APPENDIX 2

FORMS

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MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD- 1
AND WATER RESOURCES

DAILY DRILLING LOG

Drilling Contract No: Drilling Contractor:
Borehole No: Name of Driller:
Locality: Rig type and Number
Date: Engineers Rep:

TIME DEPTH DRILLING DETAILS HOLE SIZE

(metres) (activities, materials, strata, water intersections, notable events etc.) Dia (mm) From (m) To (m) Total (m)

TOTAL
Cement/Grout From To

Gravel Pack Size (mm) From To

BIT DATA
Size Type From To

ROTARY SPEED
Revs/min From To

CIRCULATION MEDIUM
Type of Medium From To

CASING SIZE SCREEN SIZE

Dia (mm) Type From (m) To (m) Total (m) Dia (mm) Type Aperture From (m) To (m) Total (m)

TOTAL TOTAL

Prepared by: ............................... (Contractor)

Copies Submitted: Projects Department Original
Signed by: ............................... (Eng Rep) Project Manager Top Copy
E.R. 2nd Copy
Contractor 3rd Copy

Forms
MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-2
AND WATER RESOURCES
BOREHOLE LITHOLOGY &
MICROFOSSILS

Drilling Contract No: Drilling Contractor:

Borehole No: Driller:

Locality: Well Site Geologist:

Date: Engineers Representative:

DEPTH LITHOLOGICAL
DESCRIPTION MICROFOSSILS
From To
(m) (m) (grain size, texture, sorting, colour, rock type, etc)

Forms Page ....... of .........

MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-3
AND WATER RESOURCES

BOREHOLE PENETRATION RATE

Drilling Contract No: Drilling Contractor:

Borehole No: Driller:

Locality: Well Site Geologist:

Date: Engineers Representative:

DEPTH TIME PENETRATION DEPTH TIME PENETRATION

RATE RATE
From To From To
(m) (m) (mins) (m/min) (m) (m) (mins) (m/min)

Forms Page ....... of .........

MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD- 4
AND WATER RESOURCES

ROTARY FLUID DRILLING DATA FORM

Drilling Contract No: Drilling Contractor:

Borehole No: Driller:

Locality: Well Site Geologist:

Date: Engineers Representative:

SAMPLE ACTUAL SAND SPECIFIC MARSH DRILLING FLUID CONSTITUENTS

DEPTH TIME CONTENT GRAVITY FUNNEL
(Density) VISCOSITY pH
(metres) (%) (g/cm3) (seconds) ( Amount (kg) of bentonite, barites and additives added.)

Forms Page ....... of .........

MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD- 5
AND WATER RESOURCES

INSTRUMENT CALIBRATION FORM

Drilling Contract No: Drilling Contractor:

Borehole No: Driller:

Locality: Well Site Geologist:

Date: Engineers Representative:

INSTRUMENT DATE TIME BUFFER BUFFER CALIB. CALIB. COMMENT INITIALS

SOLUTION-1 SOLUTION-2 FLUID-1 FLUID-2
(type of maintenance on Eh and DO meters,
date of buffer & EC calibration fluids)

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

pH meter

EC meter

Eh meter
DO meter

Forms Page ....... of .........

 MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-6
AND WATER RESOURCES

WELL HEAD DISCHARGE, WATER LEVEL AND PHYSIO-CHEMISTRY

Drilling Contract No: Drilling Contractor:

Borehole No: Driller:
Locality: Well Site Geologist:
Date: Engineers Representative:
Measuring Point (MP) description:
Elevation of MP ([Link]):

DEPTH DISCHARGE PRESSURE WATER LEVEL ATM COMMENT WELL HEAD PHYSIO-CHEMISTRY COMMENT
V - NOTCH Discharge (enter units) OR HEAD PRESSURE pH Temp EC DO Eh Alk CO2 Sulphide
From To ([Link] OR (mg/L
(m) (m) (mm) (L/sec) ( ) [Link]) (uS/cm) (% Sat) CaCO3) ( ) ( ) (smell, colour, turbidity etc)

Forms Page ....... of .........

 MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-8
AND WATER RESOURCES

WATER SAMPLE CHAIN OF CUSTODY FORM

Drilling Contract No: Drilling Contractor:

Locality: Well Site Geologist:
Engineers Representative:
SAMPLE DETAILS:
BOREHOLE SITE ID SAMPLED DATE TIME DEPTH TYPE OF LABORATORY DATE
NO. BY SAMPLED SAMPLED SAMPLED ANALYSIS REQUIRED COMMENTS ANALYSIS
(Local ID) RECEIVED

CHAIN OF POSSESSION:
TRANSFER DATE SAMPLES RELINQUISHED BY ON BEHALF OF SAMPLES RECEIVED BY ON BEHALF OF

3
4

Forms Page ....... of .........

 MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-9
AND WATER RESOURCES

PROPOSED BOREHOLE DESIGN

Drilling Contract No: Drilling Contractor:

Borehole No: Driller:
Locality: Well Site Geologist:
Date: Engineers Representative:

HOLE SIZE CASING SIZE SCREEN SIZE

DIAMETER FROM TO LENGTH INSIDE OUTSIDE FROM TO LENGTH INSIDE OUTSIDE FROM TO LENGTH
DIAMETER DIAMETER DIAMETER DIAMETER
(Inches) (m) (m) (m) (Inches) (Inches) (m) (m) (m) (Inches) (Inches) (m) (m) (m)

CEMENT GROUT GRAVEL PACK

DETAILS FROM TO Size (mm) FROM TO

(m) (m) (m) (m)

REMARKS: (Open area of screen, etc)

Forms Page ....... of .........

 MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-10
AND WATER RESOURCES

ACTUAL BOREHOLE DESIGN

Drilling Contract No: Drilling Contractor:

Borehole No: Driller:
Locality: Well Site Geologist:
Date: Engineers Representative:

HOLE SIZE CASING SIZE SCREEN SIZE

DIAMETER FROM TO LENGTH INSIDE OUTSIDE FROM TO LENGTH INSIDE OUTSIDE FROM TO LENGTH
DIAMETER DIAMETER DIAMETER DIAMETER
(Inches) (m) (m) (m) (Inches) (Inches) (m) (m) (m) (Inches) (Inches) (m) (m) (m)

CEMENT GROUT GRAVEL PACK

DETAILS FROM TO Size (mm) FROM TO

(m) (m) (m) (m)

REMARKS: (Open area of screen, etc)

Forms Page ....... of .........

 Surface level

_____” surface hole

Cement grout to surface

______”seamless steel surface casing

Depth of surface casing ____ metres

_____” drilled hole

Cement grout to surface

_____” seamless steel casing

Casing fitted with centralizers at regular intervals

Top of gravel pack _______metres

Top of screen _______metres Cross over from casing to screen

_____” stainless steel screen

Gravel pack

_____” drilled hole

Bottom of screen _______metres

Bottom of sump _______metres

Backfill

Depth of drilled hole _______metres

DRAWING NOT TO SCALE

Aquifer A
Monitoring Borehole
(alluvial formations)
Borehole construction
[Link] Form WWD-11AM
 Surface level

_____” surface hole

Cement grout to surface

______”seamless steel surface casing

Depth of surface casing ____ metres

_____” drilled hole

_____” seamless steel casing

Cement grout to surface

Casing fitted with centralizers at regular intervals

Depth of drilled hole _______metres

_____” drilled hole

Depth of drilled hole _______metres

DRAWING NOT TO SCALE

Aquifer A & B
Monitoring Borehole
Borehole construction
Form WWD-11B
[Link]
 Surface level

_____” surface hole

Cement grout to surface

______”seamless steel surface casing

Depth of surface casing ____ metres

_____” drilled hole

_____” seamless steel casing

Cement grout to surface

Casing fitted with centralizers at regular intervals

Depth of drilled hole _______metres

_____” drilled hole

Depth of drilled hole _______metres

DRAWING NOT TO SCALE

Aquifer A Test Well

Borehole construction
Form WWD-11AT
[Link]
 Surface level
_____” surface hole

Cement grout to surface ______”seamless steel surface casing

Depth of surface casing ____ metres

_____” drilled hole

_____” seamless steel casing

Cement grout to surface

Depth of drilled hole _______metres Casing fitted with centralizers at regular intervals

_____” drilled hole

_____” seamless steel casing

Cement grout to surface

Depth of drilled hole _______metres

_____” drilled hole

Depth of drilled hole _______metres

DRAWING NOT TO SCALE

Aquifer C Borehole

Borehole construction

Form WWD-11C
[Link]
 Surface level
_____” surface hole

______”seamless steel surface casing

Cement grout to surface

Depth of surface casing ____ metres

_____” drilled hole

Cement grout to surface _____” seamless steel casing

Depth of drilled hole _____metres Casing fitted with centralizers at regular intervals

_____” drilled hole

Cement grout to surface _____” seamless steel casing

Depth of drilled hole _______metres

____” drilled hole

Depth of drilled hole _______metres

DRAWING NOT TO SCALE

Aquifer D Borehole

Borehole construction

[Link] Form WWD-11D

 External well cap

Locking blade.

160 mm 60 mm by 10 mm slot
Standard padlock
(MRMEWR supply)

______metres above
Internal well cap
wellhead concrete block

Cement

Smooth edged 12 mm hole

for drainage

______mm well casing

DRAWING NOT TO SCALE

Standard Wellhead

Borehole construction
Form WWD-12A
[Link]
 25mm PWG

Pressure cylinder 660mm Long

152mm diameter

50 mm steel tube 0.10 metre

32mm threaded black steel tube
Standard weld on flange
32mm black steel gate to suit 50 mm tubing
valve, 1400 kpa
13 mm steel plate
32 mm black steel socket welded to casing

Blank 13 mm flanges 168mm casing

Gate valve, standard black

steel 152mm, 1400 kpa

244mm casing Pressure transducer/ Gauge

Threaded adaptor
to suit transmitter

32mm black steel gate Top of gauge adaptor

Standard 8 bolt flange valve, 1400 kpa
__________metres
244 mm well casing. above casing flange
32 mm black steel socket 32 mm tube threaded
to suit gate valves
length ~ 0.5 metre

Casing flange__________metres above ground level

DRAWING NOT TO SCALE

Artesian Well head for

Test Wells

Borehole construction

Form WWD-12B
[Link]
 32 mm black steel socket

32mm threaded black steel tube

32mm black steel gate

valve, 1400 kpa

32mm black steel gate valve, 1400 kpa

32 mm black steel socket

32mm black steel socket Threaded adaptor
to suit transducer/ gauge

32 mm black steel
90 degree bend

32mm black steel gate

valve, 1400 kpa U-Tube
Handle of gate
valve to be
set at 90o
to sampling
point & pressure
gauge.

Top of gauge adaptor

__________metres
Gate valve, standard black
steel 152mm, 1400 kpa. above casing flange

152 mm adapter
fitted to 219 mm well casing.

Top of casing flange__________metres above ground level

DRAWING NOT TO SCALE

Artesian Well head for

Monitoring Wells

Borehole construction
[Link] Form WWD-12C
MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-13
AND WATER RESOURCES

STEP TEST PUMPING FORM

STEP No. ____
Contract No.: Contractor:

Site ID: Locality:

Local ID: Well Site Geologist

Date: Engineer’s Representative:

Discharge Rate: m3/day Pump Inlet Depth below Measuring Point: m

Pump Diameter: mm SWL below/ above Measuring Point: m

Step Test No.: Measuring Point above Ground Level: m

ACTUAL ELAPSED PRESSURE WATER DRAW MANO V-NOTCH AVERAGE DISCHARGE COMMENTS
TIME TIME LEVEL DOWN READING READING RATE
hr min (mins) (KPa) (m) (m) (cm) (cm) (m3/day) L/sec

0.25

0.5

0.75

1.5

2.5

10

15

20

25

30

35

40

45

50

60

70

80

90

100

Forms
Step test WWD-13 Page.....1....of.......
MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-14
AND WATER RESOURCES

STEP TEST RECOVERY FORM

Contract No.: Contractor:

Site ID: Locality:

Local ID: Well Site Geologist

Date: Engineer’s Representative:

Discharge Rate: m3/day Pump Inlet Depth below Measuring Point: m

Pump Diameter: mm SWL below/ above Measuring Point: m

Step Test No.: Measuring Point above Ground Level: m

TIME SINCE TIME SINCE PRESSURE WATER RESIDUAL COMMENTS

ACTUAL PUMPING PUMPING t/t’ LEVEL DRAWDOWN
TIME STOPPED STARTED
hr min (mins - t’) (mins - t) (KPa) (m) (m)

0.25

0.5

0.75

1.5

2.5

10

15

20

25

30

35

40

45

50

60

70

80

90

100

200

300

400

500

Forms
Step recovery WWD-14 Page.....1....of.......
 MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-15
AND WATER RESOURCES

CONSTANT RATE TEST PUMPING FORM - SHEET ______

Contract No.: Contractor:

Borehole No.: Operator:
Local ID No.: Locality:
MWR ID No.: Well Site Geologist
Date: Engineer’s Representative:
Discharge Rate: m3/day Pump Inlet Depth below Measuring Point: m
Pump Diameter: mm SWL below/ above Measuring Point: m
Observation Borehole Measuring Point above Ground Level: m

ACTUAL ELAPSED PRESSURE WATER DRAW MANO V-NOTCH AVERAGE CHEMISTRY

TIME TIME LEVEL DOWN READING READING Q EC pH T Eh Alk DO
hr mins (mins) (KPa) (m) (m) (cm) (cm) (L/sec) µS/cm °C mV mg/l %
0.25
0.5
0.75
1
1.5
2
2.5
3
4
5
6
7
8
9
10
15
20
25
30
35
40
45
50
60
70
80
90
100
120
140
160
180
210
240
270

Forms
Const discharge-15 Page.....1....of.......
 MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-16
AND WATER RESOURCES

CONSTANT RATE TEST PUMPING FORM - SHEET ______

Contract No.: Contractor:

Borehole No.: Operator:
Local ID No.: Locality:
MWR ID No.: Well Site Geologist
Date: Engineer’s Representative:
Discharge Rate: m3/day Pump Inlet Depth below Measuring Point: m
Pump Diameter: mm SWL below/ above Measuring Point: m
Observation Borehole Measuring Point above Ground Level: m

ACTUAL ELAPSED PRESSURE WATER DRAW MANO V-NOTCH AVERAGE CHEMISTRY

TIME TIME LEVEL DOWN READING READING Q EC pH T Eh Alk DO
hr mins (mins) (KPa) (m) (m) (cm) (cm) (L/sec) µS/cm °C mV mg/l %

Note: Use 30 minute record intervals to 420 minutes. After that record every hour (on the hour).

Forms
Const discharge-16 Page.....1....of.......
MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-17
AND WATER RESOURCES

CONSTANT RATE RECOVERY FORM - SHEET____________

Contract No.: Contractor:

Site ID: Locality:

Local ID: Well Site Geologist

Date: Engineer’s Representative:

Discharge Rate: m3/day Pump Inlet Depth below Measuring Point: m

Pump Diameter: mm SWL below/ above Measuring Point: m

Step Test No.: Measuring Point above Ground Level: m

TIME SINCE TIME SINCE PRESSURE WATER RESIDUAL COMMENTS

ACTUAL PUMPING PUMPING t/t’ LEVEL DRAWDOWN
TIME STOPPED STARTED
hr min (mins - t’) (mins - t) (KPa) (m) (m)

0.25

0.5

0.75

1.5

2.5

10

15

20

25

30

35

40

45

50

60

70

80

90

100

120

140

160

180

Forms
Constant recovery WWD-17 Page.....1....of.......
MINISTRY OF REGIONAL MUNICIPALITIES, ENVIRONMENT FORM No. WWD-18
AND WATER RESOURCES

CONSTANT RATE RECOVERY FORM - SHEET____________

Contract No.: Contractor:

Site ID: Locality:

Local ID: Well Site Geologist

Date: Engineer’s Representative:

Discharge Rate: m3/day Pump Inlet Depth below Measuring Point: m

Pump Diameter: mm SWL below/ above Measuring Point: m

Step Test No.: Measuring Point above Ground Level: m

TIME SINCE TIME SINCE PRESSURE WATER RESIDUAL COMMENTS

ACTUAL PUMPING PUMPING t/t’ LEVEL DRAWDOWN
TIME STOPPED STARTED
hr min (mins - t’) (mins - t) (KPa) (m) (m)

Note: Use 30 minute record intervals to 420 minutes. After that record every hour (on the hour).

Forms
Constant recovery WWD-18 Page.....1....of.......