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HomeMy WebLinkAbout20220922Gem State to Staff 20-43.pdf:i l{tY lloturol' Rates&RegulatoryAffairs , , ,. -.,+,r Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Resoonse Request No.: GSW-W-22-01 IPUC DR 20 20. Please provide the status of electrical repairs to the Diamond Bar Estates pumps as directed in Order No. 33578 at 9. lf the repairs are complete, please provide relevant details of how and when the repairs were completed. Resoonse: The Order No. 33578 allowed the Company to replace the pumps, and to recover the costs of replacing the pumps, and also directs the Company to: 1) Confirm with Kootenai Electric Cooperative (KEC) that the current transformer is adequately sized, per National Electric Code: KEC confirmed the transformer is adequately sized, per National Electric Code, and only using 44o/o of its maximum capacity. 2) Replace its Delta type seruice drop with a Wye type service entry that is compatible with KEC's fie transformer and complies with KEC's current engineering guidelines; The system was converted from Delta to Wye in 2O15, and it is compatible with KEC's Wye transformer and complies with KEC's current engineering guidelines. 3) lnstall a circuit breaker that disconnecfs all phases simultaneously in the event any one phase r.s drsconnecfed: Circuit breakers have been installed that disconnect all phases simultaneously in the event that any one phase is .(r ,^(ff lw iloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Resoonse Request No.: GSW-W-22-01 IPUC DR 21 21. Please provide the status of obtaining a backup well for the Diamond Bar Estates system that satisfies the ldaho Department of Environmental Quality's (IDEO) Redundant Source Requirement, as discussed in Order No. 34416 at 5. lf the situation has been resolved, please provide relevant details of how and when this was accomplished. Response: The Commission's Order No. 34416 at 5 states: "The backup well's proximity to the HARSB site is a concern regardless of who owns and operates Diamond Bar. As DEQ indicates, public health would be best served through a backup well that meets the DEQ's current requirements. The one-year agreement with the Turnipseeds to use and access the backup well while the Company develops and implements a water master plan is a reasonable step toward finding a long term solution. The Company asserts that all assets required to run the systems adequately and reliably are included in the transaction. lf the Company's confidence ultimately proves misplaced in this regard, we are confident that the Company has the financial ability to purchase the required assets. The prudency of the costs incurred to acquire assets to operate the system post-transaction will be determined when we have the benefit of a full record at the next rate case for these systems.' The backup well that was referenced in IPUC Order No. 34416 related to the IDEQ Redundant Source Requirement was put into service on 1212012021. Work was started with engineering and hydrogeology in the Fall of 2019. Well site evaluation was completed on March 10,2020. Well drilling was completed in June 2020. This well satisfies the well lot requirement. Documents regarding the well are included with the Company's response to GSW-W-22-O1 |PUC DR 37. t!r xlrY lloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Resoonse Reouest No.: GSW-W-22-01 IPUC DR22 22. Please provide the status for resolving the issues outlined in the Bitterroot System Disapproval letter issued by IDEQ as discussed in Order No. 34616 at 3. Resoonse: Gem State resolved the issues outlined in the IDEQ Disapproval letter discussed in Order No. 34616 by way of a conditional reapproval. We are in the process of working with engineers and hydrogeologists to provide a final submittalfor upgrades necessary to bring the system into full compliance. lt is anticipated to be finalized and submitted to IDEQ by the end of 2022. GSW-W-22-01 IPUC DR22 Attachment 1 is a copy of the reapproval letter. STATE OF IDAHO DEPARTMENTOF ENVIRONMENTAL QUALITY 2110 lronwood Parkway, Coeur d'Alene, lD 83814 (208l-769-1422 Brad Little, Governor Jess Byrne, Director November 23,2O2L Leslie Rayner Gem State Water Company PO Box 3388 Coeur d'Alene, lD 83816 leslie@gemstate-water.com Subject: Gem State - Bitterroot Water Company - Facility Plan - Revision 3 DEQApproval Dear Ms. Rayner: The Department of Environmental Quality (DEQ) has reviewed a revised water system facility plan for the Bitterroot Water Company. The revised facility plan was stamped and signed by Scott G. McNee, P.E. on November 22,202L and submitted to DEQ on November 22,202L Major system components addressed by this facility plan include well pumping system improvements, booster pump station improvements, new water storage reservoir, standby power improvements, and corrections to address requirements noted in the sanitary surveys conducted in 2020. The system is currently accommodating 157 ERUs. After improvements outlined in this facility plan are implemented, the system will be able to accommodate 210 ERUs, This document was reviewed for its conformance with the ldaho Drinking Water Rules, !DAPA 58.01.08 Subsection 502 and other applicable subsections. lt appears to meet the minimum design standards therein. The facility is hereby approved in accordance with the ldaho Drinking Water Rules, IDAPA 58.01.08. This facility plan is required to be updated or modified when the existing public drinking water system undergoes a moteriol modificotion or expansion (IDAPA 58.01.08.502.01). An updated facility plan may not be required for simple water main extensions. lt is recommended to contact DEQ to discuss any planned modifications to the existing system to verify these requirements. Preliminary engineering reports for any project relating to this facility plan may now be submitted to DEQ for review and approval prior to submitting any construction plans and specifications. The preliminary engineering report shall be in conformance with the approved facility plan or shall describe any modifications to the facility plan. Preliminary engineering reports must be completed for all major water system projects including, but not limited to, source, pump station, pressure control, storage, and treatment projects. Preliminary engineering reports are not reqpired for simple water main extensions that are approved in accordance with Subsections 502.01.a. or 502.01.b. ltems adequately addressed in the facility plan under which the project is being designed may be addressed by reference for purposes of the preliminary engineering report. Should you have any questions or require additional information, please do not hesitate to contact me at (208) 666- 4604 or via e-mail at emma.wooldridee@deo.idaho.sov. Sincerely, 2a-- Emma Wooldridge, EIT Water Quality Engineer Ec: Ms. Rayner November 23- 2021Page2 I Scott MeNee, P. E., T€ E ngineers, smcnee@to-enqineers.com Katy Ba ker{asi le, P. E., DEQ Engineeri ng M anager, katy. baker-casi le @ deo. ida ho.eov Andy Olson, Drlnking Water Compliance Officer, andv.olson @deq. ida ho.gov An na Moody, Dri nking Water Su pervisor, anna. moodv@deo,ida ho.sov EDMS: 1D1280260 : 2021AGD7ffi2 (P&S 4692s) llW ]loturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an Increase in its Rates and Charges for Water Service Data Reouest Resoonse Reouest No.: GSW-W-22-01 IPUC DR 23 23. For each water system, please provide the following: a. A geo-spatial map of each system showing each well, the distribution piping, storage tanks, booster pumps, and major valves (including fire hydrants). b. The ldaho Department of Water Resources (IDWR) water rights associated with each system. c. The name of each well, and its IDWR well identification number. d. The year, make, model, and capacity for backup generation supporting the well pumps. lndicate if the generation has an Automatic Transfer Switch (ATS) or if it must be manually started. e. The year each storage tank was installed. f. A copy of the most recent IDEQ sanitary survey for each water system. lf one does not exist, provide information about the type of water treatment (if any) and treatment capacity for that system. g. The dates, causes, and durations of unplanned outages for each system for the last 2 years. h. The Company's narrative assessment of each system's condition and the need for near-term (next 5 years) future investment. If a recent master plan exists, please provide a copy. Resoonse: a. Gem State does not have geo-spatial maps available. b. The ldaho Department of Water Resources (IDWR) water rights associated with each system are attiached as attachments GSW-W-22-01 IPUC DR 23c Attachments 1-11. c. The name of each well, and its IDWR well identification number are below: Happy Valley Well 1 (E0005370) - IDWR Well lD 275654 Diamond Bar West Well (Original) - IDWR Well lD 276739 Diamond Bar East Well (New) - IDWR Wel! lD 459345 Bar Circle S Well #1 West (E0005561) - IDWR Well !D No well log available Bar Circle S Well #2 (E0009245) - IDWR Well lD No well log available .o GSW-W.22-01 IPUC DR 23 NWN Response Page2of 4 Bar Circle S Well#3 (E0010065) - IDWR Well lD 0069915 Bitterroot East Well - IDWR Well lD 268794 Bitterroot West Well - IDWR Well lD 330694 Spirit Lake East Well - IDWR Well lD 271296 Lynnwood Well - IDWR Well lD 431286 d. The following information provides the year, make, model, and capacity for backup generation supporting the well pumps, and indicates if the generation has an Automatic Transfer Switch (ATS) or if it must be manually started. Spirit Lake East - 175 kW Caterpillar with ATS - 2008 Bitterroot - 170 kW make unknown - no ATS, manual start only - out of service. Due to age unable to procure repair parts. Gem State Water purchased a 143kW Wacker-Neuson portable unit August 2021 and installed a temporary ATS to use at Bitterroot untilengineering is completed for upgrades. Bar Circle S - 250 kW Generac with ATS located at Well 2 - 1992 60 kW Cummins Gen with ATS located at Well 1 & 3 - 2009 Diamond Bar - ATS only. lnstalled during new well construction and electrical upgrade work 2021. Ready for portable rental unit when needed. System not engineered to include back up power generator. e. The year each storage tank was installed is shown below Spirit Lake East - 1968 Bitterroot - Estimate 1990's BarCircleS-2002 Diamond Bar - 1994 f. The most recent IDEQ sanitary survey for each water system is provided with this response as GSW-W-22-01 IPUC DR 23.f Aftachment Nos. 1-17. g. The dates, causes, and durations of unplanned outages for each system for the last 2 years are described below. 111112021 our area experienced 71 mph winds that knocked out line power to all Gem State Water utilities. Spirit Lake and Bar Circle S had no service interruptions. Lynnwood, Happy Valley, and Diamond Bar were without power sporadically over the course of several days. Bitterroot has a backup generator, but it was unable to run for the extended outage due to its age. We were able to secure a portable rental machine to provide backup power to the system restoring continuous service. After line power retumed, we attempted to repair the generator on site but have not been able to secure parts. The generator is old, and parts are no longer manufactured; GSW.W.22.O1 IPUC DR 23-*tff:?:,7 rather, we have aftempted to source used parts with no success. A portable generator unit was subsequently purchased and placed semi permanently at Bitterroot to provide backup power. Emergency response, line flushing, testing, and public notification were all employed due to depressurization events. Repairs were also needed for SCADA antennas that were damaged from storm activity. 412112021 Scheduled power outages all. Avista scheduled a full system shut down to repair damage that was caused during the January 2020 wind storms. Spirit Lake and Bar Circle S and Bitterroot had no service interruptions. Lynnwood, Happy Valley, and Diamond Bar were without power. Emergency response, line flushing, testing, and public notification were all employed due to depressurization events. 61912021 Happy Valley power outage scheduled by Avista for repairs to the system Emergency response, line flushing, testing, and public notification were all employed due to depressurization events. 612912021Avista announced rolling outages due to hot weather that affected Lynnwood, Happy Valley and Diamond Bar. Emergency response, line flushing, testing, and public notification were all employed due to depressurization events 11114-1512021Strong winds caused sporadic short power interruptions to Lynnwood, Happy Valley, Diamond Bar, and Troy Hoffman. Emergency response, line flushing, testing, and public notification were all employed due to depressurization events. h. All Gem State Water systems are of similar age and condition except for Diamond Bar Estates, which is the most recently built system and, in 2020 and 2021,went through a major upgrade. Diamond Bar upgrades included the addition of a new well, new booster pumps and controls including a transfer switch, and full SCADA. Happy Valley, Bar Circle S, Bittenoot, Spirit Lake East, Lynnwood, and Troy Hoffman are all aging systems in need of plant upgrades including additional source, storage, booster stations, controls, and customer meters. Gem State Water has begun a meter replacement program starting with Troy Hoffman due to the inaccessible location of the meters and plans to continue this meter replacement program among the other systems as the meters become available. With the groMh the ldaho panhandle has faced in the past decade, the user profile has changed and placed a much higher demand on water, homes are much larger, and lots are immaculately landscaped with water features and park like settings. Gem State Water has not expanded the CPCN on these systems or allowed growth outside of the connections approved at acquisitions because at times we find it difficult to keep up with current customer demand. Gem State Water has done what we can to be proactive at responding to system failures and mechanical breakdowns by installing SCADA at all sites, stocking backup pumps, motors, and other hard to locate electricalequipment, but parts are becoming increasingly problematic to find for GSW-W.22.01 IPUC DR 23-*tl$T:'T many components that are necessary to keep these water systems running, prompting the need to upgrade to current design standards. Gem State Water will defer to our licensed professional engineers to provide our S-year investment plan for these systems through the completion of our in-process facilities plans and will provide these to the IDWR (and the Commission) as soon as they are available. Gem State is cunently working with ldaho Licensed Engineers to complete facilities plans for all systems. Once these are complete, they will be consolidated into one master plan for all of Gem State Water. This is expected to be completed in December 2023. Name of Facility: Troy Hoffman Water Corporation lnspector(s): Suzanne Scheidt Miller lnspection Date: Friday, January 27,20L7 Purpose of lnspection: Sanitary Survey Photogra phic Docu mentation Publish Date: Tuesday 31January 2OL7 ldaho Department of Environmental Quality Photographic Documentation For Troy Hoffman Water Corporation Table of Photographs: Photograph 1: Well house building 3 Photograph 2: Frost free hydrant on pump discharge manifold to distribution (inside fence) .....................3 Photograph 3: Emergency contact information posted on well house 4 Photograph 6: 30 hp submersible pump controls (equipped w soft start)5 Photograph 7:20hp submersible pump controls (lag)5 Photograph 9: 30 hp submersible pump discharge appurtenances to Tank A... Photograph 10: DCA backflow protection on 30 hp pump discharge to underground sprinkler system Photograph 11: Underground sprinkler system controls - well lot Photograph 12: Hydropneumatic Tank A (flow through) Photograph 13: Electric air compressor control timer .. Photograph 14: 30 hp submersible pump pressure switch and isolation valve to Tank A......... Photograph 15: Tank B (flow through) sight glass (same elevation as Tank A)................ Photograph 17: Tank B pressure switches regulating 20 hp submersible pump Photograph 20: 30 hp pump pressure relief discharge outlet w vented cap protected w 24-mesh. Photograph 2L:20 hp pump pressure relief discharge outlet w vented cap protected w 24-mesh. Photograph 22: Concrete inscription pump house original constructed 1956 Photograph 23: Concrete inscription pump house addition constructed 1955............ 6 5 7 7 8 8 9 9 10 10 10 10 11 11 11 2 ldaho Department of Environmental Quality Photogra phic Documentation For Hoffman Water d; -\+ n t Photograph 1: Well house building Photograph 2: Frost free hydrant on pump discharge manifold to distribution (inside fence) 3 ldaho Department of Environmental Quality Photographic Documentation For Troy Hoffman Water ration --*.- _--_,-:,_!_-_, -----*_- Photograph 3: Emergency contact information posted on well house Photograph 4: Well with 20 and 30 hp submersible pump discharge HOFFMAN tlAiEp Ca 2C8-664-98s8 4 ldaho Department of Environmental Quality ic Documentation For Troy Hoffman Water Corporation Photograph 6: 30 hp submersible pump controls (lead and equipped w soft startl Photograph 5: Well caslng vent w 2+mesh screen 5 ldaho Department of Environmental Quality Documentation For T Hoffma n Water Corporation Photograph 7: 20 hp submersible pump controls (lag) Photograph 8: 30 hp submersible pump pressure relief discharge Photograph 9: 30 hp submersible pump discharge appurtenances to Tank A Photograph 10: DCA backflow protection on 30 hp pump discharge to underground sprinkler system 5 Photograph 11: Underground sprinkler system controls - well lot ldaho Department of Environmental Quality Documentation For Hoffman Water Co Photograph 12: Hydropneumatic Tank A (flow through) 7 ldaho Department of Environmental Quality hic Documentation For Hoffman Water ration Photograph 14: 30 hp submersible pump pressure switch and isolation valye to Tank A Photograph 13: Electric air compressor contro! timer ldaho Department of Environmental Quality hic Documentation For Hoffman Water Co Photograph 15: Tank B (flow through) sight glass (same elevation as Tank A) Photograph 15: Tank A discharge to distribution 9 Photograph 17: Tank B pressure switches regulating 20 hp submersible pump ldaho Department of Environmental Quality ic Documentation For Hoffman Water Photograph 18: Air compressor discharge to Tank B with pressure gage \"d Photograph 20: 30 hp pump pressure relief discharge outlet w vented cap proteded w 24-mesh / I \ 1.., - Photograph 19: fank B discharge to manifold pressurizing distribution 10 \ t' lr.i'tf ldaho Department of Environmental Quality Photographic Documentation For Hoffman Water Co Photograph 21: 20 hp pump pressure relief discharge outlet w vented cap protected w 24-mesh Photograph 23: Concrete inscription pump house addition constructed 1966 Photograph 22: Concrete inscription pump house original constructed 1956 F 11 Name of Facility: Happy Valley Water System lnspector(s): Suzanne Scheidt Miller lnspection Date: Monday, April 02,}OLB Purpose of lnspection: Sanitary Survey Photogra phic Docu mentation Publish Date: Tuesday 17 April 2018 ldaho Department of Environmental Quality Photographic Documentation For Happy Valley Water System Table of Photographs: Photograph 3: Well head enclosed within dog house structure Photograph 7: Well discharge to waste outlet Photograph 8: Well discharge to distribution. Photograph 9: Well discharge to distribution. Photograph 12: Well house floor drain Photograph 14: Well controls Photograph 15: Hydropneumatic testing history (every 3 years) Photograph 15: Pressure relief outlet 3 3 3 3 4 4 5 5 5 5 6 5 5 6 7 7 7Photograph 17: Pressure relief outlet to atmosphere screened post field survey 2 ldaho Department of Environmental Quality Photogra phic Documentation For Happy Valley Water Systemi? Photograph 2: Pump house & 3 phase overhead powerPhotograph 1: Pump house & attached dog house structure Photograph 4: Sealed well head and well cap post field survey tre#" 3 Photograph 3: Well head enclosed within dog house structure Photograph 5: Sealed well head post field survey ldaho Department of Environmental Quality Documentation For H Water Photograph 6: Well discharge appurtenances 4 Photograph 7: Well discharge to waste outlet ldaho Department of Environmental Quality Documentation For H Water Photograph 8: Well discharge to distribution Photograph 9: Well discharge to distribution 5 Photograph 10: Well discharge pressure relief outlet to atmosphere ku Photograph 11: Well actuation pressure switch Photograph 13: Well house thermostatically controlled heater ldaho Department of Environmental Quality hic Documentation For Happy Valley Water System Photograph 12: Well house floor drain Photograph 14: Well controls 6 ldaho Department of Environmental Quality ic Documentation For Valley Water System Photograph 16: Pressure relief outletPhotograph 15: Hydropneumatic testing history (every 3 years) Photograph 17: Pressure relief outlet to atmosphere screened post field survey 7 2018 Drinking Water Supply Report Idaho Departrrent of Environmelrtal Quality System: Happy Valley Water System PWS #: D1280220 County: Kootenai Date of Survey: April2,20l8 System Representatives Present at Survey: Ke,n Rickel, Responsible Charge Operator Surveyed by: Suzanne Scheidt Miller, Senior [hinking Water Analyst Source: Well Water System Type: Community Population:60 Service Connections: 25 residential metered connections System Overview The Happy Valley community public drinking water system (system) is privately owned and administered by Happy Valley Water System, Inc. The system is supplied by one well, located on a 0.38 acre lot (parcel5lN04W-17-6650), north of the intersection of Hayden Avenue and Happy Trails Lane, and owned by the system. The well lot is bordered by agricultural fields; application of herbicides and pesticides is prohibited within a 50 foot radius of the well. The well is enclosed within a dog house structure attached to the well building. Five hydropneumatic bladder tanks ride on well discharge to tarnper pressure transients to distribution main. I Well Idaho Public Utilities Commission regulates the privately owned water system. The system is not equipped with alarms or auto-dialers, nor is a pigtail receptacle for a portable generator provided. The system does not share an emergency intertie with neighboring purveyors. Back-up power or an emergency intertie is a strongly recommended to provide system redundancy The water system was not designed to provide fire flow. Well I (E0005370) and Discharge Appurtenances DEQ records indicate the system was frst inspected in 1986. The inspection report notes the 8-inch cased well supplying the system was drilled at an unknown date to a depth of 310 feet. Static water level was recorded at270 feet as per DEQ records. A drillers report was not located on the Idaho Department of Water Resources website nor saved to DEQ files. It is unknown if the well was constructed with a surface seal. In order to continue to protect the well from potential contamination, cracks in concrete adjacent to well casing were identified as a deficiency and sealed by the operator. A gap in the joint of the well casing and cap was identified from photos taken at the time of the suruey and also sealed by the operator. While the casing and cap had separated, a rubber gasket below the well cap provided a seal to protect the source from contamination. Photos of repairs are included in the photo log. The well is equipped with a 25hp (3 phase) submersible pump set at 300 feet and discharging between 100 and 125 gallons per minute (gpm). Well actuation is regulated by a 40-68 psi pressure switch on well discharge (the service area is of similar elevation to the well). Well discharge appurtenances include an instantaneous and totalizrng flow meter, isolation valves, pressure gage, and sample tap. The well is plumbed to discharge to waste outside the well building. A pressure relief valve is installed on well discharge and plumbed to exhaust to atmosphere at 75 psi, the outlet was equipped with 24-mesh screen following the survey (photo-documentation is included in the photo log). The well casing is not vented. As per the 2013 survey, IDAPA 58.01.08.511 requires the well cap be vented if waterable drawdown exceeds 10 feet at maximum pump capacity. The 2013 survey indicated the system operator did not anticipate well draw down to exceed 10 feet as the well draws from the Rathdrum Prairie Aquifer. It is strongly recommended the well casing be equipped with a vent protected with a 24-mesh screen to prevent damage to casing and electrical conduit. A vent will be required in the event coliform contamination is attributed to the source. Five hydropneumatic bladder tanks ride on well discharge; each tank may be isolated and drained. Tanks were last tested in August 2017 (tested every three years) and did not sound water logged at the time of the survey. Source Water Assessments have been completed by DEQ, potential contaminant inventories were last updated in March 2013. Detailed findings may be reviewed and updated at: httro://apps.deq. idaho. eov/water/swaonline/ 2 Distribution Summary Record drawings indicate looped distribution main is constnrcted of 2-inch and 4-inch class 160 PVC main; the operator reported some main may be as small as l%-inchPvc. It is unknown if the system holds easements for distribution main. Plans also indicate one dead end main was constructed within the southwest zone of dishibution. However, the operator excavated the area following the 2013 suruey and reported the dead end main extension was not constructed; rather the main terminates at the service meter. It is recommended that flushing hydrants be installed to allow for flushing in the event of contamination of the distribution system. The operator indicated there are no air vacuum relief valves installed on distribution main. As the system receives electrical power from Kootenai Electric Cooperative, energy savings rebates are available from the Bonneville Power Energy Smart Industrial Program. Rebates may go toward cost of leak detection and repair as well as pump replacement. For more information, please contact Layne McWilliams with the Energy Smart Industrial Program in Coeur d'Alene at layne. mcwilliams@ enersvsmartindustrial. com or at 97 | -244- 8 5 8 I . Required Depressurization Response The Idaho Rules for Public Drinking Water Systems require the following response to distribution depressurization (pressure below 20 psi) as per IDAPA 58.01.08.552.01.b.ii.1-2: durtng unplanned or emergency situations, when water pressure within the system is lmown to have decreased below 20 psi, the water supplier must notify DEQ, provide public notice to affected customers within 24 hours andflush and/or disinfect the system. Wen sampling and coruective procedures have been conducted, the water supplier may re-notify the affected customers that water is safefor consumption. During planned maintenance or repatr situations, when water pressure is expected to foll below twenty (20) psi, the water supplier must provide public notice to the affected customers prior to planned maintenance or repair activity and shall ensure that the water is safefor consumption. Cross Connection Control Implementation As per Idaho Rules, the water system purveyor is responsible for implementation of a Cross Connection Contol Program. The water systern purveyor is defined in the Rules as, the person, company, or association who provides or intends to provide drinking water to the customers and is ultimately responsiblefor the public water system operation. T\e purveyor is ultimately considered responsible for implementation of the program. IDAPA 58.01.08.552.06.a-e lists the minimum requirements of a Cross Connection Control Program: Cross Connection Control Program - Community Water Systems. The water purvqlor is responsible through its cross connection control program to take reasonable and prudent measures to protect the water system against contamination and pollutionfrom cross connections through premises 3 isolation, internal or in-plant isolation, fixture protection, or some combination of premises isolation, internal isolation, andfixture protection. Pursuant to Section 543, all suppliers of water for community water systems shall implement a cross connection control program to prevent the entrance to the system of materials lonwn to be toxic or hazardous. The water purveyor is responsible to enforce the systems cross connection control program. The program will at a minimum include: l. An inspection program to locate cross connections and determine required suitable protection. For new connections, suitable protection must be installed prior to providing water service. 2. Required installation and operation of adequate backflow prevention assemblies. Appropriate and adequate baclc/low prevention assembly types for various facilities, fixtures, equipment, and uses ofwater should be selectedfrom the AWWA Pacific Northwest Section Cross Connectibn Control Manual, the Untfurm Plumbing Code, the AWWA Recommended Practicefor Bacffiow Prevention and Cross Connection Control (Ml4), the USC Foundation Manual of Cross Connection Control, or other sources deemed acceptable W the Department. The assemblies must meet the requirements of Section 54j and comply with local ordinances. 3. Annual inspections and testing of all installed bacffiow prevention assemblies by a tester licensed by a licensing authority recognized by the Department. Testing shall be done in accordance with the test procedures published by the University of Southern Califurnia Foundationfor Cross-Connection Control and Hydraulic Research. See the USC Foundation Manual of Cross-Connection Control referenced in Subsection 002.02. 4. Discontinuance of service to any structure, facility, or premises where suitable bacffiow protection has not been providedfor a cross connection. 5. Assemblies that cannot pass annual tests or thosefound to be defective shall be repaired, replaced, or isolated within ten (/,0) business days. If thefoiled assembly cannot be repaired, replaced, or isolated within ten (10) business days, water service to thefailed assembly shall be discontinued. A copy of the system ordinance providing purveyor authority to implement the program was provided following the 2013 survey. The document appears to provide purveyor authority to actively implement the Cross Connection Control program. The operator reported the system has initiated program implementation through service connection inspections and required installation of backflow prevention assemblies where required. As an additional requirement to the survey, the system must continue to implement the program by inspecting all connections, requiring installation of backflow prevention devices and assemblies where applicable, and tracking annual testing of backflow prevention assemblies by an Idaho licensed backflow assembly tester. Monitoring Summary The system is operating in compliance with all current monitoring requirements and actively participates in DEQ's monitoring waiver program. Source water quality currently meets all regulatory drinking water standards. The table below summarizes current monitoring requirements for the system. The monitoring schedule may qualitv/drinkins-water/pws-switchboard. aspx also be accessed at: http://www.deq.idaho.sov/water- 4 Total coliform I sample per month ln accordance with coliform sampling plan Lead and Copper 5 samples every 3 years Assigned sampling locations . .E .i-'.1 .i _,'l',.,;lifr*ril&ffiilffiffi 'J- .,,. =-_ r - Nitrate levels have historically ranged (1986 to present) from 1.4 to 2.8 mg/L with 2017 results at 2.61 mglL. Historic arsenic levels have been consistentlybelow minimum detection levels. Lead and copper monitoring results from the last round of five samples collected in September 2016 ranged from 0.0016 to 0.0022 mg/L for lead, with copper levels ranging from 0.0137 to 0.0769 mglL. The lead action level is 0.015 mg/L and copper action level is 1.3 mglL. Lead and copper monitoring will be due again between June 1 and September 30, 2019 and are to be collected from home sampling locations identified as per system lead and copper site selection criteria. As a community water system, monthly monitoring for total coliform in dishibution is required to represent water quality throughout distribution. A review of monthly sampling history between March 2017 afi February 2018 reflects samples are collected in accordance with the sampling plan. Sampling locations include 9961 Huetter, 5948 Emmanual, 5891 Hayden,494l Hayden, 5876 Emmanual, and 10087 Huetter. Total coliform samples collected from the well building will not be credited for future compliance. Administrative and Operational Oversight The system is classified as a Very Small Water System under direct oversight of responsible charge licensed operator, Ken Rickel, who holds a Very Small Distribution License (DWDVSWS-12995) due for renewal September 8, 2018. Back-up operation is provided by Robert Wachter. Mr. Wachter holds a distribution one license (DWDI-12905) due for renewal on December 17, 2018. Administrative oversight of the water system is provided by a two member Board. Ken Rickel serves as President, Catherine Rickel serves as Secretary. Please complete the enclosedfinancial and managerial forms and return to the DEQ Coeur d'Alene Regional Office within 30 days of receipt. 5 Conclusion The system is considered to be operating in compliance with the Rules. Below please find a summary of requirements and recommendations for optimization of future system operation. Requirements l. The application of herbicides or pesticides is prohibited within a 50-foot radius of the well. 2. A well casing vent will be required in the event coliform contamination is attributed to the source. 3. In the event distribution pressure decreases below 20 psi, appropriate follow up action in accordance with the Rules must be followed, as stated on page 5 of this report. Requirements include providing notification to affected customers within 24 hours, notification to DEQ and collection of water quality samples to verifu integrity of the water supply. 4. The cross connection control program is required to be fully implemented. 5. Total coliform samples collected from the well building will not be credited for compliance in the future. 6. Please complete and return the enclosed financial and managerial forms within 30 days of receipt of this report. Recommendations 1. Back-up power or an emergency intertie with a neighboring purveyor is strongly recommended to provide system redundancy. 2. It is strongly recommended the well is equipped with a vent protected with a 24-mesh screen to prevent damage to well casing and electrical conduit upon well actuation. A vent will be required in the event coliform contamination is attributed to the source. 3. It is recommended that flushing hydrants be installed on looped distribution main to allow for flushing in the event of system contamination. 4. It is recommended hydropneumatic tanks continue to be routinely tested for potential bladder failure. 5. It is recommended all system valves are exercised on an annual basis. 6. It is recommended that an Operation and Maintenance Manual be drafted for the water system if not already available. 6 STATE OFIOAHO DEPARTMENT OF ENVIRONMENTAL QUALITY 21 1 0 lronuood Parkuay, Coeur d'Alene,lD 8*14(2M)7691422 C. L. tsrrtcfi'Otter, Govemor John H. Tippeb, Dirccto April24,2018 Ken Rickel Happy Valley Water System PO Box 2306 Hayden,ID 83835 kcrickel@hotmail.com Subject: Report of Sanitary Survey, Happy Valley Water System, PWS# 1D1280220 Ken: Thank you for participating in the survey of the Happy Valley public drinking water system (system) on April2,2018. The system was inspected and determined to be operating in compliance with the ldaho Rules for Public Drinking Water Systerns (Rules). System requirements and recommendations are listed at the conclusion of the report. Please retum completed enclosed financial and managerial forms to our office within 30 days of receipt ofthe survey. I may be reached at208-666-4624 with any questions or concerns you may have regarding the findings of the enclosed report. Sincerely, -!,,nu \hil nllb Suzanne Scheidt Miller Senior Drinking Water Analyst suzanne. scheidtmiller(Ddeq. idaho. qov Enclosures: Happy Valley Water System Report and Photo Log, and forms c: Anna Moody, Drinking Water Program Supervisor anna.moodyf@deq.idaho.eov EDMS Files: ID1280220:2018ACA3533 / 2018ACA3532 / 2018ACA3535 Photogra ph ic Docu mentation Name of Facility: Lynnwood Estates lnspector(s): Jamie Barton lnspection Date: Friday, September 28, 2OL8 Purpose of lnspection: Sanitary Survey PubHcHealthPrevent. Promote. Protect. Panhandle llealth Dtstrict Publish Date: Friday 26 October 2OL8 Panhandle Health District Photographic Documentation for Lynnwood Estates Table of Photographs: Photograph 1: Well lot partially fenced Photograph 3: DEQ well #2 tag# E0005355 Photograph 4: Well and pump vau|t........... Photograph 5: Well cap tilted Photograph 6: Pump vault on well lot........ Photograph 8: Pump controls 3 3 3 3 3 3 4 4 4 4 4 4 5 5 5 5 5 Photograph 10: Welldischarge line Photograph 11: Pressure switch and gauge... Photograph 12: Pressure tank Photograph 14: Vent for pump vault Photograph 15: Flow to waste Photograph 15: New gasket in place(photo submitted by operator) Photograph 17: Well cap reset (photo submitted by operator) 2 i-. Photograph 1: Well lot parttolly fenced Panhandle Health District ic Documentation for nnwood Estates 'rf$f{.{p}4-fif Photograph 2: Well #2 Photograph-',:irli$h,!i"r+r-,+1n.1€:'1.i1 . ..t !:,7--r;I --.{lryfil ii \'-\.\ ,'ffi 't .i\: i I I,UII Photograph i: DEQ well #2 taq# E0005366 Photograph 4: Well and purnp voult I ,'. ,illr".. (l' \ I 3 Photograph 5: Well cap tilted Photoqraph 6: Pun'rp vault on vtell lot Photogroph 7: Pump voult occess Photogroph 9: Flow to woste line Panhandle Health District Photographic Documentation for nwood Estates Photogroph 8: Pump controls Photogroph 70: Well dischorge line 4 Photogroph 71: Pressure switch ond gouge Photogroph 72: Pressure tonks Panhandle Health District Documentation for nwood Estates Photogroph 14: Vent for pump vaultPhotogroph 73: Flow meter Photogroph 75: Flow to waste Photogroph 77: Well cop reset (photo submitted by operotor) Photograph 76: New gosket in place (photo submitted by operotor) 5 Panhandle Health District Drinking Water Supply Report System: Lynnwood Estates Date of Survey: September 28,2018 Source: Groundwater Water System Type: Community System Representative Present at Survey: Cole Rayner, OP Surveyed by: Jamie Barton, PHD PWS#: 1D1280259 County: Bonner Connections: 21 LYNNVYOOD ESTATES WATER SYSTEM OYERVIEW The Lynnwood Estates water system is classified as a community public drinking water system located approximately a Yz mile norlh of Athol, east of Highway 95 along Trinity Lane. The water system consists of a single drilled well, pressure tanks, and distribution mains serving 2l rural residential connections. History Lynnwood Estates was platted lrn1962 into 36lots. Jerry Mortensen had a well drilled in 1991 (well #l) to serve available lots within Lynnwood Estates and the surrounding area. The well had collapsed at the time of drilling and eventually led to an overproduction of sand in the drinking water. Kootenai Investnrent Company took over the water system and had a second well (well #2) drilled October 21,1994. Plans and specifications (P&S) for the well and pump house were submitted to the Idaho Deparhent of Environmental Quality (DEQ) by Gem State Engineering in August 1994 and approved by DEQ September 1994. As reported, well #1 was no longer used but remained listed as a backup well until 2007 when it was inactivated and scheduled for abandonment. In April 2010, the water system was notified bythe Panhandle Health Dishict effD) of being in violation for exceeding the running annual average maximum contaminant level (MCL) for arsenic. The MCL for arsenic is 0.010 mglL. The owners of the water system entered in a consent order with DEQ in October 201 0 which provided timelines for steps to be taken to mitigate the arsenic exceedance. Various options were explored; including t I ( , t ,n tr : t. it 1r l( rhr'r'i r llrl Page 1 of4 treatnent at the source, point-of-use treatment, or drilling a new well. All options would have been a significant financial burden to the water users or were not viable options. The water system continued to exceed the MCL and remained on quarterly public notification until 2013. In March 2013 the well was rehabilitated; including pulling the pump, sealing the lower portion of the well, re-perforating the casing, and installing the pump at a higher level. The rehabilitation resulted in a significant amount of fine material drawn through the perforations, causing a reduced production which could not support the demands of the entire system. The filled portion of the well was removed and following that entire process, all arsenic monitoring results have been below the MCL. Source - Well #2 (DEQ tag# E0005366) The water system receives its water supply solely from well #2; an 8-inch cased well drilled by H2O Well Services to a total depth of 394 feet. A well driller's report is on file with PHD and indicates the 8-inch casing extends the entire depth of the well and is sealed with bentonite to 60 feet. The static water level was reported at324 feet below the surface with production tested at 50 gallons per minute. The casing extends 16 inches above the surface and is fitted with a watertight vented well cap. A l5-horsepower submersible pump is provided in the well and is controlled by a pressure switch in the adjacent pump vault. At the time of the survey, bolts on the well cap were loose and the cap was tilted. It appeared the gasket for the well cap may have been missing. Following the survey, the operator replaced the gasket, reseated the well cap, tightened the bolts, and submitted photos to PHD. The well and pump house are located on a 100 by 100 foot well lot along the north side of Trinity Lane. A portion of the well lot is fenced to prevent unwarranted access to the well and pump house; however, the well itself is located only 9 feet from the fence line leaving the well vulnerable to the uses of the neighboring property. The water system should consider extending the fence around the entire perimeter of the well lot. Pump House The pump house is a below ground concrete vault located on the well lot. A locking riser and ladder are included for access to the vault. It appears that adequate light, heat, and floor drainage are provided. According to the original plans, the floor drain discharges to drain rock beneath the vault. Ventilation is provided thru a 4-inch pipe out the roof of the vault which is properly screened and downtumed; however, it appears excess moisture could be an issue with the water system components in the vault. The water system should pursue alternative methods to increase ventilation. It is recommended the discharge line supports be painted to resist rusting. Contained in the pump vault are the flow to waste line, cycle stop valve, sample tap, flow meter, pressure tanks, pressure switch, and the pump control panel. The sample tap is smooth nosed and is utilized for drawing water samples directly from the source. Four 85-gallon pressure tanks ride on the system and are each equipped with an isolation valve and threaded tap for draining; atnospheric vacuum breakers are provided on each ofthe threaded taps. That static pressure at the time of the survey was 78 psi. The flow meter rcad 49,389,346 gallons. The pump control panel is located on the west wall of the vault and includes an hour counter for the well. Page2 of4 The flow to waste line discharges to a gravel basin located just east of the vault; the open end of the discharge line is screened and downturned to keep the line clear of insects or debris. The gravel basin is quick draining and located approximately 20 feet from the well; this was approved by DEQ in the original plans for the water system in 1994. Distribution The distribution system is comprised of 4-inch PVC pipe and is not looped. Flush hydrants are located at each of the dead ends and are flushed semiannually. All service connections are equrpped with meter boxes and dual check valves. The water system has implemented an extensive Cross Connection Control Program. Monitoring The following table shows the monitoring requirements for the water system. Total coliform samples are rotated monthly throughout distibution, according to the water system's sample siting plan. Financial & Managerial Capacity The Lynnwood Estates water system is privately owned and operated by Leslie Rayner under the Spirit Lake East Water Company and is regulated by the Idaho Public Utilities Commission. The water users pay $35 per month for up to 10,000 gallons and a $1 for every 1,000 gallons over. The annual drinking water assessment fee is overdue and must be paid to DEQ Cole and Leslie Rayner are the Responsible Charge Operators for the system and have Drinking Water Distribution Class I Water System Licenses (Cole, DWD1-19173) (Leslie, DWDI-L4223). All required water samples are submitted on time and a Consumer Confidence Report is provided for the water system users. Monitorins Reouirement Freouencv Location Next Due Lead and Coooer 5 sarnples once every 3 vears Distribution 6lt-9/30 2021 Total Colifonn Bacteria Monthly Distribution Oct 2018 Arsenic Once every 3 vears Well #2 2022 Fluoride Once everv 9 vears Well #2 2019 Sodium Once everv 3 vears Well #2 2019 Primarv Inoreanic Compounds Group Once everv 9 vears Well #2 2019 Nitrate Annuallv Well #2 2018 Nitrite Once everv 9 vears Well #2 2019 Radiolosical - Gross Alpha Once everv 6 vears Well #2 2022 Radioloeical - Uranium Once everv 5 vears Well #2 2022 Radiolosical - Radium 226 & 228 Once everv 5 vears Well #2 20t9 Volatile Oreanic Compounds Group Once every 6 years Well #2 20t9 Page 3 of4 Compliance The water system was found to be operating mostly in compliance with the Idaho Rules for Public Drinking Water Systems. The following deficiencies were noted during the sanitary survey and must be addressed. Please provide a written Corrective Action Plan (CAP) within 30 days following receipt of this report, including a timeline for correction of the deficiencies. Deficienciesl. Adequate ventilation is not provided in the pump house for dissipation of excess heat and moisture from the equipment, as required by IDAPA 58.01.08.541.01.e. At the time of the inspection there was no evidence of an increase in corrosion of metallic and/or electical components from excessive heat and/or moisture. The requirement of ventilation will be reevaluated every time a survey is conducted; however, steps to increase ventilation should be pursued. 2. The water system is not current with the payment to DEQ of drinking water assessment fees, as required by IDAPA 58.01.08.010. Recommendations 1. Recommend painting the discharge line supports in the pump vault to reduce rusting. Jamie Barton, Sr. Environmental Health Specialist October 26. 2018 Date Page 4 of 4 Panhandle Health District Healthy People in Healthy Communities PtftffcHealthPrcvcot. ProEotc. Protccl. hllrdh Ecrttt DLtrlct October 26,2018 Lynnwood Estates Leslie Rayner I eslie(@ myw aterworksonl i ne. com Subject: Sanitary Survey of PWS #L280259,Lynnwood Estates Thank you for the oppotunity to perform a sanitary survey on the Lynnwood Estates Water System on September 28,2018. Enclosed, you will find the drinking water supply report and the survey photos. The water system was found to be operating mostly in compliance with the [daho Rules for Public Drinking Water Systems. The following deficiencies were noted during the sanitary survey and must be addressed. Please provide a written Corrective Action Plan (CAP) within 30 days stating how and when the deficiencies will be addressed. Deficienciesl. Adequate ventilation is not provided in the pump house for dissipation of excess heat and moisture from the equipment, as required by IDAPA 58.01.08.541.01.e. At the time of the inspection there was no evidence of an increase in corrosion of metallic and/or electrical components from excessive heat and/or moisture. The requirement of ventilation will be reevaluated every time a survey is conducted; however, steps to increase ventilation should be pursued. 2. The water system is not current with the payment to DEQ of drinking water assessment fees, as required by IDAPA 58.01.08.010. If you have any questions or comments regarding this survey, please do not hesitate to contact me at (208) 415-5208 or ibarton@phdl.idaho.eov. Sincerely, Environmental Ilealth 8500 N Atlas Road Hayden, Idaho 83835 Phone: 208-415-5200 Fax: 208-415-5201 www.phd l.idaho.eov Jamie Barton Registered Environmental Health Specialist, Sr WaErRighlRrpod - E (tlmslsosrch Water Right Owners Owncrlyp. N.m. OrEiml Omer Odginal OYrner Current Orner SPIRIT IAKE EAST WATER CO HANSON PROPERTIES INC AddtrlE SPIRIT IAKE EAST WATER SYSIEM 1/01 12131 028CFS 81.60Af;A 0.28CFS 81.60ArA cftv &rt Poctll God. II hupa//rcserch.idrvr.idato.gdrypd@dn=95&c... Water Right Report : 95-9865( License/Active) qO HANSON PROPERTIES ATTN: DALE A KINZER PO 8OX SPOKANE WA 7.tm ID 99207 ID Water Right Status Priodty Date : 6/3/1980 Bssis : Licens€ Stat6: A.tive Water Source SouE Sourc.Qdf,.? Ttlbubrr T.lbut ryQu.Ifi.? GROUNDWATER Points Of Diversion (Location) llourr TounrHp ffrgl. S.cdon 6dt l,ot (xxl AO a County Dlu.rd,onlyp. GROUNDWATER 53N (xW 9 O NE S\A' K'OTENAI Water Uses Dhr.Irbn nrt. t oluttt DOMESTrc rgf^L Places of Use Place of Use Legal Description : DOMESTIC (KOOTENAI county) Towrhlp Rrlgl. S.ctbo ]rt QOQ QQ Q Acttt 53N O4W 2 NE NE 53N 04W 2 NW NE 53N 04W 2 SW NE 53N O4W 2 SE NE 53N 0{W 2 SW NW s3N O4W 2 SE NW 53N 04W 2 sw sw 53N (xW 3 t'IW tlw 53N O4W 3 sE sW 53N o/tw 3 SE SE 53N O4W 4 NE NE 53N (xW 4 NW NE 53N 04W 4 S:W NE 53N 04W 4 SE NE 53N 04W 4 NE NW 53N O/tW 4 NW NW 53N 04W 4 sW NW 53N 04W 4 sE NW 53N 04w .l NE Sw - Eilna6earcll[dyao tlw Sw I of3 o 9l$n022,l0:tl4 AM XlataRighRqort - Ertr(DalSorch lrtse//Escrch.ihtridaho.gpv/rppd 5&c... ttu,lslh f,]e. S.do.r ld (lQo Q(l O Agt. 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 5.tN Conditions (}[w 4 0/+W 4 (r4W .t 04w 9 o4w 9 04w9 (Nw9 0,+W 9 04w 9 0{w 9 04w 9 o4W 9 o4w 9 (xw9 04w 9 $!v 9 oaw 9 o4w 10 uw 10 uw 10 (xw 10 o4w 10 (xw 10 o{w 10 o4w 10 O,tW l0 o4w t0 04w 10 (Nw 10 (xw 11 04w 11 $w lt (Nw 11 (xu, 11 (xw lt 04w 11 (NW 11 (xw 11 o4w 11 ilw 11 0'lW 11 04w r'r o4w 11 oaw 35 sE s1i/ NE SE Ifi' SE NW NE SW NE SE NE NE NW twv Nw sw Nw SE NW NE SW NW Sw $, s\,1, sE sl,l, NE SE Iitw sE SE SE NE NE r{'t / NE 5W NE SE NE NE NW sl,l, Nw 5E t{W tw sw NE SE twt, st sVv SE SE SE NE NE NVv NE Sl,l, NE SE NE SE NW NE SII' NW SW si, sr,v sE st/l/ NE SE NW SE $, sE SE SE sl, sE m GondlblB Pl€cc of usc alto knofln a6 Spirit lake East &Trc.portsuMiviConr Dorn€stic r.Ee is for 68 hdres. 2of 3 Dates Other lnformation 9ll&2022" l0:,l4AM WaErRigbtRcpon - Ertmsls€arch ucens.d DaE: 1n0l19E9 Dccrccd Date: Pemlt Proof Due Drtc : Pennit Proof Mada D.t : P.mitApprovad Date: Permit Mordorium Expi6tion D.te: EnLrgmer* t s. Prbrity Datr: EnLrgsrfiant Statuc Priority Date: 6af{it+mRmgif 8t$iarrn Prot6t Deadlinc Dtt!:RESOUBCES htQs/rcrcarch.llmtulabo.gor,/rppd@in45&se... Statc or Fcdaral : w6t f Distrlct ifumb.r : NwD Genedc Ma( Rat! FarAcrc:0 G€fl.rlc Ma( Volumc Per Aarr:0 CMI clse Numb.r: Dccrcc Phntifr: Dec]! DcfGndant: Swalr Fllk Trust or Norilrust: Swsn Falls Dsmissed : DLE Act NumbGr: 911612022 Act Numbet Mitigrtlri Phn F.ke 3 of3 9n6n022,l0:tl4 AM WaErRigbtReport - Excmlscarch hQs//mh.itwr,idaho.gov/appdaharcd/WrEx6earcb/Report/W8t€rRigtrtRcporfltasin45&sc.., I I of3 @ 2021 - ExemlSearch - Privacy 91rcn022,l0:42 AM WaterRightR€port - E)(tcmls€arch bfips//rese{ch.idw.idaho.gov/apps/shared/lVrExtSearch/Reports/WarcrRightReport?basin:95&s... Water Right Report : 95-9451( Decreed/Active) Water Right Owners OwnarTyp. Nrm. Addro$ Clty StltG Posttlcodo CurentOwner SPIRITTAKEEASTWATERCO POBOX3388 COEURDALENE lD 838'16-2527 Directo6Reportowner KOOTENAIINVESTMENTSCOINC POEOXG COEURDALENE lD 83814-0006 Water Right Status Priority Date : 8/3/1998 Basis : D€red Status : Active Water Source sourrc SourcoQurllfisTributryTrlbutrryQurllflrr GROUND WATER Points Of Diversion (Location) Sourrr Tmrhlp R.nge Scctlon 6ovt Lot (NXl QQ Q Counq Dhr.ttion Typ. GROUNDWATER 53N O3W 3 O NE 5W KOOTENAI GROUNDWATER 53N O3W 10 O SE NW KOOTENAI Water Uses E ncftd.l l,3. ;m To DtGBlm R.t Vdum MUNtCtPAt 01/01 12131 0.35CFS 157.80AFA TOrAt 0.35 CFS 157.80 AFA Places of Use This water right hs a 1319e Place Of UseEl Conditions Coda C-ndtbB 1 28 Place of use is within the area sred by the public water supply system of Kootenai lnwstments lnc. The place of u* is generally locat€d within Tomghip 53 North, Range 3 wen, S*tions 3 and 10. C18 This partial d€cree is subject to such general prwisions n$essary for the definition of the rights or for the efficient administration ofthe water rights as may be ultimately determined by the Court at a point in time no later than the entry of a final unified decree. Section 42-1412(6), ldaho Code. 004 This right does not grant any right-of-way or ea*ment across the land of another. 01M After sp{ific notifialion by the department, th€ right holder shall install a suitable masuring dsice or shall enter into an agrement with the department to detemine the amount of water diverted from power Kords and shall annually report the information to the department PWS The water system described in this dght has been assigned Public Water Supply lD 1280259 by the ldaho Department of Environmental Quality. Dates Other lnformation Licensed Date : Decreed Date : 10/28/2019 Pemit Proof Du€ Date : Permit Proof Made Date : Pemit Approved Date : Pemit Moratorium Expiration Date Enlargment Use Priority Date : Enlargement Statute Priority Date : Application Recevied Date: Protest Deadline Date: State or F€deral : Water District Number: NWD Generic Max Rate Per Acre : 0 Generic Max Volume Per Acre : 0 Civil Case Number: Decre Plantiff: Decre Defendant : Swan Falls Trust or Nontrust : Swan Falls Dismissed : DLE Act Number: Cary Act Number: Mitigation Plan: False 2 of3 IDAHO DEPARTMENT OF WATER RESOURCES 911612022, l0:42 AM 9t15/2022 Walerfu ghtRepon - Extemalsearch https://rcscuch.idw.idaho.gov/appVshaed/WrExtSearch/Reports/WaterfughtReport?basin=95&s... 3 of3 911612022, l0:42 AM WatcrRightR€porr - ErtcmalseaEh MUN|C|PAL 01/01 12131 0.41 CrS TOfAL 041 CFS Places of Use This water right has a Large Place Of Use d Conditions @ Cotrdtbro Ucensed Date :.1272015 Decrecd Date: Pemit Proof Due Oate tSlln$z Pemit Proof Made Date:U5lm12 P€mir Appro/€d Date : 5/1 12011 Permit Moratorium Expiration Date : Enhrgrn€nt Use Priority Date: Enlargemnt Statute Priority Oate : Application Recwied Dste: 9/10/2010 Prctst D€adline Date: 3/7 t411 Water Right Report : 95-13815( License/Active) Water Right Owners orIlt rllrp. N.m Add]ls Ot, St t Fo3t lcodG CurentOtvner HAPPYVATTEYWATERSYSIEM INC PO8OX2306 HAYDEN lD 83835 R€presentative RICKEI.CATHY POBOX2306 HAYDEN lD 83835 Representative RICKELKEN PClBox2306 HAYOEN lD 83835 Water Right Status Priority Date : 9/102010 Easis : Li@n* gatus : Active Water Source Soutr. soolr.qdft.rTrlhryfHhoryaudifirr GROUNO WATER Points Of Diversion (Location) llouru TownrHp R.ngl. S.cdon Cqrt tot (xxl aQ a CounBl Dtu.ulor lyp. GROUNDWATER 51N O4W 17 O SE SW K@IENAI Water Uses Dln''lon Ratr lllolum h@s://reuch.idm.idaho.gov/ryps/rbarcd/WrExtScarch/Reports/WaterRightR4ort?bagin=95&s€... State or Federal : Water District Number: NWD Generic Max Rate Per AcIe:0 G6erk Max Volurie Per Acre : 0 Civil Case Number: Decree Plantiff: Decr€e Mendant: Swan Falls Trust or Nontn st : Swan Falls Dismiss€d: DLE Act Number: Cary Act Number: Mitigation Plan: False 9t16n022 28.80 AFA 28.80 AFA 1 28 Place of use is within the a]?. sercd by the P(lblk water erpply systcm lDl 280220 of Happy Vall€y Wattr System lm. The place of use is gensalt locat€d within Section 1Z Township 51 North, Range 4 wGst 180 A map depicting the place of re boundary for this wats right at th€ time of this appoal is attached to this do(urent fior illustrative purposcs. '174 'Ihis right authorhes the diveBion of ground water within the Rathdrum Prairi. Ground Water Management Area (RPGWMA). Use of water under this riqht shall b€ subjcct to thc provisions of th. mnag€ment plan appro\cd by the director for thc RPGWMA 0l M After spccific notification by the D€partment, the tight hold.r shall install a suhabh measuring device or shall enter into an agreement with the Department to use porer records to determine the amount of watcr diverted and shall annually report the information to the Department. 004 This right does not grant any riglil-of-way or eas.ment across the land of another. Dates Other lnformation I of2 o - EfindSp,hrff trcF wArER REsorJ RcEs 9ll6n02z, l0:24 AM WaterRightRepon - Extemalsearch https://reeach.idw.idaho.gov/apps/shred/WrExtsearch,/Reports/waterfughtReport?basin=95&se.. 2 of2 9/1612022. 10:24 AM W8tcrRighrRsport - ExternalScarch btps://rcrcuch.idw.irhho.go/apps/shrrcd/WrEx6crch/Reports^ilaterRiShtRe"ort?b8in=95&rc.,. Water Right Report : 95- 1 0068( Decreed/Active) Water Right O,vners otm.r Typ. ]{mc Cunentorn€r GEM SrATEWATERCO LtC OrigimlowrEr IDAHO IRRIGATION INC AdAt6c Clty St t Fortrl Cod. PO8OX3388 COEURDALENE ID 83815 PULTMAN WA PHious Owner TURNIPSEED, ROBEKr N PO BOx 1870 HAYDEN Ppkrus Orner DIAMOND 8AR ESTATES LtC FO 8OX 971 HAYDEN 83&ts 83835 Water Right Status Priority Date : 1 12911965 Basis : Dccreed Status : AEtive Water Source Soult Sourr Qrrllfir lllbotry tlhrt.ry qudm.r GROUNDWATER Points Of Dive6ion (Location) soum ToxnrHp R.rEl. S.Gdon Gotalot (xxl aO A Comty Dhr.EbnTyp. GROUNDWATER 51N OIW 3 2 NvY NE KOOTENAI GROUNDWATER 51N (xW 3 Z NW NE I(OOIENAI Water Uses tor0drl tl.. Fpm To Dturldon 8rt lrolum MUNtCtPAt 01101 1?131 Z70CFS 859.mAFA rurAt 2.70 CFS 869.00 AFA Places of Use This wat?r right hB a !3gge Plae of Use Ef Conditions Cod. Condtlont T07 Ihe right holder shall accomplish th. changc authorized by this transfer within onc y.ar ofthc dat of this .pproval. TO8 Failure of the right holder to comply whh the conditions of this transhr is cause for the Dircctor to ,€scind rpproval of the transfer- 046 Right holder shall comply with the drilling permit r€quiements of ldaho Code 5 42-235 and applicable Well Construction Rules of the Departmant. 128 Place of use is within the area sen€d by the publk water spply syst m of Gem State - Di6mond Bar Estates 1D1280268. The place of use is gcneralv loeted within Sections 33 & 3, Townships 52 & 51 North, R.nge o4w. 180 A m.p generally dcpicting the seBicc sm for this w.ter right at the time of this approval is attadr€d to this doomert for illustratirr€ purposrs. 174 This right authorizG the diveEion of grcund water within the Rathdrum Prairir Ground water M.nagement Arca (RPGWMA). Us of water under this ,ight shall be subject to the puisions of thc RFGWMA managcmnt plan apprcred by the dirxtor, indudiog its conseilation goals. 01R when notified by the Departmnt the right holder shall install and maintain a measuring darice of I type acceptable to the Department as part of the diverting rcrk9 1 75 wh€n notillcd by the DQartm€nt the right holder shall rccord thc quantity of wats direncd and annulv rcport divecions of wator and/or oths pertinent hydrclogic and system information as required by ldaho Code t 42-701 , andlor tlle managemcnt plan for the Rathdrum Prairie Grilnd wat€r Management Area ood This right does not grant any right-of-way or ssrunt acrcss tha land of another. Dates I of2 o - Extemalsearch - Privacv Other lnformation 911612022, l0:20 AM WscrRiShtRcport - Brt.trtrrlscstch licens€d Date: Decr€cd Date : I 1y'8l2019 Prmit Proof Du. Date: P.mit Proof M.de Date: Pr.mitApprorcd DatG: Permit Moratorium Expiration t ata : Enlarymem Use Priority Date: Enhrgemcnt Statute Priority Dat6 : Application R.qicd Date Prot6t Deadllnc Dato: IDAHO DEPARruENT OF WATER RESOI/RCES ht$B//rcs6srch.idlvr,idaho. gov/aFdr@in=95&sc... Strte tr F.de6l : Wlt r District Numbcr : TBD Gmrk Mil R*e PerAcrc:0 Gcncrk Mrx Volume Per Acre : 0 CNil Case Number: Decree Plantiff: DecG€ DGferdant: Smn Falls Trust or Nontrust : gvan Falls Dismiss.d : DLE Act Numbcr: Cary Act Numbcr :9t16n022 Plaa False 2 of?9116n022,10:20 AM WaterBightR€?ort - E)(tamlscarch htps://rcswch.idw.idaho,gov/appdebarcd/lilrExtsereh/Report/trraterRightReport?basin=95&sc... Water Right Report i95-9W( License/Active) Water Right Owners orrf,rll,P. N.m. Addr..s Oty lft.t Ploatrlcod. Curentowner BIIERROOTWATERCO PC,8OX2306 HAYOEN IAKE lD 83835-2306 Origimlorner RlCKEl, CATHY Z, OrigimlOwner R|CKEL KEN Z. Water Right Status Priority Date : 8/1 1/19911 Basis : licens Status : Activ€ Water Source r Sourtc Sourc.qnffi.t Ttlht ry TdhtrryQurllftrr GROUND WATER Points Of Diversion (Location) Soo.r. TowrrHp Rrlil. s.cdd GotL tot (xn AO a County Uv.|rblrfyF GROUNDWATER 53N O3W 29 O 5W SIiI/ K@TENAI GROUNDWATER 53N O3W 29 O SW SW KOOTENAI Water Uses MUNICIPAT IOTAT @4 01M o1l01 12nl o.28CFS 0.28 CFS /1590 AFA 45.90 AFA Places of Use This water right has a lgge Plae of Used Conditions Cod. Co.rddont 180 128 A map depicting th! place of use boundary for this wattr right at ttl. tirc of this app@d is attehcd to this document for illustration purpos€s. Place of usc is within the a'la senrd by thc public water srppt systlm of Rickel Water Company. The place of use is generally located within sectionm,28,29,3Q32and 3l Tornship 53N, Range 03w. Ihis right dos not grant any ,ight-of-way or ea*ment across the land of another. After specific notification by the Department, the right holder shall install a suitabh measuring d€vice or shall enter into an agr€emnt with the Departmont to use power records to deteminG the amount of water diverted 8nd shall annually rcpod the info,m6tion to the D€partmcnt. Dates Other lnformation tisrs€d Date:126/2009 DecrGed Date : Pemit Prcof Due Date :14U1999 Permit Proof Madc Date :111'2311999 Pemit APPffi€d Date :121211991 Pemit MoEtorium fxpir*ion Dtte: Enlargmant Use Priority Date: Enlargetr€nt Statute P,iodty Dste: Application Recevied Date: Prot6t DEdline Date: IDAHO DEPARTMENT OF WATER RESOURCES - Extemalsearch - Pdyary State or Fedeal : Water District Numb€r: NWD Genark Ma( Rate P€r Acre:0 G6erk Ma( Volumc Per Arrc : 0 Civil Case Number: Decre Plantiff: Decrs Defcndant : Swan Falls Dismiss€d DL"C Act Number: Cary Act Number: Mitigation Plan: False 9116t2O22 I of2 o 911612022, l0:37 AM Waterfu ghtReport - ExtemalSearch https://research.idw.idaho.gov/apps/shared/WrExtSearch/Reports/WaterRightReport?basin=95&se... 2 of2 911612022, 10:37 AM War.rRightReport - Extemls€eh hups://merehidw.idabo.gov/apps/rbared/WrExtSmh/RcponVClaimRcport?bash+5&sq+6... I Adjud ication Cla im Rig ht Report: 95-9643(License/Active) Water Right Owners Own rTyp. Nrmr Addm Clty SirtG Fbn lcod. Cumrt Onner BITTERROOI WATER CO INC PO 8OX 2306 HAYDEN LAKE lD 83835-2306 OriginalOrrer SILVER MEADOtitS INC PO BOX 318 BAW|6 , lD 83803-0318 Claim Status Priority Date : /V1 1/1991 Easis : Licens Status : Active Water Source Sourro SourtoQsrllfierTributtyTdbstTyQurfft.f GROUNDWATER Points Of Diversion (Location) Sourc. Toumhlp Rrngo Srctbn (xtrl AO a C.urty DhElonTyp. GROUNDWATER 53N O3W 29 SW SW TOOTENAI GROUNDWATER 53N O3W 29 SW SW XOOTENAI Water Uses Sonrfidrl Usc From To DlEEbn Rrt. Volum. MUNtCtpAL 01/01 12131 0.75CFS 192.00AF4 FTREPROTECnON 01y'01 12131 0.75CFS Water Use Notes W.t[ Uia Num HmG fw HG.d ]tydrcRadorv DE Tot l Acraa Acra Umh Num Stocl lrigldon Non Gonr lh. False False 9rppl Us. False False MUNICIPAT FIRE PROTECTION Places of Use This claim has a lt19e Plee OI UseEl Conditions Cod. condtbE 180 0n 01M Dates lllc False False @4 128 A mp depicting the place of use boundary for this wats riglrt at the time of this appro,sl is attached to this document for illustration purposes. Water shall not be diverted for fire prctection us under this right except to fight or r€pel an existing fire. After sp*ific notifietion by the Departmnt, th€ right holder shall install a suitable mesuring d*ice or shall enter into an agr€emnt with the D€psrtrcnt to u9e power records to detemine the arcunt of water divert€d and shall annually report the information to ths Department. This right does not grant any right-of-way or eas€mert across the land of another. Place of us is within the aH sn€d by the public water $pply sFtem of Eitteroot Water Co lnc. The place of use is generally locatcd within Sections20,28,29,30,12 and 33, Tilnship 53N, Range 03w. Point of diveBion parcel number 0-7350{Dl {02{. Point of diveEion parcel number 53n03w-2$6400. I of2 @ - Extemalsearch - Priyaol Other lnformation 9116n022, t0:36 AM WUrughfcpot - ExtmalSar.h Uc.ns.d Dat!: 1/26/20(B chim RrcGiwd Drb t3t23l;1ff) Dacr$d Date: Fcflhh Proof Due Data: P.rmitProdMed€ Dete: F.mitApporcd Drt : Permit Moratorium E piration Date : Enl8rgm.nt t sG Prbrity DatG: Enlaqsnrnt Strtute Prio,ity Date : mtrr Suppry l.nk EnrollnEnt Dlte Acccpted 'UtFeU#*mf;rmmff[fi EelRttfApplic.tion ltE@ird DatG: hqe:/ke*carch.ihrrirlato.Sov/qpd ... StatGor Har.l: Wat r Dishict Number : TBD G.ncft Ma Volurnc PGrA.r,.:0 Civil Crse Number: Decnc Plantiff: D.craG Drfandsnt : Srvan Fells Dismissed: DLEAat Number: GryAct Number: Mitigltion Plsn: F!ls.9116t2O22 DGEdlin Deb: 2 of2 9ll6D02z,10:36 lJltl WatrrRighrRepon - Extrmls€aEh I of3 @ 91rcf2022,l0:43 AM IRRIGATION DOMESTIC TgfAI. Water Right Report : 95-9949( License/Active) Water Right Ownerc OunGrnn Nlm. Addlt E Clty Strt Fo6t l cod. CurentOrner SPIRITIAKEEASTWATERCO POBOX3388 COEURDALENE lD 83815-2527 Water Right Status Pnonty oate:.5IZ1I1992 Easis : License Status : Active Water Source Sourcc SoureQudlfit Ttlbutuy Ttlbut ryQu.llf.r GROUNDWATER Points Of Divercion (Location) Soum Tom3hlp n ngr S.ctbn Goa Lot (Xlq QQ Q county Direnlm llpo GROUNDWATER 53N O4W 9 O NE S\'\' KoOTENAI Water Uses htQs//resercb.idwr.idaho.gov/appdsbared/WrExtseeh/Reports/WaierRightRcport?basin45&rc... II 3/1s 11/1s 0.80CFS 1/01 1U31 030CFS 1.60 CFS Places of Use Place of Use Legal Description: IRRIGATION (KOOTENAI county) Tom.htp Rrfr S.ctbn lot Qql (xl Q AGn 53N OtW 2 NE NE 0.5 53N 04W 2 NW NE 0.5 53N 04W 2 $il NE 0.5 53N 04W 2 SE NE 0.5 53N 04W 2 NE NW 0.5 53N OIW 2 NW NW 0.5 53N o/tw 2 SW NW 0.5 53N 04W 2 SE NW 0.5 53N 04W 2 NE SW 0.5 s3N O4W 2 NW SW 0.5 53N 04W 2 SW SW 0.5 s3N O4W 2 sE sW 0.5 53N 04W 3 NE NE 0.5 53N OtW 3 NW NE 0.5 53N 04W 3 sW NE 0.5 53N o/tw 3 SE NE 0.5 53N 04W 3 NE NW 0.5 53N 04W 3 NW NW 0.5 53N (xW 3 SW NW 0.5 53N 04W 3 sE NW 0.5 53N OtW 3 NE SW 0.5 53N o/tw 3 Nw SW 0.5 53N O/tw 3 SW SV\, 0.5 - q3ft'atsearc.bd#yrry SE Sw O.s WatorRightReport - ExtcrnalScarch h&s'/lreereh.idm.i&ho.gov/appdshsrEd/WrExrsearcb/Rcporls/WrleflightRs?6t?bslin{5&se ... Toilrdlp f.ogp S.cdil lot QOQ ql Q 04w 3 04w 3 04w 3 04w 3 04w 4 o4w 1 04w 1 04w 1 04w 4 o4w 4 04w 4 (XW .[ 0,+W 4 04w 4 oaw 1 O/+W 1 04w 4 $w4 (llw1 o/tw 4 04w 8 04w 9 o/tw 9 o4w 9 04w 9 04w 9 O/tW 9 04w 9 04w 9 otw 9 04w 9 04w 9 04w 9 (xw 9 04w 9 04w 9 qtw 9 O4W 10 o4w 10 o4w 10 04w 10 o4w 10 04w 10 04w 10 04w 10 o4w 10 04w 10 o,fw 10 o4w 10 04w 10 (xw 10 (xw 10 04w 11 Aarrt 0.s sE 0.5 sE 0.5 sE 0.5 NE 0.5 NE 0.5 NE 0.5 NE 0.5 NW 0.5 NW 0.5 NW 0.5 NW 0.5 SiW 0.5 sw 0.5 sw 0.5 sw 0.5 sE 0.s sE 0.5 5E 0.5 sE 0.5 NE 0.5 NE 0.5 NE 0.5 NE 0.5 NE 0.5 NW 0.5 i&v 0.5 NW 0.5 NW 0.5 su, 0.5 sw 0.5 sw 0.5 sw 0.s sE 0.5 sE 0.5 sE 0.5 sE 0.5 NE 0.5 NE 0.5 NE 0.5 NE 0.5 NW 0.5 tlw 0.5 NW 0.5 NW 0.5 5U/ 0.5 Sr'v 0.5 sw 0.5 sE 0.5 sE 0.5 sE 0.5 sE 0.5 NE 0.5 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N 53N NE tlW sw SE NE sw SE NE NW sw SE NE NW sl,\, SE NE NW Slr!/ SE NE NE NW sw SE NE NW $rr, SE NE NW $r SE NE NW sM/ SE NE NW sw SE NE NW svv SE NE NW sw NE NW sw SE NE SE 2 of3 9ll6t20z2,10:43 AM WaterRightR€?oil - Ertamlssrch Tilrdrlp Rrngo 53N 04W 53N 04W 53N 04W 53N 04W 53N 04W 53N 04W 53N (xW 53N 04W 53N 04W 53N O4W 53N (xW 53N o4W 53N (xW 53N 04W 53N 04W 54N O/tW 54N 04W 54N 04W tlN O4W 54N 04W 54N 04W srtN (xW lnigation Totals Socrlon lot (KlQ 11 11 11 11 11 11 11 11 1t 11 11 11 11 1t 11 35 35 35 35 35 35 35 Q Aat NE 0.5 NE 0.5 NE 0.5 NW 0.5 NW 0.5 NW 0.5 NW 0.5 sw 0-5 sw 0.5 sw 0.5 sw 0.5 sE 0.5 sE 0.5 sE 0.5 sE 0.5 sw 0.5 sw 0.5 sw 0.5 sw 0.5 sE 0.5 sE 0.5 sE 0.5 ao l,lw sw SE NE NW sw SE NE NW sw SE NE NW SW SE NE NW sw SE sw 5E hQs://rerch.idm.idaho.gov/apps/shucd/lVrEx6arcblReportslTataRigbtRep6t?basin45&rc... Sttte or Fcderal : Water District Numbor: NWD Gserk Ma Rzte PerAcrc:0 Gmric Ma Vdum Per Acrc : 0 Civil Case Numbor: Dccr€e Plantiff: Decr€e Hendant: $nan Falls Trust or Nontust : Swan Falls Dismissed : DLE Act Number: CaryAct Numbcr: Mitigation Phn: Fals Cod. R62 49.50 Conditions Coilddonr Rights 95-07&49 and 96{883() whcn combined shall not sced a total annual maximm divemion rolure of 148.5 af for inigation of a total of49.5 acr€s and 219.6 af for in-hils€ usa for a total of 366 hom€s. Domestk ue under this right docs not include hwn, gad€n, landscap., or other type3 of inigation. Right 96-07849 is also divert€d through the point(3) of diveEion dcscriH abow. Placeofuse islo€atcdwithin Lots 1-11 8lk 1; tob 1-26,81L 4 lots l-11, Blk 3;Treepo]tSubdivisionand Lots 1*{, Blk 1; tots 1-9, BIL e bts 1-14 Ellc 3; toB 1-21, Blk 4 Lots 1-14 BIL 5; tors 1-22 8lL 6; toB 119, 8lL 7; tots 1-6 8lk 8; tots 1-9, BIL 9; tots 1-11, Blk 10; Lots 1-3a 8k.11; Lors 1-19 Blk la tots 1-19, Blk 13; tots 1-16, Blk. l/[ tots lJ5, BlL l5; tots l-24 Blk.16; lots 1-18, Blk 1Z Lots 1-1t Blk 18; Lots 1-9, BlL 19; and tots 1-13, BIL 2q Spirit take EasL Ihis right when combined with dl othcr rights shall provide no morc than 0.02 cfs per mrc nc more than 3O afa per *c at the ficld headgate for inigation of the hnds abde. Dates Other lnformation Ucensed Date : 1 Ul 3/1 998 Decrued Date: Pemit Proof ArG Date: Pemit Proof Made Date: Permit Approved Date: Pemit MoBtorium Expiration Date: Enhrgm€nt Us€ Priority Datr: Enhrgcm€nt Stat te Priority Date: Application Recwied Dat€: Prot6t D€adline Date: IDAHO DEPARTMENT OF WATER RESOURCES 3 of3 91rcn022,10:43 AM 9^6n0?2 WaterRigbtReport - Exterulsemh Licens€d Date : Decred Date : 1U8l2019 Permit Proof Due Date : 10/1/1986 Permit Prcof Made Dale :812511986 Pemit Approved Date: 10/15/1981 Permit Moratorium Expiration Date : Enlargment Use Priority Date : Enhrgement Statute Priority Date: Application Rssied Date: 8/2511981 Protest Deadline Date: IDAHO DEPARTMENT OF WATER RESOURCES bups//rcsmb.idw.idabo.gov/appVshared/llVrExtsemh/Repotu/WaterRightReport?basitr=95&s... Water Right Report : 95-81 30( Decreed/Active) Water Right Owners OuffiTypr N.m Addnrs Oty Strtr Fortrl Codr CurentOwner GEMSTATEWATERCOMPANYLLC 250SWTAYIORSTSTEIm PORTLAND OR 97204-3038 OrigimlOmer TROYHOfFMANWATERCORP 710WDAITONAVESTEJ COEURDALENE lD 83815 Water Right Status Priority Date ; 8/26lt 981 Basis : Deced Status : Active Water Source Soum Sourc.Qurlifilr Trlbut ty Ttlbut ryQu.llrl.? GROUND WATER Points Of Diversion (Location) souru TmrHp RrEE SGctbn 6o*fot Q(Xl aO a Counq DlffilonTypG GROUNDWATER 51N O4W 36 O SW SE KOOTENAI Water Uses ldrrficill Us From To DlrcEloo R.t lrblum MUNICIPAL 01/01 1231 0.63CFS t.f1.70AFA TOrAL 0.63 CFS 141.704FA Places of Use This wat€r right has a Large Place Of UseEl Conditions Codr Condtbm Cl8 Thispartialde6eeissubjtrttoschgeneElprovisionsn(6sryforthedefinitbnoftherighBorfortheefficientadministBtion of the water rights as may be ultimatet detemined by the Court at a point in time no later than the entry of a final unified decrc. Section 42-'1412(6), ldaho Code. 126 Place of use is within the seNke area of Troy Hoffman Water Corporation as provided for under ldaho law. C04 Right includes rcomplished change in purpose of use puEuant to Section 42-1425, ldaho Code. C05 Right includes accomplished change in place of use puBuant to S€ction 42-1425, ldaho Code. 853 Right Nos.95-2117 and 95-8130 arc limited to a total combined annual diveBion yolume of 141.7 At. F20 Rjght Nos. 95-2117 and 95-8130 arc diverted through th€ point of diversion described above. Dates Other lnformation State or Federal : Water District Number: NWD Generk Max Rate Per Acrc : 0 Generk Ma Vdum Per Acre : 0 Gvil Case Number: Decree Plantiff : Decre Defendant : Swan Falls Trust or Nontrust : Swan Falls Dismis*d : DLE Act Number: Cary Act Number: Mitigation Plan: False 9/16n022 I of I @ 2021 - Extemalsearch - Pliyaqr 911612022, l0:18 AM WaterRightRcport - ExtemalSerch htgs://rrcreh.idw.idaho.gov/apps/sharcdAilrExtSmh/ReportVWat€rRigbtRcport?basin=95&se... -I State or Fcd€ral : Water District Number: NWD Gseric Max Rste Per Acre : 0 Gserh Max Volume Per Acre : 0 Civil Case Number : D€cre Plantiff : Decree Defendant : Swan Falls Trust or Nontrust : Swan Falls Dismis*d : DLE Act Number: cary Act Number: Mhigation Plan: False 9t16/2022 Water Right Report :95-2117( Decreed/Active) Water Right Owners OwnrrTyp. Nmrc Addm Cfty St tr Fortrlcod. Cunent Oflns GEM STATE WATER COMPANY LIC 250 SW TAYI"OR Sf SfE 100 PORTTAND OR 97204-3038 Originalotmer TROYHOFFMANWATERCORP Tl0WDALTONAVESTE, COEURDATENE lD 83815 Water Right Status Priority Date : /Y30l1956 Basis : D€cred Status : Active Water Source Sourcr SoureQullfior Tdbut ry Tdbut ryQulificl GROUNDWATER Points Of Diversion (Location) Soure Towmhlp nrngo Sfrtbn Gda tot (XlQ (Xt Q Counq Dlnrlon Typo GROUNDWATER 51N (xW 35 O SW SE I(OOTENAI Water Uses 01/01 1231 o.socFs 0.50 cFs Places of Use This water right has a lalge Place oI I'Jse d Conditions Codo Coldtloro MUNICIPAL IIOfAL 126 c18 60.00 AFA 60.00 AFA c04 c05 E53 F20 Place of use is within th€ sewice area of Troy Hoffman Water Corporation as provided for under ldaho law. This partial decre€ is sbj*t to such general poisions nsessary for the definition of the rights orfor the efficient administration of the water rights as may be uhimately determined by th€ Court at a point in tim no laterthan the entry of a final unified d*re. S€ction 42-1412(6), ldaho Code. Righl includes accomplished change in purposc of use pursuant to S€ctior 42-1425, ldaho Code. Right includes accomplished change in place of use puEuant to Section /12-1425, ldaho Code. Right Nos. 95-2117 and 95-8130 are limit€d to a total combined annual diversion volume of 141.7 AF. Right Nos. 95-21 1 7 and 95-8130 are di\rerted through the point of diveEion described above. Other lnformationDates Licssed Date : Decreed Date:11/V2019 Pemit Proof Due Date: Pemit Proof Made Date: Permit Approved Date : Permit Moratorium Expiration Dat€ Enlargment Use Priority Date: Enlargement Statut€ Priority Date : Application Recevied Date: Protest Dadlire Date: IDAHO DEPARTMENT OF WAT€R RESOURCES I of I @ 2021 - ExtemalSearch - Privacy 9116D022, l0:17 AM ,.,{f} xw roturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Resoonse Request No.: GSW-W-22-01 IPUC DR 24 24. Multiple customers have complained of chronic low water pressure problems. Please identify which systems have low-pressure problems, the nature of each problem, and the Company's plans to fix them. Resoonse: Bar Circle S has been subject to complaints regarding low pressure. Complaints began late summer 2020. Prior to that time, the Company was unaware of any pressure complaints regarding the service to customers at Bar Circle S. At that time, we were notified that those customers had been reporting low pressure to the previous owners of the system for many years and had been placed on altemating watering schedules during particularly hot summers. !n response to these complaints, the Company hired a licensed professional engineering firm to perform a pressure study. This pressure study spanned a fullyear, using different measurement locations and electronic measurement equipment. Although the study showed very little variance in pressure, the Company decided to use the study to develop on overall facilities plan for Bar Circle S. This facilities plan will include upgrades to increase overall pressure and volume throughout the system creating benefit for all Bar Circle S customers. We are actively pursuing the completion of a 20-year capital improvement master plan for all Gem State systems with carefully planned improvements and benefits. This is expected to be completed in December 2023. The Company has not been notified of any additional pressure complaints. IW llotulol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Resoonse Request No.: GSW-W-22-01 IPUC DR 25 25. Please provide the monthly power invoices for each system from Jan 2020 to the present. lf a system has multiple electric accounts, please clarify which accounts correlate to which pump. Resoonse: Please see the system detail below. lnvoices provided in separate attachments as GSW-W-22-01 IPUC DR 25 Aftachments 1 - 141. Kootenai Electric Account # - 1843155 9112 LIBERTY DR Comm Pump/Qty 3 - Spirit Lake East Account # - 1843155 3533 E Brunner Rd Pump- Bitterroot Account # - 1843155 25658 N Clagstone Rd Pump - Bitterroot Account # - 1843155 10025 N Happy Trl Pump - Happy Valley Account # - 184315514027 N Rodeo Rd Comm Pump - Diamond Bar Account # - 1843155 GARWOOD RD Comm Pump - Bar Circle S Account # - 1843155 Garwood Rd Pump - Bar Circle S Northern Liohts Account # 50687270 - Lynnwood Water Avista Account # 1645355279 - 17567 N Circle S Trail - Bar Circle S Account # 2218886318 - Hoffman Ave Anne St Pump - Troy Hoffman Account # 0050066356 - 2000 N Rodeo Dr Pump House - Diamond Bar & Office Ste 203 Account # 4135687441 - Office Suite 210 o ^^(p xw lloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Response Request No.: GSW-W-22-01 IPUC DR 26 26. What is the Company's current meter reading schedule (e.9., 1Sth day of the month, third Saturday, etc.)? Response: Meters are read starting on approximately the 25h of each month, depending on weekends and holidays. It currently takes two people four full days to read the meters, with a 5th day used for meter re-reads to ensure billing accuracy. llW llqturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Resoonse Request No.: GSW-W-22-01 IPUC DR 27 27. Please provide the following for each meter size for each month from January 2016 through December 2021: a. Number of Billed Customer Charges; b. Gallons of water provided to customers at no charge as part of the Minimum Charge; and, c. Gallons sold to customers in excess of the maximum gallons allowed in the Minimum Charge. Response: The requested data from 2016 to mid-2019, prior to acquisition, is not available. The file contains data starting in August 2019. Please see attached excelfile GSW-W-22-OI |PUC DR27 Attachment 1. .c, 4,llW llotulol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Resoonse Request No.: GSW-W-22-01 IPUC DR 28 28. Please provide monthly consumption data in gallons - by customer and meter size - for al! months in which data is available from 2016 to present. Response: The requested data from 2016 to mid-2019, prior to acquisition, is not available. The file contains data starting in August 2019. Please see excel ftle GSW-W-22-01 IPUC DR 27 Attachment 1, tab DR-28. .4,{} xw lloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Resoonse Request No.: GSW-W-22-01 IPUC DR 29 29. Please explain how charges are calculated in situations where previous monthly bills were estimated, or meter readings were missed. Response: It is common in the winter months for meter readings to be missed. As described in Contract Conditions of Schedule 1 through 4 and 7, in these instances, the customer is charged the minimum charge for each month the meters are inaccessible (i.e., Bar Circle'S' customer would be charged $40). Then when meter reading occurs in the Spring, the actual usage is calculated and the customer is charged for usage in excess of the total allowance given (i.e., 7,500 x 5 months, or 37,500 gallons) using the excess usage charge (in this case $1 .74 rate per thousand gallons). This is the same process used for individual meters that may be inaccessible due to other reasons during normal meter reading months. Currently, in Section 6 (Billing and Payment) of the General Rules & Regulations of Gem State Water's Tariff, Section 6.2 reads (emphasis added): '!f the system is metered, the Company shall try to read the meters prior to each billing unless specified differently on the applicable rate schedule. lf the Company's meter reader is unable to gain access to the premises to read the meter, or in the event the meter fails to register, the Company will estimate the Customer's water consumption for the current billing period based on known consumption for a prior similar period or average of several periods. Subseguent readings will automatically adjust for differences between estimated and actual. Bills based on estimated consumption shall be clearly marked as "esfimated'.' As a result of preparing this response to Staffs discovery request GSW-W-22-01 IPUC DR 29, the Company has determined that Section 6.2 should be revised to reflect the practice used by the Company and stated in the above-referenced rate GSW.W.22-01 IPUC DR 29 NWN Response Page2of 2 schedules. Gem State Water will seek a tariff revision to General Rules & Regulations Section 6.2 of its Tariff to reflect that practice, as follows: "lf the system is metered, the Company shall try to read the meters prior to each billing unless specified differently on the applicable rate schedule. lf the Company's meter reader is unable to gain access to the premises to read the meter, or in the event the meter fails to register, the customer will only be billed the minimum monthly charge as sef forth in the applicable Schedule. The Company aggregafes the applicable monthly allowance for each month that no meter reading is taken and bills for allusage exceeding the total aggregates allowances on the next bill issued after the meter reading is taken." llW lloturo!' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Response Request No.: GSW-W-22-01 IPUC DR 30 30. Please provide an estimate of total unaccounted water losses due to leaks, wasted water, etc. by month trom 2011 to present. Please explain how these losses are estimated. Resoonse: Gem State Water can provide estimated water loss information for the period of time the systems have been under ownership of Gem State Water. However, we are unable to provide a monthly water loss estimate due to tfie inability to read meters year-round. Gem State Water does attribute a level of uncertainty as to the validity of the loss due to the age of the meters and their accuracy. Gem State Water uses an unaccounted-for water ratio calculation based on amount pumped less delivered divided by amount pumped. To address unaccounted for water we have an ongoing leak detection program, however, the age of the metering equipment paired with the distance between isolation valves and the inabili$ to collect year-round consumption data make identifying potential areas susceptible or experiencing loss a difficult task. An annual estimate of total unaccounted water loss due to leaks and major system breaks is found in the following chart. We have accounted for our twice annual system wide flushing in the calculations. System 2019 2020 2021 2022 o Spirit Lake August 2019 L2.Oe/o 3t.16%L354%t7.600/0 Lynnwood August 2019 L4.$V/o L3.57Yo L3.77o/o L3.27% GSW-W-22-01 IPUC DR 30 NWN Response 2ol2 Diamond Bar November 2019 N/A LA.L7%L2.29f/6 934% Bar Circle S November 2019 NI/A 8.24%10.09%L2.L7% Bittenoot March 2020 N/A L5.43%!2.L8.9/5 LI-.OWo Happy Valley March 2O2O N/A L5.75%LO.52%L],.27% Hoffman September 2021 N/A N/A N/A L7.9M o tlW llotulol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Response Request No.: GSW-W-22-01 IPUC DR 31 31. Please answer the following questions regarding irrigation meters a. Who installs the inigation meters (original connection)? b. Who maintains the inigation meters? c. Who tests to insure accurate readings? d. What months are they in-use? Response: a. There are no records as to whom initially installed the irrigation meters (original connection). Gem State Water is requiring the new connections to purchase meters and the Company installs them. Meter loops and infrastructure were preinstalled by the Company at Diamond Bar. b. The irrigation meters are maintained by Gem State Water staff. c. The irrigation meters are tested by Gem State Water staff to ensure accumcy. d. The irrigation meters are installed and activated April 1Sth and turned off/removed October 1Sth. o 1lW ]lotulol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Response Reouest No.: GSW-W-22-01 IPUC DR 32 32. ls a backflow prevention device installed for every customer, for both residential and for irrigation meters (for those customers having irrigation meters)? Response: No, the backflow prevention is not required for all customers, but Gem State has an active cross connection control program that requires customers with potential cross connections to have a testable double check valve assembly installed. ,^{p ttw lloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Resoonse Request No.: GSW-W-22-01 IPUC DR 33 33. Are all backflow devices checked and certified as operational on an annual basis? lf not, how many backflow meters are checked? Response: Gem State Water requires all customers with testable backflow devices to have their equipment checked annually and to provide the Company with a copy of their test results. Backflow devices are owned by the customers and are located on the customer-side of the meter. o llW lloturo!' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Response Request No.: GSW-W-22-01 IPUC DR 34 34. What is the current (initial) connection charge for a new customer? ls the Company proposing to change the connection charge? lf the Company is proposing a change, please describe the cost basis for this change. Response: The current initial connection charge for new customers is below: Diamond Bar Estates $2,500 Spirit Lake East $2,500 Lynnwood Estates Subdivision $2,500 Bar Circle'S" Water Company $2,500 Happy Valley Water Systems, lnc $5oo Bitterroots Water System, lnc.$750 Troy Hoffman Water Corporation, lnc $458 Rickel Water Company $6,000 The Company is proposing to adjust and consolidate the new customer charge as follows: GSW.W-22.01 IPUC DR 34 NWN Response 2of 2 For the cost basis, please see Confidential GSW-W-22-01 IPUC DR 34 Attachment 1, item numbered 1 (when service is on the same side of the road). This estimate is for external labor and does not include the additional Gem State Water labor for processing the request or for the field manager making a site visit. The fee for service when the Company is required to bore a line under the road is based on time and materials. This fee estimate appears as item 2 on Attachment 1. The following quote is from Schedule No. 5 (Non-Recurring Charges) in Gem State Wate/s Tariff. New Customer Connection Charge - When the installation of a new service line[] requires the Company to bore a line under a road, all additional costs will be charged to the customer on a time and materials basis. The new customer mav, at their option, hire Gem State Water approved independent contract[or] to perform the road bore and connection. The Company will require such contractor to show proof of bonding, licensing, and insurance and at least five (5) years of experience at hot tapping water lines. Gem State Water Master will inspect and approve allwork being performed to insure compliance with the Company's installation requ irements. Gem State Water Company $5,500 Correctqurymen t Correct Equipment Address: 14576 NE 95th Street Redmond, WA 98052 Redmon{ WA: (425) 869-1233 Canby, OR: (503) 582-0555 Toll Free: (877) 37 | 4555 www. CoRRECTEQLJIPMENT.COM May 23,2022 Leslie Abrams-Rayner General Manager Gern State Water Troy Hoffman Kamstrup Acoustic Leak Detection (ALD) Meter Quote WITH DRTVE BY READ (AMR) Item Type Number Description Qty.Each Extended I 02-K-02-D-l-8B-8-UB flowIQ 220025 GPM %. x'/t" x7Yz" Composite ALD 0 $348 $0 2 02-K-02-D-r-8C-8-UB flowIQ 2200 32 GPINI 3/q" x 7Y2" Composite ALD 147 $348 $5 1,1 56 3 02-r-02-D-t-8D-8-UB flowIQ 2200 55 GPM l'xl03/+" Stainless Steel ALD 0 s432 $0 4 02-L-02-D-t-8F-8-uB flowIQ 3200 RF; 120 GPM 1.5" x 13"; 316 stainless steel flow tube; flange connection 0 $840 $0 5 02c-01-D18H-8US flowIQ 3200 160 GPM 2" (fl) x 17" Stainless Steel 0 $ 1,080 $0 6 02c-01-Dl8K-8us flowIQ 3200 350 GPM 3'(fl) x 12" Stainless steel 0 $1,840 $0 7 02c-01-Dr8P-8us flowIQ 3200 700 GPM 4" (fl) x 14" Stainless steel 0 $2,&0 $0 66-97-902 US Pit Antenna II, 6.6 ft cable, AMI connection 0 $42 $0 8 6696/,0020 READy Converter (2 Sets) 2 x READy 3 channel converterbuilt into a sturdy flight case with accessories I $1,800 $1,800 9 6696053 READy Manager forAMR forup to 250 metering points (One Time Fee) I $1,212 $1,212 l0 66960s3FH READy Hosting Subscription for up to 250 metering points (Annual Fee) I sl,l42 $1,142 ll BCUS30302.200W Up & Running with Leak Detector I s45s s45s t2 BCUS30302.l02W Subscription - Leak Detector, < 250 metering points (Annual Fee) I $843 $843 l3 Correct Equipment AMR Installation Start-up and Training Leak Detector Training I $1,500 $1,500 t4 B,C20107.2X Billing software interface and training I $2,000 s2,000 PRICE: $60,108 Correctqurymen t Correct Equipment Address: 14576 NE 95th Street Redmond, WA 98052 Redmond, WA: (425) 869-1233 Canby, OR: (503) 582-0555 Toll Free: (877) 37 1 4555 WWW.CORRECTEQUIPMENT.COM READY Manager Licensine Fee (One Time Fee) 6696051 Software < 100 metering points $713 6696052 Software < 250 metering points $1,212 6696053 Software < 800 metering points $1,712 6696054 Software < 1,600 metering points $2,539 Annual Hostins Fee (Annual Fee) 669605IFH Hosting subscription S 100 metering points $706 6696052FH Hosting subscription < 250 metering points $1,142 6696053FH Hosting subscription < 800 metering points $1,464 6696054FH Hosting subscription < 1,600 metering points $1,847 Leak Detector Annual Hostine Fee (Annual Fee) BCUS30302.l01W Subscription price, Leak Detector, < 100 metering points $340 BCUS30302.l02W Subscription price, Leak Detector, < 250 metering points $834 BCUS30302.l03W Subscription price, Leak Detector, < 800 metering points $2,618 BCUS30302.l04W Subscription price, Leak Detector, < 1,600 metering points $5,137 .Terms & Conditions of Sde: -F.O.B.: Redmond WA or Factory ifnot in stock in Redmond -Payment Terms: Net 30 Days - Our terms ofpaymeirt are 100% payable 30 days after shipment. Since this is an agreement between Buyer and Seller, and Seller has no relationship with the third party owner, this agreement must be independent ofany thirrd party action or inaction. Payment will be due as indicated above without a dependency on the buyer being paid by the owner, with no frirther restriction or impediments, and regardless ofany paym€nt arangement that may exist between contractor and owner. -This price is in effect for 60 days. -Submittals, ifrequired, will be provided 2 weeks after receip ofall technical data at Correct Equipment. -Delivery will be made in ap,proximately 4-8 weeks after receipt oforder and/or approvals and resolution ofall necessary technical data at Correct Equipment Quotation prices do not include any sales taxes or any other taxes that may apply. -This quotation is limited to the products and/or services as listed and excludes any item or service not specifrcally listed. Dean Brown Conect Equipment d ea n b@co rrecteq u i p ment. co m 425-466-6888 1lW tloturof Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Response Reouest No.: GSW-W-22-01|PUC DR 35 35. Please provide the cost of new meters by meter size and type (i.e., residential and irrigation). Response: Please see GSW-W-22-01 IPUC DR 35 Attachment 1 for a recent cost quote for new meters by meter size (costs are not differentiated by type in the quote). o ^,(V t{w tloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Response Request No.: GSW-W-22-01 IPUC DR 36 36. On average, how much time is required to install a meter for a new customer, including driving time? Is the installation work performed by just one person? If not, please state how many. Response: The typical time to install a meter for a new customer varies. Most new connection requests have no existing infrastructure and must be hot tapped from the mainline. This hot tap may require a road crossing or bore. New connections must be paid for and scheduled two weeks in advance to allow for the necessary procurement of materials and locates. Meter sets can take from one work day to three work days, depending on environmental factors and location. The work is typically performed by a subcontractor and usually includes two to three people. O ** ttoturo!' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Response Request No.: GSW-W-22-01 IPUC DR 37 37. Please provide copies of any communication with IDEQ indicating any deficiencies identified or recommendations made as a result of the sanitary survey and the Company's response concerning stiatus of compliance of such deficiencies and/or recommendations, if deficiencies and/or recommendations exist. Response: The IDEQ sanitary surveys were provided in attachments to DR 23.f. The following systems had deficiencies identified in IDEQ. Bitterroot status was deficient when acquired. lt is reapproved with facilities plan and plan for upgrades. The conespondence for this system is provided in Attachments 9 - 12 of this response. Lynnwood Estates deficiencies have been resolved but there are no records of corespondence available because the records were in a prior email system that is no longer available. Troy Hoffman deficiencies have been resolved but there are no records of correspondence available because this occurred prior to the acquisition and the records were not provided. Diamond Bar deficiencies have been resolved. The correspondence for this system is provided in Attachments 1 - 8 of this response. a a a ldaho Department of Environmental Quality Prlnt Form Engineering Review Transmittal Form Consultant/Engineer: Review this revised transmittal and complete all sections applicable to this project submittal. Retum a completed form with each submittal made to DEQ for review. Failure to include this fully completed form may result in a delay of project review. Submittal date Project title 4t9t2020 Diamond Bar Estates Public Water System Well #2 City Water purveyor Sewer purveyor County Kootenai 83858Zip code Gem State Water Company Will serve? E Yes E Ne Will serve? flYes E Ne Consulting firm f-O Engineers Engineer Scott McNee, P.E.Engineer's email smcnee@to-engineers. com Gem State Water CompanyOwner/developer Contact name Owner's address Phone Coeur d'Alene tD 83816 Leslie Rayner P.O. Box 3388 City State Zip code (877)7ss-9287 Owner's email leslie@gemstate-water.com Standard reviewReview type Submittal description Project tlpes: Wastewater Preliminary engineering report Drinking water Well design Solid waste/landfill Reuse (municipal) (WRU-M) Engineering Review Transmittal Form Page of ldaho Department of Environmental Quality Print Form Engineering Review Transmittal Form Consultant/Engineer: Review this revised transmittal and complete all sections applicable to this project submittal. Return a completed form with each submittal made to DEQ for review. Failure to include this fully completed form may result in a delay of project review. Submittal date Project title 4/9t2020 Diamond Bar Estates Public Water System Well #2 City Water purveyor Sewer purveyor County Kootenai Zip code 83858 Will serve? EIYes E Ne Will serve? EYes E Ne Gem State Water Company Consulting firrn I-O Engineers Engineer Scoff McNee, P.E.Engineer's email smcnee@to-engineers.com Gem State Water CompanyOwner/developer Contact name Owner's ad&ess Coeur d'Alene State Phone (877)7ss-e287 Leslie Rayner P.O. Box 3388 City TD Zip code 33816 Owner's email leslie@gemstate-water.com Review type Submittal description Project types: Wastewater Standard review Plans/specs Drinking water Well design Solid waste/landfill Reuse (municipal) (WRU-M) Engineering Review Transmittal Form Page of TO: T-O ErernEERs,lNc. TECHNICAL MEMORANDUM ldaho Department of Envlronmental Quallty (lDEql T-O Engineers, Inc. April9,2020 Diamond Bar Estates Publlc Water System New Well #2 Construction Prellminary Engineering Report FROM: DATE: PROJECT: SUBJECT: D.i.: 2020.Oa-Oo 1336ra.07't 0' 0f Tst 8835 G. AL lntroduction and Backsround The Diamond Bar Estates Public Water System (PWS #1D1280258) serves approximately 55 residential connections in the Diamond Bar Estates Subdivision, approximately 3 miles east of Rathdrum in KootenaiCounty. The system is owned and operated by Gem State Water Company, LLC. The system's primary well (Well fl) is a 16-inch well, which currently produces 410 gpm. Well #1 discharges to a 55,000 gallon below-ground water storage tank, located next to the well beneath a pumphouse building. Duplex booster pumps in the tank then provide pressurized flow to the distribution system. A second well (Well #2) acts as a temporary emergency backup well for the system. This well is located approximately 2,300 feet to the northwest on private property and feeds directly to the distribution system. The agreement for DBEPWS to utilize this backup well expires in July of 2020, so construction and development of a new Well #2 is needed. Water Rirhts Diamond Bar Estates LLC has a Municipal water right license (95-10068) for groundwater at a diversion rate of 2.7O ds (1212 gpm), with a priority date of 1U291t965. The place of use is described as the area served by the Diamond Bar Estates Public Water System. The point of diversion described in the water right license covers the location of the parcelfor existing Well#1 and proposed Well #2. A copy is attached with this memorandum. Desiln Summaru WellSite Evaluation and Approval A well site evaluation report was prepared by Northwest Groundwater Consultants, LLC (NWGC) and submitted to IDEQ on January 3L,2020. The evaluation proposes to construct the new Well #2 on the same well lot parcel as the existing Well #1. IDEQ conducted a site visit with Tom Mullan of NWGC on March LO, 2O2O and granted approval of the well site on the same day. A copy of the evaluation report and IDEQ approval letter are attached with this memorandum. During the site evaluation visit with IDEQ, a decision was made to locate Well #2 on the north side of the pumphouse, rather than west of T-O Engineers Page 1 of4 PARCEL NO. Gl774{n1{}21{}PARCEL NO. 0-lz4{n1-002-0 PROPOSEOWEIIf2 EXSTING VI'ELL PUMPHOUSE PARCEL NO. Glz+m1-9990 PARCELNO. Gr77+001{)01{) PARCELNO. G1n+0o1-0z4 the pumphouse as shown on the NWGC site evaluation figures. Appropriate setbacks as identified in the ldaho Rules for Public Drinking Water Systems (Rules), Section 900.01, Table l will be met. The following Figure 1 shows the new proposed Well#2 location. Ffurc 1- Proposcd Wcll 12 locetlon Well Constructlon The new Well fi2 will be constructed with l2-inch diameter steel casing to an approximate depth of 375 feet below the ground surface and capab le of producing at least 410 gpm. The proposed steel casing will have a minimum wall thickness of 0.375 inches as required in the Rules Section 900.02, Table 2. The annular seal for the proposed Well #2 will extend a minimum of 58 feet below the ground surface. Wel! Completlon and Testing Following construction of the new Well#2, test pumping will be conducted in accordance with IDAPA 51.01.08.510.05.a and lDECls Guidance for New Source Water Testing Procedures for Public Drinking Water Systems. After development, the well will be test pumped at a rate of one hundred percent (100%) of the desired yield of the well (410 gpm) for a minimum of twenty-four (24) hours after drawdown has stabilized. Alternatively, the well may be test pumped at a rate of one hundred fifty percent (150%) of the desired yield of the well (615 gpm) for a minimum of six (6) hours after drawdown has stabilized. T€ Engineers Page?of 4 Per the requirements listed in IDEOs Well Site Approval letter, sampling and testing for the following constituents will be provided: o TotalColiformo lnorganiccontaminantso Organic contaminantso Radionuclidecontaminantso lrono Manganeseo Corrosivity (as alkalinity) Upon completion of the well, record drawings, test pumping data and laboratory results from inltial sampling and testing will be compiled in a Well Completion Report submitted to |DEQfor review and approval. Following IDEQ approval of the Well Completion Report, plans and specifications for the Well #2 pumping and piping system will be submitted to IDEQ, along with a plan for disconnecting the existing emergency backup well. T-O Engineers Page 3 of4 State of ldaho Department of Environmental Quality 21 1 0 lronwood Parkway . Coeur d'Alene, lD 8381 4 . (2081 7 6$1 422 Brad Little, Govemor John H. Tippets, Director March 10,2020 Leslie Ralmer Gem State Water leslie@ qemstate-water. com Subject: PWS IDl280268 Diamond Bar Estates, Well Site Evaluation Report DEQ Approval Dear Ms. Rayner: On March 10,2020, the Idatro Department of Environmental Quality (DEQ) met with Tom Mullen of Northwest Groundwater Consultants, Rob Turnipseed and you to evaluate a proposed well site for the Diamond Bar Estates water system. The well site is located offN. Rodeo Rd. in Rathdrum, Kootenai County, Idaho (47 " 47' 5 6.9 I'T{, 1 1 6'49'6. 98'W). A well site evaluation report was submitted to DEQ on February 21,2020. The proposed location appears to meet all setback requirements as identified in the Idaho Rules for Public Drinking Water Systems (Rules) Section 900.01 Table I - Minimum Distancesfrom a Public Water System Well. Tbts letter is to confirm that DEQ has reviewed and has approved the proposed well site evaluation report in accordance with the Rules. The following requirements must be met for the well site to be approved for a public drinking water source: Well Construction Preliminary Engineering Report - A preliminary engrneering report (PER) stamped by an Idaho licensed Professional Engineer for the well must be approved by DEQ prior to drilling. The well PER needs to incorporate the well site evaluation requirements and findings. The well PER also needs to incorporate test pumping procedures. For additional information and guidance on test pumping, please refer to the Guidance for New Source Water Testing Procedures for Public Drinking Water Systems which is available online at: http://www.deq.idaho.eov/media/515237-source_waterJestinLprocedures_suidance.pdf Well Construction Plans and Specifications - Construction plans and specifications (P&S) prepared by an Idaho licensed Professional Engineer for the well must be approved by DEQ prior to drilling. The well P&S may be submitted with the well PER, simultaneously. The well P&S need to incorporate the well site evaluation requirements and frudings. Well P&S must dernonstrate compliance with the Rules; Sections 510.03, 511, and 513 of the Rules are specific to well construgtion. Well drilling must be completed in accordance with the approved P&S. In addition, Ms. Rayner- Diamond Bar Estates Well Site Evaluation Report Approval March 10,2020 Page2 there may be other applicable rules and laws administered by the Idaho Department of Water Resources (IDWR). Setbacks - Please observe the following setbacks and restrictions, as per Section 510.02 of the Rules, the well must be located in excess of; . 1,000 feet from biosolids land application siteso Required distance for reclamation and reuse of municipal and industrial wastewater sites as per IDAPA 58.01.17o 500 feet from municipal or industrial wastewater plantso 100 feet from all septic tankso 100 feet from all individual home disposal fieldso 100 feet from all individual home seepage pitso 100 feet from all privieso 100 feet from all pressure sewer lineso 100 feet from all standard subsurface disposal drainfieldso 150-300 feet from all large soil absorptions systemso 50 feet from all gravity wastewater/sewer lineso 50 feet from all livestocko 50 feet from canals, streams, rivers, ditches, lakes, and pondso 50 feet from stonn water facilities disposing storm water originating offwell lot. 50 feet from all tanks used to store non-potable substanceso 50 feet from all potential sources of contamination Control of Site - Public drinking water wells must be sited on a well lot owned or controlled by the water system. If the well lot is not owned in fee simple, the property must be controlled by a lease or easement. The well lot must extend a minimum of 50 feet in all directions from the well. All other requirements for well lots as noted in Section 512 of the Rules must be adhered to as well. Well Completion Report - Upon completion of the well drilling, record drawings, test pumping data, and initial source monitoring must be submitted to DEQ for review prior to utilizing the source. Information must meet the requirements of Section 510.05 & 510.06 of the Rules and Idaho Code 39- 118. Record drawings must be prepared by an Idaho licensed Professional Engineer and submitted to our oflice within thirty (30) days of completion of construction As the project is proposed for a community system, the following monitoring results will need to be provided upon completion of the well: o Total colifonno Inorganiccontaminantso Organic contaminantso Radionuclide contaminants o Irono Manganeseo Corrosivity (as alkalinity) Ms. Rayner - Diamond Bar Estates Well Site Evaluation Report Approval March 10,2020 Page 3 If the potential exists for the proposed well to be under the direct influence of surface water, at least two microscopic particulate analyses (MPA) will be required in order to assess the potential impacts of ground water under the direct influence of surface water. This is often most easily conducted during the24 hour pump test. Should you have any questions or require additional information, please do not hesitate to contact me at (208) 666-4634 or via e-mail at Taylor.Enos@deq.idaho.sov. Regards, Taylor Enos Water Quality Engineer Ec:Rob Turnipseed, Diamond Bar Estates, avondalecon@ frontier. com Tom Mullen, Northwest Groundwater Consultants, LLC, tfmullen@northwesteroundwater.com Matthew Plaisted, P.E., DEQ Engineering Manager, matthew.plaisted@deq.idaho.sov Anna Moody, DEQ DW Supervisor, anna.moody(Edeq.idaho. eov Suzanne Scheidt, DEQ DW Compliance Officer, suzanne. scheidt@deq.idaho. gov Adam Frederick, IDW& adam. fr ederick@ idwr. idaho. eov EDMS: D1280268: 2020AGD821 :2020AGD1133 (P&S 44720) Northwest Groundwater Consultants, LLC Nodhwesl Groundwoler Consullonls, [[C 2660 E Thomos Hlll Drive Coeur d'Alene, lD 83815 208-755-r094 January 31,2020 Project No. 01150-01 Ms. Katy R. Baker-Casile, PE ldaho Department of Environmental Quality 2110 ldaho Parkway Coeur d'Alene, ldaho 83814 Suerecr: Gem Srares WATER Go. - Dnmoro Bln EsmrES WELL Srre EvlluATroN Dear Ms. Baker-Casile: Gem States Water Company, LLC (Gem State) is proposing to drill and construct a public water supply well for the Diamond Bar Estates (the "Estates") located in the northeast quarter (NE %) of the northwest quarter (NW %) of Section 3, Township 51 North, Range 4 West (Figure 1). The purpose of the well is to replace an existing domestic potable water supply well for the Estates (Turnipseed well- wel! driller's report not available). This well is a backup wellto the Estate's primary well located in the well lot. The Estate's primary well currently produces approximately 410 gallons per minute (gpm). The new well, also to be located within the well lot, will be constructed of at least 8-inch diameter casing to an approximate depth of 375 feet below ground surface (bgs) and capable of at least 410 gpm. The following letter provides details to the checklist items as presented on the Drinking Water Well Site/Spring Source Evaluation Checklist (Attachment A). Please note only checklist items that need detailfor justification/rationale are included below. 1. Wellsite is located on a 1.18-acre well lot parce! (Parcel No. 0-1774-001-999-0) owned by Gem State and zoned Rural. The existing Gem State well is located within the well lot (Well Drille/s Report - ldaho !rrigation). Sunounding parcels include individual residences on 4- to S-acre lots and agriculturalfields. (Figure 2). 2. No floodways or floodplains are present. 3. The well site overlies the Spokane Valley - Rathdrum Prairie (SVRP) aquifer. Hsieh and others (2007, page 6) describe the aquifer as follows. "The SVRP aquifer consists mostly of sands, gravels, cobbles, and boulders primarily deposited by a series of catastrophic glacial outburst floods from ancient glacial Lake Missoula during the Northwesl Groundwoler Consultonls, LLC 2660EThomos HillDrive . Coeurd'Alene . ldoho . 83815 208-755-1094 Ms. Baker-Casile January 31,2020 Page 2 of 3 Pleistocene Epoch. Kahle and Bartolino (2007) noted that most of the aquifer sediments deposited in such a high-energy depositional environment are coarse grained. However, they also noted that fine- grained layers of clay and silt are scattered throughout the aquifer and likely were deposited in large proglacial lakes in the path of the Missoula floods." The Estate's primary well (ldaho lrrigation) located in the well lot is completed in sand and gravel to a depth of 373 feet bgs. Static water level measured at the time of the well's drilling was recorded at 298 feet bgs. Well drille/s report for the one of Gem State's wells is attached (Attachment B). 4. The anticipated casing depth will be approximately 345 ft bgs with approximately 30 feet of screen to 375 feet. The annular sealwill extend to at least 58 ft bgs. 5. Water quality meets all public drinking water standards. Water quality results for the Gem State wells are attached (Attachment C). Results indicate that water quality meets both primary and secondary inorganic chemical (lOC) standards for public drinking water systems. 6. Review of the ldaho Department of Water Resources (IDWR) online database identified 24 wells located in the nine sections nearthe project site (Table 1). Of these wells, 16 wells were locatable through review of welldriller reports, water rights, and county assessor records, and Google Earth (Figure 1). Review of water rights records confirmed the location of the Turnipseed well (Estate's backup well that will be replaced with the new well). A well driller's report for the this well was not available. Static water (SWL)l levels in these wells ranged from 73 to 315 feet below ground surface (bgs) and reported yields ranged from 10 to 3,350 gallons per minute (gpm). Hydraulic conductivity for the aquifer was estimated by evaluating specific capacity of these wells. Transmissivity (and ultimately hydraulic conductivity) was estimated using specific according to the method by Razack and Huntley (1991). Table 2 summarizes the results of this analysis. Based on this analysis, the mean transmissivity and hydraulic conductivity for the SVRPA in the area is approximately 20,263 feet squared per day (ft2lday) and 239 feet per day (fUday). For the three wells that were pump tested, transmissivity and hydraulic conductivity averaged 44,682ft21day and 518 ftlday, respectively. Further, the reported drawdowns in these 1 Static water levels were reported on the well driller reports and represent water levels measured at the time of drilling. Ms. Baker-Casile January 31,2020 Page 3 of 3 wells indicate that sufficient quantities of water relative to the reported aquifer thickness. 13. Groundwaterflow in the SVRPA in the area that contains the wellsite is generally to the southwest; see attached Figure 22 (Attachment D). Scaling of the groundwater- level contours in the area project area indicated an average hydraulic gradient of approximately 0.0004 foot per foot (fi/ft) to the southwest. Aquifer thickness in the project area is at least 600 feet (Attachment D). 17. Drainfields were identified for the parcels to the north (Parcel No. 0-1774-001-021- 0), the south (Parcel No. 0-1774-001-022-0), the northeast (Parcel No. 0-1774-001- 002-0) and the southeast (Parcel No.0-1774-001-001-0) of the proposed wellsite (Attachment E). Locations of the drainfields are greater than the minimum 100 feet separation distance from the proposed well. lf you have any questions, or wish to discuss any items further, please do not hesitate to contact me at (208) 755-1094. Sincerely, Nonrnunsr GRouttowRreR Cotrsur-lRruts, LLC 1t3112020 Itr-Gem State - Diamond Bar Estates WellSite Evaluation.doc LIMITATIONS The services undertaken in completing this report were performed consistent with generally accepted professional consulting principles and practices. No other warranty, express or implied, is made. These services were performed consistent with our agreement with our client. This report is solely for the use and information of our client unless othenrise noted. Any reliance on this report by a third party is at such party's sole risk. Opinions and recommendations contained in this report apply to conditions existing when services were performed and are intended only for the client, purposes, locations, time frames, and project parameters indicated. We are not responsible for the impacts of any changes in environmental standards, practices, or regulations subsequent to performance of services. We do not warrant the accuracy of information supplied by others, or the use of segregated portions of this report. REFERENCES Hsieh, P.A., M.E. Barber, B.A. Contor, M. A. Hossain, G.S. Johnson, J.L. Jones and A.H. V\frlie, 2007, Ground-Water Flor Model for the Spokane Valhy - Rathdrum Prairie Aquifer, Spokane County, Washington, and Bonnsr and Kootenai Counties, ldaho: U.S. Geological Survey Scientific lnvestigations Report 2007 -50//.. Razack M. and D. Huntley, 1991. Assessing Transmissivity from Specific Capacity in a Large and Heterogeneous AlluvialAquibr: Ground Water, Vol. 29, No. 6, 1991, pp. 856-861. TAALE I WaI Drilb/! R.porb Summrry No{as:tt{.| dwrlptlonr s lndk ted @ rcll drllcr rcports;.ctual locstbns my Ery. 2Grund surfae dev.tbG rsdml€d ftoro Gooth Earth; loetlons of wells reE lercllcd with lDwR witcr ltht leids ard (@t€nal county A55s Eords md loctcd o pradol; a(ilEl locr[m ]n daElioia mry vry.r8rnd m ddcwacrlml(SWU dth.llm ofddfhg. '8asd o rellt€c dfi at tlrc of drfllln& homdimr a. lndlcrt d m rci dillLr npoir. t^rh\lfl Prcr6t No.0115G01 Tabh 1 - Well Summry Table.xbx Pl8elof2 i.lo.tilafO.lirxmtCo.uim,lIC U.lA OOTErITOIT NA 5lN aw 23m m1a /a{n wnd* lrYtffiton Dllinct gnlfilJltt sw t{w 1t 5lN 4W 2:NT zJx)m1l 12lJ 3:i50 send & (rfle or BEnalm 711Dffi 52N 4W 2310 zxxl ;utDtun, Joa & snatmh, Adi W.t r Di.trld SE SW SF NE 34 52N 4W 2t09 26 2013 30s27t t5 tddl_ John 51N 4W NA 73 NA 3{E SheIC NW SE t{A rho lnloldon 5tN rlw zr8 2rn7 rno lmoatm 3rlv1ffi NE l{W 3 51N 4W 2C11 AN 2013 313 1A(x'end & (iEE ,no- Rd 52N 4W 2253 1995 fllg-Rmr 5iltJliz(Ji}j SW SE u 52N 2317 3{X,a)12 36{)5{)sand & (irav3 l@AogH 5tN 4W zE1 19€7 u. wgnde 9f22t2tJtj3 NW SE 3:t 52N NA 2ro Nq gn Z)sam & GraE toot. HBnil wzulctu UW NE 2 4W Z'A a,snmit 51N 2317 20fl2 am ,nn Kmtffit watar DEmct uzu1D10 SWSW 2 51N 23la 3ro z(x)a 3ll NR sano & GEw 4ZArtSA5 g 52N nAl 3(xI 2t)11 342 CiEEI PA,6t ]{o dl9o{rl Tibh I - WrI Sumry TabLJdsr( 8=rre ft.ml=k.bor lEn s lml ft = f.ct gm = galbns plr mlnut! tlA. ilot elhbLi rcll not laat bls or SWL nd @dcd NR = Nd rrydGd on rclldrflh/s roport! IAA1E I W.IDrlb6n po.taartlmly P.|s2of2 GEDt{o.trdOrluYmr Con um,llc TABLE 2 Hydraullc ConducUvlu Ettlmite! Nol6:rBas6d on statc wder l6vsl (SWL) at th. time d drillhg. 2Aquifer thickness be3ed on waler-boarlng lntervab a3 rrcordsd on wsll drlllor IrporB. transmlsglvltl$ and hydEullc conductivltlcs are balod on aiiif tcs{ng of th€ wBll at tlme of drilling o(cepl for th6 Avondal. lrtigalion Dbtict snd ldaho lnigation Dlslrict mlb; thos€ wolb srI€ Frmp tcated. lvsll drillsr r.port indicates 3m iaet drawdown; howover, lhE valu6 oxce€ds aquliEr depths and thlckm$. Analysis a3sum3 3(x) fost pumphg wat6r lovcl wtlicfi equatas to 10 tret o, dravydom. dd = cublc tcd per day ll = feet fi/daY=te6 *r*, f/day = aqug'fast pd a., gpm = gallons per minutr tlA = Nol appllcablo; aciual draldown duc to pump t 3t r€codsd ln liou of pumplng bvel. TransmB3lvity cahuhtod uslng ths mthod by Razack and Hunhy (1991) GD Plo'od No.0ll504l Tdle 2 - Kcelca.)ds 1 sl1 i,lorttlwEst GrcundiEtor ConsultEllls, LLC Avondal€ lrlgdlon Dirtrict' Cox, Chuck ldaho lrigation Disrici ldaho lrlgation DEtrlci Minor, Wanda Stepphg Sbnrg Wend6ll, Sandy Marn 3,350 100 1,800 1,800 2A 500 1m 6411,920 19,251 346,5U 346,524 3,850 95,257 19,251 290 301 279 29E 250 300 210 NA 34S NA NA 290 380pa 290 30l 279 293 252 300 210 12t 34S 351 373 302 38C 295 11S rl8 72 72 50 80 83 7A 10 48 13 7 4{) 80 80 io 108 3:r5 2.08 138 257 0.500 6.250 1.2fi 20263 56,067 1,864 31,018 46,962 717 3,892 1,321 471 38.8 /l:}1 652 14.3 48.6 16,0 23'J eb!I I te e at og ats IsE b .e s b E E Tg eI * I E.9*B.as € E .aIi E.s E b b tstlIi. ItEg a! E I I .g E ntEE 3 € 2 Pb I Iee tb I I EE,s bu F oNoN 6{'Nao =Eo ooro o6oo E'(Lo Bo =z 6) ooco= E oo6f () ,3 r ;T, ot baa oq I a aa aplh\sry Northwest Groundwater Consultants, LLC 01150-01 January 2020 6'Millerst I:x *i d'nu 6'Dry ----\r\r Lh Bo II]3 l4 Swank & McPoland F ]5 r,\/.g(cYr.{tu 4rf 0 hitePPi I I ng Stones \oa /I &,-ii- \. .c[dbreth0i \ /jt(\ $roru trt,\t , Lewisa/\\ I I I I t (Backup,rdell to be replaced) I I I I I I + I n ,rt JElr I i I tl(aho lrrigation r tirri.oio iln tb ' \l l I l i l &r \ \\ 0l / / I\\ -+-- 1"orl, lrdg?tion /d{acel -.+ \ eMecca District (2018) 09 r0 1l t T51N R4W , rtrxlrlt Legend 0 Domestic g lrrigation @ uunicioal O Test Well tr wetl Lot SCALE 1 :24,OOO 0 2000 t1000 feet Source: USGS Hoyden, ldoho (2073) 7.5-Minute Series Quadrangle WELL SITE EVALUATION DIAMOND BAR ESTATES KOOTENAI COUNTY, IDAHO SITE LOCATION MAP FIGURE 1 IIf;! TtI! II!,! T E.t E E E $ E f, !t€{EItt {t 8'a- B Et I€I I aII EII $ e 8 To E 5IE € Es T { ,! oNoN NNaG =co o6ro Northwest Groundwater Gonsultants, LLC 01150-01 January 2020 FIGURE 2WELL SITE B/ALUATION DIAMOND BAR ESTATES KOOTENAI COUNry, IDAHO WELL SITE PLAN Legend O Diamond Bar Estate's Primary well (ldaho lrrigation) O Proposed New Well 0 100 2fi) feet burce: Google Eorth Pro, lmogcry Dote 7/74/2078. ATTACHMENT A Drinking Water Well Site/Spring Source Evaluation Checklist @ ldaho Drinking Water Program DRINKING WATER WELL SITE/SPRING SOURCE EVALUATION CHECKLIST Current Project Namei Gem State Water Co. - Diamond Ber Estates Former Project Name (if anv): !. GENERAL INFORMATION Requirement for Plan and Specification Review Idaho Code $ 39-l l8 requires that public drinking water supplies as defined in Idaho Code $ 39-103 and public drinking water systems as defined in IDAPA 58.01.08.003 must be designed to Department of Environmental Quality (DEO facility and design standards and must be approved by DEQ. About this checklist This checklist is offered as assistance for both designers and reviewers. Using it is voluntary. Many designers use checklists to ensure important but non-routine considerations are not overlooked and the application package is complete. For reviewers, completed checklists often expedite plan and specification review. This and other drinking water design checklists are available at any DEQ regional office or online at http://www.deq.idaho.gov/assistance-resources/for-engineers- developers/checklists.aspx. All of the checklists should be accompanied b), a GENERAL PLAN AND SPECIFICATION REVIEW CIIECKLIST because the general checklist provides complete information about the project not provided on the specialized checklists. For each item required by rule, relevant rule citations are provided. Numbers in parentheses with "DW Rules" refer to applicable sections of the current Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08, http://adminrules.idaho.eov/rules/cument/S8/0108.pdf. For any required items checked No or NA, please provide justification/rationale - this helps the reviewer to quickly understand your entire submittal. For each item not required by rule, the row is gray-shaded. Most of these are based on either common engineering practice (CEP) or Recommended Standardsfor Water Worla (RSWW, also known as "Ten States Standards.") Providing justification/rationale if any of these items are checked No or NA also helps the review process. This is a checklist of major items only. Full compliance with the Idaho Rules for Public Drinking Water Systemsr IDAPA 58.01.08, is required. Where to add justification/rationale These are some options for where to provide justification/rationale: o In a cover letter-+trongly preferred.. Typed into the checklist electronic form. (Each checklist item includes a form field that expands as you type and will make your text bold.) This is preferred over handwriting.o On a separate sheet. This is preferred over handwriting in the row or in the margin. Number of sets to submito For the first submittal and early review stages, one complete set of stamped plans and specifi cations is suffi cient.o For final review stages, submit one set for DEQ files plus any additional sets for which DEQ stamped approval is required by the developer, designer, municipality, etc. Drinking Water Well Site Evaluation Checklist Revised January2020 State of ldaho Department of Environmental Quality Page 1 ofS Well Site Evaluation Checklist II. PROCEDURE A. Because some locations are known to be vulnerable to contamination and may therefore be subject to additional evaluation requirements (DW Rules 510.02), we recommend that you consult with DEQ before beginning a thorough evaluation of a specific site. B. Determine if there is known ground water contamination in the general area. Possible sources of information regarding contamination may be obtained from the U.S Geological Survey, Idaho State Department of Agriculture, and Idaho Department of Water Resources as well as the DEQ state and regional offices. C. A registered professional engineer or a licensed professional geologist must prepare a thorough site evaluation, including the items in this checklist. D. Submit the site evaluation to DEQ, and schedule a field inspection. The exact location of the well must be staked by the engineer or geologist prior to DEQ inspection. E. If the well site is acceptable, DEQ will issue a written approval. F. Plans and specifications for the well and pump house must be approved by DEQ prior to construction. (Checklists are available for well construction and well house design.) lll. INFORMATION (commonly provided in narrative or equivalent form) Checklist ltem Yes No NA 1. Description and evaluation of potential sources of contamination within 500 feet of the well site, including injection wells, aquifer recharge projects, and land use (residential, commercial, industrial, open space, etc.). Locations of these sources are commonly provided on a site map (Next Section). (DW Rules 503.03.a.vi and 510.01.f) wellslte ls located on a 1.18-acre well lot parcel (Parce! No.0-1774-001-999{) and zoned Rural. Diamond Bar Estate's primary wel! ie located within fie well lot Surrounding parcels lnclude individual residences on 4- to S.acrc lots (Figure 2). 2. Floodways and floodplains are identified (DW Rules 503.03.a.ii.(l l), 504.07.b.iv, 5l 1.06.a) None are present X 3. Description of aquifers and the extent of each aquifer and underground geological data is provided (provide well logs from nearby wells). (DW Rules 503.03.b.i and 510.01.b and c) welt site overlies Spokane valley- Rathdrum Prairie Aquifer. Grounduater Is approxlmately 298 feet below ground surface. Well drille/s report for "ldaho lrrigatlon" well is attached (Attachment B). xtr 4. Anticipated casing depth (to well screen) and grouting depth (annular seal) is provided. (DW Rules 504.07.b.v) Anticipated casing depth to be approximately 500 feet bgs; annular seal to be at least 58 feet bgs. 5. Discussion of ground water quality and any known ground water contamination in the general area is provided. (DW Rules 510.01.a) Water quallty meets all publlc drlnking water standards. Water quality results for the uuells is attached (Attachment C). Drinking Water Well Site Evaluation Checklist Revised January2020 Page 2 of 5 Well Site Evaluation Checklist 6. Prediction of the sources of water to be extracted by the well and the drawdown of existing wells, springs, and surface water bodies that may be caused by pumping the proposed well is provided. (DW Rules 5 I 0.01 .d) Review of well driller reports in the project area ehow sufficient quantities of water relative to dnwdown. x 7. Terrain and access are acceptable for drilling rig and equipment. (CEP) X tr Well site is accesslble by drill rig and support trucks. 8. Information is provided on how the well will be protected against sources of pollution, or how the site conforms to the local wellhead protection plan. Annular well seal to be a minlmum of 58 feet bgs. (Contact the DEQ regional offtce for implemented plans). x tr 9. Professional opinion that the site is suitable for a public water supply well. (DW Rules 510.02) wel! site is suitabte for public water supply wel! given the proven water quality and water quantity of wells completed in the SVRPA. X 10. Seal and date the evaluation. (DW 502.03, 503.02,504.06) see below. X lV. LOCATION (items commonly provided on a site map) Checklist ltem Yes No NA 11. Well location is specified (include vicinity map with directions to the X tr well site). @W Rules 510.02) See attached Figures 1and2. 12. Distance from well to property line (50 feet minimum) is specified. (DW Rules 510.02) See Figure 2;wellsite is in established welllot. 13. Direction of ground water flow and other hydrologic and geological properties are identified. (DW Rules 510.01 .c) Groundwater flow is generally to the southwest; see attached Figurc 22 in Attachment D. Aquifer thickness is at least 600 feet (Flgure 10 in Attaachment D). 14. Topography and alrangement of planned wells or structures are specified. (DW Rules 504.07.b.iii) wellsite is located on relativety flat terrain; Figurcs 1 and 2 ehow the immediate area adjacent to the well site. 15. Surface water sources, including lakes, rivers, canals, ditches, etc. (50 X tr feet minimum separation) are identified. (DW Rules 510.02, 900.01) None are present. tr 16. An evaluation is included to determine if the source is under the direct influence of surface water. (Please work with your regional office). (DW Rules 503.03.b.vi.) Source (SVRPA) at well site is not under the direct influence of surface water. xtr 17. Septic tanks and drainfields are identified and meet separation requirements. (DW Rules 5 10.02, 900.01) Drainfields exist on adiacent parcels to the north, south, northeast and southeast; drainfield locations arc greater than the 100 feet minimum separation distance from the proposed well site (Attachment E). tr tr Drinking Water Well Site Evaluation Checklist Revised January 2020 Page 3 of 5 Well Site Evaluation Checklist 18. Sewer, storms drains, irrigation, and other non-potable mains or service lines are identified (50 feet minimum separation is required). (DW Rules 5 10.02, 900.01) None are present. 19. Subsurface stormwater disposal facilities or storm water ponds are identified (50 feet minimum separation is required). (DW Rules 510.02, 900.01) None are present. 20. Livestock areas are identified (50 feet minimum separation is required). (DW Rules 510.02, 900.01) None are present. 21. Fuel tanks and othertanks containing non-potable substances are identified (50 feet minimum separation is required unless containment is provided as specified). (DW Rules 5 10.02,900.01) None are present. 22. Buildings, roads, and parking areas are identified. (50 feet separation is required.) (DW Rules 510.02, 512.02) Diamond Bar Estates pump house located within the established wel! lot (see Figure 2). tr 23. Other potential sources of contamination (chemical storage, etc.) are identified (50 feet separation is required.) ( DW Rules 504.03.b.vi., 510.02,512.02) None are present. N tr tr 24.Otherburiedutilitiesareidentified.(CEP)Utilitytocateswittbeperformed X n trprior to drilling. V. NOTEON RULESANDSTANDARDS This checklist addresses the majority of common items from the Idaho Rules for Public Drinking Water Systems (IDAPA 58.01.08), the Recommended Standards for Water Works (RSWW), and common engineering practices. However, this checklist is not all-inclusive, and users are expected to fully understand the rules and standards, apply them where necessary, and request interpretations from DEQ if there are any questions. DEQ offices may have additional written information that will assist in the design/approval process. VI. DESIGN ENGINEER'S/GEOLOGIST'S CERTIFICATION All responses indicated on the checklist are accurately reflected in the attached plans and specifications. The following checked statement indicates the extent to which the attached plans and specifications meet the requirements of Idaho Rules for Public Drinking Water Systems, rDAPA s8.01.08. Checklist ltem Yes No 25. The affached plans and specifications meet or exceed all applicable requirements of IDAPA 58.01.08, Idaho Rules for Public Drinking Water Systems, and a waiver of any part or portion of the rules is not requested at this time. Ntr 26. The attached plans and specifications do not meet or exceed all applicable requirements of IDAPA 58.01.08, Idaho Rules for Public Drinking Water Systems, and a waiver of the following part or portion of the rules is requested at this time. (List applicable rule or section for which a waiver is requested) Attach supporting documentation as required. Drinking Water Well Site Evaluation Checklist Revised January2020 Page 4 of 5 Design Engineer'dGeologist's Signature, Seal, and Date: u3tn020 Checklist Rcfor€nces:l. Idalw Rilesfor Public Drin*ingWoter $stems (IRPDWS), IDAPA 58.01.08 2. Idatv Stededsfor Public Worfu Constnrctioz (ISPWC) Well Stte Evaluation Checldlst Drinking Revised Weter \Itbll Site Evaluation Checklist January 2020 Page 5 of5 tils //*tl J " Fotm238-7 6/07 1. WELLTAG ilO, D oo79144 Drilling Psmit No. Water right or lnioctbn $€ll# P() Eox 6] City Stete zip minut6) mrnuls) @ Lot. _ Blk. _ Sub. Name 'I. USE: IDAHO DEPARTMENT OF WATER RESOURCES WELL DRILLER'S REPORT \ 5. TYPE OF WORK: Newwell tr well E Modlry ensting welt Abandonrn€nt Other 8. ORILL TIETHOD:p eir notary E uuo Rotary E caute E otner 7. SEALIiIG PROCEDURES: s.d maErid FlmMI Eenton[e Gnips U IU tuuu tDs.remp. uasng/ury Lins Thrcsded Weldod Was drive shoe usd? E Y E N Shoe Depth(B) O, PERFORATIoilS/SGREENS: Longth of Hoadpipe of Tailpipo eacker QY flru PAGK: II. FLOWNG ARTESIAI{: Flouring Artesian? tr V E N Artesian Prassurc (PSIG)- Doscriba cmtrol device Tost mothod: Pump Bai€r Flwing Water qurlfy te3t or comimnts: LOG abandonrnent: l'1. ORILLER'S GERTIFIGATIOiI: l/we certify thst all minimum woll constructon standads uler€ complled wih at the tirE the rig was removed. AI atrDtr ErtasEntr D3.WELL LOGATIOITI:El soutnD Rge.4 EastE or westEy'rn'o i--NoruM - ---- ^-sw' *E' ,,0 83il:TtrRlHr"'"' tr'""*" !'"' a tr tr tr trtrtrtrDtrtrD @ 400' a tr tr o Company 'Principal 'Driller 'Operator Nams Horsley Drilling,lnc.co. no. 632 Dat6 10126/2018 Dab 10r26P.018 Dat6 - 10126P:018Date Dr€udmn (t€t)u6cmrg€ or \rbld lom)I 6Et OUEM (mlf,utsB) IIA Du+ gpm zcv EOraDhllnl F'3m(frl fo GI fumJt, lmI,r dcqlrdolt c, EFh or.hrdoi[rfi], nb] tmrp, ffi Y x tz U i,top Doil ang uravsr T tz \,zv uano ano gravGl x o 1V tzv uam, qraver ano uouloers x o tau zt;x)uano anq qraver x U ZUU z'YU uoErsB Dano ano -ome uraver x U zvv iroz uoarse Dano x o JOZ ooz urey uEy, Dilr ano Danq T o 5r)2 .:, o F'ea uravet ano uano x o O'U .+L ,LArg€ Uraver anq uano x 1 I Dlamtor Frcm (ft)To (ft)G8Ug8' S.h6dulE tt/btsdil 6"+2 394 .250 steet From (lt)To (lt)Slot sia Number,llt Llme1.'r Inominall MEteid Gsugo s Sdrodul. 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Conrp.ry Nama O'Keefe Co. ilo.2977 'P,mp.l Drli.r 0rlo DrlB'Ddlsr 'oP.r.br ll - ode- Dd€-opralql - Te.t mGtlEd: tun? r... Atr Bg;E trtr trtr trtr tr SHe 1,trtr USE: oomodlc El Nrnlapl E ilonlta E rrtgdton E ttrsrmct [ 4cannOlh.t 5. TYPE OFBtr!,Luwall Ab-rdoom.nl Olhor rll E uodly.dtffng$l 3. DRILL IIETHOD:EarRorrry E nua Roory Elcauto tr oncr_ EALING tllld.d lrrtu y\hr drh,r!hoeu!.d? EY EIN sho6 Dopth(r)- O. PERFORArIOTIS'SCREEN8: PGrtoiltlon. trY trN Mdhd- llenuhcindrcrecn E V tr N Tnc- Mrthod of lrrlrlletlon Longlh ot lb.ddpe of Tailptso Prdrcr El Y EN II. FLOTII'ING ARTEShI{ : Fbwing Artolan? tr Y El N Art.d.n PrBarc (PtilG) - trEtrtrtrtrtrtr th.t tr tr tr tr tr tr tr tr Bent. Chlps 0 61 256 Bsg 20ur W.fr!or DL.&rl t{!ttl n) lo (tu iffirf,t+ ahlaof, o? drcrtdon ot r?.lt crrlgdomrl. f,hrlanD.Y I 30 15o GiravaB x 30 15 57 Boulder8 and orawls x 24 5l 't05 EouklerS and Ersvals x 21 105 1z[6 GravBls x 21 140 1ta uouloeta x 24 1la t95 EouldorE x 20 195 z3{,Graveh and coOU€B x z0 310230 gnavds and rend xn310316Clay rnd orawlE x izl;t 316 iros grawlg x N 355 357 Fine tam x A)35r :t65 glSv x zo 363 42tJ o1av3l8 x l,Yater @ ZgU CmhadDadr tu.ar.bh}420' o.r.sr.{.d,June 12,2019 Darcomohred:$P11r2019 IIIIIIIII III lmUldtl Ffom Ul loO sIllJadr.i-l tErH 20 +2 380 .375 Steel FtEmGI T0 0)Satdra Itintrtl qrl!at Xddd Grtrd6.hdl! 379 419 40 1r SS150 FrnrG)To O)OEtt(t trlO Plrm.nl rndiltl,Fl[r llartl Daactlbe cdrlrol doYlcr ' Sl9natut€ ot PdrElpal DrlLr.nd rlg opcrrto? ara nqulnd "cWd wltih 3Odryr I Pimrn No.9 s- bns.z o lpcclly rvpal al llydrulh tJ noy.na rotry Ottw .. e.!!rvntl fEN D.prmailolWllrt ollturidl, ?2,fl44 L ?HEUYIIITE COPYTO ?HE , ie' T wEr. DBRTE{PB'h;;'6i', i..tltlr bwren l.lariri Addlrrl Of,lhg Pirml rltet* J. [n6FosEu use t,O*Ufc E lrlgetlon O r..r O Muntctprl O lndudrl.l O Stat E Wanc Dlrpoall or lnlccllontr dth* L urtfloo oRILLED E notrry- El atr trd cruc O Duo B 6. hELL@]{crBlrcfrcil i:nlnldtrduh: d Sr-l o corrcrtl. Eottrlr -..-.-lhlchr.B Olf,ilOi Fm To .2<6 lmhc -$.- lncho + -L-ill;t.3EQl.dlntficr - lnc{rc - tcat -lrrt lndro - lmhcr _- hat -lcrt lndrc lndrrl lort L.tilItn'ga,r,.rt;;;r-dv.r t, * Wrrrprckcrorrllured? E,Ycr El NoPctloretsd? dYcr, trlto llowpcrlotrrrdl EFrcrory drnll". olorch trGfi Slrr ol brrlorrtton -[1- krfior by I YL .. l,rt,or l-#;nm, f#t:tfqrtprlorrtlonr h.t .-- lrrt Wcll rcrrsr lnilrlld? tr Yrl @ No Mrnul*turcr't un!--.-- bhmctcr;Slot rh. Sd t olr -trsl to l!!t Dhmtrr -Slot 3lr. -s.t rrEm -li.t to -.ftrl Grnri i*kcd? tr Yo d No E Skc ol grrvcl Tvpr }lodrl No. Hrcd lrom lc.t to urrd tn rr.l: fl Com.itSurhadrarldoth jzlllil.rl.l tr Puddllngclry UBentonlla fot $cellngprpccdurrurd: tr Elunyplt Itfu6odollo,ntrl cdnl: tr Thrr.dd Efrnrl.d..rrru El'weu.. rlrlra Gulnt.r ro rorl drgthI Sohont .: IIeld E Crmlrtrd batrrJr 30ai" Dllcrthr ccrr por'r Stdlc wrtor iev:l ' ?zr I Flowlne? o V.i6'fri erX*c, llirw. oFTrnpcnturt Oorllty hlbclow Artcdrri clocil.ln prrrlrr Oonrrollil by:: tr VrUr ,. WATER LEVEL ;.,l *'*..16s;15i11 i l'1:! ':1 trPump 'trBdlrr Othcr r.ll-?mplnrLtllr|.,l- )rrd .:::r,I .i.!t+ 0. LITHoLOOIC LO6 gq.I g? I UhlrtOor tom To r-. ^-I L-- -,-l \-..-\f4.--.r-t r \-ll_r - a ,ra it elE { 61,1 , HECEIVED JUL 2 2 1993 il(NTHERN REGION Corraazet> t. ,.4'"':1 i.jtl. j ' Wottrrrtod ts-A:q2i '' \- l1-q)to. lrhr{ii(l hrS locrtloo mult rlr.r wlth wrlttrn locrtlun, t{ &rbdlvlrlon Nnrr Lrt No. -.- Elock No.x . EO.'n. H wd' CounU ,r. 5& g| ilillv €lat r scc.3< ,'8 5. Lcicafior or wru, skd* tr. oRtLlERs,crniirrcanor :tl ,Pii;:+: ; l/wc ctrttlh lhrt dl minlmum tvdl iulltructlon ttndrrdr wlrr compllcd rhh rl thr.ilm thr dt *d Slsrcd by lFlm Otlbldl 2 md loprnorl D.b a- lr -(; ) Flfin No,qqF Addr..r Flm Nrne usE ADOtTtOilAt 8HEEI8 tr }lECEsgARy - Fom23&7 7,98 S.lrhipo Corrdthe .nd tfunrgrmcnt Srntlco I. WEIJ.TAGNO. I)til[m Permit No: otlrrIDWRNo. 2. ffil{ER IDAHO DEPARTMENT OF WATER RESOURCES WELL DRILLER'S REPORT Olfca Urc Only lnspGcbd fr:- U II. WELLTEETS: L_i EC SEP EI 2! Et) Name BRANDONCOX Adclress 7877W MAINE STCity RATHDRUM _ Stafie lQ- Zip-.89858t LOGATIOiI OF WELL by lcenl drcrlptlon tltddr map lodon must agree wlUt unttbn locaton I Do9ragal-$co lo', Well Number: 1177 @YtLot _- County_ KOOTENAT Lat::Long::: WatarTemp.C_QLD_Temp Water Qualitv bst or comments: Deph firetWaterencountered 310 12. LITHOLOGE LOG:(Ileecrlbe ropaho or rbrndonrncnt) W.br !o[fta-Rrrfr: titr{r6r. ff,-E(lriiryt hr.rrrc Cnvel,.Bog$en EgqlOers I l-li--l il U Trrp. 52 Y, norfr or [i gsrgt nge O4-- Ll east o1 M west ESec. 33 _ _SW_rr4 9E _Ur .__ltl __.*:"*ffiH:HEffhH)rfiH* Lt 1 -- Blk. .A.-- sub. Name 4. USE: M Domestic I Municipat n Monitor Li krlgauonn Themal U lnJecton ! orrer 5. TYPE OF WORK ch€d( dlhat apply (Replacsmeilt, ctc.) E Newwetl n Modify n Abandonment ff orrer A DRILL XETTIOD E nirRotary [] CaOte t"l UuaRobry Ll O0rel' -Mer-xoo --l Frctn q Po.rS! 600LBS was drhro ehoe ured? E v M f Shoe Depth(s) RB Was ddve Ghoe Beal tested? I V M X Hclrr'? I. CASIilG'LINER: To C-ng Urr Wa.l- T'lf(..tmLrEj trDtrlf [.r Lcngth of Tallpipe 0 RECEIVED itJL 3 I m6 iDWR/tlorth RtrE.fIVED,Kt* IDWR/Norlh237t.250 STEEL l,€t$t of Headphe 9. PERFORATIO]{8'5CREEil8 Perforations t{efiodScreens ScreenType- C.dr'rg Uilt IO. STATIC WATER LEUEL OR ARTESIAOI PRE$SURE: _q.tO_fr. belowqrcund Arbs'ran pmssura_-_lb. Depth fior errcounbre _ _ fr. Decribe aacess port or conUoldevim: 13. DRILLER'S CERNHGATI(X l/We certify that all mlnimum uoll constrnc'tion standards were compliedwth he time the was rcmoved Firm Name Firm and Firm *2#as or -_2L+ TIEI TE!! ilrtui I MU IIn f'l Deph -380_ _ MIKE HALTEf,[tl[ {stronott ndm.)-07r03r(b Form 23&7 6t07 {. IYELL TAG ilO. D ll(lGi917 DfNltrg PsmlNo. EfIWZ WeightahFftnudf 2. OWI{ER Hrne Joe and Sharon Culbrcth Atr6 AF Hubbrrd Sheeil cry Coeur d Alene 3. WB.I LOCATION: T.p. 52 norrnEorsqrr! qq 0,1 eaE cYlsa8 ss. 34 1A SE 1A SW MtoEr 'osE tEErGo/tLot _ Ccrdyr.a. --TEmzsss l$obnai IDAHO DEPARTTvIENT OF WATER RESOURCES WELL DRILLER'S REPORT 12. $IATIC WATER LAIEL and WELL TESTS: Dep[rffirakarcourbred6 29G $a&mEh,€l(fr)a6 WaEbmp.fR Descilem BotbnhdaEnp. (T)_ sbb ld ag 83814 pod ftd hnp Bdt A& frdmtrtr4tr lstg. Add(Bofwdsf,B ll6gli clv Ld_ Bk_ $a.t{aflE {USE: Dorpsdc E] r,lrtp"r E uurn, I rrrc.h E rncrnar E Ueao, 00!r tearnyh.torcoouurL: Clear. coH . no smo[ 13. L]THOLOGIG LOG 1 4. DRILLER'S CERIIFICATIO{ llWe celfffi fid all rlrfnum roll cmstn c{bn stsrdads wer cunplod wfi at he tlne he ilg was rcmoved. co.npatynnrr Unltsd Crcm Rtmp t Ddlllng co.No. ff16 ftt4d org JasonC w arutmll w ttll2,f/,0lltk lpmlorll ' SbndnE d Prlmhd DXer aod dg esfir art reqtllld. - 116' $:194 (De.ardDeffiffiutrs) (D€9. ald Dofiral0lrB) 5. TYPE OFWORI(ae*rna [txerWa fl Rcabennntwe[ Emnocngrr Eooer ilply Bspboereneb) EMosf alttrgw 6. DRILLIETHOD: E*noory flnonou,y Ecaue Eou't 7. SEATI}G PROCEDURES Cdtg t.hr llmadcd Wrddan tr Etrtr tr Dtrtr tr tr WBdteslpousod?N SfnoDeg0{s)RIng Blt@3dlY 9. PERFORATIO{SISGREENS: Peftiaoors !Y lllnuhctmd lcrodn ttlsttod dhsDldcr atr Tpe N lrsfiod Y Er{ Seton bothn kngtrof lbaQhsp.*s Ev E FTLTER tsngholTahhe t N Type I FhrirEArbhn? !V En tuhs&nPressuo(Pslc) DosoDe cootd dore Sleel GaP Wdded hb_ thb Tostfud.mlflrhrklll*hn(b{qsdEl!d Ylil lodnl il,A 75 2hn Bm Db. lhl Fm m) To ml Rem.ilu, Hrlogy rdoscrlplfor d mpeh a ebandofistmhrhm. 12 Toomll x I12325smd tlrd o]lvdSooetle iA ti $nd end ollva[3coerto Doortr roitad I 8 75 255 ssnd ano grwds coalle cemomao um brosn clrvr x sand rnd ottvd3 00rla Doollv 80ned x EtEFrFrrrF^ ltAI Z I ZU;4 .srrtt, tl\.rntFl :stlglu/ PUXt I OtTLLtXG ll23 lY llrvden Avo- lfndon fD a.l8.|sofiic. fexr) 6t2rtilt l2t8t77rF1%7 CoorbbdOefi([hmFle)300 thD: SbGd UtZil?flll onueso 0{t2lt?I0ll .tWlr' Sadm*iC Plffitnr#Mm Benbnlte 0 25 750LDs Dry oour Grmular urmbr(mftdl Frm tft TOtil Grt96' Sde&h il$.id 6 2 3{9 ffi $od Fm0l ro0)SUrb mmDrrl I''IIEIffilrdt ll*rld GeEoaSdEtub 350 360 .00 t0 5 ss.304 FtuU&id Fm.ll To lil orlitvlkrFl PllrmtndDd Oporabl Fqil podd.d by Fam Or.A.er . ela, 3lG9aO . rilfonr0rl0*ron USE TYPEWRlTEI BALL POINT PElr Stats rlaho Department of ll-..r Administration WELL DRILLER'S REPORT Ststo lEw rcquirGthat t'rir roportbc fibd withttF Oire6or, Dcpartmont otWate days afEr the cornpl.tlon or abr.rdonment of thc well. Locatlon Conocted by IDWR To: T52N R0ilW Sec.33 SENENE By: mciccell 2012-10-17 7, WATER LEVEL Department of l%ter Resource Stetic wster lorrcl o7.f l'ieet tslor land srfrc Flowing? tr Yes tr No G.P.M. flow--- Temperalure- o F, QuCity- Artssian clogad.in prss6ure-p.i,i. Controlld by O Valv! O Cep O Plu0Owncr's Parmit No,95-- /D/ 1. YVELL OWNER Name 8. WELLTESTDATA E Pump O'Beilcr tr Othcr DTT DilN ioutt TuttlPr Z.A l) 2. NATURE OF WORI( /Nsri, wrll O Depened El Roplumont tr Abendoned (describe msthod of Ebendoningl 9. LIT}IOLOGIG LOG W.tOrprh YI t{o HoL Da.G Frem To ]{ nlrl 3. PBOFOSED USE E Domostic O lrrigotion Er'Municipal O lndwtial tr Tost O Stock 7\,< 2'a',/")Fcauto trRotory oDus trOthar 4 METHOODRILLED .P ,//7) ,.t- 1'.))Iq) ,!., l-rt)t(a r(<i t't) t,;/),a^ ; q.) :tr',rl4.- -t ia--, - *jdt A-..,L -.-)r',f'r'a'\i).-z /-..'-2 ,!'l*,/- ) rr^-t-,/ ..1 '2 -* -..;- <x*'3'Ztl \',Ltz' A-er: a,.1".',1-./ /i? ut ); ". ---. - )- .' "?t-t 5r, ohm.trr ot hob sfl irctrc Totsl drp,lh A./ tct C;rring schedule: Zl S@l tr Concruto fhaclE OLnrtr Fm To-ry7 inetls { indrcs +L 1rqr LzLlsrirdE - inch6 - f..! -f.st irchcs - irrchcs - ltst -'.t inchrs - intfic - lmt -fret lnchc-inchcr -fat -frotWrs a packcr or rsa! ur.d? tr Ycr A6Prforatcd? frVa DNo Hor perforatod? B Frtory Fi Knifo tr Torch Sizoof p.rforet'ro" ltl/ inch.sbyJ,/4 inh6Xumtar Frci fo't/O porforations Js-? lea -J t4 tcctp.dorrtaons icct - frtpcrforrtionr tlct - frct Wcll srocn lmtall.d? O Yos f Uo Manufactrrart nanra-Typa-- Mod.l No.- DiamrEr-slot izo- Srt from- H ro- f..t Diamrter- Slot sizo_ Sot from_ fc.t to_- fact Gravelpacked? tr Yc pNo Sizoof 6. WELL @I{STRUCTION dap$ {? EPuddlangclry FY.in *al or*d f.€tPl*cd fert f.stSurfcc soal? Mirtcrial usod tr No Towh.t E cemsntgrout wcr:kswd.&zzz-ZatgAlin*d{zztz.,1L:,/-{.t/'10. 6. LOCATIO'{ OF WELL Skstch msp location must sgr€s witfi writton locatlon. S'E Y,y,t;,a*c.5.f ,t,-ti .nn,R. /r' tAN x,E v t T 1. DRI LLER,s CERTIFICATIO]'I This well ws drillod under my $pcrvidon and this tru€ to tfio bost of my knowlcdgc. OI IEE ADDITIONAL SIIEETS IF 'IIECESSARY FORWARD THE WHITE. BLUE, AND PINK @PIE8 TO Form 238-7 IDAHO6vo2 alulozb 1. WELLTAG 1,lo. D DRILLING PERMIT NO, Water Rlght or ln ecllon Well No. 2. OIIVNER: Address Rathdnrm 3. LOCAION OFWELL by legaldescription: You must provide address or Lot, Blk, Sub. or Dkections to well. 51 DEPARTMENT OF WATER RESOURCES WELL DRTLLEfiIUf,I0FED Dl{hD,torh State TFI i,'ie.weurcsrs: I Pump E Bailer E Flowing Arleshn Temp.Bottom hole bmp Quality lest oI comments: Depth first Water Encounter 1 80 13. LITHOLOGIC LOG: (Iroscrlbe repaln orabandonmenl)Wrbr .I 4. DRILLER'S CERTIFICATION l/tlJe certily lhat all minimum nell construction slandarG were complied wilh at the time the rig was removed. Comparry Name Inc nrm ruo. 585 t l- S-aa City Twp. Rge. Sec. A Norh tr or South tr East tr or West p 1t4 _ffi_1/4 *_1/4i Go\/l Lot Lat:Long: Addtess ol Well Site I{W Crrvrrer of Winr.h 2 Nr'rrth Chase Rd-(htBfficd+umeru*-ffi City Pa{.hdrrrm Lt. - Blk.- Sub. Name 4. ltsE: BDomestic OMunicipal DMonior Elnigation DThermal Dlnjection trOher- ]6.FCounty 5. WPE OFWORK check alllhal apply E lleurwell tr Modily E Abandonment Was drive shoe used? XY tr N Was drh/e shoe seal tested? tr Y ! N (Replacement etc.) Eother Shoe Depth(s) 35 6. DRILL TIEIHOD: Slir Rotary D Cable 7. SEALING PROCEDURES Sml Matsrlal Fm To Wbioht/Vdum S6al PlerEflt Melhod Ranl-trrri fa n ?tr fl cralec drc zna:nrrlrr Hor^n 8. CASING/LINER: Dbmlet Frc0l TO 6au0B t a!6rlal 5tr +2 35 ?aa Staal att 6 ?n(1RO E,trn Casing Uml F!trFtrtr F D! D tr D Length ol Length of Tailpipe Packer trY !N Type Screen Ty?e & iilethod ol lnstallation Fm To Slot Sla Numb*Diametsr Matgrlal 2A6 ?o6 1lgt'AN 4 tl lvg Casln0 10. FILTER PACK Flller Matadal Fm To Wblght/Volum Pleffient Method 11. STANCWATER LEVEL OR ARTESIAN PRESSURE: 73 tt. below ground Artesian pressure lb. Depth llow encountered tt. Describe access port or control devbes: _ tr D D Llner Rtr tr Prlncipal Driller and Driller or Operalor ll Dale Dale DateOperator I Principal Driller and Rig Operabr Bequired. Operator I mJst have signatum ol Drlllerrcperator ll. FORWARD WHITE COPY TO WATER RESOURCES Office Use Only 35q 7'7WelllD No. lnspected by Twp - Rge-Sec -114 '.14 114 Lat::Long:: , Drawdiln Pumrino LctEl Tlme 20-?2 BoE Dh.Rom o To Ramark!: Lihology, Water Ouality & Temperature rTkn:rsoil- sarl. dec. strale Y N Rr 22 22 2A Shale, deormsed 2A 35 Shale, hoken tan & crrev 35 4A Shale, ned cmev 4A s4 Shale. soft tan 54 85 shale. ned dhard endsoft lenses b/w 86 105 Shale. ned. black, httite 106 139 Sha1e. crrev hard & soft 1?q 180 shale- crrev. ned 1RO 't 83 .Cha1e. dtlite. brcken 2GPD1 x 183 190 Shale. tan, soft 2GPItl x 1qo )o?^Shale- crrev. nedirm ?02 ??CI Rhlla, hlar:k- wlrite- tan ?ac )6n .shale- crrev hand 76,n ?74 shale- crrev rned 274 2AA shaIe. qrlev, black, uhite 10 cPIr{x 2AA 305 Shale. cmev, broken red 5-7 GPtt{x Completed Oedn 305 (Measurabl6) Date: Started 11-1-O2 Complebd 11 ft tV +uJ + F$rnz,877t8W.C.rrdltlrrdtt.ilertrf S.rl&- D@4@10 633{ttttlror IUrll llumDen Name }IAYDENAREAREG.$EUUERBOA eEl clry cDA strielq ap mE!!i_ 3. LOC TpI{OFtGfr lyhsd d.$rlldort.kdr m.p locdon mlEt .grB $i$r lrtt n locdiqt I IDAHO DEPARTMENT OF WATER RESOURCES WELL DRILLERS REPORT I. TIGLLTAO M'. illins Pemit l{o:,rDtlURt{o. E ONUTGR Gatlrt_Cott, Ld:: Loltr: FT 8 EDCIE OF CEN RATI.hPITr| ((lJr a ba m .a Drt . oltc. n iod d lltr.*) LL- Ell( -- Sttb. t{ame ,1. ltBE: D Oorncdc tr UutOU ElUor*or E mlsonElnemd trr4poon Do0rr C. TV?EOf WOIU( drcd(dtrat.fdy (R.CHncnt,O.) E nuwon tr uoory tr runoonrnqrt tr omr. DRIIIEflM.r\irRob, tr CAc tr ffuoRfrIy D oftcr - Y N SroD.fr(.)Wrdh,tdp.dt*d? B V D r lff?_ t. GlltrIG'UIlER: ffi FEtr BD rIIt+3 -m 2fi STEEtr, 4 +2 -x Ptrc GQ ["hatLt5 Eta lrrgh oaHrdCpr troglh oaTdpap. I. PERFORANOE'ICNESIS El Pcrio.rdonsEl scrcene scrcon .O. ETATIG }IIATER I..EYEL OiARTESI}I PREEAUffi:2s ft bobwglormd ArteCaoDrEwe--lb. Deplh f,ow ermmbtrd _ f,. Dccdbo ecca port or codrol dsvico: cttl-) 'td I IT. I{ELLTEtTE:u @rD__Ihlo cotD WeterQualtvtcdorqotrmcds _CLCAB_Depth fl8f Wdor .rotx&lld_2eo 12. UTIIOLOO|C L00:(D.lcritc nprftr or rburdormaill fit? IT. DilTJ,ERR CERTIFrcANOT Trp. 51 E fqfr o. X Sqdr Rgo. oa --I'Ead a Z wc rSGa. 5 lra NE tr4 SW tr'l 4trtrtrEnw tr tr cfr thrtrEtrfi UWc s3rt 6lt00l.tal co@ledultt Flrm Nemc Fim and of JIM n{dmum u{ coctncton atmfudc thofuie Ote dgreranroved. an{ t-to-110-6-22,a<'tly'{ YlCd oel-lrdn-Drnrdovn Ptrtlrn lavC Tlrne tc , IDE x IIII IIIIIIII 4$rot.NrHrF[t ilETlloD YEIfl.EEIXI .2t5 -293 '-,11 lL.-.dr.t.htv Ar- /.(.{l*'lnYtEq,AFIIX}{-zi5 l-,t-l.li-&: LLlnr. S'€O..ly. rEFft I lt lo ftPMIL lo !l.l (}IlTIt TINr!n a Itl tq ,11 gND (rtrtt ruIl?r a -a lo tt ,7.ttllll .IDrtEr r rltfiirYDa r-1 a lo 77!2&CrND (lerPN(.lllY T]trt lo zrt ll starr-(lftl.El-s srND rlN cf .r trn Ct iz9 am BE AU ,Dt{ YED & 70t il. 11 .rool -rno pvtlo4 -nol-2fi to 4 P\rc O0rtrlUItR No. 2. OWilER FO]n 23&7 IDAHO DEPARTMENT OF WATER RESOURCES7mimffiHllE-o WELL DRILLER',S REPORT r. WELL rAG 1{o. pqgao2-€-4Eut LD fi. ruELL rESrs: Ddllino PennitNo:833411 tr OffetheOnB Itspcaqt Id: ll g tr I wabrQualityt6torcommenb:CLEAR D€dr first Water encounbrcd_290"_- {2. LftIOLOGIC LOG:(Deocdbe rcpeln or ebandonmon$ Wfrr fn f.redc lllrle3rt W.ir (lrdlg. terfamt 13. IIRILLER'S CERNFrcANON l/We oertify that all manimum wB[ snsfiJction standads nerc complied wih atftetimehe fil uvas removed. Firm Name Nfioqr _ Wen ffumen Name HAYDENAREAREG.SEWER BOAT 9E1Address@ City CDA 3. LOCAflON OF IIELL W hg.l de*dpfron ckehh map loceton must agrce witr ywltbn locatbn lt Trivp. 51 M Uorttr or fJ 5qr6, nge. qa -_-fl eret 6 M west !Sec. !_ -_ -tra_-.m,V lll _ SE lr4 Gor/t Lot __Coun$ - __XAQ[EN{_*l€t::Long:::t AddressofWellSite |"ANCASTERAND ATLAS City BAIHDRUM_-__ (GBr n hra n ni otrcd + Dleb.[ b Road or Lfi(htlrt)L't---- Blk. - sub. Name I. USE:! Oomestc Ll muni:ipat U UonlOr D rnermat E lnjetlton fl otrer 5. TYPE OF WORI( clndt dl that apply M xewwefl n ilbdify f] Ananoonmenti. DRILLf,ETHOD n lnhatbn M elrRotary t-l CaUe tl muoRotary U omer METHOD ioloP- -.Wag drlr,g shos uc6(r? E Y ffi f.f Shoe Deptr(c) StaE_1Q_ zp_-93915_i . r WaErTemp.CgtD__ Bottom Flole Temp _99,L0- T (Replacemant,6b.) fl ourer W.rdritgrhoegsaltaded? tr y D n T. CASIT{GILINER: Ml€ri C.ir! Umr W.LL, ThrtddU] UD Dtr,8t] r] STEEL kngtt of Headflpe Longrth of Taiplpe O. PERFORANONS'sCREENsIl Perlormons l|lle0rcdEl screens screen Cr.hg thar l0 TO. EITATIG WATER LEI'EL OR ARTESH,I{ PRESSURE: 200 .fi- belorrgrculd Arbshn preosuftr___lb. Deph fiowenounEre *_*t Describe a@ss portor ontoldanicae: Horf? PVC trurDU Firm .nd Superuisoror Dab D# No.--440-l2^ifl -dJ- l5 X Mdcrll Flom To lsdt(Fond. -285 r\\OI3/IHOLEPLUG- 3/t HOLE PLUG 6 -295 -265 LFIrLr fo I to t i-T ELa7 - lr( ,7(SMAI I GRA\IEI.S SAND r"rlIITSF . g4ND.SMAIICRAVELS -c.B4lErlJAlD__ a.. 23( 27! _. 19( )at tal0 lo ---Et28('l{n RECE,YED JAI', 00 Z{Im IDWR/Atorth ,$ff,# ltnDepth Ufiidsl Frqn Tot+3 -20 --9ss250 1 +2 Z,fx) Dlrrdt Hrl -300 -3,t0 t0 PVC .270 -2*0 _4 4 Srlt "luJ I JIM MCLESLIE 0rr , Fkm 0fll6l rrd Op.lloal G EdE[VE ilAR 22 t57t D DgrUnEt d ltcchnnlin Statc lav requlrca that tbls rcport shaU bc fllcit rtt\ tho Statc Rcclenatl.ou Ergtacor rlthtn f0 ilaye eftcr conplctLoa or abatralotucrt of thc rel1. REPONI OT UEI,LStatc of Idaho TEUt f,ene OUXEB: Aadtr.";E _ l?ATtnfthq tpAtto filtd? I rAloBD OrIfcr rcll Uatcr 1c of drlllctl hole:of reIl:bclov lotal rater a lect votlr; HODTE to bc Dccpcncil ua.d for Abandoncil I lnRtCAT|6 Botary tr cablc [t c Punp? Pll[P aad ft. thut uled to t praaaurc: ft.re flou cfa caD(crDlala) CISIIIO SCEEDIIII: Ihrcatlcd Ucldcil X4lt'Dtam. fron I &- ft.ao 321 F.rrDlao. froa tt. to ft. ]"ot.r. frol---ft. to -it. trDlau. froo ft. to ft. ffiEEaccsof caa@: Stccl El coacretc tr rooa tr othcr tra (cxplaln) PEIFOBAIDD? Yca tr [o E rypc otpcrforator uacd: lcak TERIAL YAER DrlIIcr I a rc raa uuder uy euparvl.etoa aail thla reporttructhc bcst of ny knovleil6e. SlBaetI by: Irlceaae vl coatroltrDEPTE Valvc Doo6EllA ENo 8l-ze of pcrfolatlong:brJ'. to ft.. to -tt.. to ft. troilIitfrol fttt il f,raufacturcr t a t ft. packcd?Ica trGravelc ceaLIo rhst rlopth? acal: s$pc of rater:atrartrrta off: a uac Cc[cBted ta place? Iee No Ioaate vclI iu sectlol IOCAIION OF IEL!: Coun FooTE N A I ;Pc:rforatioacpe:rforatl,oag _parfo atlols tro! -Patfrrrtioar-.frPn U/[S SCBEEr IISIALLED? to ft.--ffi-E L*LY" sec. a !..rt -Nt R.:L\/Y ' r'tiE' 6 n rp sorL,ID t?at I ,A IA totrtt + t<^b/-Du.etzt Daetll.rro tzA ,9.6 ?.r L hrr ,.t -al IIIIIIIII I I---t--- I I 8cc I I--T I I ---.1-- I I--t-I I c?5 Ucc other aldc for aililitloaal reaarkg '/nt USGS Bar Estates primary well t IrAlUtE Otllcr rcll Dccpeacil Abrailoactl Uatcr lg to bc urcil toi:. tRRlefrflON f,oter;r tr Crblr [} (.rDlda) rDd uacd Dralrula:tt. Olro llov cfc Yrlvc ceD lcak o TATlEB Ilrl].lcr I a rltuadcr ay rup.rtlaloa aad tbtc rcporttructho bc.t of Ey BEPOEI OT UILL DEUJ.EBStatr ot Ideho @Stttc lru rcquirca tbat tbig rcport slall bc f1lcd llth tbc Stetc SrclerttioaEa6Laccr vltLta ]O dara rftcr couplctloa o! eDrailoaocat of thc rc1I. UEIIL OUilER:of ilnlllcd bole:Iote.l leac of rcll:rrtcsrbclor Llccaac !cst Pup? /0, a c uo8f,ts cortroltrDEPEE EIlototo -i D(tr.to ftto ft lEtckncae ol ! ^3?{lirtcrlrl: Stccl [t ooacnctc tr rood tr otbcr tr (crpleta) PEtrFOAATED? Icr E]llo E lipc ofpcrforetor usoil: Uelitcrt T392'f,"?Eft !o : IclI grrvol prck.d?roa tlGnvclf,o.rizc ol ? rypcstleatrtta olf: r rorl!o rLrt rlcptb?tlrt ulail aer.Lr llerrotflE Gol retcr: Surtrcc oeal,ag uacd? Ic! I I No.c.rcat.d la placc? Yca El - r,o tr Ipcrtc ucll la aoctioa t[t by: IOCAIIOT OF UEIJ:ilLt -yLY. scc. 1 ! Locetlon Corrcc:tcd by IDWR To: TSiN R0/tW Scc.3 SWIIWNE By: regbcrt 2012{13{19 a I L* Stltl I 7lI Eo|uz L ut .t,Certte r 1l t rrr, t it a,bt..e r 2 4n .-. ... J tl bt, ^P-a?2 t3l Cbt.-, 4" lb,t.c ,a.,I,!(NDcact^t.ra Aaotr ,6 ar,tbe CcLrct Ch il,too t/,rc 7r.t(2or.,et ,c ,t,tDe t/rsf 31I\-9aa<. ao.t 8au,zt lt arlA !t?l ttrt^ *'^at AaNtG t lllt'x.. l?lott.t ^.Qa ^,^rlt,Il,g Llr2.rrC . .-QrrA.LEi &r^bEt t! ;cil: hp N /?LL br' d lO/-/- I I--r-- I I I I---t-- I I I I --J-- I I I I --L--I I q5 otber alde for etr.itioa- ;Ti* z u s G s Form i8&7 t 1/97 REOEIVED ffifr,l'#Hm,3 iDAHO DEPABTMENI OF WATER RESOUHCES WELL DRILLER'S REPORT lo1 0 L4 Oher II. WELL TESTS: D Pump tr Bailer b "<a lYabr Temp. Water Oustty H 0I comment: Eotnm hob bmp. - 3. IOCATION OF WELI .by legal descrlptlon: Skehh map localhn murl rgtee wilh wrltlen locaUon. a a Deph fitt Watv Enco urw'Z 74. 2. LlTllOLOGlC LOG: (oucrlbc reprlrr or rbrndonmant) wrr.r 13. DRILTER'S CERTIFICATIO}I l/We ceilif hat al mlnlmum rcll onfildion *andards wero complied wffi at tn flme $e ilg was rsmond. Company No. d?s Flm and 0dller or Opralr- Dab_ 189mf FhlolddtO?rr!.t NorthB u South tr East O or West,[', -1t1 Nw ut guw - toE lroEr 106coufii__--1(pO&a,l,-;- rvpriz.-Hqe. Y -Sec. 3? , Gov'l Lot -L*: Addrees ol Well Lorrg:tflls cw_P,t9fil_a_Ly_u_(h rl lm m d rrd. DilJE.[, ilad, t rffi] Lt._ Blk.-Sub. Na 4. USE: f,Oomesiic EI Munioipal E Monltor D lrrigatlon E Thermal tr lnjection O Othor- 5. TYPE OF WORK cheok ell lhat apply .(Rophcsrmnt tb,) . F[ Nif, wotr D uoaify D Abandonrpot tr otEr- 6. DRILL f,EITOD fl4i, noau tr caue tr ttud Rohry tr Wae drlv. dtroe uggd? 6f lYaa ddve shoo serl teatcd? tr0. cA$lro/LtllER: Dlmtt.t Ff0n TO Ga !oa llrl.tirl {rl l't-7 -Z4o ,22t S foal Doph(e)-Hon?-N S[EeYAN Cari,re LirrttrtrtrEcltr W.ld.d ThrtrdrdXtrootro Lqngth of Headplpo_ Length of Tallplpe_ 9. PERFORATIONS/SCREEI{S Perbrallons lI-*dl Soeerc Soteen Fron Io gol Str Nun!rr Dirmrl.?Ualarirl Linrr tr D E Crring tr tr tr 10, STATTC WATER LEVEL OB ARTESIAI{ PRESSUBE:llo :t. betow ground Artesian prossure -lb.Deplh llow eneounterod 2 Lb n Describe accoss port or control Twp Rga .sec '- _114-ll4 _1t4 Tin r OfficeuseOnly lnspedadby ht Yicld oalJ|mrn.to oPh ?- c d B Bora0ir-Fron To imafir: Lttholoty, tlrt , Qurll0 I T.rDanlu?a V I Qrt o ta fr^rA Grxt c I l* Dh,rl) ^rtu!16 JAPd 9r*, 4v'aut > a ,2^2l/t 4d -E-*. I W*'f'rl Y Completod Date: Starled 7 -e7',lg zq SAUF|LIER FACX Alroul{T Ftom Smlo o, UETHOD Urtrrirl To tftr*,.tc o ?n l^n-{a VcvO-td €A^l +uo 3+FOHWABD WHITE COPY TO WATER RESOURCES 0o Form 238-7 1n8 Al DEpARTMESJfI?fl1^i'#S.souRcEs ^iW wELL DRTLLER's REPoRT lVSdtr lx nqrircr thst ttb rwrt b. fiL., warh $o Dirror, DaDarttnant ol Wahr Raorrtal wltln ill dryr rftr the comphdon or $rdonmant of rhs rolL USE TYPEWRITER OR BALLFOINT PEN 1, WELL OUYN Nama Addreri ornr'rPcrmttNo. 95'7q -N -llj 7. VUATER LEVEL Statlcwrter Wa 25e Flowins? DYer dNo fmt b6low land errfre. G,P,M. flow Artorhn cloaed.ln pranre _ p.r,l. Controll.d byr E Valva T6np6rature U1"r,E cap O PLue2o,tlOuallty 2. NATURE OF WOBK I Ns{vwcll tr Dcapend Cl Rcpl*emmt Abildoncd (dorrlb. msthod of abadmlngl 8. WELLTEETDATA 0 Pump E Ballcr D Alr tr Other Di$h.r!. Gf.M.PumDlm Lml Hom Pump.d 3, PROFOSED USE F Domenic tr lnlgation D Tost tr Munlclpal'E lndustrial tr Stock tr Wrrt! Dlqo.al or lniectlon tr Othor (tp6clfy wpcl g. LIT}OLOGIC LOG Hole Fmn l6 Mlorial Itlo 4 METHOD DRILI.ED fl Rorarv tr Air tr D Cabla tr Dug tr Hydrarlh E Raaonc rotary Othr ,A ,,a)-t,-t L-.J 2.^ r,,2e.D ttl .l,l-ta ,A ,Y ^a ,a*r ..GL --l At..ttz 4t-)a 5. WELLCONSTRUCTION Coingschodulrr E Srd O Corrrsts EOthsr Thlcln.r Olam.t a Frcm To , ,-<d itr;ha - I inchar + I lxrt ?a? frrlt incher _ ircher _ flot _fcctinch6_incho. _fu_fu€t inchos _ imh6 _ fut _f€et Was casing drlve *roe urad? d Yc tr No Ytlar a p*kcr or rd urcd? tr Yee d NoPerforatd? EVa trNo How Frfuratcd? tr F*tory tr Knlfe F Torchgzrofperforrtlon l0 inchabV_-JL,*no ro --e2-perforalmr t7 friarJ,az_lil,t psrforatlons fest f6tperfor.tloil f6.t_ feat Wall :cman ln3talledT tr Yar dro Manufacturer'r Typc Model No, Dlemctor_Slot raz. Srt Irom _f'rt to _fetDlam.tar _Slot rlzo *-S.t fto(Ir _foot to _f.st Gravel packed? tr Yer 11 No E Slzo of gravol Plgcod lrom _ fcot to fe.t Surfrc rcal d.flh la Miltrial ussd ln Eal: E Cement gmut I Puddling clay I Wall cutrlngr Soling procaduru ured: tr Slurry pit ! Tamp. errf*o coclng ! Ov.rboru to sc.l d*dr Method of tolnlng caCng: tr Threaded ! weUeA tr Sotwnr Weld tr Ccrnofitad batwoan trata D8rribc accras pon ,AD ,-i / ltz .:'l: .; ',ra ,u5 '.r a.l ,1.' 10. workfiart d f -2- ?.? tlnurlaa .f- l?- 7Q O. LOCATION OF WELL Skctdr map laation murt aerae wlth wrltten lfiauon. N Subdivirlon Name VY E tot No. _ Block No, Cognty Nt ,r, LJ:J **. sy' l.rf;r- nr,n.Ctw. r{, I I II 1I, DRILLERS CERTIFICATIOIII UvIa crtlfy that all minlmum wlll cmstructlon rtIldrds rvorg compllcd ,D2fi. Firm No. E NI Y ,a Addrs.t Drtc Signd by (Fim Offlciall and (Operatorl USE ADDITIONAL 8HEETs IF iIECESSARY - FORWARD T}IE WHITE COPY TO THE DEPARTMET{T Fam 2[t8-7 3D5<.96, IDATIO DEPARTMENT OF WATER RESOI,]RCES WELL DRILI,ER'S REPORT OfficcUse Only Inspected by_t"rp--ng"--S*- _y4 _v4 _ll4[.at::I.mrg;ii 1. DRILLINGPERIIIITNO T? )-L3A. - O,ther IDWR No, D0040163 2. OWNER: Narne Address P O Ror 889 Rathdrum 3. LOCATION Of WELL by legel dercription: Skach mry location must agre with uriteo locdion N 11. WEII IESTS: Bailer Air Statep_ Zp 83858 WdaTemp. Bottmholetcry. Water Qualitytcst m or South fl la LIIEOLOGIC LOG: (Ihocrtbe rrprlrr or ebendonnent) w Tvrp.52 North E E Rg.{ East n Sec, 34 ll4IOE! or West I sw 1/4 sE 1/416-rm IGc CitvRathdntmcIeffi)(GiE !t lEtt re of rud + Diltffi to Bdd Lt._Blk.Sub. 4. USE: EI nomestic trE me"-ut tr Municipol E umitor EI nigaion Injectiut fl qrct 5. TYPE Of, IVOBK checkallthdryply @eplacementetc.) Elxw,weu tr tuoairy Elatmooment EI otner- 6. DRILL MEIHOI) E eirnotary Elcaue tr tuuaRotary I Other PROCEDUNES Was&ive $oeuscd? tr Y El N ShoeDeSh(s)- Was drive sboe seal t€sted? tr Y B N ll*/l- Lacth ofHeadoiDe Length of Tailpiw 9. PERTORATIONSISCREEI{Str Perforaions M€thod B Screens ScreeaTypeiohnsms.s.telescooim gX $?1I,TIC WATTR LEVEL OR ARIESIAN PRESSTIRE: 305ft" bclow ground Artesim kcssure-lb Depthflwmornfered_ ft. Descibeacmsportorcurtol &vices: 1 3. DRILIJR'S CERTIT'ICATION I/We certify thst allminimumwell constnrction stmdmdswere complied with at the time the rig was rernoved. Firm Firm .FinnNo.l!$- DE,la5D3lO5 Date lhwrldDrr Tire {n+?hrc IIIIII Itri-laiti.Err,-IrXlAf SEAI-/FILT METHOD fra&rial From To Sackr c Porr* 10 t<nllro T)ro C*mtlrBenl.mite o To Ai +,t{,t{n trtr Lioer Weldod TtnoadodtrtstrtrtrIIIrII EIIIIII l NBd€rs-Frmr To Rmrla:Lilholo3r, Wdcr Qoe&y & Tcnp l0'0 I Toosoil Grave[ silt, sadI9 9 20 Cravel" celse 8(20 43 Gravel, coarse 43 EI Crravel, cobbles 6t 87 Cobbles, coarse a7 t26 Gravel, cobles, borilders t26 t49 Gravel srlt houm 149 193 Bottldss (no returns) 226 Gravel" cdbles193 226 240 Bouldem (no reurns) 240 2E3 Cirave! sm{ cqrse 283 297 Gravd cerse 297 316 Gravel, satrd, silt, clay, brou/tr 316 326 Satr4 silt 326 3v Gmvel fing sm4 coarse 3v 338 Cfa\rel, fine, sand, coarse 338 346 GIavel rine %360 Ciravel. medinm Er^ _. *vrtfl CompletedDepth: 300 Measrable) Comoleted 5/20105Date:St rted 5/IR/O5 Frm to Sld Sizc Numba Dimtr Maeriel Crsine LiE 354 359 30 5tr s.s.Iftrtr trtr tr J'a rU/ Ll t, 34 Stpavisor or (SipreifFirm & Fofn238-7 9/82 STATE OF IDAHO DEPARTMENT OF WATER RESOURCES WELL DRILLER'S REPORT Strr3 lt r.qrlr.l tft.t tlrb ltport b. ftl.d ulth rlr Dlnaor. Depftnont ot Wat3r rrldrh 30 dcyr r(!r $a cqtrplouco or &llaloflnmt of tfu x!ll. U8E TYPEWRITER OF BATLPOITT PEII /@ ornar,r Permit r'ro. Qb -Bts+\ - I 3 1. WELL OWlrrER Addres Nmra Stetic watsr lorol - frGt brlow lrnd errfaca, Flowing? tr Yo tr No G.P.M. flow Artolri cloled-ln prolrure _ p.!.1. Controllsd byr E Valve tr Cap tr Plug 7. TUATER LEVEL Ouality /V Tempereturu -oF, Oaeriba at aslan d a a rtDaf a t u n & n a t baro w. E WELLTEETDATA tr Pump D Baller O Ak tr Other ./r,/.tq/ NanrYoll trDeepencd tr Rplacement Abandoned (describ8 abandonment proceduros luch a3 matarials. plug dopthr, rtc. in lhholoelc logl xo 2. I{ATURE OF WORK 9. LlTltoloctc LoG DmdrBoru From To Ilatdrl Ya ilo E lrrlgetlon tr Tfi tr Municipsl tr Stock E Wacte Dirporai or lnlection 3. PROPOSED USE lp*lfy typal O Domdth O lndurtrlal E Othcr c2-<d ,A 4 // D tr,{,noo,vtr Csbla Other Hydraullc E Rarsrsa rotly 4. METHOD DRILLED B Alr tr Duo !Ev\.? Y,,alh .t rl /-?r< / *l a :. :.-t ,.-, i. ), rr.Resoulcoli "IUiiloB raEl htSt]l .! pcrforatlonrp€rfotatlom fact _ tertpeforatlom ,est_fest Wall rrscn lnst ll!d7 tr Ye D No Mrnutrt rr'! nrmr_ - Diamotir_ Slot dzc Sct from _taot to _f.ilDl.tnlt€r _ Slot tlze _Sct frfii _fart to _fe.t Gravel pckedT tr Yet tr No tr Slze of gravcl Casing rchadulr: fi Steot E Concrlto El Orhar _THckn.aa Dlrnidlr From To.2.<O tncha 8" tndrol+ J_tn&/t*,lndral _ lnchc _ frt _tect. ^fl rn$az--ZT- rrcaa -7- wt,Ero lndt.r _ lnd|rr _ fest _f.lt Wacaaingdrlwdroeurod? frYos tr No Wd s orck6 or sot ut€d? -. if ruoPerforst.d? 'D Y€. 'd ruo How perforatod? tr FacOry tr Knlfe E Tordr Slz.of p.rtor.taon _ Indtaby _ lnchssNulrtar From To Plald from _ fe€t to fcot$rrracarari--qt, j$n*ri",rJliliif -EE.il-s,o,rt n B6nlonir6 D Puddllngclay tr - Sorllng proccdure ursd: tr Slurry plt D Tenp. rurf*e calng E_ Ovarboro to real depth M€thodof iolnlngcadng: E Thrcadtrd fiWefa"a tr Sotvcnt Wotdtr Cememod bstween rtrala 5. WELL CONSTRUCTION Octcdbo sels pon t33t Typa Modcl No. 8/tt/Es ,^,,nnWork nartrd t0. 6. LocArrol{ oF WELL l/ Sketch mep locrtion 4 4raawith w.lttrn locrtlon. lrt Lot No, - Bftock No. -a-yss.J J. 5f rtn. 4 rnr. w E s County Subdivlrion Namc 11. OBILIEnSCERTIFICATIOI{ [Xr!- l/Wc crtlfy thst rll mlnlmum w.ll cmtfucdor strndard! warg compliad wldr at thc tl'rl' tfi. rlg wc removrd. Slgnrd by (Firm Offlclsll Srrd Flrm Nrnc Flrm No. ,1 j o* s/tt/*t I,|SE ADDITIONAL SHEETS IF ]IECESSARY - FORUTARD THE WHITE ,':::*:^:,,,'-., wErr roc ArrD nEponr "rA I,fi!I{$EIYFE OZSSS4"-"BiaIE nEcIIIIATION ENGINEm Or OAirb n"" " ,s ?5+g'U'g ilprarl:,r.*ar d Renhrr#i$r rr-ppd 3ap87 wortNo- 2 qrnv-HodTtte*l---.- uZ-zr,*r, /O,tfl{q ,/tt* lo:cir llll ln rrtllon m tt-NE% :l I / -{l \ sara W.ll 5lr of dt{lhd Lrrr lL' drplh of *.tt--I.4-[- Ovo drplh to rirndtng wttrr from tho grouaa 3O Q-Worr lrmp- f,/ "7oL, oa .lpumprns Tar" &ttvsy #.':5.r*!9e----^r,r. Druwdoun wcr-------frt. - 9rr ol pump ond rnclor urd r moh i..' .-- - - , --- Lmglh ct tlmr of tf fiowlng wdt, gtvr llow----.Lt. or----{.p'm' cnd of rhul olf !l tlowlng *rll, daalbod :cntrol (wrl AxD ltza o7 Y[vr, Etc.t Wot r wlll bo crd lq l?Bla to 4 Wdrhl o0 certng prr llnA @, ThlcloBr of rqrhg.-3J5-Gcrlng (gttl., cor{ciErE, w@D, E?c.)llDlcmtrr. lrrqtfi cnd Iocoilcn ol (GAalr{c lt.. tx DIArE?il oR LR3a. orvt rf,atDl DtaHftlilcAarxc ovri ra.. rx DraIE?Ii, GryE ouTttDI otaLSTER, ?omgre trngtt isP+? FrorrrFd CA3ING TE@ID Dlon. Gcrlng -3,o9rl0g,N Aanco I F,aN Scr*a^, la't/,D, $er raon # lrrrrort'-a.clr, eroullni, .lt. ,o---hrf frcm ground 1lo0'.Jo:41A o sloZ-ltzt'fi o t -* 1 2 t s toT- oSEo_&lL_ Bcrtfua,_ cf complotlan cl ;a;- ";i-?-(-'*" , --il'e*r-s1#444,S/aT.. Dct ct ccmmm.atrrllt ol cl, J SEIW ,f./o 5///qd o25995 IIEI[ I.OG t.fFon s4 rii s, oz C,( WEU Drltllts tfATEtE]tlT Thh w.f, ror &l[rd undrr my rupavl.Ln ord rho ebovr hilormollcn b lnr ond c.rrlcl rc ilro berf ct rny taor- h{oond bdld. e-0I Llcrrro v 4# lol { 3 5 3 TcF lygo d llolrlol {ao so.a .4 -sar/\ aatrE Iiiirl J3-lfoo ,, * , l,/a /q Arrot 6r;FQ 34 Gt?lt o t 54 (+aud L 4 E9,ulraz,Pc (rZ Gntrr-, 4 t rj., uu e 6r S^pn ?{A*orrot t"*+L^ I.3,,O*iu., qht'.ttrrt,,e /7s Crelrr*l 1 t'^ i-- o I.t2 Sarr r naDt t fg,Gos,.-, 2, h.1r., ? t6{CE lhE^r?:^ Ra s,,-, 2a<.-Slrrrr .a.ala Aottta, 20 tvtNt e 2S(Slrr.D d)tl}* I rrQrq aFalt.r ila36eS Aprt l*t Nt c I{Cao,ro t *t 3Cl Sa,.rn 4 Coa.nc, I +4 ,t.a,). a UF('I ll mon rpocr b rrqulnd ur 5ho* ib. 2 Fom 238-7 7t98 Starchips Consultlng antl Managemenl Servitxs I. WELLTAG NO. Drilting Permit No: Other IDWR i'lo. IDAHO DEPARTMENT OF WATER RESOURCES WELL DRILLER'S REPORT Ofice use Onty lnspecled by_rwi_n-g;-:E;c__ _114_1t4_114Lat : : Long: Address 3676 W. HWY 53 City RATHDRUM State lD 83858 3. LOCATION OF WELL by legal descrlption sketch map location must agree with written location I II. YVELLTESTS: Yield oa!./min.)raudown )umoino Level Time I I.IR2rtr Water Temp. Co!D_ Bottom Hole Temp COLD Water Quality test or comments: CLEAR Depth first Water encountered 30Q 12. LITHOLOGIG LOG:(Describe rcpairs or abandonment) Water Bortlirm f l{r l(l f n 2. OWI{ER Name MILLER. BRIAN Well Number: 't489 Twp. Rge. From :lo 52N M North or E South East e7 M West CsdrE Un6 Wcldcd Ttnad.ds ng tr -Sec. 33 114 NE 114 NE 114 I I Got't Lot._County lattiMe: N47:48:978 Longittde: W116:50:016 R.nirrl.l: l,itholoF. N rtcr Quehtt, t.mtcEluft lrrl' \rrrl , S;urd & (iravcl I l'ea ( irrrvcl Snrrtl A (irarcl Sanrl & {iriivcls t\i ('(lbhle NcJ. L'crrrsc Satrd. : Sand & (irnrcl 'i ti tl ti tt tl q f l8 li 4(l I 8(l 2t0 2 l,i l5 ,l {) I 8t) 2 l() i0(1 Address of WellSite SAME City (Gln .t Lag mfli ot rGd + Olalrrce to Road oa Landtmrt)Lt. Blk, Sub. Name 4. USE: r,1 Domestic E Municipal tr MonitrcrE Tnermat [-] lnjection E other 5. TYPE OFWORK checkallthataPPV E Newwell n Modiry fI Abandonment 6. DRILL IUETHODv Air Rotary r cable E Muo Rotary n lnisation (Replacement, etc.) , E other Was ddve shoe usedZ fl Y M ru Shoe Depth(s) RB Was drlve shoe seal tested? n V E N HotrV?_ 8. CASINGILINER: ITECEIVED AUG 0 5 2003 lDWFUllortr 13. DRILLER'S CERNFICATION lMle certify that all minimum well consbuction standards were complied with time the removed. Firm Name Firm Official Firm and or op€rator Date -716/2009 SEAUFI Material LTER E other htvtouNr I uerHbo F""k" "r P"r,td" ii- ?oo LBs; PoLnED0l8 I I 6 +2 300 2s0 STEEL Length of Headplpe Length of Tallplpe 9. PERFORATIONS'SCREENS D Perforations MethodE Screens Screen Type_ f,alrlrl Caslng i]ffi {0. STATIC WATER LET'EL OR ARTESIAN PRESSURE: 241 ft. below ground Artesian pressure-lb. Depth flow en@untere 300 ft. Describe access port or controldevices:,-2N ol\u/ bb To Depth - 300_ 6/30/2009 JR CANTRALL Otlcalud OFrrl,o4 Lt/t9/03 UBD 13:08 FAX ZogTzZZZZg IJNIItsD DRILLING AND PTIIP +T+ DBPI OF IYAltsR RE @ooa Fom23&7 11,97 1. WELLTAG NO. D0028884 IDAHO DEPARTMENT OF WATER RESOURCES WELL DRILLER'S REPORT ORILLINGPERMITNO ?01 A5_\ II. IITIELL TESTS:trpurp fJaa".Atbdan W OlhcrlIMR No. 2. OIIUNER: Neme Addrisr POBox004 City Haydar 3. LOGAilON OF WELL by legal descrlptlon: N Twp 52N lrtorur Eor Sou0r fJ cbar,cold,nocmall *n" E t"u, Eor Wea M Sec 3l! t/4 lWV1/4 SE lr4 E --16'n" -Zd'nc Erc GovtLot Co,ntyl(ootenel Ler t t{_ S Addrplc cnd dForrldrb Rord df Solnl Rord of Well SIe:next Lot BK $b.ildrE(!oomilftc) 4. USE: M o.nc*c Euuni6at D Monlbr EJ |n6euon lncmrat Dtnpcton Doner 5. TYPE OF IlrORl( ched( all that apply (Repleormnroe.) El ury vrtu tr uoary Elbs,orrr.nt Dotrcr 6. DRILL METHOD Merr noury Ec*u Dma Rohry Eoter 7. SEAUNG PROCEDURES Ddw Shc Us.tf?Y Shoa Denfi(g)3(I2 RIno blt Drlve shoc Seal Toibdl EV E n nonZ 8. CASING'LI}IER Dlam From TO Gango ttl&dd 6 2 {2 0.250 .irril Lengh Hea$lpe -tangth Tallphc- 9. PERFORATIONS'SCREENS EPertratonrz Mchod Dscoansz Scraan Typc From To Slot l*nbr Dbrh Mtoedll WabrTcmp.cdd Botbm holo temp. cold Water Qudlty Ed q conmonb: (bcbw) Dopth lillt Weter Enqrntercd zfi 12. UTHOLOGIC LOG o7 13. DRILLERS CERTIFICANON UUtIc oeruff Urat al nrlnlmwr x,€l @nstsucuon standrds w€r€ comdled wilfi .t tic tlme the rlg wc remor€d, Fkm tlamd Unlbd Orlling hc.Firm No 414 FlmOffcld and Dlte UTA0,? Caary Lincr Wdd ThnfedaDatrtr Dtr trtr trtr D Lhs Dtrtr Calngn D D 10. STATIC WATER LEI/EL oTARTESIAil PRESSURE 250 n. bebrtgmund. Mcrian PGtaJtE ' lb. EEiFno,rencorlrr"rso zil r[ffiue*cctspo,tor controt cladccsl Sbcl csp t'lr€lded Office Use Only lrspected by_Twp-Rge Sec 114ET1t4114 Long: Yldd gdJmln.Drafldown PumpLod Tlme 20+100'.2S'I hr, xrIIT rI ArmuntSEA/FILTER PACK MeUtod FIDm To Sad(8rusMebdd 20 I 3actr dry porrBentodla0III WabrBore Dlam Fronr lo Uthobgy. Webr QUCiV and Tanrperahlre Romarl€: Y N E 0 1 Topsoil I 1 l(x)Sand t gnvd - 3/f mhug 6 1m 203 nSild & erivel -mo aIm3A2Oay- gray I 212 219 qay & gr.vd - llz' minur a z1{tI UN Sand & gr8vd. 1/? mlnur E ato 2V.S'ldlorard-fim 9I2512wzSfld&grevd- l'mhur 0 ComCetad oepth Dd.: Sbrtcd ' {2 (Mer *221Ul Completad Ulillos I (MeaeuabL) .frA, +ud 33 Supowlror or Operatq Jrgon C, Beddtan Oatc Emfi3 I.II'E fYPEWRITEN OR EALL POINT PEITI t. WELL OWltlER Owncr't Prrmit No. Statc of Lleho Epertmat of fhter nesoulceg WEI.L DRILLERS REPORT Strto lrw mguira rhrt fib r.port b. fllrd wlthth. Dir*tor. Drporlnrr* cf Wbirr lrrcqor u0}h 30 dryltftlr tha or rbmdonment o( the wcll 7. UUATER LEVCL Staric wrta. lard-313 tct oalour lrnd errfrcc *l No g.e.$i,ltcltt-- /€ --Ou.lity Controlled by tr Vrhc tr C.p Cl Plug E, WETLTESTOATA E Pump 0 Brilcr tr Ottrr 9. LITHOLOGIC LOG xarH Flowingl [J Yes tr Tempcnturc " F. Artasirn cl@d.in prulsr.s lrloY.a 6. WELL OO'IISTR UCTIOT{ DiarEtcr ot holc Crrine Ech.dulo: TlrLlr.1O inctrrs T inorrckdr - lttchc DirmlEr from -&- ina,.I stot Dailr- ie+r*Tor.l derh To)* *t - f!.t - irt'---ic.t inctra - inchrr - i!!t -fut inc'trcg - irurlc - L.t -fu Y$r G.lile &a- *.. t..d? [ f. tr ilo Wa a p*kcr or nlured? l[ V. - E NoMor.tcd? tr YG l,No Howp.rlor.t.d? O Fctorv tr Knth trTodr Sazootp€rforrtbn - inchcby- inch6 iluirt Falnr Topdoralom f..t - fr.tprfor.tblr t.t - futpriorrtloni f.rt - iott V{cll scrucn irltelld?l(Yc D No Modcl No.--l?l rsto4f,f lectDi.fiar_ Slot dra_ Sct fmm_ lct to.- fcrt Grawl packed? tr Vrr f ilo Sirot9rd+ Plrrd loot to- frrt &rb rrot 696 a!'.51rU L., li rlll E Crrrr nrl { nralng aoy Ct tdl crrhgr Sr*1 Tacf;trf tr lrrrf trErrrt.. m}lhrd G LOCATloil OF TELL Skrtch mrp locttlon mlllr aerra with wrltbn ,ocation. / q4 !x, Sdlv.bo ilottl- l, Lo.-iocr tt.- T Ril,iE^I, DITDilT Z fIIATURE OF WOBK (Neuuwdt trDecpcncd E R4lremrnt Et AbEndoned (da$ribe mrthod'of tbrndoningl Flom fcHobOhn I oo,rrotc tr nrticUa tr srfcdt t?d 3. PnOFO9ED t 3E tl ll.l O sEc tr muplr hlsL!{t tr rdfrt tr h.t t|ll b.D (l,,aE,ar_trL aa(c"u. EFotory troug trOficr {. I'ETHOD DRILLED C.,ao la,aarttc a^--ua-l,,,,.srJ la----- Aa-to-, ,tta/,LI Etzllo-t-,aatD3 ,.tA ,ca ^b,aa ,r/q.a .tlA ,D, ta,,rc att tv-z) *ap-O.l l*,l,ra a4i lt I ,lD ,Ga I. Iv l. q -zf-79?- /<-- z e finidrd 10. Wo?k startad . _i_ _-L _-i__i l*i --k+* m",n,e,o.tlqn,*itttil 4, ,- *irc 1pai.tlOl Pric. Pt., lua rt ilLrtrl Gtilrlcmol d *ir b (Frir lrsE ADOITIOT{AL 8}tCETa tf rEG;ttA8v .FORWARD THE IYHTTC OOPY TO ?HE OEPARTMEiIT tom 2fi-7 r i/97 I.WELLTAGNO. D IDAHO DEPABTMENT oF WATER RESOURCES qEt WELL DRILLER'S REPORT oozzztl Y !il DRrLLtt{GPERMruo.l. Oher lDttIR 2 EUl 11. WELL TESTS: a Pump Water Temp. Wabt Ouality El Air rl Bofriln tnl€ temp. --3. LOCATION OF WELL .by legal descrlptlon: Skelch map locslion musl ,greo wilh writton location, I 0r 0r -Lol4: trdWalet Encounbr >Pk t2. LITHOLoGIC (Deacrlbr rap.lr! or rbrndonment) 1'rr.l 13. DRILLER'S CERTIFICATIOil l/tlle cefity hat all minlnum wd onstudion sbndar& wore complied wih at ho [me fio rig was rumoved. CornOary |.b.53L Fim o and Drlfler @mmonb: Twp Rge. Sec. North tr East tr South lJ West ll5E ru 5U tn -SU rn cdtffi-Eedfrar-i- '-Gov'l Lot -.LaU : Address ol Well L^ru*SiLn(oh .l lol bil ot Ed . ottbE b F-d d L.rairt) 8lk. Sub. Na 4. USE: E Domestic 0lMunicipal ,/ O Monitot [J lrrigation B fhermal [J lnjection n Olhor___ 7 5. TYPE OF Y{ORK ctreck all lhat applye N€w W6ll tr Modify D Abandonment 6. DRILL IIEI}OD trAir Robry tsc.ut. u Mud Robry U{as drhn shoe lred? 8? O tt $roe Was tldve shoe seal teslod? tr Y{ N 8. CASI}IG/LIlIER: olliltLt From fo Gruoa [ll!ri.ltL-+)tt9 2rr A,lrl-tle {Replacement eh) D Ohar- D Cltine Linl Wrld.d Thr..drd0(trXDDtrOD ODDtr L€nglh 0l xeadpipe 5/ Length of raigipe /O'9. PERFORATIO]IS/SCREENS Perlbratons woons)ot S Mohod{n,Jrsn'*n@ From To Slot Sir l{umbtr Di.n.l.l U.lr,itl 57tr 3A't2,ly"d^r-h 1b3 ?L9 loo lyn S{znk ts73 .lo tv"5tarqLS 10. STATIC WATEB LEVEL OR ARTESIAI{ PBESSURE: Lioai D tr tr Coring o D D ,n'ilLn. " Deplh llow conlrol belor ground Artesian pressure O lU. port 0r o, w,"a, ldlLfirt:tra* oeb 4/l/c L {Sgnoor Elr ollitl Qrr) $qSgdbYfhf "' OtftcsUsoOnly Rge--Jec 1t4 _1t4 V.ld sl.lEin.Iim.AIo +"-t+Dr;'s.D L)/L ? ,.1 ta? At r l/o# I , Borc Dir.from fo RenrAr: Lllhology, Wrlft Ourlllt I f.mplrrtun Y I /^Azoo |1/a'*.Lnil-'r.l Cantl larzttt ' r-zl/r,-x l2 .,U l)rl t - attdl tf^D4 IUP tfTtllc/9 ( llo l.ss /40 lU^^., car{J 'r-l x )r_1fLl9rt K)L2lt-2q?/ l-trAlt> *2 ?dIL Jr.t l s, /{*t t)). ,A ?.*?t9 I,Q ?7.r x IZ 2?r t"?v?pIL Uu,V,dt ll.-"+/a\t9A (-0aeFz43 ) -l-.rr&qa )lz r t^tt^tt Ol ^-i*arl ora ?.16-r; Compl€tod Date: Slarled a SEAI/FIIIEF PACK AMOUNT Itlrrirl Fron To SElt otPourdr UEINOD Cc*.*t+&rh to 3A Yq-sfr *l/ L.*lr<.u-OI encounlerad FORWARO Ti'HITE COPY TO WATER BESOURCES FomZ,&7 1ltgt !idrprldmt T WELLTAGiTO. DRILUNG PERM]T NC oh€rlDwR NO. D0057349 2 OWNER: Name; North lGotenai Wator Distrid. lancaster Woll #4 Mdresg: 1841 W- Helrdcn Alrenue Clty: Hayden Stat€: lD 3 LOCATION OF WELL by legal descrlpdon. IDAHO DEPARTI'ENT OF WATER RESOURCES WELL ORILLERS REPORT Ur. TyFrlltor or Balpolnl pan II TI{ELL TESTS: npurr,p Eaailer Ateabn EAir ER*rtr,gArteslan temp t0,01 Zip 838i]5 WaterTemp Water Qualty test or commsnE: 12 LITHOLOGIC LOG: GoVtLot Coung l.a[.:47 47 19.07 N Long: 1 16 4E r5.45w sw Twp Rge Sec 51 4 2 Nortr East l0 Acmr SorrUr West8W 1t4 40Acrlr 1'4 114 'l60AsE s Addrcss of Well Sitel ltt4TWtancatur"ffiFLot No. Blk No. subd. Nana: 4 USE: ! oomestic Llmennat Munldpal In ec0on E fllntgationMonltor Ofier 5 TYPEOFWORK: El ruer', wg n r,roairy n Abondonment E otrer 6 DRILL METTIOD: E arr aotary E] c"ul" E ura Rotary fJou'e, 7 PROCEDURES: Was drhre shoe ssgl 8 CASII{GILINER,: *#J tr'fJ*m6) Lin r tralfid Thttdqd E ! E 9 PERFORAIONS'SCREENS: # STATIC WATER LEVEL OR ARTESIAN PRESSURET310 n bebrground Artesian Pressurc: 1 3 DRILLER'S CERTIFIGATION: l/We certify that all mlnimum well conetruc{lon standade were corplled wlth at the time the rig was remorcd. Firm:Flm No. 3|il Firm Officlel: and Dete:*lo&tt Date $taftd: Deb Compl€bdr 01111110 au?sn0 Offce Use Only lnspected bS_Two Roe Sac114 114:U4 Lal:Long: : Yield Dnwdonn Pumoino Level TimeII Borc Dia.From To Remarts: Lithology, Water Quality & Temperatur€Y N 24 0 60 Well graded sand and gravel x 20 60 330 Pooily graded eand and gravel x 20 3iil0 340 Poorly graded aand x 20 340 372 Poorly goded sand and gnrrel x 20 372 372 Fine sand x 2A 372 377 Poody graded sqAl x r." l. b l, lr l - i.'lFlll t r, tUlU IL'vvruNONN Due to scruen ln bottom of rvell, alr llft on rig onf produced 100 gpm.AIUUUN! From TO ilethod 1C Dagsts€mon[9 o 60 Annular IJE.Ftom lo (,auoe MAIBflAI 20 -2 0.375 STEEI Fmm To Slot Slzo Number Diameter ttlaterial Csdng trtrn Lln!r trtrn 343 364 0.140 18 ss 364 370 0.100 t8 ss 370 373 0.(x0 1S SS Degcribe acc6s port or confol devlce6:Plah rcldad crn bp lb supowisorroperatoc Date:5-to - D M[ 0 6 1996 rtl (trtcfirt ^Eu.lrfY DEPARTMENT OF WATER RESOURCES WELL DRILLER'S REPORT thrTlOcutltc?orBelpohPon O$7 5. TYPE OF WORK drcok lllthat spply IEI Newwel tr Modily E Abendonment 6. DBILL METHODl8Alr Bolery tr Cablc tr Mud Rotary Oher|DWB 2. OWNER:rr--^ C?lEMCItrc E-.-Ire& Do cnv ienonllt , etabp-Zp3ll!- 3. LOCAflON OF WELL by legal deccrlptlon: Skclch m8p tocatlon mugl agree with wftten locetlon, N x Addrccs of Wcll {,4 IEST ON BOEIGL (Obi rt |la m ol od + Ohau 5 hrd fltrritni*)clty- Lt.- Blk. -,, Sub. 4. USE: E Domcstic tr Munlclpal D Monhor tr lnlgstion tr Thcmal O lnJecllon tr f*p9il-- Norm El or South EngcL East tr or west Psec.{-, -1/4 llrw 114 + 1t4OoYtLot-Cartffilat:::Long;:: 11. WELL TESTS: tr Pump o Baller YLtd d!fiiln.DtrwGn Frntgno lr$f TIIT SOlL inil,,rrai.tlrn Firm Flm and WaterTemp.Bottcm ho$lpg, aol) Water Quallty tclt or commcnts:alrn L rlrm Dcpth first Wster Encomtelgd 12. LITHOLOGIC LOG: (Doacilbcrapalrrorrbandonmcnt) wr.r 13. DRlLLER's CERTIFIGATION UWe csniry thil all mlnlmum well construc{lon slandar6 were comdiGd urfth et he lime the rlg wac ermvcd. lhlGd tlc No.l[!-- SupeMsororOperabr--- Jilooc.lcc[Em DetcJrEuxl-- (Slgn ona f Frtn Ottht l l Opil@ TO WATEH BESOURCES (Replaccmcnt ctc) E Oher- tr Olher- Was dtlve slto. ured? tr Y Eil Shoe Dcpth(s)- Wri drlvc shoc Bml tsled? EJY Ef, How?_ 8. CASING/LINER: frlrlr.br Fffi T6 Tlrbddl.jrl 180 2n Itd Crthga tr tr Limr wald.d ThrnrLCtr!trtrtrtrtrtrtr Length of Headplpe- Lcngth ol 9. PEHFORATIONS'SCBEENSErPedorationr McthodtD$totttor tr Screene Screen Frm To 8bl8lr.NumbCt llebrhl t8f 173.ltt ,33 t!rf,ml 10. STATIC WATER LEVEL OR ABTESIAN PRESSUBE:{9--tt. betow gmund Anesian preesure .lb. Depth flow encountcrcd lt. De8cribg aoco8g port or control Lilat D rl tr Ca.ttg a tr E Offtce Use Only lnspooted byTwp- Rge-Sec-_1t4_:!14 _1t4 Lat;i sE^IJFILTEF P^CK ArrlqjNt rlrlotbl From to s*ft otDilnrtr IIETHOO lcr*onlc to 15 3*t3 dtw-50 lb h- Eaa Oh.Frcn To Rernarkr: Lllhololy. Wrirr Ourllty & Tcmp.rftltr v il tr I a ?ii rcl a IIl I 1'I xIG7'n Precrrl !.to an T G r.o aa I lrt r..f,r .li,x ta It.tc t!lo lal rrt6ttxillnlrlruvdI t!,t na I t!AT 2S C.blhr x IF 2tr 2tt x 'F ,rt ,!5 3mdtchrmlr x t!2ts tI Irlto!tg ll2mlrr-cbrmrd IrtitlttaI lla?ill'I !r nrfrrffm hr drd ardr t.tuvti qar hrR Completod tlepgl SA. -. (Meesurebh) completed___tf,ooLDdr: Stsdod IIIIIIIIIIIIIrIII L>tr> FORWARD WHITE COPY Form 238-7s/92 STATE OF IDAHO DEPARTMENT OF WATER BESOURCES WELL DRILLER'S REPORT Sut lr rmrlrrr $rt tlrb npon b. fild uhh thr Dlrccor, Drgrm.nt ol Wttrr R.aott . wittln 30 dtyr rftrr tt! conrphtlon or .b.ndonm.m of fhc wdl. UEETYPEWRITER OR EALLPOINT PEN @) ,-l) P.O. Bo. 1138noorcs Ha!,& IaIc. ID &l&15 Name Skmk rnr lEhld 1. WELL owl{ER Own.r'r Pormit No,1s- w-M-r3 7. wArER rEvEL A I Static wlrer lsrrel -Il0-r* 16\[, Florvlns? tr Yer El No Gf.M. now Ar6ri.n clorod-in pr.qrrc -- p.a.l. Controlld by: E Valv! tr Crp tr Plug OurlltyTcmperaturu -oF. hrqibc attaaian or tarno.ralufr ,Na balo*, rrrfrg, 8. WEILTES'DATA E Pump O Briler RAlr 0 Othcr Hom PunodDlrehrrn G.P.M.PumCnc Lml |llED ITTJFT 2. NATURE OF WORK *t Na , wall tr Drpsncd D Repbccrn.nt E Abandoned (de6c?iba abandonmsnt proceduro3 matorialB, plug dapth3, otc. in lithologic log) auch ag 9. LITHOLOGIC LOG Borr Metdrl El Domsrtic E lrrlgstion tr Test O Municlprl El lnduJtrial D Stock E Wa$e Di.Dor.l or lnioction 3. PBOFOSED USE D Oter {$!cifv tYP.l t?.o oat f:EEl E .r**i'la Ytr.I tirl kl r lrarl,la-v90 l).15n lra 6analtr.1?n t ofi kEl r- lrarlta- 14.'t orr .I.lE ai-rDl t d/S{rla I Botary tr Airtr Cable D Dug tr tr Other Hydraullc E Revom rotry 4. IIIIETHOD DRILLED 1).,arR ,1i Gh{ a aa'l Iti ,1n ,rt r- kril- lrr aaetrr,?n tmtrr,on ?lt 2r,i1).lfi't Eha mItr.?in aqn ,*rrrl c lnm ^lft w 12.?slt ?6,l (t:rral Pr ?6n ?t lEanrI v I i l rtrr'- r i&r iln f.{ffi Tnrrt-Ila.l I?r rhlrr ahaa A. ltrit. qha il lllllflrrr: '-' E IIII t\ ltrr E u€pa,lEltFl ur tr.lq tre-.w!' lagi[..r] UrillI* v'rrw Ilonr 5. WELL CONSTRUCTION Casingschedule:E Stoel E C;oncrcte OOther_ Thld.ntrr Dlrmror Frcm To.25() imha - lil inch6 + I fest 79 footincher 10 lnchec + . I roct 139 f!.tinchcc 8 lnc{roa * t fcd 3&2 feet inches _ irrchss _ f3at _f6et Waccsingdrivcdrosuiedl EYes tr No War r pcker or rol u*d? O Ycc f NoPrrforaed? EYo' E No How perforaed? B Flctory [! Knlfc tr Torch Size of pcrloratlon I indrer by -1t Incfrer Numbar Fton To123 perfoEtloffi 360 frat ..380 faqtpcrforrtlons fart _ faetporforetlonr frot _ fost Well rcr€cn lnctallod? tr Ylr El No Dimaer _ Slor rlzs _srt fron -f!rt to _f.rtDirh.tar_Slot.lze _Srt from -.foot to _frrt Grrrrol p*ksd? tr Ycr Et Nb 0 Slzo of grarrl PlEad from - Ia.t to Sud*c rcal dlptft 20 Mltlriel urcd ln rel: tr Ccmcm grout El Eentonito D Puddllngclay tr - Seallngproccduraucad: u Slurryplt BTrmp.errfcecerlng E Ovrborotore ld?tr Mrthodof ioinlngca.lrq: E Threadcd AWeHd O Solvonr Wrld E Cemamcd brtwacn rtnta Ocrcrlbe accaes port - / .2so.2il Typ.Modcl No, flrt Manufacirrar'r 4t26t85tf,ort fi.rt d 10. 1togtlaE flnlrhsd 6. LOCATIOiI OF WELL Skatch map locetion mun rgrcewith l,ot No. - Block No. .lW n SE x soc. 34 _,r. 52N NA,R. 4tt EAv. x *locrtio.r. Ew Srbdivlrlon Namo County rcEr{ll 11. DRTLLERSCERT|FICATTOil e9* t/Wc certlfy that rll mlnlmum mll conrtruedon rtrndardr wctc compllcd wit r st thc tlmc dre rlg wr rIt|ovd. 61m1 11gms mWg DRU.LDG. Ftrm No. ?28E. 6010 BEoaeGy Oat!4t26t85Addrcss$de rB 99212 Slsncd by (Firm and (Operatorl USE ADDITPIAL S}IEETS IF I{ECESSARY - FOBWARO THE WHITE OOPY TO w Form 238-7 11197 1. WELL TAG NO. DOOIOS5I ORILLINS PERMIT N Other IDVVR No a, 2. OIIUNER: Nanrc Addrc$ 2ll Rlveuood city Post Frll$ stete lD zlp 8385,{r.r@atdE6Eil6m;:N Twp 52N Noan filr Souilr I nge -@- East Dor weat $sec 33 1/,t t{W 114 SE 114 E -J6'n" -i6-a" -16oAcGovt Lot County Kootcnai Let Long Adclrc*r of Wbll Sltc: (Bse ncxt llne) Boekcl 2.9 rlght on Forcstdal€ to cnd on lcfi Clty Lot Blk Sub.Name (rcc next line) 4. USE: ElDom*ttc EMunktpal fiMonttor Dtragation flrtcnmt fitnpaion fiotrcr 5. TYPE OF WORK chcck all that apply (Reptaccmcnt crc.) EXHo, w"n Elnroany EAbandonnrent f]otncr 8. DRILL ilETHOD Erur notary EJcaole Buud Rotary fiother 7. SEALING PROCEOURES Drlve Shoe Uscd?Shoo D6pth(o) Drlve Shoc seal Treted? DV EIx Xowz 8. CASINdLINER Diam From To Gaug6 Mrtcrisl 6"1 -295 0.025 Steel C.sng Liner Wcld lhrded Typc Casng IDAHO DEPARTMENT OF WATER RESOURCES Hr=bLmEbEn's REP'RT o? 6? Lcngth Hcadpipe - [cngth Tallpipe 9. PERFORATIONS/SCREENS ElPerbretlono? Mcthod fpcrccns? Screcn From to Slot Nmbr D,sm Materlal 10. STATIC WATER LEVEL oTARTESIAN PRESSURE 210 fi. below ground. Artesian prc$ure lb. 6i-pth flow oncountercd 21a n3?icrioc accr8s port or control d6vic.c: stccl cap wcldcd ? Sg 1r. t ELL rEsrs: Epump Eeaipt Anesian WatcrTemp.cold Bottom holc temp. cold Water Ouality test or comm€nts: (below) D€pth fir8t Wbtcr Encountered cleer, cold, no rmell 210 12. LITHOLOGIC LOG irc or trtr 13. DRILLERS CERNFIGATION UWo certfy thot all minlmum well @n3trudion itandard3 wcr. cofirpllcd with at tho tlme thc rlg was removcd.tr Flrm Unitcd Drilling lnc.Firm No 4'14 trtr trtrtrtrtrtrtrtrtrtr Linertrtrtr Nerrc Firm Oficial and Supcrvisor or Operator Jacon C. Bcckham Date 9t3ls9 Dat6 9/U99 lnspected by--Two Roe Sec _114 _1t4 _1t4Lat:::Long::: Use Ylcld gal./min.Drawdown Pump Levcl Tlmc 290 'l hr,100 gpm 1OOo/t X SEAUTILTER PACK Amount MatGrlal From To SadG/LbB Msthod Bcntonitc 0 -16 14 gacks pour ln WatcrBore Dhm From To Remarkg: Llthology, Weter Quallty end Tempcratyre Y N n r'TI03Top3oil r.-1E36Boulder a 6 16 Sand & gravcl - 3/4 mlnus - cobblcs 6 TE 80 sand & gravcl - 3/4 minuE - cobblc8 6 90 180 Stnd & gravcl - YB mlnus ll:l 6 160 210 Sand - Brown - some grevGl 6 210 255 Sand - brown eome gravel 6 255 ZTE sand - blacugray . lots of flneE lome g,Evel 6 z7E zBo Clay - gray 6 zag 295 ssnd & gravel - 1" good llow-no sand Compbted Dcpth 295 (Measurablcl Dalc: StartGd 9/1199 CompletGc, glzt$g s-eN 1w va FORWARD WHITE COPY TO WATER RESOURCES 198 il31n020 lk'lurn l,inks ( ltrtrt I{atl S.lrtpl. r \\alcr \r stcrn [)ctlil \\';rtcr Sr sle rrr: \\ atcr Sr slctrt \rntch ( ounl,r \1ap ( J lossa rr Chen/Rad Sample Results Drinking Water Branch ChemlRad Samnle Results This list displays sample/results of all non-microbial analytes (TSAANLYT.TYPE_CODE o MOR) associated to the selected sample. Results for Microbial Analytes are not included. Totel Numbcr of Rccorde Fctched = 3 YUrt rSy.tem No.: ht rSystom N.mc: Prlnclpal Goufi Served St tus: Lrb S.mph No. : IDl2E026t GEM STAIE. DIAMONDBAR ESTATES KOOTENAI A N20E694 Fed.rll lyp.: Strtc Tlpe : Prlmrry SourE : Acdvlty Drt : Colbc{on Detr: c c GW 0t4l-2000 09-t7-2019 ,\nalr tc( odt \nalr tr \atnr \ I cthotl( odc I css than I nd icutor Lcr cl'Irpe Reporting l.er e I l'onccntralion lcr el \l onito ring l'rriorl lltgin [)atr \ lonilorinp Prriod !-nd l)a lr t038 qITRATE-MIRJTE 300.0 N 0E9 2.03 MG/L l0tl0 {ITRAIE 300.o N 0E9 2.O3 MG/L 0l-0I-20I9 t2-3t-20t9 t04t \IITRITE null Y MDL OE.g 01.01-2011 12-3tAotg ffe:///C:/UsersflittuUOneDtue/NWGWC/PROJECTS/0115&01 - Gem States \ rater Co - Dlamond Bar Eetates/Deliverables/Aitacfiment D - t/Mater Qua... 1l'l il31n020 llt,lttr ti I iril,s ( lr, lr Jl.rrl \ rril-1, \\.ritr \r.1. rl I )i t,rrl \\irlrt \!-l!ii).. \\:rl. I \) .li'tr \,.'r. li ( ,r111111 \1.11i (,losr:r t r Chem/Rad Sample Results Drinking Water Branch Chem/RadSam@ This list displays sample/results of all non-microbial analytes (TSAANLYT.TYPE_CODE o MOR) associated to the selected sample. Results for Microbial Analytes are not included. Total Number of Records Fetched = 15 WbtcrSyltcm No. : Ilhter Syst m Nrme : Prlnclpa! County Sewed Status : L.b S.mole No. : IDt280268 GEM STATE. DIAMOI{DBAR ESTATES KOOTENAI A noffig3 FGdor.l lyp. r State Iypc : Prlmary Source Acdvlty Datc: Coll.ctlon Drte c C GW 0l-01-2000 09-17-2019 \rr;rlr lc ( rrrlt \t,alr lr' \rtttr \ltllrotl ( r,tlt' I trs lltan Itttlir rtot I rr cl lr pr llr;rot tinl Irrtl I otrttttIt:r(iot' Ir r r I \ loniloring l't r iir,l llcrilr l)att \ lrrrrilrrrirrll l'tt iorl I rlrl llatt 1005 {RSEMC 200.9 N 0E-9 .0019 MG/L 0t-01-20t I l2-31-2019 l0l0 ]ARJI,,IM 200.7 N 0E9 .024 II,,GIL 0t{l-20n 12-31AOl9 l0l5 ]ADMIUM null Y MDL 0E9 01.01-2011 t2-3t-2019 to20 ]HROMIIjM null Y MDL 0E9 0l{l-2011 t2-3t-2019 1025 ILUORIDE null Y MDL 0E9 0l{t.20ll t2-3t-2019 1035 VTERCI,JRY null Y MDL 089 0l-01-201t l2-3t-20t9 1036 {ICKEL null Y MDL 0E9 0l{1.20il l2-3la0te 1038 {ITRATEMTRITE 300.0 N 089 1.24 MG(L 1040 {ITRAIE 100.0 N 089 1.24 MG/L 0l-0t-2019 l2-3t-2019 l04l \ITTR.ITE nuu Y MDL 0E9 0I{t-2011 l2-31-2019 1045 iELENII.]M null Y MDL 089 0t-01-2011 t2-3t-20t9 to52 IODIIJM 200.7 N 0E9 3.28 MG/L 0l-01-2017 t2-31-2019 1074 {NTMONY,TOTAL null Y MDL 089 0l{l-2011 t2-31-2019 1075 ]ERYLLIUM, TOTAL null Y MDL 089 0l-01-20t I t2-31-2019 l0t5 TTIALLIUM,TOTAL null Y MDL 0E9 0l-0t-201 I l2-31-2019 file:///C:/Users/ttnuyOneDri\reNl /G\ rCIPROJECTS/01150-01 - Gem States \Ahter Co - Diamond Bar Estates/Deliverables/Attachment D - Whler Qua... 111 1t31t2020 Cher/Rad Sample Results Drinking Water Branch Chem/Rad SamBlgJBesults This list displays sample/results of all non-microbial analytes (TSAANLYT.TYPE_CODE <> MOR) associated to the selected sample. Results for Microbial Analytes are not included. li,lirr l, i ir,l.- (,l'r'";'|\ UlltcrSystom No.: l hterSystem Name: Prlnclpal County Served Status : Lab Samole No. : IDt280268 GEM STATE-DIAMONDBAR ESTATES KOOTENAI A 1208716 FGdetal lypo: Shta Tfpe : Prlmary Source Acuvlty Date: Collectlon Dete C C GW 0l-01-2000 09-17-2019 \rr..lr ir ( r,it \lrlhr i ( ,,,ti I r'.. tlr,,t lr,,ii,.,t,'i Itrtl lr 1r. llr I\,i! tirr! Ir,tl r.t,t r,,tr;,li1,l lr ', I \lrrliilrrr irrL, l r t r,r,l lli yrri l).il( \lrrrrilorirrl l'tri,rrl I rrJ l),rtt 1005 ARSEMC 200.9 0E-9 .0035 MG/L 0t-0t.20t I l2-31-201e t0l0 ]ARIIJM null Y MDL 089 0l-0t-201 I t2-31-2019 l0l5 CADMIUM null Y MDL 0E-9 0t-01-20t I t2-31:2019 1020 CHROMIUM null Y MDL 0E9 0l-0t-201 I t2-31-2019 t025 ]LUORIDE null Y MDL 089 0l-0t-201 I t2-31-20t9 t035 MERCURY null Y MDL 0R9 0t-01-201 I l2-3la0t9 t035 {ICKEL null Y MDL 089 0t-01-20t I l2-3 r-201e 1038 {ITRATENITRITE 300.0 N 089 .256 MG(L 1040 NIIRAIE 300.0 N 0E-9 .256 MGIL 0l-0t-20t9 t2-31:2019 l04l {ITPJTE null Y MDL 0E-9 0l-oI-201 I l2-31:2019 1045 SELENIUM null Y MDL 089 0l-01-201 I t2-31:2019 l0s2 SODITJM 200.7 N 0E-9 3.14 MG/L 0l-01-2017 t2-3t-2019 lo74 \NTMONY,TOTAL null Y MDL 0E-9 0t-01-2011 l2-31-20t9 t075 ]ERYLLIUM,TOTAL null Y MDL 0E-9 0t-01-201 I l2-31-2019 t085 THALLIUM,TOTAL null Y MDL 0E9 0 t-ot-201 I l2-31-2019 Total Number of Records Fetched = 15 file://C:/Users/ttnuUOneDrive/NWGWC/PROJECTS/01150-01 - Gem States \ /hter Co - Diamond Bar Estates/Deliverables/Attachment D - Whter Qua... 111 il31n020 ld('llt, Ir I 1il1.. { I, i', l( ,i . I '. \,\ l,-l tr l. r iirl., I \\.ii \ -i, \\ \ , I t ;rl t. \lrl, (rl',s\:tt \ Chem/Rad Sample Results Drinking Water Branch Chem/Rad Sample Results This list displays sample/results of all non-microbial analytes (TSAANLYT.TYPE_CODE + MOR) associated to the selected sample. Results for Microbial Analyes are not included. Vurtor Syltom No, : Water Syrtem l{amo : Pdnclpal County Solved Stdus: Llb SrmDle No. : IDl28026t GEM STATE. DIAMOND BAR ESTATES KOOTENAI A Y208702 Foderel llpe : State Tlpe : Prlmaly Source Actlvlty Date : Collecton Date c c GW 0l-01-2000 09-17-20t9 \ rt.r lr I ( otli \rr.rlr lr \lrrrrr'\ lr llurrl( r,tlt I t'r. tlt;tn Itttlirallt I tr rl lr pt Itr'put.t in g Irrtl In( ( nlr;11il,il It r t I \ I rr lr ili'r irr I l't t itrl llrlirr l);rtr \ I r,n ilo r irrl l'rrioil I ttri l).rtt 2378 II,2,,LTRICHLOROBENZEM null Y MDL ).000500000 MG/u 0l{l-2014 l2-3t-2019 23E0 Ers-1,2- hrrcrLonosrHvLrNs null Y MDL ).000500000 MG/LI 0l{l-2014 t2-31-2019 2e55 XYLENES,TOTAL null Y MDL ).000500000 MG/u 0I-01-2014 l2-31-2019 2e64 pTCHLOROMETHANE null Y MDL ).m0500000MG/u 0t-0t-2014 t2-31-2019 2%8 FDICHI.OROBENZENE null Y MDL ).m0s0om0MG/r.l 0t{t-2014 l2-31-201e 2%9 F-DICHLOROBENZENE null Y MDL ).m0500m0MG/tl 0l{l-2014 t2-31-2019 2976 MI.IYL CHLORJDE null Y MDL ).000500000 MG/tl 0t-01-2014 t2-31-2019 2W I.1-DICT{LOROETHYLENE null Y MDL ).000500@0 MG/LI 0l{l-2014 t2-31-2019 ,o?o [RANS-!2---.- DICHLOROETHYLENE null Y MDL ).ooosooooo MG/r.l 0t-01-2014 t2-31-2019 2980 II.2-DICHLOROE-THANE null Y MDL ).000500(x)0MGltl 0l-01-20t4 l2-3 t-2019 2981 ll,t,t-TRJCHLOROEETANE null Y MDL ).m0500000MG/u 0l.01-2014 l2.3t-2019 zeu ffillaoruor null Y MDL ).ooo5ooooo MG/r.l 0l-01-2014 t2-31-2019 2983 II2.DICHLOROPROPANE null Y MDL ).0m500000 MG/LI 0l4l-2014 l2-3r-20t9 2984 ITRICHLOROETHYLENE null Y MDL ).0m5m000MG/LI 0t-01-2014 l2:31-2019 2e85 ll,r,2-TRTCHLOROE-THANE null Y MDL ).000500000 MG/u 0t-01-20r4 t2-3t-2019 2987 FETRACHLOROETHYLEM null Y MDL ).0m500000 MG/r.l 0t-01-2014 l2-31:2019 2e89 EHLOROBENZENE null Y MDL ).000500000 MG/I]0l-01-20t4 l2-31-2019 2990 tsENZENE null Y MDL ).0m500000 MG/I-I 0t-01-2014 \2:31-2019 299I ITOLI,JENE nuu Y MDL ).000500000 MG4J 0l-01-20t4 l2-3t-2019 2992 ETHYLBENZENE null Y MDL ).000500000 MG/u 0l-01-2014 l2-31-20t9 2996 FTYRENE null Y MDL ).000500000 MG/u 01.01-2014 t2-31-2019 Total Number of Records Fetched = 2l fle:///C:/Users/tfinul/OneDrive/NWGWC/PROJECTS/01150-01 - Gem States \Ahter Co - Diamond Bar Estates/Deliverables/Attachment D - \ rater Qua... 111 ATTACHMENT D Groundwater Levels and SVRPA Aquifer Thickness LE Site \ \ c q,sa oq\ b Sptrlt Lal<e La*es Twbl Hauser Lake,-fu Hayden Lake Coew d'Alene La*e La*e t8. 45', Altitude ol water level, in lsot, ol the Spokrne Valley- Rathdrum Prairio rquilor, Soptsmber 2lll{- Datum is North American Vertical Datum of 1988 HydrologyofAquifer 33 fl7.ltr30' 5 l0 15 20 MILES 5 10 15 2OKILOMETERS flPI.AilAIIOI{ -rffi- Wrter-level contour-Shows altitud€ of water level, September 2U14. Contour interval is 20 feet Datum is North American Vertical Datum of 1988 +- Gcnoralizoddinctionoloround-wilerflow ' Site ol wator-lovel mecurement B0s6 modified trom U.S. Goolooical Suflsy digital d8ta. City boundrries, l2il,0(n, vadous yeare {l$l-86}; Public land srusv, l:lm.om, l$5; L!k.s, llm,m, lgg5; snd rivars, tdOd)o, tSs. Nodr Americsn ortum of 1983 INAD 831. I z,zzotoz,w I z;tntoz,zm f z,ooot z,tlo ! t,seotoz,ooo l-l t,gooto t,sso EIIII l,820to 1,900 l,7Oto 1,820 1,660t0 l7$ l,580to 1,660 l,5Oto 1.580 Eigwet2. Ground-water levels for the Spokane Valley-Rathdrum Prairie aquifer; Washington and ldaho, September 2004 (revised after Campbell,2lx)5], 18 Hydrogeologic Framework and Ground-Water Budget of the SVBP Aquifer, Washington and ldaho An aquifer thickness map was constructed using the same data set described in the previous section to illustrate the approximate thickness of the SVRP aquifer (fig. l0). In Idaho, areas of greatest thickness, more than 800 ft, occur in the northwest part of the northem Rathdrum Prairie, through the West Channel area, and through the west-central part of the Rathdrum Prairie. In Washington, the areas of greatest l t7'30'1s', 45' thickness, more than 600 ft, occur in the central part of the Spokane Valley, in Spokane, and in the Hillyard Trough. Near the Washington-Idaho State line, the thickness of the aquifer is about 400-600 ft. Aquifer thickness estimates are more reliable in areas where wells fully penetrate the aquifer than in areas where the thickness was inferred. I I7'45'.r r6'30' T N T T R42E Base modified lrom lJ.S. G€ological Suryey digital data. City boundaries, l:24,0m. various years ll96l -86); Public land suryey, l:100,000, 1985; L8kes, 1100,000. 1995; and rivers, l:100,000, 1985. North American Dstum ot lgtB (NAo tBl. R44E R46 EXPLANATION THICKNESS OF SPOKANE VALLEY- RATHDBUM PRAIRIE AOUIFER, in feet L 0-200 f zoo-+oo [ ()0-600 ffi ooo-aoo I aoo-r,ooo R4W R2W l0 l5 20 MILES 5 l0 r5 20 25 30 K|IoMETERS EXTENT OF SPOKANE VALLEY- RATHDRUM PRAIRIE AOUIFER (Kahle and others,2(X)5) . WELLS THAT FULLY PENETRATE THE SVRP AOUIFEB Figure t0. Approximate thickness of the Spokane Valley-Rathdrum Prairie aquifer, Spokane County, Washington, and Bonner and Kootenai Counties, ldaho. REI LE C NNER CO NTY STEVE COUN KOOTENAI PEND\ o e r : I COUNTY ect SiteP Lake COUSPKANE Prairie Five Mila Western Arm ATTACHMENT E Panhandle Health District Septic Records Parcel No 1774-001-001-0 Panhandle Heatth District ; '- hl it ti{: [r i1":''' I r,':11/r,, -Site Se A lication 0/ -2f 'oo A sitc evaluation is not an approval or a permit to install a septic system. Permit approval depends on the following: Site evaluation approval,r' orcdicted maximum daily scwage flow; house size and location; well / spring location; surface water locations; changes to native soil (road "..;Trlint, benching); distancc to neighboring structures (wells, buildings, drainfields); proposcd lurd use; soil quality; other issues of Permits to construct a septic systcm are not granted until all such issues are addressed and / or submined in writing as parl of thc plot plan / pcrmit application AND found to be consistert witr current regulations. AI\[Y CHAIIGES TO THE STTE OR COND]TIONS OF THE APPLICATION AFTER TSSUAI{CE OF THE PERMIT MAY RENDER THE PERIT{]T INVALID. fJ Site Evaluation Oumer's Name Mailing Address City LegBl Descripion SuMivision EJ Site Evaluation & Permit EI Permit T,-tl rt.=tr t rzl/Date 3- lT_ o / Phme # State fr/ z;p T{I R s.9 Parcel # O - /7 7y'- e/- oo/ - r) ,Dtrn,t/o,r/ 0d', Esk/.sb' / Block / siz*5_ (Acres Locdrn/CJaJr(- (,) Dt<r*,L-/r Name frzr,/ T/t*^.., d/ 7t(- 7zd2-' Mailing Ad&ess City Applicant is: D Phme# 76')^t{/ F Sate f,"/ zrp ! 3,5 s; Landowner Zl€ontractor D Installer tr Other E Replacement D Community (3 to 9 dwellings) Is there an existing dwelling on this parcel? E Yes W{lo Description Tlpe of Septic Installation @{"* Proposed Use El"lndividual Tlpe of Dwelling./ {srngteFamily Residence U Commerciat E Large Soil Absorption (2,50 grl / &y or l0 or morc dwcllings) fl Multiple Family Res. D Other flFor Sal3L & Mdtiph Frolly R.ddc.cr. Orly)-- # of Bedrooms 5 # of Livine Units / # of Baths Garbage Disposal El'Yes E No Sq.Ft.J-{t #ofPeople L (Fo. CoooErity, Cooaccdr[ lrrt So0 Abmrptior & Errdnc.rld S,d.ot Ooty) Average Daily Flow- Peak Daily Flow - / /l t %/, hrrlrt HighlightedAreas Are Required for the Perrrit Process to be Initiated; All Information Required for Completion Panhandle Health District I ON-SITE SEWAGE SYSTEM PERMIT I Septic Permit # SP 01-28-0057 lssue Date3/15/2001 This permit is valid for one year from issue date for an individual subsurface sewage disposal system for: Parcel # 0-1774-001-001-0, Township 5lN, Range 04W, Section 3, Boise Meridian; Lot 01, Block 0l of DIAMOND BAR ESTATES; a 5.00 acre plot currently belonging to JAMES PENZKOVER. The system has been sized for a2785 square foot single family reidence with 3 bedrooms and 3 baths. The following conditions are placed upon the permit: SEPTIC tO#[*acity wittbe at teast 1000 sanons*lt is recommended that the tank capacity be incrpsed 50o/o due to utilization of a Garbage, Disposal or tank pumping ffiuency incre#ed to annually. DRA I N Fr E h%fit"r3nTilHxl il:ih. square reer I CONDITIONS- No parking, driving, structures or livestock over the drainfield or replacement area. Man utactu re/s Recommendations must be fol lowed bn al I componenb. Maintain all separation distances listed on the penriit and/or listed within the Technical Guidance Manual for lndividual and Subsurface Sewa$e Disposril. SEPARAttB![.?Hm[tg5*e*ins roundarion - 5 het minimum. Distance of tiank from well - 50 feet minimum. Distance of tank from private water [nes - 10 bet minimum| . Distance of tank from public water lines - 25 feet minimum Distance of field from property line - 5 feet minimum Distance of field from dwelling foundation - 20 feet minimum Distance of field from well - 100 bet minimum Distance of field fnom surhce water - 300 feet minimum Distance of field from septic tank - 6 feet minimum Distance of field from water lines - 25 feet minimum Permit lssued by must not 4 feet in depth unless specffied altemative system , Environrnental Health Specialist FinalApproval of this Permit requires inspection of the system in the ground, uncovered, and submitta! of a plot plan distinguishing system construction specificatiohs and final layout including location on the plot with respect to other permanent structures. To Schedule a final lnspection call the number listed below. Reference: Rures & Regulations for individual and Subsuilacc Sawage Disposal S/stems 2195lronwood Court . Coeur d'Alene, ldaho 83814 . (208) 667-9513 Page 1 of1 Panhandle Health District I ON-SITE SEWAGE SYSTEM PERMIT lnstaller's Copy Septic Permit# SP 01-28-0057 lssue Date3/15/2001 This permit is valid for one year from issue date for an individual subsurface sewage disposal system for: Parcel # O-1774-OOI-001-0, Township 5lN, Range 04W, Section 3, Boise Meridian; Lot 01, Block 0l of DIAMOND BAR ESTATES; a 5.00 acres plot cunently belonging to JAMES PENZKOVER. The following conditions are placed upon the permit: sEPTlc *llT; caoacitv wilt be at teast 1000 oaltons'ilt is rlcomnrehOeO that the tank capacity-be increased 50% due to utilization of a Garbage, Disposalor tank pumping frequency increased to annually. D RA I N F I = h%,ffi E' 3;:1?,i'l 3 :111;" 3 0 0 s q u a re reet CONDITIONS- No parking, driving, structures or livestock over the drainfield or replacement area. Manufacture/s Recommendations must be followed on all components. Maintain all separation distances listed on the permit and/or listed within the Technical Guidance Manualfor lndividua! and Subsurface Sewage Disposal. Permit lssued by John K. Lawlor - 667-1868 See EHS field plot ptan for location of drainfield and replacement area if attached. Final Approval of this Permit requires inspection of the system in the ground, uncovered, and submitta! of a plot plan distinguishing system construction specifications and final layout including location on the plot with respect to other permanent structures. Please call (208) 667-9513 to schedule a final inspection of the system prior to covering the system. NOTE: AT THE TIME OF FINAL INSPECTION, A GREEN OR RED TAG WILL BE TIED TO THE SEPTIC TAI\K. A GREEN TAG INDICATES SYSTEM IS APPROVED AI\[D READY FOR ]ACKFILL. A RED TAG INDICATES A PROBLEM AND PI{D MUST BE CONTACTED. 2195lronwood Court . Coeur d'Alene, ldaho 83814 . (208) 667-9513 Page 1 of 1 L (#tp{t( I l(:t4-.>r }{s" $ i8 - "-'r - --'rr\------- .- -1-. -- 0*,nfr"// -.SITE PLAN.. THE PLAHNING DEPARTTIENT Y\NLL REOUIRE THE FOLLOWNG INFORMATION ON THE SITE PI.AN BEFORE ACCEPT|NG YOUR APPLEAnON. (Ses Example Site Plan). tf you have questions regarding certain requirements. please ask to speak with a Ptanner. Wtthout 8 proper site-plan. a Planner wilt be rgquired to visit the site for an artditional $40.00 fee. We thank you for your cooperation. r. Show Norh Dkection2. Scale, you must use 1 square = an even number of feet (e.g.20 feet,40 feet, 100 feet,600 feet depending on the size of your property)3. Drawn on 8-112'X 11' size paper4. Boundaries of your entire parcel, induding dimensions (you may need a plat map of your property)5. Locatftrn. dimensi{rns, and purpose of rights-of*vays and easoments. and other sEuctures6. Locationt dinpnsions, and use of all existing and proposed sfucfures7. Didranccs of eristing and proposed sfuctures from all proporty lines, Forn rights-of-wa)6, easetnenb, and other struct res8. Locatirrr of all u$lities, labeled existing or propced, induding septic tenk and drainfield, weter. potltr, phones, etc.9. Locations and dinrensions of all proposed and existirg road8. driveways. parking areas, patios, decks, wallways, and other impervious araa(s) 10. Locatim of any surface water (steams, culverts, drainage ways), or any distinguishing land features such as slopas, wilfiin or adia€nl to the parcel 11. Extent of area $'hi€h will be disUrbed by constsudion adivity, daaring, digging, or eattr moving 12. Or the back of your site plan, please provide detailed dhections to the site. ts 1 r, ? (,.: i,l \ u \:--J ,l $o r *lN ADDIIION: PtEllSE SHOW gACf DR[yEflYAY LOCAflON US"UG flEASUREHETYIS TO E,,CH S'DE OFPROPERTY UNe. ln the spacc provided below, please y' or I any of the appropriate boxes. Include descriptions wtrere possible (i.e. Surface Water - Twin Lakes). Please provide a dimensional plot plan including: all marked items below; location and size of proposed or existing drainfields and associated replacement area(s); home site; location of and distances from all existing water supply system features; proposed or existing storm water management structures, property lines,e. rents and right-of-ways; neighboring structures of concern; location & size of all buildings and stnrcnres on the ProPerty. D Sutf"". Water f] C-rtr /dirches E w"lt- public lpnvarc El sp'ine E E,'"r*s fl stom wata Managcmenr - E Cur Banks PLOT PLAN D w.trrtin. - public / private D N.igttUoring dwcllin E N"ighboring wetls E r.op".ty Line E ol., i-& I w f S. ot/"r/*/ s'/< z /e,--, / lnrre -o/ B)' m)' sigmature above. I certifu that atl answers and statements on this application are tnre and complete to the besl of mv knowledge. I understand that should evaluation disclose untnrthfu! or misleading answers, ml, applicatlon may be rejected or my permit canceled. I accept the responsibility to noti$, Panhandle gealth Oisrnct of ar:1' rhanges to the above information if performed prior to comptetion of the permined s!,r.ie,n. !;Ia i As-Built Plans and Specifications We require as-built plans on all installations so that current and future ownenr can locate and maintain their scwage systems and avoid disrupting them with buildings, driveways, etc. as outlined in Rules for Individual and Subsurface Sewage Disposal Sysrens, Section 16.01.03.005,15. Ao accurate drawing depicting actual constnrction must be submitted to Panhandle Health District within thirty (30) days of an approved final inspection AS-BUtLrbrSP o/ - ) tr - al,t w-#-a I RECEIVED s \FP i 5 I't{11 lo'L PANHANDLT HTAITH DI$TffICT 1 Le rc lt trrc tr/13 0 t.orct '3q I .-.rq ['r. 228{l)*r*,/&'e /" l/Qa Inst/er # At i-o t I)ateInstaller's Signature W * By rny signature above,l certify that all drawings anrl statements on t#s as-built are tnre and cornpletc to the best of rn.v krrorvledge. I understand that should evaluation disclose untruthful or misleading infonrrution. nty as-hrrilt rnr,r, hc re.iected or the pernrit disapproved. As-Built Plans and Specifications We require aq.built plans on all installations so that cuncnt aod futue ovunerts can locate and maintain their sewag6-systeirs andavoid disnrpting them with buildings" drineways, etc. as ouflined nRulesfor Individrul 4nd Suhfurface Sewage Disposal $rcms, Section 16.0I.03.005,15. An accurate drau,ing depictiog actud fq}#.H:Pmustbe submittedto Panhandle HcalthDistrict wittrinthirty (30)dap ofanryprovcdfmal AS-BUILTbTSP 0&2e0273 O--*(Z4r-JID O I ,, @ Installer'sden6 lnstallcr#Th I t i: I By my signaturcabovc, I ffitiry &a all drarvings and statements on this as"built are true and complete to the btx1o.[my knowledgc. I utdcrstand that shouldevaluation disclom rrrtruthfrrl or misteading infonnation, my os-built may be rejected or the permit disapproved. IYI*-P' 3 Parcel No. 0-1774-001-002-0 eE"E rED *;:;:h- .?s to)tod aeP ENIFRFD rr-,r , .,,^li 'JvtJ { @ Panhandle Health District I ON-SITE SEWAGE SYSTEM PERMIT Septlc Permit # SP 98-28-0273 This permit is valid for one year Aom issue date for The following conditions are placed the pcrmit: SEPTIC TANK- will bs at least 1000 Section hathebnk ortank pumplng 8tre at least squarsftet dwelllno weil-5[bunrhton-5Grt lbetmhimum Dlstance oltankfiom Dlr0anca olfeld lesue Datg6fzl98 subsurface se$tage disposal system for: with 4 bcdroous and 3 bsths. due b utilization of a Gat0age toannually. minlmum spedlied dbmaWcrysbm , Erwimnmenhl Hegllh SpechlFt DRAINFlELD o a a o a SEPARATION DISTANCES: of Enkftom olbnkfrom of tankfiom Dlgtanoe Dletance Dlstance@ fom fiom from llom liom -5 Permit lsrued by Dlsbnce otfleld DlaEnceof field well- otfield of fisld of fieldftom not 4 feet ln to unoover€d, and fnal lawut includino a finat lnspec-tion caf! Rehnne:Rtros&bt &lldtvtdtN ilrd Subsurfeo Seuaga Dlryosal qrferils 2195 tronwood court . coeur d'Alene, ldaho 83814 . (208) z6s-39s3 Page I of 1 @ In the space pmvided below, please y' or I any ofthe appropriate boxes. Include descriptions where possible (i.e. Surface Wat€r - Twin Lalces). Please provide a dimensional plotplan including: all marked iterns below; location and size ofproposed or existing drainfields and associated replacement area(s); home site; location of and distances fitom all existing water supply system fcatue$ proposod or existing storm urater management stnrctureq property lines, right-of-ways; neighboring stnrctre of concern; location &si?E of all buildings and stnrctures on the E[ tr tr E storm s/ater Managcment - {tr Elxagmoagwctts u fttBenks E nopertyt ioe Eoilre" 4gpements and f1ffipr*v. E Surface Warer @T PLOI PLAIII my signatrue above, I certi$ that all answen and statemens on this applieation arc true and complae to the best of my knowledge. I rurdersand that should evaluation disclose untrttthftl or misleading an$ilGrs, my application may be rejected or my permit canceled. I aocept the responsibility to noti$ Panhandle Healttr Dishiot of any changss to the above information if performed prior to completion ofthe permined $ystem. I'q' , P-nt t,Q" N I _.-.{co + r 1 g= +. L6r- a Btk- t Parcel No 1774-001-021-O rrivTEREU tIi ; ] 2litllanhandle Health District I -f(r-Site Sewa eS stem A lication 0 3- A site evaluation is not an approval or a permit to install a septic system. Permit approval depends on the following: Site evaluation approval,' rredioed marimum daily sewage flow; house sizc and location; well / spring locarion; surface waler locations; changes to native soil (road , grading, benching); disunce to neighboring strucrures (u'ells, buildings, drainfields); proposed land use; soil quality; othcr issues of concern. Permits to construct a septic system are nol granred until all such issues are addressed and / or submined in writing as psrt of the plot plan / permit application AND found to bc consistenl with current regulations. ANY CHANCES TO THE S]TE OR CONDITIONS OF THE APPLICATION AFTER ISSUA}ICE OF THE PERMIT MAY RENDER THE PERMIT INVALID. D Site Evaluation Ovvner's Name Mailing Address City Legal Description Subdivision lactiqt /Dirccrioo3 / Ptryucd Addrqs Evaluation & Permit 6e-AH/ tnA hA)Date fl Permit L-/0-o3 Phone #4 c. 70 -5{i6 State k\ Zip SStst Parcel# O -l ZZ/ -oo/ _o\/ _ o R otttocv*t T.trl RoYr./ S. 03 D r *moaD B*tot 21 Block / Sizc f *.Qei- (Acres / -nlicant Name a = *?vt€ E,t,{ 4 Mailing Address City Phone # State zip Applicant is: E Landowner fl Contractor E Installer D Type of Septic Installation [New Proposed Use FJndividual ElReplacement E Community (3 lo 9 du.llings)(2J00 gtl / dsy or l0 or oort duallintr) E Large Soil Absorption Is there an existing dwelling on this parcel? D Yes "8.I,{o Description Type of Dwelling Ningle Family Residence fl Commercial E Muhiple Family Res. E Other (Por Slryh & Mrldph Frl&y Reddcrcrr Ody) # of Bedrooms 3 # of Living Units # of Baths Llu Sq. Ft.2o@a # of People ? Garbage Disposal EIYes E No o?,36;t/' ?- 1P-oS(For Cooooriry, Cooucrcir\ f,.rtc SoI Ab.orpth. f E!ti...rd S,ltrnt Odyl Average Daily Flow- Peak Daily Flow - Highlighted Areas Are Required for the Permit Process to be Initiated; All Information Rquired for Completion Panhandle Health District I ON-SITE SEWAGE SYSTEM PERMIT o 'rtic Permit # SP 03-28-8814 tssue Date 02112/2003 ^.,rs perrnit is valid for qne year from issue date for an individual subsurface sewage disposal system for:,&/ Parcel # O-1774-OOlft-0, Township 5 I N, Range 04W, Section 3, Boise Meridian; a 4.84 acre plot currently belonging to GERRY MAIIN. The system has been sized fo,r a 2000 square foot single family residence with 3 bedrooms and 2 baths / The following conditions are placed upon the permit: ..,' SEPTIC TANK-. Tank Capacity will be at least 1,000 gallons . DRAINFIELD (& replacement area)- . Minimum field size will be 300 square feet. CONDlTIONS- Maintain all separation distiances listed on the permit and/or listed within for lndividual and Subsurface Sewage Disposal. Manufactureds Recommendations must be follovved on all components. thd Technical Guidance Manual No parking, driving, structures or livestock over the drainfield or Water Service lines must be double.eqcaSed within 25 feet. Drainfield must follow the contour of the native slopes. ..NOTE. UM reolacerhent area. lf this house is located on flat ground and has a split level entry or a basement with plumbing, and ff the drainfield is to be located in a depression area and/or cannot mpet ALL separation distances, then a pump back system will be required. SEPARATION DISTANCES. Distance of tank ftom dwelling foundataion Distance of tank from private well - 50 feet Distance of tank from public well - 100 feet minim Distance of tank from private water lines - 10 feet Distance of tank from public water lines - 25 feet UM Distance of field from property line - 5 feet Distance of field from dwelling foundation - 20 Distance of field from well - 100 feet minimum Distance of field from surface water - 300 Distance of field from septic tank - 6 feet m minimum inimum m Distance of field from water lines - 25 feet Drainfield must not exceed 4 feet in depth uhless specified alternative system Permit Issued by , Environmental Health Specialist Erik Ketner Final approvalof this permit requires inspection of the system in the ground, uncovered, and submittalof a plot plan distinguishing system construction specifications and firral layout including location on the plot with respect to other pennanent structures. To schedule a final inspection call the number listed below. Relerencc: Rules & Reguhtiotrs Jttr indtvisuul and Stthsudace Sev,oge Disposals]srem.s 2195 lronwood Court. Coeur d'Alene, ldaho 83814. (208)-667-9513 Page I of I Panhandle Health District I ON-SITE SEWAGE SYSTEM PERMIT lnstaller's Copy -eptic Permit # SP 03-28-8814 lssue Date 02112/2003 ihis permit is valid for one year from issue date for an individual subsurface sewage disposal system for: )arcel # 0-1774-0010921-0, Tou,nship 5lN, Range 04W, Section 3, Boise Meridian; a4.84 acres plot currently relonging to GERRY MAHN. l'he lollowing conditions are placed upon the permit: SEPTIC TANK-. Tank Capacity will be at least 1,000 )RAINFIELD (& replacement area)- . Minimum field size will be 300 square feet. 30NDITIONS- Maintain all separation distances listed on the permit and/or listed within the Technical Guidance Manual for lndividual and Subsurface Sewage Disposal. Manufacturer's Recommendations must be followed on allcomponents. No parking, driving, structures or livestock over the drainfield or replacement area. Water Service lines must be double encased within 25 feet. Drainfield must follow the contour of the native slopes. ii til h;;;;i; i;;J;;;Il"li; il ;;;;;i;i i",;i ;;if o., , basement with prumbins, and ir rhe drainfield is to be located in a depression area and/or cannot meet ALL separation distances, then a pump back system will be required. See EHS field plot plan for location of drainfield and replacement area if attached. Final approval of this permit requires inspection of the system in the ground, uncovered and submittal of a plot plan distinguishing system construction specifications and final layout including location on the plot with respect to other permanent structures. Please call (208)-667-9513 to schedule a final inspection of the system prior to covering the system. NOTE: AT THE TII\{E OF FINAL INSPECTION, A GREEN OR RED TAG WILI, BE TIED TO TIIE SEPTIC TANK. A GREEN TAG INDICATES SYSTEM IS APPROVED AND READY FOR BACKFILL. A RED TAG INDICATES A PROBI,EM AND PHD MUST BE CONTACTED. 2'195lronwood Gourt . Coeur d'Alene, ldaho 83814 . (208)-667€513 Page I of I As-Built Plans and Specifications lVe require as-built plans on all installations so that current and future owners can locate and maintain their sewage s)6tEms and avoid disnrpting them with Suit.lings, drivewala, etc. as outlined n Rules for Indivi&nl and Subsurface Senage Disposal Systerns, Section 16.01.03.005,15. An accurate drawing depicting acnrd truction must be submitte{lo-lanhandle Health District within thirty (30) da1n of an approved final inspectiou. RECEIVED AS€UILT for SP 0&28{814 Ma! I /003 PANHAI{DLI HEALTH t)ISIffiI 1 s) ,- /o? \(-( tr) d\9 ss \ a /a., 3a' //- /v - 0 v R tv,Jt d L/ i l l I '1 ru6ller's #Date ly my signature above, I certiff that all drawingp and on this as-built are hre and complete to the best of ny knowledge. I understand that should evaluation ejected or the permit disapproved. untnrthful or misleading information, my as-built may be 2lg' lronwood Court. Coeur d'Alene, ldaho 83814. (208)667€513 ?tf --PP-t* ozl- o i i ;Bra&;;;r' --"! : wrmm ff .r I[. .peWurri !Ir-tu!. !Pe; r+mgltr '1thr& !,,-..--i. "i- ''.-' 'i ' 'i'i $ dn! ;:i':* - i I.l- t--:- I -+ -" .i...-.-.- ii+.----- --'i -iii!., ! i8z i.--l :h {t4 \,$ s \tt\ J ...vl-$ '^'sd +tL4 .i . .'." k &olqt,D*J. ' '' 'T- *.-.-...-.- ---+- I : .t i ! I l^ ! a-- i. .t '1 ....-, -....4 i - - 1'-i-"-*'i- 1 - --.- .-.:. ,..i.*---. ' .J.ii:....- i.--F -.- r--'1-'.1;ll t; .i 'i:: i :'",1 --1.. "r .' . I I t1 ,il i-,...i l n- -i $*A\a\ -t--.--.&-i- -.4- -. t- -- - - 'Plaage seo reverss for lnefildions. >* E, Hi;Ir$''t* + @ft- ,+-Fi , --- --Er.- 6i,l.r l?FtEl gq;r,tri it' l1b l?h FT : &-,/A ,lq[ t[l' 'l$- ,- --jiiE ,& ry -!:=B.-ff -- fu=*tr__ -___lt.!,ft g- -.. * -!!!! "'dIt '8, ,rrdt ti t "Hl;q- oq) o 'l?h Er ,,iil ET- Ytp _ EF"- -_'-&"-,ff --o- ofrl-" -'r- q, trl & o u Eq S \- q e lO R,,fJ(rt t-. 0? dq) ln -+- -"-clBlL I -tlillr- ' rdf-Er- -- at__-_OI (rTI at raEI, I?Lu I 6rttr:o ff ttu hJ' t$ 6trb Hr t# $ l*IJ .g I I I i I I I eriSUiL lrsl--!t:r i; --s -- o- -- ttaF--- xltF - x$n - -!t".JI!, -). . E5Ja- &-f B, EI ct+ -. Lq { -& R, EF ,tlrtr; iiitff tr t E PJiIFlit INo *flri. - ff tI Vt? Tl.t5ol!irI 1 I 'I '-l Ir:' ii!i 'i oo I.toz tl 3 IitHl.,J { ! Iii :t 4 I t t: B\L s E tttlI ,c a.s tl --- In the space provided below, please y' or I any of the approp,riate boxes. lnclude descriptions where possible (i.e. Surface Water - Twin Lakes). Pleasc provide a dimensional plot plan including: all marked items below; location and size of proposed or existing drainfields urd associated replacement area(s); home site; location of and distances from all existing water supply system feanrres; proposed or existing storm water management stnrctures, property lines, ?ments and right-of-ways; neighboring structures of concern; location & size of all buildings and stnrctures on the property. EI surr."" water fl c-"tt /dirches E wett - public / privac O W"totin. - public / privatc E spring E cut g*tt E r.s.--ts E So.* Watcr Managernert E Nagruoring dwellin E N"igt uo.ing wells E P.p"tty Line E otto PLOT PLAN w I anre 54 I&I E Date By my signanue above, I certiff that dl answ€tr and statements on this application are tnre and complete to the best of my knowledge. I understand that should evaluation disclose untruthful or misleading answers, my application may be rcjected or my permit canceled. I accept the responsibility to notiff Pan]randle Health District of any changes to ttre above information if performed prior to completion of the permined system. Parcel No. 0-1774-001-022-0 nhandle Health DistricGllTERED iUN 2 i 2001 A site evaluation is not an approval or a pcrmit to install a scptic system. Permit approvd dcpcnds on thc following: Site evaluation approval, " oredicted maximum &ily scwagc flow; housc sizc and location; wctl / spring locarion; surface watcr locations: changcs to native soil (road , grading banching); distancc to neighboring structures (wclls, buildings. drainfields); proposcd land usc; soil quality; o&cr issucs of concern. Pcrmis to oonstnrct a scptic systcm arc not granrcd until all such issucs rc addressed and / or submiued in rvriting as part of dtc plot plan / pecnit application AND found to bc consistcnt with ctrrcnt rcgulations. AI\IY CTIANGES TO THE SITE OR CONDITIONS OF THE APPLICATION AFTER ISSUAITCE OF THE PERMIT MAY RENDER THE PERMIT II\TVALID. tr Sirc Evaluation Ov,mer"s Name Mailing Address City o p-L n A On-Site S s F Site Evaluation & Permit Cnve rt . R,iouo lication E Permit Date 6-e/:9/SETT Phone # 77A-7/e 4 /s10 State ZO . zip 83t3 { LegdDescription Ti$, R.q S.3 Subdivision Orqrro, O 8,<p* €S/ATES r-ot tp- srocr I Parcel # Size 77 o 4 .314 (Actes ffiiffi-" A,. gt ro 8o Aoplicant Name rvlailing Address City Applicant is:ffConractor El Instatter U L . raf(\ State zip tr Phone # Type of Septic tnstallation FNew Proposed Use {roAria*r Large Soil Absorption (2J00 grl /&y a l0 a nur &rdlin8r) flReplaccrnent tr Comnrunity (3 to9dudlinSt) Is there an existing dwelling on this parcel? fl Yes k*o Description Type of Dwclling HSiogl" Family Residence E Commercial E uuttipte Family Res. E Other $c Sbgh f MrSb frrly Rrddcro {hly) # of Bedrooms # of Living Units #of Baths e'{Sq. Ft.39oo Garbage Disposal .UVo E No # of People { (?ocConrlry. Crlrlcit trr1r S.I At o4dc & E th..nd SFru O.ty) Average Daily Flow- Peak Daily Flow OTIDE 2t I{iSDlighted Atcas Arc Required for the Perrrit Proc€ss to bc Initiatc{ All Inform*ion Rcquircd for Complaion ol odKb- Be Panhandle Health District I ON.SITE SEWAGE SYSTEM PERMIT ividual subsurface sewage disposal system for: Parcel # 0-1774-001-022-0, Township 5lN,w Section 3, Boise Meridian; Lot22, Block I of DIAMOND BAR ESTATES; a 4.37 acre plot to DAVE H zuCARD. The system has been sized for a 2900 square foot single family 4 and 3 baths. The following conditions are placed sEPrc ,olllh"r"",, permrt: will at least 1*"lt is recommen Septic Permit # SP 01-28-0277 This permit is valid for one year from issue date for Disposal or tank pumping DRAINFIELD (& replacement area)-. Drainfield size will be at least 300 SEPARATION DISTANCES: Distance of tank from dwelling fou Distance of tank from private well Distance of tank from public well - Distance of tank ftom Distance of tank from Distance of field from Distance of field from dwell Distance of field from well -feet minimum Distrance of field from Distance of field from Distance of field from water - 300 feet minimum Permit lssued by lssue OaE7l3D0A1 ) 50% due to utilization of a Garbage, annually.uency increased GONDITIONS- Drainfield must bllow the contour of the native slopes. Water Service lines must be double encased within 25 Seurer lines / Efiuent Lines must be double encased square feet the or allcomponents. - 5 feet minimum het minimum feet minimum lines - 10 feet minimum lines - 25 feet minimum - 5 feet minimum - 20 feet minimum area tank-6feetminimum lines - 25 bet minimum Drainfield must not 4 feet in depth unless specified altemative system , Environmental Health Specialist n Final Approval of this Permit requirbs inspection of the system in the ground, uncovered, and submittal of a plot plan distinguishing system construction specifications and final layout including location on the plot with respect to other permanent structures. To Schedule a final lnspection call the number listed below. Reference: Rules il Regulations for individual and Subsuiace Sewage Drsposal Systems 2195lronwood Court. Coeur d'Alene, ldaho 83814 . (208) 667-9513 Page 1 of 1 Panhandle Health District I ON-SITE SEWAGE SYSTEM PERMIT lnstaller's Copy Septic Permit# SP 01-28-0277 lssue Dab7l3l2001 This permit is valid for one year from issue date for an individual subsurface sewage disposal system for: Parcel # O-1774-O}l-022-0,Township 5lN, Range 04W, Section 3, Boise Meridian; Lot22, Block I of DIAMOND BAR ESTATES; a 4.37 acres plot currently belonging to DAVE H RICARD. The following conditions are placed upon the permit: SEPTIG 'TlT; capacity witt be at teast 1000 gattons (concrete only) "'lt is rec6mme-nded that the tank capaci$-be increased 50% due to utilization of a Garbage, Disposal or tank pumping ftequency increased to annually. DRATNFT=L%,ffi 3'#:1",i13:,11;"300squarereet coNDtTloNs- Drainfield must follow the contour of the native slopes. Water Service lines must be double encased within 25 feet. Sewer lines / Effluent Lines must be double encased under roadways. No parking, driving, struclures or livestock over the drainfield or replacement area Manufacturer's Recommendations must be followed on allcomponents. Permit lssued by Ken Babin - 765.4195 See EHS field plot plan for location of drainfield and replacement area if attached. FinalAppro-val of this Permit requires inspection of the system in the ground, uncovered, and submittal of a plot plan distinguishing system construction specifications and final layout including location on the plot with respect to other permanent structures. Please call (208) 667-9513 to schedule a final inspection of the system prior to covering the system. NOTE: AT THE TIME OF FINAL INSPECTION, A GREEN OR RED TAG WILL BE TIED TO THE SEPTIC TANK. A GREEN TAG INDICATES SYSTEM IS APPROVED AND READY FORBACKFILL. A RED TAG INDICATES A PROBLEM AND PHD MUST BE CONTACTED. 2195 lronwood Court . Coeur d'Alene, ldaho 83814 . Page 1 of 1 (208) 667-es13 .SITE PLAN- PI.AI{NING DEPARTTIENT wlLL REOUTRE THE FOIIOW|NG NFORMAT!OT{OT{ THE SITE PIAN BEFORE ApagPflltlg YOUR APPUCATIOil. (Sc6 E€rtplc Sna H!n). lf you havc questions Coa$ ask b spcek rrith a Planner. Wlhout e propcr aitc plan, a Planner will bG erldit onal $40.00 hc. lnb hank you 6r yor coecration. Egnrdm0 cartBh ngquhdnGnb, rquird to vidt the sit€Sor sr l. Shryi,lorthDfuibn2. Scale. you must use.t equaa = an ovln number of hot (c.g. 20 hol 4o bsq 100 bet, 600 frd dPcnding on thc rtscdyur propcrty)3. Drann on&ltt X 1l'sb papcr4. Eqrndrics d your ofirc parel. hcldirg dfncngbns (you nny nccd a plat rup d your propety)5. LocaUon. dfnmslona. nd pupooc of riefiteot'*af and caoeirrnb. and otlrcr $uct rcs6. Locd0n. dim.niqt. lnd ulc drI cxiding alttl pmpcstl ltrJct ls7. DbEao of cr&lhg ax, prcpod sfirrcttrs f,om Cl progcrty In6. tom rigttE"d-{aF. ta8tmltil8, sd oillc tiltrt.ncE. locatlon d a[ ufll0ce. bbclcd Grdsfrrg or prcpoecd. hdrrding t pdc tmk and dtefficE, wCtr. potillr, phones, 1e.9. ' Loetonc anrt dincnrlons dall propccr, ad.rdshg rrds, dhrcways, euhhg t!s, Pat6, d.dcr, wall<wa1le, lrd drGr inpcnbns ru(s) 10. locaton of any enfrcc rrllbr (ltsnc. crrvlrB. &rhsgp wayr). or riy dEthgfiNthg hnd het,lrts such es 3bp.s, urilhh or ediacgil b tr. plcd 11. , Er0nt darce urthh wll bc drtrtql by cuutncffon rdivf,y, dculrg, dbhg, q cetr rrtoyitg 12. On tE br* dyou rib pbl plcale erorride dahllcrl rriudions b thc alb. E n I Ii I Nl-I I yi I i il I K rAllI II I v(w )I all, I ilr hIrtI I i li tl rl '*I :r II li ,.i3 7 I !I I !0iliro I il6ii,rl iili;iilli t ,[ot: r,I I I I!I :ii ir(si ll rII 4 )iilt Ii iii l+I :l ,I Ir!I ii;. I ll V,I II j.ill!:I I :lii!>:rlt- I I I I _lirl i i.i i IIIrllt :i !i! II I:lr'ai i - i\ i [^ll:':itli I I 'a;\illitriI':l | '.t lli1:I I I L\1 l\ I I ttcl / Iri i:r:rl \:t I N;: !llrl lll t:l irrtl;.!l:!.i --J.I ;lli;' 11! !l ,Jt;ZLLoI o 4t AlDlTI/oll: PLEIISE SrrOW EXABT Df,nliEIilAYIOAITIOil USfrO XEASURflEilIS 'O EAO' S'AE tr PflOPEnW ljtilE- II ^lI &KL 2J E{.a {1( x DtlmoPn (L ) 5 l'.nnocasrgL P.o. In the space provided below, please y' or I any of the appropriate boxes. Include descriptions where possible (i.c. Surface Water - Twin Lakes). Please provide a dimensional plot plan including: all marked items below: location and sizc of proposcd or existing drainfields and associated replacemsrt area(s); home site; location of and distanccs from all existing water supply system features; proposcd or existing storm water management structures, proPcrty lines, e, ments urd right-of-ways; neighboring stnrctures of concern; location & sizs of all buildings and stnrchres on the pr Teft). El surf"". watcr El C-"tr / ditches EI wotl - public / privarc f] cut B*tt E E."..-tt E Storrn Watcr Managcmcrt - El wucrtin. - public / private E N"ighboring dwcllin" E N.lgt uoring wells E nop.tty Line EIotc' PLOT PLAI.I N I&I s lv E Stt ATTKcu{c -J/- onature By my signaturc above, I certify Orat all answers and statements on this application are true and complete to the best of my knowledge. I undersund that should evaluation disclose untruthful or misleading answers, my application may be rejected or my permit canceled. I accept the responsibiliry to notiry Panhandle Health District of any changes to the above information if performed prior to completion of the permined system. As-Built Plans and Specifications We require as-built plans on all installations so that current and future owners can locate and maintain their sewage systems and avoid disrupting them with buildings, driveways, etc. as outlined n Rules for Indivtdual and Subsurface Sewage Disposal Systems, Section 15.01.03.005,15. An accurate drawing depicting actual 'onstmction must be submitted to Panhandle Health District within thirty (30) days of an approved final spection. AS-BUILT for SP 0l.2'84277 tc w NI-ffi-' r s , f,'(.vo 't*/0o /o'/e0 \'\ l4r*t' L RECEIVED RUtl 2 s 200t PANHAIIDLE HEALIH DISIRICI 1 Otd/4o,uJ Er,. ,/ n' Installer's Signature Installer # Date By my signatureabove,_l certi$ thal {l dr-awqrgs an! sgtem.ents on this as-built are true and complete to thebel q{my knowledge. I understand that should=evaluation disclose untruthful or misleading infornoatiotr, ffiyas-built may be rejected or the permit disapproved. lf, lr! DrSlxIGl owt, ol t'ut ltttl irlDlcrr&Srtrl o, rDlID, If, ltD lon Tlll oowr ol DIBlIrrr ECIIE DUIaUllTT !0r.r.c.D. 5.(b, ron rrt r tl.gLC t5-1005a tD IC cSltl C.ra tlo. at5r6 f,tll! IE lDmttS! 800ECt: Q0ll*TAfIr DIIOERIr DIII: DOIXT! O' DrtESIOrt DIrf,OrD tln tSIlTts t&c 86rnf, L rrPErE DO DOA 9718lrDD, D tlars onoulD Itrra 2.70 Clgt5r.00 rrr L,'lzrlLtss t5lf, roaf, 301 lpr a,ot z PUrDOSI tD Prnlob or usr!PlrrD6t ot utt nlolctDrl CBnEI -Dllrllr. DICIE Pun8rruA !O r.n.C.P. 5atb)rrt = il.gbt 95-1005! (lmr , rttbta lbotcrt OouityIIEI ) PInIOD OI Ug! 01-01 !o 12-!1 N()v 2 2 2019 DEPARTMENTOF WATER RESOUFCFT P8E I arun-21-201t @ITITT2.70 cl8 !69.00 lF! PlrlCl O! UStr Plrca ol ur. fu rlthb tD. rr.r rarladby tDa ttDllc rrtarrrpDly lyrta of rha Dlrod Drt ll.tl!... olEA PnOVISIflt irCtSSlrl EA DrrrrlrtOl Ot rElrlArrrlrc Ot tIrIS Il?I8, I,lGrr fo tb axtalt B.cctr.r:z lor rfrLal.taatlo botuqa Dolatt ofdlrrrlo lot gaoud nt a, .rd b.tma pobt. ol dlv.arto for gaorEd ralaa atri DldrIrucally c@actad ttral.o! aot8can, grlorrDd urt r r8a lkrE, dlr.sEaal urdar thl. slght, tro Dl.lod t!.8 ElCrt.. r.11 IO. I loc.t d l! 151tr, l0ar, !0!, Lot , (!ntt). ratt PlItIl& rcnlt r3 gDirtct tp auct qEr& pnovlSlffi r!C!SSIAI rol tIt DttItIDtOI Ol ArC tIOttS 0E rcA IIlt llrtctlttlilIllsrlrllo[ Ol lTI rlltA llolg t8 llll la UlrIIArtJIDElltnlllE EI rE COUtll lT I PrOlIl tr IIE D Lllt' lSlr 1.E lmII o, r llltt UII:IIE D[CI!!. f.C. StCtIO[ a2-1a1t(61. ilrrE !a(b, ctETrlrcrrr tlGb r.rD.ot Eo gb laatra. dct.nh.d Dy tla aDovt ,udsaat or o!{or. tt, tt brab, ClE IIID, ln rccor{raccrl,tb Brla 5a(b), r.B.c.P., c,btt Eb. courE brr dG.trrtrad tLrt, tb.ta Ir to JurE 8..ro lG ol th. Gtry ol r tt,rl ,udgr.at ald ED.t Ei. eourc D.r .tr! do.. D.a.Dy.l18.ct tbrt tta aDov..brll b. a ltD.l Juderaot uDo rhlc! clasutlG [8ti l.rtra .!a rn qD..l rry ba t.LD ., Drqvldad rlD.llrtc Erla.. trlc ar. Dr.rl(ltDg iNllg. ol tD. Ooaur drilc.-gDotr !. etvar ldJtrdlcrtl@ HlUr JudhlalDletrlot Falle - Slale of ldaho N()v - s 2019 By Clod( of or ,.,{p rw iloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Resoonse Request No.: GSW-W-22-01 IPUC DR 38 38. ln reference to the Company's proposed minimum customer charges discussed on page 1 of the Application. Please response to the following: a. Please explain the rationale and/or criteria the Company used to determine the minimum customer charges for each system proposed in the Application. b. Please include any workpapers in electronic format with formulas enabled supporting the Company's proposed minimum customer charges. Response: a. There were several considerations in establishing the proposed minimum customer charge, including revenue requirement recovery, bill impact, and conservation price signals. The current minimum charges range from $21 - $4t. The $35 minimum charges accommodated an increase in the overall revenue requirement while remaining within the range of current minimum charges among the systems. The impact of rate consolidation of rates among the systems was considered in the rate proposal. In order to move towards consolidation, without consolidating all the systems, the minimum charges were all aligned and the differences in revenue requirements are proposed to be recovered in the excess (variable) charge. The proportion of revenue recovery in fixed (minimum charge) and variable (excess charge) rates was considered. The revenue at current rates in the test year is roughly 46% minimum charge and 54o/o excess charge; the proposed percentages are 35% and 65%, respectively. See Rafe Case Model,tab, Exh.5 (A) (Bill Analysis) row 17. a a a The impact to customer bills, particularly lower usage customers, was a factor in the proposal. lncreasing all the rates by equal proportion would have led to an increase in fixed monthly, minimum charge at higher levels than the current proposal. a a a GSW.W.22.O1 IPUC DR 38 NWN Response Page2ot2 Conservation price signals for excess usage are a factor in rate design. Collecting a higher proportion of the increase in the excess charge allows for customers to make decisions that impact bills and, in doing so, lower demand for water usage. The larger meter charges are based on applying AWWA weighting factors to the f -inch meter charges. These factors are applied to the f -inch meter charge to establish the 1 112- inch meter and 2-inch meter charges of $70 and $118 per month, respectively. See Rate Case Model,tab, Exh. 5 E_(AWWA Meter Factors) b. The Rafe Case Modelwas used to develop the Company's proposed minimum customer charges. The supporting workpapers are attached in GSW-W-22-01 DR 38 IPUC Attachment 1. ,^(t2 rw roturql'Y Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Resoonse Request No.: GSW-W-22-01 IPUC DR 39 39. ln reference to the Company's proposed minimum customer volumes discussed on page 2 of the Application. Please response to the following: a. Please explain the rationale and/or criteria the Company used to determine the minimum customer volumes for each system proposed in the Application. b. Please include any workpapers in electronic format with formulas enabled supporting the Company's proposed minimum customer volumes. Resoonse: a. There were several considerations in establishing the proposed minimum customer volumes, including the cunent volumes, conservation price signals, aligning the minimum charges across the different systems and ditferentiating between different meter sizes. The current volumes included in the minimum charge range from 5,500 to 20,000 gallons. The proposed volumes range from 7,500 to 10,000 gallons for the 1-inch meters. The weighted average of the cunent minimum charge volumes was roughly 10,000 gallons. See Rafe Case Model, tab, Exh.5 (C)_(unit cosf & billim). a a a Reducing the top end of the range of usage supports conservation of water by charging customers over 10,000 gallons for excess usage. The proposed range of 7,500 to 10,000 gallons provides an incremental approach to consolidating the minimum charge volumes that moves in the direction of consolidating the charges while mitigating bill impacts for customers. The minimum volumes for the 1 112- and 2-inch meters are based on applying AWWA weighting factors to the f -inch meter volume. These factors are applied to the f -inch meter volume of 10,000 gallons to establish the 1 112-inch meter and 2-inch meter volume of 20,000 gallons and 32,000 gallons, respectively. See Rafe Case Model, tab, Exh. 5 E_(AWWA Meter Factors) a GSW-W-22-01 IPUC DR 39 NWN Response Pqe2ot2b. The Rate Case Modelwas used to develop the Company's proposed minimum customervolumes. The supporting workpapers are altached in GS:W-W-2241 DR 38 IPUC Afrachment 1. ,.,{f) rw ilotursl' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Response Request No.: GSW-W-22-01 IPUC DR 40 40. ln reference to the Company's proposed commodi$ charges discussed on pages 2-3 ol the Application. Please response to the following: a. Please explain the rationale and/or criteria the Company used to determine the commodity charges for each system proposed in the Application. b. Please include any workpapers in electronic format with formulas enabled supporting the Company's proposed commodity charges. Response: a. The rationale for the Company to determine the proposed commodity charge for each system was based primarily on revenue requirement recovery and consolidation of systems for rate making. The revenue requirement was established for each system. The systems were combined to partially consolidate the eight systems' rates into four different rates. The minimum charge was aligned for all the systems (see response to GSW-W-22-01|PUC DR 38) and, therefore, the excess charge was used to recover the revenue requirement for each proposed ratemaking area. The proposed consolidation of the eight rate making areas into four rate making areas established four different revenue requirements. These different revenue requirement groupings were used to develop the excess charge. See Rafe Case Model,tab, Exh. 5 (A) BillAnalysis. o b. The Rate Case Modelwas used to develop the Company's proposed commodity charges. The supporting workpapers are attached in GSW-W-22-O1 DR 38 IPUC Attachment 1. o llW lloturol' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Reouest Resoonse Reouest No.: GSW-W-22-01 IPUC DR 41 41. ln reference to the Company's proposed consolidation of systems discussed on page 6 of the Application. Please response to the following: a. Please explain the rationale and/or criteria the Company used to determine the consolidation of systems proposed in the Application. b. Please include any workpapers in electronic format with formulas enabled supporting the Company's proposed consolidation of systems. Resoonse: a. The proposed rates in the application include rate consolidation of the existing systems. The proposed consolidation combines the Spirit Lake East system with the Lynnwood Estates Subdivision. These systems were acquired by Gem State in 2019 by Order No. 34372 and both were owned and operated by the same person since 2015. Both systems were combined in CPCN No. 293. The Bar Circle'S'and Diamond Bar systems were also acquired by Gem State Water in 2019 by Order No. 34416. These two systems are proposed as a combined, consolidated tariff. The Bitterroot, Rickel and Happy Valley systems were all combined into a single proposed rate in the application. These systems were acquired by Gem State Water in 2020 by Order No. 34616. The Rickel and Bitterroot systems were combined into a single company in 2017. Order No. 34027 maintained existing rates unti! the next general rate case. The most recent acquisition for Troy Hoffman was approved in Order No. 35108. The Troy Hoffman system is separate but is consolidated at the $35 per month minimum charge along with the other systems. a a a The consolidation provides some of the benefits of economies of scale and reduced time tracking tools and materials for each system. The consolidation can also reduce administrative burden of accounting allocations of Gem State Company GSW.W-22.01 IPUC DR 41-*tff:ry:'T costs to each system. This reduces redundant purchases and inventory and can help contain overall costs. By consolidation of the different ratemaking areas into a single rate the tariff structure is simplified, and it is easier to communicate the tariffs to customers. This presents an initial challenge of communicating different percentage rate increases to different customers but eliminates the differences by combining into a single rate. The larger, combined customer base also benefits by reducing rate volatility for the different systems as the capital costs are spread among a larger customer base. These investments are needed throughout the systems and by spreading the costs over a larger customer base, the impact can be "smoothed" out over time. This is similar to the investments in a large gas pipeline system (ex. pressure uprates in an isolated area of the distribution system)), that might not directly benefit all customers throughout the system, but over time these investments are needed in all parts of the system(s) and all customers will ultimately benefit. The proposal of consolidation helps to mitigate the impact of this type of investment. b. The Rafe Case Model, tab EXHIBIT 4_ (Revenue Requiremenf) presents the revenue requirement for each system in column (O) to (V). The proposed partial consolidation can be found in rows (l) through (M) and the overall Gem State Water revenue requirement can be found in column (E). The Nef Operating lncome Realized (row numbered 4) can be found in GSW-W-22- 01-IPUC DR 41 Attachmenf 7. The revenues and expenses are directly assigned where possible or allocated by customer counts. The Rafe Base (row numbered 1) calculations can be found fsle GSW-W-22-01- IPUC DR 41 Attachment 2.The assets are directly assigned where possible or allocated by customer counts for projects booked to Gem State Water. Irt Iotulo!' Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Response Request No.: GSW-W-22-01 IPUC DR 42 42. Please provide the revenue requirement and resulting rates based on the Company's proposal in the Application broken out by the eight individual water systems. Resoonse: The individual system revenue requirements, deficiency and percentage shortfall are shown below. Results can also be found in Rafe Case Model,tab EXHIBIT 4 Revenue Requirement). The Company has not developed rates broken out by the eight individualwater systems. o Total Diamond Bar Spirit Lake East Lynnwood Estates Bar Circle "S' Happy Valley Water Bittenoo t Water Co. Troy Hoffrnan Revenue at Existing Rates $574,600 $56,129 $187,456 $12,534 $180,083 $12,023 $84,863 $41,511 Revenue Requirement $976,412 $88,649 $334,949 $32,726 $223,413 $22,712 $1 78,1 99 $95,764 Deficiency $401,812 $32,519 $147,493 $20,192 $43,330 $10,688 $93,336 $54,253 Percentage 69.9%57.9o/o 78.7o/o 161.1o/o 24.1%88.9%110.0%130.7% .4.{} xw l{oturof Rates & Regulatory Affairs GSW-W-22-01 Gem State Water Company, LLC Application for an Order Authorizing an lncrease in its Rates and Charges for Water Service Data Request Resoonse Reouest No;: GSW-W-22-O1 IPUC DR 43 43. !n reference to the Company establishing separate charges for 1/, inch meters, 2 inch meters, and irrigation meters discussed on page 6 of the Application. Please response to the following: a. Please explain how the size of the meter (1Yz inch,2 inch, and irrigation meters) was determined when first installed. b. Please explain the rationale and/or criteria that will be used to determine the future installation of 1% inch, 2 inch, and irrigation meters for new customer installations on the Company's system. c. Please explain if existing customers will have the option to change meter size/type if the current customer's meter is not required for their cunent usage requirements. Please include any cost associated with a meter change if a meter change is possible. d. Please explain any differences between meters used for irrigation customers and meters used for non-irrigation customers. ln the explanation, please include any differences between the cost to install and required maintenance. e. Please provide the current and proposed rates for the inigation customers for all water systems. f. Please provide monthly consumption data for irrigation customers in gallons- by customer and meter size - for all months in which data is available from 2016 to present. Resoonse: a. There are no records on how larger 1 112 -inch and 2 -inch meters were installed were determined. b. In the future, larger meter installation is based on customer request if the project requires a large meter (e.9., fire protection or higher demand for commercial customers). However, the standard meter size is 1 - inch meters. c. Customers will be able to change out the meters if it is not required for their current usage. Gem State Water is in the process of meter replacement for allthe systems (besides Troy Hoffman) and so customers could downsize during that time at no charge to them. GSW.W.22.O1 IPUC DR 43 NWN Response Page2ol2 d. The meters are differentiated by size, but the actual meter cost is the same for irrigation and non-irrigation meters. e. The rates for current and proposed rates for irrigation meters in Diamond Bar (i.e., the only Gem State Water system with irrigation meters) as shown below: Not separately charged for second irigation meter $35.00 Not separately charged for second inigation meter $70.00 $1.16 $2.26 f. See Attachment GSW-W-22-O1-IPUC DR 43.f for billing data for irrigation customers tor 2020-2022. The data prior to acquisition are not available.