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HomeMy WebLinkAbout071-080-024 EHWS23-0137 WELL LOGState of California Well Completion Report Form DWR 188 Submitted 10/14/2024 WCR2024-009853 Owner's Well Number Date Work Began 1 05/29/2024 Date Work Ended 05/30/2024 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWS23-0137 Permit Date 05/17/2024 Well Location 0 Canyon Creek RD Address Berry Creek City 95916Zip ButteCounty 39 Latitude 35 38.22 Deg.Min.Sec. N -121Longitude 26 21.0839 Deg.Min.Sec. W Dec. Lat. 39.59395 Dec. Long. -121.43919 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 071-260-012APN 20 NTownship 05 ERange 17Section 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 38 Clay Red 38 79 Serpentine Blue Firm 79 80 Serpentine Rust Fractured 80 240 Serpentine Blue Hard 240 300 Serpentine Blue Soft 300 330 Serpentine Blue Hard 330 332 Rock White Coarse 332 360 Serpentine Blue Hard Well Owner (must remain confidential pursuant to Water Code 13752) Jamel Jasper Name Mailing Address 290 Clara Street Unit 1 San Francisco City CAState 94107Zip Planned Use and Activity Planned Use Activity Water Supply Domestic New Well Borehole Information Drilling Method Orientation Total Depth of Boring 360 Downhole Hammer Vertical 360 Total Depth of Completed Well Drilling Fluid Air Feet Feet Specify Water Level and Yield of Completed Well 80Depth to first water Depth to Static 80Water Level 30Estimated Yield* 2Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 05/30/2024 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 25 10.58 25 40 8.63 40 360 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 40 Blank PVC OD: 6.625 in. | SDR: 32.5 | Thickness: 0.204 in. 0.204 6.625 F-480 2 0 80 Blank PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 F-480 2 80 100 Screen PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 Milled Slots 0.032 F-480 2 100 160 Blank PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 F-480 2 160 180 Screen PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 Milled Slots 0.032 F-480 2 180 300 Blank PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 F-480 2 300 340 Screen PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 Milled Slots 0.032 F-480 2 340 360 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 25 Bentonite High Solids 0 360 Other Fill See description.NONE Page 2 of 2 Form DWR 188 rev. 12/19/2017