Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 63699 View Log Groundwater Site
Well Label: 128498
Start Card: 1041697
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC , IRRIGATION
Complete Date: 01/07/2019
Land Owner
Name: COBY AND MARCIE ROBERTS
Company:
Address: 4258 BEAGLE RD

EAGLE POINT, OR 97524
Location
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Latitude/Longitude
Latitude: 42.53704700
Longitude: -122.88487500
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM35.00S2.00W12
Tax Map:
Tax Lot: 415
Lot:
Block:
Subdivision:
Street of Well: 4258 BEAGLE RD. EAGLE POINT OREGON 97524
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 01/07/2019
Completed Date: 01/07/2019
Drill Method: Rotary Air
Depth of Completed Well: 203.00
Est. Depth Drilled: 203.00
Special Standards:
Seal Placed Method: OTHER - DRY POURED
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)
110.000.0019.00
26.0019.00203.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0019.008.008.00
Abandonment Log
No data matches search criteria.
Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1Casing6.00 ● 1.00 19.00 .250 Steel ● ● 19.00
2Liner4.50 3.00 203.00 sch 40 Plastic ●  
Temporary Casing
No data matches search criteria.
Perforations
Screens
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Well Test
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Well Test
Temperature: 52 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 130.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 60.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 15.00
Post-Static Water Level Date: 01/07/2019
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
11/7/201960.00180.0015.00125.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.008.00TOPSOIL, BLACK STICKEY CLAY 
28.0060.00SANDSTONE, BLUE GREY HARD 
360.00160.00SANDSTONE,GREY FRACTURED 
4160.00203.00SANDSTONE, W/ QUARTZ 
Well Constructor
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Bonded Driller Name: GARY NEWMAN
Bonded Driller Company: SOUTHERN OREGON WELL DRILLING INC
Bonded Driller Number: 1798
Bonded Date Signed: 01/07/2019
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 63699EXEMPT USE MAPDRILLERImage1/7/2019
JACK 63699WELL REPORTDRILLERImage1/7/2019