HomeMy WebLinkAboutIdeal Demolition (3401 W. Pine Ave -] V1/2014
J ID NUMBER
APPROVED State of Idaho Department of Water Resources
DATE:
05/25/22 AUTHORIZATION TO ABANDON (DECOMMISSION) A WELL
FILE NUMBER: FPS-2oz2- 1 [WNER INFORMATION: (The well owner is the person who legally owns the property.)
Name: Ideal Demolition Services
Current Mailing Address: 2473 W. Success Way
City: Emmett State: Idaho Zip Code: 83617
Telephone: ( )
2. WELL LOCATION: (GPS required in Degrees Decimal Minutes.)
Twp. 3N , Rge.1 W , Sec. 10 1 /4 NE
(10) (40)
Gov't Lot No. CountyAda Lat.43 36.690'N
Street Address of Well Location: 3401 W. Pine Ave.
City: Meridian Lot, block and subdivision:
3. TYPE OF WELL:
1/4SE
Long.
1/4
(160)
116 26.166'W
0 DOMESTIC ❑ MONITORING ❑ IRRIGATION ❑ OTHER (Describe)
4. WELL INFORMATION: (*Casing size, well depth & static water level data are required.)i� Z�
�13
Well Tag Number: N/A Previous Drilling Permit Number: 63-93-W-0901-000
Water Right Number: N/A _
Well Log on File? (Provide if available) DYes ❑No Temperature: ❑r less than 85°F ❑greater than 850F
*Casing Size:6" *Material: Steel *Well Depth204' (measured)
*Current Static Water Level:6' (measured) Flowing Artesian? ❑ Yes ❑✓ No
5. REASON FOR ABANDONMENT OF WELL:
Developing a new subdivision and this well is in the way.
6. PROPOSED METHOD OF ABANDONMENT: (Must be consistent with IDAPA 37.03.09. This Application must
be reviewed prior to commencement of abandonment.)
Cut casing off below the surface, perforate the casing, mix & pump cement grout, weld metal plate on top, and bury.
7. Drilling company name: Dennis Phipps Well Drilling Inc.
L
9.
10.
Date of abandonment: 4/30/21
Applicants signature:
Title: Driller date: 4/27/21
company lic. No. 332
ACTION OF THE DEPARTMENT OF WATER RESOURCES
This application for abandonment has been reviewed by IDWR on t0 / Z / 2o2-1
This review does not constitute an endorsement by IDWR of the proper abandonment of this well. Pursuant to Section
42-238(12), Idaho Code, all abandonments must meet the requirements of the Administrative Rules for Well Construction
Standards. Abandonment of this well will require the services of a well driller licensed in the State of Idaho
unless a waiver has been granted.
S, g1 ure of Authorized Department Representative JUN O Title
WATER RESO RCE1
WESTERN HE�GION
E IDI� I.A\ - 9/2010
APPROVED emolition Services ID NUMBER:
DAT 05/25/22
:,E •;UiJB;R:FPS --2-I ABANDONMENT REPORT
ABANDONMENTPROCEDURES:
Must describe jU details of work performed, including perforations, sealing materials, and how casing was
removed.
PROCEDURE:
FROM: I TO: I WEIGHTIVOLUME:
Cut 6" casing off 4' below the surface, perforated I -4' 120411 2572 lbs.
the 6" casing from 10' - 200', mixed and pumped
cement grout from bottom to top, welded metal plate on top.
DRILLER'S CERTIFICATION
l0e certify that all minimum well construction standards were complied with:
Drilling Company:Dennis Phipps Well Drilling Inc. License # 332
Principal Driller: Date: 5/21 /21
Operator: Date:
RECEIVED p�i^r�► 1 -iz-7 qS6
OCT 2 2 W3 STATE OF IDAHO
E DEPARTMENT OF WATER RESOURCES
WA16R REBOU10to
WEBTEIiN Fii�ICN WELL DRILLERS REP
State law requires that this report be filed with the Director, Department
APPROVED I within 30 days after the completion or abandonment of the
Q41E: 05/25/22 OWNER
FNiNtIAtKII FPs-zozzaoiv _ �, ��Z
all 421��
Drilling Permit No. 1s3-91Z —
Water Right Permit No. --
2. NATURE OF WORK
W'New well ❑ Deepened ❑ Replacement
❑ Well diameter increase Cl Modification
❑ Abandoned (describe abandonment or modification procedures
such as liners, screen, materials, plug depths, etc. in lithologic
log, section 9.)
3. PROPOSED USE
(Domestic ❑ Irrigation
❑ Monitor
❑ Industrial ❑ Stock
❑ Waste Disposal or Injection
❑ Other
(specify type)
4. METHOD DRILLED
Votary ❑ Air ❑ Auger ❑ Reverse rotary
able ❑ Mud ❑ Other
(backhoe, hydraulic, etc.)
5. WELL CONSTRUCTION
Casing schedule: R/Steel ❑ Concrete ❑ Other
Thickness Diameter From To
a75%� inches inches + -L;&— feet .146 feet
inches inches feet
feet
inches inches — feet
feet
Was casing drive shoe used? I( Yes a No
Was a packer or seal used? ❑ Yes :/' No
Perforated? ❑ Yes ¢ No
Mow perforated? ❑ Factory ❑ Knife ❑ Torch
❑ Gun
Size of perforation? inches by inches
Number From To
perforations feet
feet
perforations feet
feet
perforations feet
feet
Well screen installed? ❑ Yes lr No
Manufacturer ___ Type __
1bp Packer or Headpipe
Bottom of Tailpipe
Diameter Slot size — Set from _ feel to — feet
Diamatei _ Slot size Set from _ feet to _ feet
Gravel packed? ❑ Yes -No ❑ Size of gravel
Placed from feet to feet
Surface seal depih�Material used in seal: ❑ Cement grout
W"Bentonite ❑ Puddling clay ❑
Sealing procedure used: ❑ Slurry pit
❑ Temp. surface casing 0—overbore to seal depth
Method of joining casing: F Threaded I�Nelded
❑ Solvent Weld ❑ Cemented between strata
Describe access port
Location Corrected by IDWR To: I
T03N R01W Sec.10 NESE
By: segbert 2012-02-27
7. WATER LEVEL
Static water level feet below land surface.
Flowing? ❑ Yes No G.P.M. flow —
Artesian closed -in pressure p.s.i.
Controlled by: ❑ Valve ❑ Cap ❑ Plug
Temperature -- IF. Quality _
Ckscnx criesnn zones below.
& WELL TEST DATA
epump ❑ Bailer eAir ❑ Other
j Otsehame G.P.M. j Pumping Level I _ Hours Pumved—j
6. LOCATION OF WELL
Sketch map location must agree with written location.
N
Subdivision Name
w e
�•• I.1c;__ Lot No. Block No.
is C ly_
Address of Well Site
(give at least name of road)
/��� T. ?_ N [!?'or S ❑
Mly 1/4 _V— 1/4 Sec. JA , R. i E ❑ or W IF"'
9. LITHOLOGIC LOG 705- 173
Mam�Bore Depth Water
To Material Yes No
MM
10.
Work started 9 oZ3 finished 9�C`/L9i
it. DRILLER'S CERTIFICATION
I/We certify that all minimum well construction standards were
complied with at the time the rig was removed.
Firm Name Ato� it a ADZ
Address 950 - _ Date
Signed by Drilling Supervisor _,�Z
and
(Operator)
(ft differanY than the Drilling Supervisor)
USE ADDITIONAL SHEETS IF NECESSARY — FORWARD THE WHITE COPY TO THE DEPARTMENT