DIVISION OF MINERAL RESOURCES OFFICE ADDRESS, JAMES L, CALVER, COMMISS IONER ( ottesvilie, VA WATER WELL COMPLETION REPORT

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1 MAILING ADDRESS, B~ COM MONWEAL TH OF VIRGINIA DEPARTMENT OF CONSERVATION AND ECONOMIC DEVELOPMENT W-3S86 C-99 DIVISION OF MINERAL RESOURCES OFFICE ADDRESS, JAMES L, CALVER, COMMISS IONER ( ottesvilie, VA WATER WELL COMPLETION REPORT McCormick Road Charlottesville, Virg inia Via Industries Washl.'ng H' h OWNER: Mailin~ Addre.s: _...:.:..:=="'=;:;.n:.:...=l."'g=w.=a""y TENANT: Ramada Inn M 0 it i n Q Add res s: Rtu. j cc.hn;mlllqonn.cd+-jivj.i..rr:<;gl.li..idllil1a<- _ DRILLER: Atlantic Pump & Equipment Co" Inc, Mailin~ Address: P,O. Box 4009, Richmond, VA WE L L LOC AT ION: C au n I y -"C"'a"'r"'o"'l"'i"-n"e'- A p pro,. _... mile, _""I... n",t... e",r",s... t",a",t.. e"",,,,,9,,,,s ( d i ro c I i an 01 ond 7_S_0.:i~~ ( di,.cl io n 01 R_t_,_2_0_7 (GIVE DIRECTION AND DISTANCE IN FEET OR MILES FROM TW O REFERENCE POINTS - ROADS, TOWN S, RIV ER S, ETC. ON COUNTY HIGHWAY OR OTHER MAP. x..,;x DATE STAR TED : J_un_e_2.c.' _1_9_7_2 0 AT E COM P LET ED: J"'u_n_e_7..:.,-"1_97_2 TYP E 0 F DR ILL RIG USE D: -'A=i=r:...::.R:.:o..:t-=ar~y'- TO TAL DE P T H, _"""3;:;.0,,,2 loo' WATER LEVEL : Slonds _..:4..:6 loet be low surface has NATUR AL flow of 90110ns per minute. Y I E LOT E S r: MOl hod _-,S",ub=m",e",r"""s",i",b",l",e"-"T",e",s",t,.,...P,,,um=p,,-_ H 0 L E S I Z E: 12 '" c ho sir 0 m Ie el Dr awd own 2_6_ _-=6=--,n ches fr om _ 3", 0",2_ ' oe l Rat e _-,2"S,- qat. per min. Inches from 10 f eel Duration 24 hrs. min. SCREEN SIZE: _ In c hes fr om WATER ZONES: from 118 _~1",2",0'--_ 1. 0 t Inches from 10 Ieel from Inche s fr om l o feet from Ioel 6 CASE SIZE:_-,,-_ Inches from _--,,0' I WATER: Color None Toste None inches fr om Odor None Temp. inches from WELL TO SUPPLY: (check one Home G R 0 UTI N G: Mol hod -'P"'r"'e"'s"-s"-u"r=e-"-P"'um""'p'- Farm Town School M a Iorio I _"""C",em=e::.n:.:t,,- Do pi h _~1",1,,-3,,- 100 I In d u s I ry_--"x",x,-_ot h 0 r PUMP: TypO ~S~ub~m~e~r"'s"-l.~'b~leE _ WATER ANALYSIS AVAILABLE:Yos No Capocify ",2"'S"- 901 pet min DRILL CUTTINGS SAVE 0: Yos-.l.LNo Dopth 01 inloko 260 loot (DRILL CUTTINGS SHOULD BE COLLECT ED AT 10 FOOT INTERVALS. THESE SAMPLES MAY BE SHIPPED TO THIS OFFICE EXPRESS COLLECT. SAMPLE BAGS ARE FURNISHED FREE OF CHARG E UPON REQUEST R ~RKS: ( LOG OF WELL OVER

2 LOG FURNISHED BY : Atlantic Pump & Equipment Co., Inc. DATE : J~u.!!n",e--"1,,,9,",,---,1,-,9,-,7:.;2,- FROM DEPTH (feeli TO TYPE OF ROCK DR SOIL PENETRATED (grovel, cloy, etc., hardness, color, etc. REMARKS (water, cqv inq, shot, screen, sample, etc, I 0 10 Purple Clay Yellow Clay Blue Marle Gray and Green Rock Gray Rock Gray Shale Red Shale Gray Shale I' e. (Use additional forms if necessary

3 (LOG OF WELL OVER w""'],nlt- \"V ;,.. i\j,\ i'j EALiH 0,.. V jh uli... ;r'l C- 71, DEPARTMENT OF CONSERVATION AND ECON O MIC DEVELOPMENT vj- 3SB' MAILING ADD RESS, DIVIS!ON OF MINER AL RESOURCES ' OFFkEADDRESS, JA MES l. CALVER, CO MM ISSIONER McCormick Road ( " arlattesville, VA WATER WELL COMPLETION REPORT Charlottesville, Virginic. OWNER: V_l_'a I_n_d_u_s_t_r_i_e_s TENANT: Ramada Inn Mo ilinq Address : ';!ashingn...::. Highvwy ""-_"- Me ilin Q Ad d tes s: _---'.R:..:i"'c:::h.::,m"'o"'n:.:.d~,_V.:..,: i.:. r ""g"' i "' TYl""'a'- ; DRILLER:Atlantic Fum;:> & Equi;oment Co;;nany, Inc, Moiling Addro..:,- P ' ":"--", 0_'--",B",o"-x=--:4::.;,0:..;0,,,9'-L'..,;R:.:.,l:..' c=h=m.:: o:.:n.:: d..!,-,v.::a:.,:,,-_ WE L L LOG A T ION: C 0 u n t y _----'C:..:2:.:, r-'o:.:l:..: i:.;,n"'e'-.1. lf OO'VCX X I Appr o" _"--- milos ncerstate '95 (directi on 01 ond X f ee t 750 R~ 207 ""J~: ( di re ct io n of " _'_--'- (GIVE DIRECT ION AN D DISTANCE IN FEET COUNTY HIGH WAY OR OTHER MA,P, OR MILE S FROM TWO REFERENCE POINTS - ROA DS, TOWN S, RI VERS, ETC, - ON OAT EST ART E 0 :_J:,:u:::n:.:8:...::2C!,,--=.. 19:...7c..: 2 =-- D ATE CO M P let ED: ----"J"'u"' n.:: e_ 7"-L, --=1""9'-'.7,:: 2'-- TY P E 0 F DR III RIG USE D : -'-A:.:i:.:.r---=..: P..:: o.:: t :.:. ar""yl- TOT A l D E P T H' _--"3,,,0.:: 2 f ee' WATER level: Snds 4~, =6_feet be low surface has N A T URAL f I ow of lja lions per minute. YIELD TEST: Submer sible Test?um;J Meth od 2 60 Drowd own feet HOl E SIZ E : _..:c. 12 c:. -_,nc hes fro m --,O~_,O 118 f 1 Air: 1 (.2"1 Inches from 10. Ct:! I Ra t e 25 qol. per min. inches from ' fo f e e l Duration 24 hrs. min. SCREEN SIZE: in ches Ir om lo l eel, WATER ZONES: from fe et Inches from 10 f ect from 1 47 feel inche s fr om ' '0 fe el from 1 68 fee t CASE S IZ E: 6 " Inch e s fr om "='-_fe 118 e I WATER: Color Odor None Ta 5 t e No:oe None Temp OF inches from 10 fe e l i nches from 10 fe el ' WELL TO SUPPLY: (chock one Home GROUTI NG: Method Pressure rum::> Farm Town School Ind ustry X Ot h e r PUMP: Ma t e ria I _-'C"'e"'m"'e"'n"'t"-- 0 e pt h _-,1",1",3,-_ 1 eel Submersible T yp._'-~~~~~~ WATER ANALYSIS AVAILABLE:Ye._'_No Copacity.:.:2"'5 Q01 per m in : DRILL CUTTINGS SAVE D: Yes /2 No Dep t h of inlake 260 f eel ' (DRILL CUTTI NGS SH OULD BE COLLECTED AT 10 FOOT INTERVALS, THESE SA MPLES MAY BE SH IPPE D TO TH IS, OFF ICE EXPRESS COLLECT, SAMPLE BAGS ARE FURNISHED FRE E OF CHARGE UPO N RE QU EST, EMARKS: ~R~u~~H~E=R~~G~L~E~N~' ELEV. : ~Q~~~O~~A~IV~~L~E~

4 VIRGINIA DIVISION OF MINERAI. RESOURCES Box 3667, Charlottesville, VA Page 1 of 1 INTERVAL SHEET Well Reposiry No. : C-99 W-3586 Date rec'd: Date Pr ocessed: Sampl e Interval: from PROPERTY: Via Industries (Ramada Inn Number of samples: COMPANY: Atlantic P & E Co. Total Depth: 100 : COUNTY: Caroline (Carmel Church Oil or Gas: Water: XX Explorary: From-To From-To From-To From-To From-To NO - SAMPLE " All intervals have both washed and unwashed sampl es.

5 OWner: Driller: County: Via Industries (Ramada Inn Atlantic P & E Caroline W# 3586 C# 99 Total Depth: 220' Quad: Elev: Depth (feet WELL LOG No Samples salt and pepper; quartz; feldspar; hornblende; epidote; mica; pyrite as above, except: peach feldspar; garnets minerals. as above; rose quartz; abundance of dark accessory as above; unakite variety. as above; peach and red~. greenish gray (5GY 6/1; quartz; feldspar - green, peach in color Logged by: J. K. Polzin June 13, 1980