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Well Construction ReportWeston Water Wells Ltd.Well Closure Report 7779 Hwy 24

Well Alteration Report Lone Butte BC, VOK 1X2250 - 593 - 4307

Ministry Well ID Plate Number:

Ministry Well Tag Number.

Confirmation/alternative specs. attached

Original well construction report attached

Red lettering indicates minimum mandatory information. See reverse for notes & definitions of abbreviations.

( or i

ROT)

Town

Street no. Street name

Lot Plan D L Block Sec.

land)

mand) orin

air rotary cable tool mud rotary auger driving jetting excav

Prov

Town

Twp R9

ating other (specify)

vertical horizontal Ground elevation: ft (asl) Method (see note 4)

Postal Code

Land District

Water supply wells: indicate intended water use: private domestic water supply system t i irrigation [. .! commercial or industrial other (specify):

Lithologic description (see notes 1-14) or closure description (see notes is and 16) Watepbeamgl-

l Ul l l l U Fit=.' l i=l Li VU L; Ul U U l Material uescrlptloll (use recommended terms on reverse. Estimated nuw uuseivauons leg. lractureu. weathered.ft (bg!) ft (bg!) Hardness List in order of decreasing amount, if applicable) (USgpm) well sorted. silty wash). closure details

Casing details WallFrom To Casing Material / Open Hole Thickness Driveft (bg!) ft (bgl) in in Shoe

Surface sealr Type: Depth

Method of installation: Poured Pumped Thickness: lil

Backfill' Type' Depth ft

Liner PVC Other (specify)

Diameter: lfl Thickness: in

From. ft (bg!) To: ft (bg!) Perforated From ft (bg!) To ft (bg!)

Developed by:

Air lifting Surging Jetting Pumping Bailing

Other (specify) Total duration: hrs

Notes:

Well yield estimated by:Pumping Air lifting Bailing i' I Other (specify):

Rate: USgpm Duration: hrs

SWL before lest. ft (bloc) Pumping water level: ft ibtoc ]

Obvious water quality characteristics:Fresh Salty Clear Cloudy Sediment Gas

Colour/odour: Water sample collected: LWell driller (print clearly);

Registration no. (see note 20):

Consultant (if applicable; name and company):

DECLARATION: Well construction. well alteration or well closure. as the case may be.has been done in accordance with the requirements in the Water/ict and the GroundWater Protection Regulation.

Screen detailsFrom

ft (bg!)To Dia Type (see note 18)

ft lbs!) l fl

Slot Size

iIntake =

L. I Screen !,i Open bottom t Uncased hole

Screen typet Telescope Pipe size

Screen material: Stainless steel L Plastic ,1 Other (specify);

Screen opening: l ! Continuous slot L i Slotted Perforated pipe

Screen bottom; Bail Plug t Plate i Other (specify):

Filter pack; From; ft To; ft Thickness:

Type and size of material:

Final well completion data:Total depth drilled Finished well depth -

Final stick up; ln Depth lo bedrock:

SWL ft (bloc) Estimated well yield

ID

ft (bg!)

ft (bgl)

USgpm

Artesian flow: USgpm. orArtesian pressuret

Type of weil cap. Well disinfected Ti Yes'

No

Where well ID plate is attached:

Well closure information:Reason for closure:

Method of closure: I . Poured L . Pumped

Sealanl material; Backfill material:

Details of closure (see note i 7)1

Date of work (YYYYlMM/DD).

Comments:

PLEASE NOTE: The information recorded in this well report describes the works and hydrogeologic conditions at the tinle of construction

'

white: Customer copyalteration or closure. as the case may be. Well yield. well performance and water quality are not guaranteed as they are influenced by a caOaFYi Dfillef cOpY Sheet ofnumber offactors, including natural variability, human activities and condition of the works. which may change over time. pink: Ministry copy ,

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