HomeMy WebLinkAbout061-080-122 EHWS20-0062 WELL LOGState of California
Well Completion Report
Form DWR 188 Complete 6/28/2020
WCR2020-005381
Owner's Well Number Date Work Began 20-1 04/22/2020 Date Work Ended 04/27/2020
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS20-0062 Permit Date 04/08/2020
Well Location
0 Bean Creek Address
Berry Creek City 95916Zip ButteCounty
39 Latitude 38 29.328
Deg.Min.Sec.
N -121Longitude 18 43.5599
Deg.Min.Sec.
W
Dec. Lat. 39.64148 Dec. Long. -121.3121
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
061-080-122APN
21 NTownship
06 ERange
33Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 2 top soil
2 28 clay & decomposed granite
28 55 decomposed granite
55 75 weathered granite
75 155 salt & pepper granite
155 157 fracture
157 290 salt & pepper granite
290 293 fracture
293 362 salt & pepper granite
362 364 fracture
364 590 salt & pepper granite
590 592 fracture
592 650 salt & pepper granite
650 653 fracture
653 820 salt & pepper granite
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 Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 820
Other - Air
Vertical
820 Total Depth of Completed Well
Drilling Fluid None
Feet
Feet
Specify
Water Level and Yield of Completed Well
55Depth to first water
Depth to Static
200Water Level
1Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 04/27/2020
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
04/28/2020
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 90 8.63
90 820 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 70 Blank PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 F-480 Cl 125
1 70 90 Screen PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 Saw
Cut
3 F-480 Cl 125
1 90 820 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
25 820 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017