Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: COOS 57953 View Log
Well Label: 135073
Start Card: 1051311
Original Report: COOS 57717 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 12/20/2020
Land Owner
Name: DANIEL MAST
Company:
Address: 90984 HWY 42 S

COQUILLE, OR 97423
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: COOS
TRSQQ: WM26.00S12.00W17NWSW
Tax Map:
Tax Lot: 301
Lot:
Block:
Subdivision:
Street of Well: 61387 OLD WAGON RD
WM District: 15
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 12/20/2020
Completed Date: 12/20/2020
Drill Method:
Depth of Completed Well: 208.00
Est. Depth Drilled: 208.00
Special Standards:
Seal Placed Method: OTHER - POURED
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
RowDiameter (in)From (ft)To (ft)
110.000.0023.00
26.0023.00208.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0023.0013.00 
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
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Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water: 62.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 20.00
Post-Static Water Level Date: 12/20/2020
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
112/20/202062.0065.0020.001.0 
212/20/202083.0085.0020.001.0 
311/2/2020172.00175.0020.000.5 
Materal
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Well Constructor
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Bonded Driller Name: JACOB WRIGHT
Bonded Driller Company: WRIGHTS ARTESIAN
Bonded Driller Number: 1905
Bonded Date Signed: 09/14/2021
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
Comments
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Comments
pulled 6" casing out drilled out 10" seal hole to 23' reinstalled 6" casing and filled with 13 bags of bentonite chips and cleaned well out to 208'
Documents
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TitleDocument TypeSourceDownload Image
COOS 57953EXEMPT USE MAPDRILLERImage
COOS 57953WELL REPORTDRILLERImage