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HomeMy WebLinkAbout040-020-153 EHWL18-0021 WELL LOGState of California Well Completion Report Form DWR 188 Complete 4/17/2019 WCR2019-002794 Owner's Well Number Date Work Began 12/11/2018 Date Work Ended 01/21/2019 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWL18-0021 Permit Date 09/13/2018 Well Location 408 Marybill Ranch RD Address Chico City 95928Zip ButteCounty 39 Latitude 41 26.8008 Deg.Min.Sec. N -121Longitude 46 49.296 Deg.Min.Sec. W Dec. Lat. 39.690778 Dec. Long. -121.78036 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 040.020.153APN 21 NTownship 02 ERange 08Section Mount DiabloBaseline Meridian Ground Surface Elevation Elevation Accuracy Elevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 8 clay 8 27 volcanics 27 37 clay 37 40 hard volcanics 40 57 sand 57 60 hard volcanics 60 97 volcanic sand 97 128 hard 128 154 volcanic sand layers, hard 154 158 clay 158 172 volcanic 172 176 clay 176 187 volcanic 187 195 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 400 Other - Reverse Rotary Vertical 400 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 80Water Level Estimated Yield* Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 01/21/2019 Test Type Total Drawdown (feet) Page 1 of 2 Form DWR 188 rev. 12/19/2017 195 400 volcanic 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 02/28/2019 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 TRS: APN: W Borehole Specifications Depth from Surface Feet to Feet Borehole Diameter (inches) 0 400 25 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 0 200 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 1 200 300 Screen Low Carbon Steel Grade: ASTM A53 0.25 16 Milled Slots 0.08 1 300 320 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 1 320 400 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 30 Cement 10.3 Sack Mix 30 400 Filter Pack 6 x 16 Page 2 of 2 Form DWR 188 rev. 12/19/2017