HomeMy WebLinkAboutIdeal Demolition (775 N. Ten Mile ] V1L Q fE IDIAN>
APPROVED
DATE: 05/25/22
f I! E NUMBER' FPS -za 1-1
14 C/ ,
ID NUMBER
g00(61
State of Idaho Department of Water Resources
AUTHORIZATION TO ABANDON (DECOMMISSION) A WELL
INFORMATION: (The well owner is the person who legally owns the property.)
Name: Ideal Demolition Services
Current Mailing Address: 2473 W. Success
City: Emmett
Telephone:
State: Idaho Zip Code: 83617
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. County Ada Lat.43 36.696'N
Street Address of Well Location: 775 N. Ten Mile Rd.
City: Meridian Lot, block and subdivision:
3. TYPE OF WELL:
1/4SE
Long.
1/4
(160)
116 26.040'W
0 DOMESTIC ❑ MONITORING ❑ IRRIGATION ❑ OTHER (Describe)
4. WELL INFORMATION: (*Casing size, well depth & static water level data are required. .-7;Z, Z)
Well Tag Number: N/A Previous Drilling Permit Number: 63-92-W-756-000
Water Right Number: N/A
Well Log on File? (Provide if available) LJYes UNo Temperature: Uless than 85"F Ugreater than 85"I-
*Casing Size:6" *Material: Steel *Well Depth146' (measured)
*Current Static Water Level:8' (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. company lic. No. 332
A
9.
10
Date of abandonment: 4/30/21
Applicants signature:
Title: Driller date: 4/27/21
ACTION OF THE DEPARTMENT OF WATER RESOURCES
This application for abandonment has been reviewed by IDWR on G / $ / 2 e-I
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
unles,s a waiver has been granted. R E C E I V E D`-,''y;, i +:
N 0 7 2021RE
.
S66kdre of Authorized Department Representative Title
wWESTERESOURCES
N REGION
(E IDI� LA\,- /2010
APPROVEDemolition emolition Services ID NUMBER:
DA E. 05/25/22
:jj%UtjB;R. FPS --2-1 ABANDONMENT REPORT
ABANDONMENT PROCEDURES:
Must describe an details of work performed, including perforations, sealing materials, and how casing was
removed.
PROCEDURE:
FROM:
TO:
WEIGHTIVOLUME:
Cut 6" casing off 4' below the surface, perforated
-4'
146'
2138 I bs.
the 6" casing from 10' - 146', mixed and pumped
cement grout, welded metal plate on top.
DRILLER'S CERTIFICATION
INVe certify that all minimum well construction standards were complied with:
Drilling Company: Dennis PhiWell Drilling Inc. License # 332
Date: 5/21 /21
Principal Driller:
Operator: Date:
119
STATE OF IDAHO Location Corrected by IDWR To:
L/YlE jDjprj % L,2 DEPARTMENT OF WATER RESOURCES T03N R01W Sec. 10 NENESE
IDANO WELL DRILLER'S REPORT By: mciscell 2012-10-19
APPROVED State law requires that this report be filed with the Director, Department
within 30 days after the completion or abandonment of the
Q11E: 0512512.
FUNUTAKI FPs
2
OWNER
7. WATER LEVEL
Static water level /O feet below land surface.
Flowing? ❑ Yes EVNo G.P.M. flow
Artesian closed -in pressure p.s.i.
Controlled by: ❑ Valve ❑ Cap ❑ Plug
Temperature_ aF. Quality
Doscrzo arrevan a rempermurc zones Wow.
2022-00,9
as 7 d%?s�t- C21kd*ar �-
Drilling Permit No. _/ 3- IV f.✓ - 756 rJUb
Water Right Permit No. _
2. NATURE OF WORK
IV New well ❑ Deepened ❑ Replacement
❑ Well diameter increase ❑ Modification
❑ Abandoned (describe abandonment or modification procedures
such as liners, screen, materials, plug depths, etc. in lithologic
log, section 9.)
a. WELL TEST DATA
❑ Pump ❑ Bailer (Air ❑ Other
Discharge C.P.M.
Pumping Level
Hours Pumped
75
N O &
-
-
3. PROPOSED USE
11(Domestic ❑ Irrigation ❑ Monitor
❑ Industrial ❑ Stock ❑ Waste Disposal or Injection
❑ Other - (specify type)
9. LITHOLOGIC LAG U�Z''-eO
Bore De h
Material
lam.! From To
0 �- `
-0 ti ,.� _ _
I Q
)A
— S i
y - /"�'°"
I � .I
Water
Yes
No
✓
4. METHOD DRILLED
❑ Rotary ❑ Air ❑ Auger ❑ Reverse rotary
to Cable p Mud ❑Other
(backhoe. hydraulic, etc.)
✓
✓
✓
5. WELL CONSTRUCTION
Casingschedule: 15 Steel ❑ Concrete ❑ Other
7hlCkneas Diameter From To
SU inches inches + feet Jql feet
inches inches feet feet
inches inches feet feet
Was casing drive shoe used? 9 Yes El No
Was a packer or seal used? ❑ Yes fd No
Perforated? ❑ Yes 0 No
How 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 No
Manufacturer _ Type
Top Packer or Headpipe _ _
Bottom of Tailpipe
Diameter Slot size _ Set from _ feet to — feet
Diameter Slot size Set from feet to feet
Gravel packed? ❑ Yes Pf No ❑ Size of gravel
Placed from feet to feet
Surface seal depths Material used in seal: ❑Cement grout
❑ Bentonite CN'Puddling clay ❑
Sealing procedure used: ❑ Slurry pit
❑ Temp. surface casing C3'Overbore to seal depth
Method of joining casing: ❑ Threaded CVlielded
❑ Solvent Weld ❑ Cemented between strata
Describe access port _ _-_- ____
✓
cl
-
—
-qq
A
✓
3
L"
I• ��
/
4.
"'01
✓
t :Jpl?
j�
-
All
-- --
✓
—
'
I
ry
INN 11
'
1.
10 s
c ^'
Work started Ainished
6. LOCATION OF WELL
Sketch map location must agree with written location.
n
Subdivision Name _
- t
IN
Lot No. Block No.
s County
Address of Well Site 77f ?TLC
(give at least name of road) g
T. -3 N ror S ❑
ACF,'/a JE '/a Sec. /d , R. I E ❑ or W CS'
11. DRILLER'S CERTIFICATION. •J
UWe certify that all minimum well construction standards were
complied with at the time the rig was removed.
QQ
Firm Name u1�u:�.�¢I � Ir o. �lJ-7
Address _1`L�1L �2 Date 1��a4/9
Signed by Drilling Supervisor
and
(Operator) _
ff oilleffrit than the Drilling Supervisor)
USE ADDITIONAL SHEETS IF NECESSARY — FORWARD THE WHITE COPY TO THE DEPARTMENT