advantage environmental consultants, llc...well construction details well diameter (inches) 4 depth...

ADVANTAGE ENVIRONMENTAL CONSULTANTS, LLC

Recovery Well Installation Data Package October 2011

Gasoline Fueling Station – Royal Farms #96

500 Mechanics Valley Road North East, Cecil County, Maryland 21901

OCP Case No. 2011-0729-CE

MDE Facility No. 13326

AEC Project Number: 05-056 RF096

Prepared for: Maryland Department of the Environment

Oil Control Program Montgomery Park

1800 Washington Boulevard Baltimore, Maryland 21230-1719

And

Royal Farms / Two Farms, Inc.

3611 Roland Avenue Baltimore, Maryland 21211

Prepared by: Advantage Environmental Consultants, LLC (AEC)

8610 Washington Boulevard, Suite 217 Jessup, MD 20794

Phone – (301)-776-0500 Fax – (301)-776-1123

March 20, 2012

ADVANTAGE ENVIRONMENTAL CONSULTANTS, LLC

This package contains the following documents: Site Features Map Boring / Well Completion Reports MDE Well Completion Reports

Geologic Log Drilling Method HSA Drilling Fluid N/A Boring Diameter (inches) 6.25” Drilling Contractor CR Hugo, Inc.

Depth from Surface

Description

Feet Feet Soil Classification PID Sample Interval

Blow counts

0 0.5 Concrete 0

0.5 3.5 Brown silty SAND w/ gravel, fill 0 12,6,6,6 @3.5’ 3.5 4.5 Brown clayey SILT w/ sand, med. Stiffness 0 4.5 6 Brown and gray mottled SILT w/ sand 0.5 6 7 Brown clayey SILT w/ sand 0

7 9.5 Purplish brown CLAY, stiff 3.1 4,4,6,7 @8.5’ 9.5 12.5 White and orange striated SAND w/ clay, moist 6.2 12.5 13.5 Orange SAND w/ silt, moist, soft 10.2

13.5 14 Purple and gray CLAY w/ silt. med. stiffness 12.7 4,6,6,12 @13.5’ 14 15.5 White SAND, soft, wet 14.7 14.5’

15.5 16 White and orange mottled SAND w/ clay, med. stiff 9.8

16 19 Beige CLAY w/ sand and silt, moist, soft 6.1 . 38,20,15, 15 @18.5 19 19.5 Purple and red CLAY, stiff 0

19.5 20 White/gray/orange SAND and quartz GRAVEL, very stiff 0

20 25 GRAVEL w/ beige sand and silt, wet, loose 0 38,26,20, 20 @ 23.5

Water Level of Completed Well First water (ft. bgs) 7.65 Date/Time Measured 10.13 15:45 Static Water (ft. bgs) 9.50 Date/Time Measured 10.18.11

Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 1.5 Depth to Bottom of Bentonite Seal (ft. bgs) 2.5 Depth to Top of Sand Pack (ft. bgs) 2.5 Depth to Bottom of Sand Pack (ft. bgs) 23.4 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 3.5 Depth to Top of Screen (ft. bgs) 3.5 Depth to Bottom of Screen (ft. bgs) 23.39 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10

Page of Page Boring / Well Completion Report Boring / Well ID MW-1R Permit Number Permit Date Date Work Began 10.13.11 11:45 Date Work Ended 10.13.11 17:00 AEC Project No. 05-056RF096 Address 500 Mechanics Valley Road City / State North East, MD

Boring Location Sketch

See attached figures

Geologic Log Drilling Method HSA Drilling Fluid Boring Diameter (inches) 6.25” Drilling Contractor Carl Hugo

Depth from Surface

Description


Blow counts

0 1 Asphalt and gravel fill 0

1 3.5 Brown silty SAND 1.2 12,12,14, [email protected]’ 3.5 5.5 Beige and orange sandy CLAY, stiff 3.1@4 4.6@5

5.5 6.5 Brown clayey SAND, dry 16.2 6’ 6.5 7.5 Reddish SAND w/ clay and gravel, very stiff 11.3

7.5 9 Red clayey SAND, dry, stiff 0 8,8,9,9 @8.5’ 9 9.5 Red and purple CLAY, stiff 0

9.5 13.5 Beige mottled CLAY, stiff 0@10 1.4@11

13.5 15 Beige and orange mottled CLAY w/ sand, stiff 1.2 7,7,9,8 @13.5’ 15 17.5 Beige and orange mottled sandy CLAY 0

17.5 18 Beige sandy CLAY, moist 0

18 20.5 Orange SAND and quartz GRAVEL, very stiff 0 . 33,33,15, 10 @18.5 20.5 22 Red sandy CLAY, moist 0 22 24 Clayey SAND, wet, loose 0 24 25 Gray and orange striated silty CLAY, stiff 0



Page of Page Boring / Well Completion Report Boring / Well ID MW-9 Permit Number Permit Date Date Work Began 10.20.11 8:15 Date Work Ended 10.20.11 13:55 AEC Project No. 05-056 RF-96 Address 500 Mechanics Valley Road City / State North East, MD




Depth from Surface

Description


Blow counts

0 1 Grass, topsoil 0

1 4 Orangish silty SAND, stiff, fill 0 50+ over 6” @3.5’ 4 7 Orangish silty SAND and GRAVEL, fill 1.7 7 8 Reddish brown silty SAND w/ clay 35 7’

8 9.5 Orangish SAND and GRAVEL, stiff 12.3 14,11,9,7 @8.5’ 9.5 10 Red, white , brown SAND w/clay and gravel, stiff 3.6 10 12.5 White clay w/ SAND, stiff 2.1

12.5 14.5 Red and white SAND w/ clay, stiff 6.5 6,6,6,7 @13.5’ 14.5 17 White and orange mottled CLAY w/ sand, stiff 1.2

Drilling equipment failure :15:00 10.20.11 Resume 8:15 10.24.11

18.5 23.5 Brown sandy CLAY, wet 0 . 50 over 6” @18.5

23.5 25 White and orange CLAY w/ sand and gravel, stiff 0 6,6,8,8 @23.5







Depth from Surface

Description


Blow counts

0 1 Grass, topsoil 0 1 3.5 Brown clayey SAND w/ silt 0

3.5 5 Brown and tan clayey SAND w/ gravel, stiff 0 12,12,13, 14 @3.5’ 5 8.5 Red silty CLAY w/ gravel 8.6

8.5 10 Purple CLAY, very stiff 0 12,15,20, 24 @8.5’ 10 13 Multicolored CLAY, very stiff 0

13 14.5 Reddish brown silty CLAY 10.3 12,15,20, 24 @13.5’ 14.5 15 Brown sandy CLAY w/ gravel 13.1 15 17.5 White silty CLAY 0.5 15’

17.5 20 White and tan clayey SAND, soft 0 12,10,10, 10 @18.5 20 22 Orangish SAND, soft, loose 0 22 24 Red and white, clayey SAND, loose 0 .

24 25 Orange SAND w/ quartz gravel, very stiff 0 23,30,42, 50 @23.5







Depth from Surface

Description


Blow counts


1 4 Orangish SAND w/ gravel 0 14,14,15, 16 @3.5’ 4 7 Tan silty SAND, loose 0 7 8.5 Orange clayey SAND w/ gravel, stiff 0

8.5 13 Reddish clayey SAND w/ gravel 0 12’ 14,12,12, 14 @8.5’

13 17 White, red, and tan mottled CLAY, med. stiff 0 5,6,6,6 @13.5’ 17 18 Beige silty CLAY 0

18 20 Beige and orange silty clay, soft, moist 0 4,4,3,4 @18.5’ 20 23 Red and white silty CLAY, soft 0

23 24 Black and gray SAND and GRAVEL (organic) 0 32,20,8,6 @23.5 24 25 Orange SAND w/ quartz gravel 0 .







Depth from Surface

Description


Blow counts


1 2 Reddish brown silty SAND w/ gravel 0 7,8,12,18 @3.5’

2 5 Brown silty SAND 0@3 3.0@4

5 10 Brown and gray SAND w/ clay and gravel [email protected] 2.5@8

10 11 Red and white mottled CLAY 3.1 11 13.5 Beige silty CLAY, soft 3.2 11’

13.5 15.5 Orange SAND and GRAVEL, wet, very stiff 2.0 20,12,14, 18 @13.5’

15.5 19.5 Red and beige silty CLAY 0 8,5,4,4 @18.5’ 19.5 23.5 Beige and orange mottled CLAY w/ gravel 1.0 23.5 25 Beige and orange striated clayey SILT, loose 0.3 .


Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 3 Depth to Bottom of Bentonite Seal (ft. bgs) 4 Depth to Top of Sand Pack (ft. bgs) 4 Depth to Bottom of Sand Pack (ft. bgs) 25 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 5 Depth to Top of Screen (ft. bgs) 5 Depth to Bottom of Screen (ft. bgs) 25.08 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10





Depth from Surface

Description


Blow counts

0 1 Grass, topsoil 0 1 2 Brown silty SAND w/ asphalt 0 2 5 Brown sandy SAND 0 3.5 10 Tan sandy SILT 0 8.5 11 Tan SAND 0 11’ 12 25 Tan SAND, wet 0 Terminated @ 25.0’ .

Water Level of Completed Well First water (ft. bgs) 9.29 Date/Time Measured 10.26.11 Static Water (ft. bgs) 9.13 Date/Time Measured 10.27.11

Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) Depth to Bottom of Bentonite Seal (ft. bgs) Depth to Top of Sand Pack (ft. bgs) Depth to Bottom of Sand Pack (ft. bgs) Depth to Top of Solid Casing (ft. bgs) Depth to Bottom of Solid Casing (ft. bgs) Depth to Top of Screen (ft. bgs) 5.0 Depth to Bottom of Screen (ft. bgs) 25.10 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10

Page of Page Boring / Well Completion Report Boring / Well ID MW-14 Permit Number Permit Date Date Work Began 10.26.11 Date Work Ended 10.26.11 AEC Project No. 05-056 RF-96 Address 500 Mechanics Valley Road City / State North East, MD




Depth from Surface

Description


Blow counts

0 1 Grass, topsoil 0 1 2 Brown sandy SILT w/ asphalt 0 2 3.5 Brown sandy SILT 0 3.5 8.5 Brownish tan SAND, moist 0 8.5 10.5 Brownish tan SAND, wet 0 9’ 10.5 14 Brown SAND, wet 0 14 18 White SAND, wet 0 18 25 Tan SAND, wet 0 Terminated @ 25.0’ .

Water Level of Completed Well First water (ft. bgs) 14.81 Date/Time Measured 10.26.11 Static Water (ft. bgs) 14.87 Date/Time Measured 10.28.11

Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) Depth to Bottom of Bentonite Seal (ft. bgs) Depth to Top of Sand Pack (ft. bgs) Depth to Bottom of Sand Pack (ft. bgs) Depth to Top of Solid Casing (ft. bgs) Depth to Bottom of Solid Casing (ft. bgs) Depth to Top of Screen (ft. bgs) Depth to Bottom of Screen (ft. bgs) Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10

Page of Page Boring / Well Completion Report Boring / Well ID MW-15 Permit Number Permit Date Date Work Began 10.26.11 Date Work Ended 10.26.11 AEC Project No. 05-056 RF-96 Address 500 Mechanics Valley Road City / State North East, MD




Depth from Surface

Description


Blow counts

0 1 Grass, topsoil 0 1 3 Brown silty SAND 0.1

3 4 Orange coarse SAND w/ clay, very stiff 4.1 16,15,11, 11 @3.5’ 4 6 Tan SAND w/ clay, stiff 2.2 6 7 Beige CLAY w/ silt 2.0

7 10 Beige clayey SAND 2.2 9,9,9,9 @8.5’ 10 12 Multicolored silty SAND, loose 4.8 10’

12 14 Tan clayey SAND 1.3 6,6,6,6 @13.5’ 14 15 Red and tan CLAY w/ sand, soft 0 15 17 Orange running SANDs 0

17 21 Purple and white mottled CLAY, stiff 4.3 12,10,8,8 @18.5’ 21 22 Tan sandy CLAY w/ gravel 0 .

22 24 Multicolored CLAY, stiff 0 24,26,50+ @23.5 24 25 Orange SAND and quartz gravel, very stiff 0







Depth from Surface

Description


Blow counts

0 1.5 Asphalt/gravel fill 0 1.5 3.5 Tan silty SAND w/ clay 0

3.5 4.5 Beige SAND w/ clay 0 5,5,6,8 @3.5’ 4.5 5 Orangish SAND 0 5 5.5 Beige CLAY, stiff 0 5.5 8 Beige and gray CLAY 0

8 9 Beige CLAY w/ silt 2.8 9,7,6,6 @8.5’ 9 10.5 White/orange mottled SAND w/ clay, med stiff 17.1 10.5 12 Orangish SAND 95.5

12 14.5 Orangish beige CLAY w/ sand, moist 252 13’ 6,4,3,4 @13.5’

14.5 16 Beige CLAY w/ silt, loose 101 16 18.5 Beige clayey SILT, loose 60

18.5 20 Tan CLAY 61 12,8,8,8 @18.5’ 20 21 Orangish SAND and gravel, loose, wet 0 21 23 Beige SAND w/ clay, loose, moist 0

23 24 Purple/gray CLAY, very dense 0 13,12,7,7 @23.5’ 24 25 Orange and gray striated SILT 0


Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 3 Depth to Bottom of Bentonite Seal (ft. bgs) 4 Depth to Top of Sand Pack (ft. bgs) 4 Depth to Bottom of Sand Pack (ft. bgs) 25.2 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 5 Depth to Top of Screen (ft. bgs) 5 Depth to Bottom of Screen (ft. bgs) 25.28 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10

Page of Page Boring / Well Completion Report Boring / Well ID RW-7 Permit Number Permit Date Date Work Began 10.13.11 8:25 Date Work Ended 10.13.11 12:30 AEC Project No. 05-056 RF-96 Address 500 Mechanics Valley Road City / State North East, MD




Depth from Surface

Description


Blow counts

0 1 Asphalt/gravel fill 0 1 2 Sandy gravel 0 2 3.5 Brown silty SAND, med. stiffness 0

3.5 4.5 Purple/gray SILT w/ clay, med. stiffness 0 12,12,11, 11 @3.5’ 4.5 8.5 Beige sandy SILT, soft 0.3

8.5 9.5 Beige silty SAND, med. stiffness 0 5,5,4,4 @8.5’ 9.5 10 Brown silty SAND, stiff 0 10 13 Orange SAND w/ silt, wet, soft 0

13 15 Orange SAND w/ clay, wet, stiff 0 13.5’ 14,12,8,7 @13.5’ 15 17 Purple and gray mottled CLAY, very stiff 0 17 18.5 Orange SAND w/ silt, wet 0 18.5 19.5 Purple and gray mottled CLAY, very stiff 0

19.5 23 Purple, tan, orange, mottled CLAY w/ sand. med. Stiffness 0

23 23.5 Purple/gray CLAY, very stiff, wet 0

23.5 25 White SAND and GRAVEL w/ clay, very stiff 0 40,35,35, 30 @23.5’


Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 2 Depth to Bottom of Bentonite Seal (ft. bgs) 3 Depth to Top of Sand Pack (ft. bgs) 3 Depth to Bottom of Sand Pack (ft. bgs) 24.3 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 4.3 Depth to Top of Screen (ft. bgs) 4.3 Depth to Bottom of Screen (ft. bgs) 24.34 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10





Depth from Surface

Description


Blow counts

0 1 Asphalt/gravel fill 0 1 3.5 Brown silty SAND w/ clay 0 3.5 5.5 Orangish brown silty SAND, moist 0 5.5 8 Brown silty SAND w/ clay, stiff 0

8 10 Brown SAND w/ clay 0 6,5,5,5 @8.5’ 10 13 Beige and orange mottled CLAY w/ sand, stiff 0

13 14 Orange and tan mottled CLAY w/ sand, stiff 0 4,4,8,8 @13.5’ 14 15 Multicolored CLAY w/ sand, stiff 0 15 18.5 Red, white, and purple mottled CLAY w/ sand 0 13.5’

18.5 19 Red and purple CLAY, very stiff 0 6,6,7,10 @18.5’ 19 20 White CLAY w/ sand, stiff 0

20 23 Tan and orange mottled CLAY w/ sand, med. stiffness 0

23 25 Multicolored CLAY, very stiff 0 50 over 6” @23.5’


Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 1 Depth to Bottom of Bentonite Seal (ft. bgs) 1 Depth to Top of Sand Pack (ft. bgs) 2 Depth to Bottom of Sand Pack (ft. bgs) 22.5 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 2.5 Depth to Top of Screen (ft. bgs) 2.5 Depth to Bottom of Screen (ft. bgs) 22.51 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10





Depth from Surface

Description


Blow counts

0 0.5 Concrete 0 No split spoons 0.5 1 Gravel fill 16.2 1 2 Brown silty SAND 28.7 2 3.5 Tan silty SAND 16.7 3.5 5.5 Brown silty SAND, med. Stiff 211 5.5 8 Tan silty SAND w/ clay 869 6’ 8 9 Brown sandy CLAY w/ silt 649 9 10 Tan silty CLAY 193

10 15 Red CLAY w/ silt and sand, stiff 93@11

180@13 234@14

15 16.5 Red and white silty CLAY 170 16.5 18 Tan CLAY w/ sand and silt w/ gravel, moist 74.1 18 20 Tan sandy CLAY w/ gravel, moist 63.2 20 23 Brown silty CLAY w/ gravel, stiff 25.4

23 25 GRAVEL/ROCK w/ red clay and tan sand, very stiff 9.2

Water Level of Completed Well First water (ft. bgs) Date/Time Measured Static Water (ft. bgs) 12.6 Date/Time Measured 10.19.11

Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) .5 Depth to Bottom of Bentonite Seal (ft. bgs) 1.5 Depth to Top of Sand Pack (ft. bgs) 1.5 Depth to Bottom of Sand Pack (ft. bgs) 25 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 5 Depth to Top of Screen (ft. bgs) 5 Depth to Bottom of Screen (ft. bgs) 25 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10





Depth from Surface

Description


Blow counts

0 0.5 Asphalt/gravel fill 0 No split spoons 0.5 1 Brown silty SAND w/ clay 10.1 1 2 Orangish brown silty SAND, moist 9.5 2 5 Brown silty SAND w/ clay, stiff 8.9 5 8 Brown SAND w/ clay 1078 8 9 Beige and orange mottled CLAY w/ sand, stiff 1690 8’

9 12.5 Orange and tan mottled clay w/ sand, stiff 401@9

[email protected] [email protected]

12.5 14 Multicolored CLAY w/ sand, stiff 35.5

14 18 Red, white, and purple mottled CLAY w/ sand 32@15 73@17

18 22 Red and purple CLAY, very stiff 32@18 45.1@21

22 25 White CLAY w/ sand, stiff 24







Depth from Surface

Description


Blow counts

0 1 Asphalt/gravel fill 0 1 3.5 Brown silty SAND 0

3.5 4.5 Red and beige CLAY w/ sand, soft 22 10,10,11, 11 @3.5’ 4.5 6.5 Purple and red CLAY, stiff 27

6.5 9 Tan SAND w/ clay, stiff 21 10,8,5,4 @8.5’ 9 10.5 Beige and red CLAY, very stiff 25 10.5 13.5 Tan SAND w/ clay, wet, soft 32 11’

13.5 14.5 Multicolored CLAY, stiff 0 4,5,6,6 @13.5’ 14.5 16 Beige CLAY, stiff 0 16 18.5 Reddish CLAY and SAND 0

18.5 19.5 Beige CLAY w/ sand, stiff 0 8,10,10 @18.5’ 19.5 20.5 Beige SAND w/ clay 0 20.5 23 Reddish CLAY w/ sand 0

23 25 Orange sandy CLAY w/ gravel, very stiff 0 50 over 5” @23.5’



Page of Page Boring / Well Completion Report Boring / Well ID RW-12

Permit Number Permit Date

Date Work Began 10.19.11 Date Work Ended 10.19.11 18:45 AEC Project No. 05-056 RF-96 Address 500 Mechanics Valley Road City / State North East, MD




Depth from Surface

Description


Blow counts

0 1 Asphalt/gravel fill 0

1 4.5 Brown silty SAND 0.7 10,14 @3.5’ 4.5 7 Tan silty SAND w/ clay , stiff 78 7 8.5 Beige sandy CLAY 350

8.5 12.5 Beige and orange mottled silty CLAY 145 7,7,6 @8.5’ 12.5 13.5 Tan sandy CLAY, moist 566 12.5’

13.5 14 Red and beige mottled CLAY 190 4,4,4 @13.5’ 14 16.5 White and orange mottled sandy CLAY, soft 17.4 16.5 18.5 Tan clayey SAND, wet, loose 9.6

18.5 20 White and orange SAND w/clay, wet, loose 90.4 4,5,5 @18.5’ 20 23 Red and tan sandy CLAY 159

23 24.5 Tan SAND 362 8,8,8 @23.5 24.5 26 Quartz gravel w/ orange SAND 190

26 30 Tan running SANDs 42.9 18,12,12, 11 @ 26


Well Construction Details Well Diameter (inches) 4 Depth to Top of Bentonite Seal (ft. bgs) 3 Depth to Bottom of Bentonite Seal (ft. bgs) 4 Depth to Top of Sand Pack (ft. bgs) 4 Depth to Bottom of Sand Pack (ft. bgs) 25 Depth to Top of Solid Casing (ft. bgs) 0.5 Depth to Bottom of Solid Casing (ft. bgs) 4.9 Depth to Top of Screen (ft. bgs) 4.9 Depth to Bottom of Screen (ft. bgs) 24.89 Solid Casing and Screen Material Schedule 40 PVC Screen Slot Size 10




-"~ . - -

cbl '1719 I SEQUENCE NO. STATE OF MARYLAND THIS REPORT MUST BE 5UBMITIED WITHIN (MDE USE ONLy) WELL COMPLETION REPORT

4S DAYS AFTER WELL IS COMPLETED. 1 2 3 6

FILL IN THIS FORM COMPLETELY COUNTvRoyal Farms Grdwtr (THIS NUMBER IS TO BE PUNCHED NUMBER Invest.-FileIN COLS. 3-6 ON ALL CARDS) PLEASE TYPE STICO USE ONLY DATE WELL COMPLETED De~26

PERMIT NO. FROM "PERMIT TO DRILL WELL"DATE Received

~~ DO yy CE - 10 -0138101M 00 yy 22

8 13 20 (TO NEAREST FOOT) 28 29 30 31 32 33 34 35 36 37

OWNER I(oftt!; r Pi; ~ , WELL SITE ADDRESS

,.... name -:fiiil5 -rtff-q();tI?/tJJ' Ylilu, lI,st'Tt,;;f TOWN JfJfJ( I'1J u

;i:jR1ttER~~JAMeopy AND RETAIN 'FOFtYol1R~CoRns.RETDRti CO\JN1'TCOPY TOCOUrrrv ENVIRONMENTAL AGENCY. SUBMIT COpy TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT

__t.II'I.r.t.J.rall&.ldI.tl."'_"'11IftiI1iI;.-"W'ff"'_••lIlr_tl'''~~i.::, - - •••- - - - ----- --- - ---- - - ~ ~.-. -- - -=......., - --- - ~ - - ~ ~

Cl11 1708 I SEQUENCE NO, STATE OF MARYLAND THIS REPORT MUST BE SUBMITTED WITHIN (MOE USE ONLy) 45 DAYS AFTER WELL IS COMPLETED, 1 2 3 6

WELL COMPLETION REPORT COUNTY Royal l"arms Grdwtr (THIS NUMBER IS TO BE PUNCHED FILL IN THIS FORM COMPLETELY NUMBERlnvest. FileIN COlS. 3·6 ON ALL CARDS) PLEASE TYPE STICO USE ONLY DATE WELL COMPLETED DePt~"

PERMIT NO, DATE Received

11)

00 FROM "PERMIT TO DRILL WELL"

101101 00 yy l'$ tL 22 26 CE - 10 - 0127

8 13 20 (TO NEAREST FOOT) 28 29 30 31 32 33 34 35 36 37

OWNER fiLii >{I ~ f I-Itr,...~ . . J • WELL SITE ADDRESS r.r'~ ,~lbzi?r 1/Ii.1fe. "'1:78 TOWN HnYrT'/ I--:ilA7 SUBDIVISION Se'CTIO~ LOT I

WELL LOG GROUTING RECORD

~~ C131~ tv~r[Not required for driven wells WELL HAS BEEN GROUTED 1 2 .fer) 16" -t(Circle Appropriate Box) STATE THE KIND OF FORMATIONS PENETRATED. THEIR 44 PUMPI TEST d

COLOR. DEPTH. THICKNESS AND IF WATER BEARING TYPE OF GROUTING MATERIAL (e"",_~ HOURS PUMPED (nearest hour) jJo T~ DESCRIPTION (Use FEET pn&ck CEMENT lei MI BENTONITE CLAY c 8 9if water add"ionaI 8MelS WnMded) FROM TO bearing 45 46 S • 4sphtt{f

NO, OF BAGS •.. N0'fOUNDS PUMPING RATE (gal. per min.)

(; I 11 15GALLONS OF WATER I METHOD USED TO ~~~~L l ,., DEPTH OF GRO, SEAL (to nearest f~ MEASURE PUMPING RATE I . ~r~ j(~ ~ ,?J

from ft. to ft. WATER LEVEL (distance from land surface)

1.. 48 TOP 52 54 nOM' 58

(enter 0 if from surface 1

rl~~A j/~ 3,.) tl) 6~~~ CASING RECORD BEFORE PUMPING h. 17 20

g,) /~ V insert cI ~ WHEN PUMPING h.{1-rJ Si ~3;~ appropriate 22 25 ~ode P L ~ r;b.rf.li~~ 13 belOW TYPE OF PUMP USED (for test) /j MAIN Nominal diameter Total depth [!Jaw [:J piston ~ turbine I1Jtfkt/ V CASING top (main) easing 01 main easing @] centrifugal []] rotary other ~T (n~h)1 (nearest fool) [QJ (describe ~Sell

•1fi"~-!~lM!"":tH€M~Y'AND 'AiffAtff'FOR voii'iftECOAM:·muRtfeOUNtY'cOf.JYTbclj1JNtY~~~~~ ENVIROftMENTAL AGENCY. SUBMIT COpy TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT

.••·.811 adOIAII_11Ii & 0.a3 Mi_.ln••I.·' ."'1l_1I1.11II;.illll LbIU•••IFw.tnlllni!lll••.Iit:ic*___ --,. ~ ","_.__ _,., __ "" _~. _ .. -~.___ ~- __' -_, -., .-_ --_______ ~__ ---_ --"~ ----'t"'-._. ~~ -. ~ -- __- - - --~. - - - -~.. ..-..~ -- -- -~-

1 2 ;3 6

SEQUENCE NO. (MOE USE ONLy)

(THIS NUMBER IS TO BE PUNCHED IN COLS. 3·6 ON ALL CARDS) STiCO USE ONLY DATE Received _ 00

II

yy

13

DATE WELL COMPLETED MIj,.tv

15

DO

1.3

OWNER ftJut:.! r@"M l ~i IU ")---Jil~ C(d \ d

SITE SUPERVISOR (Sign. of driller or journeyman responsible for sitework if different from permittee)

E A C H

OTHER CASING (if used)

x--S I

~---

GRAVEL PACK IF WELL DRILLED

I

W/I.S FlOWING WELL INSERT F IN BOX 68

diameler deplh (feel) inch from to

IL-__---.J' L-'____-I"L-_---.J'

,L--__---.J.L-'___-IIIL--__--I'

56 60

from to

.l~- , ! t),] -

68

MOE USE_Q.NLY (NOT TO BE FILLED IN BY DRILLER)

T (E.RO.S.) W Q

70 72

TELESCOPE lOG 74 75 76

,

THIS REPORT MUST BE SUBMliTED WITHIN 45 DAVS AFTER WELL IS COMPLETED.

COUNTYRoyal Farms Grdwtr NUMBER Invest.-File

PERMIT NO. FROM "PERMIT TO DRILL WELL"

CE - 10 - 0131 28 29 30 31 32 33 34 35 36 37

LOT

~ I ~ I IJd fw-p ~1 PUMPING TEST /C~~" .

HOURS PUMPED (nearest hour) -_.IlNI{8 9

•PUMPING RATE (gal. per min.) -::-::-______~ 11 15

METHOD USED TO MEASURE PUMPING RATE L..'______-1,

WATER LEVEL (distance lrom land surface)

BEFORE PUMPING It 17 20

WHEN PUMPING ft. 22 25

TYPE OF PUMP USED (for test)

~air ~ pillion (!J turbine ~ centrifugal 00 rotary other[QJ (describe

27 27 27 below)

miel rn submersible 27 27

PUMPINSTAUED S DRILLER INSTALLED PUMP YES. NO (CIRCLE) (yES or NO)

IF DRILLER INSTALLS PUMP, THIS SECTION MUST BE COMPLETED FOR ALL WELLS.

TYPE OF PUMP INSTALLED PLACE (A,C,J,P,R,S,T,O) IN BOX 29.

CAPACITY: GALLONS PER MINUTE (to nearest gallon) 31

PUMP HORSE POWER

PUMP COLUMN LENGTH (nearest ft.)

37

29

35

41

CASING INOICATOR OTHER DATAl___M_D_8W__WW__E_R.0_7_1____________________________0_R_IG__1N_A-L__________________________________________~~

__ _______

..r"'·"~w'1ftllt!""lM!8fM':~:ANtf"E'A1N ·FOff~ftEc()MjS;"~eOUNT¥i~'ftYCOUNTf{ ENVIRONMENTAL AGENCY. SUBMIT COPY TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT

.rlll_III..!.'I] 4 £ '1111 ••171.111111.1111 __ll.lt £.1_:£1"*"1ILI.IIIIIUl••ld.,.LJII"I.U.~.~._~'."--'~"::"':"':""'_.~"~"--,"'~""""""'--"'_'_-" .. ,_ .. _--"-_-....._d_~_""_ ._.'~_J_~'_'_L""""'-:__ -----"_

1 2 3 6

seQUENCE NO. (MOE USE ONLy)

(THIS NUMBER IS TO BE PUNCHED IN COLS. 3-6 ON ALL CARDS) STICO USE ONLY DATE Received

WM DO

8

DATE WELL COMPLETED

13 15 7f( 40

WELL LOG

STATE OF MARYLAND WELL COMPLETION REPORT

FILL IN THIS FORM COMPLETELY PLEASE TYPE

Depth of Well

22 2:S 26 (TO NEAREST FOOT)

GROUTING RECORD

Not required for driven wells WELL HAS BEEN GROUTED 1----------.;-----------1 (Circle Appropriate Box) S~~~fiE'g~~.%J~=JJ~g it:~~~~~R TYPE OF GROUTING MATERIAL (Circle ol)liil' l,)

I-DE-SC-R-I-PT-ION-(U..-----r--F-E-ET--.-....,..,.,.~=-=--I CEMENT IcIMI BENTONITE CLl~dBTcV addHionai IIIMeIa " needed) FROM TO i:e~~~! - ~ 1_______--f__-+-_--:Tt--=:==n~1V NO. OF BAct§ 46 I ~ NO. OF POUNDS '1. C-CflYt crt.'t O· )' GALLONS OF WATER--!.,..:::.r"'______ qrc" t I \0) I DEPTH OF GROUT/ SEAL (to nearest fool) 3

S-from!J - ft. to () ft.

I . I I 48 TOP 52 54 BOTTOM 5801. '" C,l~~ (enler 0 if from surface)

~x~~~~~ ~~ I~ ~l~) ~OOi S t. V MAIN Nominal diameter Total depth

~&tS·'H~~ /).) (~ Pf '(:gil' ~~ ~J~&.&~ I~ }/" "" ,,,.,, "

~il~

'~"W[&W!MNtM!·ell'FAft15_~~0~·~· ENVIRONMENTAL AGENCY. SUBMIT COpy TO OWNER. RETURN A.LL OTHER PARTS TO DEPARTIVIENT

10.1. IUlllnl••• flU••Iltl1 1111011.IIIU •••[IIIII•••£1 ._j••HIUI •••UIUtJI11f nn_III_PI .11 ''!Iilt. ~~ • _ _ (If. to t2.,.:) ft.

48 TOP 52 54 BOTTOM 58 (enter 0 if Irom surface}

casing CASING RECORD

E~~~~ rsm IClOlapp~:~ate G~'~ beJow IfJJ:J J rQTfl.I. PLASlY ~ M~IN Nominal diameter Total depth

CASING top (main) casing 01 main casing f'L (nea63rr~Dit ii~nc~h!! (neOest,r:eo 61 H 66 70

E A C H

~---S I

~---

70

TELESCOPE CASING

OTHER CASING (if used) diameter depth (Ieet)

inch from to L'___..Jtl'--_--"L'__...)1

L'_"",-_..J'L'__..JIII...-_.....JI

~CATOR,

'e

74 75 76

OTHER DATA

HOURS PUMPED (nearest hour) 8 9

PUMPING RATE (gal. per min.) • 11 15

METHOD USED TO MEASURE PUMPING RATE I

WATER LEVEL (distance from land surface)

BEFORE PUMPING ft. 17 20

WHEN PUMPING ft. 22 25

TYPE OF PUMP USED (for lest)

air [!] piston [!J turbine ~ centrifugal

27

other[BJ rotary [QJ (describe 27 27 below)

Wiet 00 submersible 27 27

PUMP INSTALLED (j)DRILLER INSTALLED PUMP YE (CIRCLE) (YES or NO) .

IF DRILLER INSTALLS PUMP, THIS SECT)ON MUST BE COMPLETED FOR ALL WELLS.


CAPACITY: GALLONS PER MINUTE (to nearest gallon)

PUMP HORSE POWER


29

31

37

35

41

47

,

MDE/WMA/PER.071 ORIGINAL

II

SEQUENCE NO. STATE OF MARYLAND THIS REPORT MUST BE SUBMITTED WITHIN '1713 I (MOE USE ONLY) WELL COMPLETION REPORT 45 DAYS AFTER WELL IS COMPLETED. (THfS NJMBER IS TO BE p6UNCHED FILL IN THIS FORM COMPLETELY I~~~~!yRoyal Farms Grdwtr INCOLS, 3·60N ALL CARDS) PLEASE TYPE ~Invest.-File

I-::S=T-:':/C::-:O:-:-:US~E::-:::O':":N:-:LyO:---;;---.:...;'--O-A-T-E-W-E-LL-C-O-M-P-L..LE-T-E-O------=;;;..,;,;;=-O;;..;......;th;;.....f-W-I-I---- PERMIT NO, DATE Received

101M 00 VY ~.::o 71 8 I}, ls" 20 OWNER f( t.9"u; I FIll ~ S WELL SITE AOORESSq Iat .......~ /1.fctttJ I r (' SUBDIVISION

ep 0 e FROM "PERMIT TO DRILL WELL"

22 ':l~ 26 CE - 10· 0132 (TO NEARE~ 28 29 30 31 32 33 34 35 36 37

Cl31 ft"",;fpr fM/I~4

E OTHER CASING (if used)A diameter depth (feet)C H inch from to

C , .. II , A S I N IG

II II ,

screen type SCREEN RECORD or open hole rsm f"iilRl rtilOl

tnsertJ ~ ~ ~ appropriate ~ HOLEC=~ C 121

NUMBER OF UNSUCCESSFUL WELLS: /") 1 lJL/ I t------------~~ye~s----.:AN-'t"""'t) E 1 """"

WELL HYDROFRACTURED L!J (~ A 8 9 I---------=::...-~:!-....I C 2

CIRCLE APPROPRIATE LETTER H ~--::::-23--24 A A WELL WAS ABANDONED AND SEALED S

WHEN THIS WELL WAS COMPLETED C 3,,___E ELECTRIC LOG OBTAINED R 38 39 P TEST WELL CONVERTED TO PRODUCTION E

~~ DEPTH (nearest ft.)

O)~ PUMP COLUMN LENGTHt"'\ ~ (nearest ft.) 43 47 ~ CASING HEIGHT (circle appropriate box

1115 17 21 and enter casing height)8 above! 26 30 "'3-2-----36-"'" LAND SURFACE qJ (nearest)~

""'4,.,..1-----45"'" 47£2

1"\ "-') 51 ~Iow

49

LATITUDE (i /3 ''f2.L). (P:;..:> 50

foot) 1,...

I-----"'W.;;;.;EL;;;;;.L__________-t ~ SLOT SIZE 1 ~2~ I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN r9--!-'i~6~'I ACCORDANCE WITH COI.4AR 26,04J)4 "WELL CONSTRUCTION" AND DIAMETER 0 (NEAREST LONGITUDE 7 IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE • - - CAPTIONED PERMIT, AND THAT THE INFORMATION PRESENTED ..._O_F_SC_R_E_E_N--.-~__~=_-_-_-_L_-_-_-;;;;~__IN_C_H_)___~(DEFAULT COORD. WGS 84) HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY 56 60 KNOWLEDGE.

DRILLE.~J(t~C.~O.'iP:ar--/~jLhri I7' . SIGNATURE __ V

(MUST MATCH SIGNATURE ON APPllCAT~ ~ft G D~ 1 LlC. NO. I __ 0 _ _ I

fro~ to ?- NOTES:

GRAVEL PACK I ~ L...I.....::D~z::...----l,IF WELL DRILLED WAS FLOWING WELL _ INSERTF IN 80X 68 68 MOE USE ONLY

(NOT TO BE FILLED IN BY DRILLER) T (E.R.O.S.) W Q

70 72

SITE SUPERVISOR (sign, of driller or journeyman 74 75 76 responsible for silework if different from permittee) TElESCX)PE LOG

CASING INDICATOR OTHER DATA

Il MDElWMAlPER,071 ORIGINAL t

PUMPING TEST 2 IJo fe:IJ

HOURS PUMPED (nearest hour) II II

PUMPING RATE (gal. per min.) -:-:-___.--::-:11 15

METHOD USED TO MEASURE PUMPING RATE 1...'_____--',

WATER LEVEL (distance lrom land surface)

BEFORE PUMPING It. 17

WHEN PUMPING It. 22

TYPE OF PUMP USED (lor test)

~ aw [!J piston ~ centrifugal 00 rotary

27 27

[]]iet [§J submersible 27 27

25

[!J turbine [Q] other (describe

27 below)

PUMP INSTALLED I!J

ORILLER INSTALLEO PUMP YES, NO (CIRCLE) (yES or NO)




PUMP HORSE POWER 37 41

-,'···:JWWlll.llll.l 'lIIIlWl!.t'Jt!JIII."..,....if:OR~~~,."""'~'COOff1'V.-·

ENVIRONMENTAL AGENCY. SUBMIT COpy TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT

."b"Ji~.JIQI!'!!!!l'''IIft.~!~l1J1~.'!JI~£Mlt•.~I1[JtJLIMJ!!!m:r1 rr211l~r2ii!!f JiJ!!l ~,~~.~..'.--"

l MDEJWMNPER.071 ORIGINAL

~ I SEQUENCE NO STATE OF MARYLAND THIS REPORT MUST BE SUBMITIED WITHINC ~ 3 1720 6

(MOE USE ONLY) WELL COMPLETION REPORT

45 DAYS AFTER WELL IS COMPLETED.

NUMBER IS TO BE PUNCHED FILL IN THIS FOAM COMPLETELY COUNTY Royal Farms Grdwtr

OLR 3·6 ON ALL CARDS) PLEASE TYPE NUMBER Invest.-File STiCO USE ONLY DATE WELL COMPLETED

De p;? PERMIT NO. DATE Received

2~ lY. llo FROM "PERMIT TO DRILL WELL"

101M 00 yy 22 26 CE . 10 - 0139 8 13 (TO NE:(RE"ST FOOT) 28 29 30 31 32 33 34 35 36 37

OWNER rc. (91.1\," f kv-V'- J / WELL SITE ADDRESS

Iatt ft(f"· f:."1')A:) rtRr(,;/-, '" i (.! Ik "11 ft•me Ild TOWN lltrlJJ FAd SUBDIVISION SECTIqj.J LOT

WELL LOG GROUTING RECORD ~ no cl31 ~~eo~~~aNot required for driven wells WELL HAS BEEN GROUTED . (Circle Appropriate Box) Y ~ 1 2 PUMPING TEST ~

STATE THE KIND OF FORMATIONS PENETRATED. THEIR COLOR, DEPTH, THICKNESS AND IF WATER BEARING lYPE OF GROUTING MATERIAL 'Ci~(t~ )0 CAPACITY:t,~]code P L HOLE ~

GALLONS PEA MINUTE

~tr{1: Ilt.IC~ ).:) 3tJ bet (to nearest gallon) 31 35 OrG4e- S--A PUMP HORSE POWER

CI2.11 DEPTH (nearest ft.) 37 41• U 1

?----- Dr- PUMP COLUMN LENGTH NUMBER OF UNSUCCESSFUL WELLS: 1 /'; L (nearest ft.) ~ ~ E 8 9 11 ;) 15 17

43 47

WELL HYDROFRACTURED 21 CASING HEIGHT (circle appropriate box A

G -I tlL (nearest) and enter casing height) C 2 LAND SURFACE CIRCLE APPROPRIATE LETTER H 23 24 26 30 32 36 ~ 50 51 A A WELL WAS ABANDONED AND SEALED S WHEN THIS WELL WAS COMPLETED C3 ;- below E ELECTRIC LOG OBTAINED R 36 39 41 45 47'0 foot)51 P TEST WELL CONVERTED TO PRODUCTION ~ SLOT SIZE 1 ....t2 2 ?-3 __ LATITUDE 3'1. {L2:-~,s-WELL NI HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN

DIAMETER (;) 1- LONGITUDE 7r.iJ..1.Y~~lACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND (NEARESTIN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE OF SCREEN INCH)CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED (DEFAULT COORD. WGS 8 ) HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY 56 60 KNOWLEDGE. from to NOTES:

D::~::~P;fJ! , GRAVEL PACK I "r- , I D3 I IF WELL DRILLED WAS FLOWlNG WELL -INSERT F IN BOX 68 68 (MUST MATCH SIGNATURE ON APPUCATION

Ii~ 0 t;n MOE USE _Q,NLY lIC. NO.1 7- (NOT TO BE FILLED IN BY DRILLER) • T (E.R.O.S.) wa 70 72

(t) - -SITE SUPERVISOR (sign. of driller or journeyman

lOG 74 75 76

responsible lor sitework if different from permittee) TELESCOPE CASING INDICATOR OTHER DATA , , ,

Toial depth 01 main casing (nearestf~

66

OTHER CASING (if used) diameter depth (feel)

inch from L..'___.J' 1...1__-'IIL...-_---1.

.L...-__---J·L.I__-'11'--_---1·

c 121

SEQUENCE NO. THIS REPORT MUST Be SUBMITTED WITHIN STATE OF MARYLAND(MOE USE ONLY) 1722 I 45 DAYS AFTER WELL IS COMPLETED.WELL COMPLETION REPORT

1 2 3 6 COUNTY Royal Farms GrdwtrFILL IN THIS FORM COMPLETELY NUMBERlnvest.-File

(THIS NUMBER IS TO BE PUNCHED PLEASE TYPE

STICO USE ONLY

IN COLS. 3-6 ON ALL CARDS)

PERMIT NO.DATE WELL COMPLETED Depth of~1 FROM "PERMIT TO DR!LL WE;.LL"DATE Received _ 00 1M 22 ') j 26 CE • 10 • U1411) 8 13 15 (TO NEAREST FOOt)

OWNER ________-.~~~;·~~IA~~~/~~r~·~~~~r~~~~,j~~A~~----------~~~/r_~-~~'~______~ WELL SITE ADDRESS ___IUl_'__ t-t>O.;:;.-..;.r--=-(l.::;.;jcl!l-'~f/IIf,=· V.L ___L..UI!IC6,"""'"_"m_e_ TOWN __ 11/..::..1:..../.1..""'7/ .....~ :..:..c"=it;.=..f.... [.:.LL.!.II.f .LlL /·If!...-...I.f~J!,.,~:..:"fJ:::,.ryl--________---l SUBDIVISION SECTION LOT

WELL LOG GROUTING RECORD ('t!!...~ no cl31 Not required for driven wells WELL HAS BEEN GROUTED' ; 1 21------------------1 (Circle Appropriate Box) 44S~I'b~~BE~~~.~~I~~~~;JI~g ~E~r,.~Ti~~~~R TYPE OF GROUTING MATERIAL (Circle one

HOURS PUMPED (nearest hour)I-DE-SC-RI-PT-ION-(-U-se---...,.--F-E-E-T-.......-:irrnW-::-:I:i:r.e~-Ir. CEMENT IcIMI BENTONITE CLA C 8 8

addllionaieMeIS il needed) FROM TO bearing 45 46 "

I n NO. OF BAGS t ~ NO. O~NDS PUMPING RATE (gal. per min.) ~___._=

11 15IIc:/ra~STofS~i( 0 I GALLONSOFWATER_--.!....'Lt£-___ METHOD USED TO

MEASURE PUMPING RATE ---1.1-1_____I. ~ r _Ii. I tJ DEPTH OF GROUT SEAL (to nearest foot~ 3

V~Otf,. '.Yt 111 1 from () J It. to ~ _ ft.

WATER LEVEL (distance from land sul1ace)..,) 48 Ttip 52 54 BOTTOM 58

BEFORE PUMPING ft. 17 20

WHEN PUMPING ft.

TYPE OF PUMP USED (for lest)

~ turbine~ air piston

@J centrifugal cru rotary [QJ oIher (describe 27 below)27 27()J

70 QJ jet rn submersible 27 27

to PUMP INSTALLED

DRILLER INSTALLED PUMP VEStQ;(CIRCLE) (yES or NO)

IF DRILLER INSTALLS PUMP. THIS SECTION MUST BE COMPLETED FOR ALL WELLS.

TYPE OF PUMP INSTALLED PLACE (A,C.J.P.R.S.T,O) 29 IN BOX 29.~ CAPACITY:

HOLE GALLONS PER MINUTE (to nearest gallon) 31 35~ PUMP HORSE POWER

37 41).!. IJII:'t DEPTH (nearest ft.) , ~ j..- PUMP COLUMN LENGTH

~N~U~M~B::::E~R..:O~F_U~N~S::::U::::C::::C.::E:.SS:.F,,:U=L~=l!j~ye~s='V:::;~;,s:;;...J V ?-J 0..) (nearest ft.) -:43-=------4~71 WELL HYDROFRACTURED AE 1 8 7 -:1-1-~-=---1-5 17 21 CASING HEIGHT (circle appropriate box

and enter casing height) t ------------==--...;;::=--I C G+ above2~,..--_______

CIRCLE APPROPRIATE LETTER H 23 24 26 30 -=32-=-------:"36- 49 LAND SURFACE A A WELL WAS ABANDONED AND SEALED S ~ d

WHEN THIS WELL WAS COMPLETED C 3 elow IJ (nearest)lE 47f)ELECTRIC LOG OBTAINED R 38 38 41 45 51 50 51 TEST WELL CONVERTED TO PRODUCTION E """"' I) aPI--:~WE=LL:::-::-::~~~_____---t E SLOT SIZE 1 l./ 2 "..... 3 LATITUDE 3 £ ~62:.~J-:S-

D-'1 -~

I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN N - LONGIT.UDE 7 _ . '1_"2 "t~,~ACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND DIAMETER (NEAREST .::> IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE OF SCREEN __ _ INCH)

CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED "--____-r.:;6~----~;;.;..,,-----_I(DEFAULT COORD. WGS 4)HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY r ""

KNOWLEDGE. frOm to NOTES

.... c. I GRAVEl. PACK,DRILLE~ II, f;;12... 4 1Y, I cJ3 . : 11

IF WELL DRILLEO

WAS FLOWING WELL _

DRILLERS :;lliNA I UHt: Y INSERT F IN BOX 68 68

(MUST MATCH SIGNATURE ON APPliCATION) MOE USE ONLY

('I (;)../" I (NOT TO BE FILLED IN BY DRILLER)

Lie. NO.1 ~ 0 _ ~..L I T (E.R.O.S.) W Q

70 72

SITE SUPERVISOR (sign. of driller or journeyman 74 75 76

responsible for sltework if different from permittee) TELESCOPE LOG CASING INDICATOR OTHER DATA

MDElWMAlPER071 ORIGINAL

II

http:26.04.04

1 2 3 I>


(THIS NUMBER IS TO BE PUNCHED IN COlS. 3-6 ON All CARDS)

STICO USE ONLY DATE Received

WI 00

8 13

DATE WEL[ COMPLETED 104M

10



Depth of Well

22 '2r' 28 (TO NEAREST FOOl)

rdwtr


CE - 10 - 0133 28 29 30 31 32 33 34 35 38 37

OWNER _________~~~~~~~~~~~~~~~_.~~~------_.~~~--~~~~----------~ WELL SITE ADDRESS ---"''-- __.II

I ,,/,*i 4 1i"\._tOPYANDA'""EYAlN t=OR VOUAcM6oRDS.m!rURN"eoUNTv COPVTO''COUNTv ~

ENT

ORIGINAL lil .,

~1I1I~"lIilWI"~Ii~...A.~~,L.,II

1 2 3 6 (THIS NUMBER IS TO BE PUNCHED IN COLS, 3-6 ON ALL CARDS)

ST ICO USE ONLY DATE Received

WI DO

8

YV

13

DATE WELL COMPLETED

1111 DIl, YV 10 -,..'1 II 15 20



22

De2?11 (TO NEAREST FOOT)

THIS REPORT MUST BE SUBMITTED WITHIN 45 DAYS AFTER WELL IS COMPLETED.

COUNTY Royal Farms Grdwtr It.-Ffile

MIT NO, FROM "PERMIT TO DRILL WELL"

CE - 10 - 0128 28 29 30 31 32 33 34 35 36 37

OWNER________~~~~~~~~~~~--_.~~~~~--------~~~~~~--------------~ WELL SITE ADDRESS ___.!..-.l:!OL.:.....::;.....--.,;....:.=:l:;...l:.=..L!..LJ~_--E..;:kl=,.+--u~_ TOWN ---''---''--L.:.f---''=;.u..--------...... SUBDIVISION

WELL LOG

Not required for driven wells WELL HAS BEEN GROUTED 1-------.:.------------1 (Circle Appropriate BoK)

STATE THE KIND OF FORMATIONS PENETRATED. THEIR TYPE OF GROUTING MATERIAL (CI'rc!e onl!....L---1. COLOR. DEPTH. THICKNESS AND IF WATER BEARING I t---------,--"'"'='==--,--::c=-l CEMENT lelMI BENTONITE C

DESCRIPTION (Use FEET additional .'-Is if _) FROM TO

amr.

.~~Il;; bAdt*.fifM6\if66t'VAHtfRm1ftF()Ft'Y6tJRi1eeofitrMf~:~'"COt"ff(:reOtmTY~~"'"'" ENVIRONMENTAL AGENCY. SUBMIT COPY TO OWNER. RETURN ALL OTHER PARTS TO DEPARTMENT

J .... fIIU••I1I.ILJ$H1111IiLdJIIIIICI_:.OI ]••1,,,,.,,,02&1]6•••••" ~••• R .~"".,~. - - _. ___'" .,"",,"_ ______ ____ _____ . _ _ J'-""- . __ . __ __ - --- .. ___ - - ~ ._.~ _~. ~ ~~ __~--»~ _~-._. ~._--...,.-,~ ~~~ ~- -~_

171:0 I 1 2 3 6


(THIS NUMBER IS TO BE PUNCHED IN COLS. 3-6 ON ALL CARDS)


DATE WELL COMPLETED

1,1101 00 yy n 8 .... 13 15 20



Depth of~1

22 2.~- 26 (TO NEAREST FOOT)

OWNER If..HI -" / r-U'''''''' ~ • /I .. r


COUNTyRoyal Farms Grdwtr NUMBERlnvest.-File


CE - 10 - 0129 28 29 30 31 32 33 34 35 36 37

WELL SITE ADDRBSS __Iut----:n~;..L:....!:__~'·Z;.:::e..~;l...J..:~~.!..I'l3::=L._~lI'u:t..'u!.f1..l..p,,-,~_"r.._nJ.."1~b1_ TOWN MIH7 Yf I£-C-f 7 SUBDIVISION SE~TION LOT

WELL LOG GROUTING RECORD

-~~"!ftj~"-'~M~'~'V~EC10PYAND R-ETAIN FbRVOtJ'RftECORos:'-ArntRN'BouNTvcopYfo COUi~TY '. ~!!:I WUiliii"Kt_.~fu.,iI~I~1'i~'V.~~·~~aji~~~~~~~~!.~J~~~

il~~~M~D8WMN~~P~ER~.O~7~1~~~~~__~~~~__~_______O_R_'_G_'N__ ____-= _

1 2 3 6


(THIS NUMBER IS TO BE PUNCHED IN COlS, 3·6 ON ALL CARDS)




DATE WELL COMPLETED Depth of Well _ DO

ic, flo 22 (TO NEAJ,~n 26 VY 101M

If) e 15

WELL LOG GROUTING RECORD ®' no Not required lor driven wells WELL HAS BEEN GROUTED fNl1--------=-----------_1 (Circle Appropriate Box) ~

STATE THE KIND OF FORMATIONS PENETRATED, THEIR TYPE OF GROUTING MATERIAL (c.'rCIe~COLOR. DEPTH, THICKNESS AND IF WATER BEARING

DESCRIPTION (Use FEET CEMENT IcIMI BENTONITE eye acId~ional 8_ il _I FROM TO 45 46 ~--------------~--~~~~==~NO.OFBAGS NO. OF POUNDS

~rtS5 i r,SO'l 0 J &~ Si It} S'''' ~ I ?,

f.l Sfhu t

~IJ 1S;H- :L- S, Ti~ Sc""~ i H 1,~ f,

9,~ I')74'1. ~,.~ Ttvr ~fo1J IJ- )$' 1/

NUMBER OF UNSUCCESSFUL WELLS :_--"'''''--_

~yesWELL HYDROFRACTURED L!J CIRCLE APPROPRIATE LETTER

GALLONS OF WATER __________

DEPTH OF GA04T SEAL (to nearest I::)

Irom I ft. to d ft. 48 TOP 52 ""54"'---!B!!'!!o""'n""O"'"M""--::58""

enter 0 if from surface

6;~~ CASING RECORD

~ ~JJMinsert

appropriate code P L ~below

E A C H

M IN CASING -n61

x---S I

~---

Nominal diameter Total depth top (main) casing 01 main casing

(ne~h)! (neaslf!l

66 70

OTHER CASING (if used) diameter depth (Ieet)

inch from to L..-___...I" ' ...., __-'

1..--___-'11 • L...'___-'

screen type SCREEN RECORD

or open hole ~ ~ ~

(ap~=~at~ ~ HOLE ~OOIoW) ~ ~

O';;?"'"oC 11 15 17 21

30 32 36


-'-w-t~r-l

CE - 10 0130 26 211 30 31 32 33 34 35 36 37

FROM "PERMIT TO DRILL WELL"

LOT

~ ~ /1011 f Wer/PUMPING TEST A

HOURS PUMPED (nearest hour) ~ 8 9

PUMPING RATE (gal. per min.) • 11 15

METHOD USED TO MEASURE PUMPING RATE L-'_____--1

WATER LEVEL (distance from land surtace)

BEFORE PUMPING It. 17 20

WHEN PUMPING It. 22 25

TYPE OF PUMP USED (lor test)

[!Jair [!J piston [!J turbine ~ cemrilugal rolaly [QJ (describe

other

27 27 below)

jet 00 submersible 27

PUMP INSTALLED e DRILLER INSTALLED PUMP YES NO (CIRCLE) (yES or NO)




PUMP HORSE POWER


37

211

41

43 47

CASING HEIGHT (circle appropriate box[±] above! and enter casing height)

ceD LAND SURFACE

A A WEll WAS ABANDONED AND SEALED hWHEN THIS WEll WAS COMPLETED _ below ' (nearest)C 3 foot)E ELECTRIC LOG OBTAINED R '--38-39- 41 45 -:47::---------::5.,.-1 411 51

P TEST WELL CONVERTED TO PRODUCTION E ".f) 0 .........-------/:---~t.-----...... t--_W=E=LL_________-I ~ SLOT SIZE 1 ~2~3_ LATITUDE 31.. !.1;C!~S-I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED IN () '-/ LONGITUDE 71""""_. Q '2 IJ.f I'_Z-ACCORDANCE WITH COMAR 26.04.04 "WELL CONSTRUCTION" AND DIAMETER (NEAREST .;:) . L z .1 (.0 IN CONFORMANCE WITH ALL CONDITIONS STATED IN THE ABOVE OF SCREEN INCH) CAPTIONED PERMIT, AND THAT THE INFORMATION PRESENTED L.-____-r.-=5::::6~....:-.:;-------:.------...,,~.,..r.:::__----_I(DEFAULT COORD. WGS 84) HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY .' KNOWlEDGE, ro~ .r- 0:3 NOTES:

GRAVEL PACK

Cl11 . 1721 I SEQUENCE NO. STATE OF MARYLAND THIS REPORT MUST BE SUBMITIED WITHIN (MOE USE ONLy) 45 DAYS AFTER WELL IS COMPLETED. WELL COMPLETION REPORT 1 2 3 6

FILL IN THIS FORM COMPLETELY COUNT~oyal Farms Grdwtr(THIS NUMBER IS TO BE PUNCHED IN COLS. 3-6 ON ALL CARDS) PLEASE TYPE NUMBER Invest.-File STICO USE ONLY DATE WELL COMPLETED Depth of Well PERMIT NO. DATE Received Qj

FROM "PERMIT TO DRILL WELL" MM DO yy Jl r, r~ 22 26 CE - 10 - 0140 8 13 (TO NEAREST FOOT) 28 29 30 31 32 33 34 35 36 37

OWNER DC" '1 ctl 'tILl"I'"

___ _

r.\r~~i~"'i!-XtiVotMR!cbFfDS:·A!TtJRN eouNfyc6Wt(fc·ou·~tv· .. ' .. ~-""" NT

.. ~

SEQUENCE NO. (MOE USE ONL V)1111 I

1 2 3 6 (THIS NUMBER IS TO BE PUNCHED IN COlS. 3·6 ON ALL CARDS)

STICO USE ONLY DATE WELL COMPLETED Depth of Well DATE Received

yy101M 00 22 26?:::s-'?f7 'L8 13 15 (TO NEAREST FOOT)


COUNTY Royal Farms Grdwtr NUMBER Invest.-File


CE . 10 . 1036 28 29 30 31 32 33 34 35 36 37

OWNER ________~'~~u~u~~h,~/~~~f~~~~~--~~--~D,~~--------~MI~~~~~~~L~#____________~ WELL SITE ADDRESS __-_"-'#-Tr-\gj,~YJ1V"""","_";,,,,,;; 1t,1iH"·f..... 1A/J.r4,.l"1----"fltIr--=--ir-"_omo TOWN _-,JV,;..;;.....;';.....''''f...c......;"'(;....."",("lit"",........:.;;..........·c_",__slI'-LII--"I-" __ b~=.;;...:r;::...:7"-_____----l

SUBDIVISION V'SECTION

WELL LOG GROUTING RECORD @J~'I no

~Not required for driven wells WELL HAS BEEN GROUTED'1------------------1 (Circle Appropriate Box) sr-ol~~~5E~~~. ~~I~~:~~~~~ i,:E:~Ti~J~~R TYPE OF GROUTING MATERIAL (Circle one

I-OE-SC-RI-PT-ION-(-U-_----,..---:F~E~ET=---~,~=:r:-t~_ CEMENT IcIMI BENTONITE CLA C - 1--:=':"':;:::':"'"."..-1 if water

add~ional ~ if needed) FROM TO bearing 45 46 ~ t-..----:---:::----r-+----1t---:--+=~ NO, OF BAGS • L NO. QEJIODNDS ---=--..:._

arQS? i Pr,;I. 0 I f" 'II~ t--J p ,3

~ r Il 4f> 11f'wrtjt :J vlQrff Uf1( .7 ~~ ;~"t/. t ~ tU~ clQ1UJ;~ 7 JV

~, ~I 'fi~ 10 Ir r {~ T""ij~fa{-f Ir 'Y

n".1 1M" ~rO"'rK J \J 1"1,4ilf ~ I"

;~~x~u1,k t7).( fn 0ifkl Clk~ I f'/1tt11t' ' C() /,~~ rI! )/ J.':(?1iff cla~ I

erd!tfS:;"A 1~ ?:r

f")

~N~U.:.:M:::B:::E~R...:O~F...:U~N:..:S:::U.:C.:C:::ES~S~F...:U.:L...:W:..:E:L:::L~S~y~:s=::::::{Z~;:::-I' 1 f L DEPTH (nearest ft.)? J

WELL HYDROFRACTURED ~ : 8 9 -::1':'"1-L----:l ':'"5 17 21 1--------------ii:::;;;;:...._.t..II(~='__I ~ 2

CIRCLE APPROPRIATE LETTER H '-2""3-2"""'4- '""'26.,..-------:30":"" -:32-----3-6 A A WELL WAS ABANDONED AND SEALED S

WHEN THIS WEll WAS COMPLETED C 3'-:::::_:=- -:-::-___---,.,E ELECTRIC LOG OBTAINED R 36 39 41 45 47 51

P TEST WELL CONVERTED TO PRODUCTION E ~ r") ([) a-.....;W=E=LL________---I ~ SLOT SIZE 1 -LL-8 2 Hr--- 3

I HEREBY CERTIFY THAT THIS WELL HAS BEEN CONSTRUCTED INACCORDANCE WITH COMAR 26.04.04 "WEll CONSTRUCTION" AND DIAMETER (NEAREST IN CONFORMANCE WITH All CONDITIONS STATED IN THE ABOVE OF SCREEN INCH) CAPTIONED PERMIT. AND THAT THE INFORMATION PRESENTED ..._____;56::-::::~:::60;r::_--__:=____I(DEFAULT COORD. WGS 84)HEREIN IS ACCURATE AND COMPLETE TO THE ElEST OF MY

K:~~:~E' IMI~D~SJIC. NO'1l I1 -+DRILLERS ::>lliN.... 1 UHf:. Ji

(MUST MATCH SIGNATURE ON APPLR;ATION)

t1 e J J('" I LlC. NO.1' f- - 0 '..J.. -I- I

SITE SUPERVISOR (sign. of driller or journeyman responsible for sitework il dillerent from permittee)

STATE OF MARYLAND

WELL COMPLETION REPORT

FILL IN THIS FORM COMPLETELY

PLEASE TYPE

GALLONSOFWATER_--'-'...;LL..

DEPTH OF GROUT SEAL (to nearest foot~) from b I II. to 0_ II,

46 TOP 52 5480 56

(enl8r 0 if from surface)

r..1s~ CASING R~ e \J1~~ ULJ ~

M!-IN Nominal diameter Total depth CASING top (main) casing 01 main casing

e~ ''i'fI'" '-Dr:

E ~

~ ~ -

OTHER CASING (il used) diameter depth (feet)

'---I_inch-----','---II_rom--J''---I_to-->'

1...-1_--"I--I---,' 1--1---,'

screen type SCREEN RECORD

or open hole ~ ~

(~:J ~

C I2 I

foot) 50 511--------""JI'r'q-/~-()~L.,..I------I

LATITUDE 31:. 'IL 1~~S LON G ITUD E 7_c-. (J t'1 cJ _'r_f t:

....., .It;,;;?. L .,.,

GRAVEL PACK 1-1TI_rO_;_5"".,;;,....._...,J, tl-,lo_-=0_1_---I, NOTES: IF WELL DRILLED WAS FLOWING WEll __ INSERT F IN BOX 58 68 MOE USE ONLY (NOT TO BE FILLED IN BY DRILLER)

T (E.R.O.S.) W Q

70 72

74 75 76 TELESCOPE LOG

LOT

c 131 flffl [1// W&// 1 2 PUMPING TEST ~L., HOURS PUMPED (nearest hour) __ (

8 9

PUMPING RATE (gal. per min.) --:-:--___ • --:-:11 15

METHOD USED TO MEASURE PUMPING RATE II...-_____...J'

WATER LEVEL (dislance from land sunace)

BEFORE PUMPING ft.

17

WHEN PUMPING -=-__--:::-;- ft. 22 25

TYPE OF PUMP USED (for test)

~ air ~ piston ~ turbine

~ centrifugal [H] rotary [QJ other (describe

27 below)27 27 mjet [!] submersible 27 27

PUMP INSTALLED YES GDRILLER INSTALLED PUMP

(CIRCLE) (yES or NO)

IF DRILLER INSTALLS PUMP, THIS SECTION

MUST BE COMPLETED FOR ALL WELLS.

TYPE OF PUMP INSTALLED

PLACE (A,C.J,P,R,S,T,O)

IN BOX 29.

CAPACITY: GALLONS PER MINUTE (10 nearest gallon) 31 35

PUMP HORSE POWER 37

PUMP COLUMN LENGTH

(nearest ft.)

43 47

CASING HEIGHT (circle appropriate boxi aboveI and enter casing height) LAND SURFACE U

below V (nearest)

l' INDICATOR OTHER DATA

MDElWMAlPER.071 ORIGINAL

I CASING

http:26.04.04

October 2011 - RF-96 - Well Completion Reports.pdfGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction DetailsGeologic LogDrilling Method HSABoring Diameter (inches) 6.25”DescriptionDepth from SurfaceWater Level of Completed WellWell Construction Details

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