Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 65810 View Log Groundwater Site
Well Label: 150669
Start Card: 1061395
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 06/01/2023
Land Owner
Name: TOM LARSON
Company:
Address: 3130 ANDERSON CREEK RD

TALENT, OR 97540
Location
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Latitude/Longitude
Latitude: 42.22188000
Longitude: -122.85544000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S1.00W32NWSW
Tax Map:
Tax Lot: 1000
Lot:
Block:
Subdivision:
Street of Well: 3130 ANDERSON CREEK RD, TALENT, OR 97540
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

Note: Tax lot overlay available only for a few counties.
Well Construction
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Construction
Start Date: 05/31/2023
Completed Date: 06/01/2023
Drill Method: Rotary Air
Depth of Completed Well: 460.00
Est. Depth Drilled: 460.00
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)
110.000.0018.00
26.0018.00460.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0018.0010.00 
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 18.00 .250 Steel ● ● 18.00
2Liner4.00 2.00 460.00 sch40 Plastic ● 18.00
Temporary Casing
No data matches search criteria.
Perforations
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: 162.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 431.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 200.00
Post-Static Water Level Date: 06/01/2023
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
16/1/2023431.00432.00200.004.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.006.00BROWN CLAY 
26.0011.00BROWN SANDSTONE MED HARD 
311.00431.00GRAY SANDSTONE HARD 
4431.00460.00GRAY SANDSTONE HARD W/ FRACTURES 
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: 06/07/2023
Unbonded Name: HOOD,JARED
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 2095
Unbonded Date Signed: 06/07/2023
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 65810EXEMPT USE MAPDRILLERImage6/7/2023
JACK 65810WELL REPORTDRILLERImage6/7/2023