DDW-2024-008987

July 8, 2024

Bear River Administrative Site Well
Attn: Elias Primmer ([e-mail])
USDA, Forest Service
857 West South Jordan Pkwy
South Jordan, UT 84095

Subject: Well Seal Certification for the
Bear River Administrative Site Well WIN 448975
Summit County, Utah

Dear Mr. Primmer:

On June 18, 2024, I witnessed the sealing procedure for the well referenced above as
authorized by R309-515-6(5)(b). This letter is to certify that the well sealing procedure
met the requirements of Utah Administrative Code (UAC), Rule R309-515-6(6)(i),
Well Sealing Techniques and Requirements, and Rule R655-4-11.4, Surface Seals
and Interval Seals.

Table 1 summarizes background information on the Bear River Administrative Site Well.

TABLE 1
WELL BACKGROUND

Well Name: Bear River Administrative Site Well
Water Right Number: 2321002M00
Well Owner: United States Forest Service
Well Type: Public Water System (PWS) Well
Public Water System (PWS) Name: Bear River Administrative Site Well
PWS Number: 22090
Water Source ID: REPL-1 (WS003)
DDW File Number: 13443
Consultant: Rick Uddin, P.G. Geotech ESI

Table 2 summarizes, and Figure 1 shows the location of the Bear River Administrative
Site Well.

Well Seal Certification for Bear River Administrative Site Well REPL-1 (WIN 448975)
PWS No. 22090

Loughlin Water Associates, LLC Page 2 of 5 July 8, 2024
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TABLE 2
WELL LOCATION INFORMATION

County: Summit County
Nearest Town: Kamas, Utah
Location Listed on Start
Card:
North 1053 feet, West 620 feet from the East Quarter Corner of Section
29, Township 2 North, Range 10 East, Salt Lake Base and Meridian
(SLB&M);
UTM (NAD 83)
Northing: 4525842, Easting: 514235
Local Health Department: Summit County Health Department
Street Address: Mile Marker 47 Highway 150
Latitude/Longitude: The well is located at approximately:
40.88353255, -110.831047
Method Used to
Determine
Latitude/Longitude:
Utah Division of Water Rights Location Calculator
Datum: NAD83
Well Head Elevation: Approximately 8470 feet
Method Used to
Determine Elevation:
Utah Division of Water Rights Location Calculator

Table 3 summarizes the well driller information.

TABLE 3
WELL DRILLER INFORMATION

Name of Licensed Well
Driller:
Mike Zimmerman Drilling
License Number: 527
Company
Representative's Name:
Mike Zimmerman
Company Name: Mike Zimmerman Well Service LLC
Mailing Address: 6985 West 2100 South
West Valley City, UT 84128
Phone Number: [phone]
Responsible
Driller/Operator Onsite
During Well Sealing:
Christopher T. Hofeling (OR181)
Tyson Green (OR781)
Kelton Hoffman
Cody Dean (OR950

Well Seal Certification for Bear River Administrative Site Well REPL-1 (WIN 448975)
PWS No. 22090

Loughlin Water Associates, LLC Page 3 of 5 July 8, 2024
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RangerStation-GroutSeal
Table 4 summarizes, and Figure 2 shows the design construction for the Bear River
Administrative Site Well.

TABLE 4
WELL CONSTRUCTION INFORMATION -a
Well Drilling Method: Depth Interval Well Drilling Method
0 – 280 feet: Air drilling and foam
Borehole Diameter: Depth Interval Borehole Diameter
0 – 100 feet: 12 inches
100 – 280 feet: 8 inches
Blank Casing: Depth Interval Blank Casing
+2.0 – 270 feet: 8-inch diameter low carbon steel well production
casing
+260 – 270 feet:

6-inch diameter low carbon steel well production
casing
Well Screen: Depth Interval Well Screen
270 to 280 feet: 6-inch diameter stainless steel screen, 0.060-inch slot
size
Annulus Size: Depth Interval Annulus Size
0 – 100 feet: 2.0 inches (between the 12-inch borehole wall and 8-
inch diameter well casing in boring)
100 – 260 feet: No annular space between casing and native materials
260 – 270 feet: 1.0 inch (between the nominal 6-inch diameter screen
and 8-inch diameter boring)
Gravel Pack: Depth Interval Gravel Pack
None Native Materials
Well Seals: Depth Interval Seal Material
0 – 100 feet:

Neat-cement grout (around 8-inch diameter casing)
inside 12-inch boring and temporary casing (removed)
Pitless Adapter: Well will be fitted with a pitless adapter
-a – Information provided by Mike Zimmerman

Table 5 summarizes the well sealing process of the well production casing that was
witnessed on June 18, 2024.

Well Seal Certification for Bear River Administrative Site Well REPL-1 (WIN 448975)
PWS No. 22090

Loughlin Water Associates, LLC Page 4 of 5 July 8, 2024
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TABLE 5
WELL CASING SEALING DESCRIPTION

Description
of Well
Sealing
Process:
On June 18, 2024, I witnessed the sealing of an 8-inch diameter production casing for
the Bear River Administrative Site Well from a depth of 100 feet up to grade with neat
cement grout that was mixed on-site by Mike Zimmerman Drilling LLC (Zimmerman).
The cement grout was installed into the annular space of the well via a 1-1/2-inch
diameter tremie pipe initially set to 95 feet below grade. Zimmerman mixed and pumped
the cement grout into the tremie pipe with a grout pump while retracting the 12-inch
diameter temporary casing set to 100 feet. A total of approximately 82 cubic feet (3 cubic
yards) of neat cement grout was mixed on-site and pumped into the annular space
between the 12-inch casing boring and the 8-inch well production casing.

After 25 cubic feet were mixed and pumped, Zimmerman retracted 35 feet of 12-inch
diameter casing. The tremie was reset to 65 feet, and Zimmerman pumped another 31
cubic feet of grout before retracting 40 feet of 12-inch diameter casing. The tremie was
reset to 35 feet and Zimmerman pumped another 20 cubic feet and pulled the remaining
25 feet of 12-inch diameter casing. The tremie was reset to 10 feet and an additional 6
cubic feet were pumped which brought the grout to the ground surface.
Grout
Material:
Neat cement grout as prepared on site.
Grout
Volume:
The theoretical volume of the annular space from grade to a depth of 100 feet between
the 12-inch diameter temporary casing and the 8-inch diameter well production casing
borehole is approximately 44 cubic feet (1.6) cubic yards. Approximately 82 cubic feet
(3 cubic yards) of neat cement grout was installed from 13 batches in the annular space
of the well between a depth of 100 feet and where it settled at grade, which was
approximately 1.9 times the theoretical volume. The discrepancy between the theoretical
and actual volumes installed is due to washouts and porous alluvial gravels in the 12-
inch diameter boring between 100 feet and the ground surface.
Grout
Density:
The grout density was measured to be between 15.0 to 15.3 pounds per gallon (lbs/gal)
prior to installation in the borehole. Grout density was measured in 13 batches.
Method of
Placement:
Tremie pipe and grout pump.
Depth from
Surface:
This certified well seal extends from ground surface to a depth of 100 feet.
Did Grout
Come to the
Surface?
The grout came up to ground surface.
Length of
Tremie Pipe:
The bottom of the tremie pipe was initially set at a depth of 95 feet. After the first 25
cubic feet of neat cement grout were pumped into the annulus, 30 feet tremie pipe
were removed. The tremie depth was reset at 65 feet and 31 cubic feet were pumped.
The tremie was reset to 35 feet and 22 cubic feet were pumped. The tremie was set at
10 feet and an additional 6 cubic feet were pumped. The tremie pipe was kept within
the grout during pumping episodes.

This well seal certification is not a Plan Approval to construct a public drinking
water well or an Operating Permit to use the well as a public drinking water source.
Such approval may only be granted by the Director of the Division of Drinking Water. A
copy of this letter has been sent to the Director of the Division of Drinking Water.

Well Seal Certification for Bear River Administrative Site Well REPL-1 (WIN 448975)
PWS No. 22090
Loughlin Water Associates, LLC
Ltr24-25-ZimmermanIndianHollow
GroutSeal
FIGURES

Figure 1
Location Map of Bear River
Administrative Site Well
Mike Zimmerman Well Service LLC
N
APPROXIMATE SCALE IN FEET
KEY
Bear River
Administrative
Site Well
Reference - Division of Water Rights Mapping Database 2024
All Locations Approximate
T2N
R10E
T1N
R10E
T1N
R9E
T2N
R9E
Figure 2
Schematic Diagram
of the Bear River
Administrative Site Well
Mike Zimmerman Well Service LLC
NOTE: NOT TO SCALEReference: United States Department of Agriculture Forest Service
Uinta-Wasatch-Cache National Forest Well Construction Details
Dated 4/12/2022 Drawing C2
Well Seal Certification for Bear River Administrative Site Well REPL-1 (WIN 448975)
PWS No. 22090
Loughlin Water Associates, LLC
Ltr24-25-ZimmermanIndianHollow
GroutSeal
ATTACHMENT

State of Utah

GARY R. HERBERT
Governor

SPENCER J. COX
Lieutenant Governor
Department of
Environmental Quality

Alan Matheson
Executive Director

DIVISION OF DRINKING WATER
Marie E. Owens, P.E.
Director

March 11, 2019

John S. Brown, P.G.
Loughlin Water Associates, LLC
3100 W. Pinebrook Road, Suite 1100
Park City, UT 84098

Subject: Well Seal Witness Authorization

Dear Mr. Brown:

On April 10, 2017, the Division of Drinking Water (the Division) received your request that the
Director authorize you to witness the well sealing procedures for public drinking water wells and
issue well seal certificates per Utah Administrative Code R309-515-6(5)(b). Evidence of passing
the water well drilling rules exam was received on February 21, 2019.

The Division’s Well Seal Witness Authorization Review Committee reviewed your application
based on the below criteria:

1. At least 5 years professional experience designing wells, supervising well drilling or other
equivalent experience associated with well drilling or well sealing that are acceptable to
the Director [R309-515-6(5)(b)(ii)(A)].
2. Evidence of licensure as a professional engineer or professional geologist in Utah [R309-
515-6(5)(b)(ii)(B)(II)].
3. No familial, former long term employee, business partnerships, etc. with a well driller
[R309-515-6(5)(b)(ii)(B)(III)].
4. Acknowledgement that the applicant would not be acting as an agent or employee of the
State of Utah and that any losses incurred while acting as a witness would not be covered
by governmental immunity or Utah’s insurance [R309-515-6(5)(b)(ii)(B)(IV)].
5. Willingness to attend training events as required by the Director [R309-515-
6(5)(b)(ii)(B)(V)].
6. Complete, with a minimum of 75% passing grade, an examination on water well drilling
rules as offered by the Division of Water Rights [R309-515-6(5)(b)(ii)(B)(V)].

The Well Seal Witness Authorization Review Committee determined that you have met all of the
above criteria. On this basis you are hereby authorized to witness the public drinking water

195 North 1950 West • Salt Lake City, UT
Mailing Address: P.O. Box 144830 • Salt Lake City, UT 84114-4830
Telephone [phone] • Fax [phone] • T.D.D. [phone]
www.deq.utah.gov
Printed on 100% recycled paper
John S. Brown, P.G.
Page 2 of 2
March 11, 2019

well sealing procedure and to issue well seal certificates. This authorization is contingent upon
your continuous fulfillment of the conditions for obtaining authorization per R309-515-6(5)(b)(ii).

Please include all of the following information, as a minimum, in each well seal certificate per
R309-515-6(5)(b)(iii), and send a copy of the well seal certificate to the Division.

(A) Certification that the well sealing procedure met all the requirements of Rule R309-515-
6(6)(i);
(B) The water right under which the well was drilled and the well driller's license number;
(C) The public water system name (if applicable);
(D) The latitude and longitude of the well and method used for its determination;
(E) The well head's approximate elevation;
(F) Casing diameter(s), length(s), and material(s);
(G) The size of the annulus between the borehole and casing;
(H) A description of the sealing process including the sealing material used, its volume,
density, method of placement, and depth from surface; and
(I) The names and company affiliations of other individuals observing the sealing procedure
including, but not limited to the well driller, the well owner, and/or a consultant.

Thank you for your interest in being a part of this program, and congratulations on becoming an
authorized well grout inspector.

Sincerely,
Marie Owens, P.E.
Director

NL/LL/ hs

cc: John S. Brown, Loughlin Water, [e-mail]
DEQ District Engineers
Deidre Beck, Division of Drinking Water, [e-mail]
Nathan Lunstad, Division of Drinking Water, [e-mail]
Jim Goddard, Division of Water Rights, [e-mail]

DDW-2018-017024