HomeMy WebLinkAbout056-020-124 EHWS19-0082 WELL LOGState of California
Well Completion Report
Form DWR 188 Auto-Completed 9/16/2019
WCR2019-009680
Owner's Well Number Date Work Began 19-1 06/19/2019 Date Work Ended 06/21/2019
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS19-0082 Permit Date 05/13/2019
Well Location
0 Cohasset RD Address
Chico City 95973Zip ButteCounty
39 Latitude 51 32.8319
Deg.Min.Sec.
N -121Longitude 46 55.776
Deg.Min.Sec.
W
Dec. Lat. 39.85912 Dec. Long. -121.78216
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
056-020-124APN
23 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 1 top soil
1 3 boulder
3 35 clay & volcanics
35 135 volcanics with gravel lenses
135 140 sand & gravel
140 262 volcanics with gravel lenses
262 265 aluvials
265 640 volcanics with gravel lenses
640 690 hardsand
690 720 volcanics
720 765 soft sand
765 770 gravel aluvials
770 800 volcanics
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
Specify Exploratory
Other
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 800
Other - Air
Vertical
800 Total Depth of Completed Well
Drilling Fluid None
Feet
Feet
Specify
Water Level and Yield of Completed Well
262Depth to first water
Depth to Static
0Water Level
0Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 06/21/2019
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
07/16/2019
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 23 10.63
23 190 8.63
190 800 6
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 0 170 Blank PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 F-480 Cl 125
1 170 190 Screen PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 Saw
Cut
3 F-480 Cl 125
1 190 800 No Casing
Installed
Other N/A none
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 22 Bentonite High Solids
22 25 Cement 10.3 Sack Mix
25 800 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017