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Well Congtructign Repgrt DRU.WELL ENTERPRUSES LTD. Ministry Well ID Plate Number:4994 Polkey Road

Well Closure Report Ministry Well Tag Number: ~ L; CC£

Dlmcan,B.C. V9LbW3

Well Alteration Report Phon9: ~0-746-5268Confirmation/alternative specs. attached

;, Original well construction report attached

Red lettering indicates minimum mandatory information. See reverse for notes & definitions of abbreviatiqns.

orr

Of)

Town Prov.

Street no. Street name Town

Lot Plan D L Block Sec. Twp R9

Land)

m(and) ! or *

m

air rotary cable tool mud rotary auger driving ,i letting 1 ; excavating other (specify)i

vertical horizontal Ground elevation: ft (asl) Method (see note 4 ):

Postal Code

Land District

!Water supply wells: indicate intended water use: private domestic water supply system irrigation commercial or industrial

Lithologic description (see notes ? - 14) or closure description (see notes 15 and 16) WaterbeamgFrom To Relative

ft (bg!) fl (bg!) Hardness

other (specify)

Colour Material Description (Use recommended ternls on reverse, Estimated Flow Observations (eg., fractured. Weaihefed.£

List in order of decreasing amount, if applicable) (USgpm) we}! sorted, silty wash). closure details

Casing detailsFrom To Casing Material / Open Holeft (bg!) ft (bgi) in

Surface sealj Type; Depth'

Method of installation: L ! Poured ,1 Pumped Thickness !

Backfill Type; Depth

Lmer, Pvc [ ] other (specwy)

Diameter; lfl Thickness: ln

From ft (bg!) To; ft (bg!) Perforated From ft (bg!) To ft (bg!)

Developed by:

: ] Air Ming Surging Jetting Pumping Bailing

r 1 Other (specify). Total duration: hrs

Notes:

Well yield estimated by:LI Pumping Airtifting LI Bailing Other (specify):

Rate: USgpm Duration: hrs

SWL before test' ft (bloc) Pumping water level; ft (btoc)

Obvious water quality characteristics:Fresh Salty Clear Cloudy Sediment Gas

Colour/odourt Water sample collected: F J

We" dfmef (print clearly):

Registration no. (see note 20):

Consultant (if applicable; name and company):

DECLARATION: Well construction, well alteration or well closure, as the case may be,has been done bn accordance with the requirenlents in the WaterAct and the GroundWater Protection Regulation.

Screen detaHsFrom ToH(bgh nEngh

DiaMl

Type (see note 18)

Intake. 1; Screen Open bottom ! Uncased hole

Slot Size

1

Screen typet [? Telescope 1Plpe size

Screen material; Stainless steel ( Yi Plastic Other (specify):

Screen opening: Continuous slot Slotted j Perforated pipe

Screen bottom 1

j Bail , Plug @I Plate Other (specify):

Filter pack: From; ft Tui ft

Type and size of material:

Final well completion data:

Thickness: ln

Total depth drilled. ft Finished well depth -

Final stick upj nw Depth to bedrockj

SWL ft (bloc) Estimated well yield

Ar1esian flow: USgpm, orArtesian pressure:

ft (bg!)

fl (bg!)

USgpm

ft

Type of well cap Well disinfected: Fl Yes [ NoWhere well ID plate is attached:

Well closure information:Reason for closure?

Method of closure;?

. Poured Pumped

Sealant material.

Details of closure (see note 17);

Date of work (YYYY/MM/DD):

Comments:

Backfill material:

PLEASE NOTE; The inforlllation recorded in this wei! report describes the works and hydrogeologic conditions at the time of construction, whstei Customer copyalteration or closure, as the case may be. Well yield, well performance and water quality are not guaranteed as they are influenced by a CBllEWl Dflllef CODy SHGSK ofnumber of factors. including natural variability. human activities and condition of the works. wllich may change over time, pink; Ministry copy

General 4

Rem; f £1 and xi sure reptirts me fmund in Part 5 Of the l/1/ater' Act and the (3l'<;> L,mEi W

Regulaticai Part 5 of the £€<j;t mlfi regUlation are available al: http://www.erlv.gov.bc.ca/wat/gws/irldex,html

urrez :i Mmlsgt 2;:1tum for rllappmg and geocieiic use is the North American Datum of 198? (MAD 83;-,T

coordinates using ea Gmtjexi Pmssiiollirlg System (GPS). set the datum to NAD 83

"IUi amd Uv" males. prowcie cmorcimaiei; €)it7€€£:r ln degree, minutes md seconds 9 KW?'

degrees (eg 50.0139175%

4 For the method of Dietem <,u'umld elevation. enter? GF'S, differerltial GPS. level, aitlnletex 1150.000 map

map or l :5.000 map

5 The classes and sub -classes of wells are shown below

FM!

Np FT-""

MW

ClassWater suppiyMonitomloRecharge or WectworlDewaterillg or drainageRemediationGeotechnical

;£i: = sumWater Protection Regul;iutw*

and Pz'oteCtJo/l Gf F'Wa€'#a As

Sub -class (if£'1r.> i;vmcabwe)

Domestic: Non -domesticTemnorarx/i Permanent

1 emporafy; PermanentTemporary; PermanentBorehme; Test pill Special type of hole: Closed loop geothermal

LJ £ C1<)nlw(> 1ler. or retamed by the person responsible, as l'e(1L1ired under the VW -vf€ 1 4 f

Q 5* /1.,.:t! be mnsidered Dart of the Provincial Government records and is subject to the Fl'eer1mn of lnf- '> m;€si/

How7

Q

to Fill Out the Lithologic Description TableEach row in the lithrj> logi€: £t3€E+s(;r'Y< > 1ion table representfs either BE depth interval or deplh in the well

A few culiii repn Nai from 0 feet to 12 feet). such as for a geologic sirzatum or el specific depth

such as for el dex !oc£w1 €!ex = t)eamu<; wa

feeT

Pow 1 €iepm £m;> ml lJ t - K/' 1I MT, 'l£Emls1 vw the column ReIaIM - Harmless "

If lp;)llr,al:lle wa:

Helm KH) DQHSP f SY 3 Medau Loom SON cS) Very Soft NS)

C 1' *T €1

Gwy 'CyN BE

For , = <,h 4

Mom 1mi dr *=-1

'e'sow IV) F?:w./r*

mr oi the geologic mammal u we := oiumr1 "Colour "If (ELM?

iBN Red (R) Tan (T). Black (Bk)

Ill-' €L l KUW

.Qs= ' > from

SuMmmlmamMMs<hoLHders(greaier1har les)

coDbIes (2 +; inches €

-;nesi

gravel (80 slot to 21

coarse sam! (25 slot 1:= 80

medium sand ( lo s3<-Bl to slot)

fine sand (2 slot to 10 slot)

sclt (tess than 2 sionclay (much less; MY

(vanable L)£}E€*tsc:i€=€

mann £€11 Dental)

mf the geoi(* > gu: rllaterims encountered during (iinllmg B

H<: >wm(1 recomnlended list of xllaterlals

Bedrock materialsconglomeratesandstoneshalesirtstone

limestonecrystallinegranitebasaltvolcanicbedrock

HE (f)llH'lll

In ri£;> s<:rEi)m<;z me : aa) Ul umier' from greatest tO least anc! mdccate what rlls?1ter'mls occur >Helm; [

The wcw me ! 9 ! ? a;);;mx1rll€1iely equa! amounts leg" "gravel and coarse saw) => / W

113 Under the miumn ' siimateti Flow (L1Sg;ml)." usc "D" for "dry," "W" for "wetf' or enter the €;ZsHll W > vV

1; 'ener' -- U€ iefe( f the fE'aciul'€B sh€)u!(l be r'£scorcied in el mw ami! the esiimal

i'r'a<i> tm<B can he e£l$€€Ere<,i In the wmrllll 'WNa1,<;Ba= bearirDg Estmlmed Flow (USgp£n)."

How to Fill Out the (Hosum Description Table and the Weil Closure information Sectionl 5 Each rw in the iahle r€> ;.> les£Erl!s either £:1 depth illtervai leg,. from feet to i2 feet) or depth U

4 L

2 Fl

LIM);

i il [:3

WB! !

16 For €1 E;IepU*1 miervxzl. em; 7 of E)ac$<;fiH or ssaiant mateai(s) in the cofL1l'wl "Material Description'

7 7. Irl('ii(;;L1ie in "Detelihs of Q!suve" whetiler casing(s) r screems) were puHe(i or left in place. If caslng(s) were left in ; > lac£B. 1rl<,1&(;€£i£€ wil

Was perforated or ripped

Screen Details18. "Type" includes riser pipe, K -g)a£;ker, screen. screen blank, or tail pipe

Well Driller19V Fill in the name of the drNEr who constructed the well

Registration Number of Driller Responsible20. FiH in the regLstration number on the Qualified Well Dr

- ilier iderliification card. If the work was completed by a driller who is not £'e(;;istere€1

as a Qualified Well Driller. the Qualified Well Drilier who is directly supervising the work should fHE in their registration number on then

Qualified Well Driller identification card, The Qualified Well Driller signs the form

Definitions ofAbbreviationsasl above sea levelbg! (below ground levelbiol be > ow mp of casingDia

D L

DiameterDistrict Lot

feetmrs hours

mcnes

NAD 83 .North AnlericarlDatum ( 19823)

PID Parcel Identifier

Ru RangeSec SectionSWL static water levelTwO Township

USgpm MUS gaHons pei

UTM Umversal Transverse

Mercator Gri

updated: Feb. 7, 2005

BCGS MAP [£

1

:!

€

~r- 7

1l,*L i 0 i }0 ; Q

i!L,L -- .L-- 1

WTN * WELL NO ;, -4

WATER WELL RECORD Z? ' ] WELL No F -T ?--j

L-- ai J --VJ

MINISTRY OF WATER, LAND AND AIR PROTECTION VICTORIA. B~TISH COLUMBiA HE l"'1;IQI;.;.; li, ]LEGAL DESCRlPTION LOT - 3 E C - T P R . '7 L , LAND (Z?ESTR4CT. P L AN fTII:r* ~ I " 1

3

DESCRIPTIVE LOCATION L l CE NC E N 0 DA TEZ X Y N 0

OWNERK NAME;,. - ,NW ADDRESS - ", ...m - m

DMLLEWS NAME AODRESS,MM ,W.,, - .W.W. W DATE COMPLETED NAT,TOPO SHEET NO

ELEVATION CJESTIMATEDDEPTH, ,,, - .OF .W,MM,,jSURVEYED CA ~ NG MAM. ., ,H. . LENGTH

PRODUCNON TEST SUMMARY

METHOD OFCONSTRUCUON mn W. ,...,CASING DlAM M . ,1;ENGT >€,H ONE

SCREEN LOCATION , SC R E E N 5 ! Z E vi,. -. LE N 6 T H , T Y ? ?FEST BY

BAiL TFST PUM TEST L)FEAT'€;W OFSA N I T A R Y 5 E AL Y ES NO (3 5 C R E E N S ! Z E " , L E N (3 T H T Y F' E RATE DPAWDOWN

PE RF ORAT ED C AS I NG ~ L E N 6 T H . W. P E R FO R ,IT ) 0 N 3 F 9 4) M , T WATFP LEVEL AT CYOMPl ETlN OF TESTAN/AKLABLE DRAWOOWN SPEUFWC CAPACKTY

GRAVEL PACK ~ LENGTH - ,,K, 4 ! AM , -, - 5 (' E (1 ~ -1 (E , E T C ,

,, PERMEABEUTY WAGE OEFF

DYSTANCE TO WATER EST!M -NED WATEPLEVEL TFRANSMISSNWYESTNATED WELL YiF

F gOMV. - , 7 ME AS UR E D E L E VAT 1 0 N , , , A T ES 5 AN P R E 5 3 L€ R 21 RECOMMENDED UMPWNG RATE

A TE 0 F WAT E P L Ev E L ME AS U RE M EN T , WAT E P US € . .,.4 , . , V - , , QECOMMENDED PUMP SlFI TTWL;

g~;MISTRY L l T H 0 LO G Y

F ROM TO

T ES T BY .,, ,.-, , , ,,,nw , H, - , . , . DA TE . WiOESCRI PT $ ON

Y

TOTAL DISSOLVED SOLYOS , mg/1 TE M PE RA TU RE # Up p H , - 5 1 L 1 €1 A ( 5 V 0 2 ) m Q / ! ir 4-

,umhos/cmCONDUCTANCE - AT 25% r()TAL woN (Fe). - .--. mg/E TOTAL. >

-IAF?DNE33€Z fCCnfO3Y.,. rn Oil+

+

+

TOTAL ALKALrNlTY{CCO,)...,mW. mgm PHENALKALmnTY(CGCO9- ,W, ,AmqA MANGANE3E(Mn) Fl Q / I+

COLOUR 0 DO U R mqm Da TY + l

+

ANgus mq/ I 9 D FM Q AT Q Q}4 S @0/ ! 9 ;) rTl 4- ~

~ f-CARBONATE (co; H# . VmWQW - ,BICARBONATE (HCO ~ . - WWv"m. - v - WA

SULPHATE iso,) lcALcruM(C) ,, 'T

- 4 MAGNESJUM ( MO) l+

SOOsUM me ) - - L

CHLORIDE (cl)~

~ POTASSIUM (K) K. .

NO; O NO, (NITROGEN) vw - - - - - -. l FR 0 N ( D ! 5 SO l VE 0)4

%

~

'T- 4

0 TKN (NITROGEN)

PHOSPHORUS (P)- *

! ~ %L

!

TKN - TOTAL KJELOAHL NITROGEN CHEMISTRY SWTE NO .W.W - .N". *

NOZ - NITRITE NO, = N!TRATE

CH£MlSLRXUFjELD TESTSTEST BY . ,DATE -7, ...EQWPMENT USED,

QONIENTSY 7 oF VFQLDER

CJDRILL LOG CJPUMPTESTDATA CJCHEM%CAL ANALYSIS

CJSEVE ANALYS ~ CJGEOPHYSlCAL LOGS CJREPORT

OTHER

SOURCES OF INFORMATION

*ii

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i

li

1!

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