:ydepth to water bearing zones (11 ownership __f_private^city, coro/co. state, feaeral. coun'...
TRANSCRIPT
:;?af7c$
•awdown __;_____tt. Wc>/ '- 'v" SJngth of Test _____:_^_ hr -" ^____ min. t
SKETCH MAP indicate route no's, intersections, schools, churches, camettries, streams, towns, and any notable feature suchas auirries, Bridges, railroads, ate. 8e sura to show distances Datwaan tnese features.
=!-TGS-15 REV. 07/77 MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
I °
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Department of Environmental Resources____________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory Report' /t 7 XX^"'~~- => ' ~ ' - - P=F'C|l;S£ON.» " ~~~—————' — -
Co •y'-- Lat —-' ' - °———"r Lone: -"-' ' ~- 'T PriysiO. Prov 6 G II S. Basin w T?os r*
Counrv ^_> - /T -~ > - -'' / t_i- U -. CX:f-s'.ii'tiai_
Color ano_Rock Type_Aauifer_
Hydrologic
Sjrface_m__ Or-lCE USE C!>4-v levejjN'tDC .alley.hilis :e'
OrJier jr •* i ,» Dniler s ,x - -.<;-,L.cense ~ Namg A e -Or"1// O>/. y ..-
Depth to Wa£e'Bearing Zones (1' ^ -^_______f;(21 / /-:?_ft (31 'c. (t. 141 -3 C 'f ft
V.'iitsn WeOArerslo———9r.a-<c^ -«J 'Slf'*' ' |pa Basin /-o ce uss ITIWater Use __nr~rp!F^ n jsr ."rr ;a: r-i srx* nst jtionWell Use ——4 --e"!-st'3r> nc>e~ec'?iN;? tes: asa-.doneo
Sa'twater /~one___ ^^ r_ Zone——— ———
j«f J, yes no" ICHECK ONE)WelOeptr —'- °-** ft
Well n.am°tgr ti . <*- ' to nearest inch,,, ,. _ u ,—-—— (CIRCLEONBU el. Finish _ 0£er! noi=;6creen. perforated sorted, otherDateDr.lled month year / "~ - ' "~ J" •=**Wa'.e- L<i. 6! Before Test • -*- ">_______ft
Level at Ena o! Test —' <• <-_______ft.
FbA Measure Me:nod____sa.e" o"?ce. ~s:?- A;--w.a'i" ai<; DECKS', es: —.a:e crre' C.°C_E ONE;5 Z/.-7Drav«.3OAT. 7 /___ft.
*'
ADevelopment name (if aopl'cablel_________ .,Lot_____ . i
NT/. J.
"3S-'£ zV C' 75
:y '-
•• ,- V -. f .-O-^USHON.. ^_ -^H „. ,- ?X -'ZT.,. -: -. -: - .onc-Ti_-- -- Pnvsio O'Ov « '- U S Basr - Tooc -
^H 1 ___________ •™ ./y> - ^_ — ——————— Hyc'O'C- - .in —————————— " —
^^1 _, , I' ———————— ; —————————————— (C'RC E "'.=
J^H ias- • i . /~ / / I.'*' • , I ———————————————————— ' /^H Wtf.'Uwi'«' -M"ie v^-^^A-. ____________ '" ——— -. _.s //..1A 0'ine- s , , - -„ ,, }ji, , ,j^H Annrocc.j ./ — [ —————— ; ———— _ _________ _ -,e->i- ——— L_i —— Name ——— /_jr — _ ———————— ;_
••" • -r* j, r ' -L -^— Deot" tc Waie' Beaming Zones Mi /r£ "_•>
-
-4
-
•••••• i, ' 17. =2 ~ Z. >:.•*. ft (4, _»: —^^H iripriPDMP. , ———————————————————— i^^H Ownership —— O it* city corn cc sate 'eoera' county p Basr^.£» o=siCE USE DNLv .•• ^~ (CIRCLE ONE- ————— •' r —— s —————— /", . , _/ —
a lH ^ ^ ICIRCLEONE' ' _v-r _, / " / — ^ - . J r' '"'
^ H Saltwater^ H yes nc
^ H raen-_e--— Y - ," ^ S "l
^ H iAi«ii n^m^ter ( ._to nearest inch *^^H s^~ ——— • iC'RCLEONEi i>Hll H Well Finish ___'bg-e"ha» •screen oenorated slotted other !
^^H / ,ff H 1 °«»l =» Fnrl nf Tsst tlT i» , ft. «-W-
••H v.o- / •*• qnm
^ 1 Flow Measure Method Saaef on'ce nele' wer.^ H AjIg aTC SjcHej sDmate other (CIRCLE ONE!
^1 —— .-,- y(rC ft
llB —— .... Tes- / hr . 'TZ , ,„ mmJ M SKETCHMAF Indiate -oute no s intersections, schools ch ties c9^1 _ Q1SRFVO1 79 auarnes. bndges rail'oads. etc Be sure to show dista^PJ ° ' - ';~ ::' ": T =' C-=jL.DGir-_ S-= . = •'
tN
J-\L
1Sen«!enes streams towns and an> notable 'ealu'e sjcr1 a&ices between irese 'oatureb
- ,3 Department of Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory Rep<j£J 1 1 ' 0 f if OFFICE; U^E ONLY ^ ^B g» 4 ? rr.'i u- l_at Lt' . If0 22. Lond ?-5 5"? ? 1 Phvsio. Prov.^ C U.S. Basin '"''-- TODO. VSMsen; Ace. "?M Mao ~ r "U'~ Well •T " ~ [ Aouifer — ;~2:' Aquifer dw '/ /T'dC/C
.'< 3 County V^t-//f^Hf ————————— Surface F OFr,CE U5E ONLY '°"'' n""°°' >"'ey''"""cm well Owner Slfi,. Ff," J r..'F1r< fiW,, ... ' —————————————————————— r:1•9 : (T* j£ Driller's tin,. Driller's y7/ ]/}*... . J: Jm Address ir*T /Ct ,—- s ' ir«n«» // / C Nsme ^-^ / /L~4- *- '
" 'a S2i t~- \ £-t-t~-f.~ — -£.< _ t_^— neoth to Water Bearinq Zones (1) ' T~ / ft
' 1 C2> «* Wft. (3) ft. (41 ft
] °——— 5hi" - -«- i.,.,. county pa_ Basjn ^ 0r.p|cE us£ oNLy _
(Jolor and RocKType Wom| w2J|
, .»/ , ' . '^ C~fV -7 '
'
e .«.
_
_
———————————————————— __________
je_ - - v A- j . -•- '\ " ^ "T Lt vt. -, -, C's.-'&'s ; k 'J••*.J Saltwater s. "f i
!• Ton* ,,. « ,, nevelopmant name (if apollcable) / J.M ^ "Z* ^*s no 1 '^1W«II Depth =-^ ' -.«. (CHECK ONE) Lot, .. I '
JCfl-iinn length ^ r , ft.J Well Diameter ^" to nearest inch ., •>.•,,ll ——— irinpirnNO .j'V ft-TA'T--
J Date Drilled mnntn y«ir 7/7*
J Water Level Before Test ..'?./,....,_.. ,._ ft. *V'» Level at End of Test t33-£- . ft. — W_ T
1 Vi»|r| 6 qpm .. '•*"
Flow Measure Method ^jnar nrtiir*, m»»f •»| »^ '^
^ -'2. T" •
t t t
.......... ........._...,,..,..m...as .I--.** ?• i^es, -a -r-'rs.etc. Be s_ 4 •_ ,- : A c »-a-^:»: r<:rtt-s- '.- ; ii -*i'_-es. ^ P
v™ 1ST COPY TOP*.
- ?-:>-f •flR'|-;j :- ^
?•• •;: C:Sec ___*•--_JL/LMjr " -' ~ .Ws' t.ju'-g-. .: '7 /)'r c K"
: un:; .31 — 3?r^f f T ' ' <Pf /T7V Sec:- t: 3ea-:c- - ?f --re- a: 51, Ji-/Tcl5PA.^
:=>-...ED'.=.... /2 _Z'——— > lrs' T"
Si-Owne- PS™ Ox / :? .r-f________:————"Mia'jL—, D. a. . - D'•-•=•• s, - h !,„..,,.. f' p */ fic* *&!»"'. ~ ef jJ^AName faf -rSrt * b*$
T"/3 rr~. ft £ t;' A f*^_____-. >§ OestMo Wate^Bea'ing Zones • ——k£——————;• •'; 14
/———> 'CiRCLE ONEi i .—————————^-——————————Owners i r_——t^^a^ ='t> core co state fet3era' cou"% J jca Bas - '^ 3F-ICE JSE ON^1-
___ .CIRCLE ONE: - L—————--z—L.,_ ",,.—Wate'Use __ "OT|>outjlic inousr, imjatior, stoc* nstitutio" »» i.e ir=! ..—3 j j> «.. . i _...... —.—— I.CIRCLEONE • ' /?i f-jf-r -AT- U-'At?1-; btil/F -TX; 5" T >>. hfft/Sf C tJWell Use (JPeauen- use)ar> hoe recna'ae tesr as.
___ _____________________ TK^/t_£<.Saltwater
2 fX-i«-?- ••*
Zone.
AeliDes:-Casn-^2!- <¥- -Well n^amstpr /- /u * .to nearest in
,_____. 'CIRCLE ONEiWell Finish ___fope'-Mfes=ree- per-oratei! sionea onerDate Drilled montn yea- /v\a:er Leve: Be!o-e Test £ (•'
Level at Ens of Test -^£ 6
gpm
Flow Measure Method____baiie'. oriftce. meter werwatch ana aucKetfess-Tatgjotrter (CIRCLE ONEi
Dra*ao*-r ^ t>C ft.Length of Tes* ___Z______^r ____________""
Deveioomen: name d' aocncaDie:Lot—————
t
*- W-
ER-TGS-15REV 01 79 MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
" ^ ^ ^ ^ • ^ ^ ^ ^ ^ ••V i ^ ^ M iB HM Hi WMBH BMH ^ ^ ^ ^ ^ III ^ ^ nMH a ^ H HEIHISiBHBHBl
Department of Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEY
T
Inciicate'oute no s mie'seccons scnools. criurches cemeteries, streams towns and any notaDle feature such asduames Bridges, railroaas. etc Be sjre to show distances between these features
•• O , ~ . . ,• OFFICE USE ONLY/f'/Cx^ i / ,^'' C<5 - - Lat 'I 7? Long ^- - "
.- iff'!I Sea __ Ace il I Mac .•/-. >7?., ;Z-Mx-_.
Physio. Prov ^-^ U.S Sasm *" Topo 2> Color and RockTypeAautfer _____i—___ Aquifer.
ScnuylkillWell Owner Hfg.Co. .Ino,T..
Address P. C. BOX ALansforcL. ra.
13232-;0;RCLH ONE)
^Aie'STr ——— c- .a:t c :,. ro'z cc. state 'ejerai county^ :C.'RCLE ONElWater Use __ -GT*e c-uCNc "ajstry» rr-aaiior. stock i"«* tutron
use _ !-«u«-.: •.*
_ _125~ -/
50 .
Saltwater „Zone ___ *.. .
yes nott. /CHECK ONE!
'.".el: D.ar--:e'————::.____to nearest inch,., . ' --. .C.RCLE ONE)Wen Finisri ____oper ho'e screen oerforated slotta<
Date Drilled month year I/2 f/O j
.h.
Hydrologic unit
,„ . ... ,. .water well inventory Report
.*-urown & red
Landtorm a: S'te'CIRCLE ONE)
sand a clay 0 _ 70'Red sandstone ?0 -125'
IS-jr'ace ^ OFFICE USE ONLYi">!i,lhll"w vail6>' h'IISi::e
:• . ' 1 -27 P ;'s?hares W. Fry118Oepth to Wate' Searing Zones in
(2) ______ ft (3' ________ ft (41
\Pi Sasiru f" CrFiCEUSE ONLYL ^ , , ""•".."•' ..--'• - - . • • - ^t. 309 nort.i,.4,5onta thru traf fie 11 sht in Honetown to first blacktop road
left, turn left approx. tni. to property on rt. Well is—————————————————————————*————— - ———————————Development name (if app'icaclel __________ ^ y-Iy - r "'-'Lot _ abprox. 100 ft. fron.;road/t--3<'v' f v
.•w;
5nLe»e. at End o' Test _____::_______ ft H—W—c I
————2———gprr-'DW Ms-asure >.'e:.Hoc ____ca e- orr',:e -ew w«ir
»»t» aic »us.e: -si. ate otner (CIRCLE ONE)
TEST rt'SLL rr:l
•-.-. ..-•-• *..*.* • • " % » - •
*». i???1 ^ : -itr>'rc'i'-!.' •"..>
[.'._i"_ T3T_CC.=Y TO_PA. GHO'.OG'CAU SL'RVHY• - •- - - - ... ... * ''
*"" „„.,, op,nl,rc<K TOPOGRAPHIC AND GEOLOGIC SURVEYDepartment of Environmenta Resources _____—————————______.—————__——————————————OFFICE USE ONLV- r
I1'•/ I' _;••- f y- , „„,, ; ;- .-; r '; Physio. Prov. L.U.S. Basinjr5'.. *2 Cc——'-*' ——-———'———- . __ .. . . . ...!3ec __ Ace. •*. I'l Ma
Aquifer 3 A '1 rrv^ *»/>•»fiyarciogic u.'.itIT p/SQrHEdrock . -"• -' -'t Lanatormjr. b.i<J
Coio'
well Site—Township (________Co.jnty STr. Hi'V.t. /x*'. !.i______'(Surface ^ OFFICE us; ONL
,...n c".-"*' -"-- '- " -'/'' ' '-, >'———————1""tl"———I oriiter's lilt' Driller's/' "} . , IName ^^- —— '' -*—* ' ~——— -
i(2)
to Water Bearing Zones jl) -"*"£•"—————ft. ,_____ft. (3) _____——.ft. (4) ———————— ft.
i Ownership ___l"onvaj»rcity, corn-;c. sute. feoerai, county(CIRCLE ONE)
Water Use ——£omt.i Well Use ___ .. . •S i 'y. »«. .c.naonen
•'7 ™~H*\ / Development name (i"° fl/v
we,, Depth -; '———«. .CHECKONE, Lot
Casing Length ———ifWell Diameter
Well FinishDate Drilled montn yaar
Water Level Before TestLevel at End of Test ,£ </ L ————— «•
Yield ——— . — 9PmFlow Measure Method ——— milar. orifice, meter, walr.
nd DuejtMi ejtimata. otner (CIRCLE ONE)
DrawdownLength of Test hr- —— ——— min'
Pa, Basin .-• *~ - OFFICE USE ONLYwritten well Location Directions
'/f
—W-E-
SKETCH MAP KS.
mMAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
Department of Environmental Resources_____________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory Report<S' It/ " - s "-? -._{.gt U'3 "-~> ~<* Long -?_T •"- g
ONLYSt 42 CoSec ___Aec -f I' I Mao "T^ — Well
Well OwnerAddress.
CIRCLE ONE.1. county
Water Use __J-r"-Ot,:»c i jstry ""33-on SIOCK institution~ '———- (CIRCLE ONEIvvell Use ~a-_a~.i_fcg dry N>e 'ecna'ge test abanaoned
SaltwaterZone.
r«-;_*-;v_j£/_
yes no(CHECK ONE)
_ft,Well Diamoter if _____to nearest inch,. ,,r- u ^r-———T idRCLEONEIvi ell Finish _ " fcnh flScreen certorated slotted, otherDate Drilled month >ea- Lr/K /__________V.s-»-L*.e =5'c'eTest ____yc^_______ft
Level at.€nd o' Test / ' (J________ft.-Qpm
Flow Measure Method bane' o-:'ice r-e!e>, werr ana r a, esnate o:-,e' (CIRCLE ONEi
Physio Prov '-.US Basinft U /Jr.U.S. Basm_J—_Top
r.A jO OICC-K
Hyarorogic unn rvo / u g -pOeotf to Bedrock ^2 3 ft >_ardtorm a! S.te————/=•———————————l (CIRCLE ONEI
Surface_Cl__ OFFICE USE ONLY ievel hilltop, valley, nliside
Driller's / / /7 /~i r'"eLicense // / C/ NameDepth to Water Bearing Zones (1) /^-^_______ft(21 /yQ ft (3i_______ft (41_______».
pa Basin OFFICE USE ONLVWritten Wel! Locanc-^ 3 ••SCIIOTSI'L * S- i~S
/-•
Cetor and ROCK Type Froi
Development name (if applicable) _Lot_____
•—W-
i j sV r.
Depth to Water Bearing Zones (11
Ownership __f_private^city, coro/co. state, feaeral. coun'
J- I If .._ I (2)________ft. (3) . ft. (4).
ty(CIRCLE ONEIublic. maustrv. irrigation, stock, institution
" *—~——T" (CIRCLE ONE)reauan: use^ry hole, recnarge, test, aoanaoned
Pa. Basin^___ OFFICE USE ONLY
Well Depth ———-«—*=———»- (cwtc*urit> LotCasing Length .Well Diameter .
Well Finish _c_^open nole/scraan, perforated/slotted^ other
Date Drilled montn yaar / / -I *"<•'
Water Level Before Test —————— —— ——— ft-Level at End of Test -^ <^" ft.
•"* X7Yield __jUti__9PmFlow Measure Method _A_b«n«/orlflca, meter, vvalr.
watcn ana Ducket, estimate, otnar (CIRCLE ONE)
Drawdown ——— c.Length of Test —— £- ——— nr- ——————— min-
Written well Location Directions.7 itcl^e/ Ad 1 f-
Development name (If applicable)
—W- / -E
SKETCH MAP Indicate route no's, intersections, schools, churchas, cemetarles, streams, towns, and aas Quarries, bridges, railroads, etc. Be sure to snow distances Between thesa features.
ER-TGS-15 REV. 07/77 MA|L 1S_ COpY TQ RA GEOLOGICAL SURVEY
[ Department of Environmental Resources_______________TOPOGRAPHIC AND GEOLOGIC SURVEY____ Water WelQnventory Repo
SC-if'/ -x- ^ / f OFFIC/ USE ONLYt. 42 '(-/ >>!— Lat VO'1-"* S? Long 7 O3 •> " \ Physio. Prov._ £ U.S.Basin "r *•— TDOO.
Aquifer ^ — .' S" Aquifer 6'3 1
Well Site—Township•**. 1C' °C.E ONE!
County "—' -HIs y-A/*-t _r / e.eTl.irac. •allay, nillnae,. - _ „ Surface _^__OFFICE use ONLWell Owner !?,%. .JL-LCnf .___________fiffl... (L.
Address .
i-\ „„,,>,-„ x—————N (CIRCLE ONE)Ownership ___/pr-va*<yclty. coro/co. state, federal, county
Water Use f_n5f-»g? public, incustry. iTr.;ation. stock, institutionWall t it- £—————™———*V (CIRCLE ONE)en use ——preauent use^ory hole, reciarge, test, abandoned
SaltwaterZone ___
__ - »•• MU
well Depth »T< "* "*»———— ft. (CHECK ONE)Casing Length —— r*/————— ft.Well Diameter ^ '9- '' to nearest inchWell Finish ——JooerTnolS screen, Dtrloratedyilottad. otnarDate Drilled montn year t~ "^^ ~ *7* ____
Water Level Before Test ——-^-—————— ft.Level at End of Test /7C______ ft.
Yield I———3PmFlow Measure Method ———bailer, or^Kice, e:er, weir,
I watch and bucket^estimY^ctner {CIRCLE ONE)
iI Drawdown
UIIH ^ .; cw C-»< £'Depth to Bedrock *** L____ft Landform at Site
Depth to Water Bearing Zones (1) a< ft.(21 /9-f __ft. (3) _______ ft. (4)________ft.
(Cl RCLE ONE, • BaSln *^- OFF'CE USE °NUV
Color and Rock Type"- /3 :
Written Well Location ni«»r.»inn«. / /-t iSi? f, r. i>J±_±1I_ .
Development name nf applicable! C f— /JCi^h J.Lot _____ . .. f ,
-E-
«••/•-,*,..,:
engtn of Test ——L________ hr.———————— min.SKETCH MAP lnd.:ate route no's, intersect
, e'l. Be s-.-e 'a s-
s+SKETCH MAP lnd,=at« route no's. ,n
REV 07/77 MAIL 1ST COPY TO PA. GEOLOGICAL S'JRVe
TOPOGRAPHIC AND GEOLOGIC SURVEYOFFICE USE ONLY
St. *2 r.n-S*— Lat__________Long.Seq ___Ace ____ Mao______Well __
Well Owner
s~*± (CIRCLE ONE)Ownership———qnvijejcrty.corp-co sate leoeml, county
>tock. institutionWater Use __(ho™/public. inaistry. msaSoa 51... .... s? '——-~ (CIRCLEONEIWell Use ———(frequent usejjry hole recnarge, test. aBanooned
Well DeptP ./.? /_____ft.
SaltwaterZone___ *
yes no(CHECK ONE)
Casing Length ?xy ttWell Diameter——^______to nearest inchWetl Finah ___ pennoj?. screen. perforated/ stoned, otherDate Dnited month yewWater Level Befpre Test jvy_________ft.
Level at End of T«st / /&_______ft
Physio ProvAquifer
ilier s . . — . Driller s / . i •:ense / ' . Name .' /• -* ~t''-< —'Aodrass. ___________ __. _ f
Depth to Water Bearing Zones (\ L -j? « ~ ____ (t121 /-2.7 ft (3)_______ft. (4)_______ft.
Pa. Basin___OFFICE use ONLYWritten Well Location Directions .
ter Well Inventory Report
Development name (if applicable)Lot_____
*-W- -E-*Yield /<g____gpmFlow Measure Method___<6a3j£tfice. m«t»r, war.
witch and buc*e BJgJ>-other (CIRCLE ONE)
Drawdown ?e___ft.Length of Test ______|___nr ____________mm.
SKETCH MAP mdic-t» route no's, mters»c»ons, schoc*, a fcfches, cemewrtes. streams, towns, ind any notable laalur* such uER-TGS-15 REV 01/79 quames. bndges. raJrosds. etc. Be sure to show -stances between these featums.
VAIL 1STCOPV TO PA. GEOLOG'CAL SLFU'EY
OT ENVIRONMENTAL RESOURCES — TOPOGRAPHIC AND GEOLOGIC SURVEYW.ll Own.r J • L • / 3 • ! t ' • • ..
'!:• -i
\A/rll l"<-"«inn ,r:oiinfy". _ •_ 1,. . >l
,To n«h,r. , R.U — !• n/ •
, ' f . T ,! '
Sketch Mop of Well location-Include neores* state, county, or twp.route no.1 ,
r*
r
^.»' -'
_X
/ •
,VA' ' »e. .ed !972
W.ll n.ptti. „/ fftfZ _ ft D.pfn rn«f!. </,' , '» Dinm»»»r. ^ in.
Typ»of Pump, r.ntrifiirjnl .„.., ,„ , J»t Pittnn
Prpth m wntc' w— " F-'f «* V;-M T— * ,'_',/r..,, *•
Hnf. \A/»II Tnmpl.*. / .• ~*
Recharge ______ .. Waste _____ Abandoned & Plugged ___ —
Depth of Water Bearing Zones.-P,'r«, / / '/ f* f,.,-- / ' 'J ft.
Thil-rf . ft Fni.rlh ,tt.
"f-T"*"7* f* . . . _ P Tonrrnftnn „ __.,
Driller: PW-™. f° / . '
A rl'—iy , -./,- *" ' ' - -,
License No, 'P-pth tn R»Hrru;k ,. -
Type of Surficiol MeZi ' ^ •
LOG OF FO
Rock Type
.
«.,.„!. ^ .
RMATIONSFeet
From •• To
» ""• • W
^ovj "»«VHM«
——————————————— ————————————
——— 33 —————— tCC ———
^•
MAIL 3RD COPY TO PA. GEOLOGICAL SURVEY
*x&
Oc::iCE jSr 3N
Lor; ————————————
L Well
Pnu=,r. Dm. x " u S Rasir
A.-,TII>O- Anni'e-
— — ToneUf.IGI.ttr11
^ OFFICE USE ON'vl
Well Owner name._ _ IS-rtace——1—.OFFICE USE ONLV
las:
Lan_£_"- 3- S :~•CiSC-E ONElevel niiitpc'vaiie* r 'Si e
Address._ Dnlier s
/•
Depth to Wate' Bearing Zones (11__ft (3)_LlI___
-———-, (CIRCLE ONEi .———————————————————————iOwnership——_.pnvaia. city, corp co state leaerai. county Pa Basin-Lfa^OFFICEUSEONLT __ _
(CIRCLE ONEI I ...... ~" ... .„-,....., '" /l g <T- 3 V >V. rc £r~. _jgUKLA> W.7~L-/>fj £ T-- £c. - /_ /n./L.T T^//V_
Water Use __.home, public, industry, irrigation sto« institution~"—— JCIRCLEONEi
WP)| Use __Jrecuenl usa dry hole, recnarge test, abandonee
Saltwater ,Zone yes no
_ft (CHECK ONE!
_ft
Well n.amAtor .' f - ' -. - to nearest inch_ ___ (CIRCLE ONE)
Well Finish ___ ropenhcje. screen, perforated slotted, other
Date Drilled mornn yea',
* — ** ~ '_ft
Level at End of Test ./ C~l ——————— ft.gpm
Flow Measure Method ____ bailer oniice. meter weirwatch and buCKel.es timaig, other (CIRCLE ONEi
Development name (it applicable)—————————— NLot_____ '
—w-
H««"'»a. unuyws, idMUdUA er- oe auic lu suww uu-a
ER-TGS-15 REV, 01 79 VA ;i_ 1 ST COPY TO PA. GEOLOGICAL SURVEY
IS*Indicate route no s. mtersectons. schools, churches, cemeteries, streams, towns "and"any notable feature sue" as
. bridges, railroads etc Be sure to show distances between these features
Department of Environmental Resources____________TOPOGRAPHIC AND GEOLOGIC SURVEY ,„ . ,„•„,Water Well Inventory Rep•s OFFICE USE ONLY
_Lat._________Seq'———Ace _____Map '•' "* S Lx WPIIS«.«.Cor^_Lat————————=——ong—————————— Physio.Provi u.S BasirtV£__Topo____ Color and Rock Type From- T
Aquifer________Aquifer____________
C V iWell Owner 5?n« C < r . L.
Address ft £ < M H fi t A £ i F,n /• A £.s t //-.--.r
_ . .--—, (CIRCLE ONE)Ownership———lanvata, c.-ty. corp co state feaeral county
Water Use ——T one, oublic industry irrigation stock, msttunon... „,, r."———•-—«. (CIRCLEONE)Well Use ——y^egdeniuse/ary hole, recharge test, abandoned
Zone.yes rid~~ Development name (if applicable) _________ J,'•'•*'-•*=•" ———' l -*—————ft. (CHECK ONE)
_ft.Well Diameter _/<.£' tn nearest inchWell Finish ———/openhoy.screen perforated slotted other
'——— Jr 'i ~t ^ <Z~Date Drilled month year O "* •**•«»*• ~ / /
' Le i& 3efo-e Tes; ___ "|~V ________ ft.Level at End of Test / '-~Z' ______ ft •W-
gpmFlow Measure Method____ba:e- on'ce neter, weir
*a;cti and sucker. i$;r-SS. o:ne' ,'CiRCLE ONSi
.hr
Depth tc 3e:rocK — -Tc ft Landform at SiteI ——————— 7= ———————————— ,[burtace OFFICE USECNLV
ICIRCLEONEI
r s..- ^ . -Driller's, hillside
Depth to Water Bearing Zones (11 ' —______ ft.(2| /-^l ft. (3)_______.ft !4I________ft.
I Pa Basin — *•. OFFICE USE ONLY) _
Saltwater J ——— —— ' 7° ^g^^"1^^^ /?0. ^gQc/VA jjf ..•--,- £ /.
Lot_____ i
- 6V
IS*
EH-7GS-15 o.V 01 79 c.i-ss s-;; s -; -;...js e-; _-. -. e-:;-....- -•_-VAIL. 1ST COPY TO PA. GcOLC-:-._^_ ?..-:. =Y"
s5 E iy ;- T' p..,.,., i ITT r ~""\' n~ iTri_Tn"iiiBiFiiWffiWMHBT-iiiffiiii-flnriiii"' * —— ' 'vV*/fti
icrr -_, •<-,? -MS
c?» A ~ *"• - - _— h a> i OT"
=,e- Ar.r. Man ~ • '- Wel
. .... /^,'^ll
.(, ffi: ««W«ACPnvsii Pro. ". C .. «; Sdl/1 - - Torfn- J\\i\8Q)Annitpr Aaui'p-
- ... . -... W / .. ....... .... 1
ii) -5"* fl ...r
WellOwne-
-———_, (CIRCLE ONE,Ownershtp__Lp"vatS?c'ty COTD cc state federal count>
/~ 'CIRCLE ONE:Wa tpr U s e f_ nom ) pupirc mdusr» Kr-gatior stoo mst.fution!±—————_ iCIRCLE ONE
Well Use ___^*reduent us^ dry note recna'ge lest abandoned
£ D +-P>LL'£
' Bearing Zones 1 1 • Crro A g u' P fi ft- *
,———————,-—————————————pa Basin_2f"_CF=lCE USE ONLY
' ' ———— c9 KtlP-t-u- Ti-TR err £ T-
-.~.~ 2— \' *•.-> indicate route no s. intersections schools, churcnes, cemetenes streams, towns and any notable feature sueauames bndges. railroads, etc Be sure to show distances between these leatures
'••• L 1ST COPY TO PA. GEOLOGICAL SURVEY
Department of Environmental ResourcesI TOPOGRAPHIC AND GEOLOGIC SURVEY
Water Well Inventory Re
Color and Rock Type
Co^nti OP /V IS%L FEC.LCJ
Depth to Water Bearing Zones {11 L-7& ft. (3]—^ i CIRCLE ONE)
P"-aj city corp co. state, federal, county~
TflKs /?7--\ 3g^ A)t:#f'» n £r-ru /?_ «• * •"' • ' —- '
Ownershio _____. . . --.—.....—.... vumyWater Use ___Qi3m^Dublic. indLStry, irrigation stock, institution,., , . jZ-~"——- 'CIRCLEONEI «£,Well Use ___^^eniusp3ry hole recharge test. WMoned
SaltwaterZone_
,. ye» no—ft.,, ——— (CHECK ONE) Lot————— >. p<J- * ' '*
_____________, , „ - _s -. —-• o. - re.Development name (if applicable) _ .5T ) D £ Q J= _ /f /9 JLot_____ -^ sfe-_________ " I
Well Diameter Lf ">?.'' to nearest inch... .... _ >i.—w. ICWCLEONE)Well Fimsn ___jopen hoy, screen perforatea stoned, otherDat* Drilled monlfi year X ""
i Se':-;Test _.. .~3oLevel at End of Test.
_ft.
Flow Measure Method____ba;!e- or.ice. meter iver,wa'.cr, and bucker-esr= otner (CIRCLE ONEi
s^- V
" farrxLfttooo
-,, .. c rf s.-etri";* •: s'aTO PA. GSOLOGtCAL SURVEY
1 •- . ,— " "~':" ~P~.,-O-- __- --,,--_ -=~
————————— ———————————— _:1 C;_r-. ~^> (...f !, \ --*•-.— ______ js,ir,a-_ •- C"=-'CE JSE ON. < 'e'? =5"'ai"?. - s =«• r1 , , 1 no- ?£«, r_L C \ d P ir-ia A . ' ———— -, ,
i Pi C 1\ «• M-? _3 •' Deotn to v\ater Rpa"~~ 7<-r>=s :1 / / -• ':I ~i~ftrr\XG(Sfl PA, lf.3''- ;_,<3C' ft .3...... ft 4 •: •1 . —— - x ' (CIRCLE ONE. 1 ——————— - —————————————— l I
1 .. ——— . 'CIRCLE OSE; ' —————— ~ —— - ———————— '/£• k t~ K. T~ • ~*>' t1 Wa'griKp snfe iubiic maus^ imgatior stoc* institution .JrL,.5~ Vve _^-3.^ _' S-. -• - ———— 3_j=s —————— £-• i
I _ -^Ifi-tr-- C~L! -^ ^M / L._Tj 7"_V n-1 Saltwater :/ Pa. C~ - '/ t1 yes nc ^1 *)"^'^i u i «. ^ / f) /^* /7 ;— £? S £ }\1 ',A,A, • np«».- c-t o«* -j ft (CH=CK ONE) LOT —— -* ' *•' C» t' / — r C. r* 1}
1 Cas n- , en-tr, V/ ft, X'i'Ji'i' '^
I _.. —— -. (CIRCLEONEi /rv»*AUT /\ , ..JI Well Finish roaer noff screen, nerfo'ated slotted, other •«1 ' — T — • — lip / ffifi iuN--- ^ — ^\ w"i1 f~l y FT l4r H1 S-Z.44CC L. ———— n1 .a;pr , p7RiBet3'aTest // „ ,. tt. J; ._I LPvPlatFn1ofToSt l%0 .,«. —W- /» i ">~- ——— ——— — — — — '
1 Viei. —— 5±f ———— gpm /fid /»kig ._.//_,_..?1 fT|OW vpasnrp M°fhnrl oailer. anfice meter wer1 v»atc^ ana buCKe(esV]rat otner (CIRCLE ONE
1 ,=^_.r^(Toc, / nr mm *1 Jl ' • — ' ^KETCHM^P indicate route nc s intersections scnoois cnurc-Tes. cefrI " quarries o.noges railroads, etc Be sure to show distance1 ER-TGS-15 REV. 01 79 MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
:• Department of Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEY;9 V/T OFr'CS JS= ONLY •
H| Sea Ace Mao / ?-5 -Ix Well Aauifs' Aquife'!• ' —————————————————————————— • ———————————————'^M We" S'te~ T°WnSn'° A ^"^ ^ De°'S 39drock "- 3 ft i anrtfnrr- at <?itp
-•-•I as, COU"t->^/yt'y*--r/«-fc' ————— . Surfa=6 ^ .OFFCEUSEON., •«* P-!5VffnerJM-:.J Well Owner limp / /A? /T7 XlS" <? AJ S., W» ' ———————————————————— ' ^3^ C
-^ jhti VVTAl*) \Jl£*l *-#/J£ . Dppthtr Water Rear.ng Zones (11 *7o? ft
1 QvAicn.*?.: '#/}. /£_*(+-<? {2> 9^ ft(3, /<s-b „ (4) / 7^3 nf 1 —— —— iC^IDLEONP
C'.v"9r5hiD —— '.a-e ctry core co sa:e '=3e-3>county p _ rz f. _ _ _ ._ 1.•a.e' Use ___ _ ^ Djbi'C .nd-str\ •.'• :s:or. st:>c . ins::r-:on _ Wr.tt^n '.'.n 1 -,-A- -ir "• '£--n.-int, ' /3 ** - '• —
Well Use _^ e-r-e"? --^ dry hole rer'ia'se t°s: ^t^nn->"»rl «' ^ /V .'u /\ 7~. Tw / O /L /-\ } f~ rJ T
wenoectr /(TM „. ICHECKONEI Lot '/ I. c_.u-Cas-:_e-c:- . „ %/'_ , , ... „ .ft. ~
.., „- ^ / —————— «_ (CIRCLE ONE) ">->.'el!nnish _ _ f "er. •'i'jjscreei. pertarateg sionea. other rDate Drilled rionm vea' ]J ~~~T$£) ~~ S* ^ 1 ''.•,5:e'Le.e'5e'oreTest ^X ft 'J/J A/ijj »•_<.«." i — r?1 . _
Le. -slat End of Test / &rO « «-W- '"v*= yV- 3om :-):•'---. rw>/v
J" D-aw.own V/ fte-|-:- c' Test / hr mm
ff?edL *****/c x J//; L? -. - 5".
T.f, ^A,^ ,
If—
—A/' ~n.fr- 5~v- v^c--1 r-r, rr\K.s,,' /•,• /j/c->i^C^r cv TT. /v,xM/toA-^
/f / (__: tiCt,"j£cV /?)^>r»T
A /AI X'.'.'t
i ORIGINAL
\/TVn' fet'ji
istenes streams owns, and any notable feature s-c" ass between these features ,
Water Well'lnventory Repor
yeLi.evj-S'jtob-iTccs —/£L.U-*>-S<tJ#L(_:+ >-f ti* .7?
(3>/yy 5#-!f.Srav£yb?/3 y VBA' S fi" 'I'O //*=»eXf /?e_5-Syy-5«t-r _V* Y£ i-i~cw fru'b&rGi\>&—'
—3.-, A. ,'rv- rt-*-i L^-rr/. 7 _.a-,-- /-r -rj.
t
-O^/^-x-: cp,en
1; i
- -_.; - .-,. -.5- ?--'=_• --:5*_*esVAIL. 1ST COPY TO PA GEOLOGICAL s"-=v"jv'
SB; ——— Ace _,_
.--•«(mil /
Address-or PO Box• — •
1 M L0" =
u«r we"
P-.»,- P<~. JS S-iS- 7 -,.T.-
Ar- '&• Aaui'-.-'
/ 1 * -> >- ____——————————
._, / ' / "=• •*_^/ i
•-> , - _ —/
~ (CIRCLE ONE)rXwnarvhlD Oclval* cjrv corD'CO. stlt* fedtrU. county
-K>... .. a^rxt J / n , _.,,„._. .ts,t.r —————————————————————— 1 (CIRCLE ONE,Is., face ___ .SFiCE J=£ ONL< [ *"' ""''" ""v "'"'"
D'"!'?'! /7 r Drme' s J i >LICBOSE / / /w Na>-e - - •• ' <—• — ' •
Ho-t" '0 lA/ator Bo.rmg 7nn«s (1) . , • ft
(2) / f1 tt (31 ft (.1 tt
p.« Ra«m OFFICE USE ONiLYI — "
w-t.,,,Kf •
SSSTpuoiic. . n r n g i i . o r , nock miriution oott-0 Written We:' Location Directions— - (CIRCLE ONE)
Sr*uiifr&n how rscnirg*. t»«. iMnaontd. rml pump
No. __ Yet —————————— depthChemical/Biological Analysis made ———Yes. ——— No —Well Depth /-~"~5_____tt.
Cas •;; Vatens' —•«:; e1as:ic. otherWell Di«m«t(K__Juj_____ to negrest inch
- - (CIRCLE ONE)Will Finish_____^v**n icmw ptrtonma/sJonM, om«rWell GroutedOats Dnllod manontn year ____/ '
Development .name (if applicable). *t ORIGINAL/ (Red)
.7C-'
T • *- -- .- — £•*•Water Leve' Befoni Test -^___________ft./
L*v*l at End of Test '-• _________ tt.
Yield _j - ^___ flpmTe*t Yield Pithed______Kama, blown rf ™
C i ' * • ' *t-1 M • Q
u..n_wn.. ____________________"• °
Lenjth of Ttsl_____i._____hr,__________mln.
ER-TGS-15 REV. 07/83 MA|L 1ST COPY JO PA. GEOLOGICAL SURVEY________________
Departmtnt of Environm.ntal Resources TOPOGRAPHIC AND GEOLOGIC SURVEY — w.,er We|, ,nventory Re rt
SKETCH MAP Indiut* rouu no't. lnnr_>ctKx<<, tcnooto. crturchx, etmn>n*i. UnwiK. towm. ina vy noaM* fuun <uch wqiun-iM. »nagn. raiimaat, •- t« im to mo* -Minat b»H-nn tiMi l
OFFICE USE ONLYSt 42 Co •-' - " i »! ____________ LongSeq __ Ace ____ Map ________ Well __
Rush. . SchuyUd.ll
wner g£..Sllberllne I-Ifg.Co.. lag,_Address'P. 0. Box A
Lansford, Fa.
Well
ONEiOwnership ——— p'vsle c.:y.- coro ccL stale >r«'al, county
ONE)
18232
Water Use __ no<-« OLD : -icosirv, ."C'RCLE ONE), _Well use ——— t'eqworn uie ary noie rec-a'ge 'es:
150Zone
120
__ Xy« no
(CHECK ONE)
Well Diarreter ___~____ to nearest inch2IRCLE ONE)•etn. p«rioral«d'S2/1/83
^ (CIRCLE ONE)Well Finish————open no'e scretn. MrtoratKj!slotted, otrttr
Date Drilled month yearv.. 150
Level at End of Test ___55_______ ft.. . 12 .gpmFlow treasure Method ____.ca^ef on'.,e --«•«' weir
v.'atcr «,,Tb.i.« «:ix.,,, ct.-«- 'C3CLE ONE) -, ^i£Lr_). .liiJjii n-C
.ft._±___hr ____________mm
-..-*- • , r 'ideate f3
C- nc pa=,n —Physio Prov ZL5L.US Basin __^__T^soAquifer _________ Aquifer _________
Surface __!_ OFFICE USE ONLY
.ft. Land form at Site.(CIRCLE ONE)
Red sandstone 110 _ 150'
-:.l 1427 5±:Phares W. Fry75Depth to Water Bearing Zones (1) __LJ._________ ft.
lit?(2)_±-i£:—ft (3>———————ft (4) _________ ft.Pa Basin OFFICE USE ONL'It. 309 north
Color and Rock TypeBrown <•_ redsatnd & clay _0-110'
to traffic light in Kor.etown, bear left approx. T mi. tofactory on rt. Well is aoprox. 100 yds. east of bldg.
Saltwater ——— ———————————————————————————— —————————————————————————— —Development name (if applicable). ————— NLot______ I
and 50 ft. SE of storasre""*tanks. ~
EFt-TGS-15 REV 01 79f.'i.'L 1ST COPY TO PA. G=O'_OG'CA!. SURVEY
0" == .-a: 0-g. /,- r- ^ — , r La"-. ~ &•-«„•. Dm _, J ,c qa<-., ~ C. TOD,
A-in'o- Arjuite'
OOIO* 3"3 ROC"
a:S:teORCuEONE.. ——— _ . ,^_._.-.._—___ :ICEOScCN_v pe.e -"..'.oc va»e, "N.s.36
as- '.,-.- /^V '"s- . ,,—————_——————————————I. Owne' -amei———~.____*+-w*.' .-: --, -———————initai__—. nr, .
< X. '_________________I .leW... ' •' " ...Name f
Ownership ———— P'rv e jiry
Water Use __ "omg.jiutjiic
c.— ~~
Wall Hiameter
Well Finish __ Senjioie,Date Drilled montn vear
Wate'_e.e Be"-%Tes:Levsi at End of Te:
>ieic ' J rjpm
^— r. ^., ~?'~ Death to Water Rearm,- 7mp* ( i • ' " Ls f! .. ... _. ... .^ (2 / - ,'' ft I3i ft i_ t:(CIRCLE ONE.
cons co state feoerai count>(CIRCLE ONE'
inausr-y irrigation stocK. institution(CIRCLE ONEi
,-arv hole recna'ge test, ataandoned
Saltwateryes no
ftto nearest inchlORCLE ONE.Screen oeiorated slotteo other"•' ' i <-
-± •*' ftt ; ; c- ft
Row Measure ypthnri ^^^ naii»r orifice, mete' we»'Ivatcn ana Bucnet/estimate otner (CIRCLE ONE.
Q.a., .. - f
i en-— -- Tes- /
ft.hr S^ -i mm
Pa Basin "*. Og^iCE USE ONLY _ tvVr.:te--A6- _i.a:.- - 3 "e- *Cj**>- ^
—
,'W.. „'.'-; - _r-y /•-^ ;• '
Deveiooment name (if applicLet
*—~- '4 c (j
•H J
l'
4 ORIGINAL
l'°
•ER-TGS-15 REV 01 79 _ ouarnes- bna9es railroads, etc Be sure to show distances Between these features
mmmammm[ Department of Environmental Resources_______________TOPOGRAPHIC AND GEOLOGIC SURVEY____ Watsr Well Inventory Repc
plor and Rock -Type From — ToSt. 42 rn ~-Sea: Ace.
Well Site— Towr
Well Owner nYn
-• Lat
Mao
«nip /• x-) /C
CnnntyA r
Address/ i -_,_ - ,,
OFFICE USE ONLY , -• •' /•*• (_//Lona 1 Phvsio. Prov. v*'- U.S. Basin / ' — Tnoo
Well 1 Aauifer Aauif«r
Ar- X-
) 7, .,-,,/A, / /jr ; /j7 ' ' tjr,, "Y"
/C /> *•/- _, />^
_ /
Ownersnip __Water Use _nome, oublic, in (CIRCLE ONE)dustry, irrigation, stock, institution
t —
Driller's^ /~) f? £. ~~ Dr']lS l\ J L
Depth to Water Bearing Zones (1)f21 ft. 131 ft
Pa. Basin _C-=— OFFICE USE ONLYWritten Well Location Directions .
Landform at Site—— VCIRCLE ONE/ 'v« r.iiitoc, valley .piiiiiOe
ft.
. (4) ft.
t- CI\H ?~<*r> /?v /r / --f - ? ?
wen use
evelopment name (if applic-ble)'
Well Finish __-Topen hol screen?perfo?.tecrVslott«<l, otner,~— ir - /• / <•/ *? *nth yeir - 3> <%/* / '___x >X^ ?/^Water Level Before Test ———————————— ft. __
' CXfe'"""V
V,
J Flow Measure Method ___bailer, orifice, meter, weir,- • watcn jna bucket, estimate, otner (CIRCLE ONE)
\S
SKETCH MAP 1-3 =aie 'oote no's, i—,?rsec: 2-1. scnools, cr.-c-ss. ce-^«:e- ?s. s:-ej~s. ::«i!. ana a
ER-TGS-15 REV. 07/77 VAI L 1ST COPY TO PA. GEOLO3ICAL SURVEY
S! 42 f r " «— - ,_a' Pnvsio D'0v ' - n S 3a«,r •— _ Tone ,
A!:c ____ Mao. w°' Aaurte' —————— Aaulter
_ _ ">CE USE Ci-~ I I 1 --.-7 /' r- '''?' t- !———————-——————
Well Owner name.as> L/--Address. A"1.
__^ (CIRCLE ONE)ite):ity corp-co. state 'ederal countyOwnership ——tpnv;
~_- " (CIRCLE ONE)Water Use __/fomt-puBlcc industry irrigation stock, institution7—— ^ (CIRCLE ONEi
Well Use __yreouent us£ dry hole recnarge test aoanaoned
SaltwaterZone-
WeiiDeot- ' -* —ft (CHECK ONEICasing _engtf. *// x^L __ftWell niamater /. '/•_,_'• to nearest inch
"." ~" . (CIRCLE ONE)Well Finish —_/_2en hole! screen, perforated slotted other
Date Drilled month yea' ———L__—L——-——2——————Wate' Lev e' Before Test /C__________ft.
Level at End of Test ,P. ~~j_________ftVielo -^—'_____gpm
Flow Measure Method————bailsmajice. meter wer,watch ana txjcKeCgstimatf lher (CIRCLE ONE)
DrawcOA- ___' ~^___ft
Ler-;ti of Test ___________hr———————————mm
: Lanatcrm a: S te OiC'RC_E__i.E C
o_" Tyoe
Depth to Water Bearing Zones' 1' • .C'______ It17: V ^- ft '3, 6J (t IS.- 11-3. \\
Pa Basr" - QPqCEUS£ONLV|- .-. -. / K, . /: r
.ir'FT AT" •S'rv y A - >- ^->1/. C-f / r>V'<-C' ~,. /.'/•.
>;••,:A C, i '/zn t ' /"vg|r.pmont namg lit annlirahlai ^-* C t "i I.'" t. r- (^ ' / C- .r1
t_______ '
ORIGINAL(Red) ,«*MK&L
—W-
SKETCH MAP indicate route no s. intersections, schools churches cemeteries, streams towns and any notaBI* feature Sucrquarries bndoes. railroads etc Be sure to show distances Between trtese features.
ER-TGS-15 REV 01 79 V.AIL :ST COPN TO PA. GEOLOGICA. Su
Department of Environmental Resources ____________ TOPOGRAPHIC AND GEOLOGIC SURVEY Water We)| inventory RepcOFFICE USE ONLY
St. 42 e-.a — tat____________Long.
Sea.___Acc.____Map________Well __
Wei! Sue—T
Well Owner
County j . '- >' /L :. - / V
Address.
Owne-ship —— .pnvate city c w c s w w w i coonty
Water Use ___ home, oublic, maustry irr.gat.cr! stocX. institution... „,, -- ICIRCLEONEIWell Use ___^frequent use.-dry hole recnarge. test, abandoned
SaltwaterZone___ ___
yes no(CHECK ONE)
-ftWell Diamater ____(o nearest inch... „, _ — (CIRCLEONE)Well Finish ___ooen hole, screen, ptrtorated - slotted, otherDate Drilled month year _____/ ~ •* " " ' -
•%='srLe.e BeforeTes: _____'/ -__________ft.Level at End of Test *J "-"_____ft.
_gpmFlo«v Measure Method____oaiie'.or '.ce. meter *er
water, and bucket, estimate otner iCIRCLE ONE)
Physio. Prov W ' -n.q Basin • — Tooo .
Aquifer_________Aquifer_________
Oe_r »c Se3':c- •' t_____ft. Landform at Site
Surface -^ OFFICE USE ONLY.CIRCLE ONE) ,
c valley hillside
Dr e's. Driller s :s -License - / Namg / - ' •
' ' ' '• •' ~ Death to Water Bear.noZonas Ml / '.______ft.(21 .'. ~> ft :3l________ft. (4)________ft.
|p. 8asm_jL&_ CFR=E USE ONLY|
'______i, - . i "
Color and Rock Type From B To
Oavelopment name (if aonlicable) "' • • " I . i, t
Lot.
CM
G3s-
cc:
Department of Environmental Resources____________TOPOGRAPHIC AND GEOLOGIC SURVEYOFFICE USE ONLY
St 42 Co _____ Lit __———————— Long .Sea __ Ace ____ Mac———————Wen ——
wa•S C 14 ti V L )< I L C-
• I Owner name _
(CIRCLE ONE)pnvatey city, corp/co. state federal county
(CIRCLE ONE)^public, industry irngation stock institution
__ __ (CIRCLE ONE)irequent us£) dry hole, recnarge, test, abandoned
SaltwaterZone ___
I I r- yel noJ L- (.' H (CHECK ONE)
Physio Prov ___.US Basm_____TopoAguite- ___—————Aouiter —————————
Water Well Inventory Report
Color and Rock Type From —
I. ft Landtorm at Site
Surface ___OFFICE USE ONLY(CIRCLE OriS*—
l«vei hiittop valley In.ns.ae |
i l-/«•*? "7Depth to Water Searing Zones (1)————i—i—____ ft
191 / a), a n ).l) / A*- .3. ft (4) _________ tt
ft.Well ni«m«t-r y- tn nearest inch
_.———^ (CIRCLE ONE)Well Finish ___/op<n noiyicr««n. p«riorii«o/_iion«, om«r
Oat* Drilled month year
Flow Measure Method ___-baiUr. orrfio. nwter. w»irwater and bucket/eitimat) otner (CIRCLE ONE)
.ft.__ hr..
Development name |if applicable)
•3 XVvater L^e Be'C'e Test—————-3-Sl—_————ft.Level al End of Test / ° ~5 ——————ft. ,,
Y..e *S" apm — uf yl N ORIGINAL(Red)
SK£""C'- VA Indicatt route no's, intersections, schools, churches, cemeten**. streams, towns, end any notable feature tucft eeQui.rriet, bridge.. rtilrottis. etc. 8t lure to show dutancn between tfitte lea turn
MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory Report
&-80f_ T==.- i7 r.- <&-- !_?' - ~" *-- —— Lone ——— —— ,' ° r ——— P"VS'0
tv/ nV: 60 hyvf'i--:-. „ rf.;*-'.ir/_.«-. ,«.._..
Wen Ow-.e' !S-* ; '. '^- ———— __; —— rl ———— : —— «'» ——A«-r«.e' ' / -• • —— _ _ . ————— . ———————————
_ (CIRCLE ONE.Ownershio ___ «rtvale.oty corp co state 'eoerai countv
-_ (CIRCLE ONEiWatpriise tiome-ouclic industry imoiton stocx insftution
D- ^ ~
Deoth tc(2. "
Pa BasAver-
prA, « t_. 1 1 <; Ra^ir "•-.- TODC .v
i • ~ '"• Aaui'e- ^
a,*----. u "" . , --<! Ijnd'srrr. at S.te— _i ——— • —————— (CIRCLE ONE'
'- OFFICE USE GNLt *vei Mltos valley iilsia*.
Driller s xName - ' ' • • -
) Water Bearing /nnos it i - • • .ft— tt (.11 ft 14, .ft
r. S A OFFICE USE ONLY
Color and Ftcc* ~*r:e
• — ICIRCLEONE.Well Use K»ouen' use Hry hole recharge test. abanaoneO
SaltwaterZone..yes nc
_ft (CHECK ONE)
Cas-"3 Ler.cr ___________ft.Well Diameter____:_____to nearest inchWell Finish ___-Tjoen notticreen, oertoratea slotted, other
Date Drilled month year ———'_/____________
Water Leve' Before Test -'*• ;• ———————— "•Level at End of Test ____ ~ _———— ft.
Y ie'c ________ gpmFlow Measure Metnod ____ oaiie- orifice, meter wer
rai-n and aucKel estimate other (CIRCLE ONEi
ft
^tn 3* Tes-
Development name (if applicable)
. , .ER-TGS-15REV 01 79 MAI L 1ST COPY TO PA. GEOLOGICAL SURVEY
t-aicate route no s, intersections, schools churcnes cemeteries streams, towns ana any nctaOk feature suif1 asQjarries. Dnages. railroads, etc Be sure to show distances between these features
epartmant of Environmanul Resource TOPOGRAPHIC AND GEOLOGIC SURVEY Wawr Well Inventory ReportcrColor and Rock Type
Develooment name (if applicable)ft. .ft.to nearest inch
aslng Length _ '• ell Diameter C'»ell Finish
Drilled montn year
• ater Leval Before TestLevel at End of Test / / /
•:eid gpmDaiUr. orliice, mtter. weir.
, •v.atcn and B.gc_ei. itlmate. other (CIRCLE ONE)
)rawdown III ft6-jth of Test -J— hr. /
R-TGS-15 REV. 07/77 f>.A|L 1STCOPY TQ p C-'rOLOGICAL SURVEY
Department of Environmental Resources_____________TOPOGRAPHIC AND GEOLOGIC SURVEY VVater Well Inventory Report
<
\
<
r-. .J J.£? : ,- -•'--" -• ' .Ar- Z fJ- i t - - f-nvsio Pro. ^t US Basil V<-^ TODO 3, C-.KVA-,,,,-r-f~- *~ Aauiter }M | J-MOt-LC-
i j» 2_ i ' >-"u"-'SK- u"u ' C^C-iC3 —— —s - L L ) V. i"' *~ ' C* ** Deotr-. t: c-f"i"-k '. .. .? „ ft Landtorm at S.tp
>. i^' ^^ N^V/ *''/( .„. ias" ~J" / / » 7 '
/_>"> A' /.-' •-—<• •-. ••~^ _ /
ICIBCLE ONE.Owne'^hic __ .cnvat-s-city. COT) cc state 'eop'a' counr>
— ' [CIRCLE ONEWate' ' lce ,"-hornejuDlic maustry irngat.oi stock institution
^ —— " (CIRCLE ONE.Well Use ___ :r«quenruse ary note recna'ge. lest, abanooned
C_~ -~* ' "Saltwater
Woi'D-w -?». "- < >_, ft ,rwcr-iroMFirasin- i pn.- 'n C^ ^J ft.
Wp|i Pflmptor ', to nearest inch- - - - (CIRCLE ONE'
Well Finish onen hole- screen, oerforated ttefl. other
1 PVP! at F"rt nf To t / -^ ^ ft
Y i^r- * c , ... 9Pm
,watt>- a-viliucket astimate. otner iCiRCLE ONEi
nrs'A-nwn / ~> / ft
| onnlf at T_cr ->/ hr / f' miP
ER-TGS-15 REV 01 79
Oevelot
-w
. ———————— —7 ————————————— (CIRCLE ONESurface ____OFPiCE USE ON. v »ve> nnitOD vaney niuiae ————
Dr.'.e-s. y -}. .Drillers^/ j 'l _,. ___ •„—
Depth t" Wfltor poanng7ones(1| - _•} r' ft __——
(?> _— <•' /ft I.T. 't 14, ft
Pa BaS1".J_t^OI;l-ICbUiibUNLV *"
•_. _ <_/-< , — n '-r
and Roc« "yoe F'on- — Tc _ |
—— "— "^c °."--' ' 1___—_
\
-wA~rTP
ORIGINAL(Hed) ,
TCH MAP Indicate route no E intersections, schools, churches, cemeteries.quarries, onoges railroads, etc. Be sure to snow distances oetwe
.'AIL 1ST CCe-' TO -A. GEOLOGICAL SURVEY
Department of Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEYt /C'/ ^-° ' *" OFFICE USE ONLYK. 42 O ^~ Lat v^ '/-',•? i_ono /^ il. ' •- O 1 Phvsio. Prov.^ O U.S. Basin "C Tooo. -51 f(sea: Aco/' /2 Mao " 1 '-> Well •••••'•• T!*_ j Aouiter -)- " .' •?• Aquifer 3s*-/ />OCC>C_ <
c*"™ f y «^^ * y^ /** ZH LX t/^ / ^^ t j /Well Owner i?,",. ") ^ V^7 fi/T f .Q
Address i/ X /-' ' ,
r""7. V>?' C7 £S /*''^5 /
Ownership " 7 city, cor'p/ioI tSeftea.ral. county
Water Use _2fepj _snc. Industry, irrigation, stock. Institutionw.ll 1 lc> l-£ ^ ^*\ (CIRCLE ONE)wen use —— Z_freguent use/dry note, recnarg*. test, abandoned '
Saltwater /i / C yes no
well Diameter £*+ to nearest inch
Well Finish ___/feoen no/fe, screen, perfbr»tetf/«!otted.other,^\__* ^ C™* *T" /_/ <? Date Drilled ™o Ty.., ->£!--•'/ /f/7
Level at End of Test /&& ft./ C^
Flow Measure Method —— iilerjorlfice, meter. w«ir,watcn end DucV£.««<timatfl. other (CIRCLE ONE)
Br-g'.n of Test „,-/—.„ . hr. , 2 ...5— min.
LR-TGS-15 REV. 07/77 pl;
3evelLot
SKET
ML 1
Hydrologic ufut ^ 0 3J.o<-/ 6^-CL^ •6Z-n«pth to H«-)rnrK "/ ,ft 1 ,^nrt fnrrn at Sit,6
f /riari F nMaJ- *-
Surface _____ OFFICE USE ONLY v — — -* ^3
| "»£y? % £*,.$ ' MamVf^J-i-Vi- i*.O/V <»£*.»,•'/>;
Deoth to Water Bearing Zones (1) 7**- ft
(2» X '^ ft <3> ft- '*> ft-
Writt^n Well 1 neatirjn.pireeti-.n^ J_
/\v.*v\\411* .-V44 -n"V\ «_,*.•?, x-k
5 -E-*",-v/
t?
streams towns and any notable feature such asen tnese features
Water Well Inventory Report
f ^ ' t+£,** fS i
Af vV / * ^» ^/ >sWi , -£i rf &/ £*fa t&£~ £*/r* s — /
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r fi(t< < ' -/-?-//->'~*_
l/('''-3-S>'r<?-h/#<s<.M3lf,ty ,P_5"y /-*£>< L R S'3&/£*><*//& >W//«_ *VI_?V7X t-£~&opment name (if applicable) „ , .*,
y 7' ' r/ /x 1 (S5P({t
7-** (
s
ST COPY TO PA. GEOLOGICAL SURVEY
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Departm.nt ol Environmental Resources_____ TOPOGRAPHIC AND GEOLOGIC SURVEYOF^iCE _js£ G
St 42 C" ' «' » n~gSer; Ar.- , ..._„, Wan _*.P An» iite*- A,-].,,fer
water We
Coio11 anc POCX "^D*..1 1 =
Wtfi- Owner n.
'fitUv/3..A-_=Yx ! ... 3L
O- U L V Lf> I_L. 1/ L m & A, ':?:> (i . iSurface ——— OFFICE USE ONLv£
Landform at Site j— 'CIRCLE ONEi 'vey n.iitoe vaney n.iisiae •
L- h 'j -. -- ' _T •' -7 _ _ 7 '• — •* -•• ..,_—.—_——• *•
. _ .-———v iCiHCLE ONEUwnership ———(privarg^eity cons co srate tederer counrv
Water Use ——fnarr^ public mausn mealier STOCK insntutionu,.,, ... 7~ -———. (CIRCLE ONEIwell use ———lireaue"' usi drv noie 'ecrarge lest aoanaoned
Saltwater
ICIRCLE ONE. lPm Sas'n —— 0mCE US£ ONLY
Zone{CHECK ONE)
Well Piamnmr L Vy'; m nearest inch„———. ICIRCLE ONE)
Well Finish ———£ooen oi screen perto'aied>sioned otfie
Date Drilled month year - "*./C "™g y*
^ * -
Level at End of Test t f. CA< .gpm
Flow Measure Method ___-bane', onlice meter weirwetcn ana Ducxet restimete^omer (CIRCLE ONE)
.ft.
___ hr .
Aaaress l\ . fo /f J____________ ]'-.-.' ' j -i ~/ N«m/j '*.' A f" J "" ~%. -$t\ V fi f-' f T/? ,Depth to Water Bearing Zones Mi _____ ft '
<2; /.JC—— ft 13' '-* L '/ ft ,., ________ ;t I _______
-f p A f- T • 7 a" / --i (•————J^/i V*
Development name (if
iindicate route nos mtenecnonj, jcnooli, oiurchel. cemeteries streamj towns, and any notaole leetur* such aa.
ER-TGS-15 REV 01/79 <wamti. onagej. rulroeoj etc Be lure to mow distances between meie teaturetMAIL 1ST COPY TO PA. C-EOLOGICAL SURVEY
. -••: -3S *-: _•
St.. -2Sea:
OFFICE USELone
Well
ONLY
Physio. Prov
Aauiler
.- V U.S. Basin
AamferTODO. Color ana Rock
.. ./\"f/*________________ ] Depttt to Bedrock __~l_i___ft Landform at Site' 'S Well Site—Township _l_i———,——————————————^ ,--ac E O'i-
61. n.ntoc vaney ,~hCounty II >* •*".•/-_____ s_rface
7 'V /,' / Driller's , •-],~ Driller's/. ")->•),''Address '.->•> A> '_____________ License _LZ___i__ Name x / t-t-___ _______ _______,£-<->-<—_•/j---——————;—————i -—————— - -——— T *•jjy. *- /
'
Ownership ———^gyai^city. corp/co, state, federal, county
Water Use ___rtfljScTouolic. industry, irrigation, stock, institution
Well Use ___fre,e Mus.W*oie. r.cna7aV, test, abandoned
C? -~t
SaltwaterZone,yes
well Depth ——^ ————ft. (CHECK ONE)I Casing Length ———_C_L———— ft.Well Diameter ____& to nearest inch
j Well Finish ___t^«n_ri£a*?screen, pe/fbratedyslotted, other
Date Drilled montn year
,
Water Level Before Test ————LJU_—_ ft.Level at End of Test £• <£ 3- ft.
Yield ————4——9Pm| Flow Measure MethOJJ____pallar. orifice, meter, weir.
i_j< h a»fl rti"-'***' estimate, other (ORCLE ONE)
- •-£ *> — «.Drawoown —w ^ r "^ TI.9 T
Length of Test ———=i———— hr.——-* <-••__ min.
Depth to Water Bearing Zones m -J- Ci_____ft.(-)_s2_£____ft. (3) _______ ft. (4)_______ft.
Pa. Basin *.*• OFFICE USE ONLVWritt«n Well Location Directions. Ati-X <"^^ ~>
Development name (if applicaole).Lot _____
———^\^ l »i.W I •)'
-w-ORIGINAL(Hed)
SKETCH MAP indicate route no's. Intersections, schools, churches, cemeteries, streams, towns, and any notable feature i,.
ER-TGS-15 REV. 07/77 MA|L 1STCOPYTOPA. GEOLOGICAL SURVEY
Department of Environmental Resource.______________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory ReOFFICE USE ONLY ~T~f 11 /"
St. 42 rnJL* Lit ___________Long__________\ Physio. Prov. "^ 1^. Basin *— Tooo.____Seg:___ Ace.___ Map ______Well __________ AquitTer_________ Aquifer
OFFICE USE ONLYi. Prov.__^___GS. Basin Tooo.____ Color and Rock Type Froi
•/tA/A ° —
Vt"I Well Site—Township ——County
I Well Owner ''S*. ~S~ ir 7" L CAddress7~ A no Af.-.' A ffl,.
Pa. Basin ' " OFFICE use ONLVWritt«n Well Location Directions,
Ownership ___^private) city, corp/co. state, rederal, countyWater Use ——£home^ouDiic, industry, iVrfsation', stock. Institution
I Welt Use ——^frequent use) dry note, recharge, test, abandon*.
fi. Tffll f'T
/•S'SSaltwaterZone ———
Well Depth ———l'~f -f———tt. (CHECK ONE)I Casing Length —(f. I——_'_ ft.I Well Diameter fc ^i- to nearest inch
Finish ——fopennoiji screen, perfbratedyslotted, other| Date Drilled montn y«ar //"" /~ 7 /_______
| Water Level Before Test ——^> ~->_____ ft.Level at End of Test 7 £_______ ft.
I Yield ——S-£——9Pm| Flow Measure Method ___Bailer, orlrice. meter, weir,
watcn and bucke^Testimat^otner (CIRCLE ONE)
I Drawdown ——-^ —'——— ft.
50Depth to Bedrock -"-______ft Landform at Site
Surface _____ OFFICE use ONLV
Driller's.. •• _ ., _ Driller's3 1 J- NameDepth to Water Bearing Zones (H *-____ft.(2)__/___2_ft. (3) / TC ft. (4)________ft.
Development name (if apolieahla) L-li F-~f -^ / I)tr t £*• \ . /)-
Lot
_r i-t, 1
St
SKETCH MAP naicate route n3's. intersections, schools, cr-.rcses.Length of Test ——i———_ hr. ________ min.
j EP.-TGS-IS REV. 07/77 MA|L ,... CQpY _.Q p^ GEOLOGICAL SURVEY
OF=CEJSEONLY
^ ——. ICIRCLE ONE)Ownership——.- nva crty. core co. sale, federal countyWater Use ___ 0r_ 0ubhc industry imgaoon stocx insfitutjon
s=-~"_,—5. (CIRCLE'ONEiWell Use ——j>«ggEu>B-rBry noie, recn«rg« test aaanaonaa
SaltwaterZone_
Wel'Depth——.?*/<>———ftCasmg Length >-? ft
_,Well Diameter_____ to nearest inch. _. _ _^-——, ICIRCLE ONEIWell Finish ___(«5w"2!s-*:reea,Pertoraied slotted other
'"• —" G /Cr /Date Drilled month year / 'e '_______Water Level Before Test *7 /_______ft
Level at End of Tost q i "/_____tt.
Yield
Pnys(0 prov „..-
Hydroloaic unit .- c 6
Water Well Inventory Report- -a— -J »HV»I
Color and R
Depth to Bedrock _2t_Z____ ft. Lanrjform at Site~S.—————————— ICIRCLEONEi
Surface__L_ OFFICE USE ONLY *vel' hl«t!» rall<!y "'
/-. -,-#5—oL y
Depth to Water Bearing Zones m /c*~(c. ______ft(21 O? ?£/ ft |3|_________ft (4)_________ft
[Pa Basin. 3 4 OFFICE USE ONLY|Written Well location Directions .
Dew'opment name (if applicable)Lot
*-w-
ORIGINALRow Measure Method____bailer, ontee meter wer,watch and buckel. fcmaie''omer ICIRCLE ONE)
Drawdown &* O X ft. I » '> **J r^ S
Length of Test ______/ hr ' J_______mm. *SKETCH MAP Indicate route no s. intersections, schools, churches, cemeteries streams towns, ind any notable feature sucn as
EB-TGS-15 REV 01'79 auames. Bridges. nUroads. etc. Be sure to snow dstancas between haie tenuresMAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
1 DEPARTMENT OF EN
w-ii n.A,n-r J- F. KotchArtrtr... 80 Catalixi Drive
I'-ict-ngie, Pa. 18062
Well Location (County) SC. h.Uy lfc\ 1 1 _____
W.ll ( orar.nn O.^ription f rO5B Rt. 61
north to Rt. 209 at Fottsvilleturn rt. to Brockton, turn lefone block, turn rt. one block.turn left a-prox. **• rd., turn
sketch Map of Weii Locationtoward Lake
VIRONMENTAL RESOURCES - TOPOGRAPHIC AND GEOLOG
Well Depth:_2QQ —— Ft. Depth Cased:ttZ-ft. Diameter:__G__in.
D«pth To Watar Rafora Pump Test: 20Q ft ^ islrt |.U rjpm
Hopth to Wati>r Mo^r Fnr| i?f Vi«lrt T»«t O^ ft
OratAfrfOMin , ,ft, Pumping PerioH ^ hr^
fe?rnf*ti?~ts o~ watfl' o;ua''tv
approx. % ni. _ «i -^ - >U'ell at house on rt. ,'• i Z -''
> ''•" ' ' '
'i
- f' 1
Indicate route no's, intersections, stream names,relative distances from well.ER-TGS-15 REV. 10/74
I MAIL 3
;
•" / " La , >;tv /nhill names, schools, churches, cemeteries where appropriate and
e__ JX. . ^ VinxJE* _r A*JL J
RD COPY TO PA. GEOLOGICAL SURVEY•DB waBsia>».SBaHiHr i ««VBr -- BnantnK..u. <_*O KW«T-MI
C SURVEY
Date Well Completed 1 /7/ l fcDriller: »»N»m. FhAT«S V. Fl-y-
License No Ij ?
Depth to Maior Water Bearing Zones:First 130 ft
Ruronrl 190 ft
LOG OF FOR
Rock TypeShale &c . .Blue Sand-stone
Red Sand-stoneBlue i SodSandstonefrlxed)
MATIONSFeet
From •• To
r\ /L^ f^ ...-.-.
42-100*
100-130*
1TO-200*
r~~i
'CD
p,-.
•*"***• •;' • --.-.;;-- • ; « i :-f ' *?*y -._ ^
1iii
V*
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\ r - •"" .. --= i - >.1 U- ' ',"• V^ -a- ~" '"- - - L-n.-. " ,, ? ,- Pivsic Prn. .- <^~ > i <; a-t.r -
..,_-.,- pvAA/777 «S1 -.-,.'-. j\x(> . r.-_I Wt=ii Owne' na~i.= '-*£-•*—? \~A_-L*-'-',s _____ ______ -.aL ; Addres<^t •---— "- _-$, - i-- -4 <- *——
1 ,— . ICIRCLE ONE.I Owe'snip ——— .E*I*3ie city coro co. state 'eoera, counr.-_- (CIRCLE ONE.
1 Water Use me-j-ihlir maus:r> irngat.cr stock .ns!t>uticr>
Well Use icsiuem usa-«Ty Vxe e;ra-ae lest anannnno~
SaltwaterZone <-— ""
•" <~£) yes no
Cai.-ci.e'-r:1- I'.-J ftWell Diameter to nearpst mrh,., ...... -- ~~2 (CIRCLE ONEiWell Finish ___Qjs£j«<e sc-een peTorated sioaeo. otner
[ Date D'.Mea monti- vea- 7 ' '
V.a:s- i_e.e 3e'o-sTes: J -5 ftLevel at End of Test 7£ ft.o~r
Flow Measure Method , raanr nnfirp motor Prrwatch aic BuCKo^-i; i.— gjner ICIRCLE ONE)
,p — ..,.-.. _^ hr / £/ _,in
ER-TGS-15 REV 01 79
~ —Oe.-eLCt
-
Anuitp' 'u"- — e1 Anuiter O*2 9 rtlf.i.lZ
It-r" :• 3 *•_".•:> v ^ •
Deof to Water Beanna Zones ' 1 1,2 / / f! 13, J C J-"
sa Basin > A OFFICE LJSF HNI v/,-••_- ,',e' _;cai_- ;;---• -.rs
•' T1' >£ :5-and'orm a! S te'CIRCLE ONE
isve. hiiitoo »aliey mi'side
/cr „f: (4! — - jT ft
^
POKX .-. •?§&_; =-.277i-t»/ /i. C^- ^_^ ii. C — — T1
' u
___
' LJe7'1 " - -ri-i r"' - ^ <- & --i S- S -^
*-w— •
/ •" 't
————— Nl
. X j.*|l_t
-"•
" *7
-E —
ORIGINAL/n«j\
C lfT-Ir'' ' iSKETCH MAP Indicate route no s intersections scnoote. crturcnes. cemetenes, streams towns ana any notable feature su:r as
quarries bndges. railroads, etc Be Sure to show distances between Ihese featuresMAIL 1ST CCP> TO PA. GEOLOGICAL SURVEY
C ^Department of Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEY
t
• /7 ,f OFFICE USE ONI c,,, r ' i,, V5=''/*/o' ion, ?.'-3* „:»••'F <;Pn Arr /-H M P '.." ~> Well *< gJ S
i «7«7 fe 'ffWV\A' S-P TO.V-IS-..S C^A /./ / /O« S«
r-
last A /• ' _y. /. /, // /* ( f"st
C__./.._.-. iCIRCLEONE)
OA-.e'5hip____^'_^taJcity core cc s-Jte 'eaeral county_ __ . ICIRCLE ONEi
V*,at9r Use '-~& DuDI'C. industry ir- avc.n stock msttution" —— .. — -. iCWC'-E ONEI
Saltwater .,Zone . -^
- - 2 yes no
C3,,,e-,-__Jit|___,U?w=i' Piump'-r to nearest inch
——— . (ORCLEONeit'.eii Finish __-/ 3enr-afe. screen perforated slotted. otherP;.'o prillorf >rvinth yo^r / if f
/. .•--L5.!>=='C.reTeSt ^-i ft.
| „„„! at Fnrt nf Toftt & ! ~* ,.ft
v.a:cn anc DuCKel e v a C 'ie'' 'CIRCLE ONE)
-,-.-.,. 7.3 „ '-•*•••—••• -=_ ——— ».-•-•--•7==:- .--i hr /O mm
L---3S--5 =?_V 01 73
DeveLot
LV .Physio Prov (/ t'lJS RasinA Br7*: —— jLJg. Aau|ff>(. ^
Hydrologic unit CiDeath tc BearocK 'i>i I ft
Driller s . , -, , Driller's r,License I 1 1 it Name « V
Deoth to Water Bearma Zones ( 1 )(2i ^/Vft.ta,
Pa Basin ij^_OFHCE USE ONLY. . "f. '/ i'j . --a- r-- "• '— — ~nc1] c «- . -
——W./ ,^ .
C_rVK<'*V
"7 i" ^"V *& ^,'.•£4--— w- M- ^
- * *V .
:--•.-.« ,-.-.:« •*.: MS
; x- <•
50 mc_-c.xi*• LV C'-2C-3
La"dtorm at SiteCIRCLE ONEilevel, f-'.uop. vattey Hillside
a2 Jr/i ttft 141 ft
G
Water Well Inyg^pw Report
Color and Ro^JrType ^ Wm — f *t\*. t_ 4 \jsr *-\ f_ .•*• ii- ~~- _X
.x'Lo' ' c* £ •J'? — 3~f.-r\
—_
———
jj'-'jsi «.-£../• - <y T" 97 '<- Lf-f~7/1——— l»
I'
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, - ;=» en/-" Y CD
f_ C"1-
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.. . . a- 0015 C . . ._.,... 3 .... .^ -^ ,
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ii—.^cauuii.*;:} iW'u'*jr\MT!IWM>^uc*-tLVJUl'-^—'CIVCT > * . * • 1 1i-wL._.vj^o_-n,i_i water Well Irvert.-; tponr!
Physic PrO> -'- 11 S Basi'- ~" — Tooc . jio' and ROCK^CS .An. ma"" •=• Aau-e- -JO'7 n~l'~-.K *'
fl/-?vr *P*775 " fr"'.- i rr, . _. ___ . . I5urface_rl_OFFiCE USEONLias' '* '
Well Owne- name
Aodre
__. . CIRCLE ONEOwnershtp*i±___pn.a'>'cir> corn co state federal county_- - (CIRCLE ONE.Water Use .--Cio-yajajblic incusry irrigation slock institutionSX** ^ :CIHCL£ONEWc'l Use __L_f'eouent use oryhoie recnarge test, abandoned
!fiC-» ONE
ocvTyce . ^ - r r *~J
Deotn to Water Bearing Zones12, / £> ft 13, "2 '
Pa Basir__L___O^ICE USE ONL>
v.*.,,=•- 3£st-Saltwater _ e=m~~ —
DeveiopmenLot
Zone_
(CHECK ONEvGas,-; _e-i;:-Well Diameter fa-. ____ to nearest inch
>" — s^ ICIRCLE ONEiWell Finish __ /pt>enjj0ie. screen, oertoratta ' slotteo otnerDate Drilled month year f. '& '
'.'.are- Le.e. Be-ore Tes: ____ / C'LeveLat End of Test
. •-!.-<
C'J ft,/ -O g^* .ft- -
_____Dai|«_jy!<ice. meter,Flow Measure Method_____Dai|«_jy!<ice. meter, werwatch ana bucket, estimate, other (CIRCLE ONEI
0-a.v_oA—. 3&«Leiot" o' i est
*_. jr _*-M xx^ >r >»/ t^ , ^ / >/,. jt., /A- '
ORIGINAL(Red)
SKETCH MAP Indicate route no s. intersections, schools churches, cemeteries, streams towns ana any notable failure sucn asco -rr-c is oeu ni TO Quames. bndges railroads etc Be sure to show distances between tnese featuresER-TGS-15REV01 79 "AIL 1ST CORN TC PA. GEOLOGICAL S'-RVEY A
Department of Environmental Resources____________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory Rep
vVe S*s—"•
ias: Ij _!>./£,'< '«!f oamo f r* 7 ^* —__________________ initial
'**--" '' f* < ft ?--* V i • i - PA- '* Depth to Water Bearing Zones (1)__nJt____ft:.O.*."c'Sn'O___"5 - £ -'r? core cc s' ifc J ce 'couily- -. ,
^——~^ -C.- CLE OfvH .*VVa:er yse ____i[ c-j . Oo5l.= ,nci.sry --.ja'cn stScK. inst'tufco- t—*W«"Use ___.''f-ji- usj/a 'vi e"'e:ra-gs test ibanijbnec t .*
" SaJtwate'Zone
_• yes nc-"• - ' (CHECK ONE)-ft
_|evelopTient name (if apoiicablei'
We" rvametpr -.• />-•___to nearest inch.•t' J ^-———- (CIRCLEONEI•fit*- -J Well Finish ___ios«n_eu>screen,pertorated slotted.other_
a' /' £ ' — " " " >,'? c "3« Date Drilled month yea'*ri '*'! WiterLe.a Before Test _____~~^v________ft.;'- * o P"X<Level at End of Test .-4 J C''______ft
•
Flc.% Measure Me'.-iod____Sa a- o-,fee -iew- »e«-wa':r- a-x; c c''e;,55-.- -o< other (CIRCLE ONEi
.ft__n-
_U S Rasir - - Tooo .
Aquifer
Hydrologic qnit r. •; ,-• y/^Depth to Becroci- ~-s. ft Lanctorm a: S'te
S-jrfare ~~~ OFFICF USE ONLY'RCLE ONE'
Dr.ller's- -,_.., / Driller s /x _.
(21 - / ft 131________ft (-'_________ft
L'S£ DNLY
Color and RocKiype
-j ;-, A. _;_, /-» :• ,-s r fccc <• /. - :
Lot '-
' "
\/ir~i, c-^f _:_'••- •"
'-,'_ 'ST CG?> TC ?A. -7 .7._OGI_- . S-- . - v
- l|Sff ^ ^ ^ ^ ^ ^ ,:' t -'•
~"-a.-:.-neni ot fc.nv.ronm.nia. Resources____________TOPOGRAPHIC AND GEOLOGIC SURVEYWater Welljnvenlory ReOFFICE USE Ol
;o' anc HOCK.SA/riAji,,,er -? y 7 /?
~
V s..~ /T .7" /?Deptr- to Water Searing Zones III
« 131
Pa Basin -^. OFFICE USE ONLY•> iT'oaiiG- stock nstnutior
CIRCLE ONE'.st TO'* 10 e 'ecna'ge lest aoanaonea
Development name ;i' applica-lt
Well Diametor J '/
well htntsn iCIRCLE ONE\scr»«r perforated sionea. otner
Date Drilled month year * ~~ /fc ~~*A ."5
ORIGINAL(Red)wetcn .no tjuc«e:'e5^n-aTti!ner (CIRCLE ONE)
ER-TGS-15 REV. 01 79MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
TOPOGRAPHIC AND GEOLOGIC SURVEYDepartment of Environmental Resources Water Well Inventory Repo^-FICEJJSEONL
Long u» ^' 2. fer
_•=_:-'.oBe.rcc- _$_2___ft. !level, hhitoS valleyTn
?-r /fT ; ? >< t> rWell Owner name«i
Depth to Water Bearing Zones (1 )
'CIRCLE ONE'•i c.ry corr cc state (e3e-a' county., . iC.RCLEONEiWater Use ___-r!ci-.e puDnc. .ndjsxv irriaaticn S: CK. institution
iCiRCLE'ONEIWell Use __^e-aCent use oryhoie recnarje. test, abandoned
[Pa, Basin - .OFFICE USE ONLY)
LDevelopment name (if applicable)
/*-"'•*. ICIRCLE ONE)Well Finish __ fben note creen oe-lorated sioped._om«rv>——
Date Drilled month year.'.ate-_e.e: Before Test
Level at End of Testgpm
Flow Measure Method____Aa;,e- o"'ice. e'.a- wer.watch and buCKJs, irt* a!e strie' (CiRCLE ONEi
.».-, ^ f .
ia i,,« ^ airfes si^ «s p s: a r. .r T- ^ # p»f tr- J??q?'Tff5sfil!pSifr: |
-j-p.-tmenl pi Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEYWater Well Inveniory Report
OFF.CE JSE 0s* <r Co - '.rl : 3- ~nc;=t,c irr War JL^
N.Y
' >77 ~-. * uanC'orm a; Sue _______.____
• CIRCLE ONEiSurraee ___ OFFICE USE ONL* "ve l"1'r<» •«"«• r » 3t ,„. ./ _____________ , , —— i
Ae Gwrv -..-, f-/ : t r'-f _____________ ,1... ^y ; ' !' _*„.,__
. , Depti- to Wate' Bearing Zones.!
*• 13 _______ f: u.
t_ „ -Well Use __ i_ fftqueni use tfry no:* recnarge t«:
i j Pa Basin OFFICE USE ONL^,' • "*- . - - - • • ' . - ^ /y
'CIRCLEONE.
SaltwaterZoni
Itwtter if.e ——— X
yes no(CHECK
WeM Diameter ____t^-.____ to nearest inchE ONE)srtonttd stcni- ..
t?-F3, , (CIRCLE ONEI
Well Finish ———£open hoie screen perforated slotted otner
Date Drilled month year
Level at End of Test.——12&__L__gpm
Flow Measure Method *y— n_-'— meter we"•ratch and Ouot^feet'mate^mer (CIRCLE ONE)
Development name (i* applicableLot_____
S-E"— *.'-- Indicate route nos. intersections, schools/churchea cetnetenes streams, towns and eny notable lecture such •*ER-TGS-15 REV OT79 ouames Bnoges railroads, etc Be sure jb sno» distances between inese features
MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
•:Si<i-..- hi-<
_'»_"• • • . _ ( i, ' y*«
Wel:iISnr»ar.f- ^ OFRf.F nss rm.
Ownership———onvate cifx ors cojsate 'eoera, countv__ nfiCLEONE'Water Use ___nomefoLDiicJnausiry irpgatio!- stool- institute" •*.——"~ 'CIRCLE ONE' -\ "•Well Use ——yreaue-v Cspdry hole 'ec-wge test abanconsa '
Saltwate'Zone___
yes no-"• 'CHECK ONEI
C3^_e-;~__^ ftWell Diameter La SI*.'' to nearest inch... „ _. . ,.————«. (CIRCLEONEiWell Finish /op»n hoiejscreen oerforated slotted otne'
Date Drilled month yea- _3 ~~" •"* A "~ oXJi
/ /Level at End of Test
_n___hr____________mm
Development name (if applicable* &*/= f?cAf>. fO£U*t XJV &AG-X O A QLbG-,
r .°i- '*-> gpm
Flow Measure Method____bailer gnfice. meter, weirwatcn ane buCKe»_esamal^ other ICIRCLE ONE, 3*\ __)f-l_A_ t O«H\
i-.E'Cn'/AP Indicate route no s. intersections schools, churcnes. cemeteries streams, towns ana any notable feature sucn asER-TGS-15 REV 01 79 Quarries, bnoges railroads, etc Be sure to snow distances between these features
MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
Department of Environmental Resources_____________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory ReportOFFICE USE ONLY , .
St 42 rn '~~~ Lat ____________Long.
Sea ___Ace ____Mao_______Well ——
Well S'te—Towr.shioCourr. -MjA'Vt'trVV'-1-
Well Owner name!:Address or y/:/•.,£_• in....;
ICIRCLE ONE)___Ownership __ _p;;v?S;*ciry core co. state, federal county
—— ; __ . iCiRCLEONEi -..-Water Use ___ "or-stc-..: } .ndustry irrigation, st3C*-.;nStmjCon
— 'Well Use
._ iCIPCLE ONEI , _ * •j eoue-'-: .y dry note, -ecnarje. .test, aiangoned
Sal atefZone———
... y«s noV.ei: Deitr L~ * i- _____ ft. (CHECKONE* Lot,Cas n; LP-.-.' '*'- y'~ -ft.Wel! n.amotor L '•' — ' to nearest inch
__———. (CIRCLE ONE)Well Finish __,'open noi screen, perforated slotted, other
Date Drilled month yea'V.'a'er Le-e; Before Test / L" I_______ft.
Level at End of Tost J ->f '—————tt.
Fiow Measure Metnod
Physio Prov ^ US BasirtAquifer_________Aauifer _
Depth to Bedrock -^ ft. Land'orrr at SiteCIRCLE ONE)" o vaiiey hillsideSurface . OFFICF USE ONi." •
Drillers r , , Driller's A'.- ,License _i__i2_Name -^ <-•*Depth to Water Bearing Zones (1;_ 5-r »
.ft (4)________ft
paWr :;en '.Vel, Loca: c- Z. -s:t_~5 .
Color and RocK Type From Tc/Cup ."..< i<- t- ° -11
/a-.-.- r
—yl rn rt. / 7-,. ,-j i,- -._:.- ~ i /, n -L t- /" -• ~Ti-. /T* I*. -, J -~i.- / / /:;'' ri (~\. I. r C'i' • •. - <-
Development name (if applicable). A\'(T-,.r ",i>£ £* AV^-0.
*-w--, M CD^* L_____gpm
I or\J,' ao;s r>=^ec.-/«
iC- fo-s c-.-c es ce- e'e-ss st-par^s !CA"S 31
CO
CM
.
« Department of Environment^' rie\ources _______________________________________OFFICE USE ONLV
Cojor and ROCK TypeOFFICE USE ONLV
St. 42 o — Ljt Lone Pnvsio. Prov. _- £ U.S. Basin "_ Tooo.
Sea; Acn Mac " : _ Wer Aoui'fer Aauifer
Well Site— Township / \r /' /'•- Depth to BedrocK . _c »• ' anrttr.rrr, *• c;ifff
Countv . ( h~ '- y /"' / L. Lwell Owner l?£n. '> .'.(/"Z <- !ir.s.:.,
Address
' —*-, - i = - : ~. f
Driller's.. Driller's. C/'r-ijJ *lsi 1 >License : -i _ i. Name //, \ H L- t ft Sf'< ' 71 •*- I f ft T/- /i L 1 /<, -i / , oeotn to Water Beanna Zones (11 ', / • ft.• / /" / / "/r- / £ / / •> f2) •» ' - ft. (3) ft. (41 tt.
Well US* V.1 , t rflrJcn cV|,ONE) t<ti ...... ' / '/ J_ //" A i — C . '. " t
Saltwater £_^_/ / / . yes no
Well Denth '— t <• <• , ft, (CHPCK ONE)Casing Length . J _"> ft.Well Diameter ,{~ to nearest inch
Well Finish __ (ifennoie, screen, oerroratedyslotteowitrierDate Drilled mon.n y.>r T —— / /
Water Level Before Test C ~ , ftLevel at End of Test , ft.
Yield J (- cjpm
Drawdown _ ft
Length of Test i hr. min
/ ' - -f " /"^ . 'i / -T A/ _ ,-v V' ^7 i
Development name (if aoalicablel 'Lot . - —— '
"V-—w- J' « V-*ir-
;V"'~V~/N ^ S
SKETCH MAP Indicate route no's, intersections, schools, cnurcnes, ceas Quarries, bridges, railroads, etc. Be sure to snow dlst
.ER-TGS-15 REV. 07/77 MAIU 1ST COPY TO pA GEOLOGICAL SURVEY
t IL t-c-y- J /, .' - f/v.
-E —
.ORJGiNALT'-'- '-(Red) •
TOPOGRAPHIC AND GEOLOGIC SURVEY Water Wall Inv.ntory R.port_
Color and Rock Type Fromr >^t 4» r-o . — Lat
5eq; Ace. Map
.Veil Site — TownshipCounty
Address
Water Use ( Tom» DUOIIC
.veil Depth X' ' ,'.-r-isinq Lenoth -. t
well Diameter C-
OFFICE USE
^^0 well
/' • ' A •• 'i ' - . i - ,-
/.„ ..<7. Bsn.,,'/ C '/•--, A, 71 •'J'
_
c&Bl-b tS .a.r... county
, industry, irrigation. Stock, institution
ary'nohsiVfcSirg?, test. aDandoned
Saltwater ,/yes no
ft. • (CHECK ONE)
ft.
to nearest inch
Well Finish __-(?pen nole. screen, perforated/slotted, otner
Level at End of Tesi Yield -. t oom
Flow Measure Method —
'/£ ft.t '~£'" ft.
_ Diittf, orlfict, mettr, wtlr.f^watcn and Ducket, estimate, otner (CIRCLE ONE)
. *i3<h nf T«« "• hr. .._ min.
DeveLot
— W
Phytlo. Prov. ""» U.S. Basin ' C. Topo.
Aquifer Aquifer
n«oth to Bedrock . N ft Landform at Site
Driller's . Driller's, •*— _-'/ ,/Licensee /.-i • Name r\ ) -ll-t II -/.-/Depth to Wflt»r R»arjng 7nnes (1) / */ ft.
(?)-*( ( -ft. (3) ft. (4) .ft.
Pa. Basin ^ £" OFFICE USE ONLY ,\A.rl«».ri \A/»11 1 nratinn Directions
lopment name (if applica&t*4--^~" "" ,, - ^-•if-r*"
/
1
t
or
l-. :a-ero-:e-:•!.•—e'»ec:-.-«. »J! 5-arr «. Dr =;ss. ,a ,,oaai etc.
' ER-TGS-15 REV. 07/77 MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
St. 42 Cn '"-Sea. Acc._
i at l one
Mao •"'_,, wellPnysio. °rovAauiter
*-- U.S. Basir - — •Aauifer
Coior ana ROCK ~yoe Fro" —_/7/y /l L.U •• - #7"
nship / v" A W________________ Deoth to Bearock ——- • - t- Lanaform at Site ' '" *~ ** U ~ 7~"• f,\• — • - ' ~———————————
I Well Site—Tow
County v ' .'' c—T - '• .' - —————— i Surface _Il_ :.>«••,cr. USE. _"._.!well Owner n'£p, •' ' S T • S *-*
Met
Address; - , ', Driller's - - - Dnller'Si.", - -L C * L - f \ K. L_ l i; V_____ • L,ron.:oi •; - + - AName A v >j -
l~> S~ f? fit <T 5" t' /' i- I i_- f /^- , ______ , Depth to Water Bearing Zones (1) ___ I ' (t.- . - ——————————— I
! (2) . •»>• -i ft. (3) _______ ft. (4)________ft. I(CIRCLE ONE) "—————————=———————————————————' '
(CIRCLE ONE)Pa. Basin ^ f* OFFICE USE ONLY
———————. (CIRCLEONEI'eQuent USA dry noie. recnarge, test, abandoned
SaltwaterZone L-
yes[Well Depth — '•'*'———ft. (CHECK ONE)I Casing Length ——±t_l————— ft.Well Diameter f- v * to nearest inch
I Well Finish ———/6pen hole} screen, perforated/slotted, otneri i————^ ~-j . —Date Drilled montn y«r / ~ / /
I Water Level Before Test ———L£~:———__ ft.Level at End of Test -. ____ ft.
| Yield ___/£___ gpmFlow Measure Method ___ bailer, orifice, meter, weir,
watcn and bucket^ estimat^ otner (CIRCLE ONE)
£» DrawdownI Length of Test ——L————— hr.———————— min.
^a, D<33'H --•• • _jr-f-i_,s. i_/3t Un*U,Y ———————————————————• ———— ,•"•—————————•————-—
Written Well Location Directions A~T 7~<-'Sf |a_/"C A A ~T" LI % A/ / £. F- T —£'-" Jl-,0 £7-. -TjL-i3(. t> Tt.
Development name (if applicaole)£_frL LC F- T" J.-T'Qf 0 t~~ K.CA.I)I i-i* _. _ I
•e-W-
*SKETCH MAP indicate route no's, intersections, scnools. cnurcnes. cemeteries streams towns and ias Quarries, ondges, railroads, etc. Be sure to snow distances Between these features.
ER-TGS-15 REV. 07/77 MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
Department of Environmental Resources______________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Wen Inventory Repc
Color and Rock Type From — ToCfc; __ /S
OFFICE USE
•-.1 L? CoX,<-r La* L°na
<;«q: Ace. Mao l ~[j Well
*** V A t.1
County ^fctV Vyt-Kt f-4=. ———————ZL
Gfl. f?MG~S\l / i-i-fj f /f-,S
(CIRCLE ONE)Ownership ^fivaig^city. corp/co. srate, federal, county
Water Use fhjrnji public, industry, irr.gation, stock, institution
Saltwater J<a .X
/3 ") y" " nowell Depth ' •*"*•.. ft. (CHECKONE)
well Diamet«r (? 'If, * to nearest inch
Well Finish __/~pen noie^scrMn. perforateaysiottvd, otnern«t» D'111-d r-nntn year V ~~ '•"' ^ ""* '~? *
I.euBl at Fnrt of T«t /_/t> ..ft- _
watcn ana BucKet^eTli'matipotner (CIRCLE ONE)
Drawdown V® — _ —— ft. ^^i .--»n «« -r»rt V hd E: — min.
DeveLot.
ONLY
Aauifer Aauifer
/ _™~ -**D^Pth to BMrock . '•? ..« Lanafotar«t Site
, — level, - TJC. .al.ey/hi'it.q^
Driller> 3 , T -, Driller'Sx)../. c-., _ r> ,- .r r\,-»i .ncfc .i-?a-_Z, Name At^^CT Av i _ D<- fi.
O«Pt" 'tO W»t«r f)*-ring 7nnt< (1) / ' <*-* , f t .
f2) ft. (3) ft. f-1 -.- ft.
Pa. Basin ~? A OFFICE USE ONLV j ,Written W«ll Location Directions * ~ . . L^ J *• ° £.Z-9 c /V T> 7". ^ /' ")_• *«- 7i-5*<-'<<:r T<- 4V- /<:•/=• 7- < "L /
Inpment name (if applicable) , '"" ,J '"-- M
A7'?'' /r•iirTl""o * .„
/C7-. ^-- Vs
/>! / . C" /V. - -S .AT
,~ /Jt A. 0
LO
-'" .-- CX1
• CD
•i*<r-A,5 v.-———————————> T/>..
cPTCH N"^ P mediate route no's, intersections, SCTS'S. cnurcnes, ce-^eteriejMUearns, towns, a^3 a|._ _,!-! I\,«K ji Jf,7e°u,...;,,„; ri;ir=!-s. etc. =e s.-e to s ='* d.stan-.es bfiPeen tress «eatu-ei.
ER-TGS-15 REV. 07/77 N.A(U ,ST CO?,Y TQ pA G£OLOGICAL SURVEY
. i n __ ..._-» Ut'UuriMrni^ «nu vjti_ii_wv_, wDepartment of Environmental Resources ———— —————————
L.4? rn-'-^.-at ——————————— Long ———————————
ONL.Y* '„ ^ /
Pnysio. Prov.. _ — U.S. Basin —— ==_a^nif^r Aauifer ————
Se_ ACC ^o —————— well. —————————
Toon. and ROCK
. _ _._,_ ,, , , ,*. ________ Depth toI Well S.
County •=\_,VJMI 11 7 —^—————————r——————————— — i
| well Owner nV^e——ImflGPtH__———————fn"«i-I---- -.,,.„.. Driller'siit..r.. I , •.——.J-M 3-a*. Name _Licj Lic
I Depth to Water Bearing Zones (1).
I Ownership
, .___ ICIRCLE ONE)SnvaT city, coro/co. state, federal, county
Water Use __^>3me.^uBllc, industry, irrigation, slock. Institution
| Well Use ____£iteguent use) dry Bole, recnarje, test, aoandonea
(Well DepthI Length *"
I DrawdownLength of Test ——J-———— nr-——————— min-
(2). 3CT:._ft. (3) ____ft. (4j————.n.Pa. Basin _LA OFFICE USE ONLYWritten Well Location Directions.
j\ _ _~ ~~~~ ' , . . /i f> T'V ZTiT" /" \-i
fl/»t «V O^/ J 5 J * * «S- f Al -?Development name (if applicable).
Lot.
ifj" ~ft.
I Well Diameter
I well FinishDate Drilled montn year
[water Level Before Test ———' '7 ————"' a u J-JT* t .-.»c «r _E-Level at End of Test a*.*®_____ ft.
I Yield ———/g—9PmI Flow Measure Method ———bailer, orifice, meter, weir,
watcn and bucket estlmate)otner (CIRCLE ONE)
SKETCHMAP ---.noX gg-g.-. --*
ER-TGS-15 REV. 07/77 MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
Department of Environmental Resource.______________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory
Color and Rock Type FromOFFICE USE ONLY
St. £2_ Co. ' <*• Lat ———————————Long ___________I Physio. Prov._____Lu.S. _Topo.Sea:——Ace.——— Map______Well_________ Aauifer_________Aquifer
••y%» Wel1 Site—Townshipcounty
Address
n Surface —£__ OFFICE USE ONLY.ln'itia>5=>__.
(CIRCLE ONE)tity. coro/cc. state,.federal, county(CIRCL5 ONE)iDllc, Industry, Irrigation, stock. Institution
I)>, test, aoandonia
SaltwaterZone.
Depth to Bedrock ^/ / ft Landform at SiteIC'PCLE ONE)level, niiitoc. valley, hiiis.deIE
Driller's / / f? * Driller's /).License —t—L_/-C_L Name J.H*-__-T*-_ , * -~^~' v *— ,~ j —n—Depth to Water Bearing Zones (1) VS}f> v/ft.<2> t7~r(p ft (3) _______ft. (4)_______ft.
[ Pa. Basin ^/ OFFICE USE ONLV |
o _
yes no(CHECK ONE) Lot
| Casing Length 4// ft.Well Diameter ____r£___to nearest inch
Well Finish ———(^pen nole^creen, perforatedyslottea, otner
Date Drilled montn year x " / J^______
Water Level Before Test ———^Z \ ft-Level at End of Test -^5 ( ) ft.
Yield ___5__9PmFlow Measure Method ———bailer, orifice, meter, weir,
watcn and Bucket, estimate, otner (CIRCLE ON
Drawdown ——->/t. ft.Ler-jth of ~2st ———2————— hr. _ _> L_/ _,(„_
ER-TGS-15 REV. 07/77 f/AIL 1ST COPY TO PA. GEOLOGICAL SURVEY
rten WelK-ocation Directions
Development name (if applicable)
• * - . t i *
:~cr .S.DS5t A; r.r - — ..- LO-.;5,fl1 Ac- MAI " - _ V.'«
D«us - Pro.. ^ _"i;«, B=ii" - _- T-0,
4T,.-ft' _ Ani:.»e'
.. . .. .,VNater Wel! tnven.c-> Report
' anc R?c« T/cir 'O1 ~~ T-
w->Wen Owner name
Depth to Wate' Searing Zones ' 1!2, '; (3> ft .4 'r 1 —
Ownershic___-Onvata -it>
Water Use ___ home, cuoiicWell Use treai.no! usa
WPII Dentr
Casmc i-ennr-W«ll Diameter
Well Finish __ open nowDate Drilled montn yea- .Water Level Before Tes-
ICIRCLE ONEcoro co state federal countvICIRCLE ONE:
inausr* ir-igat;op stocK institution(CIRCLE ONE'
ary nole recnarge tes: abandoned
Saltwater7nno
ft.ft
yes nc(CHECK ONE)
to nearest inch(CIRCLE ONEiscreen, perforated
.• —
Level at End of Test
watch anc Ducnet. estimate, otner (
Dr v wr ——— -
I enrjrn <-.' Tost
ft.hr
Slotted other
ft., .ft
er weirCIRCLEONEi
mm
| Pa Basin_Lc_O=HCE USE ON-v j — • ——————_—__ ————— — ————'.'.•"'to- i/,,-)1 r ~V -r- rVor" -^11 , ——
.
Lot , ' f j f i • •••| V
SiKETCH f." AP Inflicat* route no s intersections, scnods. cnurcnes ce-netenes. streams towns, and any notable leature su:n as
ER-TGS-15 REV 01 79 Quarries, bnages. railroads, etc Be sore to show distances Between tnsse featuresMAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
I Department of Environmental Resources___________________________TOPOGRAPHIC ANO GEOLOGIC SURVEY_____ Water Well Inventory Rep.
Coloc nd Rock Type From ~~ To1st. 42 Co.OFFICE USE
:>£- l_at l_ona
1
Well Site— T
Well Owner
'*? VJQownshlp ' - ' r A.
Address i-V '' '' /' • -.-.-/'.- / - -'• -.'-*, ,/-- " /. '
OwnershipWater Use
x"1 (CIRCLEONEI___ private, city, corp/co, state, reaeral. county
nomc, ouollc. Industry, iTrigation. stock. Institution
ONLY ^Physio. Prov. . U.S. Basin 4r — TOQO.Aauifer Aauifer
Hepth to R<"1'Ork .ft Lanriform at Sitet" . level, niutoo. valley, nil
'Driller's . . Driller's ' — _•i.lr«,n« f - •' - ; , Name /Deotn to Water Bearing Zones (1) '
(2) -'••' ... ft. (3> ft. (4)
Pa. Basin * OFFICE USE ONLY |Wrltt^" Wtll 1 ocstion Oir*ct'ons fl\ t
side
ft.
ft.
Well Use __ ^treouent use, dry hole, recnarge, test, abandoned
Saltwater «,-Zon«
Well Depth —— ^ — '— ———— tt. - (CHECK ONE)Casing Length ——— 1,1. ,7 ——— ft.well Diameter _____ to nearest inchWell Finish __^en noie)screen?pe'-vjr.t«f>/jjlottea. othtrDate Drilled .month y«r ____ ' ' ' ' ________
Development name (if applicable)Lot
Water Level Before Test
' Drawdown ———————— . tt.ength of Test — '-~L ———— nr. ———————— min.
J c
—w-Level at End of Test ______ ft.Yield _l2L-!__9PmFlow Measure Method bailer, orifice, meter, weir,
and bucket^Bstimate. otner (CIRCLE ONE)" c x
Tv'SKETCH VAP indicati " - - - - - - -
•ER-TGS-15 REV. 07/77 MAIL 1ST CGrY TO PA. GEOLOGICAL SURVSY
-__,, ^__, -_-., ,
—' •o? " „ ? ,
C-- C£ J3E O
s. 4: _; -»• —— —————— -="=• ———————————N^v
PMV5IC Prov , , US B»5ir- Tnci
-q>"'»' _ - , „ ,, _ Aquifer
inventory Repor
.[n A/ ______________________ . ,' . ——— *_; —— t
!Surfa=e ——— OFFICE USE
Lana-orr a! S.teCIRC-E ONE-
....vVei. Owner new —— U- I L _L r, ______________ ,. : , .
/,,, / /—.*, — x.' __ f o— ' ' C-C Drillers — -^ i— '' • __- IU'CJ- &&*>> f fJt.lTJL .1 ; . L. ' - - N*™ ___
--* rtf-^i H fv l)(l'f- H —r f) / /7 7L.'_____ j Depth to Water Searing Zones ill /-••t.______ it i
_____________ I 121 r-Lb.l tt (3i _ifcZ___ ft (41________ •• I(CIRCLE ONEi
Ownership ——y-onvaie/city corp'co, state tederai cou"'y^___ (CIRCLE ONE)
Water Use __ nomopyoiic inausfy irrigation stock inirnunor3 -_—>_ (CIRCLE ONEI
Well Use r*niimr.i usyflry nole rocnarge les: aDinoonec
Saltwater
Pa Basin——OFFICE USE ONLY!
Zone _yes no
(CHECK ONE)
•.,-(,'/*L in neWell Di-m»i«r (,'/*L in nearest inch
(CIRCLE ONE)Well Finish ___£open~rioT». screen pe'loraieo.sioned otner
Date Drilled montn year •=> f/ / £7fi
Level «t End ot Test__*2_3i _____ ttt End
_ jfc: gpmFlow Measure Method . Bailer, orifice meter, weir
SatoTindbucIe?'estimate older (CIRCLE ONEI
Development name (if applicable).
<ui?*&;--QfVf V
t wX
- H~C~* \'-r Indicate route nos, intersections, schools, criurcne*. cemetunes. atfttms, towns, ind my notibFi (ttlurt lucn is_ -p.-.q -c pew ni/7Q auirrrfs, bridges, ritfro«ds. etc Bt 3-jra lo know disttncts between these features
__ " MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY _ ____________Dapartmentof Environmental Resources____________TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory Rtpo
St 42 Co -iC- i-a'____________Lone.
Seq,___Ace ____ Mao_______Well __
OFFICE USE ONLY f ,i Prov '-* i
Well Site—Township
lastWell Owner narrnCounty. J5
^ . — . (CIRCLE ONEiOwnership ____3-»3^-ci^ core co sate federal county
(CIRCLE ONE)Water Use __,f?:~23 -oooiic -ndGSrv ir^ston stock ;nshtutKDnWell Use ___*S3ue-t_j=5."ar> hiie 'e;-a';e' ttst ;
Physio Prov -* i II S. BasinAquifer__________Aquifer
Death to BedrocK _=^_L____ft. Landform at Site,x ^ .y.y
Surface ~ QFFICF USE ONLY'CIRCLE ONE)ve.' r. :cc. valley, hillside
Driller's .,->r Driller's >' )'/• , .License _ ____________Depth to Water Bearing Zones (1 )/ / _____ ft(2> '-!**}- I ft (3)_______ft. (4i_______ft.
Pa Basm_2: i.OFFlCE USE ONLY „i_—————————.—————————j / • . . /Wr.-er! Well Location Directions —"^ - '---'•
Color and Rock Type From
Development name (if applicable)
Casing Len;fWell D.arr,eter ___ __• _____ lo nearest inch
IClRCLEONEi , otner,., „_ _ ._.V/eli pinisn ___ c Jan noiessreen, oedoratec slotted, otDate Drilled monlri year ~? / * '-' _____.ater Le.e: Before Test -jl.
Level at End of Test,- /J
Flow Measure Method____ba .e" c- 'c* ™i9'e'.«i:: a-:__vi!- ~ 7-> »
o-:e no s. m:Quarries E-3;»s 'ai';a3s etc Ss sj
MAIL 1ST COPY TO PA. GEOLOGICAL S-3VEYER-TGS-15REV 01 79
>--f" S = f' '.
lre°
G^ l;. - U
.? rr-. -— LJ! -.—-• LonqAc± Mao " ~ _• Well
• well Site— Township /. *' —— !=-! —————————————————
• wel
• Ow
• WatWel
WellCasiwelwelDat
Wati
YielFlov
DravLen
ro.i-ry "-' '-. -
S£ ONt. v
Pnysia. Prov, ---' U.S. Sasir "" — - Topo. Color ana Rock Type Fror-Aautfer Aaijifer A-i ^ /Lt f ^-f S ^ *7* ~
u ^ r '-< -vs 'f,.s ~Y c- --?--•»nenth to Rfrtror.k >: 1 annfnrm at Site —' " _ |..» -•.',-=.-;. ..•: ->,=,•
, n^ner if",. Tyv „,-<•• first,, 4*. 1 ——————————————————————————— 1
Address <-?£ i""" C-- J * ,< e • ^S
Tt X -A . (_,- ~ < -X ^~ '
er Use __f i M\\.. inaisVry. WigS'lon1. SIOCK, institution11 lee __ - — —— J (CIRCLEONEI
Saltwater ,7nn<> .. U--- D
— « ,— yes no
_. — ———— -.(CIRCLE ONE)Finish ___ ofl1EnJiatf ecre«n,jjerroratedVslotted, otner
• nrill«rt ,-„-,« y.., //7 /
1 evel »t End of Test ../..?* ft. —
a *•/ r^ qomv Measure Method —— oaller. orifice, meter, weir,
wejcn and DucKfet? estimate, otner (CIRCLE ONEI
vdown f * * tt./w2_ "-/ c.jtn of Test . . . 1r. / ...... min.
Driller's /-T)/" Driller's /"~ ~) •_•)., ,, ,, , OP,« / / /'• Name ^- ' / t*~~-f-- ' —
Oeotn to water Bearina Zones (1> ^3' (*~ ft. —
(2) ...ft. (31 ft. (4> ft. —
Pa. Basin * OFFICE USE ONLY.! -————————_ . _ _ __ _ _ _________Written well 1 oration Direction* /V_< — L ~£ 'i— • —
(, I
eve»Di>t«rn'/ name (if aoolicaoie) ^. 'ot« ——— -v — .. 3*.f.'-'S-' H- i
*" ' ^
^Tt * H~. 1 ;i '
•w- \ f .:' ' •'-•''- -E-
^| \ ORIGINAL/ -" • (Red\
t ,;as quarries, Drldget, railroads, etc. Be sure to snow distances between tnes« features.
ER-TGS-15 REV. 07/77 MML 1ST COPY TO PA. GEOLOGICAL SURVEY
1jKJS> lHHNfppyIsS-'
I.;'jjjg
X.
f.i'&*•-*i
Department of Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEY w_,.r W.H |nv.nlorv R.o,.. „ OFFICE USE ONLV
' ^ ' A L£/f"St 45 On -<-' Lst Lonrj Phusio Prov >X C7 1 1 S Racm •-"£—• Tnno / -i_. — IB — „-.. — c —— — T.
Sen Ace Map Well
Well Sits— Townshio V-~*- i/X.'<.' xCountv i"> <"— K 1 J
bst h-' J -j— «~4
Adrirnss— '3.6 ti-' C,"_.t-/7x
/ •/ 'ICIRCLE ONE)Ownership ___ (>n. -ate city, corp co. state federal county
^ - CIRCLE ONE!Water Use &o"3JuSlic. inajstry .rngation stock. mstitutKjn.. , ~"" • - ICIRCLE ONEiWell Use ____yea-jen( us«-cr> nole recnarge test, aeanaoned
SaltwaterZone ,.,.,._Z."*t c*"" y*»
WeliDe^th t_> • O tt. (CHECKCasinc Lei^tr C^f ft
Wpli DjiOiptBr "— •„,„,,, . .to nearnst inch
Weh Finish __ x£oen hojfijhrein. pertorat»d.'slott»d. ottwV;—r — f* /f •)
Water Level Before Test ~J •£• / ft.Level at End of Test ^ J~& ft
Yield / rjpm
***i "~yDrawdown •— ' j ' ft
, f tr -' Test :3f Mr / J mm
tR'T3_--;R=V 31 ,'9
,~ i iiiiilil
Anuifnr Aauifer /L.SJ- jL w- _< _ . ° ~~ ~J ijf, _, .j . j _j si ~ / \i / — '. /
Deoth to Bedrock" '- / nft 1 anriform at Sifp ._ —
Bnt Surface______ OFFICE USE ONLY level, ka-.oo. valley, hillsid* ——————————————— ——————————
y«£ Driller's //'?/ Urmers Jt } t" . /•i-S lir.ense /' /t Name >\1/ S S L -~*T-4*~/ —
Depth to Water Searing Zones (1) i>. / (1 ft —
(2) '.3 T ft (31 .V 7 }-• ft 141 ft —
Wr.t'pn Won | o-a-ior Oira.-tinns 4,,,V?" '.'-*' ~~
s i, i '
no m N^ -*ONE- Lot ————— -T..
3 j"rjf CXJ> — ™.,,,, ^v T» " *
,' .p * " "" *—>
^ * .\. - J* 1i W J* *"C-
c(.f B" *SK_TC~,'.'AP in-a.»'3utencs .5 seu>.ns s. •'.-.» .-v.nes -e- 9r,eS 5. . ; ,5«ns a->^ aiv 3-*'" . ~..
N'AIL 1STCOPV TO °A. O-OLOGICAL SURVEY
HnHl HlHHHHHHKBHnllHra•• ^ ^ ^ ^ ••E i ^ ^ B H HHH ^ ff B
Department ol Environmental Hetources TOPOGRAPHIC AND GEOLOGIC SURVEY——————————— - Water Well Inventory ReportOFRCH USE
St <2 Co ____Lat ———————————— -ong.Sec __ Ace ____Mac————————Well ——
Pnysio Drov ____ U S 8asin Coiof ind Focv^vpp _ P'o~- -— TOAau'*e'
i Owner / V"- - -
(CIRCLE ONE)Ownership ___grivtw city carp co stale teaerai county
. (CIRCLE ONE)Water Use __ omt -put)lic inousiry irrigation stocn institution
""-" • ' (CIRCLE ONE)Well Us« ___» *Quenjjjie' ory nole rscnarge test aoanaonec
SaltwaterZone ——— _fc_c
•7 •• C "~ in noWe n. ,- --• / -'_____ft (CHECK ONE)
Cas.ng Lengtn——_—-—————tt
Well Diameter ____!____ to nearest inch.-.— - (CIRCLE ONE)
Well Finish ____etejl J** screen, perforateO'slotled. other
Date Drilled month year ^ / f r
Water Levei Be'ore Test—-J \ ————————ftLevel at End of Test —3-ji- tL-————— ft.
Y tlo.______Lul—— 9Pm
Flow Measure Method ____ baileronfic*. meter weirwatcn end bucket jjjmi otner (CIRCLE ONE)
-J - /Drawaown ———1-*~ *•' t,
,y / /-,- ~.___ hr, ' *—_______ mi
Lano'orrr a: S.le [--<./ • ,'CIRCLE ONEr
Sutlace___OFFICE USE ONLY]'8" *"lx •""«» •""»'=•!
Dnners. Name _
Depth to Water Bearing Zones 11) / v» /
.ft (31——————————ft !-)
Pa Basin __ OFFICE USE ONLYWriter
__ t—————— N
Lot—————— I
Development name (if applicable).
»—W— " . . _. \ / ' --; —E-*-1
ORIGINAL 51S
Length of Test—————===———fSKETCH MAP Indicata routa no's mttnecttona, schools churchvs, ctm«t*nH. atraami. lownt and any notabl* tvatun such aa
__ —— Q 1E. pc\/ m/7Q quarnts. Dnagts. raiiroada. tic B* wrt to show dtstanca* b«tw»»n thtM fMtur*a
MAIL 1ST COPY TO PA. GEOLOGICAL SURVEY
______ _ Water Well Inventory ReportOFFICE USE ONLV
__ong_________ j Physio Prov _____U.S. Basin—————Topo ————— Well Log From — To_
Aquifer.
fi S.3-Tcwn«fiip.
Count)last
Owner name _
P.O. Box •?• ft -g"/_C >'
(CIRCLE ONE)Ownership fnn..a city corp/co. jum. leoeral, county
r_L (CIRCLE ONE)Water Ume __i_,nomey PUOK. inauatry, imjation. nock, institution, bottled
te —___ (CIRCLE ONE)Well U*e JWer IUPP>, o>y nole. recnarge. teet. aoenoooed. nut pump
Saltwater ™~»« l/nn ___ Yes_————————depthChemical/Biological Analysis made:
Well Deptn ———Z^"————ft' LotCasing Length—*- r————ft-
oifw.Caaing Material -fataeljpiastic. ottWell p-—"' 'j__ '/LI * - to neareet Inch
f——. (CIRCLE ONE)WeH Finlen————£e*nh3^ ocnon. perforated/Honed. o»wr
.hr. _________ min.
Surface.
Driller's /• - -License
„ U.S. Basin Toon
Aourfer
,.Tr.-u-« - ~> *~\ „ „, ft Landform it Site————————————— (CIRCLE-ONE)„ OFFICE USE ONLY *""' n""°cv""v'" """
- r • Dnller's I/ „ <T -/' ,) J> Name ij- / /r> . T- JA. -.'
at«ir IMvno. Zones (1) „,. C. C _ft.
nccirf i ice ruui VI
Well Log
ff" J1) *" i^ ^ (T, ,-p v;
1 _. /
^>/j/v ?) ~j r~t \— 'L <* i^ /^ 7"
/? ;>C
- /.<c
Wrinen Well Location Directions 7f> » -.
Development .name (if applicable) "c *• Ci <• * /\ 11- -r -S / /5 i
T"/3
WoltGrouted ———Ye».___--No .^_-»,_r^j 'w' v. /'r /a J^Del* Drilkid mnnth yeer ____/ J/—J r ——— <•• Vi-i r „ --1 pwater Level Before T«t ———r • "^ —————"•
I at End rt Te»t__Z^li2————«•.gpm
Test Y1«d Method______Mind£BioWn) or pump.ii (CIRCLE ONE)
DnwOa-m __L/L£1———"•
ORIGINAL(Red)
MAP Indicate rout« iqulrrMe.length Of T«t————^
ER-TQS-1S HEV. 07/83 MA)L 1ST COPY TO PA. GEOLOGICAL SURVEY^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ___g____«| ______M_____________« H|M|MM
I I IIBIHBil l HiBI IHii BVHI HiBliH> HB HB ^ B HiH BHHlBI B HH I Bi |llllHI H ||O«partm«fi. of Environmental Rttourc** TOPOQFIAPHIC AND GEOLOGIC SURVEY
Bwm. and iny no«Wt fwtum «JCh M
OFFICe USE ONLY42 Co.————Let———————————Long————————— I Pnyjto. Prov.____U.S. Basin____Topo
Ace.____Mv_______VWHI__________ Aqutfw_________Aquifer
Well Site—Township.
_._ „ „...„. , {3...- .*:*£J*lMm .f Su^ce———OFFICE USEWell Owner rurt-f «-»*/C-««/y •-> /•/Address/or P.O. Box A* «P' * <*"*
(CIRCLE ONE)pnvet qty. corp/co, eule, federel. county
(CIRCLE ONE)industry. Irrigation, etoek. Institution.(CIRCLE ONE)
«~ter tupoj dry hole, recnefy*. teet ebandoned. h«M pump
. No: —— Yee ————————-depthChemical/Biological Analyait made): .
' / C>/5/<r</Well Depth __________...US) Lot.
Casing LengthCasing MaterialWell Diameter
Wvfl Ftnts*YWell GroutedDate Drilled montn yearWater Level Before Test ____"~-7~_______ft
L-v«l mt tag at TMt /&6________ ft.
_gpm
Depth to Bedrock -JO ft. Landform at Site————————————————————U—-JCIRCLE ONE) <
Deptti to Water Bearing Zone* (1)_jO—f-—————"•!L«. (3) /fe/ ft (.
P« Bailft——OFFtC- USE ONfWritten Well Location Drrectjona '*>££ fT. 3c",
Watw Wed Inventory Report
Well Log From — Too —
H.£> - m
ro
Development .name (if applicable)
OJ
O
Tw« Y1«W Martnod______Mtn-Ctowfref pumped (CIRCLE ONE)
Drawdown //(f———— "•
o* T«*t___Z—————__hr.—————————— min. SKETCH MAP Indiciu rout* no'*. IntereKttora. KtwoM, cnunhe*. otme_n» KrHrm. town*. aM any nottbte (eeture weft a*querne*. bnaaee, niUroaai. ME *e em » eM« Jleanoee ketween flwaa H air is. (m«tevl»al).
,3-15 HEV. 07/83
DEPARTMENT Or EN V IrfU .\McfN i Al. nn._uuni_c_. — i urouKAf r-iiu
Well Owner _____ _______ ——————— —
Well Location (County! .7 ( H tr1 V '*•/*•) •• ——S C /•/ (> "rlK/ L\-
Sketch Map of Well Location
V *' ' v ,\ .' /
, ""
Indicate route no's, intersection*/ stream namesrelative distances from well. XER-TGS-15 REV. 10/74 S
W«ll n-pth Ft D«orh C^un , ft Di_m_t«r m
Screen*'! Or P»'*O'»T"'1 Wall Imari «tr
Merhorl Or'lliKT A" HOT _ ,......_, C«hi- ntn-rDtlPth TO ntfl' Rif*Or« Pump T.it' ft S i«lrl gnm
OepT^ t" WffT"' No^r FnH of VmlH T»rt ft
Dr-uurlou/n ft Pumoing Peirmri hri
r ——— .„«„„„,,,-_- T.Tli-v
r-/^--' 7 ~:. ;v /^ / L
ORlGINAt
hill names, schools, churches, cemeteries where appropriate and
<r "?rw
Date Wen CompleteDriller
License No
Depth to Maior Water Searing Zones,Pint ft
LOG OF FOR
Rock Type
MATIONSFeet
From •• To
•' • 'it
'".
^
—————— oo.'-)., _ C3±X,
MAIL 3RD COPY TO PA. GEOLOGICAL SURVEY
Department o< Environmental Resources______________TOPOGRAPHIC AND GEOLOGIC SURVEY____ Water Well Inventory ReOFFICE USE ONLV
St. -2 Co.__ _ Lat __________Long ___________ I Physio. Prov.____U.S. Basin ~ — Tnoo.
Sea __ ACC.___ Map ' ": —-well _________ I Aauifer________ Aquifer________Color and ROCK Type
J C i, // ' L_ ' *7 ^ • £-~| Well Site—Township ^ L *• f ~ / ' / *•______ Depth to Bedrock ._/ **"——'t Landform at Site I ^ "/ __'Counjy
Well Owner nasme ,' '3
. .__ TV' Hut* /I
AddressV '—,-< L./
Ownership ———private, city. cor'0'/cot;E«?te,Et)eoer.l, county
Water Use ___nomc. ouDllc, lndustry^"lrrigatlon, stock. Institution
Well Use ___fr.guent use. dry"fio?.t:lr.EcnD.'r«! test, abandoned
Surface ocn.-r use ov. >. /"»——————————————————————I . . I / I t~- ,1
Driller's /•< {- n r—Driller's /_l/\/_ /_ /I ~ .-f' "r /,Liceniie C / >£../ Name //£!•£• £>'.'/L ff *rj N /?_
If?. «. SaltwaterZone ___ _
yes no
Well Deoth ( V f.———ft' (CHECK ONE)I Casing Length —fT, ft-Well Diameter I f"-_____ to nearest inchWell Finish —— open nole, icrten. oerforatedVslotted. other
Date Drilled montn year j/.r 'r ~? ?————
I Water Level Before Test ——.—-T7* ^^ ft.Level at End of Test j ~7S' ft.
Yield —/' f ——gpmFlow Measure Method ___bailer, orifice, meter, weir,
w«tcn ina bucket, estimate, other (CIRCLE ONE)/V r""Drawdown —f - "*— —— ft.
Length of Test ———————— hr.
Depth to Wa^er Bearing Zones
Written Well Location Directions
Jvelopment name (if applicable)
SKETCH MAP indicate route no'i. Intersections, scnooli. cnurcnes. cemeteries, streams, towns, and any notiDle feature i<s auirriei, Bridges, railroads, etc. Be sure to snow Oistances between tnese future*.ER-TGS-15 REV. 07/77 MA|(_ -.Qpy TQ Rft GEOLOGICAL SURVEY
Department of Environmental Resources _____ _^ TOPOGRAPHIC AND GEOLOGIC SURVEY Water Well Inventory Repc
St 42 r;o -- Lat ____________ LongOFFICE USE ONLY . /•
^0,,c=«in VCSea ___ ACC _____ Man _ Wall
We' S.:f—Towns*!-: --J. %.-•"• <- 'County
Well Owner namelast i"N :"* l i rs <~ first \»name j ' '- i- / G, >_______________mital <\
Address.,1. rr~ 1 -~[ . G. 7 A ,
- ——~ iCIRCLE ONE)Ownership ___y>"vate. city corp co state, federal, county• ——^ ICIRCLE ONE)Water Use __^noma public, moustry irngation, stock, institution
Well Use __i>eauentuse.dry nole. recharge, test, abandoned
SaltwaterZone_yes no
v'.e ;=rt- ———L*.—H————ft. . (CHECKONE)C_3 -? Lergr- •—_____ft.Well niamptnr L' ' ,___to nearest inchWell Finish ___Jipen hote creen. pertoratea slotted, other ..Date Drilled monm year / -' ~~ - ~ •' '
.'.a-*' L=,'6' Beto-e Test _____~-i'~_________ft.Level at End of Test .r '________ft.
' «••:——— - ———3pmRow Measure Method____bailer orifice, meter, wer.
watch and bucKet/6stimale)other ICIflCLE ONE)
Physio. Prnv * -^ 11 fi Bacin ^ •— Topo _
Aauifer_________Aquifer_________
DeotR to Bedrock _____ft. Landform at Site[CIRCLE Ol
£>urface_£__OFFiCF. USE ONLY level, n
jDnller's cLName At,'.,- ~ ~i" > '..' c.-
Oepth to Water Bearing Zones (1)_____ / '.______ft._ft. (3)_fl______tt (4!________ft.
[Pa Basm ^ A OFFICE use ONLY[_'.'. Mten we! Lr;at.on ti-.-ez: :ns t * ,f •?
Color and Rock Type From — To
L - <-?
T"- -J f f' C tV T- <
Development name (if applicable)Lot_____
CO
CM
O! •»
f S
! L,,.I ' •s
-.•:5 c". ;--:£ T-~r-e'ciTA : r'j-:
ML 1ST CO.?"* TO PA. GEOLOG'CAL SURVEY
Mao_______Wel1 L
Well Owner
•?/ICIRCLE ONEI I L O N irtty cwp co state feoerai countyICIRCLE ONEl(CIRCLE ONfc)
Water Use ____>*'S.iuDlic, industry irrigation stccK. institution•> ————_> (CIRCLE ONEiWell Use __ n££»i«T3se dry note recnarge test. aDandorwd
Saltwater *Zone——— _=--_yes no
V. eli Depth --f' - ~ ft (CHECK ONE)Casing Leng:n L-- •-*>• ftWell Diameter_____~Z____to nearest inchWeH Finish ___ ggjyjoli screen perforated/slotted, otherDate Drilled month yearWater Level Belore Test ____-J ______ft.
Level it End of Test -? * -'_____tt.
Flow Mtmiirrjijf'fh—1 n.-— onfce. meter, wee-.and buct««r estimate, other (CIRCLE ONE)
PnysiO Prov C -J iJ S Basir — TQDCw '
Surface_Cl_OFFICE USE ONLV
Lanotorr- at S>teICIRC-EONE,ieve' niiiroc valiey hillside
DrillersL -e-seDepth to Water Bearing Zones 11) -**• 3- J
t (3)
|Pa Basm ? OFFICE USE ONLY)Wr:!»r Weil Location Directions
Coio-a"C Rock T/pe
f-
'-.:•/-*'*— ?-
> *
•V.-TDevelopment name (if applicable)
Lot
-W-
Drawdown ~ ~ *• ftLength of Test _____2___hr ___________
SKETCH MAP Indicate route no's, intersections, schools, churches, cemeteries, streams, towna, and any notable feature such isCD-rr-c i c new ni/7o quames. bridges, raeroedi. etc. Begun to show d»tanc« between tmt features,ER-TGS-15 REV. 01/79 .. -T COr V TO PA. GEOLOGICA. SL.RVEV
Department ol tnvifonment-: resources______________i ur-uunMrni. M,,U ..C-.LUUI-JU-..E . Water Well Invantorv Repo
Rt A 5 "TO 5<— ia-H >
Countylast / ._
J 'Z s- ~l .onr . «3 1 H /
, -=~L «i« » ——— =-Physio Prov -r J-r u s Basir. _Ani.-llf!' /" .' -SI" Aaoifp'
_ . X Qg7 yt"°|t-'fa|C Ui.it ci.w '> '-
.•V-,."5//r/t,,^ S —— in:t,a;_2__
« ' >-?-f~ 4 f " ~*' * "''•' ; 7/_' •> 7 (5
_ __ ICIRCLE ONE,Ownership__(i1Jrwate Sity corp co state federal county^ ———— 'CIRCLE ONE;
Water Use .aqrTflPnffciir: industry imqation. stock institution
/Surtace___L__ OFFICE USE ONLV
Drmer s . , - Duller s /-i .ronsp /'/'' Name /C
Depth to Water Bearing Zones (1 1(21 / Vs3 ft (3l.. / 7 *=
[Pa Basm_£I_S.OFRCE USE ONLYWritten Well LOcat'On Direct :r-s
U*' Tooo r3 V /'it''*- -
Landtorm at Sue(CIRCLE ONE,
level niiltoo valiey hilis.de
' T ftft (4, ft
«sc-Color and Rocx!>pe
Qt". .'J J
'CIRCLE ONEiV.'ell Use Niiuuei|IUi.lJ~drOicHe.recnarge test abandoned
SaltwaterZone_
-Jj . C ftyes no
i' Deotr ——-X <• ~"'—————« (CHECK ONE)
Casn; Lengt*- *> -_____ft.
Well Diameter_________to nearest inchWell Finish «-"Boen hoj screen. perforated slotted, other
Date Drilled month yea' ' ''• ———————————————Water Level Before Test _____J c3.________ft.
Level at End of Test // £______ft.yie!d ____^ fc——gpmFlow Measure Method aaiier, onfice, meter, weir.
firSKt* ano eucKe;.]atima'e. other (CIRCLE ONE)
Dr3'A'GO'An / ' ______ft.
Lengti of Test ___L__———hr——f———————mi
^
Developmsnt name (if applicable)Lot_____
-W- ~ _*r_*1.- I ? -E-
1tt> *M:'SKETCH MAP Indicate route no $ intersections schools, churches, cemeteries streams, towns, and any notable feature sucn i
._„ ,._- , , ,,,-.. n, ,„ quarries, bnages railroads, etc Be sure to show distances between these featuresER-TGS-15 REV 01 79 . ,VAIL 1ST CC°> TO FA GEOL03iCAL SURVEY
Department of Environmental Resources____________TOPOGRAPHIC AND GEOLOGIC SURVEYlb'7 ez-***' O f -' 9FFIC| USE ONLY
.2_ r-.n- -iat (to 1*1 te Long JtT S9 top" Physio. Prov.£_Q.U.S. Basm_r_i=_TopoSt 42 CoSeq ___Accfl £. Map ! '?' f-~"~ Won
, . . . .
Well Site-Tc.-oimr "1;/- • r- /.' /v L'ACounty
last £— s_s first"last £—Well Owner name Si l-ii"-'/. ft *^ ^"P/TLli"^
A I r.' '- '- ' . ' /" /'
(CIRCLE ONE)_ ^ lv ini .uc i^nciOwnership ___pnvate^city, corp 'co, state, federal, county~'_~— (CIRCLE ONE)Water Use __^ none.public, industry, irrigation, stock, institution
Well Use —— .I'eouenTuse, on/hole, recharge, test, abandoned
SaltwaterZone_
Anuifar t - ' ' j_y Aquifer 3 V/
iHydrologic unit _ c^)epth tc Bearock -< *>" (t Landform at Site
Surfarg yg OFFICE USE ONLY level(hiinogvalley. hillside
Driller s .• . , Driller's, License " ~ ' Mamp A ••'•' rr- / ~ r.Depth to Water Bearing Zones (1 )__£!________ ft.
•"". v(2)_i_Ii___ft. (3!________ft. (41________ft.
|Pa Basin_?/g_OFFicE USE ONLY]Written Wen Locatior D -ections
6C-Water Well Inventory Rep
Color and Rock Type ^ From — Tl-f n.
r
/-> _ . , _ iDevelopment name fM applicable! f^* > - '. — / J. ,*n" .'i t
We'iDectn ———/ ' ———— ft. (CHECKONE) Lot - ;" A -Casing Length "/ *i'_____ft.
/ i, ,Well Diamptpr L ' — • tn nearest inch^____. (CIRCLE ONE)Well Finish __• openhoje, screen.perforated slotted.other
Date Drilled month year 11 ~~ -*{ ~ '' -_____Water Levei Betcre Test ____•*> ~(T______.ft.
Level at End of Test__/_2_i:______ft. . «-W—Y el= i f ____gpmFlow Measure Method____bailer onfioe meter, weir.
water, and bucket, eltjmate, otrw iCIRCLE ONE)
uc..r.menl 0, _nv,ronmenla, Rt-ources____________TOPOGRAPHIC AND GEOLOGIC
'' - '/JP--~ -J -'--*'-,.' -T '''H?!>S: -i Co-£Jr_-at.——- ^ — — • i nnn / »g. H _±.~
Aauife' A* - -> L— Aoui'e'
______________ ____________,„. A ———— — ——— . Z- ——— ———— Su
e Owner *.•-•( <fl • /-. •-jt .-'C- ls_..t.<-.-. ....... ___ I rface _• —— OFFICE USE ONLY '•"• '"•"'* "•'"'
Deotn to Water Bearing Zones Hi'2>--_I———ft i3i _________
SaltwaterZone ___ *•"
vt* noft, (CHECK ONE)Development name (if applicable)Lot _____
ftWell Diameter——<£._____\, nearest inchw.n c mo, ^^— - ICIRCLE ONE)Well Finish ———•otrnjj tereen perloraled/notled omer
Date Drilled month" year '/* —_______
Level at End of Test V' 0.ft,.ft.
• • •——f~* "—_gpmFlow Measure Method ____ Caiier, orifice meter, weir
watch ana tnjc*eCg3J'™tla oirier (CIRCLE ONE)
I-. ^° -
.."-"'. - 3 hr
Owne-ship ——„,„.,, city J%£™ ™«« """"' | [pajlasin UoFFICE USE ONLY]Wate* Use___.nomt piifihr jmrrtTirnrininn ' trnrtr institution
""" ____ (CIRCLE ONE)Well U*« ——— jfMUlfll uie^bry hoie rectiirgt IMI ib*nacwed
|*-w-
ORIGINALV' ' ' '"'0s
"™ ''£tt»~.'XZ>ZfM'L 1ST CQPY Tn PA .GEOLOGICAL. SURVEY
Water Well Inventory Report«5C-6S6polor and pocK Type ^rom — Ti
Department of Environmental Resources TOPOGRAPHIC AND GEOLOGIC SURVEYif 'J _** \—-~' ' " -DFHCE USE ONLY
Rt i? f.n^^~-Ln\L~^~~> 5>O W Long /C5 -H 1^ Physio .Prov <=> ,__;. US Basin .^
Seq Acc/M 2: LUfr-- -S >WBl J l "'l
Ak*a ?*' ~ - , , . /19/.,-Myarolcw«i sT:B_To«,n5ntn !.>'.-'/' V. C >7l0
County r-/.<. X'l & //-
. Arirtress KLc'i.- . d
JC' 0 ( - /J^J»tf>
(CIRCLE ONE)Ownership ___ B^-aie cir<2at»'co. state federal county,., . ,, (CIRCLEONEIWater Use ____>o KJiut>l!c. industry irrigation stock, institutionWell Use __ >e_u_nti_a. dry Wxe, recharge, test, abandoned
Saltwater-• ~ _-• yem no
Wel,D*str —— _/\s .... ,tt. (CHECKONE)Casing L*ngtn SfJ. in _ _ft
Well Finish ^ JtSenjolr screen, perTora lea 'slotted, other
Wa:e-i.e. el Before Test «3.D. ... . .It-Level at End of Test // 0 ft>Lf
Y.t'T *T'3 ,QPm
Flow Measure Method . bailer, onfice, meter, wer.eySTSh and buckeXlasnmate. other (CIRCLE ONE)
Ors.v-'-iiA/n f /C ft
ER-TQS--.5REV 01 79
DeveLot
An, nfpr l-l "tT Aquifer >-
gic LJ:.,: ^ yc-ya^Deptn tn RB.-lrrscK i^- J~ ft
Surface_SL_ OFFICE USE ONLYDrillers _ Driller's /1 icenss / / /(.' Name ff /
Depth to Water Bearing Zones ( 1 )l2)iAt.r ft. (3) IB'/
|Pa, Basin_ 2__.OFFicE USE ONLY
.-_•» LL - . ...vxaa
^/ Tooo ^
s-ay /'i -3Landform at SiteICIRCLE ONEIlevel. hilitoD. valiey, M!s>
/?~)c ^±2 f> •>ftU. W/
1
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i/.'a/srGr PU/'V
u/i.(A'.C ,irv. s-»' 4\-'. rtrr; Jof Ti ^
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r ^\3-~f -* _• -;*i •_ '-.«is c" BT s-'tic 3-:'. :
VAIL 1ST C- - • ' •- ;-. L" . C- .. :_- £
—,/?_•• T* «// "" tj!:::>*>JC\J
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