HomeMy WebLinkAbout041-290-042 EHWS20-0137 Well LogState of California
Well Completion Report
Form DWR 188 Complete 10/18/2020
WCR2020-010959
Owner's Well Number Date Work Began 1 07/12/2020 Date Work Ended 07/15/2020
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS20-0137 Permit Date 07/08/2020
Well Location
0 OREGON GOULCH RD Address
OROVILLE City 95965Zip ButteCounty
39 Latitude 33 30.7369
Deg.Min.Sec.
N -121Longitude 31 14.7569
Deg.Min.Sec.
W
Dec. Lat. 39.55853804 Dec. Long. -121.52076581
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
041-290-042-000APN
20 NTownship
04 ERange
27Section
Mount DiabloBaseline Meridian
957Ground Surface Elevation
10 FtElevation Accuracy
GPSElevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 28 TOP SOIL WITH CLAYSTONE W/ GRANITE BOULDERS
28 135 GRANITE
135 190 GRANITE W/ BASALT STRINGERS WATER BEARING
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
135Depth to first water
Depth to Static
122Water Level
15Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 07/15/2020
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
DRILLERS REPORT.docx - Other
PERMIT.pdf - Permit
PLOT PLAN 1.jpg - Location Map
DIR..pdf - Location Map
VICTOR DISINFECTION.pdf - 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 21 Bentonite Non Hydrated Bentonite 3/8 BETONITE CHIPS ADDED WATER WHILE DUMPING
CHIPS
21 190 Filter Pack Other Gravel Pack #6 SILICA GRAVEL 2 YRDS #6 SILICA GRAVEL
Page 2 of 2 Form DWR 188 rev. 12/19/2017