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HomeMy WebLinkAbout073-320-050 EHWS24-0014 WELL LOGState of California Well Completion Report Form DWR 188 Submitted 10/14/2024 WCR2024-009854 Owner's Well Number Date Work Began 1 05/15/2024 Date Work Ended 05/16/2024 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWS24-0014 Permit Date 05/06/2024 Well Location 0 Lower Forbestown RD Address Oroville City 95966Zip ButteCounty 39 Latitude 29 51.3599 Deg.Min.Sec. N -121Longitude 19 4.5839 Deg.Min.Sec. W Dec. Lat. 39.4976 Dec. Long. -121.31794 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 073-320-050APN 19 NTownship 06 ERange 20Section Mount DiabloBaseline Meridian 40Ground 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 12 Clay Red 12 32 Granite Black & White Broken w/gravel 32 40 Granite Black & White 40 120 Granite Black & White Broken w/gravel Well Owner (must remain confidential pursuant to Water Code 13752) Gabriel Manegussi Name Mailing Address 5500 58th Street Sacramento City CAState 95820Zip Planned Use and Activity Planned Use Activity Water Supply Domestic New Well Borehole Information Drilling Method Orientation Total Depth of Boring 120 Downhole Hammer Vertical 120 Total Depth of Completed Well Drilling Fluid Air Feet Feet Specify Water Level and Yield of Completed Well 40Depth to first water Depth to Static 10Water Level 10Estimated Yield* 2Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 05/15/2024 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 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 10/14/2024 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 36 10.58 36 120 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 36 Blank PVC OD: 6.625 in. | SDR: 32.5 | Thickness: 0.204 in. 0.204 6.625 F-480 2 0 40 Blank PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 F-480 2 40 100 Screen PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 Milled Slots 0.032 F-480 2 100 120 Screen PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 Saw Cut 4 F-480 Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 36 Bentonite High Solids 36 120 Other Fill See description.NONE Page 2 of 2 Form DWR 188 rev. 12/19/2017