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HomeMy WebLinkAbout066-370-043 EHWS23-0052 WELL COMPLETION REPORTState of California Well Completion Report Form DWR 188 Submitted 9/7/2023 WCR2023-009819 Owner's Well Number Date Work Began 278 06/27/2023 Date Work Ended 08/08/2023 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWS23-0052 Permit Date 06/16/2023 Well Location 13647 Nimshew DR Address Magalia City 95954Zip ButteCounty 39 Latitude 48 34.4592 Deg.Min.Sec. N -121Longitude 37 43.068 Deg.Min.Sec. W Dec. Lat. 39.809572 Dec. Long. -121.62863 Vertical Datum Horizontal Datum WGS84 Location Accuracy 20 Ft Location Determination Method GPS 066-370-043APN 23 NTownship 03 ERange 34Section Mount DiabloBaseline Meridian 2161Ground Surface Elevation 10 FtElevation Accuracy GPSElevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 10 Red dirt with gray cobble 10 26 Soft, gray volcanic rock 26 30 Hard rock, black basalt 30 38 Gray basalt rock 38 42 Unconsolidated, hard gray gravel 42 122 Consolidated volcanic hard gravel in soft gray rock 122 128 Hard rock, dark gray 128 188 Consolidated cemented, gray gravel with bits of red 188 420 Loosely consolidated gray and red gravel 420 445 Unconsolidated loose gravel gray 445 456 Hard gray rock 456 490 Gravel composite red and gray 490 530 Semi consolidated, layered gravel gray 530 750 Greenish blue clay sandstone with gray green and white gravel Well Owner (must remain confidential pursuant to Water Code 13752) Troy Wilmes Name Mailing Address 13647 Nimshew Rd. Madalia City CAState 95954Zip Planned Use and Activity Planned Use Activity Destruction Drill and Destroy Borehole Information Drilling Method Orientation Total Depth of Boring 844 Downhole Hammer Vertical Total Depth of Completed Well Drilling Fluid Air 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 750 844 Black slate with a layer at 790 with flat slate gravel Destruction Details: Top of borehole excavated 4 feet Down, filled with sand to 44 feet below surface, remaining portion of top hole filled with 10 1/3 sack, cement grout, remaining excavated portion backfilled with native soil Other Observations: 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) 0 844 9 Page 2 of 2 Form DWR 188 rev. 12/19/2017