Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: POLK 53933 View Log Groundwater Site
Well Label: 123432
Start Card: 1032901
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 11/16/2016
Land Owner
Name:
Company: LUCKIAMUTE DOMESTIC WATER CO OP
Address: 585 SUVER RD

MONMOUTH, OR 97361
Location
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Latitude/Longitude
Latitude: 44.80183000
Longitude: -123.14090000
Horiz. Error: 7.00 ft.
Location
County: POLK
TRSQQ: WM9.00S4.00W11NWSE
Tax Map:
Tax Lot: 600
Lot:
Block:
Subdivision:
Street of Well: 6080 WIGRICH RD. INDEPENDENCE OR 97351
WM District: 22
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 11/07/2016
Completed Date: 11/16/2016
Drill Method: Rotary Mud
Depth of Completed Well: 49.00
Est. Depth Drilled: 49.00
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: 20.00 ft to 49.00 ft
Filter Pack Material: GRAVEL
Filter Pack Size: pea gravel
Bore Hole
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0020.0043.00 
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: 60 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 211.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 16.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 9.00
Post-Static Water Level Date: 11/16/2016
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
111/10/201616.0044.009.00300.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.001.00SOIL 
21.0018.00CLAY 
318.0044.00GRAVEL 
444.0049.00GRAY CLAY 
Well Constructor
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Bonded Driller Name: MICHAEL J MERRITT
Bonded Driller Company: M & M WELL DRILLING
Bonded Driller Number: 1879
Bonded Date Signed: 12/16/2016
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
POLK 53933EXEMPT USE MAPDRILLERImage
POLK 53933WELL REPORTDRILLERImage