HomeMy WebLinkAbout061-550-020 EHWS20-0029 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 7/5/2020
WCR2020-005596
Owner's Well Number Date Work Began 20-1 04/28/2020 Date Work Ended 04/30/2020
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS20-0029 Permit Date 02/25/2020
Well Location
0 He-Le-Ve RD Address
Berry Creek City 95916Zip ButteCounty
39 Latitude 38 41.2619
Deg.Min.Sec.
N -121Longitude 27 5.6339
Deg.Min.Sec.
W
Dec. Lat. 39.644795 Dec. Long. -121.451565
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
061-550-020APN
21 NTownship
05 ERange
30Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 35 clay loam
35 90 weathered & decomposed granite
90 155 granite
155 160 fracture
160 375 granite
375 380 soft
380 390 granite
390 400 soft
400 419 granite
419 425 greenstone & quartz
425 427 fracture
427 460 greenstone
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 460
Other - Air
Vertical
460 Total Depth of Completed Well
Drilling Fluid None
Feet
Feet
Specify
Water Level and Yield of Completed Well
90Depth to first water
Depth to Static
35Water Level
10.5Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 04/30/2020
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
05/01/2020
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
25 115 8.63
115 460 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 95 Blank PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 F-480 Cl 125
1 95 115 Screen PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 Saw
Cut
3 F-480 Cl 125
1 115 460 No Casing
Installed
Other N/A none
2 0 140 Blank PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 F-480 Cl 160
2 140 160 Screen PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 Saw
Cut
3 F-480, Cl 160
2 160 240 Blank PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 F-480 Cl 160
2 240 260 Screen PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 Saw
Cut
3 F-480 Cl 160
2 260 340 Blank PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 F-480, Cl 160
2 340 360 Screen PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 Saw
Cut
3 F-480 Cl 160
2 360 440 Blank PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 F-480 Cl 160
2 440 460 Screen PVC OD: 4.500 in. |
Thickness: 0.337 in.
0.337 4.5 Saw
Cut
3 F-480 Cl 160
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 25 Bentonite High Solids
25 27 Cement 10.3 Sack Mix
27 460 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017