HomeMy WebLinkAbout063-250-030 EHWS21-0058 Well LogState of California
Well Completion Report
Form DWR 188 Complete 4/1/2022
WCR2022-001885
Owner's Well Number Date Work Began 266 06/15/2021 Date Work Ended 07/22/2021
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS21-0058 Permit Date 04/15/2021
Well Location
0 Doe Mill DR Address
Forest Ranch City 95942Zip ButteCounty
39 Latitude 50 13.7763
Deg.Min.Sec.
N -121Longitude 40 8.4035
Deg.Min.Sec.
W
Dec. Lat. 39.8371601 Dec. Long. -121.669001
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
063-250-030-000APN
23 NTownship
03 ERange
20Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 10 Red dirt
10 44 Red clay
44 60 Gray volcanic ash
60 145 Consolidated gray gravel
145 155 Light green rock
155 385 Gray volcanic rock
385 395 Hard gray volcanic rock
395 630 Soft volcanic mud flow with hard rocks embedded and with thin loose gravel layers
630 820 Easy drilling consolidated gray gravel
820 924 Blue sandstones turning to stand
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 924
Downhole Hammer
Vertical
908 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
410Depth to first water
Depth to Static
735Water Level
5Estimated Yield*
14Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 07/21/2021
PumpTest Type
Total Drawdown 110 (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 CHICO CONSTRUCTION INC
Person, Firm or Corporation
35 JESSICA WAY COHASSET 95973CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
02/08/2022
Date Signed
780265
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)
0 924 9
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 0 708 Blank PVC OD: 4.500 in. | SDR:
SCH 40 | Thickness:
0.237 in.
0.237 4.5
1 708 908 Blank PVC OD: 4.500 in. | SDR:
SCH 40 | Thickness:
0.237 in.
0.237 4.5 Milled
Slots
0.032
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 22 Cement 10.3 Sack Mix
22 909 Filter Pack 6 x 12
Page 2 of 2 Form DWR 188 rev. 12/19/2017