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State Peter Control eoerd <br />P. 0. Box 313/J <br />2111 North Nar,iltoR St, <br />Rlchrond, VA 13230 <br />county/city LOUOOUN / <br />; = Yirgiela Plane Coordinates <br />~ M ' <br />r <br />~ E ~ <br />; latitude A Longitude ; <br />; N ' <br />; Y ~ <br />; ; Togo ITap No. <br />~ elevation ft, ; <br />=for nation <br />, <br />; s lithology ~ <br />=River Besln <br />~ = Province ' <br />r <br />=Type Lops DRILLERS ' <br />i = Cuttinpa <br />; ~ Peter Analysis ' <br />, <br />; s Aquifer Test ' <br />-rw - c <br />COMNONi1EALTH OF YiR6INIA <br />MATER Yl:IL COMPLETION REPORT sBYCM Mo. 1S66-FTY-9`l <br />(Certifi~•.rtivn of Co~pletian/County ,"~reit) <br />SYCN F'%•r®!t ~ <br />; County Pereit ~ <br />Certificati~,n of lnspectine official ; <br />-~ ; This well does does not ; <br />County/City Steep ; east code/law requlreeents. ' <br />i S - r' ; <br />t nui~er EDYARDS, ROB ; Date - - <br />• Yell Deslgnetion or NuebE,•i 95198 for office use ; <br />Address !0085 CLIFF MILIS RD. ~ ' <br />NARSHAII, YA 20115- <br />Phone (~03)4~7-SS90 <br />s Orllliag CoAtrector VALLEY DRILLINS CORP_ YA <br />Address 9172 JOHN S_ MOSBT HY~_ <br />UPPERVILLE, YA 20181 <br />Phone (800)582-93SS <br />Tex Map i.0. No. 16-97 ~ <br />Subdivleion ~ <br />Section ~ <br />Block <br />toc 9>~~Pasrd,c.a! ~~ <br />Close Yell IIIB ; <br />, <br />YFLL LOCAliON FEE1 direction of NORTH ON BERLIN TURNPIKE 10 LEFT ON <br />and FEET direction of BOLIN6TON R0, 9// MILE DN LEFT, <br />(If pos{l,te pleeee include sap shouic;; )ocetio:: marked) <br />Data started 02/28/00 <br />I. YETI, oAtA: NEY <br />= Total depth 520 Ft. <br />a Deptl, to bedrock 15 ft, <br />= Holr, c•ize (pl~,o include reeaed zones) <br />j ID inches frog 0 to Bl ft, <br />= 6 inches frog 81 to 52o ft. <br />= inches frog to ft. <br />= Casing size (I,O.) a-:d eaterial <br />= 6 !aches frog It to 8a ft. <br />M.rrerial STEEL <br />Yt, Der foot l3 or well thickne:•:. <br />= inches frog to ft. <br />Materiel NONE <br />Wt. per foot or wall thick:~ess <br />j inches frog to ft. <br />Material NONE <br />.188 in. <br />in. <br />Yt. per foot ar gall thickness in. <br />t Screeo size sad Mesh for each t....;. (wheic applicable) <br />= lAChea froe to Ft. <br />=Mesh size Type <br />i iache~ fror, to ft. <br />= Mesh size Type <br />= inches fratt to ft. <br />~ Mesh sire Type <br />~ inches frog to ft. <br />= Mesh sire Type <br />t ~,avel Pack <br />=Fro to ft. <br />t Froe to it, <br />= Grout <br />t Frott 0 to 6S ft., Type BEMTONITE <br />= Frog to ft., Tree NONE <br />s Dale r~~~?feted 02/29/00 Type rip ROTARY RI6 1 <br />2. PATER DATA t ueter Tertpsreture f <br />: Stalic Ovate; level (unpuepad level Measured) ft <br />s Stabili>,:,I eeasurdd puepiny rater level 1[ <br />= Stabilized yield gp^ after hours <br />Natural Flor NO flow rate gpe <br />Cott~ont on quality l <br />3. PATER ZONES: Frott To Froa io <br />Frorr To Frog To <br />Frog To <br />~. usE onrA: <br />Type of use: DRINK]N6 • <br />Tree 4f facility: DOdESTIC <br />S, PtMp DATA' Typ° t Rated HP <br />r Intake depth ° Capacity et <br />6. YELLMEAD: Type well seal NONE <br />Pressure tank gal., Loc. <br />Sample Cep NO Measureeent port NO <br />wall vent NO Pressure relieF valve NO <br />sate valve MO Check valve (when required) NO <br />Electrical disconnect switch oa power supply NO <br />r. DISINFECTION Yell disinfected NO <br />Date / / Disinfectant used <br />A~ount Hours used /' <br />8. ABANDONMENT (where applicable) s NO • <br />Cuing pulled Not Applicable <br />Plugging grout Fr to ..t 1 1 <br />G~a,,~teol 3-~9-DO - 9 ~a9s d~ ~-,fo-l~ e <br />ZT 3cJdd 9NI~~I~IQ A3~Tldl1 65ZEZ690b5i 66:60 0002/LZ/b0 <br />