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COMMONWEALTH OF VIRGINIA <br /> Uniform Water Well Completion Report <br /> Owner: Rouse,Randolph D Trustee(Carrington Builders)) Tax Map ID: 43/31 <br /> Address: 6407 Wilson Blvd. VDH Permit: T40362080001 <br /> Arlington VA 22205-1506 VWCB Permit: <br /> Phone: 703-885-5440 VWCB ID: 588296833000 <br /> Location: Rt.7 to Round Hill turn R on Rt.7 Bus.W on E.Loudoun St.turn L onto County: Loudoun County <br /> Rt.719-New Cut Road,go 3.5 miles on Rt.719 turn L onto Rt.734 0.7 miles turn L <br /> on Rt.735 0.4 miles. Slight L 0.2 miles. Lot 25 <br /> * Well Data* <br /> General Information: <br /> Drilling Method: Air Rotary Date Completed: 7/12/2014 Total Depth of Well: 740' <br /> Depth to Bedrock: 30' Yield: 1.3 (GPM) Length of Test: 3 Hours <br /> Static Water Level: 45' Stabilized Water Level: Natural Flow(Rate): No <br /> Well Disinfected(Y or N): N Disinfectant Used: Amount Used: <br /> Casing: <br /> From 2' To 60' From To From To <br /> Size 6 inch Material Steel Size Material Size Material <br /> Weight/Schedule: 13/.188 Weight/Schedule: Weight/Schedule: <br /> Gravel Pack: <br /> From To From To From To <br /> Illit: <br /> From 0 To 57' From To From To <br /> Bore Hole Size: 6" Bore Hole Size: Bore Hole Size: <br /> Type: Benseal Type Type: <br /> Method: Pressure Method: Method: <br /> Water Zones or Screened Intervals: <br /> From From From <br /> Mesh Size _ Diam Mesh Size Diam Mesh Size _ Diam <br /> From To From To From To <br /> Mesh Size _ Diam Mesh Size Diam Mesh Size Diam <br /> *Use Data* <br /> Private Well: Domestic: X Argicultural: Industrial: Monitoring: _ <br /> Public Well: Community: Non-community: <br /> *Abandonment Information* <br /> Bored or Dug Wells: Wells other than Bored Wells: <br /> Casing Removed,Y or N? Casing Removed,Y or N? <br /> If Y,Depth to which casing was removed: Depth to which casing was removed: <br /> Depth and Type of Fill: Applicable,depth(s),and type of gravel/sand fill: <br /> -ce of Fill: Source of gravel or sand: <br /> .,tonite Plugs: From to From to Cement: <br /> Method of Permanently marking location: <br />