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12/29/1999 02:57 5409559548 SINGHAS AND MICHAEL <br />r•..n cw•z <br />t>>s•to,ooo <br />Stat• waur Control Board <br />P, Q. Box 1114 <br />2111 North Hamilton St. <br />Richmond. Ve. T3Z30 <br />~ounly/Crry ~~'~ <br />• V irginit Plane Coordinalp <br /> N <br /> E <br />Latitude br lon9ituda <br /> N <br /> W <br />• TOGO. Mso No.~ ~ <br />• Elevation ~ !t• <br />•Gormatlon <br />•LrtholOgy <br />•Rrver Basin <br />•Province <br />•7ype Logs <br />'Cuttings <br />•Water Analysis <br />•AOu~ler Test <br />Coun ry/Ciry 5pmp <br />•Owner do-[dud Cor-~f~ct.con <br />•Wfll0e~j n io ,o,JINu of <br />Addres[ ~ ~~ l~c~Jh0 ¢2 <br />p2cnq ~D <br />Pnone <br />•OriUinq Contractor $ZNGHAS & YlIC1iAEI, CORP. <br />Add nu ~~5 ~~ <br />BE)IRYVILLE VA 22 <br />Phon• 59~•-955-3582 <br />~'~ ( ~ •{e 9Gl diteCtiOnl of <br />r'HuG Gl <br />County Permit <br />Grulication of Insp•cang olticral: <br />This well does do•s not <br />meet code/low requirements. <br />5. <br />Oate <br />Fo/ 0l/!ce Uzs <br />Tax Mao I.O. v0. ,~/t-C~~j ' <br />Sutsdivision_r /? ~~ <br />Section _ ?7/?1 A <br />Block +__- -- <br />lot_ 4_-. -~__~ <br />Class Well: I M 1lA <br />I I B 1 1 1 4- _- .III 8•.~ GL- <br />WELL LOCATION: feet ml a -.~. -••_- <br />a,b 738 feet/milee (direction) of ~--- ----•--- -- <br />Ilt oosslble please include map showing location marked- <br />OatestsrtW 2/27/99 • Oatecompleted 1Z/28/99 Trperrg R~T:1RY ___ •- <br />LL DATA: N•w~tigewo/ked Oeepfned <br />ital depth _48(J It. <br />•Depth to bedrock ~~ It. <br />•HOIe size (Also include reamed 20ntf) <br />inchet Irom Q to ZQ It. <br />•~ <br />_ <br />• -~i-~n~na rrom 7o to 4Rn rt. <br />• ~ncnes rrom to _ It <br />•Casing size II.D.I and material <br />80 <br />• ~-inches Irom ~l,~,T to It' <br />MalNral atPP~ <br />Wt. Par toot 13 or watt tmcxnea .188 in. <br />• inches Irom -_ to It. <br />Materral <br />wt, Per root Or wall mrcrness rn. <br />• rnChef rrom t0 It. <br />Materral ~,~.- - <br />Wl. Der rOOt or wall thiCknltt -~tn• <br />reen srt• ano meth for •ach >;One Iwhere aoDlicable) <br />. s <br />c <br />e ,nines from _ 10 _ h. <br />• Metn size TYDe <br />• inChet trout ~•JO Il. <br />• Mesn size Trpe <br />• inches Irom to tl. <br />• Mtfh site Type _ <br />• ruches rrom to __ It. <br />• Mesh size TvDe , <br />gravel oxk <br />•From l0 It <br />_ <br />•From <br />t0 It <br />•Gro•FrOnt C to 7~ It., Typ• pI068tiZ• }~U'LS9a1 <br />•From to h.• Type <br /> <br />COMMONWEALTH OF VIRGINIA <br />WATER WELL COMPLETION REPORT •ewCM No. ,_ <br />(Certification of Completion/County Permit) <br />5E <br />2. WATER DATA • Water temperature -. ,_ __._ of <br />- <br />•Static water level lunoumped Ievt-•meaturedl 40r It <br />•Stabllized maawred pumping water level _ _ tl. <br />h <br />•Subilized yield 4 gpm alter _• ~ _ __ ours <br />Natural Flow: Yef Nu >~ Ilow rare ,9 rr^ <br />Comn•tsntonoWlilY <br />Sr~g~..~_ ___~.- -- <br />- <br />]. WATER ZONES: From T~Or T•K~ ~_!1/~m_ <br />from~l.(,5, T~ 3 1~71~rom _ _.__To _ <br />from _ To___ From ____ __ 1'u - <br />4. USE DATA; <br />TYDlOI use. Drlnktng y@5 lrvtSlocc W~trrrng <br />Irrioation Food processlna. __- . ~uusenold Yes <br />Manulactur~ng Frre sslerr ._ . l;leanrng - <br />Necrear~nn Alsthelrc ._ COOI,nq 0~ htalrnQ v <br /> <br />fTw• of lacuity Oomestrc ~S PubI.C v.alrr ;upplr <br />Pu0licinsUtutton Farm-. - .'~roustrr - -~ <br />COm mRrClal _-, Qlhtr --•_--__ - <br />5. PUMP DATA: Trpe __- • Reten ~' P __ .... <br />•lnrakedepth •eCaDa<rtv__,____--~1 mew <br />8. WELlMEAO: Type, wets seal. <br />Pressure unk gal . I_oc.-^_ _ _ <br />Sample rap ,Measurement port <br />Wcll vent ,Pressure rtlltl vai•re -_ _- <br />Gatt valve , f,;heCa wive Iwntn rtdu~re01 <br />Electrical disconnect twitch on Dower suooly <br />7. DISINFECTION: Well tlisinlected •_ ,,. __.• re+ - no <br />Date __ . Orsrnlectanr used _ <br />Amount _, -tours useo! - <br />S. ABANDONMENT Iwhere applrCiOltt •y••r .no_ <br />Casing pvued yes _~ no _. _,~ not auPlcaole <br />Plugging grout From ,t0 ~nattrral <br />