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HomeMy WebLinkAbout072-190-003 EHWS23-0083 WELL LOGState of California Well Completion Report Form DWR 188 Submitted 4/23/2025 WCR2025-004215 Owner's Well Number Date Work Began 1 09/07/2023 Date Work Ended 09/08/2023 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWS23-0083 Permit Date 08/31/2023 Well Location 0 Forbestown RD Address Oroville City 95966Zip ButteCounty 39 Latitude 30 39.0599 Deg.Min.Sec. N -121Longitude 26 14.496 Deg.Min.Sec. W Dec. Lat. 39.51085 Dec. Long. -121.43736 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 072-190-003APN 19 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 3 Clay Red 3 18 Clayey Gravel Brown 18 86 Granite Brown 86 260 Granite Gray & White 260 340 Granite Gray Soft 340 418 Granite Gray & White 418 420 Granite Gray & White Fractured 420 442 Granite Gray & White 442 443 Granite Tan & Gray Fractured 443 460 Granite Gray & White Hard Well Owner (must remain confidential pursuant to Water Code 13752) Mai Nhia Yang Name Mailing Address 851 E. Gerard Ave Merced City CAState 95341Zip Planned Use and Activity Planned Use Activity Water Supply Domestic New Well Borehole Information Drilling Method Orientation Total Depth of Boring 460 Downhole Rotary Hammer Vertical 460 Total Depth of Completed Well Drilling Fluid Air Feet Feet Specify Water Level and Yield of Completed Well 360Depth to first water Depth to Static 360Water Level 30Estimated Yield* 2Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 09/08/2023 Air LiftTest Type Total Drawdown 0 (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 04/23/2025 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 25 460 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 25 Blank PVC OD: 6.625 in. | SDR: 32.5 | Thickness: 0.204 in. 0.204 6.625 F-480 2 0 360 Blank PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 F-480 2 360 380 Screen PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 Milled Slots 0.032 2 380 400 Blank PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 F-480 2 400 440 Screen PVC OD: 4.500 in. | SDR: 32.5 | Thickness: 0.138 in. 0.138 4.5 Milled Slots 0.032 F-480 2 440 460 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 25 460 Other Fill See description.NONE Page 2 of 2 Form DWR 188 rev. 12/19/2017