Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 62600 View Log Groundwater Site
Well Label: 122277
Start Card: 1030413
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/07/2016
Land Owner
Name: MARK DEGGNER
Company:
Address: 950 TOWN CENTER DR

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.53655000
Longitude: -122.77138000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM35.00S1.00W12
Tax Map:
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: 2000 BUTTE FALLS HWY, EAGLE POINT OR 97524
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/06/2016
Completed Date: 05/07/2016
Drill Method: Rotary Air
Depth of Completed Well: 280.00
Est. Depth Drilled: 280.00
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)
110.000.0020.00
26.0020.00280.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0019.00750.00700.00
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 158.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 80.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 25.00
Post-Static Water Level Date: 05/06/2016
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/6/201680.0085.0025.005.0 
25/6/2016265.00270.0025.0040.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0016.00CLAY 
216.00280.00CLAYSTONE 
Well Constructor
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Bonded Driller Name: BRAD MILKOWSKI
Bonded Driller Company: GRIBBLE WELL DRILLING
Bonded Driller Number: 1661
Bonded Date Signed: 06/02/2016
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
JACK 62600EXEMPT USE MAPDRILLERImage
JACK 62600WELL REPORTDRILLERImage