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STANTON Address P.O. 801 3551 ALPINE, WY 83128 23223::8:;21:2;2c1:232:7;a :1 :2 ;a11a;1z ;a1 ;a ;2111112 LS;1;2a;;;1 :111:2 21111 ;1a ;2s:; az;;slll:al12s22: :2211 :2122 1: 2) LOCATION OF WILL: County LINCOLN 1/4 1/4 Sec T N., R OK (2a) STREET ADDRESS 0P WELL (or nearest address) 421 MEADOW DRIVE, ALPINE :2121111: slam- 21121221121 2 1222 a 21222:1112111111;a:l2 a saaszaa;cacaaz- zaa:ae1:;s1:ac 11211: 1- 2; :112211aaa:allasas:as:alsm2 (3) PROPOSED USE DOMESTIC (10) WELL LOG 22sz ssaaasas asassasssseassassasazaasmeaaaasaassassaaassssa ss s22 (4) TYPE OF WORK: Owner's Number of well Formation: Describe by color, character, size of material (If mare than one) 2 and structure, and show thickness of aquifers and the kind NEW WILL Method: ROTARY and nature of the material in each stratum penetrated, with at least one entry for each change in formation. 1a.a_ea sacra ssnaeasszsnass- ssassaaaaasassasassassaa (5) DIMENSIONS: Diameter of well 10 inches Drilled 588 ft, Depth of completed well 580 ft. :asslasssa azacsaeaas2saaa. aaae2122222211211 sazssesasaassslma (6) CONSTRUCTION DETAILS: Casing installed: 10 STEEL Perforationa: 10 Type of perforator used SIB of perforations perforations from perforations from perforations frog Screens: 10 Manufacturer's Name Type Diaa. Diaa. slot size slot size Dia. from +1 Dia. from Dia, from in. by ft. to ft, ft, to ft, ft. to ft. Model No. from ft. to ft. from ft, to ft. Gravel packed: 10 Size of gravel Gravel placed from ft. to ft, ft. to 115 ft, ft, to ft. ft. to ft. Surface seal: I0 To what depth? ft. Material used in seal Did any strata contain unusable water? WO Type of water? Depth of strata ft. Method of sealing strata off 2 221111aiasmlea aaa:; 1e21se12; a1z2:1za172i:11e11112111:21:21a (1) PUMP: Manufacturer's Hale 0008 Type 0008 N.P. z: zz: a2zama x a aaaaa asaammaazaaaezzzaa2zzazma .azaszazsssaszazs-aazs (8) WATER LEVELS: Land- surface elevation above mean sea level ft. Static level ft. below top of well Date 06/01100 Artesian Pressure as, per square inch Date Artesian water controlled by OTHER Work started 05/15/00 sa aaszzzmamaszal sas: a aasa 2: szssseaszsazsassasasasassaaszaasaa (9) WELL TESTS: Drawdowq is amount eater level is lowered below static level. Was a pump teat made? NO If yes, by whom? Yield: gal, /min with ft. drawdovn after hrs, Recovery data Time Water Level Time Water Level Time Water Level MATERIAL BROWN CLAY LIMBST. GRAVEL LIKES GRAVEL BROWN CLAY YELLOWISH CLAY YELLOWISH CLAY WHIST. GRAVEL BROWN CLAY LIMEST. GRAVEL LIMES?. GRAVEL RID LAVA ROCK LIMBST, GRAVEL in. LIMESTONE 10 WATER!! AMINES RILL 2 G 3 WILL CONSTRUCTOR CERTIFICATION: I constructed and /or accept responsibility for con- struction of this well and its compliance with all Wyoming well construction standards. Materials used and the Information reported above are true to my best knowledge and belief. NAME HEIR DRILLING (Person, firm, or corporation) (Type or print) ADDRESS 1305 GREGORY LE. FROM TO 0 50 80 86 -86 90 90 95 9i 106 106 110 110 115 115 580 580 Completed 06/01/00 i mam maaaxa Date of teat Bailer test gal /min. ft, drawdovn after hrs. (SIGNED) License No. Air test gal /tin, w/ stem set at ft. for hrs. Artesian flow g.p,m, Date Contractor's Temperature of water Was a chemical analysis made? NO Registration No. Date 07/11/00 :zama ................laze. assaa121a s :asal......zzaaazaazl :ea :slaaa saaae ls :sa............1i :1aaaa ssaaaa zaaazasaazaznamsmsaaaz �1. o ,a dI.S s 0y �a i1H uMOpMeJp loo{ yl►M •ulwf lab s,inoy iei1e UM0pMBJ 1001 ssaJppy opium gad suolleo 7fir r Osc 1 G.„5— M 001 119M V9Z a ''N' e6e0 3000 dIZ ON ainieuOlg. bullies dwnd to Uldaa ads i soA Zapew lsai dwnd a sem :1S3:L dwnd padwnd 6ulaq .1eleM to lunowy a9MOd9SJOH )M01 l0 a3inos Joinloalnum :NOIjyW -OdNI dWld (uollslleisul dwnd Bulpnloul) 1'13M AO NOI101d1/400 30 3IVO pasn JO4 olaad 10 edn1 suolleaopod q Oi 'i{ WW1 Jalewela IeualeW 11 e6e01g1aa1eW '11 Peg() laAel a 01 u01100S 10 kA EbEE•EEL (GOE) 100£9 DNMOAM 'NOSNDdr 3Ny1 A?10D3800bz u�YxQ aoq °M Wd z 411m 'ulwl'le6 .pleb WOIM Aq 'os II 01 t woal.ialaW01(3 4/ 0 alnpayos al,lsa0 .e o S yldoo 19101 :NOIIonu1SN00 Q j Jo adAJ) Palllaa :NOI.LO 1d1 NOO 3O 3dAl :113M 30 NOIly001 5531JOOy )713NMO JO 31 0 I2ld 00-91 -Hrir 9 MIWERIEMPAIIIIIIIIiiiiiMilkliiiiik i l o 3 Amin uollewJol Buuea8 JeisM eleolpul .101o0 inixa j, 'ad 1 IelaaleW 190A oy lea w0l4 �1. o ,a dI.S s 0y �a i1H uMOpMeJp loo{ yl►M •ulwf lab s,inoy iei1e UM0pMBJ 1001 ssaJppy opium gad suolleo 7fir r Osc 1 G.„5— M 001 119M V9Z a ''N' e6e0 3000 dIZ ON ainieuOlg. bullies dwnd to Uldaa ads i soA Zapew lsai dwnd a sem :1S3:L dwnd padwnd 6ulaq .1eleM to lunowy a9MOd9SJOH )M01 l0 a3inos Joinloalnum :NOIjyW -OdNI dWld (uollslleisul dwnd Bulpnloul) 1'13M AO NOI101d1/400 30 3IVO pasn JO4 olaad 10 edn1 suolleaopod q Oi 'i{ WW1 Jalewela IeualeW 11 e6e01g1aa1eW '11 Peg() laAel a 01 u01100S 10 kA EbEE•EEL (GOE) 100£9 DNMOAM 'NOSNDdr 3Ny1 A?10D3800bz u�YxQ aoq °M Wd z 411m 'ulwl'le6 .pleb WOIM Aq 'os II 01 t woal.ialaW01(3 4/ 0 alnpayos al,lsa0 .e o S yldoo 19101 :NOIIonu1SN00 Q j Jo adAJ) Palllaa :NOI.LO 1d1 NOO 3O 3dAl :113M 30 NOIly001 5531JOOy )713NMO JO 31 0 I2ld 00-91 -Hrir 9 t; 8704 Weber Drilling 1305 Gregory Lane Jackson, WY 83001 -3343 SOLD TO: W. STANTON HALVERSON P.O. BOX 2557 ALPINE, WY 83128 T H A N K Y O U I N V O I C E DUE ON RECEIPT QUANTITY DESCRIPTION UNIT PRICE AMOUNT 115 FT. CASING 10" STEEL 15.00T 1,725.00 1 DRIVE SHOE 10" 250.00T 250.00 580 DRILLED WELL 10" TRICONE 43.00 24,940.00 SUB -TOTAL 26,915.00 SALES TAX 98.75 NMI 265 INVOICE NO. :02876 CUSTOMER NO.:01389 DATE: 06/01/00 SHIPPING CHARGES 0.00 TOTA) 013.75