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Ms. Helen Hensen 2. <br /> Well Name Residence <br /> Well Number A <br /> Location NE1, SEA, S16 , T8N, R12E <br /> Civil Town Town of Medina <br /> Date Approved _ <br /> Date Completed 5/22/70 <br /> • <br /> Well Driller- Berkholtz <br /> Well Depth 115 <br /> Geology/Depth Fill/0-3 <br /> Red Clay & Gravel/3-31 <br /> Sand & Gravel/31-50 <br /> Limestone/50-102 <br /> Sandstone/102-115 <br /> Drillhole Diameters/Depths 8/0-53 <br /> 6/53-115 <br /> Casing Diameters/Depths . 6/0-53 <br /> Casing Material/Thickness Steel/0.280 <br /> Casing Assembly Method Welded <br /> Annular Space Material/Depths Bentonite & Cuttings/0-53 <br /> Drilling Method Rotary <br /> Pump Type Submersible <br /> Capacity (GPM) 8-10 <br /> Discharge Type Pitless adapter <br /> Location Pressure tank in residence <br /> *Note: All diameters in inches and depths in feet - <br /> Proposed Water Supply <br /> Added Well Inventory <br /> DNR Permanent <br /> Well # Well # Location Civil Town, County <br /> 001-owner 00554 NWT, SEA, S16, T8N, R12E Town of Medina <br /> 002-operator Dane County <br /> Proposed Well Construction: Approximately 200 feet of dolomite and sandstone <br /> bedrock formation is expected to be encountered at about the 50 foot depth. <br /> The well will consist of 100 feet of a 12.25 inch diameter upper enlarged <br /> drillhole constructed using rotary methods. In this borehole, approximately <br /> 101 feet of 8 inch diameter, 0.322 inch thick steel casing that is assembled <br /> with welded joints meeting NR 112.085 requirements will be placed. The <br /> annular space around the casing will be filled with cement grout. Below the <br /> casing, an 8 inch diameter open drillhole will be extended to about the 350 <br /> foot depth in the sandstone bedrock formation. <br /> This well is expected to be fitted with a 400 gallon per minute capacity <br /> submersible pump in a type "G" well head installation. The well seal shall be <br /> watertight and vermin proof. Water levels will be measured during well <br /> operation with an air line and pressure gauge installation. The rate of water <br /> usage will be calculated from the recorded hours of pump operation. Water <br /> will be discharged from the well to adjacent surface waters. The discharge <br /> shall be a minimum of two pipe diameters above the high water level of the <br /> settling basin. <br />