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HomeMy WebLinkAbout047-440-037 EHWL18-0012 Well logState of California Well Completion Report Form DWR 188 Complete 11/2/2018 WCR2018-007905 Owner's Well Number Date Work Began 08/17/2018 Date Work Ended 08/31/2018 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWL18-0012 Permit Date 07/24/2018 Well Location 13891 Garner LN Address Chico City 95927Zip ButteCounty Latitude Deg.Min.Sec. N Longitude Deg.Min.Sec. W Dec. Lat. 39.8078444963 Dec. Long. -121.894134209 Vertical Datum Horizontal Datum WGS84 Location Accuracy >50 FT Location Determination Method Derived from Address 047.440.037APN 23 NTownship 01 ERange 32Section Mount DiabloBaseline Meridian Ground Surface Elevation Elevation Accuracy Elevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 30 gravel 30 54 clay 54 68 gravel 68 120 clay 120 130 gravel 130 152 clay 152 158 gravel 158 165 clay 165 190 gravel 190 322 clay 322 333 gravel 333 340 fractured 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 340 Other - Reverse Rotary Vertical 340 Total Depth of Completed Well Drilling Fluid Bentonite Feet Feet Specify Water Level and Yield of Completed Well Depth to first water Depth to Static 37Water Level Estimated Yield* Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 08/31/2018 Test 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 SULLIVAN DRILLING INC Person, Firm or Corporation P O BOX 1227 ORLAND 95963CA Address City State Zip Signed electronic signature received C-57 Licensed Water Well Contractor 09/10/2018 Date Signed 656504 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 23N01E32MTRS: APN: W Borehole Specifications Depth from Surface Feet to Feet Borehole Diameter (inches) 0 340 26 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 0 140 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 1 140 200 Screen Low Carbon Steel Grade: ASTM A53 0.25 16 Milled Slots 0.08 1 200 320 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 1 320 340 Screen Low Carbon Steel Grade: ASTM A53 0.25 16 Milled Slots 0.08 Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 35 Cement 10.3 Sack Mix 35 340 Filter Pack 6 x 16 6 x 16 and 6 x 12 mix Page 2 of 2 Form DWR 188 rev. 12/19/2017