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

Henry P. Day Department Leader Tei 623-393-6567 Mall Station 762i Environn~ental Fax 623-393-5442 PO Box 52034 Palo Verde Nuclear e-mall Henry Davoaps corn Phoen~h Ar~zon~i 17:-2074 Generat~ng Stat~on 291 -03845-HPD/HCL/FDW January 11,2008 CERTIFIED MAIL RETURN RECEIPT REQUESTED Arizona Department of Environmental Quality 1 1 10 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.

Salinas-

Card, Henedina (Z81436)

Digitally signed by Salinas-Card, Henedina (Z81436)

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

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

Date: 2008.11.04 18:11:17

-07'00'

Page 2 291 -03845-HPDIHCLIFDW January 1 1,2008 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 I dated 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

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SEZECI'ED RESULTS FOR AQUEOUS SAMPLES COLLECTED 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, 2007 Brown and Caldwell Project #: 134071.002 11 0 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: Monitoring Wells in the Protected Area LlST OF FIGURES Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 Figure 10 Figure 11 Figure 12 Figure 13 Figure 14 Figure 15 Figure 16 Figure 17 Figure 18 Figure 19 Figure 20 Site Location Map Protected Area (PA) Unit 1 Well Location Map Protected Area (PA) Unit 2 Well Location Map Protected Area (PA) Unit 3 Well Location Map U1-HOa Air-Knife Monitor Well Design U1-HOb Air-Knife Monitor Well Design U 1-H7 Shallow Monitor Well Design U2-HOa Air-Knife Monitor Well Design U2-HOb Air-Knife Monitor Well Design U2-HI 0 Air-Knife Monitor Well Design U2-H2 Shallow Monitor Well Design U2-H7 Shallow Monitor We11 Design U3-HOa Air-Knife Monitor Well Design U3-HOb Air-Knife Monitor Well Design U3-HI b Shallow Monitor Well Design U3-H2 Air-Knife Monitor Well Design U3-H5b Air-Knife MMotor Well Design U3-H7 Shallow Monitor Well Design U3-HI I Air-Knife Monitor Well Design U3-HI2 Air-Knife MMotor Well Design LlST OF TABLES Table I Table 2 Table 3 Table 4a Table 4b Table 4c Table 5 Table 6 Summary of Well Information Summary of Transducer Depths Summary of Geotechnical Results Summary of Soil Sample Results for Unit 1 Summary of Soil Sample Results for Unit 2 Summary of Soil Sample Results for Unit 3 Summary of Water Quality Results Water Levels and Well Survey Data I B R O W W A H B C A L D W I L I 1

Well Installation Re~ort: Monitoring Wells in the Protected Area LlST OF APPENDICES Appendix A Appendix 0 Appendix C Appendix D ADWR Notices of Intent and Well Driller Reports (Provided On Disc)

Lithologic Logs Laboratory Reports (Provided On Disc)

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

WELL INSTALLATIOM REPORT MONITORING WELLS I N THE PROTECTED 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, Mting downwd 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, latedy 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 MONITORING WELLS I N THE PROTECTED AREA

2. RATIONALE AND OBJECTIVES 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.

Ddl 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 fl material 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 in saturated soils at Unit 3 and identify whether or not VOCs are present at Units I and 2.

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WELL INSTALLATION REPORT MONITORING WELLS IN THE PROTECTED 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 Drd 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 thee 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 Dder 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 air-Me method by PWGS. 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 indudq 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'mitedans q 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 Protected Area 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 1 I 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-bentonite grout to the ground surface; the well was covered with a traffic-rated well monument. Well 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 following wds 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; Metals (arsenic, antimony, barium, beryllium, cadmium, chromium, copper, lead, mercury, nickel, potassium, thallium, selenium, and zinc) using USEPA Test Method 200 series; One round of groundwater samples were submitted for cations d anions using USEPA Test Methods 200 and 300 series and SM 2320B; and 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 Protected Araa 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 INSTALLATION REPORT MONITORING WELLS I N THE PROTECTED AREA 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, bkum, 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 B R O W N A M D C A L D W B L L 1

4: Soil and Groundwater Testinu Results Well Installation Re~ort: Monitorina Wells in the Protected Area 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~ation of 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 REPORT MONITORING WELLS I N THE PROTECTED AREA

5.

SUMMARY

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 gwtehical 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 (H7 wells) 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 M O N I T O R I N G WELLS I N THE P R O T E C T E D 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 A H C A L D W E L

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Well Installation Report - Monitoring Wells in the Protected Area Table 2. Summary of Transducer Depths Well Date UI-WOa 1111612006 UI-Hob 1111612006 V1-H7 1111612006 Top of Well Casing EEevation DTW Water Above Probe Dew (Elevation of PVC Cap)

(feet bmp)

Probe

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(feet amsl) 12.95 0.46 13.41 956.43 12.61 0.86 13.47 956.24 Dry 0

-49.04 956.22 Feet Above Top of Well Casing Measuring Point Top of msing Top of casing 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 Measuring Point Probe 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)As 1212112Mf

APS-PVNGS:

Well Installation Report - Monitoring Wells in the Protected Area Table 3. Summary of Geotechnical Results Notes:

cmlsec - centimeters cer s m n d Location U1-H7 BROWN AND CALDWELL U:\\APS-WNGS\\134071-PA Wells Rpts\\DeliverableslReports\\PA Well Install Rpt\\fables\\Dr& PA Sum Rpi Tables (rev)Jds 12/21/ZM)T Depth (MI 5

Percent Gravel 13.1 Percent Sand 65.1 Percent Silt and Clay 21.8 Moistwre Content (percent) 11 Hydraulic Conductivity (cmhec) 6.50E-05

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APS-PVNGS:

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Velafile ~rgadc compuunds @Oh) were not detect& a h

Ih8 pradiwl quanlitation limit in fallwring samples: U2-HOa-12, UZ-Hob-15, U2-H10-14

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

VOCs were mi detected abwe the pnciical quantitation limit in fdlowing samples:

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APS-PVN GS:

Well Installation Report - Monitoring Wells in the Protected Area Table 5. Summary of Water Quality Results 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

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APS-PVNGS:

Well Installation Report - Monitoring Wells in the Protected Area Table 6. Water Levels and Well Survey Data I

UTM Coordinates I

Notes:

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Northing (meters)

Easting (meters)

Top of WC Cap Elevation (feet amsl)

Well Installation Re~ort: Monitoring Wells in the Protected Area APPENDIX A ADWR Notices of Intent and Well Driller Reparts (Provided On Disc)

Uae of data wn$irmd on this sheet is sub,ed m the I'mitations spc%ed '11 SectiDn 6 af this dmrment U:WS!%4GS134071-PA Wells RptdDellverab)es\\RepWA We4 lrstall R p N M PA Wed I M RptLc

Arizona Department of Water Resources 9 Review instrudons prior b completing fwm in black w Mue ink.

.2, You &

indude with your Notice:

$150 dmck or money order for the filing fee.

I Well mnmdion diagram, labeling all specifications listed in W o n 6.

Q Authority for ikix A.R.S. 5 15-596.

Notice of Intent to Drill, Deepen, or Modify a Monitor J Piezometer / Environmental Well

" PLEASE PRINT CLEARL" "

f SECTION 1.

J I FILE NUMBER I

H I I N 4 RECElVEl DATE IS§UEO DATE M L L REGlSTRATlON NUMBER k--i B

S8 WS YQbR EReU I

brnr IRI-ORMATK?~~

I_ -

I Proposed Actlon I Location of Well 1 CHECK ONE 1 WELL LOCATION ADDRESS lIlF ANYl

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

Extend 1 ' above grade DATE CONSTRUCTION TO BEGIN 1

Other @/ease specify):

DEPTH FRC SURFACE DWR 55-44A (REV 02106106) Page 2 of 2 t i % -

L l l IF THIS W E U HAS NEmEO CASINGS, SPECIFY NUMBER OF CASING STRINGS EXPECTED DEPTH TO WATER Feet Below Grwnd Sutfaoe

P.O. Box 458

  • Phoenix, Arizona 85007-0458 (602) 771 -8500 - (800) 352-8488 Monitor / Piezometer / Environmental Wel I 9

Revlew instructions prior to completing form in black or blue ink.

O You include with your Notlce:

$1 50 check or money wder for h e filing fee.

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

9 AutMty for fee: A.R.S. 5 45S96.

"* PLEASE PRINT CLEARLY **

1-4.

REGISTRY INFORMAIWH I Proposed Action I CHECK ONE WELL REGISTRATION NUMBER

-7 1 Location of Well I WELL LOCATlON ADDRESS (IF ANY)

W I W DWR 5-IRFV n7/1l6/Ml Paw 1 nf 7 8

S8 FILE NUMBER

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

1 fl OZ her (please specify):

Reverse Circulation Air Percussion I Odex Tubing Other @lease specify):

DATE CONSTRUCTDN TO BEGIN B / t \\ 106 0 WELL COWmumON PLAN (atfedr l d c l i h a 3 pege f h e a d f ' '

r SECTION 6.- PROPOSE I

IF OTHW TYPE OF ANNULAR MATERUU.,

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

9 Review instructions prior to completing form in black or Mue Ink.

You include with your Notice:

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

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

-3 Authority for fee: A.RS. 5 45-596.

Arixona Department of Water Reswrces Water Management Support Section P.O. Box 458

  • Phoenix, Arizona 85001-0458 (602) 771-8500- ($00) 352-8488 www.arwater.aov W E U REGISTRATION NUMBER r Well Type CHECK ONE Notice of Intent to DWR 55-44A (REV 02Mfilnfil P m

? nf 7 FEE Drill, Deepen, or Modify a Monitor / Piezometer / Environmental Well

Notice of Intent to Drill, Deepen, or Modify a Monitor / Pierometer/ Environmental Well mu REGI~TfPATm NUMBER LIzIzl Other (please specify):

Air Percussion 1 Odex Tubing Other @/ease specify):

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

p ~ c n o ~

a. pRoposEa WELL C O N ~ T R U ~

PUN (m a ~ ~ o n a t pgp W Attach a well constmction diagram labeling all specifications below.

IF OTHER lYPE OF ANNULAR MATERIAL, DESCRIBE DWR 5544A (REV 0210611)61 PAM ? nd 7

,,-I - & 1 4 q IF M I S WELL HAS NESTED CASINGS.

SPECIN NUMBER OF CASING STRINGS EXPECTED DEPTH TO WATER i 1 Feet Below Gmund Su~ace

Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458

- (602) 771 -8500 (800) 352-8488 www.azwater.gov 9

Review instructions p h

to completing fWm In black or Mue Ink.

  • You indude with ywr Notice:

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

Well wnstruction diagram, labeling all specifications listed in M

i n

6.

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

Notice of Intent to Drill, Deepen, or Modify a Monitor / Piezorneter / Environmental Well AM4IINA 0

SB FILE NUMBER I

WELL REGISTRATION NUMBER ISSUED I

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 / Piez meter/ Envlronmental Well I I

Other (phase spew):

DATE CONSTRUC~ON TO BEGIN Other @lease spew:

B(2ll06

[ SECTIOM PROPOSED W E K CCIM~UCTION 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)U TYPE ( T )

SURFACE SURFACE IF OTHER SLOT SIZE IF OTHER TYPE OF ANNUlAR MATERM, DESCRIBE DWR 55-44A (REV 02/06/06) Paae 2 c4 2

,.-,, u ? 4 IF THIS WELL HAS NESTED CASINGS.

SPECIFY NUMBER OF CASING STRINGS EXPECTED DEPM TO WATER 11.5 Fed B e b Ground Surface

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

Phoenix, Arizona 85001 -0458 (602) 771-8500 (800) 352-8488 www.azwater.qov Notice of Intent to FEE Drill, Deepen, or Modify a Monitor / Pierorneter / Environmental Well 6

Review instructtons prim to completing brm in black or blue Ink.

O You mUst indude with your Notice:

$1 50 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 Dril I, Deepen, or Modify a Monitor / Plezomefer/ EnvTronmental Well REG1s-mm NUMBER 7

1 C] Air Percussion I Odex Tubing Other ukase spew:

Extend 1' above grade

[ SECTION 6. PROWSED WELL CONSIRUChW PUH (&tach pags iinbsd.d).

4

'I Attach a well construction diagram labeling all specifications below.

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

1 -

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

9 Y w 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 INF~~~UTION

~

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

DWR 55.4414 (REV 021M106) Pam 1 of 7

Not ice of Intent to Drill, Deepen, or Modify a Monitor / Piezometer/ Environmental Well w ~ u ~ E ~ ~ - ~ w NUMBER 17 Other @!ease specify):

Air Percussion I Odex Tubing Other (@ease spec@):

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

DEPTH FRC SURFACE SECTTOH 6. PROPOSED

?Wl!'Lc CONSIRUmQN P U N ch&onaipGeHneeded)'-p Attach a well construction diagram labelins all s~ecifications below.

IF OTHER TYPE OF ANNVIAR MATERIAL.

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

Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001 -0458 (602) 771 -8500 * (800) 352-8488 www.azwater.gov Td~j%i-i, AZ-CONTACT PERSON NAME AND TITLE Request to Change Weil information MIZD~J,&

PCJGLI c SEXV.

!L-G MAlLlNG ADDRESS

  • 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), ARS. 3 45-1 13(B) 55- ??35;l55

    • PLEASE PRINT CLEARLY ** -

S E C T ~ S T R Y I N F O R ~ ~ O N Well Owner Location of Wetf WELL LOCATION ADDRESS (IF ANY) 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 TOWNSHIP (MIS)

I (FiII out Section 2)

(Fill out Section 3).

(location, use, etc.) {Filj out Section 4) 1

&i~h/Q' D N, $ b l l w 1 6 ~ ~ ~

om. O E.

1 SECTION 2. REQUEST TO CHANGE WELL DRILLING CONTRACTOR ($10 k e Required)

If drilling or abandoning a well, the Department must recerve this request and issue authorization to the new 4

$10 FEE RANGE (EIW) 5801 ~, W ~ W - K S @ L ~ ~ < ~ R D., M. S. - ? ~ - ~ ~

TELEPHONE NUMBER lb2-3? 345.Tb5~7 USGS

-. -. - Quad

...... - Map Conventional Survey

+- -

'GPS:

- S ~ ~ v f i ~ r a d e

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

NAB83 Other (please spec*):

drilling firm prior to the commencement of well drilling or abandonment.

Current Well Drilling Contractor 1 New Well DriHing Contractor FULL NAME OF COMPANY, ORGANIZATION. OR lMDlVlDUAL I FULL NAME OF COMPANY. ORGANIZATION. OR INDlVlDUAL I

b d

~d FAX (b z 3.1

'3 -5 ++z COUNTY ASSESSOR'S PARCEL 1D NUMBER BOOK I MAP I

PARCEL 1 SECtrON 3. STATEMENT OF CHANGE OF WELL OWNERSHIP ($40 Fee Required)

I $10 FEE I SECTION COUNW WHERE WELL a IS LOCATED LONGITUDE M

x 160 ACRE LATITUDE r

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

I CONTACT PERSON NAME AND TITLE 1 CONTACT PERSON NAME AND TITLE I

N w x Previous Well Owner FULL NAME OF COMPANY, ORGANEZATiOM. OR INDNIDUAL WILING ADDRESS CITY I STATE I ZIP CODE FAX 40 ACRE Mew Well Owner FULL NAME OF COMPANY, ORGANIZATION, OR INDIVIDUAL MAILING ADDRESS CIW I STATE I ZIP CODE

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

-~

1 NO FEE I 10 ACRE Ng x 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 SWW OWR 5571A (REVISED 02/0W06).Page 1 of 1 1 T

M~5kM'f DAY, C~VIWMEMT~JL D=

- LC3 i2.

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

~ 6 ~ 7 1 1 54 5. - 6 5 ~ 3 C $ Z * - ) ? @ ~ 9 -G+q-L COUNTY ASSESSOR'S PARCEL ID NUMBER COWTY WHERE WELL NAD-83 [7 Other @/ease specify):

1 BOOK I MAP I

PARCEL IS LOCATED Arizona Department of Water Resources Water Management Support Section P.O. Box 458 - Phoenix, Arizona 85001-0458 (602) 771-8500 (800) 352-8488 www.mater.gov Request to Change Well Information 1

(Fill out Section 2)

(FM out Section 3)

(location, use, etc.) (Fill out Section 4) 1 I

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 I

Type of Request (CHECK OE)

Change of Well Drilling Contractor U Change of Well Ownership U Change of Well Information 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.

1 CONTACT PERSON NAME AND n n ~

I CONTACT PERSON NAME AND TITLE 1

Previous Well Owner FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL CITY I STATE I DP CODE New Well Owner FULL NAME OF COMPANY. ORGANlfATION. OR INDIVIDUAL CITY I STATE I DP CODE 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 TELEPHONE NUMBER DWR 55-71A (REVISED 02106106) Page I af 1 1/

FAX TELEPHONE NUMBER FAX

Request to Change Well Infomation USCS Quad ~

a a

Conventional Survey

'GPS: Survey-Grade

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

I SECTldN 3. STATEMENT OF CHANGE OF WELL OWNERSHIP ($1 0 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.

[ SECTION 4. CHANGE OF WELL INFORMATlCFN (No Fee Required) 1 NO FEE 1 Previous Well Owner FULL NAME OF COMPANY. ORGANIZATION, OR INDIVIDUAL 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 New Well Owner FULL NAME OF COMPANY, ORGANIZ&TlON, OR INOlVlDUAL TELEPHONE NUMBER I HEREBY CERTIFY that the above statements are true to the best of my kno wledge~irnd belief-TYPE OR PRINT NAME AND TITLE DATE f - Z-#L FAX TELEPHONE NUMBER DWR 5571A (REWSED 02106106) Page 1 of 1 7

FAX

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.

- C I ~ ~ ~ ~ ~ a ~ ~. a ~ ~ ~ ~ ~ o n ~ e n b i o ~ a ~ ~ n r ~ _ y

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

TELEPHONE NUMBER FAX 1 6 ~ 3 7 34 4 - b 5~ 7 z*') 44 a - r j + + - ~

NAD-83 Other @lease specify):

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. REQUEST TO CHANGE WELL DRlLUNG CONTRACTOR ($10 Fee Required)

If drilling or abandoning a well, the Department must receive th~s request and issue authorization to tne new

$10 FEE the commencement of weff drilling or abandonment.

Current Well Drilling Contractor I New 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 If this change pertains to more than ane well and th

$10 FEE Previous Well Owner New Well Owner FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL 1

CONTACT PERSON NAME AND TITLE I CONTACT PERSON NAME AND TITLE MAILING ADDRESS CITY / STATE I ZIP CODE MAILING ADDRESS CITY l STATE ZIP CODE 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 TELEPHONE NUMBER FAX I / HEREBY CERTIFY that fhe above staiernenfs are true to the best of my knowledqe and belief /

I SIGNATURF n~ WELL OWNFR/

DATE TYPE OR PRINT NAME AND TITLE k-tENZY DdY, E N V I ~ ~ O N M E ~ T = ~ ~

&??I-.

U e.

I TELEPHONE NUMBER DWR 55-71A (REVISED 02106106) Page 1 of 1 d

FAX

Arizona ~epartmen tof Water Resources Water Management Su p p o ~

Section P.O. Box 458 Phoenix, Arizona 85001 -0458 (602) 771-8500 (800) 352-8488 www.arwater.gov "Echange of Well Drilling Contractor Change of Well Ownership Channe of Well Information Request to Change Well Information (Fill out Section 2)

(fill o;t Section 3)

(location, use, etc,) (Fiji out Section 4) ]

H19-k'f' DAY, ~ ~ Y I ~ w w N ~ Y ~ L VFj-L J K.

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

If drilling or abandoninq a well, the De~artment must receive thls reauest and issue authorization to the new TELEPHONE NUMBER 16~37 $4 9 -$5b-7 USGS Quad Map Conventional Survey

- 0 *GPS:.- S ~ t v e ~ r a d e "IF GPS WAS USED. GEOGRAPHIC COORDINATE DATUM (CHECK ONE) '

dn'TTing frrm prior to thevcommencerneit af well drilling_or abandonment.

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

(&z$> 399 '544-7, COUNN ASSESSOR'S PARCEL ID NUMBER

~SECT~ON

3. STATEMENT OF CHANGE OF WELL OWNERSHIP ($1 0 Fee Required) 1 $10 FEE 1 COUNTY WHERE WELL FAX TELEPHONE NUMBER TELEPHONE NUMBER FAX a NAD-83 a Other (please specify):

+

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

L 7

I SECTION 4. CHANGE OF WELL MFORMATlON (No Fee Required) -

I NO FEE I BOOK

( MAP I

PARCEL Previous Well Owner FULL NAME OF COMPANY, ORGANIZATION. OR lNDlVlDUAL 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 IS LOCATED New Well Owner FULL NAME OF COMPANY. ORGANIZATION. OR lNDlVlDUAL DWR 5W1A (REVISED 02106106) Page 1 of 1 1"

7'

4 Review instructions prior to completina form in black or blue ink.

I FILE NUMBER.

1 Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 (602) 771 -8500 (800) 352-8488 www.azwater.aev You must include wiih your ~otice:

b check or money order for any reauired feels) 7 Request to Change Well Information 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 IN Well Owner

] Location of Well FULL NAME OF COMPANY, ORGANIZATION, OR INQlVlDUAL WELL LOCATION ADDRESS (IF ANY)

MIZWA PU'ALLC-SEWKG WILING 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&

I I

I J

Type of Request (CHECK ONE) '

<-.. C -

3 Change of Well Drilling Contractor a Change of Well Ownership 1

Change of Well Information (Fili out Section 2)

(Fill out Section 3)

{location, use, etc.) (Fill out Section 4) 1 SECnOM 2. REQUEST TO C'HANGE WELL DRtLb If drilling or abandoning a well, the Department must r

$10 FEE USGS

--. Quad

-.-- ~ a ~ o Conventional Survey

'GPS: Sufye~Grade

'IF GPS WAS USED, G E

~

~

~

~

~

~

~

o

~

DX%K(CHEK ONE) - - - -'

COUNTY ASSESSOR'S PARCEL ID NUMBER 1 COUNTY WHERE W

~

L NAD-83 [IJ Other (please spec@):

f.1EdK'f D,d'f, i%

~ ~ ~ w M @ ~ T, J L PE6. I-$ E.,

I dsillina firm orior to the commencement of well drfllina or abandonment TELEPHONE NUMBER l b ~ 3 I 34 3 - 6 5 ~ 7 BOOK Current Well Drilling Contractor

( New Well ~rilSingzontract&~

FULL NAME OF COMPANY, ORGANIL4TION. OR INDIVIDUAL I FULL NAME OF COMPANY, ORGANIZATION. OR INDIVIDUAL FAX (6233 Ski53 CLi4q-~

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

[ SECTION 4. CHANGE OF WELL INFORMATION (No Fee Required) 1 NO FEE I CONTACT PERSON NAME AND TITLE I

NOTE: Applies only to wells that have already been drilled. For proposed weBs, an amended Notice of Intent to Drill a ~ellrnust be filed.

EXPUIN CONTACT PERSON NAME AND TITLE TELEPHONE NUMBER DWR 5E71A (REVISED 02/06/06}

Page 1 of I FAX TELEPHONE NUMBER FAX

uad Mag Converttianal Survey

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

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

  • Phoenix, Arizona 85001 -0458 (602) 771 -8500.

(800) 352-8488 www.amater.gov L SECTION 2. REQUEST TO CHANGE WELL DRILLING CONTRACTOR $10 Fee Re uired

+

If drilling or abandoning a well, the Department must receive this request and issue authorization to the new

(

1

$10 FEE Request to Change Well Information 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

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

&CHANGE OF WELL OWNERSHIP ($1 0 Fee Required) 1 S10FEE I I

MAILING ADDRESS MAILING ADDRESS r

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

I -

I CITY I STATE I ZIP CODE CITY I STATE I ZIP CODE Previous Well Owner FULL NAME OF COMPANY. ORGANIZATION, OR INDIVIDUAL New Well Owner FULL NAME OF COMPANY, ORGANIZATION, OR INDIVIDUAL 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 r

WSJR 55-71A (REVISED 02106M) Page 1 of 1 TELEPHONE NUMBER I

FAX TELEPHONE NUMBER FAX

Arizona Department of Water Resources Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001-0458 (602) 771-8580 * (800) 352-8488 vmnrw.azwater.gov UEJb?\\l/ DAY; t=NVriww~,-7-~

~tr'pT-G K.

~ J S G S ~ u a d

- Map

-. - Conventtonat S~rvey C] *CPS: survey-~rade "rF GPS WAS USED. GEOGFZAPH~C COORDINATE DATUM (CHECK O N E ~ -

TELEPHONE NUMBER FAX I&&%? 9 4 5,-b 5t, 7 (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 Request to Change Well lndormation

+3 Review instructions prior to completing form in black or blue ink.

43 You must include with your Notice:

b check or money order for any required fee@)

drilling firm prior to the commencement of we!! drilling or abandonment.

Current Welt Drilling Contractor 1 New Well Driffing Contractor FULL NAME OF COMPANY, ORGANIZATION. OR tNOlVtDUAC

) FULL NAME OF COMPANY. ORGANIZATION. OR INDIVIDUAL

~ L E NUMBER WELL REGISTRAT~ON NUMBER 1 SECTION 3. STATEMENT OF CHANGE OF WELL

+

If t h ~ s change 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 9 Authority for fee: A.A.C. R12-15-151(8)(4)(a), A.R.S. 3 45-1 13(0)

_55-395; 9 2

" PLEASE PRINT CLEARLY *+

1 MAILING ADDRESS MAILING ADDRESS 1 CITY I STATE I ZIP CODE I

CITY I STATE I ZIP CODE NO FEE CONTACT PERSON NAME AND ~

t n

~

TELEPHONE NUMBER 1 FAX 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 CONTACT PERSON NAME AND TITLE TELEPHONE NUMBER 1 FAX 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

  • 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) 55-905143

'* 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. REQUEST TO CHANGE WELL DRILLING CONTRACTOR ($10 Fee Required)

If drilling or abandoning a well, the Department must receive this request and ~ssue authorization to tne new Arizona Department of Water Resources-Water Management Support Section P.O. Box 458 Phoenix, Arizona 85001 -0458 (602) 771 -8500 (800) 352-8488 www.azwater.gov II Drilling Contractor I FULL NAME OF COMPAMY. ORGANIZATION. OR IND1VIDUAL I

Request to Change Well Information 1 SECTION 3. STAfEMENT OF CHANGE OF WELL OWNERSHIP ($1 O 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

I CITY / STATE / ZIP CODE I CITY I STATE l ZIP CODE 1

I

-LEPHONE NUMBER 1 TELEPHONE NUMBER CONTACT PERSON NAME AND TlllE 1 SECTION 4. CHANGE OF WELL INFORMATTON (No Fee Required}

I NO FEE CONTACT PERSON NAME AND TlTLE 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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