DD Form 2680 Military Water Well Completion Summary Report

DD Form 2680 - also known as the "Military Water Well Completion Summary Report" - is a Military form issued and used by the United States Department of Defense.

The form - often incorrectly referred to as the DA form 2680 - was last revised on October 1, 1993. Download an up-to-date fillable DD Form 2680 down below in PDF-format or find it on the Department of Defense documentation website.

ADVERTISEMENT
MILITARY WATER WELL COMPLETION SUMMARY REPORT
TO
FROM (List Unit and complete mailing address to include Street
DIRECTOR
and 9-digit ZIP Code)
US Army Topographic Engineer Center
ATTN: CETEC-TC-H
Ft. Belvoir, VA 22060-5546
(703) 355-2921
PHONE NUMBER (Include Area Code)
1. PROJECT TITLE OR WELL NUMBER
12. SCREENS
a. Completion Kit
b. PVC
c. Stainless Steel
2. DATE OF REPORT
d. Set between
-
feet
Slot
3. USE
a. Military water supply
-
feet
Slot
b. Construction
c. Humanitarian
-
feet
Slot
d. Other (Specify)
13. GRAVEL PACK
a. Yes
b. No
4. LOCATION
If Yes, complete (1) thru (4)
a. Country
(1) Source
(2) Gradation
(3) Volume Used
(4) Depth to top of pack
b. Map name/edition
14. SANITARY SEAL
a. Grout Volume
c. Series/sheet number
b. Depth
-
feet
15. WELL DEVELOPMENT
d. Coordinates
a. Method
b. Date
e. Scale
c. Duration
16. PUMP
5. TOP OF HOLE ELEVATION
a. Standard
b. 600 feet
c. 1500 feet
d. Nonstandard Electric
6. TOTAL HOLE DEPTH
(1) Type
(2) Manufacturer
(3) Model Number
(4) Horsepower
7. STATIC WATER LEVEL
(5) Power Source
(6) Drop-pipe Diameter
a. Number feet
b. Below Grade
(7) Drop-pipe Material
c. Above Grade
d. Date Measured
e. Hand-Pump type
8. TYPE OF DRILLING MACHINE
f. Depth of Pump Installation (list in feet)
a. 600-ft WDS
b. ITWD
17. PUMPING TEST
a. Yes
b. No
d. Other (Specify)
(1) If Yes,
feet
Below Grade
Above Grade
c. CF-15-S
(a) Test Date
9. DRILLING METHOD
(b) Well Yield
GPM or
LPM
18. WELL-HEAD COMPLETION
a. Direct Rotary
b. Reverse Rotary
b. Nonstandard (Specify)
a. Standard
d. Other (Specify)
c. Height above ground (list in feet)
c. Air Rotary
19. WELL DISINFECTION
10. HOLE AND CASING DIAMETER (Change inches to feet)
a. Super Chlorination
a. Hole
b. Casing
b. Other (Specify)
inches =
feet
inches =
feet
c. Nearest source of possible contamination
(1) Type
inches =
feet
inches =
feet
(2) Distance
(3) Direction
inches =
feet
inches =
feet
20. GEOGRAPHIC DATA AVAILABLE
a. Yes
b. No
c. If Yes,
(1) WDRT
(2) Local
inches =
feet
inches =
feet
(3) Water-Resource Overlays
11. COMPLETION KIT USED
a. Yes
b. No
(4) Other (Specify)
1,500 ft
600 feet Standard
(1) If Yes,
d. Down-hole Log
Yes
No
(2) If No, specify type of completion materials
a. Steel
b. PVC
c. Other
e. Attached
Yes
No
DD Form 2680, OCT 93
Adobe Professional 8.0
MILITARY WATER WELL COMPLETION SUMMARY REPORT
TO
FROM (List Unit and complete mailing address to include Street
DIRECTOR
and 9-digit ZIP Code)
US Army Topographic Engineer Center
ATTN: CETEC-TC-H
Ft. Belvoir, VA 22060-5546
(703) 355-2921
PHONE NUMBER (Include Area Code)
1. PROJECT TITLE OR WELL NUMBER
12. SCREENS
a. Completion Kit
b. PVC
c. Stainless Steel
2. DATE OF REPORT
d. Set between
-
feet
Slot
3. USE
a. Military water supply
-
feet
Slot
b. Construction
c. Humanitarian
-
feet
Slot
d. Other (Specify)
13. GRAVEL PACK
a. Yes
b. No
4. LOCATION
If Yes, complete (1) thru (4)
a. Country
(1) Source
(2) Gradation
(3) Volume Used
(4) Depth to top of pack
b. Map name/edition
14. SANITARY SEAL
a. Grout Volume
c. Series/sheet number
b. Depth
-
feet
15. WELL DEVELOPMENT
d. Coordinates
a. Method
b. Date
e. Scale
c. Duration
16. PUMP
5. TOP OF HOLE ELEVATION
a. Standard
b. 600 feet
c. 1500 feet
d. Nonstandard Electric
6. TOTAL HOLE DEPTH
(1) Type
(2) Manufacturer
(3) Model Number
(4) Horsepower
7. STATIC WATER LEVEL
(5) Power Source
(6) Drop-pipe Diameter
a. Number feet
b. Below Grade
(7) Drop-pipe Material
c. Above Grade
d. Date Measured
e. Hand-Pump type
8. TYPE OF DRILLING MACHINE
f. Depth of Pump Installation (list in feet)
a. 600-ft WDS
b. ITWD
17. PUMPING TEST
a. Yes
b. No
d. Other (Specify)
(1) If Yes,
feet
Below Grade
Above Grade
c. CF-15-S
(a) Test Date
9. DRILLING METHOD
(b) Well Yield
GPM or
LPM
18. WELL-HEAD COMPLETION
a. Direct Rotary
b. Reverse Rotary
b. Nonstandard (Specify)
a. Standard
d. Other (Specify)
c. Height above ground (list in feet)
c. Air Rotary
19. WELL DISINFECTION
10. HOLE AND CASING DIAMETER (Change inches to feet)
a. Super Chlorination
a. Hole
b. Casing
b. Other (Specify)
inches =
feet
inches =
feet
c. Nearest source of possible contamination
(1) Type
inches =
feet
inches =
feet
(2) Distance
(3) Direction
inches =
feet
inches =
feet
20. GEOGRAPHIC DATA AVAILABLE
a. Yes
b. No
c. If Yes,
(1) WDRT
(2) Local
inches =
feet
inches =
feet
(3) Water-Resource Overlays
11. COMPLETION KIT USED
a. Yes
b. No
(4) Other (Specify)
1,500 ft
600 feet Standard
(1) If Yes,
d. Down-hole Log
Yes
No
(2) If No, specify type of completion materials
a. Steel
b. PVC
c. Other
e. Attached
Yes
No
DD Form 2680, OCT 93
Adobe Professional 8.0
28. SKETCH OF WELL AND PUMP
21. OVERBURDEN MATERIALS
a. Unconsolidated
b. Sandstone
c. Limestone
d. Igneous
e. Other (Specify)
22. AQUIFER MATERIALS
a. Sand and Gravel
b. Sandstone
c. Limestone
d. Igneous
23. MARKER BEDS (Describe)
at
feet
at
feet
at
feet
at
feet
24. WATER QUALITY
a. Tested
(1) Yes
(2) No
(3) Date
b. Fresh
c. Brackish
d. Saline
25. SKETCH OF LOCATION
SCALE
26. REMARKS
27a. SUBMITTED BY (Type or print name)
27b. GRADE/RANK
27c. UNIT
29. SIGNATURE OF PROJECT OFFICIAL
30. DATE OF
SIGNATURE
DD Form 2680, OCT 93 (BACK)
Reset

Download DD Form 2680 Military Water Well Completion Summary Report

1204 times
Rate
4.6(4.6 / 5) 249 votes
ADVERTISEMENT
Page of 2