HomeMy WebLinkAboutCC - Riverside - Well 4 Abandonment Report-05282026083301 Inh HU DF.VA 8T M E\ T OF
Form 238(4)-207( 02Sf. ra 3 V Lz. WATER RESOURCES G`Zt I I (�Q
Page 1 of 2 I�1t ID NUMBER I `I y
3 APR 0 6 20' to of Idaho Department of Water Resources
IJTHORIZATiON TO DECOMMISSION A WELL
1. WELL OW13&INFORMATION: (The well owner is the person who legally owns the property.)
Name: Ton ID 1.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 114sW 1/4NE 1/4
(10) (40) (160)
Gov't Lot No. County Ada Lat.43"37.6086' Long. -116"27.6s9s
Street Address of Well Location: 2,600'South of W.Ustidr&3,2W East of N.Mc Derrnon Rd.
City:Meridian Lot, block and subdivision:
3. TYPE OF WELL:
❑ DOMESTIC ❑ MONITORING 0 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 850F❑greater than 85OF
*Casing Size:10" *Material:steel *Well Depth 1 152F (measured)
*Current Static Water Level: 14 (measured) Flowing Artesian? Yes Q No
5. REASON FOR DECOMMISSION OF THE WELL:
Land Devebpm t-Toll Bros.Day Spring Subdivision
6. PROPOSED METHOD OF DECOMMISSIONING:(Must be consistent with IDAPA 37.03.09. This Application must
be reviewed prior to commencement of the decommission.)
PedoraUm of steel casng bottom to top. Set 2'Trerrie and pump Neat Cement to surface. QRrasirg below grade a)W bmy.
7. Drilling company name: Riverside Equipment Services LLC company lic. No. 333
8. Proposed date of decommission. April 13,-April 24,2026
9. Applicants signature:
10.Title:Well Drilling Manager date: April6.2026
ACTION OF THE DEPARTMENT OF WATER RESOURCES
This decommission application has been reviewed by IDWR on: _ / 9-
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 ngraned. SENIOR WATER
RESOURCE AGENT
Signature o rized Department Representative Title
Form 238(4)-2 07/2025 A` IDAHO DEPARTMENT OF 924188
Page 2 of 2@@@ 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 o/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,bentonile chips,etc, From gt) To(h) Quantity (e,.e,e,.a) Placement methodlprocedure(pumped,poured,etc.)
Neat Cement +2' 152' 157 ft3 Pumped
Casing:
Was the casing perforated? Fv—/] 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' 152' 0.6 Mills Knife 5 to the round every 5'
Was the casing removed? R Yes If yes, indicate the amount of casing removed (feet): 7
❑ No
Was the casing cut at or below grade? R Yes
❑ No
Narrative:
Pump was pulled and casing perforated in its entirety. A Mills Knife 5 to the round every 5'. Tremie was installed to
the bottom and 208 bags (47lbs)where mixed and pumped. Overnight cement was tagged at 38'. Tremie was
reinstalled and 36 additional bags where pump to +2'. Overnight cement settled to 0'. Casing was excavated and
cut 5' below grade and buried
DRILLER'S CERTIFICATION
INVe 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: Rive 9e Equi ent� LC nse # 333
Principal Driller: Date: May 27, 2026
Operator: Date: tS 21 Z 6