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HomeMy WebLinkAbout025-160-036 EHWS18-0009 Well LogState of California Well Completion Report Form DWR 188 Complete 11/14/2022 WCR2022-010962 Owner's Well Number Date Work Began 025-160-036 10/25/2015 Date Work Ended 11/10/2018 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWS18-0009 Permit Date 02/12/2018 Well Location 6317 POWER HOUSE HILL RD Address OROVILLE City 95965Zip ButteCounty 39 Latitude 24 55.1865 Deg.Min.Sec. N -121Longitude 35 52.3284 Deg.Min.Sec. W Dec. Lat. 39.4153296 Dec. Long. -121.597869 Vertical Datum NGVD29 Horizontal Datum WGS84 Location Accuracy 5 Ft Location Determination Method GPS 025-160-036APN 18 NTownship 03 ERange 14Section Mount DiabloBaseline Meridian 194Ground Surface Elevation 10 FtElevation Accuracy OtherElevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 10 TOP SOIL 10 18 CLAY 18 37 SAND, GRAVEL COBLES 37 56 CEMENTED SAND BLUE 56 71 HARD BLUE CLAY 71 77 CEMENTED SAND 77 86 HARD CLAY 86 108 CEMENTED SAND 108 115 CRUMBLY CLAY 115 128 CEMENTED SAND 128 137 CLAY 137 140 CEMENTED SAND 140 155 SAND, SOME CEMENTED 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 155 Cable Tool Vertical 155 Total Depth of Completed Well Drilling Fluid Water Feet Feet Specify Water Level and Yield of Completed Well 37Depth to first water Depth to Static 30Water Level 100Estimated Yield* 8Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 11/10/2018 PumpTest Type Total Drawdown 40 (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 DIAMOND WELL & PUMP INC Person, Firm or Corporation P O BOX 1222 GRIDLEY 95948CA Address City State Zip Signed electronic signature received C-57 Licensed Water Well Contractor 09/20/2022 Date Signed 1026795 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) 0 155 12 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 20 Blank Low Carbon Steel Grade: ASTM A53 0.25 12.75 STEEL CASING 2 20 40 Blank Low Carbon Steel Grade: ASTM A53 0.25 12.75 3 40 60 Blank Low Carbon Steel Grade: ASTM A53 0.25 12.75 4 60 80 Blank Low Carbon Steel Grade: ASTM A53 0.25 12.75 5 80 100 Blank Low Carbon Steel Grade: ASTM A53 0.25 12.75 5 100 155 No Casing Installed Other N/A OPEN HOLE Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 20 Cement Portland Cement/Neat Cement SANITARY SEAL 20 155 Other Fill See description.SAND, GRAVEL,CLAY Page 2 of 2 Form DWR 188 rev. 12/19/2017