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HomeMy WebLinkAbout039-250-069 EHWL15-0081 Well LogState of California Well Completion Report Form DWR 188 Complete 11/22/2019 WCR2019-013610 Owner's Well Number Date Work Began 03/25/2019 Date Work Ended 08/05/2019 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number ehwl15-0081 Permit Date 01/30/2019 Well Location 8999 Holland AVE Address Durham City 95938Zip ButteCounty 39 Latitude 37 53.2992 Deg.Min.Sec. N -121Longitude 48 25.1279 Deg.Min.Sec. W Dec. Lat. 39.631472 Dec. Long. -121.806980 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 039-250-069-000APN 21 NTownship 01 ERange 36Section Mount DiabloBaseline Meridian Ground Surface Elevation Elevation Accuracy Elevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 40 brown clay 40 50 gravel 50 120 sandy brown clay 120 145 brown clay 145 165 black sand & gravel 165 190 sandy brown clay 190 220 brown clay 220 230 black sand 230 265 sandy brown clay 265 300 brown clay 300 340 sandy brown clay 340 360 black sand 360 380 gravel 380 420 cemented sand and gravel 420 445 sandy brown clay Well Owner (must remain confidential pursuant to Water Code 13752) XXXXXXXXXXXXXXXXXXXX Name Mailing Address XXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX City XXState XXXXXZip Planned Use and Activity Planned Use Activity Water Supply Irrigation - Agriculture New Well Borehole Information Drilling Method Orientation Total Depth of Boring 505 Cable Tool Vertical 435 Total Depth of Completed Well Drilling Fluid Water Feet Feet Specify Water Level and Yield of Completed Well 40Depth to first water Depth to Static 40Water Level Estimated Yield* Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 08/05/2019 Test Type Total Drawdown (feet) Page 1 of 2 Form DWR 188 rev. 12/19/2017 445 460 fine black sand 460 505 sandy brown clay Other Observations: Certification Statement I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief Name BLAINE'S WELL DRILLING, Blaine Willliams Person, Firm or Corporation 5205 La Porte Rd Marysville 95901CA Address City State Zip Signed electronic signature received C-57 Licensed Water Well Contractor 09/26/2019 Date Signed 1018188 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 22 22 380 15 380 505 14 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 0 175 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 2 175 195 Screen Low Carbon Steel Grade: ASTM A53 0.25 16 Torched Slots 4 3 195 200 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 3 200 505 No Casing Installed Other N/A 0 15 open hole Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 22 Bentonite Non Hydrated Bentonite 22 505 Other Fill See description.no fill Page 2 of 2 Form DWR 188 rev. 12/19/2017