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GwS-31 "W ELL CONSTRUCTION AND TEST RE1t qW rt far at�ee use only <br /> ttisa STATE OF( ^ RAM OMC.E OF THE STATE I ..WEER <br /> . WELL PE CT NUMMER 295712 <br /> a. 0MINER NAMI.K(S): ZEPHYR GOLD USA.LTD <br /> wiling,Address: 1959 UPPER WATI✓R, STE 1700 <br /> City,St.Zip:HALIFA X NS 133J 3N2, p , <br /> Pbone:(902) 446-4189 <br /> 3. i,L OCA EION AS DIM—LED NW�114 SE II4,Sec.: 14 Twvp,.:19S Range:71W <br /> DISTANCES FROM SEC.LINES 1905 carom souTH See.line,and 141.3 fit.from EAST Sec.Lim OR <br /> (svvth or Tort;) (east or west) <br /> SUDDDIMON; LOT: BLOCK; PILING(UNIT); <br /> STREET:'ADDRESS AT WELLLOCA TION:.EASTING_ 474129 NORTHING: 4249407 <br /> 4• UJAROUND SURFACE ELEVATION: It. DRILLING METHOD AIR PERCUSSION <br /> DATE COMPLETED: _ 9/22/2014 TOTAL DEPTH: 220 It. DEPTH COMPLETED: 220 ft. <br /> 5. GEOLOGIC LOG: 6. HOLE DIAM.(io..) From (ft) To (ft) <br /> Depot )escr*iion of Material (Type,9tia,eoza;water imd") 9 314 0 40 <br /> 0-36 loose sa>xtlravel&boulders 6.00 40 220 <br /> 36-43 tit clay - 7. PLAIN CASING <br /> 43-68 gray shale W 0D (in) Kind Will Size From(ft) To(ft) <br /> 68-70 white slate 6 518 S'1'IEL .188 1+ 40 <br /> 70-115 ga�+shale 4,5 PVC F14 20 180 <br /> 115-116 white slate _ 4.5 PVC .214 200 2.20 <br /> 116-147 may shale <br /> 147-195-195 tan&white saudstooe /�} <br /> 195-220 gray undstone I'ERF.CASING Screen Slot Size 3/32" <br /> 4112 PVC 0.214 180 200 <br /> $ FILTER PACK 9. PACKER PLAC WNT <br /> Material: Type <br /> Size: <br /> Intervals Depth <br /> GROUTING RECORD: <br /> IMMARKS:WATER 190' Material Amount Density Interval Placement <br /> CEMENT 6 SACKS 15.3 9'a9' Poured <br /> Vibrated, <br /> 11- DISININ'ECTION,Type CHL,GPJNE Amt.used: 1 GALLON.WATER INI., 18 BPS <br /> 12. WELL TEST )ATA Q Cbeck boas if test data is subm➢tied ox imppItwental farm <br /> TESTYI+TC METHOD:Allt LIFT <br /> Static Level.:_ 160 & DatetT'Ime Measured:9=2014 I0:00 Prodmetion Rate 1 RPM- <br /> Pumping Level: 220 D. Date/Time Measured;T222014 11:00 Test Leltgth(hrs) 1.00 <br /> Remarks <br /> 13. 1 have read the stateweats made herda and know the coute,►ts tberad,and that they are true to my knowledge. <br /> (puranaut to section 24-4.104(13)(a)C.1t.S.,the making Of.1'slse stattm ats herein constitutes,perjury in the second degree and Is <br /> pnobbable as a class 1 misdemeanor. <br /> CONTRACTOR:ARKANSAS VALLEY DRILLING MONE:719-276-6947 LIic.No.: 1.305 <br /> Mailing Address:600 CANON RIDGE RD. CANONCITT CO. 81212 <br /> I!aqie/)C1tte (please type or I►riut) re hate <br /> d <br />