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HomeMy WebLinkAbout025-080-028 EHWL18-0017 Well LogState of California Well Completion Report Form DWR 188 Complete 12/17/2018 WCR2018-009925 Owner's Well Number Date Work Began Boeger South Ave 09/03/2018 Date Work Ended 10/26/2018 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWL18-0017 Permit Date 08/29/2018 Well Location 324 South Ave Address Biggs City 95948Zip ButteCounty 39 Latitude 23 32.9398 Deg.Min.Sec. N -121Longitude 40 16.7224 Deg.Min.Sec. W Dec. Lat. 39.3924833 Dec. Long. -121.6713118 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 025-080-028APN 18 NTownship 03 ERange 30Section Mount DiabloBaseline Meridian 97Ground Surface Elevation 10 FtElevation Accuracy Digital Aerial PhotoElevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 4 Topsoil 4 25 Clay 25 35 Sandy Clay 35 75 Gray Clay 75 114 Brown Clay 114 187 Hard Brown Clay 187 194 Sandy Gravel 194 207 Dark Sand / Pea Gravel 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 207 Cable Tool Vertical 118 Total Depth of Completed Well Drilling Fluid Water Feet Feet Specify Water Level and Yield of Completed Well 15Depth to first water Depth to Static 21Water Level 800Estimated Yield* 30Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 10/02/2018 PumpTest Type Total Drawdown 50 (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 DAVIS MACHINE SHOP INC Person, Firm or Corporation P O BOX 37 MERIDIAN 95957CA Address City State Zip Signed electronic signature received C-57 Licensed Water Well Contractor 11/02/2018 Date Signed 776953 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) 0 207 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 0 118 Blank Low Carbon Steel Grade: ASTM A36 0.25 14 Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 118 Cement Portland Cement/Neat Cement Page 2 of 2 Form DWR 188 rev. 12/19/2017