HomeMy WebLinkAbout007-200-056 EHWS23-0039 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 8/24/2023
WCR2023-007179
Owner's Well Number Date Work Began 06/14/2023 Date Work Ended 06/16/2023
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS23-0039 Permit Date 05/25/2023
Well Location
Address
City Zip ButteCounty
39 Latitude 46 6.6
Deg.Min.Sec.
N -121Longitude 51 24.8399
Deg.Min.Sec.
W
Dec. Lat. 39.7685 Dec. Long. -121.8569
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
007-200-056APN
22 NTownship
01 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 6 clay
6 10 gravel
10 16 clay
16 19 gravel
19 32 clay
32 36 gravel
36 57 clay
57 64 gravel
64 69 clay
69 72 gravel
72 75 clay
75 78 gravel
78 95 clay
95 128 fractured clay
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
Direct Rotary
Vertical
200 Total Depth of Completed Well
Drilling Fluid Bentonite
Feet
Feet
Specify
Water Level and Yield of Completed Well
Depth to first water
Depth to Static
59Water Level
200Estimated Yield*
Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 06/16/2023
Test Type
Total Drawdown (feet)
Page 1 of 2 Form DWR 188 rev. 12/19/2017
128 131 gravel
131 139 clay
139 149 gravel
149 154 clay
154 165 gravel
165 167 clay
167 194 gravel
194 200 clay
Other Observations:
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief
Name SULLIVAN DRILLING INC
Person, Firm or Corporation
P O BOX 1227 ORLAND 95963CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
06/26/2023
Date Signed
656504
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)
0 200 11
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 0 180 Blank PVC OD: 5.563 in. | SDR:
17 | Thickness: 0.327
in.
0.327 5.563
1 180 200 Screen PVC OD: 5.563 in. | SDR:
17 | Thickness: 0.327
in.
0.327 5.563 Milled
Slots
0.032
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 80 Cement Portland Cement/Neat Cement
80 200 Filter Pack 6 x 16
Page 2 of 2 Form DWR 188 rev. 12/19/2017