semspub.epa.gov · fishbeck, thompson, carr & huber, inc. 013 transmitlal ms. karen cibulskis...
TRANSCRIPT
SDMS US EPA REGION V -1
SOME IMAGES WITHIN THISDOCUMENT MAY BE ILLEGIBLE
DUE TO BAD SOURCEDOCUMENTS.
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
•~r«sfi W^-,_ r-V i? 'r -g^-'••••• r\.^, -°T:.i\. VV/-
^^^&S5^e' _. —^-i .*• "i -i _•-. X -±^*l .,-
7l^^^m
imm
\s^
>* *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 /
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^^^
BERRIEN COUNTY
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
9«
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
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
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_
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
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
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
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
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
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.
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-$7D670 2/8d AUTHORIZED MfHESENTATIVF
GEOLOGICAL SURVEY COPY
Authority; Act 36B PA 1978Completion: R*gu>r*dP«n*lty: Conviction of • violilion
ot Iny provi»ion 11 I
GEOLOGICAL SURVEY NO
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
WATER WELL AND PUMP RECORD PERMIT NUMBER
1 1 LOCATION OF WELLCounty
jTownsjwp Name Fract ion Section Number Town Number Range Numbei
"T f"^ n ^r^ /""" ^~
s tance And Direction From RoaO Intersect ion
Street Address 6 City of Wall LocationLocale wilti "X" in Section Below
1 i1
11
111 . . .I1 __ I
| ——————— , M.mL, ——————— J
T
Sketch Map
—— ' ———— i.'— • •** I— J t**^*^^^v
k£t/Lj-*-S\-
y;ifS,^«-
2 FORMATION DESCRIPTION
.J^ijLJl^^
L^.s ^6( ¥ ^jl^-i^"jfijts-i
^^
U
^JL&^Q/uwJ$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> •
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?
Z S S 8-1la
1 - 8C"r*i ** * *"-
*• _
£? s15 * s*s ^
•^ --O
t *K>
fV
•f^
AMD OCCUPATIONAL HEALTH
11
G Cf f f^ f- =* S£..03
i^«i~ £ m *"
^5 o^>) • M
VI
S? ffS"" zr s.
=» *•v» rt S•» •••
^ JS-e
•«*n
*lfff 1•s io
1**•~ g
**^
fr•* *
3 *1 3^n *^
i i>— i e» t
*—
IF&
"S-
t•M
Sb
c3
iT* r* r-nS.X 35 " !T
i"r-
" ^T Z.. « tn6
•S 5 ?»' s' "^ ••
en**
-»^r—
«
*tvA
*«••
hw
*
J
1
tfl«emm ?
??
M *•* W 1 o
Si • -t 1• H i s f§ P 2
^ 8Kgs i8
— 4
^ O *^
STsM
Si3sf|Is . ?
oo•H cn (/> — 4 u>
^^ *^ (• w
i' ff 1 2* *1
i•• « CM 0
8 S.B " • " 3" " T " ' Co e •« o o ™
t-f 1 — 1 _ •— *tI S *
r
1
*
. . * . .
V t« *.
7 T J
W «*• 0* a *
**ff ? 5 *"
$ *• -|.ai • nT
3 £ 7«-* n.
ftltt 5to =r cr r v i " ~
} " " " " " " 1 « •a 3^ I t
"*" S £n
^ nr • **
i' 5 **SQ it S" **r *»jr *
9* ^||
slar r j ™ gj
i |a r
3 T ^k. S ^a X *»
S * io g1
T sc— o•— J^
a aX «*
3 1
o
m
» a> 0CL I&. CB, A. 3-« -* <41 t "*M l M O
f *IK £*ul«
! 1= 1i | ii i^E-c ai JJ —
•*5
xa
s 3
9 ZTi
rfn
|f
r
Ml
5 "" *
n — --n enD 2" Es «-
Vft
«
II
si£Q
i» -s
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
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.
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.
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
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
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
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
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
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.
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.
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.
-•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
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
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
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
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
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
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
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
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
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
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
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
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.
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
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
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
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
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 •
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$tf*Clio*i^ Sl*"1^ Tyoa
Well dt*inf*ct«d upon completion ( |YO* ["") No1 5 PI IMP- i — iu ruiw. ij instatlpd- // ' /
r* T3\ if 1 -^ 7 J x^.Model Number V . fo -^ / '^ HP/ .7 Volts 04 < I J
Lenath of Droo Pioe^T V ft. cAoarrtvX Q T..P.M
Type: f~~] Submersible_ /Jfl J*t [ I Reciprocating
17 WATER WELL CONTRACTOR'S CERTIFICATION:This WAN was drilled under my turisdicl on and th s report s true
-^ REGISTERED BUSINESS MAME REG1STRATIOH MO.
Si netf"^bJkM^/l'^tJ^ /^'~</-St
^/
/i
DA7d 100M (Rev. 12-681 AUTHORIZED REPRESENTATIVE
GEOLOGICAL SURVEY COPY
, ——— | MICHIGAN [GEOLOGICAL SURVEY NO WATER \
1 LOCATION OF WELL
DEPARTMENT OF
VELL AND PU
County Township Name * Fractionf f? C
lance And Direction From Road Intersection ^^ S -X*'" ' /'•'-if
Street Address 6 C<ty o( Well LocationLocate with "X" m Section Below Sketch Map
i i
J 1 -^\ 1 /'1 ' t<
-i ' *l. "^! I* i
| ————————— , M,*LC ————————— ..
2 FORMATION DESCRIPTION
-1^~™ />*<-'S/*!& ( -$./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.
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 •
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.
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
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
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
'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*
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,$isiL Da. ^ ^
GEOLOGICAL SURVEY COPYAuVMllH- Act 3U PA ItTB
C»mB'**»"' **H*V*ilty- C*n>4c«an •< ivlolilon at «ny pr»^1»*an !• » ntt ttmmtt.
GEOLOGICAL SURVEY NO
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
WATER WELL AND PUMP RECORD PERMIT NUMBER
| 1 LOCATION OF WELLCounty Township Name Fraction
Jislance And Direction From Road Intersection
Street Address 6 City of Well Location1C
w
2
cate with "X" in Section Below \
- J 1 '1 1 '1 1 1
-_ _| —— 4---I---1 1 1l__ 1 _ J _ _ _
1 1 1
•*• " ••' — 1 MIUC ...i. ..-IM^.
l ty/i
E
T'
... t £&. \
f-*>
Sketch Map
?
FORMATION DESCRIPTION
"CL.-* 7 ^/Jj*j2s ^2**^*^^
ust *15. Remarks, elevation
1MD SHEET
' *topt, Qf
if NEIDCD tJFn »* isource oUiata, etc
•*- n£
THICKNESSOF
STRATUM
o
/5-
'* D
IStjy
17. Rtg Operator's Name;
D67d 12/B5
DEPTH TOBOTTOM OfSTRATUM
j^S
^o'
f
Section Number Town Number Range Number
<2& -7 */$ /^ ^/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.
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.
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 ,
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.
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.
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$-/ /
PRESSURE TANK
Mnrt.l numh.r r.an»r.,.y Gallons
16. WATER WELL CONTRACTOR'S CERTIFICATIONThis well was drilled under mv jurisdiction and this <eport is irueto the besl obmy knowledge and Belief ^ '/>/,'
Addres/
S.g«(ed.
REGISTERED'BUSINESS NAME ,-_, R^si^rRATiow NO, ,^77 '& & ^ ~~* ~^~ )£Zc*-*''/^ &~> <s~ —
' '^rs^ /??,{?#.«&/ D... fr -Z7-5*-J670 2/84 AUTHORIZED
/
GEOLOGICAL SURVEY COPY
Authority: Act 368 PA 1978Completion: RiouindPenalty: Conviction of a violation
of any provision n amitd*m*anor.
GEOLOGICAL SURVEY NO
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
WATER WELL AND PUMP RECORDPERMIT NUMBER
1 1 LOCATION OF WELLCouiVv Tow»^)ip Name . Fraction ~\ Section Number Town Number Range Number
tf^XUKM* Z(c 7 H7s J^rf,wilance Arid Oxecnon From Road Intersection
fj f ^^
Street Address 6 City of Well LocationLocate witti "X~ in Seciion Below
1
Jl
« -_- __ . . _ _ - _ _
-- -1- - - - - - - - -1
V* ——— ——— 1 MILE —— —— ———— *H
c
1 Ml .
1
Sketch Map
2 FORMATION DESCRIPTION
ItyXxy-JS^V^^ — t$> [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
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
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 *
6»
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
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
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. $//u?tf D.,.//^ 7/D*7d I O O M H . V . .2-68, E P « £ S E A T , V E
GEOLOGICAL SURVEY COPY
GEOLOGICAL SURVEY SAMPLE No-
WATER WELL RECORDACT 294 PA 1965
MICHIGAN DEPARTMENTOF
1 LOCATION OF WELL /County Twp, "ractiofi *-it- Section No. /
J ns-i ' C- j-ifff 7- J j *_ OWNER No.
iff' fZZr Ofi c$***£ - **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
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
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
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
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
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*&+$*»*siP /?CfAddrflS
Signed
RECilSTERED lUSlNESS NAME ^ REGISTRATION NO
/2-5" A &ztfnAu*rt*S £UL/) /nJ
/faz&^j^Jfaffi^ 7--/Z -&9,d 12/85 AUTHORIZED BEf fiESENTATTVE
Authority: Act 388 PA 197BCompletion: RequiredPenalty: Conviction of a violation
GEOLOGICAL SURVEY COPYof any provition iimi»dem«anor
•^
GEOLOGICAL SURVET, NO
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
WATER WELL AND PUMP RECORD PERMIT NUMBER1 LOCATION OF WEL LCounty TownshiD Name Fract ion Section Number Town Number Range Number
'A 'A v« 35" "7 w/s /# ^"/w' f iance And Di'ect 'on From Road intersect ion
'/tj /YrTj*-*^ f Y ff-^fC^. 0-~/ /^j-t^l^^'f -<A £<SY^ f^f • fi — .
Street Address & Gty ol Well LocationLocate with "X" in Sect-on
i i1 1
_ _ ( _ _ _ _ _ _
1 1*» —I 4-
l 1
Seiow
.1
/ Sketch Map
)">
O
ho^r\U1 (6**\?_j£.U ——————— I M.Lt ————————— J "' (
2 FORMATION DESCRIPTION
Jh**tj,S e J*x^/~ /
~7j? s-\fJS r-^Asyt^e Si
'/
fa*^
't/KSJ
^^
* £ rttA^'7 V
*- RECE1V—— Mich. Dept. of P
—— Bureau cf Envim*Dccucaticrs! He
USE A 1NO SHEET 1* HEEDED
15 Remarks, elevation.
THICKNESSOf
STRATUM
•0
^5-
£-
/<o
ED
mon.tr I ;»
lith-GWQ
source of data, etc
DEPTH TOBOTTOM OF
STRATUM
/*o/{,$-
/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
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$279 HP 1 Volts 22O
1 enijth of Drno Pio« 107tt. caoacitvS P.. P.M.
Tyoe: [ j Submersible
17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this reportto the best of my knowledge and belief.
Address M-60 fait, Caaaopolii, Michi
is true
*T<ON NO.
&mn
A U T H O R I Z E D R E P R E S E N T A T I V E
GEOLOGICAL SURVEY COPY
GEOLOGICAL SURVEY SAMPLE No.
MAY Q 0197 4
fl LOCATION OF WELL I
WATER WELL RECORDACT 294 PA 1965
MICHIGAN DEPARTMENTOF
PUBLIC HEALTHjCuuniy Tovunship Narne Ft. i i - t ior f / Sei.tion Numbi-' Town Nurubui Range Numbet
i^tdnce And O i r t ' c t i on iiom Ro.iii nlt;rs«ct ions f
/ /¥\ /', £~ tf S T & £ £ /( H £f? 7~0 W/y fijP,&/¥ £?/$ /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
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,
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 *
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.
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
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
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
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-
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.
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
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
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
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
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
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
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.
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
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
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
-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
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
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
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
GEOLOGICAL SURVEY SAMPLE No.
29 1972 WATER WELL RECORDACT 294 PA 1965
MICHIGAN DEPARTMENTOF
PUBLIC HEALTH
100M (Rev. 12-681
GEOLOGICAL SURVEY COPY
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
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
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
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" $Tj&~Z HP '%o,Vglt __-ffpff LCfc*1
jPO-G.P.MModelLength of Drop ipe
n j«»ft. caoacitv
[~~] Reciprocating
16 Remarks, elevation, source of data, etc. 17 WATER WELL CONTRACTOR'S CERTIFICATION:This w«ll was drilled under my jurisdiction and this report is lro*
REGISTERED BUSINESS NAME
Address
REGISTRATION NO.
..ADDITION BYl
100M (Rew. 12-68]
MAR . - u/uGEOLOGICAL SURVEY COPY
SUHVtv SAMPLE No.
WATER WELL RECORDp
MICHIGAN DEPARTMENT
1 LOCATION OF WELL |
A7, ^^//>^v• Mince And Direction Irom Rood
Sir~ot »ddj/s<( I C,i 7 '^Qf-jOJiASSLoCrflt ""Tin H m lection bid
1 ' 1 — "
" ~~ I
•"! •*• J" "Vi i"p--.-'p| ————————— , Mllc ————————— J
', PUBLIC HEALTH
'/€'." "™/ ^^-fraction Section Niiribvr Town NumtM)' fldng* Nuntt«<
w % '/. "J^ "7 »i/s. / ff r/w.niB'ieclions
^^- X-c.^ 5^ /
>^? * i'
^'2 . FORMATION
/?--v>^x/^ J&s*^/
&,/' <* jL^ f-*£/sls*+\. J^n-ir & <£-^,^'£.
. • • -'
. - . -•_ ~ .
•: • . ' : ••" "V
A \ ' j^T\ -f
• .*$* .$>^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
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
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
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
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
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
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
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
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-
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
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
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
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
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
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
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
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
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" " '
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
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
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
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
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$267 Hf>l Volt* 220
length of Droo Pioe 99 ft. caoacitv 9 n.P.M.
Type: Q Submersible
S\ Jot [~~1 Reciprocating
17 WATER WELL CONTRACTOR'S CERTIFICATION:This well was drilled under my jurisdiction and this report is trueto the best of my knowledge and belief.
B. ,7. LMft« f. Sons OOWREGISTERED BUSINtSS NAME fifSTSTRATION NO.
Address M-fifl R««t, Cassopolls, Michigan —————
signed /t*^-e*f<-4t^> s&fauS~~b™ 10-23-74D67d 100M (Rev. 12-6«1 * U T H O R I Z E D R E P R E S E N T A T I V E
GEOLOGICAL SURVEY COPY
GEOLOGICAL SURVEY SAMPLE No.
WATER WELL RECORDACT 294 PA 1965
MICHIGAN DEPARTMENTOF , ^
lA1 LOCATION OF WELL PUBL.C HEALTH ^ »
County *- Twp. Fioction fHr- Section No. Town A- **" Ronge f- V1 —
^ ^ WC'/'1 >/•* / ^/S. / Jf fr/Vi.*** «tonc« And Direction from Rood nt»r **cfion* r^ —— • ——— - —— —.—.-. ——— - ——
L ^^" /J J it* t\ ^ 4" ^^ f^ 4J j^ 1 _i* J jf^ j _r 1 *J" " f K na. . ... . . ——— . ...
/I J /* Cfi ff •$ 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
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
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
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
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
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
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
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.
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.
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
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.
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.
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
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.
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
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
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
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.
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
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.
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.
..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
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.
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.
=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
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
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
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
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
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.
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.
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
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™'.°.?" " '
5 ! RECEIVEDM1«.''£PT. OF PUBLIC HEALTH
JAN-3 91*Rl Ml OF ENVIRONMENTAL0 OCCUPATIONAL HEALTH
lisiill!S el a
w!*•
i•»iSM
S
fJ*t-
s
-n sp tn —i en».. ^ — >«e fi•» • • * * •»• •r. . c * 3X * P 9 *' 1 * £1 s i
* K- K«*
is
i•- _ i -.
?Jl
-O —i. v+' M S K•• rr *
«r> j ejt
5- i -ri sE !f•«• i
•— W I g>
s i= t j a£ i I
i ItS
DJ "J1
i
IIrtto
j
*- » Q
i ^IT
i
£1
y- ^»S
ft
S *
s!-•I
7»
*
*** B ?5» S en3 ^r*i 17?
83
• r> a* i—. b -i iw 3 •* i
i § 3r 2.3
-*4
3s 33> rr-
§" =S ?•n ••<
^11C < E 1
-* Mt ^ !;«MS - !*. «• r
S " " - 'o> <r>3 3 »; Jm * «•» -Ha? ^ _ egm •«• * *oa *
§ •* — B«• « F« -^ *.
M ft 5 2a ffe af - E RS sr x g• XT C »2 5 1 «i r-s3 ^5 =iP**B
9 »-• -H• i ig
i*l!i— •*•>• ar•• —
JC>>i
f•*
?m
f
!|
Uf•»
irrWl
f*im•<«•
»'i
s•«f>•»
O
frrf4i
i
Jk
^ -^ i f e f3 3 T* 5 fc 8 48 * B * «S-< •< 6 »*-»**r» r* 9 O g Jf 9
— < — i H "" f "^ *^55 8^5 5 S.S"*B4 -- r? PK -.C*1
S * i r i ?fS **MC* 3S ? 3V* - ft •*•>^ — « «- * •>NX ff| •_ . —
^ ss. sr» o •*•\ . b *-•
M 1* |rf •— 9
»•<<_> -O9<
* *m
S
[ "" "" RECEIVEDKICH.DEPT. OF PUBLIC HEALTH
JRN-3 9^nnnEAU OF tNVlRONMENTALAND OCCUPATION HEALTH
k 111
» 1r I•t
>
B e tt "** :a ^V 9 •* COaaSusgES°io -^ii-1"! I8 -^ "" Z
S P -^ 8
|28
•~ V *-.§»• CA Wtft 9 4» C «. «fc
-» # ^•<••»•*-
* 8
r
1*1 | K> [ «— 1 0
•7 ff-7 ff* ="S 5!= ^n»
Wk _«
* - 2 r— « M -»1 BE 0
•V *f «•< 2 . W o
t o ^ -1 S5 St
Wlr% i—i z•• ™* •-• p•» H» O•— v*- aS^> •*i £o S Sm •••
r? £4 *••S
A
*^
I
•
| «" o ir
° 5 ""' 1•s aa ?»^*. 7
8*
•ta*^ o
5 *•»
, EIFiri Co«t>Utioii
1i
VW -^jssta—,—,«»
l»Ml M> <-*. — . |«w* »r «—>• m" "* »
"Sr—»•*r w B
• -1 CLin in4 • IAir"a -g -»i • *>•O IB rt
jfi' ™•* M<•* •»•
g
on atT» ^3K :«
5*sszs;£l«A •« w- *»•».r»s . s-
cn>«•i»•*•r*
1
— « *u»W)•»•<•*•rifIT•*•
3."b*
^1
rsC"is?-**•ofa
•n
I•*> «p u> — t v>>-- » — *< A*^ *» O "W "^••• fr (ft W
S ST S -a 113 i" 5•«• r>— »*
<r
2.o
— i r- «w n H.
' ii? il»-<
u c*
-j I c* ( cn•tt da AJI n i ^*" T fc? ^
S E.I 5
— r— X. t— *••a 9 a a •(
"•**"• ^ ff «5O 0 «— O • ^si 5B
*—. — ••«,«,
tiltf•*• ** ^ •* ** i
o
Sr<•
r>
»• w w »r i
T~ SFs S?»« * S--r -Sfr a
fr !5 1r j
! -,-^
J*rfr
9
ft
«.•c*
JT•»•*a'i-* -or" sr•*
"rIff
0
"I
1*»*•
io• 1
5yt
t/>**•X•*
sa.
3i*»>9Ck.
Orv-"<O— .
f
r~SM>I*
o'3
» *•£ £3 3Wl ul
f
Sf ^f S 5
I ii' «•o •f 2
§-•
o A: it
-i S-* «8 B
"*
i 8
SPI! £-
»l r•—• tt B-• I
iH ~ --H —<» -J »
~ ff
is
I 9B §
fiRIIHN" "^
.B -
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
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
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
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
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
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«
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
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
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
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.