HomeMy WebLinkAboutWellReport Trillian LaneState of California
Well Completion Report
Form DWR 188 Submitted 8/2/2023
WCR2023-008539
Owner's Well Number Date Work Began 001 05/09/2023 Date Work Ended 05/10/2023
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS22-0074 Permit Date 06/15/2022
Well Location
13512 Trillium LN Address
Concow City 95965Zip ButteCounty
39 Latitude 47 32.816
Deg.Min.Sec.
N -121Longitude 30 42.8108
Deg.Min.Sec.
W
Dec. Lat. 39.7924489 Dec. Long. -121.5118919
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
APN 058-250-007
Township 22 N
Range 04 E
Section 03
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 2 Granite Light Brown Hard
2 40 Granite Light Brown Wet/Moist
40 52 Granite Light Brown Dense
52 53 Granite Rust Broken Fractured
53 160 Granite Gray & White Hard
160 176 Granite Gray & White Wet/Moist Soft
176 177 Granite Light Brown Broken Fractured
177 300 Granite Gray & White Hard
Well Owner (must remain confidential pursuant to Water Code 13752)
John Gorton Name
Mailing Address P.O. BOX 4184
Yankee Hill City CAState 95965Zip
Planned Use and Activity
Planned Use
Activity
Water Supply Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 300
Downhole Rotary
Hammer
Vertical
300 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
52Depth to first water
Depth to Static
40Water Level
30Estimated Yield*
2Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 05/10/2023
Air LiftTest Type
Total Drawdown 0 (feet)
Page 1 of 3 Form DWR 188 rev. 12/19/2017
Other Observations:
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 44 Blank PVC OD: 6.625 in. | SDR:
32.5 | Thickness:
0.204 in.
0.204 6.625 F-480
1 44 300 No Casing
Installed
Other N/A NONE
2 0 40 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 40 60 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 60 120 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 120 140 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 140 240 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 240 280 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 280 300 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Saw
Cut
4 F-480
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 27 Bentonite High Solids
0 300 Other Fill See description.NONE
Page 2 of 3 Form DWR 188 rev. 12/19/2017
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief
Name BIG'N & SON DRILLING INC
Person, Firm or Corporation
PO BOX 902 PALERMO 95968CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
08/02/2023
Date Signed
1100071
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 27 10.58
27 44 8.63
44 300 6
Page 3 of 3 Form DWR 188 rev. 12/19/2017