HomeMy WebLinkAbout047-710-023 EHWL22-0004 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 11/4/2022
WCR2022-010529
Owner's Well Number Date Work Began HICKS LANE 06/28/2022 Date Work Ended 07/21/2022
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWL22-0004 Permit Date 02/17/2022
Well Location
3965 HICKS LN Address
CHICO City 95973Zip ButteCounty
39 Latitude 47 59.9236
Deg.Min.Sec.
N -121Longitude 52 30.9165
Deg.Min.Sec.
W
Dec. Lat. 39.7999788 Dec. Long. -121.8752546
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
047-710-023APN
23 NTownship
01 ERange
33Section
Mount DiabloBaseline Meridian
216Ground Surface Elevation
UnknownElevation Accuracy
GPSElevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 10 TOP SOIL
10 40 GRAVEL
40 240 CLAY
240 260 GRAVEL
260 300 CLAY
300 310 GRAVEL
310 370 CLAY
370 400 HARD SAND & CLAY
400 490 CLAY / GRAVEL
490 620 GRAVEL
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 Irrigation -
Agriculture
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 620
Reverse Circulation
Vertical
610 Total Depth of Completed Well
Drilling Fluid Bentonite
Feet
Feet
Specify
Water Level and Yield of Completed Well
Depth to first water
Depth to Static
Water Level
2000Estimated 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
Other Observations:
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief
Name WELL INDUSTRIES INC
Person, Firm or Corporation
3282 HIGHWAY 32 CHICO 95973CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
09/09/2022
Date Signed
812678
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)
0 620 26
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 0 400 Blank Low Carbon
Steel
Grade: ASTM A53 0.312 16
1 400 600 Screen Low Carbon
Steel
Grade: ASTM A53 0.312 16 Milled
Slots
0.06
1 600 610 Blank Low Carbon
Steel
Grade: ASTM A53 0.312 16
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 50 Cement 10.3 Sack Mix ANNULAR CEMENT SEAL
50 380 Filter Pack Other Gravel Pack 4 X 12 WELL PACK
380 620 Filter Pack 8 x 12 #8 GRAVEL PACK
Page 2 of 2 Form DWR 188 rev. 12/19/2017