Attach__4_Exhibits.pdf

Exhibits

EXHIBIT 1 LOCATION MAP

EXHIBIT 2 SITE LOCATION MAP

EXHIBIT 3 PROPOSED SITE #1

EXHIBIT 4 PROPOSED SITE #2

EXHIBIT 5 PROPOSED SITE #3

EXHIBIT 6 WELL LOG

EXHIBIT 7 PUMP DATA FORM

EXHIBIT 8 AQUIFER TEST AND RECOVERY TEST DATA FORMS

EXHIBIT 9 SUBMERSIBLE PUMP AND PITLESS UNIT DETAIL

EXHIBIT 10 WATER PRESSURE SYSTEM DETAIL

EXHIBIT 11 WATER PRESSURE SYSTEM DETAIL

EXHIBIT 12 WATER SYSTEM ELECTRICAL SCHEMATIC DETAIL

EXHIBIT 13 AS-BUILT EXAMPLE – INDIVIDUAL WATER SYSTEM DETAIL

1 1 2 280 3 20 4 Filter Pack 50 5 280 6 Steel Well Casing Perforations 20 FT 7 4 8 4 9 2

10 1 11 230 12 100 13 100 14 Pitless adapter 1 15 Permits & Fees (Shasta County) 1 EA

Well Grouting

Well Development

Recovery Measurements

Steel Well Casing

Test Pumping

Well Disinfection/Water Analysis

Mobilization / Demobilization

HR

Well Drilling FT

HR

EA

FT

EA

FT

FT

HR

FTWater Service Line Buried Electrical Cable

EA

Drop Pipe/ Submersible Cable

FT

FT

1 Mobilization / Demobilization 1 EA 2 Well Drilling 280 FT 3 Well Grouting 20 FT 4 Filter Pack 50 FT 5 Steel Well Casing 280 FT 6 Steel Well Casing Perforations 20 FT 7 Well Development 2 HR 8 Test Pumping 4 HR 9 Recovery Measurements 2 HR

10 Well Disinfection/Water Analysis 1 EA 11 Submersible Pump, 1 HP 1 EA 12 Drop Pipe/ Submersible Cable 230 FT 13 Pressure System 1 LS 14 Well House Building 1 LS 15 Water Service Line (1-1/4") 60 FT 16 Water Service Line (1") 5 FT 17 Buried Electrical Cable 150 FT 18 Pitless Adapter 1 EA 19 Frost-free yard hydrant 1 EA 20 Permits & Fees (Tehama County) 1 EA

1 Mobilization/Demobilization 1 EA

2 Well Drilling 200 FT

3 Well Grouting 50 FT

4 Steel Well Casing 200 FT

5 Test Pumping 8 HR

6 Recovery Measurements 4 HR

EXHIBIT EXHIBIT 6

WELL LOG

Well Owner: Phone No: ____________________ Location: _____________________________________________________________________ Drilled By: Date: _________________________ Project No: Contract No: _______________________________

Depth (in feet): Description of Formation (Specify Water Bearing Aquifers) _______ to _______ ______________________________________________________ _______ to _______ ______________________________________________________ _______ to _______ ______________________________________________________ _______ to _______ ______________________________________________________ _______ to _______ ______________________________________________________ _______ to _______ ______________________________________________________ _______ to _______ ______________________________________________________ _______ to _______ ______________________________________________________

SIZES AND MATERIALS USED

All Depths Measured from Top of Well Casing

Top Casing Line: Nominal I.D._______ Material____________________________________ Depth Cased _______ Ft. To ______ Ft. Wt/Ft. Lbs.

Any Reduced Casing Sizes: _______________________________________________________

Grout Envelope: Thickness In.

Depth Grouted Ft. To Ft.

Pitless Adapter: Make Model _________________________________ Depth of Discharge Ft. Cap Type: _____________________ Well Screen: Make Material _______________________________ Type ________________________________________________________ Diameter Ft. Length Ft. Slot In.

Depth Screened Ft. To Ft. Slot In.

Ft. To Ft. Slot In.

Spacer(s) _____________________________________________________

Fitting at Top __________________________________________________ Fitting at Bottom _______________________________________________ Packer Description _____________________________________________

Gravel or Material ______________________________________________________ Sand Pack: Thickness: In. Depth: Ft. To: Ft.

Attach Graduation Curve

Total Depth to Bottom of Well Ft. (FROM TOP OF CASING) Total Depth to Bottom of Casing Ft.

Total Depth to Bottom of Drop Pipe Ft.

Total Depth to Pump Inlet Ft.

EXHIBIT 7

PUMP DATA

Pump Type: Manufacturer: __________________________ Model No.: Diameter: In. Length In.

Series: GPM Serial No.: _____________________________ Motor Type: Make: _________________________________ Volt Amp Wire Phase H.P.

Drop Pipe: Nominal I.D. In. Material: _______________________________ Length Ft. Wt/Ft.: Lb.

PUMP DATA

Static Water Level: Ft.

Pumped at: GPM for: Hours with a resulting drawdown of: Ft.

Bacteriological Test: Safe Unsafe _____________ Date Date _______________ Chemical Test: Yes ( ) No ( )

NOTES:_______________________________________________________________________

DRAWINGS NOTES:

Attach any available information on materials and equipment, pump performance curves, pump test data (drawdown and recovery), and any other pertinent data.

Prepared by: Date: ___________

EXHIBIT 2 EXHIBIT 8

U.S. PUBLIC HEALTH SERVICE

INDIAN HEALTH SERVICE

Office of Environmental Health and Engineering

AQUIFER TEST FIELD DATA SHEET

Owner Unique Well Number__________________

Location _________________________ Project No.__________________________

Contractor Operator ___________________________

Observers Date _______________________________

Measuring point is _________________ which is ________ meters above the surface.

Static water level is _________ meters below the measuring point at _____o’clock.

Test pump is set at ____________________ meters below the measuring point.

Test pump size: __________________ Pump Type: _________________

DRAWDOWN TEST DATA SHEET

CLOCK TIME ELAPSED TIME

SINCE START

(MINUTES)

DEPTH TO

WATER (FEET)

DRAWDOWN

(FEET)

PUMPING

RATE (LFM)

REMARKS