HomeMy WebLinkAbout1990 - Dept Water Resources Permit No. 63-10840 - Form 235-1 Drilling Permit No.
9/6g; Water Right Permit No. /6,?
Injection Permit No.
State of Idaho
Department of Water Resources
D R I L L I N G P E R M I T
1. Applicant �r 0 �t ! ' pe 60e1
2. Mailing Address 32 E i o);qo AVG WErz( to/A+) SD ??A�/ Z
Telephone 314u - O 7_t,
(k) Well Owner { ) Well Operator ( ) Other, specify
3. Proposed well location .S w 1/4 S / 1/4, or Gov' t lot No. ,
Sec. 6 L , Twp. 03 ^1 , Rge• 01 L-J , County A}C�4 ,
Street Address of Well Site ,
Lot, block and subdivision
4. Proposed use of well:
( ) Single family or stockwater use (less than 13,000 gallons per day)
( ) Irrigation (more than 1/2 acre)
( ) Monitoring - A well bore schematic and map is required for each well.
No. of proposed wells:
(x) Other (describe fully)
5. Well construction information:
A. (x) New well ( ) Deepen ( ) Replace - See Condition 9.
B. Proposed surface diameter IFS/ Maximum depth q g 0
C. Anticipated bottom hole temperature:
(X) 850F or less (Cold water well)
( ) 850F to 212OF (Law temp. geothermal well)
( ) 212OF or more (Geothermal well)
6. Construction Start Date (,- $-Q 0
7. Anticipated Well Driller SOWS -
NOTE: The actual well Me m e Pied prior to drilling.
8. Applicant's signatu Date
Title
(Owner, Firm Representative, Other)
ACTION OF DEPARTMENT OF WATER RESOURCES
This Permit is A Date G 7 1990
If approved, this permit authorizes the construction of a vell subject to the following
conditions. READ CAREFULLY!
GENERAL CONDITIONS:
1. The well must be constructed in compliance with the applicable statutes, specific
conditions of approval shown on the water right permit, injection well permit, trans-
fer or amendment and the rules and regulations of the Department for water appropri-
ation, injection wells and well construction standards.
2. This drilling permit is valid for two (2) months from the above approval date for the
start of construction and is valid for one (1) year from the approval date for comple-
tion of the well unless an extension has been granted.
3. This permit does not constitute the approval of the District Health Department or the
Idaho Department of Health and Welfare which may be required before construction of
this well.
4. The well shall be constructed by a driller curren-fay licensed in the Stata-of Idaho
who must maintain a copy of the drilling permit at the drilling site. -�
5. Approval of this drilling permit does not authorize trespass on the land of another
party.
6. This permit does not constitute other local, county, state or federal approvals which
may be required for construction of a well.
7. This drilling permit does not represent a right to divert and use the water of the
State of Idaho.
8. If a bottom hole temperature of 850F or greater is encountered, well construction
shall cease and the well driller and the well owner shall contact the Department
immediately.
9. If this permit is for a replacement well, the well being replaced must be abandoned in
accordance with Department Rules and Regulations.
S?'ZCIFIC CONDITIONS
Sig u r e oL Authorized +errmen VELl
Receipt No. W 0 JayYo Receipted by_3F!-J Fee pp � Date
EXTENSION OF DRILLING PERMIT
Extension approved by Approval Date
This extension is good for 60 days beyond the above extension approval date.
RECEIPT
For Monies Paid
to the
IDAHO DEPARTMENT OF WATER RESOURCES
Receipt No: WO 1 244r.s
Date:(_)6/(=)7/9c.,
Time: 13:29:32
Received
From: ''STEVENS, DONALD
Type of Payment Program Acct Class Amount
DRILLING PERMIT 062i.;3510 1238 6390
Total
CHECk:: 9642
Idahcl Dep-artmer,t of Water Resources
Region: WESTERN Sianature .
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S T A T E O F I D A H 0
DEPARTMENT OF WATER RESOURCES
Statehouse
Boise , Idaho 83720
( 208 ) 327-7900
October 11 , 1989
CITY OF MERIDIAN
33 E. IDAHO AVE .
MERIDIAN, ID 83642
PERMIT APPROVAL NOTICE
RE: PERMIT NO. P63-10840
Dear Permit Holder :
Enclosed is a copy of your approved application for permit . We
direct your attention to the conditions of approval on the final
page .
You should be aware that the groundwater you propose to divert is
located within a drainage basin where surface waters are
regulated during the months of low flow. It is possible that
diversion of groundwater may have an adverse impact on these
surface water flows . Information available to us at this time
does not warrant refusing to issue permits in your area , but we
do caution that diversions of groundwater are not allowed to
deplete flows available for surface water users with earlier
priority dates . Siting your well as far from surface sources as
possible and casing out upper water producing zones may reduce
the potential of interference .
Section 42-235 , Idaho Code, requires that a "drilling permit"
must be obtained from the department for all wells constructed
after July 1 , 1987 . A drilling permit is a separate permit that
must be issued in addition to your permit to appropriate water .
Commencement of well construction or diversion of water under
your permit to appropriate water is prohibited unless a drilling
permit is obtained .
Be sure to note the special condition requiring you to install a
measuring device , or a flow measurement port to provide for the
installation of measuring equipment by the Department . Enclosed
please find a list of measuring device options , and
specifications for the installation of the flow measurement port .
t
i
Please note the requirement that as a permit holder you must
commence the excavation or construction of diverting works within-
one year of the date the permit was issued, and you must proceed
diligently until the project is completed. The enclosed blue
card must be completed and returned to this office as soon as you
commence construction, no later than one year from the date the
permit was approved ,
we have enclosed a form entitled "Instructions for Proof of
Beneficial Use" . Please read the instructions carefully since
you must take further action to develop this permit into a
license .
Sinjrely,
v�
GARY SPACKMAN, Supervisor
Water Right Permits Section
GS : SC
Enclosures
State of Idaho
Department of Water Resources
Permit To Appropriate Water
NO. 63-10840
Proposed Priority: June 23, 1989 Maximum Diversion Rate: 3.00 CFS
This is to certify, that CITY OF MERIDIAN
33 E. IDAHO AVE.
MERIDIAN, ID 83642
has applied for a permit to appropriate water from: GROUNDWATER
and a permit is APPROVED for development of water as follows:
BENEFICIAL USE PERIOD OF USE RATE OF DIVERSION
MUNICIPAL 01/01 to 12/31 3.00 CFS
LOCATION OF POINT(S) OF DIVERSION: SWSW Sec. 2, Township 03N, Range 01W
ADA County
PLACE OF USE: See Remarks
CONDITIONS/REMARKS:
1. Proof of construction of works and application of water to
beneficial use shall be submitted on or before November 1, 1991.
2. Subject to all prior water rights.
3. Permit holder shall comply with the drilling permit requirements
of Section 42-235. Idaho Code.
4. Permit holder shall commence the excavation or construction of
diverting works within one year of the date this permit is issued
and shall proceed diligently until the project is complete.
S. The issuance of this permit in no way grants any right-of-way or
easement across the land of another.
6. Prior to the diversion of water under this permit a flow
measurement port or other device as specified by the Department
shall be installed to provide for the installation of measuring
equipment and the determination of the rate of diversion by the
Department.
7. Place of use is within the city limits of Meridian.
This permit is issued pursuant to the provisions of Section 42-204, Idaho Code.
Witness the seal and signature of the Director, affixed at Boise, this
v day of 19 5r/
4
�p-?R, Keit h Higginson, Dire or
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Fol, 238-7 STATE OF IDAHO USE TYPEWRITER OR
6l89 DEPARTMENT OF WATER RESOURCES BALLPOINT PEN
WELL DRILLER 'S REPORT
State law requires that this report be filed with the Director, Department of Water Resources
within 30 days after the completion or abandonment of the well.
1. WELL OWNER 7. WATER LEVEL
Name City of Meridian _ _ Static water level''_',_ feet below land surface.
Flowing? KX es ❑ No G.P.M, flow _
Address 33 E Idaho Av Merid'Lan Artesian closed-in pressure p.s.i.
Controlled by: ❑ Valve R2�`Cap ❑ Plug
Owner's Permit No. 6 1390 W-1 33 Temperature 0F. Quality
- Describe artesian or temperature zones below.
2. NATURE OF WORK 8. WELL TEST DATA
_' New well Deepened J Replacemem L�gump ❑ Bailer ❑ Air ❑ Other
Well diameter increase
Abandoned (describe abandonment procedures such as Discharge G.P.M. Pumping Level Hours Pumped
materials, plug depths, etc. in lithoiogic log)
3. PROPOSED USE — — - - -
❑ Domestic ❑ Irrigation ❑ Test)(® Municipal 9. LITHOLOGIC LOG
❑ Industrial ❑ Stock ❑ Waste Disposal or Injection Bore Depth Water
❑ Other - (specify type) Diam. From To Material Yes No
U ' dark brown
4. METHOD DRILLED 3 9 light
❑ Rotary ❑ Air ❑ Hydraulic ❑ Reverse rotary
v
❑ Cable ❑ Dug ❑ Other - ,
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5. WELL CONSTRUCTION
Casing schedule: Steel ❑ Concrete ❑Other Sticky brown clay
Thickness Diameter From To namented
{� inches inches + i it feet 70 feet
inches inches�37 5 rF feet feet fine t'' Medium Whi a Sand. X
y 375 inches 0 inches 34 t_2l feet I vet
- --
_• 175 inches gyp_ inches 2f3C) feet 2* t_Oieet na
to madium
Was-)as_ing drive shoeJ*d? l3}'Yes P(No 337 -
Was a packer or seal used? Q ,'Yes ❑ No
Perforated? ❑ Yes )Q No
How perforated? ❑ Factory ❑ Knife ❑ Torch ❑ Gun
Size of perforation _ inches by inches
Number From TO &C 1 - 6 from 3371 t0
perforations feet feet
p —.-. --.-,.- � W1t1:1 9t3rid3 EraVel, 1
perforations feet__.-- feet
I perforations _ feet_. feet
Well screen installed? ❑ Yes ❑ No Tac er assembly Set from
Manufacturer's name Jnhnenr. tot 2r
Type Model No. 3()J,
Diameter rj Slot size 3Aa Set from C�t &et to _feet
Diameter Slot size0-,_Set from efeet#0 320__feet
Gravel packed? AYes ❑ No ❑ Size of gravel _1 as,
Placed from �_ — feet to � feet
Surface seal depth 7-0-1 lateria, used .i seal: ❑ Cement grout
❑ Bentonite ❑ Puddling clay ❑
Sealing procedure used: )R:Slurry pit ❑ Temp. surface casing
❑ Overbore to seal depth
Method of joining casing: ❑ Threaded ❑ Welded ❑ Solvent
Weld
❑ Cemented between strata
Describe access port 4 _ 10.
Work started /18/90 finished 9_� 9
6. LOCATION OF WELL 11. DRILLERS CERTIFICATION
Sketch map location must agree with written location. I/We certify that all minimum well construction standards were
N complied with at the time the rig was removed.
t Subdivision Name
-I___--- Firm Name-sevens .cr=s Firm No. _-111 53
i
W E Address3709 Hawthorne _ Date 10,/25/90
__ ___+__ Lot No. Block No. _
Signed by (Firm Official) Wayne E Stevens
S. and
County =:da - (Operator) Jon Stevens
IW 2 T N 1 E -
'/a 1/4 Sec. T. S ❑ R.
USE ADDITIONAL SHEETS IF NECESSARY - FORWARD THE WHITE COPY TO THE DEPARTMENT
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