Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JOSE 59218 View Log
Well Label: 113214
Start Card: 1020958
Original Report:
Owner Well Nbr: 2
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 09/03/2013
Land Owner
Name:
Company: COTTAGES BY THE ROGUE LLC
Address: 5544 AZALEA DR

GRANTS PASS, OR 97526
Location
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Latitude/Longitude
Latitude: 42.42180000
Longitude: -123.25237000
Horiz. Error: 36.00 ft.
Location
County: JOSE
TRSQQ: WM36.00S5.00W23SESE
Tax Map:
Tax Lot: 1900
Lot:
Block:
Subdivision:
Street of Well: 4600 ROGUE RIVER HWY GRANTS PASS, OR 97526
WM District: 14
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 09/03/2013
Completed Date: 09/03/2013
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
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
RowDiameter (in)From (ft)To (ft)
110.000.0050.00
26.0050.00240.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0050.0028.00 
Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside
Shoe
Outside
Shoe
Other
Shoe
Location
1Casing6.00 2.00 58.00 .250 Steel 58.00
2Liner4.00 0.00 240.00 sch 40 Plastic 58.00
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 54 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: 105.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 22.00
Post-Static Water Level Date: 09/03/2013
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
19/3/2013105.00113.0022.004.0 
29/3/2013177.00179.0022.006.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0044.00TIGHT BROWN CLAY & SMALL GRAVEL 
244.0097.00GREY/GREEN SERPENTINE HARD 
397.00105.00BROWN/GREEN/GREY SERPENTINE MED HARD 
4105.00240.00GREEN/GREY SERPENTINE 
Well Constructor
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Bonded Driller Name: KEVIN D GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 11/12/2013
Unbonded Name: LEWIS,RYAN
Unbonded Company:
Unbonded Number: 1955
Unbonded Date Signed: 11/12/2013
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
JOSE 59218EXEMPT USE MAPDRILLERImage
JOSE 59218WELL REPORTDRILLERImage