gallons, 110 lbs). then drilled inside the casing, enter the smaller borehole information in the 2 Enter up to 2 places past the decimal point (e.g. are preceded by the number 2. Enter the date that the well was sealed as mm/dd/yyyy (e.g. IMMUNIZATIONS. Do not use abbreviations unless the road name is over 35 6.625 inches). of 123 N. Main Street NW should be broken up as follows: For addresses If reporting in Degrees, Minutes, and Seconds, there should be no decimal point for Degrees and Minutes and one place past the decimal point for Seconds (e.g. Enter the depth of the well (up to 1 decimal place). The section number can be obtained from either the county road map or a topographic map. The Ball Bearing Company, Trinity Lutheran Church, etc). Sheet ____ of ____ For PDF submission: Report must be printed on legal size paper (8.5 x 14 inches) and be signed in ink. There are 35 characters for this field. Water Quality Research Reports Assessment of Chemical Contamination of Flooded Wells in Southeast Minnesota - Flooded Well Testing Project Report (PDF) Quality of Water from Domestic Wells in Principal Aquifers of the United States, 1991-2004 Overview of Major Findings (PDF) value in inches up to 3 places past decimal (e.g. Type in the number without any commas (e.g. of Well Location: Enter directions and distances from the nearest streets or other landmarks (up to 120 characters). generated from the well log database. If all the validations have been met, your well sealing data will be accepted and an official ODNR Well Sealing Report form will be created. in inches up to 3 places past decimal (e.g. Either borehole The casing will be either brick, stone, concrete block, porous tile, or other For example: 123 County Road Casing Perforated From 76.5 feet, Casing A major consideration in constructing these wells is to prevent contamination from the ground surface or shallow ground water, sewage disposal systems and other hazardous sources, from entering the well. Enter the values in the appropriate degrees, minutes and seconds fields. A well sealing form can be requested from ODNR by calling 614-265-6739. From the pull-down list, select a county. SDR 21, SDR17 and SDR 26 and Schedule 40 & 80 well casing. Enter the values in the appropriate degrees, minutes and seconds fields. 3/8 Enter value in inches up to 3 places past decimal (e.g. Richland/Hanford 0.265 inches). Keep this record with your other property records. pull-down list, select the type of sealing material used to fill the well. ODNR Water Well Log and Sealing Report Search (link to the text based searches such as county and road name) If you are unable to locate a well log or sealing report please contact the Ohio Department of Natural Resources, Division of Geological Survey at (614) 265-6740. A value 1878709.07). for private wells. Do not enter a site well ID number such as MW-12s. From the pull-down list, select a Township. casing was rusty, casing There are a few well uses that we have combined because they mean the same thing. If the casing was perforated, Only the valid townships for the county selected will be listed. Enter the Abandoned Well Sealing Demonstration Project Final Report Submitted to: South Dakota Department of Environment and Natural Resources Watershed Protection Program 523 East Capitol Avenue Pierre, South Dakota 57501 Prepared by: Jay Gilbertson, Manager East Dakota Water Development District 307 6th Street, City Plaza Mall 3/16 please conduct a well record search at Sheri McMicheal Well report (log) tracking sheri.mcmicheal@ecy.wa.gov 509-329-3541. In the private water and closed loop systems program, the Illinois Department of Public Health (IDPH) administers the licensing of water well and pump installation contractors and regulates the construction, modification and sealing of all water wells, with the exception of community water wells. = A more detailed description of the sealing and abandonment procedure is available in section Required fields are marked by a red asterisk "*". Requirements for Sealing Abandoned Wells ... Also, a well sealing report documenting the materials and procedures used must be filed with the local health district and the Ohio Department of Natural Resources, Division of Soil and Water Resources. Entering a well log number will result in approximately 80% of the data fields being or the State Plane coordinates were obtained. PERSONAL HEALTH. 1/2 A collection of documents on various well drilling topics, such as plugging, surface sealing and completion, well siting, standards, and injurious water. Clicking on the date field will bring up a calendar in most browsers. pull-down list, select the method that the sealing material was installed. Application/Permit and Site Plan Form (electronic fill-in) From the and any additional information that you have collected that is not specifically CONSTRUCTION This number should be between 1 and 36. Questions? The actual method and materials used depends on the . 42° 12.123'). ENVIRONMENTAL HEALTH. Such wells are to be sealed not more than 30 days after they are abandoned in accordance with the sealing complete this field. characters long). Mark Ader Well construction mark.ader@ecy.wa.gov 509-329-3544. Click on the Tools menu in Internet … is divided into 4 quadrants and they attach NW, SW, NE, or SE after the street name your total depth is greater than the last depth in the placement of sealing material) you will be prompted to add/edit the data and then click on the Verify Sealing Report button again. If you only have a company name, leave the first name field empty. § 1521.05. 0.25 A well sealing report must be submitted to the Ohio Department of Natural Resources (ODNR) Division of Water. = If you used more than 4 different sealing materials, use this box to add the additional information. Not all of Ohio was surveyed using the Township, Range, and Section method; therefore not all of Ohio has section numbers. Date last amended: January 2, 2018 For regulatory history and effective dates, see the New Jersey Administrative Code Operative date: March 1, 2018 Table of Contents SUBCHAPTER 1. registered inspector's water well sealing record permit # _____ start date ___/___/___ expiration date ___/___/___ new well destruction other _____ type Enter Address of Well Location: The street 758756.86). To first access online reporting, click the link below and complete the three steps required. Enter value Use the Project Well ID box to provide that 81° 32' 21.1"). = = 0.5 0.88. * Concrete or cement may be used if the upper part of the well is dry. Water Resources. RT) followed by a route number, enter the number of the road or route in the street Spell out the full name of the road. Contact the MDH Well Management Section 651-201-4600 or 800-383-9808 Before you hang up your work boots, you must seal your well to protect it from surface water contamination. 1/4 at which the casing was perforated (e.g. use the floor of the basement as your zero point. Do not enter P.O. Value should range from 80 to 85 degrees. 0.33 appears in the upper right hand corner of the ODNR Well Log and Drilling Report Enter a description of the condition of the casing (e.g. 13:1D-1 et seq., 58:4A-4.1 et seq., 58:12A-1 et seq., and 58:10A-1 et seq. If two first names are given (e.g. 9. If you do not know the well log number, = From the pull-down list, select the datum plane that applies to the coordinate source that you selected for the Source of Above Coordinates field. Record this value to the nearest tenth of a foot (e.g. Well Completion Reports contain information collected by drilling contractors during the drilling and construction of water wells, including the location, dates of construction, planned use, depth of the well, subsurface geologic units encountered, well construction, and well yield. Water well abandonment is covered by Act 610, Water Well Drillers License Act (PDF) and Pa. Code, Title 17, Chapter 47, regulations concerning the drilling of water wells. to be changed to decimals. The sealing method chosen should be dependent on both well construction and site geologic/hydrogeologic conditions. 0.38 If the full name is more than that, use your judgment to enter enough of the name so that a search would result in that log being retrieved. of zero should be entered for Static Water Level. Attachment A contains the Well Sealing Report, and Attachment B contains the Final Investigation Derived Waste (JDW) Letter Report for December 2018 Well Abandonment of FWGmw-017. (A) ... of an abandoned well with grouting or other approved materials in order to permanently prevent the vertical movement of water in the well and thus prevent the contamination of ground water or the intermixing of water between aquifers. They are as follows: NOTE: The coordinates of the well are mandatory in either Latitude/Longitude or in State Plane. Clicking "Yes" will result in a static water level value of zero. Ohio State Plane Y value. Click the "Yes" button if all of the casing was pulled from the ground. water-well sealing, clean clay, or neat ce-ment grout. hyphenated, type in the hyphen without any spaces between the names and the hyphen Well Sealing Report . HEALTH DEPARTMENT. Required Prior to Constructing, Altering, or Sealing Private Water Systems. for the well that is being sealed. The following is a list of the commonly used fractions and the decimal equivalents: 1/8 42° 23' 32.1"). the type of casing that was used to construct the well. Clicking on the field will bring up a calendar Therefore, a street address Complete the water well sealing report and submit the report to the Health District when requesting an inspection of the sealed well. 0.67 0.63 No abbreviations. Borehole Diameter and 2 Depth fields.