Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 65761 View Log
Well Label: 150762
Start Card: 1061127
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/12/2023
Land Owner
Name:
Company: MANZANITA HILLS HOA
Address: PO BOX 157

SHADY COVE, OR 97539
Location
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Latitude/Longitude
Latitude: 42.60178000
Longitude: -122.81739000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM34.00S1.00W21SENE
Tax Map:
Tax Lot: 3605
Lot:
Block:
Subdivision:
Street of Well: 140 CINDY CT. SHADY COVE, OR 97539
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/11/2023
Completed Date: 05/12/2023
Drill Method: Rotary Air
Depth of Completed Well: 360.00
Est. Depth Drilled: 360.00
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)
110.000.0038.00
26.0038.00360.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0038.0019.0017.34
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 ● 2.00 38.00 .250 Steel ● ● 38.00
2Liner4.00 3.00 360.00 Sch40 Plastic ● 38.00
Temporary Casing
No data matches search criteria.
Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perforation
Size		Screen/Slot
Size Width		Slot LengthNbr of Slots
1LAZER/SAW CUT Liner4.00100.00120.00 0.0321.0003116
2LAZER/SAW CUT Liner4.00340.00360.00 0.1884.00060
Screens
No data matches search criteria.
Well Test
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Well Test
Temperature: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 538.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 104.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 26.00
Post-Static Water Level Date: 05/12/2023
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/12/2023104.00112.0026.000.7 
25/12/2023165.00170.0026.001.3 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0019.00TIGHT BROWN CLAY 
219.0023.00COBBLES/GRAVEL 
323.0042.00BLUE/GREY CLAYSTONE W/ SILTSTONE MED 
442.0061.00DARK GREY SILTSTONE W/ CLAYSTONE MED 
561.0099.00LIGHT GREY CLAYSTONE MED 
699.00125.00BLUE/GREY SANDSTONE MED/HARD 
7125.00167.00GREY SILTSTONE MED 
8167.00176.00RED CLAYSTONE W/ SILTSTONE MED 
9176.00360.00BLUE/GREY SILTSTONE W/ CLAYSTONE MED 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 05/16/2023
Unbonded Name: GILL,RYAN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 2063
Unbonded Date Signed: 05/16/2023
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 65761EXEMPT USE MAPDRILLERImage5/16/2023
JACK 65761WELL REPORTDRILLERImage5/16/2023