HomeMy WebLinkAbout060-230-018 EHWS17-0143 Well LogState of California
Well Completion Report
Form DWR 188 Complete 9/11/2018
WCR2018-005855
Owner's Well Number Date Work Began e0366348 07/16/2018 Date Work Ended 07/17/2018
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS17-0143 Permit Date 09/12/2017
Well Location
7845 White Channel LN Address
Butte Meadows City 95942Zip ButteCounty
Latitude
Deg.Min.Sec.
N Longitude
Deg.Min.Sec.
W
Dec. Lat. Dec. Long.
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
060-230-018APN
26 NTownship
04 ERange
21Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 2 Top soil & boulders
2 15 Boulders, sand and gravel
15 28 Volcanic tuft
28 35 Volcanic & gravel
35 40 Volcanics
40 50 Gravel zone
Well Owner (must remain confidential pursuant to Water Code 13752)
Nels Leen Name
Mailing Address 460 W. East Avenue, Suite 100
Chico City CAState 95926Zip
Planned Use and Activity
Planned Use
Activity
Water Supply Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 50
Other - Air
Vertical
50 Total Depth of Completed Well
Drilling Fluid None
Feet
Feet
Specify
Water Level and Yield of Completed Well
28Depth to first water
Depth to Static
0Water Level
100Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 07/17/2018
Air LiftTest Type
Total Drawdown (feet)
Page 1 of 2 Form DWR 188 rev. 12/19/2017
Other Observations:
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief
Name PETERS DRILLING AND PUMP SERVICE
Person, Firm or Corporation
P O BOX 1546 GRASS VALLEY 95945CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
07/24/2018
Date Signed
456136
C-57 License Number
DWR Use Only
CSG #State Well Number Site Code Local Well Number
N
Latitude Deg/Min/Sec Longitude Deg/Min/Sec
TRS:
APN:
W
Borehole Specifications
Depth from
Surface
Feet to Feet
Borehole Diameter (inches)
0 22 10.63
22 40 8.63
40 50 6
Attachments
e0366348.pdf - Other
Casings
Casing
#
Depth from Surface
Feet to Feet Casing Type Material Casings Specificatons
Wall
Thickness
(inches)
Outside
Diameter
(inches)
Screen
Type
Slot Size
if any
(inches)
Description
1 0 27 Blank Other N/A 0.188 6 steel
1 27 35 Screen Other N/A 0.188 6 Saw
Cut
3 steel
1 35 40 Blank Other N/A 0.188 6 steel
1 40 50 No Casing
Installed
Other N/A none
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 25 Cement Portland Cement/Neat Cement pumped seal
25 40 Other Fill See description.#8 Sand
40 50 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017