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STATE OF ARKANSAS
REPORT ON WATER WELL CONSTRUCTION & PUMP INSTALLATION
A 1. Contractor Name & Number: 1077ARNOLD WELL DRILLING & PUMP SE
2. Driller Name & Number: 2819JOSHUA ARNOLD
3. Pump Installer Name & Number: 0LANDOWNER
4. Date Well Completed: 02/15/2013         New Well
5. COUNTY :   NEWTON ( 101 ) 6 FRACTION ¼ of ¼
7 SECTION: 		8 TOWNSHIP
9 RANGE
11. LONGITUDE 93-04-39           12. LATITUDE 35-55-45
B
DESCRIPTION
OF FORMATION 		DEPTHS IN FEETWATER BEARING IF YES..
DEPTH
FROMTO
RED CLAY 0 54 Yes 145
GRAY LIMESTONE 54 310 Yes 265
WHITE LIMESTONE 310 320 Yes 285
GRAY LIMESTONE 320 325 No 0
2. TOTAL DEPTH OF WELL   325
3. STATIC WATER LEVEL   138 Ft. below land surface
4. YIELD   30 gallons per MIN
5. DIAMETER OF BORE HOLE  6 IN
C      PUMP REPORT
1 TYPE PUMP    
2 SETTING DEPTH 0 FEET
3 BRAND NAME AND SERIAL NUMBERS:
4 RATED CAPACITY 0 gallons per minute
5 TYPE LUBRICATION
6 DROP PIPE OR COLUMN PIPE SIZE
7 WIRE SIZE
8 PRESSURE TANK:
SIZE: MAKE: MODEL:
9 DATE OF INSTALLATION OR REPAIR 12/1999/2031
10 Is there an abandoned water well on the property?
D
1 LAND OWNER OR OTHER CONTACT PERSON
NAME JASON HENSON
STREET ADDRESS HC 72, BOX 10
                    CITY MT. JUDEA, AR 72655
CASING   FROM 0 TO 0 W/ 0 Inner Diameter
CASING   FROM 0 TO 74 W/ 6.25 Inner Diameter
TYPE CASING    STEEL
3. SCREEN
TYPE: DIA SLOT/GA
SET FROM FTTO FT
TYPE: DIA SLOT/GA
SET FROM FTTO FT
4. GRAVEL PACK   FROM:  FT TO:  FT
5. BACK FILLED WITH: CUTTINGS
FROM:  0 FT TO:  69 FT
6. SEALED WITH: BENTONITE
FROM:  0 FT TO:  0 FT
FROM:  69 FT TO:  74 FT
7. DISINFECTED WITH: CHLORINE
8. USE OF WELL:
COMMERCIAL
OTHER
    A/C HEATPUMP TYPE WELLS
(For A/C only)Will system also be used for purposes other than Heating and Air Conditioning?
    If yes, name use:
(For A/C open-loop only) Into what medium is water returned?
11. REMARKS
LONG:093 04 396, LAT: 35 55 452
12. SIGNEDDATE