Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 65379 View Log
Well Label: 145890
Start Card: 1056948
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 06/07/2022
Land Owner
Name: PAT & LOIS DEBENEDETTI
Company:
Address: P.O. BOX 238

ROGUE RIVER, OR 97537
Location
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Latitude/Longitude
Latitude: 42.44304000
Longitude: -123.17524000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM36.00S4.00W16SWNE
Tax Map:
Tax Lot: 2502
Lot:
Block:
Subdivision:
Street of Well: 621 WEST EVANS CREEK 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: 06/07/2022
Completed Date: 06/07/2022
Drill Method: Rotary Air
Depth of Completed Well: 140.00
Est. Depth Drilled: 140.00
Special Standards:
Seal Placed Method: 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)
110.000.0040.00
26.0040.00140.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0040.0021.00 
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: 52 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 136.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 125.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 10.00
Post-Static Water Level Date: 06/07/2022
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
16/7/2022125.00135.0010.0013.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.005.00BROWN CLAY 
25.00140.00GRAVEL AND SAND 
Well Constructor
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Bonded Driller Name: BARRY PELKEY
Bonded Driller Company: APPLEGATE WELL DRILLING LLC
Bonded Driller Number: 1648
Bonded Date Signed: 06/08/2022
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
JACK 65379EXEMPT USE MAPDRILLERImage
JACK 65379WELL REPORTDRILLERImage