HomeMy WebLinkAbout027-280-033 EHWS18-0113 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 2/1/2019
WCR2018-011180
Owner's Well Number Date Work Began 18-1 12/07/2018 Date Work Ended 12/07/2018
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS18-0113 Permit Date 11/28/2018
Well Location
0 Mamie AVE Address
Oroville City 95966Zip ButteCounty
39 Latitude 24 38.7576
Deg.Min.Sec.
N -121Longitude 30 17.2764
Deg.Min.Sec.
W
Dec. Lat. 39.410766 Dec. Long. -121.504799
Vertical Datum Horizontal Datum WGS84
Location Accuracy >50 Ft Location Determination Method Other
027-280-033APN
18 NTownship
04 ERange
15Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 2 top soil
2 15 decomposed granite & clay mix
15 20 blue granite
20 23 fracture
23 125 blue granite
125 128 fracture
128 195 greenstone
195 200 fracture
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 200
Other - Air
Vertical
200 Total Depth of Completed Well
Drilling Fluid None
Feet
Feet
Specify
Water Level and Yield of Completed Well
75Depth to first water
Depth to Static
73Water Level
20.0Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 12/07/2018
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
12/10/2018
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 23 10.63
23 40 8.63
40 200 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 40 Blank PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 F-480, Cl125
1 40 200 No Casing
Installed
Other N/A none
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 22 Bentonite High Solids
22 25 Cement 10.3 Sack Mix
25 200 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017