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HomeMy WebLinkAboutCC - Riverside - Well 1 Abandonment Report -05282026082829 ^\� I DAHO DEPARTMENT OF Form 238(4)-007/2025' ' ` L. ! WATER RESOURCES 12L4 127 Page 1 of 2 ID NUMBER 3 1,fplz o h �i - nc , State of Idaho Department of Water Resources v�u;i`,-`r;'t(!�i.;;;ori AUTHORIZATION TO DECOMMISSION A WELL 1. WELL OWNER INFORMATION: (The well owner is the person who legally owns the property.) Name: Toll ID I,LLC Current Mailing Address: 3103 W.Sheryl Dr.Suite 100 City:Meridian State:Idaho Zip Code: 83642 Telephone: (208 ) 424-0020 2. WELL LOCATION: (GPS required in Degrees Decimal Minutes.) Twp.03N , Rge.01W , Sec.4 1/4NE 1/4NW 1/4 (10) (40) (160) Gov't Lot No. CountyAda Lat.43°38.0214 Long. -116*27.9321' Street Address of Well Location: 5755 W.Uatick Rd. City:Meridian Lot, block and subdivision: 3. TYPE OF WELL: 0 DOMESTIC ❑ MONITORING ❑ IRRIGATION ❑ OTHER (Describe) 4. WELL INFORMATION: (*Casing size,well depth&static water level data are required.) Well Tag Number: Previous Drilling Permit Number: Water Right Number: - Well Log on File?(Provide if available) ❑Yes®No Temperature: ©less than 85°F❑greater than 850F *Casing Size:'. �to *Material:Steel *Well Depth 29Qr (measured) *Current Static Water Level: tkViI60.M (measured) Flowing Artesian? QYes No 5. REASON FOR DECOMMISSION OF THE WELL: Development-Day Springs Subdivision-Toll Bros. 6. PROPOSED METHOD OF DECOMMISSIONING: (Must be consistent with IDAPA 37.03.09, This Application must be reviewed prior to commencement of the decommission.) Adapt to Artesian Control Tee. Perforate from bottom to top. Pump Neat Cement to Surfooe. Cut below grade and Bury. 7. Drilling company name: Riverside Equipment Services LLC company lic. No. 333 8. Proposed date of decommission: �April 13-24,2026 9. Applicants signature: �° 10.Title:Well Drilling Manager date: April 6,2026 ACTION OF THE DEPARTMENT OF WATER RESOURCES �i This decommission application has been reviewed by IDWR on: 1 7 / d 4 This review does not constitute an endorsement by IDWR of the proper decommission of this well. Pursuant to Section 42-238(12), Idaho Code,all decommissions must meet the requirements of the Administrative Rules for Well Construction Standards. Decommissioning of this well will require the services of a well driller licensed in the State of Idaho unless a waiver has been gran SENIOR WATER RESOURCE AGENT Signature of Authorized Depifriment Representative Title Form 238(4)-2 07/2025 IDAHO DEPARTMENT OF Page 2 of 2 ✓@vWATER RESOURCES ID NUMBER: 924187 State of Idaho Department of Water Resources WELL DECOMMISSIONING REPORT This form reports the activities of a licensed Idaho well driller and serves as the official record of work done for a well decommissioning. This form is to be completed by the driller and filed with IOWR within 30 days of completion of the work. Sealing Material: Seal material(grout,bentonite chips,etc. From III) I To(h) Quantity ee:.e,e..n9 Placement methodiprocedure(pumped,poured,etc.) Neat Cement +1 290 49ft3 Pumped 3/8" Hole Plug +1 14 2 sacks Poured Casing: Was the casing perforated? W1 Yes El No If yes, list number, depths, and method of creating perforations: From(ft) To(ft) Number/ft Size Method created(mill knife,perforate,etc.) 5 290 0.4 Mills Knife 2 to the round every 5' Was the casing removed? Yes If yes, indicate the amount of casing removed (feet): 6 ❑ No Was the casing cut at or below grade? FZI Yes ❑ No Narrative: 4" casing was perforated 2 to the round every 5' for the entire length. Tremie was lowered to bottom and 76 bags (47lbs)of Neat Cement where pumped. Overnight well came to 108'. Tremie was reinstalled and 16 bags where pumped to surface. Overnight cement settled to 14'. 2 sacks of 3/8" Hole Plug where added to fill casing. Casing was excavated and cut at 5' below ground and backfilled. DRILLER'S CERTIFICATION I/We certify that this well was decommissioned under my direct supervision, according to all minimum well construction standards, and this report is complete and accurate to the best of our knowledge. Drilling Company: River quipment Servo L License # 333 Principal Drill • Date: 2 9 2lj Operator: Date: 1 7 Z