.:..............._.............._.....feet to.....__ ._......_ ....................._...feet

(if.~J .,/ " n#I,. From,.._.......... .. _h·· .....··.· feet to -.-...-~.... ..... ... .feet

f., ._ ~..,....•.",..I 15"7'i .Ii L: ~o _t; Surface Seal: ~es DNo Seal Type:

L .., ~ ~b Nt ••.-/. I -..:~ t.n Lt: .Ifi Depth of Seal...., ____ .~P...(..-~ 0 Neat Cement

<' .••••• -1

"

r. &;' L7 ? ~~ment ~ethod: f3ir1>umped 0 Cement Grout

("A'},~I L'~/ ~ ,I/J'/I- ~ ,IIC 1// ~ rc$ D Concrete Grout

./i'~,.. ,,/....-.,,,./ 1_ '"7 ?'/ .~

I1"'C a hd "-".IIt,/' :r.,gu e:tJ Sc)': • 6e.l'IlDn, "c r'rl'

<Snl'lA t/ 7~ .., ..•. ~

Gravel Packed: ~es 0 No C.c~ 3,o"/D $11//

.~ ...• .J lJ/.~bh-t~

a< if Il,:'-48.-J.8.Lfe.dsWl.4li!'~&':"'.N'A*-.iMI9Y4

f,.~~ 'arDiJ cl '74- 80 (, 9. I 4-~,I WATER LEVEL (6hq/low WJe

~,.".,./IJ'j .., /}JJ/~ Static water leve1..~..?.z.. ..lda~,r:.J!).ff:d below land surface

.f)~~ ./n }"._J ~r".u...• Ro 93 13 Artesian fiow.........._~ ___ ...._.._ ....___ G.P.M .._..AJ14___._P.S.I .

0/ Water temperature ......:::::.........OF Quality ........=. _........ _._......_...._...

•

10. DRILLER'S CERTIACATJON

Date staned ..........O.'_~. .Ilfzr .....2J2......_........_._...__. ...... _...._...,,§.fl..7. This well was drilled under my supervision and the report is true to the

best of my knowledge.

Date completed, ..'O.c::..'J1..6..~r....;:,.f:_._ ....._. ....._......._...............,...yJo..7.

Name.......fi.~ ..._~, .. ..eJ:J: .. .;..5.s._'=.'r.! ..........._..._.._...............

7. WELL TEST DATA Contractor

TEST METHOD: o Bailer o Pump [i..:(fr Lift Address.......~Z.1I?......I.Y.:.....A.!2.&:..'r. ....h>..«.h...,&a:;.......--.....

Contractor

:"!-rfoi~n On .••.Down Time (Hour.) ...•.. :r_ •.• 7r ..:-.c.a:r.s:J!.n_ ....(;1.~...,1....••. N.Y.. ..._....8..1..?.(l..L...............

.• (Fed UCI5w ..SllItiil)·'

l~

N~vada contractor's license num,ber AlLI9

V-"!.-J QC :11 J\1 Q7 Amll~ R7 " .

ISSUedby the State Contractor s Board........_......... _........_. ...............c.......

-. . , . ..

.• N;~!diJler's license number issued by the F.

,r.h!'rb "- 7/) c."'. '; .... '.

I' .-,'.I

Division of WateTResource~ on~site drillcr .......£!.~.!.8..92........

...

, ... ; t •.! ~~ __ L.:>

SignelL.... By dri lerpcri;;nlllng actual drilling' D,;·.iiC·;;~·C;;;;lraciO..i..·.-.....·....

Date........M..ll~.....Z£?_~ .. ....Z.{2.I?..7. ......_...................................................

(Ittv.HI) USE ADDITIONAL SHEETS IF NECESSARY
" WHITE-DIVISION OF WATER. IlESOUR.CES

• 4':~ CA~RY-CLIENT'S COPY

PIN&-WELL DRILLER'S COPY

-"- .

PRINT OR TYPE ONLY

DO NOT WRITE ON BACK

3.

D New Well

D Deepen

PROPOSED USE

o Domestic 0 Irrigation D Test

o MunicipallIndustrial 0 Monitor 0 Stock

5. WELL TYPE

o Cable 0 Rotary D RVC

D Air 0 Other..; _

WORK PERFORMBD

D Replace D Recondition

D Abandon 0 Other_. __. _

4.

6.

Malerial

WATER LEVEL

UTHOLOGIC LOG 8. WELL CONSTRUCTION

Depth DriUecL .... ..__ ._Feet Depth Cased..... .........•_Feet

HOLE DIAMETER (BIT SIZE)

From To

____ .._.._Inches ...--FeeL . Feet

. ..._Inches-_ ...__ FeeL. Feet

__ Inches __ _ --FeeL .._ _.. Feet

10. DRILLER'S CERTIFICATION

This well was drilled under my supervision and the report is true to the

best of my knowledge.

Name __.. _._._. __.__ .._ .._ _._ _. ._.._ _

Contractor

Waler From To ThickStrata ness

93 100 ?

... - -

/J'}o /o« .-:

105 /1)9 4-

\..51 J J •• .~/ /.

"' ••.• A ..L- .I'o.t:'

CASING SCHEDULE

Wall Thickness

(Inches)

From

(Feet)

To

(Feel)

Weight/Ft.

(Pounds)

Size 0.0.

(Inches)

I/)(j /?:b ,I

/7!/7 /':>12 ~

129 J~t:i .::.1

1::!4 1""'7 ~

/.:t'7 J.~7 ~I

/37 I~ ••

IJtiO /4--? 7

J+-? J C"n 3

L,·_..•• /. -

A/n"/~ }"'•• .J /.-

L.·"""" ,.J"-c:

/' .. .~/

~'L/. I.. .'1 J J.

Perforations:

Type perforation.i; _ __ ._. ...•

Size perforation .._. ._._ __.._ ... ..._..__ ._.. _

Froln.- _ _ _. feet to._._ __ .__ __ ._._._..feet

From. _ ._ __feet to _ _.. . feet

From .. __ -,-_ _ __ ._..feet to.., _ .._.._. __ _..feet

From. __ .. ._._feet 1O . ._ •.•. __ feet

Prom, feet 10 •• feet

..,...~I II' J 1",-,__

150 ,.1;61 ~

I'St, /l.c; 4-

,t '''0 /80 eo

----- re»

Surface Seal: 0 Yes 0 No

Depth of SeaL .__ __. .._

Placement Method: 0 pumped

o Poured

Seal Type:

o Neat Cement

o Cement Grout

o Concrete Grout

Gravel Packed: 0 Yes D No

From._._. feet to. ... .__ .....feet

9.

Static water leveL._.:.._....__. ._..•_ •.._ ....._...•....feet below land surface

Artesian flow ... .G.P.M P.S.L

Water temperature ...__ . OF Quality _..__ ._... ._

Date Started _..a.t:.'~L-.~.'L ----- JJI:.e..7

Date completaL£l.c:k.i.~r.._.Z:.+._. . .. ._..•]6.9.7

7. WELL TEST DATA

TEST METHOD: 0 Bailer 0 Pump [}Y'AirLift

G P M ~Do'I'A f"'''' ..,' I' r •••,,_•• 111 ''-'-t

... (Feet: Beiow:St;lliq" .. ,;":,'.~. 'f~ \"'~7 S·

Address. __ .. _ _._. __._ __ __.._. .__ _ .._ _.__ .

Contractor

----_ ';..--. .....•.•...;...---_ - _------_ --_._ .._--_._ - .

Nevada contractor's license number

., ,iss~~by ~ ~~c:,Contractor's Board, ...__ ._.. .... _

Nevadailrilter;s,'iiJ~nse number issued by the

Division of Water Resources, the Oil-site drillcr., _ _.._ __ _·

v

If

Signed, _.._:.. _ __ .. _. ._ .._ _. _ ..

By driller perfonning actual drilling on site or contractor

Dale _ _.._ _ _.._ _ _.._.._ __.._..__ _._ ..

' ••••. 3-91' USE ADDmONAL SHEETS IF NECESSARY (OHi21 ~
WHITh-DlVISlON OF WATER ltESOURCES

CANARY-CLIENT'S COPY I II D~~~~L~:tv.'SI1;~ N#fTh

PRINT OR TYPE ONLY lID"") WELL DRILLER'S REPORT !~~J

,A 00 NOT WRITE ON BACK- Please complete this form in its entirety in

_

\ I C!

accordance with NRS 534.170 and NAC 534.340..···

NaTICE OF INTENT

.

NO~_~~I

~L ~!'~~

1_ OWNER_U_5.G_~_'H.~_~_'--Cta. __~Y..t'_i~¥_:-::.WJ?'~J2~ADDRESS AT WELL LOqATION_U.s_B~e.4JA.:_..o.: .

MAIJ.cING ADDRESSuu~J~----NL-D4~.J-&¥L 00 --"r--L..~ -~:t:L-~ru--:--L..A~)

-u----f.!,.4t:~.n--J1Ju-t----.:r1-11---u8~:1-().-I--u-u--u--u-----.-- ..00',_ _ _u u__t~--..-.--U-w.::~--iJu-------- __ -U,P'~

2. LOCATION_1'!I.w.. _u___/4_N.W.u._1/4 Sec.__..3_Luu_uT _._._.~u_._uu~S R..uS..3._u. __.Eu__u. u u. .EUi:.t..kA._u._._u .County

PERMIT NO.u·~b~a~~.;,~fctu.-u.__t_---70-~r~.Lu.--u.- ..ul-u.uu----u-u-u.-.--.--.----.---.----#!s~_;,rSiO;:,-Naiiie-u---u------u.-----.-uu-.00---0000-------·

3. WORK PERFORMED 4. PROPOSED USE 5_ WELL TYPE

_New Well D Replace D Recondition D Domestic D Irrigation o Test D Cable D Rotary~ RVC

D Deepen D Abandon

o Other_________________o MunicipallIndustrial JitMonitor o Stock o Air ~ Other. _ U1-.t.!.

6. LITHOLOGIC LOG 8. WELL CONSTRUCTION -

M:terial WaterFrom To ThickDepth Drilled...$._9..~eet Depth CaselL.5_'l~£..Feet

f

Strata ness HOLE DIAMETER (BIT SIZE)

IJII~ c .• INt""" rll (") ~.~ 2~< From To

,~ '*" I 1 • .+"C~. I~+ (p ~.G!.z.2._.JncheS_ __uuO----F~~~el

I _._________.Jnches ___._______u._._Fe __ et____ . _______.F_e_el

h""~ .•..

.l. ..c:.., '~4-( I L~~ -+ II\,~ a ___ •• ___...__.Inches; .._.._Feet _ . __.Feet

...... -- ---- I ~. . CASING SCHEDULE

f"''''A."r.l .- \, A" ~'r,.tl6 ,

C •.•...J ~ I(...s•.:. 2.~

\..

SizeO.D_ Welght/FI. WaIlThickness From To

(Inches) (Pounds) (Inches) (Feet) (Feet)

,"".I Co J A 11\•• ~, \..~ 'A~< Q.c; ~ ?-t"'''_~ ~h Ic.\...-r- 1 I

0 59.5".

~4.c..+- nt'.l 1l0A ••• ~ 'f' _ •

_T_

~

-l I.c; ~-"-oT_.~' e ~.~ 5'9,.Q

o,.•~. c. 1

\.-.IN'\ IQ,~ \..::;.c; r.

\AI ,+L... -L J. • ~\a\J perf~o::~oratioL ........---SlI).:t-.--.---.--L---h.---- ..-.----..-.______

I

Size perforation. ____."O __ • __ O_2.0_ ..~LO..G - - ..---____...._..__..__

r...•' 1 \"'\ ....•\.. •• Il..c:;,.< ,..,..::; 2-

From_______...__.~~-.-.-feet to____-$+.,.-S____ ._._feet ._

.~u r- - -~,.~-r .

FroID._____._________.._____________feet ____to_____.___.__ ....______________ . feet _ _

r \J I

From...____...__.______ .___._.____ __ _._feet __ to.....____. .._________ ._.___.___ _ __. _.feet

From....________.___.._.____.___ _ ____ . .feet to____________._____._..__....___fee__t

~'tt~\~~ (' - ".~ '•• ,. &. .2J'l From..

..feet to____ feet _...__ ...__ _.__n_. _

-- _._ .._ ..._ ........... __ .._.

\II-t"o ~ _'C..L \ .cu.r 'lI'I\.ll Surface Seal: j!1Yes 0 No I Seal Type:

I ",j Depth of SeaL _o_ .._TD _ZB_ ._E:U 0 Neat Cement

r,.;- ,... ,tt'".. VV\t...u-l ~ 14,,< 5Q."1! \2 Placement Method: 0 Pumped Q t~ceme, Grout

~•• ~ ~,V\ hI I"L ;(poure~ 13e~~,.le 1ft

\ 1/'\..1 ",-.", .h. <L-r~A~AL

Gravel Packed: 0 Yes .%~;;.. C tlYcif)fJ.fiJ 5+- c:::. • Il1!...•.<..•.•••.••1

FroITL-....:i>6r&U4-·-+wt -llrtf-~..!-~~--feet 1- .

9. WATER LEVEL

Static water leveL_._.__ZILJ8.. ___.._. _.____.feet __below land surface

::::;;:;.;~~;6-;:f1:----Q~~~:;Sftit145~I~S

10_ DRILLER'S CERTIFICATION"'"

Date started.; .........................,,5._~P.~.m.b&r.: .....JJ........,.2..0..0.8

This well was drilled under my supervision and the report is true to the

best of my knowledge. .tI.. ~ t

Date complated ,.....-..........-...:5..e..p::f:4.m.hlr. .....JB... ....._....., 20tJ/3

Name•• _&w.t_L_l_LnnJ!:l 4 ••• __•_•. _

7. WELL TEST DATA Contractor

TEST METHOD: o Bailer o Pump ){ Air Lift Address,..z...7...3o_ .._...d!_Dut _____f':fij - ---8d-:-----.

i Contractor .,

.. G.P_M. ___.___C"' _ _r.'..5dn_ ..c. .~t-.-.:Yl~----f1.-Z~-L-.-....---

DrawDown

" .. Time(Hours)

(Feel BelowStatic)

,r: .

t .-l~!,. 1'"\ ~ R t, - Nevada contractor's license num r

./ i;,:.:} ('J •

I

issued by the State Contractor's Board____..__..__.____ . ..._____.____.______

~.J (. ,.,-:n: "~~ I A""" II ,." ." ~ Vl _ t!t" 1..J••• I L. Neva~. driller's license number issued ~y the. £P-/&.5:..7

DIVISIonof Water Res~ the on-site driller ___._____ _ ____..

·~ct ~ D2.' NJ4DR~ Sign.L.R_c":iL. ~.~k_ .._.._.._.

II~ ~.~ I'll t-~

Bydrillerpe mung actualdrilling siteor contractor

Date--------.----q.~-_2-l:,--~----------------- ..-.-.-.----------- ..---------.

6

e

(R<Y. 12.01) USE ADDmONAL SHEETS IF NECESSARY
(.)/,/ ,(.~#

9 1~-3

LtJg#=- I~~qqq11),

-TUlE DAM SPRlNG·qu~

NEVADA~EUREKACO.-

7.5 Ml1'l'UTE SERlES(TOPOGRAPHlC)

I

i

I

I

\5789.

Sprlng~).-

21

1860000

!FEET

5796Af -

Springs·

/

/

/

/

_I

I

I ~"l

,

I I

32 I

I

I

!

I

I

I

I 58J4AT.,

I

I

5829Ar !

5832

i-·

!

1

50'

,.

/

/

/

/

~~/----------~~~~~-----------

1-'1;,;

!

5829
Wcsr LJ/i1m~/Jd I/Q//o/

.:'Ea;~~:r~;I~?::yRFSOURCES DIVISIONS~;E::~V~OURCE~(/'" ~~~o._~:~~~.~:~.~~~"J

PKINT OR TYPE ONLY WELL DRILLER'S REPORT "" •.:::~~}~js.:I:::::~::::::~:::::~~··'-··--:··:~

DO NOT WRITE ON BACK Please complete this form lu Its eutirety in d

accordance with NRS 534.170 and NAC 534.340 ,/

. NORtE OF INTENT No,.ll2.9:s'-.3 .

1. OWNER...u..s_ ..t:4A.I.IUj..i.Cd. Qu.r~Y- __ .._j ADDRESS AT WELL LOC~~ION -N.I.i9. ·- -.-- - .

MAILING ADDRESS ...z.Z3.a.. ..AL... ..J:J.t:.t:r. ...9M1a A.cI..•...........·....,.. ·..··.··..···,;.···-vr·: ..r:.·..··..,.·.0· ..·..·..· ··I--···· ..rr=x:»: ..·..·..·· · ,\

......._.... _ C4r~Il~ a!I, ..J••••Ii.tL _..~.'l7A..l... 39. -4.Z. 2.0. N.I LLb I26.. 5.a Cw'.LlLl ?,7~

2. LOCATION N.E. '/•....... 6I£ '/. See t..{2 .._ T ~ _.tJJ/S R_ ....§..i:_ .E J.~t .~. _ County

PERMIT NO, ..·..~~·;;·,,1:e--1~urc·e.s·.···.··.~·Ji1D·7...·~t!fN-;:··Qi...··..··I· ·..·····.., ···,····, ..······· ..· ·· ···· ..sU·tid~Io~N;;m•..............................................- .

c

3.

(JI.1I:lew Well

o Deepen

WORK PERFORMED

o Replace 0 Recondition

o Abandon 0 Other .

4. PROPOSED USE

o Domestic 0 Irrigation 0 Test

o Municipal/Industrial iY1JIonitor 0 Stock

5. WELL TYPE

o Cable UJ.1(Otary 0 RVC

o Air 0 Other., .

6. LITHOLOGIC LOG

Material Water From To Strata

• L, IJDI

0 38 3R

-38 6~ .:!D

~fI, 183 125

1133 20_t; e.z

:;'nX 21e. I_II

2JP, ..?!B 1.5

2!. JI JJ 242 9

Z,*"7 ?4-..C .~

Z45 Zif7 Z.

Z4-1 254- 7

ZS4- 2'*0 is?

ZLh Z9" Z ,

z..AI Z9,J 12.

ilL. _ __ ,~. ..L )

(

Thkk·

ness

8. WELL CONSTRUCTION

Depth Drilled 4~L ..Feet Depth Cased. _i.'i."i _ Feet

HOLE DIAMETER (BIT SIZE)

From To

.._6.-.,7.._Inches I2 _...Feet..~~9:::. .._Feet

..... 1.1a.._.Inches ~ Feet. 4~..'l _.Feet

..... ...Inches. _ .Feet. Feet

CASING SCHEDULE .37$'.Z 5'

SizeO.D. Weight/Fl. Wall Thickness From To j

(loch es) (Pounds) (Inches) (Feet) (Feet)

Z ~lfnw Stt:./, ~ ,J .cn 0

.~"'L"

7 Jw ,..1 I en (7 ..011.-'" -

4QQ.O

10. DRILLER'S CERTIFICATION

This well was drilled under my supervision and the report is true to the

best of my knowledge.

Name ~.Ia}z ~~ pL.q:/,5.s..~r.! _ _._ .

Contractor

Address ?.ZJ.(2. t.L -A.t::..~r A?.Itli:J. /1cL. .

Contractor

..._..:_. _ .._~:r;s.aZ1 _Ci.i1~ ..·..·N..·t/.._·.Il~Z.lL .

.••_ Nevada contractor's license number

-----t----t----Bi 0'::.~.+ft-'I'H.

j

"""i~~t"TI~Ar;(D,.;uN·l[= -r-. 81J1:l:O::(~: '-:]-iL'7 :iB~e4.h)t ~c: S':ll~,p~ntractor·s Board: _N./.lf.L .

-----~---t-------t--....;;".-=--.!..=Jca.... •••••.••..•. ~~,NevAdadri1ltt'sJ\c~~' number issued by me

s;:·;:n~::'~~~~~~- By driller perfonning aeN ril i"8 on site or coneraceor 

Date _NO.IL.•..2.Q. ..~.2.D.i2~ .

Date started. O'glo.J..Q.:r.: 2. •.. +. , )A.~.1..

Date completed. oc..-b..~t:I: "J,'L _ ...................................• }I{l.7.

7. WELL TEST DATA

TEST METHOD: 0 Bailer 0 Pump 0 Air Lift

a.p.M, Dnil.iJ)Q!v1l0 c: "-:~l.:1iIhCl~l .

(FCCI IJelolo- SWit)· . ..• ' . '. " ,... _ I, v , S

.~.'.;!

~.Hl) USE ADDITIONAL SHEETS IF NECESSARY
C':

•.WHITE-DIVISION OF WATER RFSOURCES STATE OF NEVADA ./~- .- ..---....~ omCE USE ONLh!d' 'Y/!2 J

• ' CANARY-CLlENT'S COPY .: 11.11(2/

PINK-WELL DRILLER'S COPY DIVISION OF WATER RESOURCES ,_,Log N'I'I< . •__ • -

PRINT OR TYPE ONLY WELL DRILLER'S REPORT / -: \::~ .!zao= . ~-=~~~--~--=

DO NOT WRITE ON BACK Please complete this Corm in its entirety in \. i

accordance with NRS 534.170 and NAC 534.340\ -,. . / .i.' ft o..If' ~

.'-.NOncE OF INTENT NO_ .~_.:I._.;;J_'>J. __

I. OWNER.....u ...s.•...G...:~..4..:.9i.c.Ci.L.-.:§.td::·~.~l..--.- ..i ADDRESS AT WELL LOCA~ON--.-- ...-._.._._. ._._._ · ---------

~~~~~~_ A~~~ES~==~=.=.~=~~~==~~_~~=_~_~_=_=_~_==_=~==t._=_~=_~::!l~~~J~~!f~_=_~71l;_¥ff71!ilZ~]lJ1ii~i-·-;::~~=~:

2, LOCATION. '/4 '/4 Sec. T__ _ _ _ __ _ N IS R. .._ __ E _ ................•. _ _ _._. ._ _. County

PERMIT ~ I..,sZ NO. _M .'Il..~.L........ .-.--.---.-..--t.-...-..-...---.---- ...--.-.---~--- ...---.-....- ...--......- ..--.----...-.---- ...--...-...-.-..----..-..---..-.- ...-.----..-.--..-- ...

I sued by Water Resources Parcel No. Subdivision Name

3. WORK PERFORMED 4. PROPOSED USE 5. WELL TYPE

o New Well o Replace o Recondition o Domestic o Irrigation o Test o Cable o Rotary o RVe

o Deepen o Abandon o Other.__ ..._..___.._ o Municipal/Industrial 0 Monitor o Stock o Air o Other._______

6. LITHOLOGIC LOG 8. WELL CONSTRUCTION

Material Water From To Thick· Depth Drilled_....._______.._.._._Feet Depth Cased., __________ Feet

Strata ness HOLE DIAMETER (BIT SIZE)

rIA" LJ/ ~ . /'J~ From To

J.'u.J' 1"# e«•..•,.... ~'" ...._ ....____ Inches______ .....FeeL_. ____ .._Feet

~ Qic,..f "~"':Joo"..j Zq~ :~~4 /1 ________ .lnches___ ---Feet.. ______.__ Feet

r..J. A"';' .••-'" J w/ Inches__. ..-Feet.. .Feet

--

•.•.._ ... ---

..

.MlA~r ,..i"J 3P,," ~~~ z4- CASING SCHEDULE

I'I"'J ~/ /~~~".:. 322- Size 0.0. WeiglHlFt. Wall Thickness From To

.s.:»: ""~.$. D/'ni••).,t 331 (Inches) (Pounds) (Inches) (Feel) (Feet)

.~hiJd _i?~£ 33/ .3

~J.~,..; A," .J ~~I .3 ::t~ z,

rl.A~1- ~rAt.I,.1 LJ~-'h' [,4

~h~J~~_~ _~_=f 3 334- ,

Perforations:

f'.A~r.J. .CC}.. .J UJ/ Type perforation., ...__._...__...___________ ._...____ ..._.._._____ ._

t/CYJ ,NU'..,6r rJI'J.J 334- ~3~ 4- Size perforation. .._........._. ____ .__ .__...__.___ ..._...___._____ ---

~/"tJ ~/ N1/A~r I

From, ..•.......__. _ .._....________ feet to.._..._ .........-:__ .__ .__.___..feet

,..'L_ y~ ,<:,"',.,./ 3A~ 347 if Frorn.; ........______ ........._..feet to _____ ._....__......___ feet

From., ____ .__ ....._ ..__.._..._.feet lO ___ .••_. __ ••_ ••_ ••__ feet

~1.~>J. j

,'/ I/'J.I./.~ From., _______ ..____ feet lO ___ •••___ ••••••.• ______ feet

n~ loiO ~II';J <347 3~2' IS From,..... ..--. -

....feet to ___...._

-- ...feet

~_'A~ -' J~ b-JAu",,/ Surface Seal: DYes o No Seal Type:

/D~~Y

v

3112 ~/'4 2- Depth of SeaL._...__.._.__._ ...__ ..____ ..__. o Neat Cement

~J.'/'j. '<AJ.A I Placement. Method: OPu~d o Cement Grout

)),..•~~)" ·,.ln~J .

31. .t .371- 10 o Poured o Concrete Grout

I'l"" /!"",.j r), f.rl- •• \. J

Gravel Packed: DYes o No '1. "-'

i Ir-. bu/- FrOIlL________ ...._..--"eet to_._ ....._..__._..._........_.___ feet

Cd'Drt>x . "4LUlI.r.~ '"-e. <-":J?'" <~9J< II rJ.J.f,..J, ,,- _1 I, .: 9. WATER LEVEL

t/r:.~.1 ft...\-.. ~ t" 14"

<=I~~ <395 /0 Static water level~-- ..- ...---_ .......--feet below land surface

f'L~,.~ I wI I

Artesian ftow ____ .._.. G.P.M ...____ .P,S,I.

";'relr~ ,../.t'l. .} ..39.{ 4-1t> ,-" Water temperature _____ ...OF QuaIity___ .__ ........__._._._. __

I

I

10. DRILLER'S CERTIFICATION

Date started; ..__________ ....____._....._ ...._ ....._.__ ..._____ .___ ., 19........

This well was drilled under my supervision and the report is true to the

best of my knowledge.

Date completed. ....__._.._......._._....___ ._...___ ._____ .__ ..___ ..._....., 19..._.__.

Name .....___ ...._........__..____.____.................. _._._...._...__ ...__ ....._ .._ .._ .....___....

7_ WELL TEST DATA Contractor

TEST METHOD: o Bailer 0 Pump o Air Lift Address___.___._..____....................._.....__..:.....___ .._. __....._......._.......___

Ccntracror

.';! -i ·tl ~-~\. }·.:\~~~w1~V1S·

. '(j:P:~. (Feet Below Sialic) Time (Hours) .~_~ __________ .•."..~ ___•.•..•...._._._. _________ •__._...._...___...H.______

O~ .'1 U~ 07 Inu rnn: Nevada contractor's license number

", ..• .,. - . .."'.,' r. • - J ..

!

,., j§s~ by the State Contractor'S Board........______ .________

, -.

·N~~ driller's license number issued by the . ..

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

: : ._: ~.,: .. J ·..•.i

Division of Water Resources. the on-site driller. __ ........_ ........_. __ ..

Signed.._..._ ..._..............__. ___.__ ._.._.............._.........._- ........-_ ..--_ ..._--......-

By driller performing actual drilling 011 site or contractor

Date...__..................._............_. _.._._._._..._........._ ..___ ..--- ...--.-.........-...- ........-

(••.•. l.91) USE ADDITIONAL SHEETS IF NECESSARY (O).H)· •••
c, .....•. -

3.

D New Well

o Deepen

WORK PERFORMED

o Replace 0 Recondition

o Abandon 0 Other _ _ _..

5. WELL TYPE

o Cable 0 Rotary 0 RVC

o Air 0 Other. .

4. PROPOSED USE

o Domestic 0 Irrigation 0 Test

o Municipal/Industrial 0 Monitor 0 Stock

Water

Strata

6. LITHOLOGIC LOG

Malerial To Thick·

ness

I

From

tl-IJ

8. WELL CONSTRUCTION

Depth Drilled. _. __ __ ..Feet Depth Cased __:.._._..Feet

HOLE DIAMETER (BIT SIZE)

From To

.........................Inches; __.._ _.Feet. _ _.Feet

.._.._ _.Inches _ _._ ..Feet_ ..•_ _..__ Feet

....... _ .Inches .. .. . Feet...._.... . Feet

42f)

CASING SCHEDULE

Size 0.0.

(Inches)

Wall Thickness

(Inches)

From

(Feet)

To

(Feel)

Weight/Ft.

(Pounds)

(1._, 'J

C."

4--t3 45g I.r;

4Sg "'I-~ S

4-t.3 47~ It)

473 47(, .3

4'7/~ .4'71 J

+71 4f/5 g

405 4S.~ t

4-6~ "" '11:f 13

,

Date started .._ __ _ _ __ .., 19 .

Date completed _ _ _ , 19 .

7. WELL TEST DATA

TEST METHOD: 0 Bailer 0 Pump 0 Air Lift

DIBW Down ,,=-~

G. P.~., , !C1!ea:~ ~fIc)'! ~ j' V t ~~'- (Hours)

Nevada contractor's license number

-----+-----:A=-tC~:--:: 11-:--:-:-: btV-:----:Q=-I7.=-"'-lf±IN""--:: "=nn[::·-:':-, --:•.,-.-:-:---11 is~~~';~.,Y the State Contractor's Board •.......................... ·..__..

_____ +-__ -u--+'~---R'_.......,........,~~.-_L..:..;~;........;_~I ' Nev'adfctriller's license number issued by the

Division of Water Resources, the on-site driller -- ·-- ·..·

..•.....-_.

Perforations:

Type perforation __ __..•................__ _ __..__ _

Size perforation __ __ __ _._- .

From _. __ __ _feet to _ .._ _ __..__.._ __ feet

From. feet to _ feet

From, _ _ .feet to __ __ _ __.__ ._feet

From _ .__ _ ..feet to __ _. __ __ _ feet

From __.._ _ .feet to _._ _._._._ _ feet

Surface Seal: 0 Yes 0 No

Depth of SeaL _ __._ _ _

Placement Method: 0 Pumped

o Poured

Gravel Packed: 0 Yes 0 No

Froffi..._ _ __._ __ __ .._ feet to _._ _._ .._ _ _. feet

Seal Type:

o Neat Cement

o Cement Grout

D Concrete Grout

9. WATER LEVEL

Static water level., _ __.__ __ feet below land surface

Artesian /low _ __ _ __ 0.P. M _ __._._._P.S.1.

Water temperature _ OF Quality : _._._ _ _ .._ .

10. DRILLER'S CERTIFICATION

This well was drilled under my supervision and the report is true to the

best of my knowledge.

Name _ _ __ _ _ _ _ _ .

Contracror

Address _ _ __ _ _..

Contractor

Signed _ _ _ _ _ _ .

By driller performing actual drilling on site or contractor

Date _ _ _ _ _ _ _ .

(Re'I.l·91l USE ADDmONAL SHEETS IF NECESSARY

-- -- - ------------------
.,..-- ,'..••...,

WillTi-DMSlON OF WATERRESOURCES STATE OF NEVADA // ". OmCE USE ONLYlinl'J,Ay,

, ~~~~~~i.~'~~YCOPY + DIVISION OF WATER RESOVRCt,S: \Log No._ .....__..._..._._ ...__..__LfLLUV

Kobe.h 41 ~,' EtJ.s WELL DRILLER'S REPoRT ~ermit NO,i·i)-ii.-----·----·---------··-JPRINT OR TYPE ONLY) \ .;.Basin...._.. ~.~l_._ .. .________ . I--

A DO NOT WRITE ON BACK ( K V IE. Please complete this form in its entire~. in _

• C:s: \ • 1~nce wit~RS 534.170 and NAC S3<t:J4tL.- NOTICE OF IN~ No~5.8i

~::'G'";;;,~~2."J~~4~tie=h~J~-~'C=£~e~~~:':=-

...- CO"('~O'Y\ (l.1t~::tl.v..J..----8.~::z".l- -.._ _.J:._. N.J:lt.:_ 12~~_~JlY· 41fJ..'').-t-.- - ········...·

2 . LOCATION __~.E_ .._1/4...._ ••'5.I!;._1/4 See ..lD T eo -----.t9 s R....5L. ..-- E - r -.-.-.-..&.;;-;,.\..f.r~~.Q. county

PERMIT NO· ..n;}s~·~·J?rR1~·cs--·..~·-.·.·:J·~.J.~9Ro:\.··.·.--·--..~..·..-..·-·-..·- · --·-.·.·- ·~&i~;;;;·N;iiiie ..-..···..-···..---·--.---..- - --..

3.

ild' New Well

'D Deepen

4. PROPOSED USE 5. WELL TYPE

o Domestic 0 Irrigation 0 Test 0 Cable 0 Rotary APRVC

o Municipal/Industrial .J( Monitor 0 Stock 0 Air ~ OtherB!P.Cr~.!"

WORK PERFORMED

o Replace 0 Recondition

o Abandon 0 Other _ __..

6. LITHOLOGIC LOG

-

Material Water

Strata

To

Thick·

ness

From

5l lTuo ('1.\••." - VV'\AI ••'•i".

J •• I

8. WELL CONSTRUCTION ~

Depth Drilled ...~ ..•.s.._Feet Depth Cased ...~.t5. ....Fe.et

HOLE DIAMETER (BIT SIZE)

Prom To

~~_.Inches_ ...'O" Fee~.s:..Feet

._.._ _..__..Inches., __._.__._ _Feet.... Feet

................_ .Jnches ._ Feet., .Feet

CASING SCHEDULE

From

(Feet)

Size O.D. Weight/Ft. Wall Thickness

(Inches) (Pounds) (Inches)

To

(Feet)

'2 ~ 2...•W\l'~ ~'U!..'\-r\ .-

<.-l • A.., • \D .•I\.l)

F_I"". ~.l't'~, E\,,-~.•wl1"..w. ;JJ~ 2,'1 ~

I I

I I

~llf\. ~,\'t.1 (J.~\I_vJ,+.JI- .:=\2..I~.'~_~.'S

I f I

o

perf~~O~~ora~ion. -....sJ.b±: -.!.:;:. ..:.:.t: - .

SIze perforatl0n_ _ ..O.~_O_ _2.0 ,.I:lCA'l_ - .

From. aa.~.S. -.fee.t to __.~a~..s:: feet

From., _ __. .feet to _ _._ feet

From., _ __._._ feet tu...; _ _ _.feet

From. _ _..feet to.._ _ . _._ feet

From. _....... _. _ _..feet to.._......... ..._ _ __ _.feet

5\\"t.. ~"IO'\'# ~ \ r.\.•\1. ~ ~ ·C:I~,.,~ n.~t:; /I I~ lib N2Li·A .l. c. J.\

-r~"'.\... WA~ \'" (-I.· ...t,. W"'\

- .

~,\t.1 ~llI\iI» c.. 1~ [I.lll" .Jfo 1A2..'l!: ...ofI.!2~. f),'~

~allVll, (\\&v ~tl. \ \...0 _.L ~

l~ '-r""ll"_~ .M_-_~ ••."tru-F"

Date started ..5..•.i?1im.~r.: ~.~ , 200B

Date complated ..s.L~T~-W:\.b&r.:' r:l , 20 OS

7. WELL TEST DATA

TEST M~THOD: 0 Bailer 0 Pump Jl Air Lift

.I t,d .c, 7-' I~_ ,

I

. ' •. ' . _ Draw Down

G.P.M. . ... (Fe~t-Ilelo.w Static) Time (Hours)

If G:» 12. •• ,.Q

(01-621 ~

Surface Seal: It Yes 0 No t' I. Seal Type:

Depth of Seal,.....o..._r.~;LZ'O_:t:._ T 0 Neat Cement

O

~

emeDl Grout

Placement Method: Pumped, l "..L. Jtte Gr t

gfPoured3/S 'Ben\,." \'~hf!l

Gravel Packed: JKYes 0 No lHyrkatJd)

From__ __ _ ---ZC _ feet to._._ _ ~,a.,.sfeet

9. WATER LEVEL

Static water level., .._ a .2..'9_._ _ _..feet below land surface

Artesian How _._ N.tJ...__ _.G .P.f1 ---- .::r~ P.S.I.

Water temperatu~.L-'-. 0 F Quality_..N.tL._.O.arJ.r:. .._ .

10. DRILLER'S CERTIFICATION

This well was drilled under my supervision and the report is true to the

best of my knowledge. \ • I 1-

Name __.Eob . e.t:r._ ../Y..l. .._..R.aY.lJ.n.~:.L"rt _ .

.I Contractor '-..l

Address._ZJ.3CL._/!LJ ....D..u.r..BL.lY\ . . ....8. cl .._.... t. Co~~or,

.._...._._~.O..CS" n....C.L·•.t-·..-.I..1jL_.S..'.'1.~- . L...-.-_-.

Nevada contractor's license number

issued by the State Contractor's Board__ _ __ .. .

Nev~~a.driller's license number issued?,Y the. ~P-l·0~

DIVISionof Water Resou~n-slte dnller.C ..L.__ ..•.• .o..;;;l..1

Signed, E.~_~:f1~.~~~+~- .

By driller performing ":~ drilling o~ or contractor

Date....... .. q...~. -~$..:!:'..t)8- -- ---......- .

(Rev. 12·01) USE ADDITIONAL SHEETS IF NECESSARY
UNITED STATES

DEPARTMENT OF THE INTERIOR

GFOLOGICA1, SlJRVEY

~G»o£ _. I-.~~Sf3~7--.:-..,...--~---.---::~-n--~~T-t:r----

\

-,

'\ j

\ -1-----'

.-"''-7'--...::';....'': - ~
8

3. WORK PERFORMED 4. PROPOSED USE 5. WELL TYPE

[if New Well o Replace o Recondition o Domestic o Irrigation o Test o C~le 0 Rotary.J RVC

o Deepen o Abandon o Other.; ...___._____. o Municipal/Industrial pa'Monitor o Stock o Air ~ Other. . ~~

6. LITHOLOGIC LOG 8. WELL CONSTRUCTION

Material Water

From To Thick- Depth Drilled.3~_lS_ ..Feet Depth Cased._.~~2._ ..Feet

Strata ness

HOLE DIAMETER (BIT SIZE)

ClV\ -\--' \ VI '- ~V\ ,.\" \ ,.." """"

t") 4- A- From To

I

I ~.L(a~Jnches._ .......O.._....Feet...31:~.s.:Fee . t

.\t\1 0.\ .••\' nV\rt 31. \t;\I'\"-" 4 IA-.~ ('),.:; _. __ .____ Jnches. ____..._..____ Feet. .......____ Feet

I~ \

/1 .Jnches. ____..._ ____.Feet. ... Feet

~

---

_...__ .

- -

,

CASING SCHEDULE

2- c . C\-' ~ rll \/.1 I~V\I\ 1"11~ ft 4s :~

1. 2.5 Size 0.0. Weight/FI. Wall Thickness From To

I

'.J , (Inches) (Pounds) (Inches) (Feet) (Feet)

rflv«\ h, "" V"lr\ - WP + ~ '1 q.~ 2.5 2:-lnc.h ~11'< ..1r.. \h",·- J~..l ("") _":2A-.5

J '£..l' ~. A--.I"l

~ (J.a"r<;p llof·h,/" I\\1 L:...-..vv .J? q ,..=:; \2 2., «

V J Perforations;. S\ot

~ r:n"\ r.\;.\1 \ A,JI',. - Vt'{\I "T,a\n.+ I? I~.< \ • c::; Type perforation., ...-- ..........- .....--.- ..- .....--.--.--t;-.----.....----......-

I I I

<,, Size perforation ..._.....O...'02.Q •. ._..1. . .n~ ......_.._.._.__. .._.....

Q. ('1'1\1".11 J c::.. J·vJ'.1 ~

:- I~.~ " ,e; 4- From.; ..._.._.__.2.4:.!..5____feet to ..__...__~!..5. ._. _._._feet

I

From. ...___ .___.._......__..._.._.__ feet to..; .....__.__ .__ ...__..._.._.__.feet

From ...._...._.___....._._ .....__...___feet to...._...__._.._.__ .___.___ .__.feet

lvel \d {J ..o'V\~ ~rv-t 4- ~\ .t I\",~ ?Jl ?<; From ...._.......___.___.__ .__...____feet to, ....._...__.....__.___ ..._.....__.feet

1 From. ... ---.............. feet to .....__ . -_. ----

..___.feet

(' .\Il-J ?/'t 2-~ .~ Surface Seal; .c!:. Yes 0 No ~:\- Seal Type;

Depth of Seal _..T.<L.I.5S...t:!:- 0 Neat Cement

".A,UWl ~Y"\A \\(\ VV\ ,r\ ?-~ ?.,q.< (n .<=; Placement Method: 0 Pumped 1/ t '-Cement Grout

.~W\""(:l 1'1.+ ?q.~ r:::". .L 00 Poured 3/8 Be" 0" J -e: ~w,ef5G~t -..J

Gravel Packed; }d' Yes 0 No H~d.1"a.Te erl. ..I.V"V\ -r 1"") ( I ......., V'<J ~~ w* !ZQ.5 31·5 2-

From ............_.l5.-'--.$ ____feet_ to., ........3.::1:-'_5_ ....._....feet Wf'.1-

9. WATER LEVEL

\y\p if; \(.•.~V'trl • ":ll. .:;::l~.c. 3

Static water level.; .........~! ..aCL_ .._._ . .__ feet below land surface

r» \l'\rl ~ \+-W~ + Artesian flow ..._.....__........_.....LV..A.... __ ._ .. __ G.P. M. - .....--d·.-.---P.S.L

Warer temperatureSZ..loF Quality._MD_._D.. .o_r.:...___......

1O. DRILLER'S CERTIFICAT~ON

Date started ........................... ~?"t..v.:vJ.be..C . .......l~.. ....,..200.8 This well was drilled under my supervision and the report is true to the

Date complated ..................... 5.e..p±t.lCIO ..bf..c.........\(o............., 20a9 best of my knowledge. t ~. ±

Name ......Eo.b.e.c ..._......t:I... •....._J...e.r:tn.! . ..~ . .o..~____.._

7. WELL TEST DATA Contractor

TEST METHOD; o Bailer o Pump ~ Air Lift Address, ...Z.731l .._tL.L_]).e.,-.c ....E?Mn_._Bd.: ___

~ IttaCtor . '

..............._........t.l.C.5D..n..c_J \.J.-.:r1.v...-_-89. ..1,lJ.L- ..

: ")

'. '" .. ,,Q-P-..M.

Draw Down

Time (Hours)

,.

(Feet Below Static)

I{' 1()~'4-it- ilv\e. (\ ) Nevada contractor's license number

.'-'-I

•.d F-? N..n 1'1 ll"l Y' Ii") \I\i !I!11,.- issued by the State Contractor's Board.L. __..._..__.._._.....____ .____

---J J !J{J!1t Nev~~adriller's license number issued by the. ~ p- J..B..:;i

1(-sP~ '-oc..a. linn A ..•.. Dn\\D..\ DIVISion of Water ~e on-site dnlleL._._ .._.__.. _

NAn ~ R signed .......R~.:l\.:.. ........£.MN.l~j-~ ..-........-....-...

~'1 ~5 5~,~ ~\~\M'iiAv\ By driller per orming actual drilling on ite or contractor

\ \ (f) 2S 2.1.{" L<;' r-. ,?~ Date ...........9..=..Z-4-_==_OB...................._....._..... __......_-..--.-....-...-

7

(R<v. 12·01) USE ADDmONAL SHEETS IF NECESSARY (O~627 ••••
~~~~~

NEVADA-EUREKA CO. .

7.5 MINUTE SERIES (TOPOGRAPHIC)

"

...• 0.

6/09T

X

6 lOST

x

26

61277

x

6126

x

61/1

X

4385

l.77000Q

FEET

4384

6!OJT

x

6104r