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Page 1: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

SDMS US EPA REGION V -1

SOME IMAGES WITHIN THISDOCUMENT MAY BE ILLEGIBLE

DUE TO BAD SOURCEDOCUMENTS.

Page 2: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

fishbeck, thompson, carr & huber, inc. 013

Transmitlal

Ms. Karen CibulskisRemedial Project ManagerU.S. EPA Region 511 West Jackson BoulevardChicago, IL 60604-3590

Re: Etectro-Voice Site

D For ReviewFor Your UseAs Requested

June 28, 1999Project No. F93307S

Sent By: James A. Susan, P.E./tc

Copies Date Description

1 MDEQ Well Logs and Site Maps

By Federal Express

J:\DOC93\C93307S\TRJAS-CIBULSl.JAS.WPD

e n g i n e e r s

s c i e n t i s t s

a r c h i t e c t s

frohP.O. Box211

6090 East Fulton

Ada, Ml 49301

ph: 616.676.3824

fax: 616.676.8173

www.f tch.com

Page 3: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590
Page 4: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

•~r«sfi W^-,_ r-V i? 'r -g^-'••••• r\.^, -°T:.i\. VV/-

^^^&S5^e' _. —^-i .*• "i -i _•-. X -±^*l .,-

7l^^^m

imm

\s^

Page 5: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

>* *rfc.#™»^r^w^•-1-' vi_-

^6-71 )/fol°j^if^..^

^Q-i-rw•^isrT^rK* /ra•*• • -*Ki .i Li * (I-^K.*_-*. -. c -i.rsM*T3t^;r> C^-ifciT^J^-J^r r.-J'-* ~ *• z? /-N.

^^^//^^^^&&^!^« ^ ->S^^>5!/^^0^ ^

P\ ' cO^x n i\ o I-^f' 55

/ / f-1 ; f.— >y^fa

v^T* /"WA_- ^" ' fpa,-—- • :r . *• . ! / -7 /:r VS' sJZ+r*.?!' .;^i^fe^^t-j^na /

Page 6: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

06/25/99 MON 09:26 FAI B16 678

f) ''pl7/v' ' (

L\ 'VN '-' I*EfD I. -*1 wo*

/ ^ •™°

> JNT-J J^-:

^ef5 ^ (f/^;^^s i«i- JNt^w^i . L-^ \\M\W~

' i r N ; -v /r, ."-v-..*s ; r ( -••>•••.««i'.. uX . %^

A^ / /^ , «-N>. •>>_;"« piJaEaa; _ _ CT^T

^^^f C" %^^.Wtfc^

•jv -j .jj**1"11! i y r A ^~^ -rp^^^

Page 7: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

BERRIEN COUNTY

Page 8: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORD MICHIGAN DEPARTMENT

ll LOCATION OF WELL | PUBLIC HEALTH'County Township Name

Barrlan BnchaaanFraction Section Number Town Number•K SW SI „ 7% % >/4 « / mi/s.

Distance And Direciion trom Road Intersections. — . — .Milac-BuchanaB load aaac ioz Buchanaa Co 3rdroad to left. Laat Bouaa on rodd. laft Hand•Ida

Street aJdress & City of Well LocationLocau with X in sect on below Sketch Mao: 3tta t'fi

1 1

1W | E

_ _ _ _ _ _ T _ _ _ _ _ _ _ , t M l .

1 1 1 » J

| ———— , M*L t ————— .

2 FORMATION

Rod Clay

Craval

Blva Clay

Sand (Scraanad)

• c e n i f i nr)U | i

Jl vWN 2 9 1998 i i

tnU -ouriir.f u > J

ftt>U£n (wcr, RY DRIUFH. ITEM NO.

«;:imT1f1N BY:

^<|

^ ^<b , J

.«.THICKNESS

OFSTRATUM

IS

18

54

6

16 Remarks, elevation, source of data, etc.Source of data: Vail, Eobart Vlllard

puvp: Robart Wlllard

""^TffJrS,

«.v*.

DEPTH TOBOTTOM Of

STRATUM

18

36

90

Range Number

18 x w.OWNER OF WELL: JtTTJ ScrOggljl*

233 Morth HaadamrlavAddress _ . _, . . ,Buchaaan, Michigan

WELL DEPTH: (completed) Date of Completion

96 „. Vm»»ar 4, 1969LJ Cable tool LJ "otary [_l Driven [_J Duo

LJ Hollow rod W\ jetted 1 1 Bored PI

USE. |CJ Domestic [_J publ c Supply j _ ) Industry

[ J Irrigation | j Air Conditioning [j Commercial

QTest Well Q

7CASING: ThreadedQ Weldedn ' He.ghti Above^OOOtD i am. j •«

1 Surface » fl.4 4O ' 11,7 , '" to « (t. n.Pih | Weiaht ** )b*./ft.

i ^^ ^^in. to ft. Depth j Drive Shoe? Yes |K] No [~~|

8 SCREEN:

Tvn.. Rod Bran D,a.- 3 3/4Slat/dOX 10 i ennih 6*

Set between '" ft. and ** ft.

F i It i fiQS • ^Stralmar flttlmga9 STATIC WATER LEVEL

63 ft. below land surfaceC) PUMPING LEVEL below land surface

ft. after hrs. oumoina

Plunger*aaCaa ft. after * hrs. oumoinp OW

O.D.m.

o.o.m.

1 1 WATER QUALITY in Parts Per Million:

Iron (Pel Chlorides ICII

Hardness Other

1 2 WELL HEAD COMPLETION: Q ,„ Approved P t

Q Pitless Adapter *£3ri2" Above Grade1d Well Grouted? LJY«8 {]•] No

ll Neat Cement |l Bentonue f~]

Depth: From It. in ft.14 Nearest Source of oo««ibfe contamination Mg

feel Direction•known

Type

Well disinfected upon completion f^JYes |~) No

15 PUMP: Q Not installed

Unn.lfnrturi»r<E Nnm« Flint & Vailing

Unrt.l W.-r^.r^^f-JlW HP 1 VoltS 39O

1 enflih of Droo Pine /4 ft. caoacilv 20C

Type: JT| Submersible

[ | jet j | Reciprocating

>.P.M.

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueIP the best of my knowledge and belief.

B. J. Lavla fc Son. 0088fiEG STEREO BUSINESS NAME REGISTRATION NO.

A .:;,„,, M-60 Ka«t. CaaaopolU, Michigan

Signed (j\- y&*MAh-~+ Oate i 1-10-69,R.v. >2-68l

NDV i -1 ;96GEOLOGICAL SURVEY COPY 3

Page 9: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

JUH141977WATER WELL RECORD

ACT 294 PA 1965

1 LOCATION OF WELL

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHFr.ii; lion Sec t i on Number To^n Numboi R.inge Number

,1,-ini t: And Ouejy on f rom Ro.nd Iniwrsecl ions f\

irxcl-^-^- A-^ 1 J& J1'*^ cr">i r^- CT /V '/*.**. ifyi, ii! rSliaet Jddr.-is & C i t y of Well Location Kot '

LQ. .itc *tth X in section below Sketch Map:

1 1_ _ _ _ _ _ ! _ _J_ _

1 '

1 11 1T1 11 1

TI

2 FORMATION

r\i U ^>v 0/-./VTjr-v, — •31^

r/^ v "^?/'i<^r-, >^A; f,rt^ tO.«

• <| r^ ^A/^X L.cljCr- r^ ^-V_ k)./3

• — •

^•

,« 2

THICKNESSOF

STRATUM

3(v

/<zj/+;^/

LP*

16 Remarks, elevation, source oLdata, etc.ADDED INFO ft DRtUft. IW "»fc

ELEVATKMDEPTH TO *V«,

DE»TM TOBOTTOM OF

STRATUM

„•?/£

•ry9<^<

J /cX

3 OWNER OF WELL: ^T rt

Address g — ^S*~i /^ /

• WELL D~EPTH: icompl^fedl* frate'ol Completion '

-1 SlCable tool \ \ Rotary \_\ Driven [_J Dug

1 1 Hollow rod \\ jetted [ ] Bored [ 1

) USE: [\JDomesnc LJ Public Supply [~] industrv

LJ Ir r igat ion [_j Air Condition ing Q Commeicial

["JTest Wel t ( |

7 CASING: Threaded StweldedQ Height: ""-••~y°jg"—Diam. f^>

Surface V ____ ft.

in. to ft. Depth Drive Shoe? YesR^NO [j

8 SCREEN:

— T L. ^f ^*Tvn"' Hnilnn /I ^^ /^ Dia.: f

Set between / J ft. and / /lj ft.

Fittings: ^^ A^r^i f< K */ V

9 STATIC WATER LEVEL

•^ 7S^ tt. be ow land surface

10 PUMPING LEVEL belowjand surface

/>r <?" iK -<~/7f ^J, {i f'- after y^hrs. pumomn ^ f / o.D.m.

ft. after hrs. oumoin^ o.o.m.

l1 WATER QUALITY n P»rts Per Million:

iron IFel A j LA Chlorides iril

ff *Hardness / Other

12 WELL HEAD COMPLETION: Q ,n ApDroved Pll

^'Puless Adapter (5fcj 2" Above Grade13 Well Grouted? LJ Yes l JJo

1 1 Neat Cement f~| Bent on. le [~1

Depth: From ft. 10 ft.14 Neatest Source of bpssible contamination

•^~ifT/f««i Xf Ditaction **^— fff> 1 t I* " Tvoe

Well disinfected noon comoletion "Q^es \~\ No

15pu"p- n Not installed

Usn-fart.,,*,^ N,™ (^ -f ^-^

Model Number J&4&J^^ HP / Volts _^? -5 Cx<s^/ ;crI englh of Droo Pine f*-f\\. caDacitv / *y G.P.M.

( | jet | | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well vitas drilled under rny jurisdiction and this report is trueUB ihe bestj of QIV knowledge and-bJW/€Ty * y? _> *-—

" REGISTERED BUSINESS H*M£ 1 REGISTRATION HO?

Aad,esS r*^^,^X^Xd,^,,i,rt.///; W/£/S.gned

DA7d 100M |Hev. 1 2-6S)

GEOLOGICAL SURVEY COPY

Page 10: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965 '

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL ' ^ PUbL.C HEALTH

County Twp. / -ruction Section No. . Town Range

i f//.l 1 lC~i, t ! j f 1 , ^^ 1% ™^ ^0 / (O' j'/(/(A/1 tvC~ *J v\J Jt O& •^ t ^f/S. / tf f./^.,

tone* And Direction from Rood Intersection* i ————————————— 'fcv^_ ——— i

.00' E/vST^C-filoeia IRO. I°WN"NO. —————

Street oddreu & City of Well Location

2 FORMATION

UMKNdiJfxJG-RMETL. - 6-teAYCU_/ry_ frpAV

<;frflQ ^ GeAtftL-T/W/i

N( x-M

^-t*3>Yi x~

v. r ^ /

v/ '

- /

/

16 Remark*, elevation, source of data, etc.

4I)D£D iNFO. BY DRiLilR. ITEM NO.

^CORRECTED BYi

••ADDITION SYr 1

THICKNESSOF

STRATUM

J%

/vb

z;/

i

DEPTH TOOTTOM OFSTRATUM

]%

33-5 r~35^£>

• ) '

3 OWNER OF WELL : f-f 1j ^ H D0^^6 R 1 OR/C

Addreii l\l\'*fc ' , L> U f^ O6J

4 WELL DEPTH: (completed) Dote of Completion Q

5 LJ Cable tool Ll Rotary Q Driven d Dug

D Hollow rod J?[ Jetted D Bored D ___

6 USEjS Domeitic Lj Public Supply CD lndu»try

1 — ! Irrigation 1 — 1 Air Conditioning i _ 1 Commercial

FIT.,,*.,, n7 n-am ' Threaded £& Welded Q | Height; Abovc/BeUn

•O ' /J"J 1 /•CL in. to 7^^ ft. Death i surface f ft.

'Weight _______ Ibs/ft.

8 SCREEN: . it (f

**-/G«.,. ^?O ,„„* ^'/It'

<;.. k.t—— .„ / ^_ (t anJ f''0 ft

2.— i " ^* " CxJ tj i°t- l^Qf ~~~Fitting.; 1 - /VW V P-O '' ££^£

9 STATICJ^ATER LEVEL — -| ^-J -ft. below land curface

10 PUMPING LEVEL below land lurfoce ,

IVVATER QUALITY in Parts Per Million:

i™ (F.) rv,i™,;j-. frn

12 WELL HEAD COMPLETION: D In Approved Pit

Q Pitlesi Adapter IjcK '2" Above Grade

l^ GROUTING: \r*SW.It Grouted? D Ye^K^No '

Depth; From ____ Jt, to____ft. S

14 SANITARY: lj Jf lNSf>«fULEb VtT"Nearest Source of possible c on taaS nation

'•' -1

Well disinfected upon completion pfl Yei LJ No

15 PUMP: -JO &E- a W S T/tLL. 6.O

U«.UI N,,n,h.r HP

1 «ngth ol Drop Pip* ft i-npnr-ity (^ P U

1 — 1 Jet 1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well wa* drilled under my-juri«d.ction and this report ii trueto the but of my knowledge and belief. ^_

YJ K 1 IJ" 1 1 1 >A^ ' * * _ »—n 1 1 L.L, 1 iVCT* ( > /. J f

Addrei iJAAiJi. h^A^C/^ L. 6u^ /2,.f^S-gn.dJ_, ——————————— , ———— _g ————————— -- ————— -„ ——— , ———— „

r^fV

D670

GEOLOGICAL SURVEY COPYr_

Page 11: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCAT.ONOFWELL ] PUBLIC HhALlH

County Twp.

B*rrlen Buchamnfraction ""'K-- Section No. Town Rang*

fc $£.K%£ K 45" T7 ;//*. AYf*/w.

DWNFR N«

^0. Side Nil«s-Buchariau Rd.,^ east or Bucbanan City LimitsStreet addrei* £ City of Wel l Loeotion

2 FORMATION

Top soil

Dirty sand

GOBI rae a and andboulders

Water sand

-

r

0>0£D INFO. BY DRlLLEJx. OtM. mi*

CORRECTED By:

EDITION BY, ly^Er

THICKNESSOF

STRATUM

3

1526

16

DEPTH TOBOTTOM OF

STRATUM

3

16

10i

60

3 OWNER OF WELL:

Burdette KingAddr... 131 5 Hiles-Buchanan ^

Buchanan, Michigan U91074 WELL DEPTH, (completed) Dote of Completion

60 (t. 9-7-6?5 Q Coble tool Q Rotory Q Driven d Dug

_ 63 Hollow rod D Jetted Q Bored D __

6 USEjE Domeitic D Public Supply C Induitry

1 _ 1 Irrigotion | _ 1 Air Conditioning 1 _ 1 Commercial

n T*,t wnM n7 CASING: Thr8oda(JE Welded D Ineight: Above/Below

n / _ ,U in. to OOft. Deoth {.urface 0/&O ft.

'Weight H Ib./tt.

——— in. to ——— It. Depth thrive Shoe? YetQNoQ

8 SCREEN:

Trr». <|LRR Din - 1|*

<;i«,/r,n.,,. 1.Q i -nfl.t, c;«

<;.t t.tw..n 55 ** and "O ft.

Fitti-'s Std.9 STATIC W A T E R LEVEL

» f ft. below land turfgce

iO PUMPING LEVEL bolow land surface

11 W A T E R QUALITY in Part* Per Million:

i™- (F.) rkuru.. rrn

12 WELL HEAD COMPLETION. Q In Approved Pit

D Pities* Adapter D 12" Above Grade

13 GROUTING:

Well Grouted? Q Ye> D No

MfT'i-l- ("I NTH* <~—— ~* Ft

Depth: From _____ h. to ____ (t.

14 SANITARY:

Nearest Source of po**ible contamination

f£ i..t H nir.,.,™ 3,1^ Trr-Well diiinfected upon completion lj| Yei 1 _ 1 No

15 PUMP:

Unnufni-tiirar*. Nnm.J^A f

u^.tN,™k.f ftvinp^iny HP 3/ljLength o( Drop Pipe_52__H. copoei ty..,2 Q_G .P.M.

LJ Jet D Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION;Thit well wo i drilled under my jurisdiction and thii report ii trueto the b«tt of my knowledge and b»li«f.

Addrcci

V C C I S T t N C D •UWHE5S MijT " ITtl Tll A Tl OH HO.

919 Hicfaiggi, Nllofl, .Slchigan ———///<*-- &«^^^ n... 12-2-67»UTHO</itD B t P«tstHT*T1VC

100M 6-66

Dtt GEOLOGICAL SURVEY COPY

Page 12: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

A U G 2 0 1930! 1 '<% i

WATER WELL RECORD MICHIGAN DEPART!

h LOCATION OF WELL

^^H_«i

1 PUBLIC HEALTH ^J>Township Name

BnehananFraction Section Number Town Number Range Nurr^er

SW% SW%SE % 2S 7 */S. 18 */w.D stance Ar.d Direction from Road Intersections

off of liHes/Bttchanan Rd. froa NHftsi go toend of Brookside on voodad side infronfc of house

Street address & C ity of Well LocationLocate with X in section below Sketch Map: \ /

I i1 1 *

\ 1 /

——— **^— 1

T'u a1/

2 FORMATION

anrfi,

R^ n»^ * a«,™n

K) T» *» m yy fc T?i TI

fieri m.ay fr fi-rfn

Til ttA m a^r

ml

^s

/'

THICKNtSSOF

STRATUM

1t

3?1

-fl,t

171

11'x'

16 Remarks, elevation, Source of data. etc.

Source of data, Veil; Robert E&ckel

lv*6rtf(**!f ff\)Aw

DEPTH TO•OTTOM OF

STRATUM

1f

Vit

oni

1071

100?

OWNER OF WELL:

D & R ConstructionAddress ^ ^3, j^

NU.es, MI 1#1204 WELL DEPTH: (completed) Date of Completion

120 H. Jnly 17, 79[J Cable tool |_J Rotary \\ Driven I I Dug

EJ Hoi low rod |vj Jetted Q Bored I I

' IJSE; S Domestic LJ Public Supply i I Industry

I 1 Irrigation LJ Air ConditioninQ [ | Commercial

QTestWell Q

7CAS1NG: ThreadedS3 WeldedD i Heioht: Above/aalfl"Diam. V* \ _

.Surface 2 *»•

Jt in. to W-Ji'*' Depth 1 Weight 1^ )b«./ft-in. to ft. Depth i Qriv« Sho*7 YB* E^ No f~|

8 SCREEN:

*i~,/rtg..,lf 10 1 annth O*

Set between «li| ft. and 1 tU ft.

in'n°SSTREQfflR FITTINGS9CTATIC WATER LEVEL

nO ft. below l»nd surface0 PUMPING LEVEL below land surface

ft. after hrs. pumoina a. p.m.

plnnp r t4flt4Qft. after • hrs. Dumeina tX^ p.D.m.

11 WATER QUALITY in Parts Per Million:

Iron (Pel Chlorides 1CI)

Mardnes* Olhnr

12 WELL HEAD COMPLETION: Q ln Approved P.t

[ j Pitless Adapter i 1 12" Above Grade1J Wel 1 Grouted? { \ Yea J-d No

I I Ne»t Cement L! Bentonite \\

Depth: From ft. to ft.

14 Nearest Source of potsible contamination ._ _. _ __ _

<50> feet Direction flffltflfi Type

Well di»infficted upon completion f5fl Y«» PI No16::i,..,.,.™ Rnmfai A&Model Number HP Volis ^^

1 (tnglh of Driyi Pipe ft. caoaeitv C,.P.lJS3U

Type: [ ] Submersible ^ J?"l

1 | jet j 1 Reciprocating V: -=^\

^^X17 WATER WELL CONTRACTOR'S CERTIFICATION: ^ V •';

This well was drilled under my jurisdiction and,thts report is true >Wto the best of my knowledge and belief. ' i ^,-~'

B J Tfflwln fr Po»nn Of*8REGISTERED BUSINESS NAME / REGISTRATIOK HO.

L«n,^ 5-1RPR Wta E.. nan«a^1^s. MT IfOS l

S iQned j•&;<&.& &*%! ^^'^/-^

\

T

-GEOLOGICAL SURVEY COPY

Page 13: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

JAN 1 3 1978 WATER WELL RECORDACT 294 PA 1965

LOCATION OF WELL

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH1 County

j cf\ ft / £? /\/Township Nnrrie Fraction Section Number Town Number Range Number

distance And Direction from RoaO Inlersecltons

Street address & City of Well LocationLocale with X in section below Sketch Map:

1 '1

1

11

II ——————— , M,SLE ————————

T

2 - FORMATION

^/? A V £/ .

~{?l*Ay ys ^-/5>AV*±^^ AVfl>

^*

^--r^x\v^•. \^'t.J ^

''. *~ ~

USE A 2MD

\ ^-;^*SHEET IF HCCDtb * -*"" .1**^*^

THICICHES3OF

STRATUM

--/-y ,

{<

to/y

<£\V ^\)

.--\

''^

16 Remarks, elevation, source of data, etc.

A^CED INFO BY DRILLER, ITEM HO.

- 'ADDITION BY f&y^ELEVATION /DEPTH TQ ROCK/

DEPTH TOBOTTOM OF

STRATUM

J & '

24'£</'

v-'••-

,.-'•

OWNER OF WELL: fa , -y- yL-T sT> fi 0 D ,£" '>?

J3 L/ ff /T* <A A/ A /v s^i y^/y / ^P"WELL DEPTH: (completed) Date of Completion

( 1 Cable tool Q] Rotary |_J Driven [j Dug

1 i Hollow rod ^j jetted 1 ] Bored | _ |

J USE:^] Domestic Q Public Supply [j Industry

Lj Irr i f jal ion [J Air Conditionmo \_\ Commeicial

QTest Well Q

7 CASING: Threaded^] We'ded O Height: Above/ B*i»wDiam. .

Surface / ft.

^ in. to *^Jr_*t- Depth Weighi^2^7bsy-ft.

in. to ft. Depth Drive Shoe? YesPl No f"lo >

8 SCREEN:J ' '

Aj A s ' jf * f v <**" C/ ' 'Slnl /f~- -'lift f " 1 enath £>0 A ~s f

Sei between w? JX' ft. and fe / ft. ,

9 STATIC WAT^R L^VEL '

s_J EX ft. below land surface

10 PUMPING LEVEL below land Surface

ft. after hrs. Dumping /lfr~ O.P.m.

ft. after hrs. Dumoina a.D.m.

1 WATER QUALITY m Patts Per Million:

Iron Ifel CSIondes ICU

Hardness Other

12 WELL HEAD COMPLETION; Q ln Aporoved Pit

SH Pitless Adaptftr R1 12" Above Grade

'3 well Grouted7£]ves Q No

[ 1 Neat Cement fl Bentonite M

Depth: From ft. to ft.

14 Nearest Source of possible contamination

. S «J feet.*"' IA/ Direction ^ J <&"£* ^^Y f^ Tvoe

Well disinfscted upon completion I I Yes (~~) No

PUMP: f] Not installed

l^ani,farliirm'>i *lxmnfftfff / fj A U J&/Y

Model Number7JA^'_ HP' T' Volts •'/-^1 nnolh nf Droo P,r.B JP ft. CBDBci<V I* T.-P.M.

Type: \ | Submftrsible

1/1 jet [ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled und«r my jurisdiction and this report is Hueto the best of my knowledge and belief.

R E G I S T E R E D BUSINESS NAME ^ R E G I S T R * T t O N NO.

Address^* ,2 &Q )( ^*S~/}&{?/~Js4'VAfi' S&1 / £ f~7i

Signed ^T, /z^^,^ 0>,.?-J!-/??7100M (Re.. .2-68,

A U T H O R I Z E D R E P R E S I V E

GEOLOGICAL SURVEY COPY

Page 14: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

MAR 3 1 1977.WATER WELL RECORD

PA 1965MICHIGAN DEPARTMENT

1 LOCATION OF WELL | PUBLIC HEALTH[County Township Name

Sfflft /V/x Bisctf A/vj/yFraction Section Number Town Numbei Range Number

ff IJ. f) Sir /) / r £ r\ ' '// fff CX r r rf * ' ' / xi XI XStreet address & Ci ty of Well Location ,/ & C/

Locate with11

1w _ _ _ ! _ _ _ „ .

1i

| ————————— 1 M,*

2

X. in section below Sketch Mao:11

_ _ , _ _ . Y: 'l

FORMATION

Jfy?j t/ £/,

J?/,£>£ (3 2. AV/

^/3 /y DgLlsi

-<<//} A

r eiAy ¥ ^S^/VD/

AOOtO IHfO BY DWUfcH, lit* M0»

•CORRECTED BY tftWW••MHHTWK BY . jElEVATWNDEPTH TO ROCK ^

16 Remarks,

THICKNESSOF

STRATUM

syij#'o"J"/3

' v J * a S''1 '' — r

Berrlen Coin!/ h.j,^ iepd.-^ertt

DEPTH TOBOTTOM OF

STRATUM

>T#"

??'

97';oo'//J'

OWNER OF WELL: -7 S\ A/\ C~ C~ / /I A/ & t /i — \/ /T/f I CT O ^0 CJ / f /} V

* <~j n jO / ix f~ f~> C^^y*/! /v' >^" \ / A/AdafeffS // / y £? f\ ^^ / / Is f\ £^—> / i» /Yr

TWELL DEPTH: (completed) Date of Completion

' [| Cable tool Qj Rotary Q Driven Q Dug

1 t HoMow rod .«1 Jetted 1 i Bored i !

' u^E:Jy Domestic 1 1 Publ c Supply CD Industry

[ _ | Irrigation [ _ j Air Condiiioning j _ j Commercial

| [Test Well Q

'CASING: Th.eadedyE Welded Q Height: Above, 'Sit...Diam. |

. . i Surface / ft.

7 in. to /W-J fl. Depth i Weioht lbs./ft.

___ in. to ___ ft. Deoth \ Drive Shoe? Yevi^No [~~j .

J SCREEN: tT^/V/V -T"^xK sS / 3

Tvoe' O //T/t/fr Cf\ Dia.: r

Slol/OBUi1*' X £X | Bnoth ^J

Set between /g.x^ ft. and *.'^^ ft.

'- /• ^/^ Z? /y^^/^^/f S~ ^? ;&£&<?'} STATIC WATER LEVEL

_J t» ft. below land surface

0 PUMPING LEVEL below land surface

fl. after hrs. Durnoino. / a a. p.m.

ft. after hrs. oumoing o.D.m.

'1 1 WATER QUALITY in Parts Per Million;

Iron (Fe) Chlorides (CD

Hardness Cither

12 WELL HEAD COMPLETION: Q ,„ Approved P,t

OT Pitless Adapter JtH 12" Above Grade1 J Wel I Grouted? | _ ] Yes jf J No

( I Neat Cement \ \ Bemonite \ \

Depth; From ft. to ft.

14 Nearest Source of possible contamination

»y.5> feer-Sx^^XlsSytH root ion O ^&S / L~ Type

Well disinfected upon completion f"! Yes Kl No

15 PUMP: fj Notinstalled

Uanufar-tiirnr's WamB/T^^'/T'

Model Number /£ffl&S~/ HP^ Volts ^--^O

Lenath of Droo Pioe XP ft. capacity -f-£~G.P.U.

Type; Jjf] Submersible

j I jet | | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my [urisdict on and this report is trueto the best of my knowledge and belief. , r^ S

REGISTERED BUSINESS NAME (TE6I STRATIOM NO.

Address'7 2 JJ$/(-5 *-) &&CJ '7^7 ST T Sf /f) / C* /7s

Signed ,=^ ^z^u&er o,,. //- x^-x/^-10 .1 To.... n.ca. ——— ——————— - ———— I * U T M O R I Z E O REPRESENTATIVE

GEOLOGICAL SURVEY COPY

Page 15: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE

FEE 2 C 1978r LC|C~ouMt

WATER WELL RECORDACT 394 PA 196S

LOCATION OF WELL

Barrlen

MICHIGAN DEPARTMENTOf

PUBLIC HEALTHTownship Name

Bochaiunn^^

And Direction f rom Road ntersectians , . _ . _Oft lilies ittchanan &d. «**C sida of city 3blocks frost city linits.

Street address & City o> Well LocationLocale wi th "X," m section belov Sketch Map:

——,————i————,——I I I

| _ _ _ l _ J_ _ ' _ _ .

, i

K

±

FORMATIONTHICKNESS

OFSTRATUM

DCPTH TOBOTTOM OF

STRATUM

Section Number

25Town Number Range Number

18 fOWNER OF WELL:

MichaelQ03 Htadoinrlay Sr7

Buchanaa, HtchTWELL DEPTH: (completed) Date of Comolet on

126 Jan. 4,1978Q Cable tool

LJ Hollow rod

Rotary

Jetted

O Driven QD Dug

[~] Bored LJUSE: iJDomeslic Q Public Supply EH industry

|_[ Irrigation |_| Air Condinoning |_| Cornmerci al

I iTesi Well i I

7 CASING: Threaded^] WeidedQ Height: AboveJDOOCDiam. 1 -

Depth j Weight 11 Ibs./ft.

ft. Depth [Dr ive Shoe? YesflNo [~"|

4 __ in. to

in. to

Surface

Ead clay amd raval 74 75

8 SCREEN:

Type:__

Slot/Mill; .

Set between

braca Dia. 1 3/410 i ena,h

**•

Blua clay 12L _100L •traiaar fittina*

Bloa cla aad sand 18 1189 STATIC WATER LEVEL

65 ft. below land surface

0 PUMPING LEVEL below land surface

Gr*T*l 126teatad

ft. after^__ hrs. pumomg fifl____ fl.p.m.

1 1 WATER QUALITY in Parts pet Million:

Iron IFel Chlorides ICl)

Hardness Other

12 WEIL HEAD COMPLETION: Q |n ADpfoved Pa

t] Pitless Adapter [ | 12" Above Grade1 3 Well Grouted? |_(yes y NO

|_J Nflat Cement LJ Bentonito O

Depth; ftont________ft. to____

14 Nearest Source of possible contamination » fc«<M|fn

feet ______Direction ____________________Type

Well disinfected upon completion j~] Yes Q No___________15p^MP:

NOI installed

ADDED INFO BV

-CORRECTED BY

11LU NU,

• •ADDITION BYELEVATION

Manufacturer's Naroe __

Model Numbft,011907301^H(3/4 voits _f - Vl^^..M... _. _.„„ , .,— _____ft. caoacitgj<t»fV n.P.M.

DEPTH TO ROCK

Submersible

Q] jet j 1 Reciprocating

16 Remarks, elevation, source of data. etc.

Source of data: B*bert Bkcka-1/ l

17 WATER W*LL CONTRACTOR'S CERTIFICATION:. ^ This rW£tl Jas drilled under my jurisdiction and this report s true

to the &esty>f my knowledge and belief.B.jJ Levis & Sons 0088

RtCISTRATION NO.

Address M-frO last Cas«o»ojts. Mleh.

100M |Rev. 12-681

Signed _____________^*" VClTMORl IED RE"PRESErfr<TlvT"

GEOLOGICAL SURVEY COPY

Page 16: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Geological Survey No.

Location of Hellbounty

BERRIEN

MICHIGAN WATER WELL AND PUI1P RECORD Periit No.

listance and Direction From Road Intersection

4770 UOODSIDE DRBUCHANANtreet Address and City of Uell Location

Township NaieBUCHANAN

[Fraction! 1/4 1/4 1/4

ISection Nuiber ITovn Number iRange Number! 25 1 7-S N/S ! 18-y E/u

3 Owner of Uell TERRY LOVELADY

Address 4770 UOODSIDE ORBUCHANAN HI 49107-

Address Same as Uell Location? Yes

Sketch Hap 4 Uell Depth (Completed)113 ft.

! Date of Completion 06/16/94! RiplictMnt Utll

5 Drilling Method HUD ROTARY

6 Proposed Use DOMESTIC

FORMATION DESCRIPTION

ELLOUCLAYCOARSE 6ANO NIXED WITH GRAVEL6REY CLAYWATER SAND CORS

'hie It nessof"

Stratui0831015

Depth toBottom ofStratui59090115

7 Casing PLASTIC .' Height Abort! in. to 110 ft. depth! Surface

in. to ft. depth! Ueightfirouted Drill Hole Diameter !El in. to 90 ft. depth! Drive Shoe No

in. to ft. depth!

ft.Ibs./ft.

8 ScreenType PLASTICSlot/Gauze 15Set Between 110Fittings

Diameter 5Length 5

ft. and 115 ft.0.00 Blank ft. above screen

9 Static Water Level 63 ft. Below Land Surface Flow

10 Puiping Level Below Land Surfaceft. after hrs. pumping at 6.P.M.ft. after hrs. pulping at 6.P.H.

11 Uell Head Completion PITLESS ADAPTER

12 Uell Grouted Yet Frot 0 to 90 ft.BENSCALNo. of bags of cnent 3 Additives NONE

Nearest Source of Possible ContaminationType CITY SEU 'NA1 Distance 20 Direction EUell disinfected upon completion? YMUas old well plugged? Yes

15 Remarks, elevation, source of data, etc.

Rig Operator's Name 6REG KCCAATY

16 HATER UELL CONTRACTOR'S CERTIFICATIONThis veil was drilled under my jurisdiction, and thisreport is true to the best of my knowledge and belief.

REGISTERED BUSINESS NAME HCCARTY UEU DRIUINGREGISTRAM01TNUB6ER 121 /•) A /ADDRESS 4970 US \l ,,y // -JwE __(0

V\ Pump Installed Pump Installation Only? NoManufacturer's Name GRUN9TOSHodel Number 10S05-9 HP 1/2 Volts 230Length of Drop Pipe 100 ft. Capacity 10Type SUBMERSIBLE JetPressure Tank Name UEU HATEPressure Tank Hodel WI-9 Capacity 9 gal.

AUTHORITY: Act 366 PA 1978 COMPLETION: Required._ PENALTY: Conviction of a violation of any provision is

Representative) misdemeanor. IMPORTANT: File with deed.

Page 17: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty

L . _Townshm Name , Fraction Section Number Town Number Range Number

v. •/, 1/4 -3 Jr" 7 w£ / /f E/CJ1'Slance AnO Direction From Road Intersect ion

Street Address & Cuy of Well LocationLocate with 'X" in Section Below

i i

- J.11

1

_1 __ ,

| —————— i Mill —————— *T

Sketch Map

j^^ts-e* '(._ - . - • .vV ',' _/,, s&V*&' "-<&#•

2 FORMATION DESCRIPTION

xlaL*/1 £»JL J*~^J-* &&#

- /^A^ '^j^UMS.JJyife^

USE *

15 Remarks, elevation.

THICKNESSOF

STRATUM

1

/

/ (s

J7,3//

/£.

sourcerot data, "cic -; ;\ •

Pf r -3 o^ ,0-7

/ \DEPTH TO

BOTTOM Of8TNATUM

/

/77376

/^x5

3 OWNER OS-WELL , f /

lf^4s*~£>f^'t^t^~^*^s 'Address Same As Well Location? &9 Yes U No

4 WELL DEPTH (completed) \ Dale of Completion

/c2.S"~ u i j — x^5-'J^~5 D Cable tool B^Rotafy Q Driven Q Dug

PI Hollow rod L~) Augef I I Jetted I I

6 USE ^foomesnc Q Tyoe 1 Public Q Type 111 Public

LJ Irrigation 1 1 Type lla Public LJ Heat pump

Q Test Well LT1 Type lib Pubhc Q7 Rf.m fir Q Steel Q Threaded He.ght Above/BelowUiariiBiei ?-~ ~7 r

^— ]S Plastic D Welded ,. lrtac(> )(

Grouted Dnll Hole Diameter „ 1 — I!t. d-n.h r D™ Sho« LJ Yes

in to it depth , ' — ' No

BSCREEN D Notified

FITTINGS 1 1 K-Packet l ] Lead Packer [ _ j Bremer Check

LJ Blank above screen li Other9 STATIC WATER LEVEL

_ [OU tl below lanfl surface LJ R°w

10 PUMPING LEVEL below land surface

H »ft»( hrt pumping at G P M

COMPLETION J~~: ' ' '~?LJ Basement offset 1 1 Aoproved p-t

12 WELL GROUTED' r— , , r-.-"

No of Dags of cement Additives13 Nearest tou'ce of possible contamination

Well disinfected upon completion' AC Y«S LJ No

14 PUMP Q Not Installed A , Q P*"P Wstallation Only

.. ...«,..m. ^L^I^r/ / 33T1

Morid.1 numhnr ' HP Vnlt* **+*-

PRESSURE TANK d //Mjiniitiirtiir«r''; n*mp AJ ft£jtiL***'**-&^

A/ 4V) - C12_Mnrivl niimhur ' V ^t/ >J ^ • r.annntv Gallons

16 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this reoon is trueto the best of my knowledge and beliwh

Addres

Signed

NEGISTEHED flUSIT^ESS N*ME /x- REGISTRATION NO

/f&sSj^e^^^^ n^J-33-$7D670 2/8d AUTHORIZED MfHESENTATIVF

GEOLOGICAL SURVEY COPY

Authority; Act 36B PA 1978Completion: R*gu>r*dP«n*lty: Conviction of • violilion

ot Iny provi»ion 11 I

Page 18: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WELLCounty

jTownsjwp Name Fract ion Section Number Town Number Range Numbei

"T f"^ n ^r^ /""" ^~

s tance And Direction From RoaO Intersect ion

Street Address 6 City of Wall LocationLocale wilti "X" in Section Below

1 i1

11

111 . . .I1 __ I

| ——————— , M.mL, ——————— J

T

Sketch Map

—— ' ———— i.'— • •** I— J t**^*^^^v

k£t/Lj-*-S\-

y;ifS,^«-

2 FORMATION DESCRIPTION

.J^ijLJl^^

L^.s ^6( ¥ ^jl^-i^"jfijts-i

^^

U

^JL&^Q/uwJ$r

• --••-'£; v'-

usi *

15 Remarks, elevation

J0Z&

I NO SHItT If NEEDED ~ f --, —

source of data^elc " * - - - * „

THICKNESSOF

STRATUM

/

Jia

5£>r- _ /

{/(P*

^

n.; KC::-

J/

- *- c£

DEPTH TOBOTTOM OFSTRATUM

/

/ 7r/J

?4"/ 2 V

Address Same As Wall Location' S Yes LJ No4 WELL DEPTH: (completed! | Date ol Completion

/c\_j/ (i- I /"~/<j ~ C>(Q^ [3 Cable tool {^Rotary [^Driven £J Dug

PI Hollow rod L~l Auoer 1 1 Jettad f~l

0 Domestic Fl Type 1 Public LJ TVDB 111 Public

LJ Irrigation LJ Type Ha Public \ _ j Heat pumc

Q Test Well n Tvoe lib Public Q7 Dimeter D Siewl CJ Threaded Height. Above/Below

- HPI;SMP, D welded Surtace „^J in to /^C" ft daoth

Waighi _____ Ibs./tt.

Grouted Drill Hole Diameter r-i

in to ft. depth , I— ' No

B SCREEN n N«H . i, -,___ . | _ | Not installed

/ pJ;.u7. / ^*" i ^nn,h ^ '

FITTINGS LJ K-P*cker LJ Lead Packer [_J Bremer Check

1 1 Blank above screen ft Other9 STATIC WATER LEVEL

v*1 *— ' ft hnlaw land *,,Hi,rr l_l Row

10 PUMPING LEVEL, below laryTvjrface - ../ 'TL^J^a-^ LtJtJt&t*^--'

COMPLETION ~~~ —1 1 Basement oftsei fj Approved P't

12 WELL GROUTED' j— 1 K?I

No. of bags ol cement Additives13 Nearest source of possible contamination

Well disinfected upon completion' [X YBS LJ NO

'14 PUMP" r~l _ i— iLJ Nol InstBltodT^v LJ Bump Installation Only

u.n.,l t,.»r-. n.m. /^^ rCl-tJ^^J' / 7J/}

TYPF 0. e;,ihm»>rsihl* | |>r»t

PRESSURE TANK J J^rf. <_^J

fJ&S) *Z~ ? J 7 C)Mnrt.l nnmh»/ / /^ -^ *— r.anantY / ^~ N — Gallons

16 WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my jurisdiction and ih s repon is true10 the best of my knowledge Jnd belief .sy

AOdres

H£GJSI£«JO-»USlNES£J4AM£ *)• REGISTHAJ^CJJ NO, t/~'S

/<^^k^W^^^ .,, X7"/ *"^^' AUTHORIZED REPRESENTATIVE

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1978Completion: Requiredf"»n»Uy: Conviction of • violation

of tny pcovition i> •

Page 19: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

tn g

5 - ? £

SS 3

»rs?•? S?£.5.1si'if :.•

•— a i' - 1^r* c ^p

**• * F2 8 g#•• "• ^IE?y • *5. J oo "^ S— . • — t•3 *.. 2— * Cr * JP

1. £ saM -aa. M

si— - B-— Ml

e•irrO

*

|

S

s2

1-UlIITM

t tC.^CIKCU

KICH.DEI'T. OF PUBLIC HEALTH

JRN-3 %f DLJREAU OF EUVIRONMENTAL•ir

S"»^»o

fr4•

f•1

3 3 Tl I 1 X Is » »s r *-« •* • »/>•-*

R -tC •— M *

3I?

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1 - 8C"r*i ** * *"-

*• _

£? s15 * s*s ^

•^ --O

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fV

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AMD OCCUPATIONAL HEALTH

11

G Cf f f^ f- =* S£..03

i^«i~ £ m *"

^5 o^>) • M

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Page 20: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAX NO MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITYWATER WELL AND PUMP RECORD

1 LOCATION Or WELL

County

__Berrien ..__._Distance and Direction from Road iniersecuon

Sireel Address & City ol Well location^

fownship Name

BuchananF i action

NE v<N

PERMIT NO:

Seciton No.

25Town No.

7 SouthRange No.

18 West3 OWNER OF WELL

Address American Elec. PowerEast Riverside RoadBuchanan, MI 49107

Address Same as Well Locauon 4=iL-Yes I_{ No

Locate with 'x' m Section Below Sketch Map

L--L-UIi i i

t

4. WELL DEPTH:

-50-Date Completed D New Well

£1 Replacement Well

D Cable Tool ' " ' D Rotary " " D Driven

Q Hollow Rod n Auger/Bored D Jetted

V1,V^

USE: Hnousehold D Type I Public D Type III PublicLJ Irrigation LJ Type lla Public I_1 Heal Pump

D Test Well CJ Type Hb Public D_________._

2.- FORMATION DESCRIPTION

Rocfc-~aa4 a and

Coarse browrf sand

USE A 2ND SHSET IF NEEDED

CASING. D Steel D ThreadedPlastic DWelded

Diameter: jr. to

in. to. depth

ft. depth

-34-

BOREHOLE:

Diameter: fl A ln Io - depth- • • ___in to _; __ ft.'depth

-5QL

Height: Above/BelowSurlace: ft

Weight:

1_I Dnve Shoe0 Shale Packer

&, SCREEN: D Not InstalledType Jayoo———Slot/GauzeSet Between

JJG ravel-Packed_ Diameter ___ Length:___It. and ar

" FITTINGS: " QK-Packer D Bremer CheckLJ Blank Above Screen _______ft. Other.

9. STATIC WATER LEVEL:1 Q ft Below Land Surface LJ Flowing

1 0 PUMPING LEVEL: Below Land Surlace3,8 ft. After 1_ hrs. Pumping at

n Plunger CJ Bailer Q Air

G.P.M.

11 WELL HEAD COMPLETION:yyPitless Adapter 1_] 12" Above Grade

LJ Basement Offset D Well House

12. WELL GROUTED? LJNo ^gyes FromLJ Neat Cement D Bantonite E

zy MucU1 3 . NEAREST SOURCE Of POSSIBLE CONTAMINATION:

T*pe- Septic t>san^ 100 4-Directton — N-Type ___________ Disance _______ ft. Direcwxi ____

1 5 . ABANDONED WELL PLUGGED , j^j Y«S ,. Q No , „ , , , , , . . . , .

CasinjjDometer __o__in v O»ptfi-__"KQ - "If - • - • - - . - . - . -

PLUGGING MATERIAL D Neat Cemeni D Bemonite Slurry

LJ Cemeni/Bentonne Slurry- LJ Concrete Grout LJ Beniomte Chips

NoolBags _ -\ I/O - - - Casing Removed? - Q Yes- S No- -

11. PUMP: O Not Installed CD Pump Installation Ortty

• ' ManutaQuref'sName jt<tct

Length of Drop Pipe It. Capacitys 230

G.P.M

TYPE [^Submersible D Jet D Olher_

.P,RESSUfJETAN.K:, .... . . .,16. REMARKS: (Elevation. Source of Data, etc.;

1 7 DRILLING MACHINE OPERATORe [—IEmployee I_I Subcontractor

Name Dave Delargy

1 B WATER WELL CONTRACTOR'S CERTIFICATION:" This weft was drilled jn'der my jurisdiction and Ihis report is trje lo the best of my

knowledge and belief

Drilling. Inc.-2,-South-Bead,

•-A^ESENJlOlWt-Daie

GEOLOGICAL SURVEY COPY

"9-19-96

Page 21: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

geological Survey Ho.m:r-rfr*t--vatr-mfsffji? f

i Location of Veil

KICHI6AN UATER HELL AW PUMP RECORD Pernit No.E uo.cs B E x a s us a «

County ITovnthip Haw [Fraction ISettion Ntwber ITovn Nutber ! Range Nuiber! WCHANAN ! 1/4 1/4 1/4 ! 23 '• 7-8 N/S ! ll-H E/M

•==x o =x D3H=BE=E=aa;7 sr=c«=«ee • =CE a •«== E > =i=tsrc= E snceea sxssme = ex= =sia E* a :: EB x: a c= D = x= cz E3c==m raxm i: r ccs=a cx=r= =ccx«c t=i» ==^x c

tistartce and Direction Troi Road Intersection 1 E

EAST lIVEft MWCHMMN

Street Address and City of fell Location

3 Qvner of Wel l

Address JAHE8 CONVERSEEA6T RIVER tt HI 49107-

Address Saw as Hell Location? Yet

Sketch Hap 4 fell Depth (Cocpletid)S3 ft.

! Bate of Cotpletion 95/13/93! Ret 1 lent*t Utll

Dr i l l i ng Hethod NU RQTAftY

2

MM

FORMATION KSCXIFTION!Thickness! «f

Strata

^

COI

O

Otftb toItttM OfStrataH

Reurks, elevatioo, soarce of data, etc.

Rig Operator's NaM 6ER8 NCCMTY

16 WATER WELL OWTRACTOR'S CERTIFICATIONThis veil vas drilled under «y jurisdtctio«r and Hisreport is true to the best of iy knovltdfe and belief.

K6ISTEREB BUSINESS NAME NCCARTY HELL B8ILLIKRE6ISTRATION NUWER 121

12 /? A, BATE

6 Proposed Use NNEBTIC

7 Casing PLASTIC ! HeittitS in. to 4i ft. depth! Surface A

in. to ft. depth! Weightfirouted Brill Hole BiaMter !8 in. to 42 ft. depth! Brive Shoe No

in. to ft. depth!

f t .Ihs./ft .

8 ScreenType PLASTICSlot/Gauze 16Set Betveen 44fi t t ines

ft. and S3

Biawter 5Length 5f t .

9 Static Hater Level 32 Ft. Belov Land Surface Flow

10 Pu-ping Level Belov Land Surfaceft. af ter hrs. pulping at 6.P.H.ft. after hrs. pulping at 6.P.M.

11 Hell Head Cotpletion PITUS8 AMFTER

12 Nell Grouted Y«BEXKALNo. of bags of cetent 3

FrM 0 to 42 ft.

Additives NONE

13 Nearest Source of Possible ContaminationType tCHAJC Bi.tance 75 Birection SHell disinfected upon completion? YtfHas oU veil pliojed? Ytf

14 Piup iMtalled Piup Installation Only? NoHaiMfactvrer's Haw ttMTNModel Nttiber JS1«-«S HP 1/2 Volts 230Length of Brop Pipe 45 ft. Capacity 16Type WMERllBLE JetPressttre Tank Kate HELL MATEPressure Tank Hodel NH-9

AUTHORITY:PENALTYi

.(Authoriied Representative)

Act 368 PA 1978 COHPLETION: Required.Conviction of a violation of any provision is•isdeManor. IMPORTANT! File w i th deed.

Page 22: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Geologica l Survey No.

Loca t ion of W e l lj n tyBERRIEN

MICHIGAN WATER HELL AND PUHP RECORD Penit No.

Township NaieBUCHANAK

[Fract ion; 1/4 1/4

ISect ion Nuiber E T o u n Number; 23 ; 7-s N/S

!Range Nuiber! 18-H E/W

i s t a n c e and D i r e c t i o n Froi Road I n t e r s e c t i o n

1 BLOCK NORTH ON RANSELINE OFF IfALTDN RD15308 RAHOEUNEBUCHAKAN;reet Address and C i t y of W e l l L o c a t i o n

3 Owner of Well ROSE LETZ

Address 15326 RANGaiNEWCtMNAfl HI 43107

Address Saie as Well Location? No

Sketch Hap !- 4 Hel l Depth (Completed)72 ft.

! Date of Coipl 12/21/93 ,

5 D r i l l i n g Hethod HUD ROTARY

6 Proposed Use MHESTIC

Thiekaws ifcpU toFORflATION DESCRIPTION

MNMMMELHATER SARD CORS

COi

o f "Stratui030

BottM ofStratui«73

Casing PLASTIC .' Height Abovt9 in. to 72 ft. depth! Sarface I ™

in. to ft. depth! WeightGrouted Dr i l l Hole Dianter III in. to 30 ft. depth! Drive Shoe No

in. to f t . depth!

ft .IDS./ft.

screenType PLASTIC

Set Between 67Fit t ings

Diaieter 5Length 5

ft. and 72 ft.0,00 Blank ft. above screen

Sta t i c Water Level 25 Ft. Below Land S u r f a c e Flow

10 Puiping Level Below Land Surfaceft . a f t e r hrs. puiping at S.P.H.f t . a f t e r hrs. puiping at G.P.H.

11 Well Head Co*pletioft PITLESS ADAPTER

12 Veil Grouted Y« Fro* 0 to 30 ft.KN9EM.No. of bags of cewnt 3 Additives NONE

13 Nearest Source of Possible ContaiinationType SEUA8E Distance 65 Direction EWel l d is infected upon complet ion? YesWas old veil plugged? Yes

IS Reiarks, e leva t ion , source of data, etc.

Rig Operator's Naie GftEG RCCMTY

16 WATER HELL CONTRACTOR'S CERTIFICATIONThis veil vas d r i l l ed under iy jur isdict ion, and thisreport is t rue to the best of iy knovledge and b e l i e f .

REGISTERED B1J$W£.SS NflME HCCARTY HELL DRILLING121

ADDRESSSIGNED

14 Fmp Installed Pup I n s t a l l a t i o n FJnly? NoNanufacturer 's Naw 6RUNBFOSModel Nuiber 10SQ5-9 HP 1/2 Volts 230Length of Drop Pipe 65 ft. Capacity 10Type dUBKERSIILE JetPressure Tank Naie HELL HATEPressure Tank Hodel lfll-6 Capac i ty 3 g a l ,

AUTHORITY:POIALTYi

7(Authorized R e p r e s e n t a t i v e )

Act 36B PA 1378 COMPLETION: R e q u i r e d .C o n v i c t i o n of a v i o l a t i o n of any p rov i s ion isl isdeieanor. IMPORTANT: F i l e w i t h deed.

Page 23: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAX NO.

1 . LOCATION Or WELL

County

———BERRXSM—

MICHIGAN DEPARTMENT OF PUBLIC HEALTHWATER WELL AND PUMP RECORD

PERM|T NO

Township Name Fraction Section No Town No Range No

1R W.stance and Direction Irom RoaO Intersection.

Street Address & City of Well Location

OWNER OF WELL

4817 Backus Ct.Buchanan, Mi 49107

Address Same as Well Location C_] Yes LJ

Locale wilh '*' in Section Below

1

2 . FORMATION DESCRIPTON

-€RftVEL COAR3E-firgreNe3-COAKGE SAND-

-GRAY CTA¥——

-SMffi-

USe A 2ND SHEET IF NEEDED

Sketch Map WELLDEPTH

LJCaWeTooln Hollow Rod

Date Completed

Rotary

Augef/Bored

jjj New WellLJ Replacement Well

LJ DrivenD Jetted

USE C Household CD Type I Public D Type III Public

LJ Irrigation LJ Type lla Public 1 _ 1 Heat Pump

QTest Well QType lib Public D

Zfi

-30^

-59-

DEPTH TOBOTTOM OfSTRATUM

7. CASING.

Diameter:

Qsteel QlhreadedPlastic CDwetded

OOrei-,depth

ft depth

-30^ BOREHOLE-Diiameter 7__7/8'n ID], 1^3 .'i- depth

ft. deotfi

Height: Above/B£joyv

Surface: 1 It

Weight: IbsytL

Q Drive ShoeD Shale Packer

-±02 8. SCREEN n Not Installed

Type__Slot/GauzeSet Between __FITTINGS. LJK-Packer

LJ Blank Above Screen

J Gravel-Packed

DiameterLength: _

^03———,4^-14-3net Check

ft-°°^AV^9 STATIC WATER LEVEL.

g^cj ft. Below Land Surface LJ Flowing——————tl—I—————————————————————————————

10. PUMPING LEVEL. Below Lanfl Surface________(1. Aher ___hrs. Pumping at , - G.P.MLJ Plunger Q Baiter DAK Lj Test Pump

1 1 .WELL HEAD COMPLETION.

KJ PiUess AdapterD Basem«m Oflsei

CJ IT Above GradeD Well House

12. WELL GROUTED? QNO l^Yes F rom _QQ._ »

LJ Neal Cement O Bentoniie LJ OthefNoofBaos r

*T13. NEAREST SOURCE Of POSSIBLE CONTAMINATION:

ft. DirectionTvoe Distance

IS ABANDONED WELL PLUGGED' D Yes D No

Casing Diameter ______m. Depth ______ft.PLUGGING MATERIAL: D Neat Cement D Bentoniits Slurry

id. PUMP D Not Installed L_I Pump Installation Only

Manufacturer's Name_____gt^t—Rj-hf ________Model Number HP __1 Vote

1 _ 1 Cemeni/Bentonite Slurry

No. of BaasLJ Concrete Grout Lj Beniontte Chips

Casino Removed? LJ" Yes CD No

16. REMARKS (Elevation. Source of Data, etc.)

Length of Drop Pipe QQ _.. ,__ti. Capacity ,TYPE. E Submersible LJ Jet LJ Other

PRESSURE TANK

Manulaaurer's NameModel Number

-15- G.P.M

Hell-Mate——____Capacity__.

1 1 DRILLING MACHINE OPERATOR

1 _ lEmployee I _ I Subcontractor

Gallonsj&=-15. WATER WELL CONTRACTOR'S CERTIFICATION

This well was drilled under my |unsdictton and this report is true to the best ol myKnowledge and belief

GEOLOGAI SUVEY COPY

Page 24: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAX NO

1 LOCATION OF WELL

Count

AJ

MICHIGAN DEPARTMENT OF PUBLIC HEALTHWATER WELL AND PUMP RECORD

Township Nam Fraction

Distance and Direction Irom Road Intersection

Street Address &._C_tiy gl Weil LocationLocate with '«' in Section Below Sketch Map

- 4-I

T TT-

2, FORMATION DESCRIPTION

****?.r^<

b

C f-

JAN n

USE A 2ND SHEET IF NEEDED

-70

A;JD

15. ABANDONED WELL PLUGGED''

Casino Diameter j -- m.PLUGGING MATERIAL:

s D No

Depth __/i^H_ft.D Neal Cement D Benionite Slurry

I _ I CemenVBentonite Slurry | _ I Concrete Grout li rSentonite Chips

No ol Baps Casing Removed? CH Yes D No

16. REMARKS (Elevation, Source ol Data, etc.)

1 7 DRILLING MACHINE OPERATOR

LtJEmployee I_I Subcontractor

Name

PERMIT NO:

Section No.

•3-^Town No. Range No.

3. OWNEROFWELL

Address

Address Same as Well Location No

WELL DEPTH; Date Completed New WellUJ-fleplacemeni We

d Cable Tool [Ufloary D Driven LDDug

Q Hollow Rod D Auger/Bored D Jetted U

6 USE: Bfiousehold D Type I Public D Type III PublicD Irrigation LJ Type lla Public LJ Heat Pump

D Test Well D Type lib Public D__.______

7. CASING: D SteelWelded

Dofw _Diameter:

BORE HOLE:Diameter:

ft. depth

depth

tt. depth

H eioJ«r3ft>ove/5J« lowSurface: / tt

Weight: ibs-m.

CUDnve Shoen Shale Packer

9. SCREEN: ,J3 Not Installed CtJ^Jravel- Packed

Type -grfx!.*—i^<_________ Diameter __SlotftJauzeSet Between

_ Length:/JO ft and

FITTINGS: DK-Packer Q Bremer CheckLJBlankAbove Screen _______It. Other____

9. STATIC WATER LEVEL:___f^j^_(t. Below Land Surface D Flowing

10. PUMPING LEVEL: Below Land Surfacett. Alter _______ hrs. Pumping ai G.P.M.________ . _______ . _______ ..

Q Plunger d Bailer Q3 ir CD Test Pump

.WELL HEAD COMPLETION:

LW^MIess Adapter

LJ Basement Otlset12" Aoove Grade

D Well House

12. WEUGROUTED? D No [D fes From £) to /OS" tt

LJ Neat Cement Bflenionite LJ OtherNo. ol Bags (/ Additives_

1 3. NEAREST SOURCE OF POSSIBLE CONTAMINATION:

Type i^/-S____ Distance______ft. Direction,Type ' ______ Distance______ft Directon_

14 PUMP: Q Not Installed, Q Pump Installaoon Orrty-^ . . rll^Manufaourer's Name

Model Number <~- 9 Votts_

Length ol Drop Pipe &O It. Capaaty /G G.P. M

TYPE: CD-Submersible Q Jet C! Other

PRESSURE TANK.

Manufacturer's Name (_J__Model Number / / )/j 7 CapaoCy Gallons

i 5 WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my jurisdiction and this report is true to the best ofknowledge apd be(tel

'

GEOLOGICAL SURVEY COPY

Page 25: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

JUN 0 6 1975WATER WELL RECORD

ACT 294 PA 1965M LOCATION OF WELL

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

Fr.iclion / Seclion Number Town Number

.I3in-e And Direction from Wood riitif seci ions

Streel .iddress & C rty of Well Loc.itionLOI ite w.lfi "X" m section below Sketch Map:

1 i1 1

1 11 1

" - - - {—— J--U--V-V 1

1 ' 1! , 1

2 FORMATION

f#A yrji ____\ jQ~ \f / M*- J f^T / m £. f

<?/> A/h * <*#* }/£/

^^ £

- _

'. , .., , ......

THICKNESSOF

STRATUM

J1*'

12'

/ 3.'

,?'

s16 Remarks, elevation, source of data, etc.

ADDED INFO BY JDR1LLER. ITEM NO.

•CORRECTED BY^O"ADDITION BYELEVATIONDEPTH TO ROCK

DEPTH TOBOTTOM OF

STRATUM

j-£ •

£*"'

s?o-83-

c.

/OWNER OF WELL. D A> /} (*> /"/ '/*>/]/ /,r ' i /7 i-- * / L- /i Ls /

££rt%i'/v S0/?//y<?S s

flanoe Number

r^//<^/r

to / 'e M.WELL DEPTH: (completed)' Date" dT Completion

LJ Cable tool LJ Roiary [j Drrven [_) Dug

LJ Hollow rod y4 jetted LJ Bored LJ

> USS: W Domestic Q Public Supply [J industry

LJ Irnoation Q3 A" Conditionmo | | Commercial

7 CASING: ThreadedlVl WelOedj _ ] Height: Ab<Diam. "

Surlace

ve/Be£RV

_J_ ____ ft.

lbs./ft.

in. to ft. Depth Driva Shoe? Yes &] NO (~1

! SCREEN: 2r-^5"sS •S^7~f?A /'/&'£/?£

& "Tvoe: Dia.: f

Set between ^7 Jg f^. and ff -3 (l •

Fittmgs: J* V A J* " /^/ '/» /- J* 'j

9 STATIC WATER fTEVEL '

•v? ft. below land surface10 PUMPING LEVEL below land surface

ft. afler • hrs. pumoino ""}

ft. after hrs. manning

Sd '

Q o.p.m.

o.o. m.

1 1 WATER. QUALITY in Parts Per Mill on:

Iron iFe) Chlofides ICI1

.-, Hardness Oiher

12)fELL HEAD COMPLETION: Q ,„ Approved Pit

[ | Pitiess Adapter [ | 12" Above Gradela Well Grouted? LJYes [^ No

i 1 Neat Cement 1 1 Bemoniie i 1

Depth: From ft. to ft.

14 Nearest Source of possible contamination

/ 1^> f«at <e*Ji jj*-*O traction . *^ £~ 0 J

Well disinfected upon completion [H*" tj

"/'/** Type

No

UanufarlurBr'c Name ff ^~~i{? 4

Model N umber /$/?/£/& ^ ^~l? W J Volts 2 ?6

1 enath of Drno Pine j^/ ft. Capacity P G.P.M./

Type: y3 Submersible

fl jet [ | Reciprocaiino

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my lurisdiclion and this reporto the best of my knowledge and belief.

BEGISTCRED WSIKES5 rliwff ' —•»_*- -*^ ft^^r

Address A ? SJ/7 V _$~9 <- £>/JS* U A /V A A/

Signed ~, *r Dalc 7^

is true

f^f*

-zt~ /??&10OM (Rev. 12-681

GEOLOGICAL SURVEY COPY

Page 26: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVf Y SAMPLE No.

JAN 15 1973WATER WELL RECORD MICHIGAN DEPARTMENT

1 LOCATION OF WELL 1 X5^ PUBLIC HEALTHCounty Township Name Fraction , Section Number Town Number

distance And Di tacit on from Road Intersections

Street address & C nv of Well Location Ll O 1Locale with Ji n section below Sketch Map:

1 i1 1

J 11 11 1„ . . . , _ _ ! _ _ _ _ . .

.-{-_;_ ,1.i : * \

f* ———— — 1 MILC ——————— "»4

2 FORMATION

U/vfrA/0 1<V A*H A ft D C? n A V a b

~SA /v n8 L Vf C L A y

,5V* A/ D

£<JU. i&

THICKNESSOF

STRATUM

IS"

/rs>

16 Remarks, elevation, source of data. etc.

DEPTH TOBOTTOM OF

STRATUM

10 *

j.^.

JT0'

92.'

i0y

Range Number

3 OWNER OF WELL; J~0 ft jy <& £ ft ff 0 G

ss / ? •> ff/'y^ ft ~S~/So/j> £~S **/Address /J-?J~ VV'tftfg S"/'^ £~ £/?,

j&uCf-fAftAty dft / C M .WELL DEPTH: Icompleted) Date of Completion

/ay N. y-^3-- y 9 72.l~l Cable tool Q Rotary [~~1 Driven |~] Dug

PI Hollow rod (XI letted [~1 Bored |~~|1 USE: ^Domestic [J Public Supply j [ industry

| _ | Irr igation [ _ | Air Conditioning [ \ Cori¥T>erc i al

("iTesi Well 1 1

7 CASING: ThreadedK! WeldedQ ] Height; Above/ftWwwDiarn. | .

i Surface / ft.

_Z_in. to °*J ft. Depth | Weight J?_ ?s57bs./ft.

in. to ft. Depth | Drive Sho«? Yes P(| No fl8 SCREEN:

Slni/S*«« / P 1 enath

Set between ' T r _ _ _ ft. and *& * Jt. _

*S'-¥'t0f: •*?" ^o/'/y £9 STATIC WATER LEVEL

ft. below land surface

^"'^T'

r-^^

10 PUMPING LEVEL below land surface

fcj *J ft. after hrs. pumoino ~~jO g.p.m.

ft. after hrs. oomoino o.o.m.

1 1 WATER QUALITY in Parts Per Million:

Iron (Pel Chlorides ICII

Hardness Other

1 2 WELL HEAD COMPLETION: Q ,„ Approved P.t

(71 Pitless Adapter P(] 12" Above Grade1J Well Grouted? [_) Yes If] No

I 1 Neat Cement ( j Bentonite (1

Depth: From ft. to ft.14 Nearest Source of possible contamination

f«*i Direction WOT" //V~ r/x*//.^?Well disinfected upon completion | | Yes PQ No

PUMP: J~J Not installed

Model Number/^ £>/$£>M/-3Wp / Volts 2 -3 O

i anoth of Droo Pioe AX. ft. caoacitv I G.P.M.

Type: 31 Submersible

| | jet 1 | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this reportto the best of my knowledge and belief.^

is true

REGISTERED BUSINESS NAME REGISTRATION HO.

Signed ^,/2/^«^y o,,, *••3^- ?Z-«,,., ,™., ,»«, ,,.«, AUTHORIZED REPRESE»>rmE

GEOLOGICAL SURVEY COPY

Page 27: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

JAN 15 1973

1 LOCATION OF WELL

WATER WELL RECORD -ACT 294 PA 1965 S/

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHCounty

B £•## i ,Township Name Fraction Section Number Town Number Range Nurnbei

Ji stance And Direction from Road Intersections , ./ fi/t i ' /y/}t*/? 7" )-/ O £• fy 'S £ £•$ $ I/ @ A ft ft W

Street address & City of Well LocationLocale with "

i1

_L 1

1

11.__,_ _T -

! i^• —— — -—— 1 MILE

2

X" m section below Sketch Mao:11

~l

T-'Ti* i

FORMATION

#KAV£L 2f *te#

^A*£>*?%A V£L

SLU £- c? /. A y-$ A A/ D

£L1

UE (?£AV^A ^ £

^J.

THICKNESSOF

STRATUM

JV'

/*'j-.

27"3'^•~

J*'

16 Remarks, elevation, source of data, etc.

T"O

DEPTH TOBOTTOM OF

STRATUM

v*?'

£0'

£.3'

ft'

93'/ ' & 0 *

/ ' /$ '

3 OWNER OF WELLl^yy^ j^ 7*/ C A t-> &t//'£Q£l

• WELL DEPTH: (completed! tfate of Completion

110 *. 7- 2 9- /? ?2D Cable tool fl Rotary |_J Driven \\ Dug

LJ Hollow rod B] Jetted LJ Bored 1 1

' USE: y^ Domestic L_j Public Supply LJ industry

1 _ | Irr igation | _ ) Air Condilioni ng [ _ ) Commerciat

QTestWell Q

7 CASING: Threaded Q Welded Q Height: Above/Buiu.i..Diam. ] ,

, Surface / ft.ft i ^ Ifj J yfc n ' f^^ f^^>

_V _in. to /^*:ft. Depth 1 Weight ffl^jlbs./ft.iin. to __ ft. Depth | Drive -Shoe? Yes P\J NO Fl

8 SCHEEN:(j'"^//^/,S~(0/X

Set between -X^.S ft. and //^ ft.

Fittings: ^J 0f ^ ,/••* / S*£

/~ /> £ A Q D jQ £? /f £ ft /~~~3 p £ O 6§9 STATIC WATER'LEVEL '

'^ **~ ft. below land surface10 PUMPING LEVEL below land surface

ft. after hrs. pumping -*J fe a. p.m.

ft. after hrn. oumninp o.n.m.

i 1 WATER QUALITY in Parts Per Mill ion:

Iron IFe> Chlorides (Cll

Hardness Other

12 WELL HEAD COMPLETION: Q ,„ Aoproved pit

rjfl pitless Adapter PC 12" Above Grade1J Well Grouted? [_] Yes P^ No

1 1 Neat Cement Jl Bentonite | 1

Depth: Ffom ft. to ft.

14 Nearest Source of possible contamination

fe«t Direction ffP * * /* ^ /^t£f**'rvoi

Well di»infected upon completion I I Yes TO No15puMP: Q Not installed

f$ yC~ /\ |/)

Model NumberX^ /5^5/ / HP / Volts 2 JO

1 enath of Drop Pioe a *] ft. c*oacitv J G.P.M.

Type: 2] Submersible

| 1 jet | 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report >s trueto the best of my knowledoe and belief. , —

tib £ /^ A ft^) /Y )y£J- £ Z)J?/ £ d- J <A/ (£> && * &£soREGISTERED BUSINESS NAME REGISTRATION MO.

£) ^ & /i ir ^"~C* O X? /* /o JJ _ri A/ jf\ /\/ sfa i ^ /Sr ,Address,^ Ji- & (/ ^ -J f •J £j £S Lf ' ' ^1 fffT'ff ^rl j tf* * f f

&. sZ/si**er o.,. ?-j/-/m.MM .Rev. ,2-68, AUTHOR, ZED PRES^ATIVE

GEOLOGICAL SURVEY COPY

Page 28: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Geolog ica l Survey No.

I I Locat ion o f He l lI C o u n t y

•RRIEN

M I C H I G A N HATER HELL AND PUMP RECCIRD P e r m i t No.

ITownship Name! HUES

I F r a c t i o n! 1/4 1/4 1/4

i S e c t i o n N u m b e r ITown Nuiber [Range Number{ 25 ! 7-S N/S I IB-11 E/H

Dis tance and D i r e c t i o n From Road I n t e r s e c t i o n 1/2 E

4763 NILES-BUCHANAN RDBUCHANAN

Street Address and Ci ty of Hell Location

3 Owner of Hell HEAL HUHPHERY

Address 4763 NILES-BUCHANAN RDBUCHANAN HI 49107-

Addres;; Saie as Well Locat ion? Yis

Sketch Nap 4 Hell Depth (Coipleted)120 ft.

! Date of Complet ion 09/28/92: Replacement Hell

5 D r i l l i n g Method HUD ROTARY

6 Proposed Use DOMESTIC

FORMATION DESCRIPTION

YELLOW CLAYGRAVEL6REY CLAYTIKE SAND t CLYHATER SAND CORS

R E

Thicknessof

Stratum050401010

p.-n 1

Depth toBottom of

Stratum1060100HO120

7 Casing 11 AST 1C ! Height Above5 in. to 115 ft. depth! Surface A

in. to ft. depth! HeightGrouted D r i l l Hole Diameter !8 in. to 42 ft. depth! Drive Shoe No

in. to f t . depth!

ft.Ibs . / f t .

B ScreenType PLASTICSlot/Gauze 16Set Between USFittings

Diameter 5Length 5

ft. and 120 ft.

3 Static 'Hater Level 65 Ft. Belov Land Su r f ace Flow

10 P u m p i n g Level Below Land S u r f a c eft . a f t e r hrs. puip ing at 6. P . M .ft. after hrs . pumping at 6. P.M.

E l V E D^'PuLlicHaai

11 Hell Head Completion PITLESS ADAPTER

12 Hell Grouted Yes From 0 to 42 ft.BENSEAL

h No. of bags of cement 4 Additives NONE

;-H_X.

13 Nearest Source of Possible Contamina t ionType CITY SEW 'NA1 Dis tance 55 D i r e c t i o n SHell d is infec ted upon complet ion? YesHas old well p lugged? Yes

15 Remarks , e levat ion , source of data, etc.

Rig Operator 's Name GREG HCCARTY

16 MATER HELL CONTRACTOR'S CERTIFICATIONThis veil vas d r i l l e d under my j u r i s d i c t i o n , and th i sreport is t rue to the best of my knowledge and b e l i e f .'STEREO BUSINESS NAME HCCARTY MELL DRILLING

-.-oISTRAT^HIUMBER 121ADDRESS'4970 US 12 ... tf ^UATESI6N .

14 Pump Instilled Pump Instal lat ion Only? NoM a n u f a c t u r e r ' s Hue GRUNDFOSMode! Huiber 10S05-9 HP 1/2 Vol t s 230Length of Drop Pipe 100 ft. Capac i ty 10Type liUBttERSIBLE JetPressure Tank Name UELL MATEPressure Tank Model lffl-6

AUTHORITY:PENALTY:

( A u t h o r i z e d Represen ta t ive )

Act 368 PA 197B COMPLETION: Required.Conviction of a violation of any provision ismisdemeanor. IMPORTANT: File with deed.

Page 29: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Geological Survey No. MICHIGAN HATER HELL AND PUHP RECORD Penit No.

I Location of WellCounty

THENTownship Hate

BUCHANANI f r a c t ion !Sect ion timber I T o u n Kuiber !Range Number! 1/4 1/4 1/4 ! 25 ! 7-S N/S ! 1B-H E/ll

Jistance and D i r e c t i o n From Road In te r sec t ion 1/2 E

EAST RIVER RDBUCHANAN

Street Address and City of Well Location

3 Owner of W e l l &*£ WILL I AH_^zrvfe

Address EAST RIVER RDBUCHANAN HI 49107-

Address Saie as Hell Location? Yes

Sketch Nap 4 Hell Depth (Completed)50 ft.

! Date of Completion 06/19/311 Nev Well

5 Drilling Hethod HUD ROTARY

6 Proposed Use DOMESTIC

FORHATIQH DESCRIPTION

Ft* SAWCOARSE SANDHATER SAND CQRS

R E C E I V_MIch.Dept. of Public

JAN 2 9 1992

Thicknessof

Stratum0305

DHearth

BUREAU OF ENVIRONMENTAL ANDGCCUr AflUNAL HEALTH-GWOS

Depth toBottom ofStratumIS4550

j^oveove7 Casing EU£H£ ' Height9 in. to 44 ft. depth! Sur face !

in. to ft. depth! HeightGrouted Drill Hole Diameter !B in. to 25 ft. depth! Drive Shoe No

in. to ft. depth!

f t .Ibs./ft ,

8 ScreenType PLASTICSlot/Gauze 16Set Between 40Fi t t ings

ft. and 50

Diaieter 5Length 10f t .

9 Static Water Level 25 Ft. Belov Land Surface Flov

10 Pulping Level Below Land Surface35 ft. a f t e r 1 hrs. pumping at 30 G.P.R.

ft. a f ter hrs. pumping at 6.P.M.

11 Hell Head Completion PITLESS ADAPTER

12 Well Grouted Yn Froi 0 to 25 ft.BENSEALNo. of bags of cetent 4 Additives NONE

15 Remarks, elevation, source of data, etc.

13 Nearest Source of Possible ContaminationType SEW6E Distance 75 Direction SHell d is infec ted upon completion? YnHas old veil plugged? No

Rig Operator ' s Name BftEG HCCARTY

1& HATER HELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my jurisdiction, and thisreport is t rue to the best of my knowledge and be l i e f ,

STERED BUSINESS NAHE HCCttTY WELL KILLING

ADDRESS ^8701^ 12 . * rf J&E £> ~/<? ~ *? /SIGNED

14 Pump Inttilltd Pump Installation Only? NoManufac tu re r ' s Name FWHodel Number 4F1000S-305 HP 1/2 Vol ts 230Length of Drop Pipe 35 ft. Capacity 10Type StIBttERSIBlE JetPressure Tank Name HELL HATEPressure Tank Hodel WH

AUTHORITY:PENALTY:

_(Authorized Representative)

Act 368 PA 1978 COMPLETION: Required.C o n v i c t i o n of a v io l a t ion of any provision ismisdemeanor. IMPORTANT: File with deed.

Page 30: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty

BERRIENTownship Name

BUCHANANFraclion Section Numbei Town Number Range Number

'A 'A 1/4 2 5 7 N/s 1 8 i/w'Stance And Direction From Road Intersection

Street Address ft City of Well LocationLocate with ^ in Section Below Sketch Map

t '1 1

. J. _ J _ _ _ _ .I t1 1

w .__|__4._ _ J _ _ - L1 I

. _ . { _ _ ; _ _ _ _ . ,' l

U ——————— , M,*e ————————— »

rMl .

L2 FORMATION DESCRIPTION

YELLOW CLAY

GRAY CLAY

BROWN SAND

BROWN GRAVP.T.

BROWN SWNT1

GRAY OT.Ar

RANT1

R EMirh P)r,r

r.»!AIT1H

USE * 3*0 SHEET If NEEDED

THICKNESSOF

STKATUM

4

11

IS

5

15

3

22

x c 1 \./ C 1 Vt r.fPn

1 1 C 1•( i o t •

15. Remarks, elevation, source of data. etc. uur"-/AlJ u' -»»"»-"«'OCCUPATIONAL HEA

1 7. Rig Operator's Name

R.E. .G

wrrn TOBOTTOM OfSTKATUM

4

15

30

356

— 50 —

53

—75 ——

EDMr. H«att

q?

3 OWNER OF WELL. DAVE WJSHART

NILES-BUCHANAN ROADAddre« BUCHANAN, Mi. 49107

Address Same As Wall Location? H Yes D No4 WELL DEPTH: ' Data Completed ' r~l

I wo. I OAT i <re*n 1 1 — I New W«H68 FT. ; 10; 22; 91 ;B R.Dl-ceaWYtW8ll5 Q Cable Tool E Rotary C Driven Q Dog

d Hollow rod [~| Auger f~I Jelled fl

6 USE. |3g Domesllc Q TyDe , Pub|ie Q TYpe m Public

LJ Irrigation 1 1 Type lla Public Q Heat pump

O Test W«it O Type lib Public [~I7 Diameter Q Steal D Threaded Height: Above/Below

S pustic Q welded Surfaco 1 h

W«ighr Ib* /It

Grouted Drill Hoi* Diameter ,_ i — ti« ,0 ft ri ih Dnv« Sho« U Y«

in to ft depth LJ No8 SCREEN: r— i ,, .|_J Noi Installed

PVC 5"12 5 '

FITTINGS: LJ K-Packer Cl Lead Packer |~1 Bremer Check

O Blank atx>v« icreen ft Other GRAVEL PAC9 STATIC WATER LEVEL:

H h.ln», l>nrf «,.rf.,-. PI ROW

10 PUMPING LEVEL below land surface

1 40

' 1 SPLHE>*SN: H PltlMS adapwr L3 1 2- tbov gradeLJ Baiement offset Q Approved pit

1 2 WELL GROUTED? i~i Ki| | No f"| Yes Frrxn to ft.

f| Nut c*mant \^\ RnninnitH (^] Hthor

No. of bags of cement Adtfitrves1 3 Nearast lourca of possible contamination

TVT* SESTIC ni«'«-*" ^ »t nir ,.™, NW

W«D di«inf*ctad upon completion? IJ3 \%» D No

Was old wefi ptugged? Lfl Ya« D No

1*PUMP. Q Not Installed O Pump Installation Only

Mnniifnnliir»r'it n*m* F&W

MnriAl numh*r HP i; Unltt ?^O

TYPE [jfl Snhm«r5ihl« j~~j .l<n

PRESSURE TANK:Mumifaetutar'* n»m. WKT.J.' X TROL

Model number WXiUli r.pi. ny Gallons

TlSmlS? * WEU CONTRACTOR'S CERTIFICATION:' " TJm(y>)«ll was drilled under my jurisdiction and this report ts true

to the betit of my knowledge and belief.

CA-BHTMER WELL PRILLING ————— UH5 —————Add res

NklKUIbHkU BUSlffUSJij NAML i HEGISTHAUON NO

'BPCHANMNi, MIpt CAN ———— 49107 ——————V..AX !\\, JL^ : .... 10-22-91

J67d 12/85

GEOLOGICAL SURVEY COPY

Authority: Act 366 PA 1978Completion: RequiredPenalty: Conviction of • violation

of any provision is amitdemaanor.

Page 31: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

-•IK',. .'i *tijst-5'7-

J-:.-. MOULDS JERRY

4793 TULIPTREc LS.BUCHflNAN HI 49107-

Auc>955 -ate a= 'J?l! Lo-:jtiorr Yes

!2FDURATION DESCRIPTION

:6RftVEL NIXE9 WITH C2ASSE SAND;6REY CLAY!«ATER SAND CORS

! 4 WE; ] Depii •i-?ipla;e(j,1

; 110 ft.of CcBpla i i :* 09/07/9;

1 5 D r i l l i n g Kethod HUD ROTARY

: Thickness iDepth to ! 7 Casing PLASTIC t Height . Abortof IBottoi of) 5

! Stratui I Stratua 1! 0: 30: 25

in. to 105 ft. depth! Sur face 1in. to ft . depth! Meiqht

f t .I b s . / f t .

6'0-red D'i '! Hole Diawtsj- !8 in. to 25 't. depth; D r i v e Shoe No

:*. tc it. cepth:

Typs PLASTIC Diaaeter 5Slot/Sauze 1£ Length S3st Betve?r, 105 ft. ari 110 ft.

! ? 3n»ic Wi t? ' Level 50 r'. 3?'.o* land S i i r f s - . *

: '.0 Puaoing U/ei Below Line S u r f its! f t . a f t e r hrs . putping at f i .P .K.! ft. after hrs. puiping at 6.P.R.

! 11 Hell Heid Completion P1TLESS MMPTER

BillID Retarks, elevation, source of data, ^

Rig Operators *a« SRE6 HCCARTY

! 12 Uell Grouted Yti ^Fro. 0 to 25 ft.1 ^ r- I C A KJISML

R :E C E I V E I? HO. of bags of cetent AdditivesMich. Dept. of Public Health——————————————————--

I ! ! 13 Neafss t Source of Possible C o n t a t i n a t i o n3 ' 1992 I "ype SEHA8E Distance 50 Di rec t ion

! ! H e l l d i s i n f e c t e d upon ' ic<«pl=t ion '> YesL MHO as oJd wel l p lugged? Yes

t 14 Pjip Installed Puip I n s t a l ' a t i o n G n l y " No

1 ThH we'.! was d r ; l l e a unf le r «y ; u r := ! J ; : t ! o r , t an:! tins.-port 15 ' rue to the iest o; iy -.riovieds? =D^ b e l i e f .

ic^ISTEREG BUSINESS NA«E «CCARTY HELL D R I L L I N G«U!1BE? 121DS 12 /-? *?

'

er 4F10D05305 H? 1.'2 V o i t = 230L?rgth o* Dr:.o Piae !00 H. C a & a - i i t / 10T/pe SUBHERSISLE JsiP r ? 5 s u r e T a n l f ia»e MELL X T R O L^ r ^ j u ' 5 T a n ^ lods! 202

o! i v i o l a t i o n of an r

Page 32: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

1 ) LOCATION OF WELLCounty Township Name

UUKKIEN JBUCHANANFract ion

SE'/.fdistance And Direction from Road intersect ion

E. FRCNT STREET EAST CF RED BOD TRAIL TO MEADOWVIEW, TORN NORTH STREET CEAD ENDS INTO BOUSE.

Street Address 6 City of WeM LocationLocate win 'X" m Section Below Sketch Mao

1 1

i : T _ T\ / ^--T-T-— 7- /! i * <= C],

2 FORMATION DESCRIPTION

Fill.

COARSE OSMK 3KXK AND GRAVEL

GBAY EROWN CTAY

Mich.D9ot.of

USE A 1NO SHtET IF NttDCD ^ T D A

^)(J\j^^

OOT ST.

THICKNESSOF

STRATUM

5

75

40

! V E'ublic H— - * \f t

lon-i15 Remarks, elevation, source of data. etc. ~" ^•JC-

BUREAU OF ENVIRONMENTALOCCUPATIONAL HEALTH-GW

17 Rig Operator's Name

W. B. KETSER

J

DEPTH TOBOTTOM Of

STRATUM

5

80

120

)wttfi —

Sect ion Number Town Number Range Number

5 v.SE 'A 25 7 N/s 18 E/w3 OWNER OF WELL n-wnr-nn

Address 4747 WOCCSII ER, BDCHANAH, Mt

j-i r-i49107Address Same As Well Location' XJ Yes LJ No

4 WELL DEPTH. ' Dale Compleied ' — 1i MO i oir i TE*K 1 1 £J Ne« Well

127 PT 18 i 28 1 92! I] Replacement Well5 LJ Cable lool ^i Rotarv Q Duven [~~1 Dug

[_J Hollow tod [~1 Auger i | Jetted [~]6 USE £1 Domestic Q Type 1 Public Q TyDe lit Public

LJ Irngalion [j Type lla Public LJ Heat pump

D Test Well O Type lib Public D

Diameter D Steel LJ Thraaded Height Above/BelowE Plasiic PI Wetdea i c , 1 .,

___ J m to 1^^ ft. depth 'Grouted Drill Hole Diamatar ! BTI

• "frr 1 1 ( un_B —— in to i^/ It depth , *— ' N0

8 SCREEN ! — ] » . ,LJ Not Insialled

Tvn JOHNSON STAINE^SYI EAL 4**«ot/r..u» 15 , lh 5'

FITTINGS ED K-Packer Q Lead Packer LU Bfemer Check

LJ Blank above screen It Oiherf -a J IK9 STATIC WATER IEVEL

I\J ft hvlnui Imri curiflcf 1 t FlOW

10 PUMPING LEVEL below land surface

90 ________ '' alter ____ Jhrs pumping at ^/ G P.M

rriMPi FTinw *^ Pitless adapter Xl 12' aboye gradeiH Basemeni olfsei i 1 Approved pit

12 WELL GROUTED' t— i en ^« r-] _ | No KJ Yes From 50 lo 5 (l

No of bags ol cement 5 Additives MLZuS13 Nearest source of possible contamination

Typ- SEWKHJHK n,.t,nf., 65 " Dirsniion SB

Well disinlBcted upon completion? QD Vet 1 _ 1 No

Was old well pluoaed? LJ Yes LJ No

LJ Nol Installed LJ Pump Installation Only

Model numfisrl 50QW1—CN1 OHP 1 1 /2/nlin 220

PRESSURE TANK

Unriot m.mh. R 14O— d r»n«^.iy 44 Hiillnnt

16 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best o' my knowledge and belief

^S.J. TATAY ESQOUNG CERTRftCTCR, INC 2110

Addres

Signet*

REGISTERED BUSINESS NAME REGISTRATION NO

x^-^ ' ^^ n-« f^-aB ->yAUTHORIZED BEFHESENTATIVE

Auihortty; Act 368 PA 197BCompUtlon: RequiredP«n»lty: Conviction of • violation

GEOLOGICAL SURVEY COPY of any provition 11 amildvmaanor

Page 33: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMFXE No.

WATER WELL RECi LOCATION OF WELLCounty

1 Lr.B eP 12.'3Township Name

*B 0 Ot > /i W A^

DORD MICHIGAN DEPARTMENT

OFPUBLIC HEALTH

Fraction Section Number Town NumDer Rango Number

Jistance And Direction from Road intersections2SO* NO^Trt OF L/J A 1. 1 o <** £0.

3 fVI*Lt ' JV 6.i T O f?^ rt G C t- r*"C £>0.

Street ad tit ess & C'tv of Well Location fffi$ 1 fJ«^ t-lof (&O, fttfCllAl^NLocate with "X" in section below

X 1 1

«

2

i i i1 1 1

! 1- ~ — - T ~ 1

1 1I 1

•" —————— - 1 MIUE . ————————— f-

._

Sketch Map:

V r-.3"*-^V ^o'J l ^

FORMATION

6$A\Jc. f- "3*?ocuAJf j *

fawvei-' sis/Y eiNtr

"

,.

16 Remarks, elevation,

-.ULftU IfUU. Bf UR

•CORRECTED fflft

THICKNESSOF

STRATUM

Pr -

/ x 1

/ o 1

source of data, etc.

ILLU. LLUI i»*

? 5

HI

DEPTH TOBOTTOM OF

STRATUM

pj '

(J ?

53'

OWNER OF WELL: *~ PO& G £T £*O L fcf

J& f? 3$ J L*J^t-ToisJ ftp.]3 UC-H^f^^^, f*1 ' C <» .

WELL DEPTH: (completed! Dale of Completion

^^ , ^?n IDLV 197 1JJ _3 fr J f ) vj U - 1 I I ' 1

CD Cable tool Q "otary [j Driven LJ Duo

Q Hollow rod K Jetted LJ Bored LJ1 USE: ptj Domestic LJ Public Supply PI industry

LJ Ir r igat ion LJ Air Condil oning j~] Corrmeicial

rilest Well [~1

7 CASING: Threaded® WeldedQ Height: AbOve/BWTJw

in. to ft. Depth | Drive Shoe? Y«s SwJwS^VJ

8 SCREEN: - .. --' ^^^^N

-- ^/ f^^TTf/^ Xa^*^L • /W *:^^-*1-'i7' jTvnP- -JJ^v i t d t*f tJv^^JJb\3 ' * ' * -^\j"^l

Slni/Owww yO lennth jH X 4 K

Set between ^7 li. and O~3 ft.

Fittings: ' -t'1*" C*V-ft&*~-<

9 STATIC WATER LEVEL

•-2O ft. below land surface10 PUMPING LEVEL below land surface

ft. after 1 his. oumoino ' f a. P.m.

ft. after hrs. Diimninq o.p.m.

1 1 WATER QUALITY in Parts Per Million:

iron (Fe Chlorides ICll

Hardness Other

12 WELL HEAD COMPLETION: Q |n Ap0,oVBd Pit

^3 Pitless Adapter [ | 12" Above Grade

'3 well Gfouted?WYes ^ No

1 ! Neat Cement | 1 Bentonite QJJ .SP/Wti tiu " Y

Depth: From ft. to ft.

14 Nearest Source of possible contaminationc" i Af 1 1 1 O. riA rArjt^. -rO ^^ feni IV W Direction JF* t '^^ I/H""*» Tyoe

Well disinfected upon comoletion Qfl Yes | ] No

15f>UMP: Q Notinst.lledfiADtflAVTtltdManufar.d •ritr's MamM BS/ r / L/O / f L*f~

*Z£"} T /jJ" '/? *^ ?^Model Numban-J^- *- ~ o*/CT HP ' *- Volts *>i«-JW

1 angth of Rrno PIDB TT*^ ft. capacity / G.P.M.

Type: Q Submersible

151 jet | | Reciprocating

/o ~ to17 WATER WELL CONTRACTOR'S CERTIFICATION:

This well was drilled under rny jurisdiction and this report is trueto the bast of mv krrawladge and belief. — -) "S -7

IO&I6-FAT L-JEUU D^/LL./Wf5- SJ /RECISTERED BUSINtSS KAME NEGI STRATION HO.

V

7%fa </>^>^/Da,r/^^. 7f100M i. 12-68) A U T H O R I Z E D ft EPRE SEKf*itvy

GEOLOGICAL SURVEY COPY

Page 34: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SUHVbV SAMPLt No.

\

11 LOCATION OF WELL | -' - 8 £' tf !'j ,'

D._VATER WELL RECORD MICHIGAN DEPARTMENT

ACT 294 PA 1965 ^•"'V OF^^ PUBLIC HEALTH

County Township Name 1 Fraction ^ Section Number Town Number Range Number

istance And Direction from Road ntersectionsm 3. Olit-ti W S -ST OF fvl fcAo Qj}

3O01 NOG.TH OF er^iT" fJiVfefi- f^(V

Street address & City of Well Location PC*tt 1 "RrSV "35?? ~Rl)^" H AfcJ /VfOLocate with X in section below t Sketch

i* i ! _,|l r*-.2*i-t ' ' %\V r

\ ]_ ! ^AV 3***'

' 1 1 1i , , It* ——————— 1 MIlC ————————— f\

2 FORMATION

t

GKtoveL stfAV, wME*«£yK«*

Mao

— — S

THICKNESSOF

STRATUM

Vv

16 Remarks, elevation, source of data, etc.

AJQtD irirO. 3Y DKIUtA, U** i*1*

S

•CORRECTED Btt ^X

DEPTH TOBOTTOM OF

STRATUM

1

w

3 OWNER OF WELL: ££ pj pr ROSFT

Address RR-& i k ^Bo X 3£*L30C(1^NANJ( Micri. ^lOl

4 WELL DEPTH: Iccmoleted) Date of Completion

HH «. 11 Dec. I77/l~ Cable tool LJ Rotary Q Driven Q Dug

Q Hollow rod S) Jetted £3 Bored Q

tJ USE: y Domestic |_] Publ c Supply [~1 industry

L_J Irrigation [ _ j Air Condit oning [_J Commercial

[~lTest Well Q

7 CASING: ThreadedH WeldedQ ! HeiBht: Above/BWrrevDiam. | y

. - i Surface I ft.

<^ in- to l____ft. Depth i Weight 3*_ j.y. Ibs^fi.

___ in. to ___ ft. Depth ( Drive Shoe? Yes [X No [~] C

8 SCREEN: - ,

yQ [eoQIn ^5"V X V<j*;r

Set between ~f 6^ _ ft. and "I^~I ft.F.tt.nosr i?"- / '/ *+'' COV^i- t# & * ^

9 STATIC WATER LEVEL

/ *«. ft. below land surface

0 PUMPING LEVEL below land surface -I /^#ft. after 1 hrs. pumpinp ' / a. p.m.

(t. after hrs. numoinq o.o.m.

1 WATER QUALITY in Parts Per Million:

Iron IFe) Chlorides (CM

Hardness Other

12 WELL HEAD COMPLETION: Q ln Approved P •'-

LXPitless Adapter [ | 12" Above Grade13 Well Grouted? l_J Yes Kj No

fl Neat Cement M Seotonite fl

Depth; F(om ft. to ft.

* 4 Nea/est Source of j]O5&it>i0 cpntaminetion , ^TvOi //W-57'Tt-CG.O ¥£1

feet Direction Tvoe

Well disinfected upon completion HRYes [~] No

15 PUMP: n Not in«.lle<l

u,n..f,,,.,r.,.e M^ *VA^' D A V T 0/JModal Number /C **• ~^I Hp3'T Volts

1 dngth nf flron P Dd «*• | fl. cBDBcitv tt.P.M.

Type: | | Submersible ^

NJ jet ( | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief. — —

uv/2/6-rtT to£ut- 0£/uu/Ntf- O s3sREGISTERED BUSINESS NAME REGISTRATION NO.

.**•

2^r j. WAf+4/- Dm IS &j. I7fe.... , .. ,n... ,,„,. *LTHOR ZEtTREPRESCHT*7IYE

GEOLOGICAL SURVEY COPY

Page 35: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.JAN i 0 1969 WATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF

1 LOCATION OF WELL $£ PUBLIC HfcALTH

County Twp. Proetion

, f /i,te* 3*w,

x • j / j g /_ ^> / OWNER No.

Street address & City of Well Location

2 FORMATION

-7"./» j;«: v/*/ '(~>9£Sjrr£_ -^>S);JQ / //lip 0 /->J A/

//W <S>4y /^/x»yfeussre: £A,JO * /Z^^L.

--

THICKNESSOF

STRATUM

a70

^0

6,

lo Remarks, elevation, source of data, etc.

ADDED INFO. BY DRlUUt, UtM flu.

^CORRECTED BY,

"•ADDITION BYi

DEPTH TOBOTTOM OF

STRATUM

&

73„

*?%

SOZ.

j Section No. Town Range

Tt ^"^?"/i <^— —— > / If/S. / S Ji/W.

3 OWNER OF WELL:

tO^>C-£^OL-/3 3~~s^JD,4 WELL DEPTH: (completed) Dot* of CompUtion

5 Q Cable tool Q Rotary D Driven Q Dua

D Hollow rod (Xl Jetted D Bored Q ___

6 USE: B^Domeitic D Public Supply CD Industry

1 _ 1 Irrigation 1 _ 1 Air Conditioning 1 _ 1 Commercial

riT..,w.M n1 RASING: Th,eaded CQ Welded D (Height: Above/fieTtw)

L'lom. *" . 1 _^r^ in. to '//•/' ft. Depth j Surface ^^ ft.

'Weight _______ lb*/ft.

in. to ——— ft. Depth |DriveShoe? YesKNoLJ

8 SCREEN:

s

S.t h..»..n *?# 1. and /^2— (,_

Fittings: _ ^ _ . , ^ — ,

9 STATIC WATER LEVEL

10 PUMPING LEVEL below, lond surface

11 WATER QUALITY in Ports Per Million:

I,™ fF.) CkU,iJ.. frn

12 WELL HEAD COMPLETION: G ir. Approved Pit53 Pitless Adapter LJ 12" Above Grade

13 GROUTING:Well Grouted? D Yes 53 No

Depth.: From _____ ft. to ____ ft.

14 SANITARY:Nearest Source of possible contamination

Well disinfected upon completion /ESI,. Yes I _ | No

15 PUMP:

Manufacturer'* Unmm r S~i / / _ __ ———

U,wUI N,™r,.r /& &. 2~ HP ///'S^

o ./ £3Length of Drop Pip« a^T ft capocity_yL —— G.P.M.

t^ Jet LJ Reciprocating

\1 WATER WELL CONTRACTOR'S CERTIFICATION:Tnt« well wa» drilled under my jurisdiction and this report is true

SRM/rrK DRiLUnNG CO ' INC

AddresSOUTH BEND, INDIANA 46§13

£JZ™% ! ^K ' n,,. / '/3 - £ f

D67D 100M 6-66

GEOLOGICAL SURVEY COPY

Page 36: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL PUBLIC HEALTH

County Twp. "roction ^_ . Section No. Town Range^

£* t £ <" 7" C" 7" ^ A C* f" ,+ f- OWNER No._

^r ^** ' *Y0ft/,fft /ft v r.f yy -SM & & j*^ f * » AStreet octd'reii & City of Well Location t-fi " Jt*-*T"^ '

1 FORMATION

<°j.4\/i- <f# 4 y^AB/,h* / » / 4 yee/lS£ SAMD

THICKNESSOF

STRATUM

3?

?'

16 Remark*, elevation, lource of data, etc.

ADDED INFO. BY DRILLER. IHM NO- |

CORRECTED BY:

.••ADDITION BYi

DEPTH TOOTTOM OFSTRATUM

3?'

?o-

\

3 OWNER OF WELL: & R A A/ V ^DAbDv '• /i '* f\ & f( ft " f

Addren

fvff ft AA/JA , /ty''t?M4 WELL DEPTH: (completed) Date of Completion

90 " _T- -T- ^P5^>5 LJ Coble tool LJ Rotory Q Driven LJ Dug

O Hollow rod 5t Jetted D Bored D

6 USE: S Dome. tic G Public Supply Q Induttry

1 — 1 Irrigation 1 _ 1 Air Conditioning 1 _ 1 Commercial

n T... w.n n7 p*,^NG: Threaded D Welded D 1 Height: Above/Below

^ in to BW'* Depth .surface ^dr- ft.

jw.ioht ***.lb./lt.

___ in. to ——— ft. Depth |Drive Shoe? YeiLjNo^B

8 SCREEN;

^^^/(^-,,T« f P 1 •nnth *•'

Set between_^LjS--ft- and _.__.__ jr.. @_ .. ft.

Fitling*: _ in * f f ^ * . '

-2-/>^ tS4Vf>£/sy&£9 STATIC W A T E R LEvTL '

f f'- below lond turface

0 PUMPING LEVEL below land lurfac*

.1 WATER QUALITY in Port. Per Million:

i™, (F.) n,i«rirf.« frn

12 WELL HEAD COMPLETION: D In Approved Pit

ffi Pitleii Adapter Q^ 12" Above Grade

13 GROUTING:Well Grouted? D Ye. \j$ No

Depth: From _____ ft. to ____ ft.

14 SAMITARY:Neareit Source of pottible contamination

Well disinfected upon completion 1 — 1 Yet 1 — 1 No

15 PUMP:

M™_,. ..,.,-. M — /fApjnA yTfl MU^^.l Kl,,mh.r 7j~ 2- —— 2 V HP, , ->y"x s / & yLength of Drop Pipe_OjJ__ft. capacity —— 1 —— E.P.M.

U[ Jet 1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thii well wot drilled under my jurisdiction and thii report it trueto the tm«t of my knowledge and belief.

Addfei

Signed_

D67D IOOM 6-66

2 6 13t GEOLOGICAL SURVEY COPY

Page 37: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE »-C_ZZJWATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT /

OF /

1 LOCAT.ONOFWELL | PUBLIC HtAL.H

County Twp.

Berrien Buchanan:roction Section No. Town

OWNFP MB

At Holmes dri. on Niles-Buchanan Rd .

Street addreii & City of Well Location

2 FORMATION

Dry gravel

Fine dirty sand

Clay

Clean water sand

^

THICKNESSOF

STRATUM

40

21

3

20

16 Remarks, elevation, tource of data, etc.

ADDED INFO. BY DRILLER. ITEM NO.

•CORRECTED BY:

••ADDITION 8Y:

DEPTH TOOTTOM OFSTRATUM

40

61

64

84

Ronge

3 OWNER OF WELL:S. C. Gibbs

Addr.,,

3125 Buchanan Rd . , Miles ,4 WELL DEPTH: (completed) Date of Completion

84 h. 1-17-685 LJ Cable tool O Rotary D Driven LJ Dufl

Q. Hollow rod D Jetted Q Bored D ___

6 USE;Ljj Dom«itic LJ Public Supply

1 _ 1 Irrigation 1 _ 1 Ait Conditioning

P) T.«t W_l l PI

1 _ | Industry

1 _ 1 Commerciol

7 §*SJNG[ Tn,BOded£] Welded D lHeiBht: Above/Belt.*

2in. to 84 ft. n«pth iiurfaeB 1 ft.^ o /ii

IWeight__i__i/jT«/ft.

___ in. to ——— ft. Depth |DriveSho*?YeifxlNoQ

8 SCREEN:

jyp.. Gauze 6-.» .SUt/Gn.,T« 60 1 .nflth

Set between Rd ft. noJ RU f(

Fitting*:

2"4 (

9 STATIC WATER LEVEL3R (t k*lnix lonrt i.irtnfm

.0 PUMPING LEVEL below lond surface

40 1. ,.(,.,8 t,r. p..mpimo 10 8 P '•" '

,1 W A T E R QUALITY in Port* Par Million:

12 WELL HEAD COMPLETION: D in APP.ov.d pitKJ Pitlett Adapter I _ I 12" Above Grade

13 GROUTING:Welt Grouted? G Ye* D No

Depth: Ffow ————— h. to ———— ft.

14 SANITARY:

N*are*t Source of poxible contamination

7*; f«, nw n:,. i«. R«»ptTWell diiinUcted upon completion UB Ye*

-C ——— Type

D No

15 PUMP: Owner* sUnnufnrturar'* Kjnm* . ———— ———————————————

U»J.I N..«k.r Ht>

1 angth af Drnp Pipe ft. t-npncity r, PU

1 _ ] Jet 1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thit well wat drilled under my juritdictioo and this report i, trueto the beit^oTmy knowledge and belief.

I-M Water Co. 0534

Addrei 919 Michigan, Niles , Mich./' }<.^ ^ _J^_~. . _ 3-21-69

IOOM 6-66

2 5 1969 GEOLOGICAL SURVEY COPY

Page 38: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

rrfc~o~

$

LOCATION OF WELLlf,l;>

££#?£•#

1

. .- i \, ' J •\i

m n rnrVATER WELL RECORD MICHIGAN DEPARTMENT

ACT 294 PA 1965 QFPUBLIC HEALTH

Township Name

&1>£#AASAMFraction - - - - - Section Number Town Number Range Number

%S£%SEw -3-3~ 7 t/s. IS #w.Jistance And Direction from Road Iniersections / , . . ^±#\l> £~Ajr Of BvefrA#A//2/fy/< A/afify

A/vfsr s/so/ifs "?-'s"° ?''";St/e«t address & C.tv of Well Location ££ G> &VV40 £) J) ft. dfiT #2.

Locale witfi X in section below

2

ii_ _ _ L „ _ _

ii

_ _ _ J _ _ _ 4 - _ _ _ _ _1 11 i

- - -t- - T - - -J- 11 1 A! i

U ——————— , Ml* l ———————————

E

j Ml.

1

Sketch Map:

FORMATION

&# ##0\A/4/

GAAV FL

&L'l/E

^

^Z

#£±Y ——>

- -

USE A 2ND SHEET IF H(CDCD

16 Remarks, elevation_-. ' ' --^

--•^ cv«

-MTIQN 9V!

.r_n.

THICKNESSOF

STRATUM

36"

'«!'22.'

?'

source o^data. etc.t:w '10T f^.

.Jif

r

1 T CO .

DEPTH TOBOTTOM OF

STRATUM

3C'

7?'??'/P8'

3 OWNER OF WELL:/O^^ £ ^^ /, ffV/t&ffiS

A^ress #£/?/} j'f/y 5/>/?/A>t?S /V}/'&/t

4 WELL DEPTH: (completed) Date ol Comoletion

- • '/68 «. 6-2- J??0Q Cable tool Qj Rotary [~~1 Driven | ] Dog

[j Hollow rod JJfl jetted 1 1 Bored 1 1

^ USE: K3Dornestic Q Public Supply d industry

LJ Irrigation [ j Ait Conditionmo 1 | Commercial

QTestWell (^]

7CASING: ThreadedK! Weldedfl ! Height: Above/ 9**>v,Diam. |

i Surface / ft.

m. to ft. Depth | Drive Shoe? Yes Qfl NO f~|

8 SCREEN:

7 -f~ 'Slnt/r,.iii7.! i enoth \^

Set between J.9.<^__ ft. and j/^ Q ft.Fitt.ngs: /-LEAD /OX C%£ft

&9'ot3"0/t>£- /-3~0££J&9 STATIC WATER L^VEL'' '

, fe.,?^ ft. below land surface

tO PUMPING LEVEL below land surface

ft. after firs, pumoina *jfJ a. p.m.

ft. after hrs. oumpino g n m.

11 WATER QUALITY in Parts Per Million:

Iron (Fel Chlorides iril

Hardness Other

12 WELL HEAD COMPLETION: Q ,„ ADDrovBd Plt

Qj] Pitless Adapter j^j 12" Above Grade1 3 wel I Grouted? Q Yes 21 No

1 J Neat Cement [j 8entoni1« | |

Depth: From ft. to ft.

14 Nearest Source of possible contamination, __,* * LtCQ

feat Direction Type

Well disinfected upon completion j ] Yes H3 No

1I5PUMP; D NO. intt.ll.ilUan,,fiH.t,,rBr'5 M,_r.» f? & D / D A V 7"# A/

Model Number /& f> 2. -2 -_^*HP / Volts 23$

\ enqth of Droo Pine * 7 ft. car>«f i»y /T. n.piM,

Type: pn Submersible

1 | jet [ 1 Reciprocating

17 WATER WELL-CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief. — -

SVCHAMAH wfit* D#/u,'He£0, &£>?£REGISTERED BUSINESS NAME RESIST* AT ION NO.

Add.ess^^ 80X S?S- £veHA#A#Mi'CH>

*„*«&'. X^^»y#< Date 6-2-J97*A U T H O R I Z E D REPRESENTATIVE

D67d

GEOLOGICAL SURVEY COPY

Page 39: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No- uWATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF

1 LOCATION OF WELL , PUBLIC HhALIH

County Twp, Fra/tion Section No. Town ' Range / >

-ixnowNER NO. .

Mif" /v i I&-S •I3i*~o. n ft fy* Lt ii hj o i/Streefoddreii & City of Well Locotion £J U ^ *• t~f •* /* /*

2 FORMATION

CG^^2/ O - JL°tJLj& v 4^^*^f -l^^L^-iy^s^^fa-^r

/

..

THICKNESSOF

STRATUM

O

JLO

?'?>

1?

lb Remark*, elevation, source of data, etc.

«fw tnru. a* OK.LUJC lit* i^ f ^ //

DEPTH TOBOTTOM OFSTRATUM

J. o?63 3loo

3 OWNER OF WELL:

0 U c. # /? IV /W4 WELL DEPTH: (completed) Date of Completion

5 D Coble tool O Rotary D Driven Q Dug

D Hollow rod ffi Jetted D Bored D ———

6 USE: Domestic CD Public Supply D Industry

1 _ 1 I rr igat ion 1 _ 1 Air Conditioning 1 _ 1 Commercial

n T... W.M nL — \ \ «tt WON i—J —— _ ——— - ——— — ——————————— -< ——— —

7 ^AS|NG- Threaded £8 Welded Q [Heioht: Above/Below

_H i" to ??*' Depth ^riveShoeTYesDNaJ^!

8 SCREEN: ^/

•*• ^ ^x

^ut/r,n.,»- ^/O /O -> *^) 'i«,0.k £ "=• *f

Set t»rw«.n 7 V ft and / O " f t .

•=>«-... i *v^ pf.^.^^fH-fe-9 STATIC WATER LEVEL

j«% Q ft. below land surface

10 PUMPING LEVEL b*low land surface

11 W A T E R QUALITY in Port* Per Million:

|rnn (F.) CKI«riJ— fri)

12 WELL nr.\o COMPLETION: D in Approved Pityi Pit less Adopter l_J 12" Above Grade

13 GROUTING:Well Grouted? D Yes G^ No

Depth: From _____ h. to ____ ft.

14 SANITARY:Neorest Source of possible contampatioa —— -

//?& \ _., /A/ P\rmr1\ntl*—*^-r / /^Tvne

Well disinfected upon completion Qfl Yet l_J No

15 PUMP: *

M^J.I N..mh., ^ ^ *j ft 5 J- HP 'A

Length of Drop Pipe_j3__^_(t. capacity —— /JrLG.P.M.

1 _ 1 Jet 1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:TViic well we* drilled under my jurisdiction and this report is trueto the best of my knowledge and belief. jC3

Addrei

S IV £L-Yj. ———— n... O+J' 7

D67D 1OOM 6-6P"

GEOLOGICAL SURVEY COPY

Page 40: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL ^ PUBLIC HEALTH

County f ""P-i/l | Piactionr Section No. Town Range \

^^^* ^^^ jfc ^^ ^^ DWNFR No \

*fr MI'- £/)•£ r. ~£ /H / ' /fa/?7S?, #£ fiff&tfrtfaStfeet addreii 4 City of Will Loeaiton '

2 FORMATION

/? / W \/-Jv /9 h \ / £* I"^v Cl j^ T r^ / f

/

s^yf At j)

IDDLD INFO. BY DRILLER. 1TEU MQ.

,v_"J?riOH BYi-'I* .

THICKNESSOF

STRATUM

— 2_£/* o •

?.•?.

'-•-

DEPTH TOBOTTOM OFSTRATUM

^ & "

7.?'

^^ '

103'

17 WATERThit weto th* b

&V8JL*

3 OWNER OF WELL-

^yAddr...

4 WELL DEPTH: (completed) ' Date of Completion

103 «'- >-/- £ !) n Cobl« tool D Rotary d Driv.n CD Dug

D Hollow rod Ljji J.tt.d D Bor.d D __

() USE: Up Domeltic D Public Supply D Industry

1 — 1 Irrigation I _ 1 Air Conditioning I — ! Commercial

7 DiomNG: Threaded $ Welded D JHeiflht: Abave/&*Law

y in. to ^?f'- Deoth | lurface /' ft.

| Weight _______ lb*/ft.

in. to ——— ft. Depth | Drive Shoe? YetLfNoLJ

8 SCREEN:

sut/c-,, /p ,«ffrf, V'

Set between f{? '*- Bnd jf 0 *J f«.

_ ^ * n '' S^/ /&^"Fitting*: t/ fJ — '^' ^>~ s4 /) fl s4 S^ 4^ J^ &

9 STATIC WATER LEVEL&O ft h.lo-, I««J ...,(„..

10 PUMPING LEVEL below and lurface

[1 WATER QUALITY in Port! Per Million:

12 WELL HEAD COMPLETION: D In Approved Pit

UC Pitleti Adapter L$J 12" Above Grade

13 GROUTING:Welt Grouted? D Yes C(J No

D»plh; From _____ ft. to ____ ft.

14 SANITARY:

Nearest Source of pa**ible contamination

Well ditinfected upon completion 1 — 1 Yet LJfl No

15 PUMP:

U .l N.,-1,., AlO/A ¥*? HP /

Length of Drop Pip* K *r ft capacity — LJ.G.P.M.

LJ Jet LJ Reciprocating

WELL CONTRACTOR'S CERTIFICATION:

• *t of my knowledge ond belief.

A^.... /9? J9AXl?9A/?A/f//TA ^D#sA>£i

&£. ^f^^^':f^fy n ,. ?-2.0~£,?AUTHOHIKD MtPttciCN yC^fvc

D67D 100M 6-66

JUN 2 6 1968 GEOLOGICAL SURVEY COPY

Page 41: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

CTD

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOcVnotfoFWELL | PUBLIC. HtAL 1 H

Cownty . Twp. . F-ract ion ^_, I Section No. Town Range

y* v* y< j? 3" *? X/s. /a */w.'once And Direction from Rood Interjections i ————————————————————————— i

f t ' S 3 OWNER N o .

Street addres* & Crty of Well Location

2 FORMATION

&*r>/

/&?l*H^f CX./*? tjr-. tX ., — ,

^

s ~~

THICKNESSOF

STRATUM

% &fo^r

il -

**£

10 Remark*, elevation, source of data, etc.

ADDt-U IN-"-

•CORRECTED ^*

• •aHPITlON 8Y«

DEPTH TOBOTTOM OF

STRATUM

g

b J

^J~

/0Q

3 OWNER OF WELL:

r""^^ <^ £?£)tJA><2fjS *&,

4 WELL DEPTH: (completed) Dote of Completion

/0& ft. /J, - ^ £ - Ca&

5 Q Cable tool Q Rotary D Driven D Dug

D Hollow rod £3 Jetted D Bored D ___

6 USE: Ufl Domestic D Public Supply D Industry

1 — 1 Irrigation 1 _ 1 Air Conditioning 1 — 1 Commereiol

nT...w.M nI — J i«it "ell I — J —— — ———— ————————— . ————— ——

7 D*,mNG: Threaded D Welded Q 1 Height: Above/Below

*/ in. to 7»J ft. Deoth i surface ft.

'Weight _______ Ibs/ft.

in. to ___ ft. Depth |DriveShoe?Ye»SN,>n

8 SCREEN: ^

S.t between f-J^ ft .nnd ' & O f,

Fittingi: O ~-, ' ^f*~ 'tfics&z. o /<4/c-

9 STATIC WATER LEVEL......... -£a j!T...ft. below land <urface

.0 PUMPING LEVEL below land surface

,1 W A T E R QUALITY in Port* Per Million:

Irnn (F«) (T!hlnfid-« l(~l)

12 WELL HEAD COMPLETION: D In Approved Pit

SL Pitless Adaoter Q 12" Above Grade

13 GROUTING:

Well Grouted? Q Yel 0 No

Mfl'-'iil- f"! Nrfl* <~— flirt* P]

Depth: From _____ h. to ____ ft.

14 SANITARY:

Nearett Source of pat*ible contamination

Well disinfected upon completion 1 — I Ye* 1 — 1 No

15 PUMP:

U««.,f-,,..,.,'. w ___ ~7~A t 7—

Utxl.l r4,.«h.r St> *~* </ "7 WO / //^**.

Length of Drop Pipe_/ -i _ h. capacity ————— G.P.M.

I _ 1 Jet I _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:

to the best of my knowledge and belief.

SUIVHR DRILLING CO., INC. &<S9o

Addres KnilTH REND, IMBlANA 46613

D67D 100M 6-66

GEOLOGICAL SURVEY COPY

Page 42: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

N O V 2 0 1 9 7 3 WATER WELL RECORDACT 294

MICHIGAN DEPARTMENT

h_ LOCATION OF WELL!Cou»tv

Berrisn

"| PUBLIC HEALTHTownship Name Fract ion Section Number Town Number

•»w sw-,. «« 25 7 ,J5/S.Jisiance And Duecjioa f^m Roa() IniarSpctiapSfc- ff. » _ ., _ «__»_ - -*- i_._j.Talcs Kto. Bvd Trail oil OX Tr-ou into Men* at Dot

of MVI at stoplits twra right oa^Hilss Bach. Rd3rd rd. past city lijri.ts to Isft across from nsvPo<?Vt4*viiK*X m section below Sketch j£p:

I ' I! 1 1

J 1 '

19 k*&" " ' I * " ! *-*•

„_ !__ !_ + __1 . I! i i

I p '1'"""i"' / , ^

XJ^&^J

~/L« -£' (•<#'.2 FORMATION

Swfao*

Clay

Qrar«l

Clay

Saad

day

Sand

MHJtD >«FO BY DRILLER. IT£M ttfk

WVANOHDEPTH TO ROCK JP

THICKNESSOF

STRATUM

1

17

30

k2

%

6

8

16 Remarks, elevation, source of data, etc.

Sonrcs of data: Richard Brovft-vsll

Sourcs of data: Walt Peters-pwsp

DEPTH TOBOTTOM OF

STRATUM

1

18

*B

90

9k

100

108

/

Range Number

18 af/w.a^OWNEB OF WELL;*"* 0 'Tools BOM Csntsr

Address 1|D2 3* 0*k

Boohananj IKLch.4 WELL DEPTH: (completed) Dale of Completion

108' ft. Ang. 30, 1978- [1 Cable tool (_j Rotary Q Driven Q Dug

LJ Hollow rod *B Jetted Q Bored Q

> USE^|pomesiic Q) Public Supply 1 1 lidustrv

I I Irrigation LJ Air Conditioning [ j Commercial

QTest W«ll fl

/CASING: Threa<JeJt_l Welded [_| ' Height: Above/dGKwDiam. | n

. Surface * ft.

k !O9 ' 1"• .lbs./ft.

in. to ft. Depth | Drive Shoe? Ye^J No (~]B SCREEN:

rSw BTS0S j^U A_ o 6 '

102 liiSSet between ^^ ft. and • ~^ ft.

Fittings:

strainer fittings9 STATIC WATER LEVEL

OU ft. below land surface10 PUMPING LEVEL below land surface

PiLSttfB9P ft. after hrs, purnoina

ft. aft«r fin hr«. Dumning GO

O.D.m.

p.o.m.

1 1 WATER QUALITY in Parts Per Million:

lion )Fe] Chlorides iril

Hardness Other

12 WELL HEAD COMPLETION: Q ,„ ADDroveo Plt

^~| Pitless Adapter 1 1 12" Above Grade1 ^ Wel 1 Grouted? [_J Yes JE 1 No

M Neat Cement [~1 Senior-it* f~l

Depth: From ft. to ft.

14 Nearest Source of possible contamination .y^frff

f«et Oiiectioo Type

Well disinfected upon completion XI Yes ( | No

15PUMP: n Not installed

UaniifAiriurer's Name F9M

Model NumberOEL1909~301- HP 1 Volts G*S.O

1 nnoth o( Drnn Pine Oil /t. canacitv '/ G.P.M.

Tvoe: ^~] Submersible I

[ | jet ' I | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under mv jurisdiction and this report is trueto the best of my knowledge and belief.

B.J. Lsvls 4 SOBS 0088HEGlSTEflED BUSINESS NAME REGISTRATION NO.

S. neX^^^^ 0,,e/^> />^100M |Rev. 12-t A U T H O R I Z E D aEPRESgljXTiyC

GEOLOGICAL SURVEY COPY

Page 43: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty Township Name

b«*rrien 3UCHANAN

Fraction Seciion Number Town Number flange Number

'/« 'A 'A 2 5 7 H/S 1 8 a/wilance And Direction From Road Inte'section

Street Address 6 Cily of Well LocationLocale with 'X' m Section Below Sketch Map

i i1 1

1 11 1

* -_ -1 —— 4-- _ _ _ - <_

' i t'M|"T-r~— pk* ——— — 1 UILC ———— -H

2 FORMATION DESCRIPTION

BROWN CLAY

- YELLOW FCLAY

SAND GRAVEL

GRAVEL

CLAY

SAND

—————————— R E C E E IMJch. Dept.ofp

USE A IMD SHtFT IF MEEOEO 11 i U

THICKNESSOF

STRATUM

6

12

60

15

7

13

Jblic Ha

199115 Remarks, elevation, source of telfV^tc.

OCCUPATIONAL HEALTH-6WC

17. Rig Operator's Name:

DCfTH TO•OTTOM OFSTRATUM

6

18

78

93

100

113

tfth

3 OWNER OF WELLLARRY FUNK4749 WOODSIDE

Addfess BUEHHHAN, MI. 49107

Address Same As Well Location? xJ Y«s LJ No

4 WELL DEPTH; ' Date Completed ' fyl ., ,., „i MO i OA* i vt*n i ehJ New Well

113 FT. 1 6 J 7 9 0 1 CH Replacement Well

^ PI Cable 100! XI Rotary 1 1 Driven [\ Dug

fl Hollow rod C3 Auger Q Jelled I~~I

6 USE Q Domestic Q Type 1 Pubtic D Type 111 Public

[] Irrigation D Tyoe Ua Public LJ Haat pump

Q Test Well Q Type Ub Public EJ7 Diameter K Steel D Threaded Height Above/IJfjlow

rj Plasnc _r"l Welded ,. . It,

Grouted Drill Hole Diameter i — ]

_ m 10 ft depth '— ' Nt)

8 SCREEN D No, instatedSc A "

FITTINGS LJ K-Paclier 1 1 Lead Pacfcer \ \ Bremer Check

LJ Blank above screen ft Other9 STATIC WATER LEVEL:

60 ft. below land surface D Plow10 PUMPING LEVEL below land surface

COMPLETION ]=! htle" adaptef LJ ] Bbowe °'ade

| _ | Basement offset | _ ) Approved pit12 WELL GROUTED' t—, ., r-i „ c

No of bags of cement Additives13 Nearest source of possible contamination

TYT- TWP RF.WF.RD,,... . ft nation

W«n duinfectMl upon completion? SCJ Viw LJ No

Wu ok) wen plugged? Q Vu Q No

14 PUMP: Q No, (nsta,|ed |~1 Pump Installation Only

__^_ ori r l

PRESSURE TANK-Manufarti.rer^ name WELL X TROL

Mnrl.l numhiir VlP^ /. nO Can^rity ri«tlnn*

16 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is true

UQ to the best of my knowledge and belief

> GARDINER WELL DRILLING 1079

Ad Qres

Signed

«W«TtHED SUSWES&.bAME REGISTRATION NO.

IT«CHA»VjtfV; MI.^ 49107

Vrv.l^ t^N 4^N^ 6-7-90 ^f ^-* \ A.^Authority;CompletionsP*n»tty:

GEOLOGICAL SURVEY COPY

AclTBS PA 197BRequiredConviction of « violatioof my provision i* •miid_m«n0r.

Page 44: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WELLCounty

BERRIENTownship Name

BUCHANAN

Fraction Section Number Town Number Range Number

v« V. 1/4 25 7 *./S 18 AWslance And Direction From Road Interjection

Sireet Address 6 City of Woll LocationLocate with "X" in Section Below

1 1- .1

11

" -- -1 —— 4-- -_ - -11

---1----- —— --

1

| • t MIL.C 1

E

1 Ml.

Sketch Map:

2 FORMATION DESCRIPTION

YELLOW CLAY —————————————— — ——— r

SAND S. GRAVEL & ROCKS

BROWN SAND & CLAY

BLUE GRAVEL

U>E *

15 Remarks, elevation

n c w E i VM'ch.D«pt.0fPuhl

INO (MET * HttOtO JAN I 8 1QC

THICKNESSOF

STRATUM

15

15

20

ED

isource of data. etc.

BUREAU OF ENVIRONMENTAL AW)OCCUPATIONAL HEALTH^

17 Rig Ooeraior's Name:

DEPTH TOBOTTOM OF

STRATUM

——— § ——————

20

35

55

3 OWNER OF WELLGEORGE COLE15604 Walton RD -

Address _Buciianan, Mi .

Address Same As Well Location? KJ Yes L.J No4 WELL DEPTH: ' Date Completed ' rn .,

i MO i OAV i VIA* i I _ 1 New Well

55 FT. J 7 £5 |90 !£3 Replacement Wefl

LJ Cable lool 3Q Rotary f~1 Driven f] Dug

[J Hollow rod [~1 Auger Q Jetted 1 1

6 USE m ~ I— 1 » 1 — 1 ,KJ Domestic | _ j Type 1 Public | _ | Type III Public

\ __ \ Irrigation LJ Type Ha Public LJ Heat pump

Q Test Well Q Type lib Public [~~17 [Jumeier D Steel Q Threaded ( He-ght Above/j^w

E Plastic G Welded , Surf((Ce ___ „

Grouted Drill Hole Diameter ' _ i — iin ,n f, H»p,h 1 Dn« Sh« LJ Yes

in. to tt depth , ' — ' No

8:;CREEN D Nonnstalied

TvDB PVO n,.m.l.r B"

FITTINGS: LJ K-Packar Lj Lead Packer LJ Bremer Check

LJ Blank above screen ft Oth8r*p Jl YE7" P^-C.'9 STATIC WATER LEVEL:

Aft ft. below land surface D Row10 PUMPING LEVEL below land surface

fflMPi FTinN- PiHess adapter I i 12" above grade(71 Basemeni oMset LJ Approved pit

1 y. WELL GROUTED' r- , ,(— 1

1 | Near r«mnnr j£| Rnnionit* | | O«h»r

No. of bags of cement Additivesi:) Nearest source of possible contamination

WeO duinfectad upon completion? ij-J Vet 1 — 1 No

Wat old w*» plugged? XJ Yet Q No

14 PUMP. r— j No( (ftsta1led Q Rump installation Only

Model ni,mh«4F 1 OD^^- 304P lj" Vol!s ''SO

TYPF •Q q,.hm*KiM» Q I"'

PRESSURE TANK

Modal mimh*r n»p«nty fiftllnn^

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.

AddreJ

«EbftfTWtb *U3*t&1HMe^^^ •Li*1-1 WGISTRATIOM-Wli ' J

?)^" )T^^' ^ In^ ^ ' " f c ! ' >iT /i r» • m

^V\ \ f\^ \r^^ n... - , - . « « ^12/85 ^jrSBmz

GEOLOGICAL SURVEY COPY

Authority:Completion:Penalty:

Act 368 PA 1978R«quir»dConviction ol a violationol any provition it amii(t*ma*nor

Page 45: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

FIB 1 9 1930WATER WELL RECORD

ACT 294 PA 19651 LOCATION OF WELL.

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHCou'iiy [Township N.ime

u £? ft /P / £ /y \ JT / f /y jd fy ' j$ /¥Fract ion Section

5^JVi^,vU% 7& % <?Jistance And Direction 'rom Road Intersections , _ n -,

Street address & City of Well LocationLocale with X ' in section below Sketch Map:

1 i1 1

__ ^ _ _( _ _ - _ .

I 1* _J 4_ e1 ! T_ _ - j _ _ * _ _ _ _ . j Li i i

U ———— i «,*e —————— 1

2 FORMATION

*SA // D y- G/?A y & L/

SAN n

s

j_.'

THICKNESSOF

STRATUM

_/~^ '

U 1 *

/6'

16 Remarks, elevation, source of data, etc.AUUtU INFO BY DRU-LER. HIM NO.•CORRECTED BY YAAA/\••ADDITION BY /^ELEVATION &

DEPTH TO ROCK ^jeS

DEPTH TOBOTTOM OF

STRATUM

5V

?J'

]OS'

3 OWNER OF WELL: y-

Address / J? £{

4 WELL DEPTH: Ico

° 1 i Cable looi

1 _ ] Hollow rod i

1 USE: 1 1 DorrM-st il

i l Irr igat ion

Qlest Well

7 CASING: Threaded.Diam.

* in- (o }L^.

___ in. to __8 SCREEN:

SI nt £f\ in TP /

Set between ~^ a

Fittings: ,_5 &*f'

Number Town Number Rang*

S "7 N^) /•^Z£ j g/ Tf &j

^^^Wcn1

aleted) Date ot Completion

". /--:^M j£-fbW*fii'S^e§^J_-Lj__Public Supply LJ Indu

Qj All L- lff »»«**Miu— __l__LCr>tr

n

Number

#K

J>I2 Dug

mxtai

*

^] Welded L] Height: Above-'O^tBit

• Surface __ / 'i.f O •> ^—2_ft. Depth i Weight X S3 Ibs^ft.l_ ft. Depth | Drive Shoe? Yea|?l No Q

WA /*£*». t"'& lenolh S~'

1ft. and / &3 - h •

"" ~^ "/*//•*£'

9 STATIC WATER LEVEL '

"^ CJ ft. below land surface

10 PUMPING LEVEL Below land surface

ft. after hts. pumoing ^^ a. p.m.

ft. after hrs. u turning o.o.m.

1 1 WATER QUALITY n Parts Per Mill-on:

Iron iFel Chlorides ICll

Hardness niher

12 WELL HEAD COMPLETION: Q ,n Approved P i

ST1 Puless Adapter R*l 12" Above Grade1 3 wel 1 Grouted? [~] Yes 0 No

! 1 Neat Cement f| Bemonite ! 1

Depth: From

14 Nearest Source of

J Tj9 f««t \yfi

fl. 10 ft.

possible contamination

rr Direct.™ S^pr/e. - Type

Well disinfected upon come leu on Delves f~l No

15 PUMP: O Not installed

Manufarturar'c Warn* ff C D AO ftModel Number '£?

Length of Drop Pi

Type: EH Submer

a

9(£)d£~/ HP ^ Volts 2-

afc-_<? h- capacity _j£_G.P.M.

sible

Q Heciprocatmo

.7*5

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.

REG STEREO BUSINESS NAME

AOd.ess/T-2. &0X £VJ~

Signed ^/^- ,

RESI5TRATION

£>veH4#A H /^/ir

^^^^^ Date /"

NO.

-//^tOOM (Rev. 1 2-681

GEOLOGICAL SURVEY COPY

Page 46: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGlCA

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

[ 1 LOCATION OF WELLCounty .

W -ra t* I- , ^ 'O. . v>... ., r r ..•_ L_L- ———————— _ ____________Towrshtri Name

V V . - \ ^ *\^ -

Fraction Section Number Town Number flange Nuiriber

"^Stance ArflJ Direction From RoaO Intersect ion

Street Address & City ol Well LocationLocate wuh 'X ir\ Section flelow

1 i1 1

_ _ ^ _ _ _ _ _ _ _

1 1

1 1 J\

I , !

U ——————— 1 Ml* I ————————— J

t

T

*3 \ -To Sketcf i Mao l^

~————- -V.

""'" 6"

2 FORMATION DESCRIPTION

72>^ ^oTIC.l*-y T S-r^^cz

^/^/ ., Sfclde$

t^-LTrt- <S,_,o#

fc B « m" E c iM.'ch. Depi.n

J A M

_Env:r.-:-,rr.

USE * JHO SMtET IF NffOfD

1 5 Remarks elevation

THICKNESSOF

STRATUM

o3'SoS'o

» •• lidVI

01?3a-t:,l ,nd

"'-,!.v'tr"source of data. etc.

"ADOfTJOM BY "^

*-4

otrrn TOBOTTOM OFSTRATUM

V40

tDO

«• £.

9

n

3 OWNER OF WELL .

Address Same As Well Location' S Yes D No

d WELL DEPTH (completedl J D*ie of Completion

.JUl Cable tool Q Roisfy CD Driven I 1 Dug

1 1 Hollow rod 1 1 Auger Fj^ Jelled i 1

6 USE g"Domeslie Q TVDC , Pub((C Q TvDe m Public

LJ irrigation 1 1 Type lla Public I 1 Heal Dump

D Test Wen O Type lib Public Q1 D^ameier SSleel ® Threaded . Height Above/Below

w»,8hi Ibs./h

Grouted Dntl Hole Diameter I . nft

.n 10 ft depih [ LJ No .8 SCREEN r— i „ ,| _ | Not Installed

FiTTINQS Qit-Pacicer L~l Lead Packer C3 Bremet Check

1 1 Blank a fin UP srr*on •*. (I nttii»r

9 STATIC WATER LEVEL

••* ' ft n«lnw land t.,H>r* O Flow

10 PUMPING LEVEL below land surface

^ c*1*-- (| af twr «^ hfS Humping at --^ t- , p M

1 1 WELL HEAD P^To .1 ,f ,^ . fid i- ,h,, ,. „ .A.L^T^itiess aadpier ^^7V * aoove graoeCOMPLETION ^~1 1 Basement offset HH Approved on

1 2 WELL GROUTED' m rn r

No of bags of cement Additives13 Nearest source ol possible contamination

Well disinfected upon comc^eiionJ 3^ Yes LJ No

14 PUMP j— j N()t |nslaned Q pufnp ins!»ll»non Only

Mnn>l r-Mmh^r SO 4 *C 9" HP -^O Vnlts =i- U'~l

PRESSURE TANK _.

16. WATER WELL CONTRACTOR'S CERTIFICATION.This well was drilled under my jurisdiction arid IhiS report is trueto the best of my knowledge and b«l<*(

A / i 1 ^ s LO(?. 11 1 ) VC i \ \ i ^ J O 1 *r~ / n t> '

S.qned

REGISTERED BUSINESS NAME JtF.dlS.TRAT ION NO.

? \'-i.J"i'- — . \ \\ *^ ^ ' --0 \T"V V^. fl

-~~z^^ s /*? -"^^^^^P //) &, — / s< o1 ~i R e v 10 -601 AUTHORIZED REPRESENTATIVE

GEOLOGICAL SURVEY COPY

Page 47: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No. LLJWATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF

/ !

1 LOCATION OF WELL PUBLIC HtALIH

Cownry /* Twp.

t ->} [OWNER No._//-<

:roction Section No. Town Range

5 i// 0 /J~~st'*l*i. tsfsdfrf Wil S - T* V-CW»~-*- <J?,, E,cl

Srreet addre** & City of Well Location 1 V** 1 tFcV<d~ &f *» CVtJcft^ T^^^> (^

2 ' FORMATION

•A^^^^rv^

^

to Remark*, elevation, *ource of data, etc,

ACOEO INFO. ET DRILLER. iT£.M NO. ^

Ta ' -CJ i ' lC-N BY:

THICKNESSOF

STRATUM

DEPTH TOOTTOM OFSTRATUM

3 OWNER. OF WELL:

Addrets S7 t _

4 WELL DEPTH: (completed) Dat/of Completion _

y LJ Cob^e tool U Rotary 1 _ 1 Dr'iven ' 1 _ 1 Dug

j^" Hollow rod D JeHed D Bored D ___

6 USE:J2^ Domestic O Public Supply G Induttry

1 — 1 Irrigotion 1 _ 1 Air Conditioning 1 — I Commercial

n T.,,W.H n7 o*^NG: Threaded ® Welded D (Height: Above/Below

") ' i/ s ^ i /X. in. to y j[ ^ft Depth jiurface / ft.

j Weight _______ lb*/ft.

——— in. to ——— ft. Depth |Drive Shoe? YelEjNoLJ

8 SCREEN: - ./ i

Typer ^J-^T^lA^^l Din . / /

^ / A *£/ &

Fitting*:

9 STATIC W A T E R LEVEL0 ^^•^ * ft. below land *urface

lO PUMPING LEVEL below land lurface

11 WATER QUALITY in Part* Per Million:

1,™ (F.) ru—iJ.. /ri)

12 WELL HEAD COMPLETION: D In Approved Pit

Spitl.*» Adapter G 12" Above Grade

13 GROUTING:Well Grouted? D Ye* D No

Depth: From _____ ft. to ____ ft.

14 SANITARY:Neare*t Source of pa**ible con la mi fiat ion

Well di»infected upon completion LJ Ye* 1 — 1 No

15 PUMP: f-'i . .

C i.1 * '•' r v1 ength of Drop Pip. */ i- fl. capacity ^-•'L' G.P.M

L)4 •)•' i — • Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi* well wo I drilled under my jurrcdiction and thi* report I* trueto tKe be*t of my knowledge and belief.

Addrei

Signed ———————————————————— . ——————————— -7 - . /

RE«ISTt»rfo •U*l»£SS iN*MC BCCI3THATIOM NO.

r, J& / 'y i- 9"nn..-v' / -7 !, f

GEOLOGICAL SURVEY COPY

Page 48: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

D67d 2/84

GEOLOGICAL SURVEY COPY

Authority: Act 388 PA 1978Completion; RequiredPenalty: Conviction ol • violiti

of my provision n •

Page 49: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

1

S I 8 1980 N

^ .-

n . nVATER WELL RECORD MICHIGAN DEPARTMENT

ACT 294 PA 1965 OFPUBLIC HEALTH

County Township Name Fraction Section Number Town Number Range Number

istftncc Ar.fl Direction frocn Rocsd Intersections / /" e-

^S-S& £>s // / O^ $ tft-S

Street address & City of Well Location^"^^fiT'c/:

Locate with X in section below Sketch Map:1 11 1

J. 11 11 !

' i ~ ~-" T__ . {_ - }__ - - jL! l i J

W ——————— 1 MILI ———————— "*4

2 FORMATION

/^ / . -. //*"Y ^ /

rQtf&i/e /Q /{ tf v^

^fy/9 /^-^ vT^xv/^-

; - • ' • . ; • • •

AMVl&,»|Ju,ll|j2)l

*

THICKNESSOF

STRATUM

t&fT:

'J>~FX

^o/^fi

P2|3mS,

16 Remarks, elevation, source of data, etc.

ACD13 <«fO BV ORlUW. HIM MD.

•CORR1CTSD Bt l^A^A'•ADDITION Sf /J

(LEVAT1CN /

DEPTH TOBOTTOM OF

STRATUM

^ — , , £--

is??,yo/7.fa ft,

J}

H

•*

3 OWNER OF WELL>-, (

s^ifi C- S / £s^ -I x^x ts / J, /-J fSr^Address *7 /~) / / /O £y c, f. / S —— ' l *a S / }

LJ Cable tool LJ Rotary Q Driven LJ Dug

LJ Hollow rod [JrJ jetted LJ Bored LJ1 USE^H Domestic LJ Publ c Supply [""] industry

[ _ | Irrigation LJ Air Conditioning LJ Commercial

7 CASING: TrireadedlVl We lded ! ] Heioht: Above/BelowDiam. ^ I

i Surface ft.

in. to ft. Depth \ Driva Shoe? Yes B?l No f~)J SCREEN: - ' *

-£i*t/G3uzB &Q .^«,h -S'fT*,

Set between/ & <*% ft. and //. 0 ft.

' Fittings;

9 STATIC WATER LEVEL

fc CJ ft, below land surface10 PUMPING LEVEL below land surface

S C/ ft. •fter^' hrs. oumomo / cpf O.p.m.

ft. after hr5. numoinp tj.o.m.

1 1 WATER QUALITY in Parts Per Million:

Iron IFe Chlorides IC1I

Hardness Other

12 WELL HEAD COMPLETION: Q ,„ ADDIOved Plt

K\ P lleas Adapter | | 12" Above Grade1 3 Wel 1 Grouted? Q Yes Q No

I 1 Neat Cement LI Bentonite (~~l

Depth: From ft. to ft.14 Nearest Sourc£_oi_po>*it>le contttmination _^

jA4Q / /\ l$tf*Clio*i^ Sl*"1^ Tyoa

Well dt*inf*ct«d upon completion ( |YO* ["") No1 5 PI IMP- i — iu ruiw. ij instatlpd- // ' /

r* T3\ if 1 -^ 7 J x^.Model Number V . fo -^ / '^ HP/ .7 Volts 04 < I J

Lenath of Droo Pioe^T V ft. cAoarrtvX Q T..P.M

Type: f~~] Submersible_ /Jfl J*t [ I Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This WAN was drilled under my turisdicl on and th s report s true

-^ REGISTERED BUSINESS MAME REG1STRATIOH MO.

Si netf"^bJkM^/l'^tJ^ /^'~</-St

^/

/i

DA7d 100M (Rev. 12-681 AUTHORIZED REPRESENTATIVE

GEOLOGICAL SURVEY COPY

Page 50: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

, ——— | MICHIGAN [GEOLOGICAL SURVEY NO WATER \

1 LOCATION OF WELL

DEPARTMENT OF

VELL AND PU

County Township Name * Fractionf f? C

lance And Direction From Road Intersection ^^ S -X*'" ' /'•'-if

Street Address 6 C<ty o( Well LocationLocate with "X" m Section Below Sketch Map

i i

J 1 -^\ 1 /'1 ' t<

-i ' *l. "^! I* i

| ————————— , M,*LC ————————— ..

2 FORMATION DESCRIPTION

-1^~™ />*<-'S/*!& ( -$./4 /£ ^

~^ 5T *7f ^ ff s#3?sj<7S ^7) s*1 S

' "~ ""*

*** «$&£>(,

Sfp^^S

- - • - -ttto^/;£fc$*a

USt A 2ND SHEET IF NtEMO

tftj/i/-^

"Z^^fe

THICKNESSOF

STRATUM

/

^V

7P",?

w

'|T

15. Remarks, elevation, source of data, etc.

•£^

<i- ; ^/ v

MDEPTH TO

BOTTOM OfSTRATUM

/

61$1^

Pi IRI \C. HFAI TH p-r—— r— , j—— r—— , -

KalD DCS*f\DT\MP RECORD PEIllSlTNOMBEH——^

Section Number Town Numfter Range Number

3 DWNEfl OF WELL s*) /- , IS *

Address Same As Well Location' ^H-**s LJ No4 WELL DEPTH: (conjpJeied) | Dale of C^mplet/on ^^

5 Q Cable tool f^BOfarv 'S fiven [~1 Dug

n (— i r*n i — iHollow rod 1 1 Augflt 1 1 Jetted 1 !

B-WSmestic B*f7pei Public Q Type ill Public

LJ Irrigation 11 Type lla Public I 1 Heat pump

D Test Well [J" TYD« lib Public [~17 Dimeter LT1 Steel^_-Q Threaded ( Height Ab^rtielow

-I L^Jt^O Welded | Surface ___ /„3* in. to /_ffG*** deplh | *

grouted Drill Hole Diameter ' - i — i

in to ti deplh LJ No8 SCREEN Q No,,nst,|lfld

•*-*7 fg

?**! ' ' /s s />,lWr,ii,ir* f 4* Lenolh <

FITTINGS LJ iC-Packei LJ Lead Packer Pi Siemer Check

I _ ! Blank above screen ft Other Jf r9 STATIC WATER LEVEL

s f f — 1 •-f4*f ft- below land surface I I Flow

10 PUMPING LE^EL below land surface

C" f^ J J, & \ ft afte' / hrj. pumping ai •••• f\ G P M.

11 SL^N. 3>^ adapter g^above grade

LJ Basemeni olfset 1 1 Approved pn12 WELL GROUTED? r— i [— V ^*^

&£*fMo of bags of cement Additives

13 Nearest sorffce of possible contamination

Well disinfected upon completion? Q£*rts LJ No

rj Not Installed / Fl Pump^nyialtation Only

TYPE Q^ubmafsible Q J«t

PRESSURE TANK / / // ' ^ ^^—^

tr'Sl /£/Mnrial m.mh.r J *-s. IS r«p«ntv f *T Rallnn^

\

\

4

tt1

•>t

16 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this repon is trueto the best til my knowledge and belief

Signed

ifE^SHRED BUSINESS NAME j</fc£Gfsf RATION NfL^ _/

'/?sJi/%£* : hi.,- ///2/rC^/2/84 AUTMOmZED rfEP«Es€fiT*TWE

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1978Completion: RequitedPenalty: Conviction o( a violation

of any provtiion ii ami* demeanor.

Page 51: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPAPTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WELLCounty Township Name

PtFT?T?TFM RTTPHRNJaw

Fraction Section Number Town Number Range Number

1/4 V4 V4 ?_*> .7 W/S 1R E/W

Jistance And Direction From Road Intersection

.8 Mi. E. of walton RD. S. side of E.Rivsr RD .

Sir eat Address & City of Well LocationLocate with X in Section Below Sketch Map

1 " 11 1

_ _L 'I 11 1

« - _ _ l —— 4---!--- *1 i T1 > J.__ _,__ __T __ n__ __. | Ml.

' 1 1

! i 11 •' — 1 MIL! ——————— • •(

2 FORMATION DESCRIPTION

SAND & GRAVEL

GRAY CLAY

SAND W . B .

":- ••;-

USE A 1MD SHCET IF HCIMO ., '•--

15. Remarks, elevation, source of data. ete-''^~

- :. -' -'..';

THICKNESSOF

STRATUM

40

8

12

r .~\

— ' ':.

O

7^

'•""*..~ f" i1 . • 'v

17 Rig Operator's Name: -• • •

SCOTS. BARDINER

DEFTM TOBOTTOM OFSTRATUM

40

48

60

'£*>

3 OWNER OF WELL.JAMES CONVERSE3204 E. River RD .

Addfess Buchanan Mi. 49107Address Same As Well Location* IjfJ Yes 1 — 1 No

4 WELL DEPTH; ' Date Completed ' pii wo i om i VIA* ' 1 — 1 New Well

60 FT. i 2 1 2 ! 90153 Replacement Well5 O Cable tool B Rotary PJ Driven PJ Dug

PJ Hollow rod PJ Auger PJ Jetted PJ

6 USE gj Oomestlc pj Type | PuD|,c Q Type III Public

PI Irrigation | | Type la Public PJ Heai pump

PJ Test Well PJ Type lib Public PI7 Dimeter D Steel D Threaded ( Heighi. Above/^jiv

tXlp'«^ a Welded 1 c..H.r.. 1 f,-J ,n tn OU tt rf^^th |

1 W^-g*> "•< /"

Grouted Drill Hole Diameter ' - I — 1n ,n t, * ,h 1 DnvB Shoe LJ Yes

in 10 ft deptn ! ^ No

8 SCREEN D NO, InsulUd

T«n* PLASTIC D..m.i.r 5"

K«l hBtwBPn Pin ft and 60 fl

FITTINGS PJ ^-^achef PI Lead Packer PJ Bremer Crieck

PJ Blank above screen Ii OlheCT? A VFT PAPI9 STATIC WATER LEVEL

"3D ti. below land surface LJ Row10 PUMPING LEVEL: below land surface

1 1 COMPLFTION- ^ P"'eSS 'd<pt*r D 12" "b0"* Of"<3ePJ Basement offset PJ Approved pit

12 WELL GROUTED? r~l ., TO1 « r ..

No. of bags of cement Additives13 Nearest source of possible contamination

Typ. SEPTIC Di*t*nri> 50^ n,r«enon N . E .

Wen dwinfecied upon completion? S Ira* LJ No

Wat oW wrtl plugged? L^J Ye* LJ No

14 PUMP: pj No, |nst||le(J PJ Pumo Installation Only

wnrt.i n,,m4piopQ5 301HP ^ vni« -730

TYPF E SdhnwiiMf PJ Int

PRESSURE TANK.Mnmitit-i^'f > ""r-f WET.T. X TPnT

Model number WX?0? Capacity 40 Raiions

16 WftettR WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and behet

". ^"/Addres^ -1

Signed

Wi.CTWft BfefcUfl^*irtf<l L.,11^^ REGIST*AttO*4*0.

^JCHANAMj\ MT . _. 4q iD7

WA^V \V" .^r7^^n«,.1_?-Qn ^O67d 12/85

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 197BCompl*tton: ReQ»ir*dP» natty: Conviction ol • violation

of any proviiion ii •

Page 52: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Geological Survey No.

Location of HellflintyBERRIEN

MICHIGAN UATER WELL AND PUMP RECORD Penit No.

istance and Direction Frot Road Intersection

13973 RIVER SHORE KBUCHANANtreet Address and City of Hell Location

iTovnshio Naie! NILES

!Fraction ISection Nuiber ITown Nuiber !Range Nuiber! 1/4 1/4 1/4 : 23 i 7-S N/S ! 18-U E/U

3 Ovner of Uell CHARLES BOR60YNE

Address 15975 RIVER SHORE DRBUCHANAN HI 49107-

Address Sue as Uell Location? Ytf

Sketch Hap 4 Uell Depth (Completed) \ Date of Coipletion 07/24/94112 ft. ! Rtplactttnt Utll

5 Drilling Method HUD ROTARY

6 Proposed Use DOMESTIC

FORMATION DESCRIPTION

YELL* CLAYCOARSE SAND HIXED WITH GRAVEL8REY CLAYHATER SAND CORS

Thicknessof

Stratui0403015

Depth toBottot ofStratui1050100us

7 Casing PLASTIC i Height Abovt5 in. to 107 ft. depth! Surface

in. to ft. depth! HeightGrouted Drill Hole Diameter !8 in. to 90 ft. depth! Drive Shoe Ho

in. to ft. depth!

ft.Ibs./ft.

8 SaeenType PLASTICSlot/Gauze 13Set Between 107Fittings

Diaieter 5Length 3

ft. and 112 ft.0.00 Blank ft. above screen

9 Static Hater Level 56 Ft. Below Land Surface flow

10 Puiping Level Below Land Surfaceft. a f te r hrs. pumping at S.P.K,ft. af ter hrs. pumping at G.P.H.

11 Uell Head Completion PITLESS ADAPTER

12 Uell Grouted YtfBEKSEALNo. of bags of cetent 3

Froi 0 to 90 ft.

Additives HONE

15 Reiarks, e levat ion, source of data, etc.

13 Nearest Source of Possible ContaminationType CITY SEW "MA1 Distance 30 Direct ion HUell disinfected upon completion? YnUas old veil plugged? Ytt

Rig Operator's Name 8REG RCCARTY

16 UATER UELL CONTRACTOR'S CERTIFICATIONThis well vas dri l led under my jurisdiction, and thisreport is true to the best of ly knowledge and be l i e f .

REGISTERED BUSINESS NAME HCCMTY UELL DRILLING121 /

ADDRESS 4970JUS 12 ,~* //). -j£mt ~7/2-<//9SIGN

14 Puip Initalltd Puip Installation Only? NoManufacturer's Name 6RUN9FOSModel Nuiber 10SOS-9 HP 1/2 Volts 230Length of Drop Pipe 90 ft. Capacity 10Type SUBMERSIBLE JetPressure Tank Naie UELL MATEPressure Tank Model Ntt-9 Capacity 9

AUTHORITY:PENALTY:

/Authorized Representative)

Act 366 PA 1976 COMPLETION: Required.Conviction of a violat ion of any provision is•isdeieanor. IMPORTANT: File with deed.

Page 53: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAXN0. MICHIGAN DEPWATFRWF

1 . LOCATION OF WELL

AR I MbN I Oh PUBLIC HbAL I H PERMlT No

LL AND PUMP RECORDnounry Township Name 1 Fraction

—— Rprripn ————— ————— Buchanan ——— $H —— -ttdistance and Direction from Road Intersection

Smith Rd., off Walton to Riverside Rd.Road curves right; home on right side

Streei Address & City of Well LocationLocate with '*' in Section Below Sketch Map

! *' ' ^33_ _ ! _ _ ! _ 4_ _ ^15]1 1 1 i A* i ^ i

• , ~r , ~ Tf ^jfi2. FORMATION DESCRIPTION ~ —— "—

fill

Coarse brown Rand & gravel

Fine brovn sand

Brown clay

Brown silt

Pi n*» T* n m^rt i iim "hrnwn sanriwith fine gravel

~— _- -

--^ ; t — . . ".— : .-v ' -

" " ". ^ • ~,

-'• USE A 2NDSHEET IF NEEDED

15. ABANDONED WELL PLUGGED? D Yes n NOCasino Diameter in. Deoth ft.

//

THKXNJ3S

STRATUM

4

16

20

18.12

15

DSPTHTO.BOTTOM OfSTRATUM

4

20

405870

85

PLUGGING MATERIAL: D Neat Cement D Bemonite SlurryLJ Cement/Bentonite Slurry LJ Concrete Grout LJ Bentomte Chips

No.otBaos Casino Removed? CD Yes [U No

16. REMARKS: (ElevaDon. Source o! Data, etc.)

1 7 . DRILLING MACHINE OPERATOR

JU£mployee LJ SubcontractorName Tim Zobcll

GW^2 JJfl »/«

Section No. Town No Range No.

^'4HH1/4 ——— &5 ——————— T SUULil —— iOHmUOWNER OF WELL „ .Robert LeeAddress2921 E. Riverside Rd.Buchanan, MI 49107

Address Same as Well Location Lyl Yes LJ No

4. WELL DEPTH: Date Completed Q New Welloc "• t ^ ' t n ' n A LJ Replacement Well

5 . LJ Cable Tool 9HPOIa!V LJ Driven LJ DugD Hollow Rod LJ Auger/Bored [D Jetted LJ

6. USE: QjHousehold D Type 1 Public Q Type 111 PublicO Irrigation LJ Type lla Public 1 _ 1 Heat PumpD Test Well DTvpe lib Public D

7. CASING. D Steel Dreaded Hei(jhi: Above/Below

Diameter: e- in. to -jr? ft. depth Weioht: tosytLin. to h. deoth

BORE HOLE: Q Dnve ShoeDiameter: _oL_m. to nt d. depth LJ Shale Packef

in. to ft. depth

6. SCREEN: D Not Installed yOGravel-PackedType - r ~ _ - n**n Diameter ._"T jayco PVC , ^ 4 "SloVGauie J _ _ Lenoth: (

Set Between -, c ft. and fl h"FHTINGS: D K-Packer D Bremer CheckLJ Blank Above Screen ft. Olher j. lu^d

9. STATIC WATER LEVEL:c- p ft. Below Land Surface LJ Flowing

10, PUMPING LEVEL: Below Land Surface/-'f ft. After . hrs. Pumoing at , r G.P.M

I _ IPIunger I _ iBailer" L_J Air Lyjte"st Pump

1 1 . WELL HEAD COMPLETION:•tipidess Adapter Q i T Above Gradef^r rALJ Basement Otlset LJ Well House

1 2. WELL GROUTED? DNO §^Yes From 7^ to __£ n.U Neat Cement vJ Bentoniie LJ Other

No. ol Bags Additives Eatzvmud

1 3 . NEAREST SOURCE OF POSSIBLE CONTAMINATKJN:Tvoe _ -, _ j. 4 _ Distance R O 4. Drectxxi u* • t-Tvoe Distance It. Direction

_1 « . PUMP; LJ Not Installed Lj Pump Installation Onfy

Manufacturer's Name pori iT^^fc^t

Model Number 5Quvl-QbC- HP- ——— Votts220Lenoth of Droo PIP« 55 ft. Caoaotv |2 G-P-MTYPE: ^^Submersible Lljet C] Other

PRESSURE TANK:

Manufacturer's Name w^ "« •• V Ti-nl 1"* - JL Jk i i **J J. J*

Model Number WX2£iO Capacatv ^4 Galtons

1 5 WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my jurisdiction and this report is true to the best of myknowledge and betel

Q J _T a** a^ Ttf 4 1 1 •(«/•» l^nr.*- r^r^t- nr- T * .-. Q 1 ... O 1 1 nWGiSTe*Address

Scned

iflSBuSMssiSur ----"= «-...--*-»«-, •t"1-*a.sTMTiON*W* * -

-25020 — S fcat^e— 4lsad — 2-r — Seu^>h Ben-ct-y — £N — 466A. /!? • A.SJ^'id.fist^' O316 13-22-04

L9

fcUTHOWZED REPf*SE*T»Tlve

GEOLOGICAL SURVEY COPYAd M* f*1*7t

Page 54: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

1 LOCATION OF WELLCounty Township Name

Berrien Buchanandistance And Direction From Road In ersect ion fJP COTTlSr

Milo Arsenovich15919 N. Edgwood Drive

Jirvui HnJU-T.13 » Citr"Ot \fic\r Dotation

Fraction Section Number Town Number Range Numoer

NW 1/4 SE v« SE 1/4 25 T7 N^ R18 E^V"

Locale with "X" in Section Below Sketch Map

- _l J ^1 1 &** -^ #.

« , _ _ ! _ _ 4-- _ _ _ - L__ C"'* Si

! ! T"l I * 'l ""•**- *"*-"

2 FORMATION DESCRIPTION

Clay

Course Gravel

Clay (hard)

Hed. Sand/Gravel

i • »— _jr - _-. '^J -£J

c:. ^~ i'-'~l ?£ "~.

~ c. to ~= ~~'-J .. p , ^ O

r!7 _ o

O ^.j *

U*r A JND f HEIT If HEEOCD

>OCK^ ^> *.

\»4A«^ *

THICKNESSor

STRATUM

10

65

20

17

15 Remarks elevation, source of data, etc

17. Rig Operator's Name

t>

DEPTH TOBOTTOM OFSTRATUM

10

75

95

112

3 OWNER OF WELL

Willies Oalcbrook HonesAddress 30677 US 20 West

Elfchart, IN 46514Address Same As Well Location' LJ Yes- E No

4 WELL DEPTH: ' Date Completed ' QQ .,1 MO 1 OAV 1 VEAH < L13 NfiW Well

llOrT. !07 ,' 19 I 94 ! D Replacement Well

LJ Cable tool (3 Roiary LJ Dfiven Q Dug

f \ Hollow rod 1 1 Auoer 1 1 Jetted 1 1

6 USE [Xj Domes,lc Q TvDe i pub|,c Q Type III Puol'c

LJ Irrigation |J Type Ha Public LJ Heat pump

LJ Test Well Q Type lib Public LJ

IJ^ameter D Sieel LJ Threaded . Height^AjioveJ^elow

. w«,0ht lh^ /ft

Grouted Drill Hplel)iame[ef 1 ' i — iB ,„ ,nT.05 „ H.pr,, 1 D"« Shoe U Yes

m to _ ft depth , ^ No

B SCREEN i— i] _ | Not installed

Tvne PVC n,amel(,, 4 in.

(*Slqft"iaiirp .!•£ 1 Pnalh 5 ft*

FITTINGS LJ "-Packer Q Lead Packer Q Bremei ChecK

1 1 Blank above screen ft Other "JLue9 STATIC WATER LEVEL

W ft h.ln-, l.n^ c.uf.r. f~I ROW

10 PUMPING LEVEL below land surface

| _ ] Basement of fset LJ Approved pit1 2 WELL GROUTED' r—, rn 1 Ctfl 1 O

LJ NO ej Yes From J-UU to I*- ft

No of bags of cemeni 3.5 Add.tives E— Z Mud13 Nearest source of possible contamination

tvnf •J it**- Hitliinc* -3*f ft ftirnntitm ""

Well diainfacted upon completion? \SS Ye* 1 _ 1 No

Wat ok) well plugged? d Yet QQ No

14 PUMP j— j No, |ns,a|)ed Q pump installanon Only

Model n,,mh«r "-3J./ Hp 1/Z VQ||5 230

8O 1 7

PRESSURE TANK

Mnrlel numhor VOU r»pm"it¥ 5.4 fialions

16. WATER WELL CONTRACTOR'S CERTIFICATIONThis well w.is drilled under my |uii»dict>on and this report is trueto Ine best ol mv knowledge and belief

Maurer Well Service 2013

Addies

Signet!

REGISTERED BUSINESS NAME REGISTRATION NO

, 51711 &nans Road So. Bend, IN 46637

JW ~^?/&<*i*~^ na,B -7-xQ-f1/AUTHORIZED REPRESENTATIVE

Authority:Completion;P«n»lty:

GEOLOGICAL SURVEY COPY

Act 368 PA 1978H*quir*dConviction of • violationof any provition it amiid»m*»nor

Page 55: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAXNO

1. LOCATION OF WELL

County

MICHIGAN DEPARTMENT OF PUBLIC HEALTHWATER WELL AND PUMP RECORD

Township Name Fraction

PERMITNO

Seaion No. TowrLNorL No.

Distance and Direction Irom Road Intersection

GOING WEST ON NILES BUCHANAN RD TURNRIGHT ON HAMILTON RD GO 1 BLOCK TO HOUStON LEFT

Street Address > City ot Well Location_________^__________________

OWNER OF WELLAddfess BILL WOLVERTON

106 n. HAMILTON RDBUCHANAN, MI. 49107

Address Same as Well Location [X Yes E_J No

Locate with '*' in Section Below

4- -I- -L -

Sketch Map 4. WELL DEPTH: Date Completed

& ' 6^

New WellR«P*acement Well

CH Cable Tool[~~l HoHow Rod

Rotary D Driven D DugAuoer/Bored Q Jened D

T

2. FORMATION DESCRIPTION

J3ROWN CLAY ft GRAVELGRAVEL A SAND

USE A ZNO SHEET IP NEEDED

6. USE: D Household D Type I Puttie D Type III PublicLJ Imgation d Type lla Public D Heat PumpHlest Well DTVDC lib PuWc D

59

DC^THTO•OTTOMOTSTRATUM

7. CASING: Osieel D ThreadedgPlastic D WeldedOther_______

Diameier: **• » 63ft. depthin. to ___ft. depth

68BORE HOLE:Diameter — . .j

' I °n. io£ Q n. depthin. to H. deoth

Height: Above/BelowSurface: ______ft

Weight: IbaA.

Q Drive ShoeD Shale Packer

8. SCREEN: D Not Installed

Type.

Gravel -Packed

SloifGauze_Set BetweenFITTINGS:

.016Length:

ft.andGflWacker D Bremer

O Blank Above Screen ________ft. Odiet

9. STATIC WATER LEVEL:3-1____ft. Below Land Surface LJ Flowing

10. PUMPING LEVEL: Below Land Surfaceft. After rr hrs.Pumotnaat

D Plunger O BaiteTG.P.M.

Test Pump

1 1 . WELLHEADCOMPLETION:

PiBess AdapterBasement Offset

t12" Above GradeLJ Well House

12, WELL GROUTED? DNO tJYes From 25 tt

D Neat Cement E2 Bentonite D Oiher____No. of Bags «____ Additives___________

13. NEAREST SOURCE Of POSSIBLE CONTAMINATION:Type SHBTIC Distance 50+ "- Direction,Type__________ Distance______ft. Dtreciion.

IS. ABANDONED WELL PLUGGED? D Yes D NoCasing Diameter ______in. Depth ______h.PLUGGING MATERIAL:D Cemeni/Benionite SlurryNo. ol Baps

G Neat Cement Q Bentonite SlurryLJ Concrete Groul LJ Benuxiite ChipsCasino Removed? CH Yet d No

14. PUMP: Q Not Installed -Q Pump Installation OntyManutacturer s Name____HYER5_____________Model Number_____________ HP i Vorts_

1 6 . REMARKS: (Elevation. Source ol Data, etc.)

Length ol Drop Pipe gg It. Capacity -\ 2 G p M

TYPE: $ Submersibfe Djet DooierPRESSURE TANK:Manufacturer's Name________MOtJ^*Model Number - ^ -7____ Capacity,

^^Gaflons

^ 7 DRILLING MACHINE OPERATOR:

g^Employee I_1 Subcontractor

•' Name WILLIAM C +_SCHQENEELB

1 5 WATER WELL CONTRACTOR'S CERTIFICATION:This wefl was drilled under my jurisdiction and this report is true to the best of myknowledge and beltel

•T,W WKT.T. nPTT.T.TNGREGISTRATION MO

, MI. 4 9 1 2 0

Date

tat M* PA 1171

GEOLCGICASURVEY COPY

Page 56: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

'A* HO- MK3HGA1 JATB JELL IMP PMP RECORD HP.I Location of WellCountyBKRRIQf

Township NameBDCHAKAH

Fraction1/4 /4

Section Huiber Town Number7-S _H/S_

Range HuiberE./H

istance and Direction itoi Road Intersection

3220 HICKORY LANEBOCHAMAM

Street Address and Citv of Hell Location

3 Owner of Hell IHBAOH TIH

Address 3220 HICKORY LAMEBOCHAIAH KI 49107-

Address Same as Hell Location? Yes____Sketch Hap 4 Hell Depth (Completed)

40 ft.Date of Completion 03/13/96

Replacement Sell

5 Drilling Method HDD ROTARY

6 Proposed Ose DOMESTIC

FORMATION DESCRIPTION

SAID t GRAVEL

of P,Jb

JAN 06 1997

Thicknessof

Stratum0

(c

"Mi- AND

Depth toBottoi ofStratm40

7 Casing PLASTIC5 in. to 35 ft. depth

in. to ft. depthBore Hole Diameter9 in. to 45 ft. depth

in. to ft. depth

Height AboveSurface 1 ft.Weight Ibs./ft.

Drive Shoe toShale Packer go

8 S<;reen Gravel-packed? YesT rpe PLASTIC Diameter 5Slot/Gauze 15 Length 5Sot Between 35 ft. and 40 ft.Fittings 0.00 Blank ft. above screen

9 Static Hater Level 30 Ft. Below Land Surface Flo

10 lumping Level Below Land Surfaceft. after brs. pumping at G.P.H.ft. after hrs. pumping at G.P.H.

Using AUt

11 Ifell Head Completion PITLESS ADAPTER

From 0 to 3512 ifell Grouted? YesBEKSEAL:Ho. of bags of cvwit 2 Additives MORE

ft.

13 Kearest Source of Possible ContaminationSEWAGE Distance 75 ft. Direction RSEKAGE________Distance___ft. Direction

15 Abandoned well plugged? BoCasing Diameter in. Depth ft.

Casing removed? Bo

16 Remarks, elevation, source of data, etc.

14 Pump Installed Pump Installation Only? loManufacturer's Name GBOHDFGSModel number 10S05-9 HP 1/2 Volts 230Length of Drop Pipe 35 ft. Capacity 10 G.P.H.Type SUBMERSIBLE JetPressure tank:Manufacturer's Hame WELL ITROLPressure Tank Model Mfr-9_______Capacity 9 gal.

17 Drilling machine operator:EmployeeHame GRBG MCORTY

Authority: Act 368 PA 1978Completion: Required.Penalty: Conviction of violation of any

provision is a misdemeanor.IMPORTANT: File with deed.

18 Hater Hell Contractor's Certification:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.Registered business naiie: HCCART? HELL DRULBGRegistration JHOber: 121Address: / / JW90& 12/zBDCHAiAH, HISigned: t Jt+ tfti *35* _____ Date

/

'r*

Page 57: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAXN0. MICHIGAN DbPWATFRWF

1 , LOCATION OF WELL

AH 1 MbN 1 Of- PUBLIC HbAL 1 H PERM|T NO.LL AND PUMP RECORD

County^ " Township Name, Fraction Section No. Town No. Range No.~) I**. "7 *•! 1 & Jj I1/4 1/4 1/4 ^X— tX / — ' / O —^ ^^^

Distance and Direction Irom Road intersection

Street Address & City of Well LocationLocate with V in Section Below Sketch Map

1 1 1_ 4. _| _ 4_ _

1 1 1T — r <T- , -,- , - Ti

2. FORMATION DESCRIPTION

5&*s/^zbtS f^K^A^L

^w7

———————————————— >••; E G £ . -. •' G ——Vlicri Tlftnt ryf T'.^r. '-(q^l

JAN !!S M7

Ri'^Eil) r= ^NVihCT "'-VrP' A' _ _ _ _.UUour«Tluu«t. h^Li..-u».u

USE A 2ND SHEET IF NEEDED

15. ABANDONED WELL PLUGGED'' D Yes LjJ'fSoCasino Dtameter in. Depth ft.

PLUGGING MATERIAL. D Neat Cement CLJ Cemeni/Bentonite Slurry Q Concrete Grout CNo. ol Baas Casino Removed? C

TMCKNESSCF

STRATUM

^

/&

¥3

h

,3

PEFTMTOtOTTOWOFSTRATUM

30

y<203

J Bentoniie SlurryJ Bentoniie ChipsD Yes Q No

16. REMARKS: (Elevation, Source ol Daia. etc.)

1 7 . DRILLING MACHINE OPERATOR:

LJjemployfte 1 _ 1 Subcontractor ._

•V /GW-!-«« »<W

3. OWNEROF WELL ^

Address JpjS/. -*— V^ . " 'T^

-tj7^^^^_^^_ S?7^ 4*-^s'&?

Address Same as Well Location IjJ- Tes LJ No

4. WELL DEPTH: Date Completed D New WellQ^ ft. 5" / (• i y^ [&*R*eplacement Well

5 . n Cable Tool Stflotary Q Driven D DugD Hollow Rod C] Auoer/BoreO Q JeHed Ll

6. USE: [ Household D Type 1 Public D Type III PublicQ Irrigation LJ Type lla Public D Heat Pump

D Test Well D Type lib Puttie D

7. CASING: O Steel [HThreaded Heighlf o^BelowElastic QweWed Surface: / ft

Diameter; *T in. to AS ft. de'otfi Weight: bsAm. to ft. depth

BOREHOLE: D Drive ShoeDiameter: _<y in. ioeS^>~fl. Oepth 1 _ 1 Shate Packer

in. to ft. deoth

B. SCREEN: D Not Installed ffirSr'avel-PackedTvoe -r/'n:Tis_ Diameter £"

Slot/Gaiae- /5* Lenoth: S"

Set Between 7® * **• and "^ ^ "•FITTINGS: Q K-Packer D Bremer CheckM Blank Above Screen ft. Other

9. STATIC WATER LEVEL.

^^? ft. Below Land Surface LJ Flowing

10. PUMPING LEVEL: Below Land Surlaceft. After hrs, Pumpinoat G.P.M.

I _ 1 Plunger LJ Baitef \\^f( \ _ 1 Test Pump

1 1 . WELL HEAD COMPLETION:

LH iless Adapter CH 12" Above GradeD Basement ORsei D Well House

1 ———— 1 1 ————— 1 -I*"

1 2 . WELL GROUTED? LJNo LLHes From <•> toj^g"n Near Cament (&€enionite dl Omef -

No. ot Bags ^ Additives

1 3 . NEAREST SOURCE OF POSSIBLE CONTAMINATION:Type 5rX//C, Disance :57> It Direction 6*JType Distance ft. Direction

_1 4 . PUMP: LJ Not Installed LJ Pump Installation Only

Manufacturer's Name ^2'U*' > C//O5Model Number /£.5^c~- 9 HP fi Volts ^-3^>Lenpth of Droo Pipe ~7*-> tl Capaoty ^? G.P.M.

TYPE: rUObmersible Dje! D Other

PRESSURE TANK:Manufacturer's Name /AJSsZs- /%cZ/Model Number fiO/*1 ' $ Capacity 7 Gallons

1 5 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction ant) this report is irue so trie best of myknowtedgeand belief. _ ^ .

REGfSTERED BUSINESS f&ME ^ / , BESISTRAHON MO

Adj eg-r r 7/;> tJ$ -/2_ \_£^/>4sr^>L^ SM ¥<?/£ 7Siooed _2^^tff,$isiL Da. ^ ^

GEOLOGICAL SURVEY COPYAuVMllH- Act 3U PA ItTB

C»mB'**»"' **H*V*ilty- C*n>4c«an •< ivlolilon at «ny pr»^1»*an !• » ntt ttmmtt.

Page 58: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

| 1 LOCATION OF WELLCounty Township Name Fraction

Jislance And Direction From Road Intersection

Street Address 6 City of Well Location1C

w

2

cate with "X" in Section Below \

- J 1 '1 1 '1 1 1

-_ _| —— 4---I---1 1 1l__ 1 _ J _ _ _

1 1 1

•*• " ••' — 1 MIUC ...i. ..-IM^.

l ty/i

E

T'

... t £&. \

f-*>

Sketch Map

?

FORMATION DESCRIPTION

"CL.-* 7 ^/Jj*j2s ^2**^*^^

ust *15. Remarks, elevation

1MD SHEET

' *topt, Qf

if NEIDCD tJFn »* isource oUiata, etc

•*- n£

THICKNESSOF

STRATUM

o

/5-

'* D

IStjy

17. Rtg Operator's Name;

D67d 12/B5

DEPTH TOBOTTOM OfSTRATUM

j^S

^o'

f

Section Number Town Number Range Number

<2& -7 */$ /^ ^/W3 OWNER OF WELi __ , . j

Address /v5~ fy ' "/ "2 /ty/(3i&?'*~' J&^i '

^^(^^^^^^^^_f^<^ '' 'Address Seme As Well Location? 0^V«s L.J No

4 WELL DEPTH; ' Date Completed ' rrT— ,., „i MO i c*Y i VEAH i OTTaw Well

._5~?O FT i^~/ i^e? lS9 1 1 _ 1 Replacement Well

* 11 Cable tool E-H^otary [~J Driven Q Dug

1 1 Hollow rod 1 1 Auqer I 1 Jetted ! (

6 USE Bffomestic D T«>« ' puW>c D Type III PublicLJ Irrigation Q Type lla Public O Heal pump

Q Tesi Well LD Tvoe lib Public | |7 CASING, f-

Diameter l_£

in t

j Sttel I 1 Threaded Height Above/Below3fT«<ic Q Welded Sufi.Ki| f,

Grouted Drill Hole Diameter ' . i — i

m to ft depth 1— ' No

8SCREEN , D No, installed

FITTINGS: LJ K-Packet [~~1 Lead Packer [~] Bremef Check

(1 HI jink above »cr**n ft (lihur

9 STATIC WATER LEVEL:

._?£? (t h»inw l.nrt t.irfum IZ1 Row

10 PUMPING LEVEL: below land surface

ty^f fl. stie' / hrs pumping at _/3-^~ G.P.M

lift a ^n L--rtftlass adapter LJ 1 2" above grade

LJ Basement offset LJ Approved pit12 WELL GROUTED' r— i r— !-«•

n Neat c(

No of bags of r*mnni Arlditiv««

13 Nearest source of possible contamination

Typ« DistJinra It- DirHrMinn

Wen disinfected upon completion 7 Litres 1 — 1 NoWat old well pJugged? LJ Ye* Q No

'id piipjp- f — i [ — iu LJ Not Installed LJ pump Installation Only

h«r HP 'A Unl« 2-3 O

TYPE:PRESSUREManufactu

Model num

TANK: ,

her Taoantu Rallnnc

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the be:n of my knowledge and Belief

/ ^

Addtes

REGlSTEflEry BUSINESS NAME REGISTRATION NO

— /y AUTHORED JtEfRESENTATIVE / /

Authority:Completion:Penalty:

GEOLOGICAL SURVEY COPY

Act 388 PA 1978RequiredConviction of • violationof any provilion it *mi»d«m»»nor.

Page 59: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGCAL5URVEYN° WATER WELL AND PU

1 1 1 nrATION OF WELICounty Township Name

ftalD DCSTtDnMP KhUORD pERM|T NUMBER -

Fraction Section Nutpbe' Town Number Range Number

Ut»Jl&.M& iL 7 *s /% **.ance_And Direct ionium Road Intersecnon f* P* ^\ \ .^

/"}/\^> ,X/ // rG*> • »O

Street Address Et City of Well LocationLocate with -X' m Section Below Sketch Mao

j j j &

\ \ A^reuX-s« . ,o-=J——— -tt^- J-- -» - L____ ^ ^i*- -" ^

t 1 T V

! I i $•"T-]--— 7- ^2 FORMATION DESCRIPTION

(STO/ (7/cxy/r^e (^_ , ^X

uJcv-Ur O=»,irA»

A/ffnK ifc^* ^ fc" ^^W. of

«. »«,.»« DEC »j15. Remarks, elevation, source of dMa—flc

\-fTHtCKNESS

OFSTRATUM

Oio/o

'4/t °

^^TAL 417. RiJ Operators Name:

^~* 'vAiJ67d 12/85 ^J

OEfTH TOBOTTOM OFSTRATUM

3D7090

«h

1 6. WATEThis wito the t

Adflres

3 OWNER OF WELL

Address . r- \/j'v'v CX.' (-< 1_>-O 1^- C*. i, L! kLs i /^ ~3_

Address Same As Well Location' B Yes LJ Nod WELL DEPTH: ' Data Completed ' PW .,i MO i DAY i VEAH i LO New Well

£L £T" ' Q ' i ' C.a' I — tO ^ FT. 1 D 1 1 1 ^ Jl 1 _ 1 Replacement Well

5 O Cable tool W Rotafy O Dnvert Q Dug

1 1 Hollow rod 1 1 Auger [~1 Jeited 1 1

6 U [^ Domestic Q Type 1 Public Q Type III Public

LJ Irrigation [j Type tla Public O Heal pump

Q Test Weil Q Type lib Public d _ _ _____7 Dimeter D Sieel Q Threaded Heighi Above/Below

H Mastic Q Welded ,. rf ,T__£_«n to Ji5_ ft. depth we]flht (bs/)t

Grouted Drill HoJe Diameter 1 — 1... . D' ve Shoe I _ 1 Yes

•n to ft depth "— ' No

8SCREEN - D No, installed

FITTINGS LJ K-Packer LJ Lead Packer LJ Bremar Check

S 1 Blank above screen ft. Other9 STATIC WATER LEVEL

. ~~> {J ft below land surface U Fl°w

10 PUMPING LEVEL: below land surface

f^> '— ' ft. after £^~ hrs pumping at -S {*< G.P M

LJ Basemant offset i_J Approved on12 WELL GROUTED' p-, m.

No. of bags of cemeni Additives13 Nearest source of possible contarni nation

Typo nKtancn «• Dirnrtinn

W«tl disinfected upon cornptetion7 I _ I Yet I _ I NoWai ok) well plugged? D Ye* CD No

14 PUMP. Q Not |ns,,|,ed Q pump installation Only

^"F D -!Mhm»™hl» [~| !•(

PRESSURE TANK.

Mnriol numhor rAn*niiy Gallnns

R WELL CONTRACTOR'S CERTIFICATION:

est of my know edge and belief.

J. B. McCARTY & /&/MlfiHANAN MICH. 49107 ,

C 's^M*&Y/'su&~n«. ,V-/ - -fr" ——— A\JTHOBIZ>tJ REPRESENTATIVE /

GEOLOGICAL SURVEY COPY

Authority; Act 36B PA 1978Completion: R*quir*dP*n«1ty: Conviction ol • violation

of any prom ion ii amiidamaanor.

Page 60: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Geological Survey No. M I C H I G A N HftTER WELL AND PUHP RECORD Permi t No.

II Location of WellICounty

^.RRIENTownship Kaie

BUCHANANI F r a c t i o n [ S e c t i o n N u m b e r I T o w n Number !Range Number: 1/4 1/4 1/4 : 26 : 7-SH N/S : is-u E/U

Dis tance and D i r e c t i o n Froi Road In tersect ion 1/8 S

15357 CHIPPEHABUCHANAN

Street Address and C i ty of Wel l Location

3 Owner of W e l l 6ARY SHITH

Address 15357 CHIPPEilABUCHANAN til 49107-

Addresi; Same as Hell Location? Yts

Sketch Hap 4 Dell Depth (Completed)80 ft.

Date of Completion 06/02/92Replacement Well

5 Drilling Method HUD ROTARY

6 Proposed Use DOMESTIC

FORMATION DESCRIPTION

FINE SAND I ClYSAND (GRAVEL6REY CUYHATER SAND CORS

Thicknessof

S t r a t u m0151045

E C E I V

D

ED

Depth toBottom of

Stratum153040BS

15 Remarks, elevation,~S4ruUeTQT.dit'ag,'eJcVj — .

Rig Operator's Name 6REG KCCARTY

16 HATER WELL CONTRACTOR'S CERTIFICATIONThis veil was d r i l l e d under iy ju r i sd ic t ion , and th i srepor t is true to the best of my knowledge and be l ie f

'ISTERED BUSINESS NAME RCCARTY HEU DRILLING121

12/rzfro&

7 Casing RUSTIC ! Height. Above5 in. to 80 ft. depth! Surface AA

in. to ft. depth! HeightGrouted Dr i l l Hole Diameter !B in. to 42 ft. depth! Drive Shoe No

in. to f t . depth!

ft.Ibs./ft,

8 ScreenType PLASTICSlot/Gauze 16Set Between 75Fittings

ft. and 80

Diameter 5Length 5f t .

3 Static Hater Level 50 Ft. Below Land Surface Flow

10 P u m p i n g Level Below Land Sur faceft. after hrs. pumping at 6.P.M.ft. after hrs, pumping at 6 .P.M.

11 Hell Head Completion P1TLESS ADAPTER

12 Hell Srouted Yts From 0 to 42 ft.BENSEALNo. of bags of cetent 3 Additives NONE

13 Nearest Source of Possible ContaminationType SEWAGE Distance 80 Direction EHell dis infected upon completion? YtsWas old well plugged? Yes

14 Pump Instilled Pump Installation Only? NoManufac tu re r ' s Name 6RUNDFQSHodel Number 10S05-9 HP 1/2 Volts 230Length of Drop Pipe 75 ft. Capacity 15Type SUBHERSIBU JetPressure Tank Name HELL FLOPressure Tank Hodel 202

ftUTHDRlTY:PEHflLTY:

( A u t h o r i i e d R e p r e s e n t a t i v e )

Act 363 PA 1973 C O M P L E T I O N : R e q u i r e d .Conv ic t ion of a v i o l a t i o n of any p rov i s ion ism i s d e m e a n o r . IMPORTANT: F i l e w i t h deed ,

Page 61: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty Township Name

BERRIEN CITY OF BUCHANANFraction Seclion Number Town Number Range Number

</4 V4 '/4 2fi 1 */S 1ft */W'stance And Direction From Road Intersection

Street Address 6 City of We.ll LocationLocate with ~X~ in Section Below Sketch Map:

I > 11 1 1

-— , — -|— -|~— •1 1 1---{~-|--j— YI__ 1 _ 1 __ IMI< 1 1 1! , , 1

2 FORMATION DESCRIPTION

SAND & GRAVEL

YELLOW CLAY

YELLOW CLAY S, SAND

YELLOW SAND

GRAY CLAY

COARSE SAND

P. E LK/lir^ r*-- -VHt-ii .. [_--w :J

•"ti~

u»i * iw awerr * MCEDCD pi T; • • r,z r

THICKNESSOf

STRATUM

35

3

6

16

3

• 3

!£! VofPijb1 A 1PC

1 5. Remarks, elevation, source of data. etc. £ • r , ; . - • ; - • , •*•

17. Rig Operators Name:

R.E.G.

otrtx TOBOTTOM OF

STRATUM

35

38

44

60

63

78

ED

2

3 OWNER OF WELL JQHN HARVILLE917 DETROIT ST . N

Address BUCHANAN, MI. 49107

Address Same As Well Location? BU Yes LJ No4 WELL DEPTH; ' Date Completed ' [73

i MO. i DAY i VEAH i Dg New WoH

72 FT- 1 1 0 !l f> 1 Q 1 1 LJ Replacement Well5 Q Cable tool Kl Rotary Q Driven Q Dug

[~1 Hollow rod [3 Auger LJ Je»ed LJ6 USE B Domesnc Q Type 1 Public Q Type III Public

Q Irrigation |~1 Type lla Public LJ Heat pump

D T«>st Wall D Type Mb Public O

7 Diameter D Steel Q Threaded Height Above/Bfttov.B Plastic D Welded <-tlrfllr(l 1 ft

" * \A>«,flht • Ihs/li

Grouted Drill Hole Diameter _ r~ift. denth 0nV8 Sh°* U Y«

in 10 tt depth , '— ' No

B SCREEN D Not InstilLd

Typ« PVC Dismnmr S "

FITTINGS. 1 1 K-Packer LJ Lead Packer LJ Bremer Check .

D Blank above screen ft. 0th"OPAVEI' T^^fJ9 STATIC WATER LEVEL

"}q ft below tend surface D Row10 PUMPING LEVEL: below land surface

ft »ft«r ] hrs. oumfiing ai fi P M

11 COMPLTnON £l_?lle)s »daP'«f Ll 12- above gradeLJ Basement offset II Approved pit

12 WELL GROUTED' r— i rTI ^[_j Nn [Aj Y« Frn^_ to ft

No. of bags of cement Additives13 Nearest source of possible contamination

Tyn. CITY sw«flrs,.nc.Wefl diainf«cted upon completion? bp Vin 1 — 1 Ho

Was old well plugged? LJ Yes LJ No

14 PUMP. p ] Not Installed O Pump Installation Only

PRESSURE TANK rTT,_ T „ mT,«TU,n.,f.r.,,,,t,> n,m. nr,Jjij A. AJ\UJJ

Mnrfjil n,,mfi«f W/X 2 S 11 Capacity - ^— M:" • -~ hullfin*

'.l.l tfATER WELL CONTRACTOR'S CERTIFICATION: -•''""-'•Tnft well was drilled under my (unsdicnon and this report is true

to the best of my knowledge and belief.

GARDTlifER WFT.T. DRTT.T.TNC; 1079

Addres

BtfeiafTEBEO VUSIMlSS NAMf REGISTRATION NO

.BpCHAmiW. M-rirHTGAM 4Q107

lAjTMOBWO ftiPBttENTATIVE ~-x^Os.

GEOLOGICAL SURVEY COPY

Authority^ Act 38S PA 1978Completion: RequiredPenalty: Conviction of a violation

of any provision is amisdemeanor.

Page 62: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WELLCounty Township Name

RTTfHANAM

Fraction Section Number Town Number Range Number

»/4 'A v« 26 7 jj/s 18 t/wstance And Direction From Road Intersection

Street Addre** 6 City of Well LocationLocate with "X" in Section Below Sketch Map

i i1 1

Jl 111

1

1 • 1 MILE f\

rL

2 FORMATION DESCRIPTION

SAND & GRAVEL

YELLOW CLAY

YELLOW CLAY & SAND

YELLOW SAND

GRAY SAND

COARSE SAND

R E G__—— Mich. Dept. e

MM*

BUKcAU 01- &\\UM A 1*0 «WT * HEItXO OCCUPATlOFiA

THICKNESSOF

STRATUM

35

3

6

16

3

15

M V Ef Public

f* ^o n ***D 1336

RONMENT

HEALTH16 Remarks, elevation, source of data. etc.

17. Rig Operatoi'* Name:

OCFTW TOBOTTOM OFSTRATUM

35

38

44

60

63

78

DIsaKli

\l AMDSWQS

3 OWNER OF WELLJOHN HARVILLE917 N.DETROIT

Addre» BDCHANAN , MI. 49107

Addr«« Same As Well Location? UQ Yes LJ No4 WELL DEPTH: ' Dale Competed '-fH t, _ _i MO > OAT i TtAn «-*J New Wcfl

72 FT. 1 10 [ 10 191 J D Replacement Well

["] Cable tool Xl Hotary [_J Driven [_J Dog

I 1 Hollow rod LJ Auger [_] Jetted LJ

6 USE. j Domes(ic Q Type , pub,,;. Q fy(je m Pub|,c

LJ Irrigation LJ Type lla Public Fl Heal pump

Q Test Well Q Type lib Public O7 Dimeter O Steel Q Threaded , Height: Above/Balow

£] Plastic D Welded | SurfarB 1 „

Grouted Drill Hole Diametef ' „ r~).. . ,. i Orwe Shoe 1 _ 1 Yes

in. to ft. depth | L_ ' No

8SCREEN; O Notin,nii«i

4M/0... in i «„„.*, =;»

FITTINGS: LJ K-Packer ll Lead Packer \] Bremer Check

LJ Blank above screen ft. °'f|ftft-VTlI PA^R-9 STATIC WATER LEVEL:

J-* fl h«law rand surface LJ Bow

1 0 PUMPING LEVEL below and surface

ft aftdt J hrs Dumping ai gQ r, P M

rnuw ( inm ^J Pitless adapter LJ 1 2" above gradeLJ Basement offset LJ Approved pil

12 WELL GROUTED? r-i . r-i „ ^

No. of bags of cement Additives13 Nearvtt source of possiMe contamination

TYP" City SPVf»T)r*tanc« '*- nita^-tion

WeB diainfected upon completton? XJ >fe» LJ NoWaa old wtfl plugged? D Ytt Q No

14 PUMP: j— j No, 1n(tll|ed Q Rump Installation Only

Mnrt.l n,,mh«r HP 1 \/nlIt7 ? 0

TYPF iQ <=,.hm«r,hlB Q Jet

PRESSURE TANK:

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the bast of my knowledge and belief.

RArfbjNRR WRT.T. ™?TT,T,TNn 1 fWQ

AdtJrS

ftfcGISTCRED VUSINKS NAME , REGISTRATION NO

; TATTPH Ar^% j -W r 4Q1O7

\ \M AUlHO inpXrW^P&l NTATIvf»-C*S>- .Authority:Completion:Penalty:

GEOLOGICAL SURVEY COPY

Act 368 PA 1978RaquiddConviction of a violationof any provi*ion it amiid«m»anor.

Page 63: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty Township Name

tance And Direction From Road Intersection _r_-'

Street Address & City of Well Location _ ,

Fraction

V*

<Z//S&t-/

Locate with 'X' m Section Below Skjtfh Mao

! ! 5

~ - _ _ i _ _ - L _ J - _ . ' <O[ j —————— __4 —————— —— 2J

— '"T"— 'f

2 FORMATION DESCRIPTION

•^ffcTZli&i r . fJC/1' (t&CsC'J^-^

^ Jh^L^r ' / J&^t/*£&# ' s 4^ A&d

S'sltes4^ zZfabfi * <&&"^/- S ;

RECEIVEDtoich. Deot. of Public HeaUh

JAN 0 ? 19SB

c---.rtau of Environmental st.a"•.-cjD.-ilionai He; n't1-. -tlVVC "

USE A 2ND SHEET fF NEEDED

1" ^^

THICKNESSor

STRATUM

^

~<?

-3¥

*/

15 Remarks, elevation, source of daia. etc.

.

OCfTH TOBOTTOM OfSTRATUM

^2.

7?~

(-ffa

s#o

Section Number Town Number flange Number

V* '/4 <2~C? ~~7 N/S /* ^W3 OWNER OF VVJLL / // -•' /'

Address Same As Well Location'^ [S^Ves LJ No4 WELL DEPTH, (completed) \ Date of Completion

5 L~3 Cable tool Q Rotary &fit<v«n Q Dug

[~~1 Hollow rod 1 1 Auger PrTetted LJ

6 USE [}f5omest.c D Tvpe 1 Public O TVPe '" Public

[j Itngation [_j Tvpe Ma Public LJ Heal pump

Q Test WelJ^ Q Tyqjvflb Public [~l7 Diameter C^teel [5^'eaded Height Above/Below

- DPIaWJ^ D Welded <;,,H,r. fi

vVBight IbS./ft.

Grouted Drill Hole Diameter i — ]

m. to ft depth *— ' No

8 SCR£EN D No, .pstaued

Slnl/finulff / & 1 *nnlh ^T

FITTINGS i 1 K-Packer Q Lea° Packer Q-'BTemer Check

1 _ | Blank above screen . ft Other9 STATIC WATER LEVEL

(0Q •& ¥* \\ below land surface LJ Flow

10 PUMPING LEVEL below land surface

/ ft. after _J__ hrs pumping at / —— G P M

' * /^'''D IT n CB^mess adapter [_J !2" above grade

LJ Basement offset [J Approved pit

12 WELL GROUTED' ,— \ r— i

No of begs of cement Additives13 Nearest source of possible contamination

Well disinfected upon completion' Lfi*^f¥s IJ No

14 PUMP. j~ j Nol |nsta||My ' r^ pump Installation Only

-~/S$-/ /

PRESSURE TANK

Mnrt.l numh.r r.an»r.,.y Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under mv jurisdiction and this <eport is irueto the besl obmy knowledge and Belief ^ '/>/,'

Addres/

S.g«(ed.

REGISTERED'BUSINESS NAME ,-_, R^si^rRATiow NO, ,^77 '& & ^ ~~* ~^~ )£Zc*-*''/^ &~> <s~ —

' '^rs^ /??,{?#.«&/ D... fr -Z7-5*-J670 2/84 AUTHORIZED

/

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1978Completion: RiouindPenalty: Conviction of a violation

of any provision n amitd*m*anor.

Page 64: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

1 1 LOCATION OF WELLCouiVv Tow»^)ip Name . Fraction ~\ Section Number Town Number Range Number

tf^XUKM* Z(c 7 H7s J^rf,wilance Arid Oxecnon From Road Intersection

fj f ^^

Street Address 6 City of Well LocationLocate witti "X~ in Seciion Below

1

Jl

« -_- __ . . _ _ - _ _

-- -1- - - - - - - - -1

V* ——— ——— 1 MILE —— —— ———— *H

c

1 Ml .

1

Sketch Map

2 FORMATION DESCRIPTION

ItyXxy-JS^V^^ — t$> [s

y^WvJl v £xck*~o ^ \jL- O —"^\ r JXn-'c. \ 5C. jCJ* ^\

in • \ i i * ^j ^ *\ /-^

-S^_<^ VL^^J*.

USE »

15 Remarks, elevationIHO SHEET r NEEDED

THICKNESSOF

STRATUM

*ivX

;s-

y^/-?

source of data. etc.

DEPTH TOBOTTOM Of

STRATUM

^ (&

$"\

\o^><zo

/ 3 o ^~ (\ <^cVp I'X^ / /v/ •{^ os.C/^Ct-'^cc-^ i "• L^ - ^fwi /O /

Address Same At Well Location' Uo^Yes LJ No4 WELL DEPTH, (completed) j Dale of Camplejionj fy/

[J Cable tool LD Rotary [<n^fiven |~~| Dug

1 H Hollow rod 1 I Auoer I^HlCtted [J

6 USE 1 — 1 „ 1 — i , 1 — 1 ,-| _ 1 Domestic 1 _ 1 Type 1 Public | _ j Type Ml Public

LJ Irrigation LJ Type Us Public J^T^eat pumrj

O Test Well Q Type lib Public L7)

7 Dimeter B*S'»«I CS"nireatled MB|3hl Above/WWW—*'

• QPIWy Q Welded Sutface / h

—— /L_>n. to —— L_£ . «P w«,nht lh*/fi

Grouted Drill Hole Diamowr ^/

in to ft. depth L- ' No

8 SCREEN- n ., ,— - ^— LJ Not Installed

, a __ y// /„slni/«i ^^ f \^ \ unath . t^'

FITTINGS [jC K-Packer ^J Lead Packer [j Bremer Check

li Blank abov« sciee" ~^ It. Other9 STATIC WATER LEVEL V

O l**... It below land surface <EVHow

10 PUMPING LEVEL- below land surface

C_? J ft. alter _ / hrs pumpmfl al f~f^J Q P M

[j Basement otlset L_! Approved pit

1 2 WELL GROUTED' r-n „, f— i „ c

No of bags of cement Additives13 Nearest too re » o(-ootsibie contamination *"X

Well ditinfect*d upon completion? fflyas LJ No

14 PUMP Q N(jt |ns,,Ued QxPumo Installation Only

W -i0 W_J

PRESSURE TANK \ "\ p / i Y""7r'"*/O /M»fM,f,^,,,,»r-, n»m. \|O -*-( I /A /' C/ 1

Mr>/i«L n,.mh«, V>J /\ O (J *£ Capacity / 5 t*' Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATION.This well wawJrilled undei my jurisdiction and thus (eport is trueto W9 best o5 ry^knowledge and bAM/-^. -"/)l

Afldres

Signed

HEGISTEREO BUSINISS NAME J l/)rt f ^O R^ XSTRATION NO. , , .

frVtf ^n.w^ , D,, /£--/7-irtD67d 2/84 IITMOBIZED TTCPBESENTATIVE

^ Authority: Act 388 PA 1978Completion: Required

GEOLOGICAL SURVEY COPY p'n"ty: 'p LV;,01:''011

Page 65: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTHWATER WELL AND PUMP RECORD PERMIT NUMBER

1 LOCATION OF WELLCafvy m Towfistiip Name Fraction Section Number Town Number Range Number

yt^VvXsD/. J?6 7 rf/s / 8 / / wstance And Direction From Road Intersection

Street Address Et City of Well LocationLocate with "X* in Section Below

HI 1

1

" ~ 1 ~ - —— —— — — — — •

1

I

1

1 11 S!•»• —————— • 1 M1t-C ———————— -»

T

Sketch Map

2 FORMATION DESCRIPTION

r 'V'X/ V-' L. •^v^* r*.

-S«=~-Jk^ A^V^ji

5^ JkA -S^ \ *sJO -\<\^^- /ijc^-JtV -C^^kJW A^O^—i^\

USC » ZNO SH([T IF HltOttl

15. Remarks, elevation.

THICKNESSOf

STRATUM

?>(*

/&y

/D

source of data. etc. " ,->-..' ' * • - - ' . -" '*:

DEPTH TOBOTTOM OFSTRATUM

36

v?

6.?

3 OWNER OF WELL. ,.- 1 , j „

Address ff ^"^ . i i VQ i fr\'^~}

Address Same As Well Location' tAves LJ No4 WELL DEPTH (completed) J Daieof Completion /

5 LJ Cable tool ' LJ Rolan, t^O riven LJ °°0d Hollow rod [~1 Auger ^BUetted fl

6 USE Slp.omestic Q Type 1 Public Q Type III Public

LJ Irrigation Lj Type lla Public I 1 Heal pump

LJ Test Well [U Type Mb Public L~1

7 Diameter "^TS'eel 3*Tr»eaded Height AbOve/'UIIU*^.

V/ ' — ' £^ff\ — Surface __t___ '1

Grouted Drill Hole Diameter - . *j|

in to (t depth LJ No

B SCREEN PI N t 1 stalled

TvD. O / 5 • f^.m.t.r 7 ,'

FITTINGS iB1 ^-Packet [~} Lead Packer Q Bremer Check

~T~4 Blank above screen — _^ li Other9 STATIC WATER LEVEL

^^-^ C/ ft below land surface U P'OW

10 PUMPING LEVEL below land surface

•^J *"^ ft afiftr / . . ._ firs pumping at ^~i±LG.P M

COMPLETION J^ ' B 3P —LJ Basemeni offset LJ Approved oit

12 WELL GROUTED' n m r

No of bags of cement , Additives13 Nearest source of-oossibli contamination

Well disinfected upon completion' [0t v«s LJ No

1^ PLIIulP- r — i r — iwwr LJ Not Installe*^. LJ.PurnD Installation OnlyT -±i Vv V

TVPf g%^,.nmAr<:i(ll Q l*.1

PRESSURETANK U") j, J I V *fr€> 1U,n,,t.rl,.»f-« «,m. VVj-£^ 1 A '^^ (

Model number ^X "X^3 Capacity __K^ Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATION:Thys well was drilled under my jurisdiction and this report is true

Addres

Signed

. jE^S^ty! ffi>X#fe ^S^U -o^U S

\ i4~£ .j C c - .,. 7-/^-StO67d 2/B4 AUTHORIZED REPHESENTATIVt

GEOLOGICAL SURVEY COPY

Authority: Acl 36B PA 1978Completion: RequiredPenalty: Conviction of • violation

of any provision it •mi«d«m««nor

Page 66: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

MAR 71975 _ WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL , , >£, PUBL.CHtAL.H .,

County Twp.

Berrlen Buchanan 4*= roctj)bo

faKttof^ j. j. j n.j nWNFR N& / y300 ! south of Andrews Hd. ' —————————— r

and Chippewa St. intersectionStreet oddrei* & City of Wall Location

2 FORMATION

Yellow Sand

Yellow Sand Clayey

Clayey sand coarse

Blue Clay hard

Yellow ClaT «andy :

Sandy Yellow Clay

Yellow aand fin* somo clay

Yellow sand fine

Yellow aand water bearing soia

clay

Yellow sand Medium anma clay

Water bearing med. sand

THICKNESSOF

STRATUM

10"

5'

5'V

LV8"

$'5'$'

10'

10 *

lw Remorfcs, elevotion, source of data, etc.

- . :> t.T «v jRiLiER. 1TEJ4 W)U

".:r- t CBY <V /•i-.^: 8V t; ."N .",

: ' <-:* -.':S

DEPTH TOOTTOM OFSTRATUM

10 •

15'20'

20 'V

«'

1|0«

w»50'

60'70*

76 1

/ Section No. Town Range

v£>^v< -aa — ?s N/S. i8w E/W.3 OWNER OF WELL:Merl JacksonAddr.,,336 Chippewa Rd.

Buchanan, Mich.'1 WELL DEPTH: (completed) Date of Completion

76 f,. 9-20-7U!) Q Coble tool D Rotary Q Driven D Dug

D Hollow rod D Jetted ^ B<"«<1 CD ___

t) USE:lj4 Domestic LJ Public Supply LJ Industry

1 — 1 Irrigation 1 — 1 Air Conditioning 1 _ 1 Commercial

f~l T.T, w.M l~~l

'' DiamNG: Thr0qd«djt] W-ldedD ] Height; Abovo/Below

2 in. to 72 ft. D«pth jiurfac* ft.

] W.ight _________ lb*/ft.

——— in. to ——— ft. Depth iDnveShoe?YeiDN<>n

<3 SCREEN:

TrM! 3014. S.S. 'nia_, 1 VU

Slot/fe^ne .1A. 1 «,,tk l^f

Sal between (2 ft and 7** f*

li Stde Coupling li Heavy Turnr'ttins>: Coupling li OalT. Hippie

9 STATIC WATER LEVEL^^ ft. below land surface

10 PUMPING LEVEL below land turface

!.l W A T E R QUALITY in Ports Per Million:

!,„„ fF.) rki«,; .. iri]

12 WELL HEAD COMPLETION: D In Approved Pit

QD Pitlei* Adapter D 12" Above Grade

13 GROUTING:Well Grouted? [J Yes Q No

Material: Q Neot Cement D —— Clay CetteBt -Depth: From _____ ft. to ____ ft.

U SANITARY:

Nearest Source of passible contamination

IQg"* -V£— Di'.ctionSqptie TTrp*

15 PUMP:

Manufacturer's Nome_gg, l,gty_^0)j —————————————

Unll.l N.,mk.r 7E? HD "\Ali "•"*" **/ ~f-Length of Drop Pipe_g,2 h- capacity__Q —— G.P.M.

Irfl Jet LJ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi> well wo* drilled under my jurisdiction and tfiii report ii trueto the belt of my knowledge and belief.

Rn.ViiltwA V T.nyrrtoTl W*11 TV1"lllnE ^75"tsi»TC«no eiTsiHiai HAMC nVti ST**,TIO*N"HO.

ContractorsA^r... P _ n _ R-.-T- AC; JHo^r. ^1-, Pt*» M<«V,

Sioned_-/-AP^S-/ Jf-Jtjf - /%«- "— "^u;H0«,l7 t ^4 /1v^/*>?J<;D67D 100M 6-66

GEOLOGICAL SURVEY COPY

Page 67: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

FEB 2 01975

11 LOCATION OF WELLFT^,n,v——"' ~~~———'

WATER WELL RECORDACT 294 .- PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

Township Norn**

.Arid Direction *tjrn Ro.ld 1 nlcrscction

TS1 5OvjTH OP.-»35 rvi'ut" ooc'^T

Slide! address & C «tv of Well Locationwith "X" m section tielo

FORMATION BOTTOM OFSTRATUM

Ser -non Number

3 OWNER OF WELL:

Town Nni>Ut:r

796 N/S.Range Number

ST-

WELL DEPTH: (completed! Dale of Comnletion

SI "-Q Cable tool

LJ Hollow rod

Rotarv LJ Driven PI Dug

jetted 1 I Bored I IUSE: H Domestic Lj Pub* re Suppl v LJ Industry

1 _ [irrigation | _ [ Air Conditioning [ _ ] Cornmercial

Ql

CASING: ThreadedQ WeldedQ Insight: Above/BelDiam. j i *-.

A i Surface /. L/*y ™» f V I _zrr*—

—dJiL-in. to

ft .

ft. Depth i We i a ht J^ 7?' >>s./ ft.

ft. Depth [ Drive Shoe? Yes |^$ No D /?8 SCREEN:

D,a,*'

St«,/r— y Length

Set between ^- c/^/_ft. and g/ ft.

7o V |i9 STATIC WATER LEVEL

" " ft. Oelow lanC surface

MEbtOM10 PUMPING LEVEL below land surface

________ ft. after _£_hrs. purnping

________ ft. after__hrs. pumping .

/ £?

11 WATER QUALITY in Parts Per Million:

Iron (Fe) Chlorides ittl)

Hardness Other

12 WELL HEAD COMPLETION: Q ,n Approved Pn

1^/Pitless Adapter n 12" Above Grade

Well Grouted? Q] Yes [^ No

LJ Neat Cement LJ Bentonito LJ _____

Dapth: From_________ft. to_________ft.14 Nearest Source of possible contamination

Well disinfected upon comoletion T^Qves [~~1 No

15puMP:

Model Number "7£ 2 — *2f<^ HPJ/^/Volts //^—

Length of Drop Pipe fa ^ ft. cap8citv^Jc2.G.P.M.

Type: LJ Submeisible

^2 J«l Q Reciprocating

16 Remarks, elevation, source of data.

wra s

. - -..:o',Tl3H Bf

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of mv knowledge »nrj belief.

ujgkL rv^iLi \Kir, Q7.7 7BE6ISTEHED BUSINESS NAME

Address

/Signed

REGISTRATION NO.

D67d IOOM IRev. 12-68)

GEOLOGICAL SURVEY COPY

Page 68: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORD MICHIGAN DEPARTMENT

ll_. LOCATION OF WELLCounty

3FRRIEN

AjUisjUtJU/^ $ • PUBLIC HEALTHTownsh p Name

Cri^KJANJFraction Section Number Town Number Range Numberi._ . ,*f _. ., . *\ /" /~7 . i/7r|t /» p/c. wrlrV !•» CT* "^ / s«V S. 'a ^W.

distance And Direction from Road Intersections

fee ' souTh OF Ar/0f?£wj-s f££ .f r^-so E/*i2*r op £H ppftwA RD.

Street address & Ci ty of Well LocationLocale with X ' in section below

2

J II

I_ _ _ _ _ T _ _ _ _ _Ii

- ——— , u,aLC ———— „

1 ML

1

t

t

D

t

Sketch MapjL \^«

C£wS RD \\

I "- - ••' 's

FORMATION

S^NO i tSeAVfcL, ~£(?OU)AJ

<:L*Y GR*Y,S*ND. /MEDIUM. T£N

9 #fi r

THICKNESSOF

STRATUM

38'7'

38'

/ ? '

16 Remarks, elevation, source of data, etc.

RDDED INFO. BY DRILLER. ITEM NO-

•"R3IC7ED BY»

••ADDITION sft

N

5

&

N^

vf'DEPTH TO

BOTTOM OFSTRATUM

ps'35-'(,3'go'

Address ^*iJ /^NP^etU^ «0

4 WELL DEPTH: (completed) Date of Completion

SO ««. 10 AU6-U5T, 19 7/° j_J Cabla tool O Rot»ry CD Driven O Dug

O Hollow rod 55 J«tted Q Bored Q

B USE: [jgDomestic LJ Public Suooly j _ | industry

| _ I Irrigation | _ | Air Conditioning |^ J Commercial

QTestWell f~l

7 CASING: ThraadadJS WeldedQ ! Height: Above/9»twPi am. | . -

. i Surface _ _/ _._ft.

OS. in. to /& ft. D»pth i Weight J. V<i IbsVft. .

___ in. to ___ ft. Depth i Drive Shoe? Yes M No [~~|8 SCREEN: |

Tvo.:S5 5/-OT Dia, 1 '/**

-|_-Q )O ,«r«th s5"V" X 4^''

~t£. i* Q/\f»Jiet batwa»n/P ft. and nD h.fittings: 3 ' ' '^ " <"(> W P c IM C f

9 STATIC WATER LEVEL

T I ft. below land surface10 PUMPING LEVEL below land surface

"3 //Oft. after ^s hrs. oumoina / W o.P-m.

ft. utter hr*. numfuna o.D.m.

1 1 WATER QUALITY in Parts Per Million:

Iron IFe) Chlorides [CD

Hardne«R Dlher

12 WELL HEAD COMPLETION: Q in Approved Pit

|Xj PKless Adapter | | 12" Above Grade13 Well Grouted? (_J Yes |X1 No

[ J Neat Cement \ \ Bcntonite \ \

Depth: From ( ft. to ' ft.

14 N»»f«*t Source of possible contamination

Wall disinfected upon correlation (53 Vas |~| No1 £> PI IMP- 1 — 1 . .. .runnr. i i |^o^ installed

. ff ft PlO^Y To F*^C T 7V _3/«J D ?("")

Modal Number /Cj /. ~ <lT HP"''" Volts <>*JV

1 engrh of Dron Pioefo^B **- canncitv «3 n.P.M.

Type: [ ] Submersible

R^jet ( | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This wall was drilled under my jurisdiction and this report is truetojthe besi of mv knowledge and belief. ,-1 /O ~)~~i

WKfbtt'f bUtLL- bf?IL(~M (? O VOyREG1STERCO BUSINESS NAME * ME6I STRATION NO.

.r^T-i T -,T . jjf 5v. / £/y//>0Adrirfos S\KT £, //)W.£>f^f'*V^X<,>7U</v - *///(//^^warcss jt4i *\ * / w^_^ ^ . * " * * f

-*•7/AeJ. $//u?tf D.,.//^ 7/D*7d I O O M H . V . .2-68, E P « £ S E A T , V E

GEOLOGICAL SURVEY COPY

Page 69: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No-

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL /County Twp, "ractiofi *-it- Section No. /

J ns-i ' C- j-ifff 7- J j *_ OWNER No.

iff' fZZr Ofi c$***£ - **Street oddreii & City of Well Location ^ fS *VJj* O ^7

2 FORMATION

_____ SAM£)C L A y'$A N D

,M .-0 ".V." c v 0

' "" A'_

X

*:PBRECTED BY: ^

••ADDITION BV; '^^^---77>

THICKNESSOF

STRATUM

8'j r

^2.

*

DEPTH TOOTTOM orSTRATUM

f f '

"

•tf\5"'

T i-

^ -'f '-

'

3 OWNER OF WELL:

O l Jt I/ f*f ff A • \y »Addreii A

PUBLIC HEALTH

Town RenflVrt>

Jo <? H £#\$

/*/<%/4~WELL DEPTH; (compUted) Dote of Completion

4*- j~- " (i ^ _ /V— /^^» 5 Q Coble tool D Rotary D Driven D Dufl

D Hollow rod Q Jetted D Bored D __

6 USE:^Domeitic Q Public Supply Q Indultry

1 _ 1 Irrigation 1 _ J Air Conditioning 1 _ 1 Commercial

n T . » ii nI — 1 Tos t Wel l 1 — 1 ———————————————————————————1 CASING: _. . . [~Q ,

D. m Threaded \j^ V

___ in. to ——— ft. D

8 SCREEN:

.../C...,. £0

, . *m ,Set berwfl«n_jMC_IC_ft. a

relded D ]H*iafit; * *•- — •"3unl ——

• pth [lurfoc* f ft.

'Weight _______ Ib«/ft.

• pth | Drive Shoe? Ye*[J|Non

Din • /y

<"

"" 1?W^ ft

" ^ S) fJ D /. J A/ /?9 STATIC W A T E R LEVEL

~J O ft. below land turfac*

10 PUMPING LEVEL below

————————— ft. after ———— ...

land turface/<y

11 WATER QUALITY in Porti Per Million:

I,™ (F.) ChUrid.. (rilv

12 WELL HEAD COMPLETION: D In Approved Pit

TO PitUti Adapter G 12" Above Grade

13 GROUTING:

Well Grouted? D Ye* j

Material: LJ Neat Ceme

Depth: From _____ ft. ta

1( No

n. n__ (t.

14 SANITARY:Nearest Source of poitible contamination

Well diiinfected upon co

15 PUMP:

r»rtifrn £&*'?'/{* Trr»

mpletlon | _ 1 Y** (X No

Ab/£>A\TQ/y^ • ' ' " ' .7,

Type: 1 — 1 Submersible

S Jet

''jjft, ^^pflrity rt P U

n1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thii well wo* drilled under my jurisdiction and thi* report it trueta the bett of my knowledge and belief.

Addrei /f 2 BOX //^* " " • •AUTMOHlI tD mFBESCNjjr^m VE

m.C1»TRATLON NO.

)* <"— . y > / y<( Dot. -J f f * t'

is*

D67O 10OM 6-66

19 GEOLOGICAL SURVEY COPY

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GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCAT.ONOFWELL PUBLIC HEALTH

County Twp,

Barrien BuchaoanFroction Section No. Town Range

SE V,»E '-HW ', 26 7 */s. 18 */w.

-•r. U of Chlpprva St. about [OWNER NO ——————300 yards

Street addre** & City of Well Location QbknOVXl

2 FORMATION

Red clay 4 graval

Gravel

Red clay & gravel

Una clay

Bin* clav 4 floe tand

1.1 ght gr-tt-vcl {acreM!**!}

ADDED INFO. BY DRILLER. ITEM ^ I^V<^T

CORRECTED BY:

.* ^TTIdN BYi

THICKNESSOF

STRATUM

6

12

36

8

11

6

6

ID Remark*, elevation, source of data, etc.

Source of data, mil: J. Robert Willard

« H H punpi Robert H. Korp

DEPTH TOOTTOM OFSTRATUM

6

18

SA

62

73

7*

AS

3 OWNER OF WELL:

7 air lane BuildersAddrei* . .

P.O. Box 218. HlUa, Michigan4 WELL DEPTH: (completed) Date of Completion

85 '-June 3. 1968!) Q Coble tool n Rotory D Driven Q Dug

G Hollow rod B Jetted G Bored G - __

G USE:£] Domeltic G Public Supply G Industry

1 — 1 Irrigation 1 _ I Air Conditioning 1 _ 1 Commercial

riT..,w.M nJ DiamNG: Threaded £ Welded G iHeight: Above^ge^

4 in. to 79 ft_ D«pth jiurface 2 '»-

'Weight 11 Jb«/ft.

——— in. to ——— ft. Depth |Dri v* Shoe? YecBUNoLJ

8 SCREEN: *

TYPe-Br««« •ry«ln«r —— Dio.: — J 13/lff« ———

Slor/C|»jgB —— JJ ' •npth ^t

Fitting*:

9 STATIC WATER LEVEL&3 ** tt.lnw I~J ...rfn .

.0 PUMPING LEVEL below land surface

Plunger

.1 WATER QUALITY in Parti Per Million:

Ira* (F.) rhlnri^.. (fl)

12 WELL HEAD COMPLETION: D In Approved Pit

iJ Pitle** Adapter 1 _ 1 12" Above Grade

13 GROUTING:Well Grouted? D Ye* Q Na

Depth; From _____ ft, to ____ ft.

14 SANITARY:

Nearett Source of po**lble contaminati o*m)QMVn

Well dicinfected upon completion U Y*B 1 _ 1 No

15 PUMP:

Manufacturer'* Mama flint ^ Wa,lHpB —————————u^J.i HI— *— SHIT !*1O* WO I

Length of Drop Pine-^J ft. gapngitv 20 C P "

1 _ ) Jet 1 _ I Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi» well wo« drilled under my juricdiction and thi* report ii truelo the belt of my knowledge and belief.

B 1 Tdirf* & Cimfl OOftA ——————

Sian«d_

- -31-60 1*ntm Caiaopolig, MtaUi an ————

AUTMOItllrt HtPHIStMTATIVt

D67D I COM &-66

GEOLOGICAL SURVEY COPY

Page 71: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

'969

IWATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF

1 LOCATION OF WELL PUBLIC HbALIH

County Twp.

Berrien BochananFraction Section No. Town Range

W i *W '-. SU v. 26 7 »vs. 18 mvw.-'!> _ J 1 • tf ~ f &.„ _ L _ _ _ _ f* f r _• 1 OWNFP No./B mile, w or •ncoanan City i —

Limit* on S *ida of Fourth StreetStreet addren & City of W. M Location 807 V 4th St.

2 FORMATION

Fill dirt

Black dirt

Gravel

Rod clay 4 aamd

B1«M clay 4 fine sand

-<*••**

Blv* clay 4 travel

Fine aand

Sand

Sand (screened)

- " 5n'"ER- iTE*

» .a.-c^TED BY:

i••ADDITION BTl

BuchananaTHICKNESS

OFSTRATUM

3

1

14

27

IS

f

13

3

2

6

NO,

Source of data, well: J. Robert Hillard" " " pun?: J. Robert Vlllard

DEPTH TOBOTTOM OFSTRATUM

3

4

18

45

63

72

85

88

90

96

3 OWNER OF WELL:

Southwestern Tool Corp.Addr"* 807 W. Fourth Street

Buchaaaa* Michigan4 WELL DEPTH: (completed) Dot* of Completion

96 ft August 7. 19695 LJ Coble tool D Rotary LJ Driven LJ Dug

G Hollow rod 3 Jetted D Bored D ___

6 USE:LJ Domeitic L~3 Public Supply 3 Industry

1 _ I Irrigation I _ 1 Air Conditioning 1 _ 1 Commercial

D T«t Well D

7 Q^mNG' Threaded £ Welded D |H.ioht: Above/BOCXX

4 in. tn 90ft. Death iiurface 2 ft.

'Weight 11 lb«/ft.

——— in. to ———— It. Depth i Drive Shoe? YeiH Nod

8 SCREEN:TVO. Brass atrMi»M> n:fl . 3 13/10*

__-______ 0 f_ f

Silt b«tw«»n eQ f, nnrf Vf f,

Fittingi;

Standard atrainer fitting!9 STATIC WATER LEVEL

^P ft b*lni« InnJ inrfnra

iO PUMPING LEVEL below land .yrfoce

FlUftgeT

11 WATER QUALITY in Part* Per Million:

Iron IF.) CMn,id-. fril

12 WELL HEAD COMPLETION: D In Approved Pit

B Pirlett Adopter LJ 12" Above Grade

13 GROUTING:Well Grouted? D Ye* 9 No

Depth: From _____ h. to ____ ft.

14 SANITARY:

Neoreit Source of po*llble contamination mknOWB

Well ditinfeeted upon completion L* Ye* LJ No

15 PUMPi

u«n.,(,r.v,T,'f H t Flint 4 HailingM~rfT, Ntrmh.r ttTLF 31O9 HP 1

Lenath of Drop Pip* 77 .....ft. capacity —— 2Q-G.P.M.

LJ Jet LJ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thl* well we* drilled under my jurisdiction and thi* report if trueto the be»t of my knowledge and belief.

B. J. Levi* & Son* 0088

Addrei i M*60 But. Caaaopoll*. Michigan

^^jfyy?^^^^/^ ^,. 8/U/69GEOLOGICAL SURVEY COPY

Page 72: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

LJ ____ ___ .LOCATION OF WELLCounty TownshiD Name

stance And Direction from Road Intersection <

£s'Cs.£'}^ *o*^&£Slreet Address 6 City of Well Location w

L

2

icate with "X" m Section BelowI1

_ _

- -IT -^

* ———— - 1 MILC ...-.—..•

^r

y

1

^

ia.i^.if£-/u^ *^

^a^Uarv^^

___[

Fract ion Section Numbet Town Number Range Number

V4 v« V4 :P-Or2r} "7 tf/s /^ -£/w

' " ~ i"^>'' 'V

Sketch Mac

Z^x^/r^-f y»JT"

"7_.

FORMATION DESCRIPTION

J^y^/ ^ j?U*^

~/S}aL&t /^U^

mici-.. Cent, of Public Hea;£

\ *Jf N 0 5 1938

,.,,,„ Ci E,v,[Unm = -. ,,:,

ust *

15 Remarks, elevationIHO SMifT ( XflDED

THICKNtSSor

STRATUM

O

source of data, etc

DEPTH TO•OTTOM OFSTRATUM

<rS

&3

3 OWNER OF WELL j'Y\ . I L ^ ^ U.V"CL5

n~\<3uX"CVN S^K^-Address .-, , _ l-i^f/Qf

Address Same As Well Location? L* Yes i — I No4 WELL DEPTH (cofnpleied) | Date of Completion

(j? j5 tl i -^ ""/ ~ $ /5 [] Cable tool i~l Roiary |~VLViven P~l Dug

L~H Holtow (od O Auger QHa'ted D

J CJ^Jorneslic O Type 1 Public O Type l« Public

1 1 irrigation \_\ Type iia Public I 1 Heat pump

n Test Well GTvpe lib Public Q

Diameter Lsateel I^TThraaded j Height Above/BelowQ Plastic D Welded i - .„. ,,

, W«ioht ths /It

Grouted Drill Hole Diameter ' . " fTU^***.n tn H fi.n.1. 1 Dnv" Shoa Ly^Yesin to ft rteoth ' LJ No

8 SCREEN ,, l~l . , , . , .syy *- 1 _ 1 Not Installed

FITTINGS I! K-Packe' f~l Lead Packer [~^— gfemer Check

1 1 Blank above screen ft Other9 STATIC WATER LEVEL

J^C/ f, h«lnw I.nrt *,.rt. . [~~l F10W

10 PUMPING LEVEL below land surface

1 rnwPi rnON CZH^tless adapter Q 12" above g'adePI Basement offset Q Approved cut

12 WELL GHOUTED> .— , r— i

No. of bags of cement Additives13 Nearest source Of possible contamination

Well disinfected upon completion? Lyres LJ No

14 PUMP j— J No, ((lstal,ed _ g Pump Installation Only

• — /S& ' *^

PRESSURE TANK

Unrtnl n.imhur r«n»piiy Tiallons

16 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of triy knowledge and belief n

nl fl (hmL, UJ/JlJ l>u/br^ 0/2/

Addrcs

Sionetr

REGISTERED BUSINESS NAME r ntG^k*TION NO.

- ^ *~" /D670 2/B4 REPRESENTATIVE'

GEOLOGICAL SURVEY COPY

Authority: Act 366 PA 1976Completion: RequiradPenalty: Conviction o( a violation

of any provi*ion i* a

-in-1

Page 73: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCouniv Township Narne

BERRIEN (?WxC\NO^\^ v^Fraction Section Number Town Number

WLVAx v '/< rJr, % ^ ^T 7 NL>sistance And Direction From Road Intersection

^> , Xj 1 ^_£ — ' ~-^*~ ~^ i — ^^ V\ \ \ » > "\ 01 £2 1 Y' '-t- I' •_ . / - *

Street Adoress 6 City of Well LocationLocate with ~X~ m Section Below Sketch Map

1 i1 1

_ _ J _ J _ _ -1 11 1

1 1 ~T~

-_ _|- _ T „ _ _ _. i „,.

i i 1|* • ——— - 1 MILC • |

2 FORMATION DESCRIPTION

BROWN SAND

BROWN GRAVEL

BLUE CLAY

BLUE SAND

COARSE BLDE GRAVEL

R 7 o *USE A 2ND SHEET If NEEDED

THICKNESSOF

STWATUM

18

30

2

5

7

: ! v r•-L^'is

15. Remarks, elevation, source of data. etc. • ' IN/ - *"T<

17. Rig Operator s Name:

R . F . H

OEFTH TO•OTTOM OFSTRATUM

18

48

50

62

^

-JaaKh

Range Number

yv g/w3 OWNER OF WELL

TED KARNAddress 309 TERRE C9UPK

BUCHANAN, MI 49107Address Same As Well Localion> S Yes D No

& WELL DEPTH: ' Date Completed ' ri „> MO i DAY i VCAH i [yj New Well

62 FT. 1 9 i!9 ! 92l n Replacement Well

^ LJ Cable tool yj Rotary LJ Driven

I ] Hollow rod | 1 Auger [\ Jetted

D Dug

n6 USE ^ Domestic Q Tyoe 1 Public Q TyDe III Public

>r~~ - r —— i f —— 1TJ^l"igation | _ ] Type lla Public 1 _ ] Heat oump

Q Test Well [3 Type Mb Public Q ___ ... _________

7 Diameter CH Steel Q Threaded Height Above/Below

——— 5_ tn to _&2_ ft ceo.h ^ )bs /([

Grouted Drill Hole Diameter - '

____ m to _____ ft depth n NO8 SCREEN r~l M ,| _ | Not Insialled

Sloi/Gauie 10 I t-nglh 1Q'

FITTINGS LTI ^-Packer Q Lead Packet d

LJ Blank above screen ft Otfysp^9 STATIC WATER LEVEL

^ "^ ft. below land surface10 PUMPING LEVEL balow land surface

ti3remer Check

^VEL , TACK

Q Flow

_ G P M

G P M

LJ Basement of fset Q Approved pit12 WELL GROUTED' , r— i

No of bags ol cement Additives13 Nearest source of possible contamination

Type —————————————— Distance —————— IL Direction —————————

Well disinfected upon completion? &J Yes 1 — 1 No

Was otd well plugged? LJ Yw UJ No

14 PUMP r— ] Nol |nsla11ec) Q PumD insinuation Only

Mnrtsl numhftr HP 7 Vnlt* 1 O r»

PRESSURE TANK

Mjinufartumr-s nam* WELL "X. TPAL

Mnriel n,imh»rW AZ !3lJ — TJG Caparily

^ GPM

/ 5 CN K..lnn,

16. WATER WELL CONTRACTOR'S CERTIFICATION-Thtt well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief

i ' *•-» i n*7Q. .', -o

Add res

Signed

tty^tt«AVwHl««-WAI*'"-LAJAJ-Lltu KEG.STRAT.ON NO

.flSpCHANAN^MI , 49107

^v/KT" ^^if^^Date 9-19-92

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1978Completion: R«<jutr*dPenalty- Conviction of a violation

of any provi»ion ii a

Page 74: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WEl LCouMy

/i 'VL*Je^»-vTownship Name

O u~£h&^L«yr--lance And Direction From Road Inter;'/ ' -i / -/i yV-v^JL^ U_x_^JJ <-l f-^i

±>- >/--4 A- ^y^Street Address 6 City ol Wall LocationL

w

2

icate with 'X* in Section Below——— 1 ——— T ———— 1 ———

1- _l 1

11

- _ _ J _ _ 4 - _ _ _ _ .1I

---I---!--"--; *•*. ——— -1 MILK ——— •

Yt Ml.

1 '

fi1

Fraction Section Number Town Number Range Number

j^/4^rv*5>t/v* ^JT~ 7 N<S> /-PFY^T«ction , ^^ /• /

' /ic^d.' • ,-L£^U* 0^ cA&+M^^ Ji^j,^

Sketch Map

CA<^»Jfe<.- i.<-- _

FORMATION DESCRIPTION

Jc /

£&%

;&&"*& *sJ~t&>*JeJr

c&^yM^Ld

/

C^±

V^l' ————Zfa^ts^X

USI A 2ND 1MCET » NIEOfO " '

15 Remarks, elevation

THICKNESSOF

STRATUM

2.

<z.

3*.//3E-?y/r

'

source of data, etc.' - . _

17. Rig Operator's Name:

/7/^4x/^^Z/

t

''^,

/— u—KPocrm TO

BOTTOM OFSTRATUM

2.

/

3(&o-/

9*/<ro/65~

3 OWNER OF WELL: . ,-

^<scu^y.Address 3^-7'^ &U*^X^U\<it^^f\_

Qt*<-£Si&-'^&^>-' ,

Address Same As Well Location? B Yes LJ No4 WELL DEPTH: ' Date Completed * rn

i MO. i OAT i VIA* i LJ New Well/tx5> FT. i 7 I /,2J "SJ j [ Replacement Well

5 CD Cable tool ^ Rotary [J Driven CD Dug

[J Hollow rod J* Auger CD J«««tJ CD

_ '*E SJ Domestic CD Type f Public CD Tvpe 111 Pubttc

I _ 1 Irrigation ) _ | Type Ha Public 1 1 Heat pump

CD T«sl Wnll CD Type lib Public CD

7 Diameter D SlMl CD Threaded H«ight: Above/Below53 Plastic- D Welded „ -„. „

^D in. to /U^/lt. depth

Grouted Drill Hole Oiameler r— i,0 to ft n«n,h D"« Sho« LJ Yes

in. to ft. depth LJ No

"SCREEN: f-] Mof |niu|h|(|

M {. . J^'TvoB ^A&L&nJ&^dd DIBm*t»r ^r

s*^\ 1 9 'f *

FITTINGS. CD K-Packer CD Lead Packer Q Bremer Check

Q Blank above screen ft. Other9 STATIC WATER LEVEL:

//^ It hltlo* l,rw< f..rfP^ PI ROW

10 PUMPING LEVEL: belovyHand surface , f

Yu^r*-fiM<> Ux%/\ &<*<\

1 1 gJSwSN: D Pltl"s 'd""r 0=12- •«»« °rade

1 1 Basement offsoi CD Approved pit1! WELL GROUTED' i— i Ka

. 1 | No [X Y.i Fnwn in It

X *2^U*No nf hani nf rnmnnl /Artriiti*i.Z

13 Nearest source of possible contamination

Typ« Hivtanr* " nirnrtinn

Wed diainfecttd upon completion? ,69 Ve« LJ No

Waa otd weN plugged? 13" Ye* CD No

14 PUMP Q Not Installed , H Pump Injvillation Only

Mjiniif«ctuf«f-.i name X-^*T jftZt^^Z,.*

PHESSURE^A"NK: , dfyT^s^Mjiniitactumr-t n»mn £(S*4*C* S />-Z<5-T

Mnri*l mifnh*r t-'yl" ^- 5 C-/ (-.purity Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this («port it trueto ttie best of my knowledge and bejitf.

&A* &t*&+$*»*siP /?CfAddrflS

Signed

RECilSTERED lUSlNESS NAME ^ REGISTRATION NO

/2-5" A &ztfnAu*rt*S £UL/) /nJ

/faz&^j^Jfaffi^ 7--/Z -&9,d 12/85 AUTHORIZED BEf fiESENTATTVE

Authority: Act 388 PA 197BCompletion: RequiredPenalty: Conviction of a violation

GEOLOGICAL SURVEY COPYof any provition iimi»dem«anor

•^

Page 75: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVET, NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WEL LCounty TownshiD Name Fract ion Section Number Town Number Range Number

'A 'A v« 35" "7 w/s /# ^"/w' f iance And Di'ect 'on From Road intersect ion

'/tj /YrTj*-*^ f Y ff-^fC^. 0-~/ /^j-t^l^^'f -<A £<SY^ f^f • fi — .

Street Address & Gty ol Well LocationLocate with "X" in Sect-on

i i1 1

_ _ ( _ _ _ _ _ _

1 1*» —I 4-

l 1

Seiow

.1

/ Sketch Map

)">

O

ho^r\U1 (6**\?_j£.U ——————— I M.Lt ————————— J "' (

2 FORMATION DESCRIPTION

Jh**tj,S e J*x^/~ /

~7j? s-\fJS r-^Asyt^e Si

'/

fa*^

't/KSJ

^^

* £ rttA^'7 V

*- RECE1V—— Mich. Dept. of P

—— Bureau cf Envim*Dccucaticrs! He

USE A 1NO SHEET 1* HEEDED

15 Remarks, elevation.

THICKNESSOf

STRATUM

•0

^5-

£-

/<o

ED

mon.tr I ;»

lith-GWQ

source of data, etc

DEPTH TOBOTTOM OF

STRATUM

/*o/{,$-

/70/s*6 C,

h

idS

3 OWNERXJ^^ELL 1 ~4—

Address Same As Well Location^ 1 _ 1 Yes L£J lfloA WELL DEPTH (completed) ' Date of Completion

5 D Cable tool {&fa>\aty Q Driven D Dug

I | Hollow rod 1 1 Auoer | | Jelled 1 1

[^Domestic Q Tvoe i Public Q] Type H! Public

LJ Irrigation Lj Type lla Puolic fj Heal pump

O Test Well Q TVDe lib Public L~l

• Bfamefer D Sleel d Tf"eaded ( Height Above/Below

Gtouled Dull Hole Di*m«l#r ' i — i

m to ft depth , LJ No8 SCREEN i—, „,

| _ | Not Installed

FITTINGS 1~] rl-Packer j~] LeaO Packer Q Breme' Check

1 1 Blank ahnv*> trrpon fr Olhor

9 STATIC WATER LEVEL

/Xt7 (i h.lnw land si.rfarc LJ Row

10 PUMPING LEVEL below land surface

./ CP CJ t( after / hrs pumping at -^t ^ G P M

[_] Basement otfsei 1 1 Approved on

12 WELL GROUTED' ,—, ,—,| _ ] No 1 _ | Ye* From to It

No of Dags ol cement Additives1 3 Nearest source of possible comam. nation

Well disinfected upon completion* [Lfres 1 1 No

LJ Not Installed 1 1 Pump Installation Only

2. *~ ~*

TYPF jj}x<Thm».r^ibie Q Jet

PRESSURE TANK . f ,W»niifart i i(Bf c n»m» /X j/ j~ / f- ~ )f ~ / if C? C—

Model numhpr ^ ^" ^- r»nafitw Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my jurisdiction and This report is trueto the best of my knowledge and bai>ef

AdOres

S>gneJl_

nEGISTEHED/iuSIMESS NAME "REGISTRATION NO

t ^^^f^? /ys^/77

/ *^^ /3s-, 7/7 r^ •? - £ f^~/#Ws('4l'Sf7'LLrSSS/ Hate '-f—jf Q ->

10-80)

GEOLOGICAL SURVEY COPY

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GEOLOGICAL SURVEY SAMPLE No.

C. •"; \

1 LOCATION OF WELL |

VATER WELL RECORD ' MICHIGAN DEPARTMENTACT 294 PA 1965 - OF

PUBLIC HEALTHCounty Township N3"te

Berrlen BuchaaanFraction Section Number Town Number

SI H SK v. SK M 35 7 • s.Jislsnee And Direction from Road ntersections

400* 11 of Chamber 1 In Road on H aide of SouthBend Road

street address & city of wen Location 1380 So. Band Ed* » BochamaxLocale with X m section below Sketch Map:

1 i1 1

^ \1 11 1

1 ' T- _ _ l _ _ _ T _ - _ _ _ _ - 1 Ml .

' 1 11 i X 1

I

| ——— , M1*LC ————— | CWlBfRLItS KoAf>

2 FORMATION

...Surface-dirt ———————

Gravel & it*n*.

Blue clay

Fine land 4 iConea

Bine elay

Fin* **nfl if blue <•!•»

Sand & gravel

,-. i T E j

ADDED INFO. BY OR:-"*. lltff

•CORRECTED BY:"^

••ADDITION BtlUSE * 2ND SHEET T NEKDCD

THICKNESSOF

STRATUM

12

58

2

5

20

20

3

1

4

HO.

16 Remarks, elevation, source of data. etc.Source of data, well: Michael Grahl

pump: Michael Grahl

r-\j-L Q IT j^Ol

DEPTH TOBOTTOM OF

STRATUM

%

15

73

75

90

100

12O

123

124

12*

Range Number

18 i/w.OWNER OF WELL:

Frank ChnbbAddress 1330 South Bend Koad

Buchaaaa t Michigan4 WELL DEPTH: (completed) Date of Completion

128 ft. May 4. 1970CD Cable tool [J Rotary f~l Driven [~1 Duo

1 1 Hollow rod [i| lotted [ 1 Bored 1 1

6 USE: ^Domestic Q Public Supply Q

[ _ | Irrigation j | Air Conditioninn L_

QTestWel l Q

7 CASING: Threaded^ WeldedQ Height: AbeDiam. [

• Surface _ |

in. to ft. Depth j Drive Shoo'

1 ndusiry

Commerci al

t 2 n./gib s. /ft.

y«BNon8 SCREEN:

Tvoe- Gevxe Dia.t IV..__,- tO 4JP*J^Bf Gauze *V i englh ^O

Set between 83 _ ft. and 87 ft.

Fittings:Check valve

9 STATIC WATER LEVEL

87 ft. below land surface10 PUMPING LEVEL below land surface

ft. after hrs. pumoina]' longer'-"ted ft. after 1 hrs. aumoina 15

g.p.m.

a.o.m.1 1 WATER QUALITY in Pads Per Million:

iron IFe) Chlorides ICH

Hardness Other

12 WELL HEAD COMPLETION: Q |n Approved Pit

CT P tless Adapter | | 12" Above Grade

'-' Well Grouted?) _ | Yea [^ No

1 ! Neat Cement il Bentonite (~~1

Depth; From ft. 1O ft.

1A Nearest Soutca of possible contamination m

feet Direction

kk»evmType

Well disinfected upon completion jjj] Yes (~1 No1!ipUMP-- G Not installed

..,„.,<.,„...,•, M,™ FUnf & W.lUno

Model Number C$279 HP 1 Volts 22O

1 enijth of Drno Pio« 107tt. caoacitvS P.. P.M.

Tyoe: [ j Submersible

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this reportto the best of my knowledge and belief.

Address M-60 fait, Caaaopolii, Michi

is true

*T<ON NO.

&mn

A U T H O R I Z E D R E P R E S E N T A T I V E

GEOLOGICAL SURVEY COPY

Page 77: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

MAY Q 0197 4

fl LOCATION OF WELL I

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHjCuuniy Tovunship Narne Ft. i i - t ior f / Sei.tion Numbi-' Town Nurubui Range Numbet

i^tdnce And O i r t ' c t i on iiom Ro.iii nlt;rs«ct ions f

/ /¥\ /', £~ tf S T & £ £ /( H £f? 7~0 W/y fijP,&/¥ £?/$ /M ft £ff £• s'fr /?£} /\/0/f T/j* f /£$~'

Street .itldruss & C i ty ol Well LocationLoi:.m: wi th "f," in stcimn below Sketch Mao:

1 i i1 1 1

- J. 1 '__1 1 '1 1 !

— ',--;- T"1,""

2 FORMATION

f^/f^^y

r <?/? 4 y /=•/,

V/-A/^iA/ ^>/ *y<SD»^fi5*»L

ft£ {j F s* / 4y

S 4 ty n

j

THICKNESSOF

STRATUM

/g"

J2--

9A-

SfM'

16 Remarks, elevation, source of data, etc.

ADDED INFO BY DRILLtR. ITEM Nfl.

DEPTH TO ROCK

DEPTk TOBOTTOM OF

STRATUM

/f

S-/)'?t'

IU

3 OWNER OF WELL: D j— jp -r- n j\ t/ r\ f^ . , * / /") r- n r-" <~ fi * ** /i M /x /jr t^ / ^ £*rc fl*j

AdOiessO^sf $T $£ft~J~ft A MD ff D*

/ys&£~S Sy\ /'£/?, ^ 9 / £• &4 w'ELL DEPTH: Icompletedl Date of Conwle'tion

j * f ^2 &) C^ / (^ *^ ^?

Lj Cable tool ! i Rotary Q] Driven (_J Dug

M HOMOW rod H0 jetled O Sored 1 1

6 USE: Domestic fj Public Supply V~\ Industryr

[ _ j I rr igat ion j _ ] Air Cond it lOning j _ j Commercial

r~tTesi Wel l 1 1

7CASING: ThreadedlM Weldedlj H«iohi: Above/Bala*Diam. ^ .

Surface / It.*< / ^^> . f> &Z ft./ in to f^JLjni. Depth Weio*11 jj /a?1"* /"-

m. to ft. Deoth | Drive Sho«? Y«s [^No f~|

8 SCREEN:^^ ' * . -j

/r*^^ Sj* * " *^^~*

Set beiween/^/ ft. and f m£ tl-

Fittings: ^J ' ^ (^ J^S *J& ^

9 STATIC WATER-LEVEL' '' "' * ^

/ »1 f v *'- h"lnw land surfai-p

10 PUMPING LEVEL below land surface

ft. after hrs. t>umo no O O' g.o.m.

It. after hts. oumoinij a.o.m.

1 1 WATER QUALITY in Parts Per Million:

iron IFel Chlorides ICLI

Hnrdnast Other

12 WELL HEAD COMPLETION: Q |n Approved Pit

rW Pit less Adapter [^ 12" Above Grade

^3 Well Grouted? Q Y8S @ No

[ 1 Neat Cement It Bentonite | 1

Depth: From ft. to ft.14 Nearest Source of possible contamination

« "j?~fBBt yy. ST'DiroctiOn C 27 T""/' Tvoe

Well disinfected upon completion [""] Ye» [^No

15 PUMP: [H Not installed

Model Number J 0 £) / t?Z%/{l fl**ty f Volts ^ -^ &

1 ffngth of Droo Pioe yX'X/ft. raoacitv /^ G.P.M. ^ "7™ •? V

Type: k-H Submersible

[ j jet [ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my (urisdiction and this (eport is trueto the best of my knowledge and belief.

REGlSTrtr^BlAl NESS'S ABC ** ' 'jAE.HI STRATI0H HV. x

Address /> 9 £>/1 ¥ •$-?<- &/J<^ A> A A/ A /V M//*S*

Signed ^?x ^,,.-.** „„. 9-sr./y>jr^,, ,nrt» ,OD., ,,.«, AtrTtrt5*IIED-»E^fnST«»T'Vr'

GEOLOGICAL SURVEY COPY

Page 78: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Geological Survey No. KICHI6AN WATER WELL AND PUMP RECQRD Penit No,

!1 Loca t ion of WellICounty

^ERRIENTownship Naie

BUCHANAN[ F r a c t i o n: 1/4

I S e c t i o n Nuiber I T o u n Number ! Range Nuiber! 35 ' 7-S N/S ! 18-H E/H

D i s t a n c e and D i r e c t i o n Froi Road I n t e r s e c t i o n 1/4 E

3247 CHANBERLINBUCHANAN

Street Address and City of Hell Location

3 Owner of H e l l ROBERT HE1NEY

Address 3247 CHAHBERLINBUCHANAN HI 49107-

flddress Saie as H e l l Location? Yes

Sketch flap 4 Hel l Depth (Completed)125 ft.

1 Date of Complet ion OS/14/92: Rep lac Men t Dell

5 D r i l l i n g Rethod HUD ROTARY

6 Proposed Use DOMESTIC

FORMATION DESCRIPTION

GRAVEL6RET CLAYHATER SAND CORS

! Thickness: of! Stratut

09025

R E C E I VMich. Dept. of PuPu >l

,-,.. rr •r-V:-^>V-: i"AL A-.OD-"-'- - -' -'• •" . . . _. —— _ —— _. —— _ —— _-_._c^.i..__.-^i_^1:_j

tS Reiarks, elevation, source of data , etc.

EDulic Heat h

Depth toBottot ofStratui50100125

7 Casing PLASTIC ! Height . Above5 in. to 120 ft. depth! Surface A

in. to ft. depth! HeightGroutec D r i l l Hole Diaieter IB in. to 42 ft. depth! Drive Shoe No

in. to f t . depth!

f t .Ibs . / f t .

8 ScreenType PLASTICSlot/6<iuze 18Set Between 120Fi t t ings

Diaieter 5Length 5

ft. and 125 ft.

9 Static Hater Level 25 Ft. Below Land Surface Flow

10 Puiping Level Below Land Su r f aceft. a f t e r hrs. puiping at 6 .P .M.ft. after hrs. puiping at 6.P.M.

11 dell Head Completion PITLESS ADAPTER

Froi 0 to 25 ft.

Additives NONE

12 Hell Grouted YeiBENSEALNo. of bags of ceient 4

13 Nearest Source of Possible ContatinationType SEWAGE Distance It D i rec t ion £5Hell d i s i n f e c t e d upon comple t ion? YesMas eld well plugged17 Yes

Rig Operator ' s Naie 6RE6 HCCARTY

IS HATER HELL CONTRACTOR'S CERTIFICATIONThis well was drilled under iy jurisdiction, and thisrepor t is t rue to the best of iy knowledge and b e l i e f .I STEREO BUSINESS NAME KCCAftTY HELL DRILLING

JSTRATIOJUNUHBER 121ADDRESS/4170 1C 12SIGNED

14 Puip Installed Puip Installat ion Only? NoHanufac tu re r ' s Naie 6RUNDFOSModel Nuiber 10S05-9 HP 1/2 Vo l t s 230Length of Drop Pipe 100 ft. Capacity 15Type SUBMERSIBLE JetPressure Tank Naie HELL FLOP r e s s u r e Tank Mode! 203

A U T H O R I T Y : Act 368 PA 1978 COMPLETION: Requ i red .___________ PENALTY; Conv ic t i on of a v io la t ion of any provis ion is(Authorized Representative) iisdeieanor. IMPORTANT: File with deed,

Page 79: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCou Township Name

xl,.v yFraction Seclion Number

2£1Town Number

ZRange Number

stance And Direction From Road Intersection

>T~

3 OWNER OF WELL

Address Seme As Well Location* J>CYes LJ NOLocale with "X" in Section Below

- - -I

- - _

_ _ .

- -1

i- t Ul

i- — —

. — —

LI ———

_ _ _

j

>

T• i M,

I

4 WELL DEPTH: ' Date Completedi MO i DAY i T

/U? Q FT. *I -5* i5 Q Cable tool

Q Hollow rod

[Sfootary

O Auger

v, ... ,.ifl TJew Well

D Fteolacement Well

Q Driven

Q Jetted

Dug

6 USE J^Comeslic G TVPC > Public

1 ] Irrigation || Type lla Public

Q Tesi Well O TVP* llb Public

Q Type III Public

| _ ] Heat pumc

FORMATION DESCRIPTIONTHICKNESS

OFSTRATUM

DEPTH TOBOTTOM Of

STRATUM

Diameter Q Slecl O Threaded , Height Above/Belov— -i '

depth |

. m. to , ft depthGrouted Drill Hole Diameter____ m to ____ ft depth

m to ____ ft. deplh

Weight.

Drive Sr

- / f t

D N<

Q NoMns,a.,ed

3^ ^f- . Length

. '' »nd _

-£.

1FITTINGS D K-Pacfcer [3 Lead Packer Q Bremei Check

1 1 Blank Bhnun irr^^n h nthoi

9 STATIC WATER LEVEL

__ i "S^^ (t below land surface LJ Flo

10 PUMPiNC LEVEL below rnfl surface /

hrs.

hrs pumping at

G

G P.M

Pllless BdaDIer

I I Basement offset 1 1 Afjproved O't12 WELL GROUTED'

I_j Neat cemeoi [

No. ol bags of cement

O No SrYes From_____I0 _____ f l

Additives ?r?/L^ T713 Nearer) source of possible contamination

Type ______________ Distance ______!l DirectionI X1 I—IWefl disinfected upon completion? j&."fc* I—I No

Was oW we« plugged? Q YH LJ No

R E C E I Vr.fPuhli

ED: Hearth

14PUMP n Not installed

Manufacturer's name

Model number

installation Only

-HSY-3—r99^BUREAU OF EMV1RONME iTAL AMD

UtE A 1HD KHCCTOCCUPATIONAL HEALTII-6WQS

IF NffKO

Length ol D'op Pipe ._

TYPE [SC'Subrr

PfteSSURE TANKManufacturer's name

Model number

.__ HP I /^ volts ^3<O

f^> f> <i capacity _^a2C^_

""" Jei

T.npacitV Gallon

15 Remarks, elevation, source of daia. etc 16- WATER WELL CONTRACTOR'S CERTIFICATION:This wall was drilled under mv (unsdiction and thu report is t'ueto the besi ot my knowledge and belief .f\

Authority: Act 368 PA 1978

GEOLOGICAL SURVEY COPY

Completion: RequiredPenalty: Conviction of • violation

of any proviiion it *

Page 80: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WELLCounty Township Name

BUCHANANFraction Section Number Town Number Range Number

'A 'A V* 35 7 W/s 18 £/wdistance And Direction From Road Intersection

Street Addieis & City of Well LocationLocate with "X" in Section Below Sketch Mao

i i 11 1

__ ( ___ _ __.

1 iw _ _ _ J _ _ _ L _ _ _ _ _ * _

1 !

-T-T-— "rMl.

L++• ————— •) MILE ————————— -J

2 FORMATION DESCRIPTION

SAND £ COARSE GRAVEL

YTTT.T.nW rt.flY *• SiMn

YELLOW CLAY

BROWN SAND &

VPT T r\M r*t fc v i

-EIKE SAND

— CRAY CLAY ———

—— SRAY SAND W,». ————————— —— -

GRAVEL —————————

i. FINE SAND —————

D

———————— Q p f> T;n c. o —Vilch. Dcpt. cf

UCC A 1HO SHEET * NEEDED fy j\R 1 '

THICKNESSOf

STRATUM

48

15

15

15

15

20

14

8

V E E'ublicH

199215. Remarks, elevation, source of data. etc.

Bijr .i: Or ENVr.ONVENTA

17. Rig Operator's Name:

DErm TOBOTTOM OfSTHATUU

48

63

78

98

108

128

142

150

satth

3 OWNER OF WELL: TFRFSA AN^ISDELJ AL*t\ O< J- J-J4VliOrT tVJX ± _k t-> i-* J-* i-J

3815 CHAMBERLIN RD .Addres, BUCHHKAN , MI- 49107

Addreis Same Ai Well Location? £ Yes LJ No4 WELL DEPTH: ' Date Completed .C3 „ , . ._i wo. i OAY i I»B * mi. He* Well

1 SO FT. i 8 i27 1 91 1 bd Replacement Well5 Q Cable tool 0 "•"•'V D Dnven Q Dug

!~l Hollow rod Q Auger Q Jetted d

Efl Domestic CD TVPe 1 Public LJ "Tyoe III Public

[I Irrigation Lj Type lie Public 1 1 Heat pump

D Test Wen Q Typ« lib Public D7 ofamewr CLS««! O Threaded Height: Above/***.*

m to ti deothWeight Ihc ^tt

Grouted Drill Hole Diameter -L f~Iin. to ft. depth 'DnV8 Shofl y "

in to (t deoth ^ No

B SCREEN: rn No( ,nsta,(wl

FITTINGS' D K-Packer LJ Lead Packer 1 1 Bremer Check

I _ ] Blank above screen ft. Other9 STATIC WATER LEVEL:

1 Q f^ ft- below land surface 1 — 1 Row'10 PUMPING LEVEL: below land surface

11 SitlSloN: S ««... -dap..' Q 12' above gradeI 1 Basement offset j_J Approved pit

12 WELL GROUTED7 i— , ., r-, „

No of bags of cement Additives13 Nearest source of poi*ibte coon mi net ion

Typ* GCDtiC Qi*U«r« QQ **- Hi r net inn V.

W*R disinfected upon completion? KJ Ve» LJ No

We* oW well ptugoed? £] YM LJ No

'I4PUMP: Q N(J[ ,n,til(-d Q Pump Installation Only

TYPE |X] Submersible D J"'PRESSURE TANK:Manufertureri name nr.L.i ^ in«JAJ

Mndnl ",,mhjir WXollQ Capacity Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATION:A.\'7hi$ w*" waa drilled under my jurisdiction and this report is true

"*io the best of my knowledge end belief.

fiftffnTMVP WFT.T. nRTT.T.TNG 1079

Mates

Signed

F:E£|STERED BUSINESS NAME A REGISTRATION NO.

rffrHANM, ^TCHTfAN 49107

_-67d 12/B5

GEOLOGICAL SURVEY COPY

Authority: Ac t36B PA 1978Completion: RequiredPenalty: Conviction of • violation

of any provision it •mi»d*meanor.

Page 81: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

I LOCATION OF WELL PUBLIC HEAL1H

County Twp.

Berrien Buchanan= raetiofri / Section No. Town Rongey-siJt5^y45£- u 35 73 N/S. 18W E/w.

mile E. of intersection S. OWNER NO. ———— I __rted Bud Trail South Bend Rd. 5c ChamperlineRd. N. aiaeChamperline Rd.

Street oddrei* & City of Wal l Location

2 FORMATION

Gravel & small atone

Gravel & sandy

Pine yellow sand

Fine dark sand

Sandy some small stone

°lne sand yellow water bearing

THICKNESSOF

STRATUM

20

IS

1520

30

W

Aooorwrmf uniltrt. ITEM NO.•CGRmcrro BY (i£>"AMIIKIN" SYEUVtTtr.N ».

DEPTH TOOTTOM OFSTRATUM

20

3550

19

100

m

3 OWNER OF wELL:RiChard ZelinerR.#l Box 1028

Add'«" Buchanan, Mlch. U.9107

4 WELL DEPTH: (computed) Dot. of Completioniia -.. 9-8-75

5 Q Cable tool O Rotory Q Driven Q Dug

D Hollow rod jjjjp J«tUd fi Bor«d D ———

6 USE: [jl Dom«*tie Q Public Supply DlnduJtry

I _ 1 Irrigation 1 _ I Air Conditioning 1 — 1 Commercialn T_.» w_n n7 RASING: ThroadedB Welded D iHeiflht: Above/Below

Uiam. ^"^ . w

J^ in. to 13 * Depth purfoe* ft.

[W.ight _________ Ib./ft.

in. to ——— ft. D«pth iDriv* Sho*? YvtLjNoO

8 SCREEN:

Tyi». 301; S.S. Di.. 3-3A<;|"'/WUJB, ^ i «i0* 10*

S«t b«tw«,n_13i_ft. ortd___liii_ft.

3 f3H aalv. lead 3" plugFittino':3xij- K Packer

9 STATIC WATER LEVELQ M ft. below lond turfoc*

0 PUMPING LEVEL below lond turfoce

.1 WATER QUALITY in Porli Per Million:

!,„„ (F.) Chiofid.. (rns

12 WELL HEAD COMPLETION: D In Approved Pit

Q Pitleti Adapter D 12" Above Grade

13 GROUTING: Casing comentecWell Grouted? £ Ye* D No

Depth: From _____ ft. to ____ ft.

14 SANITARY:

Nearect Source of poittble contamination

1^ 1... TR nt»..:«^ ipt1.ft T Tyr.

Well difinfected upon completion %J Yet 1 — 1 No

15 PUMP;

Mnni;f-»-*if»''f NwrfT Rlpl(3*7"tOn

u«.J.l Numh.r 10P3^C' HP 1

L-nglh ol Drop Pip* ^jh fr C"P<":ity_l^_G.P.M.

Q Jet Q Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:

to the bemt of my knowledge and belief.

Schutr« *•- T.«-»m«Ti w»n n-niinne- nft7^Contn

Addret

%fa

NtGlSTCMCD •tfsiHCSS HAMC ""FSr » Tit A Tl ON NO.tciorsP.O. RnY <:£ RAT»T.lAn ntf. f Mlr.h..

f'/^Uj^r ,^^f2_n^ / / V / - 7 C "M L^~ <j" 1 — •*£ LArf3^ 1^*^^^^ 'MjTMOBIZtO «IP«CSE^Tlrtl'^^^

D67D 100M 6-66

GEOLOGICAL SURVEY COPY

Page 82: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

APR 4 1977 WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

Lornie with "X in section

(Sketch Mao

I (<A*TH

FORMATIONTHICKNESS

OFSTRATUM

DEPTH TOBOTTOM OFSTRATUM

I WELL DEPTH: icomoietedl Date of Completion

Cable tool

Hollow rod

Rotary Q Driven Q

D Bored PI.1 USE: j_]0omesiic [^Public Suooly | | industry

|_| Irr igation [_J Air Conditioning [ | Commercial

flTest Wel l PI

7CASING: ThreadedO WeldedC] ' Height: Above/BelowDiam. . I

, Surface ft.

in. to

in. to

ft. Depth i Weight _ft. Depth ] Drive Shoe? Yes

ibs./h.

8 SCREEN:

Tvoe:-.J' D.a.r

Lenoih

y4»t/o ^Kn^ff1 ~

Set between.Finings:

fl. and

il STATIC WATEfl LEVEL

"7'C/ It. below land surface

10 PUMPING LEVEL belo* land surface

/3*J^ ft. after / hrs. ournping

fl. after __ hrs.

1 WATER QUALITY in Parts Per Million:

iron (Fe) __________ Chlorides (CD

Hardness .Other12 WELL HEAD COMPLETION:

|n AoDrov6d P.i

Adapter [H 12" Above Grade1 3 wet I Grouted? [_] Yes |_J No

L) Neat Ceonent Lj Bemooit*

Deoth: From_________ ft. to _

14 Nearest Source of possible contamination

_____feet ______Direction ______ Type

Well jisinfected upon completion D'ves PI Me

1 5 PUMP:

Manufacturer's Name

Model Numtie

Not installed

Lengih of Droo

TVP«:

Y~~] Jet

Volts

ft. capacity___G.P.M

Reciprocating

16 Remarks, elevation, source of data, etc.

ADDED (NFO «Y DRILUR. ITO* NO.'CORRECT!!) B

ELfVATKW

17 WAIERWELL CONTRACTOR'S CERTIFICATION:ell was drilled under my jurisdiction and this.

of

067d 100M (Rev. 13-681

GEOLOGICAL SURVEY COPY

Page 83: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

W>

1 LOCATION OF WELL

- _ _ T 'VTER WELL RECORD MICHIGAN DEPARTMENT

ACT 294 PA 1965 OFPUBLIC HEALTH

*vCounty Bfftfl /' £~Af Twp. gisC-HA/yAJV Froction Section No. I Town __ Ronge _^,

V> V4 Vi *3$~ ( / N^D /O E@

•[- *fa*4^,~ A'-tf-e^-c' 0-r dz&jfL $I^J£A%. L- ————— -^— ——————— 1£7"%-* /i^G-d^sf dr^S (—£>**>i*£*>Cesi*4'

Street oddr,,, 8. City of W.|| Location _2/£-£,/>^S7 $£ A&9#AMAXMfa

2 FORMATION

O A /¥ ft

h A#/) &fj VFL

SAJ/A jf %/}$¥£/,t ^/}# y£ LrfMzfti vSft <$ fy M $

~

*

ADDED INFO. BY DRlLLEH, lltM *&>

.CORRECTED BY:

.*annmON Bit

THICKNESSOF

STRATUM

!(,'r

.?/'7"

'D

DEPTH TOBOTTOM OFSTRATUM

/•"

e^C^eJ

y y »^^

?cD 9^\f

3 OWNER OF WELL: _. ^ _But HA#A/y M ffAtff/fM

JLIL S.posT Jtfr fi&CHA/VAM, M/CM4 WELL DEPTH: (completed) Out. of Completion

ff J (l- Ar[Ai}CH, 2.C}—//*/5 LJ Coble tool LJ Rotary LJ Dr ven LJ Dug

D Hollow rod 5C J«»«d D Bored O ___

6 USE LJ Domeitic LJ Public Supply X\ Induitry

1 _ I Inigation 1 _ 1 Air Conditioning 1 _ 1 Commercial

n T.,tw,n n7 §^NG: Threodedli^ Welded D iHeight: Abeve/Bele^»

y in. to 7^''t. Deoth |*urlace / ft.

'Weight _________ lb»/ft.

in. to ——— ft. Depth iDriveShoe?Y«*BNoCl

8 SCREEN:5 •? **

rr" <rz r ^S"^ O ' , C> 9 e

FiMin .. **"'V0g'*3'' ?//>£* /-tr'Gfr&K

*""**'- 3 " j- U ifft govpA/Mg9 STATIC W A T E R LEVEL POftMSOTf ftV8B ^

_*3& ' ft. below land lurface f*A C f\ C/J

10 PUMPING LEVEL below land lurfoce

11 WATER QUALITY in Port. Per Million:| * f^

Y12 WELL HEAD COMPLETION: Q In Approved Pit

21 Pitleii Adapter J0 12" Above Grade

13 GROUTING:Well Grouted? D Ye* ty No

Depth: From _____ ft. to ____ ft.

14 SANITARY: tW>fi* yy#Nearett Source of po**tble contamination

Well diiinfected upon completion (J(l Ye* I _ | No

15 PUMP:

u .i w. .„»,., A /j^AI y/^ HP /1 angth of Drop Pipe O-J_ __ ft. eopneity Zg G.P.M

1 _ 1 Jet t _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thic well wo* drilled under my juri tdicti on and thit report ii trueto the beit of my knowledge and belief. *-&/

cU*~ t*AA/ A/tf \\f JT^ • Trf'/f fftf' t-f-t \'tf fl fajTv

Addrei 49 PsV>f#*r*/ss *j>fflJ%&<£*€. sfc/jv^US Dnt.v/?-3'^'^>

100M 6-66

411 19 GEOLOGICAL SURVEY COPY

Page 84: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No. fflWATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF

1 LOCAT.ONOFWELL PUBLIC HEALTH

County Twp.

^?C '^*^£f&^r f^^f^ff^ff'^f^' •

Fraction

S2"/-52=

Street addreti & City of Well Location «fc JrJJ^

2 FORMATION

Te<& GAftfct.

&#?+- Ges&z M/S&&%r*£ &4/*

u

'

L

ADDED INFO, BY DRILLER. ITtM NO,

tCORRECTED BY:

'••ADDITION &Y;

THICKNESSOF

STRATUM

/*^

^P

/^

DEPTH TOBOTTOM OFSTRATUM

6£-

/£>*'

//£*

f Section No. Town Range

v**^^"1/, ^o^ f e^s. /& jr/w.3 OWNER OF WELL:

/I2l j&7&&£/&Addretf

4 WELL DEPTH: (completed) Date of Completion

D 1 _ 1 Coble tool [_] Rotary | _ | Driven | _ ] Dug

Q Hollow rod ffl «lt«d G Bored D ___

6 USE:C!^>ome*tic D Public Supply D Industry

1 — 1 Irrigation 1 _ t Air Conditioning 1 — 1 Commercial

n T...W.M nDiam Threaded Qr W«'d«d D (Height: Abov»/B<d^»*i_ >y/ , ^ . i s^p»in »n fff " "^"P"1 i»urfoe« X It.

——— in. to ——— ft. Depth [DriyeShoe?Ye»GNoffll

8 SCREEN:

ie——L,,.' ^ ,.ng,h ^. . . ^^

Fitting.: ^/^ *p#?£f j* &J/&/4&4

9 STATIC WATER LEVEL.^f& f*- b«low land surface

lO PUMPING LEVEL below land turface

il WATER QUALITY in Pgrt*, Per Million:

11? WELL HEAP COMPLETION: D in Approved Piten Pit leu Adapter D 12" Above Grade

13 GROUTING: SWell Grouted? D Yes 1*9 No

Depth: From _____ ft. to ____ It.

14 SANITARY:

Nearest Source of possible contamination

Well disinfected upon completion \JS Ye« \ — 1 No

jm^TAfUnnufaetiir»r'l Mam* J^^^f^

UAJ.I N..«k., {?4ZfPp HP /• X Jf

Length of Drop Pip«_Jlp=-«. Copocity_^C_G.P.M.

UHJ«t 1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well wai drilled under my jurisdiction and thif report is trueto th« beit of my knowledge and b*lr*f.

Addren

Signed_ , 6X V^ f^-jX^rt^. f*/+*4f

0670 'OOM 6-66 ^

SEP 4 ibtrf GEOLOGICAL SURVEY COPY

M

N^rf-

Page 85: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT'OF PUBLIC HEALTHWATER WELL AND PUMP RECORD PERMIT NUMBER

1 LOCATION OF WELLCounty Township Name

BERRIEN BUCHANANFraction

stance And Direction From Road Inierseclion

Street Address 6 City of Well LocationLocale with "X in Section Below „ sketch Map

1 i1

_ J

» ._ _ —— . . „ _ _ _ _ e_

- - - - - - - - - - - - I M I -

t+— ———— 1 MII.C ——— ———— M

2 FORMATION DESCRIPTION

SAND £. GRAVEL

- YELLOW CLAY ,

SAND MED

SAND COARSE

--

--

USE A 1ND IHEET If NEEDCD

THICKNESSOF

STRATUM

33

8

22

9

15. Remarks, elevation, source of data. etc.

N17. Rtg Operator's Name.

R.E.G.

DEPTH TOBOTTOM OF

STRATUM

33

41

63

72

Section Number Town Number Rang* Number

v< v* 35 7 n/s 18 g/w3 OWNER OF WELL R. MCKINLEY ELLIOTT

1PARK CT.Add.ess BUCHANAN, MICHIGAN

ra n 491°"Address Same As Well Location? Us Yes 1 _ 1 No4 WELL DEPTH: ' Date Completed ' |— I

i MO i PAY > TtAn i 1 _ 1 New Well

70 FT. ]3 i 3 1 ! 92 J EX] Replacement Well5 D Cable tool [jfcRQtafv '-. D Dnven CD Dug

LJ Hollow rod 11 Auger 1 1 Jetted ! 1

6 USE r3-n I — IT I — 1 T in p,

LJ Irrigation LJ Type lla Public [""1 Heat pump

Q Test Well C] Type lit Public [~\

Oiameler LJ Steel 1 i Threaded Height: Above/Below

Q P1«nc Q Welded c ..„ 1 „in. to ' u ft. depth

Weight Ibs /ft

Grouted Drill Hole Diameter " . ; j — im to ft rl*pth Onv* S**08 • 'T— 1 Yes

m. to ft. depth ' — ' ^° '-^/ti '-.•B SCREEN i—i .

| _ | Nol Installed-run 5 "

FITTINGS Lj K-Packer Q Lead Packer 1") B'emor Check

Q Blank above screen ft. GjR&VEL PACK9 STATIC WATER LEVEL:

ft. below land surface Q Row10 PUMPING LEVEL, below land surface

i fin

rrtMPi FTiON ^— ' 'l|t'**s adapter LJ 12" above gradeLJ Basement offset Q Approved pn

12 WELL GROUTED' 1—1 m

No. of bags of cement ' Additives13 Neerest source of possible contamination

QTrTSTTf"1 SO.. ETyp. QJ^rii^- ni..,nr« -'Wit. n,r*-t,nn **

W l diainfacred upon compiatkm? tJ Va* LJ No

We* old wefl pluoged? 3 Yea D No

14 PUMP: Q No( |n$t,,,sd Q pump lnsu||ation Only

Model number HP 1 Vnifc 230

TYPE fJQ Submersible f~l .l«i

PRESSURE TANK: fT>Qr\TManufacturers namr. WELL X TROL

WYTO?MnrlAl nomh*r HAJW*. r.p.r-ity Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief

^-xGA^INER WELL DRILLING 1079-•.

Addres^

•JSHMAN" "tft CH 1 ?AN ""•"• *re TOT*^<r C^K, : ,.. 3-31-92

,7d 12/85

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1978Completion: RequiredPenalty: Conviction of a violation

of any provision it amiademeanor.

Page 86: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WEL.County Township Name

BERRIEN BUCHANANFraction Section Number Town Number flange Number

'A '/. % 35 7 N/s 18 £/wstance And Direction From Road Intersection

Street Address & City of Well LocationLocate with 'X* m Section Below Sketch Map.

I i1 1

- Jl 't 11 1

—— —— I —— —— -4- —— —— —— —— - -*__ —— F

! 1 T- — — |— — -j- — — — — - t MI .

' ' 1. 1 i I

U —— t M.I* ——— ..

2 FORMATION DESCRIPTION

SAND & GRAVEL

YELLOW CLAY

SAND

SAND COARSE

USt A 1WD SHCCT IF NEEDCD

15. Remarks, elevation, source of data. etc.

THICKNESSOF

STRATUM

33

8

22

T O

17. Rig Operator's Name:

R.E.G.

DtfTM TO•JOTTOM OFSTRATUM

33

41

63

73

3 OWNER OF WELL

R. McKinley ElliottAddress 1 PARK CT.

BUCHAWAN, MI 49107Address Seme As Well Location? x3 Yes LJ No

4 WELL DEPTH: ' Date Completed ' 1 — 1 ,,i MO i o*v . vtAti ( 1 _ 1 New Well70 FT. 1 2 I 14 i 92 [fl Replacement Well

5 O Cable tool 3^~1 Rotary [_J Driven Ll Dug

[~1 Hollow rod f~l Auger i 1 Jetted 1 16 JSE 0 Domestic D Type 1 Public Q Type III Public

1 I Irrigation Q Type Ha Public O Haat Dump

[j" test Well CJ Type lib Public Cl7 Dimeter O Sleal D Threaded , Height: Above/.«#lov.

0 Plastic D Welded | Sllffllre 1 „

~5 ——— ' IV ' . Wmght Ih^ ^ftin in ft d»plh '

Grouted Drill Note Diameter ' j — i

in. to ft. depth , ^— ' No

8 SCREEN D No, installedPVf S "

1 "> S 'Slot/G»o«. -1 *• 1 «nath -*

FITTINGS 1 1 K-Packer f| Lead Packer LJ Bremer Crieck

D Blank above screen ft. GtftA,VEL PACK9 STATIC WATER LEVEL.

3S n. below land surface LJ Row10 PUMPING LEVEL below land surface

1 \ WELL HEAD C-| p,ti(js adapter 1 1 1 2" above gradeCOMPLETION: t±

1 1 Basement offset I _ ] Approved pit12 WELL GROUTED? rn ., nj ^ c

No. of bags of cement Additives13 Nearest source of possible contamination

cn d „ uTyju. fJPpTTC Distanr* l>l) "- nirnrtinn Ft

Well dwinfacted upon compietmn7 KJ VM i — I No

Was otd w«n plugged^ DU VM LJ No

14 PUMP: r— | No, Insl(ll8d Q Rump installation Only

MoH.I n.,mh.r HP I- VnltS J 3 0

PRESSURE TANK.«.n..,.,,.rr,, n.m. WELL X TPmJ

Tjv*^Cf"4 _ f- „Un/le*! n^ry\|i4Br Ti A. Z. Ij \J n* parity fiallnnt

16 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief

Addres

^BbsVEREbHWMES^AAlil " * " w REGISTRAHCTN^O. "

/rfinHAMAllA MTf&TKAN 49107

V*VT"o"iz^R*Besft<r*TIVE ^"-

GEOLOGICAL SURVEY COPY

Authority: Act 388 PA 1976Completion: R«quit*dPenalty: Conviction of a violation

of any provision it a

Page 87: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Con*.7*01 R«*.12/63 Job 1S7ftR

ofSanple No.

iunt y

Berrien

MICHIGAN DLPAKIMUM Oh COHlitKVAl ION ™'mlt NO. —————GEOLOGICAL SURVEY D I V I S I O N

WATER WELL RECORDT.p.

BuchananTo«n

£ i i s«c. 35 7SDistance from Roads, Sect ion L i n e s , e tc .

170' west of well #4, 700' south of Chicago Street.

FORMATION

Top soil

Coarse -sand, gravel

Stop in clay

T H I C K N E S SOF

STRATUM

1

38

EPTH TOOTTOM OFSTRATUM

1

39

39

R*nge

N / S . / Q 14) £ / W .

wner :

City Water Dept.d d r e s s ;

Buchananr t 1 ter and Address:

Layne Northern Paul Wyattel l Depth - Da te of C o m p l e t i o n

39 «t. 9/29/66Q C a b l e tool Q Rotary Q Dug QR.C.

D Driven Q Jetted Q Boradse : I ] uoneit Ic QPubl lc S u p p l y £ j lndu«tryLJ 1 rr Igat Ion LJ*lr Condit ioning Ooevater lng\ | T. * + Ve 1 1 Ll ^TC t/c.1. uiuQ^QC

C a s i n g : Dtaoi.^g11 Hi

in . t o f t . Daot h 11.

T)In. to ft. Depth

ight: A b o v e / B e l o w

r f a c e f t .

pe -We 1 g ht

Screen:

Typ" —— Sfcutt** ————— Dli: —24^ ————

Set between ft. and ft.

A c c e s s o r i e s ; i Q|W a t e r l e v e l :

f t . a b o v e / b e l o *

iSB ————

Meat , by Date

Drawdown:-, ~, ft. af ter hrs. pu

ft. a f t e r hrt. pu

Heal, by D

DrillerFlo*:

g .p . * i . /g .p .h .

mp Inq q .p.m.

• te

Tewp: FWeter Q u a l i t y In P«rt i Per Ml l ion:

I ron (Fa ) C h l o r l r t » » 1C! )

Elevat Ion:f t . a b o v e

Source of da ta :

Record by :Dt te :

Remark t : J

See attached sheet.y t ju/ uu

Page 88: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

i l LOCATION OF WELLCountv

Berr ienTownship Name

BuchananFraction Section Number Town Number ' Range Number

1/4 >A 'A 35 7 fflrs 1S wvstance And Direction Fiom Road Intersection

.7 Mi. W. Rdd Bud Tr . N. side of RD.

Sueei Address & Cily of Well LocationLocate with "X" in Section Below Sketch Map

1 11

_ _ _ ! _ _ _ _ _ _ .

« . _ _ _ _ - . _ _ _ _ - « .

. _ _ _ _ . . _ _ _ „ - t

X

rMl -

L| ————— , MI'LE ————— J

2 FORMATION DESCRIPTION

GRAVEL

COARSE SAND

FINE SAND

BLUE CLAY S. STONE

BLUE CDAY

SAND FINE W.B.

COARSE SAND W.B.

-

fc.ich.

Bureauuse A itto »«rr if NCEDCO OcCLiD

THICKNESSOF

STRATUM

30

45

20

35

45

10

23

FT£CE!-'?st. c;

'•' " 1 "•'

:'( Envtr;:iona! H.s?

15 Remarks, elevation, source of date. etc. OLD WELLSTILL HAS PUMP ON IT. ALSO A DUGWELL THAT NEEDS TO BE FILLED.

17 Rig, Operator's Name:

R.E.G.

DEPTH TOBOTTOM OFSTRATUM

30

75

95

130

175

185

208

r~r>!-':::; '::.

-•:•:•:" ' "

• - ,<"•• •-

3 OWNER OF WELL

Russ SimmonsAt)d)ess 3710 Charaberlin RD.

Buchanan, Mi. 49107Address Same As Well Location? S Yes O No

4 WELL DEPTH: ' Data Completed ' 121i MO. i DAY i VEAH i ELI New Well

208 FT. J 3 | 2 | 8 9 [ KJ Replacemant Well5 [I] Cable lool [3 Rotery [3 Driven dl Dug

[3 Hollow rod LTI Auger Q Jetted 1 1

Q3 Domestic Q Type I Public Q Type III Public

O Irrrganon Q Tyoe Ha Public Q Heat pump

d! Test Well [J Type lib Public [3

7 Dwm'eflr D Steel Q Threaded | Height Above/&wW«

c S^ast-c Qwatded , ^ l(t3 - m. to JJJB. depth |

Grouted Dfill Hple Diameter 1 - i — im to t, ri.mh 1 °"vo Sho« LJ Yes

m to ft. depth ] • LJ No

8 SCREEN i— i .LJ NO! Installed

TunB Plastic „..,„,„ 4"

^BI hatween 198 f i»nd 208 ,,

FITTINGS: CD ^-Packer Q Lead Packer L~j Bremer Check

Q Blank above screen (t OtneQRAVKT. PAPt9 STATIC WATER LEVEL

fl hnlnw liinH «,irf»r» M Row

10 PUMPING LEVEL: below land surface

1 ' XVHEET*ON E P"1eSS *daptef D 12' above grade

LJ Basement offset Q Aoproved pit12 WELL GROUTED' r~i rvi

! 1 No [Xj Yes From tn (t

1 I Neat cemem | | Benionite \_\ Other

No ot bags of cement Additives13 Nearest source of possible contamination

TVP. Septic n,«.n.. 50* ft. Dir-rtiBn NWetl dUinfected upon completion? S Yes LJ NoW«s old wel) pluggedT LJ Yes S No

14 PUMP- r— j No, |nsta(|ed Q Pump installation Only

Manufni-liirnr'i nam*

MnH-mumh-^FlONOS-Sa* ^ Vnlts 230

1 »n0IH nl Hrnp P,(«. ioU t* f-pjlfillv ^" T, P M

TYPF [X 5;,,hm*f5ihie [~~] .l«t

PRESSURE TANK.MumiflirtiitBr-c namo WELD X TROL

WV 702 4 7Model number "•"••' u^ r.r»ciiY ^ *• Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best o( my know edge and belief.

GARDNER WELL DRILLING 11-10790

AOdres

SigneO

•E'Sli.TERED BUSINESS NAME REGISTRATION NO.

fWCHANANy\ MI . 7>^ 49107

V'VS" (VTfN. , ,4C^ n,,[e 3/2/89O6'd 11/85

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1978Completion: RequiredPenalty: Conviction 61 a violation

of any provision it •miidemaanor

Page 89: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

C o n i . T t O l 6 /63P a g e

ofS a m p 1 e No.

oun t y

Berrien

M I C H I G A N U t K A K I M t m Oh C O N J i b K V A 1 IUN "pTr'mlt NO. ———————G E O L O G I C A L S U R V E Y D I V I S I O N

Owner Ko.M_1 ^.^.hh,W A T E R W E L L RECORD mj *kft

T w p .

BuchananTown R a n g e

NE * SE * NWi Sec- 35 ?S M / s - 18W £ '«•D I * t a nee f r o m Road t » Sec t i on L i n e s , e t c . '

141 E of abandoned #4 well. 46' W of i line, 250' S of 1/8 line

HOT

F O R M A T I O N

Top soil and fill

Clay

Coarse sand and gravel

r sand

""ray sand and gravel

Coarse gravel and boulders

Fine gray sand

Coarse gravel and boulders

Gray clay @ 44 '

_ ———————————————————————————————

T H I C K N E S SOF

STRATUM

2

3

0

2

2

13

6

10

£PT>i TOOTTOM OFSTRATUM

2

5

11

13

1528

34

44

I w n e r :

City of Buchanan.A d d r e t t :

Buchanan . MichiganOr 1 1 ler and Addr . i t :

Layne No rthe m , Lan singW e l l D e p t h : D e t e o f C o m p l e t i o n

t 44 "• 3/20/63Q C a b l e tool QJ H o t a r y Q Dug QR.C.Q D r i v e n Q Jetted Q Bored

Use : Q~]0o«et t lc Tll '>ub ' 'c S u p p l y F j I n d u t t r yD 1 rr Igat Ion LJ Al r Cond It I on Ing Q Debater IngHT.,t V.n n

G a t i n g : D 1 am. H e i g h t : Above/tf&XdB26 In. to 34* ft. D e p t h t u r f . e e 1 ft.

T y p e - W e i g h tin. to ft . D e p t h Blk. steel

5crttr: Layne stainlessT y p e : cjhnt.t.pr sr»TP!f*n D l a : ?f^"

SlotECElQ* .10^" Lenoth 10'

Accetsortet: Welded plate bottomW a t e r l eve - t :

4 ft. »Wf/b.io« land surface

f t . a b o v a / h a l o w

Heat , by DateDriller 3/20/63

Drawdown:1 S? ft . a f t e C C ?_)_hr«. pulping _1 6l "B -p.«.

f t . a f t . r h r t . p u m p l n q ..q.p.m.

keei. by DateDriller 3/20/63

F l o w :g . p . w . / g . p . h . Temp: F

leter Q u a l i t y t n Pert* P e r M i l l i o n :I r o n (F.I C h » o r l r i « * ( C l i

E 1 e v a 1 1 on :f t . above

Source of d a t a :

Drillers loeRecord by :JB Date:

ae»ar t> i : * 48" rotary hole to 44' then cased with 26" casing. Screen portion filled with#48 silica Rravel (441 to 34T) . 34' to 8': silica gravel. 81 to surface: cement

Page 90: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

1 LOCATION OF WELLCounty Town»hia Name .

BERRIEN (&XJl^Jrv4y*/i ftA^' stance And Direction From Roafl Intersection ~

Street Address 6 Dty of Wall Location

Fraction Section Number TownNumbar Range Number

V4 V4 V. 3 G /WS ^ 9TW

Locate with 'X' in Section Below Sketch Map:1 i I1 1 1

J. 1 '

1 1 'W 1 1 __ 1 E

i i i " T1 1 1 '- -1 T 1 - t Ml-

1 1 1 11 . t \

\-f ————— — t MILC - ——————— •*•)

2 FORMATION DESCRIPTION

YKT.TrW KANT)

r,RBY PTAY

iRiv rr s Y ,-;. AVP,

,_„ rrK cr .

^RAV ft AY & ^awn

•£i\Fn PTNiP

————————————————— rq T: r* r 1 \

USE fc It*0 «MCT IF MttOtO' !> — '- r1 " '-' ' ' *"

15 Remarks, elevation, source of data. etc.i '-.'.' C

THICKNESSOf

STRATUM

13

30

5

• -

15

i o

V

""•

f f~ '"%r L D;!;cHoa

G53

17. Rig Operator'* Name: i j^-_. '.••..';.-. -"L S .'1.- i iVO '• —

^ r '"• R'^F'-'P'?

DEPTH TOBOTTOM OFSTRATUM

13

43

48

63

78

93

- —

'---•-

m -

3 OWNER OF WELL JOHN & SUE HEIJ ER

413 HOLMES*•""«» BUCHANAN, MICHIGAN

49107Address Same As We.ll Location? Dfl Y«s LJ No

4 WELL DEPTH: ' Date Completed ' |~ 11 MO 1 DAY 1 vtAM < \ __ 1 N«W W«ll

92 FT. ; 8 ; 17J 9^ (S F-jptac.™™ WeU5 L3 Cable tool QRotarv Q Driven CD Dug

D Hollow rod O Auger [~1 Jetted Q

Qy Domestic j _ j Type 1 Public | | Type III PuOtic

O irrigation Qj* Type Ha Public Q Haat pump

D Test Well Q Type lib Public C37 Cifamew. D Steel Q Threaded , He.ght ABove/Beto*a Plastic n Welded ( e j 1 ,.5 Q O — ' Suriace I , I t

. W*ight \h* 11,

Grouted Drill Hole Diameter 1 i — im tn ft ,f.p.h 1 Dnv" Snoe U Y«s

in. to ft depth , *— ' No8 SCREEN: r— t ., ,

LJ Not Installed

FITTINGS D K-Packer Q Lead Packer [3 Breme' Check

I _ | Blank above screen ft Other pTDTv^fpT F^r^i9 STATIC WATER LEVEL;

>I7 ft. below land surface 1 1 How

10 PUMPING LEVEL: below land surface

1 ' COMPLETION 9- Pl"eSS adapter D 1 2' above gradeLJ Basement offset [~J Aooioved pit

12 WELL GROUTED? .—, ,-,

j | Neat cement £71 Banlnr-itu Q nttior

No of bags of c*m»rn Addilrve*1 3 Nearest source of possible contamination

inJ PTlC nm.nr-d /5 *t nir«-tion S.E.W«fl ditinfecied upon contpietion? L?1nw LJ No

Was old wad plugged? E "rta D No

14 PUMP: r— [ No, |nstalled Q pump Installation Only

Munufaclurar1* name FSJW

TYP[: [>t, Submnriihl* \~\ .1.1

PRESSURE •fANK- . 1 J Jl ~~M«rm<it'"t"r*r 'i "lmtt ^PA/J^C-' \ I L/yt \.s*-cf \ {i .** fC.

Model number Capunty Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATIONThis toll was drilled under my jurisdiction and this report is trueto the best o( my knowledge ana belief.

Addrer

'm-rJHffWEtf ws9WE«t)**lil»e-'J- "« REGISTRATION NO^VmwftM, wrr^Tfz^f -10 ^mr - C ^i V"^-^ " ^ i5 ^s - . \ \ ON/ o ( ,Y , ^^r^ n... V - J J 7 ^j ~ ' /AUTWORIZtB-RI^MSfeNTATIVE

GEOLOGICAL SURVEY COPY

Authority: Act 308 PA 1978Completion: RequiredP*n«.ltY" Conviction of a violation /••'

of any provision i* arniidamvanor

Page 91: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

WATER WELL AND PU1 LOCATION OF WELLCounty Township Namo

R^rri e*n Rnnhanan

HAD DE?r*nnnMP REUUKU PERMIT NUMBER

Fraction Section Number 'Town Numbo' flange Number

MP v« Qij/4 QTW, "^fi .. -7 uys IR t/wnance And Direction From Road Interject on

.1 Mi.E. Merson Ct. on N. side ofRynearson RD.

Street Address 8 City of Well Location ,Locate with "X" m Section Below \f I » 1 Sketch Map.

- ]-!-_!_-. \j!xi <^<L

- . - - 4 - _ f _ _ | _ _ .. <^>^\^

- -, ; ' i- -'<^\^ T 1 * ^? v -*.I I 1 ^i i 4

2 FORMATION DESCRIPTION

Clay

Clay & Gravel

Sand & Gravel

Sand & Yellow Clay

Blue Clay

Sand Fine W.B.

Sand Coarse

Blue Clay

USE A 1NO IMCCT If NECOCO

THICKNESSor

STRATUM

9

9

36

21

30

12

15

1

15 Remarks, elevation, source of data. etc.

17. Rig Operator's Name:

R.E.G.

DEPTH TOBOTTOM OfSTRATUM

9

18

54

75

105

117

132

133

3 OWNER OF WELL Yjave Canaslosi16389 Rynearson

Add,ass Buchanan, Mi . 49107

Address Same As Well Locat.on? &J Ves LJ No4 WELL DEPTH; ' Date Completed J r~j N>w w „

5 CD Cable tool Q Rotary QJ Drtven O Dug

f~l Holtow rod L7) Auger £j Jelled 1 16 USE t_] Domestic [J~ Type i Public Q Tvt>e lit Public

[_] lirigation | j Type lla Public LJ Heal oump

D Test Well Q Type Mb Public Cl

7 D^mefer D s«el O Threaded Height Above/BelowB Plast-c n Welded <;,ir(SCB tt

Grouted Drill Hole Diameter f— i w, _. . Dnve Shoe _ Yes

in. w ft depih *— ' No

B SCREEN: Q No, |nsta(|ed

- - 1 7 5 '

FITTINGS i 1 K-Pscker Q Lead Packer LJ Bremer Check

D Blank above screen ft OtrCrrftYel Pack9 STATIC WATER LEVEL

ft below land surface LJ Row10 PUMPING LEVEL below land surface

•L^y fl nftnr ^5 hrs Dumpings! DU r, P M

-L ^ J ft iilmr 1 h« pumping Al L £.^J C, P M

1 1 WELL HEAD f^J pitiess adapter LJ 12" above grade

Q Basement offset LJ Approved pit

12 WELL GROUTED' •— , ., on „ _

No oi bags of cement .. _ B _ Additives ———————————————————13 Nearest source of ooisible contamination

Typ. Septic DistanC8 60 K Diractton N

W«U oitinlected upon complatmn/ aj Y** — °Wat old wrt plugged? LJ Ye« LJ No

14 PUMP: r— ] NOI Installed O Pump Installetion Only

4F19A07 — 30Jp 3/4 v 230

PRESSURE TANKMann'ff-'Mrt't "-•"• Well A ITOl

Ll rt 1 mh WX203 C.Mr,tw ^^ r.»nn«

16. WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my junsdict on and this report is trueto the best oi my knowledge and belie!

pa^TlTMPP WPT.T, nTJTT.T.TNrc 1079

Addres

Signed

^[?S?^^NAt¥T «0»ST«T,ON 9107

K^ . WiS^^^ DM. 11/21/88 /J67d 12/85 unioBizeb REPRESENTATIVE

Authority: Act 388 PA 1978Completion: RequiredPenalty: Conviction of a violation

of any provision is •

GEOLOGICAL SURVEY COPY mndemiBnor

Page 92: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

1 LOCATION OF WELLCounty

Q^VlA(?>V

Township Nam<

EHXA \^SU>^SJl^\

Fraction

^^A^f'vi/V'/fv,luica And Direction Ftom toad Intersection

\ frfr^^r^ W J//Wt w™^*.>Ju^.^ ,J<?4-14^.^ i>-CL.L*^^--K tL&iJ $-^^J' &<kb

Street Address & City of Well LocationL

w

2

>c»ie with X m Section Below

1 1 1J 1

' 1 ' ^1 ' V-_ _|__4---f-A..1 11 1

-- -1--T --,---1 I! i

• 1 MILK —————— •»

t

J Ml.

I

^

Sketch Map

^^1

J -^^X^*^V- ' (-^5-<A^-

FORMATION DESCRIPTION

zLy^J)-<£s^vz^ t % -t:*or

s^Ls^^7 /j£~JC^

J%T^~Jx

USE A 1HO IHCCT IF NCCDtD - .

15. Remarks, elevation

THKKMESSOf

STRATUM

£

£

J?,7

/*~

st>&5~/f~

source of data, etc.

17. Rig Operator'1 Namey X

-2^J/J&^M<

DEPTH TOMTTOM OfSTRATUM

2

g

—7 <O-^ 7

&

4,6

/P5"

/¥C

Section Number Town Number Range Number

*3Ca 7 N^) /Q E/lC3 OWNER OFJVELL . _

f Sl£i4S-^'-&~~^G^ C/i C t-Ox>->S£U— . ^> /Address - 2 ^ / 3 7 ^J^JL £^»?V

/C/L^CO PVIAddress Same As Well Location? CD Yei fi? No

4 WELL DEPTH: ' Date Completed ' (V1 MO 1 DAY 1 VEAH 1 J N«W Well

HO FT. i // ! ^ ifJlDRepla^nentWel.5 [3 Caole tool LVflotaiv CD Driven CD Dug

CD Hollow rod Lj Auger CD Jetted CD

'' S Domestic Q Type 1 Public CD Tvpe 1" Public

CD Irrigation CD Tyoe >la Public CD Heat pump

CD T«si Well Q TVP« "fa Public CD

Diameter CD Steel LJ Threaded . Height: Above/BelowSPt«tic CD Welded i e . ,.

,_^ — in- to yr?-S~irt. depth |. Wnighr Ihs m

Grouted Drill Hole Diameter 1 r— iin M ft ri-r,h t D"v« Shoe LJ Yes

m tn It. depth , LJ NoS SCREEN:

t-

Type jtft.

ISSl/feauzB

Set betweer

FITTINGS

CD Blank a

L- . • CD Not Installed/• >t* v-«LA<? n,, ,.,Br Js& -r 'X--T i »noth ~?

/ ? r ,r ,nrt /^£? „

O K-Packer O Lead Packer CD Biemer Check

Dove screen ft Other9 STATIC WATER LEVEL

^ f ft h.( ^ |.RH f..rfnf.ft Pi ROW

10 PUMPING LEVEL: Below, land surface

^W^v-2-^ ji^-t^cA. <z^\ ^B t l

1 ] COMPLFHON '— ' Pitless "d"pt«r j 1 2' above gradeI _ J Basement offset LJ Approved pit

12 WELL GROUTED? r-j X^| 1 No |>f Y«< Frnm tn ft

CD Neat ce

No. of baas

men! [fli Bantanit [" Olh«r

of cement Addnivei ^7"13 Nearest lource ol possible contamination

Type ni«tance ft. n.r«-iinn

\VeH di«inf*cted upon completion? Lfl Ifc* LJ No

MVas old well plugged? CD Ye» CD No

14 PUMP j— j Not (nila|lBd f— ] Pump |nstaii8tj0n Onlv

Manufacturer s name /rZ&t^C/**?

TYPE

PRESSUREManufactu

Model num

:TL. «i^>e~ZL*Sber A-'jJ^^SlO C*MCitv Gallons

16. WATER WELL CONTRACTOR'S CERTIFICATION:- This well was drilled under my jurisdiction and this repon is true

to the best of my knowledge and belie!..

^oo ^^^*/^?^O /J&%AOdres

Signed

, /3£~ S /£g*~r» Ju^a^, j£^tes SKX-

/fo'J* ^-&«&P ^ //-?•#?d7d 12/85 AUTHORIZED REPRESENTATIVE

Authority;Completion:Penalty:

GEOLOGICAL SURVEY COPY

Act 368 PA 1978RequiredConviction of • violationof any provision It •mi»dem«enor.

Page 93: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

FEB 1 9 1930

LOCATION OF^±,£DF_WELL__ ]_

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH1 County Township Nama Fraction Section

J i st ariceA.nd Direct ion fjom Road ntersections

Locate wHh "X" in section below Sketch Map:

1 i1 1

_ „ _

1

11

1 ————— , MI'LE

2

^ ^

r/r^

-'-::v "^r^r_;__.!. *<LJ^~_j^± *j

FORMATION

/

<1 /

/) /Cr*rV /

^~

/

THICKNESSOF

STRATUM

/-^

^ ,

zf

16 Remarks, elevation, source of data, etc.

AUULU INFU B( DHlLLfR. ITtM NO.

•CORRECTED B¥ <2$AV^"HOWTION BY /

ELEVATION 'MPTH TO ROCK ^

DEPTH TOBOTTOM OF

STRATUM

xr-

7<r

ya

«fjWElL DEPTH: (CO

&f £

Q Cable tool

1 1 Hollow rod

USE' Qoomesli

LJ Urination

[Zjfesi Well

Numbiir Town Number Rang«

S' -7 ^,/c j£«* f «i'S. _^5

dip/ ir P7 r aTTSim ifialeted) Date of Coircletion

ft. rpo — i4^f&50<^ Jjji^otarY CH Dnven

* ^iffMffri nfitmjl ftflff^rimrtnf

.. [ ] Pub ic SuOP'v 1 _ | IndL

^L^T^^^Ww*^"*«««a^^^^^ew"n.

Nombur 1

2>VP*

_) Dug

~iIry

lercial

CASING: Threaded M""welded| _ ] ' Height: Above'^WTDwDiam. 1 _ .

j Surface ^_ ft.

2_^in. to S-i

in. to

8 SCREEN: .

X^X- •/

ft. Depth | Drive Shoe? Yes<

S , A/

3^D

S.nt^JT &~> ^ ,enQ,h V'

Set between \J&

A / ^u- y

_n. and ty& '1.

^/9 STATIC WATER LEVEL /

•^ ^-^7 '7< ^7 s ft. below land surface

10 PUMPING LEVEL below land surface

ft. after hts. pumoina

(t. aftei hrs. Dumnmg

g.P.m.

g.P.m.

1 1 WATER QUALITY in Parts Per Million:

iron iFel Chlorides mil

Hardness nthB,

12 WELL HEAD COMPLETIO j^" \ /

| | Pitl«ss A<tapte I*-1

'•* Well Grouted? LJ

LJ Neat Cement

Deoth: From

14 Nearest Souice of

feet

Ves ^ AD Bt T^ '

posstb \

Di, Wt' Type

Welt disinfected upon ecu

1 5 PUMP:

Manufacturer's N

Model Number

[

Length of Droo Pipe

Tvpe: [ 1 Subme

n j«»Slb'e S/^6/ S-^

\_\ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi» well was dti lled.under my jurisdiction and this report is trto The best of my knowledge apd belief,,— . ,

/ *^ — j/jtf" ^ ^ ^^ ^t** Sjfjjf^^^} ^^SA

'• *

ne/^

REGISTERED flUSMfESS NAME , RESI STI^ION NO.

Address SZO /W> • T^fr £*/*j — t. ^35^-^L^~v ^y'tli

^/^^L-*? -> Date /~~ / S

X

100M |Rev. 1 2-68)

GEOLOGICAL SURVEY COPY

Page 94: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

., FEBJ. 9 1930'*// WATER WELL RECORD

ACT 294 PA 1965

uMICHIGAN DEPARTMENT

OFLOCATION OF WELL PUBLIC HEALTH

1 County

JTlance And Direction fir

Street add&ift^ VCtW sf WLocale with X in see

w

1 ~ ~\~ ~ --'1 I

1 11 1

- - I Ti i! i

L, —— , H1sLr ——— M

m Road

' £- / *|JJ -j-fK;3

lion bel— •

t

T

Township Name , Fract ion Section Number Town Number Range .Number

nterscctions

f^t * -/ti^fi^ ^_ X^' ^ x ^o^ Sketch Map;

r^ f 7* *—* "<& /

*3 %2 FORMATION

rt^a^~ fa~^/—— <^Vfrvn ^>^g^;•+' ^.s ^ £

THICKNESSOF

STRATUM

V<3

J ' &

16 Remarks, elevation, source of data, etc.ADDED INFO BY DRILLER. iTtM ltd•COWfcCTED BY O/i .

ELEVATION /DEPTH TO ROCK Jtt

inr,», ID

DEPTH TOBOTTOM OF

STRATUM

f*

j'O

3 OWNEROFWELL: s

Address s /) .A /i •/ j ^-

4 WELL DEPTH: (completed) Date of Completion

| _ | Cable tool | _ | Rotary j _ j Driven | _ j Dug

Pi Hollow rod B-*jetted 1 1 Bored 1 1

6 USE: | _ JDomestic 1 1 Public Supply 1 1 Industry

r 1 Irrigation LJ Air Conditioning | | Cornrtierc'al

Q^est Well 1 1

7 CASING: Threaded H^WcldedQ ! Height: Above^ftwrww0 1 am. | ^_

, Surface ^ ft.

Z^—in. to *T/!_ft. Deoth i Weioht )bs-/fl.

in- to ft. Depth ( Drive Shoe? Y«sLlt1o*7|

8 SCREEN:

^' " 2*1, ^ a' ' f ,* *Slol/Cauar. ^ 1 nngth tX

Set between ^r ^ ft. and f~& h.

X^ /{^*~fji^ -r-— ' ^^ X^2— o^? rV^ f_ w£ &9 STATIC WATER LEVEL

Kl PUMPING LE\

fl Q.P.rn.

f t-- V n.D.m.

1 '1 WATER QUAI

Iron (Pel

Hardness

12 WELL HEAD | p ,

Q Pi Grade^

'•' Well Grouti

PI Noat CB..~... ,

Depth: From ft. to ft.

14 Nearest Source of possible contamination-"?

feet Direction , Type

Well disinfected upon comolfllion J \ Yes 1 ] No

15 PUMP: Q Not installed S

Moflel Number HP Volts

1 enpth of Drno Pine fl. canacitv^P G.P.M.

Type: I^J Submersible A^A-xt-/^ X'v'j'x*?/'

[ | jet I""! fieciprocatmg

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well ivas drilled under my jurisdiction and this report is true1O the best of mv knowledge and-bglieL>—» J _-/._

' RECISTEftfWUSlllESSTlAME RBGI ST*l*TION NO.

Address ,/ ^ sff*; * *YZ tf ^£/lsL*4?'-*&t' ^~*><- //•

Signe/:,'^JS/^L^^ o... /- / r--^e>*•/£'' AUTW OK UIOTtETRtSENT ATI VE

D67d

GEOLOGICAL SURVEY COPY

Page 95: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL PUbLIC HbAL 1 H -

County Twp. Fraction Sect ion No. Town Ronge

A ^™ £ J /"** Jt f C" **• £~ JU ^~ v 1 QWNE R No.. .....

Street oddr.ii & City of Well Location Jf & ^* f^ >4 M S

1 FORMATION

^7 £ s4 \j

S>/#ry x A*t>4f

>s^>L/y>

^

—^

ADDED INFO. BY DRILLER, ITEM NO.

•CORRECTED BYi

ADDITION 6Yi

JM—AUCJ+*THICKNESS

OFSTRATUM

3V

£.

r?'

f

DEPTH TOBOTTOM OF

STRATUM

JV

tr

&?-£3'

3 OWNER OF W E L L : n • t\ &O*^ AA -50 /Y Q O J h // c /) *i

r"** *\» *if W £^( n$& /* fijj*Bucft AM AN MiCtt*4 WELL DEPTH: (completed) Date of Completion

£3 " ?- J7- L 75 LJ Cablo tool Q Rotary LJ Driven LJ Dug

D Hollow rod JB Jetted D Bored D ———

6 USE:5B Domeitic LJ Public Supply LJ Induitry

1 — 1 Irrigation 1 _ ] Air Conditioning 1 — 1 Commercial

f~l T«t W.M D

7 §*Sm

NG: Threaded^ Welded D jHeight: Above/BattrW

S- in. to i5~f ft. Depth | lurfoce f ft.

'Weight _________ Ibs/ft.

——— in. to ' ——— ft. Depth j Drive Shoe? Ye»B NoQ

8 SCREEN:^^^//^

iU*/GOUI. fc Q 1 . g.k «P~*

s..b.,w..B_!£4'i, ood L3'_*>- J$"XI" £#£•#/&&

9 STATIC WATER L^VEL '2 3" ft b.Uw I«J ...r(n«

10 PUMPING LEVEL below land surface

11 WATER QUALITY ,n Port. Per Million:

'•2 WELL HEAD COMPLETION: D In Approved Pit

K Pitleit Adapter QD 12" Above Grade

13 GROUTING:

Well Grouted? D Y.« J£ No

Depth: Frnm ft to _____ ft.

14 SANITARY:

Nearest Source of possible contamination ,

*J»l3 t«i JC^<*/Pir»r1inn -SPDff eSType

Well disinfected upon completion I _ I Yes QQ No

15 PUMP:D A ^\ J ft A *y ^^^9 Af

^nnulncturAr . KInn. ^J 4S f JJ V f ff Jf

M^^.t M..«h.r -5*45"^- "R "TLen9th of Drop Pipe ^^ ft. capacity f —— G.PJ*.

DD Jet LJ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well wot drilled under my jurisdiction and this report i* trueto the nest of rny knowledge and belief.

Signed- /£<£ ^L.S^^SL* n... >-23-^>

D67D 100M 6 2 6 I3 GEOLOGICAL SURVEY COPY

Page 96: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

-GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

1 LOCATION OF WELL

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

Fraction Sact)an No. Town

V"

Rang*

toXce^nd Direction from Rood Intersections[OWNER No.

Street oddret* & City of Well Location

3 OWNER OF WELLPC

r/eoy,FORMATION

THICKNESSOF

STRATUM

DEPTH TOBOTTOM OF

STRATUM

4 WELL DEPTH: (completed) Dot. of Completion

4S D Cable tool

D Hollow rod

Rotary Q Driven Dog

J.n.d D Bored D __

S USE^M Domettie Q Public Supply D 1ndu»fry

1 — 1 Irrigation 1 _ 1 Air Conditioning 1 — 1 Commercial

D Te.» W.ll f~l

1 CASING: Thfeod.d S^w.ld.d D iHeioht; Above/B»|0wLriOm. J . "

in. to £?•"?'*- D'P**1 lurfoce (t.

in. to"Weight_______)bs/ft. ^,

ft. Depth rDriyeShoe?Ye«DNo!IJ»

SCREEN:

TyP,..T^TScjP£EA/ft

Set between__^L2ft. ond.7jf»j

Fitting*: T • __UL=ft

9 STATIC WATER LEVEL*-£ ft. below land surface

10 PUMPING LEVEL below land surface "'•p I P)

————————ft. often—Mrnrt. pumping——————f_W£~-g.p.m.

-ft. after——_hrs. pwmpina-

11 WATER QUALITY in Part* Per Million:

l,™ (F.) rkt«;J.. fril

Hardness. ^12 WELL HEAD COMPLETION: D In Approved Pit

& Pitlei* Adopter Q 12" Above Grade

13 GROUPING:Well Grouted? D Y«* J8, No

Material: LJ Neat Cement LJ.

Depth: From_____ft. to____ft.

U SANITARY:

Nearest Source of p«sslbl* contamination70 ,... W n - ^S

Well disinfected upon completion ,^XYe» LJ No

yp«

15 PUMP:

\Length of Drop Pip»_^t^»th. capocity__l5t_G.PM.

Type: LJ Submersible LJ ——————————————_____GJKjet___________LJ Reciprocating____

IB Remarks, elevation, source of data, etc.

ADDED INFO. BY DRILLER. ITEM ML

•CORRECTED BYi -

17 WATER WELL CONTRACTOR'S CERTIFICATION:This w«ll wat dritl*d und«r my juritdiction and ttiit report It tru*to tho b**t of my knowledge and b«Ii«f.

0737

Sign*

067 D 100M 6-66

GEOLOGICAL SURVEY COPY

Page 97: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENT - .OF M

1 LOCATION OF WELL - , PUBLIC HEALTH ^

County ' " Twp, / -raetion Section No. Town Range

•/.MiAA/f'/. 3t 7 N<S /8T €*s*T<7s*je*-C*>*>Asy. ' ^ OWNER No.

w,// / Cn * ,> f Q /y / \t t £ IV f t, b A • — •-;•••••••••••'* v / c w .S//£-/?/v/,s/tf/v

Street address 8. City of Well Yoeofion*' •*' ^ ^ # A/I/ /ft / ' (? //,

2 FORMATION

ypLL&w S*LAV&A*y EL

/?/#* SAJ/W £>Z4 ]/A/V^r yfLifl\A/ *r**£

^

ADDED INFO. BY DRIVER. ITS* 1*

•CORRECTED BY:

THICKNESSOF

STRATUM

?^'

£.

/ 5"/*'7'

DEPTH TOOTTOM OFSTRATUM

? ^y *

3?'$ */'

/^'

^ ?*

17 WATER

This weto the b

***#*

Addres

3 OWNER OF WELL: £AM C# yV yff /J/2/)jf'f^

jf & \/ 1/ £? A D ^/* A/ JP yjAddrei* *7 *J/ /»*^ "A ^*" '' /) *V *

4 WELL DEPTH: (completed) Dote of Completion

^ "> * ft ,/y ^T— / ^//^ "• jT ~ •»•**• jX

5 D Cdble tool Q Rotary Q Driven d Dug

Q Hollow rod Cfi'jeMed D Bored D ___

D USE:t5 Dometlic LJ Public Supply LJ Industry

1 _ 1 Irrigation 1 _ 1 Air Conditioning 1 _ 1 Commercial

[-IT...*.,, n1 Q^NG: Threaded ^ Welded D ]Heioht: Above/Below

jWeioht _______ lb«/ft.

——— in. to ——— ft. Depth |DTiveShoe?Yei5pNoLJ

8 SCREEN: #0 ff¥^

Type: VC'-r^ V** >KeT* D ! " ' ^"

&l^/GaUf. £ ^ t -ngri, ^J

Fittings: , / ,, , i 1" ,'ijt

9 STATIC WATER LEVEL iX-,7 " ft. below land surface

.0 PUMPING LEVEL below land surface

11 WATER QUALITY in Parts Per Million:

s

12 WELL HEAD COMPLETION: D tn Approved Pit

9 Pitless Adapter L$ 12" Above Grade

13 GROUTING:Well Grouted? D Yes Cf No

Depth t From _____ ft. to ____ ft.

14 SANITARY:

Nearest Source of possible contamination

_£fi.fee1 J*lZ&S#irection S £*/> / '/ '.gl 'ype

Woll disinfected upon completion IjJ Yes 1 _ 1 No

15 PUMP:

Un .l N.™h.r £~ jf % HP •y' .. ........

Length of Drop Pip* 7 S*** copoet1y__Jl_G.P.M.

UB Jet LJ Reciprocating

WELL CONTRACTOR'S CERTIFICATION:

est of my knowledge and belief.

if 9 ft A Y l^& Jl J* Jf Jf J £? /V C '.£jf 'j 'fa ^ A

&^ o?*,' ir '*ef n- ^-/t^CjD67D tOOM 6-66

GEOLOGICAL SURVEY COPY

Page 98: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

SURVEY SAMPLE No. 1 " 1 " I IWATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF

1 LOCATION OF WELL"County •- Twp.

BE* A ir* BUG. p+^AsyFraction rTr- Section No.

itonce And Direction from Rood Interaction* ———————————————————— i

*Af ty Oft£S (?£/¥?' "V J C Vv OWNERN°- —— • — -1

Street oddrett 8> City of Well Locotion *T *W ff /Y Sy\ / C f/ 1

1 FORMATION

<3-yf At D

E/A,e •f~'U'£~>y' s4/vp

£/'//£ y&J,Laty SAMA' :

ADDED INFO. BY DRILLER. ITEM NO.

•CORRECTED BYi

**ADDITION Bft "{£\ ^

1

THICKNESSOF

STRATUM

fo-10'ep O'

?'

DEPTH TOOTTOM OFSTRATUM

to-SO'

?3 '

?0'

3 OWNER OF WELL: V £

Addr... fi, /ff#

BtSCHANA ,

PUBLIC HEALTH

Town 'V'f' Range * Tt $f

* AA /'ff //,4 WELL DEPTH: (completed) Dot«£l^amp!etion

5 Q Coble tool D Rotary Q Driven D Dug

D Hollow rod P£ Jetted Q Bored D __

6 USE:^ Dome* tic LJ Public Supply LJ Induitry

1 — 1 Irrigation 1 _ | Air Conditioning 1 _ 1 Commercial

riT.,,w.ii n7 D*,^NG: Throoded Q0 *

JZ_'n. to 2ift. D

——— in. to ——— ft. D

8 SCREEN:

Type: ^ £ /T

5lnf/Co,,T. fe &

Set between X «J ft or

elded n iHeight: Above/ill. •*.

ipth i surface / * ft.

[Weight _______ tb«/ft.

• pth , Drive Shoe? YestJ@NoD

. J *S

, « ,k £ '

A $0 f.

' e*t,t>±/*e9 STATIC WATER LEVEL

,0 PUMPING LEVEL below land larfacoa

'

[I WATER QUALITY in Part. Per Million:

i™, (F.) rku,ij.. /rn

L2 WELL HEAD COMPLETION: D In Approved Pit

tB Pitlett Adapter ^ 12" Above Grade

L3 GROUTING:Well Grouted? D Ye* Q

Depth: From _____ ft. to_

14 SANITARY:

Nearest Source of pot»ib^oO i tVjf J F*t,

3 No

__ (t.

e contamination /

Well ditinfected upon completion {£ Ye» LJ No

15 PUMP:

U«J.I N' — h-r &&

Length of Drop Pipe W^

Type: LJ Submersible

Z! Jet

5 HD j£i_ff. copoeity —— L. — G.P.M.

nLJ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thit well wat drilled under my juri»dletion and thit report it trueJlo the be«t of my knowledge ond belief.

Addreti

Signed. &/ ^^^^t*UTHO«1ICD HEPHC3EN TTIVC

HCCISTRATION HQ.

r^/Jr/x^yf/vff^.A/X <*„. ju/ _<r >•

M

ft*.

D67D 100M 6-66JH.19 GEOLOGICAL SURVEY COPY

Page 99: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

L-tULOLilLAL SUKVtY SAMKLt No.

*\ \ ? s i<m v

1 LOCATION OnVWELX 1

"*•.*

VATE1TWELLRECACT 294^--5^^6S

County • *, Township Nam«

::=LT::___::IOftO ———— . .-v\^" /MICHIGAN DEPARTMENT --

_- -JMC. / OP[^ M%0 J- / PUBLIC HEALTH

rjjtliliiMi ~ • — ._ -fL* Saciion Number ITown Number Range Number

W***T5f/C -/4^»C V» w^ jD I3T7.S N/S. /<./JW't/W.Ljisiance Ana Direction irom Hoaa ntersections —- _^ t, X•fTT ' tuesT OF /£y/>/£/*i&Io^ r<u. ^ISO1 fJo^f1*' ®^ £<£'€" O^/t'Cr

Street address & Citv of Well Location jLOT 5o* 2 2 , OP£-S£rVT" VI£\fJLocate with X in section below Sketch Map:

1 1 1 ( ^ .*.< 47J" - .-..,—>. _ j _ j _ _ | _ _ . s< -TJ-- -- r

H-r-j-'f ^"^p2 FORMATION

(J<u^fij0uj|D

5M/0 ftiCbu-'/v /Wt# TDdbAtf-Jt"/^ /_ yVV /"* A^/ t / ^@ A I/ /-•/

THICKNESSOF

STRATUM

?6 f

/ » '

6'

16 Remarks, elevation, source of data, etc.

^OftfiECTEDBtt

0-* M

1DEPTH TO

BOTTOM OFSTRATUM

f

^f\^

C" ™J

60'

3~OWNER OF WELL: S/^fV)sSOI^y BL)/LJ5^<CJC

4 WELL DEPTH: {completed) Date of Cotnpletion

LJ Cable tool [_] Rotary Q D'iven |j Dug

LJ Hollow rod BB jetted Q Bored LJ

6 USE: pQ Domestic LJ Public Supplv_ Q Industry

LJ Irrigation HJ Air Conditioning [J Commercial

QTestWell Q

7 CASING: Threadad&C Welded Q Height: Above/WWWDiam. *^ I y

/. i Surface ' ft.* ' <ryO 1 5 j("^ in. io *X y fi. Depth 1 WeinhlJ' Ti/ Ibsyfl.

___ in, to ___ ft. Depth i Drive Shoe? Y«i MNo f~)C8 SCREEN: .

TvD. -55 CrAU 2,t Di..: M*V^0 ^IA" wty.P"

Set betweencJ O ft. and _*5 ' . . ? _ ft. »'',«,

9 STATIC WATER LEVEL

pC W ft. below land surface10 PUMPING LEVEL below land surface

ft. after f hrs. purnoina //.* J o.o.m.

ft. after hrs. oumoinq q.n.m.

11 WATER QUALITY in Pans Per M Mion:

Iron IFel Chlorides (fill

J-tardnBiS Other

12 WELL HEAD COMPLETION: Q ,n Approved Pit

T5S. Pit less Adapter f~l 12" Above GfBde13 Well Grouted7[I|Y« ® No

f | Neat Cement P i B«ntonit» (1

Depth; From It. to ft.

JU f l ^ i ^ M At t / J^ri f t*JTM TJ^J. /

f««l Direction Tvo*

Well disinfected uoon completion TJvtves PI No

15 PUMP: Q Not installed

lUnufkrfiMr'* N»» RA Pi D AV T 0 (0

Model Number££2.~" K2fC Hp'/T-Voits |]5"1 angth of Droo Pin« 3^ . h- caoacitviD G.P.M.

Type: f~] Submersible

QJ Jet ( I Reciprocating

74-^4,17 WATER WELL CONTRACTOR'S CERTIFICATION:

This well was drilled under my jurisdiction and this report is trueto the best of my knowledge end tmliof. s\"^3 • J ^

i» i|Qf t-KT" ^j^pLL O(C 1 1- 1- It>t6~ 0 ?vJ fW™ REGISTtREO BUSINESS NAME REGISTRATION NO.

Address fel<t»- 2 (io/i tf H^L , y^6c^X *£*

Signed»/- / 77/ vV ' -i /ZwpVf/ /frxs^HS D8te a U/A*W.. ?/

V

ft

u-x

77

' ***!

D67d 100M (Rev. 12-68)

GEOLOGICAL SURVEY COPY

Page 100: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

29 1972 WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

100M (Rev. 12-681

GEOLOGICAL SURVEY COPY

Page 101: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.APR 2 2 1976

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH .LOCATION_O_F_WELLiv Range Number

i?sijtnce And Dnecjiion Irorn Rojd Inier sectionsC xx jy c- .\ c} /-- aJ o o

.tHss & City ol Wtjii Location

WELL DEPTH: (compleietll DJIU of Co

f t .

f~1 Cable tool

1 I Hollow rod

6 USE: J\Domesuc Q Public Supply- CD Industry

I I Irr igation | j Air Conditioning LJ Commercial

t Wel lH--I--T --

7 CASING: Thteidedffl Welded CI Height: Above/BelowDiam. I |

Surface _______ft.

ft. Depth | Weight *.5i «<+fts-/ft.1 •fl. Depth |Dfiv« Shoe? Yes Noi

9 STATIC WATER LEVEL

ft. below land surface0 PUMPING LEVEL below land surface

ft. after / hrs. pumoino

1 WATER QUALITY in Parts Per M'llion:

Iron |Fal Chlorides (CD

12 WELL HEAD COMPLETION: Q |n Aop.oved Pit

Pitless Adapter ("I 12" Above Grade13 Well Grout«d?Qvas

Neal Cement [J Bontonit* [J

Depth: From________ft. to ________ft.14 Nearest Source pf possible contamination

fwt -^i A Dtraction —^G-S / ' C

Well disinfected upon completion Q Yes [~] No

Model Number C, C> 2. V ' HP ^•^Volls __

Length of Drop Pipe..7 \ fl. capacity^/fQG.P.M.

Tvpe: [ ] Submersible

J«l |~) Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of cnv knowledne .and belief.., - . ^ x-

^_______^_______* O /o G?R*ECTsTE«ED BUSINESS ffAME" BEGI STfl*T ION HO.

•••*oomo« if ^tLlwtKxGEOLOGICAL SURVEY COPYnrnti. \t\ »^.v

Page 102: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE-f*O.~

NOV 0 6 1974

p LOCATION OF WELL L

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHICounly

BerrienTownshtp Narne

BuchaoanFraction Section Number Town Number Range NumberMH SH MB 36 7v in -

% vi % 'Vs. ie trw..stance And Direction from Road Intersections

•ilea-Buchanan Rd. to Kynaraon to Moor el and tornright into Wilson. Lane . ...

Lane t BnchananStreet address 8, City of Well Local. on 1120 WilVOU fanOU

Locate with *x in section below Sketch Map:I i

l-« ——— • i MILE

2

~?UL*> - &f*J-*^~*-~^

:::::X I— —— J ^ **

FORMATION

Svfaca

Bry land 4 Gtaval

Coarse Saad 4 Graval (rad)

>THICKNESS

OFSTRATUM

1

36

9

16 Remarks, elevation, source of data, etc. ,r- •••Source of data: Well, Charles Tordy

ADDED tnFO gV^OHttt, nTM WE•CC°RECTEP 9Y\lC>• *'.:!;:T:C;N BYE.tVATIGN

_x-

DEPTH TOBOTTOM OF

STRATUM

1

37

46

3 OWNER OF WELL: Raywmd tough1120 Wilson Lane

AddressBnchanan, Michigan

4 WELL DEPTH: (completed) Date of Completion

46 f1 October 21, 19743 LI Cable tool | _ | Rotary [_] Driven \ _ J Dug

\\ Hollow rod f\ letted 1 1 Bored 1 1

^ USE:itjDomestic f 1 Public Supply ! i Industry

Ll Irrigation [J Air Conditioning [_J Commercial

PlTest Well | !

^CASING: Threaded^] WeldedQ ! Height: AboveaVfeKKC1 i am. | »

, Surface A ft.

? __ in. to 42 ___ ft. Depth i Weiojt 5tA_lbs./h.

___ in. to ___ ft. Depth \ Drive Shoe? Yes£~] No f~~l8sCREEltaiala»» St*al

Slal/MZXe 10 lenath 4*

S'Ct betweeii4Z ___ ft. and 46 __ ft.

f ittings:

Chack Yalve9 STATIC WATER LEVEL

f 7 fl- below land surface10 PUMPING LEVEL below land surface

ft. after hrs. oumoina a. p.m.

P longer

XAfl*^J ft. afteJi hrs. mimoioij L3 n.o.m.

1 1 WATER QUALITY in Parts Per Million;

Iron (Fe) Chlorides iril

Hardness niher

12 WELL HEAD COMPLETION: Q ,„ Apploved Pl,

S\ P tless Adapter [ | 12" Above Grade1 J Wet 1 Grouted? | _ | Yes |tj No

|J Naat Cement \ \ Bantonite M

Depth: From : ft. to ft.1* Neatest Source *f DOS srt>tjiont ami nation •flKIAOVB

feet Direction -' ; . Tvoe

Well disinfected upon completion C~| Yea IJ No1£)PUMP: Q Not installed

uan.. ,,,,.,-. M™ Flint & UalliAKModel Number C6267 Hj/4 Volts 220

length of Drno Pioe36 ft. cBDScilS G.P-M.

Type: Q Submersible

J] jet (~~| Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:_This'wel| was drilled under my jurisdiction and this report is trueio the best of my knowledge and belief.

REGISTERED BUSINESS NAME REGISTRATION NO.

Address ,41-60 Baat. Caasopolia. Kichifcan

Si ned

D67d 100M (Rev. 12-58)

GEOLOGICAL SURVEY COPY

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GEOLOGICAL SURVEY SAMPLE No.

JUN 0 6 1975 WATER WELL RECORD MICHIGAN DEPARTMENT

1 LOCATION OF WELL | PUBLIC HEALTH

V/S/f Y-'^/r ...&.Uj£Ltt_A/f.A.ftFr ir Iidn j Seclion Numbm Tuwn Nunibt-r Range Number

idnci! And Direct ion from Rojd Intuf sucl ions '

St'tt«t iuliln-ss & C i t y of Well LocationLoi:ju; w.lh^-'X" in suction below Sketch Mao:

11 j.

";;^_;:::;;XL, ——————— , Milt ————————— J

2 FORMATION

£J # Sf ty A W A/

— vT/^ # D

/ '"- Y - * }#A £ Af £ J. U F t*. / 4 y <j5VP4 i

xt/'/y^ s 4 4 £ * fif>0/(

£- / /y /f ^5 //$

. T" A /y O

•~1

16 Remarks, elevation, source of data, etc.

ADDED INFO BY DRILLER. ITEM NO.•CORRECTED BY ftft• •ADDITION BY^JELEVATIONDEPTH TO ROCK ^j

THICKNESSOF

STRATUM

•36'12'

4"

. ?'

?'9'

DEPTH TOBOTTOM OF

STRATUM

3C

fc/J?

4^* /

,-TP'67-?</'&?'

^JWNER OF WELL^p^ eT/CAL. ffO/'lDL

/^Addruss^x

jj c. ff /f / c /V 'oT^^ y /V o >^f / c2/7>4^WELL DEPTH: icompletedl 'Date of Ctffnolenon '

^ L) Cable lool LJ R°lafv LJ Driven LJ DuO

Lj Hollow rod (j5 jetted [j Bored \_\

> USE: Q^Domeslic LJ Public Supply 1 1 industry

Lj Irrigation LJ Air Conditioning [J Comrnercial

7CASING: Threaded^ WeidedQ Height: Above/0«lg«Diam. ** \ .

i Surface / <t.* ^ — i _// *7*7 o*yC^j in. to / X f t- Depth i Weight ffSJ Ibsyn.

in. to ft. Depth | Dtive Shoe? Yes HN° [~|

8 SCREEN: 3? ft/} /'rf/f/if~ o 4/"1

Tvne- ^> , -^ Dia.- X

^ O ^^ OSet beiween /r ^ ft. and ff ^ fi

9 STATIC WATERtEVEL ^ f

j iH tl- below land surface10 PUMPING LEVEL below land surface

ft. after hrs. Dumoino Tr JP g.p.m.

\\. after hrs. aumoing a.D.m.

1 1 WATER QUALITY in Psrts Per Mill-on:

Iron iFel Chlorides [CM

Hardness Dther

12 WELL HEAD COMPLETION: Q |n ApDroved Pi,

Hjl Pitless Adapter 00 12" Above Grade

^3 Well Grouted? LJ Yes \JQ No

[ 1 Neat Cement II Bentonite l~l

Depth: From ...... |M ft. to ___ ft.14 Nearest Sour ce^^powibltt^ontarni net ion

feet Direction ' lT* y '*Vi5" ?~/^~ /• /"' ^*^Well disinfected upon completion f^Yes E71 No

15 PUMP: Q Not installed

t/lan<if*<*t"r«r'K MamH Jf ^~ fl ^

Model Numbery^^/fp^y/f/.^)^ y Volts _^ ,yO

l enoth of Droo Pine ^ ^ h. caoacitv ? G.P.M.

Type: | yj Submersible

| | jet | | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.

REGISTERED BUSINESS NAME *"" JRCISTRATION NO.

Signed ,*%?. sfs^l&ef o«. V-29-S??*100M (Rev. 12-681

GEOLOGICAL SURVEY COPY

Page 104: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.

1 LOCATION OF WELL I

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH ,Township Name fract ion Section Number

distance And DirecUO" fionoarltniersecliatisAnd DirecUO't £0 *•

Locate with "X * in section below

-_ . _ _C/ Sketch Mao:

I_____

I M1

J_'

3 OWNER OF WELL

Address

USE: ^Domestic Q Public Supply CD Industry

n Irrigation Q Air Conditioning LJ Commeicial

7 CASING: ThreadedQ WeidedD ! Height: Above/8eiovO.ara. | , ri -

/ y _„.._ | Surface S ftl __ ft.

^

LEVEL below land surfacei inft. »ftau^< hrs. purnpina cy ^^

ft. after hrs. Dumoing

1 WATER QUALITY in Parts Per Million:

iron (Fel Chlorides (CM

Hardness Other

2 WELL HEA££0MPLETION: Q ,n Approved Pit

rji Pitless Adapter [~2fj*^ Above Grade

Well Grouted?

LJ NeatDeath: From ft. to

14 Nearest Source of possible contamination

>t ______ DirectionWell di*infecj*d upon comoletion lOiui. |_1 Uo

15

Numbe^ A" $Tj&~Z HP '%o,Vglt __-ffpff LCfc*1

jPO-G.P.MModelLength of Drop ipe

n j«»ft. caoacitv

[~~] Reciprocating

16 Remarks, elevation, source of data, etc. 17 WATER WELL CONTRACTOR'S CERTIFICATION:This w«ll was drilled under my jurisdiction and this report is lro*

REGISTERED BUSINESS NAME

Address

REGISTRATION NO.

..ADDITION BYl

100M (Rew. 12-68]

MAR . - u/uGEOLOGICAL SURVEY COPY

Page 105: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

SUHVtv SAMPLE No.

WATER WELL RECORDp

MICHIGAN DEPARTMENT

1 LOCATION OF WELL |

A7, ^^//>^v• Mince And Direction Irom Rood

Sir~ot »ddj/s<( I C,i 7 '^Qf-jOJiASSLoCrflt ""Tin H m lection bid

1 ' 1 — "

" ~~ I

•"! •*• J" "Vi i"p--.-'p| ————————— , Mllc ————————— J

', PUBLIC HEALTH

'/€'." "™/ ^^-fraction Section Niiribvr Town NumtM)' fldng* Nuntt«<

w % '/. "J^ "7 »i/s. / ff r/w.niB'ieclions

^^- X-c.^ 5^ /

>^? * i'

^'2 . FORMATION

/?--v>^x/^ J&s*^/

&,/' <* jL^ f-*£/sls*+\. J^n-ir & <£-^,^'£.

. • • -'

. - . -•_ ~ .

•: • . ' : ••" "V

A \ ' j^T\ -f

• .*$* .$>^y: ^X',v^' •

•"V^ iNV*

-r • - S";; - •••'

-

TMICKKC5*or

STRATUM

Y4S &

*

16 Remarks, elevation, source of data, etc.

DEPTH TOBOTTOM OF

STRATUM

«*

j~e .

-.' '• -

3 OWNER QF>^ELL: X '

Addr£33 / ^ y* // . *S ^ ^_X^—^ O £> (*. ^-^.rC, 5*^ /

4 WELL DEPTH: (com(tl*t<id) Data ol Correlation

^ PI C«bl« tool LJ Rotarv P] Drivan PI Dug

Lj Hollow rod 0^J»'t«o* Q Borad LJ

6 USE: Plpom»*r.ic P] Public Supply Q induairy ^ -"

• LJ I'fi0*tion 1 1 Air Conditioning P] Co*rrn«fci»t

7CASING: Thf««d»d L^^Woldwdl] ' Height- Abov«/-d«tn* C^™_Di«m. 1 ^

. Surfaca ? ft.-5 iv-V '.-<.,.. in tn 7> fi_ Danin I Wai^ht .Jb«_/ti.

___ in. lo ___ ft. Dapth | Dnv« Sho«7 Ya« ClrfoT j8 SCREEN: . •

j^f*- • J\ ^f *T-fi*sr\ / y^ "*

SI0I/&L« ^r"7 ' ..no,h <X '

Fiitings;,^' / ~^? ^*j/

9 STATIC WATER LEVEL ' _ ,— y— '_ ,

ft. >fl*r hrs. oumoina a.D.m.

ft. altar hr». numoina a. a.m.

1 1 WATER QUALITY in Par;;s Par Million;

iron (Fat Chlorida* ICU

w.,dn.«« O.har

12 WELL HEAD COMPLETION: Q ln Aporov.d P.t>

1 j Pities* Adapttr [— +-t*~ Abov* Gr»da 2-]3 W»ll G(OMtad?DYa9 [^ No

P] Na»l Camant PI |i«ntonil« PI

D*Dth: From ft. to )i.14 Near«»t Source of po»*fbt« coftt»min»lio*r^

f««t C.iraction f TvD»

Wall dicinfaotad upon complviion ptva* P) No

15 PUMP: nNotivt....d /

u,n.,l. ,.««-. N»M /xVx /^- " 4>S/r~f^f

Modal Numbar HP Volt*

1 anotri of Drna Pio« ft. caoBctlv SO r.-P.M. .''

PI Jat p) Racip'ocaiing

17 WATER WELL CONTRACTOR'S CERTIFICATION:This w«l 1 was d'lllod undrt' my |ur>»d>cl>on and this rnp<x( '* tint

Signed^

!/^'/e" ^^^ZT^?^^^/^^C o.,. /-/r~^

D47d 100M (Rev. 12-681

IMPORTANT: wtih de»d. WELL OWNER COPY

Page 106: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Cons.TtOl gey. 3.2/63f ' MltHlliAN Utr-AKIMLHI Ur tUN&LKVAIIUH f.r«lt No. ——— " —————

1 .1 GEOLOGICAL SURVEY D IV IS ION

SeXple No. Owner No.s* WATER WELL RECORD

lunty Twp.

Berrien BuchananTown Range

4 A/t£*S.e.36 7S N /S . 18W E / W .Dis tance fro* Roads, Sect ion Lines, a te .

1350' South of N^les Buchanan Road and 9001 East of: West Property line

FORMATION

Sand with clay

Dirty sand

Sand

Fine sand

Sand and gravel

Clay

Sand

Course sand with some

gravel

THICKNESSOF

STRATUM

10

27

27

21

4

23

18

25

DEPTH TOOTTOM OFSTRATUM

10

37

64

85

89

112

130

155

Remarks: jb . . ,

well IOE #1 *~ AMes -B^cMdnd,^ G

wner: _\>

Brookwood Golf Course "^ddreta:

Buchanan, Michiganr i 1 ler and A d d r e s s :

Layne-Northern Companyell Depth - Date Of Comp le t ion

155 «. 8/25/64gJCsble tool Q Rotary Q Dug QR.C.D Driven Q detted Q Boredse: Q0o««*tlc QPubllc Supply Q IndustryQlrr loat lon QA l r Condit ioning Qoewater lng

QTe»t we l l S gnlf r.onrRPas lng : Ola*. Height : A b o v e / B e l o w

10 In. to 136 ft. Depth su r face ft.

Type-We igh tIn. to ft . Deoth

Screen:

Type: Cook Ola: 10"

opening -rtin on

Set between 134 ft. and 154 ft.

A c c e s s o r i e s :Water level:

72 ft. KVYKbelo. LSD

ft. above/balow

Neat , by DateDriller 8/64

Drawdown:

20 ft. a f te r 4% hrs. pumping 503q.o.«.

ft. a f ter hrs. Dumping, ..,.._ g.p.n.

Man. by Date

Driller 8/64Flow:

g.p.m./g.p.h. Temp: °F

Water Qua l i t y In far ts Per Mi l l ion:

Iron IF.) . Ch lor ld*» (C1I

Elevation:ft. above

Source of data:Layne -Nor them Well Record

Record by :

RPB o.t.: 12/7/64

If /Ir'nr "iO ^^" 2<5 T7^'ifJ I \ Ft i -it**— - | *v j n,i j

Page 107: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

MAY 2 9 1970 WATER WELL RECORD MICHIGAN DEPARTMENT

1 LOCATION Of WELL | PUBLIC HEALTH

"S -M < V- Vx T[Ix.Wufl. V.

Ff.ir l ion Seclion Number Town Nuiribt'i Range Number

.. -H^r 3fo 1 /s. /5?^w.St.H>f.f And Dut'sJUon fTom Ro.id 1 nlcrstict ions

Street aJdiess & C i t y ol Well LocanonLot: lit L- wilh 'X m section below Skelcti Map-

1 11 11 '1 '1 1

: * ; T1 * i! i 1

2 FORMATION

_ J .1ff V **"*L (-X *^ff~ *^^ % *-^fIt*-* "? rT / *i*^ f^^I *s .•* <^ i \ Vj

^ \ x A^ ^ I

P1 , 1( T rr.^ V -4-\

r./^ Ny - V-eV/^. LJV-' »-- / ,

( '^^ , > ri' f", o w^_ "f iJci v

^c.^rV C^o r^ \».^T

THICKNESSOF

STRATUM

-T~

>O / _

6

]fr

16 Remarks, elevation, source of data, etc..UUtU INFO BY OBUlH. tTW* Wk

-CORRECTED Bt >fl /tr)••ADDITION BY /'ELEVATIONDEPTH TO ROCK

DEPTH TOBOTTOM OF

STRATUM

*3(o

'?•>& 'l1

/no/ OLr

3 OWNEfl OF WELL;-, _ fi ^___

Address Jj^t-^t/' f)'f /-< ^ 1 (i£ .\oKo- » -N^

c iA^drVx, KiCx. *•! /'y / ^ L/^ t & ~~?4 WELL DEPTH: (completed) Date Cf Comoletion

>,?<• -. ^ ^ /7 -7?^""^Icable tool C3 Rotary 1 1 Driven [__] Dug

LJ Hollow rod D jetted LJ Bored Lj

* Ll^^; LjDomestic £W^Public Supply 11 industry

| 1 Irr igat ion | ] Air Conditioning [ ] Commercial

niestWell PI

7 CASING: TrtreadedS WeldeaC] He.ghi; Above/QfilowDiam. y^- \ —

. Surface __^ _____ ll.

^^ /-t-'- 1in. to ft. Depth | Drive Shoe? YesTMNo | |

8 SCREEN:

T/^ i / /Slot/Gauie /C ' ' ft"0lh f fc

Set between Sjf-j ft. and J 'f ^ ft.

Fit t ings: /^y^^^L^' i/

9 STATIC WATER LEVEL

/••f-) ft. below land surface

10 PUMPING LEVEL below land surface

J / ~f ft. after /•) hrs. pumoina -^i o.P.m.

ft. attei hrs. oumnin^ a. a.m.

1 1 WATER QUALITY >n Parts Per Million:

Iron (Fe) h / i /) Chlorides (CD

Warrlne-;?; / Othffr

12 WELL MEAD COMPLETION: Q In Approved PU

F3 Pitiess Adapter "f ^1 Above Gradela Well Grouted? [_j Yes [S^No

1 I Neat Cement 11 Bentonite ( I

Depth: From ft. to M.

14 Neatest Source of possible contamination %

j^7.fDfeet V i^) Direction ^ J^Xr^r^s Tvoe

Well disinfected upon completion>fjljfea |~( No

15puMP: Q Not installed

ManiifarliirAr'K k(Jim« ^— -"^ \.^J

Model Number /* rC'"^fT' HPJ'' ^Volts -P •"' '

1 ength of Droo Pioe //" T"~fi- capacitv_ -J^G.P.M.

Type: "^j Submersible

|] jel | | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:T hi*, well was drilled under mv. lutisdiqifion and this report is trueto^ne besi oj my krxmledgeta9<rbeli|4f. • ,.

AlREGiMrRErSuSlHESS H'MlC''^vY i »iGrSTR<r*nO>* MO.

Address Q. ^,Z -tf^ti /?,,/^, - . , v l ^ /A5 / / "7

S.gned'

>OOM ,Rev. ,2-68,

GEOLOGICAL SURVEY COPY

Page 108: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.

DEC 2 81979-QEC28l97c

II LOCATION OF WELL |_ _Cou/ity

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENT fOF

PUBLIC HEALTHunty

y <?/?>?/Township Name

A^c;dj>iruction from Road" imeTsections

Section Number Town Numbei Range' N u b e r

Street address & Cuv of Well LocationLocate with"X" in section below

r<r<

Jt Ml .

1FORMATION

Sketch Map: 4 WELL DEPTH: (com

3 | _ | Cable tool

LJ Hollow rodRotary

etted| _ | Driven

LJ Bored_

[ J

Duo

6 USE: Domestic Tub'lltJ -.USBIV

|_J irrigation I ] An Conditioning [ | Commercial

7 CASING: Threaded]?! Welded Q ! Height; Above/BelowDiam. /Tr '— ' ]

Surface ft.

THICKNESSOF

STRATUM

DEPTH TOBOTTOM OF

STRATUM*in. to

in. toft. Depth I Weight _____lbs./ft.ft. Depth | Drive Shoe? Yes |0No P)

SCREEN:

en/ Q ft. and /^ y ft.V/^TT

9 STATIC WATER LEVEL

-^ •% ^ ft. below land surface0 PUMPING^tEVEL balow land surface

-^5 — ) ft. afterOf hrs. oufnoina / £J

ft. after hrs. Dumping

11 WATER QUALITY in Parts Per Million:

Iron (Fal Chlorides (Cll

MarrtnBics nther

12 WELL HEAD COMPLETION: n m ApP,oved pitr^Pitless Adapter 12" Above Grade

Well Grouted? |_jYes ]_[NO

Q Neat Cement |_J Benunita QjDepth: From________ft. to ____

14 N

Well disinfected uoon completion UNO.15 PUMP:MP: Q Not install

H.rfV..M.r«. . /X "-T-/

Model Numbe, -j£LeriQth of Dfop Pipe ^-^tt. capacity _^G.P.M.

Type: ["1 Subrnersible

Jet Q Reciprocating

16 Remarks, elevation, source of data, etc.

AUL'tD t«fO 8* OWUW. |TW

•.-•hrttCTCO BY••A'JUlTiCN BYf t r ; :TT f t

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my (uriadiction and this report is trueto the-best of

X •^ REGISTI:RED BUSINESS MAME REGISTRATION HO.

D67d 100M [Rev. 12-68)

GEOLOGICAL SURVEY COPY

Page 109: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.

JUN 0 6 1975

1 LOCATION OF WELL

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHCouniy Township Name

^^>f /£# fiVGHAMAMFract ion / Section Number Town Number Range Number 1

rt As /y\ g $ /? £ /tf /V^/ ^s/fsStreet address & City of Well Location /, fl ~^~ -^J^

Locate with X in section below Sketch Map:1 i1 1

[ _ - _ | _ _ _ _ .

' T 1! , 1

2 FORMATION

b/YKtyrtW//r£i.ijf eLAV

<?AA\/* *2AM n\SAMh

c * I- 4- y / vS/4/v^>

^4 A/ /)

THICKNESSOF

STRATUM

sf>"

60'62

•*&/'

2'

9'

16 Remarks, elevation, source of data, etc.

ADDED INFO BY DRILUR< ,TtA, ft(J"CORRECTED BY (vp"ADDITION BY £/ELEVATIONr'fpTH TO ROCK

DEPTH TOBOTTOM OF

STRATUM

ft'

60'/ <9 f

63'0 O

} / 9s

tz?

Address

WELL bEP^H: (completed)''' DaTe of Completion/ 1 (. ... 9- j? /? ~ /ms•* PI Cable tool \~\ Rotary [~] Driven [_] Duo

n Hollow rod J0 jetted O Bored CD

6 USE; JpDomestic Q Public Supply PI Industry

1 I Irrigation \\ An Conditionmo II Cornmercial

^Test Wel l | |

7 CASING: Threaded^] WeldedC] ! Height: Above/fte*w»Diam. 1 .

1 Surface T ____ *t-- |

.in. to ft. Depth | Drive Shoe? Yes^lNo f~~j

8 SCREEN:

Tvoe^»S O iRfl /// -&{?.: "' } si <C*'Slnl/rinna /" 1 Bnalh SJ

Set between/^./ H. and f ££ ft,

Fittmgs:^^ @ f~ **J S^*/^

hl*EA D <Ps4£/ff£tf /- ^ £>•£&<?9 STATIC WAT^R LEVEL ' '

/ " **• D«'OW land surface10 PUMPING LEVEL below land surface

ft. after hrs. purroina ^^ & a. a.m.

ft. after hrs. oumoinn a.D.m.

1 1 WATER QUALITY in Parts Per Million:

Iron IFe) Chlorides ICII

Hardness Other

12 WELL HEAD COMPLETION: Q |n Approved Pit

57] Pitless Adapter j^ 12" Above G»ade13 Well Grouted? flves^] No

I ) Neat Cement ( l Bentonite \ \

Depth: From ft. to ft.

14 Nearest Source of>8MT6Te"jontamination(

feet Direction/Vi / /yVIS" 7/4 ,/ X- f'W'Well disinfected upon completion | } Y e s Rl No

15 PUMP: Q Not installed

Model Number HP Volts Jf ^?£

1 enoth of Droo Pioe ft. canacitv C..P.M.

Type: 5f] Submersible

) ] jet | | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief^ f f- A ,X"

REGISTERED BUSINESS NAME <T RESI 5TR*TIOM KO.

Ma«**#7#/)X.'r?3'jQ/s£/JAA//)A/ M/£M>

Signed^^Z*>- SZfXs2s£&i£f DateW7d 100M (Rev. t2-68l AUTHORIZED hEPRESE^T-VE

GEOLOGICAL SURVEY COPY

Page 110: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

btOLULULAL SUHVtY LAMPLE No.

SFP 2 S 1Q?q ——————»,ji_i ** j iw-/ 3.••-

11 LOCATION OF WELL |

n __ :VATER WELL RECORD MICHIGAN DEPARTMENT jf

ACT 294 PA 1965 OF JFPUBLIC HEALTH jf

County Township Name

Berrlen BuchananFraction Section Number Town Number Ra

NW %NW %NE •/. 36 7 */s. J.stance And Direction from Road Intersections

At 115 Marson Dr. Buchanan off of ffcnearson

Street address & City of Well Location

Locate with^'x" tn section below -^Blch/^///5,'lr'^/fV

-~ ,-^M--!-- ——^^ ^J

«. J/1JIV- -c-Jj^ r

t . 1 II *LC , //'*** /{*JCW

2 FORMATION

Snrfaca

to*?*

Tferi fHfly * Sanrt

BlM day & Sand

Sand

Finn Qay

TVlmt (TlflTT Jk RfVtri

Sand

Wliw* tTlfty

Thyi rriay * s*>nd

•qjmd

HUUiU ««*0 Bt ORlULtR. HtM «*-(JJ\/\/*iS^-

•-KDOITIOH BY''11^

: \

##

THICKNESSOF

STRATUM

1t

19*

1*

20'.

.16V

B'

121

.,

16 Remarks, elevation, source of data, etc.

Source of data^WeH; 4in Stadth

~|

^b

N

.DEPTH TO

BOTTOM OFSTRATUM

.,

201

35'

70'

infli

i?nt

1PO

1341

OWNER OF WELL: ^ j ***"^— . •*"%

tJ- mj*!1 MI ljO1 20

>0e Number

V/ELL DEPTH: completed) Date o^eprf ^HllJri • 1

Ej Cable tool \ LJ Rptary^^r.'^ f^'Priven

I_l Hollow rod \0"jened l~1 Bored _ ,

iQOuc

6 USE: ^Domestic ^Q Public SueoT^ TndiTstry

LJ Irrigation pp-»»Tr Condition ma [~~j Commercial

7 CASING: Threaded SI WeldedQ Height: "-~—'PT— -Diam. *~^ | n

i Surface £ ft.

.2 — >"- to T26". Depth t Weight -^Absyft.

. ___ in. to ___ ft. Depth | Drive Shoe? Vest?] No (~18 SCREEN:

IU«/naurn (lO 1 Anath ll*

CHECK VALVS9 STATIC WATER LEVEL

Y2* ft. below land surface1CI PUMPING LEVEL below land surface

ft. after hrs. oumoinn

plunger testedft. after 1 hrs. pumpina 1 £

g.D.m.

_ g.p.m.1 1 WATER QUALITY in Parts Per Million:

Iron (Pel Chlorides irn

Hardness Other

1 2 WELL HEAD COMPLETION: Q ,n Approved Pit

^] Pitless Adapter ( | 12" Above Grade1^ Well Grouted? LJve« ]><1 No

1 1 Neat Cement fj Bemonite ("1Depth: From ft. to ft.

14 Nearest Source of possible contamination yy^]

jffa feet Direction t^ff+^f*

Well disinfected upon completion Sflve* P3 No

okomTvpe

15 PUMP: Q Not iMt.I.ed

Model Number C krJ I / HP / Volts oZ»2c)i enoth of Drop Pioep^y ft. caoacitv / G.P.M.

Type: Q Submersible

yj jet I | Heciprocatino

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this rep on is trueto the best of my knowledge and belief.

B .T Tj«rtQ *, Sftna fVTftRRtG

Addies"

S>gne£,

i.TEREO BUSINESS NAMt REGISTRATION NO.

2182B MAO R., OaMnpcfllR, MT li9W1

jfa&i&7&bDm%-\*>-WO67d IOOM iRev. 12-681

AUTHORIZED RErHESENT«7l»E

GEOLOGICAL SURVEY COPY

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GEOLOGICAL SURVEY SAMPLE No.

• jf "->\ t ^ - - - - .• ' ' ^ '• ' ', ' I-

WATER WELL RECORD MICHIGAN DEPARTMENT

N.OCATION OF WELL |il V

BerriaM

PUBLIC HEALTHTownship Name

BuchananFraction Section Number Town Number Range Number

M CU BV ^C 1 w 1O _% "* %"* % •** ' AJ/'S- *•** ?y'W.

MStance And Direction from Road Intersections

Rynearson Ed. (off Biles- Buchanan Rd.) toMoor eland turn right go to left of circle, 3r<bouse.

street address s. cuv of waii Location Vilson Land, Buchanan, MiciLocale with X in section below Sketch Map; ft

I i I

"TTT'T

fVil^- Rji()\QttCtU Ry.

^2 / FORMATION

Surface-

r Red Clay 4 Gravel

Fine Sand

Blue Clay

Pine Sand

Blue Clay

Pine Sand

Coarse Gravel

;

16 Remarks, elevation, source

Source of data: He'

ADDED INFO"CCP.RECTEDi .?)in/»

EiFVfTir,»i

THICKNESSOF

STRATUM

1

18

14

11

33

6

4

of data, etc.

1, Charles TordyfltxjEj TAOWS. 7/OS/eA,8Y DJWLLEIl f»M MO.

BY '

DEPTH TOBOTTOM OF

STRATUM

1

19

33

44

76

120

126

130

OWNER OF WELL:Robert W err bach

Address H63 Wilson LaneBuchanan, Michigan

4 WELL DEPTH: (completed! Date of Completion

130 M. October 21. 19745 | _ j Cable tool [_| Rotary I J Driven | _ | Dug

( | Nnllnw rnd ^\ l«tt«rl |J Rnrnri [)

6 USE: |(p Domestic l~l Public SUDP'V 1 1 induStrv

[ 1 Irrigation LJ Air Conditioning [J Commercial

QTestWel l Q

7 CASING: ThreededfcJ Welded LJ J Height: AbovdCBBnvDiam. 1 _

• Surface 2 (t.

_2 _ in. to 12i_ft. Depth | Weight} 3/4lbs./H.

in. to ft. Depth | Drive Shoe? Yes H No f]

8 SCREEN: Wlr. Wwmd ^

Tvne Stainless Ste*lfc.a.: IfSlot.mai 10 1 enoth 4*

Set between 126 ft. and (3Q fi_

Fittings:

Check Vain9 STATIC WATER LEVEL

_ £5 (t- below land surface10 PUMPING LEVEL below land surface

ft. after hrs. pumping g.p.m.

•lunger Testedft. »1 ier 1 hrs. Dumoina X3 a.D.m.

1 1 WATER QUALITY in Parts Per Million:

Iron IFe) Chlorides ICII

hardness Diner

12 WELL HEAD COMPLETION: Q*|n Aporoved P,t

5fl Pitless Adapter | ] 12" Above Grade

!3 Well Grouted? Q Yes Q No

I 1 Neat Cement [j Beniomte | ]

Depth; From ft. to ft.

14 WnarMt Snuri-* nf ft?£miM$ rnnt»mi nation IfcA «•••«••

feet Direction Type

Well disinfected upon completion J~l Ye* F~| No

PUMP: JQ N(>t tnstalleaUanufnrturer'c MamA

Model Number HP Votts

I ength of Drnn Pioe It. caoacitv r,.P.M.

Tvpe: [~~1 Submersible

| | Jet | I Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This wall was drilled unrjer mv jurisdiction and this report is trueto the best of mv knowledge and belief.It T T—— 4. 1. C. —— . AAfiQ

REG"

Signed^

STE«EES"flll5THE¥S ff"*T»T- ~ —— ffECI STRATlflu NO.

,,M-60 Kaaf j Cajuopodis. Michigan( &-A Ik /J fft iifl J/

^M^^Jl/JJ/M^ Q*JO -J3~7f

GEOLOGICAL SURVEY COPY

Page 112: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

APR 2 2 1976WATER WELL RECORD

ACT 294 PA 1965h LOCATION OF WELL [|c^7.Tv

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

lanc« And Dutciion frum Rojd Intersections

go 7 C 'Vc/c- X«06eo/{SiiueTrtddress & CW of Welt location

3i.:jiu with "X" in section betou

TI Ml .

1

FORMATION

Sketch Mao:

THICKNESSOF

STRATUM

DEPTH TOBOTTOM OF

STRATUM

Seclion Numtiur Town Nunibui Range Number

3 OWNER OF WELL:

I WELL DEPTH: (completed) Date of Cotfwleiion

Cable tool

L_| Hollow rod

Rotary

jeued

Driven

Fj Bored

Duo

LJ

6 USE; JXDomeslic J_) Public Suoplv Q Industry

|_| Irrigation |_j An Condiooning |_] Cofnmcrcial

QTest Well j~] ^__ _^

7 CASING: ThreadedO i iim.

_fiL-in. to AeL/ft. De'0

in. to

pth

h. Oooth

Height: Aboue/Below

Surface ________ft.

Weight ^ ££Ib&./ti.

Drive Shoe? Y«»[B'No Q

I ,-i ^. . /i

8 SCREEN:

Fl

?0/7'/#r/Set between

°9 STATIC WATEft LEVEL

_..(^L_QL-..-__*t. below land surface

A

0 PUMPING LEVEL below land surface

ft. after J? hrs. pumo

ft. after __ hrs.

;,y^z1 1 WATER QUALITY in Parts Par Million:

Iron (Pel Chlorides ICII

Hardness Diher

12WEU. HEAD COMPLETION: Q ln ApDrove{j Pit

} lifl'piHess Adapter f~] 12" Above Grade

L3*"WeH Grouted? f~| Yos Q No

_J Neat Cement LJ Bentonite Q

^• jJepth: From ft. to ^ *t-14 Rarest Source of possible contamination

faet ______Direction Type

Well disinfected upon completion ~" Y«» No

IS PUMP:

Model Number

Q N« l«.t.ll«l

f {*/' &fcgr/r^P / voits jg^oLength of Drop Pipe

Tyoe: [~~1 Submersible

Heciprocaiing

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowladoe and

RECISTEFIED BUBINESSHAME

Address

REGISTRATION H

"ADDITION BY W

DEPTH TO sfeiOLOGICAL, SURVEY COPY

Page 113: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLQGICAX SURVEY SAMPLE No.

APR 1 2 1978WATER WELL RECORD

ACT 294 PA 1965LOCATION OF

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHCounty Township Name Fract ion Section Number Town Number

IB '**W %3W % 36 7 xu'S-stance And Direction Irom Road intersections

Tak» H-60 bypaaa to Klaotro-voice acrosstui'A OB !•£ street over trsolov»

Street address S. C i ty of Well LocationLocate with X ' in section below r Sketch Map:

i ! ? ^)Ls^-r~r VtV.

- _ _ - , _ _ _ _ - , - - - _ _ _ _ . | Ml. y - ^ x'7)

U ———— , Milt ————— 4 ;T "-

2 FORMATION

tarfaoe

y Sand

Coarse cravel

Clay

CoarM (travel

njtcvwt?T i \ U U « ,01ft

\ ^.X*"**-\ 8"'W ""l-_-=\~zzz~~ — "I»|H *

THICKNESSOF

STRATUM

1

20

kk

ID

6

trva\\** \

16 Remarks, elevation, source of data, etc.Source of datai Tom Baal*?

ij o: LiftiLUR. ITEM NIL

••" ""T'-'N BY /X^^UEVATIOM /OEPTH TO ROCK

DEPTH TOBOTTOM OF

STRATUM

1

21

6?

7$

81

OWNER OF WELL:John lockay

Ada,ess 500 Carrol

flange Number

18 * w.

4 WELL DEPTH: (completed) Date of Completion

81* (t. Muroh 9, 1978LJ Cable tool [j Rotarv Q Driven 1 1 Dug

LJ Hollow rod 3fj Jetted LJ Bored [J

6 USE:>T]Dorne5Iic Q Public Supply L3 Industry

LJ Irnoation LJ Air Conditionina I I Commercial

flTest Wel l O

7 CASING: ThreadedQ Welded^? Height; Above/BelowDiam. j m

Surface Z ft.

* m tn (• ft n*n«h 1 Weipht A*/* lbS./H.

in. to ft. Depth | Drive Sho«? Yes [~~J No [~]8 SCREEN:

TVDCI Eaaae Di a.i 1%An Li

Slot/Gauze W | nngih 4

Fittings:

ohaok ralre9 STATIC WATER LEVEL

Jy ft. below land surface10 PUMPING LEVEL below land surface

ft. after hrs. DiimpinQ ^"^

g.p.m.

a.o.m.

1 1 WATER QUALITY in Parts Per Million:

Iron (Fel Chlorides IT.il

Hardness Other

12 WELL HEAD COMPLETION: Q |f> ADDroved Pit

f~\ Puless Adapter [ j 12" Above Grade1^ Well Grouted? L! Yes j£] No

LJ Neat Cement M Bentonite II

Depth: From It. to tt.

14 Nearest Source of possible contamination ,

feet DirectionDUBQfHft

Tvoe

Well disinfected upon completion f\ Yes 1 | No

15 PUMP: D Not installed

M»n,ifHi-tnr*r'c N am*

Model Number HP Volts

| nngih nf Rrnn P. OB ft. canacitv G.P.M.

Type: | | Submersible

| | jet | | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.

B Y T^^M4 A & Tf IIM M 4^ftQOREC1STERE6 BUSlHESS NAME REGISTRATION NO.

Address M-£0 last CaMO»olU. MLoiu

Sioned ^^^^r^^^D67d IOOM (Rev. 13-68)

GEOLOGICAL SURVEY COPY I-

Page 114: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.W>

1 LOCATION OF WELL MCounty Twp.

Berrien Buchanan

[ ...._ rnr iVTER WELL RECORD MICHIGAN DEPARTMENT /^

ACT 294 Kb i«5 \j\jj ^(jj OF /1-fT' pill tfir * PUBLIC HEALTH <

Fraction Section No. Town Range

HE uHW h-Bl •/, 36 7 a/s. 18 <yw.

ant E of the E end of Carrol St. IOWNER N»- '

Street oddre.. i City of Well Location 504 CaZTOl St. BUCtUWAB .

2 FORMATION

Surface dirt

Red clay

Red clay 6 gravel

B.ed clay, saad 4 gravel

Bl«e clay & rocks

Sand

Sand (screened)

m^***-"•

THICKNESSOF

STRATUM

1

6

5

26

93

1

6

Source of data, veil: J. Robert W 11 lardpimp: Bobert Eorp

DEPTH TOBOTTOM OF

STRATUM

1

7

12

38

131

132

138

17 WATERThii we

3 OWNER OF WELL:

John P. Lackey , Jr.

504 Carrol St.. Bochanan. Michigan4 WELL DEPTH: (completed) Dote of Completion

5 D Coble tool D Rotary D Driven D Dug

D Hollow rod Q Jetted D Bored D ___

6 USE:S Oome>tic D Public Supply D Industry

1 — 1 Irrigation 1 — 1 Air Condition ng I _ 1 Commerciol

riT.,,w.H n7 p^NG: Threaded £ Welded O | H.i Bht: AboveJBCBKX

•> in. to 132 ft. Depth | surface 1 ft.

——— in. to ——— ft. Depth iDriveShoe? Ye*BNoO

8 SCREEN: StrainerTrr-*«4 brass n-,a . 3 13/10*«. '«--» B , , 6«Sal barwe>n 132 h. an A 1,38 ft.

1ttingm Standard strainer fittings9 STATIC WATER LEVEL

^ (* k.lnw InnJ ..irfnr.

1C PUMPING LEVEL below lond turfoce

lunger

11 WATER QUALITY in Port* Per Million:

i™ fF.i ChiwU.. r-rn

12 WELL HEAD COMPLETION: Q In Approved Pit

H Pitlesi Adapter G 1 2" Above Grade

13 GROUTING:Well Grouted? D Ye« ffl No

D»pth: From ————— ft. to ———— 1*.

14 SANITARY:

Well ditinfected upon completion DU Yes LJ No

15 PUMP:

u™,.( ...,-,-. M™ nint & Hal Unau«i.. M..-K., SM1F 3107 HD V*Length of Drop Ptp«_63-__f»- capacityJH$_G.P.M.

LJ Jet LJ Reciprocating

WELL CONTRACTOR'S CERTIFICATION:

B. J. Levis & Sons OOftS

Addr.. VTYV If. n V..*- r^...AnA1J, MJ.I-I ———

Q^JZjl75fotl*?7y^ n,.- 11-17-67

D67D 1 COM 6-66

GEOLOGICAL SURVEY COPY

Page 115: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

FEB 1 9 1930

L_ L_OC_AT-!P-N °L* !-_71County | Towns hi p

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

ft. after hrs. Dumning

1 WATER DUALITY in Parts Per M<ll on:

Iron iFe) Chlorides ITll

wardnes* Other

2 WELL HEAD COMPLETION:

Q Pitless Adapter

,„ Approved Pit

" Above Grade 2. V

Well Grouted' d] Yes

Q Neat Cement [D Bentonite Lj _____

Depth: From_________ft. to________ ft.14 N irest Source of possible contamination *^7

___feet ______ Direction _______A_ Type

Well disinfected upon completion P" Yes15pUMP-

Model Number ___

Length of Drop Pipe

Not ins/ailed^ /•<*- i ~~~+- )- *" ^

____ HP ___ Volts __

ft. capacity/fiLC-P.M.capac i iv»_s^_

Type: Q Submersible J-/*"" £/

\ 1 jet | | Heciprocatino

16 Remarks, elevation, source of data, etc.

AUUt.U INFU Ot URILLER, IT£M NO.

•CORRECTED mQjj\J\J(S^••ADDITION BY/ELEVATION '

DEPTH TO ROC?.

WATER WELL CONTRACTOR'S CERTIFICATION:This well was dulled under mv jutisdiclion and this report is truelo the best of my know edge

IOOM (Rev. 1 2-681

GEOLOGICAL SURVEY COPY

Page 116: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURREY SAMPLE No.

FEB 28 1373^ATER WELL RECORD MICHIGAN DEPARTMENT

11 LOCATION OF WELL 1Courtly , Township Name

ft AJf Y £ *-=?T PUBLIC HEALTHFraction

stance And Direction from Road Intersections

Streel address & City of Well Location j*.(j~t* ff 2ft £&L^C£.W l^/fc/t/Locate wiih X in section below '^^Sketch Map*

! i ! "^~~ i ~~ ~i~ ""'" ~ — *-*flf3' -.

I I ' i fw---]-^--]--x-y 3-U(.t

._^_ |__ |__ . tL -1 i ' j! i i 1 ^^=P=^

FORM^N

3/OA/O ^ dk/^ Yi

5P\uo. f&)Y. FIVECl-AY, GRAY

—— * O<£

>-QC

k&LkiN &THICKNESS

OFSTRATUM

36'Pt'

/ '/ '

16 Remarks, elevation, source of data, etc.

wijtu tnhu. «V Dkiuut. UAffl in*

, ^ X"<CRR£CTEO afl i> , x-

•• . —

a- • •• -DEPTH TO

BOTTOM OFSTRATUM

36'6P'63'£V

Section Number Town Number Range Number

j^ffGC. W »J) t> / *f/S. / (} 3t/W.

OWNER OF WELL: *~^Afll \f\f\J ~Ru /L/) £ /?(

Address * O J '

WELL DEPTH: (completed) Date of Completion

^ 2 ^ /4 1/ fr f •$ 7~ / ?*7.2-LJ Cable tool [j Rotary [~] Driven LJ Dug

LI Hollow rod lj(] jetted Fl Bored 1 1

USE: ^Domestic [~~1 Publ c Supply O Industry

LJ Irrigation \ ] Air Conditioning [_J Commercial

GTest Well Q

CASING: ThfeadedS Weldedd ! Height: Above/BWOWIDiarn. | y

, ___ in. to ___ ft. Depth | Drive Shoe? Yes W No PIC8 !5CREEN:

•rwn^. ,5/0T7'££7 Dia . ///y/D <"ii /' V 4U J( "

!;inl/Awn«« / ^-^ 1 itnoth - ?" A ~O

9 STATIC WATER LEVELt£j

f t f t . below land surface0 PUMPING LEVEL below land surface .

ft, after* /*tirs. pumoino / / a. P.m.

ft. alter hrs. oumDino o.D.m.

11 WATER QUALITY in Parts Per Million:

Iron IFe) Chlorides [CD

Marrlnnss Other

1 2 WELL HEAD COMPLETION: Q , n Approved P t

T2 Pitless Adapter | ] 12" Above Gfade1-' Well Grouted? l_j Yes Q^j No

1 1 N«at Cement f ) Bomonite (1

Depth: From ft. to ft.4 Nearest Source pf pojsible contamination

.55" f.e,UtsrDirMtjon££^T/C T/WK ^Well disinfected upon completion (Xj Yes PI No

"•* PUMP: l_ Not installed

uodel Number5i^ " &G HP//2-Volts //5

i anoth of Droo PioeT-? ft. caoacitv / G.P.M.

Type: | 1 Submersible

Tw jet j | Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the besi of my, knowledge and belief. s\ *J -f "*7

REGISTERED BUSINESS NAME REGISTRATION NO.

Signed i^r. ^3^» r/6 Dale //^ , /?Z2

OSEZ?

\

,™.. ,B... ,,.«, AUTHORIIEWREPflESENTATIVE,/ /

GEOLOGICAL SURVEY COPY

Page 117: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

M L O C A T I O N OF WELL I FEB281973

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHC Ounly

"BELRRlETiMTownship Name Fraction ' Section Number Town Number Range Number

(Stance And Direction from Road intersections

loo' wesr OF PYNC^RSow ROAD95' SOOTH OF HURON G>Riv/t=.

Street address & City of Well Location LOT )5 O^^-S^^AV ^/fiVLocate with x ' in section below Sketch Map:

I i i1 1. 1

- - ( — -,- -[- -•

1 1 >

1 ~ \~ \~~~

1 1 1 "1 i ' ;",

I >

U)J_f -ft f iga

T s //^,.,L ^/ «-J_ ^ **WO-

2 FORMATION

UNKNOWNCLAY GI?A\

T 1

SAworwt fl uw^— L-/1 i Cy |^./T |

S^i^D.7/\rv AVIEOIU^I

16 Remarl s, elevation.

THICKNESSor

STRATUM

5Vm1

y/p'

§

source of data, etc.U_uu U*« *"

O%ttio

'*»

IFDEPTH TO

BOTTOM OFSTRATUM

54'(,*'

72'oV

?»'

3 OWNER OF WELL: 5AM 50 N 3U1L"DE:R<>

Address -«> , , . * A . *—

4 WELL DEPTH: (completed) Date of Conipietion

88 ft. n F€B I17ZLLJ Cable tool ij Rotary [J Driven [j Dug

LJ Hollow rod S Jetted Q Bored [j

' USE: LflDomeslic LJ Public Suoplv LJ industry

LJ Irrigation [_J Air Conditioning [ ] Corrmeicial

7CASING: ThfeadedK WeldedQ ! Heioht: Above/B*+owDiam. | i

, Surface ___/ ____ tt.

A 5?/J ' P ^Cin. to CJ_J__tt. Depth i Weight Jj.S** Ibsyn.1 S -i _ xm

in. to ft. Depth | Drive Shoe? Yes[r>No l| C, «

8 SCREEN: , II if

BMWGauze SO lenoth 5^" ^ *^^"

Fittings: &*"' *•* w • wvr _

9 STATIC WATER LEVEL

fl. below land surface10 PUMPING LEVEL below land surface

(t. after f hrs. oumoioo I J g.p.m.

ft. after hrs. ourmina a.D.m.

11 WATER QUALITY in Parts Per Million:

tron [Fel Chlorides ICII

Hardness Othnr

12 WELL HEAD COMPLETION: Q |n Approved Pit

|5Q Pitless Adapter | | 12" Above Grade1 3 Wel 1 Grouted? Q Yes 18 No /

fj Neat Cement !J Bantonite M 1

Depth: From ft. to ft. /14 Nearest Source of Possible contamination I

feet Direction * Tvoe

Well disinfected upon completion 1 [Yes PI No /15pUMP: D Not installed

^C^A Oi f\^ ^ *T^^\ f^/li»niifjif-iiir»r'5 Marrw "^ /^ T 1 1//1 1 T U »^

Model Number HP Volts

length of Droo Pioe ft. capacity G.P.M.

Type: |~~| Submersible

^^ jet | | Reciprocating

17 WATER WELL. CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief. _ rj ^ ~~7

REGISTERED BUSINESS NAME REGISTRATION HO._

Addr.sfi(?rfP# a. &y tfr,&vdu***_ ft vf/'V

Signed/;7ifa.dl/Jo*&- ' D,,. 5/ /-^-, 7Z

100M IRev. 12-68} t/

GEOLOGICAL SURVEY COPY

Page 118: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

CA^UIGEOLOGICALXURVEY SAMPLE No.

[1 LOCATION OF WELL |_

1 II-. J I •)WATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OFPUBLIC HEALTH

ownship Name Section Number Town Number Range Number

i stance And Direction from Road Intersections

vso' OFore

Street address & Ci ty of Well Locat.on^Q"7~^£ .3 / » '^

3 OWNER OF WELL:

Address / Ofo 5T

crfLocate with "x" in section below Sketch Map

I Ml.

JLFORMATION

THICKNESSOr

STRATUM

4 WELL DEPTH: (completed) Date of Completion

27-, w / y jA r f97 lCD Cable tool

tU Hoi low rod

[_ Rotary f~l Driveh I I Due

LJ Bored ' I I __

) USE: (^Domestic \\ Public Supply [ I Industry

[_J Irrigation [ _ j Air Conditioning [J Commercial

DEPTH TOBOTTOM OF

STRATUM

7 CASING: Threaded® Welded fl [Heiflht: Above/Bum..Diam. ^^ | .

-_ — i Surface f ft.

«o - in. to Qj2_ft. Depth I W«

ft. Depth | Drive Shoe? Yes M NoUCfr

£LAYf GG/H LA/S^Wc,

I SCREEN:

*Wr/Gauze

Set between

Fittings:

STATIC WATER LEVEL

^5 J ft.below land surface

5" jrznf=

0 PUMPING LEVEL below.land surface

________ ft. after__^hrs. pumping

_______ ft. after__hrs. pumpino

I f\

60W. 8 11 WATER QUALITY in Parts Pei Million:

Iron IFe) Chlorides 1CI)

Hardness Other

A 12 WELL HEAD COMPLETION:

_d^[n Ap[)foved p ,

Adapte*./ | j 1Z" Above Grade

*3 well Grouted? Qjves Q

Q Neat Cement [j Bentonite" Q _____

Depth: From________ft. to;________ft.

feet Direction \

Well disinfected upon compl

tion y yetion fjA»

Tvoej~j No

15 PUMP:

Model Number

Not lh.t.ll«l

2..SO

SI A 2ND IHCCT If HECDCoX

Length of Drop Pipe_2.-l_ft. capacity JS_G.P.M.

Type: [~1 Submersible

fsfl J*t [~1 Reciprocating

/7-Z816 Remarks, elevation, source of datfi, etc 17 WATER WELL CONTRACTOR'S CERTIFICATION:

This well w«s drilled under mv iurisdiction and this report is tru

Signed

100M (Rev.AUTHOItriED REPRESEKTATI/Tf/

GEOLOGICAL SURVEY COPY

Page 119: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

FEB 2 3 WATER WELL RECORD MICHIGAN DEPARTMENT

1 LOCATION OF WELL |County Township Name

PUBLIC HEALTHFraction Section Number Tovun Number Range Number

(/' ? /" -^7 , } C?v. ' /4OC> ofc / <rs. /2T »w.• istance And Direction ffbm Road inter sect ions, _ , ,

•h ' *^i / , t'V' £ -5 7" -j4" ''H ' • £j O I 3 */ " /? 4T \S (~? £ ^tf /* ^ v/>vv

Street address & City of Well LocationLocale with X in section below Sketch Map:

1 i1

_ J1

" - - - j —— 4.--1——— Y

1 ^ 1

U ——————— , M,*E ———— ————— J

2 FORMATION

&RA ^ £ L

^S/LT 3AVD

—————— . ————— Y. —————————

^^ /V D

•*

16 Remarks, elevation, source of data, etc.

^DDED INFO. BY DRILLER. H£K

- fURtCTED SY,

THICKNESSOF

STRATUM

36'

£,'

/?'

/*'

6'

DEPTH TOBOTTOM OF

STRATUM

JC

<]>£'

60'

?2'7S'

3 OWNER OF WELL: JO H /V /^ . /Y\ / / L i /f

Address // / U /$ y 0 LS &A" •$ t t

&UCHA&AW AA J& H.4 WELL DEPTH: (completed) Date of Completion »

^ 1 1 Cable tool n Rotary Pi Driven [j Dug

LJ Hollow rod Sj Jetted [J Bored M

' ^®^ ; (^J Domestic i 1 Public Supply 1 1 Industry

[ 1 Irrigation [_] Air Conditioning LJ Commefcial

| |lest Well [~~!

7 CASING: Threaded^] Weldedfl Height: Above/BetoTvDiam. "* |

i Surface f ____ ft.

7 in, ro /^— f' Dupth 1 Weight _£^£jbS./ft.

___ in. to ___ ft. Depth | Drive Shoe? Yes C7Q No f~)SSCREEN: J0f1/Y£>O/Y

j * <"'Sint/^w^w^w ' fJ I ^rvith ^^

Set between r J ft, and SO ft .

Fittings: -? ' -^ -^ " /^ / '/*£'

9 STATIC WATER 'LEVEL 'ft. below land surface

10 PUMPING LEVEL below land surface

/ <" 7>O/— •* ft. after hrs. Dumoina ^f. fX a. P.m.

ft. after hrs. numoinp a.o.m.

11 WATER QUALITY in Parts Per Million;

Iron IFn) Chlorides ICI1

Mardnaec Other

12 WELL HEAD COMPLETION: Q |n Approved Pit

FX] Pitless Adapter PC 12" Above Grade

^3 well Grouted? Q Yes H No

(J Neat Cement |( Bentonite j |

Depth: From ft. to ft.14 Nearest Source of possible contamination

feel Direction/ /" //K-T//?^- ^^^voe

Well di»in(ectod upon completion [~1 Yes (""] No

15 DUMP: Q Not installed. ., X> f~A A^xnitf»f.tnrHr'c MwnA f\ £ ^* rv

Model Number 1&D ' /8p /& t~ -Sp / Volts 2- -* &

length nf nrnrt Pine -f^f ft- caoacitv f fl.P.M.

Type: [2 Submersible

| ] jet PI Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief. , so/

KEG

Address

Signed

STEREO BUSINESS NAME REGISTRATION NO.

/?2 Sox $ ?•$ 'v&ts&Sr 'A /yj<y /fl/€Mt

100M (Rev. 12-681 AUTHORIZED REPRE5ENZ*7lv£

GEOLOGICAL SURVEY COPY

Page 120: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

11 LOCATION OF WELLCounty

1rju^ « WAIbK WtLL KbCUKLJ MICHIGAN DEPARTMENT

ACT 294 PA 1965 4 OFPUBLIC HEALTH

Township Name Fraction ^ Section Number Town Number Range Number

5£ V4 r» c %5fc '-^ "3 > r jft/s. 1 X ^/w..stance And Direction from Road Intersections

55"' fVO&TH OF OAnAeiO D?iv/c^j \J \J V s* \J f^ i

Street address & City of Well Location X.OT -j£ W»( C ^£oC£*VT r CWLocate with X in section below Sketch Map* >v_ /?•

1 i1 1

_ _ ^ _ _ _ _ _ _ _

1 1

1 1

1 1! i

t- ———— , M,aLe —————

T1 M 1 .

i

^

o/

2 FORMATION

UNKNOWNCUAY G«/WS#NO, 6?A

S^N 0 01 £ C)/U/V

~iue*l j~TftA)TOG&)

~

/ (

216 Remarks, elevation

-- --i *£'_ " .' t ••-

THICKNESSOF

STRATUM

36'ITB'17'

source of data, etc.

i

DEPTH TOBOTTOM OF

STRATUM

3&'

50'^3'O/"\ /£ Lx

3 OWNER OF WELL: S/W^W ^Uifc^

Address "^ * * t **r^*^ C/ * *N C/ * ***

4 WELL DEPTH: Icomplet^d) Date of Completion

SO* ... oouy fc , j^?0n Cable tool J Rotary [~1 Driven PI Dug

[U Hollow rod jS jetted CD Bored M

> USE: ^j Domestic LJ Public Supply Q industry

j ] Irrigation |j Air Conditioning [ | Commercial

QrestWell f~!

7 CASING: Threaded Kl Welded LJ Height: Above/TOTOT*Diam. ^ | •

a — . 1 Surface f ft.

in. to ft. Depth | Drive Shoe? Yes ffl No QO*8 SCREEN: - ,

3jf(J C"W v \JJ?'fWW/Gauze ^_fj -J *ipa'h 3 * X T O

Set between /^_fl.ano-0^__ft. i _ (_i 79 . 7t( Cl

2L-^t'(M CO*T*- IKC-49 STAilC WATER LEVEL

*•* ^* ft. below land surface10 PUMPING LEVEL below land surface ^-v

<7\ CXft. aftar^^ hr*. nurnoina / a. P.m.

ft. after hr*_ piimcina a. p.m.

1 WATER QUALITY in Parts Per Million;

iron (Pel Chlorides ICII

Hardness Other

1 2 WELL HEAD COMPLETION: Q ln Approved P i

P^ Pit less Adapter I I 12" Above Gradela Well Grouted? LJ Yes tS No

1 1. Neat Cement 1) Bentonite 1 1

Depth: From ft. to ft.14 Nearest Source of possible contamination

7^" *•« tJOGTtfoitKiia* S£>TiC TXbJ*C Type

Well disinfected upon completion QflVes 1 1 No

15pUMP: G Not installed

Model Number 5jf 2 - 2./^" HP*/ CVolts If &

Looath of Droo PiDe*r8 ft. csoscitv • G.P.M.

Type: [ 1 Submersible

Pfl jet | 1 HeciprocatinB

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueu^triB besipf my knowledge andbelief. _ - — ~-T

REClSTtflEE BUSINESS NAME REGISTRATION NO.

/

Signed>

/'// c /// -/y10OM (Rev. 12-681 MJTrlORlTEHtEPRESlNTA'nvE

GEOLOGICAL SURVEY COPY

Page 121: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

M LOCATION OF WELL |_

F"FB 28 1^73 WATER WELL RECORD , ^. _U c.u i, f j ACT 294 PA 1965 <^k^

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHCounty Township Narne Ffact ion Section Number Town Number Range Number

stance And Direction from Road ntecseclions4oo* vAjesr orOP

,-,KD.

Street aJdress 8. City or Wel| Location LO T ff^O QftJzSCt^JLocals with^'X" in section below

3 0 W N E R O F W E L L

L

4 WELL DEPTH: (comoletetl) Data of Con»letion

, /?7Z.[ 1 Cable loot

li Hollow tod

[_] Rotary

K Jelted

Driven 1~~1 Dug

Bored O

6 USE: ^Domestic [_J Public Suoplv i I industry

LJ Irrigation i] Air Conditioning LJ Commercial

QTesi Well

FORMATIONTHICKNESS

OFSTRATUM

D E P T H TOBOTTOM OF

STRATUM

7 CASING: Threaded SI Welded Q Height: Above/BWO*Diam. | / f\

. Surface f • L^ ft.

Depth i Weight *3*/J Ibs./ft..in. to

in. to76.,,.

.ft. Depth i Drive Shoe? YesK] NO rnC* i£0 I

SAND CLAY 368 SCREEN:

38 9«wt/Gauie

Set between

Length ' X S V -f^P Xand .Vtg ft .

3i 529 STATIC WATER LEVEL

"^ 1 ft. below land surface

S/qrJD.T/W fT<AJ^ 8310 PUMPING LEVEL below land surface

£to2 JZ.ft. after ^* hrs. Dumpino • ""

ft. after hrfi. oumoina

.s/wo £/?/<) r *?1 1 WATER QUALITY in Parts Pet Million:

Iron IFe) Chlorides [CD

3' Hardness Other

12 WELL HEAD COMPLETION: Q ,n Ap0foved Pit

SQ Pitless Adapter j ) 12" Above Grade1 3 well Grouted? Q Yes No

I I Neat Cement L] Bentonite I I

Depth: From________ft. to ____ ft.14 Nearest Source of possible contamination

NOT fN$Tfeet Direction TType

Well disinfected upon completion 1 I N

15 PUMP:

Model Number

Q Not instated

1 Bnoth nf Dron Pine

-Z\R^ , .... _ft. capacitvOy*C.P.M

Type: \,\ Submersible

OS J*t [~1 Reciprocating

16 Remarks, elevation, source of data, etc. 17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is true

the besijjf my

SXl

and s~\f~i o **7O73/

•MtiomoH

REGISTERED BUSINESS NAME^

Address

Signed

RE6ISTRATION NO.

100M IRev. 12-681

GEOLOGICAL SURVEY COPY

Page 122: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

1 LOCATION OF WEL1 County

/I/*-Township Name

/) / . A W >, .* s-. —

Fraction

l/4 V* V*

tance And Direction Fiom Road Intersection ~"~ """"

I\jMj&& ~id<tL£Jk~&~^<!ts>*-- T-G r£ts*J&/\s s4Jh&^-&d ^ QC

•f't j^i^y-ei' -c L #•€• ~G^/Lary *&^£f *3O £2> / aA^ t oe^-oC

Sireet Address 6 dty ol Wen LocatioirLi

2

>ceie with "X' m Section Belowi '1

11

1-t T

I1

i

c

T

Sketch

j

' ^(V''y<?< f?/.rh*

FORMATION DESCRIPTION

4flJJ0A,

~^J&-~+JL^^^^

H?*^r (L>^ 3 sifts-j*. ~

/•&^A Lr ^

(

usi *

15 Remarks, elevation1MD «MEET If NtCOCD

Map

£

„-„ jc2VTHICKNESS

OFSTRATUM

^

^

12-3&

<-n-1/3

9

source ot data. etc.

17. Rig Operator's Name:

DEPTH TOBOTTOM OFSTRATUM

-2.

/^

Vr?

9^oftsotf

Section Number Town Number Range Number

*3<^ 9 N^> /Y EXP71

3 OWNER OF WEU. ,

y Ct-&sY(-' C-A*j<i 7-L£j_-vt--'Address ~3 5 <^FO t-t-J &&sfjfA&^~-di /\f£

Address Same As Well Location' LJ Yes Qy No4 WELL DEPTH: ' Date Completed ' fJTli wo i DAY i VCA" ' LJt New Well

/i55" FT- \ (o \ 2 1\ ff& \ C Replacement Well5 O Cable tool [2 Rotary [3 Driven Q Dug

Lj Hollow rod i~l Auger Q Jetted [j

H Domestic Q] Type i Public Q Type ill Public

LJ Irrigation fl Type lla Public !~1 Heal pump

O Test Well 13 T¥pe Mb Public P!7 CASING p

Diameter 1—d

>j?L in. I

J Steel LJ Threaded , Height Above/Below| Plasnc [J Welded | Surfa(.p ,,o X^o^ft. depih |

' . Wn.ght Ihs /fl

Grouted Drill Hole Diameter ' „ i — im in 1, H.0,h 1 Dflve ShO« LJ Yes

m 10 ll H«nrh , L™> N°

8 SCREEN

Set betwee

[3] Not installed

\A*A fA-n * n.ameler ^//

I? l.nath /T''

-, //)/n ft anrt //l^f j,

FITTINGS Lj K-Packer LJ Lead Packer 1 1 Bremer Check

\ \ Rlank above icr«*n l l nthur

9 STATIC WATER LEVEL.

tf>l ll below land surface CD Flow10 PUMPING LEVEL, below land surface , .

f~3 /} ) Af "1 (-£-*&'*&&£&' Ws mimnmft a! fi P M

1 1 WELL HEACOMPLETKIN H P'tless adapier Q 1 2" above grade

LJ Basement offset \\ Approved p-t12 WELL GROUTED? r-, ,—,

LJ Neal c

No of bags

0 f) 4

of r*m*nt ArirfitivKc

13 Nearest source of possible contamination

Typ« niMarte* «• nifnctinn

Well disinfected upon completion? OC Ye* 1 _ 1 No

Was ok) welt plugged? LJ Ye« LJ No

PUMP r— ] No] ,nsta]led L3 Pump Jnstallation Only

MBnufnrTii rir'^ nnrtc H0f> ±SJ>-S lii-P J

Model num

TYPE

PRESSUREMangfactu

Model nun

h.r V HP /&- Vol« ~7 1 £

L*N!L. jjJsJAxZfe*16. WATER WELL CONTRACTOR'S CERTIFICATION:

This well was drilled under my jurisdiction and this repon is truelo the best ol my knowledge and belief.

r* i, l v- ^^ / 7&?Addres

Signed

REGISTERED BUSINESS NAME / REGISTRATION NO ,

l/U^Jl^A^.J?VA^ U n... 9' If'??7d 2/69 AUTHORIZED RtPRESENTATIV

Auihorlty: Act 3S8 PA 1978Completion: RequiredPenalty: Conviction of • violation

GEOLOGICAL SURVEY COPY iJS^K?8" " '

Page 123: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SUfl

1 LOCATIONICounty

VtV SAMPLt No.

FEB231373 N

OF WELL |

VATER WELL RECORDACT 294 PA 1965 ^Tr-

•N R/yJ/VtfA/F r.iL'tion

stance And Directiflii irom Road nietsections

+f3ffl /yo/?Ttf OF CriAMGgftkAffiJ /?£>.•VOo* ^y£ST O/r &YflJt;/)ft£O/\/ ffo .Jaw'60' £AST OF HU^hfr' cxt- _.Sir eel address & Cilv ot Well Locat ion£j0/ 7f J ££?&^_f £.^7" ¥t£¥'

Loc.itu wuh '

1 >1 1

1 1

i JM*i__ i1 i

U ————— 1 MILE

2

X" in section helow — i. SketCh,JA^fl^

^£^=^^~

s f ^/i-' V^- ——Y | jQ 3 J A

O&

^ WcLJJ2fc

—— ' —— "-1- I ^^' •• - ,i ———— 4 ^— -*^-— — "^ CHAMGtRuAliw SD

FORMATION

UNKNOWNCL/AY 6p/wSAND 6-/5AY FirvES/ilVD^TAN . FiPJt

^oAJ p//vp

THICKNESSOF

STRATUM

sv3

13is'4'

16 Remarks, elevation, source of data, etc.

ADflfcD INFO, SI D&iilfcfi« Ufctt fa»

DEPTH TOBOTTOM OF

STRATUM

^

57'70'7*'g2'

. uMICHIGAN DEPARTMENT

OFPUBLIC HEALTH

Sect ion Number Town

3 OWNER OF WELL: «»-,_..j/^(M50hJ

Address 1337 /?yBucHnvA*

4 WELL DEPTH : (completed) Dale ol

81 - IB° f~l Cable tool D Rotary

1 1 Hollow rod ftfl jetted

Number Range Number

FX/SXi^SOA/ "O.

Complet on

LJt-L> t /*! 13 1 r* i 1 / j

| _ [ Driven | _ j Dug

PI Bored (~1_

b USE: W] Demesne [ _ | Public Supply | _ | Industry

[_J Irrigation j | A i r Condu onmg [J Commercial

7 CASING: ThDiam.

ji_m. to

in. to

8 SCREEN:Wlff*

Type: (f

&M/Gauze

Set between

F>ttmgs: 4

/ - / ' / y X

readed^!! Welded Q j

-?/.* '/ V ft. Depth i

ft. Depth |

t Wo u rv^

PO.JUfcL—f. and _^-/l/4" Cown

9 STATIC WATER LEVEL

^T 2 fl- below land su

Height: Above/B*i*w

Surface /_* (J ft.

WniQh.1 jj. J. Ibs./tl.

Drive Shoe? Yes H No Pl /

,/'D.a.: /

t ftngth P^ * ^"

SI6' M., y - s "?? - i" cwet*

(ace10 PUMPING LEVEL below land surface

ft. after /Z»hrs. Dumpind f3 o.P.m.

ft. after | hrs. oumoi o.D.m.

1 1 WATER QUALITY in Paris Per Million:

Iron IFe Chlorides (CII

Hardness Other

12 IfVELL HEAD COMPLETION:

^C^ Pitless AdapterD'n

n>21 a Wei l Grouied? (_J Ves M No

LJ Neat Cement j_J Bentonite

Depth: From ft. to14 Nearest Source of possible com am

.^T^ fae, /"^ ^.T Direct

Approved Pit

" Above Grade

fr ft.nation

PEPTIC T/4A//<rvo.Well disinfected upon completion FS2 v*» (~~1 No

15 PUMP: n No, installed

Manufai- tiirnr'* Mairwt O ^^ 1 JM T TY 3 iV

Model Number IE 2 — at j

Length ofTvoe: Q

'/7 Hp3/UVolts O3O

3roo Pioe fc^**tt. canaeitv fc) G.P.M.

Subrnetsible

jet | ] Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under mv turisdict ion and this report is trueto the best of my knowledge and belief.

REGlSTER/D BUSINESS NAME

Address tfR* 2. PfcW S^S.RlJf

x-Signed/ ifesritwt^w

R E G I S T R A T I O N NO.

t,. flf/)£Cff7

1

f

f

!

1

ezs£> f»i

r^

OA7d 100M iFtev. 1 2-681

GEOLOGICAL SURVEY COPY

Page 124: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICA SAMPLE No. 1 1WATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF1 LOCATION OF WELL PUBL.C HEALTH

C BE <?£ ( £& T"& U C M/ AM (^Fraction Section No. Town Range ^.r

/ j ' /VotfTii »f H O i^ 0 M Of? / tjcStreet oddren & City of Well Location fjQT / 7 C (T t^t (V ( (/ f£{fij

2 FORMATION

UWtfWou*/CA^y JbrT. £/?/9V £ 5/.W /*«= 60*

/ 'SfllvO, /ty t rO/t/ ^ff

$CK

£^/JY £tf/4-Y_ X<?rrt/

-

THICKNESSOF

STRATUM

3C,', /S-

^«a

16 Remark*, elevation, source of data, etc.

" ' ' • • »•». HtM NO.

••ADDITION BVr

DtPTH TOBOTTOM OF

STRATUM

^J \O

5V/ OO*W

if

^^

3 OWNER OF WELL: $^/Hl50'v Ot"t-Oc"'TJ, ^<f_

t\W€fltf^AfJ /pi)Addreti

(5(/C D/^(V/1 f^ , Wft-ti.4 WELL DEPTH: (completed) Dote of Completion

£,3 ft. /v^/^v / /¥&*5 D Coble tool Q Rotary D Driven O Dug

D Hollow rod £l J«Med D Bored D ___

(i USE: S3 Domestic D Public Supply D Industry

1 — 1 Irrigation 1 _ 1 Air Conditioning [ _ 1 Commercial

n T...W.I. n' Diom Threaded [S Walded LJ [Height; Abav«/Btl57

^ in. tft J 6" 'ift. Deoth iiurfaee / ft.

J Weight _________ Jb./ft.

——— in. to ——— ft. Deptf. lDriveSr.a*?Ye*(3NoQ

8 SCREEN; ft

Mr/GM» 6>O , ath O"X 5^V "

S.,b.t™J h „„, ^J5 (t

Fitting, X-'i* 't ^kMJt

9 STAIICJLATER LEVEL«"«^ 1*. hTl,« l^-J TV*'——-

10 PUMPING LEVEL below land turface/ *"7

11 WATER QUALITY in Part. Per Million:

Iron (F.) rkl^JH., fCIl

Hardnell

12 WELL HEAD COMPLETION: D In Approved Pit

IS Pitleft Adopter Q 12" Above Grade

13 GROUTING:Well Grout. d? D Ye, H No

Depth: From _____ ft. to___(t.

14 SANITARY: ^ 1^3^0,60 V6TNearest Source of ponfble contamination

Well dUinfected upon completion yfl. Ye* LJ No

15 PUMP: JO- •* — *«„„,.,„«..,.,•. u _ /wlr/0/s-x / OA/uod.i N.,«k., Of 2. — "ZK MD /C-Length of Drop Pipe_l_*E_ft. capocity__fiS_G.P M._. | ~| f"~|

V&] J«t LJ Rftciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well wot drilled under my jurisdiction and tfiii report im trueto the be»t of my knowledge and belief.

• I^iSTCKtO •U»IHCS3 NAME K CGI STK^TIOH NO.

fe^^^r X/~ '0-,. !.-?. /< 5AUTMOHIIEO nCPNCVTHTATIVC fl

D67D tOOM 6-66

GEOLOGICAL SURVEY COPY

Page 125: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

i LOCATION OF WELL ' PUBLIC HEALTH

C«unty Twp. Fraction Section No. Town

•^ '* £^y* ~SC»* '. / -'once And Direction from Rood Intertection* i ———————————————————— t

'/S'oc/1 Nt)/€rtf or ^e^c^e-A*"'"Street addren S. City of Well Location Lft T~ ±t ^ 7 P & CCr'frVT '

2 FORMATION

iJH^NOuJti^LAV fvtfAv ^pr( fSA^£ 6#OlAJM U) ITK

fl^-Ay CufrY M 1^.605/WQ /**My ^u/ ffAY £c~*Y^fi-fJft rf^ouyrJ r[^-A-fJ

-

^_

. . . A

THICKNESSOF

STRATUM

3f>'1 1 4

4'5'

-

f

DEPTH TOBOTTOM OFSTRATUM

\3 v

mboh$'

Range

3 OWNER OF WELL: <rclAV^1jm ^O-O^x/Ot i

4 WELL DEPTH:(cofnpteted) Date of Completion

5 D Cable tool O Rdtary

Q Hollow rod Ijjl Jetted

(/HI Driven D Dog

D Bored D ——

6 USE:*Q Domettic Q Public Supply Q Induttry

1 _ 1 Irrigation 1 _ 1 Air Conditioning 1 — 1 Commercial

D Teir Well D

7 CASING: _ . , cr w.i. r' n Threaded QQ Welded 1 —Uiam. T^

^2 in. to y> | ft. Depth

——— in. to ——— (t. Depth

8 SCREEN:

|H«i0ht: Above/flelaw

1 i /i surface / tt.

jWeigHt _______ lb»/ft.

|DriveShoe?Ye*^NoD

I '/M"c,_.,r— r r-> ,.,n(, SY"/^^*S«t lwtw**n *O/ ft. and ^3 .J u f*

2- /"<-< c^-x^aJFittings: ^J ^3" I (/

9 STATIC WATER LEVEL '

/ *^__ft. below lond (urfoce

^^f*f

10 PUMPING LEVEL below land lurfote

11 WATER QUALITY in Pom Per Million:

lron (F.) Chlorid.. (PM

12 WELL HEAD COMPLETION: D

S3 Pitletf Adapter D

13 GROUTINGtWell Grouted? D Ye* Q No

Depth: Pram ft. tt^__...ft.

In Approved Pit

12" Abaee f'rod*

14 SANITARY: (,7 if SPttCcO (/£T"Near**! Source of paistbl* contamination

H Yoi D No

15 PUMP: £)

Mflriffirrtiir«r'« Nfirn* |K«/' P/ "^ T J"Q N/

H~<-l Nif-n^' S"£^ 2 "~ 2-/1 HP 1/2-

Lenoth of Drop Pip«_^XP — '*• cooacity 7*5G.P.M.

Typo: D Submersibl* D

Q Jet D leciprocoting

17 WATER WELL CONTRACTOR'S CERTIFICATION:

to the b*«t of my knowledge and belief.

Addreij

w^/ r/yJ-^^'^A^nVrTHOBIlEC) «E»"ESENrlTI VI

\ MA V j> j*O// 6x rl/w jf -j^**.

n MLxJL ^^6*(T ^/ '

or.

D67D 100M £-66

DEC GEOLOGICAL SURVEY COPY

Page 126: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL i PUBLIC HEALTH -' ^

County ' Twp. Fraction ^J^ Section No. / Town Range

\f N JF A R ^ /? // A /) i OWNER NO.

*J" r*l * • ^ rf W / $ f"~ /"* /* 7~\/ / / A A I 7~ C*Sfffe"! addre** & City of Well Location ' * f Lt ' '*'' / ' O

2 FORMATION

CLA\J *;-^M ^ V £/*

6"y* /|//>

et A y-JfiA y /=L

c LA yCOARSE SA/\tfi

•*• V

THICKNESSOF

STRATUM

22-It,-I'

Zt,'&0'vc9'

16 Remark*, elevation, source of data, etc.

ADDED INFO. BY DRIUER. ITtM HO.

«CORRECTtD BYi

DEPTH TOOTTOM OFSTRATUM

22"3 & '

-O "

ii'

70'1 3d '

176'I Q £*1 Q O

3 OWNER OF WELL:

" WELL DEPTH: (completed) Date of Completion

I) LJ CobU tool LJ Ratory LJ Driven LJ Dug

Q Hollow rod [S J-tted D Bored Q ___

6 USE: 80 Damettic G Public Supply Q Induitry

1 — 1 Irrigation | _ I Air Conditioning 1 — 1 Commercial

n-r«.w.N n7 o*^NG: Th.Bodedil] Welded G [Height: Above/^eUw

2 '«"> / '(t D.pth ,»urfar. /' ft.

j Weight _________ Ib./ff.

——— in. to ——— ft. Depth (Drive Shoe? YeJ^NaQ

8 SCREEN:

/ /I ^T**

Sat b«tw«.n f ff CJ ft nnd / ff J fl

r,«,.... jj.. ,* a „ „ t /j, G9 STATIC WATER LEVEL /

ff *l__ft. below lond lurfoce

10 PUMPING LEVEL below land turfoce

11 WATER QUALITY in Part* Per Million:

i™ (F.i Chi«,iJ.. frn

12 WELL HEAD COMPLETION: Q In Approved Pit

ffi PitUit Adapter J£] 12" Abovo Grade

13 GROUTING:Well Grouted? G Yes ^1 Na

Depth: From _____ ft. to, ____ ft.

14 SANITARY:

Nearest Source of potiible contamination7 ^" *, SVABritr, G £fi T J /* -r

Well disinfected upon completion UJ Ye* I — I Na

15 PUMP: ,

UM..»-«..«,-. H— ft Apt DA y Tt>*u«j.iN..«k« /^3 ^~?_-^A 'HP /Length of Drop Pip»_/£i_ft. capacity —— £_G.P.M.

JS Jet LJ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi> well wo* drilled under my jurisdiction and thit report i* trueto the belt of my knowledge and belief. (

Addre*

^^^ x^X^^yf> D ..^-L?^-^^

D67D 100M fi-6£

GEOLOGICAL SURVEY COPY

Page 127: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.

WATER WELL RECORD MICHIGAN DEPARTMENT

[l_ LOCATION OF WELL1 Counly

Berrien

\ PUBLIC HEALTHTownship Name

BuchananFract ion Section Number Town Number

SW « SE '/,HE '/, 36 7 »/s.Distance And Direction from Road Intersections

Go to Moose Club in Bochanan to Rynearson Bd., gceast about 1 ailc to golf course. Tri- level withbarn roof.

Street address & City of Well Location RyneaTSOn Rd* » BuChaiUlnLocate wuh "X ' in section below Sketch Map:

1 ' 1I 1 1

~ ~~ | ~ ~|~" ~\~ ~"

1 |*2)o Jy

1 1 11 1 1

- - -i- - T ~ -r ~ ~1 1 1

| ———— , M1* e ————— J

JUjIes- Jfy iMd Ra

ijj^2 FORMATION

Surface

i Red Clay

Sand

Coarse Dry Gravel

Blue Clay 6 Sand

Fine Red Sand

Bis* Clay

Coarve Gravel & Rocks

THICKNESSor -

STRATUM

i516

22

37

3

51

6

16 Remarks, elevation, source of data, etc.

Source of data: Hell, Charles TordypMp, Thomas Moaier

"" 'fir. ±t :« 3, m_v, .Su,

4 G ,' \J

DEPTH TOBOTTOM OF

STRATUM

1

6

22

44

81

84

135

141

Ranoe Number

18 */w.OWNER OF WELL:

Stonlt RealtyAddress 2031 Lincolnway East

Mlahawaka, IndianaA WELL DEPTH: (completed! Date of Completion

141 "• October 11, 1974LJ Cable tool LJ Rotary LJ Driven [J Dug

LJ Hollow rod £J Jetted Q Bored CU

6 USE: ^Domestic Q Publ c Supply [ i Industry

LJ Irrigation LJ Air Conditioning LJ Commercial

QTestWel l O

7 CASING: ThreadedE WeldedLJ Height: Above/MBODKDiam. I

i Surface 2 ft.

_2 __ m. 10 137_ft. Depth | Weiphl3 3/4lbs-/ft-

in. to ft. Depth | Drive Shoe? Yes tl No [~~J

8 SCREEN:

T«DB- Hire Hbmd n,A_. 14*15 h 4*

Set between 137 ft. and 141 ft.

Fittmos:

Check Valve9 STATIC WATER LEVEL

fll ft. below land surface10 PUMPING LEVEL below land surface

ft. after hrs. pumping

Plunger Testedft. after 1 hrs. ournoina 15

g.p.m.

o.o.m.

i 1 WATER QUALITY m Parts Pei Million:

iron IFel Chlorides ICl)

Hardness Other

12 WELL HEAD COMPLETION: Q ln ApDrove<j Plt

^] Pitless Adapter | ] 12" Above Grade13 Well Grouted? LJ Yes UNO

11 Neat Cement LJ Bentonne LJ

Depth: From ^. to ft.H Nearest Source of irtfi§tbfl» contamination

feat DirectionUnknown

Tvoe

Well disinfected upon completion C| Yes 1 [NO

15 PUMP: D Not installed

^ar,.,i»^n,r.r'e uiKMt linlf 9 WallingModel Number C$267 Hf>l Volt* 220

length of Droo Pioe 99 ft. caoacitv 9 n.P.M.

Type: Q Submersible

S\ Jot [~~1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.

B. ,7. LMft« f. Sons OOWREGISTERED BUSINtSS NAME fifSTSTRATION NO.

Address M-fifl R««t, Cassopolls, Michigan —————

signed /t*^-e*f<-4t^> s&fauS~~b™ 10-23-74D67d 100M (Rev. 12-6«1 * U T H O R I Z E D R E P R E S E N T A T I V E

GEOLOGICAL SURVEY COPY

Page 128: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF , ^

lA1 LOCATION OF WELL PUBL.C HEALTH ^ »

County *- Twp. Fioction fHr- Section No. Town A- **" Ronge f- V1 —

^ ^ WC'/'1 >/•* / ^/S. / Jf fr/Vi.*** «tonc« And Direction from Rood nt»r **cfion* r^ —— • ——— - —— —.—.-. ——— - ——

L ^^" /J J it* t\ ^ 4" ^^ f^ 4J j^ 1 _i* J jf^ j _r 1 *J" " f K na. . ... . . ——— . ...

/I J /* Cfi ff •$ 6 sr /lJ)Street address & City of Well Locotion /J ^J Q /-^ fy /if jQ / /

2 FORMATION

U#X0 WMe L A v—— ^ ^ Y ————————

•* M* / /y £ sj ^T /v jj

ID Remarks, elevation, source of data, etc.

ADDED INFO. BY DRiLX^ '1 < "*0-

•JORRECTED fiYi

THICKNESSOF

STRATUM

£*& '

/ / 'J--

',6/v

DEPTH TOBOTTOM OF

STRATUM

,2V"

£^

/V'

3 OWNER OF WELL: / . r'$ A ^^ 3* 0 ^^/fa^^Aw

4 WELL DEPTH: (completed) Date~of Completion

*7 fl ft / — j y •«. !&£&5 Q Coble tool Q Rotary D Driven CD Dug

D Hollow rod []3 Jetted D Bored d ___

6 USE:® Domestic Q Public Supply D Industry

1 — 1 Irrigation 1 — 1 Air Conditioning 1 — 1 Commercial

FIT.,.*.,, n1 D*^NG: Threaded [S W*'d«d Q JHeight: Above/Bete^

^- in. ta (frjfl. Depth i lurfoce / ft.

j Weight _______ Ib./ft.

——— in. to ——— ft. Depth iDnveShoeTYeJSNoD

& SCREEN: X#" fff.

u-/G_. ?<7 .-. * --^"Set fc.f*..n VV ** "nJ *' f«

Fittingi: . / / •• a

>~'V Co U P/./SS /C:> STATIC WATER LEVEL

__^5_Lft. below land .«rf«.

10 PUMPING LEVEL below land lurface

11 WATER QUALITY in Port. Per Million:

Iron fF.) Chln,id.« (ri\

12 WELL HEAD COMPLETION: Q In Approved Pi*

^ JrQ Pitle*> Adopter J^] 12" Above Grade

13 GROUTING:Well Grouted? Q Y.t [£) No

Material- l~l N-nt C»m«t i~|

Depth: From _____ ft. to ____ ft.

14 SANITARY:

Neorett Source of poscible contamination t

W*|| disinfected upon completion I _ 1 Y.s i _ 1 No

15 PUMP:

M .l NllBlK.r -^>C*^ HP -&*

Length of Drop pip- 7 •%. ft- capocity_Jl —— G.P.M.

jlfj Jet 1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thit well was drilled under my jurisdiction and this report i* trueto the best of my knowledge and belief.

Addre*)

r>S<: , *^-€/ n-..y-j? -//.<yD67D 100M

NQV GEOLOGICAL SURVEY COPY

Page 129: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL 1 t PUBL.CHhAL.H

County • Twp.

4 f ff Sf t E/t flit /• fJ A A/AAJ•• *•-*[/{/,****. — -. —— s — Hr-** w C- ft A sr/9 Of- ——————— >- — — r

Fraction ^f "* Section No. Town * *^

y. «OF« 3t 7 fr.

$Y#£AJlf00 /}&, n ^ , ' .„,,StrAt addren i City of WeTT Location D [j {9 It A fij /± At AA 1 >V.

2 FORMATION

t/ Aj k 0 vy /y

et A y

ADDED INfO. BY DRlLLEP. iTiiS Nu.

•;:SRECTED BY;

THICKNESSOF

STRATUM

?t

;g-9'

*"

DEPTH TOOTTOM OFSTRATUM

?X

9o'

f?

3 OWNER OF WELL: • I l\ e&A MSOA/ B D I kL> tAddress jf HyA/&AH$OW

BL>eM4ty*y ^/^

Range T'' '

>y^T WELL DEPTH: (completed) Date of Completion

5 LJ Coble tool Q Rotary LJ Driven LJ Dug

D Hollow rod (J Jetted Q Bored D __

6 USEiffl Domestic O Public Supply

1 _ 1 Irrigation 1 _ 1 Air Conditioning

n T*,t wrii n1 _ 1 Industry

1 — 1 Commercial

7 ^ASING: Th,eoded Q Weld«d D [Height: Above/gftlfltt|

2_ it. t« ?/^* ^"P**1 isurfaee / ft.

'Weight _______ Ibs/ft.

___ in. to ——— ft. Depth (Drive Shoe? YesQpNoO

8 SCREEN: #6,? #£

Typn- \¥Sjff \\/j?(f4f£ Dio.r

S.t t,.tw..r, f 4f (t nnd ff ft

F,n,..., £$"*?*,!'/£

.5-*

/^9 STATIC WATEfT LEVEL

10 PUMPING LEVEL b.low land surface

11 W A T E R QUALITY in Parti Per Million:

|rnn (F.) ChU,iJ.< (ri)

12 wc._ L HEAD COMPLETION: Q In Approved Pit

Q3 Pitless Adapter Q 12" Above Grade

13 GROUTING:Well Grouted? D Yes $ No

Depth: From ————— ft. to ———— It.

14 SANITARY:Nearest Source of oeidble contamination

£0'f.*t W/ST"**1—'!™ "SPPWell disinfected upon completion 1 _ 1 Ye*

15 PUMP:

^yp.

3 No

/jyyM J *. 1 kj . ._ L _ *K^ jC *} LJ D ^tf

Length of Drop Pipe^_M_»i_ft, capacity — / G.P.M.

yP J«t 1 _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi* well was drilled under my jurisdiction and this report ii trueto the best of my knowledge and belief.

Addres ^, frjf/TPftf/pf/'f*. Jy>A/#GS. M irtff.

/*&. SZsJL^^ei' _ Dot.^2.AUTHOHJICD BIPBtS jf^ATIVE

- /#-/?{&

0670 100M 6-66

GEOLOGICAL SURVEY COPY

Page 130: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.WATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OF

1 LOCAT!ONOFWELL PUBLIC HEALTH

County Twp. Fraction 'W^f' Section No. Town »*• Range ***

X/tff/V./lfc V. 3t> 7 N^ I? E<&

*? jT 4*9 &fffTt9£A/ri. i- nwNFD N«

Street address & City of Well Location

2 FORMATION

C L AV* S/l/Jf)9/jAVPL

C LA YSANDt- CLA\1

SA#D

•~—u- • .

THICKNESSOF

STRATUM

riftr17'

?-

16 Remark*, elevation, source of data, etc.

ADUED INFO. BY DRU.LEK. Jlttt «fc

-CORRECTED BYj

**ADDmON BTl £TS ^

DEPTH TOBOTTOM Or

STRATUM

rifJY'SCtf

3 OWNER OF WELL;

Address /f ft y /Y £ A /( 3 O A/ ^D,

£ u c. H A /VJA/ /vi/'tf/y-4 WELL DEPTH: (completed) Dote of Completion

!) Q Cable fool Q Rotary Q Driven D Dug

D Hollow rod £2 Jetted D Bored Q

1) USE:pfl Domestic Q Public Supply G Industry

1 — 1 Irrigation | _ ] Air Conditioning 1 — i Commercial

n T...W.M n7 D* mNG: Threao«<* E W.!d«d n 'Height: Above tfl 1

^^ i« *n >^ V f* Hmptii iiurtaem i ft.

'Weight _______ Ibs/ft.

——— in. to ——— ft. Depth | Drive Shoe? YelENoLj

8 SCREEN: f/VO> $¥•&•

TV,-. W l"ffE WOU^P Di- . /"

S«t k.tw..n &9* (l ar,A *» JT ' ft

Fitting.: / _ jj« £0U0Jj/SY#

9 STATIC WATER LEVEL

y. f ft. below land surface

10 PUMPING LEVEL below land surface

11 WATER QUALITY in Ports Per Million:

ir™ (F.> ru«,i,u, in\

12 WELL HEAD COMPLETION: D In Approved Pit

,B Pitless Adapter jf\ 12" Above Grade

13 GROUTING:W.|| Grouted? D Yes J0 No

Depth: Ffo« _____ h. to ———— ft.

14 SANITARY:Nearest Source of possible contamination

Well disinfected upon completion j(} Yes 1 — 1 No

15 PUMP:

M-J.1 M,™h., ^"^ % "P V*

Lenoth of Drop Pipe .T^eT ft. Copacity__/l —— G.P.M.

<EC1 -J*1 LJ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi« well wat drilled under my juriidiction and tfiii report i* trueto the best of my knowledge and belief.

Addreti

Signed!^ j. "2t/^afC^ L.S-jf~$-df tUTNVmiCD HCPftC^&T.VC

*

100M 6-66

JUL 19 GEOLOGICAL SURVEY COPY

Page 131: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCAT.ONOFWELL ] PUBLIC HEALTH ——

County Twp. Fraction Section No. Town Range , ,

CtSA fit)1/ 1 )£" V 3X "7 J^/S / a"^ JE/Wl

nC*^f/r"Ctl£-«n]rtR^lnt"'*lCt'0nI OWNER No. 1

2 FORMATION

{j A/ ft /v o i/v/Vf L Ay

PL Ay *• js/iyj)CL Ay

H A fi&/> A V

^ fi/M£ SjJVA

.

-

THICKNESSOF

STRATUM

SV

f

?'

/?'

S'

if

£'

lo Remorki, elevation, *ource of data, etc.

ADDED INFO. BY DRlU£*C lit* At,i

* -ERECTED BY; -

DEPTH TOBOTTOM OFSTRATUM

j-y.

C.Z'

?Q'??•* ^^r

117-113-

17 WATERThi* welo the b

$t>ejiAddrei

3 OWNER OF WELL ft / C H A ft D

£^<£ H A MAtf W'€M'4^WELLDEPTH: (completed) Date ol Completion

5 LJ Coble tool O Rotary LJ Driven LJ Dug

O Hollow rod [J JeHed D Bor.d D ———

6 USE:Q| Dome*tic Q Public Supply Q lndu*try

1 _ 1 Irrigation 1 _ 1 Air Conditioning 1 — I Commercial

P T B f t Wrll PI

7 §*^NG: Threaded CJ W.lded D |Heightr Abe m/Belew

'W.ioht Jfg^lb»/)t.

——— in. to ——— ft. Depth |DfiveSho«? YeiQNoE2

8 SCREEN:

ti—^/r f? ft t. \f *

i i& t q a

2F^ */J~fie "J* ??$$•}£*»/*9 STATIC WATER LEV'EL 7

• ft. below land turfa.ce

.0 PUMPING LEVEL b*low land turfoce

11 WATER QUALITY in Parti Per Million:

l,«« (F.I CKloriJ— (ft)

12 WELL HEAD COMPLETION: QI In Approved Pit

D Pities* Adapter LJ 12" Above Grade

13 GROUTING:Well Grouted? D Ye> Of No

Depth; Fro« —— _ —— ft. to..,.. — (t.

14 SANITARY: /V0 7" j#<STAbb£&Nearett Source of po*»!ble conlaminotion

Well di (infected upon completion LJi Yet 1 — I No

15 PUMP:

H~J-l W,.™k., /^^"Jt-21/ HD /

Length of Drop Pipe__JLj-ft. copacity__^__G.P.M.

UQ Jet 1 ___ 1 Reciprocating

WELL CONTRACTOR'S CERTIFICATION:

ett of my knowledge and belief.

X&r. ^r^^'^ex n-..7~/~J?4&tOOM 6-fi6

N O V GEOLOGICAL SURVEY COPY

Page 132: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 LOCATION OF WELL | x PUBLIC HEALTH f ^

County Twp.

R £ /j ft / & /Y ff (j /* j/v 4 j"^9 V"ruction Section No. Town Range

'once And Direction from Rood ntenectioni [ ———————————————— ^ —— \

+ / +*£* t. /f C OC- «• /V / Y/C.YY , ,

Street oddreis & City of Well Location ft fj /€> /jfy4 /V >4 XV /V\

2 FORMATION

uyv^^M,^

J? S /) ft /* / A \fa f* is *z L~ £1 si y

A/yv£ ^/V/>

to Remark*, elevation, •eurc* a f data, etc.

.-r-,3or-Tr-\ RYi•^ L_ K r\ L - : t. ** DlJ

THICKNESSOF

STRATUM

36'

IV

?•

/ve.U,DEPTH TOOTTOM OFSTRATUM

34'

£0'

(*8'

3 OWNER OF WELL: ,

^^ ft /rl O W /f -f\ ^f / A* *r ^* ' ^Aadr«t 1 J& jQ »^ *y ^^ ^^ n ^ A JLJ O f\

/? ttf> H 4 sy 4 ft >V)/'**/^ 99/0?4 WE LL DE PTH: (completed) Date at Completion

£ ff '*• /i — 2 — / 9 & &5 D Coble tool' Q Rotary D Driven D Dug

D Hollow rod y\ Jetted D Bored D ___

6 USE i^3 Domestic Q Public Supply O Industry

1 _ 1 Irrigation 1 _ 1 Air Conditioning 1 _ 1 Commercial

n T... W-H nL^J !••? TVOl l L*J ___ ———————————————————— , ——— . ., ———— ..,..,• .__-, m.m. . .

7 Dia^0' Thf00d«d $ Welded D |Height: * L- -^-'— -

jWei9ht _______ lb»/ft.

——— in. to ——— ft. Depth |DriveShoe? YesUONaLJ

8 SCREEN: /f^ ?9jfZ

Set between ^ J ft. and fo ff ft.

c £'#£ /3f*'j&JjQj.~ritting*: ^ f* * / *•, . -^

9 STATIC WATER LEVELJ V ft. balnw Innd oirfno

C PUMPING LEVEL belaw land lurfaco

1 WATER QUALITY in Parts Per Million:

Iron (F.) Chloride* (fl)

'-2 WELL HEAD COMPLETION: D in Approved PitK Pitlen Adapter J0 12" Above Grade

i:! GROUTING:Well Grouted? O Yes ££ No

Depth: From _____ ft. *n . .. . H-

14 SANITARY: >f»r /•V*S7"-4 /» t- ^"^Nearest Source of possible contamination

Well disinfected upon completion | _ 1 Yes UP No

15 PUMP:

HHil Nitmh.r /5~/C 2. HP ^I

Length of Drop Pipe__ife— ft. capacity —— Z__G.P.M.

|£ Jet LJ Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thi* well wa» drilled under my jurt*dietion and thi* report i« trueto the be»'l of my knowledge and belief.

Addrei

Signedc- - - ———————————— - ,, ————————— —— - —— — . . _ _s&S s-ZJ^^ffJ n'..A2-XW^JP

M

D67O tOOM

JAN 2 7 1969 GEOLOGICAL SURVEY COPY

Page 133: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF-

1 LOCATION OF WELL < PUBLIC H t A L . H _f

County • Twp.

/% f jO jo t f- AS jD it /O yU/ A AJ jt JL/Fraction f

If JU £• A £> c •> JlS tf ft OWNFP Nnf /Y £ A fr-S&sr f] 1* } ———————————————— '{? /} £~-S £ /V 7~ V/*£ W *S tJ ff* /)' V,

Street oddre*, & City of Wel l Location fj @ /" J? £

1 FORMATION

L> A/ A*#0\A/ /yfLA V

SA // D

THICKNESSOF

STRATUM

wrS"

DEPTH TOBOTTOM OF

STRATUM

wss-£0

Section No. Town Range -*

3 OWNER OF WELL: SA /Vf S 6 A/ $0 / X £>£/?*$

& U C // A ft A M A<\ i £ ft.4 WELL DEPTH: (completed) Date of Completion

5 Q CabU tool O Rotary Q Or ven D Dug

D Hollow rod CJ Jetted O Bored Q ___

6 USE: 13 Domettic LJ Public Supply LJ Industry

1 _ 1 Irrigation 1 _ 1 Air Conditioning 1 — 1 Commercial

n-r_..w.i, n{ _ J i v>I n Ol 1 I — J _ ... ——————— __«— ———————————— ————————

7 ^ASING Threaded 3 Welded D iHeight: Abov«/B«4(f«

1™' . -Sif/D ' *ur foc ._ /__ ft

'Weight _______ Ib./ft.

___ in. to ——— ft. Depth [Drive Shoe? Ye, BNoLJ

8 SCREEN:

«we™ £d ,«„* tfexs-ySe, between^^f f, ^ ^^ ft

Fittina,: y_ / J, " XO ^ ^/^ / / W@

9 S T A T I C W A T E R LEVEL/A it. below land surface

10 PUMPING LEVEL below land lurface

11 W A T E R QUALITY in Parti Per Million:

!,„„ (F.) ThlnriJ.. (ri)

12 WELL HEAD COMPLETION: D In Approved Pit

53 Pitle,* Adapter 0 12" Above Grade

13 GROUTING:Well Grouted? D Ye* C^ No

Depth: From ————— ft. to ———— It.

14 SANITARY: W^T 7~N*are*t Source of pot,ible contamination

Well di*infect»d upon completion LJ Ye, LcU No

15 PUMP: ,u™.. ..™-. N — A A£>J£>A y r& A/

f f i r - jj ' -£Model M..-t..f O C _^l— .£,/-/ ——— HP ^*,

L.npTh of Drop Pipe_S? "_ft. capacity /-^i.G.P.M

Up Jet | _ 1 Reciprocating

17 WATER WELL CONTRACTOR'S CERTIFICATtON:

to the b*,t of my knowledge and belief.

-<2^ ^Usi*^*/* n-.. yA u~-;?£9D67D tOOM 6-66

JAN 7 b GEOLOGICAL SURVEY COPY

Page 134: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SUfl

MICHIGAN DEPARTMENT OF PUBLIC HtALTH

B84 WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WEl LCounly Townsfiic NarM

p- \5 - v, -v ,Ov \C W\ rS\ • -^ i\

fraction Section Number Town Number Range Number

Distance And DirittiO" from Road In te rsec t ion

^ ( 0 Ho voe \_ rN S t r e e t A d d r e s s & C- ty of Well Location ' M ' -_J 1Locale with "X" m Secnon Below

Hi i1 1

- -1 ' .

I 1

'~yi ~ ~ ~ ~ ~i r \--- i --T-----! !

t, ——————— 1 M,*I —————————— »

v Sketch Mao

*L+ \-Ls

2 FORMATION DESCRIPTION

:5«-^0 •T 6r^v,,r/

uVr - i j ^ ^^ / T ^l u tf" C *y

^ft.T^-r- 5^<9

R E CMlcli. Deot.

J.V1Env. -.-:-•

C.::.. .

THICKNESSor

STRATUM

dho7f

uv\if P'.-.h'ic

61984ijntdl an- -. ! LJ - -.

15 Remarks elevafon. sourgjp^jjj^^pgy opj(j_£n, [jg^ un

"COPitECTED BY v"AD&M'I^M SY .* .--ELEVATION -~ -jfe

DiPTH IQ 3QCK x£§?

DEPTH TOBOTTOM OF

STRATUM

607^r'SC»'

DHea!;'n

i

icr,

3 OWNER OF WELL

n 3 i O Ho ^ofe. k v .Atfd'ess ,~ i/-v-\ T 1 i Q i T ~7

Aoaress Same As Well Location' !3 Yes LJ No

4 WELL DEPTH (completed) | Date o' Compleiion^-> ^. ' _- -*J d , - /^v S <~~j S~~i^.J (^\ flO* ft iJ - ' 1 / - \S •£.ft O «r l ' 'T ex «=> r5 O

5 1 J Cable too! 1 1 Rotary 1 i Driven [~] Dug

d Hollow rod d Auger 1^? Jetted 1 1

S Domestic d TvPe 1 Public d TVP" Ml Public

I _ ) Irrigation [ ] Tyoe Ha Public LJ Heat pumn

dTestWell d Tvoe lib Pubhc Q

Diameter ^>Sieei [JL Threaded Height Acove/Beiow

_O '/"D Plastic Qwelded Surfa-e ft

Grouted Drill Hole Dn mater ncv

>n to ft depth L- ' No

B SCREEN |— 1 ., ,| _ j Not Installed

Slot/Gau/e ^J 1 pnrjih " f*

__ __ w

SITTINGS d K-Packer d Lead Packer M Bremer Check

1 1 Blank ahni/o <;f-r«"on ft Dihpr

9 STATIC WATER LEVEL

— 3 CJ ft n*ln«, lanrt ^iirim-i. 1 1 flow

10 PUMPING LEVEL below land surface

rOMPi PTinN ' _ 1 llless adapter j _ | 1 2' above gradey^Basemeni ollset •MH^ QIeTp'it

12 WELL GROUTED' K-, .— i

[ | Npai i-Bmi.ni | 1 ft»ninni1i. j | nth«>i

No of bags of cement Additives13 Nearest source of possible contamination

Well disinfected upon completion' N^ Y*s 1 1 No

SL Not Installed d Pump Installation Only

Model numh*r HP Volts

PRESSURE TANKManiifarinror ^ name

ModH hl,mh« r.n.ntv R.hnn,

16 WATER WELL CONTRACTOR'S CERTIFICATIONThis well was driheo under my |uri$dicl>on and this report is trueto the best of my knowledge and belie!

A ) . \ r- £- \.^(- \ 1 \) r*" • \ \ * AJ("J ] J-f — X (~ • i

Signeo

REGISTERED BUSINESS NAME j(GisTR*rtou NO

*^HL<z*Sjf^2^ na,, -y-^g-fcs[Rev 10-801 AUTHORIZED REPRESENTATIVE

GEOLOGICAL SURVEY COPY

Page 135: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLcoupo- Towns*Jp Name Fraction . - Section Number Town jumper Range Number

<&I&JL/4£ 36 7*rs /£tfw•stance And D reclion Ffom Road Intersectron

Street Address 6 City of Well LocationLc>cate with "X in Section Below

H

1 1

_[ \

r i 1l [

- —— -4- ——— 11 11 1

I---I--T1 I1

11

f"1

•rf-_L_

1

U ———— , Mile ————— .

2

p

UOQ

(^

1) Ml .

I

Sketch Map:

FORMATION DESCRIPTION

r-s*— % ^/M/ie Ji*

\JJc4r

/•A

7(TV**/

^ (j ;o/ C/Kt/• -5».oA 0 <fl

-

— -

A*, ^ e r- ,

•^- Gf itUSE * 2ND SHEET If NEEDED

1 5. Remarks elevation.

THICKNESSOf

STRATUM

O/3~"5"OPO

&/?°source of data, etc.nj- *^c

17. Rig iterator's Nam«:- /~)

r

^ ""y-^^^

DEPTH TOBOTTOM OFSTRATUM

^0

JZS'

SO?

/^

3 OWNER OF WELL /Q /"* P . / ArL£s L^v? ' vC- 'Od

Address / £? 7^ t? ^^ JJQ J f*) **}

f^cJCri&stCiS") / /^ "*IVAddress Same As Well Location? L? Yes 1 _ 1 No

4 WELL DEPTH: ' Date Completed ' rTf,,. .— • < "jt-J OAy i -rw£ l^f N*w We"

//^ FT. I /j ^*l ^'\ D Replacement Well5 [~1 Cable tool [SfRotary Q Driven LJ Dufl

[~1 Hollow rod [~~I Auoer [~~1 Jelled fl

6 USE Q^Domesiic Q Type 1 Public CH Type IN PublicL3 Irnganon (_] Type lla Public fl Heat pumo

Q Test Well L3 Type lib Public LTJ ..... _____

7 Diameter O Steel Q Threaded , Height Above/Below_-- C8ft«««^ D Welded | £.,,,„„ / „^^ in. to _?<r_{*S \i- dapih ]

. W«,ghl Lbs./ft.

Grouted Drill Hole Diameter ' _ *— iin ,D ft ^p.h 1 Onve Shoe U Yes :

in to ft. depth ; ' LJ No -

8 SCREEN- l~l N 1 aJI d

<sL/fflni*. /& ..an."'" -^"^

<!.. h.tw.^n >^^ (t ,nd 'X5" h

~~ FITTINGS LJ K-Packer LJ Lead Packer L~D Biemer Check

LI Blank abovft screen ft Other9 STATIC WATER LEVEL

ft h.lnuv UnH ...rf.r. [?f ROW

10 PUMPING LEVEL, below land surface

fl after hr* pumping Hi G.PM.

It aflat hrs pumping •! fi P M

1 1 Basement offset [ 1 Approved pit12 WELL GROUTED' .-, ,-y Q 'C' ,

| | No Uf Y*.t Frnm ^-^ in ^^= ft

No. of bags of cement Additives13 Nearest source of possible contamination

Wed dwinfected upon completion? £ZJ VM O No

Wat ok) weti plugged? D Ve» O No

14 PUMP: j— j No, |nst>Med Q Rump installation Only

M»nufj.elufBr't name f ' VA*' , _

MnrtAl nnmh«f T'/C/^O^J^'^P 1<^ Volt< f?ft—2**~S

PRESSURE TANK.

Mrw4*l number r_»fi»,-_,tv Rallnnv

OK. WATER WELL CONTRACTOR'S CERTIFICATION:

•-W-the best Oi'WVWuw'Mgtr ond belicl. ^_^ . .

C- — - - r» A OTV C-x/^ /WMrVt- T ———————— — — =- — i ———————

» AddrM JftHAMAl>t-MteH 4&tfg ——— 7 ——————— =: —————————j W*TQT if"" ~ i IT«» ' \jy 77} ~~& — S"^** / f — 7

Js/Wil /sffC&tM n... ' ^"_7._

GEOLOGICAL SURVEY COPY

Authority: Act 3BB PA 1978Completion: RequiredPenalty: Conviction of a violation

of any provision it ami*d*rn«enor.

Page 136: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

1 1 LOCATION OF WELLCou^ra/oeTT^e^

Townshw Namey

'^s{J C- fl& s~t &* s~~)

Fraction s Section Number Town Number Range Numb*r

stance And Direction From Road Intersection

Street Address ft City of Well LocationLocate with *X* m Section Below

** - — _ _ _ . . _ _ _ _ .

I!i *

TJ M I .

I

Sketch Map:

2 FORMATION DESCRIPTION

/<^7S/ ?rzJ&>1& ^

f >~<s

^

I fl^^f

/2'*JL ^tL, ^.^

£/j#2^ .L^^A

Mioh^pt^yer:USE *

1 5 Remarks, elevation2ND SNtrt

1 "UJIC H

> Nrffcff n j

THICKNESSOf

STRATUM

0

•«-

^0

/(^

>alth

source of data! Sc. -t Jy89

• •u^IT. Rig Operator's Name:

OEfTH TOBOTTOM Of

STRATUM

3-a'/<**'/«•'/&$-'

3 OWNER OF WELL /ft .1 s 1 M /J-^/7/JI'G ~}ch/n<*'2.Address /"} . ' yy^l / 6/ tfrf^5*^7

£_2<JCr*G</70S~l '/ / •£*fi

Address Same As Well Location? Y% Yes LJ No4 WELL DEPTH: ' Date Completed ' nCK"" .., „

,y — — i MO. i o*v • Jfc*pO 1— I New Well'_^? FT. , & \^7\ C>/ 1 LJ Replacement Well

5 [_3 Cable tool f A riotary (~1 Driven [~1 Dug

Lj Hollow rod [_] Auger L"J Jetted LJ __

6 USE: @T3omestic Q Type i Public Q Type 111 PublicLj Irrigation LJ Type II a Public 1 1 Heat pump

Q Tesi Well Q Type Mb Public L~]

7 Dimeter Q SlMl O Threaded j Height: Above/Below-~ ES^TasticD Welded , Suf(aM ((

Grouted Drill Hole Oiametet ' _ i — if, d.r-h 1 Onv* Shos LJ Yes

in. to ft deplh ' LJ No

B SCREEN PI N t In

FITTINGS: LJ K-Psck«r LI Lead Packer LJ Bremer Check

LJ Blank above screen It Other9 STATIC WATER LEVEL:

#2X*S n nS^**—s It below land surface 1 _ 1 Row

10 PUMPING LEVEL: below land surface

/ ~3_S^:. *t. after / hrs. pumping at .X^C l G P.M.

LJ Basement offset [D Approved pit1 2 WELL GROUTED? r— i r L-r- X"3> ^^~" 'LJ No lefTes From C^L to <^> ft.

No. of bags of cement ' Additives13 Nearest source ol possible, contamination

Typ. fticlKnr* ft. n,r«^r,nn

Well dialnfectad upon completion? tUYw LJ No

Waa old wed plugged? O YM . Q No

14 PUMP- r-j No, |nsta|led Q Pump Installation Only

Mftnu<pi>tnrar-f n>m> ^^ 7 t^^/ .

| flnglh n( nmr P,p. / ^ C—' ft f>«p»nty /C -^ T, P M

TYPF ^ 5,,hm*.s.hl* Q l«t

PRESSURE TANK

Mnrlkl numhvr r.*fi»ritY fiallnn*

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my |unsdiction and this report is trueto the best of my knowledge and belief.

Addres

Signed

REGISTERED BClSINESS NAME nECISTRAjnON NO.t ^rV */& C/ -5 ~/2- *&<^*C*r~ i>-p<*i-— -"

.- Ox^^? /- ( Z^ n... C**2$-f9

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1978Completion: Riquirvd

Conviction ol a violationof any provision it amisdemeanor.

Page 137: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

v 9 A ICCJ A M - 4 1SBVV

1 LOCATION OF WELL \

VATEK WtLL RECORD MICHIGAN DEPARTMENTACT 294 PA 1965 OF

PUBLIC HEALTHCounty _ Township Mamu [ f rac t ion Section Number Town Numbei Range Number

fstance And Direct ion from Road Intersections

Street address & C itv of Well LocationLocate wi th X in section below Sketch Map'

1 i i1 1 1

J 1 'I ! ' 'I 1 1

«... -I 4- ! - «_i i ly |I 1 \A '

' I I 1! , i 1

2 FORMATION

S;AHDr fiftOWA/ <? L/)y

£L L> / <? L A \/A / /!/ £ SA V /)

F/'A/£ ^JSV /)-/ — £ —— ••- — —vT/f A//)

b K'

————— ; ———— irr...... -ft

- - • '^r-

USE « ZHO SHEET \r NEEDED ij."'. ^~~

THICKNESSOF

STRATUM

12

//'

/ ?'

J~'

V91

17'7'

E I VL''r''nnT,ilnfi| ,

.-_'."?16 Remarks, elevation, source of data, etc.

M>OtO WFO BY DRILLER. l«* «•

-CC?.?:iSTED BY.

.JP7H in ROCK

DEPTH TO•OTTOM or

STRATUM

12.'

2£ '</^'

JTO'

?V///'It?'

• DHeoit:!

.(t!>

Address/^"- X; && & & J& r<ff'

WELL DEPTH: (completedl Date of Completion

/IS •.. -• :-.^ i 1 Cable tool [~1 Rotary [_J Dtiuen [\ Dug

II Hollow rod Jgj jetted 1 1 Bored 1 1

' USE:^jDornestic ll Publ c SuPPlv fi industry

1 1 Irrigation Qj Air Condiiionmg 1 1 Commercial

Qlest Well Q

7 CASING: Threaded^] WBidedQ Height: Above/BaUwDiom. ^^ ] /

i Surface / ___ ft.

^ in. to Zi»Xfl. Depth | Weighvi2l-ilDS./(t.

in. to ft. Depth ( Drive Shoe? Yes |p| No |C8 SCREEN: - '

TvoeT/J^y <f7*£^\4/. H/DiB.: /

-Stttl/Gauie ^ £) I enoth -5X" A L, OJ 1 3 l / S?Set between / 1^7 ft. and J__f_y ft.

Fillings: ,

/" ' 7~S fcJ-^jU^j * /\/& J"~r7s X / / j C^£)&^4>9 STATIC WATER LEVEL '

*^ ft. below land surface

0 PUMPING LEVEL below land surface

ft. after hrs. oumoina s ^~ o.p.m.

fl. after ht5. Dumfiinq a.o.rn.

1 WATER QUALITY m Parts Per Million;

Iron iFe! Chlorides (CD

Hardness Other

12 WELL HEAD COMPLETION: Q |n Approved Pit

(F] Pitless Adapter Cfl 12" Above Grade13 well Grouted? fg] Yes Q No

[ 1 Neat Cement \ ] Bentonita 1 1

Depth; flom ft. to ft.14 Nearest Source of possible contamination

feet OireciiDtwT^/ //^.r/>9-^. /.jOjftS

Well disinfected upon completion Qves ETI No

15 PUMP: Q Not igstalled

Model Number //J £? 9 HP / Volts 2. 3 £>t~'' J i ^length of Droo Pioe fry ft- raoacilv J G.P.M.

Type: [ \ Submersible

C7] Jet | 1 Reciprocating

.

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this teport is trueto the Dest of my knowledge and belief. f S

REGISTERED BUSINESS NAME ' ," WE^STBATftlM NO.

Address>P2 Rax_Jr9.$- /!fr/!/fA&JM /ft/&t.

Signed

^- ^ y

S~ -Z+'f'' -i ^ &-*',*'' '^>t*rt^Ls DateD^d 100M !Rev. 12-681 .UTHOP, 2ED B E P R E S E N T A T IVE^

GEOLOGICAL SURVEY COPY

Page 138: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty Townsfii Name Fraction Section Numbe Town Number Renae Number

hrs. pumping al

D 12- «bove gradeLJ Basement offset LJ Approved pit

12 WELL GROUTED' r—, r—i[_] No LJ Ves From __

D Neat cement ffl^Benlomte [\ Other

No of bags of cemenl Additives

RFHF1VED

13 Nearest *ourcfrj?f pQssibJe contamination

.£tOisl«nce X J"' Direction _f^

No

Type

Well disinfected upon completion?

Ceot. -if Public H ::' I 4 PUMP- Q Not)rw|t||td

Manulacturer s name

Model number

a llation Only

USE * IND tMt IT F HfEOED

Length of Droo P'P«

TYPE [^^SubmersiblePRESSURE TANKManufacturer s name

Model number ___

6/i/SS,Capecitv* Gallon

15 Remarks, elevation, source of data. etc. 16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and Itiis report is trueto if>« betiol myrknowledge,Bndy'eli*f

/ inEGISTEOEO BUSINESS'NAME

S,g"ed _ >/L.REf RESENT ATI Vt

^£^g—1-<

Dale ._

GEOLOGICAL SURVEY COPY

Authority: Act 388 PA 1970Completion: RequiredPenalty: Conviction of * violation

o( any provition it *mitdemeanor.

Page 139: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELG»unly — ,

LTqwn ship. Name Fract on - . Section Number Town h

distance And Direction From Road Intersection

Sireel Address & City of Well Location

Locate with "X' in Section Below Sketch Map

1_ _ _ _ _ _ _ _ _ _

w . _ _ ___ .. _ _ _ _ _

I1

1- ————— , M.'c ——————— J

T\ M 1 .

__L

2 FORMATION DESCRIPTION

OsXN."-r

M:-,I. .RECEIVED-• "em. of public Hea..h

• -• *35

--•-CuDavir( r" rr* i *•

USE A 1HD SHEET If NEEDED

15 Remarks, elevation.

THICKNESSOF

STRATUM

^M

source of data, etc

DCfTH TO•OTTOW OF

Ci L

/"^(ixL & ,, &^Add^A ^ Y A-iiC.fSPO

<_iS x^CLKcA. -n °-- O;*.*Address Same As Well Location? C

a WELL DEPTH (complied) | Date

umber Range Cumber

1 *fS )^ ^/W

^o^V'JC^VJ \^VV^ ^

\Yes LJ Noo/ Completion ^

^) ^ "~ °(fc__^— i i — - ~^ " ^». r — iIIC_T1C»ble tool | _ | Rotary LJDnven | _ | Dug

1 1 Hollow rod f~l Auger r_J"J»ned 1 16^Sffc&O°mesi'c d Type 1 Public

[ I Irrigation Q Type Ha Public

fires! Well _ [U Type lib Pubhc7 CASING: "T*V;,..i ~F>»*,*.*.* HDiameter l—TSi"1 LPhraaded H

c\ D ptg/ D w*'a*d s

Grouted Drill Note Diamatar

m to It depth8 SCREEN

^Inr/^W^^^ f \ nnth

9 /<- , HSPI nitlwApn / (J s^' TT Ann

FITTINGS O K-Packer Q Lead Pa

L_«O--lank above screen ^-*_ ft9 STATIC WATEfi LEVEL^> o^fc^ V-/ ft hulnui l»nrt iuriac*

LJ Type 111 Publ-c

[_] Hoai pump

sight. Above /BefWF1^™^

rtace / ft.

D N*o'

D Noulnswl'ed

' *4V ' ^

; G»t^ ftcker CjS0'*"1— Check

nth*.

LJ Flow

10 PUMPING_^yEL belowland surface

C, A 1 \ r\._._^^J' fl after f hrs. pumping at * \J G.P.M

r TBBsernent otlset12 WELL GROUTED' r- , ,—, „

LJ No LJ Y«s

[~1 Neal cement (^1 Beniomte

No ol bags of cement _ . A0ditiv<

LJ Apoioved pit

Q n.f,.t

^13 Nearest sourcrstf pomb<« contamination \

^^NAWell disinfected upon completion? tj

14PUMP D Not.nst.lled C

*Yes D NO

J Pump Installaiion Only

Volts

TYPE O Submersible OPRESSURE TANK

.t

Mnrtol numhftf r»par.tv dalloni

16. WATER WELL CONTRACTOR'S CERTIFICATION/JThis wellwas Drilled under my jiAsdt-Wjon anfctpis report is Hue

Addres

SignedflSTEflED-W*SINESS^1»*IHt [ „ ' lift

T<TMv \> ' K_*t/ M.T<*' - • —— -~

*rtl*«AlON NO 1v^yN »a V.-V<>K-*V — ^6-3-^^

O670 2/84 %GEOLOGICAL SURVEY COPY

MMESENTAT1VE

Authority:Completion:

*et 388 PA 197BR*quir*dConviction of a violationof any provision ii amiidametnor.

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DIVISION OF WATERDEPARTMENT OF NATURAL RESOURCES, STATE OF INDIANA

STATE OFFICE BUILDINGINDIANAPOLIS, INDIANA 46209

MElroae 3-6757 _

WATER WELL RECORD

INFORMATION ON WELL LOCATION

County in which well was Hri l ler i :

Congressional township: T2- S"

Civil TmmiiMn-

Range:

W 4-

Number of section-

i ^J C?(Fill in as completely as possible)

Describe in your own words the well location with respect to nearby towns, roads, streets

or distinctive />yj.

Name of nun**!-: Address <r V2^>Name of Well Drilling SR1VER ILLING CO INC

Address

39733 MARKET STREETSOUTH BEND, INDIANA 46614

PHONE 288-5362

of Drilling Equipnent

Completed depth of

&Ttiv-**^

o

INFORMATION ON THE WELL

ft. Date well was completed:

Diameter of outside casing or drive pipe:

Diameter of inside casing or liner:————

Diameter of Screen:_____:_£.___Length:

Length:

Length:

/ / 7"* *' r

.Slot size

Type of Well: Drilled 13 Gravel Pack D Driven O Other__

Use of Well: For home £3, For industry Q For public supply D Stock Q

Driven DMethod of Drilling: Cable Tools D Rotary D Rev. Rotary D Jet

Static water level in completed well (Distance from ground to water level)

Bailer Test: Hours tested ____ Rate ____ g.p.m. Drawdown ____

Pumping Test: Hours tested _/. Rate_jCrL g.p.m. Drawdown ____ ft. level at end of test)

ft.

f "... (Difference betweenstatic level and water

Signature

Date __.

A

FOR WELL LOG SPACE USE REVERSE SIDE OF THIS SHEET

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WATER WELL AND PUMP REC1 LOCATION OF WELLCouifty __ Towuiship Ma me Fraction

"•stance And Direction From Road Intersection

Street Address & City ol Well LocationLocale with "X" m Section Below Sketch Map

1 t1

_ ^ _ _ _ _ _

1 '- - _ _| —— 4. - - !__-*

-i I— p-— 'p| ——————— , M,*Lt ——————— J

2 FORMATION DESCRIPTION

4 ) .. •*•") s\ i

r^-Jc, i W-A ,£&*oJLw&JL~^ \£*^A

E C" PI VN -<_ 0~-tA

doo-rs ^c^vsc^

•v

USE A INO SHEET t* NEEDED

15 Remarks, elevation, source of data, etc

THICKNESSOf

STRATUM

71

-7P/ftJO

Otf TH TOBOTTOM OFSTRATUM

7=2

j/y /\

i&&/ (p &\

^>/4svJv,

ORDUriW PERMIT NUMBER

Section Nunjber Town NuSk n3 OWNER OF WELL , .

tSo^-tw^ L>

(S^C/^G^^0-*}^Address Same As Well Location? 2S

4 WELL DEPTH (compleied) | Date o

5 Q Cable tool O Rotarv [

Q Hollow rod D Auger 1

6 usE3jjjomestlc Q Tvpe i Put,!,,;

1 i Irrigation 1 1 Type lla Public

PI Test Well Q TVPe lib Public7 CASING, ft

Diameter l£j L

mt>er Range Number

vjfS.Qn4x,. ^f\ l^T)•Yes Q No, Completion

Q£)nven

^6nougn

QU Type 111 Public

1 1 Heat pump

[ Steal P\Threaded , Height Above/BVB

J Plaslic. D Welded Surface J __ d

Grouted Drill Hole Diameter '

m. to It. depth |8 SCREEN

Slot/QBBi« ' M' Length

re Shoe LBJi

D

m-

»./ti

Ye>

No

"j Not Inslalled

/"

, £^^(I

^^ FITTINGS P%Jt-Paekcr [~1— Lead Packer Q Bremer Check

T^ Blank above screen *^ (t Olh»-9 STATIC WATER LEVEL

Tr It. below land surface n RO*10 PUMPING LEVEL, below land surface

X^--P f ft. after / hrs pumping al JO J G.P.M

COMPLETI

12 WELL GRO

[3 Neat c

No pf bagi

,.. lM>f itless adaptet

1 1 Bisemeni oftseiUTED? r-i r-iD No D Yes

ement [_J Bentomte \_

nl rumiinl Aflditiv«!

1 3 Nearest souice ol possible contamination

Type S-^A-wC / Distance &

Well disinfected upon completion' ^^

1 I 12' above orade

1 ] Approved pit

LX_*. Direction

.Yes [D No

it

^

Id PUMP j— ] No, lns,B||ed Q. Pump lnstallat.on Only

Model r>urn

Length ol L _ , . ^

her .. HP-y i

~~7 f" voii^/ ^. J

TYPE ^^Submersible Q J

PRESSURE TANK.Manulactu

,

p,r,,y

^3 C?7 GPM

GMInn

16 WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my |urisd<ct on and this report is true

Addreif ISTEAED BU<?£*></'%25L*

67d 2/84 " UUTHG

GFOI OGICAI QIIRVFYCOPY

?N|b7TMlsic -fit^-rL_^^^

$$&9ATIONlf

A:sS -o^VC^^DT

-jy-s^>-RIZ>* BEPBE5ENTAT1VE ^^»

Authority: Act 368 PA 1978Completion: R»qu»«dPenalty: Conviction of a violation

ol any p to vino n "1 Imil dimeanor.

Page 142: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCourfTx -*. Name Fraction

^e* i viSection Nu/nber Town NumberNu

7Range Nymber

"listancB Ana Direction From Road Intersection

Sneei Address & Cilv of WelrLocaiion

3 OWNER OF WELL

Address Same As Well Locatio n> _[S^Y*s LJLocale with "X" in Section Below

1 r

t ML

_L

FORMATION DESCRIPTION

Sketch Map 4 WELL DEPTH: (comolelBd) ! Date

5 il Cable loo)

w rod

|~] Rotary

1 1 Auge<

}nven

etted

1 1 D u g

6 USE QpCon'est.c Q Type 1 Publ c

Lj Irngaiion [~1 Type Ha Public

O Test Well Q fype "b Public

[3 Tyoe III Publ.C

II Heat pump

CD

Grouted Drill Hole Diameter.ft.

TWCKNESSor

STRATUM

DEPTH TOBOTTOM OF

STRATUM

depth

. ft. depth

Height Above/1

Surface r fi.

Weight _____ Ibs./lt.

'N Blank afaouii

Lead Packer LJ Bremer Check

fi nth*r

9 STATIC WATER LEVEL.

'l below land surface

rv*M en i_c

toD d Fl10 PUMPING LEVEL b«low land surface

* • ft. alter hrs pumping at

firs pumping at

G P.M

P"1-" adaP'e' 12- ab0ve grade[) Basemeni offset LJ Approved pit

12 WELL GROUTED'n N° CD Y«s From

LJ Neal cement Q Bentonite (_J Othet.

No. of baps of cement Additives _13 Neatest source of gosiible contamination

Distance tO\J^ Direction

Well disinfected upon completion? I^LYes LJ No

USE A 1MD SHEET IF NEEDED

14 PUMP. r~l M , ,I_j Not In

Manufacturer's name

Model number ———

Length of D'op Pipe

TYPE T^Subnr

PRESSURE TANKManufacturer s narne

( 1 *Moflel number ^V, j

ledn LJ. Pump Installation

V-PVQ,/—yiLuo ' vf "oljv^

Only

. f t capacity

ai VT^/rap«r,ty fi.llnn*

15 Remarks, elevation, source of data. etc. 16. WATER WELL CONTRACTOR'S CERTIFICATION:is well was drilled under my |urisdjct>on.^nd this report is truethe

O67d 2/84

GEOLOGICAL SURVEY COPY

Autharlty:Completion:P""ty:

Act 36B PA 1978R»quir»d

Page 143: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

WATER WELL RECORD MICHIGAN DEPARTMENT1• . -™

^

- ,

1 LOCATION OF WELL I PUBLIC HEALTHCounty Tovvnsh o Nante

Berrien BuchananFraction Sect ion Number Town Number

•W Vt SB w ME •/. 36 7 »/s.stance And Direction *rorn Road Interseciions

About 2 mile southeast of Buchanan onRynerson Rd. On edge of Golf Coarse onVorth side of tynerson,-. n _ ,

Street address & Cny of Well Location ffrT KynerSOn Rd. , BuCtUl^__Locate wiih x in section be ow \ Sketch

$ ! J tftt_i I $ J, ,Co*

i ' X 2r "****^ ' " •

1 ! 11»— ——— 1 MILE ——————— f4

2 FORMATION

*-rf n«

- led Clay 4 Gravel (hard)

Gravel

Red Clay

?"Clay & Fine Sand

Sand

Sand (Screened)

ADDED INFO. BY CfilLUS, i7£H NO.

iCORRECTEC BY.

••ADDITION 81ft : V-

Mao:

ff

THICKNESSOF

STRATUM

1

1

10

14

154

1

6

16 Remarks, elevation, source of data, etc.Source of data: Well, Robert Willard

" " M Pump: Larry Dun gey

DEPTH TOBOTTOM OF

STRATUM

1

8

18

32

186

187

193

Range Number

'f8 «vw.OWNER OF WELL: ^ ^ Ruisell Vastine

Address 43° He8t Chicago St.Buchanan, Michigan

nanWELL DEPTH: (completed) Date of Completion

193 ft. September 9. 1971^ LJ Cable tool |j Rotary Q Driven [j Dug

i 1 Hollow rod rXl lettatl 1 1 Bared 1 1

6 USE: [3§ Domestic [J Public Supply LJ Industry

1 1 Irrigation [ | Air Conditiomno [_J Commercial

[""JTesi Well | 1

7 CASING: Threaded^ WeldedQ Height: Above3OBJC»Diam. | f,

• Surface * ft.4 in. In 187 fi Hofith j Weioht 1

___ in. to ___ ft. Depth | Drive Sho«L _ ibs./ft.

Yes H No Q8 SCREEN: . """ "

TvDB, Red Brass Di..- 3 3/4"in c*^ini/'J|^r|f H L\J ( ength D

I P7 1 Q*lSat between *o/ ft. and **•» (t.Fit t ings:

Check Valve9 STATIC WATER LEVEL

Q? ft. below land surface0 PUMPING LEVEL below land surface

ft. after hrs. pumoino

Plunger^••t4d **- a'ter 1 hrs- nun^ning fil

1 WATER QUALITY in Parts Per Million:

iron (Fel Chlorides (CD

a. P.m.

0 —— g.p.m.

Hardness Other

12 WELL HEAD COMPLETION: Q |n Approved Pit

i tPiiless Adapter i I 12" Above Grade13 well Grouted? [3 Yes QNO

[) Neat Cement ( I Bentoniie [~ ]Depth: From ft. to ft.

14 Nearest Source of possible contaminationtt

feat Directionaknown TVD«

Well disinfected upon compietiorgd"] Yes FH No15puMP: D Not installed

ManufHrTiiriir-c Murrut Flint & Walling

Model Number 011912-101 HP 1% Volts 2?fi

I nnpth of Droo Pine iUPft- caoariitv 2P

Type: 6t1 SubmersibleI 1 jet 1 ] Rectprocatino

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of mv knowledge and belief.

B. J. ij»wi« & Smi« nnftRREG

Address

Signed V

STEREO BUSINESS NAME REGISTRATION NO.

- / ' i t*) IS~Wlfl/ IS

^*ri>K /JIX0**#rtW<> Date _?/ 13/71

D67d 100M |Rev. 12-SSl AUTHORIZED R E P R E S E N T A T I V E

GEOLOGICAL SURVEY COPY

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G6OLOGICAL SURVEY SAMPLE

AUG 29 WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

1 UOCATtONOFWELL | ^Jf PUBLIC HEALTH

County. , Tw/O

/ JSJA^S,^^' /$ {t^Asp^^st^* *

Frotfion ^ Section No. Town Range

i^A-A /v£y, 5^ -7 v/s. y^ -B^." 'tone* And1 Direction from Rood ntvnectiont I ———————————————————— i

n^^f ^ At&* -&~J*~ A/. IOWNERNC. —— |

|^ frd tf^Stf —— -fc^f f$&g$ "^ -'^/*—— -Sfreet oddreil & City of W.ll LocotiorT*X2 ^ _/* X>5 *^X

2 FORMATION

^ /——————— g^fad-^ —————————————————

/? /O / X7 ^fwf-td^- /c£rr <~'L3{.t-£*r/' / r- /? X7

_yf X /^ y^ V^o ^7^ v/

^//4.^/x /^w/^/ ^U ^e . /

THICKNESSOF

STRATUM

?'^ 'X

.-r//o/

/**f *"

/

16 R*morkm, •(•vatlon, tourc* of data, *tc.

A^tU INrl). BY UK.WJW a*» *

,--SRtCT£DfflCl t^

^ #

-rOOmON Btt C •!_ ' , J

L

DEPTH TOOTTOM OFSTRATUM

30WNEROFWELL :J^, _^^/^

y Ad*.» /i^t^ - /^<J^^ &J.A J / X>7 ' /— —— 4^^^/ftf^t.A^v, /y/^^^f —

4 WELL DEPTH: (compt.t.d) Ddt.-fef Compj.tion

^ '•• -7//*/'7'2-5 D Gobi, tool D Rolory Ljvtiv.n' D Dog

D Hollow rod |p<jitt.d Q Bor.d D __

6 USE: P^om.itic Q Public Supply Q Induttry

LJ Irrigation LJ Air Conditioning LJ Commarcial

n T...W.H n1 DiomNG: Thr.ad.d Itl ld.dQ iH.iffht: Abov./B.low

^2 ;" *» /Sl/C fl- D«ptti isurfac* ft.

'W.ioht _______ Ib./ft,

——— in. to ——— ft. Depth iDriv* Shoe? Y»*Qff*O

8.SCREEN; . . ^Trp-. /p^^/-x» n in_, /-^.

' -A^ ^-ii^/r._u,_ /^/^ i—',* •^S/jr'

S*t b.tw..n ^"/^ f. ond '/'O ft ^

Fitting,.^ - fl '

—————— /y Cj&*>i3&tt*. _____________9 STATIC WATER LEVEl /

T iS* f*« below land turfac*

.0 PUMPING LEVEL below land turfoc.

.1 WATER QUALITY in Porti Per Million:

i™ (F.) ri,l«iJ.. fri)

12 WELL HEAD COMPLETION: Q In Approved Pit

•{p^Pitleti Adapter D 12" Above Grade

13 GROUTING: ^Well Grout**? D Ye* D Nou««.rini; n N.=» r««.nt nDepth; p'~ ** to ___ t.

14 SANITARY:Nearest Saurc* of peiilble contamination

Well disinfected upon completion thrift \ _ I No

15 PUMP: .I

Mnn..(«r»vr.r'. fj«™. + f f^ ^<((-M-tf^

Und.1 N..mh.r XJ^ (f ? HP /

1 infltli ftf P-ftp Pip* £ e2. h rflp-'-i*y 0PM

K^Jet LJ Reciprocoting

17 WATER WELL CONTRACTOR'S CERTIFICATION:Thil well wa» drilled under my jurisdiction and thil report 1* trueta the be»t of my knowledge and belief. -Jj 'r^ M.?«<± /tt,/frt»*"fa / f /

>Jkadre*

»t«;i»r»*flS »uXmi:»i NAME vrtot*T*ATiow MO.

£/£?-?,) /ys-/^ /%ts4fai., — ~^?,^^ ^^ /°^/7t D... -9V^Az.

^&TMO*iyfo iAifiaf.H^A'ffvc' / "/ ' /

O67D tOOM 6-66

GEOLOGICAL SURVEY COPY

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GEOLOGICAL SURVEY NO.MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty Township Name

BERRIEN BUCHANANFraction S»ction Number Town Numbet

'/4 V4 '/4 36 7 if/S

Distance And Direction From Road Intersection

Straei Address 6 City of Well LocationLocate wilh "X' in Section Below Sketch Map

1 ———— 1 ———— T ———— \ ———— \\ 1 1

J. ' '1 '1 '

1 11 1

' "I T 11 1I Ia

TI"

2 FORMATION DESCRIPTION

SAND GRAVEL

GRAY CLAY

HARD GRAY CLAY

GRAY SAND (WET)

GRAY CLAY

SAND

SAND COAKSE

SAND COARSE

_-

( I f — L_.J

*"" ~

U*t A 1ND SHEET If NEEDED

1 5 Remarks, elevation.

THICKNESSOf

STRATUM

50

17

3

5

45

3

15

7

E! VclPubli1 n innI U IJl/

17. Rig Operator's Name:

R.E.G.

DEPTH TOBOTTOM OFSTRATUM

50

67

70

75

20

123

138

145

ED

Range Number

18 f/w3 OWNER OF WELL WAYNE ADKINS

16484 RYNEARSONAddress BUCHANAN, MI- 49107

Address Seme As Wall Location? cSJ Yes O No4 WELL DEPTH: ' Data Completed ' ] — I

145 1 T • T :"9l!™J FT. i ' , • L i : * J - , L2 i RepUcen5 Q Cable tool H Rotary Q Driven

1 1 Hollow rod Cl Auger |~1 Jetted

QOug

n6 USE. jjg 0omB$t(C Q Typfl | Pubhc Q Tvpe ,[i public

LJ Irrigation 1 1 Type lla PuOlic LJ Heat pump

Q Test Well [3 Type lib Public EH

Diameter LJ Steel li Threaded Height: Above/B»Ww-

H Plastic n Welded Surface 1 »'

Weight _ ___

Grouted Drill Hc4« Diameter _ .i« ,0 f, rf-nth Dnv« S"0-

in. to ft. depth ,

__ Ibs./ft.

D Y~~

O No

8 SCREEN: f~l u . . i. -1 _ 1 Not Installed

£lnt/r?9*fTn 1 2 1 .nglh

FITTINGS D K-Packer O Lead Packet Q

1 1 Blank above screen ft Dthnr9 STATIC WATER LEVEL:

ft 7 ft. below land surface10 PUMPING LEVEL: below land surface

ft.Iremer Check

D Row

_G.P.M.

_ G.P.M.

LJ Basement offset I 1 Approved pit12 WELL GROUTED? r-, .-,

LJ No LS Yes From

No. of bags of cement Add lives13 Nearest source of potjibte contamination

Tyn. SEPTIC «...».. 60 n.n.,.,,,on SWall disinfected upon completion? &J Va« LJ NoWas old well plugged? E V» LJ No

14 PUMP: r- j No, ,n>tal|ed Q Pump Installation OnlyF&W

PRESSURE TANKU*niifiirliir«r't nflmn W^-ffl, Y rPKOT.

Mortal n<imh*r WXJUZ CaodPity

G PM

fiallnns1 'VfcL^iJftR WELL CONTRACTOR'S CERTIFICATION:;-GV/ft& well was drilled under my jurisdiction and this report is true

to the best of/fny knowledge and behel.

GARD^N^R WELL ^RILI/lNG 1079

Add res

Signed

HE£IST/RED BUSINESS NA#E / REGISTRATION NOJBBCHMfANr^JlI. f\ 49107

(/^t f^L^^>^^ 7-1-91' AUTHOfUZfcO,

Authority:Completion:Penalty:

GEOLOGICAL SURVEY COPY

Act 368 PA 1976RequiredConviction of • violationof any provi*ion it •misdemeanor.

Page 146: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 1 nrATlDN OF WFI .1County Township NameBERRIEN BUCHANAN

Fraction

v«"Vstance And Direction from Hoad Intersection

Street Address 6 City oi Well LocationLocale with 'X* in Section Below Sketch M»p

1 *1 t

. _1 '1 11 I

w _ _ - | —— 4 - -_3__- *1 ' T1 ' ,---1--T ----- I"1-

! : i1 a

2 FORMATION DESCRIPTION

BROWN PT.AY ft aRAVFT.

BROWN nPAVKT,

ROCKS

SAND COARSE W.B.

fiRAY CT.AY

"ANT>

SAWT>

PT.AY K. SfOWP

H E CM!ch.D..-,t

USE A 1ND SMtfT ff MEEOCD 5,1 ,», r;

THICKNESSOf

STRATUM

. IS

——— 30

3

- 7

——— 45

——— 10

——— 10

——— 3Q

c 1 \/t— ! V

r-fPufci i

1 2 10015. Remarks, elevation, source of data. etc. • . . - * • ^

B'JRE.*' ?F E;?'|^ON?,:E?CuCJ.-v.i'iONAL ;-;EAL7i

17. Rig Operator's Name:

REE-G.

DEPTH TOBOTTOM OFSTRATUM

..._45 ,

—— 45-

AQ

—— &S_

— too-—— i-iO-

i *>n

— i e-

E DHTWSuUlli I

Section Number Town Number Range Number

'/« '/4 36 7 (4/S 18 I/W3 OWNER OF WELL RICRARD LUKE

16440 MOORELAND DR.Add.ess BDCHANAN, MICHIGAN

49«07Address Sam« As Well Location? S Yes D No

4 WELL DEPTH: ' Date Completed ' r~ii MO. i OAY i VIA« i 1 _ 1 New Well

1 2Qr. ! 11,' 1 1 | 9 1 J S Replacement WeH5 [D Cable tool ?T] Rotary Q Driven Q Dug

D Hollow rod n Aug*' Q Jetted dL C^Oomestic Q Type 1 Public Q Type III PuWiC

LJ Irngation [~1 Typ« lla Public Q HBBT pump

CU Test Well n Type lib Public D

Dwmaur Q Steel d Threaded Height: Above/fl4*SwHf«tic Q Welded ^^^ 1 ft

Grouted Drill Hole Diameter t— iin ,0 ft rf.nlh Dn« Shoe U Y«

in. 10 ft. depth *— ' N°a SCREEN: r-i .. ,

|_] Not InstalledP VC S "Tvoe r "- ni«nmt« J

17 ^ •Sint/r,,,,t. * *• i Kn^th -*

FITTINGS D K-p>cker Q Lead Packer Q Bremer Check

D Blank above »cr«en tt. (TRAVEL PACK9 STATIC WATER LEVEL:

fi5 ft. below land »urtace CH How

10 PUMPING LEVEL: below land surface

ft. altar 1 hr* ni.mp.ng m 4O r, p M

1 ' SpLin*ON: S PltlMS lda»t«f d 12' «°°tfe Orade

Q Basement offset d Approved pit12 WELL GROUTED? ,— , (-B.

| | NO \-2) V.* From to fl

( I Neat cement Jt"l Bentonita | | Dth*r

No. of begs of cement Additives13 Nearest source of possible contamination

T_ septic n,.,_. 50+ n. , nWeM dicinfected upon comptotion? tl VH LJ NoWas old wen plugged? H Yw d No

14 UMP: r— ] No, ,,,,1 Q Pump |rawn8,jon Only

Maniifaeturnr's namn Fo«W

TYPE ^~) Submats.hlf. d •'«'

PRESSURE TANK: mDnTManufacturnr s nam* HELL A TROL

wy?07MnH.I n.imh*. "A*.w«. r^n^ritv r,»llon*

16. WATER WELL CONTRACTOR'S CERTIFICATION:Thii well was drilled under my jurisdiction and th s report is true

... JQ.tb* bes" of my knowledge and belief.

•G-.yrNRARnTMFR WFT.T. TIRTT.T.TMG 1079

Addras

Sigried

iweffirat Nmr. 49 r »rRATi°N MOLJ ——— P- -H ——— L ——————————————

V/U\ fW pJC^^n-.11-11-91

'd 12^85 PRESENT ATIVE

GEOLOGICAL SURVEY COPY

Authority: *ci 368 PA 1978Completion: RequiredPenalty: Conviction ol • violation

of any provision it •mi«dam»nor

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3ERRIE-1 BUCHAHAN

i't'HIW* KaTE* «EL'_ fiND ffij«? RECORD

36 -SIRaroe

<- : ; 16-H

1672? HltfCk 3RIVF3'JCHANAfc

t r - jc t Ada.'ess ana Ci 'v of Hell iocs*:•:-,•,

J^r-E' ct «i: SAHPSCK

Acer ess 1333

Address Sate as toil Locat ion'-

49107-

Skater, fl ' 4 itei'. Death -Cowl at ! Date of Cotpie;:^ 07/13/-31

2 - ,. -/:' ,-:' ,,-.FORJMTIOK KSCRIPriQ*

S»^ t 6RAVELSREf CLAY

TINE SAND'JiATH SflHD CDRS

i

1 F: Mich

Thickness"of

Stratui015

30

E C EDept ol

JAN 3

Depth toBot'tM _ofStratui7S90105135

1

J I V E^Public

\ 1992

5 Drilling deihod «UD ROTARY

6 Proposed Use DOMESTIC

7 Using PLASTIC .,- . ,-::-! Beiflht x. Abovt ...-:.3'Vv Jn.-lo 130' ft. depth! --.-Surfacel > '"ft.

in. to ft. depth! ^Height Ibs./ft.Erouted Drill Hole Diaieter !8 in. to 25 ft. depth! Drive Shoe No

in. tc ft. dspUI :

S ScreenTvr,o Plf lSTTf D ;5BP-.3r 5- T y r r L flrf .*^ . / - 2 W t v , ; J

3!ot/Sau:e 16 Lencth 5Set fietveen 130 ft. and 135 ?t. !f i t t ings '

? Stitk tiater Level 26 Ft. 3elov Land St i r facs F-o i - '

15 cuiping L*- 's l 9s!:-v '.ar.j Su r face '^i. a^te* hrs. puipjrg at 3-P.1. 'ft. a f ter hrs. puaping at S.P.K. ;

11 Well Head Completion PITLESS ADAPTER

12 Hell Grouted Yts Fro* 0 to 25 ft.D BEKSEAL "" ' -Hafllttt of bags of ceunt 4 Additives

13 dearest Source of Possible ContaminationType 5EHA6E Distance 50 DireciiM E :

BUREAU OF ENVIRONMENTAL AW i tfisiniectetf upon coipletion.? Yis..„_—..___„.„„„.—-"---0rjCrjpA-nQI^KlWAtTH^WQSa= old wil plugged' No

15 Reiarits, ?!svaiior,, sour:e cf data , etc.Pwp Installed Pu»p Installation Only'Manufacturer's Naee FIH

:?:g Opera tor 's Nae? 6RES HCCARTY

;!6 MATER 'JELL CDtiT3ACTDR'S CERTinCATjQ; This wrll was dnlleti under *y jur;5iJi:t:on, ana :n:s! rscort is true to ths best of *y kr.C'ulsage a^d be!:?'.

BUSINESS NAHE HCCflRTY HELL DRILLIKfiTIQKJWfflER 1214370 US 12 . _ '

«&del Huibs' 4F19 HP 3/4 V o l t s 230Length of Drop Pipe 100 ft, Capztiiy 19Typ- SUBIOSIBI.E JstPrsssurs Tant Nase WELL ITROL?T3ssure Tani: Hode! 203

^ ftOOKiTY: Act 3b3 PA 1976 CCflPLETKJUt_t_'~/_L~_Y. -' PENALTY: ConvUtion o'" d /ioUi:0.i &f any p r j » i = ;cr. is

• 'Author ized Sepresentat i j?) i tsrieteanoT. l^POfTAHT: F i le with deed.

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Geological Survey No. MICHIGAN HATER HELL AND PUHP RECORD Pen it No.

Location of Hell !tounty !Township NameBE WI EN ! BUCHANAN

isUnce and Direction Frot Road Intersection

16171 NERSER COURTBUCHANANtreet Address and City of Hell Location

'fraction! 1/4 1/4

iSection Number JTown Number !Range Number1/4 : 36 ; 7-s N/S : is-y E/U3 Owner of Veil PAT KERRI6AN

Address 16176 HERSER COURTBUCHANAN HI 49107-

Address Saie as Well Location? Yes

Sketch Nap

FORMATION DESCRIPTION

COARSE SAW HIKED WITH GRAVEL6REY CLAYWATER SAND CORS

Thicknessof

Stratui030IS

Depth toBottoi ofStratui85US130

IS Remarks, elevation, source of data, etc.

Rig Operator's Name 6REG HCCARTY

16 MATER UELL CONTRACTOR'S CERTIFICATIONThis well was dr i l l ed under iy jurisdiction, and thisreport is true to the best of my knowledge and belief .

REGISTERED BUSINESS NAME NCCARTY UELL DRILLINGREGlSTRAUOmmBER 121ADDRESS/4970 U6 12SIGNED

4 Hell Depth (Completed)125 ft.

! Date of Coipletion 06/21/94! RipUcmnt Hill

5 D r i l l i n g Method HUD ROTARY

6 Proposed Use DOMESTIC

7 Using PLASTIC i Height Abovi5 in. to 120 ft. depth! Surface

in. to ft. depth! HeightGrouted D r i l l Hole Oiaieter I8 in. to 100 ft. depth! Drive Shoe No

in. to ft. depth!

ft.Ibs./ft.

8 ScreenType PLASTICSlot/Gauze 15Set Between 120Fittings

Diaieter 5Length 5

ft. and 125 ft.0.00 Blank ft. above screen

9 Static Water Level 75 Ft. Below Land Surface Flow

10 Puiping Level Below Land Surfaceft. a f te r hrs. pulping at 6.P.N.ft. after hrs. pumping at 6.P.M.

11 Uel l Head Completion PITLESS ADAPTER

12 Uell Grouted YH8ENSEALNo. of bags of ceient 3

Froi 0 to 120 ft.

Additives NONE

13 Nearest Source of Possible ContaminationType SEUAGE Distance 65 Direction NUel l disinfected upon completion? YesHas old wel l plugged? Yes

14 Puip Installed Puip Installation Only? NoManufacturer 's Naie GRUNDFOSnode! Number 1OS05-9 HP 1/2 Volts 230Length of Drop Pipe 100 ft. Capacity 10Type SUBHERSIBLE JetPressure Tank Naie UELL HATEPressure Tank Hodel HH-9 Capacity 9 gal ,

AUTHORITY: Act 368 PA 197B COMPLETION: Required.PENALTY; Conviction of a violation of any provision is

Representative) misdeieanor. 1HPORTANT: file with deed.

Page 149: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

..4 in • - * -Hi

Z eu m *-- r"

*o <-> i.i cj.•— a* --•- m i-^> - in

O CC: T)c-. .n?4

! 6

&L

o>

toCO

to

if*3

3 £ 2i/» ca a

i

o'

°rn<r ''I

Jot • in o m,•*•.•*• T»•* • irf **••i g =r• •».»(,BS- ' '; »«•• -O* O

iti .-*- Olo a> in -o ^— SEto rti TJ e=» 0

—- ±> tn=i m o--. nt c33

«^- in oO Ol T*

til -t tno ta -.

• -. EU --

e gM WJID -H

O ! '*"'•. i/i

m ' ; - ' ; « »••- O< ^* *^v

O. OL. re 0,0.

a>3 'I.•o oft-•a •-.

c: ti.<~) 103C --J

Page 150: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

Seological Survey No. MICHIGAN WATER WELL AND PUMP RECORD Peri i t Ho.

Location of Wellounty

1ERRIEN

and Direct ion froi Road Intersection 1/8 E

1610 HERSN CT8UCHANAN

treet Address and City of Hell Location

ITovnship Naie! BUCHANAN

IFriction! 1/4 1/4 1/4

ISectiDn Nusber! 36

!Town NuiberI 7-S N/S

!Range Nuiber: la-w E/W

3 Owner of Well CHARLES HUGHES

Address 1610 HERSQN CT. BUCHANAN HI 49107-

flddress Saie as Well Location? Yes

Sketch Hap 4 Wel l Depth (Coipleted)140 f t .

! Date of Cotpletion 03/23/92: Replacement Well

5 Drilling Kethod HUD ROTARY

6 Proposed Use DOMESTIC

FORMATION DESCRIPTION

COARSE SAND RUED WITH 8RAVELKEY CLAYFINE SANDHATER SAND CORS

Thicknessof

Stratui0502020

Depth toBottoi ofStratui50100120140

7 Casing PLASTIC ! Height Abovi5 in. to 133 ft. depth! Surface A - f t .

in. to ft. depth! Height Ibs./ft.Grouted Drill Hole Diaieter !8 in. to 23 ft. depth! Drive Shoe Ho

in. to ft. depth!

8 ScreenType PLASTIC Diaieter 5Slot /Gauze IS Length 5Set Between 13S ft. and 140 ft.Fittings

9 Stat ic Hater Level 60 Ft. Below Land Surface l o w

10 Pulping Level Below Land Surface90 ft. after I hrs. puiping at 45 6.P.M.

ft. after hrs. pulping at fi.P.rl.

11 Hell Head Completion PITLESS ADAPTER

12 Hell Grouted YesmmNo. of bags of ceient 4

Froi 0 to 25 ft.

Additives NONE

15 Reiarks, elevation, source of data, etc.-

Rig Operator's Naie 6RE6 HCCARTY

16 HATER HELL CONTRACTOR'S CERTIFICATION --•This veil was drilled under ly jurisdiction, and thisreport is true to the best of iy knowledge and bel ief .

-JSTERED BUSINESS NAHE HCCARTY WELL DRILLINGORATION NUMBER 121

12 .... d J- DATE

13 Nearest Source of Possible ContaiinationType SWAGE Distance 75 Direction UHell disinfected upon coipletion? YesHas old well plugged? No

.,....-......._.....,............_............._....-__14 Puip Installid Puip Installation Only? No

Manufacturer's Naie aRUNDFDSHodel Nuiber 166S05-5 HP 3/4 Vol ts 230Length of Drop Pipe 100 ft. Capacity 16Type SlIBHERSIBLE JetPressure Tank Naie HELL HROLPressure Tank Model 203

AUTHORITY: Act 368 PA 1979 COMPLETION: Required.___________ PENALTY: Convict ion of a violat ion of any prov is ion is(Authorized Represen ta t i ve^ lisdeieanor. IMPORTANT: File with deed.

Page 151: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELL ,County Township Name

Berrien BuchananDistance And Direction Frorn Road Intersect, on

Street Address & City of Well Location

Fraction Section Number 'Town Number Range Number

V* '/4 V. ?R 7 UI/S 1R £/W

Locate with 'X' in Section Below Sketch Mapi

J

-——— --Yi 1

1 ————————— , M1tc ————————— „

2 FORMATION DESCRIPTION

Clay

i-Grave»l S. Kanrt

Gray Play

Sand X. aravoi wi t-Vi clay

Sanrt K. rtrav^l crime, w B

Oray Clay

R^nH s, 17 ravel

i"''tL'v.'C.i v EO

• n • - - -. r

^--j^tlrnai / •'• -V-'

USC A 2ND SHIFT IT MCfDCD

TWCKNESSOF

STRATUM

2

—25 —

15. Remarks, elevation, source ol data. etc.

R.E.G.17. Rtg Operator's Name:

DEPTH TOBOTTOM OFSTRATUM

—40 ——

135

1524> *P* C*

3 OWNER OF WELL Art HinkleAod-ess 16495 Rynearson

Buchanan, Mi. 49107Address Same As Well Location' LA Yes 1 — I No

4 WELL DEPTH; ' Dale Completed ' pi .. ,., „1 MO 1 DAY 1 VtAK 1 trj NHW Well

1 AQ ?*• I C i O 1 Q O 1 LJ Replacement Well5 O Cable loo - 7] Rotary Q Driven Lj" DuO

1 1 Hollow rod 1 Auae< l~~l Jetted 1 16 USE I — !„ 1 — i, „ 1 — 1 - „. „ ,_.LJT Domestic | _ | Type 1 Public | _ ] Type lit Public

I _ 1 Irrigation j_J TVP« "• Public LI Heat pump

Q Test Well Q Type lib Public L~H

Diameier I _ 1 Steel [_J Threaded . Height. Above/B«iow[S P1*stic Q Welded j ^ r t (1

^ m. 10^4-9— 't. depth |

Grouted Drill Hole Diameter ' i— i.n ,„ ft H.r,h ! D^ Shoe LJ Yes

in. to fl. depth ! LJ No

8 SCREEN PI N 1

FITTINGS Lj K-P«Cker Q Lead Packer Q Btemer Check

1 1 Blank above screen ft Other9 STATIC WATER LEVEL.

85 r~i o"^ ft. below land surface ' 1 How10 PUMPING LEVEL: below land surface

14^ 't. after if hrs. pumping al J^^Q G.P.M.

rriMPii^nnN X Ptiless adapter LJ 12' above gradeil Basement offset LJ Approved pit

12 WELL GROUTED? r-, r-,l_J Nn JJ^J Y«! F,«n lo fl

| | N«»! rnmnnt jQ RonlnnilH [~] Hthoi

No. ol bags of cement Additives1 3 Neareti source of possible contamination

Welt disinfected upon completion? LJ \%* O No

Was old well plugged? Q Yes Q No

14 PUMP: Q Not installed Q Pump Installation Only

Manufacturer's name * ™"

* * ^ «**•* *J *J L/ x ~2

i Al W __ X

TYPE £~1 Submdfsihlti | | l»i

PRESSURE TANK „ . . ...ManutaMurar i name ™»«^ — *.

Mnriftl nnmh*r y^yyfl^ r«ri»i-"y P" fialloti

16- WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my junsd-cuon and this report >s trueto the best of my know edge and belief.

GARDINER WELL DRILLING 1079

Addres

Signed

REGISTEflEt) BUSINESS NAME REGISTRATION NO

= Bj3chanan Mi . .49107

V^V^ A^K.p-V^^^ nr, fi/^/RB /

GEOLOGICAL SURVEY COPY

Authority: Act 368 PA 1976Completion: ReguiradPenalty: Conviction of a violation

of any provition i* •misdemeanor.

Page 152: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

=Eou,=,c.L su^v.0 WATER WELL AND PU1 LOCATION OF WELLCounty— • Townstiip Nime , Fraction

V4

^stance And Direction From Road Intersect on

fi

Slieet Address 6 City of Well Location (

Locale with "X* m Section Below "K_/ Sketch Map

1 1 & \-1 ' I1 1 C s » /i i Yf1 ' *i \r ^ *^^

I ' I V { \ V \ i ^G-^*/37~,

1 I 7 v\| ————————— , M.LI ————————— - ^ \

2 FORMATION DESCRIPTION

/-

^y^/^ /^^te/^

S^Z&Z&fc^^ /%&£' (J^^-

*$&<£€' /^i&f&'t^Z^> *&4S&* (&<^J

pjrrrji-tachr-fept. of Publfc Hea

JAN 05 1933

Bureau of Environmental a"

US I A 1NO CHffT If NftOCD

\ \ ^

THICKNESSOF

STRATUM

&

^

• 2.

<3

:S

D

15. Remarks, elevation, source of data. etc.

^ ' T

MPTH TOBOTTOM OFSTRATUM

1

^^<OyQ

^^2,

sc&2

-

KJID DCI^rkDPkMP RECORD PERMIT NUMBER

Section Number Town Number Range Number

V4 'A -30 *X W/S /'o C?W3 OWNER OF WELL A.tf . /y S J

r~fa^* i — iAddress Seme As Well Location? L*T Yes 1 — 1 No

4 WELL DEPTH (completed) J Date of Complet on

* 1 1 Cable (ool LJ Rotary Fj Driven LJ Dug

[~1 Hollow rod HI Auoer HlrtTTed PIU H*Domestic Q Type t Public O TVP« 1" Public

1 1 Irrigation II Type lla Public Fl Heat pomp

O Test Well FJ Type lib Public Cl7 [iiamefer CfrSt"' D Threaded j He ght Above/Below

— D P^M'S, D Welded | Surijlrfl ^^^' in in /J^^ft depth 1

. WAinhl Ihc /IT

Grouted Drill Hole Diameter ' r*V**"~in in (t dspth 1 Dnve Sho* L-3^ Yes

in to ft depth , '—' No

^J«nP /T)*M "UJC-iX n.,mB1Br '

5»fwrrr!au7P O <--* i »noth '

FITTINGS 1 1 K-Packer j| Lead Packer Q*"Uremer Check

[ 1 Blank above sctften fi ntn*r

9 STATIC WATER LEVEL:

• •3* It h«ln«, Unrf *,,Ki|rft 1 1 Flow

10 PUMPING LEVEL: below land surfacey?£j / / c^~

1 1 WELL HEAD r*r"fi 1 — 1 17-

1 _ ) Basement offset f 1 Approved pit12 WELL GROUTED' r— , ,— ,

No. of bags of cemenl Additives13 Nearest source of possible contamination

Well disinfected upon completion? [jr'Tes \\ No

\A PUMP. J-j Not |ns,a|ted |~] pump Installation Only

M.«u(.r,u«r'S nape £^££&

M<Hl»l n-mh-r £< (2? *? HP / Vol.* « -3

TYPF f_~] Si.hm«r*ihl. B"*1^

PRESSURE TANK

16 WATER WELL CONTRACTOR'S CERTIFICATION'This well was dulled under my lurisdiction and thrs report is irue-.to ihe best of^nv knowledge end Dell*'xjx. ^~) * / ) / / '

Add^r

REGISTERED BUSINESS N4UE. -^EOISTRAj(6rf'NO

^^^^/^(^^ ^^-/^~£'')7d 2/84 //' *UT)"W<IZED REPRESENTATIVE /

/ * Authority: Ac! 36B PA 197BCompletion: Required

ncni naiTAI C| |D\/CV mPV Penalty: Conviction of a violation

/

Of any pfovition It t

Page 153: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER

Locate with "X." m Section Below Sketch Map

L _ .1 _ J - 'i ii i

FORMATION DESCRIPTION

J-

THICKNESSOF

STRATUM

DEPTH TO•OTTOM Of

STRATUM

4 WELL DEPTH (completed)

"Date of

Cable tool

1 1 Hollow rodQ^Otarv

CJ Auger

' [~~l Driven

LJ Jetted D6 USE -g Oomes(ic Q Type 1 Public

1 1 Irrigation Q Type Ha Public

I") Test Well l~l TVD« tlb Public

d Type til Public

PI Heat pump

I~~I7 Diameter D Steel Q Threaded ( Height Above/Below

, 0^^ D Welded Sufface

-1_ m to /& ft depthft depth____ in. to ____ ... _-,.

Grouted Dnll Hole Diameter____ in. lo ____ ft. depth

____ m to ____ ft depth

Weight

Drive Shoe G Y6S

B NO8 SCREEN

Diamete

l Not installed

Sei between

Length ^

It and / t)

FITTINGS D K-Packer

I_I Blank above screen _

Lead Packer ["1 Brerner Check

tt Otf>er ___________9 STATIC WATER LEVEL

// </ •— ' ti bnlow land surface Row

10 PUMPJNG LEVEL

LJ Basemen! offsei i I Approved pit

12 WELL GROUTED' [— iD N From

LJ Neat cement I I Bentonite LJ Other

No ol bags ot cement _ Additives

RECEIVED

\ 3 Nearest source ol possible contamination

Type _____________ Distance ______tL Direction

Well disinfected upon completion? [§. Yes LJ No

C T

14 PUMP Q Not|n5t?wd

Manufacturer's name

Model number

stallauon Only

Length o! Drop Pipe

TYPE H Submersible

PRESSURE TANKManufacturer's name

USE * 1NO 1HEE1 IF HEEDED Model numt r»n.nty / 2 Cj

15 Remarks, elevation, source ol data, etc 16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled undei my )u(isdictiOn and th s report rs trueto the best of my knowledge^and be>i«f

RE GISZEREQ. BUSINESS-* AMExx>cr *-^ •" *

Address X-^- " f^-

7d 2/84 AUTHORIZED REPflESENTATIVE

GEOLOGICAL SURVEY COPY

Autttority: Act 368 PA 197BCompletion; RequiredPenalty: Conviction of • violation

of any provmon ii *mi*dern»nor

Page 154: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD' LOCATION OF WELL

PART 1 27 ACT 368. P A 1978PERMIT NUMBER

O uUXVA^^a-- -

Fraction Sectujn Nupibe Town Number

2^Rangg Numb*'

S"eei Address & Civ o* Well Locat ion

3 OWNER

Address Same As Well Locanon' LJ NoLocate with 'X' <n Section Below

_1 1

' '

4 WELL DEPTH (completed)

173 ".' Date

5 [H Cable tool

fl Hollow rod[\6oiarv

( I Auaer

Q Dr.ven

f~~] jetted

Q Dug

fl6UJ 'E lomestic QTvoelPubhC

!~1 Irngaiion 1 1 Type lla Putslic

L~] Tes t Well Q] Type lib Public

Q Type 111 Public

[ 1 Heat pump

Dimeter Qsieei d Threaded . He.ght Above/Belo

FORMATION DESCRIPTIONTHICKNESS

OFSTRATUM

DEPTH TOBOTTOM Of

STRATUM

z.•P.. in \o ^£&>J[£It depth

____ m. to ____ fl. depthGrouted Drill Hole Diameter '____ in to _____ ft

I Surfs

Weight

. ft

. Ibs /ft

-. .D"« Shoe

,n tn ft depth

D Y«

D No

68 SCREEN

Tyoe

(— 1 .u , . ,, -1 _ | Not Installed

/>i

Sei Detween

Lengtfi _

It ana /~%3£

SITTINGS D ^-Packer 1 1 Lead Packer Q Bremer Check

| 1 Blank flhowp <rr«>i>n li Diner

/79 STATIC WATER LEVEL

it h lunrt PI R

10 PUMPING LEVEL below land surface

_______ ft alter ____ hrs pumping at

J/It alter hrs pumping at

G P M

G P M

-7 *«»' adaolef I 2' above grade1 1 Basement offset [j Aoprovefl oil

12 WELL GROUTED'Q No Qf Y*S From

LJ Neat cement Lfl Ben'onr|« LJ Other

No ol bags ol cemeni . Additives

RECEIVEDr.'.ith. n^nt. nf Public Healih

1 3 Nearest source o( possible contamination

Type _____________ Distance _______ Direction

Well dismfecied upon completion* \jf Yes il No

193814 PUMP r— ] Nol ,ns[al|grt

K r-^-u GI tnvi.' igih ol Drop Pipe /£0Ls It capacity

TYPE [^Submersible C] Je

PRESSURE TANK

USE * 1NO SHEET » NEEDED Mnrl*l n,rmh*r ^l / Cunarily Gallnn

15 Remarks, elevation, source of data etc 16 WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my jurisdiction and this reoori <s trueto the best of my knowledge and belief

/70$REGISTERED BUSINESS NAME /'

.„„ m~ X.REGISTRATION NO

S.gnediflev 10-80) AUTHOfllZEO REPRESENTATIVE

GEOLOGICAL SURVEY COPY

Page 155: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO.

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERM1T NUMBER

1 LOCATION OF WEL LCounty Township Name Fraction Section Number Town Number Range Number

V, V* ,/4 ^ ^ NXS") /^ E^v7* -ia«e And Direction From Road Intersection

•frzhiw^s T- a /-- /•_• y /* f- ;. ^ ,-// m),

Srreet Address & City o* Well LocationLocate witti "X" in Section Below

i <1

__ ^ —-— — ——.

1« ._ _| —— 4. _ _ ! _ _ _

11

-\ T ~

!••- —————————— 1 MILC ——————— ———— !•!•! ••

1 Ml.

i

Sketch Map

2 FORMATION DESCRIPTION

-SA/V J)

- ff LAy

^A/y £>

-~. .

RECEIVEDMich. Uepl. Oi num. "

OS( A INO SMIET If NEEDED, , - 1 Q Q Q

15 Remarks, elevation.

THICKNESSOf

STRATUM

/£'

?'

/*'

source of dJUM^ ; iJUU

Bureau of Envtronn.ttMial andOccuoational heaith-GWOS

DEPTH TOBOTTOM OFSTRATUM

/£'

^^ /

Y/"

3 OWNER OF WELL faf ^/ /) ^ i *& ^ / *S ££ £ 7~

A/?'/ss "^ fa /-t-'/v ^ /v y^i/'i fy?/0yAddress Same As Well Location' SB Yes LJ No

4 WELL DEPTH, (completed) \ Dale of Completion

^ " : 7-19- I9gf^ CD Cable lool O Ro'ary Q Driven LJ Dug

O Hollow rod Q Auger (2 Jetted Q6 USE Si Domestic Q Type 1 Public Q T¥pe II! Public

Q irrigation 1 I Type lla Pubhe Lj Heat pump

Q Test Well Q Type tlb Public O7 Dfamet'er 0 Steel (2 Threaded Height Above/BHTOW

[~1 Plastic PI Welded qu^jiro / fi^2- ,n. to /X-fl. depth W(H hi ^75Th5/tt

Grouted Drill Hole Diameter rT( <?/^. . .L Drive Shoe Lil Yes •

in. to ft. depth L-' No

8 SCREEN Q Not Installed

<l*wr.»u,. /<^ Lsnoth £tf"X3~¥"

FITTINGS I] K-Packer [_j Lead Packer LaJ Biemei Check

D Blank above screen '2 ft Other 2~/j, ^f tJ?/>'9 STATIC WATER LEVEL.

-*/ . ft below land surface 1 — 1 F'ow

10 PUMPING LEVEL: below land surface

LJ Ba semen i offset LJ Approved pit12 WELL GROUTED? ret . m ,

No of bags of cement Additives13 Nearest source of possible contamination

Well disinfected upon completion? 3j Yes ( _ ) No

14 PUMP r— j No, |rslanftd Q Pump Installation Only.

Mortal n,,mh»i HP -^~ Vnlts S/~£

PRESSURE TANK

2g 5 _ ?_2- r

16. WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my iurisdict>on and this ieoon is tfueto the best of my knowledge and bei-e'

£ ** C-M d H -i/y fa £ ' t- £, fl /?/ f. / '/f "/ &PI & £ P"C-

Aadres

Sioned

REGISTEflED BUSINESS NAME REGISTRATION NO

, /— •r--51Tx?tXi>/r'/' ' /-/^' -** ' $ I/ <? &/4 /y*4^' /T\ ',

^ f ^ *- srs* D... ^-^^-X^^J70 2/84 AUTHORIZED REPR*<£NTATIVE

GEOLOGICAL SURVEY COPY

Authority: Act 36B PA 19TBCompletion: R«quir«dp'n"tY: ' 0

Page 156: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORDPERMIT NUMBER

1 ' LOCATION OF WELLCounly Township Name Fraction Section Number Town Number Range Number

"^stance And Qi'ection From Road Intersection , , ' _. r~ -yj i . , ,., r /!// r

Street Address ft City of Well LocationLocate with "X" tn Section Below

i X1

11-_ _ ,_ _ . . _ _ _ _ .l1

U —— , „,!( ——— .

Tt Ml.

I

Sketch Map

2 FORMATION DESCRIPTION

-^4/y/} £LAy^dfftAVEL

^#/tA V£^

jro^r #z./;^ ei,AySAAIF>

^

USE *

v 15. Remarks, elevation1ND 1HEE1 If HEtDCO r- — -,,--., ,_

THICKNESSor

STRATUM

^•3f

J7/'

W

7'

source of data, eiq. ' ~~ " - ' • — - '-"'--1. L/-::);. oi • »?; ii: ri;-.:^

: '• . ; 2 ! ' " • • /

'- r^.-rl.-n.-.i HL-("' -GV«X ."

DtPTH TOBOTTOM OFSTRATUM ""•

j><r£?'1 13'

12-0'

3 -OWNER OF WELL fr /4 /? £)£ /V *&/?'/ £ f ^ a / j S - 3 .

Address Same As Well Location' lA Yes 1 _ 1 No4 WELL DEPTH (completed) \ Dale of Completion

1 Cable tool j 1 Rotary [_J Driven [_J Dug

_J Hollow rod LJ Auger [XJ Jetted 1 1

6 USE j— j Domest(C Q Type | public 0fTvP« Hi Public

i 1 irrigation i 1 Type lla Public LJ Heal pump

Q Test Well Q Type lib Public L~H

7 Dimeter CS Steel 3T Threaded Height Above/B-elW

\ Grouted Drill Hole Diameter I rtr G~/^in ,n f, rfBn,h t °"Ve SN>. tf Y.S

in. to ft depth , ' — ' ^°8 SCREEN: D No, ins.al.ed

StmTr,ai,,P 6& l.ngth -*~&"'X£0"

^1 h^tw.on ^/^~ ,, ,nd X.2.2 „

FITTINGS LJ ^-Packer [J Lead Packef I7B Bremer Check

D Blank above screen 7 q. 'h Other -^'^ £O^P *• Wj3 STATIC WATER LEVEL

/«-> f[ h*lnw lanrt suffar^ fl Row

10 PUMPING LEVEL, below land surface

\\ Basement offset [ ) Aooroved p't1 2 WELL GROUTED' r-a i— i

LJP No | _ J Yp!( Frnm In ft

| ) Neat cemani [ | HBntonit*> [ | Oth^t

No of bags ol cement Additives13 Nearest source of possible contamination

Well disinfected upon completion? QjJ Yes [~l No

14 PUMP r— j No, ,nsla,le[J Q Pump insiallatiori Only

TYPF j~~l SuhmersihU. [^ .!PI -S H 2 Q £ L

PRESSURE TANK . „_Manufacturer « nams W £ L> /.. X. / /f& &

Modal number Jt- V j£- r.ananti, fiallnns

16. WATER WELL CONTRACTOR'S CERTIFICATION-This well was drilled under my jurisdiction and this repon is true10 the best of my knowledge and belief.

Signed

REGISTERED BUSINESS NAME REGISTRATION NO

^S ' -^t/^l^ZS n... //- ^- / ?P<•7d 2/84 AUTHORIZED REPRESEH^TIVE

GEOLOGICAL SURVEY COPY

Authority: Act 308 PA 1978Completion: RequiredPenalty: Conviction of • violation

of any provnion ii Imi»d«me»nor

Page 157: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION Of WELLCounty

RFRRTEN

Township Name

BUCHANAN

Fraction Section Number 'Town Number Range Number

V. V« V- ^R 7 N/S 1ft E/W""'stance And Direction From Road InletsectiOn

S. W. corner of Niles , Buchanan Rd . andBrookside Dr.

Street Address & City of Well Location ( LEMKE STUDI O 1Locate with "X" in Section Bel

' i

I

U ———— I M.le ————— .-1

ov. Ske

rMl.

L " — 1i~^~~- —

ich Map:

-XV

4 a*.„. . Frf

2 FORMATION DESCRIPTION

SAND .&.-GRAVEL-

r—^ray clay S gravel

GRAY CL&X

SAND & GRAVEL

SAND W.B.

GRAY CLAY

•* ~ -

***** £) c^

USC A 2ND SMtFt IF NEEDED **f ^ /

THICKNESSor

STRATUM

30

15

6

9

3

15 Remarks, elevation. soiOce of data U&9, '& ir m^^ W # ^6/- &/\

**%/£*!* $9r> **4X»//| **T* ^f ' ^

17. Rig Operator's Name: ^ jtf*Stf '

DEPTH TOBOTTOM OF

STRATUM

105

120

126

135

138

3 OWNEBOFWELL Aroold LEMKE4882 Niles, Buchanan

Ada.ess BUCHANAN, MI.49107

Address Same As Well Location? ^J Yes LJ No4 WtLL LJtPTH: ' Date Completed ' 1 1 .,i MO i DAY i vt»n i 1 — 1 New* Welt

135 FT. i l l ! 24 i89 i£3 Replacement Well5 D Cable tool X3 Rotary Q Driven [D Dug

Q Hollow rod PI Auger [~~I Jetted 1 1

6 USE H Domestic Q Type 1 Public Q TYpe »' Public

LJ Itftgation LJ Type Ha Public i 1 Heat pump

O Test Well L"!] Tvoe lib Public f~l7 Bfameler D Sleel D Thrsaded Height Above/Bqipw

E Plastic D Welded Surface 1___ h

Wwght Ihit /ft

Grouted Drill Hole Diameter . 1 — ii Drtvfl Snoe 1 _ 1 TBI

in. to ft. deplh , L- ' ^°8 SCREEN i— 1 u . . . ii ^1 _ ] Not Installed

Slm/Gaux. 1 7 length 5 '

FITTINGS LJ K-Packer LJ Lead Packer LJ Bremer Check

Q Blank above screen It. OtheiflP A VFT PS01

9 STATIC WATER LEVEL.

'IS .ft below land >uriace I— i Bow10 PUMPING LEVEL: below land surface

' 1 SjMPLn^N: g P"'eSS 8daDle' R 12' 86°Ve gfade

Li Basement offset | _ j Approved pit12 WELL GROUTED' r— i in

Nn nt hAA* nf r*«mHn1 ArtHiliUft^

13 Nearest source of possible contamination

T«p* CITY S£.WER<tnnr-j> *L Direction

Well disinfected upon completion? KJ Yes I — I No

Wat old well plugged? JfJ Yes U No

14 PUMP r—j N(jl lnsta|,ed Q pump Installation Only

MnrtBl n.,mh«r HP \ Vnlt-i 230

PRESSURE TANK.

16. WATER WELL CONTRACTOR'S CERTIFICATION'This well was drilled under my jurisdiction and this report is trueto the besi ol my knowledge ar>rj belief

AOdres

Signed7d 12/85

V AUTFWRZI

rtty:Completion:Penalty:

GEOLOGICAL SURVEY COPYConviction of • violationof any pioviiion i* •mn demeanor.

Page 158: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NOMICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounty

BERRIENTownship Name

BUCHANANFraction Section Number 'Town Number Range Number

'/« 'A V4 ^ifi 7 rf/S IB B/WDistance And Direction From Road Inierseclion

Street Address 6 City of Welt Location

Locate With "X* m Section Below Sketch Mao

1 1 1J 1 '_ ( _ _ _ _(_

1 1 '

1 1 1

---!--!--!--- 11 1 1i, ———— , M*L r. ————— J

rMl .

L2 FORMATION DESCRIPTION

YELLOW CLAY

BROWN SAND & GRAVEL

GRAY CLAY

GRAY SAND & CLAY

SAND FINE

SAND

GRAY CLAY

SAND W.B.

Ui£E C-•-ept.

JflNU« A 2ND SHIFT If HEEDCD n.

THICKNESSor

STRATUM

6

40

40

39

5

3

40

14

£/ \/^Pub//

8 199115. Remarks, elevation, source of data. etcH^U QF Pftji/mn.

°CCUPA Tini/- . ' W™ME HTvr*itQNAi HFAlTu r"c*LIH-i

1 7. Rig Operator's Name:

R.E.G.

DEfTH TOBOTTOM OFSTRATUM

6

46

86

125

130

133

173

187

3 OWNER OF WELL PAUL MONTGOMERY16517 RYNEARSON RD .

Add.ess BUCHANAN, MI.

Address Same As Well Location? H Yes LJ No4 WELL DEPTH: ' Date Completed ' |— 1

> MO. 1 DAY 1 YEAH ' 1 __ ! N«W Well

187 FT. ; 7 ;17 ;90 j g Rtptoctmim Wfln5 C Cable tool 0 Rotary Q] Driven Q Dug

Q Hollow rod Q Auger O Jetted ED

S Domestic Q TVP« 1 Public O Type III PublicLJ Irrigation Q Type He Public I 1 Heat pump

n T esl Well Q Type lib Public O

Diameter 1 _ 1 Steel LJ Threaded Height At>ove/6B*^

E S^g") DW«I«W .lrf,P. 1 „in lo ft ii*nth

W.,0hl Ihi! /fj

Grouted Drill Hole Diameter i — ii« M f, rf.r,h Dfiv. Sho. LJ Yes

in. to ft. depth >— ' No

8 SCREEN: r-i ., .| _ | Not InstalledPVC 5"

Inl/rMHi 12 , 5'•j p o 1 R 7

FITTINGS, n K-Pacfcer £j Lead Packer Q Bfsm*' CheckC Blank above screen ft QtheP^AVEL PACF

9 STATIC WATER LEVEL:

98 ft lulnu. J.nH rfft^ ["I FlOW

1 0 PUMPING LEVEL: below land surface

rflMPi FTiON Pilless adapter [TJ 12" above gradeLJ Basement offset [~~1 Approved pn

12 WELL GROUTED? r-. ,-,

j 1 Neat cement P-| RanmnXM ] | nihur -••

No o' bags of cement Additives13 Nearest source of possible contamination

Typ» n,«t,nc« «• Di ruction

W«lt dwkrfectad upon completion? LJ VM D NoWai old well plugged? 0 Ye* D No

14 PUMP. r— j No( Injl8|,ed r— ] pump ins^iiBt^n Only

Manufacturar's name f OcW

TYPE |T) Submersihli! Q .l«t

PRESSURE TANK munTManufact.jrer3Q.eme WELL X TRUL

u rf, h WX 250Unetfl numrmr ruruirity nallnnl

16 WATER WELL CONTRACTOR'S CERTIFICATION:i Ailhj1 w*" was drilled under my |orijd.ction and this report is trueL ^'Wthe best of my knowledge and belief

08 GARDINER WELL DRILLING 1079

Addros

RIJUSTERED BUSINESS NAME REGISTRATION NO

PpUCHANAN, MP^^GAN 49107

K xA-'C^W^ JS^^ 7-17-90\ \j AtlfHOHi5Et3 MPfrsStNTATWE " ~~ --is.

GEOLOGICAL SURVEY COPY

Authority: Act 388 PA t9T8Completion: RequiredPenalty: Conviction of a violation

of any provi>ion i* amitdemeanor.

Page 159: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

FR U* 1Q90^» ^f __j^i^« I w v W"t! ^/rmmn

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTH

1OOM IRev. 1 2-681* U T M O R ! I E D I f E P R E S E N T A T I V E

GEOLOGICAL SURVEY COPY

Page 160: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

1 LOCATION OF WEL l_CountyBERRIEN

——— , MICHIGAN C

WATER VJEPARTMENT OF

VELL AND PU

Townsfiio NameBUCHANAN

PUBLIC HEALTH — — . ( — . — . . — . — . — . — .

MP RECORD — — .r^rn^ ,^« ——PERMIT NUMBER

Fraction Section Number Town Numbet flange Number

SB ,/4 SW Vi SW ,A 36 6 rVs 1 3 E/wDistance And D'reciton From Road intersection

GOING NORTH ON RED BUD TRAIL TURN ONCHAMBERLAIN (RIGHT) ROAD GO 1 /2 MILETO THE HOUSE ON THE LEFTStreet Address & City of WeU Location __^Locate with "X" m Section Below

I« - - -I -L

I

——— |X-\-r ————— 1 MILE —————— »

E

I-

I Sketch Map

^ j-^f^

2 FORMATION DESCRIPTION

BROWN CLAY

COURSE GRAVEL &

MEDIUM BROWN

SAND

SAND

GREY CLAY

COURSE BROWN SAND

USE A

15 Remarks, elevation

M:,?^CE

1W SHEET " NEEDED f ' M P

source

JT»*

THICKNESSOF

STRATUM

10

95

55

45

10

! UE

,- • » . _ • - • i j j jof data, etc

OCCUPATIONAL S^H^

17 Hig Operator's Name;

WILLIAM C, SCHOENFEUDJ7d 2/89

1a

a

DEPTH TOBOTTOM Of

STRATUM

10

105

160

205

215

3

3 OWNER OF WELL

JOE XANDBRSAddress 4403 CHAMBERLAIN ROAD

BUCHANAN MI 49107Address Same As Well Location' U> Yes LH No

4 WELL DEPTH: ' Date Completed ' Fl .,i MO i o*v i vt** i &J New Wed

* ' ^ F T . ]° I ^ l i ^ ^ j L J Rep)acom*ni Well5 D CaDle loot C3CRotafV CJ Driven 1 1 Dug

I | Hollow rod ( I Auger 1 1 Jeued 1 1

[XDofTlestic Q Type I Pobhc Q TVPC I" Public

1 1 Irrigation Q Type lla Public Q Heat pump

CJ Tesi Well O Type lib Public Q

Diameter CJ Steel Q Threaded He.gnt Above/Below

® Plastic [3 Welded i <.,„«,„„ 1 „_ _ in to _ ft. depth I

J ,n 10 * ' uft rl^nth 'Grouted Dftll Hole 0>*m«t«r ' i — i

i, rt.n.K 1 -°"ve Sho« LJ Yes7 _7/B.n to 215" depth ! t3 No

-> D NO' Installed

Tvoe PLASTIC n.ameter ^

RIOI/Gauze • O l O i Hnnth 5

FITTINGS d K-Packe- O Lead Packer Q Bremer Ctieck

PI Blank above screen ft Othsr ATTAPHKH9 STATIC WATER LEVEL

96 _ f~) flow

10 PUMPING LEVEL, below land surface

AIR DEVELOPED

LJ Basement offset 1 1 Approved pit12 WELL GROUTED' r— , ™i -5 c n

[_J No |A| Yes Frdm Z 3 10 U __ It

No of bags of cement ' Additives13 Nearest source of possible contamination

SEPTIC r, 50+ fl r,Tyn* «*ia^A*»- n,*t»nr-» Jwr it mr.ction

Wdl disinfected upon completion? Li Ye* i _ 1 NoWas old well plugged? D Yes U No

\A Not Installed LJ Pump Installation Only

1 1 /*>Model numher HP ' ' / *Vnlt«

PRESSURE TANK WELL X TROL

•\ cfj A AModel number AO\J Caoaniy *^ fialions

16. WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is true

n .j-tp the best of my knowledge and belief

,03 J-W. BOWLES WELL DRILLING 14-1699

Addrcs

REGISTERED BUSINESS NAME REGISTRATION NO

cJLp.s&K3&6 EDWAJRDSBURG MI 49112

d*^L/~2* , ^&-——m 6/28/93l-**~5&^ AUlHo«1ZEt-ffiP*ESENTATIVE

.^ Authority: *=< 3«8 PA 197B

" Completion: R«Quir*dPenalty: Conviction of a vio ation

GEOLOGICAL SURVEY COPY 7™'.°.?" " '

Page 161: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

5 ! RECEIVEDM1«.''£PT. OF PUBLIC HEALTH

JAN-3 91*Rl Ml OF ENVIRONMENTAL0 OCCUPATIONAL HEALTH

lisiill!S el a

w!*•

i•»iSM

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Page 162: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

*** B ?5» S en3 ^r*i 17?

83

• r> a* i—. b -i iw 3 •* i

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[ "" "" RECEIVEDKICH.DEPT. OF PUBLIC HEALTH

JRN-3 9^nnnEAU OF tNVlRONMENTALAND OCCUPATION HEALTH

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Page 163: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAXN0. MICHIGAN DbHWATPRWF

1 . LOCATION OF WELL

AHIMbNI UhPUBLICHhALIH PERMIT NOLL AND PUMP RECORD

County . Township Name Fraction Section No. Town No. Range No.1/4 1/4 W4 t ?/* ^- 5" / Jf " K^)

distance and Direction from Road Intersecoon

Street Address & City of Well LocationLocate with V in Section Below Sketch Map

1 " 1_ 4. _ _ 4_ _

1 ii — r i — - — i

2. FORMATION DESCRIPTION

"" xSo / ^ X> fpfss.

— 5^~^/ ^"

W,W.*nE ° E ' V

'"'"r

JAN 0 6 19BUPEA!' p.? =•.,.:-,.,..

OCCUPATIONAL HcAL

USE A 2ND SHEET IF NEEDED

IS. ABANDONED WELL PLUGGED? D Yes O NoCasino Diameter in. DeoBi ft.

THICKNESSor

STRATUM

^

<!rA

£ D••"• H?gl

37

•rt^Was

OCPTHTO

STRATUM

-«-

^CJ>

H

.1

PLUGGING MATERIAL: D Neat Cement D Bentonite SlurryLJ CemenVBentonte Slurry LJ Concrete Grout LJ Ben lonite ChipsNo.ofBaos Casing Removed? D Yes O No

1 6 REMARKS (Elevation, Source of Data, etc.)

1 7 DRILLING MACHINE OPERATOR:

Li Employee LJ SubcontractorName

3, OWNEROFWELL

Address Same as Well Location LtLves D No

4. WELL DEPTH. Date Completed Ljl-*4ew WellC^c^- ft- <£— • ' /7/ £?/, LJ Replacement Well

5 . D Cable Tool Qfloiary Q Driven Q Dug[~1 Hollow Rod ("1 Auger/Bored D Jened D

6 USE: Ljl*t6ljsehold O Type 1 Public D Type III PublicD Irrigation CD Type lla Public LJ Heat PumpD Test Well D Tvoe lib Public D

7. CASING: D Steel dThreaded Height: AjJovgflelowLtJ laTtic Dwetded Surlace: / ftDoiher

Diameter: *Z" in. \o^& ft. deptfi Weight: bsyft.in. 10 ft. depTh

BORE HOLE: G Drive ShoeDiameter: <? in. to &&~ft. depth LJ Shate Packer

in. to ft. depth

8. SCREEN: D Not Installed Ljifiravei- PackedTvoe -?/n^ /, ^ Diameter &~~Slot/Gauze s'S" Lenqth: <~ ""Hftiw™" Yc1 ft-an^ srs"^ ft.

FITTINGS: D K- Packer" D Bremef Checki tfllank Above Screen fl. Other

9. STATIC WATER LEVEL:^23 <t. Below Land Surface Lj Flowing

10. PUMPING LEVEL: Below Land Surfaceft. After hrs. Pumping at G.P.M.

d Plunger D Baiter Lvl/ClT D Test Pump

1 1 . WELL HEADCOMPLET1ON:[ZL rt!ess A( io:sr D 12" Above GradeD Basement Offset LJ Well House

12. WELL GROUTED? DNO Oes From n to f*>O ft.LJ Neat Cement LjiJJWntoniie LJ OtherNo. of Baps 6y Additives

1 3 . NEAREST SOURCE Of POSSIBLE CONTAMINATION:Tyoe f/z Distance ft. DirectionType / Distance ft. Direction

1 4 . PUMP: LJ Not Installed LJ Pump Installabon OnlyManufacturer's Name c^^-f*T H l^-c^ModelNumber yCfit/-,*- - <? 'HP /A_ Volts 2-3OLenoth of Drop Pipe "7 f) It Capacity <=? G.P.M.TYPE: Hl*ubmersible Djet D Other

PRESSURE TANK:Manufacturer's Name ^ ./•/.£ /} \f>T~£Model Numbef /^J/yJ- £5 Capacity ^ Gallons

15. WATER WELL CONTRACTOR'S CERTIFICATIONThis weD was drilled under my jurisdiction and this report is true to the best ol myknowledge and belief

Address

Soned{

IED AlSIHESS |*Uf " A REGISTRATION HO

/ ' y ' " « /a" A. " ' 'Js/i ^ ^-Jfr, /^ ^ Date T--/ 7- (^

"" —— 7/ *QT><oaifto 6f(4lEsfWT*TTvE /

GEOLOGICAt SURVEY COPY

Page 164: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

TAX NO:

LOCATION OF WELL

Coun

MICHIGAN DEPARTMENT OF PUBLIC HEALTHWATER WELL AND PUMP RECORDship Nwne Fraction

Mtance and Direction Irom Road Intersection

Street AddfC_ss_A City ol We|l_Location

E R M N O

Secton No. Town No. flange No.

3. OWNER OF WELLAddress

, —— ,Address Same as Well Location No

Locate with '*' in Section Below S ketch Map 4 . WELL DEPTH-. Date Completed

' * '

D New WellQ*fl«ptac«ment Well

5 . D Cable TootD Hollow Rod

Q-flStary D Driven LJ DugD Auger/Bofed D Jened D

'1

USE: Sflousehold D Type I Public O Type HI PublicCD Irrigation O Type lla Public D Heat PumpCD Test Well CD Tyoe lib Public CD

2. FORMATION DESCRIPTION

//

* £ C £ ! V F Dr*~- ^ *• j,-j - — — — -^ ^P,T TT P-*' in ' i/-* <— f

JAN 0 6 1997iL'iEAu OF ••:vino:<:.;:;.^r.L A;.DOCCUPATIONAL HEALTH-GVVQS

USE A 2ND SHEET IF NEEDED

1S. ABANDONED WELL PLUGGED? D Yes ffi Ne

7. CASING: Dsigel D ThreadedSplastic D WeldedDoiher_

Diameter:

ft. depthft- deoth

Height>Surface:.

Weight:. Ibs-rtL

D Drive ShoeD Shale Packer

8. SCREEN: D Not InstalledTypeSlot/GauM /5"

(Wc*ravel-Packed__ Diameter_~___ Length:__£

Set Between __FITTINGS: CDx-PackerCD Blank Above Screen ___

^? "75" ft. and &&(H Bremer Check

ft. Other

9. STATIC WATER LEVEL:3i? ft. Below Land Surface CD Ftowina

10. PUMPING LEVEL: Below Land Surfaceft. After hrs.Pumpinflai G.P.M.

D Pllunger D Bailer CD Test Pump

1 1 . WELL HEAD COMPLETION:

CD*f*T5ess AdapterCD Basement Offset

CD 12" Above GradeD Well House

12. WELL GROUTED? DNO C&<eT ftom^Z> to _*Z& ftQ Neat Cement K^enKxiite CD Olher.No. of Sags ^ Additives

13. NEAREST SOURCE Of POSSIBLE CONTAMINATION:Type ^>ff)rf<L Distance j£& ft. Direction,Type__________ Distance ______ft. Direction,

NoCasing Diameter ______i

PLUGGING MATERIAL:LJ Cement/Ben ton iie Slurry

No. of Bags__________

DepthLJ Neat Cement LJ Bentonne Slurn/LJ Concrete Grout CD Bentonne ChipsCasing Removed? CD Yes CD No

14 PUMP: D Not InstalledManufacturer's Name.Modei Number

LJ Pump Installation Onry

•jb.f<<" G / tr HP //?

16. REMARKS: (Elevation. Source ol Data, etc.)

Length of Drop Pipe ~?^~ fl- Capacity.TYPE: E-Submerstble Qjei D OtherPRESSURE TANK:

Manufacturer's Name Lf_)t_J@£-/ft*/+_____

Model Number fcj/ti - ^_____ Capaoty_

G.P.M.

Gallons

i 7 DRILUNG MACHINE OPERATORIwtmptoyjie 1 _ 1 Subconfacior

1 5 . WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and tfiis report is true to tne best o! myknowledge and behel

REGISTERED BUSINESS MAME

Address"I BEWSTRATIOM MO

Jft*tlTJJ*il

GEOLOGICAL SURVEY COPY

Date

Page 165: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELl AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELCounty

Lownship Name Fraction Section Number Town Number Range Number

Distance And Direction From Road Intetsection 1 , \ t/ AJ • / i_

Street Address 8 City of WeM Locat ion

Locate with "X" m Section Belowi

H xTl| ——. , T-

1 Of

\ ————— , M.'LB —— ——— J

Sketch Map

*-Wl•

jT. \A/l-_

/ y \fc ** j^ ^*i *^t v -t^/^ / -1*

$gr -*"'•'<-*t-x /a

2 FORMATION DESCRIPTION

r *y' • j "i i *« *~ j '*H iS ^/

. / ~«*l

— -

. *. * -T

USE A 2ND SHEET *

1 5 Remarks, elevation.

t*s*i e -^ -^C *^ * c. -

source oNEEDED

THICKNESSOf

STRATUM

WV

/3^V.

• .-.--,

data. etc.

*/-, ^ t^^ ^^17. Rig Operator's Name:

•*c

OtrTH TOBOTTOM OF

STRATUM

JJf

J7S&

3 OWNER OF WELL — •, A-

Address LJ^JS"*} C- *t *" ""I PC'' /«\ / *1 *T * ^

Address Same As Well Location? JS Yes 1 — I No

4 WELL DEPTH ' Dale Completed ' TOf., ... „1 MO 1 DAY ' 'EA*I 1 |OJ NOW Well

/ foO FT. | // i il/ 1 yfc | 1 _ 1 Replacement Well

LJ Cable tool R Rotary i 1 Driven 1 1 Dug

i | Hollow rod L~I Auger f~] Jetted 1 1

6 USE Jg*DofIles,,c Q Tvne i pubi,c Q Type III Public

LJ Irrigation LJ Type Ha Public CJ Heat Dump

I 1 Test Well 1 1 Type lib Public [ 1

7 Dimeter D Steel Q Threaded \ Height Above/Below -

^3 in to /•*•$ ft depth 1

iGrouted Dfill Hole Diamatar ' i — iJf. 3"C . 1 Co , j .. I .Drive Shoe _ Yesqf/->irv to '.3". ft. depth '

m 10 ft depth , '— ' No

8SCREEN D No, instated

/ L~ C" r~J-

FITTINGS LJ K-Packer [_J Lead Packer (J Biemer Ctieck

1 1 Blank afiowp «rr«»n ft Dthnr

9 STATIC WATER LEVEL

0 £* \ — 1 ei^ ° 11 below land surface 1 — 1 MO»V

10 PUMPING LEV6J. below land surface tf*//- O*v<L.fef*.0

rn »D CT -n li Pitless adapter H 12* above grade1 I Basement oflsel LJ Approved pit

12 WELL GROUTED' r— i ra Q Jf 'Q

No of bags of cement Additives13 Nearest source of possible coniammation

Typ» •b'^^ft C_ Dictanc* V J '' niroriinn tf^jf

Well disinfected upon completion? 1*3 Yes 1 — 1 No

Was old well plugged? fjo O /J *S±%1tt LJ No14 PI 1 M P 1 — 1 1 — 1

LJ Not Installed * LJ Pvmp Installation Onl .

* »_ _ J __i WA^, *«J^ \^ ^*»* "1 *"rff ^ tH^StHI 9^/1 * fir rLm ^tfc. jrf

M*r1.1m.mt«,«r •«.//%'-/ /-*-^HP 3/y Vftll, ^,i«--j

PRESSURE TANK , y / , _^ /Man fart rcr1* nam* 'O'* //A / »-O '

Mnrtnl numhflr •*. *^ ^— fapac.nv *"* Rallnns

16. WATER WELL CONTRACTOR'S CERTIFICATIONThis well was dulled under my jurisdiclion and This repori is truelo the best ol my knowledge and belief

"T™ / ' 'r fl / » / / / / C f ^1 — 3 afc" •?

Addres

Signed

RtGISTERED BUSINESS NAME * HSGISTRATIQN NO .

IQIDOH+.rrtiOfftJ. &st.«ok TfJ^LStf

Qo^jJjJ^J, nl / - r -97d 2/B9 AUTHORIZED nEPHESEWTATlVE

GEOLOGICAL SURVEY COPY

AUThorlty: Act 36B PA 19T8Completion: fl»quif«dPenalty: Conviction of • violation

of any provision 11 imitd«m«inor

Page 166: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

3GEOLOGICAL SURVEY SAMPLE No.

MAY l 3 1976

LOCATION OMfVELL JF7^rcoui:WATER WELL RECORC/

ACT 294 PA t9e

5C-MICHIGAN DEPARTMENT

OFPUBLIC HEALTH

'eclion from Road Intersections

1- J

OWNER OF WELL:

Address

WELL DEPTH: (completed) Dale orCompletion

- 7Cable tool \_J Rotary

Hollow rod M jet led

Driven [ \

Bored i~"l.

USE: HtfDomestic [~1 Public Supply [ I industry

LJ Irrigation [71 An Conditioning [_J Commercial

PlTestWell [~~I

CASING: Th,eadedf>T Welded DDiam. *\

FORMATIONTHICKNESS

OFSTRATUM

DEPTH TOBOTTOM OF

STRATUM

in. to

in. to

- Depth

ft. Depih

Height: Above/Below

Surface ________ft.

Weight _____Ibs./ft.

Drive Shoe? Yes RjTNQ [~1

7

8 SCREEN:

Type: yV?/ •DjjQ €£* f Dia.: _

Slot/Gauze ^f* ^_______ Length _

Set between 7 J3 ft. and ____^r /^ ft.—'/"&\ ——"' WFittings:

9 STATIC WATER LEVEL

, ^? & ft. below land surface0 PUMPING LEVEL below land surface

ij ^[ ft, after__hrs. pumping7 *>ft. aftei__hrs. oumging

1 WATER QUALITY in Pans Per Million:

l.ron (Pel Chlorides ICII

Hardness .Other2 WELL HEAD COMPLETION: Q |n Approved pj,

Pitless Adapter [~j 12" Above Grade

rfutBd? [3 Yes Q No

M Neat Cement Q Bemonite [~1

Depth: From________ft. to_____earest Source of possible contamination

____feet ______Direction _______ Type

Well disinfected upon completion V~\ Yea [~] No

15 PUMP:

Manufacturer's Name

Model Number . X

Not installedJ */*^--/—

HP

IhFQ fly

Volts /

Bv, JT£

Length of Drop Pioe LJ 3 ft. capacity.

Type: [ 1 Submersible

/jet [ | Reciprocating

. P.M.

IZJSfATER WELL CONTRACTOR'S CERTIFICATION:"-T^iis well WEIS drilled under my jurisdiction and this report is true

to ihe best of mvknowledoe and belief.

Signed

GEOLOGICAL SURVEY COPY

Page 167: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

It LOCATION OF_WELLWATER WELL RECORD

ACT 294 PA 1965MICHIGAN DEPARTMENT

OFPUBLIC HEALTH

"T" , w Township NiTTie Fraction Station Number Town Number Range Number

iliiiu'e And Direction Irom Rood 1 ntersuclions^7Qo' We 5 T Op /?VtVcr /^f2SO A/ ^?P ,*T£>' -SduTti o^ nu/z.o*j o/^'^fr

Si reel .id dross & C i t y of Wel 1 Location ^ OT ~f^ *"/ / f*R £. *»/" ' P.N~T V j£V(JLO, ,iU! wuh X m section below Sketch Map: „ rt X--' ' U

I

1I

* _ - _ _ ! _ - C— __ _ .

1 i---I--T ---y--

1 , A! .

| ————— , M "«.t ————— ».

+4(/^^ -f1 * ^^~ -*

C- f fl

5-c'^ — p —— 7oo

12 FORMATION

>&&AV£~t~ SA4/0 * <?CA Y* <

/^AA/D 7>W• / F/A//= TOMCO,**!

THICKNESSOF

STRATUM

7^-'

IT'/

16 Remarks, elevation, source of data, etc.

ADCtD 1,','r,-) By r:3.

C£(-TH TO RCCK

•Sfej-Ma; 11ill

DEPTH TOBOTTOM OF

STRATUM

72/

SP'/

3 OWNER OF WELL: -^ ,,_

4 WELL DEPTH: [completed) Date of Completion

C_/x ,, /iL lAA i t jA^v 1 "™ 7Ur^ C? *- I'D ^JfH"«'r*r\ * If > ^** 1 1 Cable tool LJ Rotary [ ] Driven I I Duo

(l Hollow rod [S jelled Q Bored LJ

' USE: I3Domestlc C Pubhc Supply Q Industry

LJ Irrigation j j Air Conditioning [ 1 Commercial

7 CASING: Thteaded \^L Welded (_] Height: -•--— '°Hrm-Diam. *^ | .

. 1 Surface y,. O ft.

in. to ft. Depth i Drive Shoe? Yes f No f") /I8 SCREEN:

Bft'tSS' AAinjz 4 tit i 'Tvoe: ~ ' wfi^— Di«.- / ' *7 ,-

£i— <«...,,, P/O^ ,.noth oy/r y ^4VSet between n 1 Hf and gp ft.

Finings: | - / 'Aj "»J S" '/i" A'/^V^t-t

2" ^ VAf ftJufLiuH 1 — t^ 7^ /* ft £ C^/^9 STATIC WATER LEVEL '

ft. below land surface10 PUMPING LEVEL below land surface

ft. after ^_ hrs. oumoino / ^) a. P.m.

ft. after hrs. oumnino a.D.m.

1 1 WATER QUALITY in Parts Per Million;

Iron (Fe! Chlorides (CD

Uarrinn<;<i Other

12 WELL MEAD COMPLETION: Q |n Approved Pit

f^Pitless Adapter | ] 12" Above Grade

'3 Well Grouted? (__) Yes [y No

I I Neat Cement (l Bentonite M

Deoth: From h. to ft.14 Nearest Source of possible contamination

feet "* Uirectioi/y0/^ IAlSJAL(£Fl yifioi

Well disinfected upon completion ^rfYes ( 1 No

15 PUMP: n Not instiled

Uan.ifartiir*r's Mam« f?A Pt D^ YT® "^

Model Number ~^£~^ — 2. J HP JJ/^/olts ^ ^lO

1 enflth of Droo Pioa 5"^ ft .caoacitv 7 r'-p-M-

Type: |~~1 Submersible

["^ jet [ | Reciprocating7s-

17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief. y*,.. -i ^5 "• "

VAlf?Ur KT V ^^-'— PW71 V. L \ K/C- O ' ^ _/REGISTERED BUSINESS NAME RESISTR*TION NO.

Signed

, ' } . *_ '^ / // /- *>>-/ /3T^ -, - , fc, -H/^«/^/y«^r/x Jcfa*M>K* 3d, \Q/*. /7/'

,---, '-• J'iflrHORlWO WPRESENTATIVE ' V /

GEOLOGICAL SURVEY COPY

Page 168: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SUfiVEY SAMPLE No. DNOV 2 1 1975

h_LOCATION OF WELL [

WATER WELL RECORDACT 29* PA 1365

MICHIGAN DEPARTMENT°F

PUBLIC HEALTH 4

K'.rno i c Ml3M|-.u And Duucuon f rom Ro.ld

, PS" m ' *- £" Wo £T(-t/^ />f /Cf C/J£S"T~

Siiee( address & C i t y of WeU Loc<)

-BUCHANAfntor sections

0^ C./MAI«CTOF &VA/cf+f

IFr.ii-lion Sect ion Numljor Tuwn Nunibui

^ lruNNt'',SEJ« 3(i? T75 N/S.Lt/i/w fU>?S0A/ &£) .

LOi..iti! wi th X m s«clion below Skejfih Map:

2

1 '1 1

1 1~ I-T^V-^

1 1 ^y- — ^ . — — -_- — — jft — -

1 1! i

U ——————— 1 Mile ————————— J

V ui| r*-i i .

MX_

"t A'5"9

/X3° OWT*»O

O .as^^< -»«rfA*

FORMATION

• \

CuPiY (Cf?«v vi rrSANO.G^Ar V/tC.V T/Mfc

c:»AMO.TflfJ 1"(NF

THICKNESSOF

STRATUM

3M*

2 l

33'2'

16 Remarks, elevation, source of data, etc.

-1

V

PE/TLAlWDEPTH TO

BOTTOM OFSTRATUM

SH'<;{,'

Xfl'

9 ' '

(:

A*,..,, |337 tfYK/ertfcft

Range»4 umber

#/<?UA/w.oees3A^

til. 4^/074 WELL DEPTH: (completed) Date of Completion

35 ... )o OCT. /<?7tr1

CD Cable tool [~1 Rotary | 1 Driven Q Dug

l_J Hollow rod Q^ jetted LJ Bored LJb US£: Domestic I _ | Public Supply Q Industry

LJ Irrigation || Air Conditioning [ | Commercial

[~lTest Well | |

7 CASING: Threaded S WeldedQ Height: Above/6aJa»Diam. | . _^

^ , Surface f f O f t .>» >rrj ' -» A<-_fa_in. to a*"* «' Depth i Weight A V •> , Ibs./ft.

- ,_in. to ft. Depth | Drive Shoe? Yes H No flfTi

8 SCREEN:<* T ^.Alt 7 f \ /U

VT"' t fM^ IpHrJVjtBC. Dia.' 1 * • .

flta^Gauze ^O i enoth .SV* X V/f

Sw between ^iP ft. and ff^^ H

/ -)//v x v//7 " y^/U/xr, / -ty 7*? ^t^>C9 STATIC WATER LEVEL

7j ft. below land surface

10 PUMPING LEVEL below land surface

ft. after >£.hrs, purnoma j f^. g.p.m.

ft. after hrs. Dumoing , o.o.m.

1 1 WATER QUALITY in Parts Per Million:

Iron (fe) Chlorides (CM

Hardness Other

12 WELL HEAD COMPLETION: Q ,„ Approved Pit

***"\ Fw] Pitless Adapter | | 12" Above Grade

'^well Grouted? {_] Yes PI No

1 1 Neat Cement 11 Bentonite f~l

Depth; From ft. to ft.

14 Nearest Source of possible contamination

. 5* feet JJOPTM Direction Sf PTlC T AlVlK Tvoe

Well disinfected upon completion S3 Yes [~~| No

15 PUMP: Q Not instat.ed

Model Number 7^2- 2S Hp3lvyVolts //^

1 ength nf Droo Pine "7 ^_ ft. caoacitv f G-P.M.

Type: [ \ Submersible

Cj] JBt | | Reciprocating

17 WATER WEU. CONTRACTOR'S CERTIFICATION:This well Wiis drilled under my jurisdiction and this reportto the best of my knowledge and belief.

vvpf/^MT VA/£/ / DC?I//M,/-_ r>* REG

Address

rV«>is true

STCRED BJSINTSS K»ME~ ' REGlSTRATrON'NO.

p'Pit2 15-nx '^"^ PFP^IFM <;pr m / c f i iA^ J teXtW K/X/^T Date jfe "/7fJ. K/74

IOOM (Rev. 12-681MOBFZK REPRESENTATIVE

GEOLOGICAL SURVEY COPY

Page 169: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE NO.

l_LOCAT|ON_pF WELL [_hLOCATlntv

WATER WELL RECORDACT 294 PA 1965

MICHIGAN DEPARTMENTOF

PUBLIC HEALTHTownship Name Section Number Town Number Range Number

Distance And Direction from flood Intersections

Street address S. C i t y of Well i \S /

3 OWNER OF

Address

Locate with 'f. in section below

^_ J-_

- - -1

I_____

I u rj mn h .

1

FORMATION

Sketch Map; 4 WELL DEPTH: (completed) Date of Completion

?o n. le>- t- J970LJ Cable tool

LJ Hollow rod jetted|_| Driven

1 I Bored D

' U^E: |3 Domestic F~l Public Suoplv CD Industry

1 I Irrigation |j Air Conditioning [_J Corrmercial

QTes.Wen

7 CASING: ThreadedK] WeldedC] Height: Above>*o*wwDiam. ^ \ i

, Surface / fl-

THICKNESSOF

STRATUM

DEPTH TOBOTTOM OF

STRATUM

_jfc_m. t£ _ft. Depth I Weigh'

h. Depth ] Drive Shoe?

LA V

B SCREEN:

3?'Length

S«t between a fa ft. and•s~/2 -Fittings: •* ' a

9 STATIC WATER LEVELyo ft. below land Surface0 PUMPING LEVEL below land surface

________ ft. after__hrs. pumping

ft. after__hra. pumping11 WATER QUALITY in Parts Per Million:

Iron |Fe) ___________ Chlorides ICII

Hardness .Other

12 WELL HEAD COMPLETION: Q |n Aporovea Pl1

(7) Pitless Adapter DC) 12*' Above Grade

Well Grouted? LJ Ves KJ No

LJ Neat Cement LJ Bentonite |_J

Depth: Ffom________ft. to ____Nearest Source of possible contamination

Well disinfected upon completion P") Yes P] No

15 PUMP: D Not irj»...ed

Manufacturer's Name A A & J 2) A V T 0 A/^f~/C~ J ' t

Model Number ~_c <<~______ HP -jf Volts ___•f £ *^ "?Length of Drop Pina -^ o ft. capacity__£_G.P.M.

Type: Q Submersible

3) J** [~] Reciprocating

16 Rernarks, elevation, source of data. etc 17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction ana this reoon is trueto the best of my knowledge end belief.

REGISTERED BUSINESS NAME REGISTRATION NO.

Addr

100M (Rev. 12-68)AUTHOfl 11ED~REP«E %6*T*TTvE

GEOLOGICAL SURVEY COPY

Page 170: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY SAMPLE No.

|-fc.W - -

1 LOCATION OF WELL

>

""1

fVAIfcK WtLL RECORD MICHIGAN DEPARTMENTACT 294 PA 1965 OF

PUBLIC HEALTH

ICoimU (Township N.ime Fraction Section Number Town Numbei Rdnge Numonr

t»<ve Aixd Oireci ion fiom Roao Intersections

• 3 f^)lt~£ fi/O&Tri 0f £H &?*}&£ fti_fylM /?O2.2L 5' V*^t5 / &F~ j^YflS^/f^ja/v /?&.

Street -idflress & C i ty ol Well Location .OT" ft X * £/?£ 2££.W~I~ ]/ ifcVvLo. MIC with^ •*•• in section below SketchjUflftJ -Q

! i 1) 1 1

1 ' 'iL-1 1 !! < 1

H —————— • 1 MILC ——— "^" *

;irT f^

2^'l

— _ fll> • 3*^ yi JU —2 FORMATION

SAND TAAJ JV^D^^rv«y £p/\\Sftf^ A T'A/w' pffJ£*i * " j *

rtfi* xpfl\i . * * -*1 •

f• i •

USE A 2ND S«t(T ir NEEDED

THICKNESSOF

STRATUM

Vs'

? '-1-

• '

16 Remarks, elevation, source of data, etc.

ftUOtO IN*0 B /»yZ*.^r-=CT£D BY LA

11 "'i N BT ^

*T*>X.iQ

• — ——AIM «>

DEPTH TOBOTTOM OF

STRATUM

'

,-5"C O

9V^'

i

3 OWNER OF WELL" f^ **

4 WELL DEPTH: (completed) Date of Completion

C|9. ... 6 .jflN|.. j^OfTD Cable tool [J Rotary (_J DriveYi | I Dug

I _ I Hollow rod LX Jetted LJ Bored LJ

> USE: [^JDomesiic LJ Public Supply [ I industry

1 J If r>Q3t ion [_] Air Conditioning Lj Commercial

PlTest Wen 1 1

7 CASING: Threaded H Welded PI ' Height; Above/El«kitvDiarn. i"1 | ,

/ i Surface __/_.. fj ft.

Z Ortv 1 V-T> —in. to £_/.(!. Depth i Weioht j_ /^ibs./ft.

___ in. to ___ ft. Deoth | Drive Shoe?1 Yes 12 No PI /*8 SCREEN: .

TvDeCSftaj$ ^jf^>M2_E Dia-- • '^ //sj-*/r ^'V A h <"W4' ^* *-iVSIM between S T) ft. and ° C ft.

Fittings: £ "* ' '' ^ COL//^ k.l'^«*-S / " **" ':I Ci'dCK

/ — J Ui^ Y 1 ? ' r,' I ££*'! P9 STATIC WATER LEVEL

*"T Q_ _ ft. below land surface

10 PUMPING LEVEL below land surface-* J ?\

ft. after jj^hrs. oumoino / {^ o.O.m.

ft. after hrs. Dumninp o.o.m.

1 1 WATER QUALITY in Parts Per Million:

Iron (Fe! Chlorides (Til

Hardness Other

12 WELL HEAD COMPLETION: Q ,n ADPfoved p ,

fy] Pitless Adapter j [ 12" Above Grade

^ Well Grouted?Qves SNO

| ) Neat Cement ( | Bentonite f~|

^~>Deoth: Frofn ft. to ft.

14 Jjearest Source of possible contamination

feet Direction Type

Well disinfected upon completion (~~|ves l~~l No

15,>UMP: D Not installed

Uaniifai-turdr'v MHmA Kf^^fJ^J^} ¥T~Of\l

Model Number "7^ S ~ 2 (?" HP^V-A'olts J2 -<./'l

1 eni^tti of Droo Pioe > «J ''- caoacitv ... , G.P.M.

Type: Q Submersible

JO jet | i Reciprocatino

f'K.??^17 WATER WELL CONTRACTOR'S CERTIFICATION: v ^

This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.

v/fetrAddress

s

^TtRED BlJslHWrWME *-"^ !*-*-! '- RECISTRATIOH MO.— /

ARg ^* 2. 13 "' X /^?? jj^Q^^v 3^. /»7 V

.DSfiCX

»v. 12-581

GEOLOGICAL SURVEY COPY

Page 171: semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 Transmitlal Ms. Karen Cibulskis Remedial Project Manager U.S. EPA Region 5 11 West Jackson Boulevard Chicago, IL 60604-3590

GEOLOGICAL SURVEY NO

MICHIGAN DEPARTMENT OF PUBLIC HEALTH

WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WELLCounly Township Name Fraction Section Number Town Number Range Number

ance And Direction From Road Intersect ion

Street Address 6 C-ty of We'l LocationLocate with "X' m Section Below

i i i1 1

- J. '_ J

1« . _ _ _ _ - . _ _U _ -i

11

i i| ————— , w'uc ——————

T1 M,.

1

Sketch Map

2 FORMATION DESCRIPTION

^

USE A IND SHEET IF NECDCD

15. Remarks, elevation.

THICKNtSSO*

STRATUM

-

•' : ,7 _ source of data, etc

17 Rig Operator's Name:

OCPTH TOBOTTOM OFSTRATUM

3 OWNER OF WELL

*-l€£L-vv, f\. ujLujT-£>2--* .

AaOress_5"Q^9J? s****'*****- ^& '

Dc-ij. TZ&t&^C, ^5" oAddress Same As Will Location' LJ Yes J>\ NO

d WELL DEPTH: ' Date Completed ' rC*",,i MO i DAY i vt*. i L/S. New Well

^ *? FT- 1 fst i /Q i of ! LJ Replacement Well

(~~1 Cable tool H Rotary Lj Driven [~l Dug

PI Hollow rod PI Auger 1 1 Jetted Hj

6 USE [O'Domestic D TVDe I Public Q Type III Public

LJ Irrigation I 1 Type Ha Public [_J Heal pump

Q Test Wetl L~] Type lib Public O7 D^ameilr D Sleel D Tfireaded Height Above/Below

[jjplastjlj Q Welded SudarP ft•V •" 10 _5SL ft. depin Wei9ht ibs/([

Grouied Drill Hole Diameter i — i

m to ft depth '— ' No

8SCREEN . f D No, installefl

FITTINGS O ^-Packer [J LeaO Packer Q Bremer Check

1 I Hlank ahnu* trr»»n fi nthpr

9 STATIC WATER LEVEL

T It. below land surface Lj Flow

10 PUMPING LEVEL below land suria^e ^ f

ft^V2^ t1^ <3-i- L

LJ Basement ollset [_] Aoptowed pit12 WELL GROUTED' r- , r— w

No of bags ofctm3pirf* ^ ta^dmves13 Nearest source of possible contamination

Typ» n>Etanr>* '*• Hi runt ion

Well di*>nt«cted upon completion? PS. Yes 1 — 1 No

Was old well plugged? D Y«* LJ No

14 PUMP r— j No, |nsIaMe(I Q Rump insiallanon Only

PRESSURE TANK ///'y*7*'-.^

Mnrl«l numh»r ^(^ r"--* ^ f.ApaCltY Gallons

J.16 WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under my jurisdiction and Ihis report is irueto the best ol my knowledge anjt belietn

*—

Addtes

REGISTERE'C BUSINESS NAME / REGISTRATION NO

t /J?b , S, £f~f(*-rj_s9LL'J£t I/ _ /*y> ^ /'''IJ

'?f'^.2t-j'M^Jffl n.« //?-/- r</AUTHORIZED tCfWffSEKTATtVE ' " '

GEOLOGICAL SURVEY COPY

Authority: Act 306 PA 1976Completion: RequiredPenalty: Conviction of • violation

of any provition it •mit dam ei nor.