Well Information
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Identification
Type of Report: Water Well
Type of Work: ABANDONMENT
Well Report: LINC 52761 View Log
Well Label:
Start Card: 1008655
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 11/04/2009
Land Owner
Name:
Company: SIUSLAW NATIONAL FOREST
Address: PO BOX 1148

CORVALLIS, OR 97339
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: LINC
TRSQQ: WM15.00S12.00W2SESE
Tax Map:
Tax Lot: 500
Lot:
Block:
Subdivision:
Street of Well: CAPE PERPETUA CAMPGROUND, HWY. 101, YACHATS, OR 97498
WM District: 1
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 11/03/2009
Completed Date: 11/04/2009
Drill Method: Rotary Air
Depth of Completed Well:
Est. Depth Drilled: 175.00
Special Standards:
Seal Placed Method:
Abandonment Start Date: 11/03/2009
Abandonment Completed Date: 11/04/2009
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
Abandonment Log
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Casing/Liner
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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:
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level:
Post-Static Water Level Date:
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: DOUG P SCHATTENKERK
Bonded Driller Company: SOUTHERN OREGON WATER WELLS
Bonded Driller Number: 1284
Bonded Date Signed: 12/14/2009
Unbonded Name: SCHATTENKERK,KERRY
Unbonded Company: SOUTHERN OREGON WATER WELLS
Unbonded Number: 1878
Unbonded Date Signed: 12/14/2009
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
PULLED 4" LINER OUT OF WELL. CUT CASING OFF 5FT. BELOW GROUND. PUMPED CEMENT FROM THE BOTTOM UP TO WITHIN 5 FT. OF SURFACE. BACKFILLED TOP 5FT. WITH NATIVE MATERIAL.
Documents
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TitleDocument TypeSourceDownload Image
LINC 52761WELL REPORTDRILLERImage