Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: LANE 68341 View Log
Well Label: 94331
Start Card: 197901
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 03/25/2008
Land Owner
Name:
Company: SEA PERCH RV RESORT LLC
Address: 55 E JACKSON BLVD SUITE 500

CHICAGO, IL 60604
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: LANE
TRSQQ: WM15.00S12.00W27NWSE
Tax Map:
Tax Lot:
Lot:
Block:
Subdivision:
Street of Well: 85480 HWY 101 S, YACHATS
WM District: 2
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 03/12/2008
Completed Date: 03/25/2008
Drill Method: Rotary Air
Depth of Completed Well: 178.00
Est. Depth Drilled: 178.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement:
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
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Seal
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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
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Well Test
Temperature: 50 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 78.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 8.0
Post-Static Water Level Date: 03/25/2008
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: PAUL CHRISTENSEN
Bonded Driller Company: CHRISTENSEN WELL DRILLING CO
Bonded Driller Number: 636
Bonded Date Signed:
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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TypeComments
EF Owner name amended. ln