Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: COOS 57784 View Log
Well Label: 80721
Start Card: 1049146
Original Report: COOS 53495 View Original Log
Owner Well Nbr: 1908
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 09/25/2020
Land Owner
Name: JESSE CULVER
Company: MT TERRACE LLC
Address: 1545 WHITMIRE AVE

MCKINLEYVILLE, CA 95519
Location
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Latitude/Longitude
Latitude: 43.24441737
Longitude: -124.22501083
Horiz. Error: 99.00 ft.
Location
County: COOS
TRSQQ: WM27.00S13.00W10NESE
Tax Map:
Tax Lot: 2300
Lot:
Block:
Subdivision:
Street of Well: 59779 RODERICK ROAD, COOS BAY
WM District: 15
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 09/24/2020
Completed Date: 09/25/2020
Drill Method: Rotary Air
Depth of Completed Well: 103.50
Est. Depth Drilled: 103.50
Special Standards:
Seal Placed Method: OTHER - PREVIOUSLY INSTALLED
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: ft to ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
Seal
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Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)From (ft)To (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1P6.00-1.0040.00.250ST ●  
2C6.00-1.0040.00.250ST ●  
3L4.503.25103.50Sdr 26PL ●  
Temporary Casing
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Perforations
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Screens
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Well Test
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Well Test
Temperature: 54 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 114.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 74.50
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 74.50
Post-Static Water Level Date: 09/25/2020
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
19/25/202074.50103.2574.5010.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.00103.50WELL PREVIOUSLY DRILLED AND PUMPING 
20.00103.50+/- 4GPM. REMOVED PUMP & FOUND HEAVY 
30.00103.50IRON & BACTERIA ON PUMP & PIPE. FLUSHED 
40.00103.504.5" LINER FROM TOP, AND JETTED PERFS 
50.00103.50WITH AIR & WATER. REMOVED 5' OF DEBRIS 
60.00103.50(IRON & ROCK CHIPS) & DEVELOPED TIL 
70.00103.50CLEAR. INSTALLED & PUMPED TIL CLEAR. 
80.00103.50ORIGINAL CASING & SEAL NOT ALTERED. 
90.00103.50ORIGINAL WELL LOGS (COOS 3208 & 53495) 
Well Constructor
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Bonded Driller Name: JAMES MACK SR
Bonded Driller Company: BANDON WELL & PUMP COMPANY
Bonded Driller Number: 1493
Bonded Date Signed: 09/28/2020
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
COOS 57784WELL REPORTDRILLERImage