HomeMy WebLinkAboutwell log and disinfection statment (1)State of California
Well Completion Report
Form DWR 188 Submitted 8/27/2023
WCR2023-009380
Owner's Well Number Date Work Began 1 02/15/2023 Date Work Ended 02/17/2023
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS23-0013 Permit Date 01/24/2023
Well Location
0 Oregon Gulch RD Address
Oroville City 95965Zip ButteCounty
39 Latitude 33 40.8959
Deg.Min.Sec.
N -121Longitude 30 52.272
Deg.Min.Sec.
W
Dec. Lat. 39.56136 Dec. Long. -121.51452
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
041-290-004APN
20 NTownship
04 ERange
27Section
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 11 Clay Red
11 18 Clay Red Broken
18 98 Rock Blue Very Hard
98 99 Rock Blue Fractured
99 186 Rock Blue Very Hard
186 187 Rock White Quartz
187 250 Rock Blue Hard
250 265 Rock Blue Soft Sticky
265 380 Rock Blue Hard
Well Owner (must remain confidential pursuant to Water Code 13752)
Alexandra Hernandez Name
Mailing Address 1380 Lytle Rd
yuba City caState 95993Zip
Planned Use and Activity
Planned Use
Activity
Water Supply Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 380
Downhole Rotary
Hammer
Vertical
380 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
98Depth to first water
Depth to Static
60Water Level
0.75Estimated Yield*
2Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 02/17/2023
Air LiftTest Type
Total Drawdown 0 (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 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
08/27/2023
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 21 10.58
21 22 8.63
22 380 6
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 22 Blank PVC OD: 6.625 in. | SDR:
32.5 | Thickness:
0.204 in.
0.204 6.625 F-480
1 22 380 No Casing
Installed
Other N/A NONE
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 21 Bentonite High Solids
21 380 Other Fill See description.NONE
Page 2 of 2 Form DWR 188 rev. 12/19/2017