Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 64943 View Log Groundwater Site
Well Label: 143451
Start Card: 1053311
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 08/09/2021
Land Owner
Name: ANTHONY OTT
Company: TIFFANY RANGOLE
Address: 13933 E EVANS CRK RD.

ROGUE RIVER, OR 97537
Location
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Latitude/Longitude
Latitude: 42.56261000
Longitude: -123.07793000
Horiz. Error: ft.
Location
County: JACK
TRSQQ: WM35.00S3.00W5NENE
Tax Map:
Tax Lot: 107
Lot:
Block:
Subdivision:
Street of Well: 13933 E EVANS CRK RD., ROGUE RIVER, OR 97537
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 08/06/2021
Completed Date: 08/09/2021
Drill Method: Rotary Air
Depth of Completed Well: 320.00
Est. Depth Drilled: 320.00
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)
110.000.0035.00
26.0035.00320.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0035.0019.0015.97
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 1.50 38.50 .250 Steel 38.50
2Liner4.00 0.00 320.00 SCH40 Plastic  
Temporary Casing
No data matches search criteria.
Perforations
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: 146.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 258.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 45.00
Post-Static Water Level Date: 08/09/2021
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
18/9/2021258.00280.0045.0070.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0028.00BROWN CLAY & COBBLES 
228.0030.00BROWN CLAY & GRAVEL 
330.00102.00GRAY SCHIST MEDIUM 
4102.00166.00DARK GRAY SCHIST HARD 
5166.00265.00GRAY SCHIST MEDIUM 
6265.00270.00GRAY SCHIST BROKEN 
7270.00320.00GRAY SCHIST MEDIUM 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 08/09/2021
Unbonded Name: GILL,RYAN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 2063
Unbonded Date Signed: 08/09/2021
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload Image
JACK 64943EXEMPT USE MAPDRILLERImage
JACK 64943WELL REPORTDRILLERImage