HomeMy WebLinkAbout079-250-028 EHWS23-0024 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 10/5/2023
WCR2023-009379
Owner's Well Number Date Work Began 2 04/29/2023 Date Work Ended 04/30/2023
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS23-0024 Permit Date 03/09/2023
Well Location
6379 Upper Palermo RD Address
Oroville City 95966Zip ButteCounty
39 Latitude 27 17.9193
Deg.Min.Sec.
N -121Longitude 31 56.3372
Deg.Min.Sec.
W
Dec. Lat. 39.4549776 Dec. Long. -121.5323159
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
079-250-028APN
19 NTownship
04 ERange
33Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Lite
Depth from
Surface
Feet to Feet
Material Type Material Color Material Texture Material Description
0 24 Clay Red
24 86 Rock Blue Soft
86 130 Rock Blue Dense
130 240 Rock White Fractured Quartz
240 396 Rock Blue Very Hard
396 444 Rock Blue Soft
444 445 Rock White Loose Quartz
445 500 Rock Blue Very Hard
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 500
Downhole Rotary
Hammer
Vertical
500 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
160Depth to first water
Depth to Static
45Water Level
5Estimated Yield*
2Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 04/30/2023
Air LiftTest Type
Total Drawdown 0 (feet)
Page 1 of 3 Form DWR 188 rev. 12/19/2017
Other Observations:
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 28 Blank PVC OD: 6.625 in. | SDR:
32.5 | Thickness:
0.204 in.
0.204 6.625 F-480
1 28 500 No Casing
Installed
Other N/A NONE
2 0 60 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 60 80 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 80 140 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 140 160 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 160 440 Blank PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 F-480
2 440 480 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Milled
Slots
0.032 F-480
2 480 500 Screen PVC OD: 4.500 in. | SDR:
32.5 | Thickness:
0.138 in.
0.138 4.5 Saw
Cut
4
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 27 Bentonite High Solids
27 500 Other Fill See description.NONE
Page 2 of 3 Form DWR 188 rev. 12/19/2017
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief
Name BIG'N & SON DRILLING INC
Person, Firm or Corporation
PO BOX 902 PALERMO 95968CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
08/27/2023
Date Signed
1100071
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 27 10.58
27 28 8.63
28 500 6
Page 3 of 3 Form DWR 188 rev. 12/19/2017