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HomeMy WebLinkAbout041-360-049 EHWS19-0208 WELL LOGState of California Well Completion Report Form DWR 188 Complete 10/18/2020 WCR2020-010976 Owner's Well Number Date Work Began 1 07/13/2020 Date Work Ended 07/16/2020 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWS19-0208 Permit Date 12/23/2019 Well Location 0 CONDOR RD Address OROVILLE City 95965Zip ButteCounty 39 Latitude 37 23.192 Deg.Min.Sec. N -121Longitude 30 50.9245 Deg.Min.Sec. W Dec. Lat. 39.6231089 Dec. Long. -121.5141457 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 041-360-049-000APN 20 NTownship 04 ERange 03Section Mount DiabloBaseline Meridian 1541Ground Surface Elevation 10 FtElevation Accuracy GPSElevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 42 TOP SOIL CLAYSTONE W/ GRANITE BOULDERS 42 105 GRANITE 105 190 GRANITE W/ BASALT WATER BEARING STRINGERS 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 190 Downhole Rotary Hammer Vertical 190 Total Depth of Completed Well Drilling Fluid Air Feet Feet Specify Water Level and Yield of Completed Well 105Depth to first water Depth to Static 85Water Level 18Estimated Yield* 4Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 07/16/2020 Air LiftTest Type Total Drawdown 0 (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 VICS WELL DRILLING INC Person, Firm or Corporation 3807 SIERRA HWY UNIT #6 ACTON 93510CA Address City State Zip Signed electronic signature received C-57 Licensed Water Well Contractor 08/19/2020 Date Signed 886439 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) 0 190 8.75 Attachments XAINER VANG PLOT PLAN#1.jpg - Location Map ACRE VALUE XAINER WELL .pdf - Location Map DIR..pdf - Location Map DRILLERS REPORT.docx - Other PERMIT RECIEPT XAINER VANG.pdf - Permit PERMIT APP..pdf - Permit DRILLERS REPORT.docx - Other 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 0 120 Blank PVC OD: 4.500 in. | Thickness: 0.337 in. 0.337 4.5 1 120 180 Screen PVC OD: 4.500 in. | Thickness: 0.337 in. 0.337 4.5 Milled Slots 32 .032 SLOT 1 180 190 Blank PVC OD: 4.500 in. | Thickness: 0.337 in. 0.337 4.5 BLANK W/ 4 INCH CAP Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 22 Bentonite Non Hydrated Bentonite 3/8 BETONITE CHIPS ADDED WATER WHILE DUMPING CHIPS 22 190 Filter Pack Other Gravel Pack #6 SILICA GRAVEL 2 YRDS #6 SILICA GRAVEL Page 2 of 2 Form DWR 188 rev. 12/19/2017