Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: MARI 66797 View Log Groundwater Site
Well Label: 123942
Start Card: 1034123
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 04/25/2017
Land Owner
Name: JIM ROTH
Company:
Address: 7558 INDIGO STREET N.E.

SALEM, OR 97305
Location
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Latitude/Longitude
Latitude: 44.99505600
Longitude: -122.91250300
Horiz. Error: 99.00 ft.
Location
County: MARI
TRSQQ: WM7.00S2.00W3
Tax Map:
Tax Lot: 600
Lot:
Block:
Subdivision:
Street of Well: BARE LAND ON 72ND AVENUE N.E. SALEM, OREGON APPROXIMATELY 75 FEET SOUTH OF JUNIPER STREET
WM District: 16
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/13/2017
Completed Date: 04/25/2017
Drill Method: Rotary Air
Depth of Completed Well: 160.00
Est. Depth Drilled: 160.00
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)
112.000.0048.00
28.0048.00160.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite 0.008.006.004.54
2Cement with 4% Bentonite8.0048.0026.0010.10
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: 54 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 111.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 76.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 35.00
Post-Static Water Level Date: 04/25/2017
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
14/25/201776.00160.0035.00400.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.004.00TOP SOIL 
24.0016.00SILTY BROWN CLAY 
316.0019.00GRAY CLAY 
419.0025.00BLUE SILTY CLAY 
525.0032.00BLUE CLAY 
632.0065.00SILTY BLUE CLAY SOME STICKY SEAMS 
765.0076.00BROWN CLAY AND SAND 
876.0085.00LOOSE SAND AND GRAVEL 
985.0094.00TAN AND BROWN TIGHT SAND 
1094.00151.00LARGE SAND AND GRAVEL W/RED BINDER 
11151.00154.00GRAVEL LOOSE WITH ASH 
12154.00160.00SEMI-LOOSE SAND AND GRAVEL 
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: 04/26/2017
Unbonded Name: GUNN,JAMES
Unbonded Company: CAPITOL WELL DRILLING INC.
Unbonded Number: 1629
Unbonded Date Signed: 04/25/2017
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
MARI 66797EXEMPT USE MAPDRILLERImage
MARI 66797WELL REPORTDRILLERImage