HomeMy WebLinkAbout027-140-010 EHWS23-0025 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 5/31/2023
WCR2023-004518
Owner's Well Number Date Work Began 23-1 04/04/2023 Date Work Ended 04/11/2023
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS23-0025 Permit Date 03/17/2023
Well Location
161 Butte Vista RD Address
Palermo City 95968Zip ButteCounty
39 Latitude 25 50.6315
Deg.Min.Sec.
N -121Longitude 28 59.8008
Deg.Min.Sec.
W
Dec. Lat. 39.430731 Dec. Long. -121.483278
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
027-140-010APN
18 NTownship
04 ERange
11Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 30 clay
30 70 decomposed granite
70 75 boulder
75 80 decomposed granite
80 155 weathered greenstone
155 720 greenstone with fractures
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 720
Other - Air
Vertical
720 Total Depth of Completed Well
Drilling Fluid None
Feet
Feet
Specify
Water Level and Yield of Completed Well
196Depth to first water
Depth to Static
50Water Level
5.0Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 04/11/2023
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
04/14/2023
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
25 220 8.63
220 720 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 80 Blank PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 F-480 Cl125
1 80 100 Screen PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 Saw
Cut
3 F-480 Cl125
1 100 200 Blank PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 F-480 Cl125
1 200 220 Screen PVC OD: 6.625 in. |
Thickness: 0.432 in.
0.432 6.625 Saw
Cut
3 F-480 Cl160
1 220 720 No Casing
Installed
Other N/A none
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 23 Bentonite High Solids
23 25 Cement 10.3 Sack Mix
25 720 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017