HomeMy WebLinkAbout073-120-048 EHWS21-0057 WELL LOGState of California
Well Completion Report
Form DWR 188 Auto-Completed 12/20/2021
WCR2021-013464
Owner's Well Number Date Work Began 21-1 10/14/2021 Date Work Ended 10/15/2021
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS21-0057 Permit Date 03/25/2021
Well Location
0 Powell Ridge RD Address
Oroville City 95966Zip ButteCounty
39 Latitude 30 28.6556
Deg.Min.Sec.
N -121Longitude 21 30.0596
Deg.Min.Sec.
W
Dec. Lat. 39.5079599 Dec. Long. -121.3583499
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
073-120-048APN
19 NTownship
05 ERange
13Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 40 clay
40 80 fractured granite
80 150 granite
150 152 fracture
152 190 granite
190 194 soft/fractured
194 225 granite
225 230 granite, soft/fractured
230 270 granite
270 273 fracture
273 320 granite
Well Owner (must remain confidential pursuant to Water Code 13752)
XXXXXXXXXXXXXXXXXXXX Name
Mailing Address XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX City XXState XXXXXZip
Planned Use and Activity
Planned Use
Activity
Water Supply Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 320
Other - Air
Vertical
320 Total Depth of Completed Well
Drilling Fluid None
Feet
Feet
Specify
Water Level and Yield of Completed Well
150Depth to first water
Depth to Static
80Water Level
7.0Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 10/15/2021
Air LiftTest Type
Total Drawdown (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 PETERS DRILLING AND PUMP SERVICE
Person, Firm or Corporation
P O BOX 1546 GRASS VALLEY 95945CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
10/19/2021
Date Signed
456136
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 25 10.63
25 100 8.63
100 320 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 0 100 Blank PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 F-480 Cl125
1 100 320 No Casing
Installed
Other N/A none
2 0 100 Blank PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 F-480 Cl160
2 100 120 Screen PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 Saw
Cut
3 F-480 Cl160
2 120 200 Blank PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 F-480 Cl160
2 200 220 Screen PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 Saw
Cut
3 F-480 Cl160
2 220 300 Blank PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 F-480 Cl160
2 300 320 Screen PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 Saw
Cut
3 F-480 Cl160
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 23 Bentonite High Solids
23 25 Cement 10.3 Sack Mix
25 320 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017