HomeMy WebLinkAbout041-200-013 EHWS19-0198 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 8/30/2020
WCR2020-008077
Owner's Well Number Date Work Began 254 12/03/2019 Date Work Ended 12/19/2019
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS19-0198 Permit Date 11/21/2019
Well Location
Address
City Zip ButteCounty
39 Latitude 33 51.0602
Deg.Min.Sec.
N -121Longitude 38 25.7031
Deg.Min.Sec.
W
Dec. Lat. 39.5641834 Dec. Long. -121.6404731
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination Method
041-200-013APN
20 NTownship
03 ERange
28Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 2 Brown dirt and hard gray cobble
2 85 Tam sandstone width hard dark gray cobble
85 90 Yellow clay
90 120 Red clay
120 138 Soft Yellow clay (Cottage cheese like Grainy texture)
138 220 Blue clay turning to blue sandstone
220 242 Blue 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 Stock or Animal
Watering
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 242
Direct Rotary
Vertical
236 Total Depth of Completed Well
Drilling Fluid Bentonite
Feet
Feet
Specify
Water Level and Yield of Completed Well
195Depth to first water
Depth to Static
28Water Level
50Estimated Yield*
2.5Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 12/19/2019
Air LiftTest Type
Total Drawdown 208 (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 CHICO CONSTRUCTION INC
Person, Firm or Corporation
35 JESSICA WAY COHASSET 95973CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
06/28/2020
Date Signed
780265
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 5 11
5 242 9
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 0 156 Blank PVC OD: 4.950 in. | SDR:
17 | Thickness: 0.291
in.
0.291 4.95
1 156 236 Screen PVC OD: 4.950 in. | SDR:
17 | Thickness: 0.291
in.
0.291 4.95 Milled
Slots
0.032
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 50 Bentonite Non Hydrated Bentonite
50 237 Filter Pack 8 x 16
Page 2 of 2 Form DWR 188 rev. 12/19/2017