Recovery Well Installation Data Package

Transcript

ADVANTAGE ENVIRONMENTAL CONSULTANTS, LLC Recovery Well Installation Data Package October 2011 Gasoline Fueling Station – Royal Farms #96 500 Mechanics Valley Road North East, Cecil County, Maryland 21901 OCP Case No. 2011-0729-CE MDE Facility No. 13326 AEC Project Number: 05-056 RF096 Prepared for: Maryland Department of the Environment Oil Control Program Montgomery Park 1800 Washington Boulevard Baltimore, Maryland 21230-1719 And Royal Farms / Two Farms, Inc. 3611 Roland Avenue Baltimore, Maryland 21211 Prepared by: Advantage Environmental Consultants, LLC (AEC) 8610 Washington Boulevard, Suite 217 Jessup, MD 20794 Phone – (301)-776-0500 Fax – (301)-776-1123 March 20, 2012 ADVANTAGE ENVIRONMENTAL CONSULTANTS, LLC This package contains the following documents: Site Features Map Boring / Well Completion Reports MDE Well Completion Reports Page of Page Boring / Well Completion Report Boring / Well ID MW-1R Permit Number Permit Date Date Work Began 10.13.11 11:45 Date Work Ended 10.13.11 17:00 AEC Project No. 05-056RF096 Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) 6.25” Depth from Surface Feet Feet Geologic Log Drilling Fluid N/A Drilling Contractor CR Hugo, Inc. Description Soil Classification PID 0 0.5 Concrete 0 0.5 3.5 Brown silty SAND w/ gravel, fill 0 3.5 4.5 Brown clayey SILT w/ sand, med. Stiffness 0 4.5 6 Brown and gray mottled SILT w/ sand 6 7 Brown clayey SILT w/ sand 0 7 9.5 Purplish brown CLAY, stiff 3.1 9.5 12.5 White and orange striated SAND w/ clay, moist 6.2 13.5 Orange SAND w/ silt, moist, soft 10.2 12.5 13.5 14 14 15.5 15.5 16 16 19 19 19.5 19.5 20 Purple and gray CLAY w/ silt. med. stiffness 12,6,6,6 @3.5’ 0.5 4,4,6,7 @8.5’ 4,6,6,12 @13.5’ 12.7 White SAND, soft, wet 14.7 White and orange mottled SAND w/ clay, med. stiff 9.8 Beige CLAY w/ sand and silt, moist, soft Sample Blow counts Interval 6.1 Purple and red CLAY, stiff 0 20 White/gray/orange SAND and quartz GRAVEL, very stiff 0 25 GRAVEL w/ beige sand and silt, wet, loose 0 14.5’ . 38,20,15, 15 @18.5 38,26,20, 20 @ 23.5 Water Level of Completed Well First water (ft. bgs) 7.65 Date/Time Measured 10.13 15:45 Static Water (ft. bgs) 9.50 Date/Time Measured 10.18.11 Boring Location Sketch Well Construction Details See attached figures Well Diameter (inches) Depth to Top of Bentonite Seal (ft. bgs) Depth to Bottom of Bentonite Seal (ft. bgs) Depth to Top of Sand Pack (ft. bgs) Depth to Bottom of Sand Pack (ft. bgs) Depth to Top of Solid Casing (ft. bgs) Depth to Bottom of Solid Casing (ft. bgs) Depth to Top of Screen (ft. bgs) Depth to Bottom of Screen (ft. bgs) Solid Casing and Screen Material Screen Slot Size 4 1.5 2.5 2.5 23.4 0.5 3.5 3.5 23.39 Schedule 40 PVC 10 Page of Page Boring / Well Completion Report Boring / Well ID MW-9 Permit Number Permit Date Date Work Began 10.20.11 8:15 Date Work Ended 10.20.11 13:55 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID Sample Blow counts Interval 0 1 1 3.5 Brown silty SAND 3.5 5.5 Beige and orange sandy CLAY, stiff 5.5 6.5 6.5 7.5 Brown clayey SAND, dry 7.5 9 Red clayey SAND, dry, stiff 0 9 9.5 Red and purple CLAY, stiff 0 0@10 1.4@11 9.5 13.5 13.5 15 15 17.5 Asphalt and gravel fill Reddish SAND w/ clay and gravel, very stiff Beige mottled CLAY, stiff Beige and orange mottled CLAY w/ sand, stiff 17.5 Beige and orange mottled sandy CLAY 18 Beige sandy CLAY, moist 18 20.5 20.5 22 24 22 24 25 05-056 RF-96 Orange SAND and quartz GRAVEL, very stiff 0 3.1@4 4.6@5 16.2 8,8,9,9 @8.5’ 7,7,9,8 @13.5’ 1.2 0 0 0 0 Clayey SAND, wet, loose 0 Gray and orange striated silty CLAY, stiff 0 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 1.5 Depth to Bottom of Bentonite Seal (ft. bgs) 2.5 Depth to Top of Sand Pack (ft. bgs) 2.5 Depth to Bottom of Sand Pack (ft. bgs) 23.6 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 3.5 Depth to Top of Screen (ft. bgs) 3.5 Depth to Bottom of Screen (ft. bgs) 23.60 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 6’ 11.3 Red sandy CLAY, moist Water Level of Completed Well First water (ft. bgs) 10.89 Date/Time Measured 10.20 12:55 Static Water (ft. bgs) 11.87 Date/Time Measured 10.16.11 12,12,14, [email protected]’ 1.2 . 33,33,15, 10 @18.5 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID MW-10 Permit Number Permit Date Date Work Began 10.20.11 12:46 Date Work Ended 10.24.11 11:45 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 Grass, topsoil 0 1 4 Orangish silty SAND, stiff, fill 0 4 7 Orangish silty SAND and GRAVEL, fill 1.7 7 8 Reddish brown silty SAND w/ clay 35 8 9.5 Orangish SAND and GRAVEL, stiff 12.3 9.5 10 3.6 10 12.5 Red, white , brown SAND w/clay and gravel, stiff White clay w/ SAND, stiff 12.5 14.5 14.5 17 05-056 RF-96 Red and white SAND w/ clay, stiff White and orange mottled CLAY w/ sand, stiff Sample Blow counts Interval 50+ over 6” @3.5’ 7’ 14,11,9,7 @8.5’ 2.1 6,6,6,7 @13.5’ 6.5 1.2 Drilling equipment failure :15:00 10.20.11 Resume 8:15 10.24.11 18.5 23.5 23.5 25 Brown sandy CLAY, wet White and orange CLAY w/ sand and gravel, stiff Water Level of Completed Well First water (ft. bgs) 8.40 Date/Time Measured 10.24 9:45 Static Water (ft. bgs) 10.08 Date/Time Measured 10.26.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 2.5 Depth to Bottom of Bentonite Seal (ft. bgs) 3.5 Depth to Top of Sand Pack (ft. bgs) 3.5 Depth to Bottom of Sand Pack (ft. bgs) 24.4 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 4.4 Depth to Top of Screen (ft. bgs) 4.4 Depth to Bottom of Screen (ft. bgs) 24.40 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 0 0 . 50 over 6” @18.5 6,6,8,8 @23.5 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID MW-11 Permit Number Permit Date Date Work Began 10.24.11 11:34 Date Work Ended 10.24.11 18:20 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 1 3.5 Grass, topsoil Brown clayey SAND w/ silt 0 0 3.5 5 Brown and tan clayey SAND w/ gravel, stiff 0 5 8.5 Red silty CLAY w/ gravel 8.5 10 Purple CLAY, very stiff 0 10 13 0 13 14.5 Multicolored CLAY, very stiff Reddish brown silty CLAY 14.5 15 15 17.5 17.5 20 20 22 22 24 24 25 Brown sandy CLAY w/ gravel White silty CLAY White and tan clayey SAND, soft Orangish SAND, soft, loose Red and white, clayey SAND, loose Orange SAND w/ quartz gravel, very stiff Water Level of Completed Well First water (ft. bgs) 14.53 Date/Time Measured 10.24 17:20 Static Water (ft. bgs) 13.90 Date/Time Measured 10.26.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 2.5 Depth to Bottom of Bentonite Seal (ft. bgs) 3.5 Depth to Top of Sand Pack (ft. bgs) 3.5 Depth to Bottom of Sand Pack (ft. bgs) 24.4 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 4.5 Depth to Top of Screen (ft. bgs) 4.4 Depth to Bottom of Screen (ft. bgs) 24.40 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 Sample Blow counts Interval 12,12,13, 14 @3.5’ 8.6 12,15,20, 24 @8.5’ 12,15,20, 24 @13.5’ 10.3 13.1 0.5 15’ 12,10,10, 10 @18.5 0 0 0 0 . 23,30,42, 50 @23.5 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID MW-12 Permit Number Permit Date Date Work Began 10.24.11 15:30 Date Work Ended 10.25.11 13:20 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 Grass, topsoil 0 1 4 Orangish SAND w/ gravel 0 4 7 7 8.5 Tan silty SAND, loose Orange clayey SAND w/ gravel, stiff 0 0 8.5 13 Reddish clayey SAND w/ gravel 0 13 17 White, red, and tan mottled CLAY, med. stiff 0 17 18 0 18 20 Beige silty CLAY Beige and orange silty clay, soft, moist 20 23 0 23 24 Red and white silty CLAY, soft Black and gray SAND and GRAVEL (organic) 24 25 Orange SAND w/ quartz gravel 0 Sample Blow counts Interval 14,14,15, 16 @3.5’ 12’ 14,12,12, 14 @8.5’ 5,6,6,6 @13.5’ 4,4,3,4 @18.5’ 0 32,20,8,6 @23.5 0 . Water Level of Completed Well First water (ft. bgs) 11.74 Date/Time Measured 10.25 12:20 Static Water (ft. bgs) 11.23 Date/Time Measured 10.26.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 2.5 Depth to Bottom of Bentonite Seal (ft. bgs) 3.5 Depth to Top of Sand Pack (ft. bgs) 3.5 Depth to Bottom of Sand Pack (ft. bgs) 24.9 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 4.9 Depth to Top of Screen (ft. bgs) 4.9 Depth to Bottom of Screen (ft. bgs) 24.91 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID MW-13 Permit Number Permit Date Date Work Began 10.25.11 12:00 Date Work Ended 10.25.11 17:50 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 Grass, topsoil 0 1 2 Reddish brown silty SAND w/ gravel 0 2 5 Brown silty SAND 5 10 Brown and gray SAND w/ clay and gravel 10 11 11 13.5 13.5 15.5 Red and white mottled CLAY Beige silty CLAY, soft Orange SAND and GRAVEL, wet, very stiff 15.5 19.5 19.5 23.5 23.5 25 Red and beige silty CLAY Beige and orange mottled CLAY w/ gravel Beige and orange striated clayey SILT, loose Sample Blow counts Interval 7,8,12,18 @3.5’ 0@3 3.0@4 [email protected] 2.5@8 3.1 3.2 11’ 20,12,14, 18 @13.5’ 8,5,4,4 @18.5’ 2.0 0 1.0 0.3 . Water Level of Completed Well First water (ft. bgs) 7.09 Date/Time Measured 10.25 16:50 Static Water (ft. bgs) 7.00 Date/Time Measured 10.26.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 3 Depth to Bottom of Bentonite Seal (ft. bgs) 4 Depth to Top of Sand Pack (ft. bgs) 4 Depth to Bottom of Sand Pack (ft. bgs) 25 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 5 Depth to Top of Screen (ft. bgs) 5 Depth to Bottom of Screen (ft. bgs) 25.08 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID MW-14 Permit Number Date Work Began 10.26.11 Date Work Ended 10.26.11 Address 500 Mechanics Valley Road City / State Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 0 1 2 3.5 8.5 12 1 2 5 10 11 25 6.25” Permit Date AEC Project No. North East, MD 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification Grass, topsoil Brown silty SAND w/ asphalt Brown sandy SAND Tan sandy SILT Tan SAND Tan SAND, wet Terminated @ 25.0’ PID 0 0 0 0 0 0 Sample Blow counts Interval 11’ . Water Level of Completed Well First water (ft. bgs) 9.29 Date/Time Measured 10.26.11 Static Water (ft. bgs) 9.13 Date/Time Measured 10.27.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) Depth to Bottom of Bentonite Seal (ft. bgs) Depth to Top of Sand Pack (ft. bgs) Depth to Bottom of Sand Pack (ft. bgs) Depth to Top of Solid Casing (ft. bgs) Depth to Bottom of Solid Casing (ft. bgs) Depth to Top of Screen (ft. bgs) 5.0 Depth to Bottom of Screen (ft. bgs) 25.10 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID MW-15 Permit Number Date Work Began 10.26.11 Date Work Ended 10.26.11 Address 500 Mechanics Valley Road City / State Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 0 1 2 3.5 8.5 10.5 14 18 1 2 3.5 8.5 10.5 14 18 25 6.25” Permit Date AEC Project No. North East, MD 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification Grass, topsoil Brown sandy SILT w/ asphalt Brown sandy SILT Brownish tan SAND, moist Brownish tan SAND, wet Brown SAND, wet White SAND, wet Tan SAND, wet Terminated @ 25.0’ PID 0 0 0 0 0 0 0 0 Sample Blow counts Interval 9’ . Water Level of Completed Well First water (ft. bgs) 14.81 Date/Time Measured 10.26.11 Static Water (ft. bgs) 14.87 Date/Time Measured 10.28.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) Depth to Bottom of Bentonite Seal (ft. bgs) Depth to Top of Sand Pack (ft. bgs) Depth to Bottom of Sand Pack (ft. bgs) Depth to Top of Solid Casing (ft. bgs) Depth to Bottom of Solid Casing (ft. bgs) Depth to Top of Screen (ft. bgs) Depth to Bottom of Screen (ft. bgs) Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID MW-16 Permit Number Permit Date Date Work Began 10.27.11 15:40 Date Work Ended 10.27.11 21:20 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 1 3 Grass, topsoil Brown silty SAND 0 0.1 3 4 Orange coarse SAND w/ clay, very stiff 4.1 4 6 6 7 Tan SAND w/ clay, stiff Beige CLAY w/ silt 2.2 2.0 7 10 Beige clayey SAND 2.2 10 12 4.8 12 14 Multicolored silty SAND, loose Tan clayey SAND 14 15 15 17 17 21 21 22 22 24 24 25 Red and tan CLAY w/ sand, soft Orange running SANDs Purple and white mottled CLAY, stiff 9,9,9,9 @8.5’ 10’ 6,6,6,6 @13.5’ 0 0 12,10,8,8 @18.5’ 4.3 0 Orange SAND and quartz gravel, very stiff 0 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 1.5 Depth to Bottom of Bentonite Seal (ft. bgs) 2.5 Depth to Top of Sand Pack (ft. bgs) 2.5 Depth to Bottom of Sand Pack (ft. bgs) 23.4 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 3.5 Depth to Top of Screen (ft. bgs) 3.5 Depth to Bottom of Screen (ft. bgs) 23.45 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 16,15,11, 11 @3.5’ 1.3 Tan sandy CLAY w/ gravel Multicolored CLAY, stiff Water Level of Completed Well First water (ft. bgs) 7.24 Date/Time Measured 10.27 20:30 Static Water (ft. bgs) 7.01 Date/Time Measured 10.30.11 Sample Blow counts Interval 0 . 24,26,50+ @23.5 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID RW-7 Permit Number Permit Date Date Work Began 10.13.11 8:25 Date Work Ended 10.13.11 12:30 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1.5 1.5 3.5 Asphalt/gravel fill Tan silty SAND w/ clay 0 0 3.5 4.5 Beige SAND w/ clay 0 4.5 5 5.5 5 5.5 8 0 0 0 8 9 Orangish SAND Beige CLAY, stiff Beige and gray CLAY Beige CLAY w/ silt 9 10.5 10.5 12 12 14.5 14.5 16 16 18.5 18.5 20 20 21 21 23 Orangish SAND and gravel, loose, wet Beige SAND w/ clay, loose, moist 0 0 23 24 Purple/gray CLAY, very dense 0 24 25 Orange and gray striated SILT 0 17.1 95.5 Beige CLAY w/ silt, loose Beige clayey SILT, loose Tan CLAY 101 60 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 3 Depth to Bottom of Bentonite Seal (ft. bgs) 4 Depth to Top of Sand Pack (ft. bgs) 4 Depth to Bottom of Sand Pack (ft. bgs) 25.2 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 5 Depth to Top of Screen (ft. bgs) 5 Depth to Bottom of Screen (ft. bgs) 25.28 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 9,7,6,6 @8.5’ 2.8 252 61 Blow counts 5,5,6,8 @3.5’ White/orange mottled SAND w/ clay, med stiff Orangish SAND Orangish beige CLAY w/ sand, moist Water Level of Completed Well First water (ft. bgs) 13.25 Date/Time Measured 10.13 10:45 Static Water (ft. bgs) 12.64 Date/Time Measured 10.16.11 Sample Interval 13’ 6,4,3,4 @13.5’ 12,8,8,8 @18.5’ 13,12,7,7 @23.5’ Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID RW-8 Permit Number Permit Date Date Work Began 10.13.11 16:00 Date Work Ended 10.13.11 20:55 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 2 1 2 3.5 Asphalt/gravel fill Sandy gravel Brown silty SAND, med. stiffness 0 0 0 3.5 4.5 Purple/gray SILT w/ clay, med. stiffness 0 4.5 8.5 Beige sandy SILT, soft 8.5 9.5 Beige silty SAND, med. stiffness 0 9.5 10 10 13 0 0 13 15 Brown silty SAND, stiff Orange SAND w/ silt, wet, soft Orange SAND w/ clay, wet, stiff 15 17 18.5 17 18.5 19.5 0 0 0 19.5 23 23 23.5 Purple and gray mottled CLAY, very stiff Orange SAND w/ silt, wet Purple and gray mottled CLAY, very stiff Purple, tan, orange, mottled CLAY w/ sand. med. Stiffness Purple/gray CLAY, very stiff, wet 23.5 25 White SAND and GRAVEL w/ clay, very stiff 0 Water Level of Completed Well First water (ft. bgs) 9.82 Date/Time Measured 10.13 19:32 Static Water (ft. bgs) 14.45 Date/Time Measured 10.16.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 2 Depth to Bottom of Bentonite Seal (ft. bgs) 3 Depth to Top of Sand Pack (ft. bgs) 3 Depth to Bottom of Sand Pack (ft. bgs) 24.3 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 4.3 Depth to Top of Screen (ft. bgs) 4.3 Depth to Bottom of Screen (ft. bgs) 24.34 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 Sample Interval Blow counts 12,12,11, 11 @3.5’ 0.3 0 5,5,4,4 @8.5’ 13.5’ 14,12,8,7 @13.5’ 0 0 40,35,35, 30 @23.5’ Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID RW-9 Permit Number Permit Date Date Work Began 10.14.11 11:35 Date Work Ended 10.14.11 16:50 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 3.5 5.5 1 3.5 5.5 8 Asphalt/gravel fill Brown silty SAND w/ clay Orangish brown silty SAND, moist Brown silty SAND w/ clay, stiff 0 0 0 0 8 10 Brown SAND w/ clay 0 10 13 0 13 14 Beige and orange mottled CLAY w/ sand, stiff Orange and tan mottled CLAY w/ sand, stiff 14 15 15 18.5 0 0 18.5 19 Multicolored CLAY w/ sand, stiff Red, white, and purple mottled CLAY w/ sand Red and purple CLAY, very stiff 19 20 0 20 23 23 25 White CLAY w/ sand, stiff Tan and orange mottled CLAY w/ sand, med. stiffness Multicolored CLAY, very stiff Water Level of Completed Well First water (ft. bgs) 7.64 Date/Time Measured 10.14 16:00 Static Water (ft. bgs) 6.82 Date/Time Measured 10.16.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 1 Depth to Bottom of Bentonite Seal (ft. bgs) 1 Depth to Top of Sand Pack (ft. bgs) 2 Depth to Bottom of Sand Pack (ft. bgs) 22.5 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 2.5 Depth to Top of Screen (ft. bgs) 2.5 Depth to Bottom of Screen (ft. bgs) 22.51 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 Sample Interval 6,5,5,5 @8.5’ 4,4,8,8 @13.5’ 0 0 Blow counts 13.5’ 6,6,7,10 @18.5’ 0 0 50 over 6” @23.5’ Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID RW-10 Permit Number Permit Date Date Work Began 10.17.11 17:35 Date Work Ended 10.14.11 16:50 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification 0 0.5 Concrete 0.5 1 2 3.5 5.5 8 9 1 2 3.5 5.5 8 9 10 Gravel fill Brown silty SAND Tan silty SAND Brown silty SAND, med. Stiff Tan silty SAND w/ clay Brown sandy CLAY w/ silt Tan silty CLAY Red CLAY w/ silt and sand, stiff 10 15 15 16.5 18 20 16.5 18 20 23 23 25 Red and white silty CLAY Tan CLAY w/ sand and silt w/ gravel, moist Tan sandy CLAY w/ gravel, moist Brown silty CLAY w/ gravel, stiff GRAVEL/ROCK w/ red clay and tan sand, very stiff Water Level of Completed Well First water (ft. bgs) Date/Time Measured Static Water (ft. bgs) 12.6 Date/Time Measured 10.19.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) .5 Depth to Bottom of Bentonite Seal (ft. bgs) 1.5 Depth to Top of Sand Pack (ft. bgs) 1.5 Depth to Bottom of Sand Pack (ft. bgs) 25 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 5 Depth to Top of Screen (ft. bgs) 5 Depth to Bottom of Screen (ft. bgs) 25 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 PID Sample Interval Blow counts No split spoons 0 16.2 28.7 16.7 211 869 649 193 93@11 180@13 234@14 170 74.1 63.2 25.4 6’ 9.2 Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID RW-11 Permit Number Permit Date Date Work Began 10.18.11 0:30 Date Work Ended 10.18.11 6:30 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification 0 0.5 Asphalt/gravel fill 0.5 1 2 5 8 1 2 5 8 9 Brown silty SAND w/ clay Orangish brown silty SAND, moist Brown silty SAND w/ clay, stiff Brown SAND w/ clay Beige and orange mottled CLAY w/ sand, stiff Orange and tan mottled clay w/ sand, stiff 9 12.5 12.5 14 14 18 18 22 22 25 Multicolored CLAY w/ sand, stiff Red, white, and purple mottled CLAY w/ sand Red and purple CLAY, very stiff White CLAY w/ sand, stiff Water Level of Completed Well First water (ft. bgs) 10.92 Date/Time Measured 10.18 5:43 Static Water (ft. bgs) 11.17 Date/Time Measured 10.19.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 1.5 Depth to Bottom of Bentonite Seal (ft. bgs) 2.5 Depth to Top of Sand Pack (ft. bgs) 2.5 Depth to Bottom of Sand Pack (ft. bgs) 23.4 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 3.5 Depth to Top of Screen (ft. bgs) 3.5 Depth to Bottom of Screen (ft. bgs) 23.46 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 PID Sample Blow counts Interval No split spoons 0 10.1 9.5 8.9 1078 1690 401@9 [email protected] [email protected] 35.5 32@15 73@17 32@18 45.1@21 24 8’ Boring Location Sketch See attached figures Page of Page Boring / Well ID Boring / Well Completion Report RW-12 Permit Number Permit Date Date Work Began 10.19.11 Date Work Ended 10.19.11 18:45 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID 0 1 1 3.5 Asphalt/gravel fill Brown silty SAND 0 0 3.5 4.5 Red and beige CLAY w/ sand, soft 22 4.5 6.5 Purple and red CLAY, stiff 27 6.5 9 Tan SAND w/ clay, stiff 21 9 10.5 10.5 13.5 25 32 13.5 14.5 Beige and red CLAY, very stiff Tan SAND w/ clay, wet, soft Multicolored CLAY, stiff 14.5 16 16 18.5 0 0 18.5 19.5 Beige CLAY, stiff Reddish CLAY and SAND Beige CLAY w/ sand, stiff 19.5 20.5 20.5 23 Beige SAND w/ clay Reddish CLAY w/ sand 0 0 23 25 Orange sandy CLAY w/ gravel, very stiff 0 Water Level of Completed Well First water (ft. bgs) 9.12 Date/Time Measured 10.19 17:50 Static Water (ft. bgs) 11.19 Date/Time Measured 10.20.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 1.5 Depth to Bottom of Bentonite Seal (ft. bgs) 2.5 Depth to Top of Sand Pack (ft. bgs) 2.5 Depth to Bottom of Sand Pack (ft. bgs) 23.5 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 3.5 Depth to Top of Screen (ft. bgs) 3.5 Depth to Bottom of Screen (ft. bgs) 23.45 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 0 0 Sample Blow counts Interval 10,10,11, 11 @3.5’ 10,8,5,4 @8.5’ 11’ 4,5,6,6 @13.5’ 8,10,10 @18.5’ 50 over 5” @23.5’ Boring Location Sketch See attached figures Page of Page Boring / Well Completion Report Boring / Well ID RW-13 Permit Number Permit Date Date Work Began 10.27.11 10:30 Date Work Ended 10.27.11 16:00 AEC Project No. Address 500 Mechanics Valley Road City / State North East, MD Drilling Method HSA Boring Diameter (inches) Depth from Surface Feet Feet 6.25” 05-056 RF-96 Geologic Log Drilling Fluid Drilling Contractor Carl Hugo Description Soil Classification PID Sample Blow counts Interval 0 1 Asphalt/gravel fill 0 1 4.5 Brown silty SAND 0.7 4.5 7 7 8.5 Tan silty SAND w/ clay , stiff Beige sandy CLAY 78 350 8.5 12.5 Beige and orange mottled silty CLAY 145 12.5 13.5 566 13.5 14 Tan sandy CLAY, moist Red and beige mottled CLAY 14 16.5 16.5 18.5 17.4 9.6 18.5 20 White and orange mottled sandy CLAY, soft Tan clayey SAND, wet, loose White and orange SAND w/clay, wet, loose 20 23 159 23 24.5 Red and tan sandy CLAY Tan SAND 24.5 26 Quartz gravel w/ orange SAND 190 26 30 Tan running SANDs 42.9 Water Level of Completed Well First water (ft. bgs) 12.91 Date/Time Measured 10.27 15:03 Static Water (ft. bgs) 12.90 Date/Time Measured 10.28.11 Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 3 Depth to Bottom of Bentonite Seal (ft. bgs) 4 Depth to Top of Sand Pack (ft. bgs) 4 Depth to Bottom of Sand Pack (ft. bgs) 25 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 4.9 Depth to Top of Screen (ft. bgs) 4.9 Depth to Bottom of Screen (ft. bgs) 24.89 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10 10,14 @3.5’ 7,7,6 @8.5’ 12.5’ 4,4,4 @13.5’ 190 90.4 4,5,5 @18.5’ 8,8,8 @23.5 362 18,12,12, 11 @ 26 Boring Location Sketch See attached figures .­ -"~ - cbl - I '1719 SEQUENCE NO. (MDE USE ONLy) STATE OF MARYLAND WELL COMPLETION REPORT 1 2 3 6 (THIS NUMBER IS TO BE PUNCHED IN COLS. 3-6 ON ALL CARDS) STICO USE ONLY DATE Received 101M 00 13 8 I(oftt!; OWNER ~~ r Pi; ~ ,.... name WELL SITE ADDRESS -:fiiil5 , additional _ I s it needed) bearin A~phd+~4 () 1·5' {}r ~i (-IV 5tvrJ. 't) 1.') /5.5 ~ If.J '-~fJk~tru ~1{Y-? ~ 5".,,( 48 c POUND~ 45 j- r 0 It. to 52 54 BOTTOM (enter 0 It Irom surface I Nominal diameter lOP (main) casing f1'N'C­G ~ t/ V­ J.-) 60 It. 58 61 , 1~J£tl ~ b II II ?f) screen ~pe or open ole t;-J app~:ale below L!j (i7 NUMBER OF UNSUCCESSFUL WELLS: WELL HYDROFRACTURED -0 CIRCLE APPROPRIATE LETTER A WELL WAS ABANDONED AND SEALED WHEN THIS WELL WAS COMPLETED E P ELECTRIC LOG OBTAINED TEST WELL CONVERTED TO PRODUCTION WELL I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN ACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, ORIlLEi/d,,~m I :.,',\~~,~~:::r~:'i"/16'"'''M __ 0 _ I Cl2J '11'1~ E 8 A C2 H 23 S C3 R 38 ~ tI , II , ~ 17 21 11 24 26 3() 32 36 39 41 4S 47 51 56 from :2. 0 tj ,? S-, GRAVEL PAC!< IF WELL DRILLED WAS FLOWING WELL INSERT F IN BOX 68 OtJ TELESCOPE CASING 20 It. 22 25 It. 00 [!J piston [p rotary [QJ (describe other 27 27 PlHl!f turbine submersible I!IS~Q DRILLER INSTAlLED PUMP (CIRCLE) (yES or NO) below) a:­ YES· NO IF DRILLER INSTAllS PUMP, THIS SECTION MUST BE COMPlETED FOR ALL WELLS. - 29 31 35 37 41 43 47 PUMP COLUMN LENGTH (nearest ft.) a-I ~,OW CASING HEIGHT , (circle appropriate box and enter casing height) LANDSUR~ 50 51 (nearest) fOOl) LATITUDE .'-LU2:~ LONGITUDE 7 ..r.1l ~ (DEFAULT COORD. WGS 8 ) NOTES: 'it. j - 68 MOE USE ONLY (NOT TO BE FILLED IN BY DRillER) T (E.R.O.S.) - ~ centrifugal 3'1- 60 , ~ ~ {NEAREST INCH) to 17 (for test) ~air + 0 3 , PUMP HORSE POWER 05 - It.) DIAMETER OF SCREEN 70 SITE SUPERVISOR (sign. of driller or journeyman responsible lor sllework If different from permittee) W 2 15 I CAPACITY: GALLONS PER MINUTE (to nearest gallon) HOLE DEPTH (nearest --.t2 • 11 TYPE OF PUMP INSTALLED PLACE (A,C,J,P,R,S,T,O) IN BOX 29. ~ W 9 SLOT SIZE 1 9 per min.) PUMPING RATE (gal. ~iel 2~15 N 8 27 SCREEN RECORD ~ ~ ~r!- HOURS PUMPED (nearest hour) TYPE OF PUMP USED 70 OTHER CASING (if used) diameter depth (feel) inch from to I 37 f(~MtJ wul WHEN PUMPING (nearestl~ 66 ! 36 WATER LEVEL (distance from land surface) Total depth 01 main casing (neQstg)! E A C H C A S I N G 35 BEFORE PUMPING E~~ ~ MAIN 2 METHOD USED TO MEASURE PUMPING RATE 3 insert appropriate code belOW I/" ( ~r6Jf ( MDElWMAlPER071 46 • S-NO. OF TOP 34 I PUMPING T 5T ~ ~~'Jj LlC. NO. I no 1 C~B BENTONITE I 33 u<'7 [i1J Cl31 Y CASING RECORD 15.5' !1D ffL'l,/rIf (!!If BAG~ trom fU1Jf~~ ~rY} 6.0 9itH~ 1. 0 /3.)tv'''/(} 1. ~ DEPTH OF GR~rEAL (to nearest foot) ].0 £-fr r c,-f-;i ~ NO. OF leiMI GALLONS OF WATER C!t::tfl 1.5' ~O tv(S CEMENT -0138 32 LOT TYPE OF GAOUTING MATERIAL " ,... "'l':~ I~~ FEET FROM TO DESCRIPTION (Use A JfJfJ( I'1J TOWN GROUTING RECORD WELL HAS BEEN GROUTED . (Circle Appropriate Box) STATE THE KIND OF FORMATIONS PENETRATED. THEIR COLOR. DEPTH. THICKNESS AND IF WATER BEARING - 10 28 29 30 31 SEqJnON Not required tor driven wells W(t CE (TO NEAREST FOOT) -rtff-q();tI?/tJJ' Ylilu, lI,st'Tt,;;f WELL LOG ~r ~ PERMIT NO. FROM "PERMIT TO DRILL WELL" De~26 22 20 SUBDIVISION (I COUNTvRoyal Farms Grdwtr NUMBER Invest.-File FILL IN THIS FORM COMPLETELY PLEASE TYPE DATE WELL COMPLETED yy DO yy THIS REPORT MUST BE 5UBMITIED WITHIN 4S DAYS AFTER WELL IS COMPLETED. 72 - LOG INDICATOR ORIGINAL wa {I ~ f ,~lbzi?r r.r'~ 8 TOWN Se'CTIO~ WELL LOG WELL HAS BEEN GROUTED (Circle Appropriate Box) add"ionaI 8MelS WnMded) 4sphtt{f ~~~~L CEMENT if water bearing NO, ,., I (; l ~r~ j(~ ~ 1.. r;b.rf.li~~ 48 TOP 6~~~ /~ V 13 ~Selll ~i IU ")--Jil~ C(d \ d r,;jl I]iJ Y (CirCI~td"'--L-~ BENTONITE C vI[ BICI r 1 TOP 45 NO. OF 46 " POUNQ·",~_~ .r # "ib '3 BOTTOM ft. 10 52 54 ft. ~ I~ I C H x--­ CAS"" lop (main) casing 58 ~ of main casing (neaflL[)! 66 ("DS?70 OTHER CASING (if used) diameler deplh (feel) inch from to IL-_ _---.J' L-'____-I"L-_---.J' S I ~--- - 32 0131 33 34 35 36 37 IJ d fw-p ~1 /C~~" . -_.IlNI{ PUMPING TEST HOURS PUMPED (nearest hour) 8 9 • PUMPING RATE (gal. per min.) -::-::-______~ 11 15 -1, L . . '_ _ _ _ _ _ WATER LEVEL (distance lrom land surface) ,L--_ _---.J.L-'_ _ _-IIIL--__--I' It BEFORE PUMPING 17 20 22 25 WHEN PUMPING TYPE OF PUMP USED (for test) ~air ~ pillion ~ centrifugal 00 rotary 27 mi el E A 31 (enler 0 if from surface) L ~ 10 30 METHOD USED TO MEASURE PUMPING RATE \lYN";'"'_. .- T",~~I CASING 29 LOT ~V no DEPTH OF GROUT SEAL (10 nearesl foot) r.S..:'\ t/ 28 first nom. NO. OF BAGS. GALLONS OF WATER 46 I ~t,\ CII£~~ <;; It "3 ,:> roD f)t·t f..(;.vti"St-_ 45 46 trom '3 •..) CE - 26 SECTION Icl MI -~- COUNTYRoyal Farms Grdwtr NUMBER Invest.-File TYPE OF GROUTING MATERIAL CEMENT ~ PERMIT NO. FROM "PERMIT TO DRILL WELL" J.L GROUTING RECORD WELL HAS BEEN GROUTED (Circle Appropriate Box) TO -~ THIS REPORT MUST BE SUBMliTED WITHIN 45 DAVS AFTER WELL IS COMPLETED. (TO N1EST FOOT) OJ /f,.JL. SUBDIVISION WELL LOG Not required for driven wells --~. Depth of Well 22 r@"M <' ftJut:.! WELL SITE ADDRESS ~ FILL IN THIS FORM COMPLETELY PLEASE TYPE 1.3 15 13 OWNER ~~ WELL COMPLETION REPORT (THIS NUMBER IS TO BE PUNCHED IN COLS. 3·6 ON ALL CARDS) STiCO USE ONLY DATE WELL COMPLETED _ 00 DATE Received DO MIj,. II --"~ STATE OF MARYLAND 6 ;3 ~ 27 rn (!J ft. turbine other [QJ below) (describe 27 27 submersible 27 PUMPINSTAUED DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) S YES. NO IF DRILLER INSTALLS PUMP, THIS SECTION MUST BE COMPLETED FOR ALL WELLS. TYPE OF PUMP INSTALLED PLACE (A,C,J,P,R,S,T,O) IN BOX 29. 29 CAPACITY: GALLONS PER MINUTE (to nearest gallon) 31 35 37 41 PUMP HORSE POWER PUMP COLUMN LENGTH (nearest ft.) 56 60 to from GRAVEL PACK I IF WELL DRILLED W/I.S FlOWING WELL INSERT F IN BOX 68 .l~- , ! - 68 MOE USE_Q.NLY (NOT TO BE FILLED IN BY DRILLER) T (E.RO.S.) 70 SITE SUPERVISOR (Sign. of driller or journeyman responsible for sitework if different from permittee) l___ t),] , W Q 72 TELESCOPE CASING lOG INOICATOR 74 75 76 OTHER DATA 0_R_IG __1N_A-L__________________________________________ M_D_8W __ WW __ E_R.0_7_1____________________________ ~~ ..r"'·"~w'1ftllt!""lM!8fM':~:ANtf"E'A1N ·FOff~ftEc()MjS;"~eOUNT¥i~'ftYCOUNTf{ ld.,.LJII"I.U. ENVIRONMENTAL AGENCY. SUBMIT COPY TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT 4 £.. __ , _ILI.IIIIIUl• • '1111 ••171.111111.1111 _ _ll.lt £.1_:£1"*"1 .. .rlll_III..!.'I] ~.~._~'."--'~"::"':"':""'_.~"~"--,"'~""""""'--"'_'_-" _--"-_-....._d_~_""_ ._.'~_J_~'_'_L""""'-: 2 3 MM DO ~,~ • •_ .. _~_ ~~_'._'.~' DATE WELL COMPLETED ,~ yy _______ ZL 22 .i<.-~. ___, ___ ~ __~ NTyRoyal Farms Grdwtr BER I n v est • - F i 1 e PERMIT NO. FROM "PERMIT TO DRilL WEll" Depth of Well l't •_ _ THIS REPORT MUST BE SUBMITTED WITHIN 45 DAYS AFTER WELL IS COMPLETED. Fill IN THIS FORM COMPLETELY PLEASE TYPE 13 8 •• WELL COMPLETION REPORT 6 (THIS NUMBER IS TO BE PUNCHED IN COlS 3·6 ON All CARDS STICO USE ONLY DATE Received -----"_<~~ STATE OF MARYLAND 1'118 I __ CE- 10 26 -0\ 37 (TO NEAREST FOOT) LOT pt"rj fer, ttklJ PUMPING(kEST JIJJ HOURS PUMPED (nearest hour) 8 II • PUMPING RATE (gal. per min.) -:-:-_ _ _--::::­ 11 METHOD USED TO MEASURE PUMPING RATE 15 --J 1 . . . '_ _ _ _ _ WATER LEVEL (distance from land surface) G ($Yf: (nfI?rrr)! 63 61 64 ~aJr Total depth of main casing ares 5 r centrifugal 70 OTHER CASING (if used) diameter depth (feet) inch from to E A C H ~--- 'I...'_ _...J ' - ­_ _ _oJ" I '---_ _ _JII screen type or open hole C 'I-I_ _- ' SCREEN RECORD lnsert)~ ~ ~ ~ NUMBER OF UNSUCCESSFUL WELLS: A L!J 11 E P I--:-:~W;;;.;;EL~L~=_:__ __- [!J 00 [:rJ piston turbine other [QJ below) (describe rotary 27 27 [!] submersible Z1 PUMP INSTALLED DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) YES e NO IF DRILLER INSTALLS PUMP, THIS SECTION MUST BE COMPLETED FOR ALL WELLS. 29 31 1S'" oS­ 15 11 31 41 43 47 PUMP COLUMN LENGTH ( nearest ft.) 21 H .--::c:--."..,- ""'2-:-6-----:30-:- -:32-----36­ CIRCLE APPROPRIATE LEITER A WELL WAS ABANDONED AND SEALED WHEN THIS WELL WAS COMPLETED ELECTRIC LOG OBTAINED TEST WELL CONVERTED TO PRODUCTION ft. PUMP HORSE POWER DEPTH (nearest ft.) WELL HYDROFRACTURED 25 CAPACITY: GALLONS PER MINUTE (to ne8(est gallon) app~=:ate ~yes 22 TYPE OF PUMP INSTALLED PLACE (A,C,J,P,R.S,T,O) IN BOX 29. rsrTl rBTifl below mia' Z1 S ~--- 20 TYPE OF PUMP USED (for test) Nominal diameter top (main) casing M IN 17 WHEN PUMPING appropriate code below 60 ft. BEFORE PUMPING ~~~:~ insert S C 3'-::::_~ -:-:-_ _ _ _",- -::--_ _ _.....,...,.. R 38 39 41 45 47 51 E ~ SLOT SIZE 1 2 3 CASING HEIGHT (circle appropriate box and enter casing height) I! I r!JI!k above! . LAND SURFACE U below (nearest) foot) -,..------I 51 I--------tl~-/--....;... t LATITUDE 3 L . ~ L2~.&~, , I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN [J LO NG ITUDE 7 "j -L Q ACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND DIAMETER (NEAREST 2. 1. P .L IN CONFORMANCE WITH ALL CONDlTIONS STATED IN THE ABOVE OF SCREEN INCH) CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED ' - -_ _ _ _"""r::-:'56t.:~~~~~~~::60;::-::-_ _ _ ___I(DEFAULT COOR . WGS 84) HEREIN IS ACCURATE AND COMPLETE ·TO THE BEST OF MY r I-KNOW __ LE_OO_E_._ _ _ _ _--:'_ _ _ _ _ _--1 rom to NOTES: ___- ________--I GRAVEL PACK If WELL DRILLED WM; FLOWING WELL INSERT F IN BOX 611 ILL (MUST MATCH SIGNATURE ON APPLICAT LlC. NO.1 tl ~ 0 J!..r'.J Lf - I MDElWMAIPER.011 68 MOE USE ONLY (NOT TO BE FILLED IN BY DRILLER) T (E.R.O.S.) 70 SITE SUPERVISOR (sign. of driller or journeyman responsible for sitework if different from permittee) 03 2S"" TELESCOPE , CASING W Q 72 LOG INDICATOR ORIGINAL 74 75 76 OTHER DATA r: £16 seQUENCE NO. (MOE USE ONLy) 1 2 3 STATE OF MARYLAND WELL COMPLETION REPORT 6 WM DO S~~~fiE'g~~.%J~=JJ~g it:~~~~~R ...,..,.,.~=-=--I I-DE-SC-R-I-PT-ION-(U­.-----r--F-E-ET--.-. . O· )' \0) . I C,l~ ~ 28 29 30 31 ~I~I WELL HAS BEEN GROUTED (Circle Appropriate Box) CEMENT IcIMI BENTONITE - CLl~dBTcV NO. OF POUNDS ~ '1. C- S- 48 TOP 52 54 58 (enler 0 if from surface) V t. MAIN I~ }/" "" E A C ~il~ilflW R~~~ ~;l 0, So dC~ ~ I ~rq"~l FEET FROM TO if~~:r bearing D .[" ,f' I I 'l. .-..,. '$, 'f ~r r,f rz CEMENT IcIMI 45 NO. OF BAGS COUNTY NUMBER ® rN1 TOP 52 If )() '-~ 54 _. ~- .11 _ ~ CLA t2.,.:) 1 I 2 30 31 - 0142 32 33 34 35 36 rl If> PUMPING TEIr rd' t/t> HOURS PUMPED (nearest hour) 8 9 • PUMPING RATE (gal. per min.) METHOD USED TO MEASURE PUMPING RATE 58 37 Vc.J't; I (!I'} ~ l/ 15 11 ft. BOTTOM CI3 -10 29 , I WATER LEVEL (distance from land surface) casing E ~~~~ rsm app~:~ate M~IN f'L y' eo 61 E A C H ~--- IClOl G~' ~ IfJJ:J J rQTfl PLASlY ~ .I. CASING BEFORE PUMPING CASING RECORD Nominal diameter top (main) casing (neOest,r:­ 70 OTHER CASING (if used) diameter depth (Ieet) inch from to ~ centrifugal [!] L'_ _ _..Jtl'--_--"L'_ _...)1 I L'_"",-_..J'L'_ _..JIII...-_.....JI 22 25 Wi [!J piston 00 ft. turbine other 27 et ft. [QJ (describe [BJ rotary 27 S ~--- air 27 66 20 TYPE OF PUMP USED (for lest) Total depth 01 main casing (nea63rr~Dit ii~nc~h!! H WHEN PUMPING 17 27 below) submersible 27 PUMP INSTALLED DRILLER INSTALLED PUMP (CIRCLE) (YES or NO) (j) YE . IF DRILLER INSTALLS PUMP, THIS SECT)ON MUST BE COMPLETED FOR ALL WELLS. TYPE OF PUMP INSTALLED PLACE (A,C,J,P,R,S,T,O) IN BOX 29. 29 CAPACITY: GALLONS PER MINUTE (to nearest gallon) - 31 35 37 41 PUMP HORSE POWER PUMP COLUMN LENGTH (nearest ft.) 47 70 SITE SUPERVISOR (sign_ 01 driller or journeyman responsible lor sitework il dilferent from permi"ee) MDE/WMA/PER.071 II ''!Iilt. -- (enter 0 if Irom surface} 117 W 3iP no Y DEPTH OF GROUT SEAL (to nearest loot) ? to _~ Invest.-File 28 - (If. - Royal l"arms liratw CE GALLONS OF WATER _ _-,--,-"'~'---_ _ _ __ t> ._. ~ THIS REPORT MUST BE SUBMITTED WITHIN 4S DAYS AFTER WELL IS COMPlETED. BC 46 .. SO: NO. OF POUNDS --'l!!:.=--_ BENTONITE _ ~ FOOT) TYPE OF GROUTING MATERIAL (Circle beJow /0 If _ 26 (TO NEAREST 48 11~ HIUI •••UIUtJI11f nn_III_PI .......... PERMIT NO. FROM "PERMIT TO DRILL WELL" 22 from ).. r II GROUTING RECORD WELL HAS BEEN GROUTED (Circle Appropriate Boll) STATE THE KINO OF FORMATIONS PENETRATED, THEIR COLOR. DEPTH. THICKNESS AND IF WATER BEARING I),,~ s,(t~~ • _____ Depth of Well -.20 WELL LOG Conc~ GIft,II(. ~~ FILL IN THIS FORM COMPLETELY PLEASE TYPE Not required lor driven wells DESCRIPTION (Use additional a~ " needed) _ . _ WELL COMP,LETION REPORT IE yy 13 &~ ~ DATE WELL COMPLETED 8 I _ STATE OF MARYLAND 1 2 3 6 (THIS NUMBER IS TO BE PUNCHED IN COlS. 3-6 ON All CARDS) ST ICO USE ONLY DATE Received ~ TELESCOPE CASING ~CATOR , ORIGINAL 74 75 76 OTHER DATA ­ I '1713 SEQUENCE NO. (MOE USE ONLY) STATE OF MARYLAND THIS REPORT MUST BE SUBMITTED WITHIN WELL COMPLETION REPORT 45 DAYS AFTER WELL I ~~~~!yRoyal IS COMPLETED. Farms Grdwtr (THfS NJMBER IS TO BE p6UNCHED FILL IN THIS FORM COMPLETELY INCOLS, 3·60N ALL CARDS) PLEASE TYPE ~Invest.-File I-::S=T-:':/C::-:O:-:-:US~E::-:::O':":N:-:LyO:---;;---.:...;'--O-A-T-E-W-E-LL-C-O-M-P-L..LE-T-E-O------=;;;..,;,;;=-O;;..;......;th;;.....f-W-I-I- - - PERMIT NO, DATE Received ep 0 e FROM "PERMIT TO DRILL WELL" 101M 00 71 ~.::o VY 8 I}, OWNER f( t.9"u; WELL SITE AOORESSq I ls" FIll ~ S Iat .......~ 22 20 (TO ':l~ NEARE~ CE - 26 28 10· 29 30 31 0132 32 33 34 35 36 37 /1.fctttJ I r (' SUBDIVISION ft"",;fpr fM/I~4 Cl31 2 IJo fe:IJ PUMPING TEST HOURS PUMPED (nearest hour) II PUMPING RATE (gal. II per min.) -:-:-_ _ _.--::-:­ 15 11 METHOD USED TO MEASURE PUMPING RATE WATER LEVEL (distance 1...'_ _ _ _ _- - ' , lrom land surface) It. BEFORE PUMPING 17 WHEN PUMPING 22 TYPE OF PUMP USED ~ centrifugal 27 OTHER CASING (if used) diameter depth (feet) inch from to [§J . , 27 II , II , S I N I G screen type or open hole II SCREEN RECORD rsm tnsertJ ~ C appropriate =~ NUMBER OF UNSUCCESSFUL WELLS: /") L/ t------------~~ye~s----.:AN-'t"""'t) L!J (~ I---------=::...-~:!-....I CIRCLE APPROPRIATE LETTER WELL HYDROFRACTURED A E C 121 1 IlJ E 1 A 8 9 I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN ACCORDANCE WITH COI.4AR 26,04J)4 "WELL CONSTRUCTION" AND IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE CAPTIONED PERMIT, AND THAT THE INFORMATION PRESENTED HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. Lhri I V . SIGNATURE __ (MUST MATCH SIGNATURE ON APPllCAT~ ~ __ Il MDElWMAlPER,071 ft.) O)~ ~ 1"\ "-') submersible I!J YES, NO CAPACITY: GALLONS PER MINUTE (to nearest gallon) 31 PUMP HORSE POWER 37 41 43 47 PUMP COLUMN LENGTH (nearest ft.) (circle appropriate box and enter casing height) above! ~Iow 49 qJ LAND SURFACE (i / 50 (nearest) foot) ,...­ 1 LATITUDE 3 ''f2.L). (P:;..:> DIAMETER 0 (NEAREST LONGITUDE 7r9--!-'i~6~ • - ­ ..._O_F_SC_R_E_E_N--.-~ __ ~=_-_-_-_L_-_-_-;;;;~ __IN_C_H_)_ _ _~(DEFAULT COORD. WGS 84) 56 60 fro~ to ?NOTES: GRAVEL PACK I IF WELL DRILLED WAS FLOWING WELL 'I ~ .....::D~z::...----l, L...I _ 68 INSERTF IN 80X 68 I 27 other (describe below) TYPE OF PUMP INSTALLED PLACE (A,C,J,P,R,S,T,O) IN BOX 29. ~ ~2~ [Q] IF DRILLER INSTALLS PUMP, THIS SECTION MUST BE COMPLETED FOR ALL WELLS. 8 -----36-"'" 51 rotary PUMP INSTALLED ORILLER INSTALLEO PUMP (CIRCLE) (yES or NO) 21 30 "'3-2 [!J turbine 27 CASING HEIGHT 1 1 1 5 17 C2 H ~--::::23--24 26 MOE USE ONLY (NOT TO BE FILLED IN BY DRILLER) T (E.R.O.S.) 70 SITE SUPERVISOR (sign, of driller or journeyman responsible for silework if different from permittee) ~~ C 3,,___ R 38 39 ""'4,.,..1-----45"'" 4 7 £ 2 P LlC. NO. I ~ HOLE ~ """" TEST WELL CONVERTED TO PRODUCTION E I-----"'W.;;;.;EL;;;;;.L_ _ _ _ _ _ _ _ _ _-t ~ SLOT SIZE 1 ft G0 _D_~ 1 ~ ~ DEPTH (nearest t"'\ rtilOl S A WELL WAS ABANDONED AND SEALED WHEN THIS WELL WAS COMPLETED ELECTRIC LOG OBTAINED DRILLE.~J(t~C.~O.'iP:ar--/~j 7' f"iilRl piston 27 []]iet E A C H C A (lor test) [!J 00 ~ aw It. 25 TElESCX)PE CASING W Q 72 LOG INDICATOR ORIGINAL t 74 75 76 OTHER DATA -,'···:JWWlll.llll.l 'lIIIlWl!.t'Jt!JIII.". .,. . . .if:OR~~~,."""'~'COOff1'V.-· ENVIRONMENTAL AGENCY. SUBMIT COpy TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT ."b"Ji~.JIQI!'!!!!l'''IIft.~!~l1J1~.'!JI~£Mlt •.~I1[JtJLIMJ!!! .. --" ~ C~ I 17 20 3 '. STATE OF MARYLAND SEQUENCE NO (MOE USE ONLY) 101M 00 2~ 13 8 rc. (91.1\," ft(f"· OWNER 22 kv-V'- J / rtRr(,;/-, '" i (.! Ik "11 ft•me Ild f:."1')A:) STATE THE KIND OF FORMATIONS PENETRATED. THEIR COLOR, DEPTH, THICKNESS AND IF WATER BEARING FEET FROM TO DESCRIPTION (U.. addhional Il\Mls il needed) fbp4dU~ ~n ~,~ () I if~':i~r bearing ~ 0 fLLtf/t ~ 7 ~~~ ~ (Jrc-t tL-f from ~ CI2.11 ~ ~ 1 E 8 A C 2 H 23 S C3 R 36 ~ TEST WELL CONVERTED TO PRODUCTION WELL I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN ACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. D::~::~ P;fJ! , (MUST MATCH SIGNATURE ON APPUCATION Ii~ 0 /'; 1 CIRCLE APPROPRIATE LETTER A WELL WAS ABANDONED AND SEALED WHEN THIS WELL WAS COMPLETED ELECTRIC LOG OBTAINED lIC. NO.1 • l SITE SUPERVISOR (sign. of driller or journeyman responsible lor sitework if different from permittee) MDEJWMNPER.071 L ;) 15 17 24 26 30 32 39 41 45 47 SLOT SIZE 1 ....t2 DIAMETER OF SCREEN 2 (;) 56 1- GRAVEL PACK I IF WELL DRILLED WAS FLOWlNG WELL INSERT F IN BOX 68 "r- I TELESCOPE , CASING 72 submersible YES below) P NO - 29 31 35 37 41 PUMP HORSE POWER PUMP COLUMN LENGTH (nearest ft.) CASING HEIGHT 43 47 (circle appropriate box and enter casing height) G LAND SURFACE -I ~ ;- 51 below tlL 50 51 (nearest) foot) LATITUDE 3'1. {L2:-~,sLONGITUDE 7r.iJ..1.Y~~l (DEFAULT COORD. WGS 8 ) NOTES: (NEAREST INCH) 60 D3 27 27 CAPACITY: GALLONS PEA MINUTE (to nearest gallon) 36 ,I turbine [QJ o other (deScribe TYPE OF PUMP INSTALLED PLACE (A,C,J,P,R,S,T,O) IN BOX 29. ~ '0 II. IF DRILLER INSTALLS PUMP, THIS SECTIO MUST BE COMPLETED FOR ALL WELLS. HOLE I - 68 MOE USE _Q,NLY (NOT TO BE FILLED IN BY DRILLER) T (E.R.O.S.) - II. [!J piston PUMP INST&.W1 DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) I 21 to rn 27 ?-3 __ from 25 27 Q]iet Dr- ?----11 ~ 27 H 9 22 @] centrifugal I]] rotary II DEPTH (nearest ft.) N 70 , ~air 70 P L 20 TYPE OF PUMP USED (for lesl) SCREEN RECORD code 17 WHEN PUMPING ()S- " t,~] bet , WATER LEVEL (dislance trom land surface) 58 ~::: ~cI ~ U t;n7- M Total depth of main casing (nearest foot) II I screen ~ ;s fl. 66 I 15 METHOD USED TO MEASURE PUMPING RATE I OTHER CASING (if used) diameter depth (feet) from inch to E A C H C A S I N G ~tr{1: Ilt.IC~ ).:) 3tJ WELL HYDROFRACTURED 11 l~J£ll ~ P l 61 60 • PUMPING RATE (gal. per min.) BEFORE PUMPING c§ (neiit~h)! 9 8 CASING RECORD Nominal diameter top (main) casing MAIN CASING .Brrt{~~ It.)' )f) 0 Bon 52 54 (enter 0 if Irom surface) insert appropriate code below I~t) NUMBER OF UNSUCCESSFUL WELLS: 48 6;~~ t, S--A HOURS PUMPED (nearest hour) c~~ fl. to ~ PUMPING TEST .- I D TOP ~~eo~~~a 2 1 DEPTH OF GROUT SEAL (to nearest fOOl) ~ fJ Sc..:J. ..... fd~ )0 T~ >~(t~ cl31 ~ BENTONITE 4546r 45 NO. OF BAGS l NO. O?NDS~ g,( 0·) ~~~Ofr1 ~. flleJ ~j (~ ~~ ~~(lfu /J,S- Y no 'CiO.;:;.-..;.r--=-(l.::;.;jcl!l-'~f/IIf,=· :..:..c"=it;.=..f.... V.L[.:.LL.!.II.f___L..UI!IC6,"""'"_"m_e_ TOWN _ _.LlL 11/..::..1:..../.1..­ /·If!...-...I.f~J!,.,~:..:"fJ:::,.ryl--________---l SUBDIVISION SECTION WELL LOG 1------------------1 Not required for driven wells S~I'b~~BE~~~.~~I~~~~;JI~g ~E~r,.~Ti~~~~R WELL HAS BEEN GROUTED' (Circle Appropriate Box) 0 _Ii. I. ~ r V ~ Otf,. '.Yt 111 I ..,) no ; cl31 1 44 TYPE OF GROUTING MATERIAL (Circle one IcIMI I-DE-SC-RI-PT-ION-(-U-se---...,.--F-E-E-T-.......-:irrnW-::-:I:i:r.e~-Ir. CEMENT addllionaieMeIS il needed) FROM TO bearing 45 46 " I NO. OF BAGS t ~ n IIc:/ra~STofS~i( LOT ('t!!...~ GROUTING RECORD NO. O~NDS I GALLONSOFWATER_--.!....' 1 DEPTH OF GROUT SEAL (to nearest from () It. to HOURS PUMPED (nearest hour) C BENTONITE CLA 8 PUMPING RATE (gal. per min.) Lt£-_ __ tJ JTtip 48 52 foot~ ~ 54 2 METHOD USED TO MEASURE PUMPING RATE _ ft. 15 ---1. 1-1_ _ _ _ _ WATER LEVEL (distance from 58 ._= ~_ _ _ 11 3 BOTTOM 8 land sul1ace) BEFORE PUMPING 17 20 ft. ft. WHEN PUMPING TYPE OF PUMP USED (for lest) Toial depth 01 main casing (nearestf~ ()J 66 WELL HYDROFRACTURED V 1 AE 1 8 t ------------==--...;;::=--I C 7 2~,..-- A CIRCLE APPROPRIATE LETTER A WELL WAS ABANDONED AND SEALED WHEN THIS WELL WAS COMPLETED H 23 S C3 -:1-1-~-=---1-5 17 ?- J 0..) 26 30 -=32-=-------:"36- 47f) E ELECTRIC LOG OBTAINED PUMP COLUMN LENGTH D -'1 - KNOWLEDGE. DRILLE~c. II, .... f;;12... 4 frOm I ('I (;)../" I 11 ~ 0 _ ~..L I MDElWMAlPER071 II I TELESCOPE CASING cJ3 . W Q 72 LOG INDICATOR ORIGINAL 74 29 31 35 37 41 -:43-=------4~7 + G ~elow l dIJ a 50 51 (nearest) ~ LATITUDE 3 £ ~6 2:.~J-:SLONGIT.UDE 7 _ . '1_"2.::> "t~,~ _ INSERT F IN BOX 68 68 MOE USE ONLY (NOT TO BE FILLED IN BY DRILLER) T (E.R.O.S.) 70 SITE SUPERVISOR (sign. of driller or journeyman responsible for sltework if different from permittee) 1Y, WAS FLOWING WELL Y DRILLERS :;lliNA I UHt: (MUST MATCH SIGNATURE ON APPliCATION) Lie. NO.1 GRAVEl. PACK, IF WELL DRILLEO to VEStQ; CASING HEIGHT (circle appropriate box and enter casing height) above 49 LAND SURFACE R 38 38 41 45 51 TEST WELL CONVERTED TO PRODUCTION E """"' I) _ _ _ _ _---t E SLOT SIZE 1 l./ 2 "..... 3 I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN N - ACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND DIAMETER (NEAREST IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE OF SCREEN __ _ INCH) CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED "--_ _ _ _ -r.:;6~----~;;.;..,,-----_I(DEFAULT HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY r "" P I--:~WE=LL:::-::-::~~~ submersible 27 (nearest ft.) 21 below) PUMP HORSE POWER ~ j..- _ _ _ _ _ __ 24 jet CAPACITY: GALLONS PER MINUTE (to nearest gallon) ~ ~N~U~M~B::::E~R..:O~F_U~N~S::::U::::C::::C.::E:.SS:.F,,:U=L~=l!j~ye~s='V:::;~;,s:;;...J 27 27 TYPE OF PUMP INSTALLED PLACE (A,C.J.P.R.S.T,O) IN BOX 29. HOLE , oIher [QJ (describe rotary IF DRILLER INSTALLS PUMP. THIS SECTION MUST BE COMPLETED FOR ALL WELLS. ~ ft.) rn turbine piston PUMP INSTALLED DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) .L...-_ _---J·L.I_ _-'11'--_---1· DEPTH (nearest cru 27 .J' 1...1_ _-'IIL...-_---1. c 121 @J centrifugal QJ 70 L . . '_ _ _ IJII:'t ~ 27 OTHER CASING (if used) diameter depth (feel) inch from to ).!. ~ air 75 76 OTHER DATA NOTES : COORD. WGS 4) SEQUENCE NO. (MOE USE ONLy) 1 2 STATE OF MARYLAND WELL COMPLETION REPORT I> 3 STICO USE ONLY DATE Received WI DATE WEL[ COMPLETED 10 13 PERMIT NO. FROM "PERMIT TO DRILL WELL" Depth of Well '2r' 104M 00 8 rdwtr FILL IN THIS FORM COMPLETELY PLEASE TYPE (THIS NUMBER IS TO BE PUNCHED IN COlS. 3-6 ON All CARDS) 22 CE 28 (TO NEAREST FOOl) - 10 28 29 30 31 - 0133 32 33 34 35 38 37 OWNER _________~~~~~~~~~~~~~~~_.~~~------_.~~~--~~~~----------~ WELL SITE ADDRESS ---"''--­ __.II<-;:;....-:...~=::Lt......::.l_L....Ii""'"~t'_--_I£1.~- TOWN _L1ItC..sL:...,c..:.:&-~~L..!.....I.-_ _ _ _ _ _ _.....J SUBDIVISION LOT WELL LOG yes ryt LIt WELL HAS BEEN GROUTED Not required for driven wells t - - - - - - - - - - - - - - - - - - I (Circle Appropriate Box) STATE THE KINO OF FORMATIONS PENETRATED, THEIR t-_COL_O_R,_D_E_PT_H_.T_H_ICK_N_E_S..,S_AN_D_I....,F.,.,W,."AT""E_R_BEA...,.R..."IN",G=--I TYPE OF GROUTING MATERIAL (Circle one,.....'--_ DESCRIPTION (Ue add~ionaI8h6et8 it needed) FEET FROM TO CEMENT lei MI ~~-------------~~~~~~==~ NO. OF BAGS ()1l1 S I 7i~ ~/J" (() AI. ~ r I ry{fl ~ tz.v. ", ~NTONITE CLA 45 46 BC NO.O~DS ' PUMPING TEST HOURS PUMPED (nearest hour) PUMPING RATE / J--,t----­ GALLONS OF WATER_----L...:::' DEPTH OF GROUT SEAL (10 neareslfoo?, t2TOr! from 48 52 d (L? 11. to 54 BOTTOM ft. 56 (gal. per min.) ~_ _ _.-....,-::­ 11 15 METHOD USED TO MEASURE PUMPING RATE LI_ _ _ _ _ _---' WATER LEVEL (distance from land surface) ft. BEFORE PUMPING 17 20 22 25 ft. WHEN PUMPING TYPE OF PUMP USED (for test) Nominal diameter top (main) casing (nearest inch)! [fJ ~air Tolal depth of main casing (nearest fool) @] centrifugal tI4 66 70 OTHER CASING (if used) diameter depth (feet) inch from to [!J rotary [QJ 27 27 63 piston 00 Q]iet 27 turbine oIher (describe below) submersible 27 PUMP INSTAllED L ­ ____-J'L'_ _ _ _ ..L ­ _ _- J ~ DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) L ­ _ _ _ _- J ' I L ­ _ _ -J"~ _ _ _ _J rsrfl/~(f i JA;J DEPTH OF from 'tOVT 48 L TOP • q SEAL (to nearest footl 52 0'> ft. ""54-:---:80~n""O"'"M:--.."~,,.. ft. to G f~ eo ;3 (nei;t 63 61 64 TYPE Total depth of main casing 66 OTHER CASING (if used) diameter depth (feet) inch from to E A 1 ~ screen type _ _ _ _~" '1~ C 2 ft.) ~S- ~yes L!J E ELECTRIC LOG OBTAINED TESTWELLCONVERTEDTOPRODUCTION P a-_...,;,W;,,;:E;,;;;LL"--_ _ _ _ _ _ _ _ _ _ _ _--t 24 11 15 26 30 C 3,,-:-:_ _ _ _ _ _ _ _ R 38 39 ~ ~ DEPTH (nearest NUMBER OF UNSUCCESSFUL WELLS :--=---:l,.tt:::"" 23 _ _~ SCREEN RECORD \.=j s =-__ ---;;~ 22 25 41 45 ~ 17 HOLE ~ oS 21 32 [!J turbine ~ centrifugal [ft] rotary I~I~ []J submersible piston other 27 QJ jet Z1 470 YES g NO IF DRILLER INSTALLS PUMP. THIS SECTION MUST BE COMPLETED FOR ALL WELLS. TYPE OF PUMP INSTALLED PLACE (A,C.J.P,R,S,T,O) IN BOX 29. CAPACITY: GALLONS PER MINUTE (to nearest gallon) 29 31 35 37 41 43 47 PUMP HORSE POWER PUMP COLUMN LENGTH (nearest ft.) CASING HEIGHT (circle appropriate box and enter casing height) LAND SURFACE; 36 -:::---:::~ ft. ~ PUMP INSTALLED DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) S CIRCLE APPROPRIATE LETTER A WELL WAS ABANDONED AND SEALED WHEN THIS WELL WAS COMPLETED 20 ~ air 27 ~--- :l -=-__--,,:::- ft. OF PUMP USED (for test) 27 70 ;~:':~IUP ~ A WATER LEVEL (distance from land surface) WHEN PUMPING CW ¥h)! (Oess- Nominal diameter top (main) casing M IN CASING ~--- WELL HYDROFRACTURED METHOD USED TO MEASURE PUMPING RATE IL-_ _ _ _ _ _....J 17 ~ insert appropriate code below 15 11 BEFORE PUMPING CASING RECORD ~~~~; 9 PUMPING RATE (gal. per min.) -:-::-_ _ _ _:::- NO. QE..eOUNDS enter 0 if from surface H ~p 8 ~ ( .) C ~3 HOURS PUMPED (nearest hour) _ _ _ _ __ GALLONS OF WATER_--'-,....~'-- 11 ).{} c;p I BENTONITE C 45 46 () r·t/ ~C&:J lelMI ~ _ _~ 50 51 51 (nearest) foot) r LATITUDE 3 . I!"/ I I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN N LONGIT UDE 7~r7:r~ttc--~7' ACCORDANCE WITH COMAR 26,04.04 "WELL CONSTRUCTION" AND DIAMETER (NEAREST . I ;. lIN CONFORMANCE WITH ALL CONDITIONS STATED IN THE A60VE OF SCREEN INCH) CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED t-____ ~r.:56=----eo-r.:::------t(DEFAULT COORD. GS 84) HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY a-KN_OW_LE_OG_E_,_ _ _ _ _~~-----_I r o , \ ,..-0 ~ NOTES: E f') E SLOT SIZE 1 ~ 2 ~ _ _ D D:~~~~ :f/!9S1 , E:,~.:~~:J (MUST MATCH SIGNATURE ON APPLICATION) L1C. NO,I .......... n 00 tJj Z il MDEJWMAIPER071 .. D:7 MOE USE ONLY (NOT TO BE FILLED IN BY DRILLER) T (E.R.O.S.) 70 SITE SUPERVISOR (sign, of driller or journeyman responsible for sitework if diNerent from permittee) tj wa 72 lOG INDICATOR TELESCOPE I CASING 74 75 76 OTHER DATA ORIGINAL l ., .~~Il;; bAdt*. fifM6\if66t'VAHtfRm1ftF()Ft'Y6tJRi1eeofitrMf~:~'"COt"ff(:reOtmTY~~"'"'" ENVIRONMENTAL AGENCY. SUBMIT COPY TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT I 171:0 1 2 3 SEQUENCE NO. (MOE USE ONLy) 1,1101 00 15 r-U'''''''' ~ • STATE THE KIND OF FORMATIONS PENETRATED, THEIR t--_CO_l_O_A._D_E_PT_H_,T_H_IC_KN_E_S.,Sr-AN_D_I-:F::::W:,::AT=E_R_aEA--,-R-::IN~G::=t:"-t Lf) (9ru55 fll Slil .~A'" •~ ~~/JL,t 'j/~.J, ("" fI~ t;-t( 0/7"1 ~" si'6 t;.."'!',( if~:r FEET FROM () / I ~ :l. r- /} J casing r.PP~.:J 1/ ~ ~ (MI ~t ~~;~~c~ C IS I{ r If.f fY,J sj , v"-r(...., 9 23 24 26 S C3 R 38 39 41 E E SLOT SIZE 1 - - - ­ 2 N A E P V 8 20 IF DRILLER INSTALLS PUMP, THIS SECTION MUST BE COMPLETED FOR ALL WELLS. HOLE c 2 H CIRCLE APPROPRIATE LETTER A WELL WAS ABANDONED AND SEALED WHEN THIS WELL WAS COMPLETED ELECTRIC LOG OBTAINED TEST WELL CONVERTED TO PRODUCTION WELL I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN ACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DRILL~ NQ r L­ 17 e!.!Me 1~~I8L.L.EQ DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) SCREEN RECORD It.) ~ 27 II DEPTH (nearest [!Jair 27 70 I 121 I TYPE OF PUMP USED (for test) ~ ~IJ P L t"~J lW C 15 WHEN PUMPING Total depth of main casing appropriate code below ..... • per min.) WATER LEVEL (distance from land surface) 58 OTHER CASING (if used) diameter depth (feet) inch from to screen type or open hole 9 BEFORE PUMPING ~ 61 ~er; 11 3 Nominal diameter top (main) casing (nearest inch)! ( 8 CASING RECORD insert appropriate code below r METHOD USED TO MEASURE PUMPING RATE I " , fl. to TOP 52 54 BOnOM (enter 0 if from surface) 48 ~,--r 2 HOURS PUMPED (nearest hour) DEPTH OF GROUT SEAL (to nearest fOOS from I PUMPING TEST BC BENTONITE C J cl31 (Clrol~~ GALLONS OF WATER )­ ').. IcIMI 45 46 NO. OF BAGS •_ I 0 fJr" SVy,/, CEMENT bearing - /2&Yr LOT no Y . TYPE OF GROUTING MATERIAL l~-::i:r FEET FROM TO ~rG$S ~!J;:I' @) GROUTING RECORD STATE THE KIND OF FORMATIONS PENETRATED. THEIR COLOR. DEPTH. THICKNESS AND IF WATER BEARING - 0140 32 33 34 35 36 37 I /f/d14"'1 TOWN ~TION alleeta il needed) 28 29 30 31 'tILl"I'" <... WELL HAS BEIFN GROUTED (Circle Appropriate Box) - 10 CE 26 (TO NEAREST FOOT) WELL LOG add~ional PERMIT NO. FROM "PERMIT TO DRILL WELL" Qj 22 _ttlr/ f'1fJ7IJuvJitS 1m/V"! flratrrH Not required for driven wells Farms Grdwtr Invest.-File NUMBER Depth of Well SUBDIVISION DESCRIPTION (Use COUNT~oyal FILL IN THIS FORM COMPLETELY PLEASE TYPE DATE WELL COMPLETED yy THIS REPORT MUST BE SUBMITIED WITHIN 45 DAYS AFTER WELL IS COMPLETED. wa 74 75 * 76 OTHER DATA I .. '.. ~-""" r.\r~~i~"'i!-XtiVotMR!cbFfDS:·A!TtJRN eouNfyc6Wt(fc·ou·~tv· NT.. I 1111 1 2 3 SEQUENCE NO. (MOE USE ONL V) STATE OF MARYLAND 101M yy 00 13 8 THIS REPORT MUST BE SUBMITTED WITHIN 45 DAYS AFTER WELL IS COMPLETED. WELL COMPLETION REPORT 6 PERMIT NO. FROM "PERMIT TO DRILL WELL" Depth of Well 'L ?f7 15 COUNTY Royal Farms Grdwtr NUMBER Invest.-File FILL IN THIS FORM COMPLETELY PLEASE TYPE (THIS NUMBER IS TO BE PUNCHED IN COlS. 3·6 ON ALL CARDS) STICO USE ONLY DATE WELL COMPLETED DATE Received ?:::s-' 22 ~ CE 26 (TO NEAREST FOOT) 28 . 10 29 30 . 1036 31 32 33 34 35 36 37 OWNER ________~'~~u~u~~h,~/~~~f~~~~~--~~--~D,~~--------~MI~~~~~~~L~#____________~ WELL SITE ADDRESS _ _-_"-'#-Tr-\gj,~YJ1V"""","_";,,,,,;; ("lit"",........:.;; 1t,1iH"· ..........f..... ·c_",__slI'-LII--"I-" 1A/J.r4,.l"1----"fltIr--=--ir-"_omo_ _ TOWN _-,JV,;..;;.....;';.....''''f...c......;"'(;....."", b~=.;;...:r;::...:7"-_ _ _ _ _----l SUBDIVISION V'SECTION WELL LOG LOT @J~'I GROUTING RECORD TYPE OF GROUTING MATERIAL (Circle one CEMENT IcIMI 1--:=':"':;:::':"'"."..-1 if water FROM TO bearing 45 t-..----:---:::----r-+----1t---:--+=~ NO, OF BAGS add~ional ~ if needed) arQS? i Pr,;I. ~f'wrtjt r Il f" :J 'II~ t--J 0 I p ,3 11 f> vlQrff Uf1( ~T""ij~fa{-f ~~ ;~"t/. .7 t ,4ilf 1M" ~rO"'rK ~ ;~~x~ u1,k 4 ~ r..1s~ M!-IN CASING CASING E II, 56 ~­ -­ )/ J.':( WATER LEVEL (dislance from ~N~U.:.:M:::B:::E~R...:O~F...:U~N:..:S:::U.:C.:C:::ES~S~F...:U.:L...:W:..:E:L:::L~S~y~:s=::::::{Z~;:::-I' ~ 1--------------ii:::;;;;:...._.t..II (~='__I CIRCLE APPROPRIATE LETTER A WELL WAS ABANDONED AND SEALED WHEN THIS WEll WAS COMPLETED ~2 f 8 9 TYPE ~ air ~ IMI~D~SJ -+­ I t1 e - 0 J'..J..J('"-I-I I ?J ft.) l' MDElWMAlPER.071 TELESCOPE I CASING turbine [QJ other (describe below) 27 G 27 -::1':'"1- L - - - - :l ':'"5 17 21 CAPACITY: GALLONS PER MINUTE (10 nearest gallon) -LL-8 Hr--- i I INDICATOR ORIGINAL 37 CASING HEIGHT below 47 43 (circle appropriate box and enter casing height) LAND SURFACE 1--------""JI'r' U V (nearest) foot) L.,..I------I q-/~-()~ 50 51 LATITUDE 31:. 'IL 1 ~ ~S LONGITUDE 7_ c-. (J t'1 cJ _'r_f ....., .It;,;;?. L .,., 72 LOG 35 31 PUMP HORSE POWER above -:-::-_ _ _---,.,­ YES TYPE OF PUMP INSTALLED PLACE (A,C.J,P,R,S,T,O) IN BOX 29. PUMP COLUMN LENGTH (nearest ft.) GRAVEL PACK 1-1TI_rO_;_5"".,;;,....._...,J, tl-,lo_-=0_1_---I, IF WELL DRILLED WAS FLOWING WEll __ INSERT F IN BOX 58 68 MOE USE ONLY (NOT TO BE FILLED IN BY DRILLER) T (E.R.O.S.) W Q 70 SITE SUPERVISOR (sign. of driller or journeyman responsible for sitework il dillerent from permittee) ~ [!] submersible 27 ~ '-:::::_:=- DRILLERS ::>lliN.... 1 UHf:. Ji (MUST MATCH SIGNATURE ON APPLR;ATION) LlC. NO.1' f- [H] rotary 27 ELECTRIC LOG OBTAINED R 36 39 41 45 47 51 TEST WELL CONVERTED TO PRODUCTION E ~ r") ([) a-.....;W=E=LL_ _ _ _ _ _ _ _---I SLOT SIZE 1 2 3­ I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN ACCORDANCE WITH COMAR 26.04.04 "WEll CONSTRUCTION" AND DIAMETER (NEAREST IN CONFORMANCE WITH All CONDITIONS STATED IN THE ABOVE OF SCREEN INCH) CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED ..._ _ _ _ _ ;56::-::::~:::60;r::_--__:=____I(DEFAULT HEREIN IS ACCURATE AND COMPLETE TO THE ElEST OF MY IC. NO'1l 1 piston IF DRILLER INSTALLS PUMP, THIS SECTION MUST BE COMPLETED FOR ALL WELLS. S C3 ~ ft. OF PUMP USED (for test) ~ centrifugal H '-2""3-2"""'4- '""'26.,..-------:30":"" - : 3 2 - - - - - 3 - 6 P ft. 1...-1_ - - " I - - I- - - , ' 1--1- - - , ' DEPTH (nearest L sunace) PUMP INSTALLED DRILLER INSTALLED PUMP (CIRCLE) (yES or NO) ~ ~ 1 land '---I_inch-----','---II _rom--J''---I_to-->' or open hole : 15 -=-__--:::-;22 25 WHEN PUMPING Total depth 01 main casing SCREEN RECORD I • 17 ULJ ~ screen type C I2 9 BEFORE PUMPING OTHER CASING (il used) diameter depth (feet) ~ __ ( METHOD USED TO MEASURE PUMPING RATE II...-_ _ _ _ _...J' jet 1"1 I" hour) per min.) --:-:--_ _ _--:-:­ PUMPING RATE (gal. e~ ''i'fI'" '-Dr: m J \J ~ L., PUMPING TEST 27 f") K:~~:~E' flffl [1// W&// 2 11 R~ e Nominal diameter top (main) casing erd!tfS:;"A 1~ ?:r (~:J A E NO. QEJIODNDS ---=--..:._ 0_ 1 8 foot~) \J1~~ Ir 'Y WELL HYDROFRACTURED •L b I ~ ?1iff cla~ I C BENTONITE CLA ~ DEPTH OF GROUT SEAL (to nearest from II. to 46 TOP 52 5480 (enl8r 0 if from surface) t7).( fn 0ifkl Clk~ I f'/1tt11t' ' C() /,~~ rI! 46 c 131 HOURS PUMPED (nearest GALLONSOFWATER_--'-'...;LL..­ _ _ __ tU~ clQ1UJ;~ 7 JV ~, ~I 'fi~ 10 I r r{ n".1 no ~ Not required for driven wells WELL HAS BEEN GROUTED' 1------------------1 (Circle Appropriate Box) sr-ol~~~5E~~~. ~~I~~:~~~~~ i,:E:~Ti~J~~R I-OE-SC-RI-PT-ION-(-U-_----,..---:F~E~ET=---~,~=:r:-t~_ 74 75 76 OTHER DATA NOTES: t: COORD. WGS 84)