Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 76848 View Log
Well Label: 140885
Start Card: 1054854
Original Report:
Owner Well Nbr: 01
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 12/10/2021
Land Owner
Name: JEREMY TOWER
Company: NW WATER SYSTEMS, LLC
Address: PO BOX 1981

SANDY, OR 97055
Location
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Latitude/Longitude
Latitude: 45.38301300
Longitude: -122.05922300
Horiz. Error: ft.
Location
County: CLAC
TRSQQ: WM2.00S6.00E22SENW
Tax Map: 26E22BD
Tax Lot: 11201
Lot:
Block:
Subdivision:
Street of Well: NEAR 58558 E SLEEPY HOLLOW DRIVE, SANDY, OREGON
WM District: 20
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 12/01/2021
Completed Date: 12/10/2021
Drill Method: Rotary Air , OTHER - HOLTE
Depth of Completed Well: 138.00
Est. Depth Drilled: 138.00
Special Standards:
Seal Placed Method: C , OTHER - POURED BENTONITE
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)
113.600.0019.00
212.0019.0034.00
39.6034.00138.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Cement with 5% Bentonite7.0034.0012.0012.00
2Bentonite 0.007.009.009.00
Abandonment Log
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Casing/Liner
Temporary Casing
Perforations
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Screens
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Well Test
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Well Test
Temperature: 51 F
Lab Analysis:
Lab Analysis Done By: SDI, Iron 3.0 ppm
Total Dissolved Solids: 105.00 ppm
Water Quality Concerns:
Well Test
Analysis
RowFromToDescriptionAmountUnits
134.00106.00Iron7.00ppm
Static Water Level
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Static Water Level
Depth First Water: 5.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 29.00
Post-Static Water Level Date: 12/10/2021
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
112/1/20215.0028.005.001.0 
212/10/202134.00138.0029.00400.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.001.00GRAVEL, RED 
21.004.00TOPSOIL MIXED W/GRAVEL & COBBLES 
34.0028.00GLACIAL TILL, MULTICOLORED W/SAND 
428.0032.00GLACIAL TILL, MULTICOLORED MIXED W/CLAY, 
528.0032.00__GRAY GRITTY & WOOD 
632.0034.00SILT, BROWN W/WOOD 
734.0036.00CONGLOMERATE, MULTICOLORED 
836.00106.00GLACIAL TILL & SAND, MULTICOLORED 
9106.00138.00CONGLOMERATE, MULTICOLORED BROKEN @TIMES 
Well Constructor
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Bonded Driller Name: CHRISTEN BLAND
Bonded Driller Company: SKYLES DRILLING, INC
Bonded Driller Number: 2006
Bonded Date Signed: 12/14/2021
Unbonded Name: KENNER,RUSSELL
Unbonded Company: SKYLES DRILLING INC
Unbonded Number: 1715
Unbonded Date Signed: 12/14/2021
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
CLAC 76848EXEMPT USE MAPDRILLERImage12/14/2021
CLAC 76848WELL REPORTDRILLERImage12/14/2021