Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: YAMH 56516 View Log Groundwater Site
Well Label: 109569
Start Card: 1019663
Original Report:
Owner Well Nbr: 2786
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/06/2013
Land Owner
Name: DICK ERATH
Company:
Address: 19926 NE FAIRVIEW DR

DUNDEE, OR 97115
Location
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Latitude/Longitude
Latitude: 45.28449743
Longitude: -123.03999779
Horiz. Error: 100.00 ft.
Location
County: YAMH
TRSQQ: WM3.00S3.00W27SWNE
Tax Map:
Tax Lot: 1700
Lot:
Block:
Subdivision:
Street of Well: 19926 NE FAIRVIEW DR
WM District: 22
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 04/30/2013
Completed Date: 05/06/2013
Drill Method: Rotary Air
Depth of Completed Well: 301.00
Est. Depth Drilled: 301.00
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: 53 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: 224.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 147.00
Post-Static Water Level Date: 05/06/2013
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: DAVID PAYSINGER
Bonded Driller Company: BLUE WATER DRILLING CO INC
Bonded Driller Number: 1438
Bonded Date Signed:
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
YAMH 56516EXEMPT USE MAPDRILLERImage
YAMH 56516WELL REPORTDRILLERImage