HomeMy WebLinkAbout063-200-013 EHWS23-0012 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 11/5/2023
WCR2023-009815
Owner's Well Number Date Work Began 276 04/03/2023 Date Work Ended 05/31/2023
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS23-0012 Permit Date 01/08/2023
Well Location
15756 Fitzgerald CT Address
Forrest Ranch City 95942Zip ButteCounty
39 Latitude 52 58.4976
Deg.Min.Sec.
N -121Longitude 40 1.3439
Deg.Min.Sec.
W
Dec. Lat. 39.882916 Dec. Long. -121.66704
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
063-200-013-000APN
23 NTownship
03 ERange
05Section
Mount DiabloBaseline Meridian
2591Ground Surface Elevation
30 FtElevation Accuracy
GPSElevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 10 Red dirt soil with Cobble
10 34 Red clay dirt with Cobble
34 295 Gray volcanic mudflow rock
295 505 Hard gray rock
505 520 Hard, gray volcanic rock
520 615 Consolidated gravel rock
615 617 Hard, gray volcanic rock
617 635 Gray consolidated gravel
635 640 Hard gray sandstone
640 705 Gray consolidated rock
705 720 Laird, unconsolidated, gravel, gray with bits of red and white
720 804 Consolidated gravel with loose pockets, gray with bits of red, white and green
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 804
Downhole Hammer
Vertical
798 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
705Depth to first water
Depth to Static
630Water Level
50Estimated Yield*
3Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 04/26/2023
Air LiftTest Type
Total Drawdown 168 (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
09/07/2023
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 4 10.625
4 804 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 4 Blank PVC OD: 5.563 in. | SDR:
17 | Thickness: 0.327
in.
0.327 5.563
1 4 638 Blank PVC OD: 4.950 in. | SDR:
17 | Thickness: 0.291
in.
0.291 4.95
1 638 658 Screen PVC OD: 4.950 in. | SDR:
17 | Thickness: 0.291
in.
0.291 4.95 Milled
Slots
0.032
1 658 698 Blank PVC OD: 4.950 in. | SDR:
17 | Thickness: 0.291
in.
0.291 4.95
1 698 798 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 48 Cement 10.3 Sack Mix
0 605 Filter Pack 0.250 x 10
0 800 Filter Pack 6 x 12
Page 2 of 2 Form DWR 188 rev. 12/19/2017