09/16/2024 12:33 PM Butte County Department of Development Services Main: 530.552.3700 Automated Inspection Phone Line: 530.538.4365 Online Inspection Scheduling / Payments / Renewals: ButteCounty.net/DDS

Permit No. EHWL22-0026 Permit Type   EH WELL LARGE Site Address   COLUSA HWY Applied   08/11/2022 Applicant   CWA GOOSE LAKE WEST LLC Approved   09/25/2023 Owner   CWA GOOSE LAKE WEST LLC Issued   09/25/2023 Contractor   MID STATE PUMP CO INC Parent Permit No.   Description     Notes

Date of Inspection Inspection Type Inspector Result Remarks Notes  08/01/2023 WELL SITE ASSESMENT KATTY HERNANDEZ PASS SEE NOTES 9/25/2023 3:52:11 PM PROPOSED WELL IS APPROX. 550FT FROM EXISTING SEPTIC TANK. EXISTING SMALL DIAMETER WELL TO REMAIN- SERVES THE HOUSE. MEETS SPACING REQUIREMENTS FROM WELL LOCATED AT 021-020-001 (EHWL21-0012) AND WELL LOCATED AT 021-020-029 (EHWL21-0028).  07/26/2024 WELL SEAL KATTY HERNANDEZ PASS SEE NOTES 7/30/2024 8:38:31 AM SLURRY FROM THE ROCK YARD. TREMIE PIPE USED FOR 23FT SEAL. RAN OUT OF SLURRY BEFORE COMPLETING SEAL, APPROX. 3FT REMAINING TO REACH GRADE. I RETURNED TO OBSERVE COMPLETED SEAL. SEAL WAS COMPLETED AND SLAB WAS ALSO COMPLETED, 5FT X 5FT SLAB WITH WELLHEAD IN THE CENTER.