HomeMy WebLinkAbout009-340-168 EH-WP-25-000001 WELL LOGState of California
Well Completion Report
Form DWR 188 Submitted
WCR2025-012461
Owner's Well Number: Date Work Began: 09/20/2025 Date Work Ended: 09/24/2025
Local Permit Agency: Butte County Public Health County: Butte
Secondary Permit Agency: Permit Number: EH-WP-25-000001 Permit Date: 09/19/2025
Well Owner (must remain confidential pursuant to Water Code 13752)
Name: bryan olson
Business Name: ---
Address: 1884
City: Harbor Town Drive State: California Zip: 95993
Planned Use and Activity
Activity: New Production or Monitoring
Well
Planned Use: Water Supply
Water Supply: Domestic
Well Location
Address: AVE
City: Zip:
Latitude: 39 Deg. 22 Min. 19.272 Sec. N
Dec. Lat. : 39.37202
Vertical Datum:
Location Accuracy: 2.5 Ft
Longitude: -121 Deg. 42 Min. 51.156 Sec. W
Dec. Long. : -121.71421
Horizontal Datum:
Location Determination Method:
APN: 009-340-150
Township: 18N Range: 02E
Section: 35 BM: Mount Diablo
Ground Surface Elevation:
Elevation Accuracy:
Elevation Determination Method:
Borehole Information
Orientation: Vertical # of casings (Specify): 1
Drilling Method: Cable Tool Drilling Fluid: Water
Total Depth of Boring: 170 Feet
Total Depth of Completed Well: 80 Feet
Water Level and Yield of Completed Well
Depth to first water: (Feet below surface)
Depth to Static Water Level: (Feet)
Date Measured:
Estimated Yield*: (GPM) Test Type:
Test Length*: (Hours) Total Drawdown: (Feet)
*May not be representative of a well's long term yield.
Geologic Log - Free Form
Depth from Surface
(Feet to Feet) Description
0 4 top soil
4 8 brown clay
8 12 sand
12 90 brown clay
90 105 hard brown shale
DWR Form 188 rev 10/09/2025 Page 1 of 3
Depth from Surface
(Feet to Feet) Description
105 165 brown clay
165 170 brown sand
Casings
Casing
#
Depth from Surface
(Feet to Feet)
Casing
Type Material Casings
Specifications
Wall
Thickness
(inches)
Outside
Diameter
(inches)
Screen
Type
Slot Size if
any (inches) Description
1 0 80 Blank
Low
Carbon
Steel
Grade:
ASTM
A53
0.25 8.625
Annular Material
Depth from Surface
(Feet to Feet) Fill Fill Type Details Filter Pack Size Description
0 21 Cement Portland Cement/Neat Cement
Other Observations:
Borehole Specifications
Depth from Surface
(Feet to Feet)
Borehole Diameter
(inches)
0 170 8
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge
and belief.
Name: TERRELL BROTHERS DRILLING
Person, Firm or Corporation
1230 HOOPER RD
Address
YUBA CITY
City
California
State
95993
Zip
Signed: electronic signature received
C-57 Licensed Water Well Contractor
12/31/2025
Date Signed
1126086
License Number
DWR Use Only
CSG # State Well Number Site Code Local Well Number
---- ---- ---- N
Latitude Deg/Min/Sec
---- ---- ---- W
Longitude Deg/Min/Sec
APN: ----
Township: ----
Section: ----
SEQ: ----
Range: ----
Tract: ----
BM: ----
DWR Form 188 rev 10/09/2025 Page 2 of 3
Attachments
No Attachments
DWR Form 188 rev 10/09/2025 Page 3 of 3