Well Information
(Click to Collapse...)
 
Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 65817 View Log Groundwater Site
Well Label: 135928
Start Card: 1061250
Original Report: JACK 14479 View Original Log
Owner Well Nbr: WELL #5
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 05/26/2023
Land Owner
Name:
Company: FERN VALLEY ESTATES IMPROVEMENT DISTRICT
Address: 2675 DAVID LN.

MEDFORD, OR 97504
Location
(Click to Collapse...)
 
Latitude/Longitude
Latitude: 42.29067000
Longitude: -122.77747000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S1.00W2SESE
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: NEXT TO 3081 PAYNE RD. MEDFORD, OR 97504
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

Note: Tax lot overlay available only for a few counties.
Well Construction
(Click to Collapse...)
 
Construction
Start Date: 05/24/2023
Completed Date: 05/26/2023
Drill Method: Rotary Air
Depth of Completed Well: 362.00
Est. Depth Drilled: 362.00
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
26.0038.00362.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
2Bentonite Chips0.0038.0021.0017.34
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
1(Casing)Pre-Alteration6.00 ● 2.00 34.00 .250 Steel ● ● 38.00
2Casing6.00 ● 2.00 38.00 .250 Steel ● ● 38.00
3Liner4.00 2.00 362.00 sch 40 Plastic  
Temporary Casing
Temp CasingDiameter (in)From (ft)To (ft)
● 10.00-1.006.00
● 10.001.006.00
Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perforation
Size		Screen/Slot
Size Width		Slot LengthNbr of Slots
1LAZER CUT & SAW CUT Liner4.00200.00220.00 0.0321.0003116
2LAZER CUT & SAW CUT Liner4.00303.00343.00 0.0321.0006232
3LAZER CUT & SAW CUT Liner4.00343.00362.00 0.1884.00060
Screens
No data matches search criteria.
Well Test
(Click to Expand...)
 
Well Test
Temperature: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 190.00 ppm
Water Quality Concerns:
Well Test
Analysis
No data matches search criteria.
Static Water Level
(Click to Expand...)
 
Static Water Level
Depth First Water: 285.00
Pre-Static Water Level: 5.00
Pre-Static Water Level Date: 05/24/2023
Post-Static Water Level: 5.00
Post-Static Water Level Date: 05/26/2023
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/24/2023285.00295.005.009.0 
25/24/2023315.00336.005.008.0 
Lithology
(Click to Expand...)
 
Material
RowFromToMaterialStatic Water Level
10.00362.00DEMO 2-1/2' THICK CMT SLAB 
20.00362.00PULL 4" PVC LINER THAT WAS IN WELL BORE 
30.00362.00CHECK SWL & TDS 
40.00362.00OVERDRILL 34' OF STEEL CASING & PULL 
50.00362.00DRILL 10" BORE TO 38' BGS-BLUE SANDSTONE 
60.00362.00INSTALL NEW 6" STEEL CASING- +2'-38' 
70.00362.00INSTALL NEW 10" SEAL W/BENTONITE 0'-38' 
80.00362.00CLEAN WELL BORE TO 362' BGS NATIVE ROCK 
90.00362.00AIR TEST AND DEVELOPED WELL AT 362' 
100.00362.00NEW 4" PVC LINER INSTALLED 
Well Constructor
(Click to Expand...)
 
Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 06/09/2023
Unbonded Name: SPLIETHOF,JUSTIN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 1945
Unbonded Date Signed: 06/09/2023
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
(Click to Expand...)
 
Comments
This well #5 Jack 14479/30448 was repaired per requirements from OWRD and OHA. The well depth to native soil was 362' bgs and not 364' indicated on well report Jack 30448.
Documents
(Click to Expand...)
 
TitleDocument TypeSourceDownload Image
JACK 65817GENERATED MAPDRILLERImage
JACK 65817GENERATED MAPDRILLERImage
JACK 65817WELL REPORTDRILLERImage