POLK 53509

Well Information

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Identification
Type of Report:	Water Well
Type of Work:	NEW
Well Report:	POLK 53509 View Log Groundwater Site
Well Label:	110996
Start Card:	1020422
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use:	COMMUNITY
Complete Date:	10/17/2013

Land Owner
Name:
Company:	RICKREALL COMMUNITY WATER ASSOCIATION
Address:	PO BOX 44 RICKREALL, OR 97371

Location

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Latitude/Longitude
Latitude:	44.91682000
Longitude:	-123.15323000
Horiz. Error:	9.00 ft.

Location
County:	POLK
TRSQQ:	WM7.00S4.00W35NWSW
Tax Map:
Tax Lot:	901
Lot:
Block:
Subdivision:
Street of Well:	NEXT LOT SOUTH OF 1125 INDEPENDENCE HIGHWAY INDEPENDENCE, OR
WM District:	22
Surface Elev:
	Well Report Mapping Tool

Tax Lots

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Well Construction

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Construction
Start Date:	07/11/2013
Completed Date:	10/17/2013
Drill Method:	Cable
Depth of Completed Well:	68.00
Est. Depth Drilled:	68.00
Special Standards:
Seal Placed Method:
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

Row	Diameter (in)	From (ft)	To (ft)
1	16.00	0.00	30.00
2	12.00	30.00	68.00

Seal

Row	Material	From (ft)	To (ft)	Amount	Amount Calc.
1	Cement	0.00	30.00	21.00

Abandonment Log

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Casing/Liner

Row	Casing/Liner	Diameter (in)	From (ft)	To (ft)	Gauge	Material	Weld	Glue	Thread	Shoe Inside	Shoe Outside	Shoe Other	Shoe Location
1	C	10.00	-2.60	56.00	.250	ST	●
2	C	10.00	63.00	68.00	.250	ST	●

Temporary Casing

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Perforations

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Screens

Row	Type	Material	Caslling/Liner	Diameter (in)	Gauge	From (ft)	To (ft)	Screen Size	Slot Size	Nbr of Slots	Tele/Pipe size
1	JOHNSON	STAINLESS STEEL	C	10.00		56.00	63.00	0.800

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

Test Type	Yield (gpm)	Drawdown	Drill Stem/ Pump Depth	Duration (hr)	Calculated Specific Capacity (gpm/ft)
Pump	80.0	14.8	58	8.0	5.41

Analysis

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Static Water Level

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Static Water Level
Depth First Water:	42.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level:	41.40
Post-Static Water Level Date:	10/17/2013

Static Water Level

Row	Date	From(ft)	To(ft)	SWL	Est. Flow Rate	PSI
1	10/17/2013	42.00	63.00	41.40	80.0

Lithology

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Materal

Row	From	To	Material
1	0.00	4.00	TOP SOIL
2	4.00	15.00	MEDIUM BROWN SILTY CLAY
3	15.00	24.00	BROWN CLAY FIRM W/SOME SILT
4	24.00	35.00	BROWN CLAY FIRM
5	35.00	42.00	GRAY AND BROWN SILT W/FINE SAND
6	42.00	45.50	GRAY & BROWN SAND W/MEDIUM GRAVEL
7	45.50	46.00	FINE SANDY GRAY CLAY
8	46.00	52.00	GRAY AND BROWN SAND WITH MEDIUM GRAVEL
9	52.00	54.00	GRAY GRAVEL AND SAND W/SOME WOOD
10	54.00	56.00	LOOSE SAND AND GRAVEL BLACK
11	56.00	60.00	LOOSE SAND AND GRAVEL BROWN
12	60.00	63.00	LOOSE SAND AND GRAVEL GRAY AND BROWN
13	63.00	64.00	HARD BROWN CLAY
14	64.00	68.00	GRAY AND BLUE CLAYSTONE

Well Constructor

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Bonded Driller Name:	FLOYD G SIPPEL
Bonded Driller Company:	SIPPEL WELL DRILLING INC
Bonded Driller Number:	1273
Bonded Date Signed:	11/03/2013

Unbonded Name:	GUNN,JAMES
Unbonded Company:	CAPITOL WELL DRILLING INC.
Unbonded Number:	1629
Unbonded Date Signed:	10/28/2013
Other Name:
Other Affiliation:
Other License Nbr:

Geologist Engineer:
Geologist Date Signed:

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Documents

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Title	Document Type	Source	Download Image
POLK 53509	WELL REPORT	DRILLER	Image

Oregon Water Resources Department
Well Log Information System

Well Log: POLK 53509

Oregon Water Resources Department Well Log Information System

Well Log: POLK 53509

Oregon Water Resources Department
Well Log Information System