ML101550232

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APS 2008g PVNGS Update to the Notification of Discharge of Non-Hazardous Materials (Tritium) 90-Day Report: Well Installation Report - Monitoring Wells in the Protected Area. Jan 11, 2008
ML101550232
Person / Time
Site: Palo Verde  Arizona Public Service icon.png
Issue date: 01/11/2008
From: Day H
Arizona Public Service Co
To: Cambell C, Casey R, Clark I
Office of Nuclear Reactor Regulation, State of AZ, Dept of Environmental Quality
References
291-03845-HPD/HCL/FDW, P-3507-100388
Download: ML101550232 (75)
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Text

Digitally signed by Salinas-Salinas- Card, Henedina (Z81436)

DN: cn=Salinas-Card, Card, Henedina (Z81436),

email=Henedina.Salinas-Card@aps.com Henedina Reason: Verified as true copy of original.

Henry P. Day (Z81436) Date: 2008.11.04 18:11:17

-07'00' Department Leader Tei 623-393-6567 Mall Station 762i Environn~ental Fax 623-393-5442 PO Box 52034 Palo Verde Nuclear e-mall Henry D a v o a p s corn Phoen~hA r ~ z o n ~ i 17:-2074 Generat~ngStat~on 291-03845-HPD/HCL/FDW January 11,2008 CERTIFIED MAIL RETURN RECEIPT REQUESTED Arizona Department of Environmental Quality 1110 West Washington Street Phoenix, Arizona 85007 Attention: Ms. Cynthia S. Campbell Mr. Robert C. Casey Ms. Ingrid Clark

Reference:

Aquifer Protection Permit No. P-3507-100388

Dear SirIMadam:

Subject:

Update to the Notification of Discharge of Non-hazardous Materials (Tritium) 90-Day Report PVNGS is submitting a 90day status report regarding the Notification of Discharge of Non-hazardous Materials (Tritium) made on March 2, 2006. In order to keep ADEQ updated on the progress of the investigation and work plan schedule, periodic reports will be provided to ADEQ by the 1 5 of ~ the month following the end of each calendar quarter until the investigation is complete or until the frequency is changed by ADEQ.

These updates were discussed in Table 3 of the Tritium lnvestigation Work Plan and Schedule provided in the initial 30-day report submitted on April 3, 2006. These quarterly updates fulfill the requirements for providing additional information as required by the APP. This report provides an update on the status of the Tritium lnvestigation Work Plan and Schedule included as part of the initial 30-Day Report. The next scheduled update will be provided on April 15, 2008.

Schedule Status Table 3 in the 30-day report summarizes the Tritium lnvestigation Work Plan and Schedule. From this Table, the following tasks have been completed or worked on since the last quarterly report:

. Task 4b has been completed with the issuance of the site Aquifer Protection Permit on October 23, 2007. Monitoring well APP-?2, west of Unit 1, has been installed with the first sample collected January 4, 2008.

Page 2 291-03845-HPDIHCLIFDW January 11,2008 Ambient monitoring of wells APP-9, APP-10, and APP-11 has been completed. The data is included in the report Ambient Groundwater Monitoring Report for Wells APP-9, APP-70 and APP-I Idated December 27,2007. This report was submitted to ADEQ with APS letter 291-03842-HPDIJCC. Neither tritium nor radioactivity was detected in these wells.

APS installed 16 wells in the protected area. Details of well installation are provided in Attachment B. Ambient monitoring data from these shallow wells will be summarized after completion of ambient monitoring.

Water level and tritium data available through the fourth quarter of 2007 is provided in Attachment A.

Proiect Status With respect to the recommended best management practices, paving has been completed in all three units. Application of the final seal coat of the repaved areas has been completed in all areas except over the Unit 1 pipe densrty tunnel. Sealing should be completed in the first quarter of 2008.

APS discussed a preliminary plan with ADEQ to remove and dispose of the tritiated water from the test holes based on information collected during the installation of the test holes and additional monitoring wells. A formal request is being processed and will be forwarded to ADEQ upon completion of the paving and sealing in Units 1, 2 and 3. It is anticipated that a plan will be submitted prior to the end of the first quarter of 2008.

If you have any questions or require additional information, please contact me at (623) 393-6567 or Mr. Harvey Lesan at (623) 393-6490.

Sincerely, Attachments cc: Mr. H. Lesan, APS Mr. F. Woodwick, APS

Attachment A Unit Shallow Monitoring Well Radiological & Water Level Monitoring Results through the Fourth Quarter, 2007

SELECTED RESULTS FOR AQUEOUS SAMPLES COLLECTED AT FA TRITIUM WELLS fhndactivity M u m ~nm-137 Cobalt40 Boron Fluoride Potssdum Chloride Well Date pH (~wm) @@Cw @ c w @m) (mfl) I-) (@) (m*) Comment W m was fomd in this well which is *id.

A sample was analyzed h m tboB well to evaluate whetha tbe water was from a leak or w a s h d m aeitiviaes in tbt RC

SEZECI'ED RESULTS FOR AQUEOUS SAMPLESCOLLECTED AT PA TMllUM WELLS

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Attachment B Well Installation Report Monitoring Wells

WELL INSTALLATION REPORT MONITORING WELLS IN THE PROTECTED AREA Prepared far Arizona Public Service Company December 20, 2007

WELL INSTALLATION REPORT MONITORING WELLS IN THE PROTECTED AREA PALO VERDE NUCLEAR GENERATING STATION Prepared for Arizona Public Service Company 5801 South Wintersburg Road Tonopah, Arizona 85354-7529 December 20, 2 0 0 7 Brown and Caldwell Project # : 134071.002 110 Sou@Church Avenue, Suite 2300 Tucson, Arizona 85701

TABLE OF CONTENTS TABLE OF CONTENTS .................................................................................................................................................. i LIST OF FIGURES.........................................................................................................................................................li LIST OF TABLES ............. . ii LIST OF APPENDICES ................................................................................................................................................ iii LIST OF ACRONYMS ................................................................................................................................................... iii I. INTRODUCTION.................... .............................................................................................................................. 1-1 1.1 Site Description and Background ............................................................................................................... 1-1 2 . RATIONALE AND OBJECTIVES............................................................................................................................ 2-1

3. DRlLLlFlG FIELD ACTIVITIES................................................................................................................................ 3-1 3.1 Drifling and Sampling ...................

3-1 3.2 Lithology and Estimated Saturation Levels ................... . . . . ............ . ..............................................

3-?

3.3 Well Installation and Dev@iogment............................................................................................................. 3-2 3.4 Groundwater Sampling............................................................................................................................... 3-2 3-5 Transducer Installation ............................................................................................................................ 3-3 4 . SOIL AND GROUNDWATER TESTING RESULTS ............................................................................................. 4-1 4.1 Soil Geotechnical Results ....................................................................................................................... 4-1 4.2 Soil Analytical Resuits ................................................................................................................................ 4-1 4.3 Groundwater Sampling Results.................................................................................................................. 4-1 4.4 Survey Data and Groundwater Flow Condition ....................................................................................... 4 2 5 .

SUMMARY

5-1 6 . REPORT LIMITATIONS..................................................................................................................................... ~6-1

Contents Well Installation Re~ort:MonitoringWells in the Protected Area LlST OF FIGURES Figure 1 Site Location Map Figure 2 Protected Area (PA) Unit 1 Well Location Map Figure 3 Protected Area (PA) Unit 2 Well Location Map Figure 4 Protected Area (PA) Unit 3 Well Location Map Figure 5 U1-HOa Air-Knife Monitor Well Design Figure 6 U1-HOb Air-Knife Monitor Well Design Figure 7 U1-H7 Shallow Monitor Well Design Figure 8 U2-HOa Air-Knife Monitor Well Design Figure 9 U2-HOb Air-Knife Monitor Well Design Figure 10 U2-HI 0 Air-Knife Monitor Well Design Figure 11 U2-H2 Shallow Monitor Well Design Figure 12 U2-H7 Shallow Monitor We11 Design Figure 13 U3-HOa Air-Knife Monitor Well Design Figure 14 U3-HOb Air-Knife Monitor Well Design Figure 15 U3-HIb Shallow Monitor Well Design Figure 16 U3-H2 Air-Knife Monitor Well Design Figure 17 U3-H5b Air-Knife MMotor Well Design Figure 18 U3-H7 Shallow Monitor Well Design Figure 19 U3-HI IAir-Knife Monitor Well Design Figure 20 U3-HI2 Air-Knife MMotor Well Design LlST OF TABLES Table I Summary of Well Information Table 2 Summary of Transducer Depths Table 3 Summary of Geotechnical Results Table 4a Summary of Soil Sample Results for Unit 1 Table 4b Summary of Soil Sample Results for Unit 2 Table 4c Summary of Soil Sample Results for Unit 3 Table 5 Summary of Water Quality Results Table 6 Water Levels and Well Survey Data I BROWW AHB CALDWILI 1

Well Installation Re~ort:Monitoring Wells in the ProtectedArea LlST OF APPENDICES Appendix A ADWR Notices of Intent and Well Driller Reports (Provided On Disc)

Appendix 0 Lithologic Logs Appendix C Laboratory Reports (Provided On Disc)

Appendix D Geotechnical Testing Reports LlST OF ACRONYMS Micrograms per liter ACZ AGZ Laborataries ADEQ Arizona Departmentof EnvironmentalQuality ADWR Arizona Departmentof Water Resources APS Ariiona Public Service ASTM American Society for Testing and Materials AWQS Aquifer Water Quality Standard bgs below ground surface L4U Lower Alluvial Unit MFU Middle FinaGrained Unit NO1 Notice of Intent PA Protected Area PCE tetrachloroethene WC polyvinyl chlorae WNGS Palo Verde Nudear Generating Station R-SRL Residential Soil Remediation Level STL Sevem Trent Laboratories UAU Upper Alluvial Unit USCS Uniiied Soil Classification System USEPA U.S. Environmental ProtectionAgency VOC volatile organic compound I BROWW AHB CALDWILL 1 iii

WELL I N S T A L L A T I O M REPORT M O N I T O R I N G W E L L S I N THE P R O T E C T E D AREA

1. INTRODUCTION Brown and Caldwell has been contracted by Arizona Public Service Company (APS) to conduct environmental support and consdung services for the installation of monitoring wells as part of the corrective action associated with a Discharge of Non-hazardous Material reported on March 2,2006. The installation of the monitoring wells was part of the Work Plan provided in the 30-day follow-up report submitted April 3,2006. It has been developed in accordance with guidelines provided by the Arizona Department of Environmental Quahty (ADEQ and the Arizona Department of Water Resources (ADWR).

The work described herein is based on the Work Plan submitted by Brown and Cddwell onJune 30,2006, and the Work Plan Addendum submitted by Brown and Caldwell on September 12,2006.

1. Site Description and Background The Palo Verde Nudear Generating Station (PVNGS) began operations in 1985 and consists of an existing elearic genera- baseload plant ualrwng nuclear fission for generation of electrical power. PVNGS is a standardized wiple-unit nuclear power facility located near Wintersburg, Arizona, approximately 45 miles west of Phoenix (Figure 1). Low levels of tlitium were identified in water discovered in utility trenches associated with the reactor units. This discovery resulted in the need to investigate shallow groundwater conditions in the area of the units, Zones of shallow satmation are present within both the Upper Muvid Unit (UAU) and the upper portions of the Middle Fine-grained Unit 0 at the PVNGS. Fine-grained, low permeability material represented by the top of the MFU and he-grained subunits within the MFU appear to act as an aquiwd, M t i n g d o w n w d migration of groundwater. The aquitard at the top of the MFU can be correlated in geophysical logs and cross-sections throughout the Hassayampa groundwater basin. Overall, the MFU is characterized as massive, l a t e d y extensive layers of clays and silty clays interbedded with thinaer layers of clayey silt, clayey sand, and silty sand. The lower portion of the MFU includes the regionally extensive Palo Verde Clay, which is located at a depth ranging from approximately 175 to more than 200 feet below ground surface Ibgs) at the site, and ranges in thickness from 60 to 80 feet. All depths in this report are feet below ground surface unless noted otherwise. Based on evaluation of the borehole data for well APP-8, the depth to the top of the Palo Verde Clay near the reactor units was estimated at 200 feet.

Two saturated zones referred to as the Shallow Aquifer and the Palo Verde Clay Aquifer exist in the MFU overlying the Palo Verde Clay. Groundwater flow in the Shallow Aquifer appears to be radiating outward fmm the central portion of the WNGS site. In the central portion of the site, the lower portion of the UAU is saturated; at the margias of the site, static water levels are within the MFU. In the area of the reactor units, groundwater levels are in the MFU and available data indicates groundwater in the h4FU flows to the northwest.

The regional aquifer is located in the Lower Alluvial Unit beneath the Palo Verde Clay sub-unit.

Beneath the site, the regional aquifer is reported to be confined to semi-confined, with a potentiornettic surface that is above the contact between the coarser grained U U aquifer and the overlying MFU in many areas. Available water level elevation data &om the area south of the evaporation ponds indicates that the flow direction in the regional aquifer is to the southwest to west The direction of regional flow is amibuted to extensive pumping for irrigated agriculture that historically occurred near the Centennial Wash, southwest of PVNGS.

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WELL INlSTALLATlOM REPORT M O N I T O R I N G W E L L S I N THE P R O T E C T E D AREA

2. R A T I O N A L E A N D O B J E C T I V E S The objective of this work was to investigate the lateral and vertical extent of impacted areas at Units 2 and 3 where water impacted with tritium and volatile organic compounds WOCs) was detected and to evaluate similar areas In Unit 1, Dumg drilling activities, changes to the Work Plan dated June 30,2006 were submitted by Brown and Caldwell in an addendum dated September 12,2006. The addendum revised drilling methodology for some boring locations, which limited data collection objectives outlined in the otiginal work plan, Applicable objectives for field advities outlined in the work plan included:

0 Collect soil samples from and convert existing air-knifed boring dilled under Arizona Public Service (APS) oversight DJ monitoring wells.

D d l additional borings, collect soil samples, and convert to monitoring wells.

Submit soil samples for chemical and geotechnical analysis to assess zones of saturation and impacted areas.

Verify the depth to the base of flmaterial at Unit 3. Collect soil samples and subrnit for geotechnical analysis. Assess the spatial dismbution of zones of lugh or low permeability and evaluate their potential to be laterally continuous and potentially affect contaminant transport.

Verify that near-surface saturation observed at the Unit 3 RadWaste Yard is lirnited verticalIy and does not extend to the Shallow aquifer.

e Determine the depth to and elevation of the shallow aquifer in the vicinity of Unit 3.

0 Assess the extent of VOCs i n saturated soils at Unit 3 and identify whether or not VOCs are present at Units I and 2.

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WELL I N S T A L L A T I O N REPORT M O N I T O R I N G WELLS I N THE P R O T E C T E D AREA

3. DRILLING FIELD ACTIVITIES Yellow Jacket Drilling was subconzvacted by Brown and Caldwell to drill the boreholes using the hollow-stem auger method, collect split-spoon samples, furnish and install the wells, devdop the wells, and install surfkce completions. In addition, Johnson Environmental Technologies, Inc. was subcontracted to collect shallow soil samples using a push rig, Activities performed prior to mobilization for field tasks included locating all subsurface utilities by PVNGS in areas where invasive activities (e.g., ddlmgj were performed. Notice of Intention POI) to D r d a Monitor/Piezometer Well forms were submitted to A D m and are included in Appendix A, During on-site field activities, WNGS safety procedures were followed. Standard Brown and Caldwell health and safety procedures and decontamination procedures were followed during drilling activities.

3.1 Drilling and Sampling The drilling program was conducted fiom September 5 to October 17,2006, and was performed in accordance with the procedures presented in the Work Plan dated June 30,2006 and associated Addendum to the Work Plan dated September 12,2006. Wells were installed in the t h e e units at Palo Verde (Figures 2 though 4). ADWR NOIs and Well DriUers Reports are presented in Appendix A, Due to errors on the Well D d e r Reports, Yellow Jacket will be resubmitting the reports with the corrected depth information, consistent with the well construction summary presented in Table I. Three welIs were installed in Unit 1, five wells were installed in Uait 2, and eight wells were installed in Uait 3. Ten of the wells were installed in existing soil borings that were advanced by the a i r - M e method by P W G S . One well was converted from an existing soil boring that was advanced using combined air-ktxfe and hollaw-stem auger drilling techniques, Because of the proximity of the well locations to sensitive piping, aIl borings were advanced at shallow depths using the air-ktxfe method. The &-knife method uses a considerable amount of water to aid the cutting of the soil. Aqueous samples were collected from the three water sources (one per unit) that were used during air-knihg.

Soil samples were collected using two techniques. Where appropriate, soil samples were collected using a split-spoon sampler conthing 6-inch long brass sleeves. Other shallow soil samples were collected by using a push rig and sampler lined with an acetate sleeve, Soil samples were described by a geologist in accordance with the Uniform Soil Classification System (USCS), as defined by the guideltnes contained in the American Society for Testing and Materials (ASTMj Standard Practice D 2488. Complete lithologic logs are presented in Appendix B. Soil samples that required shipment to a laboratory that could accept mixed waste were submitted to ACZ Laboratories (ACZ), ACZ analyzed the samples for metals including arsenic, barium, boron, cadmum, chromium, lead, mercury, potassium, selenium, sdver, and zinc. Soil and aqueous samples that could be released from the Protected Area (PA) were submitted to Transwest Geochem, Inc. (Transwest) to be analyzed for VOCs and metals. The laboratory reports are provided on disc in Appendix C. Thirty-two soil samples collected from the bo&gs of the PA wells were submitted to Terracon for geotechnical analysis i n d u d q moisture content and grain-size distribution. The geotechnical testing results are presented in Appendix D.

3.2 Lithology and Estimated Saturation Levels The lithology penetrated at each location was determined by evaluation of drilled cuttings and split-spoon samples. In general, engineered fill material composed of clayey sand was encountered from land surface to approximately 50 feet. Native soil composed of lean clay was encountered at approximately 50 feet Uae of dab contained on thii sheet is subjedb the l'mitedansq d % d in SediDn 6 af this b e n t .

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3: Drillinu Field Activities Well Installation Re~ort:Monitoring Wells in the ProtectedArea Due to the fine-grained nature of the materials and the &e sample method, estimation of in-situ moisture content from split-spoon samples may not be considered accurate. Any saturation was ltkely driven-out during the advancement of the split-spoon sampler or push-rig sampler. The average volumetric moisture content of soil samples submitted to Temcon was 1I percent, 3.3 Well Installation and Development The wells were constructed with 4- or 6-inch diameter Schedule 40 polyvinyl chloride (PVC)casing and screen. The wells were screened with 0.020-inch wide slotted screen. No. 8-22 silica sand was installed from the bottom of the screen to approximately 2 feet above the top of screen. A 2- to Cfoot thick seal of bentonite chips was installed overIpg the silica sand. The w d was sealed with cement-bentonitegrout to the ground surface; the well was covered with a traffic-rated well monument. W ell construction diagrams are presented on Figures S through 20 and are summarized in Table 1.

Well development was conducted, to the extent possible, by bahtg the wells to remove sediment from the well casing, Water quality parameters were not collected during dwelopment, Water generated during well development was managed by PVNGS.

3.4 Groundwater Sampling Groundwater samples were collected on December 13 and 20,2006 from the PA wells. Prior to purg~ng,the depth to water in the wells was measured. The data is presented in Table 2. The wells were purged using disposable bailers.

Groundwater samples were collected from the followingw d s after purging and submitted m PV Central Laboratory for tritium analysis and Severn Trent Laboratories (STL) in Denver, Colorado, for the other analyses.

U2-HOa U2-Hob (a duplicate sample also was collected from this well)

U3-HOa

  • U3-Hob
  • U3-Hfl
  • U3-Hlb
  • U3-H5b The analyses requested were consistent with those listed in the Work Plan and included the following:
  • VOCs using U.S. Endronmental Protection Agency (USEPA) Test Method 8260B;
  • Tritium using USEPA Test Method 906.

Samples that were characterized as mixed waste due to the presence of tritium and/or gamma radioactive compounds were not submitted for stable isotopes @e.,0 1 8 and deuterium) because PVNGS was unable to identify a stable isotope laboratory that possessed a licensed to accept mixed waste.

3: Drillinu Field Activities Well Installation Re~ort:Monitoring Wells in the ProtectedAraa 3.5 Transducer Installation Pressure transducers were installed in the PA wells on November 16,2006 to monitor long-term water 1 4 s .

Level Troll 500 wansducers (manufactured by the In-Situ Company) were installed in each well as summarized in Table 2.

The transducers were programmed to collect water level data every 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> for the long-term monitoring Program.

WELL I N S T A L L A T I O N R E P O R T M O N I T O R I N G WELLS I N THE P R O T E C T E D A R E A 4 . SOIL AND GROUNDWATER TESTING RESULTS Soil and groundwater samples were collected as indicated in the Work Plan dated June 30,2006. Soil samples were collected dutlllg the drilling program and submitted to Terracon for geotechnical analysis of grain-she distribution and moisture content and to STL and ACZ for analytical testing for VOCs and select metals.

Groundwater samples were collected with disposable bailers after the wells were purged; samples were submitted to STL for analysis.

4.1 Soil Geotechnical Results SoiI samples submitted for geotechmcal d y s i s were selected based on the results of the lithology evaluated in the field. Soil geotechnical results are summarized in Table 3, the laboratory reports are presented in Appendh D.

Due to the drive sample method, measured moisture values are likely lower than the undisturbed aquifer deposits. Therefore, strict analysis of zones of saturation cannot be determined based on the soil moisture data. Additiody, water introduced during air-knifing may have affected the results. However, grain-size analysis results provide an estimation of hydraulic conductivity. Based on the geotechnical data for U3-H7, there is a layer of lower permeability between 15 and 35 feet bgs, and increased hydraulic conductivity below 40 feet bgs. As summarized in Table 3, the moisture content results for U3-H7 are lugher at 15 feet bgs than for deeper samples.

4.2 Soil Analytical Results Soil samples were submitted for analysis of VOCs and metals including arsenic, b k u m , boron, cadmium, chromium, lead, mercury, potassium, selenium, silver, and zinc. Laboratory results indicate that all VOCs tested were below the detection limits of the instrument. Chloroform detected in the soil sample for U2-H7-45 (0,077mg/kg) is likely associated with the facility supplied water used during air-knifing. The on-site water was tested for V0Cs and chloroform was detected at a concentration of 0.79 micrograms per liter (Itg/L).

Chloroform detected in the domestic water supply is most likely a chlorination by-product from the disinfection process. The following metals were detected: arsenic, barium, boron, chromium, potassium, and zinc. The concentrations of these metals in the soil were below their respective residential soil remediation levels @-SRL) except for arsenic (arsecic R-SRL equals 10.0 milligrams per kilogram [mg/kgl). The arsenic concentration in the 50-foot sample collected from the borehole for well U2-H7 was reported at 14 mg/kg.

This result is consistent with arsenic soil sample results for APP-10 and APP-11, which ranged from non-detect to 11 mg/kg. The concenmtions for metals in soil are summarized in Table 4a through 4c and analytical laboratory reports are presented in Appendix C.

4.3 Groundwater Sampling Results Results for groundwater samples collected in December 2006 indicated VOCs were detected ie three of the groundwater samples, One detection of tetrachloroethene (PCE) exceeded the Aquifer Water Quality Standard (AWQS) of 5 p.g/L. Several inorganic compounds indudmg arsenic, barium, boron, calcium, chromium, chloride, fluoride, nitrate-nitrite (as nitrogen), potassium, sodium, and sulfate were reported above the detection limits. Arsenic, chromium, fluoride, lead, nickel, and nitrate (as nitrogen) were detected at concentrations above AWQS.

I BROWN AMD CALDWBLL 1

4: Soil and Groundwater Testinu Results Well Installation Re~ort:Monitorina Wells in the ProtectedArea Some VOCs (1,1,1 -trichloroethane, 1,l -dichloroethane, chloroform, PCE, total trihalomethenes, ks dichloroethene, and toluene) were detected at concentrations below their respective AWQS in three monitoihg wells (U2-HOa, U2-H0a, and U3-H5b). PCE was detected above the AWQS (5 pg/L) in U3-HOa (9.4 pg/L).

As desctibed in the memo &om APS to ADEQ dated December 15,2006, VOCs detected in the original test hole samples may have been associated with solvent cleaning of the buried pipe in the area prior to application of protective wrapping.

Arsenic was detected in six wells at concentrations ranging between 17 and 39 ILgIL, which are all above the AWQS of 10 pg/L. Chromium was detected in one well (U2-Hob) above the AWQS of 100 mg/L, at a concentration of 160 pg/L; however, the duplicate result was 77 pg/L. Fluoride was detected in four wells, ranging from 4,4 to 11 mg/L. Lead was detected in one well ([42-Hob, 75 pg/L) above the AWQS of 50 pg/L; however, the duplicate result was 34 pg/L. Nickel was detected in one well (U2-Hob) above the AWQS of 100 P~/L,at a concentration of 120 pg/L; however, the duplicate result was 53 pg/L. Nitrate-nitrite was detected above the AWQS of I0 mg/L in one well (U3-H1b) at a concen~ationof 14 mg/L.

The difference in analytical results between the parent and duplicate samples for U2-Hob for chromium, lead, and nickel, is discussed in the case narrative of the laboratory analytical report Based on the case narrative and Brown and Caldwell's discussion with the laboratory, the difference in results for the above listed metals is due to the presence of sediments in the sample containers which contained preservatives. In acid preserved samples with high turbidity or sediments, artificially increased results can be caused by the dissociation of metals from the solid phase, Variation in the results is likely due to the variation in solid phase in the sample.

Groundwater analytical results are summarized in Table 5, the laboratory reports are presented in Appendix C.

4.4 Survey Data and Groundwater Flow Condition Water levels were measured in October 2006 prior to groundwater samplmg. Water elevation data and APS surveyed well coordinate data are summarized in Table 6. In each Unit the H7 well was drilled to approximately 50 feet deep to determine whether vertical migration has occurred. The deep monitoring wells in each unit (U1-H7, U2-H7, and U3-H7) were all dry in October 2006. Therefore, vertical migration appears to be limited.

WELL INISTALLATiOM R E P O R T M O N I T O R I N G WELLS I N T H E P R O T E C T E D AREA

5. S U M M A R Y In support of further delineation of tritium and VOCs impacted areas, held investigation activities were conducted between September and December 2006. This report summarizes the PA well installation field activities and analytical results. A total of 16 monitoring wells were installed either from existing borings or newly W e d locations. Three monitoring wells were installed near Unit I, five near Unit 2, and eight near Unit 3, Soil samples were collected aad submitted for g w t e h i c a l and chemical analysis. Soil moisture analytical results should be viewed as semi-quantitative due to the natural indination for the d d h g and sampling process to drive soil moisture out. Therefore, strict analysis of zones of saturation cannot be determined based on the soil moisture data. In each of the Units,native material was encountered at approximately 50 feet bgs. The monitoliag wells installed in each Unit to approximately 50 feet bgs (H7wells) did not have water and therefore it appears that vertical migration is limited.

Groundwater samples collened and analyzed for witium in December 2006 did not exceed the AWQS. Some metals and nitrate-nimte were detected above the AWQS but these are attributed to background concentrations and/or remnants from the former agriculmral operations. PCE was detected above the AWQS in one weII in Unit 3, Soil analyucal data indicate that there was one exceedance of the arsenic R-SRL.

WELL INlSTALLATiOM R E P O R T MONITORING WELLS IN THE PROTECTED AREA

6. REPORT LIMITATIONS This document was prepared solely for Arizona Public Sewice Company in accordance with professional standards at the time the services were performed and in accordance with the contract between Arizona Public Service Company and Brown and Caldwell dated June 24,2005. This document is governed by the specific scope of work authorized by Arizona Public Service Company; it is not intended to be relied upon by any other party except for regulatory authorities contemplated by the scope of work. We have relied on information or instrimions provided by Arizona Public Service Company and other parties and, unless otherwise expressly indicated, have made no independent inves@tion as to the validity, completeness, or accuracy of such information.

B R O W Y AH CALDWEL

l%XFlANATION

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UNIT 1 WELL LOCATION MAP PAL0 VERDE NUCLJZAR GENERATING STATZON ARIZONA PUBLIC SERVICES

lTa=uNATION H W d l Locations

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BROWN AND CALDWELL I UNIT 3 WELL LOCATION MAP

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3M 09 H3S .P G-S'O I -P PL-L LC-PE S*S - S'Z S*G-E a~uo)uaa w-LE S'EC- S'S SBI.- TS PUBS E~!I!S E'8P - E'8E t*EC - 1'8 FEl - F8 IEWUl PSuaanS SVEEPE (9~10 ~ W (9-118 K ~VEEPE (9~18 u o ~ m - 1e~sepe3 i

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APS-PVN GS:

Well Installation Report - Monitoring Wells in the Protected Area Table 2. Summary of Transducer Depths Top of Well Casing Measuring EEevation Feet Above Point Probe DTW Water Above Probe Dew (Elevation of PVC Cap) Top of Measuring Well Date (feet bmp) Probe ( k t bmp) (feet amsl) Well Casing Point UI-WOa 1111612006 12.95 0.46 13.41 956.43 Top of msing UI-Hob 1111612006 12.61 0.86 13.47 956.24 Top of casing V1-H7 1111612006 Dry 0 -49.04 956.22 Top of riser Top of rasing Top of riser Top of riser Top of riser Top of riser Top of casing Top of casing Top of msing Top of rasing Top of riser Top of casing Top of riser Top of nser Nates:

binp = below measuring point amsl = above mean sea level BROWN AND CALDWUL U:WSSVNGS\134071 -FA Wells Rpls\Oeliwmbl~s\RepwtsWA Well Install RpHTaMes\Olaff FA Sum Rpt Tables ( w ) A s 1212112Mf

APS-PVNGS:

Well Installation Report Monitoring Wells in the Protected Area Table 3. Summary of Geotechnical Results Hydraulic Depth Percent Percent Percent Silt Moistwre Content Conductivity Location (MI Gravel Sand and Clay (percent) (cmhec)

U1-H7 5 13.1 65.1 21.8 11 6.50E-05 Notes:

cmlsec - centimeters cer s m n d BROWN AND CALDWELL U:\APS-WNGS\134071- PA Wells Rpts\DeliverableslReports\PAWell Install Rpt\fables\Dr& PA Sum Rpi Tables (rev)Jds 12/21/ZM)T

paiaa UON = a~

ue~6ol!ylad sue~6!ll!lu= 6 1 1 6 ~

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APS-PVNGS:

Well Installation Report Mitoring Wells in the Protected Area Nok:

Velafile ~rgadccompuunds @Oh) were not detect& a h Ih8 pradiwl quanlitation limit in fallwring samples: U2-HOa-12, UZ-Hob-15, U2-H10-14

@Kg - milligrams per ki!qram BROWN AND GALWMLL U:\APS-PVNQS1134071 FA Wells R p t s l D s l i i r a b k ~ W AWell Install RpnTablesK&dt FA Sum Rpt T a b k (rev).xls 1212112007

APS-PVNGS:

Welll InshlKation Report - Monitoring Wells Itn the Protected Area Mote:

VOCs were mi detected abwe the pnciicalquantitation limit in fdlowing samples:

U3-HOa-17and IY5HDb15 mglKg = milligrams per kilogram BROWN AND CALWVEL U:WSPWNG5\134071 -PA Wells RptsU)ttl'narables\ReporIs\PAWell Instell RptlTablesIDrafIPA Sum Rpt Tables (reu)Jda 12121/2Mn

APS-PVN GS:

Well Installation Report - Monitoring Wells in the Protected Area Table 5. Summary of Water Quality Results WELL ID U2-WOa W2-HOb 192-HOb-Dup U3-HOa US-HOb U3-HI I 193-Hlb U3-H5b SAMPLE DATE 12120106 12/20106 12f20106 12113106 1313106 1313/06 12113106 12113106 1

I I I I I I I I DEPM TO WATER it bmp 1 11.12 1 11.14 1 11.14 1 11.60 1 1/11/QO 1 1/15/00 1 1/9/00 1 1/11/00 u@L= rnicmgrams per Citer rngk = milligrams per liter

< = tess than the indicated value uSlcm = microsiemensper centimeter uCilml = microCuties per milrlilikr NE = Net established BROWN AND CALDWELL 2of2 U:WSSVNGS\134071 -PA Wells Rpls\OelhrablesWepmisWAWell Install Rpl\TaMes\Orafl PA Sum Rpt Tables ( w ) A s 1212112Mf

APS-PVNGS:

Well Installation Report Monitoring Wells in the Protected Area Table 6. Water Levels and Well Survey Data I UTM Coordinates I Depth to Groundwater Top of WC Water Elevation Northing Easting Cap Elevation Well bate (feet bmppj (feet amsl) (meters) (meters) (feet amsl)

UI -HOa 1011312006 12.95 943.4 870391.I3 21 1343.64 956.43 Notes:

amsl=above mean sea level bmp below measuring point BROWN AND CALDWELL U:\APS-WNGS\134071 PA Wells Rpts\Deliverables\Reports\PAWell Install Rpt\Tables\DraftPA Sum Rpt Tables (rev).xls 1212112007

Well Installation Re~ort:Monitoring Wells in the ProtectedArea APPENDIX A ADWR Notices of Intent and Well Driller Reparts (Provided On Disc) ssub,ed m the I'mitationsspc%ed'11 SectiDn 6 af this dmrment Uae of data wn$irmd on this sheet i U:WS!%4GS134071- PA Wells RptdDellverab)es\RepWAWe4 lrstall R p N M PA Wed I MRptLc

Arizona Department of Water Resources Notice of Intent to Drill, Deepen, or Modify a Monitor J Piezometer / EnvironmentalWell J

9 Review instrudons prior b completing fwm in black w Mue ink. H I I N 4 B S8 I FILE NUMBER I k--i

.2, You &indude with your Notice:

$150 dmck or money order for the filing fee. RECElVEl DATE WS I Well m n m d i o n diagram, labeling all specifications listed in M L L REGlSTRATlON NUMBER W o n 6. IS§UEO DATE YQbR EReU Q Authority for ikix A.R.S. 5 15-596.

" PLEASE PRINT CLEARL"I "

f SECTION 1. brnr IRI-ORMATK?~~

I Proposed Actlon I Location of Well I_

1 CHECK ONE 1 WELL LOCATION ADDRESS lIlF ANYl

Notice of Intent to DriH, Deepen, or Modify a Monitor/ PiezomeSer/ EnvironmentaI Well REGI-m Pressure Grout 01 Reverse Circulation Air Percussion I Odex Tubing Other (pleasespecifyj:

Extend 1' above grade DATE CONSTRUCTIONTO BEGIN 1 Other @/ease specify):

DEPTH FRC SURFACE IF THIS W E U HAS NEmEO CASINGS, EXPECTED DEPTH TO WATER SPECIFY NUMBER OF CASING STRINGS Feet Below Grwnd Sutfaoe DWR 55-44A (REV 02106106) Page 2 of 2 ti%- Lll

P.O. Box 458

  • Phoenix, Arizona 85007-0458 (602)771-8500 (800)352-8488 Monitor / Piezometer / Environmental WelI 9 Revlew instructions prior to completing form in black or blue ink. W I W 8 S8 FILE NUMBER O

9 You include with your Notlce:

$150 check or money wder for h e filing fee.

We!! mnstruction diagram, labeling all specificafions listed in Section 6.

A u t M t y for fee: A.R.S. 5 45S96.

"* PLEASE PRINT CLEARLY **

- 7 WELL REGISTRATION NUMBER

.4-1 REGISTRY INFORMAIWH I Proposed Action 1 Location of Well I CHECK ONE I WELL LOCATlON ADDRESS (IF ANY)

DWR 5- IRFV n7/1l6/MlP a w 1 nf 7

Notice of Intent to Drlti, Deepen, or Modify a Monitor / Plerometer / Envir0~1mental Well 7 REGt-Tm NUMBER 1

fl OZher (pleasespecify):

Reverse Circulation Air Percussion IOdex Tubing Other @leasespecify):

' DATE CONSTRUCTDN TO BEGIN B / t \ 106 r SECTION6.- PROPOSE0 WELL C O W m u m O N PLAN (atfedr l d c l i h a 3 pege f h e a d f ' ' I IF OTHW TYPE OF ANNULAR MATERUU.,

DESCRIBE EXPECTED OEPM TO WATER IF THIS WELL HAS NESTED CASINGS, SPECIFY NUMBER OF CASING STRINGS feet B ~ O Ground W Surface

Arixona Department of Water Reswrces Notice of Intent to FEE Water Management Support Section P.O. Box 458

  • Phoenix, Arizona 85001-0458 Drill, Deepen, or Modify a (602)771-8500- ($00)352-8488 Monitor / Piezometer / Environmental Well www.arwater.aov 9 Review instructions prior to completing form in black or Mue Ink.

You include with your Notice:

-3

$150 heck or money order for the-fillng fee.

Well wnstructlon diagram, labeling all speafications lid in Section 6.

Authority for fee: A.RS. 5 45-596. rW E U REGISTRATIONNUMBER Well Type CHECK ONE DWR 55-44A (REV 02Mfilnfil P m ? nf 7

Notice of Intent to Drill, Deepen, or Modify a Monitor / Pierometer/ Environmental Well LIzIzl muREGI~TfPATmNUMBER Other (please specify):

Air Percussion 1 Odex Tubing Other @/easespecify):

Extend 1' above grade DATE cm~mucnm TO BEGIN Other @leasespecify):

p ~ c n a.o pRoposEa

~ WELL C O N ~ T R PUN U ~ (m a ~ ~ o npgp a t *W Attach a well constmction diagram labeling all specifications below.

IF OTHER lYPE OF ANNULAR MATERIAL, DESCRIBE IF M I S WELL HAS NESTED CASINGS. EXPECTED DEPTH TO WATER SPECIN NUMBER OF CASING STRINGS i1 Feet Below Gmund Su~ace DWR 5544A (REV 0210611)61 PAM ? nd 7 ,,-I -& 14 q

Arizona Department of Water Resources Notice of Intent to Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 Drill, Deepen, or Modify a

- (602)771-8500 (800) 352-8488 Monitor / Piezorneter / Environmental Well www.azwater.gov 9

  • Review instructions p h to completing fWm In black or Mue Ink.

You indude with ywr Notice:

AM4IINA 0 SB FILE NUMBER I

$150 check or m e y order far the filing fee.

Well wnstruction diagram, labeling all specifications listed in WELL REGISTRATION NUMBER 9

M i n 6.

Authwity for fee: A.R.S. 5 45-596.

I ISSUED I I I

    • PLEASE PRINT CLEARLY **

SECTION 9. REG1STRY SNFORUA7WM Well Type 1 Proposed Action ition of Well i CHECK ONE I CHECK ONE I WELL LCCATlON ADDRESS (IF ANY)

Notice of Intent to Drlll, Deepen, or Modlfy a Monltw / Piezm e t e r / Envlronmental Well I I Other (phasespew):

DATE CONSTRUC~ONTO BEGIN Other @lease spew:

B(2ll06

[ SECTIOM PROPOSED W E K C C I M ~ U C T I O N PLAN (dtnch addFbd pege H ~ ~ ' ' ' ' 1 Attach a well construction diagram labeling all specifications below.

4 Bornhole Casing DEPTH FROM DEPRd FROM MAERIAF TYPE 1 T ) PERFOR4TIC)UTYPE ( T )

SURFACE SURFACE IF OTHER SLOT SIZE IF OTHER TYPE OF ANNUlAR MATERM, DESCRIBE EXPECTED DEPM TO WATER IF THIS WELL HAS NESTED CASINGS.

SPECIFY NUMBER OF CASING STRINGS 11.5 Fed B e b Ground Surface DWR 55-44A (REV 02/06/06) Paae 2 c4 2 ,.-, , u ? 4

Arizona Department of Water Resources Notice of Intent to FEE Water Management Suppofl Section P.O. Box 458 Phoenix, Arizona 85001-0458 (602) 771-8500 (800)352-8488 Drill, Deepen, or Modify a Monitor/ Pierorneter / Environmental Well www.azwater.qov 6 Review instructtons prim to completing brm in black or blue Ink.

O You mUst indude with your Notice:

$150 check or money order for the filing be.

Well mnstnrction diagram, labeling all specifications listed In Section 6.

DWR 5 W A IREV 02MMafil Pam 1 nf 7

Notice of Intent to DrilI, Deepen, or Modify a Monitor / Plezomefer/ EnvTronmental Well 17 REG1s-mm NUMBER C] Air Percussion IOdex Tubing Other ukase spew:

Extend 1' above grade 4

[ SECTION 6. PROWSED WELL CONSIRUChW PUH(&tach Attach a well construction diagram labeling all specifications below.

pags iinbsd.d) 'I IF OTHER TYPE OF ANNULAR MATERIAL, DESCRIBE IF THIS WELL HAS NESTED CASINGS, EXPECTED DEPTH TO WATER SPECIN NUMBER OF CASING STRINGS 2. .5 Feet B ~ O Gmund W Surface

1, 4 Revfew instructlens prior b compleHng fwm in black or blue ink.

9 Yw include with your Notice:

$1513 check or maney order for the filing fee.

Welt m s ' o u r 3 h diagram, labeling a11 specifbtims listed in WELL REGISTRATION NUMBER Section 6.

+ Authority for fee: A.R.S. 1454596.

I I

" PLEASE PRINT CLEARLY **

SECTION r REGISTRY I N F ~ ~ ~ U T I O N , . .

~ CHECK ONE CHECK ONE 1 Location of Well I WELL LOCATION ADDRESS (IF ANY}

DWR 55.4414(REV 021M106)Pam 1 of 7

Notice of Intent to Drill, Deepen, or Modify a Monitor / Piezometer/ Environmental Well 17w ~ u ~ E ~ ~NUMBER -~w Other @!ease specify):

Air Percussion IOdex Tubing Other (@ease spec@):

Extend 1' above grade DATE CONSTRUCTION TO BEGIN Other @lease speci3,):

SECTTOH 6. PROPOSED?Wl!'LcCONSIRUmQN P U N

' ch&onaipGeHneeded)'-p Attach a well construction diagram labelins all s~ecificationsbelow.

DEPTH FRC SURFACE IF OTHER TYPE OF ANNVIAR MATERIAL.

DESCRIBE IF YHIS WELL HAS NESTED CASINGS, EXPECTED DEPTH TO WATER SPEClFl NUMBER OF CASING STRINGS Feet Below Grcund Surface DWR 55-44A [REV 0210W06)Page 2 01 2 03-kZ

Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 Request to Change Weil information (602) 771-8500 * (800) 352-8488 www.azwater.gov

  • 3 Review instructions prior to completing form in Mack or blue ink.

O You must include with your Notice:

P check or money order for any required fee(s)

Authority for fee: A.A.C. R12-15-151(B)(4)(a), A R S . 3 45-113(B) 55- ??35;l55

    • PLEASE PRINT CLEARLY ** -

S E C T ~ S T R IY NFOR~~ON

' Well Owner MIZD~J,& PCJGLI c SEXV. !L-G Location of Wetf WELL LOCATION ADDRESS (IF ANY)

MAlLlNG ADDRESS TOWNSHIP(MIS) RANGE (EIW) SECTION 160 ACRE 40 ACRE 10 ACRE 5801 ~ , W ~ W - K S @ L ~ ~ < ~ R D . , M - .-S-. - ?~d ~-~~ bd M N w x Ng x SWW x LATITUDE LONGITUDE Td~j%i-i, AZ-CONTACT PERSON NAME AND TITLE

&i~h/Q' D N , $ b l l w 1 6 ~o ~m~. O E . .-- -USGS ......- Map

-.-. -Quad -. ---.- -- -------

Conventional -- . -

Survey +- - -

'GPS: S-~-~vfi~rade

'IF GPS WAS USED. GEOGRAPHIC COORDINATE DATUM (CHECK ONE)

TELEPHONE NUMBER FAX NAB83 Other (please spec*):

lb2-3? 3 4 5 . T b 5 ~ 7 ( b z 3.1 '3 -5++z BOOK I COUNTY ASSESSOR'S PARCEL 1D NUMBER MAP I PARCEL COUNW WHERE WELL a IS LOCATED 1 f 1 I T p P?Requsst (CHECK ONE) .- ..

13 Change of Well Drilling Contractor Il_j Change of Well Ownership Cj Change of Well Information I (FiII out Section 2) (Fill out Section 3). (location, use, etc.) {Filj out Section 4) 1 1 SECTION 2. REQUEST TO CHANGE WELL DRILLING CONTRACTOR ($10 k e Required) 4 $10 FEE

  • If drilling or abandoning a well, the Department must recerve this request and issue authorization to the new drilling firm prior to the commencement of well drilling or abandonment.

1 New Well DriHing Contractor Current Well Drilling Contractor FULL NAME OF COMPANY, ORGANIZATION. OR lMDlVlDUAL I FULL NAME OF COMPANY. ORGANIZATION. OR INDlVlDUAL I 1 SECtrON 3. STATEMENT OF CHANGE OF WELL OWNERSHIP ($40 Fee Required) r If this change pertains to more than one well and the names are the same, only one $10 fee is required.

Previous Well Owner FULL NAME OF COMPANY, ORGANEZATiOM. OR INDNIDUAL Mew Well Owner FULL NAME OF COMPANY, ORGANIZATION, OR INDIVIDUAL I $10 FEE I WILING ADDRESS MAILINGADDRESS CITY ISTATE IZIP CODE CIW ISTATE IZIP CODE CONTACT PERSON NAME AND TITLE 1 CONTACT PERSON NAME AND TITLE I

I

& FAX

[SECTION 4. CHANGE OF WELL INFORMATION (No Fee Required)

'- -~- 1 NO FEE I NOTE: Applies only to wells that have already been drilled. For proposed wells, an amended Notice-of Intent to Drill a Well must be filed.

EXPLAIN OWR 5571A (REVISED 02/0W06).Page 1 of 1 1 T

Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 (602) 771-8500 (800) 352-8488 Request to Change Well Information www.mater.gov M~5kM'f DAY, C~VIWMEMT~JL D= - LC3i2 . USGS---------

Quad Map Conventional Survey C] *GPS: Survey-Gtads-

'IF GPS WAS USED. GEOGRAPHIC COORDINATE DATUM ( C H ~ C K O ~ E ~ - -

TELEPHONE NUMBER FAX NAD-83 [7 Other @/easespecify):

~ 6 ~ 7 1541 5 . - 6 5 ~ 3 C$Z*-)?@~ 9 -G+q-L COUNTY ASSESSOR'S PARCEL ID NUMBER COWTY WHERE WELL 1 BOOK I MAP I PARCEL IS LOCATED I I Type of Request (CHECK OE) -. - -. .

Change of Well Drilling Contractor UChange of Well Ownership UChange of Well Information 1 (Fill out Section 2) (FM out Section 3) (location, use, etc.) (Fill out Section 4) 1 SECTION 2. REQUEST TO CHANGE WELL DRILLING CONTRACTOR ($10 Fee Required)

+ If drilling or abandoning a well, the Department must receive this request and issue authorization to the new drilling firm prior to the commencement of well drilling or abandonment.

Current Well Drilling Contractor I New Well Drilling Contractor FULL NAME OF COMPANY. ORGANIZATION. OR lNDIVlOUAL 1 FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL 1 SECTION 3. STATEMENT OF CHANGE OF WELL OWNERSHIP ($10 Fee ReqwFmd) $10 FEE

+ if this change pertains to more than one well and the names are the same, only one $ZO fee is required.

Previous Well Owner New Well Owner FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL FULL NAME OF COMPANY. ORGANlfATION. OR INDIVIDUAL CITY ISTATE I DP CODE CITY ISTATE IDP CODE CONTACT PERSONNAME AND n n ~

1 I CONTACT PERSON NAME AND TITLE 1 TELEPHONE NUMBER FAX TELEPHONE NUMBER FAX 1 SECTION 4. CHANGE OF WELL INFORMATIOM (No Fee Required) 1 NO FEE I NOTE: Applies only to wells that have already been drilled. For proposed wells, an amended Notice of Intent to Drill a Well must be filed.

EXPLAIN DWR 55-71A (REVISED 02106106) Page Iaf 1 1/

Request to Change Well Infomation

_'IF GPS USCS Quad ~ a Conventional a Survey-WAS USED, GEOGRAPHIC COORDINATE DATUM (CHECK ONE)

'GPS: Survey-Grade I SECTldN 3.STATEMENT OF CHANGE OF WELL OWNERSHIP ($10 Fee Requited) 1 SlOFEE -- 1

  • If this change pertains to more than one well and the names are the same, only one $10 fee is required.

Previous Well Owner New Well Owner FULL NAME OF COMPANY. ORGANIZATION, OR INDIVIDUAL FULL NAME OF COMPANY, ORGANIZ&TlON, OR INOlVlDUAL TELEPHONE NUMBER FAX TELEPHONE NUMBER FAX

[ SECTION 4. CHANGE OF WELL INFORMATlCFN (No Fee Required)

-1 1 NO FEE NOTE: Applies only to wells that have already been drilled. For proposed wells, an amended Notice of Intent to Drill a Well must be filed.

EXPLAIN I HEREBY CERTIFY that the above statements are true to the best of my kno wledge~irndbelief-TYPE OR PRINT NAME AND TITLE DATE f -Z-#L DWR 5571A (REWSED 02106106)Page 1 of 1 7 $

Arizona Department of Water Resources Water Management Support Section Request to Change Well Information

  • ?. Review instructions prior to completing form in black or blue ink.

C.IEI\IKY ~ p \ l $~W~WME~YT~JL PIX. LPK. -CI~~~~~a~~.a~~~~~on~enbio~a~~nr~_y

- TELEPHONE NUMBER FAX

  • IF GPS WAS USED. GEOGRAPHIC COORDINATE DATUM (CHECK ONE)

NAD-83 Other @leasespecify):

1 6 ~ 3 734 4 - b 5~ 7 z*') 44 a - r j + + - ~ 9 C

BOOK IS LOCATED Change of Well Information (Fill out Section 2) (Fill out Section 3) (location, use, etc.) (Siloout Section 4) r SECTION 2. REQUESTTO CHANGE WELL DRlLUNG CONTRACTOR ($10 Fee Required)

If drilling or abandoning a well, the Department must receive t h ~ srequest and issue authorization to tne new

$10 FEE the commencement of weff drilling or abandonment.

I New Well DrillingContractor Current Well Drilling Contractor FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL ) FULL NAME Of COMPANY. ORGANTZATIOM. OR INDIVIDUAL 1 I SECnOM 3. STATEMEW'OF CHANGE OF W L $10 FEE

  • If this change pertains to more than ane well and th Previous Well Owner New Well Owner -

FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL MAILING ADDRESS

-- MAILING ADDRESS CITY / STATE IZIP CODE CITY l STATE ZIP CODE 1

CONTACT PERSON NAME AND TITLE I CONTACT PERSON NAME AND TITLE TELEPHONE NUMBER FAX TELEPHONE NUMBER FAX NO FEE NOTE: Applies only to wells that have already been drilled. For proposed wells, an amended Notice of Intent to Drill a Well must be filed.

EXPLAIN I / HEREBY CERTIFY that fhe above staiernenfsare true- --

to the best of my knowledqe and belief /

TYPE OR PRINT NAME AND TITLE I SIGNATURF n~WELL OWNFR/ DATE k-tENZY DdY, E N V I ~ ~ O N M E ~ &??I T-. = ~ ~ U e. I DWR 55-71A (REVISED 02106106)Page 1 of 1 d

Arizona ~epartmen tof Water Resources Water Management Sup p o Section

~

P.O. Box 458 Phoenix, Arizona 85001-0458 Request to Change Well Information (602) 771-8500 (800) 352-8488 www.arwater.gov H19-k'f' DAY, ~ ~ Y I ~ w w N ~ Y ~ L V F j - L J K . USGS Quad Map -

Conventional Survey 0 .-S..~ t v e ~ "r" a" d e

  • GPS:

"IF GPS WAS USED. GEOGRAPHIC COORDINATE DATUM (CHECK ONE) '

TELEPHONE NUMBER 1 6 ~ 3 7$4 9 -$5b-7 FAX

(&z$> 3 9 9 '544-7, a NAD-83 a Other (pleasespecify):

C O U N N ASSESSOR'S PARCEL ID NUMBER COUNTY WHERE WELL BOOK ( MAP I PARCEL IS LOCATED

" E c h a n g e of Well Drilling Contractor Change of Well Ownership - Channe of Well Information (Fill out Section 2) (fill o;t Section 3) (location, use, etc,) (Fiji out Section 4) ]

[SECTION 2. REQUEST TO CHANGE WELL DRILLING CONTRAtXOR ($10 Fee Required)

  • If drilling or abandoninq a well, the De~artmentmust receive thls reauest and issue authorization to the new dn'TTing frrm prior to thevcommencerneitaf well drilling_orabandonment.

1 New Well Drllling Contractor 1 FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL

~SECT~O 3.NSTATEMENT OF CHANGE OF WELL OWNERSHIP ($10 Fee Required) 1L $10 FEE 1

+ If this change pertains to more than one well and the names are the same, only one $10 fee is required. 7 Previous Well Owner New Well Owner FULL NAME OF COMPANY, ORGANIZATION. OR lNDlVlDUAL FULL NAME OF COMPANY. ORGANIZATION. OR lNDlVlDUAL TELEPHONE NUMBER FAX TELEPHONE NUMBER FAX I SECTION 4. CHANGE OF WELL MFORMATlON(No Fee Required) - -

-I I NO FEE NOTE: Applies only to wells that have already been drilled. For proposed wells. an amended Notice of Intent to Drill a Well must be filed.

EXPLAIN DWR 5 W 1 A (REVISED 02106106) Page 1of 1 1" '

7

7 Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 Request to Change Well Information (602) 771-8500 (800) 352-8488 www.azwater.aev 4 Review instructions prior to completina form in black or blue ink. I FILENUMBER . 1

    • You must include wiih your ~ o t i c e :

b check or money order for any reauired feels) s Authority for fee: A.A.c. ~12-1$f51(~)(4)(a), A.R.S. § 45-1 13(B)

    • PLEASE PRINT CLEARLY *'

SECTION I. REGISTRY I N Well Owner ] Location of Well FULL NAME OF COMPANY, ORGANIZATION, OR INQlVlDUAL WELL LOCATION ADDRESS (IF ANY)

M I Z W APU'ALLC-SEWKG W I L I N G ADDRESS 160 ACRE 40 ACRE I 0 ACRE N W % StJx sGw LATITUDE LOjilGlTUOE rcnlopw, A s 0 5254-CONTACT PERSON NAME AND TITLE METHOD OF LATITUDWLONGITUDE (CHECK ONE) *Gps: H,~&H&

f.1EdK'f D,df', i% ~ ~ ~ w M @ ~ TP, J E L6 . I-$E., USGS

--. Quad

-.-- ~ aEConventional

'IF GPS WAS USED, G

~~ o~ Survey 'GPS: Sufye~Grade

~ DX%K(CHEK

~ ~ ONE)~ -~ -- o

-' ~

TELEPHONE NUMBER FAX NAD-83 [IJ Other (pleasespec@):

l b ~ 3 I34 3 - 6 5 ~ 7 ( 6 2 3 3 Ski53 C L i 4 q - ~ COUNTY ASSESSOR'S PARCEL ID NUMBER 1 COUNTYWHERE W ~ L I

BOOK Type of Request (CHECK ONE) ' - - I I I J

. . <- ..C - . , -,

- 3 > - .

Change of Well Drilling Contractor (Fili out Section 2) aChange of Well Ownership (Fill out Section 3) 1Change of Well Information

{location, use, etc.) (Fill out Section 4) 1 SECnOM 2. REQUEST TO C'HANGE WELL DRtLb $10 FEE If drilling or abandoning a well, the Department must r dsillina firm orior to the commencement of well drfllina or abandonment - -

Current Well Drilling Contractor ( New Well ~ r i l S i n g z o n t r a c t & ~

FULL NAME OF COMPANY, ORGANIL4TION. OR INDIVIDUAL I FULL NAME OF COMPANY, ORGANIZATION. OR INDIVIDUAL Previous Well Owner New Well Owner FULL NAME OF COMPANY. ORGANIZAmON, OR INDNIDUAL FULL NAME OF COMPANY. ORGANIZATION, OR lNDlVlDUAl CITY ISTATE IZIP CODE CITY I STATE I ZIP CODE 1

CONTACT PERSON NAME AND TITLE CONTACT PERSON NAME AND TITLE I

TELEPHONE NUMBER FAX TELEPHONE NUMBER FAX

[ SECTION 4. CHANGE OF WELL INFORMATION (NoFee Required) 1 NO FEE I NOTE: Applies only to wells that have already been drilled. For proposed weBs, an amended Notice of Intent to Drill a ~ e l l r n u sbe t filed.

EXPUIN DWR 5E71A (REVISED 02/06/06} Page 1 of I

Arizona Department of Water Resources VVater Management Support Section P.O. Box 458

  • Phoenix, Arizona 85001-0458 Request to Change Well Information (602) 771-8500 (800) 352-8488 www.amater.gov

+ Review instructions prior to completing form in black or blue ink.

uad Mag Converttianal Survey -

  • GPS: Survey-Grade USED. GEOGRAPHIC COORDINATE DATUM (CHECK ONE)

L SECTION 2. REQUEST TO CHANGE WELL DRILLING 1 (CONTRACTOR $10 Fee Re uired $10 FEE

+ If drilling or abandoning a well, the Department must receive this request and issue authorization to the new drilling firm prior to" the commencement of well drilling or abandonment.

Current Well Drilling Contractor I New Well Drilling Confrador FULL NAME OF COMPANY. ORGANIZATION, OR INDlVlDUAL 1 FULL NAME OF COMPANY, ORGANIZRTION, OR INDIVIDUAL

&CHANGE r

OF WELL OWNERSHIP ($10 Fee Required)

If this change pertains to more than one well and the names are the same, only one $10 fee is required.

1I S10FEE I

Previous Well Owner New Well Owner FULL NAME OF COMPANY. ORGANIZATION, OR INDIVIDUAL FULL NAME OF COMPANY, ORGANIZATION, OR INDIVIDUAL I

MAILING ADDRESS MAILING ADDRESS I

CITY I STATE IZIP CODE CITY ISTATE IZIP CODE r

TELEPHONE NUMBER FAX TELEPHONE NUMBER FAX I

I SECTION 4. CHANGE OF WELL INFORMATION (No Fee Required) NO FEE NOTE: Applies only to wells that have already been drilled. For proposed wells, an amended Notice of Intent to Drill a Well must be filed.

EXPLAIN WSJR 55-71A (REVISED 02106M) Page 1 of 1

Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 Request to Change Well lndormation (602) 771-8580 * (800) 352-8488 vmnrw.azwater .gov

+3 Review instructions prior to completing form in black or blue ink. ~ L NUMBER E

43 You must include with your Notice:

b check or money order for any required fee@) WELL REGISTRAT~ONNUMBER 9 Authority for fee: A.A.C. R12-15-151(8)(4)(a), A.R.S. 3 45-1 13(0)

" PLEASE PRINT CLEARLY *+ - _55- 395;9 2 UEJb?\l/ DAY; t = N V r i w w ~ , - 7~tr'pT-

-~ G K . d. - Conventtonat S~rvey C] *CPS: survey-~rade

-~ J S G S~ u a- Map "rF GPS WAS USED. GEOGFZAPH~C COORDINATE DATUM (CHECK O N E ~ -

TELEPHONE NUMBER I&&%? 9 4 5 ,-b5t,7 FAX (6 ~S'liJdi"3 " 5 ~ s a NAD-83 a Other @lease specify):

COUNTY ASSESSOR'S PARCEL 10 NUMBER COUNTY WHERE WELL BOOK 1 PARCEL IS LOCATED drilling firm prior to the commencement of we!! drilling or abandonment.

Current Welt Drilling Contractor 1 New Well DriffingContractor FULL NAME OF COMPANY, ORGANIZATION. OR tNOlVtDUAC ) FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL 1 SECTION 3. STATEMENT OF CHANGE OF WELL

+ If t h ~ schange pertains to more than one well and the Previous Well Owner New Wefl Owner FULL NAME OF COMPANY, ORGANIZATION. OR INDtVIOUAL FULL NAME OF COMPANY. ORGANIZATION. OR 1NDlVlDUAL 1

MAILING ADDRESS MAILING ADDRESS 1 CITY ISTATE IZIP CODE I CITY ISTATE I ZIP CODE CONTACT PERSON NAME AND ~ t n ~ CONTACT PERSON NAME AND TITLE TELEPHONE NUMBER 1 FAX TELEPHONE NUMBER 1 FAX

- NO FEE NOTE: Applies only to wells that have already been drilled. For proposed wells. an amended Notice of Intent to Drill a Well must be filed.

EXPLAIN I HEREBY CERTIFY that the above statements are true to the best of my knowledge and bplief. n TYPE OR PRINT NAME AND T I ~ E DATE DWR 55-71A (REVISED 02106106) Page 1 of 1 9

Arizona Department of Water Resources-Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 Request to Change Well Information (602) 771-8500 (800) 352-8488 www.azwater.gov

  • 3 Review instructions prior to completing form in black or blue ink,
  • 3 You MUSf include with your Notice:

P check or money order for any required fee@)

$3 Authority for fee: A.A.C. R12-15-151(B)(4)(a), A.R.S. 6 45-1 13(B) 5 5 - 905143

'* PLEASE PRlNT CLEARLY '*

USGS -

--Quad Map --

Conventional Survey *GP_S;Survey-Grade-.

  • IF GPS WAS USED. GEOGRAPHIC COORDINATE DATUM ( C H E C K ~ ~ E T-- '

1 SECTION 2. REQUESTTO CHANGE WELL DRILLING CONTRACTOR ($10 Fee Required)

If drilling or abandoning a well, the Department must receive this request and ~ssueauthorization to tne new I

II Drilling Contractor FULL NAME OF COMPAMY. ORGANIZATION. OR IND1VIDUAL I 1 SECTION 3. STAfEMENT OF CHANGE OF WELL OWNERSHIP ($1O Fee Required) $10 FEE If this change pertalns to more than one well and the names are the same, only one $10 fee is required.

Previous Well Owner New Wetl Owner FULL NAME OF COMPANY, ORGANIZATION. OR INDIViDUAL FULL NAME OF COMPANY. ORGANIZATION, OR INDIVIDUAL MAILING ADDRESS I CITY / STATE / ZIP CODE I

I CITY I STATE l ZIP CODE 1 CONTACT PERSON NAME AND T l l l E CONTACT PERSON NAME AND TlTLE I

-LEPHONE NUMBER 1 TELEPHONE NUMBER 1 SECTION 4. CHANGE OF WELL INFORMATTON (NoFee Required} I NO FEE NOTE: Applies only to wells that have already been drilled. For proposed wells, an amended Notice of Intent to Drill a Well must be filed.

EXPLAIN 1 HEREBY CERTlFY that the above statements are true to the best of my knowledge and belief/

TYPE OR PRINT NAME AND TlTLE SIGNATURE OF WELL DATE HEM&" DdyY,~NVrirltllJMffl&-r' =?T.LDP. F"-z-l7k DwR 55-71A (RWisEo 02106106)Page 1 of 1 4

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