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
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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