HomeMy WebLinkAboutCC - Riverside - Well 2 Abandonment Report-05282026082959 IDAHO DEPARTMENT OF
Form 238(4)-2 07/26?60 E I V E. D WATER RESOURCES 2� I ��
Page 1 of 2 ID NUMBER
63 r:nl? o s ?�
State of Idaho Department of Water Resources
;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) (oo) (160)
Gov't Lot No. County Ada Lat.43°38.0176' Long. -116`27.9784'
Street Address of Well Location: 6001 W.ustick 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: Oless than 85OF ❑greater than 85OF
*Casing Size:6" *Material:steel *Well Depth 111 (measured)
*Current Static Water Level: lQf (measured) Flowing Artesian? Q Yes 0✓ No
5. REASON FOR DECOMMISSION OF THE WELL:
Development-Day Spring 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.)
Pul pump. Perforate from bottom to lop. Tremie Neat Cement from bottom to surface.
7. Drilling company name: Riverside Equipment Services LLc company lic. No. 333
8. Proposed date of decommission: April 13-24,2026
9. Applicants signature: dtMNr11J
10.Title:Well Drilling Manager date: April 6,2026
ACTION OF THE DEPARTMENT OF WATER RESOURCES
This decommission application has been reviewed by IDWR on:
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 beengr ted. SENIOR WATER
L/ RESOURCE AGENT
Signature of Authorized Wartment Representative Title
Form 238(4)-2 07/2025 ��lg� IDAHO D E P A R T hl E N T O F 924186
Page 2 of 2 - 1 WATER RESOURCES ID NUMBER:
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 IDWR within 30 days of completion of the work.
Sealing Material:
Seal material(grout,bentonite chips,etc, From(m I To(M Quantity lim,my.,ay Placement method/procedure(pumped,poured,etc.)
Neat Cement 0 117' 96 Ft' Pumped
3/8" Hole Plug 0 10' 3 sacks Poured
Casing:
Was the casing perforated? Yes No
If yes, list number, depths, and method of creating perforations:
From(ft) To(ft) Number/ft Size Method created(mill knife,perforate,etc.)
5 117 0.6 Mills Knife 3 to the round
Was the casing removed? Fv(] Yes If yes, indicate the amount of casing removed (feet):
6'
❑ No
Was the casing cut at or below grade? ❑� Yes
❑ No
Narrative:
Well was perforated with a mills knife 3 to the round every 5'for the entire length. Tremie was set to the bottom and
108 bags (@ 47lbs)where mixed and pumped. Overnight cement came to 77'. Tremie was reinstalled and 40
bags where pumped to surface. Overnight cement settled to 10'. 3 bags of 3/8" Hole Plug where added to reach
top of casing. Casing was dug down 5', cut below grade and buried.
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: Riversid ttipmen rvice C License # 333
Principal Driller: ate: ?7 .2
Operator: Date: