Global Positioning System (GPS) Location Form

GPS Location Form (DD)

WELL ID NUMBER (AKGWA) -

WELL OWNER’S NAME

USGS TOPOGRAPHIC MAP NAME

Sit GPS unit near well, in a clear area away from buildings, your drill rig, power lines, dense tree cover, etc. to allow for more accurate readings. Turn on GPS unit and allow unit to sit for at least 5 minutes before collecting your first reading.

Using the GPS unit, record 1 reading per minute for 5 minutes and enter below:

LATITUDE (N°) LONGITUDE (W°)

Decimal Degrees Decimal Degrees

1.  . ° / 1.  - . °
2.  . ° / 2.  - . °
3.  . ° / 3.  - . °
4.  . ° / 4.  - . °
5.  . ° / 5.  - . °

FOR OFFICE USE ONLY

Average for Latitude N . ° Average for Longitude W - . °

Well Driller’s Name (Please Print)

Well Driller’s State Certification Number - -

Well Driller’s Signature