HomeMy WebLinkAbout027-180-042 EHWS20-0015 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 1/22/2021
WCR2020-016399
Owner's Well Number Date Work Began 2 03/10/2020 Date Work Ended 04/01/2020
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS20-0015 Permit Date 02/07/2020
Well Location
0 Crestmont DR Address
Oroville City 95966Zip ButteCounty
39 Latitude 24 5.7873
Deg.Min.Sec.
N -121Longitude 29 26.7061
Deg.Min.Sec.
W
Dec. Lat. 39.4016076 Dec. Long. -121.4907517
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
027-180-042APN
18 NTownship
04 ERange
23Section
Mount DiabloBaseline Meridian
375Ground Surface Elevation
75 FtElevation Accuracy
UnknownElevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 8 Red Brown dirt.
8 400 Blue Gray Granitic rock.
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 400
Downhole Rotary
Hammer
Vertical
400 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
60Depth to first water
Depth to Static
50Water Level
6Estimated Yield*
2Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 03/27/2020
Air LiftTest Type
Total Drawdown 150 (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 WESTERVELT WELL DRILLING
Person, Firm or Corporation
26 BREEZE HOLLOW LANE OROVILLE 95966CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
11/27/2020
Date Signed
570082
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 12.75
24 400 6.5
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 24 Blank PVC OD: 8.625 in. | SDR:
26 | Thickness: 0.332
in.
0.332 8.625 0 pvc
2 24 400 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Saw
Cut
0.064 Pump Protector
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 24 Cement Portland Cement/Neat Cement na neat cement
24 400 Other Fill See description.n/a none
Page 2 of 2 Form DWR 188 rev. 12/19/2017