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1954 - 2009 Well ReportsWell Log Data Export Data Dictionary Sur vey The table below lists the data field names, descriptions, and examples of each data item that makes up the well log data extract file. Colum Name Description Example well_log_id WELL LOG ID. A sequential number generated by the system to track a well log record. 100564 well_tag_nr WELL TAG NUMBER. The number issued by the Department of Ecology that is stamped on a metal tag that is attached to the actual well. AAA -000 project_tag_nr PROJECT TAG NUMBER — The number issued by the property owner or consulting firm to track the well. This number is NOT affiliated with Ecology's tag number in any way. MW -001 nitid_nr NOTICE OF INTENT ID NUMBER. A sequential number issued by the Department of Ecology to track the Notice of Intent to Construct or Decommission a Well. W072515 well_depth_qt WELL DEPTH. Depth of the well in feet. 55 well_diameter_gt WELL DIAMETER. Diameter of the casing of the well in inches. 6 well owner_nm WELL OWNER NAME. The name of the original property owner who had the well drilled. John Smith township_nr TOWNSHIP. The identifier describing which Township the well falls within. Based on the Washington State Public Land Survey (PLS). 05 range_nr RANGE. The identifier describing the Range location of the well. (PLS) 15 range_dir_cd RANGE DIRECTION. The direction code describing further which range the well falls within. Washington State is divided into two halves — `West' and `East'. (PLS) E section_nr SECTION. The identifier describing which Section the well falls within. (PLS) 06 qtr_section_cd QUARTER SECTION (1/4). The identifier describing which Quarter section the well falls within. (PLS) NW gtr_gtr section_cd QUARTER-QUARTER SECTION (1/4-1/4). The identifier describing which Quarter-Quarter section the well falls within. (PLS) SW well_comp_dt WELL COMPLETION DA'1'F;. Date the well was drilled. 1/1/1997 county_nm COUNTY NAME. County name where the well is located. King well_type_cd WELL TYPE. Code which indicates the well type. See appendix for code descriptions. W drillernr DRILLER LICENSE NUMBER. License number of the well driller. 2327 well_log_recv_dt WELL LOG RECEIVAL DATE. Date the Department of Ecology received the well log form. 1/6/1997 tax parcel_nr TAX PERCEL IDENTIFIER. County Assessor code of the parcel where the well was drilled. 232019130050 stjlane_xcoord_nr STATE PLANE X- 2031126 COORDINATE. The horizontal geographic coordinate value of the well within the WA State Plane Coordinate System (adjusted to the quarter -quarter, quarter, or whole section). st plane_ycoord_nr STATE PLANE Y- 780897 COORDINATE. The vertical geographic coordinate value of the well within the WA State Plane Coordinate System (adjusted to the quarter - quarter, quarter, or whole section). Appendix Well Type Codes: W Water R Resource Protection A Abandonment --- STATE OF WASHINGTOP� DEPARTMENT OF CONSERVATION AND DEVELOPMENT WELL LOG N9i Date...�us t....2 19541:. 1�t3 Record by....i.....$�...1�3D�1 Source.....Driliex' Location: State of WASHINGTON County..... S}]iD,EG De.. Area Map N NEA N18(_% sec3,3...T.25.N., R...M4....Z Diagram of 8aetioxt Drilling Co Address.,.. .... Method of Drilling DateLLigUat..., ....-, I9..5 owner..._....E.ryin,..D.....Sghi,, ru -1.3 Address......._..3pokane......W§whingt,►on Land surface, datum., . ,above below' YAT**uac (Twosomes Dorm 06 0) f (foot) (Transcribe ddUer'a terminology literally bat paraph.r& as nesessarr, in par® reaterlai w0er-baarias. so state and record static levai it rrported. Give deem la fast below lam-srrtaos damn oalma otherwise iadleat d. Correlate with atratisrapbia damn, If familia. )oUawbus las of materials, ,tat all eaala$a, pertoratmaa. aoe ea. eta.) 70 Skeet • • • 11iici: 0 c 24th N m 0 a m 27t 28t • • Lenora 29th di.1 W N Ioha u 36th Qac i --s 4otn -- Cimmaro 0 Pondra 0 43rd 45th -o co co rd 44th C7 46th Thorpe 0 ,0 0 0 0 0 Gertrude The Department of Ecology does NOT Warranty the Data and/or the Information on this The Department of Ecology does NOT Warranty the Data and/or the Information on this We File Original and First Copy with Deparmeat of Ecology Second Copy—Owner'a Copy Thud Copy --Driller's Copy WATER WELL REPORT Stan Card No. Oz 74 1 OWNER: Name fltn/s-S ea- M.( TAR ' STATE OF WAStjINGTON Woke Fight h'ar'til No 62 -.78''1.20 P Address 3 l AiCa*Pr fo3CS lv't1 -5POI(AMC (.:PA Ory LOCATION OF WELL: County .51°OreAtrie . Nr* :r Nal is sec 33 r Z3' H R 1/4 W kt (22) STREET ADDDRE$S OF WELL (or nearest eddreon) S 14102 Ps:a-...lea (3) PROPOSED USE: ❑ Domestic Irrigation ❑ DeWater Industrial 0 Teat Well ❑ Municipal 0 Other 0 (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION (4) TYPE OF WORK: Damara number oI wall (If more than ons) Abandoned 0 New well Deepened Reconditioned 0 Method: Dug 0 Borod 0 Cable 0 Driven 0 Rotary @I Jetted 0 (5) DIMENSIONS: Diameter of well g Inches Drilled_ J40 feet. Depth of completed well /40 ft. (6) CONSTRUCTION DETAILS: Caring Installed: S • Diam. from .1-3 N to /S'q' lt. Diem. from N to n. ' Diem, from f1 to It. Warded Liner installed Threaded 0 Perforations: Yen • Nog Type of perforator used SIZE of perforations In by In perforation from k lo perforations from ft to lt, parforattona tram ft to lt Screens: Yea❑ No 15i1 Manufacturer's Name Type lini horn n to — Diem. Slot airs from ft to No V4 Size of gravel Slot size Model No Gravel packed: Yee CI Crawl placed from 1 to Formation: Describe by color, cherecter, size of material and structure, end show thickness of aquifers and the kind and nature of the material to each elratum penetrated. with el least one entry for each change of Information. MATERIAL MON To Tirk-t Gle.af✓e� H0® - -- [r Or, we &WAnFire 2 d1 Saw - pz -- _ORA 1/47. noriz .5A1.1 - G Avec /4 eou`4ck aa C - Fs.a f - aert✓B..0 61 GKA1!FL - S,u - /be t GketACL- S4MrI- /S 1)rvarc's t.oArre pFA*2-Am_ A% f/de./it O r✓c`rePY.I 'rJ7' ft Surface seal: YeeM Noa To mint depth? Materiel used In coal 0rM70/L rd.. Did any °trate contain unusable water? Yea El Ng No I Type of water? Depth of drat Method of sealing strata off (7Z PUMP: /IT ft n• i ManWacWrer's Nam* Type: N P (8) WATER LEVELS: above aniiiivi s Static level /017 ft below top of well Date Artoalon proosurc lila per aquae inch Date Anaslsn water la coatrosad by (Cap, valve. "tea moo (9) WELL TESTS: DrawdO n la a nl water level le lowered below s1at1 Isvd Wes a pump test made? Yes LJ No tf yew, by whom? YI*Id: gal./min. with ff drawdown after Ma 111 IR Recovery date (time taken ea zero when pump tumor/ off) (water level measured horn well top to water level) Time WsrvLsve! Time Wale/Lad Time Weir Level Date of tail Beller teat gel /Iain, with Meet ifilf"700%al./min. with dam sat at Artesian Bow Q pm Date Temperature of water_ Was a chemical analyW made? Yee ❑ No 171 ECY06o.1.¢0 (10/87) •tang- 3 11. drawdown altar bra ft. for 3 h.• Work stand 15 Complete! WELL CONSTRUCTOR CERTIFICATION: I constructed and/or accept responsibility for construction of this well, and its comp/lance wtth ell Washington well construction standards. Materials used and the Information reported above ere true•to my beat knowledge and belief. NAME 8,- (3 014r f•Id'? (PERSON. FMK OR CORPORATION) (TYPE OR WHIT) Addreae S 15r- (Signed) / ./ J.....„2„.___ Licenser, ._ /O (WM. DRUM Contractor's Registration No. ..2aZiec Data Vey , 1®. ' (USE ADDITIONAL SHEETS IF NECESSARY) iv t File Original and First Copy with Department of Ecology Second Copy — Owner's Copy Third Copy — Drillers Copy • -I (1) OWNER: Name. y`— WATER WELL REPORT ST r TE . WASHINGTON Air:Mr '2) LOCATION OF WELL: County0l c`2°?i'l, - ,t<!u' 14 t1/(4!_i, Sec- .` .... T?.:t N , daress Application No. .ig and distance from section or subdivision corner (3) PROPOSED USE: Domestic 0 industrial 0 Mwticipal ❑' Irrigation 0 Test Well ❑ Other 0 (4) TYPE OF WORK; i)wner's number of well (.f more than one)..,. New well ja' Method: Dug 0 Bored 0 Cable „r Driven 0 Reconditioned 0 Rotary 0 Jetted 0 Deepened 0 (5) DIMENSIONS: Diameter of well .Z..71inches. Drilled ........................fl. Depth of completed well........�t.....3t. (6) CONSTRUCTION DETAILS: Casing installed: /.1." " Diem. froms!...7� ft, to ..zr- Threaded 0 ................" Diem. from .............._ ft. to ..-.- ft. Welded [r' " Diem. from ft. to ......_...... ft, Perforations: ye, ❑ No d Type of perforator used SIZE of perforations ._ in. by In. ................. perforations from ..._................... ft, to ft. perforation from ..._ ft. to .... ft. perforations from ft. to ft Screens: yea (,' No 0 Manuiactwers Name 7wDe.„�„s ,� 1 1•«....e! f.._. Model No..... G _,... Diem. /..2..,'4rSlot size . M= I,.;e.:F... ft. to .e Diem. Slot size from L14%., ft, to ..a./ ft Gravel packed: yes 0 Nosize o vel; �? Gravel placed from „'6 ,6' —it •A it, Surface Seal:. Yea Of."‘"—No ❑ To whatJdepth? .ZZ...._ ft. Material used in seal d(I.c�e .ef✓g e Did any strata contain unusable water? Yea 0 e-0..1 Type of water? ..... __.....__._.._..... ..._ Depth of strata ..... .......... Method of sealing strata off 7) l'UMP, Manufacturer's Name ...... _................ ...........__........ _.,,..... .....__._.._..... Type: (g) WATER LEVELS: above mean sea Land -surface elevation �jj / y+ least. L�......� Static Level 7! .ft, below top of well Date Artesian pressure Jbe. per square inch Date Artesian water Is controlled by _.,...,_.__.., (Cap, ,,..... _,. valve, etc.) (9) WELL TESTS: Drawdown 1s amount water level i. Iowered below static level de Wsa a pump test made? Yee 0' No 0 If yes, by whom?"...,, ' Yield: .,.•#‘76,1gal./min, with 5 ft. drawdown atte{ hrs. WELL DR 'S STATEM +ENT: This well was drilled under Iny jurisdiction and this report is (10) WELL LOG: Formation: Descrtbe by color, character, size of material and structure, and show thickness of aquifers and the kind and nature of the material in each stratum penetrated, with at least one entry for each change of formation. MATER/AL FROM TO --,Z,z2 - -.74it1' _%._ . ___ _.. _ c.) . .• ,t, -,T) c' l'). » ./ /�� ?/ G.../di,..,/ ,f --J r ''./"' r ,..7? cr.,- /3,) .'..-,,,,./„-./ c7 c" . .1 7 /T" .I" r,)4'/ 1"..:,-24.2/.`'r 77 ,f.7' /7a. ay/ c�Y1A .✓art4n-1 fd %../ J,i/ ,/3,,/771 / r'T �/ � .� l� •.-�rzl.•/v f �'/rVa! Jrfnl�r r� Ce' .7' '? (.1P el a-"..t,1_r/i "-ar,.,lidt!i" el �6' a=le / G ''''''".?-77 .,t.r.;rg .`21 9"4' /er2Y etiv ' . .1:t.al /dd' F ..):2-7c/4' /-, scar, d !ia✓S7.‹�Y/•S ,,,e3" // ,rd, -i.' jiZ..'+ _ "f/4' estO r .. .. .' 4. i''- rt r...�".;v1. rr) J•. a d -.1 1, ./a 7 / q6 fol.:, i .', .5 -,rva/./ il4...e / is -.20 /hi/ � ..! s -tel tom/) �^ y /�J ... .:.J 74- gif .. f 3IYI W T i Of °LOGY' - OEPARTt' 't 110_fONAt UFFICL . work started . 4 '....„,..., 19.2Completed._91�.J..Z'd , 19., ', true to the best of my knowledge and belief. Recovery data (time taken as zero when pump turned off) (water level measured from well top to water level) Time Water Level Time Water Level Time Water Levet ate of test fter test gal/min. with fit. draw own since_ ...... .._.__.his. n _ (Wet /'• 'iler) Arteafan flow g.p.m, a Temperature of water._.__.._.. Wan a chemical f a medal' Yee ® No ® License No..t V / Date i NAME./,_,11/44"fad & (Person, firm, or corporation) (Type or print Addreasiit :.-41. ,.� 'r�' a. r. No. 7156—OS—:(Rev. 4-71). (USE ADDITIONAL SEM= Er NECESSARY) i•/.t,i r •r r File Original and First Copy with Department of Ecology Second Copy—Owner's Copy Thud Copy—Druler'a Copy WATER WELL REPORT STATE OF WASHINGTON Start Card No est 2..,1 a P7 Weler Right Permit No. (11 OWNER: Name Addreea e — // yJ/ ,519age. LOCATION OF WELL: Countyc,k.:4 rY (2a) STREET ADDDRESS OF WELL (or nearest address) /// — AiEta % Sec y t sad9` N. R "41W ar\ (3) PROPOSED USE: Domeslic Irrigation DeWater Industrial U Municipal 0 Test Well ❑ Other 0 (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION (4) TYPE OF WORK: tavmer'anumberofwall (if more than one) Abandoned 0 New well Method; Dug 0 Deepened 1 Cable 0 Reconditioned 0 Rolary (5) DIMENSIIOONS::t�Dlamoter of well J Drilled 60 feel. (5) CONSTRUCTION DE Casing install(' Welded • Diam: from Liner installed Threaded ' Diem. from Bored ❑ Driven 0 Jelled 0 Formation: Describe by color. character. size o1 material and structure. and 'how thickness of aquifer' and the kind end nature of the material in each stratum penetrated, with at least one entry for each change of information. etATERIAL Depth of completed well AILS: ' Diem. from ft to 71ft ft 10 ft. Perforatlone: Yea❑ No Type of perforator used SIZE of perforations in by in perforations from ft to ft perforations from ft to h perforations from fl to ft Screens: Yee❑ No ' Manufacturer's Name Typo Model No Diam Slot size from 11 to k Diem Slot size from ft to Gravid packed: YeeL NOKSira olgravel Gravel placed from ft to e ' FROM 1 10 _ 17r -.&?24-r1f ISIP Surface seal: Ye a► i 00 To what depth? i.') T n Material used in seal • /t1 l Tv,J i' Did any strata contain unusable water? yoe ❑ Noig Type of water? Depth of errata Method of sealing strata oft 1 (7) PUMP: Munutacturpr'aName TYPE: H P (8) WATER LEVELS: above mien eesi Lae n l ft Static level tLr© ft below top of well Data Artooian preoouro (ba per square inch Date Arteelan water 1s controlled by (Cep, WAIT®. etc.» ) DEPARTMENT Of ECOLOGY RPDXA,N€ REGIONAL OFFfrt (9) WELL TESTS: Drawdm is amount water levet is lowered below static levet Was a pump test made? Yea L._I No ❑ If yea. by wham? Yield: gal /min. with ti drawdown after Ms ,. Recovery date (time taken as zero when pump turned off) (water level measured from wall f op to water loyal) Tame Water Level Tim. Wator Leval Time Wets' Level Def. of feet Bailer tee( gal /min. with 1t drawdown *no hit Airiest gel /min. watt stem tart at f1 for Isga Artesian Mow 9 p m Date I --t Temperature of water _ Was a cheer cal anaiye(' made? Yam p Neo ECY0S0•t•20 (10re7t •132e - Work Marled , 74/ 1G Completed WELL CONSTRUCTOR CERTIFICATION: I constructed and/or accept responsibility for construction of this well, and its compliance with all Weehington welt construction etandards. Materiels used and the information reported above are true to my beat knowledge and belief. NAME Address (Slenad) (PERSON, FIRM, Contractor's •" Rapist q No . 44/14.2• /71 irk (TYPE OR PRINT) • ' i r 1(49: ,:_.., L 0 ` LLER Date License No. F (USE ADDITIONAL SHEETS F NECESSARY) ' Y 1 File Original and First Copy with Department of Ecology Second Copy— Owner's Copy Third Copy — Drifter's Copy -� (1) OWNER: Name WATER WELL REPORT STATE OF WASHINGTON Application No. Permit No.. .. Frank Price Address 11909 E. 19th, Spokane,Wa.99206 LOCATION OF WELL: County Spokane .ng and distance from section or subdivision corner (3j PROPOSED USE: South 1/4 !'d ti Sec...34..... T25......N., R44E W.M Domestic XI Industrial ❑ Irrigation 0 Test Well 0 Municipal 0 Other 0 (4) TYPE OF WORK: Owner's number an ofwelt Inge New well Method: Dug 0 Deepened 0 Cable i( Reconditioned 0 Rotary 0 Bored ❑ Driven 0 Jetted 0 (5) DIMENSIONS: Diameter of well ........_6 ............... inches. Drilled..... 83.... ft. Depth of eompleted well 81. St. (6) CONSTRUJCTION DETAILS: Casing installed: 6 .. Diam. from Threaded 0 " Diam. from Welded t " Diam. from +2 tt. to 83 ft. ft. to ft. ft. to ft. Perforations: yes 0 No OX Type of perforator used SIZE of perforations in. by (n, perforations from ft. to it. perforation from ft. to !ti. perforations from ft. to .............. Screens: yee ❑ No [$ Manufacturer's Name.... Type. Edam, Slot size from .........._.... tt, to ._..,.._.._.. ft. Diam. Slot alma from ft. to ft, _ Gravel packed: Yea ❑ No [g Size of gravel: Gravel placed from ft. to ft. Surface seal: Yea18 No ❑ To what depth? .._..... ......... ft, Material used in seal Dentin/Le ..... _ .... Did any strata contain unusable water? Yea 0 No Type of water?....__ Depth of Method of sealing strata off (7) PUMP: Manufacturer's Type; H.P._ (8) WATER LEVELS: Land -surface elevation e/ above mean sea 48 .ft. below top of well Date-4/11/29— Artesian pressure abs. per square Inch Date Artesian water is controlled by. Static level (Cap, valve, etc.) (9) WELL TESTS: Wail a pump test made? Yes 0 No 0 If yea, by whom? Yield: gal,/min. with ft. drawdown after hra Drawdown is amount water Level is lowered below static levet v. „ Recovery data (Ume taken as zero when pump turned oft) (waist- level measured from well top to water level) Time Water Level Time Water Levet Time Water Levet ite of test 4/11/79 ter test 2.5.i...gai✓min. with Z.._ ..... drawdown atter--L. ........lis a. Artesian now — B-p.In. Date..._........_,....._....._._ y . , Temperature of water...._, ...... Was a chem.' analysis made? Yes 0 No a ECY 050.1-20 (10) WELL LOG: Formation: Describe by color, Character. size of material and structure, an Show thickness of aquifers and the kind and nature of the mat tial f a stratum penetrated, with at least one entrya •/. ILL."... for each change of formation. MATERIAL FROM TO Top soil 0' 15' __ Sand & brown clay mixed 15' 21' Sand & gravel, coarse 21'I 60' 60' 75' Sand.fine to coarse Sand & gravel,coarse,water 75' 81' Decomposed granite,soft 81' 83' RE EIVED APR 13 197 DEPARTMENT OF ECCLOGY SPOKANE REGIONAL OFFICE Work started March, 27 1979.Completed. it I1 1079 WELL DR1T LER'S STATEMENT: • ' This well was drilled under my jurisdiction end this report is true to the best of my knowledge and belief. NAME Z!NKGAF' S WELL DRILLING COI1P NY (Person, firm, or corporation) (Type or print) Address E•1606 Sharp,8om 4341,Spok$ne,Wa.99202 [Signed] . License No 0543 (USE ADDIT1ONAS, RESETS D' NECESSARY) et-) Date April 18 1D79 3 L O 1 - RECEIVED ! FIN Original and Rat C • . y wllh q f� Sia No, 19995 Department at Ecology �JUL 2 5 1995 1IVATER WELL REPORT UNI�U ELL I.D. s 11t71,P. Second Copy — Owner' ; Copy Third Copy — Drlillr�s C(r STATE OF WASHINGTON Water Right Permit No. py Uh rrr�, ...wrLrfd Qwif _ t (1) OWNER: N - (2) LOCATION OF WELL: County S kane (2a) STREET ADDRESS OF WELL for neare>tacoreas) E. 11504 MicaDishman Rd. • • NR 1'd STAT v4 Seo f l T 2 5N N., R 44p wM. (3) PROPOSED USE: ❑ Domestic Irngaoon DeWater Industrial ❑ Municipal 0 Test Weil ❑ Other 0 (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION (4) TYPE OF WORK: Owner's number of welt (ft more than one) Abandoned 1X New well 0 Deepened 0 Recordrtfoned 0 Method: Dug 0 Cable 0 Rotary 0 Bored 0 Driven❑ Jetted 0 Format,on: Describe by color, character. size of material and structure, and show thlcknau of aquifer; and the kind and nature of the material rt each stratum penetrated. with at least one entry for each change el information. MATERIAL FROM TO Well Abandormnt : (5) DIMENSIONS: Diameter of well 4 Drilled feet. Depth 01 completed well 120 inches. n. 1 _ R ri Dved Purrp System (5) CONSTRUCTION DETAILS: Casino Installed. • Diem. from 11.10 ft. Welded 0 • Diem. from ft. to ft. Liner installed 0 Threaded 0 ' Diem. from ft. to ft. 2_ Spa1rd wp11 with npArrpnt. gront 4 Bark fi11 1 wall pit with native material Perforations: Yes 0 No 0 Type of perforator used SIZE of perforations in. by in, perforations from ft. to ►t. perforations from ft. to ft perforations from ft. to ft. Strome: Yes 0 No 0 Manufacturer's Name Type Model No. Dlam. _ Slot size from ft, to ft. Diem. _ Slot size from ft. to ft. wow- - rT'}ti G iA a very Old well anti probably was not .regi stared. Gravel packed: Yea 0 Abo 0 Siza of gravel Gravel placed from 11 to ft. Surface seal: Yes ❑ ?Jo ❑ To what depth? Material used In seat ft. Dld any strata cornaln unusable water? Yes 0 No 0 Type of water? Depth of strata Method of sealing strata off II( 8 (7) PUMP: Manufactureea Name Type: H.P, (8) WATER LEVELS: Lond-sudaceeteyatton above moan eea loyal 11. Static level Artesian preaaure Artesian water Is controtlad try 11, below lop of well Date Ibe. per square Inch Dote (Cap, valve. ata) (9) WELL TESTS: D 0 below amount water level Is towered Iew stack (oval Was a pump teat made? Yee Pia 0 It yes, by whom? Yield: gal /min. with 11. drawdown after hrs. or rr FO Recovery dam tome taken as zero when pump turned off) (water level measured from well top to water level) Time Water Level Time Water Level Time Water Level Date 0f teal Beller test gal./min. with ft. drawdown aper Airiest gal./min. with stem set at ft. for Artesian flow g.p,m. Date Temperature of writer Was a chemical analysis made? Yes 0 No 0 ECL 050-1-20 (2/93) • • 1 worksterted 7/20 rg95ompteted 7/20 iQ5_ WELL CONSTRUCTOR CERTIFICATION: I constructed and/or accept responsibility for construction of thle well, and its compliance with all Washington wall construction standards. Materiels used and the information reported above are true to my best knowledge and belief. NAME-1_'__tnEnnRFMIQ AddressB,. 6010 B (Signed)(WELL A .4 a pokanc, %!A 99212 License No. 996 W. Scott Barratt Contractor's Registration 17 7/2 9 No. f�-.NSiiFT7k'OdR 7F Dote (USE ADDITIONAL SHEETS IF NECESSARY) 192.5— L 0 CLy 0 t� tv ea lac L 0 a1 0 0 to ai as .iTATE OF WASHINGTON' • DEPARTMENT OF CONSERVATION AND DEVELOPMENT WELL, LOG leo Da , I93Q er • Record by. N. Reideh I -- 1- l • --.-,--- sources . Driller record_--__!-_---;�--1__-_ Location: State of WASHINGTON t i County Spokane "— 1 Area i I • -- ' ' • ' Map t .. • i .. - y. i sec. T. 25N., R. Drilling Co. Clyde Reiden• Address_ Mead, Washing Method of DriUina At•r Nov. Owner E w Address Route_./;_Oppprtunity Lead rarfau, JalanT - below It. above Costae. LATLO ft id.L rZl1A L THICIOetall Net) Tnscribe s d 'a Iiteraltr but paraphrase as necessary, in w state record static !oval it rep .rand, Giva dapys in ort whim datum unlace othovwima lndicat.d. Carralat. sub atratigraphic *alma.it f ilia log of caatatials. list all petiorationa, weans. etc.) Darns ' 019 (Pump test: IDlaai 60' xa 4t3" I : 481 ID.), 501 It 1 SS g• .km, E top to 4$1 Thro u� r WATER WELL REPORT ECOLOGY Original & 1st copy Ecology 2nd copy owner 3rd copy driller Constructs recommission ( ut circle) 122 D►gb 01 Construction „J / 0 Decommission ORIGINAL CONSTRUCTION Notice of Intent Number CURRENT W153054 Notice of Intent No Unique Ecology Well ID Tag No AH C4 47 Water Right Permit No Prol>ertvOwner Name Ren & Luanne Niggemyer PROPOSED USE L<}Domestic ■ Industrial • MunicipalWell 0 DeWater ■ Imgation ■ Test Well ❑Other Street Address 4 0th Avenue TYPE OF WORK Owners number of well (if more than one) City Spokane County Spokane Location 1/4 SE 1/4 Sec 34 5N R44EwM et Tw2 ONew Well 0 Reconditioned Method 0 Dug 0 Bored ■ Dnven ■ Deepened 0 Cable [Rotary ■ Jetted _I/4 or o Lat/Lon WWM Deg DIMENSIONS Diameter of well 6 inches dnlled 220 ft (s t r stillLat Lat Min/Sec REQUIRED) Long Deg Long Min/Sec Depth of completed well 220 ft Tax Parcel No CONSTRUCTION DETAILS Casing K Welded 6 Diam from +1 ft to 69 ft CONSTRUCTION OR DECOMMISSION PROCEDURE Formation Describe by color character size of material and structure and the kind and nature of the matenal in each stratum penetrated with at least one entry for each change of information Indicate alt water encountered Installed ®Liner installed Diam from ft to ft 0 Threaded Diam from ft to ft Perforations ►/ Yes 0 No PVC Only Type of perforator used 1/A" Spade "Flit (USE ADDITIONAL SHEETS IF NECESSARY MATERIAL FROM TO SIZE of perfs in by in and no of perfs from ft to ft Topsoil 0 2 Screens ■ Yes /ICI No ® K Pac Location Clay, Brown 2 17 Manufacturers Name Sand & Gravel 17 32 Type Model No Sand, Coarse 32 51 Dam Slot from ft to ft Dra Granite, Decomposed 51 60 Dram Slot Size from ft to ft Gravel/Fitter packed ❑ Yes ®No ❑ Size of gravel/sand Granite, Medium to 60 143 Soft Matenals placed from ft to ft Surface Seal EX Yes 0 N To what depth? 18+ ft Granite, Fractured - 143 155 Matenals used in seal Bentonite Water 7qpm Did any strata contain unusable water? ❑yes ►4 No Type of water? Depth of strata Granite, Medium 1 5 5 161 Granite, Fractured - 161 163 Method of sealing strata off Water 1 qpm PUMP Manufacturers Name Granite, Medium 163 220 Type H P WATER LEVELS Land surface elevation above mean sea level ft Recommended pump depth i s 1 80 feet Static level 90 ft below top of well Date 1/14/03 Artesian pressure lbs per square inch Date Artesian water is controlled by (cap valve etc ) WELL TESTS Drawdown is amount water level is lowered below static level Was a pump test made? ■ Yes M No If yes by whom? ITTCE"111) Yield gal Imin with ft drawdown after hrs Yield gal/min with ft drawdown after hrs`!'�}200 Yield gal /min with ft drawdown after hrs _ JUN GCSL7 Recovery data (tune taken as zero when pump turned of)(water level measured from well top to water level)uEPARTMCt4T Time Water Level Time Water Level Time Water Level OC CCOLOt EASTERN REGIONAL OFFIC E Date of test Bailer test gal /nun with ft drawdown after hrs Airiest 8 gal /nun with stem set at ft for hrs Artesian flow gpm Date 1/13/03 1 /14/03 Start Date Completed Date Temperature of water Was a chemical analysis made? ■ Yes ®No WELL CONSTRUCTION CERTIFICATION I constructed and/or accept responsibility for construction of this well and its compliance with all Washington well construction standards Materials used and the information reported above are true to my best knowledge and belief ®Duller ❑Engineer ❑TraineeName int) Don Anderson DnllmgCompany J & J Drilling, Inc Driller/Engineer/TraineeSignattuPi9-i.�. r.C9.t Address S 5613 Linke Rd Duller or Trainee License No 1447 If trainee, licensed dnller s Signature and License no City State Zip Greenacres, WA 99016 Contractor s Registration Na7JDRI I —17 7Ktbate 1 —1 5— 0 3 Ecology is an Equal Opportunity Employer ECY 050 1 20 (Rev 4/01) rcle tie Fite Orieni41 on(' Fir,t Copy with Department of Et'niiif:v Second Copy — Owner's Copy Third Copy -- Drillers Copy WATER WELL REPORT STATE OF WASHINGTON Application No. Permit No , . (1) OWNER: Name.. T401.c:1 D. Hooley, 1 tidress . Rote 10,..13.0c....10.. ... Spokane,...VA, .99206 LOCATION OF WELL: county SPOKA1‘2 .ng and distance from section or subdivision corner see.. 34.... T.. 25...N., R44B...w.M. (3) PROPOSED USE: Domestic XI Industrial ❑ Municipal 0 Irrigation 0 Test Well 0 Other 0 N (4) TYPE OF WORK' Owner's number of well sir more than one).,,, 4-7 New well VC Method: bug ❑ Bored 0 Deepened PC Cable 0 Driven 0 O Reconditioned 0 Rotary{ Jetted ❑ (5) DIMENSIONS: GG O Diameter of well......... inches, Drilled J. ....... ft. Depth of completed well 139 .ft, (6) CONSTRUCTION DETAILS: 74e. 68 Casing installed: fy,,,,,,,•. Diam. from el..... it. to ..U6._.. ft. = Threaded 0....... " Diam. from ............. tt. to ft. aWelded Diem. from ............. ft. to ft. .Fr R• s i .t.+ CCC CU Surface seal: Yes ❑ No To what depth? _ ft. Material used in seal.. ..... Blre y...installed---- 1— Py Did any strata contain unusable water, Yes 0 No 0 Type of water? Depth of strata............__ ................ Method of sealing strata off (1) 0 U (7) PUMP: Manufacturer's Narne Type: yap • (8) WATER LEVELS: Land -surface elevation above mean sea level...... ® _..._.it. -6 Static level ..........85.... ft. below top of well Date......12/17.j.85 O Artesian pressure Ibe, per square inch Date Artesian water is controlled by 4® O (9) WELL TESTS: Dredbiamouctaer levet )e !owebelowlevel 4-7 Waa a pump test made? Yes 0 Nod] If yes, by whom? Yield: 6 gas,/mist, with ft. drawdown after hrs ES, WIITED AIRLIFT " ,. 11 Recovery measured from taken(time to waterwlevellp�p turned oft) (water level Time Water Levet Time Water Level Time Water Levet Perforations: Yea i) Na= Type of perforator used. SIZE of perforations in. by ............................... in. ...... perforations from . .. tt. to ft. perforations from ....................... tt. to n. perforations from ...................... ftto ft. Screens: Yes ❑ No= Manufacturer's Name Type Model No ...... Diam................ Slot size ................ from ft. to . ft. Diem. Slot size .. from ft. to ,.,... ft. Gravel packed: Yes 0 No Rk Size of gravel: Gravel placed from ft. to ............._._......_._..._.. ft (Cap, valve, etc.) ateof test .................................................... Bailer teat .................gal./min. with.._...... ftdrawdown after_ ,hra. Artesianflow...................................................g,pin, Date............._........_,_........, Temperature of water.-- ......... . Wm a cite cal tasalyais made, Yea Q llo 0 0,/0"4- ECY 050-1 -20 (USE ADDITIONAL (10) WELL LOG: Formation: Describe by color, character, size of material and structure, and show thickness of aquifers and the kind and nature of the material in each stratum penetrated, with at least one entry for each change of formation, MATERIAL FROM 1 TO _SANDr. GRAVE W/Watt r 81 1115 _GRMi3I'iE.r D' 4 115 130 GRANIT.EE Soft, Fractured w_j_ T[tcher 130 x13.6 GRANITE, Iedilzn 136 119 dfl I of 4p PVr T'.inr r• Tf�t- 3] l j ~JAN 13 Iain OEPAR i M rl ; c f -- enler— Si'7a:MF. f/ANAL 1FTILE Work started 12/16 19.5.).5.. Completed .12217......., 19...85 WELL DRILLER'S STATEMENT: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief. NAME LIMA DRILLING &DEVELopedEpr.I1 (Person. firm, or corporation) (Type or print) Address E • 6010 [Signed].. W. ,los ph ose Jr. License No 1,040 Date 12117 1985... r® MEETS T9 IF NECr98ARY1 4001 sI (We' rill r) £W...A 99212 STATE OF WASHINGTO. DEPARTMENT OC CONSERVATION AND DEVELOPMENT No A.62 $ WELL LOG Date 7-3 , 19..3 Record by. source driller's record Location: State of WASHINGTON Spokan e County Area Map sec..4-..T...2.141., R....1xuc1 ram ofsection -- Drilling Co liviader Address Mead, Wash. Method of Drilling Date 1Q-25 ,19.61. awns Washington Water Power Co. Address Spokane, Wash. Land surface, datum ft. above below Coria. LATrom IdAralUAL lTHICKtiaatt (feet) DrITH (feet) (Transcribe driller'e terminology literally but paraphrase as necessary, in parentheses. If meter el water -bearing, so state and record static ]eves it reported. Give depths in fait bedew land surface datum unless otherwise indicated. Correlate with atr*Uaraphic column. if tesaibla. Following log of materials, list all casings, perforations, serneos, etc.) Turn up ShceL........... ol.._..._._..sheet� Top soil 2 2 Silt & clay 7U y Coarse sand 12 $4 Sand & some grant:l Solid 24 2$ 108 136 granite PUMP TEST: Dim.8"xl3b' SWL: $0 ft. (Oet:.25,196.) DD. 30 ft. Yield: 42 g. p.m. submersible Type & size of motor or engine: 10 hi 30 min. recovery UAd1NU: 6" didm. fibom 0 to 90 ft. 6" " " $3 to 93 ft. f -----t Turn up ShceL........... ol.._..._._..sheet� (u E L 8 4.0 0 'a cu .a ea 0 44 y c F- 0 0 0 0 13 co 0 0 0 w 0 c L a. 0 0 i F— WELL LOG.—Costinuod No Tmnamm Dt* (fest) Ura@) D.ath forward 8 6" diam. from 108 to 1 6 een was set inside of th with15'6(" blank casing a a 1)' Section of screen aecLLur► of otaudh(rd eai1z PERF 'lRATTC]NS Johnson screen from S. F. No, 7449 -Os -64 -2M. 4ptb;; 4 th zO/O Chestcr 40th xrt !fir j 4 S '1 4 L ., 1-6-1-ft L_ t ti S S zv/2G rvi File Original and First Copy with Department of Ecology Second Copy—Owner's Copy Third Copy — Driller's Copy WATER WELL REPORT STATE OF WASHINGTON Applieation No. Pernik No.. , .... (1) OWNER:Name.......t. tf..�... /��.L..S—Sas (/ Address .1.4F!dtia#J.[.r. e.c:.f. ,... %'..t:� c5?t?tff!,"s ►' "I LOCATION OF WELL: / County ,��L�lfi1!!:.f'.'_..._ ��... �.� ti.�.?r� Sec... T.•�:.3iN., R.1ii+�✓ WaK. ing and distance_ from section or subdivision cornern ylwil.4t.My ' if- , (3) PROPOSED USE: Domestic OiLIzadastrial 0 Municipal ❑ (10) WELL LOG: Irrigation 0 Test Well 0 Other 0 (4) TYPE OF WORK: Owner's number of well (if more than one). New well Method: Dug 0 Deepened 0 Cable 0 Reconditioned 0 RotarxXL Bored 0 Driven 0 Jetted 0 (5) DIMENSIONS: Diameter of well ..4t ,niches, Drilled i.ds.0 It. Depth of completed well ..... (6) CONSTRUCTION DETAILS: Casing installed: ,.... " Dlaret. from . � I�.... ft. to .1., ft. Threaded ❑ -. " Diem. from ft, to ...,.. ,_ ._ ft. Welded jg. " Diamfrom ft. to ft. Perforations: yea 0 No lam_ Type of perforator used SIZE of perforations in. by in. perforations from .................. ft. to ............. ft. perforations from ft. to .... ft. perforations from ft. to ft Screens: Yes ❑ Manufaciurer's Name Type Dlam. Slot size from Diem. Slot Size from Model No ft. to ft. ft. to ft Gravel packed: Yes ❑ Na- Size of gravel: Gravel placed from ft. to ft. Surface seal: Yes No To yhat depth? ._... ft. Material used in seal. .� J.°Ct,fNr..ts Did any strata contain unusable water? Yes 0 Na Type of water? Depth of strata Method of sealing strata off (7) PUMP: Manufacturer's Name Type:...... Ii.P, (8) WATER LEVELS: above mean sea Ievel..rG'.' G— Static level ft. below top of well Date..':.'. Artesian pressure ...... lbs. per square Inch Date Artesian water is controlled by Land -surface elevation (Cap. valve, etc.) (9) WELL TESTS: Drawdown 1s amount water level Is lowered below static level Was a pump test made? Yes 0 No & If yes. by whom?. Yield: gal./min. with ft. drawdown after hrs. /11 Recovery data (time takCtt as zero when pump turned off) (water level measured from well top to water level) Time Water Level I rime Water Level i Ttme Water Levet Date of test Haller test gal./min. with........ ft. drawdown after hrs. Artesian stow g.p,tn, Date Temperature of water Was a plc& analysts made? Yes 0 No 0 ECY 050,1-20 Formation: Describe bl, color, character, size of material and structure, and show thickness of aquifers and the kind and nature of the material in each stratum penetrated, with at least one entry for each change of formation. MATERIAL FROM 0 TO Work started /n. 7. 7 19.Completed . et9 2 ? , 19�.a}7 WELL DRILLER'S STATEMENT: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belies, NAME, g. - j&�. ..�� .0-7-140 (Person. firm, ot44orporattoon) (Type or print) Address ..L5. /, 5 %rr.� : t /)),40.7-4, /lc)" [Signed] License No..?,(.. (USE ADDITIONAL SHEETS IF NECESSARY) Date. ..iQ.~ , 19.21 " 6). 4.L 75 nearing and distance from section or subdivision corner FIle Original and First Copy with Department of Ecology Second Copy—Owner's Copy Third Copy — Dnller's Copy WATER WELL REPORT STATE OF WASHINGTON Application No, Permit No. , . (1) OWNER: Name Herb . W. Hatherley Address. E.,,.12.4.0.2 4.th., S.p.o kan e.,....W a......9..9.2 l.6 LOCATION OF WELL: County $ p.Q.ka.x1 a .— .S.,F,• i4 ..�i.W.,...;; Sec 4 T2.4......N., R..4..4..EW.M. CD Ce (3) PROPOSED USE: Domestic L$ Industrial 0 Muniolpal 0 rrrtgatton 0 Test Well 0 Other 0 (4) TYPE OF WORK: Owner's number of well H (if more than one) . . .0 New well l Method: Dug ❑ Bored 0 .s+ Deepened 0 Cable 0 Driven 0 ® J Reconditioned ❑ RotaryJetted 0 _ (5) DIMENSIONS: Diameter of well ...............6 inches. ® Drilled 1.$ 0....it. Depth of completed well... ...... ...l.S.Q..___St. til (6) CONSTRUCTION DETAILS: 8 Casing installed: 6 " Dlam. from +1 ft, to ..B.Q . ft. Threaded ❑ " Diem. from ft. to ...._ ft. Welded 0 " Dlamfrom ft. to ..........__.. ft. 0 Perforations: Yes 0 No lj J.+ Type of perforator used L O SIZE of perforations M. by in. perforations from ft. to ft. C perforations from ft. to ft. perforations from ft. to ft titt 'ES Screens: yes ❑ No ❑ Manufacturer's Name CD Type....... Model No ......... ........,.._.__ Diam................. Slot size ........ fromft. to ft, .1-s Diem.. Slot size from ............_.. ft. to ft. >11 �Gravel packed: Yes ❑ Noap Size o[gravel: L Gravel placed from ft. to ft. L Surface seal: Yesl No 0 To what depth? , 20 ft, Material used In seat ....... B.en.t.t3.ni.t e I"' Did any strata contain unusable water? Yes 0 No f1 O Type of water? Depth of strata Z Method of sealing strata off (A 7 PUMP: 4.1 ( ) Manufacturer's Name 0 Type: HP .> (8) WATER. LEVELS: Land -surface elevation above mean sea level.— ........ 15 t7 ....... . O • Static level .. 40 6/15/77 ft, below top of well Date. T 75 Artesian pressure lbs. per square Inch Date 0 lill (Cap, valve, etc.) ';"' (9) WELL TESTS: Drawdown is amount water level is ® lowered below static level d-+ Was a pump test made? Yes 0 No 0 If yes, by whom?. C Yield; 4 0 gal./min. with ft. drawdown after hrs. E • Est. Airlift " t. t'CC Recovery data (time taken as zero when pump turned off) (water level measured from well top to water level) 0 CI Time Water Levet ( Time Water Level I Time Water Levet O Artesian water is controlled by f'— Date of test .... Baiter test ............. . gal./min, with............. .ft. drawdown after hrs. Artesian Row g.p.rri. Date Temperature of water Was a chemicalalysis made? Yea 0 No Q • ,i (10) WELL LOG: Formation: Describe by color. character, size of material and structure, and show thickness of aquifers and the kind and nature of the material In each stratum penetrated, with at Least one entry for each change of formation. MATERIAL TO FROM ._T. igoil -• - Clay -Brown BoulcLe.ma _ Sand & Gravel Sand, S_i1 ty PPa {:ravel, Sand, Silt Course sand & Silt Course Sand 0 1 In 40 90 35 16,0 I- 10 40 90 135 1 6.0 1 80_ Work started 6 /..1.3./..7, 70........... Completed.....6 , is WELL DRILLER'S STATEMENT: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief. NAME CARMAN DEVELOPMENT COMPANY (Person. firm, or corporation) (Type or print) E.6010 Broadway, Spokane, 1a. 99206 Address [Signed]....I..L•-` 1-L.....f ( Well Driller) License No 066 ECY oso-t-.o ✓ �i. (USE ADDITIONAL SHEETS IF NECESSARY) Date ,J.u.na...1.7 , 19.7..7... File Original and First Copy with Department of Ecology Second Copy — Owners Copy Third Com,— Driller's Copy WATER WELL REPORT STATE OF WASHINGTON Application No. Permit No. ... (1) OWNER: Name.......Robert..Kaatz Address...5...919 Pines...Road,S.pokane Wa..99206 ) LOCATION OF WELL: county. _Spokane. - . . "VET. Sc 4 T 24 N., R44E W.M. Bearing and distance from section or subdivision corner Part of Lot 7,Reg at NeW.corner of Govt. Lot (3) PROPOSED USE: Domestic k indimutax 0 Municipal 0 IrrigatiOn 0 Test Well 0 mit: 0 (4) TYPE OF WORK: "ner's number of well (lf mare than one).... New well i.14 Method: Dug Deepened 0 Reconditioned 0 ....... ...... ..... 0 bored 0 Cable N Rotary g Jetted (5) DIMENSIONS: 6' Diameter of well ..... inches. Drilled ... ... it. Depth of completed ..... (6) CONSTRUCTION DETAILS: Casing installed; .--" Dlam. from It. tq Threaded 0 . ..... ,„...." Mon. from ...... ft. to tE.' Welded QC " Dim. from .. ft, to ft. Perforations: Yes 0 No X] Type of perforator used SIZE of perforations tn. by in, perforations from ft. to It. ..... Perforations from IL to ft. perforations from ... ft. to Screens: ves 0 Nom Manufacturer's Name Type... Model No... Diarn. .... Slot size from . . IL to ft. . Slot size from . ft. to ft. Gravel packed: Yes 0 No M Size of gravel. Gravel placed from ft. to ft. Surface seal: yes X] No 0 To what depth? .. 19 ft. natermi used in seal.. ..B8T1tillite Dld any strata contain unusable water' Yes 0 Tnae of water? . . • . Depth of strata Method of sealing strata off . (10) WELL LOG: Formation: Describe by cora'', character, size of material and strUctUre, and Show thickness of aquifers and the kind and nature of the material in each stratum penetrated, with at least one entry for each change of formation. -- ----- MATERIAL FROM TO Top soil._ 0' 1' Sand,fine 1' -39' Clay,tan,w/fine sand 391 62' 62' 68' Sand,fine Sand,fine w/tan cab; clay 681 43' 85'. 921 122' trlayptan Sand,fine 92' Granite rock soft 122' 125' 1.331 Granite,frectsgralr-yell,m hrd 125' Granite,occas fract,brn-gray„m hrd 133' 141' 'Granite,occas fract,drkgrayim hrd 141' 152' Granite,occas fract,tan-yell-whts w/mica flakes m hrd 152' 168' 169' 168' 169' 180' Granite,fract,tan-gray-whtim hrd, water /.. GFM (large storage) Granitepoccas fract,tan-wht,m hrd Granite,fract,s&p,m hrd 180' 1861 iiartzpdrkgray. Zuartz,fracteSpeck gray w/drk prple 196 __ant 20811 217"..;-. _217_1 nica_f1akm4m_hrd4water 1 GPM araniteAccas__fra.ct, ssiLlamjca. ilakes,m hrd Iranitelfract,gray,brn-wht,m_hrA.,_ -water_ L_GPII 1 216' Quartz,acnaa fraotortrk gray-mht No D2 Flpenks,rn hrri 217"i 2611_ QUA rtz x.fract.,dris-p.14.,7.1 _Kith im 1 ayprA (7) PUMP: Manufacturer's Name . t, f '-'161hifP.quartarnika_flak.es,mhrd, / 1 26111 2651 QuartZ,OtOaP frnnt,drk sray-wht, ! xlepr,graprim hrd - 1171 QUart7,111/11 (Inf'1)P.S,m Firri QUOrt7,frArt,dr;c grAyispeck m_hrdsmater 31/01 316' Canertzlit,eir,gray specining,m hrti 31611 337' (orver) Work started. ..... , 19 .. Completed . -Jvtr 9 . WELL DRILLER'S STATEMENT: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief. Type: HP (8) WATER LEVELS: Land -surface elevation .1.7e:is 6 above mean sea level. Static level 125 It, below top of well Date. .1.11.29/27 Artesian pressure Ibs. per square tnch Date... Artesian water is controlled 41-1_(,...-aprvalve. etc. Drawdown Is amount water level is lowered below static level No 0 if yes. hy whom', Yield: 10 gallmin with 275 rt dray/clown after 1 hrs. (9) TESTS: TESTS: Was a iamb test made? Yes g driller Recovery data itime taken as zero when pump turned off) (water level measured from welt top to water level) Time Water Level Time Water Level I Time Water Level Date of test Railer test . . with..., .Et. tire down atter hrs. Artesian . .......... .,..g.p.M. D e Temperature of water . Was a chemical a ade? Yes 0 No g 4• r -v nen 1 .mtnr 1 npm '11 NAME ZINKGRAF'S WELL DRILLING CO. (Person. Arm, or corporation) (Type or print) E. 1606 Sharp,Box 4341,Spokane,Wa.99202 [Signed} .... tWe D er) .4 -EV License No .. 0543 Date December 14 77 Address (USE ADDITIONAL SHEETS IF NECESSARY) , 19 WELL Date Record Source driller f s record STATE OF WASHINGTO, DEPARTMENT OF CONSERVATION AND DEVELOPMENT No A.62,58 LOG 7-3 , 19 63 Location: State of WASHINGTON ---z -- County Spokane AreaI._—I Map . a-1/4 NE V4 sec,.A..T...211N., R._.-44 E-pu¢ram of sectWMICX – Drilling Co...._.........Reeder Address Mead, Wash. Method of Drilling Date 3,0'"25 owner Washington Water Power Co. Address Spokane, Wash. Land surface, datum ft. above below Cels& u11(1 K HISM AI ITLyfCteterre DCPT n (fret) (TranscrIbe driller', terminology literally but parophreie as neee.aury. In parentheses. if mater al water -bearing, ao state and record static level if »ported. Give depth.. in fart below land-surfae• datum unites otherwise Indicated. Correlate with atratierapbir column, If f.uibla. Followloir bat of material,, list all casings, perforations, serccne, etc,) Turn up Sheet ...........-of - sheets Top soil 2 2 Silt & clay 70 72 Coarse sand 12 84 Sand & Bum, gi•aNf t;l Solid 24 2$ 10$ 136 granite PUMP TEST: Dim .8"x13 6/ SWL: $0 ft. (Ott.25,1961) DD: 30- ft. Yield: 42 g. p.m. .- • a . 11. • e" 's: submersible Type & size of motor or Ongine: 10 hi 30 min. recovery CAING: $" diaru. f -um 0 to 90 ft 6" " " $3 to 93 ft. , Turn up Sheet ...........-of - sheets Na i Leman 8 LI). so ee from 93_ 6fl diam. from 108 to 136 ft c een was set inside of th'= 877 c sin with15 T6" blank casing a !ead o a L" s =ction oT screen a,i i a IV -r tiun-ref a-andard We ea 0 thc o7f 'h . can. PERFO TIO, S Johnson screen from S. F. No, 740-05 -61-2M. rib' I File Original and First Copy with Department of Ecology Second Copy --Owner's Copy Third Copy— Driller's CAAY WATER WELL REPORT STATE OF WASHINGTON Application No. Permit No, . i (1) OWNER: Name Denel 0. Ingrahan..,,.,_._. _ _ _ ,.,... Address 10807 E. 46th, _Spokane, WA 99206 OLt LOCATION. OF WELL: counts Spokane._..._.__. .,.....1�4 ,...v4* A t, See 4 T 24 N., R.4.4 ..... W.M. 61 Bearing and distance tram section or subdivision corner G-t]V s t Lot 1 IX N u) C oc O 23 03 (6) CONSTRUCTION DETAILS: 16 Casing nstalle: 8. _ ® id6 " Diana. from +1 �.,. ft: to ....3� ft. H� Threaded 0 " Dlam. from ft. to . ft. Welded zj " Diem, from ft. to ................ ft. C/) Perforations: Yes 0 NO L Type of perforator used O SIZE of perforation in. by . in. ":" perforations from ft. to ft. C perforations from tt. to ..__._._ ft. R perforations from ft. to .._........._..._.... ft, sill f Screens: Yes Q No IM ® Manufacturer's Name CU Type Model No mC Diem....... Slot sire from ............... ftto ft44. Diem. Slot size from . ft. to - ft. CGravel packed: Yes O No p[ Size of gravel: L Gravel placed from . ft, to ea Surface seal: res �y No ❑ To what depth? ...... .30 n. Material used in sea! . To I-y Did any strata contain unusable water? Yes 0 No c40 Type of water?.... ....... .... ............... .... Depth of strata Z Method of sealing strata off .... ...................... . di (7) PUMP: Manufacturer's Name.... Type: HP 13 >' (8) WATER LEVELS: Land -surface elevation "" •'' .; t, En above mean sea level... ,� :-..�:"' ft, ® Static level $0 ft. below top of well Date 3`23f 8i., Artesian pressure lbs. per square inch Date. O Artesian water is controlled by .... III (Cap, valve, etc.) II -. • (9) WELL TESTS: Drawdown is amount water level is lowered below static level 'a Was a Hump test made? Yes 0 No C i If Yes, by whom? . a) vield:4i4, giii./min. with ft drawdown after hrs. E Estimated' Air ift " 1 ctRecovery data !time taken as zero when pump turned otf) !water level measured from well top to water level) (3) PROPOSED USE: Domestic t§ Irrigation L _ Industrial 0 Municipal 0 (10) WELL LOG: Test Well 0 Other ❑ Formation: Describe by color, character rise of material and structure, and show thickness of aquifers and the kind and nature of the material to each stratum penetrated, taft)t at least one entry for each change of formation. (4) TYPE OF WORK: Owner's number of we/1 (If more than one).... .. Nem well Or Method: Dug 0 Bored 0 Deepened 0 Cable 0 Driven 0 Reconditioned Cl Rotary (!C Jetted ❑ (5) DIMENSIONS: Drilled 24Q ft. Depth of completed we11.........240 ..._._ft, Diameter of well 6 inches. OP Time Water Levet I Time ,.'. to Levet ( Time water Levet ft, Date of test Railer test .......... gal./min. with.. ...U. drawdown atter hrs. Artesian glow.... g.p.m Date Temperature of water.. . .... Was a chemical analysis made? Yes 0 NO 0 ity '(VSt ADDITIONAL 5HLrRS IF NECESSARY) err m t.70 ' MATERIAL FROM TO Decomposed Granite 0 35 Granite, Medium, Black & White 35 140 Granite, Soft, Water 140 150 Granite, tfedium®ltard, Black & 150 240 White • x. No PYC_Liner1nstalled ' 1 _110.._6!' Drive Shoe Installed : I Work started March 20 19 81 Completed 81 23 19 81 WELL DRILLER'S STATEMENT: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief. NAME.. Pond.r- sa Dr1.1ling & Deye,lopment, !Person, firm, or corporation) !Type or print) Address..E•..,-0 Broadway, Spokane, WA 99206 ) , FAui. Pawkins 'Well Driller) License No 1007 Date March 23 19 81 3 .r... L O iQ ce N 1• 0 47c0 E L i ne uepartment of Ecology does NOT Warranty the Data and/or the 227422222227222'_asz�asc:2:ca.C2z22a 22 aa22G2212g222saaaz2:a.:22.2242,stt;aas:21112222412L::aa::aa 4 1"? R ?LL ;S; r =art :aro 4:. ?44380 1w1i3: i111 :. 4 ARP088 STATE 0P WASHINGTON dater Tight Permit No. INNER: Viae GUTHRIE, LARRY address 721 NORTH PINES SPOKANE, VA 99206- .. a72s2 aaazansz2 tate 312[22:2202:::222 22:..0222 .22222II :I ,• CA}::'N OF YELL:::dnt• SPOKANE - NY 1.4 SW 1 ; i''c 04 T 24 h., ? 44E WV .11 STREET 1.DDRESS OF NELL for nearest ::dress: , • .-2:2-_._7 ------- 0247222222 an112.__.222 222 20ta22a 2/122:06::a2 i1 722222 22 1222 21 ?EOPOSED USE: DOMESTIC 1101 WELL Lia ..:Stara::2at 2::::172a::211e27:.24-:--022:2::2::2222e42222123 4; TYPE CF 1OFK: DEEPENED Sas22:.c C--...12-_-sal ;viper's Number .t well Formats;n: 1'tscI1_e ay :olor. :eracter, sl:e of materiel .If more than :ne, 1 and structure, ai: .:CV tni:i.]?ss of aquifers and the nom K?th':0: ROTARY and nature f :he 33terialcoin s:r3tun penetrated, dltn :2:::s2 :22:2:::.2.02.22::1:2 at :east 54ianrr : .:r tan ": a99e !i nation. 2I1{EN5i;11S: Dtameter :f well 6 Inches allied 300 ft. Depth of .;mpleted 'well 525 fc. ataz:::e72:2as:2zzasz:::art::::ata:aa:as2:::aacszaaseazasccsaaae: .c, CONSTRUCTION DETAILS: easing installed: ' Dia. frim 4 ' Dia. from 5 ' Dia. from ft. to ft. ft. t'! 525 ft. ft, to it. ?ert'rat3':ns: YES Type :+f perforator used SKILL SAY ;IZE of perforatioas 118 in, ay 5 to. 100 perforations fren 440 :.. tc 520 r:. pparferations Irom tt. 'eff:rittcas from !:. _: 't. Teens: NO 4inl:c_actlrer $ Mime 71as. Slam. slot :e slot si:e ^Edea 1: rr:s iron ft. ta ft. to :rave! ;soled: NO 31:e :r ;ravel :raei placed from ft. ., ft. Surtace seal: NO T: moat depth? rt. I(acerlai used in seal Did ally strata :main inusaale water? 00 '1pe :e dater? ,esto :f strata ft. Methyl :r sealxr7 Etrst3 orf 2222222222222272222:222 _SUP: uarufa:t'lrer s 4a1e 9e 2222222;1 122222222222 ] 9 2--•_ 2 2 za 292222 +!S.EP .:';$,:. .feed•...._.. iC1.� :,r,.;ve sear. _et al. :i:.. 100 ::. ne.c. .. 10/14%94 iiter !KATERIE, FROM lO MEDIUM GRANITE WHITE j 300 1 335 MEDIUM GRANITE BLACK & YHITE ' 335 , 340 MEDIUM GRANITE BLACK & WHITE !340 ' 390 MEDIUM GRAYI}E GREEN ' 390 ' 410 HARD GRANITE BLACK & YHITE 1 4110 . 525 55I I : ' Net,: s::t:es 10,13.94 . a7!:t:: 10,14,94 '220 7 222 12r2:2.22t22 3 2022 a Xt,_ _ „ .2ravo:dt 1r :teen: *stir .-... __ -'vier'.: ail:sr HELL ::21,17F"::”7 - :," .:31: ::$'''.. I . ':ns:T.::: . . ::; e :..:p."r= .. . :.a .;s 0 SL C Stt,ace: 00 1.::.E. •:rot_:, ': _ s1 ,] a^:.ai'e d.r' ._.r ,-l 11n .t .: ..a�C _..2r ^rs. (9i�t l �:._ .. e•.fa.a5q....1,1: 531 :l: t.' .11,rife.-1"r::1 0.:.4 :12 T'• test r;:U. :12 2:: ..._ " ;? Anter .. .iter level : NUE PONDEROSA DRILLING .-.... :.'.:. _. E 5010 S .0 0YAY Sr ,-5a :a: .. 500 lrs. :,1. ;ate 4T.f3. tis . :! !Elie 00 e7:r:r:.... 70-N0-1I':43UE : 2222 122122 VI •• Orr. L t10' . iii (2a) STREET ADDRESS OF WELL (or nevem aedrete) RI. Original and First Copy with Deportment of Ecology Second Copy— owner 'a Copy Third Copy— Drillers Copy WATER WELL REPORT STATE OF WASHINGTON Start Card No. W091(165 UNIQUE WELL LD. i 101-618 Water Right Permit No. (1) OWNER: Name Bi 1.1 Bagby (2) LOCATION OF WELL: Gamy SPOKANE 6103 S CHESTER CREEK LANE • SW 1/4 SE U4 soo 04 T. 24N N„R44E w (3) PROPOSED USE: DomesIe Industrial ❑ Irrigation N 0 DeWater Test Well 0 (4) TYPE OF WORK: Owner's number of well Municipal 0 Other 0 (W) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION (If more than ons) 1 = Abandoned 0 New well j��p Method: Dug 0 0 Deepened O Cable ❑ C Reconditioned 0 Rotary rilc o :w (5) DIMENSIONS: Diameterofwell 6° tUDrilled 400 feet. Depth of completed well 400 Bored 0 Odeon Jetted 0 Formation: Descnbe by Color, cnere41er, size of metenal and siruclure, and thew Intimate of aqua. and the lond and nature of the material el each stratum pennnted, with at least one entry for ea charge of information. MATERIAL FWI TO Clay Brown Sandy 0 Granite Cray & Brown Soft 35 (6) CONSTRUCTION DETAILS: inches. ft. Granite Gray Medium 130 Granite Brown Dark Gray Meditxn 260 CCasing Installed: 6 • Diem, from +2 n. to —3F3 n. = Welded o _____A__• Diem. from —20 n, to —400 ft. Liner instal i LI 0) Threaded ■ • Diem. from n. to N. . 4-' GraniteGray MEdiisn 320 35 130 260 320 400 Trace of water at 140' 4 ylxtt at 370' sV Perforations; Yes ( l& Q Type of perforator used Sk . saw SI2E Of perforations 1/8 in. by 6 in. c 44 perforations from —380 ft. to —400 ft. perforations from ft. to ft. Cil perforations from ft. to h. ® Screens: Yes ❑ No 51 (I) Manufacturers Name Type Model No, >1 Diann. _ Sfoi sizefrom 11. to n. d.+ Diem. _ Slot size from h. to ft. i nt Gravel packed: Yes ❑ No 50 Size 0l gravel L Gravel placed from , 77.10 h. Surface seal: Yes cil No 0 To what depth? 20 h. Material used in seal Bentonite O Did any strata contain unusable water? Yes 0 No ❑ Type of water/ Depth of strata w Method of seating strata off 0 "0 (7) PUMP: Manufacturer's Name Type: H.P. OS O (8) WATER LEVELS: tand•surtaca elevation above mean sea level ft Shue level 1 60 h. below top of won Date 0 0 Anearen ptessure lbs, porsquare inch Date Aiil—irtelian water a canuolled by ® (Cap, valve, ata) .a.+ (8) WELL TESTS: Drawdown is amount water levet Is lowered below static level QSWas a pump lest made? Yes 0 No 0 If yes, by whom? fa Yield: gal./min. with rt. drawdown after hitt. .1•. co n .. n n CD Recovery data (time taken as zero when pump turned oft) (water level measured from well top to water level) Time Water Level Time Water Level Time Water Level 0) F— t• r Li Date of test Bailer test gal.rmin. with n. drawdown after hrs. Airtest 4 •5 gal./min. with stem set at 398 h. for 2 hrs. Artesian flow e.o.m. Date Temperature o1 water Was a chemical analysis made? Yes 0 No 0 ECL 060-1•2012,93)" 1 J DEPARTMENT OF ECOLOGY EASTERN REGICNAL.OFFICE Worksterted 10/09/97 Is. cernpleled JI /9/,to WELL CONSTRUCTOR CERTIFICATION: I constructed and/or accept responsibility for construction of this well, and its compliance with all Washington well construction standards. Materiels used ane the information reported above are true to my best knowledge and belief. NAME H2O WELL SVC INC. 1-800-772-4901 (PERSOM FIRM. OP CORPORAT)ONI tFYF0 OR FRIPM 582 W HAYDEN AVE HAYDEN LAKE ID 8383` c (Signed) [,•/f�''�1. /7"f, rt . t (WELL DA Rl (Jim McLeslie) Address Contractor's Registration No. H2(1ST101Liw Date 10/10/97 License No. 2257 (USE ADDITIONAL SHEETS IF NECESSARY) 10 i The.Well Log Data and Image are 'As Is' with NO Warranty. • Well Log ID. (page 1 of 1) 0.. . a) Z- Qt t i S 2-•- Fopartment oEcologyth al WATER WELL REPORT Second Copy • Owners Copy STATE OF WASHINGTON . Third Copy • Drillers Copy • • i IE 8 i 0 73 0 C •0 ▪ 0 16 •E • •0 0 cu 15 1g CU 1 G1 •o a t� ri▪ d O ti CC >v t >L. 0 13 a' ®• 0• 0 0 w 1•. • • Notice of Intent UNIQUE WELL 1.0.e AEQ073 . Water Right Permit No. 34111929 (1) OWNER: Name Dale D e R u weAddress (2) LOCATION OF WELL: County • S p o k a' n e E. 21425 Saltese Lake Rd.. Greenacr ' 16 I/4 NW 1/4 Sec 4 T? 4 jV N.R. 4 4 F WM (2a) STREET ADDRESS OF WELL: (or nearest address) .E. 21425 S a 1 t e s e Lake R d . G r ee Ilii rr p S, (4 A 99016 TAX PARCEL NO.: unknown (3) PROPOSED USE: 11 Domestic . = Industrial . 0 Irrigation . = Test Well ❑ DeWater ❑ Municipal' ❑'Other (4) TYPE OF WORK: Owners number of well (if more than one) ' .jQ New Well ' Method: 0 Deepened 0 Dug ' . 0 Bored . ❑ Reconditioned ❑ Cable . 0 Driven • 0 Decommission ;. Rotary 0 Jetted (5). DJMENSIONS: Drilled 220 Diameter of well 6 lest. Depth of completed well 220 inches h. (6) , CONSTRUCTION DETAILS ' Casing Installed:. t iX Welded . 6. Diem. from +1 ft, to 76 ft.{ Liner installed 4' . Diem. from kW 220 It 0 Threaded Orem. from ft. to It Perforations: • . _Yes. XI No Type of perforator used SIZE of perforations . In. by In perforations from ft. to Screens: Tee — r:-. Loer'',..• Manufacturer's Name 11. Type Model No: Diam. Slot Size' • from ft. to Diem. Slot Size from ft to GraveUFiker pecked: 0 Yes N No 0 Size of gravel/sand Material placed from ft. to ft Serfage seal: . C$Yes 0 No To what depth? • 1R+ ' h Material used in seal Bentonite . • Did any strata contain unusabta water? 0 Yes XI No • type of water? • Depth o1 strata Method of sealing strata off 411, (10) WELL LOG or DECOMMISSIONING PROCEDURE DESCRIPTION Formation: Describe by color, character, size of material and structure. and the kind and nature of the material in each stratum penetrated, with et feast one entry for each change of information. Indicate as water encountered. • MATERIAL • • FROM To Topsoil - Clav w/ Sand Granite. Medium w/ Slight Fractures • Granite. Fractured Water •5anm • • Granite. Medium Granite.• S1tghtiy Fractured Granite.•Medjum • 0 1 • 60 •1 60 93 9:3 '95 95 17R 178 195 195 22Q 1 L 180 feet. 11 7ir L SEP ? 7 1999 1 (• f) PUMP: Manufacturers Name • Type: H.P. O (8) WATER LEVELS• Land -surface elevation above meansea level fL O Static level 10 U • ft. below top of wall Date 81.4/44 • • Artesian pressure lbs per square inch Dere ' Artesian water is controlled by O i (9) o Was a pump test made? 0 Vas XJ No ' If yes, by whom? E. Yield: gal/min. with • ft. drawdawn after _ Mi. 4-, Yield: galJmin with '• ft. drawdown after hrs. CU ▪ Yield: gal./min. with ft. drawdown after hrs. 0. Recovery data (time taken as zero when pump turned off) (wafer level measured from 0 well top to water level) Time Water Leval • Time Water Level Tums Water Level (Cap, valve. etc.) WELLTESTS: Orawdown is amount water level is lowered below static Level 0 1 -- Date of test Bailer test - gat /min. with ' _ ft. drawdown'atter hrs. Airtest 5+ gal./min. with a ft. drawdown after hrs. Artesian flow o,p.m. Date Temperature of water Was a chemical analysis made? q Yes 0 No • ECY 050.1.20 (11/081 Work Started 8/4/9.9 • . Completed 8/4/9? WELL CONSTRUCTION CERTIFICATION: I constructed and/or accept responsibility for construction of this wen, and Is compliance with all Washington welt construction standards. Materials used and the Information reported above are true to my best knowledge and belief. Type or -Print NameDon Ander•sonu No, 1447 ' (Licensed Driller/Engineer) Trainee Name License No. • — llling, Inc. ' Drilling Corn (Signed) License No. 0215 • (sed Driller/Engineer) AddressS 5613 '4nke Greenacres,WA990.16 contractors oJJURII-17710 ' 8/99 Registration N . Date9/ (USE ADDITIONAL SHEETS IF NECESSARY) • Ecology is an Equal Opportunity and Affirmative Action employer. For special accommodation needs, contact the Water Resources Program at (360)•407- 6600. The TDD number is (360) 407.6006. Department of Ecology Well Log Image System �; v�accs yr vvasrrrngron`� 3G Water Well Report .ntgve Well ID AGC -276 Washington Water Right Permit No: Notice of Intent WE00178 (1) Owner. WILCOX, DEAN Address: 11006 E. 25TH SPOKANE WA 99206 The Department of Ecology does NOT Warranty the Data and/or the Information on this Wel (2) Location of Well: County SPOKANE SW 114: SE 1/4 SEC: 4 T 24N NR 44E W (2a) Street Address of Well: CHESTER CREEK LANE (3) Proposed Use DOMESTIC (4) Type of Work RECONDITIONED Owner's number of well (if more than one): Drilling Method: ROTARY (5) Dimensions Diameter of well: 6 inches Drilled: 0 feet Depth of completed well: 580 (6) Construction Details Casing Installed Diameter From To WELDED 5 +2 544 Perforations ❑ Screens n Type of Perforator Used Screen Type: MESHWRIGKT K-Pac Location: . Diam: 4 Slot From 550 To 560 Gravel/Fllter packed ■ Stae I/sand: of gran Material placed frau: ft. to Surface seal used 0 To what depth: ft. Did any strata contain unusable water? 0 Type of water: Depth of strata: Method of sealing strata oft (7) Pump Pump Manufacturer. Pump Type: H.P. (8) Water Levels Land -surface elevation awe mean sea : ft. Static level: 180 Date: 7/20/02 Artesian Pressure: Date: Artesian water is controlled by: (9) Well Tests Drawdown is amount water level t,. lowered below static Was a pump Test performed? 0 Yield Drawdown Pumping Level Hours Recovery data (time taken es zero when pump turned off) (water levee measured from well top to water leel) Time Level Time Level Time Level Bailer Test: gal per min drawdown: after n: Artesian flow gpm: 10) WELL LOG or DECOMMISSIONING PROCEDURE'DESCRIPTION Formation: Describe by color, character, size of material and structure, and the and and nature of the material in each stratum penetrated, with at least one ntry for each change of informaiton. Indicate alt water encountered. ® Construction ❑ Decommission From To Remarks: Lithology, Water Quality, Temperature 0 0 Drilled out 570' of PVC liner installed screen Start Date: AUG -11 I DEPARTMENT OF ECOLOGY EASTERN RrnunMAt nPPir= 7/20/02 Completed 7/29/02 Well Construction Certification I constructed and/or accept responsrltity for construction of this well, and its compriance with ail Washington well construction standards. Materials used and the information reported above are true to my best knowledge and belief. Type or Print Name Jim McLeslie License No: 2257 Trainee Name Drilling Company; (signed) Address: License No: H2O Well Service, Inc. License No: 02)S7 (Licensed DrlfCer/Engineer) 562 W. Hayden Ave, Hayden Lake, ID 83635 Contractor's H2OWES11101DW Date: Registration No: igq/A7 11R7ER '1ELL P f P 9PT Start f_rdNo. A44430 Lrnloue Well LP, a ABPBBB STATE DP WRSNrr✓_r.TLIN Mater p:.ght Pert:± M. ;1 rnhayrp; Nage NA:LOf69Y, JA`ES - ----------- --- -- Address B. 18417 BRt4 DW Y G14EE ICRES. M4 99816- -------------------------------------------- c^1 LOLRTION OF HELL: fount+' MOM acai SREEET ADDRESS OF WELL tor nearestaddreesl td) PROPOSED USE: DDA°E'STWC, - !4M 1'a SW 1/4 Sec 04 r 94 N.. p 44 ETH 4) TYrf OF MI O1ner's Number of Yet) (If sore than one.' Mel kELL 'Method: ROTARY -.-- 1 at least one entre for each c1'2n0e .r !creation. t51 DIMENSIONS: Diaseter of Nell 6 inches 1------------------___------ — Drilled 388 ft, Perth of coroleted Nell 309 ft. 1 MF1TE IAL 1 F?O4 ' rO _-____— ______ — __------ `_..__----_-_----__, magusED GRANITE SEND 1 0 ' 38 161 CONSTRUCTION APRILS: 1 DEOMSED GRANITE ' 30 ' 190 =assns :Petalled: 6 ' ^:a +1 `t `0 19 't.1 GRANITE BLACK 8 ATTE DEC ' 190 ' 308 ►IEIDED " nsa. i F}. to ft1 I 390 • 92 .7, 6210 it. to it. 1 1 1 ?I d) WEr L r O_G 1- 1 Forret:on: Describe be color character. es:e of eatersal 1 and structure. and eh2N thickness of anuifere and the LJnd 1 and nature of the rater:al in each etratus cenetrated. filth Derfcrarsoos: NO T':De of oerforatcr used SIZE of oerf:riatscns perforations fres cerferatsons fro: oerforat:ors fr^nr ft. F} :n. bt' in. t: ft. to F}r to '1'. 1 Screens: M Manufacturer's %Lire ',toe Mnde1 No. ''las, slot s,_e rot ft '2 D1as. Fl=t e12e fr:3 ft, 'o ft. ' ft, fr'avel :asked: NO -_7$ of nvernl Travel :laced fr:r fi. t: fI. _. 'ice •'031: YES h'har Centh' 19 water:al seeL `r ee21 8ENTON1TE ass' Errata-c:nralr :" atie -a:e"' NO _e. :,'ater' 2eoth ;:.ware. "ethocr:f .eal.'D strata 2" OVEROORE Ft. ' -1 41IIM4'1 Ma^(If'Ct'lrer'e 41330 rUf 8), MME? LE•;ELS: 'ard-s,r-face elevaticr above moan pea !VIIstatic levet 80 `t.- helot' too :f Ne11 fate a"teslan rreerevbe =e' :ware inch Pate 0-tee:an nater controlled b" - EE 0! 0 W Ei DEPARTMENT OF ECO: OGY (.ASTERN REGI(1NAl ( Fri r L Ft 1 88/°4/94 L 1 Per stated 89,e3/94 -,.r'_.an 08/24/94 4'r' L '8.4751 c11randCNn :: a!P.nt Yater- 12,0 25 22".2"°2 tse oe - 'Sitio . 'ei. %is a _trc tut racerNO FE. _ ,.m2e7 solo: col, e1n n:rh •4. -..aud i. ?MP:. :spT •ery 2ota _ see iter Let el ..e .ate. .e'e1 :ate _ test / / .a::ei' reser after "'•: .:EL.a !E. _._^ea 42. 2108 .• foci 1.5 �n7 gig, n. 1. r"ee car.t r. hoe. .res:an r:=n,. .2421 'ont1•_r_'r o3CeratYrn . hare- - -.E a :nae:C31 ora 1, a:: rade' NO ' 7en' e.'.ass: '":, PQ -NO -E '24BJE • 'E'Lr -_'CrPUrTop _corlclrrTrrlrl. ”e.'._-r.c: _r_ n.• __cons 'Stmt =::t" :f'..'=::Cn:. .krr _ _ - :t: .•r ^o ,.:t.- .larhlnrr',n ,1 -_^ca,.. C•:_ ..- :a"C:. a}a'.. e� tai. aro t•e 2r.•^2.a..?^ :2":e4 E::.e _"e . oo +_ - neer '.2.1621,75 an- te11. . -13e -.ter L£t'e1 ' v_Q'€ MEM DRILLING Da..[nn. a.•!. or ce,',+nr.at.cn' -'Ce :r C":"' a • .DDac_E E 6010 BMW � r, File Original and First Copy with Department rf E:eologv Second Copy — Owner's Ciipy Third Copy -- 1)riJier's Copy WATER WELL REPORT STATE OF WASHINGTON Application Nu Permit No . a.i (1) OWNER; Name Jim.;$� 1 Address 0 •-) LOCATION OF WELL: County. . ;4010,Xie CL Eng and distance from section or_,ubdtviston corner (3) PROPOSED USE: Domestic l$ Industrial 0 Municipal G (10) WELL LOG: �;.. 1 V •-lY;r ord,.. ;in. — .r+.r ..!y ..h7..rt .!a see....4 T. 4N.. R.4.4 w.M. Irrigation ❑ Test Well 0 Other ❑ Formation: Describe by color, character, sure of material and structure, and show thickness of aquifers and the kind and nature of the material in each (4) TYPE OF WORK: 'wi'pe's number of well stratum penetrated, with at least one entry for each change of formation. .11 inure than One[ .. -- —^ MATERIAL FROM TO S New well IS Method: Dug 0 Bored 0 1 .• Deepened ❑ Cable 0 Driven ❑ --- --•_ I I O Reconditioned ❑ Rotary it Jetted ❑ OVer}JLl en • (5) DIMENSIONS Diameter of well 6........ inches. clay ® Drilled 19: ft. Depth of completed well. ..i.9.8 ft. Ia E Casing installed: 6, •• Diam. from . 0.... ft. to 5.7... ft. CThreaded 0 ..... " Diam. from . .... ft. to ft, - Welded . - Diam. from . ft. to ft. '1 '"'- 1 t ^I eel i 11f1 !Zara rr7 i 98 i [ 1 0 r ' I .0 Perforations: ves ❑ No ; ¢, "11 10,:f Iwo. ..rate �earinr• _)) , y® Type of perforator used " ® SIZE of perorations . tn, by un._1 perforations from ft. to ... .. ft. l'X ai _la 1•e %+d v = perforations from .. ft. to . ft. to ••t •t'' 1i1f11 la.r'a,. i -1.-. 1 ?8 Al perforations from . ft to ... ft. (6) CONSTRUCTION DETAILS: basa-) t bine !lard es Screens: Yes❑No In Manufacturer's Name al Type. ... . ... ..... .. Model No .0 Di.im Slot size from ft. to .. ...... ft. Drain Slut size .. from ft. to . It. .F+ Gravel packed: t•t,s No/0 `'ize of gravel: Gro -vet placed from .. (t. to Surface seal: NOD m what depth? . 57_ ft. 0 z ® (7) PUMP: \t.intn:trturer s Name later...1 u:ect in ..,•.il a m'1,:.;? Z to clay :)i,i •ii t :.testa ....main unusahle water') Yes 0 No Fl Type of water.' Depth of strata .'•tethn,1 of sealing strata ntT Tope• .P. >1 (8) WATER LEVELS: r.,,nn-.urface elevation 98 above mean sea level. Static level ft below top of well Date Aresian pressure Jhsper square inch Date Artesian water is controlled by 0 O 2.500...(t. ..;/40/7 • [Cap, valve. etc.) O (9) WELL TESTS: t)rawnnwn is amount water level is lowered below statle level = Was a porno tr. t made' y)... ' , Xn IX If yes ht• ti.•hnm? '.ii min with it drawdown alter L 0. Recovery d:u.1 thine t:krn as )ern when stump turned off) (water level measure.' irnm weft top to water Ieveti ® Time Miter Level 1 Pune .''are* Lave( t Time Water Levet Work started • "1 .:cr. .) iu ''(.'ump[r[c,) • -' -- • • hes WELL DRILLER'S STATEMENT: This well tens drilled unricr my jurisdiction and this rou•,rt is true to the het of my knowledge and bolter. 4— ..ate of te=t nailer test dal )min with _ J ft drawnown after . hrs. Artesian now g.p.m. Date Temperature of water .) Was a cherntci )tTplysis made? Yea ❑ No ET F; v ,1a1.1.20 NAME Address...• [Signed] License No. ... 7.1 (Person. drm. or corporation) ,Type or prints 7'1 or [USE ADDITIONAL SHEETS IF N! CESSARYI 'Wellr DI -alert Date . 19 3. nformation on this Well Report. MIM Original and First Copy with Department of Ecology Second Copy — Owner's Copy Third Copy — Driller'$ Copy WATER WELL REPORT STATE OF WASHINGTON Water eight Parmft No. Startca,dNo. W102174 UNIQUE WELL I.D. s AEC058 rt) OWNER: t,Ism, John & Janice Drye Address 6225 S. Dishman_Mica, Spokane, WA 99206 (2) LOCATION OF WELL: Corry Spokane (2a) STREET ADDRESS OF WELL (« nearest address) (3) PROPOSED USE: XX Domestic Q Irrigal)on O Niftier . SW TM SE ms, 4 2444 N, a Industrial 0 Test Wel 0 Municipal 0 Other 0 (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION (4) TYPE OF WORK: (O meer''sorethun anonef well Abandoned 0 Now well MC : Dip 0 Deepened 0 Cabie ❑ Reconditioned 0 Rotary ffiX (5) DIMENSIONS: Diameter of well 1(T •- A feet Depth of completed well 150 Dd11sd 150 Bored 0 DrWsn❑ Jetted 0 Formation: Describe by rotor. character. um of material and s n ure. and show thiel near of aquifers are the IJnd and nature of the materia( in each stratum penedalesi, eath at lead oro entry for each charge of Information. MATERIAL Brown top soil 0 6 R. Rose color decomposed granite 6 32 (6) CONSTRUCTION DETAILS: Casing Installed. 6 Dlam. from +1 R. to 39Welded XS R. Wier Innaiwelggi,.; 4 Mem. from -5 It. to 140 h. Threaded 0 Diem. from ft, to Perforations: Yes 0 No g5c T'm of perforator used SIZE of perforations ln. by M Perforaiione from ftto ti perforations hem IL to ff. perforations from ft. to R Medium gray granite 32 135 Medium rose granite, white coarse quartz sand withs water 135 150 Screens: Yas.) Manufacturer's Name T p• PVC No ❑ Johnson Model No. Diem. _[_ Slot etre 020 from 140 kb 150 rL Diem. Silt size from A. to IL Gravel pecked: Yee 0 No fC size of gray$( dravet placed from ft. to fL r L V r.rrrnmm•••20 Sanwa east: Yeo I No 0 To what depth? 39 ff. Material used In seat Bpntnniraking iPa1 Dad any strata contain unusebte water? Yes 0 No Obc Typo of water? Depth of strata Memod of sealing atrate oho 28• SCA, rr'c+�]'• . ;,%i i.c.• (7) PUMP: Manufacturers Name >re Type: H,P. 0 ® (8) WATER LEVELS: Laraf-arrface a a level .arbn above mean ea O static level 30 tc below top of well Dete O ec AMMen pressure @sqre a. per Kluane mch Date Artesian water is controlled by (Cap. valve. et) ,F•, • (9) WELLTESTS: Drawdown is amount water level Is lowered below static level C Wase pump test mom? Yes 0 No L, x If yea, by whom? co E Yield: 304. gddmin. with ft. dyewdoem attar fere s: Estimated air lift at time of drilling n c. - r. P. A a) Recovery data (time taken as zero waren pump fumed o) (water level measured from well tap to water levet/ Time Water Leval Time Water Leval Time Weber Level 0 iiCH bete of test ftlior test gat./min, with ft. drag o l after fee. Airteei gal /min with stem set ret ft. for frame. Artesian flow g.p.m. Date Temperature of water Was a chemical analysis made? Yee 0 No ❑ KY 0501-20 (9,53) • ' 1 Work Started 63/1{)/9$ 19. Comalowe Fiv/177118 19 WELL CONSTRUCTOR CERTIFICATION: I constructed and/or accept responsibility for constnKfon of this well, and it9 compliance with all Washington well construction standards. Materials used and the Information reported above are true to my best knowledge and belief. NAME INLAND PACIFIC DRILLING, INC. (PERSON. FifO on conPofnAT10N) (TYPE On PAINT) Addr®as 5014 N Cha e Road, Newman Lake, WA 99025 (Sigma) -i a ot,a, Ucense No. 1030 (WEU. DRILLER) Cor's Registration No. TNLNNPD066DD Data 7/15/98 19 (USE ADDITIONAL SHEETS IF NECESSARY) Ecology is an Equal Opportunity and Affirmative Action employer. For spe- cial accommodation needs, contact the Water Resources Program at (206) 407-6600. The TDO number is (206) 467.6006. 0 0 i.+ 0 0 E 0 0 CU CO Cl tCr 0 n>1 d.+ L. }Ri } 0 z 0 0 0 0 w 0 i. L co 0 WATER WELL REPORT •maca=aaavaa==:ccs s 111 OWNER: Name HILLS, MARTIN STATE( OF WASHINGTON Start Card No. W079142 Unique Well I.D. 0 ABV862 Water Right Prmc-=aaa======a.aea. Address P.O. BOR 141376 SPOKANE. WA 99214- MMMMMMMMMMMMMM == - 3W L/4 SW L/4 Sec 4 T 24 N., R 44 WM ti (21 LOCATION OP WELL: County SPOKANE (gal STREET ADDRESS OP WELL (or nearest address) (3) PROPOSED USE: DOMESTIC (4) TYPE OF WORK: NEW WELL (51 DIMENSIONS: Drilled 400 ft. (6) CONSTRUCTION DETAILS: Casing installed: 6 STL CAS/PVC 4 Owier'a Number of well (If more than one) Method: ROTARY Diameter of well 6 inches Depth of completed well 400 ft. " Dia. from 42 " Dia. from -5 " Dia. from ft. to 11 ft. to 400 ft. to ft. ft. ft. Perforations; YES Type of perforator used SKILL SAW SIZE of perforations 1/6 12D perforations Erom 360 Et. perforations from ft. perforations from ft. in. by 6 to 400 ft. to ft. to Et. in. Screens; NO Manufacturer's Name Type Diam. Diam, slot size slot size Model No. from from ft. to ft. to ft. ft. Gravel packed: NO Gravel placed from Size of gravel ft. to ft. Surface seal: YES To what depth? 16 ft. Material used in seal BENTONITE Did any strata contain unusable water? HO Type of water? Depth of strata ft. Method of sealing strata off OVERBORE 17) PUMP: Manufacturer's Name Type (01 WATER LEVELS: MMMMMMM H.P. Land-eurface elevation above mean sea level ft. Static level 200 Et. below cop of well Date 03/08/96 Artesian Pressure lbs. per square inch Date Artesian water controlled by 191 WELL TESTS: Drawdown is amount static level Was a pump teat made? NO If yee, by whom? Yield: gal./min with ft. drawdown after water level is lowered below Recovery data Time Water Level Time Water Level hre. Time Water Level Date of teat / / Bailer test gal/min. ft. drawdown after hre. Air test 7 gal/min. w/ stem set at 395 Et. for 1 hrs. Artesian flow g.p.m. Data Contracp6r's Temperature of water Was a chemical analysis made? NO Registration No. PO-ND-EI+248JE (10) WELL LOG Pormation: Describe by color, character, atzo of material and structure, and show thickness of aquifers and the kind and nature of the material in each stratum penetrated, with at least one entry for each change in formation. MATERIAL TOPSOIL DECOMPOSED BLUE GRAN/TE MEDIUM BROWN GRANITE BROWN GRANITE WITH WATER Work started 03/07/96 FROM 0 10 200 300 400 Lr ii~ Completed 03/08/96 TO 10. 200 300 400 WELL CONSTRUCTOR CERTIFICATION: I conatructed and/or accept responsibility for con- struction of this well, and its compliance with all Washington well conetruction standards. Materials used and the information reported above are true to my best knowledge and belief. NAME PONDEROSA DRILLING (Person. firm, or corporation) (Type or printl ADDRESS E 69.11 BROADWAY �n`� (SIGNED) iy� ✓ f! '� 1 License No. 2257 Date 03/11/96 File Original and First Copy with Department of Ecology Second Copy — Owner's Copy Third Copy — Driller's Copy p (1) OWNER: Name RANDY EASTMAN address 4322 S/ MAMER ROAD, SPOKANE WA 99206 0 ,,,, I MATiAOFWELL: county�SPnttonll SE 1/4 SW 1/4 Sec 04 T2411N,R 44E WM. CHESTER CREEK LANE ON RIGHT I I g-73 TE WELL REPORT Right STAOF WASHINGTON Water Permit No. start card No. W23346 UNIQUE WELL I.D. # act251 O O cotra E CI) .tai Zit r` w O E cal sz CI 0 (2a) STREET ADDRESS OF WELL (or nearest address) (3) PROPOSED USE: >0( Domestic Industrial 0 Municipal ❑ ❑ Irrigation Test Well 0 Other 0 ❑ DeWaterand ' - (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION Formation Describe by.color, character. size of matenal and structure, and the kind and nature of the material in each stratum penetrated, with show thickness of aquifers at least one entry for each - - . (4) TYPE OF WORK: Owner's numberof well (II more than one) change of information 'MATERIAL FROM TO Abandoned 0 New well r3 Method Dug 0 Bored 0 Deepened 0 Cable 0 Dnven❑ Reconditioned 0 Rotary 0 Jetted 0 CLAY 0 4 DECOMPOSED GRANITE 4 - 92 (5) DIMENSIONS: Diameter of well h" inches ft DECOMPOSED GRANITE WITH CLAY 92 110 Drilled 520 feet Depthofcomptetedwell 520 DECOMPOSED GRANITE — SOFT 110 275 GRANITE — BLACK/WHITE-- MEDIUM- 275 " 310 (6) CONSTRUCTION DETAILS: Casing Installed* ' (0.tl " Dam from + 1 ft to z 3 t ft ft DECOMPOSED GRANITE — SOFT 310 520 • Welde Stauad0-- - • -•-° Diem from- ft to; '1.5 GPM C 92' HEAVY CLAY COLOR Liner iThreaded 0 " Diam from ft to 1.0 GPM C 392' Perforations: Yes ■ No ►! Type of perforator used SIZE of perforations in by In ft ft ft - perforations from' ft to perforations from ft to perforations from ft to Screens: Yes 0 • No % Manufacturer's Name ' ( c, !Lj^ tC } Type Model No r �� • lit t1-2 I I 1 Diam Slot size from ft to ft ft ..if. ` : ' (f 114 • Diam- Slot size from ft to 'tY -f :. 1!✓ ' Gravel packed: Yes ❑ No O. Size of gravel I- - Gravel placed from ft to ft 1 i j l,(' .,....”......A.11 I : f i ea'r ;;:•4/ L {, ,;IO,,AOFFIdr I Surface seal: Yes No 0 To what depth? 24 ft Material used in seal BENTONITE • - • Did any strata contain unusable water? Yes 0 No I• Type of water? Depth of strata • Method of sealing strata off (7) PUMP: Manufacturer's Name • Type_ - HP (8) WATER LEVELS: Land-surta abovemean raseaelevlevel atwn _ ft 1 Work Started 4/23/02 19 Completed 4/25/02 19 Static level 80 ft below top of welt Date 4/25/02 , WELL CONSTRUCTOR CERTIFICATION: I constructed and/or accept responsibility for construction of this well, and Its compliance with all Washington -well construction standards Materials used and the Information reported above are true to my best knowledge and belief NAME UNITED DRILLING INC._. Artesian pressure lbs per square inch Date Artesian water is controlled by (Cap, valve, etc) (9) WELL TESTS: Drawdown Is amount water level is lowered below static level Was a pump test made?Yes ❑ Nom If yes. by whom? Yield gal /min with ft drawdown after • • hrs (PERSON, FIRM, OR CORPORATION) (TYPE OR PRIM) - Address Q BOX 1690, HAYDEN ID 83835 " " If- r' IP II II SP (Signed) �`/ License No. 137(1- ' T Recovery data (time taken as zero when pump turned off) (water level measured from well top to water level) Time Water Level Time Water Levet Time Water Level (w=. DRI.: R) .- Contractor's Noglstratton UNITEDI137 4Ate 4/25/02 19 (USE ADDITIONAL SHEETS IF NECESSARY) For spe- Program at (206) ' Date of test Bailer test gal./min with ft drawdown after hrs Ecology is an Equal Opportunity and Affirmative Action employer. cial accommodation needs, contact the Water Resources 407-6600. The TDD number is (206) 407-6006. Airtest 2.5 gal /min with stem set at :5/5 ft for / hrs Artesian flow g p m Date Temperature of waterCOt4i Was a chemical analysis made? Yes 0 No ® , - ECY 050-1-20 (9/93) "1 Start Card No W061764 De Original and First Copy with WELL REPORT Department of Ecology 15,;,2_2„WATERUNIQUE WELL I D #ACT252 Second Copy --OwnersCopy STATE OF WASHINGTONThirdCopy —DrillersCopyWater Right Permit No O(1) OWNER Name Randy FRStman Address 4322 S Mamer Rd spoakane WA 99206 a_ fai (2) LOCATION OF WELL County Spokane (2a) STREET ADDRESS OF WELL (or nearest address) SE 1/4 SW i/4Sec04 T24N N R 44E WM (3) PROPOSED USE ) Domestic Industrial 0 Municipal ❑ ❑ Imgation Test Well 0 Other 0 ❑ DeWaterand (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION Formation Descnbe by color character size of material and structure and the kind and nature of the material in each stratum penetrated with show thickness of aquifers at least one entry for each (4) TYPE OF WORK Owners number o1 well 1 (If more than one) change of information MATERIAL FROM TO Abandoned 0 New wall fiq Method Dug 0 Bored 0 Deepened 0 Cable ❑ Driven Reconditioned ❑ Rotary 57 Jetted ❑ Topsoil n 2 sand Brown fine 2 18 (5) DIMENSIONS Diameter of well 611 inches ft Decomposed Granite Brown 18 37 Drilled 320 feet Depth of completed well 320 White Black 37 110 Soft 110 180 (6) CONSTRUCTION DETAILS Casing Installed 6 Dram from 2 n to 37 ft Granite Brown White Purple Black White Medium lgpm (9115 180 207 207 235 WeldeenstaDed 4 Diam from 7n ft to 320 e Brown White With Quartz Soft Purple Black White Soft 235 242 Threaded 0 Dram from ft to ft Btawn 14 11 to 14/Quart z 242 278 278 287 Perforations Yes ® No ■ Type of perforator used Drill Purple Black White Medium Purple Blank White Soft 1 3/4_ SIZE of perforations 3/8 in by Round '" gpm 287 32n 400 perforations from 260 ft to 320 ft Purple RlRck White Medium perforations from ft to ft perforations from ft to ft Screens Yes ■ No, Manufacturers Name 1 i 1���r 'L L�. II iJi it _ e 4r ,4 l Type Model No .i-- ` _ It+ I Dram Slot size from ft to ftIii' .. a i( - Dram Slot size from ft to k kY . f,L 1� ' i r 1 Gravel packed Yes 0 No R7 Size of gravel I I 1 Gravel placed from ft to ft i --t , I k- 4 4 lir i Surface seal Yes ® No 0 To what depth? 19 ft Material used seal Bentnn)te in Did any strata contain unusable water? Yes ElNo)0 Type of water? Depth of strata Method of sealing strata off (7) PUMP Manufacturers Name Type H P (8) WATER LEVELS i andve sudacmeanesea elevatiolevel n aboft Work Started 6/17/02 19 Completed 6/19/02 is Static level 60 ft below top of well Date 6/19/02 WELL CONSTRUCTOR CERTIFICATIONArtesian I constructed and/or accept responsibility for construction of this well and its compliance with all Washington well construction standards Materials used and the information reported above are true to my best knowledge and belief NAME ■ - • 1 • • pressure lbs per square inch Date Artesian water is controlled by (Cap valve etc) (9) level is lowered below static level WELL TESTS Drawdown is amount IR] Was a pump test made? Yes ❑ No IR] If yes by whom? Yield gal /min with ft drawdown after hrs (PERSON FI - OR CORPORATION) (TYPE OR PRINT) Address PO BOX 1690 HAYDEN ID 83835 (Signed) ...0....... e� License No 2364 Recoverydata (time taken as zero when pumpturned off)(water level measured from well top to wter levl) Time Water Level Time Water Level Time Water Level ll GRILLER) ( JASON BECKHAM) Conti or s Registration No UNITEDI137Q3 Date 6/25/02 19_ see at (206) (USE ADDITIONAL SHEETS IF NECESSARY) For Program Date of test hrs Bailer test gal /min with ft drawdown after Ecology is an Equal Opportunity and Affirmative Action employer cm! accommodation needs contact the Water Resources 407 6600 The TDD number is (206) 407 6006 Arrtest 2 3/Al gal /min with stem set at 300 ft for 1 hrs Artesian now gpm Date Temperature of water Was a chemical analysis made? Yes 0 No 0 ECY 050 1 20 (9/93) 1 Please print, sign and return by mail to Department of Ecology RESOURCE PROTECTION WELL REPORT SUBMIT ONE WELL REPORT PER WELL INSTALLED) Construction/Decommission (select one) ['Construction o Decommission ORIGINAL INSTALLATION Notice of Intent Number Consulting Firm KLEINFELDER ASSOICATES Unique Ecology Well ID Tag No. B-6 WELL CONSTRUCTION CERTIFICATION: 1 constructed and/or accept responsibility for construction of this well, and its compliance with all Washington well construction standards. Materials used and the information reported above are true to my best knowledge and belief. ❑Drilter❑Engineer�✓ TraineeName(Print) JASON CORRIERI Driller/Engineer /Trainee Signature— e2904'% Driller or Trainee License No. If trainee, licensed driller's 2.4 ,Q Signature and License No. tr'y.,L t_ D Construction/Design 33( 3 b: I . CURRENT Notice of Intent No. sE 03787 Type of Well (select one) 0 Resource. Protection Geotech Soil Boring Property Owner SPOKANE COUNTY PUBLIC WORKS Site Address 10916 PONDEROSA DRIVE City SPOKANE County SPOKANE Location NWI/4-1/4 SW 1/4 Sec 4 Twn 24 R44$`2``` ®EWM Lat/Long (s, t, r Lat Deg still REQUIRED) Lat Min/Sec Long Deg Long Min/Sec Tax Parcel No. Cased or Uncased Diameter 8" Static Level N/A Work/Decommission Start Date 1/28/2009 Work/Decommission Completed Date 1/28/2009 Well Data Formation Description BACKFILLED WITH BENT CHIPS 20-1' BACKFILLED WITH BASE ROCK 1-.5' COLD PATCH .5-0' RECEIVED FEB 2 3 2009 WATER RESOURCES DEPT SALEM, OREGON SCALE: 1"= 10' PAGE 1 OF 1 ECY 050-12 (Rev. 2/03) 0-1' ASPHALT / BASE ROCK 1-10' SILTY SAND 10-20' SAND TERMINATED AT 20' r�L�II �j LU lL MAR - 5 2009 DEPARTMENT OF ECOLOGY EASTERN REGIONAL OFFICE Ecology Is an Equal Opportunity Employer. Please print, sign and retum by mail to Department of Ecology RESOURCE PROTECTION WELL REPORT SUBMIT ONE WELL REPORT PER WELL INSTALLED) Construction/Decommission (select one) []Construction 0 Decommission ORIGINAL INSTALLATION Notice of Intent Number SE 03787 Consulting Firm KLEINFELDER ASSOICATES Unique Ecology Well ID Tag No, B-6 WELL CONSTRUCTION CERTIFICATION: 1 constructed and/or accept responsibility for construction of this well, and its compliance with all Washington well construction standards. Materials used and the information reported above are true to my best knowledge and belief. ❑DrillerDEngineer0✓ TraineeName(Print) JASON CORRIERI Driller/Engineer /Trainee Signature Driller or Trainee License No. 2* I -- If If trainee, licensed driller's ' CURRENT Notice of Intent No. AE 05025 Type of Well (select one) 0 Resource Protection Geotech Soil Boring Property Owner SPOKANE COUNTY PUBLIC WORKS Site Address 10916 PONDEROSA DRIVE City SPOKANE County SPOKANE Location NW1/41/4 SW 1/4 Sec 4 Twn 24 R 44s`I", O'' ® 61"1 1 WV/MI Lat/Long (s, t, r still REQUIRED) Lat Deg Lat Min/Sec Long Deg Long Min/Sec Tax Parcel No. Cased or Uncased Diameter 8" Static Level N/A Work/Decommission Start Date 1/28/2009 Work/Decommission Completed Date 1/28/2009 Construction/Design Wel BACKFILLED WITH BENT CHIPS 20-1' BACKFILLED WITH BASE ROCK 1-.5' COLD PATCH .5-0' Formation Description 0-1' ASPHALT / BASE ROCK 1-10' SILTY SAND 10-20' SAND TERMINATED AT 20' RECEIVED FEB 2 3 2009 WATER RESOURCES DEPT SALEM, OREGON E�tL,UVt�=;r� MAR - 5 2009 I DEPARTMENT OF ECOLOGY 1 EASTERN REGIONAL OFFICE ECY 050-12 (Rev. 2/03) Ecology is an Equal Opportunity Employer.