HomeMy WebLinkAbout066-370-043 EHWS21-0009 WELL COMPLETION REPORTState of California
Well Completion Report
Form DWR 188 Submitted 9/7/2023
WCR2023-009817
Owner's Well Number Date Work Began 280 06/26/2023 Date Work Ended 08/08/2023
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS21-0009 Permit Date 01/20/2023
Well Location
13647 Nimshew Rd. Address
Magalia City 95954Zip ButteCounty
39 Latitude 48 35.3987
Deg.Min.Sec.
N -121Longitude 37 46.0163
Deg.Min.Sec.
W
Dec. Lat. 39.809833 Dec. Long. -121.629449
Vertical Datum Horizontal Datum WGS84
Location Accuracy 20 Ft Location Determination
Method
GPS
066-370-043APN
23 NTownship
03 ERange
34Section
Mount DiabloBaseline Meridian
2148Ground Surface Elevation
30 FtElevation Accuracy
GPSElevation Determination Method
Destruction Details:
Top of borehole excavated 5 feet dow, pulled out and removed all existing casing, filled with sand to 51 feet hello surface, remaining portion of top hole filled
with 10 1/3 sack, cement grout meaning excavated portion backfilled with native soil
Other Observations:
Well Owner (must remain confidential pursuant to Water Code 13752)
Troy Wilmes Name
Mailing Address 13647 Nimshew Rd.
Magalia City CAState 95954Zip
Former Use
Former Use
Activity
Water Supply
Destroy
Borehole Information
Drilling Method
Orientation
Total Depth of Boring
Vertical
142 Total Depth of Completed Well
Drilling Fluid
Feet
Feet
Specify
Water Level and Yield of Completed Well
Depth to first water
Depth to Static
Water Level
Estimated Yield*
Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured
Test Type
Total Drawdown (feet)
Page 1 of 2 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 CHICO CONSTRUCTION INC
Person, Firm or Corporation
35 JESSICA WAY COHASSET 95973CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
09/07/2023
Date Signed
780265
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)
Page 2 of 2 Form DWR 188 rev. 12/19/2017