Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 63241 View Log Groundwater Site
Well Label: 127762
Start Card: 1036882
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 10/24/2017
Land Owner
Name:
Company: CHOSEN VENTURES LLC
Address: 1467 SISKIYOU BLVD 228

ASHLAND, OR 97520
Location
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Latitude/Longitude
Latitude: 42.21647000
Longitude: -122.70116000
Horiz. Error: 16.00 ft.
Location
County: JACK
TRSQQ: WM38.00S1.00E33SESE
Tax Map:
Tax Lot: 901
Lot:
Block:
Subdivision:
Street of Well: 1455 MOUNTAIN AVE. ASHLAND, OR 97520
WM District: 13
Surface Elev: 1867.07 FT
Well Report Mapping Tool
Tax Lots

Note: Tax lot overlay available only for a few counties.
Well Construction
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Construction
Start Date: 10/24/2017
Completed Date: 10/24/2017
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 Chips0.0020.0012.009.13
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 38.00 .250 Steel ● ● 38.00
2Liner4.00 2.00 280.00 SCH 40 Plastic ● 38.00
Temporary Casing
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Perforations
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: 265.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 128.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 35.00
Post-Static Water Level Date: 10/24/2017
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
110/24/2017128.00130.0035.003.0 
210/24/2017247.00258.0035.0077.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0015.00LT BROWN CLAYSTONE SOFT 
215.0023.00TAN SANDSTONE MEDIUM 
323.00128.00GREY SANDSTONE MEDIUM 
4128.00280.00DARK GREY SANDSTONE MEDIUM 
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: 10/26/2017
Unbonded Name: PETERSON,SHAWN
Unbonded Company:
Unbonded Number: 1994
Unbonded Date Signed: 10/26/2017
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 63241EXEMPT USE MAPDRILLERImage10/26/2017
JACK 63241WELL REPORTDRILLERImage10/26/2017