Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: POLK 54202 View Log Groundwater Site
Well Label: 131184
Start Card: 1039007
Original Report:
Owner Well Nbr:
Company Job Nbr: ARROW 18 23 1
Primary Use: IRRIGATION
Complete Date: 11/21/2018
Land Owner
Name:
Company: KCK FARMS
Address: 11483 SE AMITY DAYTON HWY

DAYTON, OR 97114
Location
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Latitude/Longitude
Latitude: 45.04347000
Longitude: -123.08263000
Horiz. Error: 9.00 ft.
Location
County: POLK
TRSQQ: WM6.00S3.00W17SESW
Tax Map: 6 3 17
Tax Lot: 800
Lot:
Block:
Subdivision:
Street of Well: NYA WALLACE RD, SALEM
WM District: 22
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/30/2018
Completed Date: 11/21/2018
Drill Method: Rotary Air , Rotary Mud
Depth of Completed Well: 122.00
Est. Depth Drilled: 143.00
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: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 143.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 67.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 49.60
Post-Static Water Level Date: 11/21/2018
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: JOHN STADELI
Bonded Driller Company: ARROW DRILLING
Bonded Driller Number: 1483
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 Image
ARCHIVE DOCUMENTSPECIAL STANDARD FINAL ORDERARCHIVEImage
POLK 54202WELL REPORTDRILLERImage