HomeMy WebLinkAbout038-080-007 EHWS19-0147 WELL LOGState of California
Well Completion Report
Form DWR 188 Complete 12/10/2019
WCR2019-014487
Owner's Well Number Date Work Began 09/23/2019 Date Work Ended 09/30/2019
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS19-0147 Permit Date 09/23/2019
Well Location
2856 house Address
Durham City 95938Zip ButteCounty
39 Latitude 37 30.5994
Deg.Min.Sec.
N -121Longitude 49 18.9523
Deg.Min.Sec.
W
Dec. Lat. 39.6251665 Dec. Long. -121.8219312
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
038-080-007APN
21 NTownship
01 ERange
36Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 145 all ready drilled
145 183 brown clay
183 190 course black sand
190 208 brown clay
208 230 fine sand and small gravel
230 284 brown clay
284 313 medium sand and gravel
313 347 brown clay
347 353 sand and gravel
353 377 brown clay with gravel
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
Deepen
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 377
Cable Tool
Vertical
377 Total Depth of Completed Well
Drilling Fluid Water
Feet
Feet
Specify
Water Level and Yield of Completed Well
Depth to first water
Depth to Static
40Water Level
700Estimated Yield*
Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 09/30/2019
Test 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 BLAINE'S WELL DRILLING, Blaine Willliams
Person, Firm or Corporation
5205 La Porte Rd Marysville 95901CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
10/14/2019
Date Signed
1018188
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)
0 145 12
145 377 10
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 0 170 Blank Low Carbon
Steel
Grade: ASTM A53 0.188 10.375
1 170 377 No Casing
Installed
Other N/A open hole
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 377 Other Fill See description.no fill. existing well
Page 2 of 2 Form DWR 188 rev. 12/19/2017