Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 62649 View Log Groundwater Site
Well Label: 116379
Start Card: 212390
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 07/12/2016
Land Owner
Name: DALE BEATIE
Company:
Address: PO BOX 196

ROGUE RIVER, OR 97537
Location
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Latitude/Longitude
Latitude: 42.56131800
Longitude: -123.15761400
Horiz. Error: 500.00 ft.
Location
County: JACK
TRSQQ: WM35.00S4.00W3NWNE
Tax Map:
Tax Lot: 100
Lot:
Block:
Subdivision:
Street of Well: 1298 PLEASANT CR
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 07/12/2016
Completed Date: 07/12/2016
Drill Method: Rotary Air
Depth of Completed Well: 200.00
Est. Depth Drilled: 200.00
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: 56 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 108.00
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 155.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 18.00
Post-Static Water Level Date: 07/12/2016
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: MICHAEL LEE PIERCE
Bonded Driller Company: CLEARWATER WELL DRILLING
Bonded Driller Number: 1251
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 ImageReceived Date
JACK 62649EXEMPT USE MAPDRILLERImage7/15/2016
JACK 62649WELL REPORTDRILLERImage7/15/2016