HomeMy WebLinkAbout040-040-028 EHWS17-0097 WELL LOGState of California
Well Completion Report
Form DWR 188 Auto-Completed 7/22/2019
WCR2019-006932
Owner's Well Number Date Work Began Davin Arvonen 09/03/2018 Date Work Ended 11/30/2018
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS17-0097 Permit Date 06/19/2017
Well Location
327 Entler AVE Address
Chico City 95928Zip ButteCounty
39 Latitude 41 55.0395
Deg.Min.Sec.
N -121Longitude 48 3.6889
Deg.Min.Sec.
W
Dec. Lat. 39.6986221 Dec. Long. -121.8010247
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
040-040-090APN
21 NTownship
02 ERange
06Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Lite
Depth from
Surface
Feet to Feet
Material Type Material Color Material Texture Material Description
0 8 Soil or Organic Brown Fill Top soil
8 15 Clayey Gravel Brown W/Cobbles
15 35 Clay Brown
35 45 Clayey Gravel Brown Fine To Medium volcanic gravels
45 75 Clayey Sand Brown Soft
75 110 Clayey Gravel Brown Gravely
110 140 Conglomerate Light Gray 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 Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 140
Cable Tool
Vertical
140 Total Depth of Completed Well
Drilling Fluid Water
Feet
Feet
Specify
Water Level and Yield of Completed Well
40Depth to first water
Depth to Static
40Water Level
30Estimated Yield*
1Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 11/06/2018
BailingTest Type
Total Drawdown 80 (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 KELLER DRILLING AND PUMP
Person, Firm or Corporation
2767 HEGAN LANE CHICO 95928CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
05/21/2019
Date Signed
1038857
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 30 12
30 140 8
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 0 128 Blank Low Carbon
Steel
Grade: ASTM A53 0.25 8.625
1 128 140 Blank Low Carbon
Steel
Grade: ASTM A53 0.25 8.625 Torched
Slots
0.125 Pervferations .125 x 6 3
per round
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 30 Bentonite High Solids Sanitary seal
30 140 Other Fill See description.no fill casing was driven in place
Page 2 of 2 Form DWR 188 rev. 12/19/2017