HomeMy WebLinkAbout047-440-038 EHWS19-0151 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 4/19/2020
WCR2020-002517
Owner's Well Number Date Work Began 11/08/2019 Date Work Ended 11/12/2019
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS19-0151 Permit Date 11/08/2019
Well Location
13899 Garner Address
Chico City 95973Zip ButteCounty
39 Latitude 48 28.5962
Deg.Min.Sec.
N -121Longitude 53 30.5134
Deg.Min.Sec.
W
Dec. Lat. 39.8079434 Dec. Long. -121.8918093
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
047-440-038APN
23 NTownship
01 ERange
32Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 8 Top Soil
8 11 Rock
11 24 Silty Clay
24 29 Sand
29 106 Clay & Layers of Sandstone
106 112 Gravel
112 131 Sandstone
131 135 Gravel
135 180 Sandstone
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 180
Other - Air Rotary
Vertical
180 Total Depth of Completed Well
Drilling Fluid Foam
Feet
Feet
Specify
Water Level and Yield of Completed Well
Depth to first water
Depth to Static
57Water Level
100Estimated Yield*
Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 11/12/2019
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 W.S. HEITMAN WELL DRILLING
Person, Firm or Corporation
623 BUCKINGHAM PLACE CHICO 95973CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
02/21/2020
Date Signed
386577
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 24 10
24 180 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 0 140 Blank Low Carbon
Steel
Grade: ASTM A53 0.156 6.725
2 140 180 Blank PVC N/A 0.5 4.5 Certa-Lok Liner
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 24 Bentonite Non Hydrated Bentonite
24 180 Other Fill See description.No Fill
Page 2 of 2 Form DWR 188 rev. 12/19/2017