HomeMy WebLinkAbout028-440-019 EHWS24-0002 WELL LOG 7.8.24State of California
Well Completion Report
Form DWR 188 Submitted 7/2/2024
WCR2024-005774
Owner's Well Number Date Work Began 2 04/17/2024 Date Work Ended 04/18/2024
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS24-0002 Permit Date 02/08/2024
Well Location
777 Avacado RD Address
Bangor City 95914Zip ButteCounty
39 Latitude 24 13.5359
Deg.Min.Sec.
N -121Longitude 25 8.832
Deg.Min.Sec.
W
Dec. Lat. 39.40376 Dec. Long. -121.41912
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
028-440-019APN
18 NTownship
05 ERange
21Section
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 60 Clayey Gravel Red
60 90 Serpentine Blue
90 105 Serpentine Brown
105 114 Serpentine Blue
114 119 Serpentine Brown
119 167 Serpentine Blue
167 168 Serpentine Blue Coarse
168 306 Serpentine Blue Hard
306 307 Serpentine Blue Fractured
307 400 Serpentine Blue Hard
Well Owner (must remain confidential pursuant to Water Code 13752)
Heather Nelson Name
Mailing Address 777 Avacado Road
Bangor City CAState 95914Zip
Planned Use and Activity
Planned Use
Activity
Water Supply Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 400
Downhole Rotary
Hammer
Vertical
400 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
90Depth to first water
Depth to Static
70Water Level
5Estimated Yield*
2Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 04/17/2024
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
07/02/2024
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 23 10.58
23 60 8.63
60 400 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 60 Blank PVC OD: 6.625 in. | SDR:
32.5 | Thickness:
0.204 in.
0.204 6.625 F-480
2 0 60 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 60 80 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 80 180 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 180 200 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 200 340 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 340 380 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 380 400 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 23 Bentonite High Solids
23 400 Other Fill See description.NONE
Page 2 of 2 Form DWR 188 rev. 12/19/2017